Browsing by Author "Mulushoa, Adiyam"

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    Assessment of Anti-Retroviral Therapy Adherence and its Determinants among HIV-Positive Mentally Ill Patients Attending Outpatient Department at Amanuel Mental Specialized Hospital, and St. Paul Hospital Millennium Medical College
    (Addis Ababa Universty, 2018-06) Mulushoa, Adiyam; Molla, Mitike (Ass. Professor)
    Background: HIV is an infectious disease that affects people without any boundary and health status. While mental disorders could predispose individuals to different communicable diseases including HIV, people who already encountered HIV could sustain depression and mental disorders where adherence to antiretroviral therapy (ART) could be hampered. Despite this fact, there is a paucity of information in this area. Objective: the aim of the study is to asses ART adherence and its determinants among HIV positive mentally ill patients attending outpatient department at Amanuel Mental Specialized Hospital and St. Paul Hospital Millennium Medical College. Method :a quantitative cross-sectional study was undertaken among 416 HIV positive mentally ill patients attending outpatient services at antiretroviral therapy units of Amanuel Mental Specialized Hospital and St. Paul Hospital Millennium Medical College. The data was collected using structured questionnaire and analyzed using SPSS 21. Result: A total of 416 were interviewed. The principal reasons reported for skipping doses in this study were being busy, falling asleep, and running out of medication and religious beliefs. The overall self-reported ART dose adherence among the mentally ill was only 57.2%. Adherence was independently associated with being employed (OR 0.505, 95% CI 0.321-0.797), running out of drugs (OR 0.031, 95% CI 0.003-0.276), being busy (OR 0.015, 95% CI 0.003-0.064), falling asleep (OR 0.032 95% CI 0.004-0.281) and Depression wasn’t significantly associated with ART adherence. Conclusion: the self-reported adherence level was low in the study area. The study showed that mentally ill patients are more influenced by personal and emotional reasons than the other factors like, medication related, patient-provider relationship, and health care delivery system.
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    The Effect of Customer Service on Patient Satisfaction of Public Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2019-05) Mulushoa, Adiyam; G/Medhin, Mulugeta (PhD)
    A satisfied patient is expected to be compliant on his/ her treatment and medication leading to a better outcome; while patient satisfaction can be influenced by various factors, the service provided in a hospital can also have part on the patients’ satisfaction over all. The aim of this study was to assess the effect of customer service on patient satisfaction in public hospitals in Addis Ababa. Quantitative cross-sectional study was undertaken among 398 patients attending the outpatient department at public hospitals in Addis Ababa. The data was collected using structured questionnaire and analyzed using SPSS 21. A total of 366 were interviewed with a total response rate of 91.96%. The overall self-reported patient satisfaction was only 42.1%. Patient satisfaction was independently associated with level of education, AOR 0.238 (95% CI 0.082-0.693), having first time and 2-4 times visit detail AOR 5.488 (95%CI 1.852-16.264), AOR 3.278 (95%CI 1.178-9.118) respectively, technical quality of the service AOR 7.530 (95% CI 3.473-16.324), and competence of employees AOR 3.152 (95% CI 1.655-6.003), communication skill of employees AOR 5.216 (95% CI 2.604-10.451), timely service delivery AOR 3.963 (95% CI 1.989-7.896). The self-reported patient satisfaction was low in the study area. The study showed that patient satisfaction is influenced by customer service dimensions like technical quality service, knowledge and competence of employees, communication skill of employees, and timely service delivery. Level of education and number of visit to hospital were also found to influence patient satisfaction