Browsing by Author "Negash, Selamawit"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Cost Analysis of Abortion in Addis Ababa Public Hospitals
    (Addis Abeba Universty, 2000-04) Negash, Selamawit; Hailemariam, Damen (PhD)
    This is an institution based cross-sectional study conducted in four public hospitals in Addis Ababa, Ethiopia, with the objective of analyzing the cost of treating patients with abortion complications and provision of safe abortion services. The data on unsafe cases were collected for three months and patients with abortion complications who attended these hospitals during the study period were interviewed (n=401). Four hundred twenty four medical records were reviewed and observation was done in ten percent of the cases (n=42) and administrative records were reviewed, to obtain data on direct, indirect and opportunity cost in treating abortions complications. The cost in provision of safe abortion service was estimated and the average unit cost ranges from 40.97 to 65.32 birr while the actual average unit cost in treating a patient with abortion complication was 131.7 birr with out including the patient side cost. Moreover the sensitivity analysis showed that the cost of treating complication of abortion could rise up to 323.23 birr. Thus, the health care system is spending a lot of resources for treating complications of abortion, which could be possible to prevent it through provision of safe abortion services. The average patient side cost which includes medical, non-medical and opportunity cost was found to be 535.5 birr. If the existing law were liberalized to allow provision of early and safe abortion services with feasible promotion of family planning, in addition to cost reduction 8 in the health system and individual patients, it could save life and minimize suffering of a lot of women who undergo unsafe abortion.
  • No Thumbnail Available
    Item
    Nutritional Status of Children and Food Safety Knowledge, Attitude and Practices among Household Food Handlers Mothers Adigrat, Eastern Tigray Zone in Northern Ethiopia
    (Addis Ababa University, 2020-06) Negash, Selamawit; Ashenafi, Mogessie Professor
    Foodborne diseases is the major public health problem all over the world, particularly in poor resource settings including the study area .The problem is more noticeable in the study area due to lack of knowledge, inappropriate attitude and unacceptable practice of food safety at household leve.l Thus, the main objective of this present study was to assess the food safety knowledge, attitude and practices of food handler mothers and nutritional status of under five children in the households in Adigrat town, Tigray region, Ethiopia. A total of 342 household food handler mothers were selected randomly from the six kebeles. To perform this study, a cross-sectional survey was carried out among food handlers’ households in the study area, between Januarys and March. Moreover, Households food insecurity access scale (HFIAS) was used to assess food security status of households, household food safety KAP were assessed with regards to food handling, personal hygiene and water & sanitation and nutritional measurements were used to assess children under five nutritional status. Data was analyzed by using SPSS version 25. Nutrition status of children Weight and height was used to calculate weight-for-age, weight-for-height and height-for-age by using Emergency Nutritional Assessment (ENA for SMART 2011) in the scale of WHO standards 2006. Results were presented using descriptive statistics and cross tabulation. Chi-square was used to test differences among categorical variables .The result of the present study showed that, low knowledge and poor practice in food handling, personal hygiene and water sanitation. The level of food security was 2.2 % food secure 27 % mild food insecurity 26.7% moderate food insecurity and 44.3% severely food insecurity. The findings also showed that nutritional status of under five children 28.8% wasting ,65% underweight , 51.4 stunted 48.3% MUAC chronic energy deficiency. To cope with this problems governmental or non-governmental stake holders, health extension workers should give education or trading on food safety and nutrition .Temporary solution should join them in to productive safety net programs