Browsing by Author "Seme, Assefa (Dr.)"

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    Factors Affecting the Adoption of Health Management Information Systems (HMIS) Among Health Workers: The Case of SmartCare Software in Addis Ababa Regional Public Hospitals
    (Addis Ababa University, 2013-06) Dereje Teshager; Teferi, Dereje (Dr.); Seme, Assefa (Dr.)
    Background: There has been an increasing interest in the area of Electronic Medical Records (EMR) and more and more hospitals all over the world try to keep their patients’ records electronically. The adoption of EMR has become a major concern in the healthcare industry, as it is a key factor to the healthcare quality improvement. In Ethiopia, the implementation of Electronic Medical Record (EMR) is through software called SmartCare. SmartCare software possesses numerous advantages and features such as Simultaneous, remote access to patient data, Legibility of record, Safer data,Patient data confidentiality, greater range of data output modalities and Service Integration within the facility (laboratory, pharmacy, prescription & scheduling). However, these systems are not used by the health workers in Addis Ababa Regional Public hospitals. Objective: The objective of this study was to identify and measure the factors affecting the behavioral intention and usage behavior of health workers EMR-SmartCare Software adoption in public Hospitals of Addis Ababa City Administration. Methodology: To identify the factors affecting the utilization of EMR-SmartCare software, a cross-sectional descriptive study which was quantitative were employed and a total of 303 study participants were randomly selected from health workers based on their population size proportionally in selected 5 regional hospitals of city administration using Selfadministered questionnaires. Results: The findings provide strong empirical support for all of the main constructs mentioned in the research model,which posits five direct determinants of intention to use EMR-SmartCare software and another two direct determinants of actual Use Behavior as follow: Performance Expectancy(PE), Effort Expectancy(EE), Social Influence (SI), ComputerAttitude(CA), Personal Innovativeness in IT(PIIT) as determinant of Behavioral Intention and; Facilitating Conditions(FC) and Behavioral Intention(BI) as determinants of Actual Usage Behavior(AUB). These results maintain enough explanatory power R2 =.702 (Adjusted R squared=.333) to help explain the intentions and actual use behavior of health workers in adopting EMR- SmartCare software. Conclusion: These research findings indicate that the variables in the proposed research model significantly and positively impact the behavioral intention and actual use behavior to adopt EMR-SmartCare software. Among these,attitude towards computers has the most significant positive impact on adoption intentions. Therefore this study suggests that in order to enhance the intention to adopt and use EMR-SmartCare software, hospitals should strengthen independent impact variables, including Attitude towards Computers, Performance Expectancy, Effort Expectancy, Social Influence,Facilitating Conditions and Personal Innovativeness in IT. In view of the fact that the achieved conceptual framework considers the particular characteristics of the health workers, contributions and implications of this study are significant both at the theoretical level as well as the practical level. This study not only provided some interesting findings and suggestions for practice but also produced a paradigm for scholars who are interested in the behavior of technology adoption for health care sectors.
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    Utilization of Hiv/Aids voluntary counseling and testing service and associated factors among government high school adolescents in Addis Ababa, Ethiopia an institution-based cross sectional study.
    (Addis Ababa Universty, 2018-01) Ebiama, Lifanda; Seme, Assefa (Dr.)
    BACKGROUND: Voluntary Counseling and Testing (VCT) is a key component in the national HIV/AIDS prevention and control programs in sub-Saharan Africa. HIV/AIDS is the number one cause of death among adolescents in sub-Saharan Africa. Nevertheless, testing among adolescents remains very low. The 2016 EDHS shows in Ethiopia 74% of girls and 88% of boys aged 15 – 19 years have never been tested. However in Ethiopia HIV Counseling and Testing tends to be on the fall among adolesccents according to EDHS 2011 and 2016. The objective of this study is to determine the prevalence of Voluntary Counseling and Testing (VCT) of HIV/AIDS and associated factors among high school adolescents in Addis Ababa, Ethiopia. METHODS: We carried out a cross-sectional study to assess the prevalence of VCT utilization and its associated faactors among high school adolescents aged 15 – 19 years in Addis Ababa, Ethiopia from February to April 2018. Our study participants were selected using simple random sampling technique. A self-administered structured and pre-tested questionnaire was used to collect data. Data was analyzed using SPSS 21. We used Descriptive statistics to describe the study population, bivariate analysis to determine the presence and strength of association and multivariable methods of data analysis to control for confounders; p<0.05 was considered statistically significant. RESULTS: Our study participants constituted 400 adolescents; 44% male, 56% female with a mean age of 17.2±1.3 years. 20.2% of our study participants were sexually active with the mean age of first sexual intercourse 16.3±1.5 years. The prevalence of VCT utilization was 35.8% and the associated factors were; Ever had sexual intercourse [AOR=2.09 (1.03, 4.26)], Availability of VCT services in or around the high school [AOR=1.85 (1.07, 3.18)], time on foot to nearest VCT center [AOR=3.74 (1.17, 12.0)], perception of stigma and discrimination [AOR=3.0 (1.79, 5.014)]. CONCLUSION: VCT utilization among high school adolescents was low. Accessibility, perceived stigma and discrimination remain major barriers to VCT utilization for adolescents. RECOMMENDATION: VCT services should be made available in schools and Campaigns to educate parents and adolescents on stigma and discrimination will improve VCT utilization.