Browsing by Author "Tamrat Assefa"

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    Effect of Business Risk on Financial Performance of Insurance Business: a case Study of Ethiopian Insurance Corporation
    (A.Au., 2024-06-01) Tamrat Assefa; Alem Hagos
    This study aims to explore the effects of business risks on the financial performance of insurance company specifically to evaluate the trend of the financial performance of Ethiopian Insurance Corporation. Bearing the objective to explore the effect of credit risk, under-writing risk, liquidity risk, and re-insurance risk, to analyze the effect of macro-economic variables including inflation, interest, and exchange rate on EIC’s financial performance. To accomplish these objectives, the study used primary annual data from Ethiopian Insurance Corporation audited annual financial statement and from National Bank of Ethiopia spanning from 2008/09 to 2022/23 G.C, to analyze the data the study used STATA software, descriptive and inferential statistics, graphical exploration, and time series model including Vector error correction model. By doing this, the result indicates that the financial performance of Ethiopian Insurance Corporation in decreasing patterns after 2020 contrast to the liquidity and credit risk, credit risk, liquidity risk, under-writing risk, re-insurance risk has not been managed well, credit, liquidity, underwriting, and re-insurance risks have long run effects on the performance of the insurance corporation. Furthermore, the results indicate that all the business risks considered for the study and included macro variables have long run effects on the performance of the corporation. Based on the above findings the researcher recommend that the corporation should provide continuous evaluation of claims, creating, recording and putting in to practice efficient procedures for managing products, and manage the types and attributes of insurance risks taken on or claims authorized, needs to create risk management plans to lessen the adverse effects of volatility, revise or induce a robust credit policy to minimize the corporations’ bad debt, and the board of management and the corporation’s management should induce risk aware culture across the corporation to manage business risks.
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    Patient Satisfaction with Outpatient Pharmacy Services in Public Health Facilities in Metekel Zone, Benishangul-Gumuz Regional State, Ethiopia: A Mixed Method Study
    (Addis Ababa University, 2025-10-01) Teshome Wakjira; Birhanu Demeke; Tamrat Assefa; Eskinder Eshetu; Girma Tekle
    Background: Patient Satisfaction with Pharmacy Services Is a Healthcare Quality Indicator Impacting Treatment Adherence and Health Outcome. Given The Paucity of Research on Patient Satisfaction in the Study Area, This Study Assesses Satisfaction, Improvement Areas and Provide Actionable Evidence for Policy Makers and Facility Managers. Objective: To Assess Patient Satisfaction with Outpatient Pharmacy Services in Public Health Facilities in Metekel Zone, Benishangul-Gumuz Regional State, Ethiopia. Methods: A Mixed-Methods Sequential Explanatory Study Was Done in Public Health Facilities from August 1, 2023 to November 20, 2024. Quantitative Data Analysis Included Descriptive Statistics and Non-Parametric Tests. Multivariable Tobit Regression Analysis Was Used to Identify Factors Associated with Satisfaction Score. For The Qualitative Component, 28 Key Informants (12 Patients And 16 Pharmacy Professionals) Were Selected by Purposive Sampling. The In-Depth Interviews Continued Until Data Saturation Was Reached. The Audio-Taped Data Was Analyzed Using Inductive Thematic Analysis. Results: Four Hundred Sixteen Patients Participated with the Majority Being Female (60.3%) And Urban Residents (56.3%). The Median Patient Satisfaction Score Was 47.0. While Most Patients Were Satisfied with the Approach and Communication of the Professionals, Satisfaction Was Low Regarding Medication Instruction (18.0% Strongly Satisfied) And Medicine Availability (53.4% Dissatisfied/Strongly Dissatisfied). Multivariable Tobit Regression Analysis Showed That Location of the Pharmacy Setting, Private Counseling Area and Waiting Area Were Significantly Associated with Satisfaction Score (P < 0.05). In The Qualitative Component, Perceptions of the Key Informants Were Categorized into Three Main Themes: Structural Aspects of the Pharmacy Setting, Pharmacy Service Process and Pharmacy Service Outcomes. Conclusion: The Study Demonstrated That Patients Experienced Low Overall Satisfaction. Key Dissatisfaction Areas Included Availability of Medicine, Medication Instruction and Structural Aspects of the Pharmacy Premises. Factors Such As Pharmacy Location, Private Counseling Area and Waiting Area Significantly Influenced Satisfaction. Therefore, Interventions to Improve Structural Aspects of the Pharmacy, Availability of Medicines and Medication Instructions Are Recommended to Enhance Service Quality and Patient Experience.
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    Pharmacist-Led Anticoagulation Services and Patient Knowledge, Adherence, and Satisfaction with Warfarin Therapy: A Multi-Method Study at Tikur Anbessa Specialized Hospital, Ethiopia
    (Addis Ababa University, 2025-04-19) Tamrat Assefa; Teferi Gedif
    Warfarin remains the cornerstone for preventing thromboembolic events (TEEs), but a narrow therapeutic range, complex pharmacokinetics, and interactions with various substances complicate its use. Specialized anticoagulation management services (AMS) are known to improve warfarin control and outcomes; however, there is limited evidence of their effectiveness in Africa, particularly in Ethiopia