Browsing by Author "Tesfahun, HaileMichael (PhD)"

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    The Effects of Health Care Financing Reform on Quality of Health Service: A Case of Private Wing Service in Addis Ababa Public Hospitals
    (Addis Ababa University, 2013-11) Bazezew, Tirunesh; Tesfahun, HaileMichael (PhD)
    Back ground: Health care financing reform is the main strategy designed to solve both the accessibility and the quality issues of the health care system of Ethiopia. Assessment the effect of this reform on the quality of health provided in the private wings of public hospital was the main objective of this study. The three aspects of quality, structural, process and the outcome of care were then assessed. Methods: A descriptive cross-sectional quantitative study was conducted at the outpatient private wing service. Quality of service was assessed using a structured questionnaire through clients exit interview. The data collection period was between the month of April and May/2013. Data was coded and analysis using SPSS version 16. 0. was done using Univariate, bivariate and multivariate logistic regression analysis method. Result: Better satisfaction rate of clients were reported on the professionals characteristics of courtesy and respect of clients, listening, explanation, advice and information sharing, which on average was 78.2 %. But a relatively low performance was observed in the service characteristics. Only 59 % of the clients were satisfied with the general cleanliness of the physical environment, 73.1 % had got the ordered laboratory service and only 22.8% of them had the prescribed medication. Conclusion and Recommendation: Implementation of the health care financing reforms has brought some improvements of quality and a rise in patient satisfaction in the private wings of public hospitals. Howe ever, much has to be done for full implementation of the health sector reforms to further improve the quality of service provided to community
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    The Prevalence of Domestic Violence in Pregnant Women Attending Antenatal Care at the Selected Health Facilities in Addis Ababa
    (Addis Ababa University, 2013-10) Abdurashid, Ruman; Tesfahun, HaileMichael (PhD)
    Domestic Violence (DV) is most prevalent in every sector of society, but less recognized and poorly addressed social stigma. DV is usually expressed in psychological, physical and sexual abuse inflicted by close partners. The objective of this study is to assess the prevalence, factors associated with Domestic Violence, and women perception on violence during pregnancy among currently pregnant women attending Ante Natal Care (ANC). For the purpose of this research, facility based cross sectional study was under taken among 360 pregnant women age 18-49 who came to three health facilities for antenatal visit (one Hospital and two Health Centers) Gandhi Memorial Hospital, Kolfe, and Nefas Silk Lafto Sub City Wereda -3 Health Centers from May13 to 24, 2013. Methodologically quantitative data collection tool were employed using structured questionnaires. Binary descriptive statistics and multivariate analysis were used to analyze the collected data. The finding indicates that the prevalence of violence in life time in one or another form is 109 (31.3%) and 102 (29.3%) during current pregnancy by their partners. The study revealed that undesired pregnancy and alcohol consumption by partner is significantly associated with violence. To conclude, most of the perpetrators of DV is male partners, it is paramount important to create awareness on violence against women via social interaction groups like “Idir” and through formal/informal education and policy makers. Keywords: Domestic Violence, Undesired Pregnancy, Empowerment