Browsing by Author "Tesfaye, Ayalew"

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    Assessment of Pharmaceutical Store Management in Public Hospitals, Addis Ababa, Ethiopia
    (Addis Abeba University, 2020-09) Tesfaye, Ayalew; Dr. Messele, Bruck(PhD)
    Assessment of Pharmaceutical Store Management in Public Hospitals, Addis Ababa, Ethiopia Ayalew Tesfaye Addis Ababa University, 2019 Background: Pharmaceutical store management plays an important role in the management of health. Efficient practice in this area can reduce financial wastage, shortage, and overstocking of pharmaceuticals thus, assessing pharmaceutical store management performance is important. Objective: The purpose of this research was to assess the existing pharmaceuticals store management practices of public hospitals in Addis Ababa. Method: A facility-based descriptive cross-sectional study using a sequential explanatory mixed-method was employed in 11, public hospitals. Data was gathered using standard observation checklists, document review, a physical count of tracer medicines, structured questionnaires, and interviews with key informants from April 15 to June 30, 2019. The quantitative data were entered and analyzed using Excel 2016 and SPSS version 20 and the qualitative data were analyzed using a thematic analysis approach. Result: The average adherence in storage conditions was 47.1%, 45.5% in security and safety of stores, 40.3% in special storage requirements, 59.8% in storage procedures, 100% in receiving supplies, 68.8% in stock management techniques, and 67.9% in technical stock management preconditions. From tracer medicines, only 52.24% bin cards were accurately filled. The average stockout rate of tracer medicines was 17%. The total wastage rate of pharmaceuticals between July 1, 2018, to December 31, 2018, GC. was 6,644,899.24 ETB, it was about 2.92% of the total receiving. From the in-depth interview, all key informants said that none of them have disposed of pharmaceutical wastes in the last five years as well they mentioned that the performance of the drug and therapeutic committee was weak and the procurement handled by non-pharmacy professionals from private suppliers affect the availability of medicines. Conclusion: The adherence towards physical storage conditions and storage procedures of the study hospitals was found to be less than 50% and the inventory management practice was also found to be weak. There were high stockout rates of tracer medicines and the wastage rate also beyond the acceptable amount. No disposal of pharmaceuticals in the last five years, therefore hospitals should work with the concerned governmental bodies to improve the above problems.
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    The Factors of Resistance to Organizational Change Management Process: A Case Study at Ethiopian Revenue & Customs Authority (ERCA)
    (Addis Ababa University, 2015-10) Tesfaye, Ayalew; Bekele, Teshome (PhD)
    In this paper, the factors of resistance to organizational change management are studied in view of the Lewin’s three phase model of change process. The coefficients of fifteen sources of resistance were the critical cancers and were weighed against which sources of resistance presents higher disparity of impact in the phases of the change process. One hundred fifty questionnaires were distributed randomly in ERCA, Addis Ababa. A unidirectional logit regression of odds ratio and marginal function analysis was used to get a finding that age and gender are not predictors to resistance, while education and experience are negatively and positively predictors respectively. It is also found that a variable factor can have varied significance level in the unfreezing, moving and refreezing phases of change a process. In this regard vulnerability driven factor was the highest significant factor in the first two phases while managerial incapability driven factor in the last phase of change management process.