Browsing by Author "Tesfaye, Getahun"

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    Assessment of client satisfaction with contraceptive counseling and associated factors among women attending family planning clinics in Asella public health institutions, Oromia regional state, 2018
    (Addis Ababa University, 2018-06) Tesfaye, Getahun; Deribe, Leul (MSc, BSc)
    Background: Family planning (FP) saves lives of women and children and improves the quality of life for all. It is one of the best investments that can be made to ensure the health and well-being of women, children, and communities by decreasing maternal mortality and improves women's health through preventing unwanted and high-risk pregnancies and reducing the need for unsafe abortions. To increase modern contraceptive prevalence rate and decrease discontinuation rate, satisfying clients with contraceptive counseling is crucial. It empowers people to exercise their right to good quality family planning care. Unfortunately, counseling is a deficient process especially in third world countries and sometimes not present at all and can lead to family planning discontinuation, unintended pregnancy and unsafe abortion Objective: To assess client satisfaction with contraceptive counseling and associated factors among women attending family planning clinics in Asella town public health institutions, Ethiopia, 2018 Methods: Facility based cross-sectional study was conducted from February – March, 2018 to assess client satisfaction with contraceptive counseling and associated factors among women attending family planning clinics in Asella public health institutions. Study subjects were selected by using systematic random sampling. Data was collected by questionnaire and entered onto a computer using Epi-info version 3.5.4 statistical program then exported to SPSS version 20 for analysis. Logistic regression was used to predict the relation between dependent and independent variables. Lastly, significant of statistical association was assured or tested using 95% confidence interval and p value <0.05. Results: This study revealed that 62.8% of the study respondents were satisfied with contraceptive counseling. Multiple logistic regression showed that, being urban in residence (AOR=1.93, 95%CI=1.09, 3.41), Time taken to reach nearby health facility(AOR= 2.18,95%CI=1.06,4.49), Explain side effect (AOR=0.408,95%CI=0.22 0.77),being asked reproductive history (AOR=1.918, 95%CI=1.062, 3.465), Asked worries and concern about the method (AOR= 2.409, 5%CI=1.269, 4.557), Explain side effect(AOR= 0.408,95%CI=0.22,0.77), Use of leaflet(AOR= 0.41,95%CI=0.19,0.86) have shown significant association with client satisfaction with contraceptive counseling. Conclusion and recommendation: This study showed that 62.8% of clients who came for family planning services were satisfied with contraceptive counseling. The findings suggested a need for further large scale studies in Ethiopian setup to analyze the institutional contraceptive counseling situation of as to formulate precise strategies to reduce client dissatisfaction and increase contraceptive prevalence rate
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    Practices and Challenges of Financial Resource Management in Government Secondary Schools of Adama City Administration
    (Addis Ababa University, 2018-01) Tesfaye, Getahun; Zeleke, Befekadu (PhD)
    The purpose of this study was to investigate practices of school financial resource management in government secondary schools of Adama City Administration. For this study descriptive survey research design was used. The study was conducted purposively in three selected government secondary schools since the other four secondary schools were started their operation in the last two to three years. Methods of research utilized in study were mixed of qualitative and quantitative approach. The participants of the study were 139 respondents and census method was utilized to collect data from the population. A total of 135 questionnaires were disseminated to respondents (Principals, Vice principals, KETB members, PTA members, Departments, Accountants and other finance workers). Out of these 126 (93.33%) were correctly filled. In addition to this, qualitative data were gathered from seven respondents via structured interview; and a secondary source was collected from official documents related to the study. Then the data was tabulated, organized and analyzed using descriptive statistics such as percentage, mean and standard deviation. In addition, t-test and P-Value was used to analyze the presences of significant differences between responses of management organs and departments group. Furthermore, interview and open-ended items of the questionnaire were analyzed qualitatively using narrative form. Accordingly, the findings of the study revealed that low degree of participations of KETB on budget preparation, in sufficiency block grant annual budget, underutilization of specially RBA budget, absence of reporting internal income and student parent contribution were identified. Among the majors challenges to finance managements of the school understudy; problem of not using computerized accounting system, absence of well-organized finance record keeping system, absence of internal auditing system, lack of adequate skilled accountants, purchasing delay and purchasing out of school demand and quality problems of material purchased, and absence of human resource on certain job title were identified as severer factors. Thus, it can be concluded that Absence of participation private investor, NGO and community other than parent of student in financing school, absence of training leads to weak management of educational financial resources, not submission of financial utilization report leads schools to improper utilization of budget and mismanagement schools financial resource, Weak controlling system of budget utilization and finance recording system, skill gap on budget plan and utilization and lack of internal controlling and monitoring financial resource system.. Finally, to improve the situation, it was recommended that participating private investor, NGO and community other than parent of student in financing schools, giving orientation for KETB members on their responsibility, filling perception difference gaps through creating awareness and transparency, offering training, developing, controlling and monitoring system via reporting and having internal auditor, giving Technical support via supervision, using computerized accounting system and full filling human resource gaps of the school, decentralizing the black grant budget and conducting further research were forwarded. Key words: Financial management, Practices, Challenges, Government secondary school, financial utilization