Browsing by Author "Tesfaye, Tadesse"

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    Assessments of Patients’ Satisfaction Towards Clinical Laboratory Services Received at Uniformed Service Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-05) Tesfaye, Tadesse; Mindaye, Tedla (PhD)
    Back ground: The patients experience the services in another way than the laboratory staff and management, and may indicate weak elements in laboratory services that the laboratory was not aware of. Therefore, the clients of the laboratory are a very good source to discover elements of Key words: Satisfaction, Patients’ satisfaction, Clinical laboratory services laboratory service that can be improved. Objective: To assess patients’ satisfaction towards clinical laboratory services received at Uniformed Service Hospitals in Addis Ababa, April to May 2014. Methods: A cross sectional, hospital based, descriptive study was conducted between April and May, 2014, on a sample of 422 service users of the laboratory using systematic random sampling technique. Data was collected using structured questionnaire, through face to face interview and analyzed by SPSS windows version 15.0. Satisfaction score was calculated by using Likert’s five Scale giving a value of 1 for very dissatisfied up to a value of 5 for very satisfied. Median of the summary score of satisfaction was used to classify as satisfied and dissatisfied since the distribution of summary scores was skewed. Logistic regression model was also used to examine the effect of selected variables on patients’ satisfaction with laboratory services. P-Value less than 0.05 were taken as statistically significant. Results: The respondent’s age range was between 18 and 66 years. 34.4% and 65.6% were from Armed Forces Referral and Teaching Hospital and Federal Police Referral Hospital, respectively. The overall satisfaction level of patients towards clinical laboratory services was 51.7% with the response rate of 422 (100%). Among the different indicators, patients were highly satisfied with courtesy/respect by laboratory workers (84.6%) while patients were highly dissatisfied with unavailability of laboratory workers on working hours (48.6%). The major determinants for dissatisfaction were long waiting time to give laboratory specimen (AOR=1.99, 95% CI 1.10 – 3.58, P=0.02), lack of place in blood drawing room to put personal thing (AOR= 6.83, 95%CI 3.07 – 15.20, P=0.00), lack of place in latrine room to put personal things (AOR=21.95, 95% CI 5.38-89.51, P=0.00), unavailability of ordered laboratory tests (AOR=2.98, 95% CI 1.68-5.34, P=0.00) and dissatisfaction of patients towards pre-laboratory services (AOR= 7.99, 95% CI 4.47- 12.28, P=0.00). Conclusion: Of 422 respondents only 51.7 % of patient was satisfied with clinical laboratory services. Long waiting time to give laboratory specimen, availability of place in latrine and blood drawing rooms to put personal things, unavailability of ordered laboratory tests and dissatisfaction of patients towards pre-laboratory services were found to have statistically significant association with the overall satisfaction of patients towards clinical laboratory services. Therefore, these might be the possible determinants for the dissatisfaction of patients with clinical laboratory services.
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    The Effect of Credit Risk Management on Profitability - The Case of United Bank S.C.
    (Addis Ababa University, 2019-06) Tesfaye, Tadesse; Yohanes, Workaferahu (PhD)
    The overall objective of the study was to establish the effect of credit risk management on profitability - the Case of United Bank S.C. Specific objectives were to; to establish the effects of client appraisal, credit risk control, collection policy and terms of credit on profitability practice of United Bank S.C.A descriptive case-study and explanatory research method was adopted. 112 management level employees were the targeted population. The respondents used in the study were selected using the method of stratified sampling. The sample size was 88 respondents. Questionnaires were used in the study for collection of primary type information. Secondary data was used and was collected from financial reports and the internet. Collected data was analysed using descriptive statistics.It revealed that Client appraisal significantly and positively relate with profitability practice of private commercial banks; Credit risk control and profitability United Bank S.Care significantly and positively related; Collection policy and profitability practice of United Bank S.Chad significant and positive relation; Terms of credit and profitability United Bank S.C had significant and positive association. Recommendation of the study is for united banks to improve methods of appraising clients to avoid clients who are not worthy of credit who might lead to delinquency of loans. The result will improve performance by having loan repayment and loan portfolios performing positively. It is therefore recommended that United Bank S.C need to improve the way they deal with risk accruing from credit through improvement of credit risk control; this can be done by having databases that assesses profiles of creditors both current and prospective and guarantors which private commercial banks can share amongst themselves to lower levels of NPLs and therefore improving the performance of the banking institutions. The bank need to involve clients greatly in coming up with terms of credit, since they’re individuals directly involved and understand better on what terms should be applied. Entities responsible for creation of policies need to come up with prudential guides that are effective and policies that will strengthen management of risks. The bank need to embrace stringent credit policies that help them develop a lasting association with clients, come up with information and requirements of the client. This will help in development of distinct strategies in the context of granting of credit, credit terms and client service that enable growth of sales. Management of the bank should consider formulating a universal credit policy document that will be adopted by all banks from which rating of their financial performance through credit risk management can be measured and regulated. Also stringent policies should always be useful in regulating the whole process of loan application, loan appraisal issue and loan repayment.