Browsing by Author "Tesfaye, Tewodros(BSc, MSc)"

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    Assessment of knowledge, attitude, practice and associated factors towards kangaroo mother care among postnatal mothers paired with their babies at Addis Abeba Public hospitals, 2019: cross sectional study
    (Addis Abeba University, 2019-06) Alelign, Zewditu; Murugan, Rajalakshmi(Asst.Professor,Phd); Tesfaye, Tewodros(BSc, MSc)
    Back ground: Kangaroo Mother Care is a method of holding a small Nappy newborn with skinto skin contact, prone and upright on the maternal chest. Lack of maternal knowledge regarding care of their tiny babies including kangaroo mother care can harm their babies and increase the risk of neonatal morbidity and mortality. Objective: To assess the knowledge, attitude, practice and associated factors towards kangaroo mother care among postnatal mothers paired with their babies at selected public hospitals, Addis Ababa, Ethiopia, 2019. Method: An institutional based cross sectional study was conducted among 249 mothers, at five selected public hospitals in Addis Ababa, from March 15 th , 2019 to May 15 , 2019. Single population proportion with adjusted formula was used to calculate the total sample size. Face to face interview with structured questionnaire were used to collect data. Data was entered with Epi data version 4.4.2.1and analyzed by SPSS version 24 statistical software. Binary and multiple logistic regressions with P value ≤0.2 and ≤0.05 was used respectively. Result: Based on this finding, the overall proportion of good knowledge, favorable attitude and good practice of kangaroo mother care were 67.1%, 54.22% and 43 % respectively with 100% response rate. Educational status(AOR;5.33;95%CL;(1.39-20.47), residency (AOR;7.58;95%CL; (2.39-23.90), income(AOR;3.70;95%CL;(1.17-11.67)acceptability of KMC in community(AOR; 6.32;95% CL;(3.13-18.04), health condition of the baby (AOR;6.76 95%CL;(2.74-16.69),source of information (AOR;2.71;95%CL;(1.01-7.23), gravidity (AOR;2.61;95% CL;(1.20-5.67) as well as mode of delivery(AOR;3.05,95% CL;(1.54-6.04) were statistically significant factors for knowledge, attitude and practice of mothers on kangaroo mother care. Conclusion: Proportion of good knowledge, favorable attitude and good practice of kangaroo mother care were 67.1%, 54.22% and 43 % respectively. There were statistically significant factors for knowledge, attitude and practice of mothers such as educational status of the mothers, residency, family income, and health condition of the baby, gravidity, mode of delivery, conducive home, and community acceptability of kangaroo mother care as well as source of information about kangaroo mother care. Recommendations: Health professionals should give special care for sick and preterm/low birth weight babies and provide counseling for mothers. Health care stakeholders should strengthen health education accessibility for the community. In addition, other stake holders should increase women educational coverage, especially for rular areas. th
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    Assessment of knowledge, practice, and associated factors towards continuous positive airway pressure (CPAP) therapy among nurses working at NICU in public hospital, Addis Ababa, Ethiopia, 2021.
    (Addis Abeba University, 2021-06) Ahmed, Kassaye; Teshome, Roza(Bsc, Msc, Asst.prof., PhD fellow); Tesfaye, Tewodros(BSc, MSc)
    Back ground: Continuous positive airway pressure (CPAP), a noninvasive respiratory support method used to manage neonates with respiratory distress, provides continuous pressure that helps prevent the collapse of alveoli, increasing the lungs’ functional residual capacity, and thus minimizing the work of breathing. Good nurses' skills and knowledge are needed to prevent and overcome complications such as nasal trauma, pneumothorax, and gastric distension due to the use of CPAP. Objective: This study aim was to assess knowledge, practice, and associated factors towards Continuous positive airway pressure therapy among nurses working in NICU in public Hospitals of Addis Ababa, Ethiopia, 2021. Methods and Materials: A facility-based cross-sectional study design was conducted during the period of March, 2021 to May, 2021. Simple random sampling was used to obtain the study participants. A self-administered questionnaire and observational checklist technique were unitized to gather the data from 120 nurses working in four public Hospitals Addis Ababa, Ethiopia. The collected data was entered by using Epi-data version 4.6 and exported to SPSS version 26 for analysis. Logistic regression model was used to identify the association between the dependent variable and independent variable. In bivariate model, Variables that had p-value ≤ 0.25 were further analyzed into the multivariable model and confidence level at 95%, the p-value of <0.05 was a statistically significant association. Results: One hundred twenty nurses were participated in the study with a response rate of 96.8%. Among the participant nurses 60% had inadequate knowledge regarding CPAP therapy. Nurse with experience ≥11 years at NICU (AOR=13.74, 95% CI: 2.27-83.24), nurses had formal training on CPAP (AOR=0.16, 95% CI: 0.05-0.46), available of protocol for CPAP therapy (AOR=11.95, 95% CI: 2.27-62.89) and 1:1 nurse-to-patient ratio (AOR=15.38, 95% CI: 2.46-96.23) were associated to knowledge on CPAP therapy. The findings of this study also revealed that 55.8% of nurses had good practice about CPAP therapy. Nurses working at NICU ≥11 years’ experience were (AOR=0.06, 95% CI: 0.010.04) and nurse-to-patient ratio 1:2 was (AOR=0.23, 95% CI: 0.05-0.96) were associated to practice on CPAP therapy. Conclusion and Recommendations: In conclusion, three-fifth and almost half of the studied nurses had inadequate and good practice levels towards CPAP therapy in NICU respectively. Continuous and regular training regarding about CPAP should be given to the NICU nurses.
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    Magnitude of Perinatal Asphyxia and Associated Factor among Neonates Admitted at Neonatal Intensive Care Unit of Worabe Comprehensive Specialized Hospital South Ethiopia, 2020.
    (Addis Abeba University, 2020-06) Awgchew, Seifu; Sebsibe, Girum(BSc, MSc, PHD fellow); Tesfaye, Tewodros(BSc, MSc)
    Back ground: World Health Organization (WHO) defines birth asphyxia as failure to initiate and sustain breathing during birth. Apgar score is 0-3 for longer than 5 minute lead to developing multisystem organ dysfunction including cardiovascular, neurological, gastrointestinal, pulmonary, and renal system. The aim of this study is to Asses magnitude of prenatal asphyxia and associated factors in admitted neonates at NICU of Worabe Comprehensive Specialized Hospital from January 1/2016 to December 31/2019, Silete zone, South Ethiopia 2020. Facility based retrospective cross-sectional study was conducted from March to April 2020 (by reviewing neonates chart from January1/2016 to December 31/2019). Data was collected through record review using pre-tested structured check lists. Systematic sampling technique was used. The data was entered into statistical software Epidata version 3.1 up on creating the questionnaire template in the QES file of the software Factors associated with perinatal asphyxia among admitted neonates were determined using bivariate and multivariate logistic regression models. Statistically significant associations were declared at P<=0.05. Permission secured at all level. Pre-test was conducted on 5% of sample before the starting of actual data. The collected data checked daily for completeness and no personal identifiers were used on data collection form. The result of this study shows medical records of 311 neonates were reviewed to give prevalence rate of 41.2%.85 (66.4%) of male and43 (33.59%) of female were developed perinatal asphyxia. Preeclampsia during pregnancy (AOR= 6.2, 95%CI :3.1- 12.3), antepartum hemorrhage (AOR= 4.5, 95%CI:2.3- 8.6), gestational diabetes mellitus (AOR= 4.2, 95%CI:1.9-9.2), premature rapture of membrane (AOR= 2.5, 95%CI:1.33-4.7) fetal distress (AOR= 3,95%CI:1.3-7.0) and meconium stained amniotic fluid(AOR= 7.7, 95%CI : 3.1-19.3) were factor significantly associated with perinatal asphyxia. The study conclude that Preeclampsia, antepartum hemorrhage; Gestational diabetes mellitus, premature rapture of membrane; Intra uterine meconium release and fetal distress during labor were associated factors for perinatal asphyxia. The institution should give emphasis on care of mother and the new born in actively detecting and managing perinatal asphyxia.
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    Practice of early childhood growth and developmental milestone assessment and its determinants among health professionals working at public hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2018-06) Tesfay, Haileslassie; Tesfaye, Tewodros(BSc, MSc)
    Background: In developing nations, 200 million children (~39%) under age five have developmental delay. In USA, 13-16% children under five have developmental difficulties. This huge gap between developed and developing countries is due to lack of early detection and intervention in low and middle-income countries. Universal use of standardized assessment tools was only (2.6%). The practice of growth and developmental assessment is also poor even in the western countries 1.1% practice of filling developmental assessment tools and 75% inconsistent use of growth monitoring charts. Objective: To assess practice in early childhood growth and developmental assessment and its determinants among health professionals working in public hospitals in Addis Ababa, Ethiopia, 2018 Method: Facility based descriptive cross-sectional study design was conducted with a total sample size of 268 health professionals from six public hospitals in Addis Ababa, Ethiopia The data were collected using pretested structured questionnaire adapted from literatures and evaluated by eight experts for content validity. Data had entered in to Epi Data Software version 4.2 and then exported and analyzed by SPSS version 23, software for bivariate and multivariable logistic regression (LR) analysis. Significant association was seen at p<0.05 & the strength of association were expressed using odds ratio. Results: Practice of early child hood growth and developmental milestone assessment were less than average (38.2% and 27.8%) respectively. Female sex [(AOR = 2.025(1.012-4.037) at P= 0.046, general practitioners (AOR = 7.416 (2.455-22.401) at P = 0.000, work experience greater than eleven years (AOR =7.281(1-53.171) at P=0.005, additional training [AOR =3.97(1.585-6.445) at P = 0.001] were significantly associated with early childhood good growth assessment practice with 95% CI. General practitioners [(AOR = 23.826 (6.77- 83.9) at P = 0.000, health officer (AOR = 11.02, 95%CI: 2.1-58.812) at P = 0.005, and work experience greater than eleven years (AOR=20.897(1.5-291.49)] at P =0.024] were significantly associated with good practice. Conclusion and recommendation: Assessment of early childhood growth and development practice remains poor. Training and experience sharing among different professions & assigning professionals with highest work experience at the service could improve the practice level.
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    Prevalence and Predictors of Meconium Aspiration Syndrome among Neonates Admitted in Governmental Hospitals in Addiss Ababa Ethiopia 2021
    (Addis Abeba University, 2021-05) Mihret, Soliyana; Tadelle, Nigusse(Msc, Ass't Professor); Tesfaye, Tewodros(BSc, MSc)
    Background: - Meconium aspiration syndrome (MAS) is a life-threatening respiratory disease occurring when neonates aspirate meconium-stained amniotic fluid near or around birth with varying severity. An average of 8% to 25% live birth neonates with meconium-stained amniotic fluid have delivery complications and from these around 5% of them develop MAS with a 50% chance of needing for mechanical ventilation. There is a paucity of literatures in the study area regarding the study topic. Therefore, the study aimed to assess the prevalence and associated factors of meconium aspiration syndrome among neonates admitted in NICU of governmental hospitals in Addis Ababa Ethiopia.Methods: - An institutional based retrospective cross-sectional study design was employed to collect data from February to Mach 2021. A three-year chart review from January 2018 to January 2021 was conducted. The data was collected by using structured questionnaire. Systematic random sampling technique was used to involve the estimated study participants (268). Factors associated with meconium aspiration syndrome were determined using bivariate and multivariate logistic regression models. Statistically significant associations were declared at P value less than or equal to 0.05.Result: The findings from this study revealed that 30.6% were diagnosed to have meconium aspiration syndrome. Factors associated with meconium aspiration syndrome included being post term (Adj OR=17.548 95% CI (2.894,106.413)), first minute APGAR score of 7-10 (Adj OR=17.548 95% CI (2.894,106.413)), duration of labor from 12-24 hour (Adj OR=4.98 95% CI (1.677, 14.792)) and maternal blood group of AB (Adj OR=0.118 95% CI (0.029, 0.470).Conclusion and recommendation: In this study almost 1/3 of the neonates had developed meconium aspirarion syndrome which indicates for the initiate delivery before 40 completed weeks of gestation and anticipation of neonatal resuscitation for neonates born from blood group of AB mothers. Key words: -MAS, neonate, respiratory distress and MASF.
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    Validation of Amharic Version Coping Health Inventory for Parents (CHIP- Am) Among Parents of a Child with Cancer at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia, 2021.
    (Addis Abeba University, 2021-06) Adane, Abraham; Deribe, Leul(MPH, Assistant professor, PhD fellow); Tesfaye, Tewodros(BSc, MSc)
    Background: Coping Health Inventory for Parents (CHIP) was developed to measure parents' coping patterns in chronically ill care. It evaluates parents' understanding of their coping responses when they have a severely and critically ill child to cope with family life. Effective parental coping mechanism during childhood cancer enables parents to avoid psychopathological problems that could have adverse psychosocial effects on patient care and interactions with healthcare providers. CHIP has a 45-item tool designed to measure parents' response to family life management and was commonly used in pediatric chronic diseases. Objectives: To assess the Amharic version validity of coping health inventory for parents Methods: Institutional-based cross-sectional study design was applied to validity of coping health inventory for parents, Amharic version (CHIP Am) among parents of a child with Cancer. Purposive and consecutive sampling techniques ware used to recruit the participant. The tool translated to Amharic by individuals' who are experts by translating English to Amharic and commented by mental health expert. Analyses done by using SPSS version 26.0. In addition, AMOS version 24 Descriptive statistics was used to report socio-demographic characteristics, medical characteristics, and CHIP performance status. Data adequacy for EFA was assessed by Kaiser-Meyer-Olkin (KMO) sample adequacy was 0.75 and Bartlett's sphericity test was at (χ2 = 2103.85, d.f =378, p < .001). Validity of the scale evaluated with EFA and CFA. For each of the factors, Cronbach’s alpha, composite reliability and AVE values computed to determine the internal consistency of the Amharic version of CHIP Result: The factor structure of the Amharic version CHIP-45 examined using principal axis factoring with Varimax rotation to explore the factor structures. Twenty-five items removed from the original CHIP-45 items, and 20 items were loaded into five factors. The resultant five -factor model explained 65% of the variance in the Amharic version CHIP-20. Cronbach’s alpha and composite reliability calculated to determine the internal consistency reliability of the factors in the Amharic version CHIP-20 and shows good internal consistency with Cronbach’s alpha value of .70. EFA and AVE, indicates the convergent validity. CFA suggests that measuring indices of the five-factor structure of CHIP-20 had an acceptable fit model.