Browsing by Author "Tsegaye, Aster (MSc,PhD)"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Assessment of Physicians’ and Nurses’ Satisfaction towards Clinical Laboratory Service in Selected Public Hospitals,Addis Ababa,Ethiopia
    (Addis Ababa Universty, 2018-07) Tesfaye, Maiji; Tsegaye, Aster (MSc,PhD)
    Background: A comprehensive care and treatment program requires a well-functioninglaboratory services. Measurement of physicians‘ and nurses‘satisfaction is essential for evaluating the delivery of health care andfor assessing patient outcomes.It is also as an important indicator of quality of care and a major component of laboratory quality assurance program. Objective:To assessphysicians‘ and nurses‘ satisfaction towards laboratory service among selected public hospitals in Addis Ababa, Ethiopia Methods: a cross sectional study wasconducted in 4 selected hospitals in Addis Ababa, involving 402physicians and nurses. Quantitative and Qualitative data were randomly collected from the four selected hospitals proportionally. Volunteering physicians and nurseswere included. Questionnaire was developed based on the format from published articles.SPSS version 20was used for data entry and analysis. Five point Likert Scale was utilized. Mean score calculated and satisfaction were determined based on scores equal and above to the mean. Frequencies and proportions calculated. Odds ratio with confidence intervals and P values less than 0.05 was used to determine the direction and strength of the association. Test statistics with chi square was used Result:Data werecollected from 132 physicians and 270 nurses. The mean satisfaction score was 3.0. Overall satisfaction for physician and nurses on clinical laboratory service were 64%. The highest rate of satisfaction was on availability of the staff during working hour(74.9%)and location of the laboratory(70.9%) followed by cleanness and organization of the room (69.1%), reporting of complete test result (69%). Less satisfaction rates were identified for consistency of the overall laboratory service (34.3%), panic result notification (37.9%), adequate test menu on test format (38.3%), and compatibility of laboratory result with patient condition (55.9%). In-depth interview of physicians revealed that consistency of overall laboratory service and critical result notificationare the main area of dissatisfaction. Conclusion and recommendation: The overall degree of professional‘s satisfaction with laboratory services was good. But further analysis is needed to identify the source which can affect the consistency of the overall laboratory service. Therefore, the hospital administrations, health bureau and ministry of health should focus on the identified gaps.
  • No Thumbnail Available
    Item
    Prevalence and risk factors of thyroid dysfunction among HAART taking patients at Bethel Teaching General Hospital Addis Ababa, Ethiopia
    (Addis Ababa Universty, 2018-06) W/Kirkos, Sibhat; Tsegaye, Aster (MSc,PhD)
    Background: Abnormal thyroid function test results are one of the common complications among HIV infected patients. Although the prevalence of overt thyroid disease does not appear to be significantly increased in HIV-infected patients, compared with the general population, specific patterns of abnormal thyroid function test findings are more frequently identified among HIV-infected patients. Objective: To assess thyroid dysfunction rate and associated factors among HAART taking pa-tients Methods: A hospital based cross sectional study was conducted from December 2017 to May 2018 at Bethel Teaching General Hospital, Addis Ababa, Ethiopia. A total of 300 HIV patients were enrolled in the study. Participants’ socio-demographic and clinical information was collected from hospital cards. Serum and EDTA whole blood was examined for Thyroid function tests and CD4+ T cell count levels, respectively. Descriptive statistics was used to express the socio demographic characteristics. Binary and multiple logistic regressions were computed to assess association be-tween variables using SPSS version 20. Odds ratio with confidence interval and P<0.05 have been be used to determine strength and statistically significant differences. Results: Of the 300 individuals, 70 (23.3%) were identified with abnormal thyroid function, of whom, 47 (15.7%) were female and 23 (7.7%) male. 14(4.7%) were diagnosed with hyperthyroid-ism and 56(18.7%) with hypothyroidism. Of these, 35(62.5%) had subclinical hypothyroidism, 21 (37.5 %) had overt hypothyroidism. Out of these subclinical hypothyroid 23 (65.7%) were female and 12 (34.3 %) were males. The thyroid hormone levels however, did not correlate with duration of HAART and HIV duration. The levels of TSH, T3, T4 230(76.7%), 235(78.3%), 272(90.7%) for the majority of the participants were in the normal label respectively. There was a slight nega-tive correlation of CD4 counts with serum TSH levels (r =-0.1224 with p < 0.034) Conclusion: High rate of thyroid function test abnormalities was observed in HAART receiving HIV/AIDS individuals. Subclinical hypothyroidism was the most common disorder and females were more exposed, warranting thyroid function tests monitoring.