Browsing by Author "Worku Dawit"

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    Knowledge, Attitude and Practice of Health Professionals towards Neonatal Resuscitation in three Teaching Hospitals, Addis Ababa, Ethiopia.
    (Addis Abeba University, 2021-09) Eshetu Selam; Teklu Sisay; Worku Dawit
    Background: Neonatal mortality is the issue of local, regional, national, continental and global.For example, it is observed in both middle- and low-income countries, especially sub-Saharan Africa including Ethiopia. Neonatal death is multi factorial, but the most important single causes of neonatal deaths were accounted for preterm birth, birth asphyxia, and sepsis. Effective resuscitation, if done timely, can drastically reduce neonatal deaths. Objective: To assess the knowledge, attitude and practice toward neonatal resuscitation among midwives, NICU nurses, Addis Ababa university pediatrics and OBGYN residents in Tikur Anbesa Specialized, Zewditu Memorial and Gandhi Memorial Hospital, Addis Ababa, Ethiopia. Methods: A Cross-Sectional research design was conducted from March – June 2021 and the respondents were selected by using simple random sampling techniques, 204 have returned the questionnaire filled complete (response rate of 98.07%). The data collection tool was closed ended questionnaires. Data was verified, coded, and entered to Epi Data Software version 3.1and was exported into SPSS version 25 Software for analysis. The degree of association between variables was assessed using logistic regression. Finally, p-value less than 0.05 were considered statistically significant. Results: The good knowledge level among midwifes, nurses, pediatrics residents and OBGYN residents were 30.9%, 28.2%, 42.4% and 42.9% respectively. Neonatal resuscitation training and the time training was given, was found to be the only predictor of knowledge score of respondents (AOR = 3.1, 95 % CI: 1.2 - 4.8, P value = 0.003) and (AOR =5.6, 95 % CI: 1.19 -6.72, P value = 0.044) respectively. The majority 58.80% of the participants had good attitude towards neonatal resuscitation. Whereas the good practice score among midwifes, nurses,pediatrics residents and OBGYN residents were 59.8%, 33.3%, 59.6% and 39.4% respectively. The only determining factor associated with poor practice score was lack of availability of resuscitation guideline (AOR=2.55, 95% CI: 1.90-8.28, p=0.004). Having good knowledge were found to be the only predictor to have good attitude level (AOR=0.357, 95% CI: 0.18-0.67,p=0.001). Conclusion and recommendations: Knowledge, attitude and practice of nurses and midwifes to ward neonatal resuscitation were inadequate. Training and the time training given were found to be predictor for knowledge while presence of guideline was predictors for practice.Continuous and regular training for health professionals should be strengthen.
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    Screening for Pelvic Organ Prolapsed without Physical Examination:Validation of the Pelvic Organ Prolapse Simple Screening Inventory (POPSSI)
    (Addis Ababa University, 2014-09) Worku Dawit; G/Hiwot Yirgu
    INTRODUCTIONPelvic organ prolapse occurs with descent of one or more pelvic structures: the uterine cervix or vaginal apex, anterior vagina (usually with bladder, cystocele),posterior vagina (usually with rectum, rectocele), or peritoneum of the cul-de-sac(usually with small intestine, enterocel .Howeve, a specific definition of whatconstitutes clinically significant prolapse remains elusive[1].POP results from relaxation of the pelvic floor muscle and is estimated to have aprevalence of 30-50% among women aged 50and over[1].Although mortalityresulting from POP is not significant it has a huge impact on the daily activities ofwomen afflicted by this condition, often disruptingand decreasing their quality oflife[2].POP and its complications impose a considerable economic burden on the personand it has been estimated that about 11% of women undergo surgery for POPbefore the age of 79 and with29.2% require repeated surgery[3],[4],[5].Highparity is the single most important risk factor for prolapse in rich and poorwomen in both more and less developed countries[6].Many women with pelvic floor disorder do not seek medical advice and thismakes determining its incidence very difficult.In 1996, International Continence Societydefined a system of pelvic organprolapsequantification (POP-Q) demonstrating high inter and intra observerreliability. It allows researchersto report findingsin standardized, easilyreproduciblefashion. Prolapse in each segment is measured relative to thehymen, which is a fixedanatomic landmark that can be identified consistently. Accordingly, it is stage one when the leading prolapsed part ismore than one centimeters above the hymenal ring; stage twowhen it isbetween one centimeter above and one centimeter below thehymenal ring;stage threewhen it is more than one centimeter below thehymenal ringbut less than total vaginal length(TVL) minus two centimeters, and stage fourif itis more than (TVL-2) cm below the hymenal ring[7].In Ethiopia, where accesstoobstetric care is very limited(institutional delivery being only 10 %) and thefertility rateis high(5.5 children per woman) little is known aboutthe prevalenceand risk factors for pelvic floor disorders.