Browsing by Author "Zergaw, Ababi (PhD)"

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    Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia
    (Addis Ababa University, 2014-09) Yimam, Kassahun; Zergaw, Ababi (PhD)
    Back ground: Hand hygiene is an important measure to prevent and control infection particularly in developing countries, the identification of several risk factors associated with poor hand hygiene compliance is of extreme importance. Objective: to assess hand hygiene practices and associated factors among undergraduate medical students on clinical year in Addis Ababa University; Tikur Anbessa Specialized Hospital, Ethiopia. Method: Institution based quantitative cross sectional study design was used to assess the practice and associated factors that influence hand hygiene practices among undergraduate clinical year medical students. A total of 257 medical students were included and selected by simple random sampling. Data collection was made by using self-administered structured and pre-tested questionnaire. EPI INFO version 3.5.1 epidemiological software package was used for editing, cleaning and coding. Descriptive statistics, logistic regression analysis were done to see association of dependent and independent variable and confounding factors and analysis of variance (one- way ANOVA) were done to see variation in hand hygiene practice. Variables with 95% confidence interval and P value < 0.25 during the bivariate analysis were included in the multivariate logistic regression analysis. Result: A total of 257 questionnaires were completed. Only 48% indicated that alcohol based hand rub is effective for less than 60 seconds. Overall compliance of hand hygiene was found to be 59% (95 % CI (53.3, 65.0). Demographic and most environmental factors had no association with hand hygiene compliance among medical students only factors: knowledge (AOR [95%CI] = 2.1 [1.06, 4.14]), sex‘female (AOR [95%CI] = 1.88 [1.05, 3.35]) and beliefs: (AOR [95%CI] = 2.71 [1.5, 4.87]) were significantly associated with the hand hygiene compliance. Conclusion: Good hand hygiene compliance was indicated "after" caring for a patient; whereas poor hand hygiene compliance was reported "before" having direct contact with a patient and there were no variation in hand hygiene practice and were significant difference in knowledge and belief among groups of medical students in different educational year. I. Key word:
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    The Effect Of Inter-personal Psychotherapy On Treatment Outcome Among Breast Cancer Patients With Common Mental Disorder: A Randomized Control Trial At Tikur Anbessa Specialized Hospital
    (Addis Abeba University, 2019-10) Belay, Ejigayehu; Zergaw, Ababi (PhD); Haileselassie, Werisaw(MPH, Ph.D. candidate); Lako, Wajena (MD, Pathologist); Kaba, Mirgessa (PhD); Tgeneh, Wendemagegnhu (MD, Oncologist); Baheretebeb, Yonas (MD, Psychiatrist)
    Background: Cancer is a serious and life-threatening disease with negative effects on physical and psychological well-being of patients. Depression and anxiety are the commonest co-morbidities that adversely affects how people feel, the way they think and how they act and it is common among cancer patients. The impact of common mental disorder (CMDs) on cancer patients is not well recognized and managed in Ethiopia while there is a dearth of evidence on the effect of Psychotherapy on depression, anxiety and treatment outcome among cancer patients. Interpersonal psychotherapy is one therapy technique used to treat common mental disorders. Objectives:-To determine the Effect of Interpersonal Psychotherapy On treatment outcome among Breast Cancer patients with a common mental disorder at Tikur Anbessa specialized teaching Hospital (TASH), Addis Ababa, 2018/19. Methods: A parallel randomized control trial was employed on 124 breast cancer patients with CMD that are randomly selected from TASH oncology unit Out-patient department in weeks. Then study participants was randomly assigned as Intervention group (n=62) and control group (n=62) randomly in weeks and also single blinding was employed so as the outcome assessors are blinded of the belongingness of individuals to specific study group.To avoid information contamination patients were randomized in weeks. As an outcome measure we hypothesized treatment outcome as the dependent variable and it was assessed using a 30 item questionnaire of quality of life measurement scale. Depression and anxiety were the independent variables that are measured with hospital anxiety and depression measurement scale. Both tools were validated for use inEthiopia. Psychotherapy was given for a month in a weekly basis. Then outcome was measured two weeks after the final therapy with similar tool that were used at baseline.Data was analysed using GLM (ANCOVA) to control the effect of confounders. With 95% confidence interval and P-value < 0.05 was used to declare the statistical significance. Result: Interpersonal Psychotherapy for Ethiopian use (IPT-E) had an effect on treatment outcome. IPT-E had a significant effect in decreasing anxiety, -5.76 with 95% CI (-7.10, -2.90) and depression, -4.74 with 95% (-6.44, -3.10) and with an IPT-E had also a significant effect on quality of life domains of physical, role, cognitive, emotional and social functioning with (p<0.05). And from the symptom scales insomnia and fatigue were decreased (p<0.05) also health-related quality of life was significantly improved (p<0.001). Conclusion and recommendation: Interpersonal psychotherapy had an effect on treatment outcomes, among breast cancer patients with common mental disorders. So health programmers may consider incorporating it as a treatment option in the oncology unit.
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    A Web-Based National Data Center Framework to Integrate Health Related Publications in Ethiopia
    (Addis Ababa University, 2012-06) Atnafu, Birhan; Zergaw, Ababi (PhD); Teferi, Dereje (Associate Professor)
    Background—Managing and integration health information has been possible and improved through different technologies such as web-based systems and computer applications. The objective of this study is to search for a solution to integrate health related publications from various nationwide hospitals and health associations and institutes using a central web-based national data center for publications to mobilize the new fragmented, but inter-related health publications. Methods— There are many hospitals, health associations and institutes throughout Ethiopia; but the activities in these institutes within health care delivery and management are almost similar. Therefore, variables and definitions for activities are almost identical for the proposed Web-based National Data Center application. For this reason, only limited numbers of health institutes are taken from Addis Ababa for data gathering using purposive and stratified sampling methods. Data were collected and analyzed to obtain representative input requirements to design the new system. Based on the results of the analysis, common services, practices, information technology usage, locally available and international health websites and publications were identified; methods for data security are assessed, interpreted and devised.. Results — This is the first web-based national data center proposed to integrate health related publications from local and foreign sources in Ethiopian context. The health sector is vast and broad that encompasses different resources. In this thesis, based on the results of the requirements analysis, the web-based national data center for health related publications system is proposed as a solution for integration of health related publications. Only one of the segments of the health resources, publication, is addressed using web-based application. Even though there are many services which can be done in the same area yet, the researcher believes that this application may serve as a pilot to design and implement a full-fledged system. Therefore, this application is open, flexible and amendable for any change which is found to be essential. Key Words: Data center, Databank, web-services, web-based application in Health, Web-based Health publication, Ethiopia and ICT, Health publication Database.