School of Nursing and Midwifery

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Browsing School of Nursing and Midwifery by Subject "Addis Ababa"

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    Assessment of Dialysis Treatment Outcome and Associated factors among Chronic Kidney Disease Patients Attending Selected Governmental Hospitals Dialysis Treatment Center Addis Ababa, Ethiopia.
    (Addis Ababa University, 2023-01) Mebratie,Simegn; Welde,Mistire(MSc, PhD Ass.Prof.); G/Egziabher,Tatek (MSc, PhD Candidet)
    Background: Chronic kidney disease is an advanced loss in kidney function over a period of time. It is identified by higher amount of creatinine and lower glomerular filtration rate. Chronic kidney disease is a growing problem worldwide leading to increasing incidence of life- threatening complications and mortalities. Dialysis treatment is an indication of end stage renal disease in the chronic kidney disease patients. Effective dialysis procedure is reducing renal damage and disease complication. Objective: the aim of this study was to assess the effective dialysis treatment and associated factors among chronic kidney disease patients at selected hospital Addis Ababa Ethiopia from April to June 2022. Methods: A Hospital based Cross sectional study was conducted at the three selected hospitals from April to June 2022. Proportion to population size was applied to determine the proportion of participants from the study areas based on the number of chronic kidney disease dialysis patients that attended the hospitals during the study period. During the study, besides to collecting socio-demographic information, history of comorbidity and treatment questionnaires related to risk factor assessment for poor dialysis outcomes were administered. Blood sample were collected and serum creatinine and urea were analyzed and calculated using Cockcroft Gault equation for eGFR. The effectiveness of dialysis was evaluated with URR, Kt/v and eGFR. The collected data was encoded, checked, cleaned and entered in to Microsoft excel software, and then imported to SPSS version 26 software for further statistical analysis. Result: The total study subjects were 102. Of them 65(63.7%) were males and the mean ±SD age of the subject was 38.67 ± 13.06 years with 18-86 years range. The mean ±SD of URR, KT/V and eGFR values were 68.74% ± 20.61, 1.46 ± 0.24 and 25.63± 12.38ml/min/1.73m2 respectively. Assessment of hemodialysis results 64(62.75%) and 75(73.5%) were very good in URR and KT/V respectively. 71(69.6%) were good in eGFR value. Conclusion: The present study indicated that overall evaluation of dialysis treatment conducted at the selected hospitals were very good.
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    Assessment of Health-Related Quality of Life and Associated Factors among Asthmatic Children at Selected Public Hospitals, Addis Ababa, Ethiopia, 2024
    (Addis Ababa University, 2024-04-13) Keyredin Melat; Mekonen Adimasu
    Bronchiai asthma is a global health problem in particular a respiratory condition characterized by bronchi spasms that negatively affect the quality of life (QOL) of children. However, there is a paucity of data regarding the health-related quality of life of asthma in children in Ethiopia, especially in the study area.
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    Assessment of Health-Related Quality of Life and Associated Factors among Asthmatic Children at Selected Public Hospitals, Addis Ababa, Ethiopia, 2024
    (Addis Ababa University, 2024-10-05) Melat Keyredin; Zuriyash Mengistu
    Bronchiai asthma is a global health problem in particular a respiratory condition characterized by bronchi spasms that negatively affect the quality of life (QOL) of children. However, there is a paucity of data regarding the health-related quality of life of asthma in children in Ethiopia, especially in the study area.
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    Assessment of Knowledge and Attitude Towards Cervical Cancer and ScreeningAssessment of Knowledge and Attitude Towards Cervical Cancer and Screening Among Female Students at Menlik Ii Health Science College, Addis Ababa, Ethiopia.
    (Addis Ababa University, 2015-06) Michael, Haile; Gemechu, Endalew (PhD)
    Background: Cervical cancer is the second most common cancer among women worldwide. About 83% of the cases occur in developing countries, representing 15% of female cancers .In Ethiopia, prevalent cancer among women between 15 and 44 years of age with age specific incidence rate of 15.6/1000. Carcinoma of the cervix is a preventable disease; its prevention, among other ways, is through screening and detection of premalignant stages of the disease and treatment. Detection of the cervical cancer however requires knowledge of the disease and cervical cancer screening procedure so that people can be aware and positive towards screening but in Ethiopia little has been explored about knowledge and attitude of women towards cervical cancer screening. Objective: To assess knowledge and attitude of Female Students aged >18 years towards Cervical Cancer Screening in Menlik II Health Science College of Addis Ababa, Ethiopia from March 23 to April 30 2015. Methods: A cross-sectional institutional based study was conducted on a sample of 292 Female Students aged >18 years in Menlik II Health Science College of Addis Ababa Ethiopia using simple random sampling method .Data on knowledge status of mothers regrinding cervical cancer screening, attitude of female students towards cervical cancer screening and other pertinent variables were collected using self-administered questionnaires .The gathered data was analysis the software SPSS version 20. Results Generally the knowledge was poor, attitude was positive to majority of respondents. The results showed that 65(22.2%) had poor knowledge, 180(61.4%) had satisfactory knowledge and only 48(16.4%) had good knowledge. Overall 168(57.7%) of the respondents were positive about cervical cancer screening. Conclusions and recommendations: The study has shown that there is a lack of knowledge on cervical cancer towards screening for premalignant cervical lesion. There is a need to promote cervical cancer screening among women by Informing or teach them on their susceptibility to cervical cancer and encouraging a belief that active and regular screening can detect cervical cancer at the pre-cancerous stage, hence enabling them early treatment and prevention of cancer development. There is also a need for provision of Affordable screening services all over the country to enable women, after being motivated, to go for screening. KEY WORDS: Knowledge, attitude, Female, Students, Addis Ababa, Ethiopia
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    Assessment of Nurses Knowledge Practice and Associated Factors Towards Pediatrics Palliative Care of Nurses Working at Selected Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-06) Mandesh, Alemnesh; Gebre Kidan, Birhane (Assistant Professor)
    To provide quality pediatric palliative care at the end of life or with life threatening illness, nurse must have good knowledge and practice about pediatric palliative care . Palliative care is approach that improves the quality of life for children and their families facing the problem. Palliative care is new and specialized field for nurses, very little is known about the type of services offered and the readiness of the nurse to provide palliative care. Knowledge and competences of optimal pain assessment and management at the end – of life enhances nurse’s practical knowledge. Knowledge of palliative care is essential for nurses, especially in pediatrics’, where palliative care is less common than with adults. Objectives: Assessment of nurses’ knowledge practice and associated factors towards pediatrics palliative care of nurses working at selected Hospitals in Addis Ababa, Ethiopia. Material and methods: A cross sectional quantitative study design was carried out on 252 nurses working in selected hospitals of Addis Ababa. For qualitative study FGD was conducted in three groups, one group contains 6-8members. The study was conducted from November to June 2014. Five governmental and two nongovernmental hospitals was selected. These hospitals selected because they admit children of different age for care and treatment. Palliative Care Quiz for Nursing (PCQN) and practical questions tools from African palliative care Association /palliative outcome scale for Africa was used. EPI-INFO and SPSS soft ware statistical package were applied for data entry and analysis .P-value less than 0.05 were considered as statistically significant Result: The response rate was 252 (98.8%) of the total 249 respondents. Out of total study participants only 37(14.8%) had good knowledge toward pediatric palliative care. Bachelor and Master level of education were significantly associated with knowledge of pediatric palliative care. Training on palliative was significantly associated with knowledge of nurses towards palliative care. Concerning their knowledge aspect practice more than half 243(97.5 %) of the respondent had poor knowledge aspect of practice towards pediatric palliative care and 190(76.3%) initiate pediatric palliative care discussion to the family during diagnosis.148(59.4%), inform to the family their child’s terminal stage illness. Age, sex year of working experience pediatric ward had significant association with knowledge aspect practice of pediatric palliative care. Conclusion and Recommendation The finding of this study show nurses participated in this study had poor knowledge (85.2 %) and knowledge aspect practice (97.5%) had poor towards pediatric palliative care. Therefore pediatric palliative should be integrated in to the national health policy and incorporate in nursing curriculum .Training should also be delivered in this field to nurses in hospital. Key words: Addis Ababa, knowledge, nurse, palliative care, pediatrics and pract
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    Comparison of Adverse Neonatal outcomes and its Associated Factors among Women with Adult and Advanced Aged Pregnancy at the Public Hospitals of Addis Ababa City, Ethiopia. Hospital-Based Comparative Crosssectional Study
    (Addis Ababa University, 2024-09-10) Yonas Mengistu; Luel Deribe
    Pregnancy at advanced maternal age (>35 years old) is considered a risk factor for different adverse neonatal outcomes. Adverse neonatal outcomes are the leading cause of neonatal and infant mortality worldwide. In Ethiopia, studies were conducted to identify adverse neonatal outcomes, however, having updated information on the status of adverse neonatal outcomes could be helpful in future effective policy and program formulation
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    Comparison of Adverse Neonatal outcomes and its Associated Factors among Women with Adult and Advanced Aged Pregnancy at the Public Hospitals of AddisAbaba City, Ethiopia. Hospital-Based Comparative Crosssectional Study
    (Addis Ababa University, 2024-10-13) Yonas Mengistu; Luel Deribe
    Pregnancy at advanced maternal age (>35 years old) is considered a risk factor for different adverse neonatal outcomes. Adverse neonatal outcomes are the leading cause of neonatal and infant mortality worldwide. In Ethiopia, studies were conducted to identify adverse neonatal outcomes, however, having updated information on the status of adverse neonatal outcomes could be helpful in future effective policy and program formulation.
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    Determinants of Mental Health Literacy Among Adolescent Students in Governmental Secondary Schools of Addis Ababa, Ehtiopia
    (Addis Ababa University, 2024-06-13) Yodit Felege; Yodit Felege
    Mental health literacy is the knowledge and beliefs about mental disorders. Adequate mental health literacy is linked to better health seeking behavior and management of mental illness. It is particularly important during adolescence, a critical phase for developing social and emotional habits important for mental well-being to cope with the stresses of life, realize their ability, learn well and work well and contribute to their community
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    Determinants of Neonatal Health outcome among Preterm Neonates with Respiratory Distress Syndrome Admitted at Public Hospitals Addis Ababa, Ethiopia, Retrospective Study
    (Addis Ababa University, 2024-06-15) Bewket Abera; Emebet Berhane
    preterm neonates are at increased risk of morbidity and mortality related to different cases. Respiratory distress is one of the most common reasons for neonatal admission to the neonatal intensive care unit, 29% of late preterm neonates admitted to the neonatal intensive care unit develop respiratory morbidity. The preterm neonates with respiratory distress syndrome health outcome and its determinants are unknown in the study area.
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    Evaluation of Retention Mechanism of Medical Laboratory Professionals and Associated Factors in Selected Public Health Facilities of Addis Ababa, Ethiopia
    (Addis Ababa University, 2023-01) Garedew,Andnet; Hassen,Fatuma(PhD Candidate); Sisay,Abay( PhD Fellow)
    Background: Retention of clinical laboratory professionals is the action of public health system to encourage employees to stay and maximize their period of employment in the health facilities. This can be done via different policies and practices which let the employees stay for a longer period in an organization. Evaluating retention strategies in the public health facilities and studying the corresponding determinants steps forward to retain these professionals in their current position. Objective: To assess the retention mechanisms of clinical laboratory professionals and associated factors in selected public health facilities of Addis Ababa, Ethiopia in 2022 Methods: Cross-sectional study design was employed among 36 selected health facilities 282 medical laboratory professionals using quantitative data collection and additional 36 one of the three staff (medical directors, CEOs, and human resource managers) for qualitative approaches from January 01-March 31, 2022.Data were collected using a structured questionnaire and in-depth interviews. The quantitative data was coded, entered, and cleaned; using SPSS version 20 statistical packages such as frequencies, percentages, mean, and standard deviation were used. The qualitative data from the in-depth interview was categorized and discussed thematically. Binary logistic regression was also employed to identify significant factors which affect the retention of medical laboratory professionals in public health facilities of Addis Ababa Results: The finding of the study revealed that only 30.5% of the respondents were willing to stay in their current position in the public health facilities of Addis Ababa. About 196 (69.5%) of the respondents were seemed to leave their job if they get some more benefits from other companies. Positive and significant Pearson correlation coefficients between the medical laboratory professionals‟ retention and the independent variables were founded. The findings from the binary logistic model also revealed that salary and benefits, job satisfaction, professional development, training and working environment have significant effect on the retention of medical laboratory professionals. Conclusion: The results obtained from the quantitative analysis revealed that there is a low rate of retention of the medical laboratory professionals in public health facilities of Addis Ababa. It can also be concluded that working on salaries and benefits, employees job satisfaction, professional development and, training and working environment can retain the clinical laboratory professionals in their current position in the public health facilities.
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    Health-Seeking Behavior and Associated Factors among First Diagnosed Patients for Hypertension Attending at Outpatient Department of Selected Government Hospitals, Addis Ababa Ethiopia
    (Addis Ababa University, 2024-05-15) Momina Siraj; Tigistu Gebreyohannis
    In Ethiopia, hypertension is a major public health concern, with a growing number of patients first diagnosed with hypertension. Many individuals first diagnosed with hypertension may not engage in appropriate health-seeking behaviors. Health-seeking behavior (HSB) is any action or inaction undertaken by individuals who perceive themselves to have a health problem or illness to find an appropriate remedy.. Understanding the underlying reasons for and barriers to seeking healthcare is essential for developing effective interventions and improving the overall management of hypertension
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    Magnitude of Helicobacter Pylori infection among patients with Esophageal cancer and apparently healthy individuals, at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia; a comparative cross-sectional study.
    (Addis Ababa University, 2023-06) Eshetu,Yismu; Desta,Kassu(MSc, PhD candidate); Tsegaye,Aster(MSc, PhD); Abera,Dessie(BSc, MSc,); Nega,Birhanu (MD,Prof.); Mamo,Siyasebwe (MD)
    Background: Helicobacter pylori are Gram-negative bacterium that can cause diverse types of gastrointestinal tract malignancies including esophageal cancer (EC), though evidences regarding EC are conflicting. This study aimed to determine the magnitude of H. pylori among EC as compared to Healthy individuals. Objective: To investigate the magnitude of Helicobacter Pylori infection among patients with esophageal cancer as compared to apparently healthy individuals. Methods: a health facility-based comparative investigation was done from May 2021 to August 2022 cross-sectionally at Tikur Anbesa Specialized Hospital. Convenient sampling was used to recruit 302 (112 cases and 190 (healthy individuals) participants. Cases of EC were clinically confirmed as well as by Histological Examination. Apparently healthy individuals (staff and attendant) were taken as a comparative group. H. pylori stool antigen as well as serum antibody were measured following standard methods. Data analysis was done using SPSS Version 22. Odds ratio was calculated with 95% confidence interval to describe the association between H. pylori and esophageal cancer with level of significance set at p<0.05. Results: Out of 302 study participants, 52% (157/302) were males and 91.1% (102) were residing outside Addis Ababa. Majority, 74.1 % of EC cases had squamous type tumor and 37.4% were in stage II. The magnitude of H. pylori among Esophageal Cancer Patient were 40.2% (45/112) and 4.2% (8/190) in Healthy individuals. H. pylori infection is more infecting the esophageal adenocarcinoma (EAC) type 48.3% (14/29) compared to ESCC which is 37.4% (31/83); highest prevalence was noted in Stage IV patients (57.1 %). In the multivariable logistic regression analysis, being in the age group 40 years and above (AOR=12.23, 95%CI=4.09- 36.53), living outside Addis Ababa (AOR=18.57, 95%CI=5.76-59.8), attaining primary level education and below (AOR=17.24, 95%CI=5.31-55.96), and being positive for H. pylori stool antigen (AOR=20.13, 95%CI=4.79- 84.62) were significantly associated with EC after controlling for throat illness, taking alcohol, family history of throat illness and consuming hot food. Conclusion; Magnitude of Helicobacter pylori was remarkably high among Esophageal Cancer patients compared to Healthy individuals. Further study is needed and moreover, advocacy of patients on the beneficiary effect of identified factors is one strategy to prevent EC.
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    Opportunities and Challenges of Hiv Pre-Exposure Prophylaxis in Public Health Facilities, Addis Ababa, Ethiopia 2024- A Qualitative Study from Female Sex Workers And Service Providers Perspective
    (Addis Ababa University, 2024-06-15) Estela Abera; Endalew Gemechu
    Preexposure prophylaxis (PrEP) is the administration of antiretroviral (ART) drugs to HIV negative individuals who are at high risk of acquisition of the virus which is a prevention strategy to minimize the new incidence of HIV among key populations like Female sex workers (FSWs). PrEP reduces the risk of getting HIV from sex by about 99% when taken as prescribed. However, FSWs face significant challenges in utilizing this intervention but this condition is not explored in Ethiopia
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    Physical Activity Status and Factors Affecting it Among Nurses Working at Selected Public Hospitals, Addis Ababa, Ethiopia, 2024: A Cross-Sectional Study
    (Addis Ababa University, 2024-05-13) Samrawit Tariku; Yohannes Ayalew
    These days, engaging in sufficient regular physical activity is strongly recommended for good health and physical functioning. Physical activity can increase the self-confidence of the health professionals and they would become fit for daily activities with patients
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    Prevalence of Hepatitis B and Hepatitis C Virus Infections and Associated Risk Factors among Sexually Transmitted Infection Syndromic Diagnosed Patients Attending at Selected Government Health Facilities, Addis Ababa, Ethiopia
    (Addis Abeba Unvirsity, 0204-05-12) Beyene Demi; Mistire Wolde
    Hepatitis B and hepatitis C are among the main public health concerns in the world and are serious infectious diseases. In the first 6 months, the most infections with that viral hepatitis have no symptoms; therefore, diagnosis of the virus in the early stage is difficult. Syndromic approach for management is widely used to control and reduce the burden of sexually transmissible diseases; however the magnitude of viral hepatitis B and hepatitis C infections is still underreported in Ethiopia among sexually transmitted syndromic diagnosed patients