Hospital and Health Care Administration

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Assessment of Chronic Respiratory Symptoms and Lung Function Parameters among Large Scale Wood Factory Workers in Addis ,Abeba ,Ethiopia :A Comparative Cross-Sectional Study.
(Addis Abeba University, 2019-10) Jabur, Belaynesh; Waluma, Samson(MSc, MPH, Ph.D); Belachew, Ayele(MD, MPH )
Background: Occupational exposure to wood dust could cause numerous health problems including chronic respiratory symptoms and reduction of lung function parameters. However, information regarding prevalence of chronic respiratory symptoms and lung function parameters among large scale wood factory workers in Ethiopia is limited. Objective: The aim of this study was to assess prevalence of chronic respiratory symptoms, lung function parameters and associated factors among large scale wood factory workers in Addis Ababa, Ethiopia, 2019. Methods: An Institution based comparative cross-sectional study was conducted from February to April 2019. A total of 464 (232 wood workers and 232 Moha soft drink industry workers as control group) were included in the study. Chronic respiratory symptoms assessment was conducted in all participants from both groups while lung function test was conducted on 50 participants from each wood factory and soft drink industry. Stratified and simple random sampling was used to select wood workers and controls respectively.Chronic respiratory symptom was assessed using modified American Thoaracic Socity (ATS) questionnaire while lung function test was done using Easy on-pc spirometer. The data was entered in to a computer using Epi-data software version 4.4.2 then exported to SPSS version 23 and analyzed.Poisson regression, Multiple linear regressions and Multivariable logistic regression were performed. Results: In this study the prevalence ratio of overall chronic respiratory symptoms (PR = 2.17, 95% CI: 1.51–3.12) was significantly higher among wood workers (65.7%) compared to controls (23.3%).Moreover, sex, previous respiratory disease, not use of respiratory protective device and working department were associated with chronic respiratory symptoms. The wood workers had significantly lower FVC and FEV compared with controls. Conclusion: The wood workers had a higher prevalence of chronic respiratory symptoms and lower lung function parameters compared with controls, these reducing lung capacity.Therefore, respiratory protective devices should be provided to take preventive measures.
Assessment of Factors for Hiv Virologic Treatment Failure among Adult Patients on First-Line Art at Public Hospitals in Addis Ababa, Ethiopia
(Addis Ababa university, 2022-10-17) Terefe Tizita; Addise Mesfin
Currently treatment for HIV is sought to improve quality of life in HIV infected people by decreasing opportunistic infections, reducing disease progression to AIDS, and preventable deaths. Thus, knowing factors for virologic treatment failure is of a key importance in the treatment of HIV.
Assessment of Long-Acting Reversible Contraceptive Methods use in Extended Postpartum Period among Women in Debre-Libanos District, North Shewa Zone, Oromia Region, Ethiopia, 2023
(Addis Ababa university, 2023-06-15) Derbe Salsawit; Assegid Meselech
The first 12 month following delivery are known as the extended postpartum period, which is effective way for lowering maternal and child morbidity and mortality by preventing unplanned pregnancy and maximizing the birth space. The most effective method of birth control for preventing unwanted pregnancy during postpartum period is long-acting reversible contraceptive. Despite the efforts to increase the use of modern contraceptives, particularly long-acting reversible contraception in extended postpartum period has still low uptake in Ethiopia.
Assessment of Occupational Exposure to Lead and Associated Factors among Workers in City Bus Garage in Addis Ababa, Ethiopia: a Comparative Cross-Sectional Study
(Addis Ababa university, 2023-12-09) Tesema Merihatsidik; Kumie Abera
One of the most unusable chemical exposures that occurred in automotive garage areas was lead. Occupational exposure of garage workers to lead dust commonly poses acute and chronic health risks that can be prevented. In Ethiopia, there have been limited studies on lead exposure among garage workers. Moreover, it overemphasized that workers are more exposed than non-garage workers to lead exposure
An Assessment of Practice of Active Learning Approach in Wolita Sodo University Health Science College, Southern Ethiopia
(Addis Ababa Universty, 2018-05) Alemnew, Biruh; Kulasegram, Mahan (Phd)
The main purpose of this study was to assess the practices of implementation of active learning approaches in Wolita Sodo University Health Sciences College.To meet the objective of the study, a convergent parallel mixed design was employed. Lottery method was used to select the department of public health officer, from which students were sampled.The academic director of the college, 21 preclinical teachers and all 81 students from the second batch of department of public health officer were selected using availability sampling technique. Quantitative data were collected from all students and teachers using structured and pretested questionnaire. The academic director and selected teachers were interviewed using interview guide. Data analysis was done in three phases. First, analysis of the quantitative data was done in SPSS Version 20 and percentages, means and frequencies were used. Second, qualitative data was analyzed considering the research questions, using framework coding which is a deductive approach. Finally, quantitative and qualitative results were merged. Almost all instructors and students had a positive perception of active learning. Teachers are practicing active learning sometimes but the level of their practice was not satisfactory. Lecture was found to be the most commonly employed teaching technique followed by individual assignments, group work/discussion and question and answer methods. Shortage of time, large amount of contents to be covered during one classroom and lecturers and students tendency towards the traditional lecture method were found to be the most serious factors among the problems that affects the practice of active learning negatively. It has been recommended that teachers should be committed to discharge their roles to exercise active learning methodologies. Additionally, to improve the level of implementation of active learning, the administration of the college should continuously identify and solve those problems by developing a working group in coordination with teachers, students and other stakeholders.
Assessment the Prevalence of Work Related Musculoskeletal Disorders and Associated Factors Among Coffee Processing Factory Workers in Addis Ababa City And Gelan- Sub City, Shagger City Oromia, Ethiopia.
(Addis Ababa university, 2023-12-11) Legesse Getahun; Abegaze Teferi
Globally, work-related musculoskeletal disorders (WRMSDs) account for around 40% of the total compensated cost of occupational diseases and injuries. It has a huge impact on the public health problems and economic loss of the society. The extent and risk factors for musculoskeletal diseases associated with job among coffee processors have not been examined by researchers. The labor-intensive nature of the coffee processing industry puts employees at risk for musculoskeletal disorders. Objective: The study aimed to assess the prevalence and associated factors of work-related
Capstone Project on Reducing High Stock out of Medication in Kuyu General Hospital ,Kuyu Woreda,Oromia Region, Ethiopia.
(Addis Abeba University, 2020-03) Kebede, Nugusie; D, Anagaw(PhD); Hailesellasie, Warrisaw
Background: Shortages and stock outs of essential medicines have been increasing and become a global problem. High stock out of medication in public hospital specially has high impacts on delivering health care services and reduces the community satisfaction on health services given by the public facilities. Drug stock outs cause unplanned treatmentinterruptions. Further, repeated drug stock outs interrupt treatment which causes treatment discontinuity, and if not controlled could lead to drug resistance and/or treatment failure. Objective: To improve availability of essential medication in Kuyu General Hospital from 64% to 85% by the end of June 2020. Methods: Pre-post intervention study was used to identify the percentage of essential medication available in Kuyu general hospital and factors contributing to stock out of medication in the hospital. During pre-intervention the percentage of medication stock out in the last three months was assessed from the documents and intervention strategies were developed to improve the stock out of medication in the hospital. Strengthen DTC committee by onsite training, preparing bin card for medication and ABC-VEN reconciliation for pharmaceutical in the hospital are strategic intervention that was implemented. Pre intervention assessment was done from Dec 25 2019 to February 15 2020 and post intervention assessment was done from March 2020 to June 2020.Data were analysed using frequencies and percentages were estimated and the results were presented using tables and figures. Result: Availability of medication in Kuyu General Hospital increased from 64% during pre-intervention to 80% after intervention. Bin cards were prepared for 83.33% of item and updated for 67% of item during pre-intervention and prepared for all item assessed and update for 93.33% of item after intervention. From ABC-VEN matrix analysis done 10.91% of items consumes 65.10% of hospital budget. Vital items took 46.20% of items procured. Conclusion: Strengthening DTC committee activity by providing training and using stock management tools such as bin cards properly can reduce medication stock out in the hospital. Recommendation: DTC committee, Hospital management and pharmacy staff should work closely to continuously improve availability of medication in the hospital.
Challenges Faced by Students, Instructors and Technologists during the Clinical Placement of Radiology Technology Students for clinical Practices.
(Addis Ababa Universty, 2018-05) Nigatu, Bizuayehu; Martimianakis, Tina (Dr.)
Background: Clinical placements are of paramount importance. It assists students in acquiring the necessary competencies in terms of knowledge, skill and attitude in practical settings so that they meet the requirement for graduation. The main objective of this study was to assess challenges faced by students, instructors and technologists during the clinical placement rotation of Radiology Technology Students at four college of health science affiliated hospitals. Method: A qualitative approach using focus group discussion and semi structured interview was used to explore the experiences of students, instructors and technologists regarding challenges encountered during the clinical placements of medical radiology technology students. (22) BSc regular Radiology Technology Students in the department of radiography took part in the study from an available pool of seventy three students. Participants were arranged in three groups of 7 and 8 students. In addition, one group of 7 out of the 19 available instructors was interviewed. Two technologists from each affiliated hospitals were selected for face- to – face interviews. A categorization approach was used to analyze the data with the goal of identifying core themes representing. Results: The qualitative analysis led to the identification of nine themes from the focus group data and interviews. From the students and instructor’s point of view, “love of profession”, “transportation services”, “clinical supervision”, “theory-practice gap”, “hand on practice”, “imaging modalities”, “skill lab”, “placement area”, and “Curriculum” were considered as important factors in clinical placement experience. Conclusion: This research showed that there are many challenges encountered by both students and instructors during placement of student radiology technology for clinical practice to different college of health science affiliated hospitals. Those challenges obviously affect the futureperformances of students or the proper application of appropriate skill during their work experiences.
Completeness of Inpatient Medical Record in St.Paul’s Hospital Millennium Medical College
(Addis Ababa Universty, 2018-10) Getahun, Fitsum; Asrat, Gashaye (BSC, MPH)
Medical record is an account compiled by physicians and other health professionals of a patient`s medical history, present illness, findings on examination, details of treatment and progress notes and it is a legal record of care.The maintenance of complete and accurate medical record is a fundamental duty of health care providers. Complete medical record indicates the quality of patient care provided in the facility.Many ethical and legal issues are implemented in their maintenance including third party access and appropriate storage and disposal. Objective: To improve the percentage of inpatient medical record completeness from46.48% to 80 %at the end of Jun 2018. Methods:A pre- post intervention design was used in this project to examine the completion rate of inpatient medical records. The pre-intervention assessment was conducted in the inpatient department of SPHMMC. Base line data were collect in Feb 2018 .based on the baseline, the completeness of inpatient medical records was low , .only 46.48% of the 202 audited patient folders was completed. After base line assessment we conducted root cause analysis and identified the real root cause of the problem. Based on the verification, lack of awareness about inpatient medical record completeness, clinical forms not suitableto enter data, absence of monitoring and negligence were identified as a real root causes.We conducted two interventions; one day staff training on importance of inpatient medical record completeness and develop new clinical forms. Results:the documentation completion rate significantly increased from 46.48% pre-intervention to 78.6% post-intervention, the completeness of three out of the five elements of medical records (physician note, physician order sheet and discharge summery) especially significantly improved. Conclusion: The results of this project suggests that a simple set of intervention providing training on the importance of inpatient medical record and availing suitable inpatient medical record forms improves the inpatient medical record completeness. Recommendation: Ongoing monitoring and accountability system should be implement , It is better if the Health Management Information System Department takes special consideration on full implementation and proper management of inpatient medical records, Intensive and continuous training should be given for the healthcare provider by Health Management Information System Department..
Determinants of Survival, Survival time and Recurrence After Surgery among Colon Cancer Patients at Tikur Anbessa Hospital, Addis Ababa , Ethiopia , Retrospective Cohort Study
(Addis Ababa university, 2023-10-23) Teklewold Sara; Getachew Sefonias
Colon cancer is cancer of the large intestine that originates from the colonic epithelial cells that line the lumen of the intestine. It is the fourth most common and fatal cancer worldwide. Globally there were nearly 1.2 million incident cases and over half a million deaths from colon cancer in 2020. In Ethiopia colon cancer is the 5th leading cause of death. Lack of timely seeking of medical help and organized screening practice for early identification of diseases combined with lack of access to curative and palliative care has become reasons for the high burden of premature death in the country. Understanding the survival time and determinants of survival is crucial in developing effective strategies to improve patient outcomes and reduce mortality rates in this setting
Determinants of Survival, Survival time and Recurrence After Surgery among Colon Cancer Patients at Tikur Anbessa Hospital, Addis Ababa , Ethiopia , Retrospective Cohort Study
(Addis Ababa university, 2023-04-11) Teklewold Sara; Getachew Sefonias
Colon cancer is cancer of the large intestine that originates from the colonic epithelial cells that line the lumen of the intestine. It is the fourth most common and fatal cancer worldwide. Globally there were nearly 1.2 million incident cases and over half a million deaths from colon cancer in 2020. In Ethiopia colon cancer is the 5th leading cause of death. Lack of timely seeking of medical help and organized screening practice for early identification of diseases combined with lack of access to curative and palliative care has become reasons for the high burden of premature death in the country. Understanding the survival time and determinants of survival is crucial in developing effective strategies to improve patient outcomes and reduce mortality rates in this setting
Duration of Breastfeeding and Dental Carries among Young Children in Selected Health Facilities of Addis Ababa, Ethiopia
(Addis Ababa university, 2023-06-11) Yemane Marta; Darge Tefera
Breastfeeding has many health benefits for infants, including protection against dental caries. However, the effect of breastfeeding duration on caries risk is unclear, as different studies have found different results. This may depend on multifactorial risk factors of dental caries such as biological, behavioral and socioeconomic factors. However, there is limited evidence on the magnitude and the association between duration of breastfeeding and dental caries among children aged 12 to 36 months in Addis Ababa, Ethiopia.
Educational Processes and Practices of Undergraduate Midwifery Clinical Teaching in Mekelle University
(Addis Ababa Universty, 2018-05) Tamrat, Azeb; Whitehead, Cynthia (MD, PhD)
Background: Clinical practice experiences are critically important to achieve the maximum level of clinical competence after obtaining adequate theoretical and practical instructions. However, graduates have problems in doing some easy tasks. Most new bachelor graduates have adequate theoretical knowledge but lack competence in the clinical environment. The objective of this study was to study the educational process and practice of clinical teaching of undergraduate BSc. midwifery education at Mekelle university. Method: Institutional based cross sectional study and qualitative exploratory design is conducted. Mixed method (qualitative and quantitative) data collection is implemented.The quantitative data is collected using structured questionnaire and the qualitative data is obtained from focus group discussion (FGD). Data is processed using SPSS statistical software, and descriptive analysis is made to describe the findings. Result: 72.7% said there are enough number of cases available in affiliate clinical attachment sites; and 75.8% of them responded those health facilities are well equipped so that they can practice well. Around 70% of the respondents’ said instructors company during the clinical attachment would help acquire better skill, 60% of the respondents said, their tutors relate the clinical teaching with theory (knowledge) and simulation teaching. More time is needed to be allocated in the curriculum for the skill teaching. Conclusion and recommendation: This study revealed the value of effective clinical placement of students will enhance midwifery practice. The study participants preferred affiliation sites for exercising midwifery care practice. This can be explained as the proportion of clients per student is high due to minimal number of students that assigned at affiliate hospital/health center. Instructors company during the clinical attachment would help acquire better skill since they can relate the theory and practice. Availability of equipment and fulfilled infrastructure of the institution are the key element for improving clinical practice. There is a huge need to revise the curriculum in order to give emphasis to skill teaching and have enough time allocated for the skill teaching.
Enhancing the Completeness of Medical Records at Inpatient Department of Karat Primary Hospital KonsoWoreda, SNNPR
(Addis Ababa Universty, 2018-06) Katusa, Kafita; Zergaw, Ababi (PhD)
Background: The completeness of medical records is key performance indicator that is related with delivery of healthcare services in the hospital and assessed with minimum set of indictors such as physician note, physician order sheet, Nursing care plan, medication administration sheet, discharge summary, progress note and clinical pharmacist record form. Objective: The objective of the study was to enhance the completeness of inpatient medical records from 22% to 60% in time period from Feb to June, 2018 at In-patient department of Karat Primary Hospital, KonsoWoreda, SNNPR Design: before-after interventional study was carried from Feb to June, 2018 using document review, observation, inpatient medical record review form and focus group discussions. Setting; Karat primary hospital, SNNPR, Ethiopia Participants: SMT, Medical director, matron and all IPD clinical staffs. Result: the overall completeness of medical records rose from 22% pre-intervention to 54% post-intervention in in-patient department of Karat primary hospital from Feb to June, 2018 with total budget of 25000.00 Ethiopian Birr.
Health Professionals‘ Psychological Distress and Associated Factors in the Post-Pandemic period of COVID-19 At Eka Kotebe General Hospital, Addis Ababa, Ethiopia
(Addis Ababa University, 2023-06-21) Amira Kasim; Salle Workneh
Humanity has battled a variety of pandemics. The Plague, Cholera, and Influenza are the most well-known of these pandemics and have caused the greatest number of fatalities. Now adays COVID-19 Is a global threat affecting all aspects of human life. Globally, the Pandemic affected how individuals‘ function, reorganizing professional work, requiring people to adjust to the constraints in place and limiting their ability to contact their loved once. Studies on this new pandemic have discovered that psychological distress in healthcare workers, such as anxiety, sadness, somatic discomfort, and burnout were experienced during the outbreak of the disease. However, the majority of studies have been done during the outbreak phase, while little has been done on job stress and psychological adaptability in healthcare personnel during the post-pandemic period. Objective: To assess Health Professionals‘ Psychological Distress and Associated Factors in the Post Pandemic period of COVID-19 at Eka Kotebe General Hospital, Addis Ababa, Ethiopia 2023. Methods: Institutional based cross-sectional study was done at EKGH. A sample of 416health professionals was included in this study using stratified simple random sampling technique. Self-administered questionnaire was used to collect information. After proper coding, data was entered into SPSS V.27 software. To evaluate the demographic traits and the trends in the concentration of the key variables, descriptive statistics were used. Multivariable logistic regression analyses were used to evaluate the significance of the association at P-value < 0.05. Result: 10.3% of the individuals reported experiencing psychological distress according to the IES-R scale. The two levels of psychological distress that the participants experienced the most frequently were mild (53.6%) and moderate (33.7%). The results of the multivariate logistic regression analysis showed that professionals with current medical illness (AOR= 4.9; 95%CI 2.39 to 10.2) and current substance users (AOR=3.8; 95% CI; 1.9 to 7.9) have statistically significant relationship with psychological distress. Conclusion: The findings of the current study confirmed the presence of psychological distress in the epidemic era and the concept that clinical circumstances like medical illness and current substance use affect health professionals' psychological distress as well as their ability to anticipate psychological distress during the post-pandemic period of COVID 19.
Hesitancy in Human Papilloma Virus Vaccine uptake and its Associated Factors among Female Students in Jimma town, Oromia, Ethiopia
(Addis Ababa university, 2023-10-09) Dera Meron; Gashaw Zeytu
The human papillomavirus (HPV) vaccination strengthens the body's defenses against the viral strains that cause cervical cancer. It has contributed to a reduction in cervical cancer-related morbidity and mortality, which is one of the great public-health success stories. Despite the fact that vaccination reluctance is one of the world's top ten health challenges, there is a shortage of evidence in Ethiopia to completely understand vaccination-related hesitancy behavior. The primary objective of this thesis was to assess hesitancy of HPV vaccine uptake and associated factors among female students, in Jimma Town, Oromia, Ethiopia
Improving Completeness Of Inpatient Medical Records In Amdework Primary Hospital, Amhara,North Ethiopia.
(Addis Abeba University, 2019-06) Asmamaw, Baynakachew; Assefa, Demeke(Dr.)
Back ground: Globally, Medical recording service is a component of all health care system, as it is the entry point of the health service and one of the key areas to have quality service in the health facilities. Clinical record documentation is one of the most basic professional responsibilities even if it is often poorly practiced. Record keeping and information management are the requirement for the provision of quality patient service. They are essential for the patient’s present and future healthcare decision making. The information contained in the record is essential, but the process of documenting it is often considered a lesser priority by many health institutions. Objective: The overall objective of the project is to improve completeness of inpatient medical records from 65 % to 90% in Amdework primary hospital by the end of June,30, 2019. Method: A pre-post intervention study design was applied to improve inpatient medical record completeness in Amdework Primary Hospital (APH) from January1-5,2019 for pre intervention period and from June1-5,2019 for post intervention period.Data was collected using structured audit tool and by simple random sampling technique a sample of 85 inpatient medical record was taken out of all inpatient medical records in Amdework Primary Hospital. The collected data was cleaned for its completeness and then entered into SPSS version 20 software for analyses and Independent T-test was used for comparing pre and post interventions. Result :The intervention was associated with improving completeness of inpatient medical record. At the beginning of the project completeness of inpatient medical record in Amdework primary Hospital was 65%, after intervention completeness of inpatient medical record became 93.6%. During post intervention from 85 inpatient cards the result shows that 97.6% has complete progress note, 97.6% has complete order sheet, 98.8% has complete medication administration record, 35.3% records has complete clinical pharmacist record and 100% has complete discharge summary. Conclusion :The overall completeness of inpatient medical record in mdework primary Hospital after intervention was 93.6% which have 28.6% improvement from the baseline assessment and the higher rate of completeness was seen in discharge summary 100 % completed and the least completed was clinical pharmacist record 35.3 % completed. Although there is significant improvement in completeness of medical record completeness and clinical pharmacist record still the objective is not achieved because the clinical pharmacist hiring is late and still forgetting to dated and signed to the main card. So in order to meet the objective of the indicator continuous supervision of inpatient clinical staffs should be done.
Improving Compliance Implementation of Infection Prevention and Patient Safety Standards in Kuyu General Hospital.
(Addis Abeba University, 2019-06) Feleke, Abebe; D, Anagew(Dr.); N, Adiam
Intruduction: A baseline assessment about compliance with Infection Prevention and patient safety standards at Kuyu General Hospital indicates low performance. Objective: To increase the percentage of compliance to Infection Prevention and patient safety standards met from 37.5% to 75% at Kuyu General Hospital at the end of May 2019. Methodology: Pre-post intervention study was used to evaluate the performance of IPPS standards.Pre-Intervention baseline data were collected in March 2019. In ordered to identify the root cause of the low compliance, the fish bone analysis was made and a decision matrix was used to have a comparative analysis of intervention strategies. After an intervention was conducted to improve the Ethiopian Hospitals Service Transformation Guideline, Infection Prevention and patient safety standards and follow-up data was collected in May 2019. The same indicator was used for the measurement such as perecentage, and frequency, the results are reported by Figure, and Tables. Result: After Provision of training for staff based on national standards of infection prevention and patient safety, Compliance with Ethiopian Hospitals Service Transformation Guideline standards finfection prevention and patient safety standard increased from 37.5% to 75%, health Education from 18%to 86% and waste sagrigation from 56%to78%. Conclusion: Provision of training for staff based on national standards of Ethiopian Hospitals Service Transformation Guideline, and policies resulted in improving stan finfection prevention and patient safety standards. Recommendation: Full implementation of the Ethiopian Hospitals Service Transformation Guideline standards finfection prevention and patient safety strategies should be made and it is better to give better attention and continuous follow up of the overall performance of standardized finfection prevention and patient safety practices.
Improving Ethical Practice at Neonatal Intensive Care Unit in Buee Primary Hospital.
(Addis Abeba University, 2020-05) Alemayehu, Hiwot; Addise, Mesfine(Ass. Prof.); Nega, Adiam(MPH)
Abstract Introduction: Ethics is defined as a moral philosophy or code of morals practiced by a person or group of people.There agreed ethical principles are autonomy, beneficence, non-maleficence, and justice, which are widely accepted in the neonatal practice. However, within the context of diverse values, beliefs and interests’ fundamental variations exist and they hugely influence the plans of new born management. There is limited information in Ethiopia regarding the practice of these ethical principles. The ethical principles of new born care are not clearly stated and not applied well by NICU staffs, in Buee Primary Hospital (BPH). The parents are not part of decision making and treatment of choice. Objectives: The objective of the project is to improve the practice of ethical principles at NICU in Buee Primary Hospital. Methods: Pre-post interventional study and descriptive qualitative approach was conducted to explore the practice of ethical principles at NICU in Buee Primary Hospital. The study populations are all health professionals working in the hospital. Key informant interview guide was conducted face to face by the investigator. The recorded audio note interviews were transcribed, and analyzed thematically using open code software version 4.2. Result: In the pre-intervention we conducted observation, document review and discussion to verify the root cause of the problem. In the- post intervention we developed implementation plan and the health professionals started to implement the plan. During this period, we evaluated the problem whether it has improved or not.Qualitative finding: The key informant interviews indicated gaps in the practice of ethical principles in NICU. The results of the selected strategies showed a significant improvement on the practice of low ethical principles in the unit.This was objectively measured using the observational checklist from 27% to 80% during the evaluation period of pre and post intervention. Conclusion and Recommendation: The results of this project suggested that a simple set of intervention was effective on improving the practice of ethical principles.The finding also proved the effectiveness of selected strategies, but it will be better to implement in a large scale in the hospital.
Improving Inpatient Medical Record Completeness in Bichena Primary Hospital ,East Gojjam zone,Amhara Region ,North West Ethiopia,2019.
(Addis Abeba University, 2019-06) Geremew, Andualem; Assefa, Demeke
Introduction: The completeness of medical records is an outstanding problem that affects the quality of health services in many hospitals of Ethiopia. Enhancing the completeness of patients records is inexpensive that can be implemented with the involvement of health workers. Maintaining a good record is important to enable health care workers to provide adequate care for their patients. In patient medical record completeness of Bichena Primary Hospital was lowered (55.6%). Objective: The objective of this study was to improve inpatient medical record completeness in Bichena Primary Hospital East Gojjam zone, Amhara region, Northwest Ethiopia. Methods: A Pre-post interventional study design supported with qualitative approach was conducted to improve inpatient medical record completeness in Bichena Primary Hospital (BPH) from the end of September to December 2019 for pre intervention period and from the end of February to May 2019 for post intervention period. Data were collected using structured audit tool and simple random sampling technique was used to select 384 patients’ cards among the inpatient department of the hospital. The collected data were cleaned for its completeness and then entered into Epi-info Version 7 and exported to SPSS version 20 software for analyses to determine what?.Independent T-test was used for comparing pre and post interventions. For the qualitative approach, six key informants for in-depth interview and 8 for focus group discussion were selected and data were collected through semi structured guide questioner to know the improvement of inpatient medical record completeness. Results and discussion: Inpatient medical record completeness improved from 55.6% to 92.2% when we measured after intervention and other components were also improved for example:patient card completeness from 88.2% to 96.9%progressnote12.4% to 90.4%,, order sheet77.1% to 95.3%, nursing care plan88% to 98.7%, medication administration54.6% to 90.6%, discharge summary28.6% to 93.4% and clinical pharmacist improved from41.9% to 76.3%. Conclusion and recommendations: Following our intervention inpatient medical record completeness was improved at Bichena Primary Hospital. There for, project works like capstone should be practice for better improvement of medical records completeness in all Primary Hospitals of East Gojjam zone in particular and Amhara region in general.

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