Hospital and Health Care Administration

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    Assessment of patient flow, areas of inefficiency for improvement in Tikur Anbessa Specialized Hospital: A mixed explanatory study
    (Addis Ababa University, 2024-10-03) Yemisrach Kedru; Damen Haile
    In Ethiopia, hospitals face many challenges like high waiting times, inefficiency, and negative patient experiences. Tikur Anbessa Specialized Hospital (TASH) is a tertiary level hospital located in Addis Ababa. There is little study done on patient flow, areas of inefficiency, and patient experiences. Understanding these areas will help in making improvement in the health service provision that are given in Tikur Anbessa Specialized Hospital in an efficient manner.
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    Prevalence of Amputation and Associated Factors among Diabetic Foot Ulcer Patients Admitted at Selected Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Study
    (Addis Ababa University, 2024-06-10) Saron Derso; Fekadu Aga
    Diabetes is one of the most common metabolic disorders, with numerous long-term complications affecting nearly every system in the body. One of the most common complications associated with the disease is foot ulcer, which frequently results in lower extremity amputations.
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    Evidence-Based Practice Utilization and its Associated Factors among Nurses Working at Emergency Department of Selected Public Hospitals, Addis Ababa, Ethiopia, 2024
    (Addis Ababa University, 2024-06-15) Mekuanint Kassie; Aklilu Azazh
    Evidence-based practice utilization (EBPU) is described as the use of up-to-date, reliable, and pertinent evidence in healthcare decision-making practice, such as study findings, professional experience, and updated standard guidelines. EBPU is designed to prevent biases and to support clinical utilization of the latest and most recent, comprehensive studies for understanding clinical decision making.
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    Medulloblastoma: Imaging Pattern Description Using Magnetic Resonance Imaging
    (Addis Ababa University, 2024-02-14) Etsehiwot Demeke; Amal Saleh,
    Medulloblastoma is one of the most common pediatric brain tumors in children. It is a heterogeneous disease consisting of multiple histologic and molecular subgroups with distinctive origins, demographics, molecular alterations, and outcomes. Magnetic resonance imaging is the main imaging modality used for diagnosis and follow-up of patients with medulloblastoma
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    Pathological Patterns of Testicular and Paratesticular Lesions from January 2019 Todecember 2023 G.C In Tikur-Anbessa Specialized Hospital.
    (Addis Ababa University, 2024-07-30) Abdi mohammed; Fadil nuredin
    Cryptorchidism, tuberculous orchitis, germ cell tumors, seminoma
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    Pattern And Magnitude of Clinical & Pathologic Characterstics of Bcc At Alert/Ahri Center, Addis Ababa, Ethiopia: a Five Year Retrospective Study (2018 -2022 G.C)
    (Addis Ababa University, 2024-01-19) Aderajew Birhan
    basal cell carcinoma is the most common type of skin cancer in white population. In blacks it has lower incidence [1]. But knowledge and studies regarding the pattern and magnitude of cutaneous basal cell carcinoma in Africa and Ethiopia are few and lacking
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    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
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    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
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    Validation of The Amharic Version of The Summary of Diabetes Self-Care Activity Scale Among Diabetes Patients in Addis Ababa Public Hospitals, a, Ethiopia
    (Addis Ababa university, 2023-12-21) Gashu Molla; Seid Yimer
    Measuring what it tends to measure makes a tool powerful and useful for decision-making. As the Amharic version summary of diabetes self care activity scale (SDSCA) construct doesn’t yet validated, there is an urgent need of validation of the tool for research and clinical practice purpose. This study aims to validate the Amharic version of the summary of the diabetes self-care activity scale (SDSCA) among diabetes mellitus patients in Addis Ababa public hospitals, AA, Ethiopia.
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    Predictor of Gestation Weight Gain in Butajira,Ethiopia Community Basid Retrospective Study
    (Addis Ababa university, 2023-01-29) Getahun Eset; Shikur Bilal
    Gestational weight gain (GWG) can be defined as the amount of weight gain between conception and just before the birth of the infant; it is a unique and complex biological phenomenon that supports the functions of growth and development of the fetus (1). Gestational weight gain has been regarded as an indicator of maternal and fetal wellbeing (2). It comprises product of conception including the fetus, placenta and amniotic fluid comprise approximately 35% of total GWG, changes in maternal tissues uterus, breast, blood and to a similar extent, liver and intestinal mucosa), and changes in body composition with a significant increase in total body water, subcutaneous fat and protein reserves
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    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.
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    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
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    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
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    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
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    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.
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    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.
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    Quality of Antenatal Care Services and Factors Influencing Maternal Satisfaction in Public Health Facilities of Wolkite Town, Gurage Zone, Southern Ethiopia
    (Addis Ababa University, 2023-06-23) Cheru Temesgen; Ababi Zergaw(Dr.)
    Although antenatal care (ANC) coverage in Ethiopia is increasing, the quality of ANC remains low. It is believed that increasing number ANC contact by itself is not enough to change current maternal health status and that the quality of ANC service can have important impact in the heath of mothers and new born. Objective: To assess quality of antenatal care services and factors influencing maternal satisfaction in Wolkite town public health facilities Methods: The study was carried out in Wolkite town the administrative center of the Gurage zone located 155 km west of capital city of the country, Addis Ababa. A facility-based cross sectional study design was conducted. The study populations were all pregnant women who attended the service in data collection period. Sample size was 409. A pretested structured questionnaire was used. Data entry, coding, cleaning was done by Epi-Info and the analysis was done by using SPSS version 26. Binomial and multinomial logistic regression analyses were conducted to examine the association between the socio-demographic, obstetric factors, process aspects of quality and maternal satisfaction. Ethical clearance was taken from the school of Public Health of Addis Ababa University research ethics committee Result: Out of 409 sampled pregnant women attending ANC clinic 398 (97.3%) were responded. About 48% % of respondent were satisfied with ANC services. Residence (AOR = 5.839 95% CI 3.175, 10.739), pregnancy status (AOR = 6.216 95% CI 2.943, 13.127), frequency of ANC visit (AOR = 1.804 95% CI 1.056, 3.082), counseling on nutrition (AOR = 2.875 95% CI 1.709, 4.835), prevention of mother to child transmission (PMTCT) of HIV(AOR = 2.337 95% CI 1.427, 3.827) and birth preparedness and complication readiness (BPCR) (AOR = 2.426 95% CI 1.341, 4.389)and provision of iron (AOR= 2.816 95% CI 1.249, 6.350) had an association with maternal satisfaction. Conclusion: Generally, maternal satisfaction with antenatal care services in this study was low. Absence of clean latrine & adequate water supply was the main reason stated by respondents. Effort should be made to improve accessibility of safe and potable water supply
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    Quality of Intrapartum and New Born Care in Public Health Care Facilities of Wolkite Town, Southern Ethiopia
    (Addis Ababa University, 2023-06-17) Berhanu Semra; Mesfin Addisse
    Even though, the world has made significant progress in reducing maternal and newborn mortality today, there are still far too many preventable and treatable maternal and newborn deaths globally. It is estimated that about six out of ten newborn problems and fifty percent of maternal mortality in developing countries are due to poor quality of care. However,in Ethiopia study on quality of intrapartum and newborn care is limited. Thus, the purpose of this study was to assess the quality of intrapartum and newborn care in public health facilities of Wolkite town in terms of three quality dimensions. Objectives: To assess the level of quality of intrapartum and newborn care in public health facilities of Welkite town, Southern Ethiopia, 2023. Methods: A facility-based cross-sectional study design was employed from March to April 2023 in 5 public health facilities for facility audit, among 342 mothers for exit interview and 185 mothers for observation. Consecutive random sampling method was applied. Data were collected by using document review, observation, and exit interview. Data was entered, coded and cleaned using Epidata version 4 and exported to Stata version 14 and SPSS version 25 for analysis. Descriptive and summary statistics were computed. Binary logistic regression was performed and variables which had p-values of ≤0.25 were selected and included in multivariable logistic regression analysis. Finally adjusted odds ratios with 95% confidence intervals and p-values < 0.05 were considered significant independent predictors of quality of intrapartum care. Result: The study revealed that the quality of intrapartum care in input and process components were 60% and 35.1% respectively. While, the quality of output as measured by maternal satisfaction was 42%, and 69.7% of newborns received good quality of care. Maternal education (AOR: 9.97, 95%CI: 1.52, 25.56), ANC visit (AOR: 6.32, 95%CI: 2.86, 14.00), transportation (AOR: 0.26, 95%CI: 0.15, 0.48) and process quality (AOR: 2.32, 95%CI: 1.27, 4.24) were independent predictors of maternal satisfaction with quality of intrapartum care. Conclusion and Recommendations: The quality of intrapartum and newborn care in the study area was minimal. Thus, efforts should be made by the government for improving facilities capacity and performance of health care providers in order to improve the quality of intrapartum and newborn care.
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    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.
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    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.