Awareness and Adherence to Health Care Facility standards among Health Workers in Private Medium Clinics in Addis Ababa, Ethiopia.
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Date
2019
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Addis Abeba University
Abstract
Background: Health workers adherence to health care facility standards are complicated processes. So when health professionals comply with standards, they must first become aware of the standards, then intellectually agree with them, and then decide to adopt them in the care they provide, then regularly adhere to them at appropriate times.. Health workers can simply not be familiar with standards because they have not been communicated clearly. Commonly, providers are aware of standards but may hold beliefs or attitudes that inhibit them from adhering to standards.Nevertheless,evidence on awareness and adherence to healthcare facility standards among health workers working in private health facility in low income countries is poor.
Objectives:The aim of this study was to assess level of awareness and adherence to healthcare facility standards among health workers in selected private medium clinics in Addis Ababa.
Methods:A Facility based cross-sectional descriptive study design was used to conduct the study and the study units were selected using simple random sampling technique. Descriptive statistics including frequencies and percent were used in order to summarize variables. To determine the association between each variable binary logistic regression model was used and variables with p-value less than 0.05 were considered as statistically significant. OR and CI was used to see the strength of the association between the independent variables and awareness and adherence.
Result; A total of 250 participants were included in the study which makes the response rate 89.6% with mean age of 26.82 years.
The majority which 62.8% of them were female, 67.2 % were heard about Ethiopian medium clinic standards, even though 98.4% of them had no on job trainings onit.
Further, 22.4% and 44.8% of the study participants had good level of awareness and adherence respectively. Factors such as being the age interval of 21-25 years (AOR 0.19, 95%CI (0.06, 0.60))and 26-30 years of old (AOR 0.06, 95% CI (0.01, 0.32)) had statistical significance association with level of adherence as compared to 20 years and below age group. But not participated in informing about Ethiopian medium clinic standard (AOR 1017.49, 95% CI (35.99, 28768.10)) was the only variable which had statistically significant association with level of awareness.
Conclusion and recommendation; the current study result indicated that almost more than half of participants had poor level of awareness and adherence toward Ethiopian medium clinic standards.Therefore, providing continuous pre-recruitment and on job educational training on Ethiopian medium clinic standared by the health institutions is essential.
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Keywords
Awareness, adherence, healthworkers and healthcare facility standard.