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Research paper thumbnail of Knowledge, attitude, and practice of personal protective equipment utilization among health care workers

International Journal of Africa Nursing Sciences, Dec 31, 2023

Research paper thumbnail of Internship Challenges Encountered by Nursing Students: A Qualitative Study Conducted at the Highest Institutions in Ethiopia

Research paper thumbnail of Compliance With Guidelines of Hypertension Management, and Associated Factors Among the Health Practitioners

INQUIRY: The Journal of Health Care Organization, Provision, and Financing, Dec 31, 2022

Research paper thumbnail of Isoniazid Preventive Therapy Uptake and Its Effect on Tuberculosis Incidence Among People Living with HIV in Illubabor and Buno Bedelle Zones, South-West Ethiopia, 2022: A Retrospective Cohort Study

HIV/AIDS - Research and Palliative Care

Tuberculosis (TB) remains the leading cause of death among human immune deficiency virus (HIV) pa... more Tuberculosis (TB) remains the leading cause of death among human immune deficiency virus (HIV) patients. Based on the 2020 global TB report, Ethiopia was among the 30 high TB and TB/HIV burden countries. This study filled gaps regarding IPT uptake in the study area and representative sample determination for assessing TB incidence and its predictors at public health facilities in Illubabor and Buno Bedelle zones, southwest Ethiopia. Methods: This retrospective cohort study was conducted among people living with HIV (PLHIV) who were on antiretroviral therapy (ART) at public health facilities in Illubabor and Buno Bedelle zones, southwest Ethiopia. Both isoniazid preventive therapy (IPT) exposed and unexposed PLHIV were followed from the date of ART initiation until the date of TB diagnosis of the most recent visit prior to the end of follow-up. The Cox proportional hazard model was employed to identify variables that predicted the incidence of TB at a P value of <0.05. Results: Data were collected on 421 PLHIV, with a response rate of 97.4%. The median (interquartile range (IQR)) age of the study participants was 32 (28-40) year. The incidence rate of pulmonary TB was 3.1 per 1000 person-months (95% CI: 2.4-3.9). The incidence rate of TB among IPT-exposed PLHIV was 1.45 per 1000 person-months, but it was 6.2 per 1000 person-months in the unexposed group. Patient's residence, IPT exposure, baseline ART adherence, baseline hemoglobin level, baseline CD4+ cell, recent hemoglobin level, recent CD4+ cell, recent BMI, and recent WHO HIV clinical stage were independently associated with the incidence of TB. Conclusion: Healthcare professionals working in ART clinics should routinely assess HIV-positive individuals for changes in clinical indicators and environmental exposures like living conditions, which will help HIV-positive individuals in reducing their risk for TB. Likewise, patients attending ART clinics should receive counseling on a regular basis.

Research paper thumbnail of Health practitioners‘ Compliance with Hypertension Management Guideline and its associated factors in Illubabor and BunoBedelle Zones, South West Ethiopia, 2020

Addis Abeba University, Jun 1, 2020

Research paper thumbnail of Compliance With Guideline of Hypertension Management Among Health Practitioners in Illubabor and Buno Bedelle Zones, South West Ethiopia; 2020

Background: To achieve sustainable development goal and to improve management of noncommunicable ... more Background: To achieve sustainable development goal and to improve management of noncommunicable diseases the federal democratic republic of Ethiopian ministry of health developed guidelines on clinical and programmatic management of major non communicable diseases in 2016. Compliance to hypertension guideline was very low in developing countries leading to compromised quality of life and premature deaths. The aim of this study was to assess health practitioners' compliance with hypertension management guideline and its associated factors in Illubabor and Buno Bedelle zones. Method: A cross-sectional study design from patient medical record data was used to assess for compliance with hypertension management guideline. Medical records of adult Patients treated for hypertension from March 2019 to march 2020 was reviewed. Simple random sampling method was used to select the rst study population then systematic sampling was used to select consecutive study populations. The collected data was checked for its completeness, consistency and accuracy before analysis. Data was coded, entered and cleaned using Epi-data 7 and export to SPSS version 25 for analysis. Multivariate analysis was used to obtain a nal model describing the signi cant independent predictors of guidelines compliance. Results: overall compliance of health practitioners' to hypertension guideline was found to be poor; only 75(19.5%) patients were managed following the guideline. In multivariate analysis, availability of resource (adjusted odds ratio [AOR] =0.400, 95% CI: =0.203-0.788), supervision status (adjusted odds ratio [AOR] =0.497, 95% CI: =0.308-0.892), training status (adjusted odds ratio [AOR] =0.250, 95% CI: =0.107-0.584), and appointment status (adjusted odds ratio [AOR] =0.091, 95% CI: =0.024-0.352) had signi cant positive association with compliance to hypertension management guideline. Conclusion: Only 75(19.5%) of patients were managed following the guideline; which indicates nearly more than two third of patients were not managed following the national hypertension guideline, primarily due to a lack of recommending lifestyle modi cations.

Research paper thumbnail of Knowledge, Attitude and Practice on Personal Protective Equipment Utilization Among Health Care Workers at Adare Comprehensive Hospital, Ethiopia, 2017

Social Science Research Network, 2021

Background: Although healthcare personnel often face hazardous working conditions with potential ... more Background: Although healthcare personnel often face hazardous working conditions with potential exposures to a variety of toxic and infectious agents, adherence to PPE protocols is quite low. Proper utilization of PPE safeguards the health care providers especially nurses from hazardous working conditions and increase patient safety, the objective of a study is to assess knowledge, attitude and practice on using personal protective equipment and associated factors among health care providers in Adare general hospital. Objective: To determine the level of knowledge, attitude, and practice on personal protective equipment utilization and associated factors among health care providers. Methods: institutional based cross sectional study was conducted from September 10-12/2017 at Adare general hospital. Simple random sampling technique was used to select participants. Data was entered and analyzed by using SPSS and logistic regression analyses were computed and adjusted odds ratio with ...

Research paper thumbnail of Consistency of Integrated Management of Newborn and Childhood Illness (IMNCI) in Shire Governmental Health Institution in 2017

BMC Research Notes, Jul 16, 2018

Objective: In an effort to reduce infant mortality and morbidity, the World Health Organization a... more Objective: In an effort to reduce infant mortality and morbidity, the World Health Organization and other technical partners developed the Integrated Management of Newborn and Childhood Illness (IMNCI). This study focuses on assessment of consistency and completeness of integrated management of neonatal and child hood illness in primary health care units. Results: A total of 384 cases were taken from 3562 cases both from young infant registration (under-2 month old) and child registration (2 months-5 year old). Out of 384 cases, 241 (62.8%) cases were correctly classified and 143 (37.2%) were incorrect classifications. Similarly 164 (42.7%) cases were treated correctly where as 220 (57.3%) treated incorrectly. Only 95 (24.7%) cases have given appropriate appointments where as 289 (75.3%) cases were appointed incorrectly. The overall consistency of IMNCI management is poor. Unless continuous follow up of and training was given, children are not treated as expected. More over using electronic method of IMNCI may alleviate the problem.

Research paper thumbnail of Knowledge, attitude, and practice of personal protective equipment utilization among health care workers

International Journal of Africa Nursing Sciences, Dec 31, 2023

Research paper thumbnail of Internship Challenges Encountered by Nursing Students: A Qualitative Study Conducted at the Highest Institutions in Ethiopia

Research paper thumbnail of Compliance With Guidelines of Hypertension Management, and Associated Factors Among the Health Practitioners

INQUIRY: The Journal of Health Care Organization, Provision, and Financing, Dec 31, 2022

Research paper thumbnail of Isoniazid Preventive Therapy Uptake and Its Effect on Tuberculosis Incidence Among People Living with HIV in Illubabor and Buno Bedelle Zones, South-West Ethiopia, 2022: A Retrospective Cohort Study

HIV/AIDS - Research and Palliative Care

Tuberculosis (TB) remains the leading cause of death among human immune deficiency virus (HIV) pa... more Tuberculosis (TB) remains the leading cause of death among human immune deficiency virus (HIV) patients. Based on the 2020 global TB report, Ethiopia was among the 30 high TB and TB/HIV burden countries. This study filled gaps regarding IPT uptake in the study area and representative sample determination for assessing TB incidence and its predictors at public health facilities in Illubabor and Buno Bedelle zones, southwest Ethiopia. Methods: This retrospective cohort study was conducted among people living with HIV (PLHIV) who were on antiretroviral therapy (ART) at public health facilities in Illubabor and Buno Bedelle zones, southwest Ethiopia. Both isoniazid preventive therapy (IPT) exposed and unexposed PLHIV were followed from the date of ART initiation until the date of TB diagnosis of the most recent visit prior to the end of follow-up. The Cox proportional hazard model was employed to identify variables that predicted the incidence of TB at a P value of <0.05. Results: Data were collected on 421 PLHIV, with a response rate of 97.4%. The median (interquartile range (IQR)) age of the study participants was 32 (28-40) year. The incidence rate of pulmonary TB was 3.1 per 1000 person-months (95% CI: 2.4-3.9). The incidence rate of TB among IPT-exposed PLHIV was 1.45 per 1000 person-months, but it was 6.2 per 1000 person-months in the unexposed group. Patient's residence, IPT exposure, baseline ART adherence, baseline hemoglobin level, baseline CD4+ cell, recent hemoglobin level, recent CD4+ cell, recent BMI, and recent WHO HIV clinical stage were independently associated with the incidence of TB. Conclusion: Healthcare professionals working in ART clinics should routinely assess HIV-positive individuals for changes in clinical indicators and environmental exposures like living conditions, which will help HIV-positive individuals in reducing their risk for TB. Likewise, patients attending ART clinics should receive counseling on a regular basis.

Research paper thumbnail of Health practitioners‘ Compliance with Hypertension Management Guideline and its associated factors in Illubabor and BunoBedelle Zones, South West Ethiopia, 2020

Addis Abeba University, Jun 1, 2020

Research paper thumbnail of Compliance With Guideline of Hypertension Management Among Health Practitioners in Illubabor and Buno Bedelle Zones, South West Ethiopia; 2020

Background: To achieve sustainable development goal and to improve management of noncommunicable ... more Background: To achieve sustainable development goal and to improve management of noncommunicable diseases the federal democratic republic of Ethiopian ministry of health developed guidelines on clinical and programmatic management of major non communicable diseases in 2016. Compliance to hypertension guideline was very low in developing countries leading to compromised quality of life and premature deaths. The aim of this study was to assess health practitioners' compliance with hypertension management guideline and its associated factors in Illubabor and Buno Bedelle zones. Method: A cross-sectional study design from patient medical record data was used to assess for compliance with hypertension management guideline. Medical records of adult Patients treated for hypertension from March 2019 to march 2020 was reviewed. Simple random sampling method was used to select the rst study population then systematic sampling was used to select consecutive study populations. The collected data was checked for its completeness, consistency and accuracy before analysis. Data was coded, entered and cleaned using Epi-data 7 and export to SPSS version 25 for analysis. Multivariate analysis was used to obtain a nal model describing the signi cant independent predictors of guidelines compliance. Results: overall compliance of health practitioners' to hypertension guideline was found to be poor; only 75(19.5%) patients were managed following the guideline. In multivariate analysis, availability of resource (adjusted odds ratio [AOR] =0.400, 95% CI: =0.203-0.788), supervision status (adjusted odds ratio [AOR] =0.497, 95% CI: =0.308-0.892), training status (adjusted odds ratio [AOR] =0.250, 95% CI: =0.107-0.584), and appointment status (adjusted odds ratio [AOR] =0.091, 95% CI: =0.024-0.352) had signi cant positive association with compliance to hypertension management guideline. Conclusion: Only 75(19.5%) of patients were managed following the guideline; which indicates nearly more than two third of patients were not managed following the national hypertension guideline, primarily due to a lack of recommending lifestyle modi cations.

Research paper thumbnail of Knowledge, Attitude and Practice on Personal Protective Equipment Utilization Among Health Care Workers at Adare Comprehensive Hospital, Ethiopia, 2017

Social Science Research Network, 2021

Background: Although healthcare personnel often face hazardous working conditions with potential ... more Background: Although healthcare personnel often face hazardous working conditions with potential exposures to a variety of toxic and infectious agents, adherence to PPE protocols is quite low. Proper utilization of PPE safeguards the health care providers especially nurses from hazardous working conditions and increase patient safety, the objective of a study is to assess knowledge, attitude and practice on using personal protective equipment and associated factors among health care providers in Adare general hospital. Objective: To determine the level of knowledge, attitude, and practice on personal protective equipment utilization and associated factors among health care providers. Methods: institutional based cross sectional study was conducted from September 10-12/2017 at Adare general hospital. Simple random sampling technique was used to select participants. Data was entered and analyzed by using SPSS and logistic regression analyses were computed and adjusted odds ratio with ...

Research paper thumbnail of Consistency of Integrated Management of Newborn and Childhood Illness (IMNCI) in Shire Governmental Health Institution in 2017

BMC Research Notes, Jul 16, 2018

Objective: In an effort to reduce infant mortality and morbidity, the World Health Organization a... more Objective: In an effort to reduce infant mortality and morbidity, the World Health Organization and other technical partners developed the Integrated Management of Newborn and Childhood Illness (IMNCI). This study focuses on assessment of consistency and completeness of integrated management of neonatal and child hood illness in primary health care units. Results: A total of 384 cases were taken from 3562 cases both from young infant registration (under-2 month old) and child registration (2 months-5 year old). Out of 384 cases, 241 (62.8%) cases were correctly classified and 143 (37.2%) were incorrect classifications. Similarly 164 (42.7%) cases were treated correctly where as 220 (57.3%) treated incorrectly. Only 95 (24.7%) cases have given appropriate appointments where as 289 (75.3%) cases were appointed incorrectly. The overall consistency of IMNCI management is poor. Unless continuous follow up of and training was given, children are not treated as expected. More over using electronic method of IMNCI may alleviate the problem.