yeshanew ayele - Academia.edu (original) (raw)
Papers by yeshanew ayele
article, 2024
Introduction Healthcare waste is any waste generated by healthcare facilities that is considered ... more Introduction Healthcare waste is any waste generated by healthcare facilities that is considered potentially hazardous to health. Solid healthcare waste is categorized into infectious and non-infectious wastes. Infectious waste is material suspected of containing pathogens and potentially causing disease. Non-infectious waste includes wastes that have not been in contact with infectious agents, hazardous chemicals, or radioactive substances, similar to household waste, i.e. plastic, papers and leftover foods. This study aimed to investigate solid healthcare waste management practices and develop guidelines to improve solid healthcare waste management practices in Ethiopia. The setting was all health facilities found in Hossaena town.
research article, 2017
Background Hand hygiene (HH) is a compliance of cleansing hands using soap and water or using ant... more Background Hand hygiene (HH) is a compliance of cleansing hands using soap and water or using antiseptic hand rub for removal of transient microorganism from hands and in the way of keeping the skin condition. Any action of hand cleaning is referred to as hand hygiene(1).It is an important healthcare issue globally and is a single most cost-effective and practical measure to reduce the incidence of healthcare-associated infection and the spread of antimicrobial resistance across all settings-from advanced health care systems to primary healthcare(2, 3). Globally, nearly 1.4 million patients are affected by health care-associated infection (HAI) at any one time(4).HAI is defined as an infection occurring in a patient during the process of care in a hospital or health facility, which was not present or was incubating at the time of admission(5). Healthcare-associated infections (HCAIs) have a great impact on morbidity, length of hospital stay, and treatment costs(6).
research article, 2017
Back ground: Health worker's motivation reflects the interactions between workers and their work ... more Back ground: Health worker's motivation reflects the interactions between workers and their work environment. Motivation has necessary to generate the organizational commitment towards the patients and the hospital and there for the knowledge about what motivates and satisfies them is very essential. Human resource is a vital component in delivering health services. Health systems cannot function effectively without sufficient numbers of skilled and motivated health workers. Because of the interactive nature of motivation, local organizational and broader sector policies have the potential to affect motivation of health workers, either positively or negatively, and as such to influence health system performance. Yet little is known about the key determinants and associated factors of motivation in developing countries.
research article, 2023
Background: Integrated community case management of common childhood illnesses (ICCM) is life sav... more Background: Integrated community case management of common childhood illnesses (ICCM) is life saving curative health service delivery for common childhood illnesses (CHI) at health post and community level before developing a complication. ICCMCHI quality has little information in the study area. Methods and Materials: The focus of this evaluation was to evaluate the process of ICCMCHI program, and the approach of this evaluation was formative. Availability of program resources, compliance of health extension workers with ICCM guideline and acceptability of services were the dimensions of this study. The case study was conducted with both quantitative and qualitative data. Fifty-seven health posts were included from three woreda of the zone by deviant sampling techniques. For qualitative data health extension workers and health care managers were included. Data was analyzed by using SPSS soft ware version-20. Univariate, bivariate and multivariate logistic regression were used for quantitative data, and qualitative data was analyzed by using thematic analysis. Result: Compliance was 76% which is good even though most of health extension workers (HEW) were missing opportunities and identified reasons were an inadequate use of ICCM chart booklet and poor supportive supervision. 423 mothers or caregivers with sick under-five children were interviewed from 57 health posts. The mean score of client satisfaction on the quality of ICCM services received was 48.97. Satisfaction of caregivers with a mean score of client satisfaction on quality ICCM services was associated with primary level education, family annual income of and Muslim religion and received information about when to return for next revisit were found to be more likely to satisfy on the quality of ICCM services provided. Conclusion and Recommendation: Quality of ICCMCHI program was evaluated as good. There was an inadequate level of resource availability. Client's satisfaction with integrated community case management of common childhood illness services was also good. All concerned bodies from local government and development partners are expected to strengthen regular supportive supervision, clinical mentoring, and continues performance review.
European Respiratory Journal, 2010
Most studies on determinants of community-acquired pneumonia (CAP) in primary care have focused p... more Most studies on determinants of community-acquired pneumonia (CAP) in primary care have focused primarily on the elderly. Using a case-control study in four Dutch healthcare centres, determinants of CAP among children and young adults were identified. Cases included 156 young adults (aged 16-40 yrs) and 107 children (aged 0-15 yrs) diagnosed with CAP during 1999-2008. For each case, three controls were selected from the same age group. Separate logistic regression analyses were used to identify determinants in young adults and children. Lower age, asthma and previous upper respiratory tract infections (URTIs) were independently associated with CAP in children. Increasing age, asthma, three or more children at home, current smoking and three or more previous URTIs were independent determinants of CAP in young adults. The present study has three remarkable findings: 1) increasing age was an independent determinant of CAP in young adults; 2) having young children increased the risk of the development of CAP in young adults; and 3) the number of previous URTIs was independently associated with CAP in both children and young adults, possibly due to higher infection susceptibility. Further studies are required in order to better understand the aetiology of CAP and permit better diagnosis and treatment of this serious condition.
article, 2024
Introduction Healthcare waste is any waste generated by healthcare facilities that is considered ... more Introduction Healthcare waste is any waste generated by healthcare facilities that is considered potentially hazardous to health. Solid healthcare waste is categorized into infectious and non-infectious wastes. Infectious waste is material suspected of containing pathogens and potentially causing disease. Non-infectious waste includes wastes that have not been in contact with infectious agents, hazardous chemicals, or radioactive substances, similar to household waste, i.e. plastic, papers and leftover foods. This study aimed to investigate solid healthcare waste management practices and develop guidelines to improve solid healthcare waste management practices in Ethiopia. The setting was all health facilities found in Hossaena town.
research article, 2017
Background Hand hygiene (HH) is a compliance of cleansing hands using soap and water or using ant... more Background Hand hygiene (HH) is a compliance of cleansing hands using soap and water or using antiseptic hand rub for removal of transient microorganism from hands and in the way of keeping the skin condition. Any action of hand cleaning is referred to as hand hygiene(1).It is an important healthcare issue globally and is a single most cost-effective and practical measure to reduce the incidence of healthcare-associated infection and the spread of antimicrobial resistance across all settings-from advanced health care systems to primary healthcare(2, 3). Globally, nearly 1.4 million patients are affected by health care-associated infection (HAI) at any one time(4).HAI is defined as an infection occurring in a patient during the process of care in a hospital or health facility, which was not present or was incubating at the time of admission(5). Healthcare-associated infections (HCAIs) have a great impact on morbidity, length of hospital stay, and treatment costs(6).
research article, 2017
Back ground: Health worker's motivation reflects the interactions between workers and their work ... more Back ground: Health worker's motivation reflects the interactions between workers and their work environment. Motivation has necessary to generate the organizational commitment towards the patients and the hospital and there for the knowledge about what motivates and satisfies them is very essential. Human resource is a vital component in delivering health services. Health systems cannot function effectively without sufficient numbers of skilled and motivated health workers. Because of the interactive nature of motivation, local organizational and broader sector policies have the potential to affect motivation of health workers, either positively or negatively, and as such to influence health system performance. Yet little is known about the key determinants and associated factors of motivation in developing countries.
research article, 2023
Background: Integrated community case management of common childhood illnesses (ICCM) is life sav... more Background: Integrated community case management of common childhood illnesses (ICCM) is life saving curative health service delivery for common childhood illnesses (CHI) at health post and community level before developing a complication. ICCMCHI quality has little information in the study area. Methods and Materials: The focus of this evaluation was to evaluate the process of ICCMCHI program, and the approach of this evaluation was formative. Availability of program resources, compliance of health extension workers with ICCM guideline and acceptability of services were the dimensions of this study. The case study was conducted with both quantitative and qualitative data. Fifty-seven health posts were included from three woreda of the zone by deviant sampling techniques. For qualitative data health extension workers and health care managers were included. Data was analyzed by using SPSS soft ware version-20. Univariate, bivariate and multivariate logistic regression were used for quantitative data, and qualitative data was analyzed by using thematic analysis. Result: Compliance was 76% which is good even though most of health extension workers (HEW) were missing opportunities and identified reasons were an inadequate use of ICCM chart booklet and poor supportive supervision. 423 mothers or caregivers with sick under-five children were interviewed from 57 health posts. The mean score of client satisfaction on the quality of ICCM services received was 48.97. Satisfaction of caregivers with a mean score of client satisfaction on quality ICCM services was associated with primary level education, family annual income of and Muslim religion and received information about when to return for next revisit were found to be more likely to satisfy on the quality of ICCM services provided. Conclusion and Recommendation: Quality of ICCMCHI program was evaluated as good. There was an inadequate level of resource availability. Client's satisfaction with integrated community case management of common childhood illness services was also good. All concerned bodies from local government and development partners are expected to strengthen regular supportive supervision, clinical mentoring, and continues performance review.
European Respiratory Journal, 2010
Most studies on determinants of community-acquired pneumonia (CAP) in primary care have focused p... more Most studies on determinants of community-acquired pneumonia (CAP) in primary care have focused primarily on the elderly. Using a case-control study in four Dutch healthcare centres, determinants of CAP among children and young adults were identified. Cases included 156 young adults (aged 16-40 yrs) and 107 children (aged 0-15 yrs) diagnosed with CAP during 1999-2008. For each case, three controls were selected from the same age group. Separate logistic regression analyses were used to identify determinants in young adults and children. Lower age, asthma and previous upper respiratory tract infections (URTIs) were independently associated with CAP in children. Increasing age, asthma, three or more children at home, current smoking and three or more previous URTIs were independent determinants of CAP in young adults. The present study has three remarkable findings: 1) increasing age was an independent determinant of CAP in young adults; 2) having young children increased the risk of the development of CAP in young adults; and 3) the number of previous URTIs was independently associated with CAP in both children and young adults, possibly due to higher infection susceptibility. Further studies are required in order to better understand the aetiology of CAP and permit better diagnosis and treatment of this serious condition.