scholarly journals Stethoscope disinfection is rarely done in Ethiopia: what are the associated factors?

2018 ◽  
Author(s):  
Biniyam Sahiledengle
Keyword(s):  
Associated Factors ◽  
Infection Prevention ◽  
Addis Ababa ◽  
Healthcare Providers ◽  
Favorable Attitude ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Prevention Guideline ◽  
Use Factors

AbstractBackgroundThe stethoscope, which is universally used as a medical device by healthcare providers, is likely to be contaminated by pathogenic microorganisms. And regular cleaning of the diaphragm of the stethoscope with a suitable disinfectant is decisive. However, in the resource constrained setting like many healthcare facilities in Ethiopia healthcare provider’s stethoscope disinfection practice and its associated factors have not been well studied so far. Therefore, this study sought to determine stethoscope disinfection practice and associated factors among the healthcare providers in Addis Ababa, Ethiopia.MethodsA facility-based cross-sectional survey was carried out between April and May 2016. For this survey, 576 healthcare providers were included from 21 healthcare facilities in Addis Ababa. A pre-tested structured questionnaire was used for data collection. Descriptive statistics were computed. Binary and multivariable logistic regression analyses were used to identify factors that were significantly associated with stethoscope disinfection after every use.ResultsFive hundred forty six participants were take part in this study, for a response rate of 94.7%. Of these, only 39.7% (95%CI: 35.9, 44.0%) of healthcare providers disinfecting their stethoscope after every use. Physicians were less likely to disinfect there stethoscope compared to nurses (AOR=0.21; 95%CI: 0.09, 0.49). Healthcare providers who had awareness on infection prevention guideline, healthcare providers who had favorable attitude towards infection prevention and participants having safe infection prevention practice have better stethoscope disinfection practice after every use as compared to their counterparts (AOR=1.93; 95%CI: 1.31, 2.82), (AOR=1.73, 95%CI: 1.02, 2.93), and (AOR=3.79, 95%CI: 2.45-5.84), respectively.ConclusionsOnly a small proportion of healthcare providers disinfect their stethoscopes after every use. Factors such as awareness on infection prevention guidelines, favorable attitude towards infection prevention and safe infection prevention practice were the independent predictors of stethoscopes disinfection after every use. Hence, implementation of effective training on stethoscope disinfection along with increasing awareness on infection prevention may improve stethoscope disinfection practice.

scholarly journals Utilization of Personal Protective Equipment and Associated Factors among Building Construction Workers in Addis Ababa, Ethiopia 2019

2019 ◽  
Author(s):  
Meseret Yitayew ◽  
Aklilu Azazeh ◽  
Sofia Kebede ◽  
Addisu Alehegn
Keyword(s):  
Personal Protective Equipment ◽  
Associated Factors ◽  
Occupational Safety ◽  
Safety Management ◽  
Occupational Injuries ◽  
Addis Ababa ◽  
Protective Equipment ◽  
Construction Site ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract BackgroundPersonal Protective Equipment (PPE) is a material, device, equipment or clothing which is used or worn by a worker to protect them from exposure or contact with any harmful material or energy which may cause injury, disease or even death. The use of personal protective equipment is a universal legal requirement to protect workers against occupational injuries and illnesses in their workplace. The international labor office estimates that every year there are some 125 million work-related accidents, 220, 000 of them are fatal. This study assessed personal protective equipment utilization and associated factors among building construction workers in Addis Ababa, Ethiopia 2019.MethodsInstitution based cross-sectional survey was conducted on the selected construction sites in April 2019. Data was collected by using pre-tested Amharic questioner from 206 study subjects with a response rate of 100% via face to face interviews. Epi info version 7.1 and SPSS version 25 were used for data cleaning and analysis respectively. Independent variables with P<0.2 were transformed from bivariate to multivariate logistic regression. P<0.05 and was declared as an associated factor.ResultsThis study showed that (38.3%) of construction site workers were used at least one personal protective equipment. Presence of safety training, safety brief before commencing work and the availability of governmental visits were associated factors for utilization of personal protective equipment. Regarding, the type of injuries that occur on a majority of workers were abrasion (35%) and climbing at high was the common cause of injury. ConclusionsPPE utilization and safety measure in construction industries is insignificant and construction site workers are not adapted to take care of themselves as it manifested by low use of PPE. An effort for occupational safety assurance should be put in practice to avoid accidents on building a site with an unconditional commitment to all the projects. Riddance of hazards and deterrence of accidents on-site should be within the proficiency of each site. The client should be involved in safety management coupled with having a great craving for safety.

scholarly journals Attitude, Practice and Associated Factors Towards Patients With Hepatitis B and C Viruses Among Nurses Working in Governmental Hospitals in Addis Ababa, Ethiopia, 2019. 

2020 ◽  
Author(s):  
Tekalign Birlie Amera ◽  
Zeleke Argaw ◽  
Teshome Habtie ◽  
Abraham Tsedalu
Keyword(s):  
Hepatitis B ◽  
Associated Factors ◽  
Infection Prevention ◽  
Addis Ababa ◽  
Good Practice ◽  
Data Entry ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Public Hospitals ◽  
Cross Sectional

Abstract Background: nurses spend much time caring for patients with different diagnosis some of which are potentially infectious. Infectiousness of some diseases may affect nurse’s behavior to care for patients equally and effectively. Hepatitis B and C are infectious global treats responsible for 96% of hepatitis related mortality. Hence, this study aimed to assess attitude, practice and associated factors towards patients with hepatitis B and C viruses among nurses working in governmental hospitals in Addis Ababa.Methods: Institutional based cross-sectional study was conducted in public hospitals in Addis Ababa Ethiopia from April 01 to 30, 2019. A total of 396 nurses were selected using simple random sampling technique. Data was collected using a pretested, validated self-administered questionnaire. Epi info version 7.2 and SPSS version 24 were used for data entry and analysis respectively. Binary and multivariable logistic regression analyses were used to characterize the association between dependent and independent variables. Results: Among 383 respondents 45.6% and 35.8% reported to have positive attitude and good practice respectively. Receiving training on infection prevention and getting vaccinated against hepatitis B are significantly associated with nurse’s attitude. Nurses who served for more than ten years and those vaccinated against hepatitis B are also found to have good practice.Conclusion: The overall level of nurse’s attitude and practice towards patients with hepatitis B and C viruses is significantly low. Therefor nurses need to get training on infection prevention and hepatitis B vaccine for free. Proper supply of personal protective equipment should also be assured.

scholarly journals Effects of a Temporary Suspension of Community-based Health Insurance in Kwara State, Nigeria

2020 ◽  
Author(s):  
Oladimeji Akeem Bolarinwa ◽  
Tanimola Makanjuola Akande ◽  
Wendy Janssens ◽  
Kwasi Boahene ◽  
Tobias Rinke de Wit
Keyword(s):  
Health Insurance ◽  
Healthcare Providers ◽  
Social Health Insurance ◽  
Healthcare Services ◽  
Financial Protection ◽  
Cross Sectional Survey ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Public And Private ◽  
Healthcare Facilities

Abstract Background: Social health insurance has been widely proposed as a key strategy to improve access to healthcare and provide financial protection. The Kwara Community Health Insurance Programme (KCHIP) in Nigeria was temporarily suspended in 2016 in anticipation of the roll-out of a state-wide health insurance scheme. This article reports the adverse consequences of the scheme’s suspension on enrollees’ healthcare utilization and the associated factors with the ability to pay for care. Methods: A mixed-methods study was carried out in Kwara State, Nigeria, in 2018 using a semi-quantitative cross-sectional survey amongst 600 former KCHIP clients, and in-depth interviews with 24 clients and 29 participating public and private healthcare providers in the program. Quantitative data was analyzed using Statistical Package for Social Science (SPSS) version 22 while qualitative data was analyzed thematically.Results: Most of former enrollees (95.3%) kept utilizing programme facilities after the suspension, mainly because of the high quality of care. However, majority of the enrollees (95.8%) reverted to out-of-pocket (OOP) payment while 67% reported constraints in payment for healthcare services after suspension of the program. In the absence of insurance, the most common coping mechanisms for healthcare payment were personal savings (63.3%), donations from friends and families (34.7%) and loans (11.8%). Being a male enrollee (OR=1.61), living in a rural community (OR=1.77), exclusive usage of KCHIP prior to suspension (OR=1.94) and suffering an acute illness (OR=3.38) increased the odds of being financially constrained in accessing healthcare. Expectedly, the wealthy respondents were less likely (OR = 0.78) to be constrained by the suspension of the programme. All healthcare facilities in the study sample experienced a reduced patient load after suspension of the scheme. Seventeen of 29 healthcare facilities recorded a decrease in revenue, more noticeable among private facilities. Conclusion: After the suspension of the KCHIP, many enrollees and health facilities experienced financial constraints. These underscore the importance of sustainable health insurance schemes as a risk-pooling mechanism to sustain access to good quality health care and financial protection from catastrophic health expenditures. Moreover, the findings highlight the importance of effective processes to smooth the transition policy from community- to state-wide health insurance schemes.

Knowledge and Communication of the National Core Standards Tool

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Winnie Thembisile Maphumulo ◽  
Busisiwe Bhengu
Keyword(s):  
Pearson Correlation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Quality Of Healthcare ◽  
Survey Study ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Nurses

The National Department of Health in South Africa has introduced the National Core Standards (NCS) tool to improve the quality of healthcare delivery in all public healthcare institutions. Knowledge of the NCS tool is essential among healthcare providers. This study investigated the level of knowledge on NCS and how the NCS tool was communicated among professional nurses. This was a cross-sectional survey study. Purposive sampling technique was used to select hospitals that only offered tertiary services in KwaZulu-Natal. Six strata of departments were selected using simple stratified sampling. The population of professional nurses in the selected hospitals was 3 050. Systematic random sampling was used to recruit 543 participants. The collected data were analysed using SPSS version 25. The study showed that only 16 (3.7%) respondents had knowledge about NCS, using McDonald’s standard of learning outcome measured criteria regarding the NCS tool. The Pearson correlation coefficient between the communication and knowledge was r = 0.055. The results revealed that although the communication scores for the respondents were high their knowledge scores remained low. This study concluded that there is a lack of knowledge regarding the NCS tool and therefore healthcare institutions need to commit themselves to the training of professional nurses regarding the NCS tool. The findings suggest that healthcare institutions implement the allocation of incentives for nurses that attend the workshops for NCS.

Knowledge, Attitudes and associated factors to Use District Health Information System (DHIS2 data) for decision making among health professionals in a Resource limited settings: Cross-sectional Survey (Preprint)

2020 ◽  
Author(s):  
Shuma Gosha Kanfe ◽  
Nebyu Demeke Mengiste ◽  
Mohammedjud Hassen Ahmed ◽  
Gebiso Roba Debele ◽  
Berhanu Fikadie Endehabtu
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Associated Factors ◽  
Good Knowledge ◽  
Cross Sectional Survey ◽  
District Health ◽  
Cross Sectional ◽  
Determinant Factors ◽  
Knowledge And Attitudes ◽  
Health Need

BACKGROUND Evidence based practice is a key to increase effectiveness and efficiency of quality health services. To achieve this, utilization of health facility data (DHIS2 data) is required which is determined by knowledge and attitudes of health professionals. Thus, this study aimed to assess knowledge and attitudes of health professionals to use DHIS2 data for decision making. OBJECTIVE This study aimed to assess the knowledge, attitudes and its associated factors among health professionals to use DHIS2 data for decision making at South west of Ethiopia 2020 METHODS Cross sectional quantitative study methods was conducted to assess Knowledge and Attitudes of health professionals to use DHIS2 data. A total of 264 participants were approached. SPSS version 22 software was used for data entry and analysis. Descriptive and analytical statistics including Bivariable and Multivariable analyses was done RESULTS Overall 130(49.2%) of the respondents had good knowledge to use DHIS2 data (95% CI: [43, 55.3]), whereas over 149 (56.4%) of the respondents had favorable attitudes towards the use of DHIS2 data for decision making purpose (95% CI: [53.2, 59.8]). Skills [AOR=2.20,95% CI:(1.16, 4.19)], Age [AOR= 1.92, 95% CI: (1.03, 3.59)] ,Resources[AOR=2.56, 95% CI:(1.35,4.86)], Staffing[AOR= 2.85, 95% CI : (1.49, 5.48)] and Experiences[AOR= 4.66, 95% CI: (1.94, 5.78)] were variables associated with knowledge to use DHIS2 data whereas Training [AOR= 5.59, 95% CI: (2.48, 5.42)], Feedback [AOR= 4.08, 95% CI: (1.87, 8.91)], Motivation [AOR=2.87, 95% CI: (1.36, 6.06)] and Health need [AOR=2.32, 95% CI: (1.10-4.92)] were variables associated with attitudes of health professionals to use DHIS2 data CONCLUSIONS In general, about half of the study participants had good knowledge of DHIS2 data utilization whereas more than half of respondents had favorable attitudes. Skills, resources, ages, staffing and experiences were the most determinant factors for the knowledge to use DHIS2 data whereas health need, motivation, feedback and training were determinant factors for attitudes to use DHIS2 data

scholarly journals Suicidal ideation and associated factors among school-going adolescents in rural Ghana

2021 ◽  
Author(s):  
Emmanuel Nii-Boye Quarshie ◽  
Samuel Kofi Odame
Keyword(s):  
Suicidal Ideation ◽  
Associated Factors ◽  
Attempted Suicide ◽  
Sub Saharan Africa ◽  
Rural Adolescents ◽  
African Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural Ghana ◽  
Sub Saharan

AbstractSuicidal ideation is a critical risk for attempted suicide and eventual suicide. Little is known about suicidal ideation among rural adolescents in most sub-Saharan African countries. We aimed to estimate the 12-month prevalence of suicidal ideation and to describe some of the common and gender-specific associated factors among in-school adolescents in rural Ghana. We conducted a cross-sectional survey involving a random sample of 1101 in-school adolescents aged 10–19 years in a rural district in Eastern Ghana. The Suicidal Behavior Questionnaire-Revised was used to assess suicidal ideation. Overall, 25.1% participants (95% CI = 22.5–27.7), representing 28.3% females (95% CI = 24.7–32.2) and 21.5% males (95% CI = 18.0–25.2) reported suicidal ideation during the previous 12 months. Females who experienced personal and interpersonal adversities mainly outside the family context were likely to report suicidal ideation, while suicidal ideation among males was associated with conflict with parents. Regardless of gender, adolescents who reported exposure to a friend’s attempted suicide were about two times more likely to report suicidal ideation. The prevalence of suicidal ideation among adolescents in rural Ghana compares with in-school estimates from other countries within sub-Saharan Africa, but also underscores the need for targeted and universal prevention programmes and intervention efforts to mitigate the potential transition from suicidal ideations to suicidal attempts and eventual deaths by suicide among rural adolescents.

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