<p>Prevalence and Associated Factors of Depression and Anxiety Among Patients with Pulmonary Tuberculosis Attending Treatment at Public Health Facilities in Southwest Ethiopia</p>

Background. Affordability is one of the key dimensions for access to essential medicines, and poor affordability impedes access to treatment in health facilities. The concept of affordability is associated with the issue of impoverishment and catastrophic expenditure. The provision of affordable and appropriate essential medicines is a vital component of a well-functioning health system. Objective. The objective of this study was to assess the perceived affordability of essential medicines and associated factors in public health facilities of the Jimma Zone, Southwest Ethiopia. Methods. A facility-based cross-sectional study design was employed. The study was conducted from March 28 to April 30, 2018, in the public health facilities of Jimma Zone, Southwest Ethiopia. Based on the WHO operational package for assessing, monitoring, and evaluating a country’s pharmaceutical situations, health facilities were selected from each selected district using lower-, middle-, and higher-level criteria, making a total of 30 health facilities. For the exit interview, the total sample size was proportionally allocated for each of the selected health facilities. The data from the patient exit interview were collected using interviewer-administered structured questionnaires. The data were checked for their completeness, edited, and coded. Following this, they were entered into EpiData 3.1 and exported to SPSS version 23 for analysis. Multivariable logistic regression analysis was performed using the backward LR method to identify factors independently associated with dependent variables. Result. Six hundred and six patients participated in the study with a response rate of 97%. Among the total patients, 63.9% characterized the prescribed medicines as not affordable. The level of the health facility [AOR (95% CI) = 3.848(2.144,6.905) and p ≤ 0.001 ], number of dispensed medicines [AOR (95% CI) = 0.326(0.215–0.493) and p ≤ 0.001 ], occupation [AOR (95% CI) = 3.354(1.793–6.274) and p ≤ 0.001 ], family income [AOR (95% CI) = 3.897(1.497–10.145) and p = 0.005 ], place of residence [AOR (95% CI) = 2.100(1.331–3.315) and p = 0.001 ] and number of economically dependent family members [AOR (95% CI) = 2.206(1.165–4.175) and p = 0.015 ] were significantly associated with the perceived affordability of essential medicines. Conclusion. The average cost of dispensed medicines in the surveyed health facilities was not affordable for most of the patients. We recommend both social- and community-based health insurance schemes should be expanded to the study area.

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Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia

Journal of Pain Research ◽

10.2147/jpr.s165417 ◽

2018 ◽

Vol Volume 11 ◽

pp. 3089-3097 ◽

Cited By ~ 1

Author(s):

Teketel Ermias Geltore ◽

Ayanos Taye ◽

Abraham Getachew Kelbore

Keyword(s):

Public Health ◽

Pain Management ◽

Associated Factors ◽

Health Facilities ◽

Labor Pain ◽

Southern Ethiopia ◽

Public Health Facilities ◽

Obstetric Analgesia

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Organizational Commitment and Associated Factors Among Health Professionals Working in Public Health Facilities of Benchsheko Zone Southwest Ethiopia

10.21203/rs.3.rs-289827/v1 ◽

2021 ◽

Author(s):

Dereje Alemayehu ◽

Shimeles Ololo ◽

Yibeltal Siraneh

Keyword(s):

Public Health ◽

Organizational Commitment ◽

Linear Regression ◽

Leadership Styles ◽

Health Professionals ◽

Health Facilities ◽

P Value ◽

Southwest Ethiopia ◽

Public Health Facilities ◽

Managerial Position

Abstract Background: Organizational commitment is the relative strength of an individual’s identification with and involvement in a particular organization. It is an important predictor of absenteeism, turnover, organizational performance and success. Even though organizational commitment has a paramount importance for health care organizations, very few studies were done so far in Ethiopia particularly among health professionals. Therefore, the aim of this study was to measure level of organizational commitment and associated factors among health professionals working in public health facilities of Bench Sheko zone southwest Ethiopia. Methods: Facility based cross-sectional study was conducted in 14 Public health facilities found in randomly selected districts of Bench Sheko zone. Structured self-administered questioner was used to collect data from a total of 610 Health professionals from 10th of March – 30th of April. Data were entered into Epi-data manager Version 3.1 and exported to SPSS version 24 for further analysis. Factor analysis was done to create factor scores. Simple and multiple linear regression were done. Variables with p- value ≤ 0.25 in simple linear regression were candidate for multiple linear regression. Independent sample t-test and one-way ANOVA were done. Statistical significance was declared at p-value ≤ 0.05. Results: The response rate of the study was 96.8%. The percentages mean score of organizational commitment of health professionals’ was 74.6%. Perceived recognition of employees (B 0.806 [95% CI: 0.711 - 1.00, p=0.000], perceived conducive work climate (B: 0.421 [95%CI: .322 - 0.520], perceived transformational leadership style (B 0.749 [95%CI: .604 - .894, p=0.000], perceived transactional leadership styles (B: 0.294 [95%CI: .198 - .390 p=0.000] and not having managerial position(B:-.293 [95%CI:-.559 -0.028] were predictors of organizational commitment. Conclusion: Overall level of organization commitment of health professionals’ was higher than what is reported in many other studies. Organizational commitment was affected by job satisfaction, leadership styles and managerial position of health professionals. Hence, policy makers and human resource managers need to pay special attention to intervene on these factors.

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