scholarly journals Prevalence and associated factors of undernutrition among adult TB patients attending Amhara National Regional State hospitals, Northwest Ethiopia

Author(s):  
Kidist Endalkachew ◽  
Yohannes Mulu Ferede ◽  
Terefe Derso ◽  
Adane Kebede
2021 ◽  
Author(s):  
Delelegn Emwodew ◽  
Tesfahun Melese ◽  
Adamu Takele ◽  
Nebiyu Mesfin ◽  
Binyam Tariku

BACKGROUND EBM teaching programs are popular and widely available, they have successfully incorporated in medical curriculum and shown to be effective in helping clinicians search for, retrieve and apply evidence. In Ethiopia, teaching of the EBM is not yet a component of the undergraduate medical curriculum. In particular, little is known about the levels of knowledge and attitude regarding EBM, their ability to access and understand evidence, their information about statistical terms among medical interns. Thus, it is required that the current state of EBM to be understood in order to plan long-term educational programs. OBJECTIVE The objective of this study was to assess the knowledge and attitude towards EBM and its associated factors among medical interns in Amhara regional state teaching hospitals, Northwest Ethiopia. METHODS An institution based cross-sectional survey was conducted from March to April, 2020. Simple random sampling with proportional allocation was used. A total of 403 medical interns were included in the study. Multi-variable logistic regression analysis method was used to identify the factors associated with the knowledge and attitude of medical interns towards EBM. RESULTS From a sample of 423 medical interns, 403 completed the questionnaire making a response rate of 95.3%. Out of the respondents, 291 (72.2%) were males. The mean age of the participants were 24.7 ± 0.97 SD years and 324 (80.4%) had never received any training related to EBM. Most, 276 (68.5%) of the participants have their own computer and 355 (88.1%) have an internet access. The level of good knowledge and favorable attitude were 57.1% and 68.0% respectively. The variables associated with the level of EBM knowledge were found to be previous EBM training (AOR=2.947, 95% CI = 1.648-5.268), understanding of sensitivity (AOR= 2.836, 95% CI = 1.824-4.408) and internet access (AOR=2.914, 95% CI = 1.494-5.685). The multivariable analysis also showed a positive association between use of electronic database to make clinical decision (AOR=1.808, 95% CI= 1.143-2.861) and knowledge of absolute risk reduction (AOR =2.750, 95% CI= 1.105-6.841) with attitude of medical interns towards EBM. CONCLUSIONS Medical interns have limited knowledge and understanding of key concepts of EBM, but a relatively positive attitude towards the concepts. There is a need to setup EBM journal club, which helps to increase awareness and use of evidence, as well as assist medical interns and other clinical staffs to ensure the correct application of EBM in to clinical practice.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Demeke Yilkal Fentie ◽  
Henos Enyew Ashagrie ◽  
Habtamu Getinet Kasahun

Background. Job satisfaction is an important determinant of health staff’s motivation, retention, and performance. Difficulties in critical decision-making and problems with lack of respect and recognition lead to lower job satisfaction level among anesthetists. It leads to high turnover intention, dropout from the profession, burnout, impaired health status of anesthetists, and lower work performance. Objective. The aim of this multicenter cross-sectional study was to assess the level of job satisfaction and associated factors among anesthetists working in Amhara National Regional State. Methods. A multicenter cross-sectional study was conducted from April 1 to June 30, 2017. Ninety-eight anesthetists that were working in Amhara National Regional State Hospitals were involved in this study. The structured questionnaire was scored on five-point Likert scales. Data were analyzed using Statistical Package for Social Sciences version 20. Binary logistic regression was used to measure statistical significance between dependent and each independent variable. Variables with P value of ≤0.2 on crude analysis were taken into multivariate analysis, and P value 0.05 and 95% CI was used as cut off point. Result. 98 out of 104 participants were involved in this study with a response rate of 94.3%. The overall level of job satisfaction was 46.9%. Anesthetists in academic working position were satisfied with the odds of about 2.3 (AOR = 2.269; CI = 1.137–6.740) compared to those in clinical working position. Anesthetists were least satisfied with coworker relationships (37.8%), work schedule (43.9%), professional opportunity (46.9%), and recognition (49%) while they were most satisfied from their control of responsibility (59.2%), social interaction (55%), and salary and benefits (51%). Conclusion and Recommendation. Job satisfaction of anesthetists was low, and we suggest that facilitation of professional development, creation of smooth relationship in working environment, increasing the number of anesthetists, and recognition of the anesthesia professional are of paramount importance to increase job satisfaction of anesthetists.


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