Patient satisfaction and associated factors among psychiatry outpatients of St Paulo’s Hospital, Ethiopia

BackgroundPatient satisfaction with mental healthcare service is recognised as an important integral part of measuring the outcomes and performance of clinical service delivery. It is not well studied in Ethiopia. Therefore, it is essential to improve service in the future.AimsTo assess patient satisfaction and associated factors among psychiatry outpatients at St. Paulo’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.MethodsAn institutional-based cross-sectional study was conducted with consecutive sampling technique from May to June 2018. Data were collected using a Client Satisfaction Questionnaire (CSQ-8). Both bivariate and multivariate ordinal logistic regression analyses were used. Variables with p value <0.05 at multivariate analysis were considered statistically significant.ResultsA total of 589 participants were enrolled with a response rate of 98.2%. In regard to the magnitude of patient satisfaction, 50.3% (95% CI 46.0 to 54.2) were highly satisfied, 31.0% (95% CI 27.2 to 34.8) were satisfied, and 18.7% (95% CI 15.4 to 22.1) were dissatisfied. Male sex (adjusted OR (AOR) 2.30, 95% CI 1.57 to 3.36), inability to read and write (AOR 2.23, 95% CI 1.10 to 4.66), being unemployed (AOR 1.69, 95% CI 1.15 to 2.47), obtaining services for free (AOR 1.57, 95% CI 1.11 to 2.22), and availability of medication (AOR 1.62, 95% CI 1.13 to 2.23) were significantly associated with patient satisfaction.ConclusionsThe study showed that further improvements in patient satisfaction are required. Male sex, inability to read and write, being unemployed, obtaining services free of charge, and availability of medication were significantly associated with patient satisfaction. More than half of the participants were dissatisfied with the waiting time to receive services. The provision of services within a reasonable timeframe and meeting patient expectations are helpful for good health outcomes.

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Prevalence and factors associated to depression among Debrebirhan University students: a cross-sectional study

10.21203/rs.3.rs-776940/v1 ◽

2021 ◽

Author(s):

(MD

Keyword(s):

University Students ◽

Associated Factors ◽

Sampling Technique ◽

Cross Sectional Study ◽

Considerable Proportion ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Debre Birhan

Abstract Background: Undiagnosed depression among university students has an adverse effect on the wellbeing and academic performance of students. This study aimed to assess the prevalence of depression and associated factors among Debre Birhan university students. Methodology: Institutional based cross-sectional study design is conducted in Debre Birhan University from April to June 2013 E.C. Three hundred sixty nine students participated in this study which was selected by simple random sampling technique. Data were collected by using a self-administered PHQ-9 standard depression questionnaire. First the data was entered into in Epidata 3.1 and then was exported to SPSS version 20 for analysis. Associated factors were identified using binary logistic regression and variables with a p-value < 0.05 were declared as statistically significant factors with the outcome variables. Result: All of the study subjects were between ages 18 and 33 with a mean age of 22.65 9 ± 2.78. The overall prevalence of depression is 17.1%. Among this according to PHQ-9 scores cut scores, 161(43.6 %) scored as normal (0–4), 145(39.3%) scored as mild (5–9), 53(14.4%) scored as moderate (10–14), 4(1.1%) scored as moderately severe (15–19) and 6(1.6%) students scored as sever (> 20). In multivariate analysis being female AOR = 9.28[3.47–24.81], academic year AOR = 0.236[0.059–0.936], smoking 26.3[9.33–74.1] and alcohol use AOR of 2.62[0.95–7.21] are significantly associated with depression. Conclusion and recommendation: This study found a considerable proportion of undergraduate students with depression. Higher institutions need to pay special attention to students especially those who are female, junior students, smokers and alcohol users.

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Prevalence of alcohol use and associated factors among Dilla University Students, Dilla Town, Southern Ethiopia. 2018

10.21203/rs.3.rs-20021/v1 ◽

2020 ◽

Author(s):

Yigrem Ali Chekole

Keyword(s):

Alcohol Use ◽

Undergraduate Students ◽

Associated Factors ◽

Sampling Technique ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

P Value ◽

Cross Sectional ◽

Level Of Significance ◽

The University

Abstract Introduction Compared to other deadly communicable diseases, Psychoactive Substance use is among the leading cause of death. Repeated use linked to addiction, dependence and predisposition for criminal and antisocial behaviors. Even though drug use in Africa relatively is short; however the abuse of drug in Africa is escalating rapidly. Substances use is also one of the most burning and growing public health problems in Ethiopia, as in many developing countries; alcohol is the most frequently used substance. Objective To Assess the Prevalence of alcohol Use and Associated factors among Dilla University undergraduate students in Southern Ethiopia. 2018. Methods An Institution based cross -sectional study was conducted at Dilla University among undergraduate regular students from January-February. Systematic random sampling technique was used to get a total of 803 samples of students from each year and department of the university. The collected data was coded, entered in to EPI-INFO version7.1 and analyzed by using SPSS version 20. Crude and adjusted OR were analyzed using logistic regression and the level of significance of association was determined at P- value <0.05. Result A total of 803 participants were interviewed with a response rate of 91.7%. Among the Participants, alcohol use was found to be 67.6%. (41.8%; n=336). Being 4 th year students (AOR =2.66, 95% CI: 1.64, 4.31), having friends who use substance (AOR=1.53, 95% CI: 1.09, 2.1), being Khat user (AOR= 1.48, 95% CI: 1.05, 2.09) and being Cigarette smoker (AOR=1.76, 95% CI: 1.09, 2.84) were found to be significantly associated with alcohol use. Conclusion Half of the participants found to have alcohol use. Therefore, early prevention, detection and alleviating of alcohol use should be implemented among students in the university.

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Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021

Reproductive Health ◽

10.1186/s12978-021-01222-8 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Hana Tesfaye ◽

Ebissa Negara ◽

Kenbon Bayisa

Keyword(s):

Side Effects ◽

Associated Factors ◽

Statistical Significance ◽

Descriptive Analysis ◽

Sampling Technique ◽

Cross Sectional Study ◽

Relative Effect ◽

Outcome Variable ◽

P Value ◽

Cross Sectional

Abstract Background Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia. Objectives To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district. Methods A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart. Result The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22–4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06–3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16–4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28–0.87)] were protective from early implanon discontinuation. Conclusion and recommendation Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.

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Prevalence and associated factors of antenatal depression among women attending antenatal care follow up at Michu Clinic in Ayder Comprehensive Specialized Hospital, Mekelle, Tigray, Ethiopia 2019.

10.21203/rs.3.rs-22003/v1 ◽

2020 ◽

Author(s):

Birhane Gebrehiwot Beyene ◽

Gebrewahd Bezabhy Gebremichael ◽

Abreha Tsegay Gebreselassie

Keyword(s):

Antenatal Care ◽

Associated Factors ◽

Depressive Disorders ◽

Sampling Technique ◽

Antenatal Depression ◽

Cross Sectional Study ◽

Limited Attention ◽

P Value ◽

Cross Sectional ◽

Specialized Hospital

Abstract Background Antenatal depression is a serious mental health problem that can negatively affect the lives of women. Depressive disorders are not only common and chronic among women throughout the world but also the principal source of disability. The scarce information and limited attention to the problem might aggravate the consequence of the problem and can limit the intervention to be taken. So the purpose of the study is to determine the prevalence and associated factors of antenatal depression among women. Methods An institutional based cross sectional study was conducted by systemic random sampling technique among 203 pregnant women following Antenatal care at Michu clinic in Ayder Comprehensive Specialized Hospital from March to June 2019. An interviewer administered Beck Depression Inventory (II) questionnaire was used to assess individual’s depression condition after consent obtained from participants. Data was entered and analyzed by using statically package for social science version 22. Then bivariate regression with p-value ≤0.25 was entered in to multivariate regression with p-value

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Patient’S Knowledge of Cardiovascular Diseases Risk Factors and Associated Factors Among Adult Cardiac Patients in Selected Health Institutions; A Cross Sectional Study, Addis Ababa, Ethiopia 2021 G.C.

10.21203/rs.3.rs-1119085/v1 ◽

2021 ◽

Author(s):

Bezina Damtew ◽

Yoseph Tsige ◽

Ketema Bizuwork ◽

Sosina Workineh

Keyword(s):

Risk Factors ◽

Cardiovascular Diseases ◽

Health Care Policy ◽

Addis Ababa ◽

Sampling Technique ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Sufficient Knowledge

Abstract Background cardiovascular related disorders are a major public health challenge in globally as well as in Ethiopia. It is crucial to improve the life style of the community at the same time it is a key for health care policy to give emphasis for prevention by educating the community by different ways. Therefore, the current study patient’s knowledge about risk factors related to those diseases. Method A facility-based descriptive cross-sectional study design was conducted. 420 Participants selected by systematic random sampling technique from April 01, 2021 until Jun 28, 2021 and met the criteria were included. Data was collected by interviewer-administered questionnaire. Level of knowledge was assessed by the Heart Disease Fact Questions. Bivariate and multivariate logistic regression was done to identify factors associated with identified class of knowledge. P-value less than 0.05 was considered as to indicate statistical significances. Result The result showed that most of the study subjects were in the age range of >54. The mean age was 48.7 ± 13 years. 255(62.7%) were females. 300(71.6%) of participants have sufficient knowledge toward cardiovascular diseases risk factors. Age, Sex, Place of residence, Status of education and Marital status was significantly associated with Participant’s knowledge (p<0.05, 95% C. I). Conclusion The majority of participants had sufficient knowledge regarding cardiovascular diseases risk factors. Maintaining good status, implementation of innovative interventions and structured, nurse-led lifestyle counseling would be required to effectively guide patients.

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Prevalence of Antipsychotic Polypharmacy and Associated Factors among Outpatients with Schizophrenia Attending Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia

Psychiatry Journal ◽

10.1155/2016/6191074 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Siranesh Tesfaye ◽

Nigussie Debencho ◽

Teresa Kisi ◽

Minale Tareke

Keyword(s):

Substance Use ◽

Side Effects ◽

Associated Factors ◽

Psychiatric Hospitalization ◽

Addis Ababa ◽

Sampling Technique ◽

Cross Sectional Study ◽

Duration Of Treatment ◽

Cross Sectional ◽

Drug Adverse Effects

Background.Despite recommendations by guidelines to avoid combinations of antipsychotics unless after multiple trials of antipsychotic monotherapy, it is quite a common practice to use combinations. This practice leads to unnecessary expenses and exposes the patient to severe drug adverse effects.Methods. An institution based cross-sectional study was conducted from April to May 2014. Systematic random sampling technique was used to select 423 study subjects. Logistic regression analysis was conducted to identify associated factors of antipsychotic polypharmacy among schizophrenia outpatients.Result. The overall prevalence of antipsychotic polypharmacy was found to be 28.2%. Extra pyramidal side effects (AOR = 2.80; 95% CI: 1.38, 5.71), repeated psychiatric hospitalization (AOR = 2.83; 95% CI: 1.45, 5.50), history of substance use (AOR = 2.82; 95% CI: 1.36, 5.88), longer duration of treatment (AOR = 2.10; 95% CI: 1.14, 3.87), and drug nonadherence (AOR = 1.84; 95% CI: 1.14, 2.98) were found to be significantly associated with antipsychotic polypharmacy.Conclusion. Prevalence of antipsychotic polypharmacy was found to be high among the current study participants. Individuals who had extra pyramidal side effects, admission, substance use, duration of treatment, and drug nonadherence were associated with antipsychotic polypharmacy.

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Prevalence and Associated Factors of Pneumonia among Children 2 – 59 Months of Age in Gumay District, Jimma Zone, Southwest Ethiopia

10.21203/rs.2.11138/v1 ◽

2019 ◽

Author(s):

Anteneh Tesfaye ◽

Desta Hiko ◽

Teshome Kabeta

Keyword(s):

Associated Factors ◽

Sampling Technique ◽

Cross Sectional Study ◽

World Health ◽

P Value ◽

Cross Sectional ◽

Multi Stage ◽

Jimma Zone ◽

The World ◽

Health Organization

Abstract Background Recent estimates from the World Health Organization suggest that pneumonia is responsible for 20% of deaths in the under-five age group, leading to 3 million deaths per year. Out of fifteen countries that have the highest death rate from clinical pneumonia in children younger than five-year-old, Ethiopia ranks as number four in the world. Objective To determine the prevalence and identify the associated factors of pneumonia among 2 -59 months old children in Gumay district, Jimma zone, 2017. Methods Community based cross sectional study was conducted in Gumay district from March 1- 26 /2017. Multi-stage sampling technique was used to proportionally draw 347 households from 5 selected kebeles. Pre-tested Interviewer administered structured questionnaire was employed to collect data from households. Health professionals were recruited in the survey as data collectors and supervisors. The data was entered to Epi-Data version 3 and then exported to SPSS version 20 for analysis. Result The prevalence of pneumonia in 2 to 59 months old children found to be 7.5%. a child 2-11 months of age(AOR = 3.17;95%CI 1.6,6.3; p-value= 0.024), Cooking place (AOR=5.7; 95% CI 1.83,18; p-value=0.004), living in houses with less than two windows (AOR= 3.18; 95% CI 1.07, 9.5; p-value =0.034), location of the child during cooking (AOR=5.15; 95%CI 1.6, 16.7; p-value= 0.008) and being not vaccinated (AOR=4.76, 95% CI;1.69, 13.37; p-value=0.003) were found to be significant associated with pneumonia among children 2 to 59 months of age in this study.

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Assessment of Patient Satisfaction and Associated Factors in Postoperative Pain Management at University of Gondar Compressive Specialized Hospital, Northwest Ethiopia, A Cross Sectional study.

10.21203/rs.3.rs-60113/v1 ◽

2020 ◽

Author(s):

YOSEF BELAY BELAY ◽

Girmay Fitwi Lema ◽

Demeke Yilkal Fentie ◽

Yophtahe Woldegerima Berhe ◽

Henos Enyew Ashagrie

Keyword(s):

Patient Satisfaction ◽

Pain Management ◽

Nerve Block ◽

Associated Factors ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Level Of Satisfaction ◽

Post Operative Pain

Abstract Background: The main aim of this study was to assess the level of patient’s satisfaction and associated factors in post-operative pain management. Methods: An institutional based cross sectional study was conducted from April, 11-May 15, 2018. Data were collected by structured, pre-tested patient interview questionnaire and chart review. Level of patient satisfaction was measured by using five-point Likert scale and checklist. The coded data were entered to Epi-info software version 7 and analyzed using statistical package for social sciences software version 23.The strength of the association was presented using adjusted odd ratio with 95% confidence interval and p-value<0.05 was considered as statistically significant.Results: A total of 418 patients were included in this study with a response rate of 98.58 %. The overall proportion of patients who were satisfied with pain management services was 72.2 % [95%CI:67.7-76.6].ASA1[AOR=3.55:95%CI=1.20-10.55]&ASA2 patients[AOR=3.72:95%CI=1.04-13.28],Patients with no post-operative pain [AOR=1.86:95%CI=1.02-3.39],post-operative nerve block [AOR=9.14:95%CI=3.93-20.86],analgesic before request[AOR=6.90:95%CI=3.72-12.83] and receiving postoperative analgesics [AOR=6.10:95%CI=1.17-33.91)] were significantly associated with level of satisfaction. Conclusion: Pain assessment during immediate postoperative period, providing regular based analgesia before patient request and to promote the practice of post-operative nerve block are important to increase the level of satisfaction.

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Prevalence and associated factors of metabolic syndrome and its individual components among adolescents

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v9i1.20383 ◽

2020 ◽

Vol 9 (1) ◽

pp. 46

Author(s):

Getabalew Endazenaw Bekel ◽

Gloria Thupayagale-Tshweneagae

Keyword(s):

Metabolic Syndrome ◽

Associated Factors ◽

Addis Ababa ◽

Fasting Blood Glucose ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Cross Sectional ◽

High Waist Circumference ◽

High Level

Metabolic syndrome is a growing health problem that affects the whole population including adolescents due to change in lifestyles. It is strongly associated with different lifestyle behavioral factors. The objective of the study was to investigate the magnitude and associated factors of metabolic syndrome in adolescents. School based cross-sectional study design was used. The sample size for this study was 844 and 8 high schools were randomly selected from Addis Ababa city Administration. Simple random sampling technique was used to select each participant. Data was analyzed using SPSS version 24 and descriptive summary statistics produced to present the findings. In this study among the components of metabolic syndrome, the highest prevalence was observed in high level of fasting blood glucose level 57.8%, followed by high waist circumference 32.2%. The overall prevalence of metabolic syndrome from the total study participants was 12.4%. Smoking, alcohol intake, performing vigorous or modern physical activity, body mass index and time spent for sedentary activities were factors which had significant association with individual metabolic abnormalities. In conclusions the magnitude of metabolic syndrome is common problem of adolescents in the study area.

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Factors of patient satisfaction in adult outpatient departments of private wing and regular services in public hospitals of Addis Ababa, Ethiopia: a comparative cross-sectional study

BMC Health Services Research ◽

10.1186/s12913-019-4685-x ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Demiss Mulatu Geberu ◽

Gashaw Andargie Biks ◽

Tsegaye Gebremedhin ◽

Tesfaye Hambisa Mekonnen

Keyword(s):

Patient Satisfaction ◽

Associated Factors ◽

Addis Ababa ◽

Cross Sectional Study ◽

Public Hospitals ◽

Sectional Study ◽

Affected Patient ◽

Cross Sectional ◽

Outpatient Departments ◽

Adult Outpatient

Abstract Background Knowing the factors for patient satisfaction is an important and direct indicator of quality of health care which is essential for providers to fill their gaps. Although few studies have been conducted on patient satisfaction in Ethiopia; but there is limited evidence for comparing patient satisfaction and associated factors in the public and private wing of the health services. Thus, this study aimed to investigate factors of patient satisfaction in adult outpatient departments in the private wing and regular services at public hospitals of Addis Ababa, Ethiopia. Methods A comparative institution based cross-sectional study was conducted from March to April 2018. A total of 955 systematically selected patients were interviewed by using an interviewer-administered structured questionnaire. Binary logistic regression analysis was performed. In the multivariable logistic regression analysis p value < 0.05 and adjusted odd ratio (AOR) with 95% confidence interval (CI) were used to identify the associated factors. Results The overall patient satisfaction was 89.3% (95% CI: 87.2–91.2). At the regular and private wings of outpatient departments it was 88.3% (95% CI: 85.4–91.2) and 90.4% (95% CI: 87.6–93), respectively. At regular service OPD, patient satisfaction was affected by female sex (AOR: 7.78; 95% CI: 2.89–20.93), long waiting time (AOR: 0.22; 95% CI: 0.07–0.73), information on the prevention of recurrent illnesses (AOR: 14.16; 95% CI: 4.58–43.83), and information on drug use and side effects (AOR: 0.22; 95% CI: 0.08–0.63). In private wing, it was affected by being in the age group of 38 to 47 years (AOR: 22.1; 95% CI: 2.39–203.6), attended elementary school (AOR: 4.69; 95% CI: 1.04–21.26), availability of drugs (AOR: 0.14; 95% CI: 0.04–0.58), and the accessibility of latrines (AOR: 6.56; 95% CI: 1.16–37.11). Conclusions Patient satisfaction at the private wing and regular adult OPDs’ of public hospitals had no statistically significant difference. Female sex and information on the prevention of recurrent illnesses were factors positively affected patient satisfaction at regular services, whereas at private wing OPDs’ age, attended elementary school, and accessibility of latrines were factors that positively affected patient satisfaction.

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