scholarly journals Utilization, Determinants, and Prospects of Electronic Medical Records in Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Abdu Oumer ◽  
Ahmed Muhye ◽  
Imam Dagne ◽  
Nesredin Ishak ◽  
Ahmed Ale ◽  
...  
Keyword(s):  
Health Professionals ◽  
Work Experience ◽  
Binary Logistic Regression ◽  
Daily Basis ◽  
Cross Sectional Study ◽  
Early Career ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Factors Affecting

Background. A lot of effort is being done in the electronic medical record (EMR) system. However, it has not been implemented and used at the expected scale for maximal effectiveness. There is limited evidence on the factors affecting the utilization of EMR in this particular context, which are critical for targeted strategies. Objective. To assess the magnitude and factors affecting the utilization of EMR among health professionals in eastern Ethiopia. Methods. An institutional-based cross-sectional study was conducted among randomly selected 412 health professionals from Harari and Dire Dawa, eastern Ethiopia, using a pretested self-administered questionnaire. The tool was developed from previous literature, and a pilot survey was done before the actual study. Bivariable and multivariable binary logistic regression were done to assess the relationship between an independent variable with EMR use. Crude and an adjusted odds ratio with a 95% confidence interval were reported. A P value of less than 0.05 was used to declare a statistically significant association. Results. A total of 412 health professionals with a mean age of 29 years (±6.4 years) were included. A total of 229 (55.6%) and 300 (72.8%) of them had good knowledge and attitude towards the EMR, while 279 (67.7%) used the service (54% used it on a daily basis). About 272 (66%) of the respondents reported that they prefer EMRs to paper-based systems. Health professionals with more than five years of experience had two times higher odds of using the service ( AOR = 2.22 ; 95% CI; 1.12-4.42) than early-career workers. Health professionals trained in EMR would use the service more ( AOR = 5.88 ; 95% CI; 2.93-11.88) compared to those who did not take the training. In addition, having good knowledge ( AOR = 1.52 ; 95% CI; 0.92-1.5) and a good attitude towards the EMR system ( AOR = 2.4 ; 95% CI; 1.35-4.31) showed to use EMR as compared to counterparts. Conclusions. The utilization of EMR was found to be optimal. Age, work experience, knowledge, attitude, and training of professionals were positively associated with the use of the service in their facility.

scholarly journals Timely Initiation of Breast Feeding and Associated Factors among Caesarian Section Delivered Mothers in Health Facilities of Dessie City Administration, North Eastern Ethiopia

2020 ◽  
Vol 13 (1) ◽  
pp. 1-8
Author(s):  
Roza Shiferaw ◽  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Aregash Abebayehu Zerga
Keyword(s):  
Cesarean Section ◽  
Breast Feeding ◽  
Associated Factors ◽  
Statistical Significance ◽  
Data Entry ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Eastern Ethiopia

Objective: To assess the magnitude and associated factors of timely initiation of breastfeeding among cesarean section delivered mothers. Methods: A health facility-based cross-sectional study was employed among 421 systematically selected mothers from February to June, 2017. Data were collected by a structured questionnaire. Data entry and analysis was done using Epi Data and SPSS version 24. Binary logistic regression was computed to identify factors. Adjusted odds ratio with a 95% confidence interval was used to declare statistical significance. Result: The magnitude of timely initiation of breast feeding (among mothers who gave birth by cesarean section was 57%. Counseling during antenatal care (AOR = 3.32; 95% CI: 1.80, 6.13), facility where cesarean section (CS) was performed (AOR = 2.55; 95% CI: 1.57, 4.14), and post-CS counseling (AOR = 6.93; 95% CI: 3.99, 12.02) were factors that contributed for the practice of timely initiation among cesarean section delivered mothers. Conclusions: The magnitude of TIBF was good. Counseling during ANC, the facility where CS was performed and post-natal advice were factors associated with TIBF. Implementation of baby-friendly hospital initiatives should be strengthened in order to promote timely initiation of breast feeding.

scholarly journals Emergency Contraceptives: Knowledge and Practice towards Its Use among Ethiopian Female College Graduating Students

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Kirubel Minsamo Mishore ◽  
Abebaw Demissie Woldemariam ◽  
Solomon Assefa Huluka
Keyword(s):  
Educational Status ◽  
Cross Sectional Study ◽  
Female Students ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Female College ◽  
Knowledge And Practice ◽  
Graduating Students ◽  
Emergency Contraceptives

Introduction. Ethiopia has a high incidence of unwanted pregnancies and incomplete and unsafe abortions, particularly among adolescents. This can be avoided by using different contraceptive methods including emergency contraceptives (EC). This study aimed to assess the knowledge and practice of EC among female college graduating students in Harar, Eastern Ethiopia. Methods. Institution based cross-sectional study was conducted on 214 female students selected from two randomly selected colleges. Data was collected using a self-administered questionnaire and analyzed using SPSS for Windows version 20.1. Level of significance was taken at P <0.05. Results. The mean (±SD) age of the participants was 21.06 (±2.14) years. Of the 200 (93.5%) study participants who had ever heard of ECs, 140 (70.0%) had good knowledge. Among the 214 graduating female students, 66 (33.0%) had ever used EC. Being above the age of 20 years old, father’s and mother’s literacy were found to be determinants of knowledge of EC. Moreover, knowledge was the only determinant factor of practice of EC. Conclusion. Most of the respondents had relatively good knowledge of EC. The study revealed that female students of older age and higher educational status of parents had higher knowledge and practice of EC.

scholarly journals Factors affecting the milk production of dairy cattle in northern rural areas of Bangladesh

2015 ◽  
Vol 4 (2) ◽  
pp. 41-45 ◽  
Author(s):  
MR Begum ◽  
M Anaruzzaman ◽  
MSI Khan ◽  
M Yousuf
Keyword(s):  
Body Weight ◽  
Dairy Cattle ◽  
Milk Production ◽  
Rural Areas ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Lactation Period ◽  
Cross Sectional ◽  
Age At First Calving ◽  
Factors Affecting

A cross sectional study was conducted to observe the factors affecting the productive performance of dairy cattle from northern rural areas of Bangladesh during July and September 2013. Data of 105 cows, 85 (80.95%) from local and 20 (19.05%) cows from cross breed, were randomly selected for the study. A binary logistic regression, expressed by odds ratio with 95% confidence interval, was done to determine the association of daily milk production categorized into ? 2 and > 2 liters (L), based on median, with the significant explanatory variables of body weight, age at first calving, lactation period, vitamin use, type of floor and milking person. The result demonstrated that the probability of milk production of >2 L was 6.16, 4.5, 20.65 and 5.7 times higher from the with animal body weight of >140 kg, age at first calving of >36 m, lactation period of >8 m and vitamin use than that of body weight of 140 kg, age at first calving of ?36 m, lactation period of ? 8 m, and not vitamin used respectively. The chance of milk production of > 2 L was 0.25 and 0.22 times lower for mud floor, and owner milking than that of brick floor and gowala (professional milking person) respectively. DOI: http://dx.doi.org/10.3329/ijarit.v4i2.22646 Int. J. Agril. Res. Innov. & Tech. 4 (2): 41-45, December, 2014

scholarly journals Knowledge, Attitude and Prevention Practice of COVID-19 in South-West Nigeria

2021 ◽  
pp. 32-39
Author(s):  
Olanrewaju D. Eniade ◽  
Dolapo E. Agbana ◽  
Bridget O. Afam
Keyword(s):  
Positive Attitude ◽  
Tertiary Education ◽  
Good Practice ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Older Age ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Good Practices ◽  
Southwest Nigeria

Introduction: To assess knowledge, attitude and prevention practice of coronavirus disease 2019 (COVID-19) in Southwest, Nigeria. This was an online cross-sectional study among dwellers of southwest Nigeria. Methods: Data were collected online with kobo toolbox and analyzed using the Statistical package for social sciences (SPSS, 2018) and the descriptive statistics, test of independence and binary logistic regression were presented. Results: Of the 286 study participants, 96.1% had good knowledge, 99.3% had positive attitude towards control of COVID-19, while 77.3% had good practices for prevention of the virus. Majority of the participants (86.9%) had tertiary education, 11.3% were 40 years or older. Age and education were independently associated with COVID-19 prevention practice. After adjustment for some selected socio-demographic factors, only age of 10 – 19 years (OR: 3.83, CI: 1.05, 14), age 20-29 years (OR: 2.99, CI: 1.18 -7.55), and 30 -39 years (OR: 4.35, CI: 1.49-12.67) were more likely to have good practice of COVID-19 prevention compared to age >=40 years. Conclusion: The result revealed a high prevalence of good practices, and the majority had good knowledge of COVID-19 and positive attitude towards control of COVID-19. Age and education were identified to be associated with practice of COVID-19 prevention. Further exploration revealed that elders (>=40years) were not likely to have good practice of COVID-19 prevention. We deduced that good practice of COVID-19 prevention was high in southwest Nigeria but notably low among elders and those who attained below tertiary education in southwest Nigeria. However, people of older age and poor education should be given much attention for proper enlightening and prevention strategies in this pandemic.

scholarly journals Non-critical healthcare tools as a potential source of healthcare-acquired bacterial infections in eastern Ethiopia: A hospital-based cross-sectional study

2019 ◽  
Vol 7 ◽  
pp. 205031211882262
Author(s):  
Fitsum Weldegebreal ◽  
Desalegn Admassu ◽  
Dereje Meaza ◽  
Mulatu Asfaw
Keyword(s):  
Health Professionals ◽  
Bacterial Infections ◽  
Pathogenic Bacteria ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Bacterial Strains ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Potential Source ◽  
Healthcare Acquired Infections

Background: Outbreaks of healthcare-acquired infections have been linked to contaminated medical devices such as electronic thermometers, sphygmomanometers, stethoscopes, latex gloves, masks, neckties, white coats and other. Objective: The aim of this study was to assess non-critical healthcare tools as a potential source of healthcare-acquired bacterial infections and associated factors in public health hospitals of Harar, eastern Ethiopia from March 2016 to February 2017. Methods: A hospital-based cross-sectional study was conducted on 212 non-critical healthcare tools owned by different health professionals. The data were collected from each owner using self-administered questionnaire. Swab specimens were collected from 187 stethoscopes and 25 sphygmomanometers using sterile cotton tips. Bacterial investigation and antimicrobial susceptibility tests were performed using standard culture tests. The data were double entered into EPI-Data version 3.1 and exported into the Statistical Package for Social Sciences version 16 for analysis. Result: The overall prevalence of non-critical healthcare tool contamination was 53.8%. A total of 137 bacterial strains were isolated. Staphylococcus aureus was the most frequent isolate (35%). Resistance to two or more different classes of antimicrobial was found to be 19.3%. The proportion of stethoscopes or sphygmomanometers contamination owned by the health professionals who were not cleaned regularly before and after examining each patient was found to be high (77%). The majority of non-critical healthcare tools used by health professionals working in the intensive care unit were contaminated (75%) followed by medical wards (73.5%). Conclusion: This study confirmed that the majority of the stethoscopes and sphygmomanometers were contaminated with pathogenic bacteria known to be associated with healthcare-acquired infections. Most of the healthcare workers did not practice stethoscope and sphygmomanometers disinfection. Strict and careful decontamination of stethoscopes and sphygmomanometers need to be in place before use.

scholarly journals Community Engagement in the Fight Against COVID-19: Knowledge, Attitude, and Prevention Practices Among Dire Dawa Residents, Eastern Ethiopia

2021 ◽  
Vol 9 ◽  
Author(s):  
Abdurezak Umer ◽  
Kedir Abdella ◽  
Yared Tekle ◽  
Addisalem Debebe ◽  
Tsegahun Manyazewal ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Good Practice ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Crude Odds Ratio ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Preventive Practices ◽  
Adequate Knowledge ◽  
Dire Dawa

Background: There is a global concern that coronavirus disease 2019 (COVID-19) cannot be addressed without the integration and active engagement of communities. We aimed to investigate the knowledge, attitude, and practices (KAP) of the residents in Eastern Ethiopia toward COVID-19.Method: A community-based cross-sectional study was conducted on May 1–30, 2020 among the residents of Dire Dawa, Eastern Ethiopia. Data were collected using a structured questionnaire on the awareness, knowledge, attitudes, and preventive practices toward COVID-19. We used random sampling to select the participants. Data was entered into the statistics and data (STATA) version for data cleaning and analysis. Binary logistic regression models with 95% CI were used to conduct bivariable [crude odds ratio (COR)] and multivariable [adjusted odds ratio (AOR)] analyses.Result: A total of 415 community residents responded to the questionnaire. Of those participants, 52.5% (95% CI 47.7–57) had adequate knowledge, 31.6% (95% CI 27–36) had favorable attitudes, and 49% (95% CI 45–50) had good practice toward the precautionary measures of COVID-19. Adequate knowledge had a significant association with urban residence (AOR = 5, 95% CI 3.1–8.4) and literacy (AOR = 3.1, 95% CI 1.5–6.7). Good preventions practices had a significant association with place of residence (AOR = 4.1, 95% CI 2.3–7.2), literacy (AOR = 2.9, 95% CI: 1,2–7.4), adequate knowledge (AOR = 3.5, 95% CI 2.3–5.8), and favorable attitude (AOR = 2.3, 95% CI 1.4–3.8) about the disease.Conclusion: The overall COVID-19-related KAP was inadequate in the majority of the residents of Dire Dawa that occupy irregular migration flows. These call for robust community-centered behavioral communication strategies that could bridge the gaps and help prevent and control COVID-19 and other future pandemics in their community.

scholarly journals Burnout among Nurses during Coronavirus Disease 2019 Outbreak in Shiraz

2020 ◽  
Vol 9 ◽  
pp. 1956
Author(s):  
Mahsa Kamali ◽  
Ahmad Kalateh Sadati ◽  
Mohammad Reza Khademi ◽  
Sulmaz Ghahramani ◽  
Leila Zarei ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Emotional Exhaustion ◽  
Work Experience ◽  
Healthcare Workers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Important Challenge

Background: The function of healthcare workers, particularly nursing staff, in taking care of coronavirus disease 2019 (COVID-19) patients, cannot be overemphasized. As the pandemic lasts, burnout among the nursing staff needs to be considered as an important challenge. This was aimed to assess the nurses’ burnout and factors affecting this variable. Materials and Methods: In this cross-sectional study, Maslach Burnout Inventory was completed by 261 nurses in Shiraz hospitals (Iran) in April 2020. This questionnaire addresses different aspects, including emotional exhaustion, personal achievement, and depersonalization, to determine the intensity of perceived burnout among nurses during the outbreak. Results: Our data demonstrated that the nurses’ burnout in Shiraz hospitals during the COVID-19 pandemic was high (64.6%). Emotional exhaustion and depersonalization were observed in 63.6 and 53.3 percent of the participants, respectively. Moreover, the rate of successful personal achievement among these nurses was >97%. Work experience <10 years (P=0.016), hospital ward (P=0.044), the number of deaths observed by nurses during the COVID-19 pandemic (P<0.001), and the total number of shifts during the COVID-19 pandemic (P=0.006) had a positive correlation with emotional exhaustion. Conclusion: Workload and stress resulting from the COVID-19 outbreak seem to be one of the major causes of emotional exhaustion in nurses. The emotional exhaustion among nurses must be considered in epidemics, such as COVID-19.[GMJ.2020;9:e1956] DOI:10.31661/gmj.v9i0.1956

scholarly journals Utilization of Routine Health Information System and Associated Factors Among Health Professionals in Public Health Facilities in Dire Dawa, Eastern Ethiopia: a Cross-sectional Study

2021 ◽  
Author(s):  
Samuel Mekuria ◽  
Hassen Abdi Adem ◽  
Behailu Hawulte Ayele ◽  
Ibsa Musa ◽  
Daniel Berhanie
Keyword(s):  
Health Information ◽  
Organizational Support ◽  
Health Professionals ◽  
Health Information System ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Information Utilization ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Good Utilization

Abstract Background: Using reliable evidence from routine health information over time is an important aid to improve the health outcome, tackling disparities, enhancing efficiency, and encouraging innovation. In Ethiopia, the utilization of routine health data for improving the performance and quality of care was not well-studied in primary and secondary health facilities. This study assessed the level of routine health information utilization and associated factors among health professionals in public health facilities of Dire Dawa, eastern Ethiopia.Method: An institution-based cross-sectional study was conducted among 378 randomly selected health professionals from June 10 to July 20, 2020. A self-administered pretested structured questionnaire was used to collect data from participants. Data were entered using EpiData version 3.1 and analyzed using Stata version 16.0. Descriptive statistics were used to characterize the participants and binary logistic regression analysis was conducted to identify factors associated with the utilization of routine health information. Adjusted Odds Ratio (AOR) with 95% confidence interval was used to report association and significance was declared at P-value<0.05.Results: Good utilization of routine health information among health professionals was 57.7% (95% CI: 52.6%, 62.6%). Good organizational support (AOR=3.91, 95% CI: 2.01, 7.61), the low perceived complexity of the reporting formats (AOR=2.20, 95% CI: 1.23, 3.97), good self-efficacy (AOR=2.52, 95% CI: 1.25, 5.10), and good decision making autonomy (AOR=3.97, 95% CI: 2.12, 7.43) were important factors associated with good utilization of routine health information.Conclusion: Good utilization of routine health information among health professionals was low. Lack of self-confidence and empowerment of health professionals, the complexity of routine health information system format, and poor organizational support were significantly reducing the level of routine health information utilization. Therefore, improving the self-efficacy and decision-making capacity of health professionals through comprehensive training, empowerment and organizational support would be essential to increase the level of routine health information utilization.

scholarly journals Knowledge and practices regarding tuberculosis infection control among nurses in Ibadan, South-West Nigeria: a cross-sectional study

2019 ◽  
Author(s):  
Patrick Aboh Akande
Keyword(s):  
Infection Control ◽  
Work Experience ◽  
Good Practice ◽  
Demographic Factors ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge And Practice ◽  
Socio Demographic Factors

Abstract Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of patient care, they are frequently exposed to patients with infectious TB disease. Although cost-effective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is however limited data on the knowledge and practice of TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and associated socio-demographic factors. Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. STATA version 13 was used to analyze data: mean knowledge and practice scores of the nurses and logistic regression to explore their association with socio-demographic factors. Results: The respondents had mean knowledge and practice scores of 68.2% and 79.9% respectively. Using cut-off points of 80% and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scores- knowledge (10.5%) and practice (6%). Knowledge was found not to be significantly associated with the socio-demographic factors. Work experience was the only factor that was significantly associated with practice, with the more experienced nurses (>18 years of experience) having lesser odds of obtaining good practice scores (OR 0.25, 95%CI 0.06-0.94). Also, there was no significant association between knowledge and practice scores. No structured TBIC training had been conducted at this time. Conclusions: The study revealed that small proportions of the nurses had good knowledge and practice scores. The findings from this study will be useful for the planning of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark monitoring and evaluation of the interventions. It is recommended that the nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate TBIC policy directives, availability of TBIC equipment/supplies and facility architectural remodeling will contribute to optimal implementation of TB preventive measures.

scholarly journals COVID-19 Knowledge, attitude and prevention practice in southwest Nigeria

2020 ◽  
Author(s):  
Olanrewaju Davies Eniade ◽  
Dolapo E. Agbana ◽  
Bridget O Afam
Keyword(s):  
Positive Attitude ◽  
Tertiary Education ◽  
Good Practice ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Older Age ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Good Practices ◽  
Southwest Nigeria

To assess COVID-19 knowledge, attitude and prevention practice as well as the associated factors among people living in Southwest, Nigeria. This was an online cross-sectional study among dwellers of southwest Nigeria. Data were collected online with kobo toolbox and analyzed using descriptive statistics, test of independence and binary logistic regression. Of the 286 study participants, 96.1% had good knowledge, 99.3% had positive attitude towards control of COVID-19, while 77.3% had good practices for prevention of the virus. Majority of the participants (86.9%) had tertiary education, 11.3% were 40years or older. Age and education were independently associated with COVID-19 prevention practice. After adjustment for some selected socio-demographic factors, only age of 10 – 19 years (OR: 3.83, CI: 1.05, 14), age 20-29 years (OR: 2.99, CI: 1.18 -7.55), and 30 -39 years (OR: 4.35, CI: 1.49-12.67) were more likely to have good practice of COVID-19 prevention compared to age >=40 years. The result revealed a high prevalence of good practices, and majority had good knowledge of COVID-19 and positive attitude towards control of COVID-19. Age and education were identified to be associated with practice of COVID-19 prevention. While further exploration revealed that elders (>=40years) were not likely to have good practice of COVID-19 prevention. We deduced that good practice of COVID-19 prevention was high in southwest Nigeria but notably low among elders and those who attained below tertiary education in southwest Nigeria. However, people of older age and poor education should be given much attention for proper enlightening and prevention strategies in this pandemic.

Sign in / Sign up

Export Citation Format

Share Document