scholarly journals Health professionals’ perception of pharmaceuticals procurement performance in public health facilities in Southwestern Ethiopia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Gotuma Negera ◽  
Hailu Merga ◽  
Tadesse Gudeta
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Quantitative Data ◽  
Treatment Guidelines ◽  
Health Facilities ◽  
Service Reliability ◽  
Pharmacy Staff ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Pharmaceutical Procurement

Abstract Background Pharmaceutical’s procurement is a core component of logistics management, and has a significant influence on product availability, and total supply chain costs. In Ethiopia, there are few studies on this topic where almost all of them were from suppliers’ perspectives and entirely quantitative. This study, therefore, aimed to assess health professionals’ perceptions about pharmaceuticals procurement performance in public health facilities in southwest Ethiopia. Methods A facility-based cross-sectional study complemented with a qualitative method was conducted from March 20 and April 30, 2019. We collected the quantitative data through self-administered structured questionnaires from pharmacy staff and document review using checklists. EpiData version 3.1 and SPSS version 20 were used for data entry and analysis, respectively. Descriptive statistics were done for quantitative data. Qualitative data were gathered through face-to-face in-depth interviews and analyzed using thematic analysis technique. Results Regarding respondents’ perception of accountability in pharmaceutical procurement, 110 (57.9%) agreed or strongly agreed that their facilities adopt and use standard treatment guidelines and facility-specific medicine lists. Concerning competitiveness, 139 (62.6%) of the participants either disagreed or strongly disagreed that their facilities used formal suppliers’ qualifications based on service reliability and financial capacity. Regarding efficiency, 146 (76.8%) disagreed or strongly disagreed that their facilities develop a mechanism for prompt, reliable payment to lower medicine prices. The qualitative analysis identified staff workforce and competency, budget shortages, suppliers’ uncertainty, and pharmaceutical non-availability as challenges for procurement management performance. Conclusion The results indicated that participants perceived procurement performance of their facilities as poor. Therefore, staff development, fundraising options, monitoring and evaluation, coordination and collaboration can improve procurement practice and performance.

Health professionals attitude, willingness to use mobile health technology and its associated factors in Dessie town public health facilities, northeast, Ethiopia : a cross sectional study design (Preprint)

2020 ◽  
Author(s):  
Amare Kassie ◽  
Adamu Jemere ◽  
Atsede Shiferaw
Keyword(s):  
Public Health ◽  
Health Services ◽  
Mobile Phone ◽  
Pulse Rate ◽  
Health Professionals ◽  
Health Facilities ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Northeast Ethiopia ◽  
Willingness To Use

BACKGROUND Background: The improved telecommunication infrastructure and reduced device costs in developing countries, including in Ethiopia increases the mobile phone penetration significantly. Nowadays, digitization of information to improve the access, quality and equity of health services becomes increasing important. However, resistance to use mobile technology for improving the health service among health professionals remains the problem in the health care system. OBJECTIVE Objective: This study aimed to determine the attitude and willingness to use mobile health technology and its associated factors among health professional in Dessie town public health facilities northeast, Ethiopia. METHODS Methods: A facility based cross-sectional study was conducted from March to April, 2016 in Dassie town of public health facilities, Northeast Ethiopia. A total of 422 health professionals who were working at public health facilities were selected using the proportionate probability sampling technique. Data collected using a standard structured and self-administered questionnaire, and an observational checklist were cleaned, coded, and entered into Epi-info version 7.2.1, and transferred into SPSS version 20 for further statistical analysis. Variables with a p-value of less than 0.05 at the multiple logistic regression analysis were considered as statistically significant. RESULTS Result: In this study, attitude and willingness to use mHealth among health professionals were found to be76.5% and 80.1%, respectively. In multivariable logistic regression analysis, health professionals’ age ranged from 20-29 years [AOR= 2.50, 95% CI: 1.22, 5.12], being male [AOR = 2.73, 95% CI: 1.46, 5.09], had access to internet [AOR=3. 51, 95% CI: 1.55, 7.96], and prior use of mobile phone for expected date of delivery (EDD) and for pulse rate monitoring were significantly associated with the attitude to use mHealth. While, willingness to use the technology was significantly associated with access to the internet [AOR=3. 92, 95% CI: 1.67, 9.16], prior mobile phone use of for diagnosis [AOR= 2.84, 95%CI: 1.35, 5.95], EDD calculation [AOR =2. 72, 95% CI: 1.23, 6.03] and pulse rate monitoring [AOR=2. 68, 95% CI: 1.28, 5.59]. CONCLUSIONS Conclusions: Health professional’s attitude and willingness to use mHealth were low when compared to previous studies. Access to internet, previous use of mobile phone for health services such as for pulse rate monitoring and for calculating date of delivery, younger age (20-29 years) and being male were among the reported significant variables. Therefore, motivating health professional to use the mobile phone to improve health services and working to access free internet at the health facilities are highly recommended.

scholarly journals Quality of Medical Records in Public Health Facilities of Jimma Zone, Oromia Regional State, Southwest, Ethiopia 2021

2021 ◽  
Author(s):  
Nigusu Endashaw ◽  
Bezawit Birhanu ◽  
Melese Teka ◽  
Gelila Abrham
Keyword(s):  
Public Health ◽  
Medical Records ◽  
Quantitative Data ◽  
Health Facilities ◽  
Health Centers ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Public Health Facilities ◽  
Jimma Zone

Abstract Background: Comprehensive medical records are cornerstones in the quality and efficiency of patient care, as they can provide a complete and accurate chronology of treatments, patient results, and future plans for care. The study was aimed to assess the quality of medical records in public health facilities of Jimma Zone. Methods: A facility-based cross-sectional quantitative study design supplemented by a qualitative method was used from May 30 to July 29, 2020. A total of 384 medical records were reviewed by using the facility inventory form for quantitative data. The data was entered by EPI data 3.1 and analyzed by SPSS 23 and descriptive statistics were used to present the findings. Qualitative data were triangulated with the quantitative data.Result: The majority of the health facility has a shortage of trained and qualified recording personnel in the medical record department. Among 36 health facilities, only one facility have printer in the record room and 3(8%) of them have tracer card. The overall quality of medical records in terms of content completeness as per the standard of health facilities requirements for districts, hospitals, and health centers were 30.62%, 39.49%, 25.79% respectively. Conclusion: The majority of medical records had poor completeness of administrative data, clinical, financial, and legal contents. The overall quality of medical records in Jimma Zone was very low for components of the quality of medical records as per the standard of health facilities requirements.

scholarly journals Health professionals practice and associated factors towards precautionary measures for COVID-19 pandemic in public health facilities of Gamo zone, southern Ethiopia: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248272
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Meseret Girma ◽  
Gistane Ayele ◽  
Agegnehu Bante ◽  
...  
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Precautionary Measures

Introduction Coronavirus disease-2019 (COVID-19) is a highly contagious acute respiratory disease, which caused by a novel coronavirus. The disease disrupts health systems and resulting in social, political, and economic crises. Health professionals are in front of this pandemic and always work in a high-risk environment. The best prevention for COVID-19 is avoiding exposure to the virus. Some studies reported health professional’s practice of precautionary measures for COVID-19. Nevertheless, a few have identified factors affecting. As such, this study aimed to fill those research gaps in the study setting. Methods In this cross-sectional study, 428 health professionals involved from the public health facilities of the Gamo zone, southern Ethiopia. A simple random sampling method employed, and the data collected by the interviewer-administered Open Data Kit survey tool and observational checklist. The data analyzed in Stata version 15, and a binary logistic regression model used to identify factors. In this study, a statistically significant association declared at P< 0.05. Results In this study, 35.3% (95%CI: 30.7%, 39.8%) of health professionals’ had a good practice on precautionary measures for the COVID-19 pandemic. Use hand sanitizer or wash hands continuously with soap and water (68.9%), cover nose and mouth with a tissue during sneezing or coughing (67.3%), and use facemask in crowds (56.8%) were the most common practice reported by study participants. Marital status, being married (AOR = 1.84, 95%CI: 1.06, 3.18), good knowledge on the COVID-19 pandemic (AOR = 2.02, 95%CI: 1.02, 3.18), and positive attitude towards precautionary measures for the COVID-19 were factors showed significant association with the practice. Conclusions The magnitude of good practice of precautionary measures for the COVID-19 pandemic among health professionals was low. As such, different interventions to improve the knowledge and attitude of health professionals in the health care system are highly needed to boost the practice and to advance service delivery.

scholarly journals Health professionals practice and associated factors towards precautionary measures for COVID-19 pandemic in public health facilities of Gamo zone, southern Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Meseret Girma ◽  
Gistane Ayele ◽  
Agegnehu Bante ◽  
...  
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Precautionary Measures

AbstractIntroduction Coronavirus disease-2019 (COVID-19) is a highly contagious acute respiratory disease, which caused by a novel coronavirus. The disease disrupts health systems and resulting in social, political, and economic crises. Health professionals are in front of this pandemic and always work in a high-risk environment. Currently, there is no vaccine or drug for the disease. Therefore, strictly practicing precautionary measures are the only option to save the life. Some studies reported health professional′s practice of precautionary measures for COVID-19. Nevertheless, a few have identified factors affecting. As such, this study aimed to fill those research gaps in the study setting. Methods In this cross-sectional study, 428 health professionals were involved from the public health facilities of the Gamo zone, southern Ethiopia. A simple random sampling method was employed, and the data collected by the interviewer-administered Open Data Kit survey tool and observational checklist. The data analyzed in Stata version 15 and a binary logistic regression model used to identify factors. In this study, a statistically significant association was declared at P<0.05. Results In this study, 35·3% (95%CI: 30·7%, 39·8%) of health professionals′ had a good practice on precautionary measures for the COVID-19 pandemic. Use hand sanitizer or wash hands continuously with soap and water (68·9%), cover nose and mouth with a tissue during sneezing or coughing (67·3%), and use facemask in crowds (56·8%) were the most common practice reported by study participants. Marital status, being married (AOR=1·84, 95%CI: 1·06, 3.18), good knowledge on the COVID-19 pandemic (AOR=2·02, 95%CI: 1·02, 3·18), and positive attitude towards precautionary measures for COVID-19 were factors showed signification association with the practice. Conclusions The magnitude of good practice of precautionary measures for the COVID-19 pandemic among health professionals was low. As such, different interventions to improve the knowledge and attitude of health professionals in the health care system are highly needed to boost the practice and to advance service delivery.

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

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.

scholarly journals Analysis of patterns of antibiotic prescribing in public health facilities in Nepal

2020 ◽  
Vol 14 (01) ◽  
pp. 18-27 ◽  
Author(s):  
Anant Nepal ◽  
Delia Hendrie ◽  
Suzanne Robinson ◽  
Linda A Selvey
Keyword(s):  
Public Health ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Antibiotic Prescribing ◽  
Who Guidelines ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Middle Income ◽  
Public Health Facilities ◽  
Inappropriate Use

Introduction: Inappropriate use of antibiotics is recognised as a leading cause of antibiotic resistance. Little is known about antibiotic prescribing practices at public health facilities in low- and middle-income countries. We examined patterns of antibiotic prescribing in public health facilities in Nepal and explored factors influencing these practices. Methodology: A cross-sectional study of antibiotic prescribing in public health facilities was conducted in the Rupandehi district of Nepal. Six public health facilities were selected based on WHO guidelines, and data were extracted from administrative records for 6,860 patient encounters. Patterns of antibiotic prescribing were investigated using descriptive statistics. Chi-squared tests and logistic regressions were applied to explore factors associated with antibiotic prescribing. Results: Of patients attending public health facilities, the proportion prescribed at least one antibiotic (44.7%) was approximately twice the WHO recommended value (20.0 to 26.8%). The antibiotic prescribing rate for hospital inpatients (64.6%) was higher than for other facilities, with the prescribing rate also high in primary health care centres (50.4%) and health posts (52.2%). The most frequently (29.9%) prescribed antibiotic classes were third-generation cephalosporins. Females (p = 0.005) and younger (p < 0.001) patients were more likely to be prescribed antibiotics. High prescribing rates of antibiotics for selected diseases appeared contrary to international recommendations. Conclusion: Antibiotic prescribing in public health facilities was high compared with WHO guidelines, suggesting the need for strategies to reduce misuse of antibiotics. This study provides useful information to assist in formulating policies and guidelines to promote more appropriate use of antibiotics in Nepal.

Meconium-stained liquor and low birth weight increases the odds of low fifth-minute apgar scores in public health facilities of arba minch town, southern Ethiopia: a cross-sectional study

2020 ◽  
Vol 10 (3) ◽  
pp. 86-90
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Agegnehu Bante
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Apgar Scores ◽  
Factors Affecting ◽  
Public Health Facilities

Background: Low Apgar scores in the childbirth period increased risk globally and significantly contributes to both newborn morbidity and mortality. Hence, it is very essential to update information on the status of low fifth-minute Apgar scores and factors affecting. Some studies were conducted, but most are retrospective and record reviews. Besides, there is limited study in country-Ethiopia. Therefore, this study aimed to assess the recent status of low fifth-minute Apgar scores and factors affecting in the study setting. Methods: A facility-based cross-sectional study was conducted among 286 newborns in public health facilities of Arba Minch town, southern Ethiopia from February 6 to March 9, 2019. Study participants were selected using a systematic random sampling method. Pre-tested interviewer-administered questionnaires and checklist were used to collect the data. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A crude and adjusted odds ratio was computed in the binary logistic regression model. In this study, P-value, < 0.05 was considered to declare factors as a statistically significant association. Results: In this study, 17.8% (95%CI: 13.8%, 22.7%) of neonates had low fifth-minute Apgar scores. Condition of labor (induced/augmented) (AOR=3.33, 95%CI: 1.24, 8.90), meconium-stained liquor (AOR=3.37, 95%CI: 1.17, 9.74), and birth weight (AOR=3.48, 95%CI: 1.23, 9.86) were significantly associated with neonate’s low fifth-minute Apgar scores. Conclusions: This study indicated that a significant number of newborns resulted in low fifth-minute Apgar scores. Strengthen the provision of health information during antenatal care; avoid delay in screening high-risk mothers during pregnancy and delivery, and give immediate interventions should be recommended.

scholarly journals Healthcare providers’ level of involvement in provision of smoking cessation interventions in public health facilities in Kenya

2015 ◽  
Author(s):  
Judy W. Gichuki ◽  
Rose Opiyo ◽  
Possy Mugyenyi ◽  
Kellen Namusisi
Keyword(s):  
Public Health ◽  
Smoking Cessation ◽  
Smoking Status ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Level Of Involvement ◽  
Public Health Facilities

Healthcare providers can play a major role in tobacco control by providing smoking cessation interventions to smoking patients. The objective of this study was to establish healthcare providers’ practices regarding smoking cessation interventions in selected health facilities in Kiambu County, Kenya. This was a descriptive cross-sectional study carried out among healthcare providers working in public health facilities in Kiambu County, Kenya. Self-administered questionnaires were distributed to 400 healthcare providers selected using a two-stage stratified sampling technique. Only 35% of the healthcare providers surveyed reported that they always asked patients about their smoking status. Less than half (44%) reported that they always advised smoking patients to quit. Respondents who had received training on smoking cessation interventions were 3.7 times more likely to have higher practice scores than those without training (OR=3.66; 95%CI: 1.63-8.26; P=0.003). Majority of the healthcare providers do not routinely provide smoking cessation interventions to their patients. Measures are needed to increase health worker’s involvement in provision of smoking cessation care in Kenya.

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