scholarly journals Occupational exposure to blood/body fluid splash and its predictors among midwives working in public health institutions at Addis Ababa city Ethiopia, 2020. Institution-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0251815
Author(s):  
Solomon Shitu ◽  
Getachew Adugna ◽  
Haimanot Abebe
Keyword(s):  
Public Health ◽  
Health Care Professionals ◽  
Body Fluid ◽  
Infection Prevention ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Institutions ◽  
Health Institutions

Background Blood/body fluid splash are hazards to health care professionals in their working area. Around twenty bloodborne pathogens are known to be transmitted through these occupational injuries. This problem alters the health status of health care professionals in different ways, including physically, mentally, and psychologically. Even though health professionals especially midwives who are working in delivery rooms are highly affected, little is known about the exposure. So, this study was aimed to assess the prevalence of exposure to blood/body fluid splash and its predictors among midwives working in public health institutions of Addis Ababa city. Methods Institution based cross-sectional study was conducted among 438 study participants in public health institutions in Addis Ababa. Data was collected from March 1–20, 2020 by a self-administered questionnaire. The data were entered into Epi data version 3.1 and then exported to SPSS version 24 for analysis. All variables with P<0.25 in the bivariate analysis were included in a final model and statistical significance was declared at P< 0.05. Results In this study, a total of 424 respondents respond yielding a response rate of 97%. The prevalence of blood and body fluid splashes (BBFs) was 198 (46.7%). Not training on infection prevention, working in two shifts (> 12 hours), not regularly apply universal precautions, job-related stress, an average monthly salary of 5001–8000 were independent predictors of blood and body fluid splashes. Conclusion The study revealed that nearly half of midwives were exposed to BBFS. This highlights the need for key stakeholders such as policymakers and service providers to design appropriate policies to avert this magnitude and making the environment enabling to comply with standard precautions. We recommend that this study may be done by including rural setting institutions and by including other health professionals that are susceptible to BBFS at work. Formal training on infection prevention and safety practice to apply universal precautions will be needed from the concerned bodies to prevent exposures to blood/body fluid splash.

scholarly journals Correlation between patient and visitor violence and workload among public healthcare workers in China: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e034605
Author(s):  
Ju Huang ◽  
Min Zhang ◽  
Xin Liu
Keyword(s):  
Public Health ◽  
Cross Sectional Study ◽  
Public Healthcare ◽  
Sectional Study ◽  
Cross Sectional ◽  
Notification System ◽  
Medical Quality ◽  
Tertiary Hospitals ◽  
Public Health Institutions ◽  
Health Institutions

ObjectivesWe studied the characteristics of patient and visitor violence (PVV) and the workload of doctors and nurses, and identified the correlation between the incidence of PVV and healthcare worker (HCW) workload in China.DesignCross-sectional study.Setting288 public health institutions in a city in northern China.ParticipantsData on 87 998 HCWs were extracted from the 2015 database of the Medical Quality and Safety Notification System.MeasuresThe data included characteristics of the healthcare institution, types of services provided, information about each complaint and reported PVV incidents by hospital level. Pearson correlation analysis and multiple linear regression modelling were used to identify the correlation between the incidence of PVV and HCW workload.ResultsThree types of institutions were identified as being at particularly high risk for PVV: tertiary hospitals, specialised hospitals and institutions in a downtown district. Incidence rates of PVV at tertiary hospitals, specialised hospitals and institutions in a downtown district were 16.6%, 17.6% and 22.8%, respectively. All three types of institutions had a high inpatient workload (admissions per doctor per day): 0.15, 0.17 and 0.12, respectively. After controlling for scale, type and location, it was found that the overall incidence rate of PVV increased with increasing outpatient workload (β=0.236, p<0.01).ConclusionsPVV poses a significant challenge to public health institutions in China, and the high workload of HCWs likely contributes to higher risk of PVV. Prevention and intervention of PVV may be targeted to HCWs at specific institutions. The patient complaint notification system needs improvement and could be, for example, a better source of PVV information for future interventions.

scholarly journals Disrespect and abuse of women during childbirth in public health facilities in Arba Minch town, South Ethiopia – a cross-sectional study

2018 ◽  
Author(s):  
Gebresilasea Gendisha Ukke ◽  
Mekdes Kondale Gurara ◽  
Wanzahun Godana Boynito
Keyword(s):  
Public Health ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Disrespect And Abuse ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
South Ethiopia ◽  
Public Health Institutions ◽  
Health Institutions

AbstractIntroductionDisrespect and abuse during childbirth is the main deterring factor to skilled birth utilization as compared to other more commonly known factors such as financial and physical inaccessibility.ObjectiveTo assess the occurrence of women’s disrespect and abuse during childbirth in public health facilities in Arba Minch town, south Ethiopia.MethodsInstitution based cross-sectional study design was employed at all public health institutions in Arba Minch town, south Ethiopia. Systematic sampling method was used to include 281 women who had given birth at public health institutions between January 01 and February 28, 2017. Data were collected by face to face interview by four midwife tutors and supervised by the principal investigator on daily bases. Semi-structured pretested questionnaire was used to collect data. Epi info version 7.1.2.0 and SPSS version 24 were used to enter and analyze the data respectively.ResultsA total of 281 women were participated in this study. The overall prevalence of non-respectful care was 98.9%. The women’s right to information and informed consent was the most frequently violated right with a prevalence of 92.5% (95% CI: 90.9, 94.1) followed by non-dignified care (36.7, 95% CI: 34.9, 38.5), physical abuse (29.5%, 95% CI: 24.2, 34.8), discrimination (18.1%, 95% CI: 13.6, 22.6), non-confidential care (17.1%,95% CI: 12.7, 21.5) and abandonment of care (4.3%, 95% CI: 3.1, 5.5). However, there is no woman who had been kept in detention in the health facilities. Being rural resident, giving birth in hospital, having no or low educational status and giving birth by cesarean route were factors which were significantly associated with specific women’s rights violations.Conclusions and recommendationsThe status of non-respectful and abusive care in the health care facilities in this study area is unacceptably high and needs serious attention by the health managers to tackle the problem.

scholarly journals INVENTORY MANAGEMENT PRACTICES OF PHARMACEUTICALS IN PUBLIC HEALTH INSTITUTIONS OF DESSIE CITY ADMINISTRATION, ETHIOPIA: A DESCRIPTIVE CROSS-SECTIONAL STUDY

2021 ◽  
Author(s):  
EWUNETIE MEKASHAW BAYKED ◽  
MESFIN HAILE KAHISSAY ◽  
BIRHANU DEMEKE WORKNEH
Keyword(s):  
Public Health ◽  
Inventory Management ◽  
Management Practices ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
City Administration ◽  
Public Health Institutions ◽  
Health Institutions

Objective: This study was conducted to assess inventory management practices of pharmaceuticals in public health institutions of Dessie City Administration, Ethiopia. Methods: The research was conducted from February 5, 2019, to February 24, 2019, in 10 health facilities with a descriptive cross-sectional study using observation checklists. Results: Receipts, issues, losses, and adjustments were correctly recorded in seven stores. Invoices and bin cards were available in all stores. Logistic management and information system, Internal Facility Report and Resupply, and Report and Requisition Form were available in nine stores. Five stores had stock cards, but only three recorded prices correctly. The maximum, minimum, reorder, and buffer stock levels were not properly maintained (or automated). All stores had freezers but wall thermometers and lockable cabinets were absent in eight stores; seven did not use first expired, first out storage technique. Humidity and fire control mechanisms were absent in all and seven institutions, respectively. Nine institutions lack fireproof areas for combustibles, but eight stores held them with drugs. Conclusion: The inventory management practices of the institutions were not satisfactory. It is recommended that the health facilities should comply with standard operating procedures.

Disposal Practices of Unused Medications Among Patients in Public Health Centers of Dessie Town, Northeast Ethiopia: A Cross-sectional Study

2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye
Keyword(s):  
Public Health ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Global Challenge ◽  
Northeast Ethiopia ◽  
Unused Medications ◽  
At Home

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.

scholarly journals Determinants of occupational stress among health care professionals working at a setting of a specialized mental hospital, Addis Ababa, Ethiopia, 2017: a hospital-based cross-sectional study

2019 ◽  
Author(s):  
Simret T/tsadike ◽  
haregewoin mulat ◽  
mogesie necho ◽  
tsigereda waja
Keyword(s):  
Risk Factors ◽  
Occupational Stress ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Mental Hospital ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Job Dissatisfaction ◽  
Sectional Study ◽  
Cross Sectional

Abstract BACKGROUND: Stress at workplace among health professionals predisposes to an inefficient organization, absenteeism from work, job dissatisfaction, and various physical, psychological as well as behavioral health problems. Despite this, little has been done into this health issue. So, this study assessed occupational stress and its determinants among health care professionals. METHODS: Hospital-based cross-sectional study was implemented among 398 participants from May 1 to June 1, 2017, at Amanuel hospital, Addis Ababa, Ethiopia. A pretested and self-administered questionnaire was used to collect data. Nursing stress scale was used to asses occupational stress. Data was entered to Epi-info-version-7 and analyzed with SPSS-20. Descriptive statistics were also utilized. Binary logistic regressions with odds ratios and 95% confidence interval were used. P-value < 0.05 in final model was significant. RESULTS: Among 398 participants included in the study, 393 provided complete information which gives a response rate of 98.7%. This study showed that 46.8% (95%CI: 41.7, 51.7) of health professional were having occupational stress. Multivariable binary logistic regression analysis showed that working in emergency department (AOR=3.48; 95% CI: 2.12, 12.08), forensic psychiatry unit (AOR=3.48; 95% CI: 1.25, 35.06) and job dissatisfaction (AOR=2.606; 95% CI: 1.563, 4.345) were risk factors for occupational stress. CONCLUSION: Occupational stress among health professionals was high. Work-related variables (working in the emergency department and dissatisfaction with the job) were its risk factors. Attention has to be given for such an important public health issue. KEYWORDS: Health workers, occupational stress, Mental hospital, Ethiopia.

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