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 Hepatitis B virus infection and its associated factors among medical waste collectors at public health facilities in eastern Ethiopia: a facility-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Degu Abate Mengiste ◽  
Abebe Tolera Dirbsa ◽  
Behailu Hawulte Ayele ◽  
Tewodros Tesfa Hailegiyorgis
Keyword(s):  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
B Virus ◽  
History Of

Abstract Background The risk of hepatitis B virus infection among medical waste handlers who undergo collection, transportation, and disposal of medical wastes in the health institutions is higher due to frequent exposure to contaminated blood and other body fluids. There is limited evidence on the seroprevalence of hepatitis B among medical waste handlers in eastern Ethiopia. The study was aimed at studying the seroprevalence of Hepatitis B Virus and associated risk factors among medical waste collectors at health facilities of eastern Ethiopia. Methods A facility-based cross-sectional study was conducted among randomly selected medical waste collectors from public health facilities in eastern Ethiopia from March to June 2018. A pre-tested and well-structured questionnaire was used to collect data on socio-demographic characteristics and hepatitis B infection risk factors. A2.5ml venous blood was also collected, centrifuged and the serum was analyzed for hepatitis B surface antigen using the instant hepatitis B surface antigen kit. Descriptive summary measures were done. Chi-square and Fisher exact tests were used to assess the risk of association. Multivariate logistic regression was conducted with 95% CI and all value at P-value < 0.05 was declared statistically significant. Results From a total of 260 (97.38%) medical waste collectors participated, HBV was detected in 53 (20.4%) of the participants [95%CI; 15.8, 25.6]. No significant differences were observed in the detection rates of HBV with respect to socio-demographic characteristics. In both bivariate and multivariable logistic regression analysis, being unvaccinated (AOR = 6.35; 95%CI = [2.53–15.96], P = 0.001), history of blood transfusion (receiving) (AOR; 3.54; 95%CI; [1.02–12.24], P = 0.046), history of tattooing (AOR = 2.86; 95%CI = [1.12–7.27], p = 0.03), and history of multiple sexual partner (AOR = 10.28; 95%CI = [4.16–25.38], P = 0.001) remained statistically significantly associated with HBsAg positivity. Conclusion This cross-sectional study identified that HBV infection is high among medical waste collectors in eastern Ethiopia. Immunization and on job health promotion and disease prevention measures should be considered in order to control the risk of HBV infection among medical waste collectors in eastern Ethiopia.

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 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 Barriers to Implementation of Perinatal Death Audit in Maternity and Pediatric Hospitals in Jordan: Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Yousef Khader ◽  
Mohammad Alyahya ◽  
Anwar Batieha
Keyword(s):  
Health Care ◽  
Health Information ◽  
Patient Information ◽  
Health Professionals ◽  
Perinatal Death ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Records

BACKGROUND Perinatal death audit is a feasible and cost-effective quality improvement tool that helps to improve the quality of health care and reduce perinatal deaths. Perinatal death audit is not implemented in almost all hospitals in Jordan. OBJECTIVE This study aimed to assess health professionals’ attitude toward perinatal death auditing and determine the main barriers for effective implementation of perinatal death auditing as perceived by health professionals in Jordanian hospitals. METHODS A cross-sectional study was conducted among health professionals in 4 hospitals in Jordan. All physicians (pediatricians and obstetricians) and nurses working in these hospitals were invited to participate in the study. The study questionnaire assessed the attitude of health professionals toward perinatal death audit and assessed barriers for implementation of perinatal death audit in their hospitals. RESULTS This study included a total of 84 physicians and 218 nurses working in the 4 selected maternity hospitals. Only 35% (29/84) of physicians and 36.2% (79/218) of nurses reported that perinatal death audit would help to improve the quality of prenatal health care services to a great or very great extent. Lack of time was the first-mentioned barrier for implementing perinatal death audit by both physicians (35/84, 42%) and nurses (80/218, 36.7%). Almost the same proportions of health professionals reported inadequate patient information being documented in hospital records as a barrier. Lack of a health information system was the third-mentioned barrier by health professionals. Fear of having conflicts with the family of the dead baby was reported by almost one-third of physicians and nurses. Only 28% (23/83) of physicians and 16.9% (36/213) of nurses reported that they would like to be involved in perinatal death audit in their health facilities. CONCLUSIONS Health professionals in Jordan had poor attitude toward perinatal death audit. The main barriers for implementing perinatal death audit in Jordanian hospitals were lack of time, inadequate patient information being documented in hospital records, and lack of health information systems.

Utilization of Electronic Medical Record and Associated Factors Among Health Professionals in Public Health Facilities With Service Delivery, Eastern Ethiopia

2020 ◽  
Author(s):  
Abdu Oumer
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Organizational Support ◽  
Health Professionals ◽  
Associated Factors ◽  
Healthcare Delivery ◽  
Health Facilities ◽  
Good Knowledge ◽  
P Value ◽  
Eastern Ethiopia

Abstract Backgroundadoption of electronic medical record (EMR) systems in the healthcare delivery has the potential to transform healthcare in terms of saving costs, reducing medical errors, and data quality. However, even if a lots of efforts in the use of electronic health records, such systems have not been implemented and used at expected scale. Thus, his study assessed utilization of electronic medical record and associated factors among health professionals in Eastern Ethiopia.Methodsan institutional based analytic cross sectional study was conducted among randomly selected 412 health professionals from Harari and Dire Dawa, eastern Ethiopia using self-administered questioner. Binary logistic regression was performed for each independent variable against outcome variables (EMR utilization) to estimate the crude and adjusted odds ratio with 95% Confidence interval. P value less than 0.05 was used to declare statistical significance.Resultsa total of 412 health professionals from different category and educational level with mean age of 29 year (± 6.4 years) were interviewed. Majority of respondents were from Harari region (70.4%). A total of 229 (55.6%) and 300 (72.8%) of health professionals had good knowledge and attitude towards EMR for health facilities. About 279 (67.7%) reported that they use EMR in their facility currently with (54%) use it on daily basis. A total of 272(66%) of respondents reported to prefer EMR instead of paper based system. Health professional with more than five years’ experience had two times higher odds for using EMR (AOR = 2.22; 95% CI; 1.12–4.42) than early career workers (0–2 years of experience. Having previous EMR training were significantly more to use EMR (AOR = 5.88; 95% CI; 2.93–11.88) as compared to those who did not take training. In addition, having good knowledge (AOR = 1.52; 95% CI; 0.92–1.5) and good attitude on EMR system (AOR = 2.4; 95% CI; 1.35–4.31) had 50% and 140% more odds to use EMR in their facility.Conclusion and recommendationsutilization of EMR was found to be optimal and age, work experience, knowledge, attitude and training were positively associated with use of EMR in their facility. There should be organizational support, more specifically making the system full functional and targeted, timely, effective training packages for health professionals to improve their skills and attitudes.

scholarly journals Prevalence, Antimicrobial Susceptibility Pattern, and Associated Factors of Urinary Tract Infections among Pregnant and Nonpregnant Women at Public Health Facilities, Harar, Eastern Ethiopia: A Comparative Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Degu Abate ◽  
Dadi Marami ◽  
Shiferaw Letta
Keyword(s):  
Public Health ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Public Health Facilities ◽  
Antimicrobial Susceptibility Pattern ◽  
Tract Infections

Background. Urinary tract infection is one of the most common health problems worldwide, afflicting many women in reproductive age, especially in developing countries. Increased risk of infection has been attributed to pregnancy and antimicrobial resistance. Objective. To compare the prevalence, antimicrobial susceptibility pattern of the bacteria and associated factors of urinary tract infections among pregnant and nonpregnant women attending public health facilities, Harar, Eastern Ethiopia. Methods. A health facility-based comparative cross-sectional study was conducted among 651 randomly selected women from public health facilities, Harar, Eastern Ethiopia, between February 2017 and December 2017. Pertinent data were collected through a face-to-face interview using a structured questionnaire. The midstream urine specimen was collected and cultured on cysteine-lactose-electrolyte-deficient agar and blood agar. Pure isolates were tested against the ten most prescribed antimicrobials using the Kirby-Bauer disk diffusion method. Data were entered and analysed using Statistical Program for Social Sciences version 21. A p value <0.05 was considered statistically significant. Results. The overall prevalence of significant bacteriuria was 23% (95% CI: 13.6, 26.8). The higher proportion of bacteria were isolated from pregnant women (14.1%) compared to nonpregnant women (8.9%). Escherichia coli (28.8%) and Streptococcus aureus (14.3%) were the most common isolates. E. coli was resistant to amoxicillin (83.3%), trimethoprim-sulfamethoxazole (78.6%), and ciprofloxacin (81%), whereas S. aureus was resistant to chloramphenicol (81%), erythromycin (81%), and amoxicillin (76.2%). Current symptoms, and history of catheterization increase the likelihood of urinary tract infections. Conclusion. Pregnant women were more likely infected with bacterial pathogens than nonpregnant women. Current symptoms, and catheterization increase the odds of urinary tract infections. More than half of the isolates were resistant to the commonly prescribed antimicrobials. Regular assessment of urinary tract infections and antimicrobial resistance are recommended to provide effective therapy and thereby prevent urinary tract complications.

scholarly journals Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ahmedin Aliyi Usso ◽  
Hassen Abdi Adem ◽  
Yadeta Dessie ◽  
Abera Kenay Tura
Keyword(s):  
Public Health ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Public Health Facilities ◽  
Postpartum Family Planning ◽  
Long Acting ◽  
Long Acting Reversible Contraceptives

Objective. Although importance of postpartum family planning is essential and immediate postpartum insertion of long acting and reversible contraceptives (LARC) is recommended, evidence on its uptake and associated factors is limited in Ethiopia. This study was conducted to assess utilization of immediate postpartum LARC among women who gave birth in selected public health facilities in eastern Ethiopia. Method. An institution-based cross-sectional study was conducted among randomly selected women who gave birth in selected public health facilities in eastern Ethiopia from 10 March to 09 April 2020. At discharge, all eligible women who gave birth in the facilities were interviewed using a pretested structured questionnaire. Data were entered using EpiData 3.1 and analyzed using SPSS 24. Bivariable and multivariable logistic regression analyses were conducted to identify factors associated with utilization of immediate postpartum LARC. Adjusted odds ratio (aOR) with 95% confidence interval was used to report association, and significance was declared at p value < 0.05. Results. From a total of 546 women invited to the study, 530 (97.1%) participated in the study and 98 (18.5%; 95% CI: 15.1%, 22.0%) reported starting long acting reversible contraceptives. Women who reported discussing about contraceptives with partners ( aOR = 6.69 , 95% CI: 3.54, 12.61) and receiving postpartum counselling on contraceptives ( aOR = 5.37 , 95% CI: 3.00, 9.63) were more likely to using contraception. However, women who live >30-minute walking distance from the nearest health facility ( aOR = 0.47 , 95% CI: 0.26, 0.85) and reported disrespect and abuse during childbirth ( aOR = 0.22 , 95% CI: 0.12, 0.40) were less likely to start LARC. Conclusions. Almost one in five women delivering in public health facilities in eastern Ethiopia started using LARC. Provision of respectful maternity care including counselling on the importance of immediate postpartum family planning is essential for increasing its uptake.

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.

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