The Magnitude of Perceived Professionalism and Its Associated Factors Among Nurses in Public Referral Hospitals of West Amhara, Ethiopia

Background. Although the vast majority of abortions are performed in the first trimester, still 10–15% of terminations of pregnancies have taken place in the second trimester period globally. As compared to first trimester, second trimester abortions are disproportionately contribute for maternal morbidity and mortality especially in low-resource countries where access to safe second trimester abortion is limited. The main aim of this study was to assess the prevalence and associated factors of induced second trimester abortion in Amhara region referral hospitals, northwest Ethiopia.Methods. Institution based cross-sectional study was conducted in Amhara region referral hospitals among 416 women who sought abortion services. Participants were selected using systematic sampling technique. Data were collected using pretested structured questionnaire through interviewing. After the data were entered and analyzed; variables which havePvalue < 0.2 in bivariate analysis, not colinear, were entered into multiple logistic regressions to see the net effect with 95% CI andPvalue < 0.05.Results. The prevalence of induced second trimester abortion was 19.2%. Being rural (AOR = 1.86 [95% CI = 1.11–3.14]), having irregular menstrual cycle (AOR = 1.76 [95% CI = 1.03–2.98]), not recognizing their pregnancy at early time (AOR = 2.05 [95% CI = 1.21–3.48]), and having logistics related problems (AOR = 2.37 [95% CI = 1.02–5.53]) were found to have statistically significant association with induced second trimester abortion.Conclusion. Induced second trimester abortion is high despite the availability of first trimester abortion services. Therefore, increase accessibility and availability of safe second trimester abortion services below referral level, counseling and logistical support are helpful to minimize late abortions.

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Respectful Maternity Care and Associated Factors Among Women Who Attended Delivery Services in Referral Hospitals in Northwest Amhara, Ethiopia: A Cross-Sectional Study

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s286458 ◽

2020 ◽

Vol Volume 13 ◽

pp. 1965-1973

Author(s):

Amanuel Yosef ◽

Adane Kebede ◽

Nigusu Worku

Keyword(s):

Maternity Care ◽

Associated Factors ◽

Cross Sectional Study ◽

Respectful Maternity Care ◽

Sectional Study ◽

Cross Sectional ◽

Referral Hospitals ◽

Delivery Services

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Knowledge, Awareness and Associated factors of Telemedicine Services among Health Professionals Working at Amhara Region Referral hospitals, northwest Ethiopia, 2020.

10.21203/rs.3.rs-334058/v2 ◽

2021 ◽

Author(s):

Bayou Tilahun Assaye ◽

Adamu Takele Jemere ◽

Araya Mesfin Nigatu

Keyword(s):

Information Sharing ◽

Health Professionals ◽

Associated Factors ◽

Healthcare Services ◽

Support Staff ◽

Good Knowledge ◽

Amhara Region ◽

Referral Hospitals ◽

It Support ◽

Significant Factors

Abstract Background: -Telemedicine is the delivery of healthcare services at a distance. Despite it is an emerging and infancy technology in a developing country, utilizing the technology for delivering healthcare services is low in Ethiopia. To maximize and facilitate Telemedicine adoption it prominently requires information about the knowledge and awareness of telemedicine services among health professionals.Methods: - An institution-based cross-sectional study design was conducted among 423 health professionals working at Amhara Region Referral Hospitals from February 12-March 20/2020. The data were collected using a self-administered structured questionnaire. Desk review was done to assure the data quality and then data was entered into EPI INFO version 7 and exported into SPSS version 20 for statistical analysis. Descriptive statistics, bivariable and multivariable logistic regression analyses were done. The odds ratio with a 95% confidence interval (95% CI) was used to identify associated factors.Result: About 56% of health professionals had good knowledge and 57.4% had high awareness towards telemedicine services with a 411 (97.2%) response rate. Information sharing culture [AOR=3.01, 95% CI: 1.89, 4.80], having IT support staff [AOR=1.87, 95%CI: 1.06, 3.29], internet as information source [AOR=1.80, 95%CI:1.1, 2.94], awareness [AOR=1.35,95% CI: 1.03, 2.40], being male [AOR=1.73,95% CI:1.06, 2.81] were significantly associated with the knowledge of the respondents towards telemedicine services and telemedicine training [AOR= 2.33, 95% CI: 1.15, 4.72] and computer accessibility in their hospitals [AOR= 1.54, 95% CI: 1.01, 2.35] were significantly associated with the awareness of the respondents towards telemedicine services.Conclusion: More than half of the respondents had good knowledge and high awareness of telemedicine services. Information sources, having IT support staff, information sharing culture, gender and awareness were significant factors for the knowledge of telemedicine service, and telemedicine training and computer access were significant factors of awareness of health professionals towards telemedicine services. Therefore Appropriate and regular awareness creation training of telemedicine systems should be given to the health professional.

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Negative Appendectomy Rate in Urban Referral Hospitals in Tanzania: A Cross-sectional Analysis of Associated Factors

Annals of African Surgery ◽

10.4314/aas.v18i2.9 ◽

2021 ◽

Vol 18 (2) ◽

pp. 109-114

Author(s):

Masawa Klint Nyamuryekung’E ◽

Ali Athar ◽

Miten Ramesh Patel ◽

Aidan Njau ◽

Omar Sherman ◽

...

Keyword(s):

Acute Appendicitis ◽

Associated Factors ◽

Lifetime Risk ◽

Histological Evaluation ◽

Negative Appendectomy ◽

Perforation Rate ◽

Alvarado Score ◽

Suspected Appendicitis ◽

Referral Hospitals ◽

Negative Appendectomy Rate

Background: Acute appendicitis (AA) has a lifetime risk of 8.3% with a consequent 23% lifetime risk of emergency appendectomy. In atypical presentation, making a clinical diagnosis is difficult, leading to a high perforation rate (PR) or misdiagnoses and high negativeappendectomy rates (NAR). This study aimed to establish NAR and explore the associated factors and possible attainable solutions to reduce it in urban referral hospitals in Tanzania. Methods: This was a crosssectional study with 91 consecutive patients, aged 10 years and older undergoing appendectomy for suspected AA with histological evaluation of specimens. The study was powered to detect the NAR at 95% confidence level and 80% power. Results: The histological NAR was 38.5% and the perforation rate was 25.3%. The Alvarado score (AS) was rarely applied (6%), despite ademonstrated ability in this study to decrease the NAR by half. Females were four times more likely to undergo negative appendectomy than males. Conclusion: The NAR is clinically significant as about two out of every five patients undergoing emergency appendectomy for suspected AA do not require the procedure. The AS is underutilized despite a demonstrated ability to decrease the NAR. We recommend that the AS be incorporated in the management of patients with suspected appendicitis. Keywords: Negative appendectomy rate, SubSaharan Africa, Alvarado score, Appendectomy, Suspected acute appendicitis

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