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

Author(s):  
EWUNETIE MEKASHAW BAYKED ◽  
MESFIN HAILE KAHISSAY ◽  
BIRHANU DEMEKE WORKNEH

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.

2018 ◽  
Author(s):  
Gebresilasea Gendisha Ukke ◽  
Mekdes Kondale Gurara ◽  
Wanzahun Godana Boynito

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.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0251815
Author(s):  
Solomon Shitu ◽  
Getachew Adugna ◽  
Haimanot Abebe

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.


BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e034605
Author(s):  
Ju Huang ◽  
Min Zhang ◽  
Xin Liu

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.


2020 ◽  
Vol 10 (3) ◽  
pp. 86-90
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Agegnehu Bante

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.


2021 ◽  
Vol 38 ◽  
Author(s):  
Lucy Wanjiku Kanja ◽  
Peter Ndirangu Karimi ◽  
Shital Mahindra Maru ◽  
Pierre Claver Kayumba ◽  
Regis Hitimana

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