College of Health and Medical Scienceshttp://ir.haramaya.edu.et//hru/handle/123456789/132024-03-19T01:44:05Z2024-03-19T01:44:05ZAssessment of knowledge, attitude, and practice of sexual and reproductive health and Rights and associated factors among Haramaya University students, College of Health and Medical Sciences, Eastern EthiopiaAhmednur MohammedAyantu MekonnenMerhawi Gebremedhinhttp://ir.haramaya.edu.et//hru/handle/123456789/76602024-03-13T06:30:32Z2023-12-01T00:00:00ZAssessment of knowledge, attitude, and practice of sexual and reproductive health and Rights and associated factors among Haramaya University students, College of Health and Medical Sciences, Eastern Ethiopia
Ahmednur Mohammed; Ayantu Mekonnen; Merhawi Gebremedhin
Introduction: Young peoples’ knowledge on sexual and reproductive health rights (SRHRs) is essential in exercising these rights. But little is known about level of knowledge, attitude, and practice of sexual and reproductive health rights s with their important predictors in the study area, therefore this study was done to fill this information gap.
Methods: institutional based cross-sectional study was employed among 419 study participants selected by simple random sampling method from Haramaya University, College of health and medical science`s regular students from November 15 to December 15 2023. Data were collected through self-administered questionnaires from selected departments. Data entry were performed through epidata 3.1 and transformed to STATA 17 for statistical analysis. Bivariate and multivariate logistic regression was done to assess the association of factors with knowledge of sexual and reproductive health rights. P-value of 0.05 were used to determine statistical significance of the variables.
Results: among the total of 398 respondents with the response rate of 95%, the mean knowledge score for the participants was 7.39 (SD= 2.74) about 69.6% of students were knowledgeable, 71.6% of students had favorable attitude and 68.8% of the students had good practice. Binary logistic regression was used to compute Crude Odds Ratio, with its 95% confidence interval to test the associations between dependent and independent variables. Then variables found to be with P<0.2 in the bivariate analysis was taken as candidate for multivariate logistic regression analysis. Finally the following factors were found to predictors of knowledge of sexual and reproductive health and rights. Students aged 25 and above are 4.02 AOR: 4.02, 95% CI (1.26-12.82) times higher in having adequate knowledge as compared to those students aged ≤19 years. Students who had ever discussed sexual and reproductive health with family are 4.42 AOR: 4.42, 95% CI (2.19-8.92) times higher in having adequate knowledge when compared to those who had no discussion. Students whose study year is 4th year and above had 2.51 AOR: 2.51, 95% CI (1.04-6.05) times higher knowledge about sexual and reproductive health when compared to first year students. Students whose father is a government employee are 5.36 AOR: 5.36, 95% CI (2.70-10.64) times higher in having adequate knowledge when compared to those students whose fathers are farmers. The P-value of less than 0.05 were used to determine statistical significance.
Conclusion: The study finding shows that knowledge, attitude and practice of sexual and reproductive health rights were low relative literatures. Factors: age, year of study, fathers job and discussion are associated significantly with knowledge of sexual and reproductive health rights
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2023-12-01T00:00:00ZTREATMENT OUTCOME OF STOMA REVERSAL AND ASSOCIATED FACTORS AMONG PATIENTS ADMITTED TO SURGICAL WARDS OF TWO PUBLIC HOSPITALS IN HARAR TOWN, EASTERN ETHIOPIAAbdurrahman YahyaMulatu AsfawGirma Wamihttp://ir.haramaya.edu.et//hru/handle/123456789/76582024-03-13T06:16:35Z2023-12-01T00:00:00ZTREATMENT OUTCOME OF STOMA REVERSAL AND ASSOCIATED FACTORS AMONG PATIENTS ADMITTED TO SURGICAL WARDS OF TWO PUBLIC HOSPITALS IN HARAR TOWN, EASTERN ETHIOPIA
Abdurrahman Yahya; Mulatu Asfaw; Girma Wami
Background: Stoma reversal is associated with wide variation in reported morbidity and mortality. Its operative mortality rates are as high as 10% with morbidity rates of 30%-40% and anastomotic leakage rates of 15% have been reported. Moreover, surgical site infection is the most common complication, followed by intestinal obstruction, incisional hernia, and anastomotic leakage from the site of the ileostomy or colostomy repair. Although the complication of stoma reversal has negative consequences on the patient outcomes, factors affecting treatment outcome of stoma reversal are not widely investigated in Ethiopia, particularly in Eastern Ethiopia.
Objective: To assess the treatment outcome of stoma reversal surgeries and associated factors among adult patients admitted to surgical ward of Hiwot Fana Comprehensive Specialized Hospital and Jugal General Hospital from November 1 to 31, 2023.
Methods: A facility based cross-sectional study design (8-years retrospective analysis) was conducted in two public hospitals found in Harar town, Eastern Ethiopia from November 1 to 31, 2023 to retrieve 8-years records (September 1, 2015 to August 31, 2023). A total 102 medical records of patients who underwent stoma reversal were randomly selected and retrieved. Data were collected using structured checklists. The collected data entered into Epi Data version 3.1 and exported to SPSS version 26 for further analysis. A binary logistic regression was conducted to estimate the effect of each predictor variable on treatment outcome of stoma reversal. A multivariable analysis was done and reported using the AOR with 95% CI. Statistical significance was be declared significant at p-value<0.05.
Results: The overall postoperative complication of stoma reversal was 34.3% [95%CI (26.1-43.5)]. The most common type of stoma reversal was colostomy operation (63.7%). In the final model of multivariable analysis predictors variables such as: Having a colostomy reversal operation[AOR:5.40;95%CI(1.09-26.21)], being in the advanced age of 46-60years [AOR:5.27;95%CI(1.18-23.63)] and postoperative hospital stay >8days[AOR:4.20; 95%CI(1.09-16.14)], were statistically associated with unfavourable outcome of stoma reversal operation.
Conclusion: In this study, one-third of the patients had postoperative complication of stoma reversal. Colostomy reversal operation, advanced patients’ age and long-time hospital stay were significantly associated with postoperative complication of stoma reversal operation. Therefore, cue due attention should be given to those patients who underwent colostomy reversal operation, and those in advanced age group. This result also calls for all stakeholders to give more emphasis on postoperative hospital stay after stoma reversal.
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2023-12-01T00:00:00ZHOUSEHOLDS PLASTIC WASTE MANAGEMENT PRACTICE AND ASSOCIATED FACTORS AMONG HOUSHOLDS IN HARAR TOWN, EASTERN ETHIOPIABiruk TesfayeDr. Abraham GeremewDr. Tesfaye Gobenahttp://ir.haramaya.edu.et//hru/handle/123456789/76522024-03-12T06:39:52Z2023-12-01T00:00:00ZHOUSEHOLDS PLASTIC WASTE MANAGEMENT PRACTICE AND ASSOCIATED FACTORS AMONG HOUSHOLDS IN HARAR TOWN, EASTERN ETHIOPIA
Biruk Tesfaye; Dr. Abraham Geremew; Dr. Tesfaye Gobena
Plastic wastes impose serious environmental pollutions and health problems in
humans and animals. These problems are worsened in low-income countries like Ethiopia.
Evidence on how households plastic wate management, dispose and perception about its impacts
on environmental is limited in Eastern part of Ethiopia, particularly in Harar town, Harari region.
Objective: To assess the household plastic waste management practices and associated factors
among households in Harar town, Eastern Ethiopia from 01/04/2023-30/04/2023.
Methods: Community-based cross-sectional study design was conducted among 420 randomly
selected households. The source populatios was all households in six urban districts in the Harari
region while the study population was the randomly selected household in three urban districts in
the Harar town. Data were collected using a structured questionnaire through face-to-face
interview. The cleaned data were entered into Epidata version 3.5.1 then exported to SPSS
version 22 for analysis. Logistic regression was applied. The variables with p-value of ≤0.25
from binary logistic regression were candidate for multivariable logistic regression to determine
associated factor with the outcome and declared significantly associated when p-value ≤0.05.
Results: In this study, the prevalence of proper plastic waste management practice was 68.8%
with 95%CI (65.0, 73.6). Of the total participants, 216 (51.4%) of participants had poor
perception on the environmental impact of plastic wastes. Factors scuh as being female [AOR=
0.50, 95%CI: 0.30, 0.79], secondary education AOR=2.88, 95% CI (1.12, 7.43)], preparatory
education [AOR=3.41, 95% CI (1.38, 8.43)] and had good attitude [AOR=2.07, 95%CI: (1.32,
3.27)] were significantly associated with proper plastic waste management practice.
Conclusions and recommendations: In this study, nearly 69% of the households practice
proper plastic waste management, while 31% practices improper plastic waste
management,which seriously raised the risk of the negative impact on human health.Factors such
as sex, Being attending secondary and preparatory school,and being perceived that plastic waste
can be a resource, were factors remained significant predictors of plastic waste management
practice after adjustment for potential confounders.Thus, the Harari health and municipality
offices should made unreserved effors to create awareness and educate the community about
XII
plastic waste management practice to increase the knowledge of householders regarding waste
management practices.
81p.
2023-12-01T00:00:00ZLEVEL AND FACTORS AFFECTING THE IMPLEMENTATION OF CONTINUOUS QUALITY IMPROVEMENT PROJECTS AND THEIR BARRIERS AMONG HEALTH WORKERS IN SELECTED PUBLIC HOSPITALS IN EASTERN ETHIOPIABedasa AhmedIbsa Mussa (Asso Prof)Admas Abera ( Assis Prof)http://ir.haramaya.edu.et//hru/handle/123456789/76502024-03-12T06:32:11Z2023-10-01T00:00:00ZLEVEL AND FACTORS AFFECTING THE IMPLEMENTATION OF CONTINUOUS QUALITY IMPROVEMENT PROJECTS AND THEIR BARRIERS AMONG HEALTH WORKERS IN SELECTED PUBLIC HOSPITALS IN EASTERN ETHIOPIA
Bedasa Ahmed; Ibsa Mussa (Asso Prof); Admas Abera ( Assis Prof)
Continuous quality improvement is a key aspect of improving access and
quality of healthcare services. Implementing quality improvement projects at health facilities
is a key strategy to reduce preventable morbidity, mortality, and disability. In different
settings, different factors and barriers affect the implementation of continuous quality
improvement in healthcare settings, yet there is a scarcity of information in Ethiopia in
general and in the study setting in particular.
Objective: Therefore, this study aims at assessing the level and exploring factors affecting
the implementation of continuous quality improvement projects and their barriers among
health workers in selected public hospitals in Eastern Ethiopia in 2023.
Methods: Quantitative Cross-sectional study was conducted on 385 healthcare professionals
those who was recruited before 6 months at public health facility supplemented with an
exploratory qualitative study. Data were collected using a self-administered questionnaire
and key informant interview by trained data collectors. The data was collected and entered
into Epidata version 3.1 and exported to Stata 17 for analysis. Both bivariate and multivariate
logistic regression were used to explore determinant factors of CQI projects implementation
at 5% significance level. Thematic analysis was used for key informant interview data.
Results: Among the 366 respondents in this study, 204 (55.74%) reported that the
continuous quality improvement projects were implemented in their hospitals. Poor
Leadership engagement in CQI projects [AOR=0.51 (0.293, 0.905)], weak organized of
quality improvement committee or team [AOR=3.28 (1.318, 8.174)], incapable health
worker staff utilized quality improvement models [AOR=4.11(1.516, 11.163)]. On the other
hand, health worker’s not being knowledgeable about their job descriptions
[AOR=0.19(0.053,0.700)] were inversely associated with the implementation of CQI.
Conclusion: The implementation of continuous quality improvement project associated
with factors like Leaders’ engagement in quality improvement project, job description
including specific responsibility, Quality improvement committee or team, Quality
improvement models awareness had significant influence on the implementation of CQI.
65p.
2023-10-01T00:00:00Z