http://ir.haramaya.edu.et//hru/handle/123456789/196 2026-05-20T21:40:29Z http://ir.haramaya.edu.et//hru/handle/123456789/8457 KNOWLEDGE, PRACTICE, AND ITS ASSOCIATED FACTORS OF PROPER BODY MECHANICS AMONG NURSES WORKING IN HOSPITALS IN HARAR CITY, EASTERN ETHIOPIA Hayat Hussen Mohammed; Aboma Motuma (Ph.D); Shiferaw Letta (Ph.D) Improper body mechanics during patient care tasks increase the risk of musculoskeletal disorders among nurses, leading to a high turnover rate and a shift to less physically demanding roles. Limited information exists about the nurse’s level of knowledge and application of proper body mechanics and factors that impact practice of proper body mechanics during patient care tasks in the study setting. Objective: The study aimed to assess the level of knowledge, practice, and its associated factors of proper body mechanics among Nurses working in Hospitals in Harar City, Eastern Ethiopia Methods: An institutional-based cross-sectional study was conducted on 420 participants, from August 26 to September 26, 2024. A structured self-administered questionnaire adapted from relevant literature was used for the data collection. A simple random sampling technique was used to select study participants. Both descriptive and analytical statistical tests were utilized. Binary logistic regression was applied. Variables having a p-value of <0.25 in the bi-variable analysis were included in the multivariable analysis, and variables with a p-value <0.05 were disclosed as statistically significant with the outcome variable.A total of 416 participants were included in the study, making the response rate of 99%. The median age of the respondents was 29 years, with an interquartile range from 27-32 years. Almost half of the participants (50.24%) had good knowledge about body mechanics while only 20.9% (CI=17.1-25.14) of the participants had good practice of proper body mechanics. Marital status (married) [AOR 0.51(0.27-0.94)], availability of transfer materials [AOR 4.34(1.65-11.39)], Nurse-to-patient ratio (1:10 or fewer patients) [AOR 2.91(1.08-7.85)], physical activity [AOR 2.46(1.33-4.53), and training on body mechanics [AOR 28.25(4.55-175.25)] were factors significantly associated with the practice of proper body mechanics among Nurses. Conclusion: This study revealed that almost half of the participants had good knowledge of body mechanics, but only one-fifth of the study participants had a good proper body mechanics practice. Therefore, stakeholders should devise strategies that enhance the knowledge of the nurses, and implementation of proper body mechanics. 73p. 2025-01-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8411 ACCEPTABILITY OF DONOR BREAST MILK BANKING AND ITS ASSOCIATED FACTORS AMONG HEALTHCARE PROFESSIONALS IN PUBLIC HOSPITALS IN HARARI REGIONAL STATE AND DIRE DAWA CITY ADMINISTRATION, EASTERN ETHIOPIA: MIXED METHOD STUDY Ahmed Abadir Abafogi; Mr. Assefa Desalew; Mr Sagni Girma A donor breast milk bank is recommended for preterm, low birth weight, and other infants who cannot feed their mother’s milk. It is an intervention that contributes to the reduction of neonatal and infant morbidity and mortality. Healthcare professionals play a key role in ensuring the establishment and success of this intervention. However, there is a significant lack of evidence regarding its acceptability among healthcare professionals in eastern Ethiopia. Objective: To assess the acceptability of donor breast milk banking and its associated factors among healthcare professionals in public hospitals in Harari regional state and Dire Dawa City Administration, Eastern Ethiopia, from August 15-September 13, 2024. Methods: A mixed-method study (quantitative, cross-sectional, and qualitative) design was employed. For the quantitative study, a total of 347 healthcare professionals working in maternal and child health units were enrolled using a simple random sampling technique. Quantitative data was collected using a structured, self-administered questionnaire, entered into Epi-data version 4.6, and analyzed using STATA version 17. Binary logistic regression models were fitted to identify factors associated with the acceptability of donor breast milk banking. Qualitative data was collected by in-depth interviews and analyzed using thematic analysis. The proportion of acceptability of donor breast milk banking was 38.62% (95% CI: 33.47, 43.96%). Factors such as having a master’s degree, and medical doctor, adequate knowledge, a good attitude and having children were significantly associated with breast milk banks' acceptability. Qualitative insights revealed facilitators such as training and educational activities, understanding of breast milk benefits, and trust in healthcare systems’ safety protocol, while barriers were; lack of awareness, cultural and religious concerns, and resource constraints. Conclusion: The acceptability of breast milk banks among healthcare professionals was moderate, and influenced by factors such as level of education, knowledge status, attitudes, and having children. Facilitators were; understanding of the benefits of breast milk, confidence in the safety protocols, as well as training and educational initiatives; while, lack of awareness, cultural and religious concerns, and resource constraints were barriers. Targeted educational programs, awareness campaigns, infrastructural improvements, and further studies are recommended to enhance the acceptability of breast milk banks 63p. 2025-03-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8334 PREVALENCE, TREND, AND ASSOCIATED FACTORS OF CONGENITAL ANOMALIES AMONG NEWBORNS IN KERSA HEALTH AND DEMOGRAPHIC SURVEILLANCE SYSTEM, EASTERN ETHIOPIA: AN EIGHT YEARS CROSS SECTIONAL STUDY MULUKEN KUMERA DIDISSA (BSc. N); Dr. TESFAYE. A (PhD, ASSOCIATE PROFESSOR); Mr. YOHANNES. B (MSc , ASSISTANT PROFESSOR) Background: Congenital anomaly is defined as structural or functional anomalies that occur during intrauterine life. Although some institution-based studies estimated the prevalence of congenital anomalies in Ethiopia, the findings could not be generalizable to the community. Therefore, this study aimed to assess the prevalence, trend, and associated factors of congenital anomalies among newborns in Kersa District, Oromia regional state, Eastern Ethiopia. Methods: A cross-sectional study design was conducted among newborns. The study used Kersa Health and Demographic Surveillance System data from 2015 to 2022. Kersa Health and Demographic Surveillance System tracks demographic and health changes in the community. The data was extracted from the database by using a checklist prepared from the literature that addresses the study objectives. The extracted data was exported to SPSS version 26.0 for Analysis. The prevalence of congenital anomalies was estimated. The associated factors of congenital anomalies were identified using binary logistic regression; the significance was declared at a p-value of < 0.05 and considering 95% CI of the adjusted odds ratio. Results: In this study, 27,350 newborns were included. The prevalence of congenital anomalies was 0.38% (3.83 per 1000 live births). During 2015-2022, the prevalence of congenital anomalies showed an increasing pattern. It was significantly associated with the age of the mother older than 35 years (AOR: 1.68, 95% CI: 1.07, 2.62), place of birth (AOR: 2.04, 95% CI: 1.04, 4.02), and birth weight (AOR=0.14, 95% CI: 0.04, 0.47). Conclusion: The trend of congenital anomalies at the Kersa Health and Demographic Surveillance system showed an increasing trend. It was significantly associated with age of the mother, place of birth, and birth weight. Therefore, maternal care during pregnancy that can modify fetal-maternal Health should be strengthened; and it should get special consideration during the epidemic problem. Further longitudinal study is important to support the findings of the study. 46 2024-06-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8308 NECROTIZING ENTEROCOLITIS AND ITS ASSOCIATED FACTORS AMONG PRETERM NEONATES ADMITTED TO NEONATAL INTENSIVE CARE UNITS OF PUBLIC HOSPITALS OF HARAR TOWN AND DIRE DAWA CITY ADMINISTRATION, EASTERN ETHIOPIA MULUALEM ADDIS (BSC); Mr. Adera Debella (Assistant professor); Mr. Genanaw Atnafe (Assistant professor) Background: Necrotizing Enterocolitis is the most common multifactorial and devastating gastrointestinal medical/surgical emergency that primarily affects premature neonates. It has a much higher burden in developing countries, particularly Ethiopia. However, there are limited studies on the prevalence and associated factors of necrotizing enterocolitis in Ethiopia and no study in the study area. Objective: To assess the prevalence of Necrotizing Enterocolitis and associated factors among preterm neonates admitted to Neonatal intensive care unit of Public Hospitals of Harar Town and Dire Dawa City Administration from 1 June 2020 to 30 June 2023 which was collected from June 20 to 30, 2024. Methods: An institution-based cross-sectional study design was employed among 471 preterm neonates admitted to the neonatal intensive care unit of Hiwot Fana Specialized University Hospital and Dilchora referral hospital. The study participants were selected using a systematic random sampling technique. Data were collected by using a structured checklist from neonates’ card reviews. Data were collected by using a checklist through the Kobo tool and analyzed by using the SPSS-27 statistical package. Bi-variable and multivariable logistic regression analysis were carried out to distinguish the relationship between dependent and independent variables. The significance of statistical association was tested by a 95% confidence interval (CI) and p-value <0.005. Results: The prevalence of Necrotizing Enterocolitis among neonates was 90 (19.2%) [95% CI :(.158, .231)]. Having gestational age 28+1-32 week [P=0.007, AOR=2.78, 95% CI: (1.32, 5.86)], birth weight between 1000-1499 [AOR= 3.11, 95% CI:(1.65,5.87)], APGAR score 4-6 [AOR=7.62, 95% CI:(1.23,47.01), use of CPAP ventilation [AOR=3.00, 95% CI:(1.47,6.13)], neonates born from mothers with PROM [AOR=3.46, 95% CI:(1.12,8.688)], neonates born from mothers with prolonged labor [AOR= 2.09, 95% CI:(1.09, 4.00)], neonates born from mothers with chronic disease/hypertension [AOR= 2.52, 95% CI:(1.25, 5.05)] and who fed formula milk [AOR=5.92, 95% CI:( 1.22, 28.61)] were factors significantly associated with NEC. Conclusions and recommendations: In this study, nearly one-fifth of preterm neonates developed necrotizing enterocolitis (NEC) in the study area. Factors such as gestational age between 28+1-32, birth weight between 1000-1499, APGAR score between 4-6, neonates born from mothers with prolonged labor, neonates born from mothers with chronic disease/hypertension, use of CPAP ventilation, formula milk, and neonates born from mothers with PROM were independent predictors of necrotizing enterocolitis. Finally, I recommend that there is a need to strengthen NICUs with proper equipment and trained staff, along with promoting breastfeeding support programs is recommended. Local health authorities and policymakers should enhance maternal and neonatal care, while researchers are urged to explore NEC prevention strategies. 62 2024-10-01T00:00:00Z