6 research outputs found
Medication counselling practices amid COVID -19 pandemic and associated factors in drug retail outlets of Jimma town, Southwest Ethiopia: cross-sectional study
No full textBackground: Patients’ good understanding and awareness of drug information received at the drug retail outlet is paramount to gaining expected outcomes. In the COVID-19 pandemic, the routine counselling practice faced multifactorial challenges.Objectives: The study aimed to assess medication counseling practice and associated factors in drug retail outlets of Jimma town, southwest Ethiopia.Methods: A facility-based cross-sectional study was conducted using an interviewer administered questionnaire. The data were analysed by using SPSS version 23. A multivariable logistic regression model was used to identify factors associated with medicationcounselling practice.Results: A total of 180 pharmacy professionals were enrolled in the study, about half (51.1%) of the participants reported good medication counselling provision for their patients. In A multivariable logistic regression analysis, reduced pharmacist’s level of communication (AOR=0.008; CI: 0.001-0.292; p= 0.009) and shortage of personal protective equipment (AOR=0.021; CI: 0.002-0.226; p=0.002) due Covid-19 were factors associated with poor medication counselling practice.
Conclusion: Reduced level of communication and shortage of personal protective equipment due to Covid-19 were factors associated with poor medication counselling practice. In general, Jimma town health offices and Oromia Region Health bureau should struggle in association with other stakeholders to improve the identified bottleneck of pharmacist’s counselling practice.
Keywords: Counseling practice; COVID -19; drug retail outlet; Jimma
Prevalence and factors associated with domestic violence against married women in Mana District, Jimma zone, Southwest Ethiopia: A community-Based Cross-Sectional study
No full textBackground: There is a dearth of research done about domestic abuse against married women residing in this study setting. Thus, this study aimed to assess the prevalence of domestic violence and its associated factors among married reproductive-aged women in Yebu town, Jimma, Southwest Ethiopia from March 1 to 31, 2021 GC. Methods: A community-based cross-sectional study was conducted to select 360 study participants from March 1–31, 2021. Systematic random sampling technique was used. Married women were interviewed using pretested, structured, interviewer-administered questionnaires that were adapted from W.H.O multi-country. Before entry, data was checked for completeness and amended on unclean data, then entered to Epidata 4.6 and exported to SPSS version 23 for further analysis. Adjusted Odds Ratio at a 95% confidence interval was computed, and variables having a P-value less than 0.05 were declared statistically significant associations. Results: A total of 121 (33.5 %) study participants reported having been the victim of domestic violence. The most frequently reported types of domestic violence were psychological violence 128 (46 %), followed by physical violence 85 (31 %).Variables such as being having polygamous marriage (AOR = 3.67 (1.33–10.16),monthly income 1000–3000 ETB (AOR = 0.15 (95 % CI = 0.07–0.31), household monthly income > 3000ETB (AOR = 0.25(0.12–0.51), khat chewing by husband (AOR = 9.89(95 %CI = 5.09–19.22) were significantly associated with domestic violence. Conclusions: The results of this study revealed that high prevalence of domestic abuse in this study area. Awareness creation for couples about risks of polygamous marriages, discouraging khat chewing, and financial advising are very mandatory to mitigate the occurrence of domestic violence
Effectiveness of Training Program on Improving Health Care Providers’ Readiness for Managing Domestic Violence in Jimma Medical Center: Pre-Experimental Study
No full textEndalew Hailu Negessa,1 Susan Anand Joseph,1 Kebenesa Angasu Kitaba,2 Melkamu Gelan Negesa2 1Department of Nursing, Jimma University, Jimma, Ethiopia; 2Department of Midwifery, Jimma University, Jimma, EthiopiaCorrespondence: Kebenesa Angasu Kitaba, Jimma University Main Campus, PO Box: 378, Tel +251919841766, Email [email protected]: Domestic violence (DV) is a pervasive human-right violation and is an impediment to the achievement of Sustainable Development Goals by 2030. Although they may not often disclose their violence, survivors of DV are most likely to be treated by health care providers. Thus, this study aimed to assess the effectiveness of training intervention in improving the readiness of health care providers for managing domestic violence in Jimma Medical Center.Methods: Pre-experimental study design was undertaken among 64 health care providers of Jimma Medical Center on two rounds from March 16 to 19 and from May 18 to 21/2022. Data were collected by using a structured self-administered questionnaire and entered into Epi-data version 4.6 and exported to SPSS version 23 for analysis. To test the difference in the participants’ readiness to manage DV in terms of knowledge and attitude; a Paired-samples t-test analysis was done at 95%-confidence-interval and p-value < 0.05. To quantify the magnitude of the intervention’s effect, Eta-squared was computed as an effect size statistic.Results: The overall knowledge score was improved from pre-intervention (M= 12.44, SD=4.55) to post-intervention (M=15.66, SD= 5.48, t(4.29), p< 0.0005). The overall attitude score was improved from pre-intervention (M= 156.4, SD= 15.68) to post-intervention (M=169.1, SD=20.67, t(3.8), p< 0.0005). The Eta-squared value for the knowledge was 0.23 and for the attitude was 0.19 both indicating a large effect size.Conclusion: Significant improvement in the study participants’ readiness for managing DV was a result in this study with a large effect size. Thus, different concerned stakeholders should provide training intervention for health care providers of Jimma Medical center to improve their readiness to manage survivors of domestic violence thereby contributing to the reduction of the negative consequences that can be resulted from poor management of domestic violence.Keywords: domestic violence, Jimma Medical Center, pre-experimental stud
Biochemical profiles of patients with COVID-19 during the first and second waves in Ethiopia
No full textCoronavirus disease 2019 (COVID-19) is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2. Nasopharyngeal swabs (NP swabs) were used for patients with COVID-19 who demonstrated serious clinical symptoms and disturbances in biochemical parameters. The biochemical profiles of these patients remain ambiguous and differ from wave to wave of COVID-19 infections. Herein, we conducted a multicenter retrospective cohort study with 538 patients with COVID-19 at six COVID-19 treatment centers in Ethiopia. Professional data collectors collected the data. Descriptive statistics were used to summarize the data, and independent t-tests and chi-square tests were used to assess the relationships between the continuous and categorical variables across waves, respectively. In total, 240 and 298 patients were included from the first and second waves, respectively. Men and individuals aged 53–69 years were more likely to be infected in each wave. The mean alkaline phosphatase (p < 0.001) and sodium levels (p = 0.035) significantly differed between patients across the two waves of COVID-19; the significant difference in the alkaline phosphatase levels of patients between the two waves was −45.425. All the symptoms of COVID-19 were significantly (p < 0.05) associated with the waves of the pandemic. Patients in both waves had no chronic disease comorbidities. This study showed that the mean alkaline phosphatase and sodium levels differed significantly across the first two waves of the pandemic at six COVID-19 treatment centers in Ethiopia while all clinical symptoms of COVID-19 were associated with the first two waves of the pandemic
Factors associated with friendly care and its comparison among mothers who get and did not get the care provider of their choice at Jimma medical center, Jimma, Southwest Ethiopia
No full textBackground: Friendly care during labor and delivery is considered part of companionate maternal care throughout the perinatal period. It is vital to understand that women deserve friendly care to improve maternal use of health care facilities and the quality of care in general. This study aimed to assess the level of friendly care during labor and delivery and identify possible significant factors associated with it as well as make a comparison in receiving friendly care between mothers cared for by the provider they want and those who did not get the provider they wanted. Method: An institution-based cross-sectional study was conducted on 348 mothers at the postnatal units of Jimma medical center. The sample size was determined using a single population proportion formula and a systematic random sampling technique was applied to select study participants. Data were collected using a pretested semi-structured questionnaire prepared in local languages. Data were entered into Epi Data version 4.2 and the analysis was conducted using statistical packages for social sciences version 23. The level of significance was determined with a p-value of <0.05 in the final multivariable logistic regression model. The results are presented in the tables, charts, and narratives. Result: The study had a response rate of 100%. The analysis indicated that 314 (90.23%) participants had received friendly care. There was a significant difference in friendly care between mothers who received the provider they wanted and those who did not (Z = −5.78; p < 0.001). The type of delivery (p < 0.001), longer stay in the facility after delivery (p = 0.005) and presence of any complication in the last delivery (p = 0.009) were factors significantly associated with friendly care. Conclusion: There was relatively good friendly care in Jimma medical center. It is recommended that mothers receive care from the provider of their choice to make the care friendlier. It is also revealed that it is necessary to consider the type of delivery, avoid unnecessary mothers’ stay of after delivery, and prevent and manage the complications of childbirth early to help mothers get care that is friendly
Assessment of the hematological profiles among COVID-19 patients during the first and second waves in Ethiopia: A multicenter retrospective cohort study
No full textBackground: The coronavirus disease 2019 is highly infectious and patients with coronavirus diseases demonstrated a series of clinical symptoms caused by severe acute respiratory syndrome coronavirus-2. Without a break of the wave’s hematological profile of the patients is still ambiguous and differs from wave to wave. Objective: This study aimed to assess the hematological profile among coronavirus disease 2019 patients during the first and the second waves in Ethiopia. Methods: A multi-centered facility-based retrospective cohort study design was conducted at six coronavirus disease 2019 treatment centers. A total of 538 study participants were enrolled in the selected coronavirus disease 2019 treatment centers during the first and second waves of the pandemic. The demographic characteristics, underlying diseases, symptoms, and hematological parameters of patients were recorded. Data were entered into Epi-Data Manager 4.6 and analyzed using STATA 14.2. An independent sample t-test was used to assess the mean differences in hematological parameters across waves. Associations between categorical variables across waves were also determined using Chi-square and Fisher exact tests. Results: Among the total study participants, 240 (44.6%) and 298 (55.4%) patients were taken from wave-1 and wave-2, respectively. The average age of the study participants was 56.44 ± 16.25 years. The most frequent comorbidities in this study were hypertension, diabetes mellitus, ischemic heart disease, and asthma. The most presenting symptoms of COVID-19 infection across the two waves were presented. In the first wave, dry cough 166 (69.2%), fatigue 153 (63.75%), shortness of breath 148 (61.67%), and fever accounted 116 (48.33%), while during the second wave, dry cough 242 (81.2%), fatigue 244 (81.88%) shortness of breath 204 (68.47%) and fever account 180 (60.40%). White blood cells (WBC), neutrophils, and lymphocytes had shown increment during the first wave. Platelet count and platelet distribution width ( p < 0.001) had significant mean differences across the two waves, while the other had no significant mean difference. Conclusion: In the present study, dry cough, fatigue, shortness of breath, and fever were found to be the most presenting symptoms of COVID-19 infection across the two waves. Only the platelet count and platelet distribution width had significant mean differences across the two waves, while the other had no significant mean difference across waves
