https://akb.au.int/handle/AKB/85179 2026-06-14T07:46:11Z 2026-06-14T07:46:11Z https://akb.au.int/handle/AKB/90414 2023-11-30T08:11:16Z

Title: Assessment of feasibility of implementing dots in private health facilities in Addis Ababa, Ethiopia Abstract: Introduction: The MDG of reducing deaths from TB can be achieved, if TB control efforts approach as closely as possible the global goals for case detection of smear positive PTB (70%) and cure rate of 85% or above. Currently Ethiopia’s case detection rate stands 36% since the year 2002, and unless the current efforts are intensified with innovative approaches, such as the involvement of private health care providers in the service delivery, the government with its limited resources can't reach the target set by MDG regarding TB control. Before directly embarking to the new approach, a baseline assessment of private health facilities capacity and willingness to collaborate in TB control programme is of paramount importance. Objective: to assess feasibility of implementing DOTS in private health facilities in Addis Ababa. More specifically to assess willingness of private health facility managers, to asses staffs' knowledge, current practices in diagnosis, treatment and referral of Tuberculosis, and to assess private health facilities’ institutional capacity to provide comprehensive tuberculosis prevention and control services. Methodology: An institution based, cross sectional descriptive study was carried out from November 2005 to June 2006. Feasibility of implementing DOTS was assessed using a structured and pre tested interviewer administered questionnaire and observation checklist to collect the necessary information. A total of 96 health facilities, 96 respondents in charge of the health facilities and 162 health workers were participated in the study. Data were analyzed using SPSS version 10.1 statistical package. Frequency distribution and percentages were used to present findings. Stepwise aggregation of composite variables and their scores to reach to decision for feasibility were used. Feasibility status was rated as poor, fair, good, very good and excellent based on the attained composite score for the indicator variables. Result: The composite score calculated for willingness to implement DOTS is fair (52.1), general TB knowledge is very good (73.1). Structural capacity, availability of basic laboratory materials, general TB related practice and manpower as DOTS center were good with 67.3, 63.9, 61.0, and 60.7 scores respectively, resulting the over all feasibility status good (63.0). xi Conclusion: Implementation of DOTS in private health facilities is feasible, given appropriate DOTS training, technical assistance and supervision. Piloting of the project in limited areas and appropriate facilities is recommended.

https://akb.au.int/handle/AKB/90413 2023-11-30T08:10:47Z

Title: Knowledge, attitude and practice of healthcare providers on health management information system in health centers in North Shoa Zone, Oromia Region 2010 Abstract: Background: The HMIS is a tool which could be used to improve health services. Nations all over the world are demanding to improve their healthcare service delivery quality through HMIS. Currently HMIS is coming up as one of the hot issues initiated to be reformed and implemented in Ethiopia. The purpose is to revitalize the health service provision through evidence-based decision-making. Objective: To assess the situation of Healthcare providers working in health centers of North Shoa Zone, Oromia region in relation to HMIS Methods: A cross-sectional survey was conducted among all 301 HCPs in Oromia region, North Shoa Zone, in all health centers in March 2010.The quantitative data were collected using self- administered based pre-tested questionnaire. The study was consolidated with in-depth interview. EPI6 was used for data entry and cleaning and exported to SPSS version 16 statistical package for coding and analysis. Descriptive analysis was done to calculate the knowledge, attitude and practice scores. To show the association between dependent and independent variables, odds ratio with 95% confidence interval was employed. Logistic regression analysis was done to control confounding effects amongst variables. Results: 296 questionnaires were returned making the response rate 98.3%. The overall knowledge and attitude on HMIS basic concept was found to be relatively good. But not seem to correspond with practice as it is comparatively very low. About 70.61% of the respondents were found to have good knowledge. The favorable attitude score was also found to be 81.08%. Concerning the practice, only 20.6% of the respondents were found to have good practice and significantly associated with unmarried marital status [COR=3.22(95%CI=1.80, 5.75)] and [AOR=2.67(95%CI=1.28, 5.59)].From professional category, degree holders had better practice of HMIS [COR= 2.93(95%CI=1.37,6.24)] and [AOR=2.93(95%CI=1.06,8.11)]. According to the in-depth interview result, lack of trained and full time HMIS workers, unstandardized data collection and reporting tools were underlined as the main factors for mal-practicing of HMIS at the health centers. Conclusion: Although the practice of HMIS neglected, the knowledge and attitude status of the HCPs on basic HMIS concepts was relatively found to be good. As a result, the HMIS status in general was found to be very poor in the study area. Recommendation: Motivation and Training of HCPs on HMIS, provision of standardized data collection, and reporting tools, allocation of properly trained and full day HMIS workers with sustainable supportive supervision at each health center were recommended to be given due consideration.

https://akb.au.int/handle/AKB/90412 2023-11-30T08:10:23Z

Title: Assessment of service quality and satisfaction of cervical cancer screening recipients in Addis Ababa, Ethiopia, 2020 Abstract: Background: Cervical cancer is the easiest gynecologic cancer to prevent with regular screening tests and follow-up. It is also highly curable when detected and treated early. For this quality screening service that can address the demands of clients will be of paramount importance for all women particularly those with age greater than 30 years are at risk for cervical. Objective: To assess service quality and client satisfaction towards cervical cancer screening, in Addis Ababa Ethiopia, 2020. Methods: Descriptive cross-sectional study was conducted using both quantitative and qualitative method, to assess quality of cervical cancer screening and client satisfaction. A facility based descriptive cross-sectional study design was used to assess service quality and client satisfaction towards cervical cancer screening. Data was collected by using a questionnaire developed based on Avedis Donabedian model that provides a framework for evaluating quality of health care and examining client satisfaction. The data collection instruments was coded and checked before entry. Health facilities were stratified on the basis of their geographical location, after which a simple random sampling technique was used. The sample size was determined manually for each specific objective using a single population proportion formula, the total sample size was 421 for quantitative study. Purposive sampling technique was used for a qualitative study and data were ultimately collected from 9 (nine) independent health facilities (Health care providers). Result: From 260 (62%) participant who were satisfied of cervical cancer screening service, 204 (39.23%) were between age group of 30-49 years, 38 (7.31%) age of ≤29, and the rest 18 (3.46%) were ≥ 50 years old. Regarding the level of support from direct care giver 284 (67.5) of participants were very satisfied. Concerning the collaboration level of entire workers in the health care institution 252 (59.9) were very satisfied. In the majority of health facilities, the quality of cervical cancer screening services has been low. Conclusions: The present study found that more than half or 62% of cervical cancer screening recipients were satisfied with the overall service delivery. There is a good improvement in the satisfaction rate of the recipient of the service, but overall satisfaction of the cervical cancer screening service was lowest. This study shows that the quality of service at the cervical cancer screening center was low. The reasons for poor quality of service were lack of motivation on the part of health personnel, lack of effective follow-up and transparency on the part of the government, lack of willingness on the part of management to provide opportunities and motivate staff, lack of consistent quality assessment measures. This low standard has an impact on the use of the service.

https://akb.au.int/handle/AKB/90411 2023-11-30T08:09:51Z

Title: Design and development of a records management system for immunization in Addis Ababa: The case of Nefase Silke, Lafto sub-city, Woreda health center Abstract: Keeping a record of immunizations helps make sure child gets all the vaccines they need at the right times. All child need a record of their immunizations before they go to child care, school, camp, long-term care facilities, or for travel abroad. The main purpose of this project is to design and develop a computerized record management system for immunization in case of Nifase Silek Lafto Sub-City Woreda One Health Center. The project will automate the entire process of immunization at the Health Centre by capturing all immunization details. Besides reducing paper work and use of immunization preformatted registry form. In a computerized record management system data was presented using business process modeling, use case diagram, use case description, sequence diagrams, class diagrams, deployment diagram.Hyper Text Markup Language(HTML) and Cascading Style Sheets(CSS) were used as the languages of preference for the design of user input and output interfaces and PHP(Hypertext Preprocessor) used as a scripting language for linking the interfaces to the SQL(Structured Query Language) database(s) The system is simple and easy to use. It has functionalities to facilitate registration of children and their parents, searching and data retrieval and report generation. This computerized record management system for immunization is therefore recommended for use not only in Nifase Silke Lafto Woreda One Health Center but also in all Woreda Health Center found in Addis Ababa City Administration.