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Academic literature on the topic 'Medical telematics – Ethiopia – Addis Ababa'
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Journal articles on the topic "Medical telematics – Ethiopia – Addis Ababa"
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Benin-Goren, O., P. Halpern, S. Amir, and MB Tesfay. "Establishment of emergency medical services in Addis Ababa, Ethiopia." Critical Care 4, Suppl 1 (2000): P197. http://dx.doi.org/10.1186/cc916.
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Dereje, Nebiyu, Adamu Addissie, Alemayehu Worku, Mathewos Assefa, Aynalem Abraha, Wondemagegnehu Tigeneh, Eva Johanna Kantelhardt, and Ahmedin Jemal. "Extent and Predictors of Delays in Diagnosis of Cervical Cancer in Addis Ababa, Ethiopia: A Population-Based Prospective Study." JCO Global Oncology, no. 6 (September 2020): 277–84. http://dx.doi.org/10.1200/jgo.19.00242.
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PURPOSE A substantial proportion of cervical cancers are diagnosed at advanced stage in Ethiopia. Therefore, the aim of this study was to determine the extent and predictors of delays in cervical cancer diagnosis in Addis Ababa. PATIENTS AND METHODS We prospectively recruited 231 patients with cervical cancer diagnosed from January 1, 2017, to June 30, 2018, in 7 health facilities in Addis Ababa, representing 99% of all cervical cancers recorded in the Addis Ababa population-based cancer registry. A structured questionnaire on patients’ experience was administered face to face by trained interviewers. Health-seeking intervals > 90 days (date from recognition of symptoms to medical consultation) and diagnostic intervals > 30 days (dates from medical consultation to diagnostic confirmation) were categorized as delayed. Factors associated with these delays were assessed using multivariable binary logistic regression models. RESULTS The median health-seeking and diagnostic intervals for patients with cervical cancer in Addis Ababa were 10 and 97 days, respectively. Approximately one quarter of the patients were delayed in seeking medical consultation, and three fourths of the patients had delayed diagnostic confirmation. Factors associated with health-seeking delays included poor cervical cancer awareness, practicing of religious rituals, and waiting for additional symptoms before visiting a health facility. Factors associated with diagnostic delays included first contact with primary health care units and visits to ≥ 4 different health facilities before diagnosis. CONCLUSION A considerable proportion of patients with cervical cancer in Addis Ababa have delays in seeking medical care and diagnostic conformation. These findings reinforce the need for programs to enhance awareness about cervical cancer signs and symptoms and the importance of early diagnosis in the community and among health care providers.
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Gimbel, Devon C., and Teklu Bekele Legesse. "Dermatopathology Practice in Ethiopia." Archives of Pathology & Laboratory Medicine 137, no. 6 (June 1, 2013): 798–804. http://dx.doi.org/10.5858/arpa.2012-0041-ra.
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Context.—Dermatologic diseases are extremely common among the Ethiopian population and are a significant cause of morbidity. However, few studies exist in the literature that describe the incidence and clinical and histologic features of biopsied cutaneous lesions. Objectives.—To categorize the cutaneous diseases observed in skin biopsies at the All African Leprosy Rehabilitation and Training Center (ALERT) in Addis Ababa, Ethiopia, and to describe the clinical and histologic features of dermatopathologic diagnoses most frequently encountered in this practice setting. Data Sources.—Pathology reports of 2342 cutaneous specimens received at ALERT in Addis Ababa, Ethiopia, were reviewed to determine the range and frequency of cutaneous diseases and dermatoses diagnosed from January 2007 through December 2010. Conclusions.—The range of cutaneous diseases observed in skin biopsies at ALERT was varied and included inflammatory dermatoses (27%), infectious diseases (24%), and malignant and benign cutaneous neoplasms (22% and 20%, respectively). The most common conditions observed in this study were squamous cell carcinoma (8% of total cases), eczema (6% of total cases), leishmaniasis (6% of total cases), tuberculosis (6% of total cases), and benign nevi (4% of total cases).
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Kebede, Binyam, Teferi Gedif, and Ashebir Getachew. "Assessment of drug use among pregnant women in Addis Ababa, Ethiopia." Pharmacoepidemiology and Drug Safety 18, no. 6 (March 30, 2009): 462–68. http://dx.doi.org/10.1002/pds.1732.
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Dereje, Nebiyu, Alem Gebremariam, Adamu Addissie, Alemayehu Worku, Mathewos Assefa, Aynalem Abraha, Wondemagegnehu Tigeneh, Eva Johanna Kantelhardt, and Ahmedin Jemal. "Factors associated with advanced stage at diagnosis of cervical cancer in Addis Ababa, Ethiopia: a population-based study." BMJ Open 10, no. 10 (October 2020): e040645. http://dx.doi.org/10.1136/bmjopen-2020-040645.
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ObjectiveTo describe the patterns and factors associated with advanced stage at diagnosis of cervical cancer among Addis Ababa residents, Ethiopia.DesignA population-based cross-sectional study.SettingSeven major hospitals or diagnostic facilities in Addis Ababa, Ethiopia.ParticipantsAll histopathology-confirmed patients with incident cervical cancer diagnosed from 1 January 2017 to 30 June 2018 among Addis Ababa residents.Outcome measuresThe proportion of patients with cervical cancer diagnosed at early stage (stage I/II) and advanced stage (stage III/IV) of the disease according to International Federation of Gynaecology and Obstetrics staging criteria, and adjusted prevalence ratio (APR) for factors associated with advanced-stage diagnosis using a Poisson regression with robust variance model.ResultsThe mean age of the study participants was 52.9 (±13.3) years. Nearly two-thirds (60.4%, 95% CI: 53.8% to 66.5%) of patients with cervical cancer were diagnosed at an advanced stage. Advanced stage at diagnosis was significantly associated with paying medical bill out of pocket (APR=1.44, 95% CI: 1.08 to 1.91), diagnostic interval >90 days (APR=1.31, 95% CI: 1.04 to 1.71), practicing religion as a remedy or not taking immediate action following symptom recognition (APR=1.25, 95% CI: 1.08 to 1.91) and visiting more than three different health facilities prior to diagnostic confirmation (APR=1.24, 95% CI: 1.07 to 1.51).ConclusionsOur findings of the high proportion of advanced-stage diagnosis of cervical cancer in Addis Ababa and its strong associations with out-of-pocket medical bill, seeking care out of conventional medicine settings and multiple visits to healthcare facilities before diagnostic confirmations underscore the need for public policies to improve the affordability of cancer care and enhance community awareness about the severity of the disease and referral system, in addition to expanding cervical cancer screening.
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Hussein, Mintewab, Almaz Abebe, Georgios Pollakis, Margreet Brouwer, Beyene Petros, Arnaud L. Fontanet, and Tobias F. Rinke de Wit. "HIV-1 Subtype C in Commercial Sex Workers in Addis Ababa, Ethiopia." JAIDS Journal of Acquired Immune Deficiency Syndromes 23, no. 2 (February 2000): 120–27. http://dx.doi.org/10.1097/00126334-200002010-00003.
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Hussein, Mintewab, Almaz Abebe, Georgios Pollakis, Margreet Brouwer, Beyene Petros, Arnaud L. Fontanet, and Tobias F. Rinke de Wit. "HIV-1 Subtype C in Commercial Sex Workers in Addis Ababa, Ethiopia." Journal of Acquired Immune Deficiency Syndromes 23, no. 2 (February 2000): 120–27. http://dx.doi.org/10.1097/00042560-200002010-00003.
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Getahun, Belete, Gobena Ameni, Girmay Medhin, and Sibhatu Biadgilign. "Treatment outcome of tuberculosis patients under directly observed treatment in Addis Ababa, Ethiopia." Brazilian Journal of Infectious Diseases 17, no. 5 (September 2013): 521–28. http://dx.doi.org/10.1016/j.bjid.2012.12.010.
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Tenna, Admasu, Edward A. Stenehjem, Lindsay Margoles, Ermias Kacha, Henry M. Blumberg, and Russell R. Kempker. "Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia." Infection Control & Hospital Epidemiology 34, no. 12 (December 2013): 1289–96. http://dx.doi.org/10.1086/673979.
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Objective.To better understand hospital infection control practices in Ethiopia.Design.A cross-sectional evaluation of healthcare worker (HCW) knowledge, attitudes, and practices about hand hygiene and tuberculosis (TB) infection control measures.Methods.An anonymous 76-item questionnaire was administered to HCWs at 2 university hospitals in Addis Ababa, Ethiopia. Knowledge items were scored as correct/incorrect. Attitude and practice items were assessed using a Likert scale.Results.In total, 261 surveys were completed by physicians (51%) and nurses (49%). Fifty-one percent of respondents were male; mean age was 30 years. While hand hygiene knowledge was fair, self-reported practice was suboptimal. Physicians reported performing hand hygiene 7% and 48% before and after patient contact, respectively. Barriers for performing hand hygiene included lack of hand hygiene agents (77%), sinks (30%), and proper training (50%) as well as irritation and dryness (67%) caused by hand sanitizer made in accordance with the World Health Organization formulation. TB infection control knowledge was excellent (more than 90% correct). Most HCWs felt that they were at high risk for occupational acquisition of TB (71%) and that proper TB infection control can prevent nosocomial transmission (92%). Only 12% of HCWs regularly wore a mask when caring for TB patients. Only 8% of HCWs reported that masks were regularly available, and 76% cited a lack of infrastructure to isolate suspected/known TB patients.Conclusions.Training HCWs about the importance and proper practice of hand hygiene along with improving hand sanitizer options may improve patient safety. Additionally, enhanced infrastructure is needed to improve TB infection control practices and allay HCW concerns about acquiring TB in the hospital.
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Tola, Kasu, Haftom Abebe, Yemane Gebremariam, and Birhanu Jikamo. "Improving Completeness of Inpatient Medical Records in Menelik II Referral Hospital, Addis Ababa, Ethiopia." Advances in Public Health 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/8389414.
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Introduction. The incompleteness of medical records is a significant problem that affects the quality of health care services in many hospitals of Ethiopia. Improving the completeness of patient’s records is an important step towards improving the quality of healthcare. Methods. Pre- and postintervention study was conducted to assess improvement of inpatient medical record completeness in Menelik II Referral Hospital from September 2015 to April 2016. Simple random sampling technique was used. Data was collected using data extraction checklist and independent sample t-test was used to compare statistical difference that exists between pre- and postintervention outcomes at confidence interval of 95% and P value less than 0.05 was considered statistically significant. Result. The overall inpatient medical record completeness was found to be 84% after intervention. An enhancement of completeness and reporting of inpatient medical record completeness increased significantly from the baseline 73% to 84% during postintervention evaluation at P value < 0.05. Conclusion and Recommendation. The finding of this project suggests that a simple set of interventions comprising inpatient medical record format and training healthcare provider showed a significant improvement in inpatient medical record completeness. The Quality Officer and Chief Executive Officer of the study hospital are recommended to design and launch intervention programs to improve medical record completeness.
Dissertations / Theses on the topic "Medical telematics – Ethiopia – Addis Ababa"
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Challa, Dejene Kebede. "The challenges of using information communication technologies in the healthcare systems in Ethiopia from provider's perspectives." Diss., 2013. http://hdl.handle.net/10500/15388.
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The adoption of eHealth is very slow despite evidences showing its benefits. This research examines the individual, clinical, technical and organizational challenges for eHealth adoption from healthcare provider‟s perspectives. A cross-sectional study design with a quantitative paradigm was used. The study was conducted on 312 doctors and nurses randomly selected from ten hospitals in Addis Ababa, Ethiopia. Most respondents viewed eHealth positively with no significant differences in terms of profession or gender. Computer skill, workload, patient interaction, management support, cost and infrastructure were the main concerns. Privacy and security were not the main concerns. Knowledge of eHealth applications and utilization was low, even for evidence-based medicine and online databases. Specialists and males were better aware of eHealth applications. The study showed that eHealth acceptance was good. Increasing eHealth literacy was recommended as a cost effective means for improving access to updated information to improve the quality of healthcare.Health Studies
M.A. Public Health (Medical Informatics)
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Ayka, Seble Tiku. "Determinants of screening practice for cervical cancer among women in Addis Ababa, Ethiopia." Thesis, 2020. http://hdl.handle.net/10500/27858.
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Cervical cancer is the second most commonly diagnosed cancer and the third leading cause of cancer death among women in less developed countries. Screening for cervical cancer is the most accepted and successful strategy for cervical cancer control.
The purpose of the study was to investigate factors that determine cervical cancer screening practice among women in Addis Ababa, Ethiopia and develop guidelines to improve the utilisation of cervical cancer screening services.
The researcher used the health belief model (HMB) as the theoretical foundation of the study and a convergent parallel mixed methods design. Quantitative data was obtained from screened and not screened women attending maternal health services at selected
public health centres. Statistical Package for Social Sciences (SPSS) Version 23 was used for entry and analysis of data Qualitative data was obtained in key informant interviews from health service professionals on their perceptions of women‟s cervical cancer screening uptake at the health centres.
The study found that higher age >35 years category (X2 =33.618 and p-value <0.001),
contraceptive use (X2 value=20.7 and p-value <0.001), having two or more children, and knowledge of cervical cancer and screening (chi-value X2 =51.649, p-value=0.001) were strongly associated with screening practice. In addition, women‟s perception of susceptibility (t-test=3.42 and 3.432, p-value=0.001) was a predictor of screening. Lack
of awareness was a serious barrier to cervical cancer screening and health service providers‟ information was a strong promoter of screening.
The study recommends promoting and facilitating health education on cervical cancer at all health facilities; organising awareness campaigns, education programmes, and community mobilisation to raise awareness of cervical cancer screening; integrating cervical cancer screening with other reproductive health services, and capacitating the
health professionals in order to increase utilisation of cervical cancer screening services.
Consequently, the researcher used the findings of the study to develop guidelines to improve the uptake and quality of cervical cancer screening services.Health Studies
D. Litt. et Phil. (Public Health)
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Dinku, Fasika Dessalegne. "Strategies to strengthen referral and linkage system of HIV positive clients in Addis Ababa, Ethiopia." Thesis, 2015. http://hdl.handle.net/10500/20663.
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Introduction: HIV referral and linkage system in many countries in general and in Ethiopia in particular was poorly characterised by low linkage rate. The purpose of this study was to analyses factors associated with poor referral and linkage system and develop strategies to improve the system.
Methods: A sequential mixed method approach using exploratory descriptive study design was employed. The study was conducted in Addis Ababa, Ethiopia and it was conducted in two phases. Phase I involved data collection and analysis as evidence for the development of strategies while phase II was the development of strategies. For phase I, data were collected in steps 1 and 2 using individual interviews and focus group discussions respectively. The study participants were programme owners and partners who were supporting facilities during the data collection period in step 1 and health care providers in step 2. A total of 4 individual interviews and 3 FGDs were conducted with purposively selected participants. Data were analysed using computer assisted software called OpenCode version 4.2.
Results: The findings revealed five themes namely, issues of referral and linkage practice, ensuring linkage through communication, issues of health care, issues of health care system and issues of partnerships and Health Bureau. Many gaps that affected the referral system were identified and in phase II, nine strategies were developed to strengthen the referral and linkage system.
Conclusion:The results of this study highlighted weaknesses in the referral and linkage system of the HIV positive clients from counselling and testing services to chronic care and proposed strategies to strengthen those weaknesses. Measures to operationalise those strategies are also proposed. The successful implementation of the proposed strategies depends on the support of the ministry of health and regional bureau in terms of resources and the readiness of the health care providers to adhere to the proposed measures. Intervention research is needed to test the effectiveness of the proposed strategies.Health Studies
D. Litt. et Phil. (Health Studies)
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Kahwa, Joan Mary F. "Health-care seeking behaviour among terminally ill adults in Addis Ababa, Ethiopia." Thesis, 2010. http://hdl.handle.net/10539/8473.
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Using data collected in 2007 for Addis Ababa Mortality Surveillance, the paper examines the
effect of cause of death/type of illness on choice of health care in adults 12 years and above. The
multinomial logit model using bootstrapped standard errors is used to investigate the relationship
between dominant type of treatment and the covariates: cause of death, gender, age, education,
occupation, ethnicity and religion. Availability of water, television and telephone in the
household are used as a proxy for economic status. After controlling for duration of illness
(exposure), type of illness, gender and marital status are significant. Those who die of HIV/TB
and cancer behave similar in way they seek help, and have high likelihood of using traditional
healers as the first point for help compared to those who died as a result of other illnesses. Thus
the study concludes that cause of death; gender and marital status affect choice of health service.
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Haile, Yeneneh Getachew. "Strategies to improve effectiveness of hospital leadership in Addis Ababa." Thesis, 2020. http://hdl.handle.net/10500/26566.
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In hospitals of Addis Ababa, there is a high turnover of leaders while patient and health
workers’ satisfaction is low, and safety and quality are in dire situations. The purpose of
this study was to explore and propose strategies to improve effectiveness of hospital
leadership in order to enhance the quality of health care provided in hospitals through
improving health workers’ empowerment, job satisfaction and patient safety culture.
Thus, a sequential explanatory mixed method research design was used. The research
had three phases, in which the first phase used five structured questionnaires explored
leadership styles, the health workers’ satisfaction and empowerment, patient safety
culture, and the patient experience of quality of health care; while the second involved a
qualitative study (content analysis); and third phase focused on the preparation of a
strategy document.
Data in the form of interview responses was gathered from 75 leaders, 542 health
workers, 532 patients and 11 key informants. The analysis shows that, overall, hospital
leaders considered themselves more transformational (M=2.98, SD=0.41) than
transactional (M=2.85, SD=0.46). Job satisfaction of private and public hospital health
workers were 70.8 % and 57.1 % respectively (P-value<0.001). In addition, private
hospital workers had a higher score in structural and psychological empowerment than their pubic hospital counterparts; the difference was statistically significant in all
dimensions (P-value <=0.03). The analysis reveals that public and private hospitals’
mean total patient safety scores were 3.58 and 3.77 respectively (P-value=0.02). Finally,
the “overall rating of hospital” was better for private hospitals: 84.8% and 88.4 %
respectively (P-value=0.03).
The study makes a number of observations. It notes that, firstly, transformational
leadership has direct and strong correlation with structural and psychological
empowerment (r=0.70, P-value=0.04 and r=0.83, P-value=0.01 respectively). Secondly, structural empowerment has a direct and significant effect on psychological
empowerment (β=0.28, P-value=<0.01); and minimal indirect effect on patient safety
culture through psychological empowerment (β=0.05, P-value=<0.05). Thirdly, health
worker job satisfaction also has had a direct effect on patient safety culture (β=0.44, Pvalue=<
0.01. The fourth and final observation is that psychological empowerment has
had a direct and statistically significant effect on patient safety culture (β=0.19, Pvalue=<
0.01). These observations indicate that, although private hospitals are better in
every dimension of this study, the current hospitals situation in Addis Ababa needs urgent
attention. Hence, the identification and recommendation for the preparation of eight
strategic priority areas along with key interventions seeking to improve the hospital
leaders’ effectiveness.Health Studies
D. Litt. et Phil. (Health Studies)
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Wendimagegn, Netsanet Fetene. "Integration of promotive, preventive and curative health care services in public hospitals and health centres of Addis Ababa, Ethiopia." Thesis, 2017. http://hdl.handle.net/10500/23587.
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The purpose of this study was to explore the level of integration of health promotion and disease prevention services with the curative care provided at hospitals and health centres in Addis Ababa, and to propose recommendations that could improve such an integrated health service. A quantitative approach, using an exploratory and descriptive design was applied at 22 public health facilities in Addis Ababa followed by the Delphi technique to reach consensus on ways to improve the integration of health promotion, preventive and curative care. An integrated health service (IHS) framework was used as the conceptual framework upon which the study was based.
Multistage sampling involving stratified simple random sampling was applied to select hospitals and health centres while a systematic sampling technique was used to sample patients from the outpatient and inpatient medical departments. Data was collected by means of two questionnaires from patients and health service managers, respectively, following which two Delphi rounds with experts resulted in agreement on a contextually accepted integrated framework.
The findings revealed that promotive and preventive services for chronic diseases were not optimally integrated in the routine health care services of the health facilities. Most health facilities lacked skilled health professionals, adequate medication and equipment to provide a comprehensive integrated service.
The study emphasized the need for health service providers to undergo a paradigm shift and additional training in order to provide a comprehensive, patient-centred, integrated health service instead of only treating patients’ complaints. To assist this approach, the study affirmed the Integrated Health Service (IHS) framework as a tool which
comprehensively demonstrates the cause, effect and progression of chronic diseases and the appropriate interventions which health professionals can apply in managing diseases or their risk factors.
Recommendations for effective, integrated promotive and preventive health care, included the development of guidelines, protocols and policy documents for cultivating a healthy lifestyle, adopting effective disease prevention approaches, re-designing medical school curriculums, and staffing health facilities with trained and specialized staff, capacitating health facilities with the necessary equipment, medication and supplies that would enable the provision of an integrated health care service.Health Studies
D. Litt. et Phil. (Health Studies)
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Tadesse, Menelik Legesse. "Healthcare waste management, quantification and intervention in Addis Ababa City Administration health bureau public health facilities." Thesis, 2019. http://hdl.handle.net/10500/26614.
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Healthcare waste management is very important due to its hazardous nature that can cause risk to human health and the environment. The study wished to determine the amount of healthcare waste generated in 15 public health centres and 3 hospitals and evaluate the healthcare waste management practices in Addis Ababa City Administration. The aim of the study was to develop a manual for healthcare facilities based on the findings on healthcare waste management practice, quantification and intervention. Data was obtained from questionnaires distributed to 636 randomly selected healthcare professionals, ancillary staff and managers and by means of surveying the facilities.
The mean HCW generation rate was 10.64 + 5.79 kg/day, of which 37.26% (3.96 + 2.017kg/day) was general waste and 62.74% (6.68 + 4.293 kg/day) was hazardous waste from the surveyed health centres. HCW generation and quantification was not measured and documented in any of the HCFs. Quantifying HCW would help determine the type of waste as well as the HCFs that generate the highest and lowest HCW, which could have implications for resource allocation in managing HCW.
Segregation of different types of wastes was not regularly done. Some HCFs had separate storage areas for HCW and separate containers for hazardous and nonhazardous waste. In some instances, however, the containers were not clearly marked. Regarding storage, some of the HCFs had interim storage sites and HCW disposal sites. Several interim storage facilities lacked security and surveillance and were not cleaned after collection. In addition, HCW remained at the interim storage facilities for more than 48 hours before final disposal. The main forms of on-site treatment of HCW before disposal were burning, crushing sharps, sterilisation and chemical disinfection. The most common treatment method used for HCW was incineration. Most HCW handlers had not received adequate training; did not wear PPE, and did not take precautionary measures, such as washing their hands and heavy duty gloves after handling HCW. The researcher developed a manual for effective HCW management and training of HCW handlers. Based on the findings, the study makes recommendations for policy, education, HCW management, including generation, segregation, storage, transportation and disposal, and further research.Health Studies
D. Litt. et Phil. (Health Studies)
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Tikuye, Azmera Molla, and Azmera Molla Tikuye. "Knowledge, attitudes and practices of health care providers towards isoniazide preventive therapy (IPT) provision in Addis Ababa, Ethiopia." Diss., 2013. http://hdl.handle.net/10500/11916.
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This study assessed healthcare providers’ knowledge, attitudes and practices towards IPT provision for people living with HIV (PLHIV) in Addis Ababa, the capital city of Ethiopia.
A quantitative, descriptive, cross-sectional study design was used for the study and data was collected using a self-administered questionnaire from 104 clinicians working in ART clinics.
The findings show that healthcare providers who participated in this study had a mean value of high knowledge, positive attitude and good practice towards IPT provision for PLHIV. Significant association was found between knowledge and attitude (P=0.000) but no significant associations were found between knowledge and practice, attitude and practice as well as between the type of facility (public/private) and level of practice.
This implied that, the low level of IPT implementation in Addis Ababa doesn’t seem due to health care providers’ lack of knowledge and resistance to provide IPT for people living with HIV. As a result, the researcher recommends for further researches of other possible factors like; the reliability of IPT information/data management, drug supply and the leadership and governance of the health system that IPT program is a direct concern.Health Studies
M. Public Health (with specialisation in Medical Informatics)
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Hagos, Zemichael Mekonen. "Evaluation of fee waiver scheme effectiveness in improving health care access to the poor segments of the population in Addis Ababa, Ethiopia." Thesis, 2019. http://hdl.handle.net/10500/27817.
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Background: Availing equitable and affordable health services for citizens is becoming a
problem for governments of developing countries. In Ethiopia, the government has been
implementing fee waiver scheme since 1998 to advance the health access by the poor,
though it is still a crucial challenge of the health sector.
Purpose: The intent of the study was to evaluate the effectiveness of fee waiver scheme
in improving access to health by the poor in Addis Ababa and to propose implementation
framework to improve its outcome.
Method: This study employed qualitative research approach to evaluate the program
effectiveness and to propose implementation framework in two phases. Exploratory and
descriptive case study designs, and Delphi techniques were utilized to evaluate the
scheme’s effectiveness and to validate the proposed implementation framework. The
researcher employed purposive and convenience sampling methods to sample the study
populations, and used Atlas ti 7.5 software to analyze the findings.
Result: This study revealed that the commencement of the scheme has benefited
considerable poor population in the city. However, its effectiveness in terms of
addressing the needy population, services coverage and protecting the poor from financial hardship is not yet achieved. Poor health facilities capacity, poor program
management and lack of comprehensive monitoring and accountability system were
found major factors that affected its success. As a result, the researcher proposed an
implementation framework with the aim of addressing these problems.
Conclusion: Achieving Universal Health Coverage without addressing the indigents’
health need is impossible. Lack of comprehensive health services, in adequate
population coverage and poor financial protection were among the major findings.
Hence, prior attentions should be given to equip health facilities with necessary
infrastructures and ensure the inclusion of all needy populations through effective
monitoring, governance and leadership mechanisms to improve its intended outcomes.
If utilized properly, the findings and the implementation framework of this study will serve
as valuable resources for immediate decisions and directions by the policy makersHealth Studies
D. Litt. et Phil. (Health Studies)
10
Aragaw, Getahun Sisay. "Adherence by health care providers' National Tuberculosis guidelines." Diss., 2011. http://hdl.handle.net/10500/5092.
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This study examined healthcare providers’ adherence to the national Tuberculosis
guidelines (NTG) during the diagnosis and treatment of TB in Addis Ababa, Ethiopia
using a descriptive, cross-sectional study design. Data were collected from 233
medical records using checklists.
Adherence of healthcare providers to the NTG during the diagnosis of TB was 60.9%
(n=67) for female and 56.1% (n=69) for male TB patients. However, 91.8% (n=101)
female and 90.2% (n=111) male TB patients had been prescribed the correct
numbers of anti-TB pills, complying with the NTG recommendations. There was an
over-diagnosis of smear negative pulmonary Tuberculosis (PTB) as only 2.6% (n=2)
of the 76 smear negative PTB patients were diagnosed correctly.
Healthcare providers’ compliance with the NTG could be enhanced by providing
appropriate in-service education, maintaining accurate records of all TB patients and
providing supportive supervision to identify and address shortcomings.
Books on the topic "Medical telematics – Ethiopia – Addis Ababa"
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African Health Sciences Congress (24th 2003 Addis Ababa, Ethiopia). 24th African Health Sciences Congress: Challenges and strategies in combating health problems in Africa, towards development efforts : African Union Conference Centre, Addis Ababa, Ethiopia, Sept. 28-Oct. 2, 2003 : congress abstracts. [Addis Ababa, Ethiopia]: EHNRI, 2003.
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Feleke, Amsalu. Proceedings of the XIVth Annual Conference: Conference of the Ethiopian Public Health Association : main theme, the sector wide approach to health development in Ethiopia: concept and development, sub theme : HIV/AIDS care and support : October 15-17, 2003, Hilton Hotel, Addis Ababa, Ethiopia. Edited by Chanyalew Kassa and YaʼItyop̣yā ṭénā ʼaṭabābaq māhbar. Conference. Addis Ababa, Ethiopia: Ethiopian Public Health Association, 2003.
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John, Little, ed. The hospital by the river: A story of hope. Oxford, UK: Monarch, 2004.
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1942-, Little John, ed. The hospital by the river: A story of hope. Sydney, [Australia]: Pan Macmillan Australia, 2001.
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Hamlin, Catherine, and John Little. The Hospital by the River: A Story of Hope. Monarch Books, 2005.
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Hamlin, Catherine, and John Little. The Hospital by the River: A Story of Hope. Lion Hudson, 2016.
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