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WORKPLACE STRESS, COPING STRATEGIES AND ASSOCIATED FACTORS AMONG THE INTENSIVE CARE UNIT NURSES IN PUBLIC AND PRIVATE HOSPITALS SIDAMA AND SOUTHERN ETHIOPIA REGION, 2024
(hawassa universty, 2024-05) BINIYAM HANCHISO
Background; Work-related Stress significantly affects healthcare workers globally, leading to organizational inefficiency, high staff turnover, and decreased job satisfaction. Both private and public healthcare institutions experience high levels of Stress. In Ethiopia, most studies have focused on public hospitals. This study aims to examine Stress in both private and public hospitals, emphasizing the need for effective coping strategies to improve healthcare outcomes. Objective: to assess the level of workplace Stress, coping strategies and associated factor among the Intensive Care Unit nurses at Sidama and southern Ethiopia Region Public and Private Hospitals. Method: A comparative cross-sectional study was conducted from April 1 to May 5, 2024, in public and private hospitals in Sidama and Southern Ethiopia. The consecutive sampling method was used. Data were collected via interview-based questionnaires using the simplified and adapted Expanded Nurse Stress Scale and the Coping Orientation to Problems Experienced Inventory. Collection was done using the Kobo Toolbox database, involving three diploma and two BSc nurses. Statistical analysis was performed with SPSS version 25, applying descriptive statistics, bi variable, ordinal, and multivariate logistic regression. The significance was determined with an adjusted odds ratio, 95% CI, and p-value <0.05. Result: The overall prevalence of work-related Stress among ICU nurses was 57 % (CI 95% 50.1, 63.7) in public hospitals (62%) and private hospitals (51.4%). In private hospitals, Stress were associated with having a diploma (AOR = 5.2 (95% CI: 1.04, 14), being female (AOR = 2.6 95% CI, 1.04, 6.53), and job dissatisfaction (AOR = 2.6(95% CI; 1.7, 7.12). In public hospitals, significant factors included being female (AOR = 5.3 (95% CI: 1.92, 14.4), less than 5 years of experience (AOR = 4.6(95% CI: 1.5, 14.05), holding a diploma (AOR = 6.8 (95% CI: 1.6, 16), and working shifts (AOR = 0.56 (95% CI: 0.4, 0.72). Conclusion and Recommendation; In Sidama and Southern Ethiopia, work-related Stress levels among nurses were high. In Public hospital nurses reported higher Stress levels than those in private hospitals. Factors contributing to Stress included sex, education, experience, work shifts, and job satisfaction. Interventions for public hospital nurses, especially in high-Stress ICUs, are crucial. Training should focus on managing agitated patients and coping with workplace Stress.
PREVALENCE AND ASSOCIATED FACTORS OF WASTING, STUNTING AND UNDERWEIGHT AMONG UNDER FIVE CHILDREN IN AMBO TOWN PUBLIC HOSPITALS, OROMIA, ETHIOPIA 2023
(hawassa universty, 2023-11) HIRPA BERESU
Background: Under nutrition contributes to the deaths of around 3 million children and threatens the futures of hundreds of millions, undermining healthy development and the strength of their societies by preventing children from achieving their full potential. Under - nutrition is a combined consequence of poor dietary consumption and recurrent infectious illnesses, especially in our country, Ethiopia. It is associated with high morbidity and mortality among children. Objectives: To identify the prevalence and associated factors of under nutrition among under five children in Ambo town, West Shoa Zone, Oromia Region, Ethiopia, in 2023. Method and Materials: An institutional-based cross-sectional study was conducted among 394 under-five-year-old children from April 20–June 20. A structured questionnaire and anthropometric measurements were used to collect the data. Data were entered into epi-data and exported to the statistical package for social sciences (SPSS), version 26. Descriptive statistics were computed. P-values ≤ 0.25 in bivariable analysis were entered into multivariable regression, and those p-values ≤ 0.05 with a 95% CI were declared as significantly associated factors. Results: In this study, 394 children and their corresponding mothers participated with a 100% response rate. The prevalence of wasting, stunting, and underweight were 21.3% [95% CI: (19.4–23.2)], 33% [95% CI: (30.8–35.2)], and 20.6% [95% CI: (19.1–22.1)], respectively. Meal frequency and family size were factors in wasting. Mother education, husband occupation and presence of diarrhea in the last 2 weeks were significantly associated with stunting and meal frequency, age at complimentary feeding and exclusive breast feeding, were associated factors of underweight. Conclusions: The prevalence of under nutrition was high in this study. Maternal education, husband occupation, diarrhea in the last two weeks prior to study, meal frequency, and age at complimentary and exclusive breast feeding were determinant factors of under nutrition. Therefore, improving meal frequency, maternal health awareness, and early childhood illness treatment will reduce under- five under nutrition.
PREVALENCE OF BODY IMAGE DISSATISFACTION AND ASSOCIATED FACTORS AMONG HIGH SCHOOL ADOLESCENT IN HAWASSA CITY, ETHIOPIA, 2023
(hawassa universty, 2023-11) GEMEDA BILLO
Background: Adolescence is a period wherein multiple intense bio-psychosocial maturation, physical appearance, and psychological changes happen rapidly and individuals at this stage are more concerned with their body image than any other age group. However, little is known about the prevalence of body image dissatisfaction and the factors associated with body image dissatisfaction. Objective: To assess prevalence of body image dissatisfaction and identify associated factors among high school adolescents in Hawassa City, 2023. Methods: A school-based cross-sectional study was conducted among 421 participants from April 20 to May 20, 2023, in Hawassa City. A stratified sampling technique was employed to select the study participants. A structured self-administered questionnaire was used to collect data. Anthropometric measurements of weight and height were taken to the nearest 0.1 kg and 0.5cm using SECA digital balance and height measuring tape in a standing position. The data was entered into Epi-data version 3.1 and exported and analyzed using the statistical package for social sciences (SPSS), version 24. A logistic regression model was fitted and used to identify the associated factors of body image dissatisfaction and statistical significance was declared at P<0.05. Result: The overall prevalence of body image dissatisfaction was 18.5% with [95% CI (14.8 22.2%)]. In this study being overweight/obese [AOR=7.8, 95% CI;(2.58-23.83)], engaging in a small amount of exercise [AOR=3.66, 95% CI; (1.34-10.0)], having moderate depression [AOR=3.6,95% CI:(1.25-10.40)], having severe depression [AOR=6.8, 95% CI; (1.94 24.22)], being at late age of adolescent [AOR=1.9, 95% CI; (1.07-3.39)], and having family pressure [AOR=2.2, 95% CI; (1.28-4.04)] were significantly associated with body image dissatisfaction. Conclusion: According to this study, there is a high prevalence of body image dissatisfaction among high school adolescents. Therefore, encouraging physical activity and providing constructive family feedback would be appropriate strategies to address body image dissatisfaction.
MAGNITUDE OF HEALTH-RELATED QUALITY OF LIFE AND ASSOCIATED FACTORS AMONG ADULT DIABETES MELLITUS PATIENTS IN PUBLIC GENERAL HOSPITALS OF SIDAMA REGION, ETHIOPIA
(hawassa universty, 2023-11) AHMED BEDRU
Background: Diabetes mellitus is a chronic disease with considerable impact on health status and quality of life. Health-related quality of life (HRQOL) is a multifaceted concept that is strongly impacted by diabetes in developing countries. Objective: This study aimed to assess the magnitude of health-related quality of life and associated factors among adult diabetic patients attending public general hospitals in Sidama Region, Ethiopia, 2023. Methods: An institutional-based cross-sectional study design was applied on systematically selected 417 adult diabetic patients in public general hospitals in the Sidama region from June 16 to July 15, 2023. HRQOL was evaluated using the World Health Organization Quality of Life Brief Version questionnaire. Binary logistic regression analysis was used to see the association between dependent and independent variables. Candidates for multivariable analysis were variables with p < 0.25 in the bivariable analysis, and p < 0.05 with a 95% confidence interval was considered to declare a statistically significant association. Results: Of the 417 study participants, 48.4% had a good HRQOL. Factors significantly associated with good HRQOL were age between 29 and 39 years [AOR = 2.54 (95% CI, 1.24 5.20)], marital status being married [AOR = 5.2 (95% CI, 1.80-14.97)], college and above education [AOR = 5.48 (95% CI, 1.41-21.33)], occupation being student [AOR = 5.47 (95% CI, 1.19-25.19)], community based health insurance utilization [AOR = 3.18 (95% CI, 1.55-6.53)], doing physical exercise [AOR = 4.25 (95% CI, 2.37-7.61)], duration of illness more than 59 months [AOR = 6.79 (95% CI, 3.28-14.05)], insulin only treatment modality [AOR = 2.46 (95% CI, 1.01-6.04)], absence of DM-related complications [AOR = 3.52 (95% CI, 1.57-7.89)]. Conclusion: Nearly half of the study participants had a good health-related quality of life. Except age, all associated factors identified in this study are modifiable if appropriate measures or strategies are provided and implemented accordingly
ESTIMATION OF GENETIC AND PHENOTYPIC PARAMETERS FOR MILK PRODUCTION AND REPRODUCTION TRAITS IN A DEVELOPING SYNTHETIC DAIRY CATTLE BREED AT HOLETA AGRICULTURAL RESEARCH CENTER, ETHIOPIA
(Hawassa University College of Agriculture, 2025) ASAMENEW AYALEW
This study was carried out to estimate genetic and phenotypic parameters for milk production and reproduction traits of synthetic dairy cattle breed development program being implemented at Holeta research center dairy farm. Data collected from 1995 through 2024 on lactation milk yield, lactation length ,daily milk yield, age at first service, age at first calving, and calving interval from experiments targeted to develop synthetic breed at Holeta Agricultural Research Center dairy herd were used for this study. The GLM procedures of SAS software were used to estimate the effect of fixed effects such as year, season and parity while regression analysis was performed to estimate crossbreeding parameters (additive, heterosis and recombination effects). Genetic components including variance covariance estimates were analyzed using WOMBAT software. A univariate mixed model for genetic Parameters and Multiple Regression Model for crossbreeding parameters was used for data analysis. The performance of dairy cattle affected by genetic and non-genetic factors. The result of fixed effects (year and genetic group) analysis showed that a significant (p<0.0001) differences in all productive and reproductive traits. Correspondingly, productive traits (LMY and DMY) and reproductive (CI) traits were also significantly (p<0.0001) influenced by parity. The traits, lactation milk yield, were sensitive to seasonal variation. The overall least squares means for lactation milk yield (LMY), daily milk yield (DMY), lactation length (LL), age at first service (AFS), age at first calving (AFC) and, calving interval(CI)were 2140.61 ± 32.92kg, 6.89 ± 0.07kg, 316.54 ± 3.31days, 33.56 ± 0.63months, 42.78 ± 0.63months and, 469.01 ± 7.03days, respectively. Additive genetic effects were much larger than for the non-significant negative value of heterosis effect of lactation milk yield (3728 ± 139.39 kg of additive and -81.65 ± 97.98 kg of heterosis).The cross breeds were -21.51± 29.19 days, -2.29 ± 3.12 months, and -2.23 ± 3.12 months, reduced for CI, AFS and, AFC due to the additive effect of Friesian gene. Estimation of heritability for productive traits (LMY, DMY and LL) were 0.180 ± 1.00, 0.235 ± 0.053 and 0.219 ± 0.077, respectively and reproductive traits (AFS, AFC, and CI) 0.0798 ±0.034, 0.080 ±0.033and 0.180 ± 0.042, in respective order. The current result indicated that repeatability values of productive traits 0.589 ± 1.00 for LMY, 0.491± 0.227 for DMY, 0.735± 0.151 for LL, and0.23±0.01 for CI. The current study indicated that the direct genetic correlation between productive traits were positive and ranged from very weak (0.141 ± 0.073) to very strong (0.854 ± 0.304) genetic correlations. From the current study high correlation was observed in between LMY and LL (0.854 ± 0.304). The current study indicated that positive genetic correlation ranged from very weak to weak genetic correlation among reproductive traits. AFS-AFC (0.228 ± 0.172), AFS-CI (0.181 ± 0.194), AFC-CI (0.063 ± 0.02).The present study indicated that the genetic correlation among productive and reproductive traits was closely related with each other in some traits. Strong genetic correlation looked between CI-LL (0.785 ± 0.074), moderate genetic correlation between CI-LMY and AFC-LL (0.428 ± 0.098, and 0.40 ± 0.107), respectively. Thus, based on the study's findings, it was feasible to draw the conclusion that proper parental line selection and crossing should be used to create next-generation calves and improve the farm's overall management system.
