Master of Public Health in Epidemiology
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Item Uncontrolled hypertension And Associated Factors Among Adult Hypertensive Patients Attending on Follow up At Public Health Facilities Hawassa City Administration Hawassa, Sidama Region Ethiopia,(hawassa universty, 2024-05) TEKETEL NEGASHBackground: Uncontrolled hypertension refers to systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg, even when patients are on anti-hypertension medication. Repeatedly unrecognized risk factor that contributes to putting many people into various complex health problems. It can lead to kidney, heart disease, brain, and other diseases, and sudden death. Objective: To assess the magnitude of uncontrolled hypertension and associated factors among adult hypertensive patients attending in follow-up at public health facilities in Hawassa city administration Methods: A cross-sectional study was carried out, from March to April 2024 including 411 hypertensive patients older than 18 years. The study was carried out at public health facilities at Adare General Hospital, Motiti Fura Primary Hospital Millennium Health Centre, Alamura Health Centre in the chronic follow up unit in the Hawassa city administration. Data were collected through patient interviews and patients’ medication record reviews. Descriptive statistics, bivariable and multivariable logistic regression were used to assess the association between independent and dependent variables. The output of the analysis is presented using adjusted odds ratio with 95% confidence interval. Result: Out of the 422 hypertension patients who were selected, the study's direct participants, 411 of whom had a 2.6% refusal rate (n = 11), The prevalence of uncontrolled hypertension was 55.7% (n = 229) 95%CI= CI = 50.8–60.6) in the study were in the age group of <60 years57.9% (n=238) After adjusting for other determinants, age, ≥60 years (AOR=3.287 95% CI: 2.043-5.288). diet-nonadherence (AOR=2.95, 95% CI: 1.592 5.475) physical activity (AOR=1.803 95% CI: 1.079-3.014).and co-morbidity (AOR = 2.737, 95% CI: 1.612-4.647) are found to be statistically significant predictors of uncontrolled hypertension Conclusions and recommendation: There were, Age, diet non adherence, nonphysical exercise adherence and co-morbidity, which are independently predicted. Advise patients to follow suggestions for lifestyle adjustments to improve hypertension self-management.Item THE LEVEL OF ROUTINE HEALTH INFORMATION SYSTEM DATA QUALITY AND ASSOCIATED FACTORS AT PUBLIC HOSPITAL IN SILTE ZONE, CENTRAL REGION, ETHIOPIA, 2023(hawassa universty, 2023-11) NIGUSSIE DUKAMOBackground: Routinely collected data of poor quality can compromise the validity of effect evaluations and lead to poor decision-making, inappropriate resource allocation, and a loss of trust in the health system. Routine health information system data are seen as poor in quality and are not used for decisions in Ethiopia, and continues to be a significant problem. Objectives: To assess the level and associated factors of routine health information system data quality; and explore the factors affecting data quality at public hospitals in Silte Zone, Central Region Ethiopia, 2023 Methods and materials: Facility based mixed method with an embedded study design was conducted. A total of four public hospitals, 32 units or departments, 605 health care workers, and 12 key informant interviews were selected. Simple random sampling and purposive sampling techniques were used for selecting study participants in quantitative and qualitative study. The data was entered into Epi-data version 4.4, open code 4.03 and exported to SPSS version 26, and descriptive statistics were used to assess the level of data quality, and Binary logistic regression and thematic analysis was run to identify factors affecting data quality. Adjusted odds ratios with 95% confidence intervals and themes or subthemes were reported. Result: The overall study conducted facility data quality level was 90.84%; completeness and consistence of data in this study were 85.5% and 85.3% respectively. Easily understandability of registration and report format [AOR 1.92; CI 1.11-3.33], receive training [AOR 1.62; CI 1.07- 2.44], getting supervision [AOR 1.66 CI 1.05-2.61], provide regular feedback [AOR 1.72 CI 1.07- 2.75], team’s work appreciated and valued by supervisors [AOR 1.61; CI 1.04-2.75] and decisions and follow up actions identified in Performance monitoring team meetings [AOR 1.73; CI 1.12- 2.67] were significantly associated with data quality ; and thematic analysis was done and categorized into four themes and twelve sub-themes. Conclusion and recommendation: The level of data quality at the public hospital in Silte Zone is almost equal to the national expected level of data quality, but completeness &consistency of the data were lower than the national expected level. For MOH and other supporting organization to fully transforming the paper based service registration to an electronic-based medical recording system in which it will reduce incompleteness and inconsistency of data and to increase data qualityItem UTILIZATION OF LONG LASTING INSECTICIDAL NETS AND ASSOCIATED FACTORS IN BORICHA AND BILATE ZURIA WOREDA, SIDAMA REGION, SOUTHERN ETHIOPIA: CROSS SECTIONAL STUDY(hawassa universty, 2023-11) MESELE ALAROBackground: Malaria is a major cause of mortality and morbidity in developing countries. Sleeping under long lasting insecticidal nets (LLIN) is the most widely adopted preventive measure against malaria. LLINs represent a cost effective means of malaria prevention for at risk populations. Even though there have been studies indicating the utilization of LLIN use in Southern Ethiopia, there is no study conducted in Sidama region, Boricha and Bilate Zuria Woredas. Objective: The objective of this study was to assess utilization and associated factors of long lasting insecticidal nets in Boricha and Bilate Zuria Woredas, Sidama, Ethiopia in 2023. Methods: A community based cross sectional study was conducted in Boricha and Bilate Zuria woredas from February to March 2023. A total of 726 households were included in the study. A multi stage sampling technique was used to obtain the intended sample size. Quantitative data were collected using a structured questionnaire using face to face interview. The collected data were entered using Epi data version 3.1, and finally analyzed using SPSS version 20. Binary logistic regressions were computed to identify associated variables with the utilization of LLIN. Variables having P value < 0.25 in bi-variable analysis were candidate for multivariable analysis. Variables with P-Value <0.05 were declared as independent predictors of LLIN utilization at alpha 5%. Results: The proportion of people utilizing LLIN was 85.5% with 95% CI of (82.5% - 88.1%). Having one LLIN (AOR= 3.55; 95% CI of (1.92, 6.57) compared to two and more LLIN and family size of less than 5 persons (AOR= 0.60; 95% CI 0.37, 0.96) compared to 5 and more persons were independently associated with LLIN utilization. Conclusions: Percentage of long-lasting insecticide-treated nets (LLINs) that were used by anyone the night before the study was high compared to the national 62.3% according to malaria indicator survey of 2015. It was significantly associated with number of LLIN and family size.