Master of Public Health in Epidemiology

Permanent URI for this collectionhttps://etd.hu.edu.et/handle/123456789/28

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    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 ALARO
    Background: 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.
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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.