College of Medicine and Health Science
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Item 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.Item 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 HANCHISOBackground; 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.Item PATTERN OF INJURY, OUTCOME AND ASSOCIATED FACTORS AMONG PATIENTS VISITING THE EMERGENCY DEPARTMENT IN SIDAMA REGIONAL GENERAL HOSPITALS, ETHIOPIA; 2023.(hawassa universty, 2023-11) DREREJE BUCHEBackground: Injury has a significant impact on societal health and well-being, taking the lives of more than 15,000 people daily and more than 4.4 million people annually. Low- and middle income countries have a disproportionately high injury burden, account for almost 90% of injury-related fatalities. Despite government health agencies and hospitals should have a detailed picture of injuries, little is known about injury statistics and outcomes in this region and across the country. Objectives: To assess pattern of injury, outcome, and associated factors of injury outcome Among patients visited selected general hospitals in Sidama regional state, Ethiopia, 2023. Methodology: An institutional-based cross-sectional study was conducted on Sidama Regional General Hospitals from March 10 to June 10, 2023, after three general hospitals were selected by the lottery method out of five general hospitals. The sample size was calculated by using the single population formula, and it became 342. Data was collected using a structured questionnaire adopted from WHO trauma surveillance, and ethical clearance was obtained from Hawassa University's ethical review board. Data was entered into EpiData version 4.1 and analyzed through SPSS version 27. Result: A total of 342 injured patients participated in this study, and unintentional injuries accounted for 225 (65.2%) of the total injuries, and the age group 24-44 years was the most commonly affected, with 137 (40.1%). 35.6% of injury cases were due to road traffic injuries, and 27.19% of the cases were due to interpersonal violence. Out of the total participants, 96.2% were discharged alive, and 3.8% died. The glaucoma scale, severity of injury , time between injury and care, head injury, triage scale, and operated on have associations with mortality. Conclusion and recommendation: Male patients and those aged 25–44 had a higher proportion of injury victims. The primary cause of injury was RTA, followed by interpersonal violence and fall injuries. The glaucoma scale, severity of injury, triage scale, head injury, and those patients who operated were more associated with mortality. More efforts are needed to raise awareness of RTA, improve road safety, and impose severe regulations on pedestrians and drivers.Item DETERMINANTS OF SEVERE ACUTE MALNUTRITION AMONG CHILDREN 6-23 MONTHS OF AGE IN DARA WOREDA PUBLIC HEALTH FACILITIES, SIDAMA REGION, ETHIOPIA: - A CASE CONTROL STUDY(Hawassa University, 2024-04) MEKDES SEIFUBACKGROUND Severe acute malnutrition remains a major killer of children under five years of age, especially in developing world, including Ethiopia. Identification of the determinants of severe acute malnutrition under the age of two years can significantly reduce the burden of child morbidity and mortality. OBJECTIVE: To assess determinants of severe acute malnutrition among 6-23-month children METHODS: A facility-based unmatched case-control study was conducted on children aged 6 23 months (213 cases and 213 controls) from four health centers in Dara woreda from February 1 to May 1, 2024. Children aged 6–23 months with severe acute malnutrition were cases and those visiting health centers outpatient service without diagnosis of severe acute malnutrition were controls. The study participants were selected using consecutive sampling technique. Data were collected by the Kobo toolbox and were exported to the Statistical Package for Social Sciences computer software program version 25 for analysis. Descriptive statistics and binary logistic regression were done and variables with p-value less than 0.25 were eligible for the final model. A multivariable logistic regression was also performed and statistically significant level was declared at a p-value < 0.05. The odds ratio at 95% CI was used to measure the strength of association between outcome and predictor variables. The result was presented with different texts, graphs, and tables. Result: - The factors associated with severe acute malnutrition were perceived birth weight [AOR= 0.09, 95% CI=0.03-0.29], getting nutritional information [AOR=17.12; 95% CI: 6.18 47.37], introduction of complementary feeding after six months [AOR= 0.40; 95% CI: 0.18 0.89] and dietary diversity score < 5 groups [AOR= 4.62; 95% CI= 2.30-9.47] were significant. Conclusion: In this study, perceived birth weight, nutritional information, initiation of complementary feeding and dietary diversity were significantly associated with severe acute malnutrition. Thus, emphasis should be given to improving infant and young child feeding practices, especially timely initiation of complementary feeding and dietary diversity.