Thesis and Dissertation

Assessment of quality of life and associated factors research project among diabetic cases in Felege Hiwot Referral Hospital, North west Ethiopia

2025-07-08T06:35:49Z

Assessment of quality of life and associated factors research project among diabetic cases in Felege Hiwot Referral Hospital, North west Ethiopia Belay, Kefale There has been an increasing interest in health-related quality of life. Because diabetic and its complications are responsible for reducing quality of life of individuals in recent years. Quality of life is varied among individuals with respect to individual's perception, socio demographic and cultural and medical factors. Quality of life is not known in the study area so it is important to assess the magnitude of diabetic related quality of life among individuals in order to improve their treatment outcomes.

Food handling practice and factors associated with food handling practice among food handlers in food and drinking establishments in Bahir Dar city, North West Ethiopia, 2015

2025-07-08T06:36:20Z

Food handling practice and factors associated with food handling practice among food handlers in food and drinking establishments in Bahir Dar city, North West Ethiopia, 2015 Getaneh, Bayleyegn Food is one of the essential needs for survival and well being of human being. As food is essential for our life, it is also dangerous and cause diseases if not processed and maintained in sanitary and safe conditions. In Africa poverty is the underlying cause of consumption of unsafe food. It is also common in Ethiopia because of the prevailing poor food handling and sanitation practices.

Determinants of corrective upper eye lid surgery refusals among trachomatous trichiasis patients in Mecha woreda, west Gojjam zone, Ethiopia

2025-07-08T06:36:31Z

Determinants of corrective upper eye lid surgery refusals among trachomatous trichiasis patients in Mecha woreda, west Gojjam zone, Ethiopia Kiitu, Melese Background: Repeated infection with Chlamydia trachomatis causes Trachomatous trichiasis. Surgery is the preferred method of treatment of Trachomatous trichiasis. Surgery for Trachomatous trichiasis prevents blindness. However people still decline surgery despite the availability of services in nearby health facilities. Objective: - To identify determinants of corrective upper eye lid surgery refusals among Trachomatous trichiasis patients in Mecha woreda, Ethiopia, 2018. Methods: A community based unmatched case control study design was conducted in Mecha woreda from October 5 to December 17, 2018. A total of 676 study participants with 338 controls and 338 cases were involved in this study. Study participants were selected randomly by lottery method. To collect data, pre-tested structured interviewer-administered questionnaire was used. Independent factors, with a P-value < 0.2 in the bivariate logistic regression was entered into the multivariable logistic regression models. P-value < 0.05 was used as cut-off point for a variable to become significant predictor in multivariable logistic regression. Results: Observed bad outcome (AOR: 3.51, 95% CI: 1.94-6.35) and lack of knowledge on trichiasis outcome if untreated (AOR: 1.77, 95% CI: 1.18-2.65) increases refusing to surgery while, having trust to surgeons (AOR: 0.26, 95% CI: 0.15-0.45), knowledge on eye lid surgery (AOR: 0.32, 95% CI: 0.16-0.64), long duration with trichiasis (AOR: 0.5, 95% CI: 0.15-0.45), family member decision maker for own health conditions (AOR: 0.29, 95% CI: 0.13-0.64), epilation more than once per week (AOR: 0.31, 95% CI: 0.17-0.6) and epilation once per week to once per month (AOR: 0.49, 95% CI:0.27-0.86), personal advice from friends, health development army and government body (AOR: 0.26, 95% CI: 0.14-0.5), (AOR: 0.11, 95% CI: 0.04-0.28) and (AOR: 0.46, 95% CI: 0.3-0.7) respectively decreases refuse to surgery. Conclusions:-Long duration with Trachomatous trichiasis, frequently epilation, Knowledge on eye lid surgery, having trust to surgeons, deciding by family member for own health, other person advice decreases refusing to surgery. In the other way Observed bad outcome and lack knowledge on Trichiasis outcome if untreated increases refusing to surgery. Key words:-Trachomatous trichiasis, Corrective upper eye lid surgery refusal, Trachomatous trichiasis treatment, Trachoma, Determinants, Ethiopia.

Magnitude of turnover intention and associated factors among health professionals in South Gondar zone public health centers, North west Ethiopia

2025-07-08T06:36:46Z

Magnitude of turnover intention and associated factors among health professionals in South Gondar zone public health centers, North west Ethiopia Kassaye, Berihan Background: turnover intention has been defined as the individual's own estimated probability of permanently leaving the organization at some point in the near future. Actual Turnover is expected to increase as the intention increases. Employee turnover is a cause of concern for health care organizations as it bears implications on the quality of service provided to patients, increased costs in selection and recruitment, orientation and training. Objective: The aim of this study is to determine the magnitude and associated factors of turnover intention among health professionals in south Gondar zone public health centers, North West Ethiopia. Methods: An institution based cross sectional study was carried out from February-April 2017, using structured pre tested self-administered questionnaire. multistage sampling technique was used to select the study participants from six randomly selected districts among the 12 districts in the zone. Descriptive statistics were conducted to summarize the sample characteristics. logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors. Results: A total of 755 respondents were involved with a response rate of 93.3%. Among them, 416 (55.1%) respondents had intention to leave the organization. The results showed that being unmarried [AOR=0.634(95% CI: 0.425-0.947)], having dependent family members [AOR=1.682(95% CI:1.114-2.539)], unsatisfied with professional opportunity [AOR= 2.260(95% CI:1.548-3.300], pay and benefits [AOR=2.085 (95% CI: 1.445-3.010)] low continuance commitment [AOR= 1.965(95% CI:1.196-3.228)] and low normative commitment [AOR= 1.882(95% CI:1.280-2.593)] were significantly associated with health professionals‚Äô intention to leave the health center. Conclusion: The overall intention to leave among health professionals in South Gondar zone was high (55.1%). Individual factors, job satisfaction level and organizational commitment had statistically significant association with intention to leave. Thus, responsible bodies should strictly work on the concerns identified like, improvements in promotion in terms of training/educational opportunity and transfer of health professionals comparable to their contribution. Key words: turn over intention, health professionals, South Gondar zone.