Research
Assessment of Self Care Management and its Associated Factors among Type 2 Diabetes Patients in Mekelle Hospital and Ayder Referral Hospitals, Mekelle City, Tigray, Northern Ethiopia, 2012/13.
Background: Diabetes is a group of metabolic disorders that affect the body’s ability to process and use sugar (glucose) for energy. The success of long-term maintenance therapy for diabetes depends largely on the patients’ adherence with self-care practices. Objective: Was to assess self-management and its associated factors among type 2 diabetes patients in Mekelle hospital and Ayder referral hospitals, Mekelle City, Tigray, Northern Ethiopia, 2012/13. Method: The research design was institutional based cross sectional method and 343 study subjects were selected using systematic random sampling technique and the data was collected using interviewer administered structured questionnaire, data was analyzed and cleaned using SPSS version 16. Frequencies and proportions were computed. Bivariate and Multivariate logistic regression was computed to assess statistical association between the outcome variable and selected independent variables and significance of statistical association was assured or tested using 95%CI and P-value (<0.05). Result: A total of 310 male and female adult type 2 diabetes patients were interviewed using standardized structured questionnaire and the response rate was 96.8 %. Of all respondents 57.7% were Male. The majority of the respondents 69% were in the age group of 40 to 69 years. Mean age of patients was 50.02±12.01 years. The mean age in which diabetic disease occurred was 44.53+11.07 years. The mean duration of diabetes was 5.63+ 7.6 years. More than half respondents 58.7% had multiple injection treatment (two injections per day). Of all respondents only 12.7% had long term diabetic complication confirmed medically. The majority 86.0% of the study participants were not adhered to Self-Monitoring of Blood Glucose. Those who have glucometer at home were eleven times less risk not to be adhered to the practice when compared with those who didn't have [P<0.001, AOR (95% CI) = 10.722 (4.095-28.075)] and those who are with monthly income
Assessment of Health Care Providers Attitude and Associated Factors to Wards Safe Abortion at Public Hospitals, in Mekelle City, Tigray, Ethiopia; A Cross Sectional Study
Background: Unwanted pregnancies and unsafe abortions are serious public health problems in the developing world, including Ethiopia. Until recently, safe abortion services were not available in Ethiopia, and little is known about the health providers’ attitude who is currently working in the abortion service provision. Assessing health care providers’ attitude and factors affecting their attitude towards safe abortion will help to focus on their solutions and facilitate of future safe abortion services. Objective: Was To assess health providers’ attitude and associated factors towards safe abortion service at Public Hospitals in Mekelle City, Tigray, Ethiopia. Methods: Institution based cross sectional study design was conducted using a quantitative method in Public hospitals, at Mekelle City, Tigray, Ethiopia. A self administered questionnnaire was used to collect the data. Pre-test was done for assuring Data quality. Data collectors were 5 nurses. The study population included: health officers, nurses, midwives, general practitioners, Obstetrician and Gynecologists. A probability proportional to size allocation was done. Systematic random sampling was employed to select the intended study subjects. Sample size was 243. Bivariate and multivariate logistic regression analysis was run to interpret and identify factors associated with attitude. OR, 95% confidence interval and p- value was calculated. Data entry, cleaning and analyzing was done by using SPSS version16 statistical software. Result: A total of 230 health providers’ had participated with a response rate of 94%. The odds of favorable attitude among the respondents who had good knowledge on abortion were 6.87 times the odds of the respondents who had poor knowledge on abortion [AOR=6.87, 95% CI (1.2, 39.90]. Similarly the odds of favorable attitude among the respondents who didn’t agree on the current Ethiopian law on abortion due to religious reason were 92% lower than the odds of the respondent
