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dc.contributor.author	Habtegiorgis, Yohannes
dc.contributor.author	etal
dc.date.accessioned	2025-02-12T08:57:53Z
dc.date.available	2025-02-12T08:57:53Z
dc.date.issued	2025-02-12
dc.identifier.uri	http://hdl.handle.net/123456789/8622
dc.description.abstract	Clinical Governance and Quality Improvement Unit, Aleta Wondo Primary Hospital, Aleta Wondo, Sidama Regional State, Ethiopia, 2 Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia, 3 Department of Biostatistics and Epidemiology, University of California, San Francisco, San Francisco, CA, United States of America, 4 Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia, 5 Department of Epidemiology and Biostatistics, School of public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia, 6 Department of Statistics, College of Natural Sciences, Wollo University, Dessie, Ethiopia, 7 Aleta Wondo Primary Hospital, Aleta Wondo, Sidama Regional State,	en_US
dc.description.sponsorship	uog	en_US
dc.language.iso	en	en_US
dc.subject	Clinical Governance and Quality Improvement Unit, Aleta Wondo Primary Hospital, Aleta Wondo, Sidama Regional State, Ethiopia, 2 Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia, 3 Department of Biostatistics and Epidemiology, University of California, San Francisco, San Francisco, CA, United States of America, 4 Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia, 5 Department of Epidemiology and Biostatistics, School of public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia, 6 Department of Statistics, College of Natural Sciences, Wollo University, Dessie, Ethiopia, 7 Aleta Wondo Primary Hospital, Aleta Wondo, Sidama Regional State,	en_US
dc.title	Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research	en_US
dc.type	Article	en_US

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Community Level of COVID-19 Information Exposure and Influencing Factors in Northwest Ethiopia This article was published in the following Dove Press journal: Risk Management and Healthcare Policy Animut Tagele Tamiru, 1 Bayew Kelkay Rade, 1 Eden Bishaw Taye,2 Zelalem Nigussie Azene, 3 Mehari Woldemariam Merid,4 Atalay Goshu Muluneh,4 Getahun Molla Kassa, 4 Melaku Kindie Yenit, 4 Asefa Adimasu Taddese,4 Kassahum Alemu Gelaye, 4 Demiss Mulatu Geberu,5 Sewbesew Yitayih Tilahun,6 Habtamu Sewunet Mekonnen, 7 Abere Woretaw Azagew, 7 Chalachew Adugna Webneh,8 Getaneh Mulualem Belay,8 Nega Tezera Assimamaw, 8 Chilot Desta Agegnehu, 9 Telake Azale,10 Zewudu Andualem, 11 Henok Dagne, 11 Kiros Terefe Gashaye,12 Gebisa Guyasa Kabito,11 Tesfaye Hambisa Mekonnen, 11 Sintayehu Daba, 11 Jember Azanaw,11 Tsegaye Adane, 11 Mekuriaw Alemayehu11 1 Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3 Department of Women’s and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 4Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 5Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 6Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 7Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 8 Department of Pediatric and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 9School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 10Department of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 11Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 12Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Background: Coronavirus disease 2019 (COVID-19) is an emerging respiratory infection, and the crisis has become a worldwide issue, and society has become concerned in various aspects. Good information exposure related to transmission, prevention, and risk factors of COVID-19 can be the best means to reduce the risk of disease exposure and mitigate further spread. The countries that have well practiced this strategy (society information exposure) were controlling disease progression, but there is a low practice in sub-Saharan countries, including Ethiopia. Therefore, this study aimed to evaluate the information exposure level about COVID-19 and influencing factors among northwest community of Ethiopia. Methods and Materials: Community-based cross-sectional study design was employed among the community of Gondar city from April 20 to 27, 2020. A total of 623 study participants were involved in this interview, and a systematic sampling technique was applied to select the households. Data were entered into EpiData version 4.6 and then exported to STATA version 14 for analysis. A multivariable binary logistic regression was employed to identify factors associated with good information exposure about COVID-19. The adjusted odds ratio (AOR) with 95% confidence interval (CI) was estimated to show the strength of association. A p-value <0.05 was a cut-off point to declare statistical significance. Results: The overall rate of information exposure about COVID-19 was 44.9%. Age 18–26 years [AOR=0.53; 95% CI (0.28–0.99)] and 34–45 years [AOR=0.44; 95% CI (0.24–0.80)], elementary school [AOR=2.48; 95% CI (1.20–5.15)], secondary school [AOR=3.98; 95% CI (1.99–7.99)], college and above [AOR=8.38; 95% CI (4.10–17.26)], browsed or follow social media [AOR=2.21; 95% CI (1.44–3.38)] and those having a discussion with their family members [AOR=2.37; 95% CI (1.44–3.90)] and friends [AOR=2.15; 95% CI (1.38–3.34)] were the factors significantly associated with good information exposure towards COVID-19. Conclusion: Communities total level of good information exposure from different information platforms about COVID-19 in this study area remains low. Age, high level of education, browsing social media, and those having interpersonal (family and friends) discussion were the factors that significantly influence communities who have good information exposure related to COVID-19. Therefore, efforts on community mobilization through regional/ national mass media and other information conveying platforms are recommended. Keywords: COVID-19, information exposure, Northwest Ethiopia Introduction Coronavirus disease 2019 (COVID-19) is an emerging respiratory infection caused by a novel coronavirus called Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). As of October 25, 2020, globally, more than 1,153,861 people have Correspondence: Bayew Kelkay Rade Email bayekelkay@yahoo.com submit your manuscript | www.dovepress.com Risk Management and Healthcare Policy 2020:13 2635–2644 2635 http://doi.org/10.2147/RMHP.S280346 DovePress © 2020 Tamiru et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Risk Management and Healthcare Policy Dovepress open access to scientific and medical research Open Access Full Text Article Risk Management and Healthcare Policy downloaded from https://www.dovepress.com/ by 213.55.72.171 on 2

Tagele Tamiru, Animut; Kelkay Rade, Bayew; etal (dovepers, 2021-07-13)

Background: Coronavirus disease 2019 (COVID-19) is an emerging respiratory infection, and the crisis has become a worldwide issue, and society has become concerned in various aspects. Good information exposure related ...
Point prevalence of hospital-acquired infections in two teaching hospitals of amhara region in ethiopia Walelegn Worku Yallew1 abera Kumie 2 Feleke Moges Yehuala 3 1 institute of Public Health, college of Medicine and Health Sciences, University of gondar, gondar, 2 School of Public Health, college of Health Sciences, addis ababa University, addis ababa, 3 Department of Medical Microbiology, college of Medicine and Health Sciences, University of gondar,gondar, ethiopia Purpose: Hospital-acquired infection (HAI) is a major safety issue affecting the quality of care of hundreds of millions of patients every year, in both developed and developing countries, including Ethiopia. In Ethiopia, there is no comprehensive research that presents the whole picture of HAIs in hospitals. The objective of this study was to examine the nature and extent of HAIs in Ethiopia. Methods: A repeated cross-sectional study was conducted in two teaching hospitals. All eligible inpatients admitted for at least 48 hours on the day of the survey were included. The survey was conducted in dry and wet seasons of Ethiopia, that is, in March to April and July 2015. Physicians and nurses collected the data according to the Centers for Disease Control and Prevention definition of HAIs. Coded and cleaned data were transferred to SPSS 21 and STATA 13 for analysis. Univariate and multivariable logistic regression analyses were used to examine the prevalence of HAIs and relationship between explanatory and outcome variables. Results: A total of 908 patients were included in this survey, the median age of the patients was 27 years (interquartile range: 16–40 years). A total of 650 (71.6%) patients received antimicrobials during the survey. There were 135 patients with HAI, with a mean prevalence of 14.9% (95% confidence interval 12.7–17.1). Culture results showed that Klebsiellaspp. (22.44%) and Staphylococcus aureus(20.4%) were the most commonly isolated HAI-causing pathogens in these hospitals. The association of patient age and hospital type with the occurrence of HAI was statistically significant. Conclusion: It was observed that the prevalence of HAI was high in the teaching hospitals. Surgical site infections and pneumonia were the most common types of HAIs. Hospital management should give more attention to promoting infection prevention practice for better control of HAIs in teaching hospitals. Keywords:hospital-acquired infection, surgical site infections, Ethiopia, point prevalence Introduction Hospital-acquired infections (HAIs) are a major public health concern throughout the world, contributing to increased morbidity, mortality, and cost.1 HAI is a major safety issue affecting the quality of care of hundreds of millions of patients every year in both developed and developing countries. 2 In developing countries, the problem is three times higher when compared to the incidence observed in adult intensive care units in the US. 3 According to the World Health Organization review, hospital-wide prevalence of health care-associated infections varies from 5.7% to 19.1%, with a pooled prevalence of 10.1% in low-income countries. 4 correspondence: Walelegn Worku Yallew institute of Public Health, college of Medicine and Health Sciences, University of gondar, PO Box 196, gondar, ethiopia Tel +251 911 969 579 Fax +251 581 110 6221 email walelegnw@gmail.com Video abstract Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: http://youtu.be/c5f8yjSzM9A Drug, Healthcare and Patient Safety downloaded from https://www.dovepress.com/ by 213.55.72.171 on

Worku, Walelegn; abera, Yallew1; Feleke, Kumie 2; Yehuala 3, Moges (2016-08-23)
Incidence and predictors of mortality among children admitted to the pediatric intensive care unit at the University of Gondar comprehensive specialised hospital, northwest Ethiopia: a prospective observational cohort study Nahom Worku Teshager,1 Ashenafi Tazebew Amare,1 Koku Sisay Tamirat 2 To cite: Teshager NW, Amare AT, Tamirat KS. Incidence and predictors of mortality among children admitted to the pediatric intensive care unit at the University of Gondar comprehensive specialised hospital, northwest Ethiopia: a prospective observational cohort study. BMJ Open 2020;10:e036746. doi:10.1136/ bmjopen-2019-036746 ► Prepublication history for this paper is available online. To view these files, please visit the journal online (http://dx.doi. org/10.1136/bmjopen-2019- 036746). Received 03 January 2020 Revised 10 August 2020 Accepted 21 September 2020 1Department of Pediatrics and Child Health, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia 2Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Correspondence to Koku Sisay Tamirat; kokusisay23@gmail.com Original research © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ABSTRACT Objective To determine the incidence and predictors of mortality among children admitted to the paediatric intensive care unit (PICU) at the University of Gondar comprehensive specialised hospital, northwest Ethiopia. Design A single-centre prospective observational cohort study. Participants A total of 313 children admitted to the ICU of the University of Gondar comprehensive specialised hospital during a one-and-a-half-year period. Measurements Data were collected using standard case record form, physical examination and patient document review. Clinical characteristics such as systolic blood pressure, pupillary light reflex, oxygen saturation and need for mechanical ventilation (MV) were assessed and documented within the first hour of admission and entered into an electronic application to calculate the modified Pediatric Index of Mortality 2 (PIM 2) Score. We fitted the Cox proportional hazards model to identify predictors of mortality. Result The median age at admission was 48 months with IQR: 12–122, 28.1% were infants and adolescents accounted for 21.4%. Of the total patients studied, 59.7% were males. The median observation time was 3 days with (IQR: 1–6). One hundred and two (32.6%) children died during the follow-up time, and the incidence of mortality was 6.9 deaths per 100 person-day observation. Weekend admission (adjusted HR (AHR)=1.63, 95% CI: 1.02 to 2.62), critical illness diagnoses (AHR=1.79, 95% CI: 1.13 to 2.85), need for MV (AHR=2.36, 95% CI: 1.39 to 4.01) and modified PIM 2 Score (AHR=1.53, 95% CI: 1.36 to 1.72) were the predictors of mortality. Conclusion The rate of mortality in the PICU was high, admission over weekends, need for MV, critical illness diagnoses and higher PIM 2 scores were significant and independent predictors of mortality. INTRODUCTION Though paediatric intensive care units (PICUs) are essential areas of service to save the lives of children with acute neurological deterioration, respiratory distress, cardiovascular compromise, severe infections, accidental poisoning and other life-threatening conditions; organisational details of paediatric ICUs in low-income settings are lacking.1 2 Published data on paediatric critical care in low-income countries remain sparse, making practice modification and outcome improvement difficult. Also, most studies done on predictors of mortality in the PICUs are from high-income countries and are dependent on clinical and laboratory indices, which are not readily available in low-income countries.3 The few studies that considered epidemiologic and sociodemographic factors were retrospective and cross-sectional, and most did not consider essential parameters.4 Determining the risk factors of mortality among children admitted to the paediatric intensive care will be crucial to prioritise and tunnel resources to the most fruitful practice based on the prediction of patient outcomes, especially in resource-limited setups such as ours. This study aimed to determine the incidence and predictors of mortality among Strength and limitation of this study ► This study was a prospective cohort study and had used better statistical functions (survival analysis) for better estimation and prediction of mortality. ► This study could help clinicians and healthcare planners practice evidence-based medicine in a resource-limited setting such as ours. ► The Pediatric Index of Mortality 2 scoring was done based on 9 out of 11 parameters as there was no arterial blood gas analyser in our set-up during the study period that might result in misclassification. BMJ Open: first published as 10.1136/

Worku, Nahom; Tazebew, Ashenafi; Sisay, Koku (bmj open, 2021-01-13)

Objective To determine the incidence and predictors of mortality among children admitted to the paediatric intensive care unit (PICU) at the University of Gondar comprehensive specialised hospital, northwest Ethiopia. Design ...

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