Clinical Medicine Research

ISSN Online: 2326-9057 ISSN Print: 2326-9049

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Volume 6, Issue 1, January 2017

  • Authors: Foluke Atinuke Fasola, Patricia Adedoyin Fadimu, Victoria Oluwabunmi Akpan

    Abstract: Africa has the highest prevalence of transfusion transmitted infections. The World Health Organization recommends universal and quality-controlled screening of blood donations for the major transfusion-transmissible infections (TTIs): human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis. Therefore a retrospective study was conducted to assess the effect of strategies in our blood bank to improve blood safety on the seroprevalence of HIV, HCV, HBV and syphilis infections among the donors over a seven year period. Existing data in the blood bank was used to determine number of the blood donors who were infected with HIV, HCV, HBV and syphilis. The test methods used to screen the donors were identified. The trend of prevalence of the transfusion transmitted infections among the blood donors from 2009 to 2015 was also determine. A total of 41,445 blood donors were screened. Voluntary blood donors constituted 11.1% of the donor population. The overall seroprevalence rate for the TTI was 12.3%. The prevalence was highest for HBV (8.5%) followed by HIV (1.8%), HCV (1.4%) and least for syphilis (0.5%) respectively. The infections showed significant inter-year variation (p<.001). A decreasing trend was observed for HBV among the blood donors while increase in prevalence of HIV, HCV and syphilis was observed from 2012 to 2014 and decreased in 2015. The prevalence of syphilis has risen from 0% in 2009 to 0.9% in 2015. The seroprevalence for TTI is high but is less compared to report from a previous study in same blood bank. The increasing infection rate for syphilis and sporadic surges in rates for HIV, HCV may suggest that the selection criteria is not effectively eliminating blood donors with risky lifestyle. There is need to educate the blood donors on avoiding risky lifestyle while also intensifying voluntary blood donor motivation strategy and increase community surveillance of the infections.

    Received: Jan. 5, 2017 Accepted: Jan. 19, 2017 Published: Feb. 23, 2017

    DOI: 10.11648/j.cmr.20170601.11 View: Downloads:

  • Authors: Nafkot Berhanu, Berhane Megerssa Ereso, Gebeyehu Tsega Nebeb

    Abstract: Since the level of job motivation and associated factors among health care professionals in public health institutions in Gedeo Zone is not yet studied the objective of this study is to assess Level of job motivation and associated factors among health care professionals in public health institutions of the Zone. A cross-sectional study design was conducted in 36 health center of Gedeo zone, during February 20 to May 10, 2015. The data were analyzed using SPSS. Factor score was computed for the items identified to represent the level of job motivation. Using this regression factor score, multivariate linear regression analysis was performed. More than three quarter 77.4% (226) of the respondents were discourage from working hard for different reasons. only 57 (19.5%) of Health care professionals working in public health centers were highly motivated, only 6.2% (18) of them are rewarded for their hard working. Sex, communication, resource availability, inadequate salary, feedback, training, working environment, workload and recognition were negative determinates of job motivation. The motivation of Health professional in Gedo zone is low. Since half of the professionals were demotivated, healthcare organizations should maximize its effort to practice incentive schemes.

    Received: Jan. 19, 2017 Accepted: Jan. 31, 2017 Published: Feb. 27, 2017

    DOI: 10.11648/j.cmr.20170601.12 View: Downloads:

  • Authors: Biniyam Haile Tadesse, Negalign Birhanu Bayou, Gebeyehu Tsega Nebeb

    Abstract: Assessment of client satisfaction has become an administrative and a practical reality; it is important measure of the quality of services. Satisfaction studies provide feedback on how well the service is functioning according to clients’ perception and what changes might be required to meet clients’ expectation. Satisfaction affects service utilization; satisfied mothers will have optimum utilization of delivery service. This study assessed satisfaction with institutional delivery service and factors affecting their satisfaction, among mothers who gave birth in public health centers of Omo Nada district, south west Ethiopia. A facility based cross-sectional study was conducted on 391mothers who gave birth in selected public health centers of Omo Nada district, south west of Addis Ababa. The total sample was allocated to four health centers, based on expected pregnancy in their catchment area. Sample mothers were selected using systematic random sampling, list of mothers registered on delivery registration books of each health center were used as a sampling frame. Pre-tested structured questionnaire was used, 5 data collectors with diploma were recruited. Collected data were entered in to EPIDATA 3.0, and exported to SPSS version 16. Bivariate and multivariate logistic regression analyses were conducted. The overall satisfaction with institutional delivery service was 255(65.2%). Major satisfaction was recorded with supportiveness of the provider and cleanliness of delivery room. According to multivariate logistic regression analysis result, mothers who had ANC follow up had two fold increased satisfaction, [AOR= 2.05, 95% CI 1.33, 4.75]. Those who planned their pregnancy were 2.85 times more likely satisfied than those did not, [AOR=2.85 with 95%CI 1.56, 5.21]. This study showed ANC attendance, utilization of maternity waiting home (MWH) service, planned status of the pregnancy, distance and cleanliness of the toilet during delivery service were significant predicators of mothers’ satisfaction with the service. Utilization of MWH and ANC attendance during pregnancy significantly increases mothers’ satisfaction with institutional delivery service. On the other hand, mothers with unplanned pregnancy showed decreased satisfaction.

    Received: Jan. 19, 2017 Accepted: Jan. 31, 2017 Published: Mar. 2, 2017

    DOI: 10.11648/j.cmr.20170601.13 View: Downloads:

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