Objective The aim of this study was to assess reproductive health service utilization and its associated factors among secondary school students in Woreta town, South Gondar, North east Ethiopia 2018. Result Out of the total 376 selected students, 345 were participated in the study with a response rate of 94%. Of these respondents, 85 (24.6%) of them utilized at least one reproductive health services in the past 1 year. Voluntary testing and counseling for HIV/AIDS and Family planning services were utilized by 47 (55.3%) and 43 (50.6%) of youths respectively. Being grade 11–12 (AOR = 5.299, 95% CI 2.019, 13.912, P = 0.001) and closeness of the service facility to their home (AOR = 2.76, 95% CI 1.168, 6.525, P = 0.021) were significantly associated with students’ reproductive health service utilization. This low service utilization might make students prone for different reproductive health risks; which in turn can increase school dropout rate, and has impact on individual’s future life as well as the country’s youth health policy from meeting its goal. Therefore, it needs a great effort and attention of all the concerned bodies including parents, school staffs, and health professionals to improve the service utilization in schools.
Introduction Patient safety is an issue of global concern; however, health-care organizations have lately observed to pay more attention to the importance of establishing a culture of safety. The study aimed to assess the level of patient safety culture and associated factors among health-care providers at the University of Gondar comprehensive specialized hospital, Northwest Ethiopia, 2020. Methods A cross-sectional study design supported by the qualitative approach was conducted from March 15 to May 15/2020. A stratified simple sampling technique was used to select 575 study participants. The standardized tool, which measures 12 safety culture dimensions, was used for data collection. Bivariate and multivariable linear regression analyses performed using SPSS version 23. The significance level was obtained at 95% CI and p-value <0.05. For the qualitative part, a semi-structured interview guide with probing was used. Data were analyzed thematically using open code software version 4.02. Results The overall level of positive patient safety culture was 45.3% (95% CI: 44.7, 45.9) with a response rate of 92.2%. Factor analysis indicated that female, masters, participation in patient safety program, adverse event report, hospital management encourage reporting event and resource were positively associated with the patient safety culture. Whereas divorced/widowed, midwives, anesthetist, medicine, pediatrics, emergency, outpatient, pharmacy, direct contact with patients, and hospital management blame when medical errors happened were negatively associated. The in-depth interview revealed that teamwork, health-care professionals’ attitude toward patient safety and patient involvement as important factors that influence patient safety culture. Conclusions and Recommendations The overall level of positive patient safety culture was low. All variables except age, training, working hour, and working experience were factors significantly associated with the patient safety culture. Health-care policy-makers and managers should consider patient safety culture a top priority, and also create a blame-free environment that promotes event reporting.
Risky sexual behavior is defined as behaviors leading to sexually transmitted diseases and unintended pregnancies. According to the Joint United Nations Program on HIV/AIDS, HIV infection was very high among adolescents and youths living in sub-Saharan Africa including Ethiopia. This study was aimed to assess the prevalence of risky sexual behavior and associated factors among undergraduate students at the University of Gondar An institution-based cross-sectional study was conducted from June to July 2019 and a simple random sampling technique was employed to select 420 students. Data were collected using a structured self-administered questionnaire, entered into Epi-info version 7.0 and exported to SPSS version 25 for analysis, and presented in frequencies, percentages, and tables. Bivariable and Multivariable logistic regression analysis was carried out to identify variables having significant association with risky sexual behavior.The prevalence of risky sexual behavior among undergraduate students at the University of Gondar was 44.0%.
Background Cancellation of elective surgical operation recognized as a major cause of emotional trauma to patients as well as their families. In Ethiopia, prevalence and root causes for elective surgical case cancellation varies from time to time in different settings. This systematic review and meta-analysis aimed to find the pooled prevalence and root causes for elective surgical case cancellation in Ethiopia. Methods The databases for the search were Web of Science, PubMed, and Google Scholar. The last literature search was performed on February 8, 2020. To assess publication bias Egger’s regression analysis was applied. The pooled estimation was estimated using random-effects model meta-analysis. Subgroup analysis was also done based on the root causes of surgical case cancellation. Results This meta-analysis included a total of 5 studies with 5591 study participants. The pooled prevalence of elective surgical case cancellation was 21.41% (95% CI: 12.75 to 30.06%). Administration-related reason (34.50%) was the most common identified root cause, followed by surgeon (25.29%), medical (13.90%), and patient-related reasons (13.34%). Conclusion The prevalence of elective surgical case cancellation was considerable. The most common root cause for elective surgical case cancellation was administration-related reasons, followed by the surgeon, medical and patient-related reasons. The causes for the surgical cancellations are potentially preventable. Thus, efforts should be made to prevent unnecessary cancellations through careful planning.
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