https://repository.ju.edu.et//handle/123456789/178 2026-04-20T12:57:57Z https://repository.ju.edu.et//handle/123456789/10136 Readiness to use the Electronic Medical Record System and Associated Factors among health professional at Jimma University Medical Center in Jimma Town, Southwest Ethiopia, 2024 Ermiyas Abraham Daka; Gelila Abraham; Temesgen Kabeta Background: - Globally, electronic information and communication technology has been applied and much expanded in the healthcare industry. However, in developing countries including Ethiopia, Electronic Medical Record (EMR) system adoption and utilization for medical practice are still inconsistent and healthcare institutions that started utilization currently face different problems to sustain. A readiness of healthcare workers to use is mandatory to expand digital health service delivery. Objective: - To assess readiness to use the electronic medical record system and associated factors among health professional at Jimma university medical center in Jimma town, Southwest Ethiopia, 2024. Methods: - An institution-based cross-sectional study was conducted from May 10 up to Jun 12, 2024 on 302 health professionals working in Jimma university medical center (JUMC) sampled and selected by using a simple random sampling technique. Data was collected by using Open Data Kit (ODK) collect software and exported to SPSS version 27 for further analysis. Descriptive statistics was computed to describe study variables and presented using tables. Bi-variable and multivariable binary logistic regression models was fitted to identify the associated factors. Result: Of study participants, 291 participated in the study with a 96.03% response rate. This study shows that we are 95% confident that the true proportion of health professionals who are ready to use EMRs lies between 52.2% and 63.8%. This means that more than half of the respondents are ready In this study Female health professionals are 55.7% less likely to be ready to use the EMR system than males, AOR = 0.443, 95% CI [0.232, 0.847], Those health professionals competent in computers and IT Skills are 1,042.6% more likely to be ready for EMRs AOR = 11.426, 95% CI [4.796, 27.220]. Having Working Experience of 11 to 15 years are 86.1% less likely to be ready to use EMRs compared to those with less than 2 years AOR = 0.139, 95% CI [0.020, 0.968]. Having favorable attitude are 176.1% more likely to be ready to use EMRs compared to those with favorable attitude AOR = 2.761, 95% CI (1.383, 5.513). Conclusion: - The findings of this study show that sex, computer skill and attitude toward EMR systems are the significant factors influencing readiness to use EMR system. Majority of the health professional have overall readiness to use EMR system. 2024-10-11T00:00:00Z https://repository.ju.edu.et//handle/123456789/9883 Evaluation of the Effectiveness of Girls Empowerment Project in Jimma Town, Ethiopia,2024 Amelework Tamiru; Yibeltal Kiflie; Feyissa Tolessa Background: Empowerment for girls and young mothers is achieved when they gain control over their financial and material resources. This helps them to overcome gender-related obstacles and contribute to the reduction of child abandonment and neglect which occur due to unwanted pregnancy. Objective: To evaluate the project’s effectiveness in reducing unwanted pregnancies in adolescent girls, financial capacity, and enhancing government commitment to addressing child abandonment and neglect in 2024. Methods: A summative evaluation of the Girls' Empowerment Project was carried out in Jimma Town from July 1 to August 1, 2024. The evaluation utilized a quasi-experimental design, specifically employed pre posttest comparison group methodology. Both qualitative and quantitative research methods were applied, along with document review. Data were gathered from project participants, key informants, and project documentation. A total of 137 project participants participated in the quantitative study. Based on the data saturation criteria, two focus group discussions and four key informant interviews with the stakeholders were conducted, and project documents were also reviewed and contributed for qualitative insights. Systematic sampling was used for quantitative data, while purposive sampling was applied for qualitative data. The study utilized a structured questionnaire administered via Kobo Toolbox, verified for accuracy, and then exported to SPSS version 25 for analysis using logistic regression techniques. Qualitative data were transcribed, translated, coded and analyzed in themes and presented as triangulation with quantitative results. The findings were analyzed and presented collectively, with the overall effectiveness, efficiency, and sustainability dimensions. Results: The survey result indicated a reduction in unwanted pregnancies among the 137 project participants, decreasing from 10% to 1%. Additionally, 98% of the adolescent girls accessed youth-friendly SRH services, and 94% of project participants had received information on SRH. Furthermore, 132 respondents (97%) engage in their own IGAs. Based on the dimensions, the effectiveness of the project was 87%, effecency100% and sustainability 50%, which was rated as very good, very good and poorly implemented consecutively. In general, the overall result of the project was 79%, which represents the partial implementation of the project. Conclusion and Recommendations: The overall implementation level of the Girls' Empowerment Project, as determined by the judgment matrix, was partially implemented (79%). The project's sustainability strategy should be given careful consideration during the design and implementation phases. The project should work with Key Implementing partners and community leaders to ensure sustainability for future. 2025-06-01T00:00:00Z https://repository.ju.edu.et//handle/123456789/9572 Implementation Evaluation of Enhanced Adherence Counselling for High Viral Load Management at Jimma Medical Center, Oromia, Ethiopia Ibirahim Warku; Matebu Gezahegn; Feyissa Tolessa Background: Despite substantial global effort made, HIV remained to be a leading cause of morbidity and mortality. Poor adherence to ART is identified as the most common reason for high viral load copies/ml of blood and subsequent treatment failure. WHO recommended enhanced adherence counselling as it is possible to prevent 70% of treatment failure with enhanced adherence counselling before shifting to another drug regimen since october 2016. Objective: The Aim of this evaluation study was to assess the implementation status of EAC in Jimma Medical Center by assessing Availability, Compliance and Satisfaction dimensions with pre-determined judgment parameter weighted values by stakeholders and factors that affect re-suppression rate of clients with high viral load from June 10-May 10 2023. Methods: Evaluation of the implementation status of Enhanced Adherence Counselling program in Jimma medical center,in Oromia region,Ethiopia was done by addressing Availability, Compliance and Satisfaction dimensions. Regression analysis was for re suppression rate. Service provision, HCWs interaction with clients and HCWs compliance were the themes used in the qualitative data analysis.The design of the evaluation was single case study design.Total of 174 clients and 8 HCWs were involved in the study.The techniques used were client exit interview, document review observation and in-depth interview by employing structured questionnaires, observational check-list, and semi-structured interview guide for in-depth interview.The tools prepared were pre-tested; the sample units were selected by population census technique for quantitative data and purposive sampling technique for all qualitative data. Data collectors were two nurses and one supervisor (intern physician) for quantitative data and orientation was given for data collectors and supervisorhow to fill kobo toolbox. Document review, observation and HCWs in-depth interview were done by the principal investigator.The study period was from May 10-June 10, 2023. Quantitative data was analysed using SPSS statistical packages version 23 and the qualitative data by thematic analysis manually.The evaluation standards were considered. Results:The overall availability, compliance and satisfaction scores were 84.51%, 88.23% and 86.04% by judgment parameter analysis respectively. The overall implementation status of the program was 86%. The overall retention rate was 89.1%. Statistically significant associations (p-value<0.05) were observed between the retention rate and marital status, client duration of stay on ART and client satisfaction level. ART patients who were married were 97.5% less likely to retain in their initial regimen (AOR= 0.03 95%CI: 0.003, 0.217). A 1.3% less likely retention was observed with decreased ART duration by 0.13 months (AOR= 0.98 95%CI: 0.987, 1.00). Patients with high satisfaction level were more than seven (7) times more likely to retain their first regimen (AOR= 7.14: 95%CI: 1.56, 32.70). Conclusion: Overall, most respondents were retained in their initial regimen 155(89.1%). Recommendation: Factors like marital status, duration of stay on ART and client satisfaction level should be taken into consideration to maintain the clients’ retention rate. 2024-03-06T00:00:00Z https://repository.ju.edu.et//handle/123456789/9492 Knowledge, Attitudes and Practices of Health Professionals in Implementing Antimicrobial Stewardship Programs in Jimma University Medical Center; Opportunities and Challenges: a mixed-method study Ketema Ejara Background: Antimicrobial stewardship programs (ASP), the integrated interventions to improve proper use of antimicrobials and contain antimicrobial resistance, are facing multifaceted challenges. For the effective implementation of ASP, improving the knowledge, attitudes and practices (KAP) of health care professionals (HCPs) and identifying the potential opportunities and challenges should be priorities in the health facilities. However, the opportunities and challenges are not well studied in resource limited settings like Ethiopia. The current study was aimed to assess the level of KAP of HCPs and identify the opportunities and challenges in Jimma University Medical Center (JUMC). Method: Hospital-based cross-sectional study design was conducted using both quantitative and qualitative methods among HCPs in JUMC who are involved in patient care and hospital leadership. Accordingly, 105 physicians, 140 nurses, 18 pharmacists, 17 midwives and 10 anesthetists were recruited to the study by using systematic random sampling. The participants for the qualitative/interview part of the study were recruited by using purposive sampling. Interview guide was developed based on previous similar studies and relevant antimicrobial stewardship programs checklists. Then statistical and thematic analyses were conducted for the quantitative and qualitative parts, respectively. Results: Among the sample population of 290 participants, 276 responded, making the response rate of 95%. Only 19.6%, 19.6% and 17.0% of the study participants have good knowledge, positive attitude and good practice towards antimicrobial stewardship programs. The good understanding of the hospital leadership on the problem, accredited microbiology laboratory and qualified staffs, the presence of separated ASP unit, devoted and experienced experts, presence of supportive projects, and the effort of Ethiopian Public Health Institute (EPHI) in encouraging the programs are the identified opportunities. Lack of fully committed hospital leadership, lack of dedicated budget for the programs and shortage of microbiology laboratory supplies are the major challenges identified. Conclusion: Even though there are good pioneering antimicrobial stewardship strategies in JUMC, the programs are challenged by lack of full leadership commitment, lack of supplies and technologies and factors related to private health sectors and the community. The newly started stewardship activities like awareness creation sessions, regular trainings and antimicrobial stewardship-oriented ward rounds should be strengthened. 2024-03-11T00:00:00Z