PRACTICE OF PRE-HOSPITAL HEALTHCARE PROVIDERS AND ASSOCIATED FACTORS WITH PRE-HOSPITAL HEALTHCARE IN ADDIS ABABA, ETHIOPIA 2022

Abstract

ABSTRACT Background: Poor practice about pre-hospital healthcare hurt the health outcomes of the patients. An increase in the number of sites of ambulance dispatch and provision of basic skills training in trauma care reduced deaths. Objective: To assess practice of pre-hospital healthcare providers and associated factors with pre-hospital healthcare in Addis Ababa, Ethiopia 2022 Method: Facility based cross sectional study incorporated with observational study was conduct from October, 2021 to February, 2022.Observational checklist data were collected by principal investigator by taken all participants who were working patient care during data collection period before self- administered questionnaire were distributed. Data obtained from pre-hospital healthcare providers working in Addis Ababa and data were entered and cleaned using Epidata v4.4 and exported to SPSS software version 26 for further analysis. Both bi-variable and multivariable logistic regression analyses were conducted. P value of 0.05 with a 95% confidence interval is considered statistically significant. Result: This study was conducted on 191 pre-hospital healthcare providers working in Addis Ababa with an overall response rate of 94%. This study assessed pre-hospital healthcare providers revealed that 42% and 43% of the participants had good practice of pre-hospital healthcare with self-administered and observational checklist respectively. A participant who performing properly advanced life support (AOR= 88.99; 95%CI: 27.143-291.603), adequate monitoring and defibrillator (AOR=5.829; 95%CI: 1.430-23.765), and to have 4-5 years of work experiences (AOR=5.86; 95%CI: 1.424-24.109) and opportunity of continuing education (AOR=31.953; 95%CI: 6.479-157.591) were independently predictors of good practice. Conclusion and recommendation More than half of pre-hospital healthcare providers’ practices with pre-hospital care were poor. And also identified factors increases the likelihoods of good practice were performing properly ALS, adequate monitoring and defibrillator, work experience, and opportunity of continuing education were independently predictors of good practice of pre-hospital healthcare. Therefore, policymakers and health planners would be better establish pre-hospital healthcare teaching and training centres based on pre-hospital healthcare guideline were recommended to Ministry of health and Ministry of education. Keywords: practice, pre-hospital healthcare providers, SPHMMC