SPHMMC Research Repository

The Institutional Research Repository of St. Paul’s Hospital Millennium Medical College (SPHMMC) serves as a centralized digital archive that preserves and showcases the scholarly output of the college community. It hosts research works produced by current and past members of SPHMMC, including undergraduate and postgraduate students as well as faculty across diverse departments.

By providing open access to theses, dissertations, faculty publications, and collaborative projects, the repository strengthens knowledge sharing, supports academic excellence, and ensures that the contributions of the college’s researchers remain accessible for future learning, innovation, and policy development.

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Recent Submissions

ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICE OF VOLUNTARY BLOOD DONATION AMONG JIGJIGA HEALTH SCIENCE COLLEGE STUDENTS IN 2018, JIGJIGA, SOMALI REGION
(2018) HUSSEN, MOHAMED
SUMMARY Background Blood is made up of three different life saving components which include plasma, platelets, and red blood cells. The demand for the whole blood transfusion is rising in relation to increased life expectancy, accidents, severe anemia, cancer, chronic diseases, pregnancy related complication and technological advancements in the healthcare delivery system demanding blood transfusion. There is a constant effort made to increase voluntary blood donation practice. Voluntary unpaid donors are the safest group who gives blood regularly (5). Only 60% of the people in developing countries have adequate knowledge towards blood donation. The blood donation rate in low-income, middle-income, and high-income countries is 3.9, 36.8 and 11.7 per 1000 population, respectively (6, 7). Objective: To assess the knowledge, attitude, and practice of voluntary blood donation in Jigjiga health science college students. Methods: A descriptive cross-sectional study was conducted in 2018. Data was collected using pre-tested self-administered questionnaire. After data collection, it was entered into a computer and analyzed using SPSS version 21.0 statistical software. Frequency tables, graphs, charts being used. Result: In this study a total of 318 participants were included which resulted a response rate of 98.7% among them 188(59.9%) being females and 126(41.1%) being males. The minimum age of the participants was 16 with maximum age of 24.Most respondents knew that a person can be infected by receiving blood transfusion 308(98.1). 58.4% of the respondents have adequate knowledge towards voluntary blood donation where 92.7% have positive attitude while only 3.5% of the respondents have ever practiced voluntary donated blood. Conclusion: In this study the students had relatively good knowledge although not as expected and they had good attitude towards voluntary blood donation while their practice was not comparable.
KNOWLEDGE, ATTITUDE AND ASSOCIATED FACTORS TOWARDS USING PERMANENT CONTRACEPTIVES AMONG FAMILY PLANNING USERS IN SPHMMC
(2017) ZERIHUN, GIRUM
ABSTRACT Background An estimated 358 000 maternal deaths occurred worldwide in 2008, a 34% decline from the levels of 1990. Despite this decline, developing countries continued to account for 99% (355 000) of the deaths. Fortunately, the vast majority of maternal and newborn deaths can be prevented with proven interventions to ensure that every pregnancy is wanted using modern contraceptive and every birth is safe. Vasectomy and female sterilization are the least used methods of modern contraceptive each accounting only for 0.2%. Objective of the study To assess knowledge and attitude of using permanent contraceptives among SPHMMC FP users and assess the determinants affecting using permanent contraceptives Method A cross-sectional quantitative student based study was used. The actual sample size for the study was determined using the formula for single population proportion. A trained interviewer was used to administer the interview to the respondents. The data collected in questionnaire was physically checked and entered in to SPSS version 21. The data were analyzed by summarizing, tabulating and presenting in various formats Results A total of 205 respondents, with 100% response rate, were participated in this research. Out of them 173(84.4%) of the respondents have heard about at least one of the permanent contraceptive methods. 84(48.6%) of them knows both tubal ligation and vasectomy as permanent contraceptive methods. 79(45.7%) heard about PCMs from friends/families. 155(75.6%) of the respondents have negative attitude towards using PCMs. Using 95% confidence interval; sex, educational status, plan to have more children, plan to limit fertility and monthly income show statistically significant relation with knowledge of at least one type of PCMs. Whereas educational status, occupation, monthly income and number of children show statistically significant relation with attitude towards using PCMs. Conclusion In conclusion, the knowledge towards using PCMs is still low for the society to be a good alternative family planning choice. Even if the community has appreciable attitude towards limiting fertility and having adequate family size, PCMs are still by far the least choice of family planning method.
PREVALENCE AND MANAGEMENT OUTCOME OF UROLITHIASIS AMONG UROLOGY PATIENTS ADMITTED TO SURGICAL WARD AT ST. PAUL’S HOSPITAL, ADDIS ABABA, ETHIOPIA: CROSS SECTIONAL STUDY
(2017) Chernet, Hika
Abstract Background: - Urolithiasis is a multi-factorial disorder resulting from the combined influence of epidemiological, biochemical and genetic risk factors. It occurs in both men and women but the risk is generally high in men and is becoming more common in young women. Its complications include bleeding, infection and hydronephrosis. It could result in renal failure which is life threatening condition. This research project will help to know burden of the disease in the hospital. Options of management patients are receiving and complications will be reviewed. Objective:-The aim of this study was to determine the prevalence, management and management outcome of patients with urolithiasis admitted to surgical ward at SPHMMC in the years 2006 to 2008E.c. Method: - The study was hospital based retrospective study in which the in-patients files stored in the SPHMMC archive were reviewed. The study includes describing data collected in terms of their level of measurement and summarizing them in form of tables, graphs and numerical with different nominal and ordinal scales. Data obtained from the questionnaire was entered, cleaned and prepared for tabulation using SPSS version 20. Frequencies and other descriptive statistics were done. Chi-square test was conducted to examine association between dependent and independent variables and their 95% CIs were calculated. Result: - The prevalence of urolithiasis in the study period is 6.8%. The disease is common among males with male to female ratio of 1.56:1. Renal stone are common types of stones found in the study. 89% of cases were treated with open surgery. 22% of the cases had post op complication where stone migration and prolonged urine leak are relatively common complications observed. No association was found between management and its outcome in the study conducted. Conclusion: - Urolithiasis is common case of admission among urology patients. The treatment given in the study period was not up to the standard. Recently open surgery is less frequently done due to availability of newer minimally invasive techniques. This shows standard of treatment is increasing. Key words: - Urolithiasis, anatomic sites, minimally invasive techniques of management, complications
Assessment of Knowledge, Attitude and Practice of Nurses towards Prevention of Pressure Ulcer in Saint Paul’s Hospital Millennium Medical College, Addis Ababa,Ethiopia
(2018) Kadi, Hanan
Abstract Back ground: The presence or absence of pressure ulcers has been generally regarded as a performance measure of quality nursing care and overall patient health. The burden of living with pressure ulcers (PUs) significantly limit many aspects of an individual’s well-being, including general health and physical, social, financial, and psychological quality of life. Lack of knowledge and skills, and negative attitudes in PU prevention contributes significantly to the occurrence or worsening of PU. Objectives: The aim of this study was to examine nurses’ knowledge, attitude and practice towards pressure ulcer prevention in SPHMMC, Addis Ababa, Ethiopia, 2018. Methodology: Structured self-administered questionnaire using institutional based cross sectional study design and quantitative method was employed to collect data from staff nurses (N=632) working SPHMMC, 2018. Sample size was determined by Simple Random Sampling. Data was collected after ethical clearance was obtained from SPHMMC public health department. The purpose of the research was explained to the respondents before conducting the interview. Result:- A total of 220 professional nurses were invited to participate in the study, and the response rate was 96.4%. Among 220 nurses 144 (69.2%) and 64 (30.8%) were females and males, respectively. In this study, 43.3% of the nurses that participated in this study had adequate knowledge,45.2% of the nurses’ attitude towards pressure ulcer prevention was positive, and Overall, 83(39.9%) of the nurses had good practice regarding prevention of pressure ulcers. In conclusion, the majority of nurses currently working in SPHMMC have inadequate knowledge, negative attitude and poor practice regarding PU prevention. The duration of working experience had significant association with nurses’ Knowledge, attitude and practice regarding prevention of pressure ulcer. Similarly the study reported that heavy workload and inadequate staff members, lack of universal guideline and inadequate training coverage regarding prevention of pressure ulcer, presence of other priorities than pressure ulcer are the dominant barriers nurses currently working in SPHMMC face to prevent pressure ulcer. Keywords: Nurses’ Pressure Ulcer Knowledge, pressure ulcer Attitude, pressure ulcer Practice
TREATMENT OUTCOMES AND ASSOCIATED FACTORS OF TUBECULOSIS PATIENTS AT FELEGE MELESSE AND RAS EMERU HEALTH CENTERS, ADDIS ABEBA, ETHIOPIA FROM 2007-2009 E.C
(2018) GOREMS, ESAYAS
ABSTRACT Background: TB is an infectious disease caused by the bacillus Mycobacterium tuberculosis. It typically affects the lungs (pulmonary TB) but can also affect other sites (extra pulmonary TB). It is the ninth leading cause of death worldwide and the leading cause from a single infectious agent, ranking above HIV/AIDS. TB is the global threats that really need a special attention on the prevention and treatment. As part of the globe, Ethiopia is one of the high TB burdened country in the world. Therefore, the objective of this study will encompass in reveling the treatment outcomes and its determinant factors of TB patients in two nearby health centers. Objective: To assess the treatment outcomes of tuberculosis and its associated factors among tuberculosis patients on anti-tuberculosis therapy in Felege Melesse and Ras Emeru Health centers, Addis Abeba in the past 3 years. Methods and materials: The source population for this study are patients who was treated for TB at Felege Melese and Ras Emeru Health centers from 2015-2017 E.C. An institution based retrospective Cross-sectional Analytic study design and all patients’ information that fulfilled the inclusion criteria was retrieved from records of patients with basic information for all registered patients. 363 subjects were selected for the study. To collect data, a check-list was used to extract data’s from the medical records. After data is collected, it was entered into a computer and analyzed using SPSS version 20.0 statistical software. Multivariable logistic regression with 95% CI at P ≤ 0.05 was used to assess the TB treatment Outcome & its associated factors. Finally; result was presented in text and graphs and communicated to all concerned bodies. Result: From the total of 363 patients who had known treatment outcome in Felege Melesse and Ras Emeru Health centers, Tuberculosis type was categorized as smear positive PTB in 99 (27.3%), smear negative PTB in 110 (30.3%), and extra pulmonary in 154 (42.4%) cases. Record of the 363 TB patients showed that 88 (24.2%) were cured, 237 (65.3%) completed treatment, 6 (1.7%) defaulted treatment, 7 (1.9%) treatment failure and 25 (6.9%) were died. The overall treatment success rate of TB patients was 89.5%. Age>=45 years (AOR=0.296, 95%CI=0.103-0.856, p=0.025); Smear positive PTB (AOR=2.895, 95%CI=1.174-7.137, P=0.021); category II treatment regimen (AOR=0.355, 95% CI= 0.142-0.892, P=0.028) and 2015 year of treatment (AOR=3.098, 95%CI= 1.284-7.476, P=0.012) were significantly associated with unsuccessful treatment outcome. Conclusion: The mean treatment success rate of all registered pulmonary TB patients on this study was 89.5% and it was not significantly affected by gender, HIV status, TB category, body weight and treatment center. However, Age, Tuberculosis Type, treatment Regimen and year of treatment were significantly associated with treatment success.