Ethiopian Journal of Health Development
Current impact factor: 0.13
Impact Factor Rankings
|2016 Impact Factor ||Available summer 2017 |
|2014 / 2015 Impact Factor ||0.127 |
|2012 Impact Factor ||0.299 |
|2011 Impact Factor ||0.153 |
Impact factor over time
|5-year impact ||0.77 |
|Cited half-life ||8.30 |
|Immediacy index ||0.00 |
|Eigenfactor ||0.00 |
|Article influence ||0.19 |
|ISSN ||1021-6790 |
Publications in this journal
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ABSTRACT: Background: Cesarean section is one of the skilled delivery interventions that have proven to be a life-saving procedure. It should be done under appropriate indications owing to the inherent short and long term complications and high cost. In Ethiopia, a study comparing the practice of cesarean sections in government and non-government hospitals has not been undertaken before. Objective: To describe and compare the practices of cesarean delivery in the teaching public and non-governmental MCH hospitals in Addis Ababa, Ethiopia. Methods: Retrospective cross-sectional study using the cesarean section data of 2011 G.C. from three teaching government and three private-MCH hospitals. The data was analyzed and the mean with standard deviation for continuous variables and proportions for categorical variables were used as descriptive statistics. Chi-square test was used to measure the strength of associations where appropriate, with level of significance set at p-value <0.05. Results: The difference in the proportion of cesarean delivery between the two groups was statistically significant, 31.1% and 48.3% (P<0.05) in the teaching government hospitals and the non-governmental hospitals, respectively. Non-government MCH hospitals contributed to one-third of the total deliveries and 40% of the cesarean sections. Non-reassuring fetal heart rate pattern, previous cesarean section scar, and cephalo-pelvic disproportion account for 51.3% and 59.6% of the indications in the teaching hospitals and non-governmental hospitals, respectively. When individual indications were analyzed between the two groups, previous cesarean section was higher in the non-governmental hospitals, 29.3% vs. 14.6%, (P<0.05), and non-reassuring fetal heart rate pattern frequented more in the teaching hospitals 26.3% vs. 17.8%,(P<0.05), contributed significantly. Maternal request per se contributed to 7.5% of the indication in the non-governmental hospitals compared to none in the teaching hospitals. Of the repeat cesarean sections, 70.3% were done merely for reasons of first cesarean section in non-governmental hospitals compared to 16.8% in the teaching (P<0.05). The proportion of low birth weight, post-term pregnancy and unknown date were seen more in the teaching hospitals compared to non-governmental hospital, (P<0.05). Though three dosing was the most frequently practiced prophylaxis in both study groups, there is a great deal of variability in the choice of antibiotics. Conclusion: The higher proportion of maternal morbidities/mortalities and poor peri-natal outcomes in the setting of higher proportion of emergency cesarean delivery in teaching government hospitals need further study to explore for factors that have contributed so as to improve the quality of care. The high rate of repeat cesarean delivery for one previous cesarean section scar and other non medical indications like maternal request in the non-government MCH hospitals elucidates the need to monitor the appropriateness of these indications. We also recommend standardization of prophylactic antibiotic use and expand use of regional anesthesia for cesarean section.
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ABSTRACT: Background: Road traffic accident is a major but neglected public health challenge. There is a paucity of published data on road traffic crashes in Amhara National Regional State. Objective: This study attempts to describe the main causes and consequences of road traffic accidents in the Amhara Region. Methods: This descriptive study employed secondary data collected by Amhara National Regional State Police Commission from 2007-2011. Mortality rate, percentage, line and bar graphs were used to show the causes and consequences of road traffic accidents. Results: Almost half (51%) of all crashes involved freight vehicles followed by passenger vehicles which constitute one-third (34.5%) of all the accidents. Over half (54.8%) of the accidents occurred on interstate highways. Passengers accounted for the largest share of road traffic deaths across the region and pedestrians were the main victims in the urban areas. Errors committed by drivers are the chief causes of the accidents, such as failure to give priority to pedestrians, speeding, failure to stay on the right side of the road, failure to maintain distance between vehicles and failure to yield the right of way for other vehicles. Overall, these factors accounted for 83.8% of all traffic accidents. Conclusion: Road traffic crash is a major public health problem which contributes significantly to the morbidity and mortality rate in the Amhara Region. Thus, taking the seriousness of the problem into consideration, ANRS Police Commission and Trade and Transport Bureau have to work aggressively on issues related to licensing and bringing behavioral change on derivers in order to alleviate road traffic accidents.
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ABSTRACT: Background: Many physicians regret about their choice of profession. However, no studies on this topic have been performed in Central Asia. Objective: To assess the proportion of medical students who regret their choice of education and to study factors associated with this outcome in Kazakhstan. Methods: This is a cross-sectional survey and 2388 medical students of two medical universities in Almaty in 2011-2012 comprised the sample. Multiple logistic regression was applied to study associations between the outcome and associated factors. Results: Altogether, 33.0% of the responders reported that they regret the choice of profession. The university, faculty, year of study, financing of the studies, place of residence, type of education obtained before entering the university, the reason for choosing the medical profession, how the student prepared him/herself for admission to the university, and opinions about tests for selecting future students and about the medical profession all influenced whether a medical students regretted his or her choice of profession. Conclusions: The results suggest that one third of medical students in Almaty, Kazakhstan, regret the choice of medical education. The factors associated with the outcome identified in this study may be used to optimize the recruitment of students in the future.
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ABSTRACT: Background: HIV/AIDS has now been around for about three and half decades since first diagnosed in 1981. If we wish to curb the spread of HIV/AIDS effectively and sustainably, we need to design strategies that help mobilizing communities at large. Anti-HIV/AIDS Community Conversation (CC) Programs are part of community mobilization activities introduced for the purpose of preventing and controlling the spread of HIV/AIDS. Objectives: The main objective of this study was to examine the contribution of these programs focusing on those implemented in Adama. Methods: Data were collected through key informant interviews (held with 3 CC Program coordinators and 2 CC group facilitators), Likert-type rating scale (questionnaire) administered to a sample of 200 participants (half of them CC program participants and the remaining half non-CC program participants), one focus group discussion consisting of nine discussants working as facilitators of CC groups, and (researchers), and attendance of 3 sessions of CC program meetings. Qualitative and quantitative data were thematically organized and then descriptively analyzed. Attempts were also made to compare groups using an independent sample t-test. Results: It was observed that the CC programs were in Adama Town nearly for 6 years and there were, until the date of data collection for this research, about 10 CC groups composed of CSWs, PLHIV, daily laborers, taxi cleaners, and parking lot workers. Findings indicated that participation in CC programs has promoted desirable HIV/AIDS-related behaviors (awareness about HIV/AIDS, VCT use, safe sexual practice, and non-stigmatizing and non-discriminatory behavior) challenged some harmful and encouraged useful practices. Opportunities for 'experience sharing', 'members' cohesiveness', and 'self- disclosure' were amongst the major factors for the success of the CC programs. However, evidences also suggested that a number of technical, professional and budgetary constraints were affecting the implementation of these programs. Conclusion and recommendations: The findings of this study generally suggested that the CC programs implemented so far in Adama appeared to make contributions to the prevention and control of HIV/AIDS and, hence, need to be scaled up. Suggestions were given as to how to improve and scale up these approaches so as to address the growing needs in the country for intervention strategies to quell the spread of the virus.
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