Abstract: Patient self-referral is a process through which patients refer themselves to higher level health facilities without seeing anyone else first or being advised to refer themselves by a health professional. Despite the expansion in the number of health facilities, this phenomenon is perceived when patients routinely access referral hospitals. This study aimed to determine the magnitude and identify the determinants of outpatient self-referral at referral hospitals. It was conducted in East Wollega zone of Oromia National Regional State, Ethiopia. A cross-sectional study design was used to collect data between December 1 and 30, 2017. For the study, a 404 samples size was determined using a single population proportion formula. Data entry and analysis were done using SPSS version 20. Descriptive statistics, binary and multiple logistic regressions were performed. A total of 404 outpatients were included, thereby making the response rate of 96.8%. Amongst the 391 outpatients who were interviewed, 330 (84.4%) engaged in self-referral. The factors significantly associated with outpatient self-referral were referral information (Adjusted odds ratio and 95% confidence interval (CI) = 0.32 [0.15–0.70]), illness severity (Adjusted odds ratio and 95% CI = 3.50 [1.47–8.30]), confidence of patients in getting care providers (Adjusted odds ratio and 95 CI = 3.03 [1.51–6.07]), availability of laboratory services (Adjusted odds ratio and 95% CI = 5.00 [2.20–11.23]) and drugs (Adjusted odds ratio and 95% CI = 2.37 [1.01–5.53]) and quality of health services (Adjusted odds ratio and 95% CI = 3.00 [1.42–6.33]). The proportion of outpatient self-referral was high and it was associated with referral information, patient confidence in getting healthcare providers, the severity of illness, availability of laboratory services, drugs and the quality of services. A monitoring system of the referral linkage of health facilities should be established at all levels and health facilities should create awareness in the community regarding the referral linkages of health facilities.Abstract: Patient self-referral is a process through which patients refer themselves to higher level health facilities without seeing anyone else first or being advised to refer themselves by a health professional. Despite the expansion in the number of health facilities, this phenomenon is perceived when patients routinely access referral hospitals. This st...Show More
Abstract: Background: Demand for long acting and permanent contraceptive method is one of the key factors that determine the fertility and the reproductive health of the women. These demand for LAPM was not consistent with and the utilization of LAPM. The objective of this study is therefore, to assess demand for LAPM and associated factors among married women visiting Assosa governmental health institution for family planning service. Method used to conduct the study was, institutional based cross sectional study were conducted to assess demand for LAPM and its associated factor from April 12-May 10/2019 for total of 251 sample size. Data was collected by using pretested structured questionnaire. For the qualitative study, in-depth interview was conducted on purposively selected key informant. Data was analyzed by using SPSS 24. Th study result indicates, the demand for LAPM at the study area was 158 (62.9%). Awareness about LAPM (AOR=2.503 95%CI =1.188-5.2274), knowledge of LAPM (AOR=2.62, 95%CI =1.295-5.299), previous utilization of LAPM (AOR= 3.369, 95%CI =1.805-5.291) and couple discussion about any LAPM (AOR=2.067, 95% CI =1.027-4.163) were associated with demand for LAPM. Fear of the side effect was the main reason for non-utilization of LAPM. Conclusion: demand for LAPM was not consistent with the utilization. The finding shows that, 62.9% of the respondent had demand for LAPM. On the basis of the finding, It needs to do more on the limiting factors to utilize LAPM. So the recommendation gos to MOH, RHB, the institution manager together with health care provider and different NGO work more to meet the increasing demand for LAPM.Abstract: Background: Demand for long acting and permanent contraceptive method is one of the key factors that determine the fertility and the reproductive health of the women. These demand for LAPM was not consistent with and the utilization of LAPM. The objective of this study is therefore, to assess demand for LAPM and associated factors among married wom...Show More
Abstract: Background: It is globally known that, there is high mortality rate in the Intensive Care Unit. Therefore, this study seeks to know the pattern of mortality and the associated variables at the University of Abuja Teaching Hospital. Method: A descriptive cross-sectional retrospective study was conducted among patients admitted into the Intensive Care Unit, University of Abuja Teaching Hospital between May 2002 and April 2020. A total of 2078 patients admitted within the study period was analyzed. Data was collected from the ICU admission and discharge register using a proforma to include socio-demographic characteristics like gender, age, occupation, and religion. Data was analyzed using SPSS version 26.0. Variables were summarized and presented as frequencies and percentages, while quantitative variables were represented using means and standard deviations. The association between categorical variables was tested using Chi-square at a P-value of significance <0.05. And purposeful sampling was used to rule out bias. Result: The number of female patients were 1062 (51.1%) while 1016 (48.9%) were males. A total of 1362 (65.5%) of the patients were successfully managed and transferred to the general wards for further management, while 716 (34.5%) died in the ICU and were transferred to the Mortuary. Conclusion: This study represents the pattern and frequency of death rate of patients admitted into the Intensive Care Unit. Further study involving data analysis on the causes of death will be highly informative and beneficial.Abstract: Background: It is globally known that, there is high mortality rate in the Intensive Care Unit. Therefore, this study seeks to know the pattern of mortality and the associated variables at the University of Abuja Teaching Hospital. Method: A descriptive cross-sectional retrospective study was conducted among patients admitted into the Intensive Car...Show More
