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289 results on '"Yitayal, Mezgebu"'

5. Magnitude of psychological distress and associated factors among war survivor women in Northern, Ethiopia, 2022: a community-based cross-sectional survey

Author

Salelew, Endalamaw, Assefa, Yohannes Awoke, Getachew, Rediet, Nenko, Goshu, Fanta, Biruk, Amare, Tadele, Demilew, Demeke, Dellie, Endalkachew, Aschalew, Andualem Yalew, Asrade, Geta, Demeke, Zelalem, Shitu, Kegnie, Eriku, Getachew Azeze, Worku, Chanyalew, Kibret, Alemu Kassaw, Haile, Tsegaye Gebremedhin, Hunegnaw, Melkamu Tamir, Fekadu, Haileab, Molla, Ayenew, Belew, Aysheshim Kassahun, Atnafu, Asmamaw, Guadu, Tadesse, Yitayal, Mezgebu, Worku, Netsanet, Gelaye, Kassahun Alemu, Azale, Telake, and Awoke, Tadesse

Published
2024
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20. Protocol for the evaluation of a complex intervention aiming at increased utilisation of primary child health services in Ethiopia: a before and after study in intervention and comparison areas

Author

Berhanu, Della, Okwaraji, Yemisrach B., Belayneh, Abebe Bekele, Lemango, Ephrem Tekle, Agonafer, Nesibu, Birhanu, Bizuhan Gelaw, Abera, Kurabachew, Betemariam, Wuleta, Medhanyie, Araya Abrha, Abera, Muluemebet, Yitayal, Mezgebu, Belay, Fitsum Woldegebriel, Persson, Lars Åke, and Schellenberg, Joanna

Published
2020
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22. Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

Author

Derso, Terefe, Biks, Gashaw Andargie, Yitayal, Mezgebu, Ayele, Tadesse Awoke, Alemu, Kassahun, Demissie, Getu Debalkie, Wolde, Haileab Fekadu, Dellie, Endalkachew, Azale, Telake, Misganaw, Bisrat, Kebede, Adane, Fetene, Destaw, Gebremdhin, Tsegaye, and Atnafu, Asmamaw

Published
2020
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28. Facilitators and Barriers Affecting the Implementation of Capacity Building and Mentorship Program (CBMP) in Improving Evidence-Based Decision-Making in Amhara Region, Northwest Ethiopia: An Exploratory Qualitative Study

Author

Chanyalew, Moges Asressie, Yitayal, Mezgebu, Atnafu, Asmamaw, Mengiste, Shegaw Anagaw, Gullslett, Monika Knudsen, and Tilahun, Binyam

Subjects
Capacity Building Mentorship Program, Data use, Evidence-based decision, Routine Health Information System, Facilitators, Barriers
Abstract

Background: The Capacity Building and Mentorship Program (CBMP) has been implemented in Amhara Region to enhance data use for decisions. Though the intervention is effectively improving the routine health data use for decision-making, knowledge on the facilitators and barriers in implementing the CBMP is scarce. Therefore, this study sought to explore the facilitators and barriers that affect the implementation of the CBMP in improving evidence-based decision-making in the Amhara National Regional State of Ethiopia.Methods: A hermeneutical phenomenology qualitative study was done in five districts of the Amhara region from 5th June to 30th July/ 2020. The study recruited 25 key informants working at different health system levels using a heterogeneous purposive sampling method. Codes were developed and assigned to the data, ideas of patterns were searched, and themes and subthemes were identified using abductive thematic analysis.Results: The overarching thematic areas spanning were 1) The need for Capacity Building and Mentorship Program (CBMP), 2) the Effectiveness of CBMP in Routine Health Information System (RHIS) Performances, 3) Implementation Facilitators, and 4) Implementation Barriers. The implementation facilitators and barriers subthemes were human-related, technical, organizational, and socio-economic context-related. Human-related (a favorable attitude towards recommendations for mentors, staff motivation, and leaders’ commitment), technical (skill in data management and use, and the capacity for conducting the performance monitoring team meeting), organizational (access to information, data availability, and resource supply), and contextual (policy support and government concern) were positive attributes. Human-related constraints include resistance to accepting the intervention at the early stage of the intervention period and lack of knowledge on the National Classification of Disease; technical barriers: lack of intra-facility information communication skills and inadequate training; organizational barriers: trained staff turnover, and lack of technology for intra-facility data sharing; and contextual barriers (the onset of the COVID19 and security issues.Conclusion: Human, technical, organizational, and contextual attributes played massive roles in facilitating the implementation. However, strengthening the capacity of health workers, supporting health workers for good use of NCOD, installing intra-facility level data sharing mechanisms, and continuous re-assessment of the context in implementing the CBMP is required.

Published
2023

33. Development of attributes and attribute levels for a discrete choice experiment on patients' and providers' choice for antiretroviral therapy service in Northwest Ethiopia.

Author

Belay, Yihalem Abebe, Yitayal, Mezgebu, Atnafu, Asmamaw, and Taye, Fitalew Agimass

Subjects
*MIDDLE-income countries, *RESEARCH methodology, *PATIENT decision making, *QUANTITATIVE research, *ANTIRETROVIRAL agents, *INTERVIEWING, *MEDICAL care costs, *MEDICAL care research, *PATIENTS' attitudes, *SURVEYS, *RESEARCH funding, *QUESTIONNAIRES, *LOW-income countries, *LITERATURE reviews
Abstract

Background: Discrete choice experiments (DCEs) are used to assess the strength of preferences and value of interventions. However, researchers using this approach have been criticized for not conducting or publishing rigorous studies to select the required attributes and levels. Proper specification of attributes and their levels determines the validity of DCE. Hence, our study aimed to identify and define attributes and levels for the design of a DCE to elicit patients' and providers' preferences for ART service in Northwest Ethiopia. Methods: Four stages were followed to derive the final list of attributes and levels: (1) a literature review to derive conceptual attributes; (2) key informant interviews of 17 providers and in-depth interviews of 15 adult stable patients to identify context-specific attributes and attribute levels; (3) ranking survey among 31 HIV/AIDS program implementers and rating survey among 35 adult stable patients and 42 health workers providing antiretroviral therapy (ART) service to indicate participants' preference of attributes; and (4) an expert opinion to reduce the list of attributes and levels. Results: First, a literature review identified 23 candidate attributes. Second, individual-level analysis of the qualitative transcripts confirmed 15 of these 23 attributes. Third, the ranking and rating surveys put the importance of the 23 ART service attributes in order of preference. Fourth, through discussions with eight experts, 17 attributes were discarded based on multiple criteria. The six retained attributes were: the location of ART refills, the frequency of receiving ART refills, the person providing ART refills, the participants/others seen at the same ART refill visit, medication refill pick-up/delivery times, and the total cost of the visit during antiretroviral (ARV) medication refill. Finally, levels were assigned to these 6 attributes based on data from the literature, transcripts, and knowledge of the Ethiopian context. Conclusions: This detailed description illuminates the attribute development process and provides the reader with a basis for evaluating the rigor of this phase of DCE construction. This paper contributes empirical evidence to the limited methodological literature on attributes and levels of development for DCE, thereby providing further empirical guidance on ART service preference, specifically among patients of low- and middle-income countries. [ABSTRACT FROM AUTHOR]

Published
2023
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36. Prevalence and determinants of contraceptive utilization among married women at Dabat Health and Demographic Surveillance System site, northwest Ethiopia

Author

Alemayehu, Geta Asrade, Fekadu, Abel, Yitayal, Mezgebu, Kebede, Yigzaw, Abebe, Solomon Mekonnen, Ayele, Tadesse Awoke, Gizaw, Zemichael, Wubeshet, Mamo, Muchie, Kindie Fentahun, Gelagay, Abebaw Addis, Azmeraw, Temesgen, Birku, Melkamu, Alemu, Kassahun, Tariku, Amare, Derso, Terefe, Tesfahun, Adino, Tebeje, Nigusie Birhan, Tigabu, Zemene, Gebeyehu, Abebaw, Debalkie, Getu, and Biks, Gashaw Andargie

Published
2018
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