Papers by Garumma Feyissa
Frontiers in Reproductive Health
JBI Evidence Implementation, 2022
BACKGROUND Low and middle-income countries are currently enduring the heaviest global burden of d... more BACKGROUND Low and middle-income countries are currently enduring the heaviest global burden of diabetes and diabetes-related mortalities. Diabetes self-management education (DSME) improves patient clinical outcomes, health status, and quality of life. Lack of awareness about best practice guidelines and recommendations may be associated with increased risk of diabetes morbidity and mortality. OBJECTIVES The objective of this study was to improve knowledge and skill of health care providers and patients with diabetes by enhancing evidence-based practice through self-management education to increase compliance with best practice recommendations. METHODS Joanna Briggs Institute (JBI)'s three-phase Practical Application of Clinical Evidence System and Getting Research into Practice audit criteria of diabetes of audit management criteria were used. To understand barriers, 12 audit criteria, patient's medical record handling and educational plan according to set standards were evaluated. To mitigate the barriers, strategies of training and supportive supervision on evidence-based DSME were implemented from 20 April 2018 to 7 June 2018. Sixteen health professionals and 80 patients with diabetes participated in the study conducted in Jimma University Medical Center. Both a baseline and follow-up audit was conducted using the JBI feedback tool. RESULT The baseline audit results indicate that 3 of the 12 audit criteria recorded zero percent compliance, whereas other compliances were below 40%, representing poor compliance with the current evidence. The post implementation audit reported 100% compliance for criteria on availability of structured education plan, existence of appropriate training for staff, the presence of education regarding nutrition and medications, while for the remaining criteria on competency of staff members for delivering DSME, assessment of prior diabetes knowledge, status of documentation after each session, and the presence of appropriate referrals or booking the compliance rate was improved to 88%. Similarly, criteria on the presence of individualized education plan improved (0-75%), encountering knowledge regarding physical activity (6-75%), self-monitoring of blood glucose (4-60%), and prevention diabetes complications (10-90%). CONCLUSION There were remarkable changes in both patients and care providers on comparison of pre-intervention and post-intervention, particularly in availability of materials, involvement of staff in self-management education, nutrition, and medication.
Neurology Psychiatry and Brain Research, 2020
Background Co-morbidty of physical diseases increase the functional disability and mortality of p... more Background Co-morbidty of physical diseases increase the functional disability and mortality of psychiatric patients. The majority of causes attributed to psychiatric patients mortality are due to various co-morbid medical conditions. Screening and early intervention of these conditions in these froups of patients has paramount importance. However, there are limited studies on the comorbidity of physical and mental disorders among psychiatry patients in Ethiopia. Therefore, this study is meant to provide essential data for future interventions. Objective To assess the medical comorbidity among psychiatric patients treated at Jimma University Medical Center, Southwest Ethiopia Methods A five years retrospective review of hospital records was performed. Data were extracted using a structured template of data extraction on a wide range of potential factors. Multivariate logistic regression analysis was used to identify associated factors and significance was declared at P-value Result ...
JBI Evidence Implementation, 2021
BACKGROUND Worldwide about 13 million babies are born prematurely every year. Kangaroo mother car... more BACKGROUND Worldwide about 13 million babies are born prematurely every year. Kangaroo mother care (KMC) is a proven, acceptable and feasible method to decrease the mortality rate of premature infants. Reviewing current KMC practices, implementing in the context and auditing the compliance would benefit the promotion evidence-based practice (EBP), which was not well known in the study area. OBJECTIVES The main objective of the study was to increase awareness of EBP for KMC in the neonatal care unit of a public hospital through identifying local barriers and facilitators, and to measure compliance with best practice recommendations. METHODS The current KMC best practice quality improvement project was conducted between March and May 2018. The project team was established for this implementation project. Six KMC best practice audit criteria were used to evaluate the compliance at baseline and endline using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice audit and feedback tool. All (20) clinical staff who were working in the neonatal care unit were included in the study. Based on the baseline audit result, gaps and barriers were identified and discussed, and implementation strategies specific to the local setting were developed to mitigate the gaps. Baseline results were compared with the final follow-up audit result to measure change in compliance. Again, these data were compared with other studies to identify the sustainability of the project in a clinical setting. RESULTS A total of 80 cases (baseline 20 and implementation 60) were observed demonstrating KMC procedures. Study found that follow-up compliance rates for all criteria improved compared with baseline audit; for example, criterion 5 (assessment of infant's condition) improved from 20% during baseline to 90% during follow-up and criterion 3 (parent/family received counselling) improved from 30 to 95%. CONCLUSION The current study demonstrated that EBP training and frequent supportive supervision translated in improved compliance to best available evidence to KMC in a resource-limited setting.
JBI Database of Systematic Reviews and Implementation Reports, 2019
The objective of this review is to explore the experiences of mothers with the practice of kangar... more The objective of this review is to explore the experiences of mothers with the practice of kangaroo mother care (KMC) for preterm neonates at home in sub-Saharan Africa. Introduction: About 7000 newborn babies die every day around the world. About 80% of these deaths occur in sub-Saharan Africa and southern Asia. Preterm birth and low birth weight (LBW) are major causes of newborn deaths in these regions. Kangaroo mother care is an alternative way to care for LBW preterm neonates; however, the rate of practice remains low. Studies have identified a range of barriers, primarily at the healthcare system level, but there is a dearth of evidence on the factors and enablers at the community level. Inclusion criteria: The review will consider studies conducted in sub-Saharan Africa on the perceptions and experiences of mothers who have given birth to preterm babies and have practiced KMC at home. Qualitative studies in English and French conducted from January 1979 to the present that exclusively use qualitative research methods including, but not limited to, phenomenology, grounded theory, ethnography, action research and feminist research will be included. Methods: PubMed, Embase, Web of Science, Scopus, African Index Medicus (AIM), Academic Search Complete, CINAHL complete, Education Source and Health source: Nursing/Academic Edition will be searched. Eligible studies will be critically appraised using the standardized Joanna Briggs Institute tool. Findings will be pooled using the meta-aggregative approach, and confidence will be assessed according to the ConQual approach.
Frontiers in Global Women's Health
BackgroundIn Ethiopia, postnatal care (PNC) service utilization was low although many interventio... more BackgroundIn Ethiopia, postnatal care (PNC) service utilization was low although many interventions had been implemented. Previous studies showed community-/caregiver-related barriers to PNC service utilization, but limited evidence was available on the health facilities and health care provider-related barriers. Therefore, the study was aimed at exploring both community and health care provider-related barriers to PNC service utilization.MethodsA descriptive qualitative study was conducted at Debre Libanos District, Ethiopia, from 11 March to 7 April 2019. A purposive sampling technique was used to recruit study participants among recently delivered women (<2 months), health care providers, and community members. A total of five in-depth interviews, 12 key informant interviews, and four FGDs were conducted. Data were audio-recorded, transcribed verbatim, and translated, and inductive thematic analysis was used to analyze the data using the atlas ti.7.1 software.ResultsA total of...
Advances in Public Health
Background. Healthcare-seeking behavior is referred to as any action taken by individuals who bel... more Background. Healthcare-seeking behavior is referred to as any action taken by individuals who believe they have a health problem or are ill in order to find an appropriate remedy. The aim of this is to assess healthcare-seeking behavior on newborn danger signs and associated factors among mothers who gave birth in the last 12 months in the Anlemo district. Methods. A community-based cross-sectional study was conducted in the Anlemo district from June 15th, 2019 to July 16th, 2019. Data were collected from 421 randomly selected mothers through a face-to-face interview. Data were cleaned and entered into Epi-Data version 3.1, and then, exported to SPSS version 22.0 for analysis. Binary logistic regression with p values less than 0.25 was entered into a multivariable logistic regression for analysis. Finally, adjusted odds ratios (AOR) with 95% confidence intervals at a p value of <0.05 were considered as a statistically significant association with the outcome variable. Results. Am...
African journal of midwifery and women's health, 2021
Establishing maternity waiting homes is a key strategy to address the geographic barrier to obste... more Establishing maternity waiting homes is a key strategy to address the geographic barrier to obstetric care access among women living in rural areas. In Ethiopia, maternity waiting homes have been in use for several years, with a sharp increase in the number of such facilities recently. However, there is little empirical evidence detailing the experiences and challenges faced by women during the implementation of this initiative in Ethiopia. This study used a multiple case study design with qualitative data collection methods, and was conducted from October to November 2016. Data were collected using focus group discussions, in-depth interviews and direct observation of each maternity waiting home. All interviews and focus group discussions were recorded using a digital voice recorder. Data were transcribed and translated into English. The coding process and formation of thematic structure was assisted by Atlas ti7.5 computer software. The participants reported that they were satisfi...
JBI Evidence Implementation, 2021
INTRODUCTION AND AIMS As directed by the WHO, antenatal care providers have good opportunities to... more INTRODUCTION AND AIMS As directed by the WHO, antenatal care providers have good opportunities to identify and refer mothers who are struggling with psychosocial problems. In Ethiopia, the pooled prevalence of perinatal depression is 25.8%, which is almost two-fold of the pooled global prevalence. Though this is an indication of the need for prompt interventions, there is no assessment targeted to this population. Therefore, the aim of this project was to promote an antenatal psychosocial assessment practice among midwives. METHODS Using the Joanna Briggs Institute Practical Application of Evidence System, 66 first visit antenatal care assessment opportunities were observed in both baseline and follow-up audit using three audit criteria. Fourteen midwives were interviewed for the first criterion. On the basis of the results, the gaps and barriers were analyzed using Getting Research into Practice strategies. RESULT The baseline audit result revealed a 0% compliance rate for all evidence-based antenatal psychosocial assessment audit criteria. This scenario disclosed that there had not been psychosocial problem assessment practice at antenatal clinic. However, the postimplementation result showed that an average 91.5% practice of evidence-based antenatal psychosocial assessment was applied as per standards. CONCLUSION Carrying out discussions on evidence summary with providers, on-the-job training, using local leaders' opinions, and involving relevant stakeholders appeared to be the key methods in improving compliance to best available evidence in antenatal psychosocial assessment.
Injury Prevention, 2020
BackgroundPast research in population health trends has shown that injuries form a substantial bu... more BackgroundPast research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries.MethodsWe reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs).FindingsIn 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty...
International Journal of Adolescence and Youth, 2017
JAMA oncology, Jan 3, 2016
Cancer is the second leading cause of death worldwide. Current estimates on the burden of cancer ... more Cancer is the second leading cause of death worldwide. Current estimates on the burden of cancer are needed for cancer control planning. To estimate mortality, incidence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs) for 32 cancers in 195 countries and territories from 1990 to 2015. Cancer mortality was estimated using vital registration system data, cancer registry incidence data (transformed to mortality estimates using separately estimated mortality to incidence [MI] ratios), and verbal autopsy data. Cancer incidence was calculated by dividing mortality estimates through the modeled MI ratios. To calculate cancer prevalence, MI ratios were used to model survival. To calculate YLDs, prevalence estimates were multiplied by disability weights. The YLLs were estimated by multiplying age-specific cancer deaths by the reference life expectancy. DALYs were estimated as the sum of YLDs and YLLs. A sociodemographic index (SDI) wa...
BMC Women's Health
Background Continuum of care for Maternal Health Care is continuity of care through pregnancy, ch... more Background Continuum of care for Maternal Health Care is continuity of care through pregnancy, childbirth, and after birth as a key strategy in reaching mothers and babies at a crucial time. Despite the widespread drop out from the continuum of care, there is limited understanding of perspectives of providers and clients about factors leading to drop out from care among women in Ethiopia. Objective The aim of this study is to explore the underlying reasons for which women walk away from maternal health services in Ethiopia care providers' and clients' perspectives. Methods The population for the study were comprised of all purposefully selected district health department deputy heads, MCH coordinators, primary health center unit directors, midwives and nurses in charge of maternity department and who have been rendering maternal health services and chosen women among those attending the MCH clinic for maternal health services in order to identify reasons for dropout from the...
Research Square (Research Square), Nov 5, 2022
Background Continuum of care (CoC) CoC for Maternal Health Care (MHC) is continuity of care throu... more Background Continuum of care (CoC) CoC for Maternal Health Care (MHC) is continuity of care through pregnancy, childbirth, and after birth as a key strategy in reaching mothers and babies at a crucial time. However, dropout from this basic package and critical for women and their infants' survival and wellbeing is widespread in Ethiopia. Objective The aim of this study is to explore the underlying reasons why do women walk away from maternal health services in Ethiopia caregivers' and clients' perspectives. Methods Exploratory qualitative study took place at selected health facilities in the Jimma zone in November to December 2020 among purposefully selected key informants from woreda health departments, head of the health facilities, midwives and women attending the MCH clinic based on the established criteria. Data was collected using key informants interview guide Result The eld note, interview note, and tape-recorded interviews were transcribed and later translated into English. The main themes were identi ed and compared across all the transcripts to determine similarities and variations in the views of respondents. Accordingly, the reasons why do women walk away from maternal health services were categorized under three main themes: healthcare system related reasons (shortfall in supplies, missed use of the concept of responsibility and accountability, high staff turnover, poor linkage and COVID_19) ,community level barriers (socio cultural /norm, less attention to forum, weak community level structure) and individual level barriers (Knowledge and sense of fatigue as gestational age advances, late booking for ANC, lack of motivation and socioeconomic).
Health Services Insights
Background: Continuum of care [COC] for maternal health care [MHC] refers to continuity of care t... more Background: Continuum of care [COC] for maternal health care [MHC] refers to continuity of care that has been considered as a core principle and framework to underpin strategies and programs to save the lives and promote wellbeing of mothers and newborns. However, the status of the continuum of care for maternal health care is not well studied. Thus, the objective of this analysis is to examine the status of the continuum of care for maternal health care and current recommendations in Low- and Middle-Income Countries. Methods: Our review followed the scoping review methods. We searched for relevant studies in the PubMed, and Cochrane Library databases. Additionally, lateral searching was carried out from google scholar, reference lists of the included studies and supplemented by a gray literature search. One reviewer screened the full list, which was randomly split into two halves and independently screened by other 2 reviewers. The 2 reviewers independently extracted the data and d...
Frontiers in Reproductive Health
IntroductionChild marriage and teen pregnancy have negative health, social and development conseq... more IntroductionChild marriage and teen pregnancy have negative health, social and development consequences. Highest rates of child marriage occur in sub-Saharan Africa (SSA) and 40% of women in Western and Central Africa got married before the age of 18. This systematic review was aimed to fill a gap in evidence of effectiveness to reduce teen pregnancy and child marriage in SSA.MethodsWe considered studies conducted in sub-Saharan Africa that reported on the effect of interventions on child marriage and teen pregnancy among adolescent girls for inclusion. We searched major databses and grey literature sources.ResultsWe included 30 articles in this review. We categorized the interventions reported in the review into five general categories: (a) Interventions aimed to build educational assets, (b) Interventions aimed to build life skills and health assets, (c) Wealth building interventions, and (d) Community dialogue. Only few interventions were consistently effective across the studies...
International Journal of Nursing Studies, 2009
What is already known about the topic? Approximately 25% European nurses suffer from burnout. In ... more What is already known about the topic? Approximately 25% European nurses suffer from burnout. In line with positive psychology, the proposed antithesis to burnout, engagement, is of immense interest to psychologists, practitioners and nurse leaders, although there is no clear agreed-upon definition of this construct. There is, however, a considerable body of empirical evidence linking organizational resources to work engagement. What this paper adds Clear qualitative empirical support for one of the four work engagement models, Maslach and Leiter's (1997) Work life model. Despite colossal investment in the Irish health service in recent years, healthcare environments are no better at fostering nurses' engagement with work. Highlights the need for worksite interventions that foster engagement by considering six areas of organizational life; workload, control, reward, fairness, community and values.
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Papers by Garumma Feyissa