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Objective: This study aimed to assess patient knowledge and satisfaction and associated factors with outpatient pharmacy service at Felege Hiwot comprehensive specialized hospital. Design setting and participants: An institution-based cross-sectional study was conducted at Felege Hiwot comprehensive specialized hospital on patients getting outpatient Pharmacy service from 01 March 2022 to 30 May 2022. The study participants were selected by simple random sampling method. Main outcome measured: Patients' knowledge and satisfaction with pharmacy service was measured by a structured questionnaire and Data were collected, cleared, and coded, then entered into EPI Info (Epidemiological information. version 7.1.5.2) and analyzed using SPSS (version 25). Results: The overall knowledge result of the respondents showed that only 13.3% of individuals have good drug knowledge and 72.01% of respondents were satisfied with the outpatient pharmacy service. Following up on the multivariate analysis of service modality patients by credit (AOR: 5.50 (1.71-17.74), who are with the occupation of merchants (AOR: 0.09 (0.01-0.83)) and labeling (AOR: 3.13 (1.58-6.20) had an association with drug knowledge. Multivariate analysis showed that waiting time, dispensing time and privacy had an association with satisfaction. When we consider waiting time; respondents with 3-6 min, 6.1-9 min and >9 min waiting times are 0.06 times, 0.02 times, and 0.01 less likely satisfied compared with respondents having waiting time <3 min. It shows that as the patient stays without getting serviced for a long time, satisfaction decreases. Conclusions: Overall, around three-fourths of the respondents were satisfied with the outpatient pharmacy services which is approaching the national satisfaction assessment result. Respondents were strongly satisfied with Dose, route, frequency, and duration. However, they were strongly dissatisfied with the name of the drug. After the multivariate analysis privacy, waiting time, and dispensing time had an association with patient satisfaction.
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Background: Vaccines are vital health commodities that need an appropriate supply chain system. They could be transported, stored, and used at appropriate temperatures. The purpose of this study was to assess vaccine cold chain management practices in primary health centers offering an expanded program of immunization (EPI) in Bahir Dar, Northwest Ethiopia. Methods: A self-reported and actual practice observational cross-sectional study was conducted at primary public health centers in the Bahir Dar city administration from August 15 to 30, 2021. A simple random sampling method was used to select study participants. An interview-administered questionnaire and direct actual practice observation were used to collect data. The data was entered into the Epi-data 4.6 program and analyzed using SPSS version 25. Participants' knowledge, storage and transport conditions, IPLS management, and vaccine cold chain management practices were examined using independent samples t-tests and one-way ANOVA tests. Findings: A total of 50 respondents from ten health centers were enrolled in the study. Most of the EPI service providers had good knowledge (60%) and good practice in vaccine storage and transport (74%). However, more than two-thirds (68%) of EPI service providers had poor integrated pharmaceutical logistics system (IPLS) management. Only half (50%) of the health centers had good actual vaccine cold chain management practices. Higher educational background, longer work experience, and receiving training and supervision in EPI services, IPLS management, and vaccine inventory management resulted in higher knowledge, storage and transport management, IPLS management, and vaccine cold chain management practices. Conclusion: Although most EPI service providers in an interview assessment reported having good knowledge and good vaccine storage and transport management, only half of the health facilities followed the standard. Stakeholders are recommended to play a vital role in improving practices related to EPI services.
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Refrigeration , Vaccines , Humans , Self Report , Ethiopia , Cross-Sectional Studies , Immunization ProgramsABSTRACT
Introduction: The concept of quality in higher education is highly complex, difficult to define, and multi-dimensional and education is a cornerstone of a nation's development and quality is at the heart of education. Thus, the study aimed to assess the quality of education at Bahir Dar Health Science College, BahirDar, Ethiopia, 2021. Methods: A mixed method approach was employed from May 1- June 30, 2021. Systematic random sampling and purposive sampling methods were used to collect quantitative and qualitative data respectively. Self-administered questionnaires and in-depth key informant interviews were conducted. The data were analyzed via stata 14 and presented by descriptive frequencies and tables. Thematic analysis was employed for qualitative data. Results: Most instructors 26 (59.1%) are not satisfied with library services and 33 (75%) of them did not conduct a research project or participate in any community services. The findings also stated that the college has made its level best to improve the quality of education via the implementation of continuous assessment, active learning approach, remedial and affirmative action and training. Regarding students, half of them 166 (50.6%) are not comfortable with the college environment. Students were also greatly grouchy the services delivered in the college such as cafeteria, dormitory, student clinic and guidance and counseling. Conclusion: The study found out that there is a relatively low level of satisfaction among both groups and the quality of education is below the acceptable level. Therefore, the college should create an opportunity to engage in national and regional networks to share best practices in quality education and it requires the office to develop the capacity of their services.
