Predictors of burnout among midwives working at public hospitals in northwest Ethiopia, 2022: A multi-centred study.

PROBLEM: Midwives are susceptible to burnout due to the physically and emotionally demanding nature of their job. Burnout is an occupational phenomenon with far-reaching consequences. AIM: This study aimed to assess the magnitude of burnout and predictors among midwives working at public hospitals in northwest Ethiopia. METHODS: An institutional-based cross-sectional study was conducted from February 7 to April 30, 2022. A simple random sampling method was employed to include 640 study participants. Data were collected using a self-administered questionnaire, entered into Epi-data 4.6 software, and exported to SPSS version 25 for analysis. A multivariable linear regression analysis model was fitted to identify factors contributing to midwives' burnout. FINDINGS: The overall prevalence of midwives' burnout was 55.3 % (95 % CI = 51.7-58.9). The prevalence of personal, work-related, and client-related burnout was 58.3 %, 60.3 %, and 55.5 %, respectively. Factors that were significantly associated with burnout includes workplace violence (ß = 5.02, CI: 2.90, 7.13), not receiving training (ß = 4.32 CI: 1.81, 6.80), being exposed to blood and body fluids or needle stick injuries (ß = 5.13 CI: 3.12, 7.13), low superior support (ß = 5.13 CI: 1.94, 5.30), working in tertiary hospitals (ß = 12.77 CI: 9.48, 16.06), and job rotation of six months or less (ß = 16.75, CI: 13.12, 20.39). CONCLUSION: This study found that the prevalence of burnout among midwives was significantly high. Addressing burnout requires implementing effective burnout prevention measures including enhancing management support, offering professional training, creating a conducive working environment, and adhering to standard precautions.

Prevalence and determinants of modern contraceptive utilization among women in the reproductive age group in Edaga-hamus Town, Eastern zone, Tigray region, Ethiopia, June 2017.

INTRODUCTION: All individuals and couples have a basic human right to decide freely and responsibly the number, spacing, and timing of their child. However, In Ethiopia, the prevalence of contraceptive utilization remains low and it varies in different regions. Therefore, this study was aimed to determine prevalence and determinant factors affecting the utilization of modern contraception in the reproductive age group (15-49 years) in Edaga-Hamus Town. METHODOLOGY: A community based Cross-Sectional study was carried out on April 23 to May 10, 2017. A systemic random sampling method was used to select study participants. Information was collected using a structured, pre-tested questionnaire. The data were entered into EPI-info version 7.1 and imported to SPSS version 20. Summary statistics and logistic regression analysis were performed using SPSS version 20. Those variables having a P-value of less than 0.2 in the bivariable analysis were fitted in multivariable analysis. AOR with 95% CI and P-value<0.05 were used during multivariable analysis to identify the factors associated with the utilization of modern in reproductive. RESULT: In this study the overall prevalence of modern contraceptive utilization was 58.5%. Age (AOR = 0.406,95%,Cl: (0.000,0.398)), Educational status (AOR = 0.901,95% Cl (0.340,4.107)), Feeling of husband towards Modern contraceptive (AOR = 0.186, 95% CI (0.056,0.617) had protective effect of utilization of modern contraceptive. But Number of children 1-3 and 4-5 wanted(AOR = 10.802,95%(4.027,28.975)), AOR = 2.624,95% CI (1.437,4.791), was a risk for utilization of modern contraceptive. CONCLUSION AND RECOMMENDATION: The prevalence of Modern contraceptive utilization was still to be low (far below the national target). Therefore, providing educational opportunities, creating awareness about contraception and effective counseling would increase modern contraceptive methods utilization.

Development of an informatics system for accelerating biomedical research.

Biomedical translational research can benefit from informatics system that support the confidentiality, integrity and accessibility of data.  Such systems require functional capabilities for researchers to securely submit data to designated biomedical repositories. Reusability of data is enhanced by the availability functional capabilities that ensure confidentiality, integrity and access of data. A biomedical research system was developed by combining common data element methodology with a service-oriented architecture to support multiple disease focused research programs. Seven service modules are integrated together to provide a collaborative and extensible web-based environment. The modules - Data Dictionary, Account Management, Query Tool, Protocol and Form Research Management System, Meta Study, Repository Manager and globally unique identifier (GUID) facilitate the management of research protocols, submitting and curating data (clinical, imaging, and derived genomics) within the associated data repositories. No personally identifiable information is stored within the repositories. Data is made findable by use of digital object identifiers that are associated with the research studies. Reuse of data is possible by searching through volumes of aggregated research data across multiple studies. The application of common data element(s) methodology for development of content-based repositories leads to increase in data interoperability that can further hypothesis-based biomedical research.