Perceived Sleep Quality of Heart Failure Patients at Jimma University Specialized Hospital (JUSH) Chronic Follow up Clinic South West Ethiopia, 2015

Background: Chronic heart failure is an important health problem associated with changes in sleep pattern and quality among patients with heart failure. Besides having negative effect on the patients' quality of life, it is one of the most disturbing problems. Poor sleep compromise cognition and one's self-care practice. Though factors affecting sleep among heart failure patients have been investigated in developed world this is not well understood in developing countries like Ethiopia. The aim of this study was therefore, to assess the level of sleep quality and associated factors among heart failure patients. Methods: - A cross-sectional study was conducted from October 1 to November 15, 2014 at Jimma University Specialized Hospital chronic illness follow up clinic. Data was collected by using standardized structured interviewer administrated questionnaires. Sleep quality was rated by participants using Pittsburg sleep quality scale. Convenient sampling technique was employed. Data analysis was done by SPSS windows version 20.0 statistical package. Statistical association was declared at p-value of <0.05 and results were presented using tables, figures and narratives. Result: A total of 278 patients participated in the study. On the Pittsburg sleep quality scale 42(15.1%) of the participants rated their perceived sleep quality as very bad with the mean score of 9.23 (SD = 4.05).  Overall, 81.65% of participants had poor sleep quality. Patients who were farmers 166(59.7%) had poor sleep quality than others.  Conclusion and recommendation: Majority of the study participants have poor sleep quality having Pittsburgh sleep quality scale score of greater than five whereas only few of them had good sleep quality. Therefore, Health education and symptom management should be focused in this population to improve their sleep quality. Keywords: Sleep quality, heart failure, Jimma University Specialized Hospital

Self-reported low back pain intensity and interferences among three-wheel drivers in Southwest of Ethiopia: A Community-Based Cross-sectional Study

Introduction: Low back pain is one of the most reported conditions among vehicle drivers. However, there is a paucity of information about low back pain experiences among three-wheel drivers in Ethiopia. This study aimed to determine the low back pain experience among three-wheel drivers in Ethiopia Jimma City, Southwest Ethiopia. Methods: A Community-based cross-sectional study was conducted from March 1-25, 2020 among 396 samples. Computer generated simple random sampling method was employed to get the required sample. An interviewer-administered questionnaire was used to collect the data. The data was checked for completeness, coded, cleaned and entered into Epi-data version 3.1 and exported to SPSS version 23 for analysis. Data was analyzed using mean and standard deviations for continuous and proportions for categorical variables. Binary and multivariable logistic regression was used to see an association between dependent and independent variables. P-value <0.05 at 95% CI was declared statistically significant. Results: Of 396 study participants, 26.26% of them had low back pain at any time among which, 73.1% reported pain in the last 24 hours.  Regarding pain intensity in 24 hours, the mean ± standard deviation of worst pain was 5.3 ± 2.5.  The independent variables significantly associated with low back pain along with their adjusted odds ratio (95% confidence interval) were: age 3.45 (1.98, 6.03), educational status: 1.96 (1.07, 3.59), physical exercise: 0.52 (0.31, 0.86) drinking alcohol: 2.32 (1.22, 4.39) and working hours: 0.32 (0.13, 0.83). Conclusion: The three-wheel drivers experienced moderate to severe low back pain and moderate to severe functional and emotional interferences. More than half of the participants reported the worst pain experience within 24 hours. Age, educational status, physical exercise, drinking alcohol and working hours were significantly associated with low back pain

Best Practices and Lessons Learned in eHealth in Four Low and Lower Middle-Income Countries in Africa

Studying best practices and lessons learned is important to improve performance and avoid previous mistakes of projects and interventions. In this paper, the analysis of ehealth interventions in four African Low and Lower Middle-Income Countries, Ethiopia, Ghana, Malawi and Tunisia is performed to extract best practices and lessons learned. A two-level evaluation methodology is proposed, where the first level is based on data available on the Global Digital Health Index platform, and the second level is a qualitative analysis based on a set of criteria. The findings obtained reveal 7 best practices and associated lessons learned in the studied countries. Although the extracted best practices represent successful interventions, the analysis indicates that certain aspects represent challenges to their success, namely, sustainability, transferability, innovation and impact.publishedVersio

Persons with Diabetes’ Perceptions of Family Burden and Associated Factors

Background. Families of a person with diabetes play a vital part in diabetes management since their support helps with regimen engagement in self-management behaviors. However, focal information on the family burden of diabetes is lacking. This study is aimed at, therefore, assessing the persons with diabetes’ perceptions of family burden and associated factors at a university hospital. Methods and Materials. A facility-based cross-sectional study design was conducted from July 26 to September 26, 2021on 403 persons’ with diabetes attending Jimma Medical Center diabetic clinic, the study sample was selected using a simple random sampling method. The data was collected using the Zarit burden questionnaire through face-to-face interviews. Descriptive statistics (mean, standard deviation, frequency, and percentages) were ordered logistic regression, and statistical significance was declared at P value ≤0.05. Results and Discussion. About 36.8% of the patient was in mild to moderate family burden of diabetes. Farmer (AOR 5.419; CI: 1.18, 24.872), living with partners and family (AOR: 0.110, CI: 0.018, 0.659), comorbidity (AOR 5.419; CI: 1.18, 24.872), oral hypoglycemic agent (AOR: 0.380, CI: 0.191, 0.758), and being never hospitalized before because of diabetes (AOR: 0.044, CI: 0.003, 0.571) was statistically associated with a family burden. Conclusion. About one-fourth of diabetic patient-perceived mild to the moderate family burden of diabetes, persons with diabetes who work as farmers and have comorbidities have a higher opinion of family burden, whereas those who live with partners or family members, use oral hypoglycemic medications, and have never been hospitalized for diabetes have a lower view of family burden due to diabetes. The results of this study suggest that strategies for health promotion, intervention, and prevention of diabetes at the family level should consider the interaction between family member burden and the patient’s sociodemographic and disease-related factors. A further large-scale study is required to validate these findings