Quality of postoperative pain management in Ethiopia: A prospective longitudinal study

Background The annual number of surgical operations performed is increasing throughout the world. With this rise in the number of surgeries performed, so too, the challenge of effectively managing postoperative pain. In Africa, there are scanty data available that make use of multicenter data to characterize the quality of postoperative pain management. In this study using a longitudinal data, we have attempted to characterize the quality of postoperative pain management;among patients scheduled for major elective orthopedic, gynecologic and general surgery. Methods This prospective longitudinal study evaluated the quality of postoperative pain management in patients undergoing elective general, gynecologic, and orthopedic surgery. We quantified the prevalence of moderate to severe postoperative pain with the International Pain Outcome Questionnaire and the corresponding adequacy of treatment with the pain management index. At four time points after surgery, we estimated pain severity, its physical and emotional interference, and patient satisfaction. Results Moderate to severe postoperative pain was present in 88.2% of patients, and pain was inadequately treated in 58.4% of these patients. Chronic pain (beta = 0.346, 95% CI: 0.212, 0.480) predicted patients' worst pain intensity. Gender was not associated with the worst pain intensity or percentage of time spent in severe pain. Patient's pain intensity did not predicted the level of satisfaction. Conclusions The prevalence of moderate to severe postoperative pain and its functional interference is high in Ethiopian patients. The treatment provided to patients is inadequate and not in line with international recommendations and standards

Strategic Partnerships in e-Health in Low and Lower Middle-Income Countries in Africa

Strategic partnerships are very important for the successful deployment of e-health as they play a crucial role in achieving common goals and creating an added value for the involved partners. In this paper, we will provide relevant information about strategic partnerships in e-health deployment in four African countries, namely Ethiopia, Ghana, Malawi, and Tunisia. A Partnership Assessment Tool is developed to analyze different aspects of partnerships and classify them. According to the analysis, 11 partnerships were strategic amongst the 15 identified. Findings analysis also shows that certain aspects, mainly sustainability, have to be enhanced to guarantee the impact of partnerships after the ending of its actions. Increased governmental support is required in addition to international funding resources to the successful deployment of e-health in the participating countries.publishedVersio

Barriers and facilitators of maternal health care services use among pastoralist women in Ethiopia: Systems thinking perspective

We explored the barriers and facilitators of maternal health care service use among women in the pastoralist region of Ethiopia. We used a mixed methods design—focus group discussions, key informant interviews, review of the literature and Participatory Ethnographic Evaluation Research (PEER) methods followed by a household survey among randomly chosen pastoralist women of reproductive age (n = 1,499). We used multi-variable regression analyses, and a p value ≤ 0.05 was set to determine statistical significance. In addition, we analysed qualitative data thematically and developed a causal loop diagram using dynamic synthesis methodology to analyse non-linearity, intricate relationships of the variable of interests. In this study, 20.6% of women used modern contraceptive methods, 44.6% had four or more antenatal visits and 38.4% of sampled women received skilled delivery services. We observed multiple individual and community related factors such as education, income and women’s and their partner’s knowledge, perceptions, husband approval, social norms and value-expectations and providers’ gender preferences and health systems factors such as access to health facilities, place of living, provider's cultural competency skills, supplies, delivery positions, economic and political stability, and provider's attitude were linked to maternal health care services utilization among women in pastoralist regions. Approaches towards pastoralists’ health care delivery systems should be responsive to their cultural and political ecology and human agency

A Review on Gelatin Based Hydrogels for Medical Textile Applications

Hydrogels are hydrophilic polymer networks that absorb any kind of liquid including biological fluids. Natural polymers and their derivatives along with synthetic polymers are used to form the hydrogels. Networks that constitute the hydrogels are created by the crosslinking of either synthesized polymers starting from monomers or already developed polymers. Crosslinking can be developed either physically if secondary intermolecular forces are involved or chemically in which a covalent bond between polymeric chains is created. Gelatins are natural driven protein polymers. One of the main biopolymers used for producing hydrogels is gelatin. Gelatin has a very wide application other than hydrogels. In this review, hydrogels and their property and synthesis mechanism, as well as their application in biomedical along with gelatin chemistry and application, are reviewed. Due to its nonimmunogenicity, nontoxicity, low cost, and high availability gelatin-based hydrogels could find applications in drug delivery carrier, bioink, transdermal therapy, wound healing, and tissue repair. The beneficiation of gelatin can result in their sustainable conversion into high-value biomaterials on the proviso of the existence or development of cost-effective, sustainable technologies for converting this biopolymer into useful bioproducts

COVID-19 in Ethiopia in the first 180 days: Lessons learned and the way forward

AbstractWithin just nine months of its official identification by the World Health Organization, coronavirus disease 2019 (COVID-19) has caused 34 million confirmed infections and about 1 million deaths worldwide. The collateral damage and spill over effects to all sectors has caused severe social disruption and an economic crisis that the world was unprepared for. Despite the relentless global effort, the pandemic remains a serious threat to lives and livelihood. As a result, all countries are faced with the daunting task of balancing outbreak prevention strategies against efforts to save their economies. Nevertheless, almost every country now has months of local evidences about the pandemic that will support contextualized and measured actions.The number of confirmed cases and deaths attributable to COVID-19 in Ethiopia has steadily increased since the first reported case on 13 March 2020. Although the country has so far avoided the feared catastrophe, the true burden of the problem may be far beyond what has been reported due to limited testing capacity. With the current trends of widespread community transmission, COVID-19 remains a serious public health threat in the country. In addition, multiple human-related and environmental factors, combined with relaxed COVID-19 mitigation strategies, have put the country at a high epidemic risk. Thus, proactive and balanced measures based on local evidence should be taken to prevent the country from slipping into a dire public health crisis. [Ethiop. J. Health Dev. 2020; 34(4):301-306]Key words: COVID-19, Ethiopia, pandemi