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Search Results: 1 - 10 of 401117 matches for " M Ghebrehiwet "
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Availability, utilization and quality of normal delivery and emergency obstetric care in Eritrea
M Ghebrehiwet, RH Morrow
Journal of the Eritrean Medical Association , 2007,
Abstract:
Delay in seeking and receiving emergency obstetric care in Eritrea
M Ghebrehiwet, RM Morrow
Journal of the Eritrean Medical Association , 2007,
Abstract:
Knowledge and Practice of Traditional Birth Attendants (TBAs) in Eritrea
M Ghebrehiwet, RH Morrow
Journal of the Eritrean Medical Association , 2008,
Abstract: Objective: Assess the Knowledge and Practice of Traditional Birth Attendants (TBAs) in Eritrea, in order to stimulate discussions and decisions on the role of TBAS and the way forward. Methods: the study was a cross sectional survey undertaken using structured interviews with TBAs that was conducted to collect data on their knowledge, practice, training status and the support and supervision they get from health staff. Findings: This study reveals that only 58 percent of traditional birth attendants in Eritrea use appropriate and sterile instruments. There is therefore an urgent need for improving the spread of the use of appropriate sterile instrumentsTraditional Birth Attendants, a practice which is important not only fot the prevention of puerperal sepsis but also for the prevention of the spread of HIV-AIDS. Over all only 36 percent of TBAs had supervisory support in the six months prior to the study. Conclusion: The study concludes that, as long as TBAs continue to function as delivery attendants, we need to educate and encourage them to identify danger signs and to promptly refer complications
Determinants of Maternal Mortality in Eritrea
M Ghebrehiwet, RH Morrow
Journal of the Eritrean Medical Association , 2008,
Abstract: Objective: This study was undertaken with a general objective of determining the determinants of maternal mortality in Eritrea. Methods: The study was a case control study which compared 50 women whose pregnancies led to death with 50 individually matched women that survived a severe life threatening obstetric complication in the same community. Findings: From the comparison of maternal deaths (cases) and survivors of severe life threatening obstetric complications (controls), seeking medical care on the part of the survivors was significantly more frequent in both bivariate and multivariate analysis than was the case in those who died and was probably protective. Conclusion: The study concluded that seeking medical care was negatively associated with maternal death and was probably protective.
Determining the Level of Maternal Mortality in Eritrea using RAMOS (Reproductive Age Mortality Study).
M Ghebrehiwet, RH Morrow
Journal of the Eritrean Medical Association , 2006,
Abstract: Objective: To determine the current estimate for the Maternal Mortality Ratio in Eritrea. Methods: The study used RAMOS (Reproductive Age Mortality Study), which is a methodology of identifying all deaths of women in reproductive age as a source for identifying maternal deaths. All female deaths with in reproductive age were first identified in a nationally representative sample of 42 communities, which was followed by identifying maternal deaths among the female deaths, through verbal autopsy. Findings: In the 42 selected communities, a total of 46,684 households were visited and a total of 248 female deaths within the reproductive age group (15-49 years) were identified. Among the 248 female deaths 41 were found to be maternal deaths. For calculating the maternal mortality ratio, the number of deaths was directly used as the numerator while the denominator was obtained using the fertility rates from a recent Demographic and Health Survey. This gave a maternal mortality ratio estimate of 752 per 100,000 live births and a lifetime risk for maternal mortality of 1 in 28, for the country. Conclusion: The level of maternal mortality in Eritrea is still very high. RAMOS can be effectively and efficiently used to determine Maternal Mortality Ratio and the other measures for the level of maternal mortality.
Competence and Performance of the Skilled Birth Attendants to undertake Normal Delivery and Emergency Obstetric Care in Eritrea.
M Ghebrehiwet, RH Morrow
Journal of the Eritrean Medical Association , 2006,
Abstract: Objective: to determine the competence and performance of the skilled birth attendants and the quality of normal delivery and emergency obstetric services in Eritrea. Methods: All of the 17 hospitals that provide maternity services and all of the 46 health centers in the country were included in this study. Quality or Quality gap was assessed through measuring the percentage of clients who got a service in compliance with the standards described in the national safe motherhood protocol. Findings: The study revealed gaps in the competence and performance of the skilled health workers as well as in the quality of normal delivery and emergency obstetric services in the country. Among the quality gaps identified were poor monitoring of normal and complicated labor and lack of use of partographs. Conclusion: The study concluded that in order to reduce maternal morality in developing countries like Eritrea; it is not adequate to just increase the percentage of women who are attended by health professionals, it is also at least equally important to improve the skills and performance of the available birth attendants.
The role of combined ultrasonography and mammography in the diagnosis of breast cancer in Eritrean women with paplable abnormalities of the breast
M Ghebrehiwet, E Paulos, T Andeberhan
Journal of the Eritrean Medical Association , 2007,
Abstract:
The Use of Sonography and Mammography in the Evaluation of Eritrean Women with Breast Pain.
M Ghebrehiwet, E Paulos, T Andeberhan
Journal of the Eritrean Medical Association , 2008,
Abstract: Objective: To assess the outcome of sonography and mammography in Eritrean women with breast pain in order to give background information for setting a standard practice of evaluation. Methods: All women with diffuse or focal breast pain referred to the departments of radiology of Orotta national referral hospital and Selam poly clinic between Jan., 2005 and Dec, 2007 were included. Patients with pain and associated palpable abnormality are excluded from the study. All patients underwent sonography and mammography. Finally, a review of all the pathology reports for breast cytology studies or biopsies was done to identify any interval cancer or false interpretations of the imaging of the subjects. Results: 470 patients underwent breast imaging during the study period. Pain alone was mentioned as reason for referral in 105 cases (22%). The mean age at presentation was 32.23. 47 (44.8%) were below the age of 30 year. 16 (15.2%) had family history of breast cancer and 11 (10.5%) had history of hormone use at the time of examinations. The pain was unilateral in 76 patients (72.4%). Most (53.3%) of the referrals were made by surgeons. FNA findings showed that 13 patients (52%) have benign mastopathy, 3 (12%) fibro adenoma, 2(8%) benign fibro epithelial alterations and the rest 6 different cytologic diagnosis, including mastitis ,tuberculous lymphadenitis, and non specific inflammatory changes. FNA cytology examination was suspicious for cancer in one patient but this was not histologically confirmed as the patient was lost to follow up. The negative predictive value for mammography and sonography was 95.7%. Conclusion: The primary use of sonography and mammography in women with breast pain is reassuring to the patients and to the treating clinician.
The profile of CT scan findings in acute head trauma in Orotta Hospital, Asmara, Eritrea
M Mebrahtu-Ghebrehiwet, L Quan, T Andebirhan
Journal of the Eritrean Medical Association , 2009,
Abstract: Background: There are variations in outcomes of radiological investigations of head injuries in different studies from different countries. The use of investigation modalities are influenced by socioeconomic and cost effectiveness of the tests. Objective and methods: The purpose of the present five months observational study was to describe the profile of cranial computed tomography (CT) scan findings of 110 cases of acute head trauma in Orotta Hospital. Results: The mean age of the entire series was 32.5 years with SD of 20.9 years. The overall male to female ratio was 3:1. The commonest causes of head injury were falls (36.4%), car accident (29.0%), stone injuries (15%), and bicycle accident (9%). Abnormal CT findings were seen in 60 cases (54.5 %) and normal CT in 50 (45.5%). The most common CT findings were: intra cerebral hematoma 22 (20. %), cerebral contusion or laceration 18 (16.4%), skull fractures 16 (6%), and scalp swelling 3 (2.7%). Conclusion: The high prevalence of head trauma related CT findings justify the use of CT in acute head trauma in Eritrea. However; it should be done only when clinically indicated in order to reduce cost and avoid unnecessary irradiation.
Magnitude and Causes of Maternal Deaths at Health Facilities in Eritrea in 2007.
M Ghebrehiwet, M Sharan, K Rogo, O Gebreamlak, B Haile, M Gaim, Z Andemariam, S Gebreselasie
Journal of the Eritrean Medical Association , 2009,
Abstract: Objective: To measure the level of maternal mortality in health facilities as well as the magnitude and proportion of obstetric complications in health facilities in Eritrea. Methods: The study was a cross-sectional survey of all hospitals and health centers in Eritrea and a random sample of around a third of health stations. Medical records of all patients who encountered obstetric complications in 2007 were reviewed. Findings: The main causes of obstetric complications among hospital admissions in 2007 were abortion complications (45.6%), obstructed/prolonged labor (18.4%), abnormal fetal presentation (10.3%) and preeclampsia/ eclampsia (7.7%). The number of maternal deaths at facilities was relatively small. Out of the 6,315 patients who were admitted for obstetric complications in 2007, 41 were classified as maternal deaths. The leading causes of maternal deaths included pre-eclampsia/ eclampsia in 22.0 percent of the cases, abortion complications in 19.5 percent of the cases and postpartum sepsis in 17.1 percent of the cases and post-partum hemorrhage in 14.6 percent of cases. The case-fatality rate for obstetric complications was low at 0.75 percent. The majority of maternal deaths (65 percent) occurred in the post-partum period, while 32 percent occurred during the ante-partum period, and 3 percent during intra-partum or during labor or delivery Conclusion: Over all it can be concluded that the Eritrean health system is performing well with the current demand for services. The issue of abortion requires special attention because it is the leading obstetric complication, which accounts for 46 percent of maternal complications and is responsible for one fifth of maternal deaths. Although the case fatality rate of all obstetric complications combined is not high (0.75 percent), the cause specific case fatality rates for the leading causes of maternal mortality was high
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