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Tassew SF, Haile BA, Amera Birlie T. Outcome of Rodenticide Poisoning and Its Associated Factors Among Adult Patients Admitted with Rodenticide Poisoning at the Emergency Unit of Debre Tabor Comprehensive Specialized Hospital, Debre Tabor, North Central Ethiopia. Open Access Emerg Med 2023; 15:189-197. [PMID: 37260736 PMCID: PMC10228517 DOI: 10.2147/oaem.s405970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 05/20/2023] [Indexed: 06/02/2023] Open
Abstract
Introduction Rodenticides are pesticides used to eradicate rodents. It is a common reason for visits to the emergency department and hospitalization, and it is a major public health concern. Intentional or unintentional intoxication can result in severe consequences with a high fatality rate. In Ethiopia, studies on the outcome of rodenticide poisoning are scarce. The goal of this study was to assess the outcomes of rodenticide poisoning and its associated factors in adult patients admitted to the emergency unit of Debre Tabor Comprehensive Specialized Hospital in North Central Ethiopia. Methods A retrospective record review institutional-based cross-sectional study design was used on 156 adult patients treated with rodenticide poisoning at Debre Tabor Comprehensive Specialized Hospital's emergency unit between May 1, 2017 and April 30, 2022. To collect data from patient medical documents and the Health Management Information System, an abstraction sheet was employed. The information was entered into EPI data version 4.6, then exported and analyzed using STATA version 14 software. To analyze the relationship between the dependent and independent variables, bivariable and multivariable regression were used. Results A total of 156 participants were involved in the study. The majority of them 55.13% were in the age group of 19-37 years with the median age of 23 years. Three-fourth of the cases were suicidal poisoning. Overall, 49.35% patients presented to Debre Tabor Specialized Hospital had poor outcome. Having suicidal poisoning (AOR = 10.64; 95% CI: 2.43, 46.53), having tachycardia (AOR = 5.41; 95% CI: 1.54, 18.98), being referred from other health center (AOR = 5.78; 95% CI: 1.97, 16.95) were factors associated with poor outcome. Conclusion Rodenticide poisoning had a poor overall outcome. Suicidal poisoning, tachycardia, and referral from other health facilities were all important predictors in poor rodenticide poisoning outcomes.
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Affiliation(s)
- Sheganew Fetene Tassew
- Department of Emergency Medicine and Critical Care Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Betlhem Amha Haile
- Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Tekalign Amera Birlie
- Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
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Bantie B, Kassaw Yirga G, Ayenew YE, Nuru Muhamed A, Tassew SF, Kassie YT, Tiruneh CM, Moges N, Birhane BM, Anley DT, Anteneh RM, Dessie AM. Deworming utilization among pregnant mothers with at least one antenatal care follow-up in Ethiopia, 2022:- A multilevel analysis. PLoS One 2023; 18:e0279967. [PMID: 36662678 PMCID: PMC9858040 DOI: 10.1371/journal.pone.0279967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 12/19/2022] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Soil-transmitted helminthes (STHs) are the major public health problems that affect the health of pregnant women and their incoming newborns. In Ethiopia, about 33.35% of pregnant women were affected by these infections. Utilization of deworming medication during pregnancy is the main strategy endorsed by the World Health Organization (WHO) to reduce the burden of STH-induced anemia and its related complications. However, information related to the coverage and its individual as well as community-level factors on the utilization of deworming medication among pregnant mothers with at least one antenatal care (ANC) visit is limited in Ethiopia. METHODS A nationwide population-based cross-sectional study was conducted from January 18 to June 27, 2016. The information was obtained from the 2016 Ethiopian Demographic Health Survey (EDHS 2016), which can be accessed at: https://www.dhsprogram.com. A weighted sample of 4690 pregnant women selected using a two-stage stratified cluster sampling technique was included in the final analysis. A Multi-variable multilevel binary logistic regression model was fitted to identify the determinants of the utilization of deworming medication during pregnancy. Log-likelihood ration (LLR), deviance and Akaike's Information Criterion (AIC) were used to select the best fitted model in the multilevel analysis. Statistical significance was declared at p-value <0.05. RESULT From a total of 4690 mothers included in the final analysis, only 365 (7.8%) of them utilized deworming medication in pregnancy. After controlling for confounding effects, having four or more Antenatal care (ANC) visits, having functional working status, intake of iron folic acid (IFA) tablets and coming from a community with a low poverty level increases the odds of utilization of deworming medication during pregnancy. CONCLUSION AND RECOMMENDATION In this study, less than one in ten pregnant mothers takes deworming medication. Mothers with less than four ANC visits, who did not receive IFA tablets, who came from a community with a high poverty level, and mothers with no good functional status were at the greatest risk of not receiving deworming medication during pregnancy. Sustained efforts need to be undertaken to increase the socioeconomic status of the community and to scale up the health care utilization behaviors of pregnant mothers.
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Affiliation(s)
- Berihun Bantie
- Department of Comprehensive Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
| | - Gebrie Kassaw Yirga
- Department of Comprehensive Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
| | - Yeshiambaw Eshetie Ayenew
- Department of Comprehensive Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
| | - Ahmed Nuru Muhamed
- Department of Nursing, College of Medicine and Health Science, Wolkite University, Welkite, Southern Ethiopia
| | - Sheganew Fetene Tassew
- Department of Emergency and Critical Care Nursing, College of Health science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
| | - Yohannes Tesfahun Kassie
- Department of Emergency and Critical Care Nursing, College of Health science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
| | - Chalie Marew Tiruneh
- Department of Pediatrics and Child Health, College of Health Science, Debre Tabor University, Derbre Tabor, Northwest Ethiopia
| | - Natnael Moges
- Department of Pediatrics and Child Health, College of Health Science, Debre Tabor University, Derbre Tabor, Northwest Ethiopia
| | - Binyam Minuye Birhane
- Department of Pediatrics and Child Health, College of Health Science, Debre Tabor University, Derbre Tabor, Northwest Ethiopia
| | - Denekew Tenaw Anley
- Department of Public Health, College of Health Science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
| | - Rahel Mulatie Anteneh
- Department of Public Health, College of Health Science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
| | - Anteneh Mengist Dessie
- Department of Public Health, College of Health Science, Debre Tabor University, Debre Tabor, Northwest Ethiopia
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Ayenew T, Tassew SF, Workneh BS. Level of emergency and disaster preparedness of public hospitals in Northwest Ethiopia: A cross-sectional study. Afr J Emerg Med 2022; 12:246-251. [PMID: 35795819 PMCID: PMC9249593 DOI: 10.1016/j.afjem.2022.05.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 02/26/2022] [Accepted: 05/26/2022] [Indexed: 11/19/2022] Open
Abstract
Low- and middle-income countries like Sub Saharan Africa repeatedly experience natural and manmade disasters. Emergencies and disasters frequently have serious consequences for people's health, including the loss of many lives and significant disruptions in community functioning. Emergency and disaster preparedness, on the other hand, is still in its early stages in Africa. Personnel shortages, weakened health systems, mishandling of scarce resources, and political instability are among the challenges facing disaster management in Africa. This study is projected to fill an information gap about the state of hospitals’ emergency and disaster preparedness.
Background From time to time, the magnitude and type of health emergencies and disasters are increasing. Hospital emergency and disaster preparedness, on the other hand, is still in its early stages in many low- and middle-income countries. In Ethiopia, research on hospital disaster preparedness is severely limited. As a result, the purpose of this study was to determine the level of hospital emergency and disaster preparedness at public hospitals in the east Gojjam zone of Northwest Ethiopia. Methods A census method was used to include ten hospitals in the East Gojjam zone in a cross-sectional descriptive study. An adopted World Health Organization observation checklist was used to assess disaster and emergency preparedness. Each question was assigned a score out of three points, with one indicating low readiness and three indicating the highest level of preparation. Finally, the level of preparedness was classified as “low“ if the average percentage score ranged from 33.3% to 66.6 %, and as “high” if the percentage score ranged from 66.7 % to 100 %. The results were then presented in the form of texts, tables, and percentages. Results The evaluated hospitals' overall level of emergency and disaster preparedness falls into the low category, with an average calculated preparedness score of 54.75 %. The domain with the lowest preparedness is logistics and finance (43.33 %), while the domain with the highest preparedness is patient care and support services (60 %). Conclusion According to the findings of this study, the level of emergency and disaster preparedness in the hospitals studied is low. It is therefore recommended that the ministry of health, regional health bureaus, and hospital administrators collaborate to develop an appropriate intervention strategy to address this issue.
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Affiliation(s)
- Temesgen Ayenew
- Department of Emergency and critical care nursing, College of health sciences, Debremarkos Markos University, Po. Box: 269, Debre Markos, Amhara, Ethiopia
- Corresponding author.
| | - Sheganew Fetene Tassew
- Department of Emergency and critical care nursing, college of health science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Belayneh Shetie Workneh
- Department of Emergency and Critical Care nursing, school of nursing, College of medicine and health sciences, University of Gondar, Gondar, Ethiopia
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Feleke DG, Chanie ES, Hagos MG, Derseh BT, Tassew SF. Levels of Burnout and Its Determinant Factors Among Nurses in Private Hospitals of Addis Ababa, Ethiopia, Ethiopia, 2020. A Multi Central Institutional Based Cross Sectional Study. Front Public Health 2022; 10:766461. [PMID: 35548091 PMCID: PMC9082415 DOI: 10.3389/fpubh.2022.766461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Accepted: 03/14/2022] [Indexed: 11/13/2022] Open
Abstract
Background Burnout among nurses is a significant problem in healthcare establishments and has negative implications on clinical outcomes. International studies have shown the prevalence of burnout ranged from 10 to 70%. However, this is unknown among nurses in private hospitals in Addis Ababa. The study was intended to assess the levels of burnout and the associated factors among nurses working in private hospitals in Addis Ababa, Ethiopia, 2020. Methods An institution-based cross-sectional study was used. A probability sampling, specifically, a simple random sampling technique was employed to collect data, and the Maslach burnout inventory human services survey (MBI-HSS) instrument was adapted to measure the levels of burnout. The data obtained was edited manually and entered into EPI-data version 4.6 and then exported to SPSS version 25 for analysis. Logistic regression was used to identify the association between the dependent and independent variables and variables with p < 0.25 on bivariate analysis were taken into multivariate logistic regression, and then variables with p < 0.05 were considered statistically significant. Result A total of 385 questionnaires were distributed to participants, but only 368 (96%) of them were collected and included in this study. The majority 56% and 69.8% of them were females and belonged to the age group of 20-29 years, respectively. Two hundred seven (56.5%) of them reported suffering from a high level of burnout. In the multivariate logistic regression analysis, night duty shift [AOR = 2.699; 95% CI: (1.043-6.987)], excessive workload [AOR = 6.013; 95% CI: (3.016-11.989)], staff shortage [AOR = 6.198; 95% CI: (3.162-12.147)], persistent interpersonal conflict [AOR = 2.465; 95% CI: (1.225-4.961)], and nurses' poor health status [AOR = 3.4878; 95% CI: (1.815-8.282)] demonstrated a statistical significant association with the professional burnout. Conclusions and Recommendations Nurses' burnout in private hospitals of Addis Ababa was highly prevalent. Therefore, ensuring adequate staffing and minimizing the workload of nurse professionals are mandatory to prevent it.
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Affiliation(s)
- Dejen Getaneh Feleke
- Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Ermiase Sisay Chanie
- Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | | | - Behailu Tariku Derseh
- Department of Public Health, College of Health Sciences, Debre Birhan University, Debre Birhan, Ethiopia
| | - Sheganew Fetene Tassew
- Department of Emergency Medicine and Critical Care Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
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Tassew SF, Chanie ES, Birle TA, Amare AT, Kerebih G, Nega TD, Ayenew YE, Gedamu D, Yirga GK, Yegizaw ES, Feleke DG. Knowledge, attitude, and practice of health professionals working in emergency units towards disaster and emergency preparedness in South Gondar Zone hospitals, Ethiopia, 2020. Pan Afr Med J 2022; 41:314. [PMID: 35865838 PMCID: PMC9269050 DOI: 10.11604/pamj.2022.41.314.32359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 01/15/2022] [Indexed: 11/11/2022] Open
Abstract
Introduction Methods Results Conclusion
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Affiliation(s)
- Sheganew Fetene Tassew
- Department of Emergency and Critical Care Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
- Corresponding author: Sheganew Fetene Tassew, Department of Emergency and Critical Care Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
| | - Ermias Sisay Chanie
- Department of Pediatrics and Child Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Tekalign Amera Birle
- Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Abraham Tsedalu Amare
- Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Gashaw Kerebih
- Department of Pediatrics and Child Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Tadila Dires Nega
- Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Yeshiambaw Eshetie Ayenew
- Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Dejen Gedamu
- Department of Social and Public Health, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Gebrie Kassaw Yirga
- Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Endalkachew Sisay Yegizaw
- Department of Geography and Environmental Studies, College of Social Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Dejen Getaneh Feleke
- Department of Pediatrics and Child Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
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Amare AT, Tesfaye TD, Ali AS, Woelile TA, Birlie TA, Kebede WM, Tassew SF, Chanie ES, Fleke DG. Survival status and predictors of mortality among traumatic brain injury patients in an Ethiopian hospital: A retrospective cohort study. Afr J Emerg Med 2021; 11:396-403. [PMID: 34703730 PMCID: PMC8524110 DOI: 10.1016/j.afjem.2021.06.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 05/22/2021] [Accepted: 06/01/2021] [Indexed: 10/27/2022] Open
Abstract
INTRODUCTION Traumatic brain injury is a major global public health problem causing substantial mortality among the adult population. Hence, this study aimed to determine the predictors of mortality among adult traumatic brain injury patients in Felegehiwot Comprehensive Specialized Hospital in Northwest Ethiopia during 2020. METHODS A retrospective cohort study was conducted at Felegehiwot Comprehensive Specialized Hospital using anonymized patient data obtained from chart review. Descriptive statistics were used to summarise the patient characteristics. The Kaplan-Meier survival curve and log-rank test were used to test for differences in survival status among groups. The Cox proportional hazards regression model was used at the 5% level of significance to determine the net effect of each explanatory variable on time to death. RESULTS In total, 338 patients aged ≥15 years and diagnosed with traumatic brain injury were included in the analysis. Among these patients, 103 (30.45%) died, giving a crude death rate of 25.53 per 1000 (95% CI: 21.05-30.98) person-days of follow-up. The overall median survival time was 44 days. The independent predictors of mortality after diagnosis of traumatic brain injury were admission Glasgow coma scale score ≤ 8 (adjusted hazard ratio (AHR): 4.85; 95% confidence interval (CI): 1.73-13.62), bilateral non-reactive pupils at admission (AHR: 2.00 (95% CI: 1.10-3.71), elevated systolic blood pressure at admission (AHR: 0.31; 95% CI:0.11-0.86), elevated diastolic blood pressure at admission (AHR: 3.54; 95% CI: 1.33-9.43), and haematoma evacuation (AHR: 0.42; 95% CI: 0.16-0.90). DISCUSSION The Survival status of traumatic brain injury patients was relatively low in this study. Glasgow coma scale score, bilateral non-reactive pupils, and elevated blood pressure were significant predictors of mortality. Further prospective follow-up studies that include residence and occupation are recommended.
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Affiliation(s)
- Abraham Tsedalu Amare
- Department of Adult Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Tadesse Dagget Tesfaye
- Department of Adult Health Nursing, College of Health Sciences, Bahir-Dar University, Bahir-Dar, Ethiopia
| | - Awole Seid Ali
- Department of Adult Health Nursing, College of Health Sciences, Bahir-Dar University, Bahir-Dar, Ethiopia
| | - Tamiru Alene Woelile
- Department of Pediatrics and Neonatal Nursing, College of Health Sciences, Wolaita-Sodo University, Ethiopia
| | - Tekalign Amera Birlie
- Department of Adult Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Worku Misganew Kebede
- Department of Adult Health Nursing, College of Health Sciences, Debre-Berhan University, Debre-Berhan, Ethiopia
| | - Sheganew Fetene Tassew
- Department of Emergency and Critical Care Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Ermias Sisay Chanie
- Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Dejen Getaneh Fleke
- Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
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Amera Birlie T, Amare AT, Tassew SF, Emiru TD, Feleke DG, Chanie ES. Nurses' cleaning practice of non-critical medical equipment in the era of COVID 19: A cross-sectional study in Debre-Tabor comprehensive specialized hospital. Heliyon 2021; 7:e07626. [PMID: 34307954 PMCID: PMC8288225 DOI: 10.1016/j.heliyon.2021.e07626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 05/14/2021] [Accepted: 07/15/2021] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES This study was aimed at assessing the cleaning practice of non-critical medical equipment (NCME) in the era of corona virus disease-2019 of nurses working in Debre-Tabor comprehensive specialized hospital (DTCSH), north-central Ethiopia. DESIGN Facility based cross-sectional study was conducted in DTCSH, Ethiopia, from July 05 to August 05, 2020. SETTING The study was conducted in inpatient and outpatient units of the hospital. PARTICIPANTS A total of 76 randomly selected staff nurses and 6 head nurses were included for observational study and interview respectively. RESULTS Only 1.3%-5.3% of nurses cleaned stethoscopes, thermometers, pulse oximeters, and glucometers right after using these devices for patients. None of them cleaned the blood pressure apparatus before or after checking a patient's blood pressure and glucometer before determining blood glucose levels. Lack of disinfecting materials and lack of training on infection prevention were perceived by head nurses as major barriers for proper cleaning practices. CONCLUSION Nurses' cleaning practice of NCME was very low. Therefore, proper supply of materials needed to clean these devices need to be secured. Besides, nurses need to get training on infection prevention.
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Affiliation(s)
- Tekalign Amera Birlie
- Department of Adult Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Abraham Tsedalu Amare
- Department of Adult Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Sheganew Fetene Tassew
- Department of Emergency and Critical Care Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Tigabu Desie Emiru
- Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Dejen Getaneh Feleke
- Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
| | - Ermias Sisay Chanie
- Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia
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