Publications by authors named "N Tesfay"

Background: In Ethiopia, Maternal Death Surveillance and Response (MDSR) was integrated into the existing Integrated Disease Surveillance and Response (IDSR) system in 2014. Despite providing valuable evidence to inform policies and actions, system implementation has not been evaluated. Thus, a national-level evaluation was conducted to assess the level and status of system implementation.

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  • The review examines maternal near miss (MNM) in Ethiopia, aiming to estimate its prevalence and identify causes and determinants based on varied past studies.
  • A total of 43 observational studies with 77,240 MNM cases were analyzed, revealing a pooled MNM prevalence of 54.33 per 1,000 live births, with significant heterogeneity across regions and highest rates in the Amhara region.
  • Key causes of MNM were found to be obstetric hemorrhage and hypertensive disorders, with socio-demographic factors and access to quality care also influencing the incidence among women in Ethiopia.
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  • Therapeutic inertia is the reluctance of healthcare providers to escalate treatment for patients with poorly controlled hypertension, even when guidelines suggest otherwise, and it has become a key reason for inadequate hypertension management.
  • This study aimed to explore the prevalence and causes of therapeutic inertia specifically among ambulatory patients with hypertension at a cardiac clinic in northern Ethiopia, involving 282 participants tracked over six months.
  • The findings revealed that 72% of participants with uncontrolled hypertension experienced therapeutic inertia, leading to recommendations for increased medication dose or the introduction of additional drugs to improve treatment outcomes.
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Background: Although antiseizure medications play a crucial role in the management of epilepsy, their benefit can be compromised due to drug-related problems. Drug therapy problems can lead to poor seizure control, reduced quality of life, and increased morbidity and mortality in patients with epilepsy. However, in our setting, there is limited knowledge about drug therapy problems and the factors that contribute to them.

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