Ethiopian Journal of Health Development <p><span lang="EN-US">The Journal publishes analytical, descriptive and methodological articles, as well as original research, on public health problems, management of health services, health care needs and socio-economic and political factors related to health and development. More specifically, the Journal focus on important topics in health development that include: health policy and health politics; health planning, monitoring and evaluation; health administration and organization of health services; hospital administration; health manpower, including training; health economics, financing, and health development; health statistics and health information systems; maternal and child health, including family planning; environmental health and water; food and nutrition; health education; epidemiology and communicable diseases including HIV/AIDS, TB and STI; community involvement and inter-sectoral approaches to primary health care; drug supply and distribution; socioeconomic factors related to health and health services, medical geography, broader topics on scientific work on health care technologies; rights and obligations of communities in participation in health care; and international health organizations and technical cooperation among developing countries.</span></p> <p>Other websites related to this journal:&nbsp;<span lang="EN-US"><a title="" href="" target="_blank" rel="noopener"></a></span></p> Ethiopian Public Health Association en-US Ethiopian Journal of Health Development 1021-6790 Copyright for articles published in this journal is retained by the journal. The Effect of Cox’s Interaction Model-based Nutrition Education Program on Health Perception, Dietary SelfEfficacy, Dietary Pattern, and Diet Behaviors of Children <p>Background: Healthy lifestyle behaviors gained in childhood have a great impact on health in adulthood.<br>Nutrition is one of the most important healthy lifestyle behaviors. Children's nutritional behaviors should be<br>improved through nutrition programs.<br>Objective: To determine the effects of Cox’s Interaction Model-based Nutrition Education Program on health<br>perception, dietary self-efficacy, dietary pattern, and diet behaviors of children.<br>Methods: The research employed a quasi-experimental design. This research was conducted with 5th<br>-7<br>th grade<br>students of similar socioeconomic status attending two different secondary schools (n=516). The lottery method<br>was used to randomly assign the two schools to the intervention and control groups. Data were collected using a<br>demographic data form, Children’s Dietary Self-Efficacy Scale, Dietary Pattern Index, and Diet Behavior Scale.<br>Cox’s Interaction Model-based Nutrition Education Program was applied to students in the intervention group for<br>five weeks. This program consists of two sections: interactive education and educational activities. Paired samples<br>t-test was used for intra-group comparisons and Student's t-test was used for inter-group comparisons.<br>Results: There was no significant difference between the two groups in terms of diet self-efficacy, dietary pattern,<br>and diet behaviors in the pre-intervention. After the post-intervention, diet self-efficacy, health perception, and diet<br>behavior scores of the experimental group increased, while the diet pattern scores decreased. However, there was<br>no change in the control group.<br>Conclusions: It was found that Nutrition Education Program given to students positively affected their dietary<br>self-efficacy, health perception, dietary pattern, and diet behaviors. [Ethiop. J. Health Dev. 2023; 37(1):00-00]</p> Fadime Hatice İnci Asiye Kartal İlgün Özen Çınar Nazan Koştu Gülbahar Korkmaz Aslan Copyright (c) 2023 2023-09-20 2023-09-20 37 1 1 8 Analysis of risk factors in patients with acute myocardial infarction based on coronary imaging analysis <p><strong>Objective</strong>: This paper uses coronary imaging to explore the risk factors of patients with acute myocardial infarction, and to analyse the&nbsp; effect of coronary imaging on the analysis of risk factors for patients with acute myocardial infarction.</p> <p><strong>Methods</strong>: This paper uses coronary imaging analysis to analyse the risk factors of patients with acute myocardial infarction.</p> <p><strong>Results</strong>: Single vessel disease is a leading disease in young AMI patients (34 cases, accounting for 54.0%), this mostly affects the left&nbsp; anterior descending artery (51 cases, accounting for 81.0%), followed by the right coronary artery (30 cases, accounting for 47.6%), in&nbsp; elderly patients with AMI the disease presents in three-vessels (77 cases, accounting for 55.8%), and the left main trunk is mostly affected&nbsp; in the elderly.</p> <p><strong>Conclusion</strong>: The risk factor analysis method of patients with acute myocardial infarction based on coronary imaging&nbsp; analysis has a good effect. </p> Ting Zhuang Jingzhen Liu Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Angina Self-Management Plan and Quality of Life, Anxiety and Depression in Post Coronary Angioplasty Patients <p><strong>Background: </strong>Patients suffering from coronary artery diseases have some depression and anxiety, as these are the frequent causes of&nbsp; mortality. The self-management programmes showed noteworthy effects on the chronic illnesses.</p> <p><strong>Aim</strong>: The current study was carried out&nbsp; to evaluate the impacts of the angina plan on depression, anxiety, and QoL in individuals after angioplasty.</p> <p><strong>Methods</strong>: This study was&nbsp; done in various specific hospitals and divided the patients into groups such as experimental and control. Height, weight, and blood&nbsp; pressure were also measured. The history of vascular coronary involvement, hypertension, hypercholesterolemia, diabetes, and smoking&nbsp; were also obtained. Then a twelve-week intervention plan for angina was also performed.</p> <p><strong>Results</strong>: The results regarding depression and&nbsp; anxiety were also analysed by t-test independently using SPSS. The difference between the two groups was not statistically significant,&nbsp; indicating that the angina self-management plan was effective in reducing anxiety and improving QoL ‘s perception.</p> <p><strong>Conclusion</strong>:&nbsp; According to study findings and the favourable features of the angina approach to decreasing anxiety as an essential component in the&nbsp; prognosis of coronary artery disease (CAD), it is envisaged that the use of these programmes will play a key role in monitoring the CAD&nbsp; process and preventing coronary events.&nbsp;&nbsp;&nbsp; </p> Zhang Mei Kan Lei Copyright (c) 2023 2023-09-20 2023-09-20 37 1 The Need of Primary Caregivers of Schizophrenia Patients and Its The Effect on Care Giving Burden: A CrossSectional Study <p><strong>Background</strong>: Patients’ relatives usually care for patients of with schizophrenia. Caregivers can experience some difficulties during the&nbsp; caregiving process. This can increase the burden of caregivers. This study aimed to determine the requirements of primary caregivers of&nbsp; schizophrenia patients and its effect on caregiver burden.</p> <p><strong>Methods</strong>: The sample of the cross-sectional study consisted of 94 caregivers of&nbsp; patients with schizophrenia who were treated at the university hospital in western Turkey and agreed to participate in this study. A&nbsp; questionnaire form and Caregiving Burden Scale were used to collect data. The data were collected from individual interviews between&nbsp; March-December 2015.</p> <p><strong>Results</strong>: The average score of Caregiving Burden Scale of the primary caregivers is was determined as 38.47±15.05. Based on this the primary caregivers had difficulty in giving medication to their patients, the requirement of knowledge&nbsp; about drug treatment and side effects, coping with symptoms of schizophrenia, early warning signs, communication skills, coping with&nbsp; stress, psychosocial treatment methods, planning of the patients' leisure activities, and contribution of the patient to home life affected&nbsp; the caregiving burden having a p value of (p&lt;0.05).</p> <p><strong>Conclusions</strong>: The overall Caregiving Burden Scale mean score of caregivers was&nbsp; considered moderate. It can be conclude that caregivers' requirements affect the burden of care during the caregiving process. It was&nbsp; considered that the feeling of burden care for caregivers will be able to reduce by giving consultancy services related to what they need&nbsp; and with the creation of comprehensive, systematic, continuous education programs including the difficulties faced by caregivers and the&nbsp; requirements being able to cope easily with the difficulties during caregiving. </p> Nesrin Çunkuş Köktaş Hülya Arslantaş Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Guiding the design of behavioral and lifestyle modification interventions for risk reduction, prevention, and treatment of non-communicable diseases in low- and middle-income countries: An overview of relevant literature <p><strong>Background</strong>: The increasing burden of chronic non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) calls for&nbsp; the development and dissemination of effective and viable interventions. In this respect, behavioral and lifestyle modification&nbsp; interventions (BLMIs) offer the most effective means of addressing the underlying lifestyle behaviors associated with NCDs at multiple&nbsp; disease prevention levels (primordial, primary, and secondary). This review aims to provide an overview of key features and components&nbsp; of BLMIs as well as some practical considerations when implementing them in LMIC settings.</p> <p><strong>Methods</strong>: An exploratory approach was used to provide an overview of salient issues in the design of BLMIs; and the PubMed and Google&nbsp; Scholar databases, as well as gray literature, were searched. Based on the review‘s aim, the most important issues and themes&nbsp; were identified using a narrative thematic synthesis and analysis approach.</p> <p><strong>Results</strong>: Thirty-three publications were included as the most relevant literature to the topic, and eight overarching themes were&nbsp; identified: understanding the target health behavior; using behavioral and psychological theories; applying behavior change&nbsp; techniques/strategies; providing effective support and follow-up; intervention delivery formats and providers; cultural sensitivity;&nbsp; feasibility consideration; and addressing multiple lifestyle behaviors.</p> <p><strong>Conclusion</strong>: Targeting lifestyle and behavioral modification&nbsp; interventions with a proper understanding of their essential design components and practical contextual considerations is crucial for&nbsp; reducing the rising burden of NCDs in LMICs. Future direction on the importance of conducting original research and systematic reviews&nbsp; on the subject was also emphasized&nbsp; </p> Abel Negussie Adamu Addissie Alemayehu Work Eshetu Girma Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Respiratory Symptoms and Lung function among Female Flower Farm workers in Ethiopia <p>Background: The workforces in the growing flower farms of Ethiopia are mainly females. Greenhouse workers<br>are exposed to pesticides, fertilizers and dust, and might be at risk for developing respiratory diseases.<br>Objectives: This study aimed to assess respiratory symptoms and lung function of greenhouse workers and<br>compare them to packinghouse flower farm workers.<br>Methods: A comparative cross-sectional study was conducted comparing female flower farmworkers from<br>greenhouses, with female workers in packinghouses. Participants were interviewed for chronic respiratory<br>symptoms using a standardized questionnaire from the British Medical Research Council. A Minispir light<br>spirometer, with Winspiro software was used for lung function tests to measure Forced vital capacity (FVC) and<br>Forced expiratory volume at one second (FEV1). Study groups background characteristics were compared using an<br>independent t-test and chi-square test. Poisson regression analysis and a general linear model were also performed.<br>Results: Three hundred fourteen workers participated,160 from greenhouses and 159 from pack houses. The<br>response rate showed that 99.7% was for the interview and 98% was for spirometry. The mean (SD) age of<br>greenhouse workers was 26(8) years and of packinghouse workers 24(7) years. There was no significant difference<br>in respiratory symptoms and spirometry indices while comparing workers in greenhouse with workers from<br>packinghouse. But service month was a significant predictor for the reduction of FEV1, by a reduction of<br>2ml/month with a p-value of 0.01.<br>Conclusion: There was no difference in respiratory symptoms and lung function parameters comparing<br>greenhouse and packinghouse workers from flower farms. Service duration was a significant predictor for the<br>reduction of FEV1. This may indicate the development of lung obstruction among flower farm workers over a<br>course of time. Workers respiratory health including lung function change needs to be monitored regularly.</p> Meaza Gezu Shentema Abera Kumie Magne Bråtveit Wakgari Deressa Aiwerasia Vera Ngowi Bente E. Moen Copyright (c) 2023 2023-09-20 2023-09-20 37 1 The Role of locally driven Clinical Mentorship and Coaching to improve the advance critical care services in Ethiopia <p><strong>Introduction</strong>: Critical care availability is limited in Ethiopia. Moreover, the available capacity to manage critically ill patients is&nbsp; concentrated in the capital city. Mentoring of smaller ICUs by the experienced provider from the larger ICUS is mentioned as a methods&nbsp; to improve the provision of critical care services but its impact is not well known.</p> <p><strong>Objectives</strong>: This study was aimed to assess the role of locally driven clinical mentorship and coaching and to improve critical care service in Ethiopia.</p> <p><strong>Methods</strong>: Qualitative study methods including in-depth interview and onsite observation was conducted from March 2021 to September&nbsp; 2022 among 24 selected hospitals of Ethiopia. Prior to the study, critical care trained senior professionals from the larger ICUs were&nbsp; deployed to 24 selected smaller ICUS for a two week immersion that included mentorship and coaching for ICU clinicians. Onsite&nbsp; observation was focused on the twelve parameters recommended by the international society intensivisits. In addition, the perceived&nbsp; impact was assessed qualitatively by interviewing 12 key informants from the selected hospitals. Interview was conducted in English and collected data analyzed thematically.</p> <p><strong>Results</strong>: The study included the role of mentorship and coaching for 24 hospitals in Ethiopia. There was consensus that the mentoring&nbsp; program improved their service and or has enabled them to start critical care in their hospitals. An improvement in unit design, human&nbsp; resource capacity and quality improvement projects and academic activities in the mentored hospitals was noted.</p> <p><strong>Conclusion</strong>: Country-specific mentorship and coaching from established ICUs to relatively smaller centers were found to be helpful to&nbsp; improve the clinical service status. Expanding the mentoring program and involving other departments like emergency medicine may&nbsp; help to improve the service.&nbsp; </p> Menbeu Sultan Lemlem Beza Demelash Ataro Ephrem Hassen Yenegeta Walelign Mitiku Getu Yonas Hagos Sue Anne Bell Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Methicillin Resistant <i>Staphylococcus aureus</i> contamination of Health care worker gowns and Uniforms: A crosssectional Study from the biggest teaching hospital in Ethiopia <p><strong>Introduction</strong>: Methicillin-Resistant Staphylococcus aureus (MRSA) is a global public health problem. Personal protective equipment&nbsp; (PPEs), including gowns and uniforms prevents transmission of pathogens including MRSA. Data are limited on the contamination of&nbsp; gowns and uniforms by MRSA in Ethiopia and many other developing nations using molecular markers.</p> <p><strong>Objective</strong>: To determine the rate&nbsp; of MRSA contamination of gowns and uniforms of health care workers (HCWs) at Tikur Anbessa Specialized Hospital (TASH), in Ethiopia.</p> <p><strong>Methods</strong>: A cross-sectional study design was used, and pooled swab samples from 588 HCW’s reusable gowns/uniforms were tested for&nbsp; the presence of S.aureus MRSA and drug-resistant testing using conventional methods and polymerase chain reaction (PCR) based mecA&nbsp; and Panton-Valentine leukocidin (PVL) detection. Socio-demographic data and information on the use of gowns and uniforms were&nbsp; collected using a questionnaire and analysed by SPSS version 20 software. A p value less than 0.05 was considered statistically significant.&nbsp;</p> <p><strong>Results</strong>: Female HCWs are slightly higher in number than males (58.4 % and 41.6 %, respectively). The mean age and&nbsp; standard deviation of HCWs were 29.13 ± 6.6 years. In TASH, 15 % (88/588) and 57.5 % (338/588) of HCWs had single and long sleeve&nbsp; gowns and uniforms, respectively. Forty-seven S.aureus were isolated making MRSA contamination rate of 2.9 % (17/588) (mecA positive&nbsp; and cefoxitin resistant) and a significant difference was seen among HCWs with history of surgical intervention. Ten of 17 MRSA&nbsp; contaminations were seen among HCWs who changed their gown once in a week and 2/3 of S.aureus carried PVL.</p> <p><strong>Conclusion</strong>: Gowns&nbsp; and uniforms of HCWs in TASH harbored MRSA as confirmed by mecA and PVL, which has implications for infection control and&nbsp; prevention. TASH should provide an adequate number of gowns and urgently develop a policy covering gown use to curb MRSA&nbsp; transmission. </p> Kassu Desta Eleni Aklillu Yirgu Gebrehiwot Fikre Enquoselassie Daire Cantillon Leena Al-Hassan James R. Price Melanie J. Newport Gail Davey Yimtubezenash Woldeamanuel Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Bacterial Neonatal Sepsis and Associated Risk Factors among Neonates: The Case of Adama Hospital Medical College <p><strong>Background</strong>:Bacterial neonatal sepsis is a systemic inflammatory response to infection and/or isolation of bacteria from the bloodstream in the first 28 days of life.</p> <p><strong>Objective</strong>: the aim of this study is to assess neonatal sepsis and associated factors among neaonates admitted to Adama Hospital Medical College, Ethiopia</p> <p><strong>Methods</strong>: A cross-sectional study was conducted on 333 neonates, consecutive sampling used on neonates admitted at intensive care&nbsp; unit in Adama Hospital Medical College, Adama, Ethiopia. Data were collected using semi-structured questionnaire and 1ml of blood&nbsp; sample was collected following standard aseptic techniques and inoculated into a BACTEC Peds Plus culture vial, and transported to&nbsp; referral laboratory. Gram staining and subculturing were performed for each presumptive positive vial. Bacterial isolation and&nbsp; identification were done by enzymatic and fermentative biochemical tests and analyzed using SPSS v.20. multivariable logistic regression&nbsp; was used to identify factors having significant association with neonatal bacterial sepsis and 95% CI and P-value &lt;0.05 were to state&nbsp; significance level of variable.</p> <p><strong>Results</strong>: Of the 317(95%) collected blood specimen, 147(46.4%)(95% Cl, 41.8 – 52.8%) showed bacterial&nbsp; growth. Gram-negative bacteria were dominants (69.9%); <em>K. pneumoniae</em> 72(48.98%), coagulase negative <em>Staphylococci </em>species 23(14.97%)&nbsp; and E. cloacae 18(12.24%). Factors like Onset of Labor(AOR=2.70, 95% CI: 2.34, 25.41), history of UTI/STI Infection (AOR=3.73,95%CI: 1.35,&nbsp; 10.28), Neonate age 4-7 days and 8-28 day (AOR=4.30, 95% CI: 1.91, 9.65 and AOR=6.07, 95%CI: 2.02, 18.22 respectively) low birth weight&nbsp; (AOR=2.24, 95% CI: 1.1.06, 4.71), Gestation age (AOR=2.53, 95% CI: 1.19, 5.38), intravenous fluids medication (AOR= 5.21, 95% CI: 2.58,&nbsp; 10.51), resuscitation at birth (AOR=7.85, 95% CI: 3.50, 17.58), shows significant association with neonatal sepsis.</p> <p><strong>Conclusion</strong>: The&nbsp; magnitude of bacterial sepsis was considerably high. Factors like onset of labor, history of UTI/STI infection , neonate age 4-7 days and&nbsp; 8-28 day, low birth weight, gestation age, intravenous fluids medication, resuscitation at birth, shows significant association with neonatal&nbsp; sepsis. Therefore, adherence to strict aseptic techniques while providing neonatal resuscitation and intraveinus fluid and&nbsp; medication service is important to reduce neonatal sepsis.&nbsp;&nbsp; </p> Takele Oli Dinagde Teklu Shiferaw Simbo Ebrahim Mohammed Gebaba Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Intention to screen for cervical cancer and factors associated among female healthcare professionals using the trans-theoretical model: Addis Ababa, Ethiopia <p><strong>Background</strong>: Healthcare providers can serve as role models to facilitate a supportive environment that encourages women to utilize&nbsp; screening for cervical cancer. Equally important is that being a female healthcare professional does not prevent the risk of cervical&nbsp; cancer. Therefore, this study aims to assess the intention of screening with visual inspection of acetic acid (VIA) and its determinants&nbsp; among female healthcare professionals (HCPs), guided by the trans-theoretical model (TTM) of stages of behavior change.</p> <p><strong>Method</strong>: A cross-sectional study design was used to test readiness for cervical screening among selected female HCPs. A structured, self- administered questionnaire was used to collect data. The analysis included descriptive statistics and logistic regression.</p> <p><strong>Result</strong>: Four&nbsp; hundred sixty female HCPs with a mean age of M=33.8, +5 years participated. The intention to participate in cervical cancer screening was&nbsp; 44.1%. Over (half 52% of the participants) had poor knowledge of cervical cancer and screening. Regarding the TTM stages of&nbsp; change, 46.5% of participants indicated being in the pre-contemplation phase, suggesting they had never a VIA screen and had no&nbsp; intention of being screened within the next six months. In the final logistic regression model, four factors, including age, being screened&nbsp; in the past three years, taking care of patients with cervical cancer, and having good to moderate knowledge of cervical cancer and&nbsp; screening, were statistically significant, with large odds ratios for their association with intention to screen.</p> <p><strong>Conclusions</strong>: Most of the&nbsp; participants were in the pre-contemplation phase, and the limited knowledge health workers had about cervical cancer screening is&nbsp; worrisome. Intervening in the factors that affect intention for screening is vital to reducing barriers to cervical screening among female&nbsp; healthcare workers as well as the broader female population in Ethiopia. Providing cancer screening guidelines to all HCPs, regardless of&nbsp; their specialty, could be a key factor in lessening the burden of cervical cancer.&nbsp;&nbsp; </p> Semarya Berhe Rebecca A. Gary Katherine A. Yeager Melinda K. Higgins Mitike Molla Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Renal Dysfunction Among Stroke Patients, Hospital Based Cross Sectional Study, Addis Ababa, Ethiopia, 2021 <p><strong>Background</strong>: - Stroke is the leading explanation for neurological disability and the second commonest cause of death in the world. Even&nbsp; though renal dysfunction is among commonly encountered comorbidity in acute stroke patients, there was no data on the prevalence&nbsp; and associated factors of renal dysfunction among acute stroke patients in Ethiopia.</p> <p><strong>Objective</strong>: This study aimed to determine the magnitude of renal dysfunction and factors associated with renal dysfunction among&nbsp; hospitalized acute stroke patients.</p> <p><strong>Method</strong>: Hospital based retrospective cross sectional study wasonducted among all acute stroke&nbsp; patients admitted to Saint Peter’s specialized hospital from January to December 2021. The Data were collected from patient medical&nbsp; charts using a structured checklist. SPSS 23.0 was used to analysis the collected data. In order to evaluate the factors associated with&nbsp; renal dysfunction, statistical logistic regression with a level of α set at 0.05 was employeed. For variables with a p&lt;0.05, statistical&nbsp; significance was considered.</p> <p><strong>Result</strong>: The study included 118 acute stroke patients, with a mean and standard deviation age of 60.1±14.9&nbsp; years, and 63(53.4%) were males. 22 (18.6%) of the study, population had renal dysfunction. Males were more commonly 12(54.5%)&nbsp; affected than females. Diabetes mellitus had statistically significant association with renal dysfunction (p=0.031). Patients who had renal&nbsp; dysfunction had a higher mortality rate (31.8%) as compared with patients with normal renal function (21.9%).</p> <p><strong>Conclusion</strong>: Renal&nbsp; dysfunction is a frequent comorbidity in patients who are admitted with the diagnosis of acute stroke and had a higher mortality rate&nbsp; than stroke patients with normal renal function.&nbsp; </p> Lissane Seifu Yonas Gashaye Melaku Taye Copyright (c) 2023 2023-09-20 2023-09-20 37 1 Magnitude and drug resistance profile of Extended Spectrum β-Lactamase (ESBL) producing gram-negative bacteria from different inanimate objects at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia <p><strong>Background</strong>: Infections caused by gram-negative bacteria are causing morbidity and mortality worldwide. The production of Extended- Spectrum β-Lactamases (ESBLs) is an important mechanism that is responsible for resistance to the third-generation cephalosporin.</p> <p><strong>Aim</strong>: The purpose of this study was to determine the magnitude and drug resistance profile of ESBL producing gram-negative bacteria&nbsp; isolated from various inanimate objects at Tikur Anbessa Specialized Hospital (TASH).</p> <p><strong>Methods</strong>: Laboratory based study was conducted on stored isolates from January to March 2019. The samples were taken from different&nbsp; inanimate objects (Intensive care unit (ICU) tables, ICU sinks, ICU IV stands, ICU beds, Incubators, ICU pediatrics trolley, oxygen&nbsp; regulators, Operation room (OR) tables, OR beds, OR computers, OR doors, lift buttons, x-ray chairs, and some other items) in Tikur&nbsp; Anbessa Specialized Hospital(TASH) and 216 isolates were used for further analysis. Biochemical tests for identification and antimicrobial&nbsp; susceptibility test were done by disc diffusion method. Screening of ESBLs was done using ESBL CHROME agar and confirmed with a&nbsp; combined disk diffusion test. The data were analyzed using SPSS software version -20 and descriptive statistical tests including frequency&nbsp; and percentage were calculated.</p> <p><strong>Results</strong>: In this study out of 216 gram negative bacteria, 15.3% of them were found to be ESBL&nbsp; producers based on the confirmatory test (combined disk method) from the various inanimate objects of TASH. <em>Klebsiella ozaenae,&nbsp; </em><em>Klebsiella oxytoca, Klebsiella pneumoniae, Klebsiella rhinoscleromatis, Citrobacter spp, Escherichia coli,</em> <em>Serriatia spp </em>and<em> Acinetobacter spp</em> were&nbsp; ESBL producing gram-negative bacteria and found to be 100% resistant to ceftazidime and ceftriaxone.</p> <p><strong>Conclusion</strong>: It is worrisome&nbsp; to detect ESBL producing gram-negative bacteria from the inanimate objects of TASH, calling for systematic screening of&nbsp; inanimate objects for ESBL and other multidrug-resistant bacteria in the hospital. Furthermore, strengthening the infection prevention&nbsp; practice is vital to halt the transmission of these microorganisms.</p> Asegedech Asmamaw Jemberu Kassu Desta Tullu Yimtubeznash Woldeamanuel Mulate Copyright (c) 2023 2023-09-20 2023-09-20 37 1