Assessment Of The Role Of Counseling Service During Pre And Post Treatment Of Fistula Patients At Addis Ababa Fistula Hospital

The study is meant to assess the role of counselling service during pre and post treatment ofrnFistula Patients at Addis Ababa Fistula Hospital. Exploring the effectiveness of counsellingrnservices is also another objective of the research. The researcher involved patients who came tornAddis Ababa Fistula Hospital to get treatment and the service provider who serves as arncounsellor at the Addis Ababa Fistula hospital as a study population. Mixed approach is used asrna research design to gather the necessary data from forty sample patients who came for surgeryrnduring the data collection period. Data also collected from six available counsellors byrnadministering structured questioners during the study period.rnThe quantitative data was analysed by using SPSS version 20 computer software. Tables andrnpercentage presented in case of quantitative information and narration for the qualitative datarncollected with focus groups discussions. The result of this study shows that,the pre and postrntreatment counselling services undertaking at Addis Ababa Fistula hospital have a valuablerncontribution for the patients to cope their difficulties in relation to psychological health byrnhelping them to decreases their level of depression symptoms and enhancing their self-esteem.rnThere is a good practice of counselling service which follows the standards of fistula counsellingrnmanuals with certain challenges. Although there are rooms for counselling it is not found thatrnthey are not convenient for counselling as they are not separated form hospital wards. There isrnalso a lack of mechanisms to prevent burn out of counsellors and refreshment trainings whichrnwould possibly affect qualities of counselling given for the patients.rnFinally based on the result and reviewed related literature, it is recommended thattherncounsellor’s needs to be capacitated with intensive counselling trainings and the rooms shouldrnbe organized in a conducive way for counselling. The Hospital should continue its effort inrnproviding Holistic treatment by placing counselling unit. This unit would promote multiculturalrncounselling approach to satisfy the needs of diversified patients who came from different regionsrnof Ethiopia.

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