ABSTRACT
BACKGROUND: Implementing PBL in teaching and learning can be challenging due to a variety of complex barriers. Studies on barriers to the implementation of problem-based learning in Ethiopia are scarce. This study aimed to explore the barriers to the implementation of problem-based learning at the Debre Berhan University Medical School. METHODS: A qualitative study was conducted among faculty and medical students at the medical school. Purposive sampling was used to select participants. Semi-structured interviews were conducted with tutors and academic leaders, including the problem-based learning coordinator, the biomedical sciences coordinator, and the school dean. Data was also collected from students through focus group discussions. All interviews and discussions were recorded. The four steps of data analysis of Spradley, including domain analysis, taxonomic analysis, componential analysis, and theme analysis, were employed. RESULTS: The study identified student-related, tutor-related, case scenario-related, and assessment-related barriers as the most significant obstacles to implementing problem-based learning. These barriers included work overload for both students and tutors, lack of training and experience among tutors, student reluctance, absence of standardized case scenarios, subjectivity of assessment methods, and on-the-spot assessment of students. CONCLUSIONS AND RECOMMENDATIONS: Lack of both tutor and student commitment, lack of standardized cases, absence of a recognition of staff input, gap in communication skills, work overload, lack of continuous training, and at-spot evaluation of students were identified as the main barriers to the implementation of PBL.
Subject(s)
Problem-Based Learning , Qualitative Research , Schools, Medical , Students, Medical , Ethiopia , Humans , Students, Medical/psychology , Focus Groups , Education, Medical, Undergraduate , Male , Female , Faculty, Medical , Interviews as TopicABSTRACT
BACKGROUND: Menstrual irregularity is a common problem among women aged from 21 to 25 years. Previously published work on menstrual irregularity used inconsistent definition which results in a difference in prevalence. Therefore the study aimed to assess the magnitude and associated factors of menstrual irregularity among undergraduate students of Debre Berhan University, Ethiopia. METHODS: A cross-sectional study design was carried out among 660 undergraduate female students at Debre Berhan University. To get representative study participants, a stratified sampling technique was used. To collect the data self-administered questionnaire was used. Physical examination and anthropometric measurement were also done. Data were analyzed by using SPSS version 21. Logistic regression analysis was done. A significant association was declared at a p-value less than 0.05. RESULT: A total of 620 students participated in the present study with a response rate of 93.9%. Out of the total study participants, 32.6% (95% CI 29-36.5) participants had irregular menstrual cycle. Significant association was found between anemia (AOR = 2.1; 95%CI 1.337-3.441), alcohol intake (AOR = 2.4; 95%CI 1.25-4.666), < 5 sleep hours (AOR = 5.4; 95%CI 2.975-9.888), 6-7 sleep hours (AOR = 1.9; 95%CI 1.291-2.907), Perceived stress (AOR = 3.3; 95%CI 1.8322-5.940), iodine deficiency disorder (IDD) (AOR = 3.9; 95%CI 1.325-11.636) and underweight (AOR = 1.8; 95%CI 1.109-2.847) with menstrual irregularity. CONCLUSION: The finding of this study reported a low magnitude of menstrual irregularity as compared to previous studies. Students should adopt healthier lifestyle practices (weight control, stress control, anemia control, and avoid alcohol intake) to control menstrual irregularity.
Menstrual irregularity is a common problem among university students. It affects their daily activities. But it lacks attention, especially in developing countries. Additionally, menstrual irregularity is defined differently by different researchers which results in a difference in prevalence. So it is difficult to compare. Therefore this study aims to assess the magnitude and associated factors of menstrual irregularity among undergraduate students of Debre Berhan University, Ethiopia. To avoid the inconsistent definition of menstrual irregularity which is used by different researchers, we used the standard of menstrual irregularity definition which was prepared by the international federation of obstetrics and gynecologist in 2018.This study uses across sectional study design among 660 undergraduate students of Debre Berhan University, Ethiopia. A self-administered questioner which includes socio-demographic data, menstrual-related questions, lifestyle and behavioral questions, and medical history questions were used to collect data. Besides, physical examination and anthropometric measurement were done.Of a total 620 students who participated in the study: 202 (32.6%) had menstrual irregularity. Factors that had significant association with menstrual irregularity were, anemia (AOR = 2.1; 95%CI 1.3373.441), alcohol intake (AOR = 2.4; 95%CI 1.254.666), < 5 sleep hours (AOR = 5.4; 95%CI 2.9759.888), 67 sleep hours (AOR = 1.9; 95%CI 1.2912.907), Perceived stress (AOR = 3.3; 95%CI 1.83225.940), iodine deficiency disorder (IDD) (AOR = 3.9; 95%CI 1.32511.636) and underweight (AOR = 1.8; 95%CI 1.1092.847). In conclusion, the finding of this study reported a low magnitude of menstrual irregularity as compared to previous studies.
