CLINICAL ATTACHMENT AND PPRENTICESHIP IN WSUCSH 3rd

YEAR POST BASIC MLT STUDENT IN 2025

ARBA MINCH COLLEGE OF HEALTH SCIENCES

DEPARTMENT OF MEDICAL LABORATORY
SCIENCES

Action plan and performance report on health service activity at Welaita sodo
university comprehensive specialized hospital done by 3rd year MLT post basic
Bsc students, 2025

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Acronomies and abbreviations

AIDS……………………………….. acquired immune deficiency syndrome

ART………………………………….Anti-retroviral Therapies

AST…………………………………..ant-microbial susceptibility test

CBC………………………………….complete blood count

CBM ………………………………..Christoffel-Blindenmission

DNDi ……………………………….Drug for Neglected Diseases initiative

ECG…………………………………electrocardiogram

EPI…………………………...........expended immunization

HIV…………………………………..human immune virus

LF……………………………………lipid profile

LFT…………………………………liver function test

MCH……………………………… .Maternal and Child Health

NICU………………………............neonatal intensive care unit

RFT…………………………………renal function test

SER…………………………………southern Ethiopian region

VCT………………………………..voluntary counseling and testing

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WSUCSH........................Wolaita soddo university comprehensive specialized

hospital

Name of students
Serial Number Name of students ID Number

1 Gizahun Garsho 19/15

2 Gnekitela Gnegebay 20/15

3 Awuda Gizaw 09/15

4 Demame Zenebe 12/15

5 Aman Hawuse 06/15

6 Serawit Tadese 35/15

7 Tegbaru Tamiru 38/15

8 Ali Bergene 05/15

9 Bezabish Birega 13/14

10 Yonas Mitsalko 43/15

11 Markos Gezahegn 26/15

12 Temesgen Tadiyos 39/15

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Acknowledgement
Firstly, we would like to express our heartfelt thanks to Arbaminch College of Health
Sciences for giving us this opportunity to participate on clinical practice & supported us with
all what we were expected to do.

Second we have glad & interested acknowledgement to our advisors [Link] for their
constructive & corrective advice & support on whole activity of this practical attachment

Finally, we also acknowledge Welaita soddo university comprehensive Specialized Hospital workers
and clients for their cooperation to help us to observe, assist & practice (perform) our theoretical
knowledge to practice on real patient and for their valuable experience. We also thank the patients
for their willingness to practice our theoretical knowledge & give us appropriate information.

Background of wolaita zone

Wolaita is an administrative zone in Ethiopia. It is bordered on the south by

Gamo Zone on the west by the omo river which separates it from Dawuro, on
the northwest by kembata zone and Tembaro Special woreda, on the north by
Hadia,on the northeast by the oromia region, on the east by the Bilate River
which separates it from sidama region, and on the south east by the Lake
Abaya which separates it from oromia region. Wolaita Zone is composed of
sixteen woredas and seven city administrations. There are also different
towns and cities in the wolaita zone .the administrative centre of wolaita
is soddo. other major towns are Areka , Bodity Tebela, Bale Hawasa, Gasuba,
Gununo, Badesa, and Dimtu. it is highest point is mount damota (2738m).the
people of wolaita are known for there more than 50 kings with in four
dynasts. The kings of wolaita Got the title kawo

During the 1991-1994 transitional government periods the wolaita had its
own region which was region nine but it was merged in to the SNNPRS when
the federation was constituted in 1995. 2018 wolaita have submitted request
to the SNNPRS council to form their own new state. However, following the
formation of sidama regional state in June 2020 the request was not
immediately dealt with.

on 1 August 2022 after several months passed, the wolaita zonal council give
in by reversing its decision and a grade to join the other zones and special

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woredas to form one state. as result in February referendum was held in

wolaita and other five zone and five special woredas in the SNNPRS on state
hood to determine whether Wolaita,Gamo ,Gofa, South Omo ,Gedio and
Konso Zones and Derashe,Amaro ,Burji,Basketo and Ale special woredas will
fro

m separate autonomous state or remain within the SNNPRS.

On 20 February, the National Election Board of Ethiopia released the result of

referendum, however the official results from the wolaita zone were not
announced the at the moment, at the board stated the cause was a variety of
irregularities occurred before and during the boat, this irregularities are due
to the strict move for wolaita to from their own regional state. as result,
wolaita zone referendum was rerun on 19 Jun [Link] referendum held for
second time is different from other referendums held in Ethiopia as its voter,
registration and voting was held in one day. After eight days later the result
was released and made wolaita zone as the part of south Ethiopia regional
state.

DEMOGRAPHICS OF WOLAITA ZONE

The 2007 census conducted by the CSA reported a total population for this zone of
1,501,112 while 366,567 or 11.4% where urban in habitants, a further 1,196 or 0.08% were
pluralists. a total of 310,454 households and 297,981 housing units.

The largest ethnic group reported in the zone was the wolaita (96.31%); all other ethnic
groups made up 3.69% of the population.

Wolaita was spoken as a first language by 96.82% of in habitants the remaining 3.18%
spoke all other primary languages reported.

51.31% were protestants 43.04% of the population said they practiced Ethiopian orthodox
Christianity and 5.35% embraced Catholicism another faiths ( example Islam, Jehovah’s
witnesses) 2.3%.

CULTURE OF WOLAITA ZONE

Gifaataa is the most well-known festival among these rituals in wolaita that has been
celebrated annually in the month of September.

The festival of new year in wolaita called Gifaataa is celebrated eating the special foods
Bachira and Muchuwa on the eve and throughout the celebration week.

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Gifaataa is wolaitas new year festival which wolaitas had been celebrating many hundred
years ago.

Gifaataa celebrated in always Sunday in each year, which falls between

meskerem(September) 14 and 20. Gifaataa is a bridge that brings together all from near
and far.

CLIMATE OF WOLAITA ZONE

Wolaitas climate has a bimodal rain fall patterns that lasts from march to October. The
first rain season lasts from march to may. The season lasts from July to October with a
peak in July and Augus.

The average yearly temperature is 19.90c with in monthly temperature ranging from
17.70c in July to 22.10c in February and March. The climate is stable with temperature
variation between 24 and 300c during the day and 16 to 200c at night, All year round.

the year is divided in to seasons the wet season (balgguwaa ) from Jun to October, and the
dry season (boniya) from October to Jun, broken in February by a short period of so-called”
little rains” (badhdheesaa). The average rain fall for the entire region is 1350mm (53in)
per year.

ECONOMY OF WOLITA ZONE

Agriculture is the livelihood for more than 90% of the population in the rural areas. animal
husbandry is complementary to crop production and the live stock population of wolaita
with estimated standing populations of 685,886 cattle,87,525 sheep,90,215 goats 1951
horses 669,822 poultry and 38,564 beehives.

The soddo milk shed is also one of the areas with a strong potential to achieve growth in
milk production. Maize, haricot bean, taro, sweet potato, enset, banana, avocado, mango
and coffee are the major crops with tremendous benefits to smallholder farmers in
wolaita.

Mixed farming involving the production of cereals, root crops, enset and coffee are
practiced. Enset is an essential element in wolita food economy duguna pango biitta
utetta diguna fango and acts as a staple or co-staple food. Enset is also popular because of
its drought resistant properties.

EDUCATION OF WOLAITA ZONE

In wolita, there are schools that are among the oldest in Ethiopia; for instance, the dubo
our lady’s catholic school and ligaba aba-sebsib school, which where established in 1933
and 1945 respectively.

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Wolaita soddo university (WSU), established in 2007,is a public higher education

institution located in soddo.

The university has been engaged in teaching /learning research and community
services .the university has campuses in different areas,such as in gandaba,otona,and
dawuro tercha campuses.

Here are different government and private colleges are opened in wolaita zone. wolaita
soddo agricultural college this college was established in 2001 .it is technical and
vacational training centre established in wolaita soddo city.

In addition to this soddo city schools include wolaita soddo secondary and primary school.
wolaita liqa school and also bogale walelu secondary and primary school.

TOURISM OF WOLAITA ZONE

Tourists coming in to wolaita soddo inter the city from Addis Ababa by travelling overland
through the butajira about 310km (190 mi) or shashemene roads about 380km(240 mi)
alternatively tourists may take the local bus transportation from Addis Ababa to wolaita
or travel by airplane , flying into arbaminch and taking land transportation from
arbaminch to wolaita soddo.

The city has a bus terminal and an airport. However, the later is not fully functional and
does not accept commercial flights. There are different potential tourist sites that were
selected in the wolaita zone to assesses the regions ability to capture the natural heritage
and cultural heritage tourist market this are ajora falls, mochena borago,natural bridge
abala chokare (Bilbo hot spring), mount damota.

BACKGROUND OF WOLITA SODDO TOWN

Wolita soddo is one of the oldest in the SNNPRS is form as town 113 years ago. It was
established as municipality in 1952E.C currently it is one the 22 reform towns in SNNPRS
and gat a second grade status similar to that at della and arbaminch it is administeractive
at wolaita zone provides as basic for many public and provide institution that operatein
the zone.

In addition city function as a centre for surrounding agricultural land. It also a major
transportation mode, being at the centre at six national and regional transport routes.

The town is locating 383 km and 170 km south west of Addis Ababa and Hawasa
respectively. The town is divided in to three (3) administrative unites (sub city), 11 kebeles
and 19 villages or menders.

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According to CSA data 2007 the town’s population reached 110,000 almost equal divided
to between females and [Link] soddo town is experience sub humid-cold (weyne
dega) climate.

The highest and lowest altitude is at a town ranges from 1600-1900m above sea levels.
According to average altitudes at town is 1800m above the sea level. The mean annual
temperature of town in 200c and mean annual rain fall is 1.272m//m. Most resident at the
city could speak more than two languages fluently and there are different ethnic group
such as boarded by wolaita, Amharic, gurage, tigre, silte etc.. the peacefully co-existence
at the residents in foliate soddo despite their drivers releases beliefs language in the
heterogeneous cultures has given great tolerance that has become like mark for the city in
the region.

In wolaita soddo, the most spiking language is wolaitegna followed Amharic and they are
official working language is respectively. In wolaita town there are the types of religion
such as; protestant, Muslim, orthodox, catholic and non religions from these 70% of
protestant, 20% of orthodox, 5% of Muslim, 4.8% of catholic and 0.2% of non religions.

and etc. In the cultural food is mocho in Wolaitegna language it is prepared from steam of
inset.

Wolita zone provides as base for many public and private institutions that operate in the
zone.

Welaita soddo university comprehensive Specialized Hospital is the former Otona Hospital
established in 1928 as a small clinic by SIM missionary on Thomas lambia and serve as primary
hospital for 50 years and as general hospital for 30 years.

After being integrated with Welaita soddo university in 2004 E.C it is serve as Welaita soddo
university teaching and referral hospital for 10 years since 2014 E.C. The hospital was licensed with
Comprehensive Specialized Hospital by Federal Ministry of Health.

BACKGROUND OF WOLAITA SODDO UNIVERSITY COMPREHENSIVE SPECIALIZED

HOSPITAL

Wolaita soddo university teaching referral hospital was established as primary clinic in
1920 E.C it undertook the services for about 50 years as primary hospital and then it

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served for about 30 years as general hospital it has been serving as WSU teaching and
referral hospital since 2004 E.C after it was over took to be administered under WSU with
the former name of soddo zone hospital until Jun 30,2004E.C and hence then it was
incorporated to WSU and currently it is serving as comprehensive specialized hospital and
research centre in addition to it is curative and rehabilitative service since 2014 E.C. it is
serving people in catchment area of about 15million people including neighbouring
Dawuro zone, Gamo Gofa zone, and Kambata tambaro zone etc. the hospital has 437 beds
for inpatient service and 100,000 people visits OPD per year.

The hospital provides main health services as comprehensive specialized hospital:-

OPD service
Gyn/obs service
Emergency treatment service
IPD service
Eye care treatment service
Oncology service
Burn treatment service
Dialysis service
Laboratory service
Pharmacy service
Imaging and radiology service(X-ray, U/s, CT-scan, MRI, Fluoroscopy)
TB treatment service
Orthopaedics service
Pathology service
ANC service
Family planning service
Dental service
Secondary eye care unit
Health education service
ECG/ECHO
Psychiatry service
HIV(VCT,ART,PMTCT,PHICT)
Prevention of cervical cancer service
OR service
Obstetrics service
Physiotherapy service

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ORGANIZATIONAL ASSESSMENT

MISSION

To reduce mortality, morbidity, disability and improve health status of the people and to
provide quality service.

VISSION

WSUC aspires to be one of the best five universities in nationally and top ranked university
in east Africa by 2020.

CORE VALUES

Patient /Client centre

Performance ethics and professionalism
Team work or collaboration
Compassionate respectful and caring
Clinical excellence and quality service
Equality and access
Commitment and change

SERVICE IN WOLAITA SODDO UNIVERSITY TEACHING AND REFERRAL HOSPITAL

Health service included in health service health insurance benefit packages

Outpatient and inpatient service

Surgical service
Generic drug provision included in health insurance agency drug list
Diagnostic service at hospital level

Health service included in health service not health insurance benefit packages
Diagnostic and treatment abroad service
Cosmetic surgeries
Dialysis except acute renal failure
In vitro fertilization
Organ transplantation
Hip replacement
Periodic checkups except key preventive checkups
Occupational injures service
Traffic accident service

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Provision of eye glasses

Contact lenses and hearing aids
Denture crowns treatment except those required due to infection

WSUTRH EXEMPTED HEALTH SERVICE

Diagnosis treatment and follow-up of TB

Prenatal delivery and postnatal service
Family planning service in health care units
Immunization of mothers and children
HIV Voluntary Counselling and Testing
Epidemic follow-up and control
Immunization and teaching of health professionals to reduce risk related
occupational hazards in WSUTRH.

TYPES OF SERVICE PROVIDED BY THE OTONA HOSPITAL

Table 1: service provided by the otona hospital

Clinical service Laboratory Diagnostics service Other service Remark

service

Internal Bacteriology Ultra sound Pharmacy In each

medicine clinical
service
IPD and
OPD

Surgery Haematology X-ray ART

Paediatric Parasitology ECG and ECHO Tb and leprosy

service

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Gynaecology Chemistry and Echocardiography VIA screening

and obstetrics RBS

Ophthalmology TB Laboratory Pathology Chronic illness RX

and Gen expert and follow-up

Psychiatry Urine analysis CT scan

and HCG

Orthopaedics CD 4 test MRI

and trauma
centre

Dermatology Hormonal tests

ENT Electrolyte tests

Dental Blood bank

NCU

Burn unit

Physiotherapy

Trauma

ART service

Dialysis

Pathology

Oncology

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3.2.1. TYPES OF FREE SERVICE PROVIDEN IN WSUCSH in 2017E.C

Antenatal care
Postnatal care
Family planning
Expanded program immunization
Delivery service
Youth Friendly
TB

Hospital professionals

Table 2 Total employee in WSUCH IN 20017 E.C

S NO TYPES OF PRFFESIONAL TOTAL NO

1 General Surgeon 13

2 Gynaecologist and obstetrician 8

3 Internist 8

4 Paediatrician 7

5 Urologist 1

6 Orthopaedician 3

7 Oncologist 1

8 Radiologist 3

9 Pathologist 4

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10 ENT specialist 1

11 Anaesthesiologist 3

12 Dermatologist 1

13 Ophthalmologist 1

14 Oral and maxilla facial surgeon 2

15 General medical practioner 126

16 Nurse(BSC) 274

17 Nurse level 4 132

18 Anaesthetist 50

19 Environmental health professional 8

20 X-ray technician 9

21 Public health officer (HO) 51

22 Pharmacist 67

23 Druggist 13

24 Medical laboratory (BSC) 58

25 Medical laboratory level 4 19

26 Midwifery(all type) 83

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27 Psychiatry nurse (BSC) 14

28 Biomedical engineer (BSC) 15

29 Ophthalmic nurse (BSC) 11

30 Health education (BSC) 1

31 Physiotherapy professional (BSC) 6

32 Health information technician (HIT) 47

Total clinical staffs 1,040

Total supportive staffs 1,119

Grand Total 2,159

TABLE 3 TOP 10 DISEASES OF MORBIDITY CASE IN WSUCSH IN 2017 E.C

[Link] DISEASES MALE FEMALE TOTAL

1 Pneumonia 1684 1712 3396

2 Pathological fracture not 1441 1451 2892

elsewhere classified

3 Dyspepsia 1032 1076 2108

4 Other specified disorder of 995 992 1987

ocular

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5 Cataract 878 910 1788

6 Malaria with 869 872 1741

parasitological
confirmation

7 Urinary Tract site not 600 806 1406

specified

8 Congestive heart failure 604 600 1204

9 Glaucoma 691 490 1181

10 Schizophrenia 544 498 1042

Total 9338 9407 18743

ORGANOGRAM OF WSCSH

CHIEF EXCUTIVE DIRECTOR

CHIEF CLINICAL CHIEF ACADEMIC AND

CHIEF ADMINSRATIVE
DIRECTOR RESEARCH DIRECTOR
AND DEVELOPMENT

HUMAN
SCHOOL OD
RESOURCE
MEDICINE
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RECORD UNIT PLAN PROGRAM & LABORATORY

HMIS DIRECTOR OPD DEPARTEMENT
EMERGENCY & CRITICAL
FINANCE CARE IPD
CLINICAL QUALITY M-OPD PHARMACY
SERVICE DIRECTORATE
PURCHASER ADULT EMG MW IMAGING
LIAISON & TRIAGE SERVICE PUBLIC HEALTH
PEDIATRIC SCHOOL
SECURITY SERVICES SW
EMG S-OPD NURSING
Pharmacy service
PW DEPARTEMENT
LOUNDARY
P-OPD
Medical record
services ICU
CLEANER SPECIALITY MIDWIFERY
RECOVE DEPARTEME
Nursing
CLINICS
FACILITY RY NT
Director
MANAGER
ORTTHO
PEDICS QUALITY
Laboratory
TRANSPORT service OFFICE
NICU

STUDENT
SERVICE
GYN/W

ENT DERMA DM TB/LEPROSY ART DENTAL ORTHO

OPHTHA PSYCHIA

Figure: 4 ORGANO GRAM OF WSUCSH IN 2017 E.C

SOURCE: WSUCSH HMIS OFFICE

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TABLE 4: Bed number in WSUCSH

Wards Bed number in each ward

Medical ward 46

Surgical ward 52

Orthopaedic ward 40

Paediatric ward 10

Burn centre 8

Eye ward 19

Pedi surgical ward 6

Pedi medical ward 21

Pedi SAM ward 8

Pedi ICU 4

Gyn ward 24

NICU 23

ICU 10

Recovery ward 5

Psychiatry ward 18

Private wing 20

Ophthalmology ward 17

Total 331

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60
52
50 46
40
40

30 24
21 23
19 18 20
20 17
10 8 8 10
10 6 4 5
0
d d d d e d d d d U d U d d g d
ar ar ar ar ntr ar ar ar ar i IC ar ICU IC ar ar win ar
la w la w c w c w ce w l w l w w d w N w w e w
ic ic di i
tr urn
e
Ey rgic
a ca M Pe Gyn ry ry t y
ed urg pae dia e di SA ove hiat riva olog
M S o e B su m di c c P
r th Pa di edi Pe Re Psy halm
O P e P t
h
Op

Figure 5 Bed number in wolaita soddo university comprehensive specialized hospital

Source: WSUCSH liaison office

Introduction

Arbaminch college of health science is one of the health science college which is found in south
Ethiopian region located in arbaminch town, the college trainees students in to eight departments
by technologist and technician level namely; health extension, medical laboratory, health
information, pharmacy, anesthesia, emergency medical technician, comprehensive nursing and
midwifery technician or technologists..

From those we are 3rd year post basic Bsc students to meet required qualification college
prepared clinical site attachment and apparenticeship program on identified competence’s
according to Ethiopian occupational health standards namely;

-microbiology,

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-parasitology,

-Clinical chemistry

-heamatology and immunoheamatology,

-serology and immunology and

-histopathology examinations.

General objectives
To apply theoretical knowledge, practical skill and attitude in area of micro biology,
parasitology, clinical chemistry, hematology, immune hematology, immunology and serology
and histopathology in WSUCSH from May 25/2025up to September 25/2025

Specific objectives
To apply aseptic techniques in the laboratory work place
To collect, prepare and transport biological specimens for different laboratory tests.
To differentiate parasitic species in terms of parasitological work place
To identify chemical and microscopic examination of urine and body fluids
To perform clinical chemistry techniques
To practice serological and immunological techniques
To determine hematological and immune hematological analysis
To perform microbial techniques culture and anti-microbial susceptibility tests
To provide accurate laboratory results in terms of our general competencies

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Significance of clinical attachment and apparenticeship program

The great significance of hospital attachment helps to apply theoretical knowledge into
practical skill and to enhance communication skill between staff members, clients and
students together.

The other significance of hospital attachment is to practice a lot of things which we learn it in
to theoretical class and to observe how to perform things that is in our objectives.

Methods and materials

Methods
First of all Arba Minch College of health science were give orientation for us and conducted
the agreement with Welaita soddo university comprehensive Specialized Hospital CEO and
laboratory head.

Following the college's orientation , our team instructor introduced us to the class staff
workers and assigned each student to specific wards.

Then We divide students into different strategies based on our general qualifications
and activities depending on our specification.

By sharing and encouraging knowledge and skill between students and staff members
to faced problems and minimize highest number of students in work environment.
By using references and standard operating procedures to develop our practical skill
in clinical site.

Materials

Gloves
Syringes
Pens

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A4 size papers
Reagents
Microscope
Computers
Others all lab equipments

SWOT analysis

Strength
Clean and safe environment
Standardized operating procedures
Willing to receive &educate the students.

Weakness

Lack of lab equipments

Incomplete annual plan in hospital

Opportunity

Presence of instructors and staffs

Existence of different unit & wards

Threat

Lack of items and PPE

Over crowdedness of students

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Problem faced

Large number of students in work environment

Lack of responsiveness person to give hospital information
Lack of dorm for students to perform and discuss common activities

Solutions given

Using different strategies to minimize students in work environment

Continues visiting of hospital to get informations

Recommendations
First we would like to recommend Arbaminch College of health science to plan and buy
available items for this program .

Next we recommend the college to order and give dorm to students to apply common
understandings

Finally we would like to recommend Welaita soddo university comprehensive spcialized

hospital to take responsibility to give the hospital information

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