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MAGNITUDE OF ADVERSE EARLY NEONATAL OUTCOMES AND IT’S ASSOCIATED FACRORS AFTER EMERGENCY CESAREAN DELIVERY AT WOLKITE UNIVERSITY SPECIALIZED HOSPITAL, WOLKITE, CERS, ETHIOPIA, 2026: RETROSPECTIVE STUDY
(wolkite University, 2026-06) ADANE HABTE BEREKA
Background: Neonatal morbidity and mortality after cesarean delivery varies with the type of cesarean delivery and is greater for neonates delivered by emergency cesarean delivery than elective counterparts. Early neonatal outcomes after cesarean section are influenced by preoperative and intraoperative feto-maternal factors, most of which are preventable. However, evidence from the study area is limited. Objective: amid to assess magnitude of adverse early neonatal outcomes and associated factors after emergency cesarean delivery at Wolkite University comprehensive specialized Hospital, Central Ethiopia. Method: Institution based retrospective study was conducted among 270 emergency cesarean deliveries. Data were collected using a structured checklist and entered to Epi data 4.2 and was exported to STATA version 17 for data analysis. Modified Poisson regression with robust SE was employed to identify factors with the outcome. Significance level was obtained using adjusted relative risk (ARR) with 95% CI and p value < 0.05. Result: Overall, 89 (32.96%: CI; 27.6%-38.81%) of the newborns experienced early neonatal adverse outcomes. Moreover, placental-related hemorrhage (ARR = 1.09; 95% CI: 1.03–1.15; p = 0.004) and second stage of labor during C/S decision (ARR = 1.45; 95% CI: 1.22–1.70; p < 0.001) were associated with early neonatal adverse outcome related to emergency C/S. Conclusion: In the current study, one-third of early neonatal adverse outcomes were associated with emergency cesarean section (CS). Placental-related hemorrhage and cesarean delivery performed during the second stage of labor were significantly associated with early neonatal adverse outcomes following emergency CS. These findings highlight the need for timely identification and management of placental complications and careful decision-making regarding the timing of cesarean delivery to improve neonatal outcomes.
ACUTE CORONARY SYNDROME IN-HOSPITA MORTALITY AND ASSOCIATED FACTORS AMONG PATIENTS ADMITTED TO WOLKITE UNIVERSITY COMPREHENSIVE SPECIALIZED HOSPITAL, 2023-2026: A CROSS-SECTIONAL CHART REVIEW
(wolkite University, 2026-06) ABDULSEMED WORKU
Background: Acute coronary syndrome remains a major cause of in-hospital mortality in low-resource settings, where access to reperfusion therapy and specialized cardiac care is limited. Evidence on determinants of outcomes in such contexts is scarce, particularly from non-revascularization centers in Ethiopia. Objective: To determine the magnitude of in-hospital mortality and identify its independent predictors among patients admitted with Acute Coronary Syndrome at Wolkite University Specialized Hospital, in the years 2023-2026; Wolkite Ethiopia. Methods: A cross-sectional chart review was conducted among 212 consecutive Acute Coronary Syndrome patients admitted between 2023 and 2026. Sociodemographic characteristics, clinical presentation, laboratory parameters, in-hospital complications, and outcomes were extracted using a structured checklist. The primary outcome was in-hospital mortality (died vs discharged alive). Bivariate logistic regression was performed to identify candidate predictors, followed by multivariable logistic regression using an events-per variable–guided approach. Model fitness was assessed using the Hosmer–Lemeshow test and pseudo R² statistics. Result: The overall in-hospital mortality rate was 16.1%, with substantially higher mortality among patients presenting with ST-segment elevation myocardial infarction. In multivariable analysis, Killip class IV at presentation [AOR=11], ST-segment elevation myocardial infarction diagnosis [AOR= 3.6], elevated serum creatinine indicating acute kidney injury (AOR ≈ 10), and composite in-hospital complications [AOR=14] were independently associated with in-hospital mortality. The final model demonstrated good fit (Hosmer Lemeshow, p = 0.718) and strong explanatory power (Nagelkerke R² = 0.73). Conclusion: In-hospital mortality among Acute Coronary Syndrome patients in our study was high and driven primarily by clinical severity and in-hospital complications. Early risk stratification and improved supportive care for high-risk patients are essential to improve outcomes in resource-limited settings.
EVALUATION OF FERMENTATION PERIOD AND STORAGE METHOD ON NUTRITIONAL QUALITY OF KOCHO, A TRADITIONAL FERMENTED FOOD OF ENSET (Ensete ventricosum)
(wolkite University, 2025-07) FEIRUZA AHMED
Enset (Ensete ventricosum) is an indigenous African crop that currently feed approximately 25 million peoples in Ethiopia. It has long been domesticated in the southern highlands of the country, where smallholder farmers cultivate hundreds of landraces across varied climatic and agro-ecological Zones. The objective of this study was to evalute the effect of fermentation period and storage method (pot and plastic jar). Both fermentation time and storage method had significant effects (p<0.05) on the pH, Ash, fiber, fat and carbohydrate content of kocho .The carbohydrate content ranged from 67.96 % to 91.61%. The highest carbohydrate content (91.606 %) was recorded in the sample fermented for 90 day and stored in pot, while the lowest (67.96%) was recorded in the sample fermented for 30 days stored in a pit. Another low value (66.95%) was recorded in the sample fermented for 120 days in pit .The microbial counts, including lactic acid bacteria (LAB) and yeast, increased during the first 30 days of fermentation but declined as the fermentation period extended beyond that. In conclusion, the combination of a 90 day fermentation period and pot storage method resulted in the highest carbohydrate content (91.61%), including that this combination is optimal for enhancing the nutritional quality of kocho.
HALLENGESTHATAFFECTGRADE9STUDENTS’SPEAKINGSKILLSIN CLASSROOMS:ATTHREESELECTEDSECONDARYSCHOOLSOFDALLOCHA WOREDA,SILTEZONECENTERALETHIOPIA
(wolkite University, 2024-04) ABDILMEJIDBEHREDIN
The major objective the paper was to assess the major challenges that hinder the development of The speaking skill of grade 9th students at Dalocha, Grinzilla and Koro chimo secondary school the necessary data for the study were gathered through observation and focus group discussion the collected data were analyzed by Using both quantitative methods data analysis the finding study showed that Students did not communicate in English language, and shines, lack of vocabulary, lack of interest and lack of words economy were the factors that affect students speaking skill of grade 9th students. Finally, conclusions and recommendation were given.
THE SOCIO-ECONOMIC AND POLITICAL IMPACTS OF MARGINALIZATION ON OCCUPATIONALLY ‘OUTCASTED’ GROUPS: THE CASE OF ‘FUGA’ PEOPLE IN ENORE WOREDA OF GURAGE
(wolkite University, 2024-09) WOLDE TEKLU NORIYE
The main objective of this study was to assess the socio-economic and political impacts of marginalization on occupationally outcast groups in the case of Enore Woreda, Gurage Zone. Accordingly, the study employed a descriptive survey design. The study applied a qualitative research approach to discourse on the research question, collect, and analyze the data appropriately. The study used both primary and secondary sources of data. Primary data collection tools were a semi-structured interview and focus group discussions, but document analyzation was a source of secondary data instrument. The researcher was used thematic data analysis technique way of analyzing data via subjects and emerging themes. The study used non probability sampling, specifically the purposive sampling technique for leaders and government officers; and a simple random sampling technique to identify focus groups who are Fuga peoples for focus group discussion. Main data source for the study were semi-structured interview and focus group discussion, which were select the sample through purposive sampling and simple random sampling technique. Thus, 33 respondents, who were 19 from Fuga and 14 from the Wolleba people group in Woreda. This qualitative data was analyzed by using narration and theme building. This thesis study result disclosed the Fuga people in the studied kebeles were socio-economically and politically marginalized and suffered from the effects of their marginalization. The conclusion also exposed that the socio-economic and political outcaste group marginalization of Fuga was caused by their descent, low income-generating occupational status, taboo food breaches, and hygienic problems. In other way, this study depicted that effects of marginalization on Amarican group were socio-cultural effects such as community disagreement, prohibition of intermarriage, denial of membership in community institutions and denial of burial processes; economic consequences which included limitation of products and engagement in less valued works, limitation of access to participate in huge economic activities, absence of favorable working place, and restriction of exchange in the market; and political effects also lack of opportunity to take part in decision making processes and absence of their own representation in political affairs of the community and Woreda level. In other side, at the same time, the study found possible strategies to abolish marginalization of Fuga people were providing opportunity in all aspects, creating awareness for both sides, empowering them, and ensuring their right. In general, the study indicated the recommendation to NGOs, government agencies, religious organizations, and local government in order to alleviate the socio-economic and political marginalization of that occupationally outcaste group in Woreda and retain healthy relationships between both social group communities.