{
  "abstract": "Objective The aim of this study was to explore current safety practices and improvement strategies for safety measures.Design A qualitative descriptive method was utilised from January to February 2025, employing both convenience and purposive sampling techniques. A total of 51 direct observations, 8 focus group discussions and 19 key informant interviews were conducted as part of the data collection.Setting This study was conducted in health institutions, Woreda health offices and Zonal health offices within the Awi Zone of Ethiopia.Participants Comprising frontline health professionals, case team leaders, facility administrators and health officials at both the woreda and zonal levels.Results The data analysis identified two principal themes: ‘safety measures practice’ and ‘improvement strategies’. Safety practices varied from low to moderate. Five areas were found to have ways to improve safety measures: infrastructure and supply chain management, training and capacity-building, community engagement, policy strengthening and enforcement and human resources management with behavioural change interventions.Conclusion The implementation of safety measures was inconsistent. To enhance safety measures, addressing individual behaviours and issues that are structural, cultural and systemic is essential. Encouraging participation, fostering teamwork and implementing regular monitoring can help make safety practices a routine part of the organisation. This would make the workplace safer, improve healthcare and enhance the overall effectiveness of the healthcare system. This study provides valuable insights that can inform the development of effective implementation strategies in other resource-limited settings.",
  "authors": [
    {
      "affiliations": [
        "Department of Epidemiology, School of Public health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China",
        "Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia"
      ],
      "name": "Agumas Fentahun Ayalew"
    },
    {
      "affiliations": [
        "Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia"
      ],
      "name": "Amare Mebrat Delie"
    },
    {
      "affiliations": [
        "Department of Epidemiology, School of Public health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China",
        "Deapartment of Public Health, Faculty of Health and Allied Sciences, Ernest Bai koroma University of Science and Technology, Makeni, Maken, Northern province, Sierra Leone"
      ],
      "name": "Lovel Fornah"
    },
    {
      "affiliations": [
        "Department of Epidemiology, School of Public health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China",
        "School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, SNNPR, Ethiopia"
      ],
      "name": "Mulugeta Shegaze Shimbre"
    },
    {
      "affiliations": [
        "Department of Epidemiology, School of Public health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China",
        "Shandong Provincial Key Laboratory of Intelligent Monitoring, Early Warning, Prevention, and Control for Infectious Diseases, Jinan, Shandong, China"
      ],
      "name": "Wei Ma"
    }
  ],
  "title": "Understanding safety measure practices and improvement strategies among health professionals in resource-limited health care settings in the Awi Zone, Amhara, Ethiopia: a qualitative study",
  "uid": "01e6ed92-128c-5cfc-98ee-9af5e860284c"
}