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BMC International Health and Human Rights 01/2012; · 1.44 Impact Factor
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BMC International Health and Human Rights 01/2012; http://www.biomedcentral.com/1472-698X/12/2(2). · 1.44 Impact Factor
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BMC International Health and Human Rights 2012, 12:2. 01/2012; http://www.biomedcentral.com/1472-698X/12/2(12).
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Italia V Rolle,
Irum Zaidi,
Jennifer Scharff,
Donna Jones,
Aynalem Firew,
Fikre Enquselassie,
Ashenafi Negash,
Negussie Deyessa, Getnet Mitike,
Nadine Sunderland,
Peter Nsubuga
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ABSTRACT: In many developing countries, including Ethiopia, few have the skills to use data for effective decision making in public health. To address this need, the U.S. Centers for Disease Control and Prevention (CDC), in collaboration with two local Ethiopian organizations, developed a year long Leadership in Strategic Information (LSI) course to train government employees working in HIV to use data from strategic information sources. A process evaluation of the LSI course examined the impact of the training on trainees' skills and the strengths and weaknesses of the course. The evaluation consisted of surveys and focus groups.
Trainees' skill sets increased in descriptive and analytic epidemiology, surveillance, and monitoring and evaluation (M and E). Data from the evaluation indicated that the course structure and the M and E module required revision in order to improve outcomes. Additionally, the first cohort had a high attrition rate. Overall, trainees and key stakeholders viewed LSI as important in building skilled capacity in public health in Ethiopia.
The evaluation provided constructive insight in modifying the course to improve retention and better address trainees' learning needs. Subsequent course attrition rates decreased as a result of changes made based on evaluation findings.
BMC Research Notes 08/2011; 4:292.
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ABSTRACT: The spread of HIV epidemic in Africa has resulted in a fourfold increase in the number of tuberculosis cases. Screening for tuberculosis among people living with HIV would increase case detection. In Ethiopia, it is neither practiced well nor researched in depth.
To assess the proportion of Screening and Case Detection for Tuberculosis among People Living with HIV.
Between February 2008 and May 2008, a cross sectional facility-based survey was conducted by exit interview of 406 people living with HIV whether they have been asked by health providers for the presence of cough or unusual lump in their lymph node sites as recommended by National TB/HIV implementation guideline from HIV chronic care.
Based on our findings, 89.7% of clients reported being screened for tuberculosis at least once during their follow-up visits. The case detection rate while screening was 15.6%. Male respondents were about two times more likely to be diagnosed for tuberculosis than females [AOR (95% CI) 2.18 (1.30-3.66)].
In general, there was high proportion of screening and case detection for tuberculosis among people living with HIV. The screening has to be well strengthened as many more active cases can be detected.
Ethiopian medical journal 02/2009; 47(2):109-15.
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ABSTRACT: Khat (an evergreen plant with amphetamine-like properties) and alcohol are widely consumed among the youth of Ethiopia. However, their relationship to risky sexual behaviour is not well described. This study was conducted to describe the magnitude of risky sexual behaviour (unprotected sex and early initiation of sexual activity) and its association with Khat and alcohol consumption in Ethiopian youths.
A probabilistic national sample of 20,434 in-school and out-of-school youths aged between 15 and 24 years of age was selected and interviewed regarding their sexual behavior and substance use.
Over 20% of out-of-school youth had unprotected sex during the 12-month period prior to interview compared to 1.4% of in-school youth. Daily Khat intake was also associated with unprotected sex: adjusted OR (95% CI) = 2.26 (1.92, 2.67). There was a significant and linear association between alcohol intake and unprotected sex, with those using alcohol daily having a three fold increased odds compared to those not using it: adj. OR (95% CI) = 3.05 (2.38, 3.91). Use of substances other than Khat was not associated with unprotected sex, but was associated with initiation of sexual activity: adj. OR (95% CI) = 2.54 (1.84, 3.51).
A substantial proportion of out-of-school youth engage in risky sex. The use of Khat and alcohol and other substances is significantly and independently associated with risky sexual behaviour among Ethiopian youths.
BMC Public Health 02/2005; 5:109. · 2.00 Impact Factor
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ABSTRACT: A cross sectional survey was conducted to assess patients' satisfaction on outpatient services in the hospitals of the Amara Region. A total of 898 patients from nine hospitals were interviewed on exit. The majority (95.9%) had come due to illness, and of which, 53.2% had illnesses that lasted for more than 30 days. Among those who were sick, 47.5% were non-paying (free) patients. Long waiting hours during registration, visiting of doctors after registration, laboratory procedures, and revisiting of the doctors for evaluation with laboratory results and obtaining drugs from pharmacies were associated with dissatisfaction. When logistic regression was applied, waiting time for registration, physician consultation/examination, obtaining the prescribed drugs from the pharmacies, and overall time taken to receive prescriptions were associated with dissatisfaction. Among the sociodemographic factors, age was associated with dissatisfaction. More than one-third of the patients did not get the medications prescribed in the hospital pharmacies. Failure to find the prescribed drugs was associated with dissatisfaction. Unnecessary patient delays should be reduced to the minimum by assessing hospitals' processes. Ensuring drug supply with facilitated administrative processes is recommended.
Ethiopian medical journal 11/2002; 40(4):387-96.
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ABSTRACT: Chlamydia trachomatis is one of the most common causes of sexually transmitted diseases in sexually active males and females. Infertility is one of the serious complications of urogenital chlamydial infections. This study was carried out in Chuwahit town and the surrounding village, which is located southwest of Gondar town. The main objective was to estimate the prevalence of urogenital Chlamydia trachomatis among males aged fifteen years and above. The design used was a cross sectional survey. First catch urine was collected from males 15 years and above and interviews were made using a questionnaire. The urine samples were tested with an Enzyme Immuno-Assay (EIA), which is useful in rapid detection of chlamydia antigen. Among 199 males included in the study, thirty-three (16.6%) had laboratory evidence of urogenital Chlamydia trachomatis. The mean (SD) age of the study subjects was 29.3 (+/- 9) years. Students (8 out of 21, 38%) had the highest prevalence of urogenital Chlamydia compared to the other groups (OR = 4.10, 95% CI = 1.12, 14.48). The magnitude of urogenital chlamydia infection in males was high in the study area. Health professionals need to consider genital Chlamydial infections in the management and control of sexually transmitted diseases. Increasing the awareness of students towards urogenital Chlamydial trachomatis and teaching them about the benefits of using condoms is recommended.
Ethiopian medical journal 08/2002; 40(3):251-7.
