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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
331

Development of strategies to reduce unmet need for modern contraception among agro-pastoral women in Eastern Ethiopia

Dereje Kifle Moges 03 1900 (has links)
The aim of the study was to develop strategies to reduce the unmet need for modern contraception among agro-pastoral women. The objectives of the study were to determine the prevalence of unmet need for modern contraception, determine the factors associated with unmet need for modern contraception, and explore the barriers that hindered agro-pastoral women from using modern contraception. A mixed-method research design was used to conduct the study. Data were collected from agro-pastoral women and family planning service providers. Questionnaire and individual in-depth interviews were used to collect the data. The validity and reliability of the quantitative data and trustworthiness of the qualitative data were ensured. Use of standard data collection tools, employing method and data triangulation, and documenting all the procedures of data collection and analysis were among the ways employed to do so The quantitative data were analysed using simple descriptive statistics and multivariate logistic regression. Thematic analysis was employed to analyse the qualitative data. Ethical principles of research such as beneficence, justice, informed consent, respect for persons, privacy and confidentiality and scientific integrity were considered to conduct the study. The study revealed an unmet need of 29.2% (n=112) for modern contraception among agro-pastoral women. The unmet need for birth spacing constituted 21.1% (n=81), whereas the unmet need for birth limiting was 8.1% (n=31). The age of the women, the number of living children, knowledge of modern contraceptive methods, and knowledge of FP service centres were found to be associated with women‘s unmet need for modern contraception. Lack of time and money, lack of knowledge about modern contraception, and fear of side effects were the major individual-level barriers. There were also culture-related factors such as the need for many children that hindered agro-pastoral women from using modern contraception. Moreover, the study disclosed that religious unacceptability and husband‘s and relatives‘ opposition were also among the mentioned barriers. The quality of FP service provision in terms of the competence and behaviour of health service providers, unavailability and inaccessibility of FP service, were also indicated as barriers. The findings informed the development of strategies to reduce agro-pastoral women‘s unmet needs for modern contraception in Eastern Ethiopia. The study further recommended that the health bureaus of the region, zone and district collaborate in ensuring that agro-pastoral women realise the significance of the provision of accessible, equitable, quality modern contraception. It is also essential to equip health facilities with qualified health service providers and necessary facilities. Religious leaders should be involved in disseminating vital, relevant and empowering FP information. / Health Studies / Ph. D. (Public Health)
332

Evaluation of carbon stock under major land use/land cover types for developing alternative land use scenarios for reducing greenhouse gas emissions

Tessema Toru Demissie 06 1900 (has links)
In the dominantly small-scale subsistence agricultural system of Ethiopia, where most of the organic inputs are not returned to soil and land is not used based on its best suitability, the contribution of agriculture to climate change mitigation/adaptation through reduction of greenhouse gases emission is undermined. When this low-input agricultural practice is coupled with rugged topography, high population pressure, generally low soil fertility, and looming climate change, ensuring food and nutrition security of society as well as sustainable use of land resources is practically impossible. Under such circumstances, finding alternative land uses, through scientific investigation, that meet the triple mandates of climate-smart agriculture under current and future climate is imperative. In view of this, a study was conducted in Hades Sub-watershed, eastern Ethiopia, to evaluate the carbon stock of major land uses, evaluate suitability of land for rainfed production of sorghum (Sorghum bicolor L.), Maize (Zea mays L.), coffee (Coffea arabica), upland rice (Oryza sativa L.) and finger millet (Eleusine coracana L.), and project biomass production of late-maturing sorghum and maize varieties under changing climate and its contribution to carbon sequestration and reduction of greenhouse gases (GHGs) emission. Soil and vegetation samples were collected following recommended procedures. Secondary data on required crop parameters were collected for model calibration and validation in the biomass projection study made using the AquaCrop v6.0 model. Climate data of the study area was obtained from the National Meteorology Agency of Ethiopia and analyzed following standard procedures. Near-century (NC) (2017-2039) and Mid-century (MC) (2040-2069) climate was projected under two emission scenarios (RCP4.5 and RCP8.5) using four models (CNRM-CERFACS-CNRM-CM5, ICHEC-EC-Earth, MOHC-HadGEM2-ES, and MPI-M-MPI-ESM-LR) and a Multi-model Ensemble. Biomass production projection, for the climate projected under the two emission scenarios using the four models and the ensemble, was made for late-maturing sorghum (Muyira-1) and maize (BH661) varieties. From the projected biomass, organic carbon and its equivalent CO2 were estimated. Furthermore, adaptation measures, involving adjusting planting dates and irrigation, under the changing climate were evaluated for their influence on biomass production under the time slices, RCPs, and models mentioned above. The carbon stock assessment study was conducted on four major land uses (cultivated, grazing, coffee agroforestry, and forest lands) identified in the study area. The land suitability assessment, using the maximum limitation method, study was conducted on four soil mapping units identified in the sub-watershed. Results indicate that total organic carbon stock (soil, litter plus live vegetation) in the sub-watershed ranged from 138.95 ton ha-1 in the crop land to 496.26 ton ha-1 in the natural forest. The soil organic carbon stock was found to be relatively higher than that of the vegetation carbon stock in the natural forest and coffee agroforestry land uses. The results of suitability evaluation revealed that the maximum current and potential (after corrective xix measures are taken) land suitability class for production of late-maturing sorghum (180-240 days cycle), maize (180-210 days crop cycle), finger millet (120 – 150 days cycle) and coffee in the sub-watershed is marginally suitable (S3c). The maximum current and potential land suitability for upland rice (120 days) is not suitable (N2c). The major permanent limiting factor is low mean temperature (14.6 C) of the growing period in the study area as compared to the optimum temperature required for optimum growth of the selected crops. The major soil and landscape limitations include steep slope, poor drainage of low-lying areas, shallow effective root zone in the upper slopes, low organic matter and available P for sorghum and maize, high pH for maize and wetness for coffee. In all the climate models and emission scenarios, minimum and maximum temperature increment is high during June-July-August-September (JJAS) compared with the other seasons. The modest rise in minimum temperature and the slight increment of maximum temperature during the crop growing seasons (February-March-April-May (FMAM) and JJAS will benefit late-maturing sorghum and maize production in the study area. For the same model, the projected biomass yield and organic carbon sequestration of the two crop varieties varied with time slice and the type of emission scenario used. Generally, increasing biomass production and carbon sequestration were projected for Mid-century (MC) than Near-century (NC) for most of the models used. Late planting would increase sorghum biomass yield and the corresponding organic carbon as compared to early planting as projected by most of the models under both RCPs. Most models predicted an increase in maize biomass yield and organic carbon sequestration if supplementary irrigation is used. The results of this study indicate that the current land uses are not enhancing carbon sequestration because of their exploitative nature and the soil/landscape and climate are not optimum for production of the crops studied. The rise in temperature in the coming 50 years is expected to create a more favorable condition for production of late-maturing sorghum and maize varieties. In order to enhance carbon sequestration, soil productivity and crop yield, and reduce greenhouse gas emissions, the current land uses and their management require re-visiting. / College of Agriculture and Environmental Sciences / Ph. D. (Environmental Sciences)
333

Clients' perspectives of quality emergency obstetric care in public health facilities in Ethiopia

Anteneh Zewdie Helelo 11 1900 (has links)
The contribution of Emergency Obstetric Care (EmOC) in reducing maternal mortality in Ethiopia is very minimal as evidenced by poor provision and low utilization of EmOC. Client centred EmOC provision improves the provision and utilization of EmOC; leading to the treatment of the majority of obstetric complications which are the main causes of maternal mortality. This study describes clients’ views and perspectives concerning the quality of EmOC provision in Ethiopian public health facilities. An explorative and descriptive phenomenological qualitative study design was used in the study in order to explore and describe the lived experiences of clients with EmOC services. Key informant interviews with women who had direct obstetric complications and received EmOC at three public health facilities in Addis Ababa generated rich data on their lived experiences. Content analysis was used to analyze the data as it complies with the phenomenological data analysis and Atlas ti version 6.2 qualitative data analysis software was employed. The findings revealed that quality EmOC is a welcoming, life-saving timely care given in a clean environment with humility, respect, equal treatment and encouragement. It is care that is safe for the client, technically sound, responsive and meets clients’ needs and expectations. Accessibility of life saving care at all time and collaborative and coordinated care created good experiences for the clients. The causes of clients’ disappointment with the provision of EmOC were higher expectations from female providers, underestimation by providers, non responsive providers, and ethical misconduct by providers such as mocking, insulting, yelling, advantage taking providers, undelivered promises by providers, expectation with place of delivery, expectation with newborn care and a limited number of health workers attending delivery. Discrimination, high cost of care and asking client to buy drugs and supplies and referrals from centres, are some of the barriers on r the use of EmOC at public health facilities. The provision of EmOC is constrained by overloaded staffs, shortage of space to accommodate clients and inadequate number of beds. In conclusion, clients have expectations and experiences of provision of EmOC that influence their future decision to seek care. Finally, a client centred guideline for the provision of client centred EmOC provision was developed. / Health Studies / D. Litt. et Phil. (Health Studies)
334

Assessment of environmental-livestock interactions in crop-livestock systems of central Ethiopian highlands

Nigatu Alemayehu Minase 09 1900 (has links)
The study was done in Adaa district which is one of the 12 districts in East Shoa zone in Oromia regional state of Ethiopia. It is located southeast of Addis Ababa at 38o51’ 43.63’’ to 39o04’ 58.59’’ E and 8o46’ 16.20’’ to 8o59’ 16.38’’ N, on the western margin of the Great East African Rift Valley. The altitude ranges from 1 500 to ≥ 2 000 meters above sea level. The district has a high potential for mixed livestock and crop production systems. The purpose of this study was to make up for the paucity of information on livestock and environment interaction by assessing the relationship of livestock, soil, water, land, climate and crops under mixed crop-livestock production systems in central Ethiopian highlands. The objectives of the study were: (a) to assess the effect of change in land management on carbon storage and the contribution of livestock to carbon storage; (b) to examine the impact of livestock on natural resources and the environment; (c) to assess the effects of the change in traditional agricultural practices, expansion of factories, slaughter houses, greenhouses and flower farms on water and soil quality; (d) to evaluate the effect of climate change on livestock production under small-scale agriculture; and (e) to recommend options for mitigation and adaptation to environmental changes. The research design was non-experimental and did not involve the manipulation of the situation, circumstances or experiences of the interviewees. The design was comparative research that compared two or more groups on one or more variables, such as the effect of agricultural land use management, tillage type etc. on carbon storage in the soil. This research also applied a longitudinal design that examined variables such as the performance exhibited by groups over time. Purposive sampling was often used to measure the effect of agricultural, industrial effluent and human interferences on the environment by measuring nutrient contents at sources in the soil, water and manure. Biological data were complemented by key socio-economic survey by interviewing individual farmers and focus groups from sampling sites. Secondary data were also reviewed to measure soil degradation and run-off attributed to livestock. Results showed that animal waste and farmyard manure had the highest contribution in the addition of carbon in the soil. This implied that for most of carbon inputs livestock products and by-products had a greater place in the carbon sink. Therefore, livestock production could be considered as one of the major agricultural production systems in soil carbon storage. Similarly, livestock production systems also play an important role in maintaining the eco-system balance through nutrient recycling. On the average, the number of livestock per household for most species increased during the Derge regime in the 1990s compared to the Haile Sellassie regime in the 1970s when people did not own land; and then the number declined in the 2000s except for equines, crossbreeds and oxen. The change to crop intensification led to the change in the purpose for livestock keeping. Farmers started keeping certain types of animals for specific purposes unlike before when livestock was kept for prestige and economic security. The major drive for the change of attitude towards the purpose of keeping livestock was scarcity of resources, mainly feed and water. Equine ownership has significantly increased due to their low off-take rate and their feeding habits which allowed them to survive in harsh environments where feed resources were extremely scarce. There was a significant difference in crop response to manure application. Vegetables produced higher yields with manure than chemical fertilizers. Cereals on the other hand responded more to chemical fertilizers than to manure. Therefore, combining manure and chemical fertilizers was the best option for the sustainability of crop production in the study area. Some of the limitations to the use of manure as an organic fertilizer were inadequate manure production, high labour cost, bulkiness and high cost of transport to the fields and weed infestation. Manure management systems in the study area were affected by livestock husbandry practices. Only crossbred cattle (5%) were zero-grazed and used; and manure was stored in pits as slurry. Indigenous cattle were grazed outdoors in the fields during the day and at night they were kept in kraals near homesteads. There was a substantial loss of nutrients during the day when animals were grazing in the fields through leaching and trampling of dung and urine patches. Indoor or zero grazing of livestock could reduce nutrient losses. The use of manure as fuel in the study area had no significant effect on CO2 emissions at household or local level, but had a negative impact on soil organic carbon storage and soil fertility. Therefore, for improved yield and balanced eco-systems manure burning has to be replaced by other alternative energy sources such as bio-gas and kerosene. The largest carbon equivalent emissions were from CH4 (72.6%), N2O (24%) and CO2 (3.4%) which indicated the need to improve livestock and manure management systems under smallholder agriculture. Overall, there was an indication of a decline in water resources on per capita basis. The major contributing factors were combined pressure of human and animal population on natural resources that led to excessive deforestation, loss of biological diversity, overgrazing, soil degradation and various forms of pollution and contamination. The global climate change also played a role in the decline in water resources due to the decrease in annual precipitation and increasing temperatures. Urbanization and economic growth increased the demand for milk and meat, which required additional water use for each unit of increased animal protein. The demand for milk and meat is expected to double in the next 20 years with an annual growth rate of between 2.5 to 4%. From the sixty-year meteorological data (1951-2009) there was an established increase in rainfall by 2% per annum; and maximum and minimum temperature by 0.08oC per decade, which amounted to a cumulative temperature increase of 0.5oC in the last decade. The increase in precipitation and temperature favoured the adaption of lowland crops like maize and sorghum to highland agro-ecology. Climate prediction models forecasted that most of the highlands in Ethiopia will remain suitable for cereals like wheat and Teff for the next 50 to100 years. However, the perception of farmers indicated that they felt more heat and warm weather than they have experienced before. They reported that rainfall is now more erratic or comes late and stops earlier before plants completed their vegetative growth. / Environmental Sciences / D. Litt. et Phil. (Environmental Science)
335

Native tree species based afforestation/reforestation for carbon sequestration: contributions to sustainable development through clean development mechanisms in Ethiopia

Assefa Tofu Chofore 07 1900 (has links)
The daunting tasks of responding to climate change and ensuring sustainable development (SD) are high on the political agenda among world leaders. From the onset, the clean development mechanisms (CDM) outlined in Article 12 of the Kyoto Protocol (KP), state that CDM activities should contribute to SD in the host country while reducing greenhouse gas (GHG) emission. Nevertheless, many scholars have criticized CDM for failing to deliver on its twin objectives. In Ethiopia in particular, there was lack of afforestation/reforestation (A/R) CDM research specific to the nation; specifically, research as to whether A/R-CDM met the stipulated twin objectives of SD and mitigation (reducing GHG). This study was conducted in the Humbo district of Wolyaita Zone, Southern Nations - Nationality and People Regional (SNNPR) state of Ethiopia, where A/R-CDM was implemented in pursuit of these twin objectives. Humbo is located between 6°46’48.47 and 6°41’04.28N; and between 37°48’35.44 and 37° 55’14.51E, between altitudinal gradients 1200 and 1900 m.a.s.l. The climate of the study area is characterized by annual temperatures between 25°C and 28°C, and by total annual rainfall between 800 to 1000 mm. The objectives of the study were to quantify the change of above ground and below ground carbon pools of native tree species; to assess the attractiveness of FMNR forestry practices; to examine A/R-CDM contributions to community level SD; and to assess the effectiveness of climate change mitigation policy founded on native tree species-based A/R-CDM. Data regarding above ground biomass (AGB) and below ground biomass (BGB) carbon pools of native tree species was collected through non-destructive techniques to quantify the change in carbon sequestration and associated carbon trading. A multi-stage random cluster household (HH) sampling approach was used to assess the attractiveness of farmer managed natural regeneration (FMNR) forestry practice. To examine the contribution of A/R-CDM to community level SD, three dimensions of SD were evaluated, namely; (local) environmental, social, and economic. Two indicators were considered per each dimension. With regard to local environmental SD, community access to natural resources, as well as changes to the local climate were considered. With regard to the social dimension, job creation and changes to social support structures were considered. With regard to the economic dimension, economic activities of the area and local skill development were considered. Focus group discussions and key informant interviews were used to triangulate the survey as well as to assess policy perspectives. Results revealed that the Humbo native tree species based A/R-CDM, which employed FMNR forestry practices, sequestered a net total of 73,138; 84,848; 103,769 and 111,657 tCO2e along 2011, 2014, 2015 and 2016 years, respectively, across 2,728 ha. In terms of carbon leakage due to fuel wood collection activity displacement, a net zero was found since the average volume of fuelwood collected from the project area, after the area was closed off, was found to be 5.1 - 6.1 M3, while before the area was closed off, that number was 4.3 M3. This was due to the project employing FMNR forestry practices. Similarly, the leakage due to livestock grazing activity displacement also was found to be a net zero, since the number of animals grazing on land adjacent to the project area after four years of the area’s being closed off reached 11,383 cattle, 429 donkeys and 4,108 goats, unlike 8,684 cattle and 2,288 goats before the project. In other words, the number of livestock owned by farmers on the land adjacent to the project site was not adversely affected by the closing off of the site, which prevented grazing on the area allocated to A/R-CDM. The livestock management training provided by project developer improved the farmers’ rearing efficiency. Another expected leakage due to soil pitting for A/R was also found to be nil since soil disturbance did not take place because of FMNR practices. These results indicated that systematic regeneration of native tree species through FMNR forestry practices is an effective method to develop carbon sinks. From the point of view of FMNR attractiveness, the results revealed that the practice improved land cover change. The use of FMNR avoided the projected eight years reforestation investment cost of US$ 2,751,312.00 which could have been used if plantation forestry was undertaken. This showed that Humbo A/R-CDM might not have happened if FMNR is had not been introduced, as CDM has no pre-finance mechanism. With regard to community level SD contributions, the establishment of forest protection and development farmers’ cooperatives, as well as the granting of communal land-user rights certification, resulted in legal ownership of the land to the community, whereas before, the land was considered “no man’s land,” and subject to open access. The land-user rights and carbon ownership in turn empowered the community to sign a contract with an international carbon credit buyer. In terms of the local microclimate, the regeneration of native tree species was correlated with increased rainfall in the area in June, July, August and September (JJAS) and March, April and May (MAM). This suggested that the native tree species based A/R-CDM project played a role in improving the local microclimate. In terms of sociological SD, the study showed that new employment opportunities were created including tree pruning, thinning, forest guarding, and jobs at the community warehouse and community flourmill. The availability of employment opportunities was significantly higher for those who participated in the Humbo A/R-CDM, when compared to those who didn’t. In terms of social support structures, in less than ten years, seven Humbo A/R-CDM project owner farmers’ cooperatives, initially established as owners of the project, evolved into one forest protection and development Union. This enabled the institutionalization of grassroots organizations towards a common communal and international agenda of care for the environment. In terms of economic effects, the project enabled a carbon credit contract worth a total of US$ 3,873,298.00, signed at the sell rate of US$ 4.4 per tCO2e, for a total of 880,295 tCO2e across a 30 year crediting period. This is a new business model for the community, the country, and global businesses, all doing their part in climate change mitigation - CDM. As of the first A/R-CDM verification, the community received a total of US$ 321,807.2 in 2011. Consequently, the community received 373,331.2 in 2014, 456,583.6 in 2015 and 491,290.8 in 2016. In terms of revenue from logging, selective harvesting is planned to take place in years 12, 24 and 36. The community is projected to earn at least US$ 15,150.00 per ha1 (a total of US$ 3.9 million) from the first forest harvest in year 12 alone. These benefits in emission reduction (ER) and SD suggest that massive cross-dimensional benefits were foregone due to the country’s refusal to welcome A/R-CDM in its first commitment period, despite having 36,434,400 ha of land eligible for A/R. The research results in the area of policy perspectives indicated that the Humbo A/R-CDM project, the only one of its kind in Ethiopia, was made possible by environment related constitutional provisions, especially those pertaining to land-user rights, and the existence of a nationally standardized definition of forest that complies with international range. Additionally, the timely ratification of the Kyoto Protocol (KP), the establishment of a designated national authority (DNA) and a letter of approval by the DNA to the project developer were found to be enablers. Yet, defining land use, clarifying carbon ownership rights and bringing an inclusive benefit sharing mechanism for forest carbon are among the key instruments the country has yet to put in place to prove local readiness for such development opportunities. The Humbo A/R-CDM also undertook voluntary assessments to obtain additional certification in the form of the Climate Community Biodiversity (CCB) certification, and was certified to be of gold standard for its premium. However, there were no benefits to the host community and project developer from the CCB gold standard certification. Such ambiguity could have been cleared from the onset. This implied whenever going for market and/or result based climate change mitigation, it is necessary to understand the provisions. This study revealed that the Humbo native tree species-based A/R-CDM via FMNR forestry practices met the CDM twin objectives as specified in Article 12 of the KP in 1997, namely the double aims of achieving mitigations of GHG emissions and assisting developing countries inSD. Yet, more research is needed to understand all eligible A/R carbon pools sequestered at Humbo A/R-CDM site. / Environmental Sciences / Ph. D. (Environmental Management)
336

A proposed trust management model for organisations: the case of the Ethiopian banking sector

Getachew Wagaw Temesgen 05 1900 (has links)
Ethiopia, a developing country on the African continent, has experienced double digit growth during the last decade. To sustain this growth, the country needs a sound and healthy banking sector. Consensus exists that trust is a valuable resource that can make a difference. It influences the quality of relationships between an organisation and its employees and management. It enables organisations such as banks, to retain their most valuable employees and customers, and improve organisational functioning. Most leaders agree that high levels of trust are critical to the success of their organisations. In this study, the existing theoretical principles and models relating to trust, were analysed in depth, and followed up by an empirical study to determine to what extent trust management practices were being applied. A quantitative survey was conducted on a probability sample of 405 participants from the eight largest banks in Ethiopia. From the measured items, 54 usable factors were identified by using exploratory factor analysis. The calculated Cronbach alpha values indicated a satisfactory internal consistency. While the Pearson product-moment correlation applied to the factors, indicated a dominance of statistically significant positive correlations. Various informative results emerged from the empirical survey, amongst which were, the relative weak application of trust management practices such as trust drivers and trust builders. Some barriers were also identified such as the trustworthiness of coworkers/ team members, the immediate supervisor and top management. Thus, it was evident that proper trust management practices had not been fully established within the banking sector in Ethiopia. There was thus a need for some guidelines in this regard. An integrated trust management model was therefore developed, and tested, through Structural Equation Modelling, and validated to satisfy this need. / Human Resource Management / D. Admin. (Human Resource Management)
337

The development of a community based prevention model for under nutritional status among pregnant women in Southern Ethiopia

Tsegaye Alemu Gute 10 1900 (has links)
Post-natal care is a care given to the mother and the newborn during post-natal period. This period is crucial to save the lives of the mother and the newborn. Despite its importance, the utilisation of this service is very low in Ethiopia. This study was conducted to establish the views and experiences of women and health care workers on post-natal care services and determine the factors influencing its utilisation with the ultimate purpose of developing guidelines to improve uptake and quality of the services in South West Shoa Zone of Oromia Region, Ethiopia. The objectives of the study were to explore and describe the women’s views and experiences on utilisation of post-natal care service. Furthermore, the study sought to explore and describe health care workers views and experiences on provision of the services and to assess the factors facilitating or hindering to the utilisation of it. Ultimately, the study had intended to develop guidelines that would contribute towards improving the uptake and quality of the post-natal care services. The study used a qualitative descriptive and explorative research design to address the research questions. Qualitative data were collected from 19 women who gave birth in the past six months and from 24 health care workers providing post-natal care services (health care workers and health extension workers) and coordinating the overall maternal, neonatal and child health services in the study area (Zone and district health officials; primary health care units heads). The study used in-depth interview guides to collect data from the aforementioned study participants. Inductive thematic analysis was performed on the verbatim transcriptions using the Atlas ti version 8 qualitative data analysis software. Overall, the emerged themes from the analysis are categorised into women’s views and experiences on utilisation of PNC services, views and experiences of health care workers on PNC and factors facilitating and hindering the utilisation of PNC services. The study identified wide range of socio-cultural, knowledge and attitude related, physical, health facility related and health care workers related factors affecting the utilisation of post-natal care services. Consequently, after a systemic review of literature and stakeholders consultation the researcher used the findings of the study to develop guidelines to improve the uptake and quality of post-natal care services. The developed guidelines were also validated by maternal, neonatal and child health service providers and program leaders and the researcher strongly recommend the use of the developed guidelines that would improve the uptake and quality of post-natal care services. / Health Studies / Ph. D. (Public Health)
338

Farmers' collective action and agricultural transformation in Ethiopia

Etenesh Bekele Asfaw 08 1900 (has links)
Rural Ethiopia rolled-out a program for the establishment of farmers’ collective action groups known as ‘Farmers’ Development Groups’ (FDGs), in 2007, based on presumed common interest of smallholder farmers. Although the government trusts that FDGs fetch fast and widescale agricultural transformation as part of the participatory agricultural extension system, systematic study and evidence on what motivates smallholder farmers to act collectively, the group dynamics, long term impact and transformative potential of the agricultural extension groups is scarce. Using the expectancy-value theory in social-psychology, this study explores what drives smallholders to act collectively; their participation level and benefits in groups, particularly for women and the youth; and the extent to which farmers’ groups attain intended agricultural transformation goals of productivity and commercialization. The study collected a mix of qualitative and quantitative data in 2016, through 46 key informant interviews; 8 focus group discussions with farmers, and a survey of randomly selected 120 smallholder farmers (30 percent women) in four sample woredas (districts) of Ethiopia. The findings of the study are drawn through a content analysis, and descriptive and correlation analysis of the qualitative and quantitative data, respectively. The study findings show that social identity, and not ‘common interest’ motivates smallholder farmers to join and participate in FDGs. The study provides evidence that participation in FDGs enhances smallholder farmers’ adoption and use of agricultural technologies, where 96 and 84 percent of the farmers who received extension messages in the group on crop and livestock production, respectively, applied the message. Consequently, by 2015 more than 85 percent of the survey respondent farmers reported above 10 percent increase in crop and livestock productivity. Nevertheless, the nature of the incremental changes brought by the collective actions are not transformative, nor sustainable. Extension groups have limited contribution to commercialization of smallholders, where only 20 percent of the FDG members participate in output marketing. More so, FDGs avail limited collective opportunity for the landless youth, and married female farmers in a rural society where difference in power, status and privilege prevail. It also limits deviation of thought among the rural community. Limited access to inputs and technology; large family size; limited access to farm land; over dependence of the extension system on ‘model’ farmers and public extension agents, and poorly designed sustainability features bound the transformative potential of FDGs. The study forwards a set of five recommendations to unleash the potential of FDGs: reconsider the group design to be identity congruent; ensure inclusiveness for young and female farmers; empower and motivate voluntary group leaders; encourage collective marketing and; invest in sustainability features of the group. / Development Studies / Ph. D. (Development Studies)
339

Assessing the practices of technical and vocational education and training curriculum design and development in Ethiopia

Yadessa Tolossa Woyessa 06 1900 (has links)
The general objective of the study was to assess the existing practices and major factors affecting the design and development of Ethiopian TVET curriculum and explore considerations to be taken to design and develop TVET curricula that befit Ethiopia. The purpose of the study was to explore and understand the meanings TVET practitioners and stakeholders of Ethiopian TVET programme credited to the practices of TVET curriculum design and development in Ethiopia. Hence, the study employed qualitative research approach in phenomenological design and was undertaken within the interpretive paradigm to understand the lived experience of the curriculum designers, developers and implementers in Ethiopia. Accordingly, three regional states of Ethiopia were selected and one government-run TVET college from each regional state, i.e. a total of three TVET Colleges were taken as sample representatives for the study using purposive and convenience sampling methods. The study was delimited to the practices of curriculum design and development of the building construction fields of study. This is because firstly, it is impossible to encompass all available TVET fields of training in the study; secondly, building construction technology sector is one of the those sectors which much focus is given to by the government of Ethiopia and thus is the training fields found in abundance in the country. Two data gathering tools were mainly used to gather information in this study. These were interviews and document review. Therefore, the researcher first reviewed different related literature and strategic documents to understand the background of the problem and to see what has been done in reference to the problem. Accordingly, working and policy documents such as TVET strategies, guidelines, manuals, legislation, curriculum frameworks and guides, as well as Education Sector Development Programmes and other written documents and related literature to TVET curriculum design and development that were available at federal, regional and TVET college levels were reviewed and analysed. Other countries experiences visa-a-vis TVET curriculum design and development were also reviewed and used as sources of information. The interviews were held with curriculum development officials at the Federal TVET Agency and sampled Regional TVET Agencies as well as principals, heads of department and trainers from sampled TVET colleges that were providing training in the fields of building construction works. The interview participants were two TVET curriculum development officials from Federal TVET Agency, three TVET curriculum development officials from three sampled regional TVET Agencies, three TVET college principals from three sampled TVET colleges, three heads of department of building construction work fields from three sampled TVET colleges, and three trainers of building construction work fields from three sampled TVET colleges. Accordingly, it could be investigated from the study that the way outcome based TVET system is perceived and eventually executed and the processes and steps that were followed in order to design and develop TVET curriculum in Ethiopia had impact on present TVET curriculum developed . Besides, the way other countries’ experiences were espoused and adapted led to inappropriate curriculum design and development approach. Moreover, the Ethiopian TVET System following only one Curriculum development approach for designing and developing TVET curriculum for all trades, blue and white collar work-related-vocational education and training resulted in non-beneficial TVET curriculum. It was also noted from the study that the wrong perception of stakeholders’ roles and responsibilities in curriculum development activities led to TVET curriculum development with improper training content selection and unfair training time allotment, which in greatly impact on the TVET curriculum implementation and training delivery. Therefore, the study suggested that the curriculum that addresses individual, societal and employers’ needs should be designed and the labour market demand analysis needs to be undertaken before OS mapping is designed. In doing so, it is recommended that Ethiopia should benchmark itself against best practices of various developed and developing countries which have succeeded in outcome-based TVET system and when TVET system is adopted from other countries, it should be with tangible reasons and justifications. Furthermore, it is recommended that attention should be paid to practical training programmes and a combination of practice and theory time should be provided for all course types. In addition, the environmental situation of the country and the degree of importance of each unit of competence for employment and self-employment need to be considered. / Educational Studies / Ph. D. (Comparative Education)
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Strategies to strengthen referral and linkage system of HIV positive clients in Addis Ababa, Ethiopia

Fasika Dessalegne Dinku 11 1900 (has links)
Introduction: HIV referral and linkage system in many countries in general and in Ethiopia in particular was poorly characterised by low linkage rate. The purpose of this study was to analyses factors associated with poor referral and linkage system and develop strategies to improve the system. Methods: A sequential mixed method approach using exploratory descriptive study design was employed. The study was conducted in Addis Ababa, Ethiopia and it was conducted in two phases. Phase I involved data collection and analysis as evidence for the development of strategies while phase II was the development of strategies. For phase I, data were collected in steps 1 and 2 using individual interviews and focus group discussions respectively. The study participants were programme owners and partners who were supporting facilities during the data collection period in step 1 and health care providers in step 2. A total of 4 individual interviews and 3 FGDs were conducted with purposively selected participants. Data were analysed using computer assisted software called OpenCode version 4.2. Results: The findings revealed five themes namely, issues of referral and linkage practice, ensuring linkage through communication, issues of health care, issues of health care system and issues of partnerships and Health Bureau. Many gaps that affected the referral system were identified and in phase II, nine strategies were developed to strengthen the referral and linkage system. Conclusion:The results of this study highlighted weaknesses in the referral and linkage system of the HIV positive clients from counselling and testing services to chronic care and proposed strategies to strengthen those weaknesses. Measures to operationalise those strategies are also proposed. The successful implementation of the proposed strategies depends on the support of the ministry of health and regional bureau in terms of resources and the readiness of the health care providers to adhere to the proposed measures. Intervention research is needed to test the effectiveness of the proposed strategies. / Health Studies / D. Litt. et Phil. (Health Studies)

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