This research explores the perception and practice of participatory communication for development. To this end, the study focuses on a leading local Non-Governmental Organisation (NGO) named Organisation for Rehabilitation and Development in Amhara (ORDA), Ethiopia. This qualitative case study was based on the participatory development communication model which has been assumed to bring about sustainable socio-economic change of a country (Melkote & Steeves, 2001; Mefalopulos, 2008; Servaes, 2008). The data were collected using in-depth interviews, Focus Group Discussion (FGD), document analysis and field observation. The collected data were organised and analysed in the form of content and thematic analysis. The results revealed economic oriented and top down approach to development communication as the dominant conceptions, and majority of the research participants perceived the concept ‘participation’ as mere contributions of labour and materials which are not real participation, but co-option. Only a few of the management members of ORDA conceptualized the idea of ‘participation’ as an empowerment process in which the organisation’s official document is also stated. Besides, the results showed no genuine participation of the local community in ORDA’s development process. Generally, these results could lead us to conclude that participatory communication was the missing link in the development process. That is, communication was perceived as a transmission of development information and an image building activity, not a process of empowerment. The major communications practices of ORDA were also best described as one-way top down which could reveal the legacy of modernisation and dependency theories of the development literature. The study further indicated pressing factors such as individual, organisational and environmental related affecting the implementation of ORDA’s participatory development communication. The results of study further indicated that participatory development communication was not used a means of liberation from the chain of poverty, dependency syndrome and other underdevelopment problems which deeply persist in the region. Based on the findings, the study commends the mainstreaming of participatory development communication both at the perceptual and practical level for achieving sustainable development in rural Amhara region, Ethiopia. / D. Litt. et Phil. (Communication) / Communication

Purpose: The purpose of this study was to investigate the magnitude, behavioural issues and other contributing factors for alcohol and substance abuse, in order to develop a strategy for alcohol and substance abuse among Ethiopian university students. Method: An explorative, mixed method approach research was used. Data were collected from adolescents at Arbaminch and Wolaita Sodo universities that were purposively selected for this study. Review of literature resulted in the researcher developing questionnaire items for quantitative data (N=738) (Annexure F). Framework: The theory of planned behavior change was applied to guide the study. The theory was applied to enable understanding of behavioural intentions, individual attitudes and subjective norms surrounding performance of a specific behavior. This theory was applied to understand the problem among the student and as a framework for developing the strategy. Research Findings: The study highlighted alcohol and substance abuse among the university students was widespread. Behavioural findings showed that respondents have favorable attitudes but no intention to discontinue the use of alcohol and substances. Various factors including behavioural, environmental and policy issues have contributed to the problem. However, intervention packages and strategies to respond to the growing problem were non-existent or very minimal. Conclusion: Alcohol and substance abuse among university students has become global public health problem. However, university management did not have plans in place to attend to the problem. The researcher envisages that the implementation of these strategies would provide a workable intervention in reducing alcohol and substance abuse among students at the Ethiopian Higher Learning Centres. Recommendations: University management should step in and initiate urgent intervention measures. Adequate coordination among various stakeholders to respond to such a multi-dimensional problem is a necessity. The parliament has to revisit the current alcohol, drug and substance advertisement, circulation and trading related legislations including the use of ‘Khat which is Ethiopia’s unique problem. / Health Studies / D.Litt. et Phil. (Health Studies)

In Ethiopia people are highly dependent on natural resources which often lead to environmental degradation. The perception is that environmental degradation is partly due to lack of environmental awareness. The level of environmental awareness and the role of the media in creating awareness in Kembata Tembaro Administrative zone were investigated. Quantitative and qualitative methodologies were used to identify sources of environmental knowledge, content, spatial extent, volume and priority of media coverage, impact of media, and expectation of audiences and producers. Experience, rather than outside sources, such as provided by the media, is the main source of environmental information, but awareness is key to reduce further environmental degradation. Environmental media programs should be transmitted at suitable times and the experiences of successful farmers in natural resources conservation and development should be shared. Attention should also be given to identification of awareness obstacles and training and sensitizing of journalists on environment issues

This study examines rural household food security and its determinants in drought-prone Amhara Region of Ethiopia by focusing on Lay Gaint district as a case study site. A range of factors from physical environmental circumstances to policy and institutions-related issues determine households‟ vulnerability to food insecurity and livelihood outcomes. The survey results showed that the majority (74%) of the sampled households experienced food insecurity. The situation was worse among female-headed households such that 86% of them were food insecure. The study revealed that, despite the low level of productivity related to local environmental constraints, rural livelihoods remain undiversified with small scale rain-fed agriculture to provide the primary source of livelihood for the large majority of households (~93% of respondents). Only about 25% of the respondents participated in some form of non-farm or off-farm activities, but with only little contribution to their total annual incomes. Food insecurity is a chronic problem in that, on average, households in the study area consume from own production for only about six months. The study found out that the majority of households (about 80%) perceived annual rainfall to be inadequate to support the growing of crops and grazing of animals. The main adaptive strategies employed by the majority of households included diversifying livestock kept, planting trees and diversifying crops. The study revealed that incidence, depth and severity of food insecurity of the food insecure households showed that Woina-Dega and Kolla agro-ecologies are prone to vulnerability to food insecurity. This suggests that development interventions that are geographically differentiated; and build household assets will improve household food security in the study area, and in other similar environments in the country. / Geography / D.Phil.

This study analyses the impact of land registration and certification scheme on sustainable use of farmlands in Debre Mawi and Densa Bahta rural kebeles of Amhara region in northwestern Ethiopia, with a view to contributing to the theoretical debate on tenure security and more realistic policy advocacy on the sustainable use of farmlands. Within the framework of qualitative research methodology, the case study approach helps to observe and understand the relationship between land titling and sustainable use of farmlands in Densa Bahta and Debre Mawi kebeles of the Amhara region in Ethiopia. Specific methods employed were focus group discussions, in-depth interviews and observation, complemented by context analyses of relevant documents. It was found that land titling has contributed to a high perception of security of land tenure among study respondents. However, results show that land titling has both positive and negative impacts on sustainable use of farmlands. The positive impact of land titling is ascribed to its assurance effect and legal obligation imposed on farmers to adopt proper land management practices. The negative impact of land titling arises from its failure to address the existing inequality in possession of farmlands among the village communities. Failure of farmers’ high perceptions of their security of land tenure to translate into sustainable land use practices has implications for the relative importance of productive asset endowments, self-efficacy and risk perception on the sustainable use of farmlands in the Amhara region. Interviewees that follow unsustainable farming practices were endowed with relatively lower pieces of farmland and disadvantaged in possession of other productive assets. They also demonstrated a low level of self-efficacy and a risk-averse attitude to adopting conservation technologies, as they possessed smaller sizes of farmland compared with the village and regional average. The study urges a holistic approach and comprehensive analytical framework to understand the synergy of several factors that affect the sustainable use of farmlands. / Environmental Sciences / D. Litt. et Phil. (Development Studies)

The purpose of this study was to determine whether indigenous and modern policing can coexist in Ethiopia. The two case studies dealt with in this research indicate that customary administration which is based on indigenous customary law governs the lives of most communities in Ethiopia. Most of the civil and criminal cases are resolved through these mechanisms, although there are always operational tensions due to some contradictions between the modern and indigenous policing systems when crime is committed in indigenous areas. This is mainly because the modern police system wants to impose its way of resolving crime while the indigenous police system want crime to be solved in the traditional/indigenous manner that have been practiced for centuries. These fundamental differences have created two parallel institutions which are both rooted in providing safety and security to the community. The research also reveals that modern policing in Ethiopia can benefit tremendously from well researched experiences and practices of indigenous policing. This does not imply that indigenous policing system is democratic and all the experiences could be relevant to modern policing, but it simply means that the identification and the sharing of best practices from both sides could lead to mutual benefits of these systems. In its conclusion the research shows that Ethiopia has the potential to develop a unique policing system that reflects its distinctive cultural heritage and that meets the needs of its people. This potential is more likely to be actualized if the country preserves and incorporate the best practices of both these systems and use them as integral part of the Ethiopian modern policing. / Police Practice / D .Litt. et Phil. (Police Science)

Visceral leishmaniasis is a severe systemic illness and early case management is important for the avoidance complications and control of the disease. Improving health workers’ knowledge on leishmaniasis is essential in improving the control programme. A quantitative, retrospective study of patient records and descriptive, explorative study of health care professionals’ knowledge on leishmaniasis were conducted. Data was collected from patient records (n=299) using a structured audit tool and from health care professionals (n=55) by means of a structured questionnaire. The study findings highlight that the commonest clinical manifestations of visceral leishmaniasis are fever and splenomegaly. Severe malnutrition and HIV co-infection contribute to mortality. The findings indicate the need for training to improve health care professionals’ awareness of visceral leishmaniasis. Leishmaniasis disease surveillance and support by the regional and district heath offices should be improved / Health Studies / M.A. Public Health (MPH)

The purpose of this study was to describe the characteristics and findings of antimalarial drug efficacy studies conducted in Ethiopia and to use the findings to formulate recommendations for antimalarial drug efficacy monitoring and use of evidence to inform antimalarial treatment policy for the Ethiopian setting. This study reviewed 44 antimalarial efficacy studies conducted in Ethiopia from 1974 to 2011. The analysis of results indicated that chloroquine as the first-line antimalarial drug for the treatment of malaria due to Plasmodium falciparum had a 22% therapeutic failure in 1985. Chloroquine was replaced with sulfadoxine-pyrimethamine in 1998, more than 12 years later, when its therapeutic failure had reached 65%. Sulfadoxinepyrimethamine at the time of its introduction had a treatment failure of 7.7%; it was replaced after seven years in 2004 by artemether-lumefantrine; by then its treatment failure had reached 36%. The WHO recommends the replacement of a first-line antimalarial drug when more than 10% of treatment failure is reported. The replacement drug should have a therapeutic efficacy of more than 95%; while the change itself should be completed within two years. The prolonged delay to replace failing antimalarial drugs in Ethiopia seems to have been influenced mainly by the lack of systematic antimalarial drug efficacy data collection and pragmatic use of the data and evidence gathered.Almost eight years after its introduction, isolated studies show that the efficacy of artemether-lumefantrine has decreased from 99% in 2003 to around 96.3% in 2008. Though this decrease is not statistically significant (chi-square 1.5; P=0.22) and has not reached the threshold of 10%, it is plausible that its efficacy may drop further. This is mainly due to regulatory provisions in the country that allow marketing of oral artemisinin mono-therapies that are not recommended for malaria treatment, use of less effective antimalarial combination drugs in the neighboring countries and widespread drug quality problems. The situation calls for and this study recommends the establishment of stringent drug efficacy monitoring and early warning system and alignment of the antimalarial drug regulatory practices with recommendations of the WHO. / Health Studies / D. Litt. et Phil. (Health Studies)

BACKGROUND: Studies done in both developed and developing countries have reported the tendencies of adolescents to engage in risky behaviours. Such behaviours include indulging in early and unsafe sexual activities, having multiple sexual partners, alcohol and drug use and dropping out of school among others. PURPOSE: The main aim of the study was to develop intervention strategies for reducing sexual risk practices among adolescents in Ethiopia. METHODS: A mixed method approach using quantitative and qualitative approaches was employed in order to investigate the risks of sexual practices among urban and rural adolescents in the selected area. A cross-sectional survey was used to gather data quantitatively and focus group discussions were used for the qualitative part of data collection. A total of 449 students and 72 FGD participants were selected for quantitative and qualitative study respectively using systematic random sampling technique. Logistic regression was done to identify possible factors associated with knowledge on emergency contraceptive, condom utilisation, pre-marital sex practices and perception of risky sexual practices. RESULTS: One hundred and seventy (37.9%) respondents had experienced sexual intercourse at the time of the study. The higher proportion (42.6%) of those who had engaged in sexual relationships was from the rural school compared to 33.1% in the urban schools. The proportion of sexually active respondents was higher among males (44.8%) compared to (29%) females. Multiple partners were higher in rural adolescents (44.7%) compared to 31.8% among urban adolescents. Sexually Transmitted Diseases were reported by 28.6% of the sexually active adolescents and the prevalence was higher among males (73.5%) compared to 27% females. 87% of the sexually active adolescents rarely used a condom. CONCLUSION: The study identified a knowledge gap on ASRH which limited adolescents to access reproductive services. Social, cultural and economic factors contributed to adolescent engagement in risky sexual behaviours. Based on the major findings of this study, intervention strategies targeting behavioural, biomedical and structural interventions were proposed. / Health Studies / D. Litt. et Phil. (Health Studies)

Ethiopia is a country well endowed with a number of development related NGOs who have been involved in socio-economic development at national, regional and grassroots level. In a country like Ethiopia, where natural and man-made hazards persist, NGOs play a crucial role in terms of reducing poverty and other human sufferings. As one of the non-governmental organizations, the Ethiopian Kale Heywot Church Development Program (EKHCDP) has played an important role in supporting and encouraging the development aspirations of local communities in the areas of environmental rehabilitation, water and sanitation, agriculture, health, education, credit and saving schemes.<br /> <br /> The study focused on the Ethiopian Kale Heywot Church community development program in five selected project areas, namely Lambuda, Durame, Shashamane, Debraziet and Nazret. The analysis subsequently examined the nature and extent of community participation in the project planning, implementation and decision-making phases. Thereafter, the study brought into focus general observations gleaned from the investigation and provides recommendation to the EKHC and other stakeholders that have been involved in development activities.<br /> <br /> Quantitative and qualitative methods of research have been applied throughout the investigation. Accordingly, observation, in depth interviews, focus group discussions and structured and semi-structured questionnaires were used to gather information. The qualitative mode was employed to gather socially dynamic information on issues relating to beneficiaries&rsquo / perceptions of processes in order to gain a deeper understanding of the dynamics at play. On the other hand, the quantitative mode was used to test variables related to the research problem. <br /> <br /> The findings indicate that the Ethiopian Kale Heywot Church development program has played a significant role in terms of community development. Moreover, its development approach is responsive to local needs and able to mobilize local and external resources to support the poor, so that through empowerment and participation they will be released from the deprivation trap that they find themselves in. The study also indicates that the EKHCDP has good linkages and networks with other communities and partners. However, the study indicated that the intensity of community participation in decision-making is still low in certain cases. Meanwhile, the beneficiaries did not show a clear understanding of aspects such as project ownership. Finally, this study recommends that genuine community participation should be maintained because it is the core activity contributing to beneficiary empowerment and grassroots institutional capacity building and an essential ingredient for self-reliance and project sustainability.