This parallel randomized control trial study assessed the effect of food-based strategies in improving the haemoglobin level; decreasing anaemia and thus the iron status of pregnant women. The study randomized 195 anaemic women enrolled from four randomly selected health centres in Dire Dawa while attending ANC into two intervention groups and control; and followed for 12weeks. The study intervened diet-based supplementation of 90mg/day vitamin C divided and consumed in three doses; combined with nutrition education intervention in intervention group 1; while only nutrition education intervention in group 2. Dietary diversity was assessed using past 24-hours and 7-days dietary recall approaches and haemoglobin levels were determined at baseline and end-line and compared to analyse treatment effects. By end of the study, intervention group 1 and 2 had significantly increased mean haemoglobin by 0.77 ± 0.11gm/dl and 0.398 ± 0.073gm/dl respectively; however, the control had significant decrease by -0.193 ± 0.05gm/dl. Anaemia prevalence also significantly decreased by 29% and 19.7% in intervention group 1 and 2 respectively. However, all women in the control were anaemic. Intervention group 1 and 2 also had significantly higher dietary diversity, consumption of vitamin C-rich fruits and vegetables, nutritional knowledge and modification practices. The researcher thus concludes that diet-based vitamin C supplementation integrated with nutrition education has a significant effect in improving haemoglobin, decreasing anaemia and thus improving the iron status of pregnant women in Dire Dawa. Based on the findings, the researcher developed a framework for an integrated food-based strategy for improving the iron status of pregnant women in Ethiopia. / Health Studies / D. Litt. et Phil. (Health Studies)

博士(社会学) / 甲第497号 / iv, 197p / Hitotsubashi University(一橋大学)

A partir de l'identification de plusieurs frontières de l'espace djiboutien (auparavant Côte française des Somalis, puis Territoire français des Afars et des Issas), nous revisitons l'histoire coloniale de Djibouti sous l'angle de la fabrication des territoires. Nous étudions particulièrement cinq frontières que l'on peut tracer sur une carte : les limites ethniques, les limites internes, les frontières internationales terrestres, le corridor ferrovaire et les frontières maritimes. Nous étudions comment ces différentes frontières ont été découvertes ou inventées à Djibouti, dans le cadre général de la formation des espaces dans la Corne de l'Afrique au XIXe siècle, puis comment elles ont été réalisées. Nous analysons les évolutions - dont l'éventuelle consolidation - de ces frontières jusqu'à l'indépendance. Enfin nous en étudions les conséquences et répercussions, en particulier la coercition qu'elles exercent, directement ou indirectement, sur les habitants.