Background: The health benefits and economic gains of exclusive breastfeeding for the mothers and the new-born are well-documented in the literature as discussed in the background and the rationale for this study. The effectiveness of the social cognitive based interventions in promoting breastfeeding among women in general is also documented. However, there is lack of evidence regarding social-cognitive strategies that could be used to promote exclusive breastfeeding practices among primiparous mothers in Ethiopia means that current exclusive breastfeeding promotion interventions or strategies may not produce the expected outcomes. This assumption seems to be supported by low rate of early initiation of breastfeeding in country (52.1% instead of at least 75% as recommended by WHO) and shorter period of breastfeeding (one month) among mothers in Addis Ababa (CSA and ICF 2012) despite various strategies and interventions that have been implemented. Aims: The study was conducted with the aim of determining the social-cognitive predictors of exclusive breastfeeding among primiparous mothers during the first six months post-delivery with the view of developing social-cognitive strategies to promote exclusive breastfeeding practices among primiparous mothers in Addis Ababa, Ethiopia. Research design and method: The study was carried out within the quantitative positivist paradigm. The study was divided into two phases. The researcher used quantitative longitudinal, descriptive, exploratory and correlational designs to determine the social cognitive predictors of exclusive breastfeeding among primiparous mothers in Addis Ababa, Ethiopia within the first six months post-delivery. The results of the first phase assisted the researcher to design social-cognitive strategies to promote exclusive breastfeeding among primiparous mothers using a Delphi survey. A Delphi survey design was used to assist the researcher to develop the social-cognitive strategies to promote exclusive breastfeeding among primiparous mothers. It consisted of three rounds of mailed self-completion questionnaires. The Delphi was supported with critical review and synthesis of literature throughout the strategies’ development process. Descriptive summary statistics were used to analyse the prenatal breastfeeding behaviour of 141 primiparous mothers followed from the last antenatal care visits up to six months after delivery. Bivariate correlational and multiple logistic regression analyses were used to identify the social cognitive determinants and predictors of exclusive breastfeeding within the first hour post-delivery and six months thereafter. Findings: Positive breastfeeding outcome expectancy and high breastfeeding self-efficacy were identified as the independent social cognitive predictors of exclusive breastfeeding among primiparous mothers in Ethiopia. These predictors were used to develop social cognitive strategies to promote exclusive breastfeeding, which comprise six main components: (1) scientific evidence for the strategies, (2) the rationale for the strategies, (3) the aim of the strategies, (4) the scope of the strategies, (5) the guiding principles, and (6) the key results areas. These strategies were developed and validated with the inputs from 37 experts on breastfeeding and social cognitive theory. Two key results areas (build individual capacity for exclusive breastfeeding and create an enabling environment) and five strategic objectives were formulated and validated. Conclusions: The successful implementation of the social cognitive strategies to promote exclusive breastfeeding among primiparous mothers in Addis Ababa, Ethiopia as described above will require among others (1) in-service training on social cognitive skills for healthcare providers with focus on how to build self-efficacy and outcome expectancy, (2) the development of self-efficacy and outcome expectance assessments tools relevant to the Ethiopian context, and (3) additional support and resources from the healthcare managers. Recommendations: To the researcher recommend that programs aimed at promoting exclusive breastfeeding practices among primiparous mothers should be based on the combined attributes of positive social cognitive outcome expectance and high breastfeeding self-efficacy. Further research is needed to develop assessment tools for breastfeeding self-efficacy and outcome expectancy before the implementation of the proposed strategies. / Health Studies / D. Litt. et Phil. (Health Studies)

The making and breaking power of leadership has never been disputable. It is believed to be the single most important factor by which organizations used to exploit opportunities and survive hardships. Despite the fact that all functional areas are not immune to the consequences of good and bad leadership, marketing is uniquely sensitive. Unarguably, all leadership styles are not expected to equally impact marketing performance. A leader of character who inspires followers, helps employees to use their potentials, allows employees to make and fix errors, and pave ways for employee advancement is a one typically needed by organizations. This kind of leader is even more critical for those organizations operating in a brutally competitive market; like the brewing one in Ethiopia. This study is designed to investigate the direct and indirect impact of Transformational Leadership on marketing performance. Moreover, the moderating effect of leaders’ experience and the impact of group difference in leaders’ gender, leaders position and brewery sizes are studied. The unit of analysis are managers and decision makers (committee members) from the four sample breweries (St. George Brewery, Meta Abo Brewery, Raya Brewery, and Habesha Brewery). The data are collected from 211 respondents. In the study, in addition to the data cleaning procedures, all the multivariate data analysis assumptions are ensured. A model is developed and tested using a survey methodology. Four properly validated instruments, one selfdesigned (for marketing performance construct) and three adopted (for transformational leadership, organizational learning, and customer orientation constructs) are used. The validation work is ensured through factor analysis (exploratory and confirmatory). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) are worked out using SPSS 21 and AMOS 21 packages respectively. Data is analysed through the structural equation modelling technique. Results show that, Transformational Leadership style is positively and significantly associated with marketing performance, organizational learning and customer orientation. Moreover, it is found that Transformational Leadership indirectly and positively impacts marketing performance. Nevertheless, the hypothesized moderation effect of experience for the impacts of Transformational Leadership on customer orientation is failed to be significant. The study contributes a lot by narrowing the wide literature gap existed in the topic area in the context of the developing world. Secondary evidences are strongly discussed on the antecedents and outcomes of Transformational Leadership and marketing performance. Thus, it is the researcher’s belief that now because of this study; value is added to the body of knowledge and the study can benefit practitioners and academicians alike. / Business Management / D.B.L.

This study was conducted to determine retention rate and factors associated with loss to follow-up (LTFU) of adult pre-ART patients in St. Luke hospital, Ethiopia. Cross-sectional study with quantitative and qualitative data collection techniques was used. Review of patient records, focus group discussions and review of program guidelines was conducted to determine level of adherence among pre-ART patients. In addition, pre-ART service quality and perceived reasons for discontinuation was explored. The study revealed that only 38.2% of the 335 patients enrolled in the pre-ART care were retained after 12 months of follow-up in the program. More than half (55.6%), of the LTFU occurred during the first 6 months of follow-up. Fear of discrimination, high transportation cost and mistrust in the pre-ART service were perceived reasons for LTFU. Absences of clear pre-ART service package and implementation guideline were also identified as important factors that may be related to LTFU. The findings call for improved quality of care and a better pre-ART service packaging that will address the gaps identified in order to increase patient retention. / Health Studies / MA (Public Health)

Resettlement as a development discourse has become a worldwide phenomenon. This phenomenon is mainly caused by population pressure, war or prolonged hostilities between countries or groups within the country, irreversible environmental degradation and development projects. While there are diverse causes of resettlement situations, this study focused on state sponsored resettlement programmes caused by socio-economic, political and environmental problems in Amhara and the southern regions of Ethiopia. The main objective of this empirical study was to analyse the effects of planned government intra-regional resettlement programme on the sustainable livelihoods of resettled households in Ethiopia. The central research question was: Does a planned intra-regional resettlement programme provide sustainable livelihoods for settler households in the two selected regions of Ethiopia? If it does, what chain of factors explains the livelihood security and sustainability? If it does not, what are the interacting variables and how have they generated a process of livelihood insecurity? To this end, the combination of Sustainable Livelihood Framework (SLF) and Impoverishment Risks and Reconstruction (IRR) models were used as the pillars of the theoretical and conceptual framework of the study. Mixed method design that combines both quantitative and qualitative data from primary and secondary sources were used in this study. Primary data were collected through a household survey, key informants interview, focus group discussion and field observation. A total of 250 households were surveyed and a total of 28 interviewees were contacted from the two regions. A total of 6 focus group discussions were also conducted with purposively selected participants. This study concludes that the effects of planned resettlement on the sustainable livelihoods of resettlers were mixed and challenged the generic representation of the scheme as a success or a failure. The adverse effects were mainly due to policy gaps, the mismatch between policy and practice, poor inter-sectoral and inter-regional integration and inadequate capacity building efforts. Recommendations were provided in line with these gaps. In addition, the knowledge documented through the application of SLF and IRR in mixed method design contributed to the methodological and theoretical advancement of resettlement and livelihood studies. / Development Studies / D. Litt. et Phil. (Development Studies)

This study investigates the factors affecting agricultural production of farm households in the National Regional State of Tigray, Ethiopia. The major primary sources of data for the study were farm household surveys, focus group discussions and key informant interviews. The study revealed that the annual average crop production of respondents was found to be below the standard annual food requirement recommended by the international organizations. The proportion of irrigated land to total cultivated land was only 11per cent. The proportion of irrigated land in the two districts is lower than 11.27 per cent at the regional level. The utilization of chemical fertilizers for the majority of the respondents was below the recommended standard for the region. Although the farmers were interested in using improved seeds, the supplied varieties were not based on their preferences. Extension agents were mainly engaged in activities which were not related to their professions. The farm income model result showed that landholding size (p<0.0001), possession of oxen(p<0.0001), amount of fertilizer(p=0.010), improved seeds(p=0.002), irrigation(p=0.028), soil quality(p=0.019), village distance to the district market(p=0.066), average distance of plots from the homestead (p=0.023) and crop rotation(p=0.016) were determinant variables. Farmers were engaged in off-farm activities to fulfill the cash requirements in credit constrained conditions. The laws of the region do not allow farmers to be out of their localities for more than two years and the farmerswere restricted to renting out only half of their land. This discouraged farmers from off-farm participation for fear of land confiscation. In the Probit model, the determinant variables of off-farm participation were: irrigation (p=0.001), age (p=0.007), amount of money borrowed (p=0.078), village distance to the wereda market (p=0.055), fear of land confiscation (p=0.023) and access to electricity (p=0.044). It is recommended that if farmers are to use chemical fertilizers, they should be supplied with High Yielding Varieties (HYV)and enough water through access to irrigation. Furthermore, farmers should be allowed to have long term off-farm employment to augment the farming sector. / Development Studies / D. Litt. et Phil. (Development Studies)

The small enterprise has become a major sphere of interest for policy makers and donors. Despite the institutional and policy support, these enterprises have fallen short of expectations. This study is intended to fill the gap by exploring the challenges and prospects of the entrepreneurs in the small enterprise in general and specifically rate the challenges across each sector in Mekelle and Adigrat, Tigray Regional State of Ethiopia. Generally, 154 samples of the small enterprise were selected using a stratified proportional random sampling technique, from which the required data were generated and analysed employing the descriptive and exploratory research design. In the first part, the characteristics and prospects of the entrepreneurs and the small enterprise are presented. The finding reveals that the gender of the entrepreneurs is dominated by and is in favour of male entrepreneurs when compared to that of their female counterparts. The majority of respondents lack the relevant experiences and operate as sole proprietors. Furthermore, business plan is found out to be used only to meet the requirements of the financial institutions. The result also revealed that small enterprises are operated mainly by the owners of the business themselves and hence their contributions to employment and income generation for others is very limited. Financial constraint is found out as a general challenge to entrepreneurs of the small enterprises. In addition, different constraints such as training, access to finance, market opportunities, policy and legal measures are examined and rated across different business types where each factors are found to affect small enterprises at a different rates. What is severe problem for one sector is found out to be not a problem when compared to other sectors. These imply that policies and support programs need to take in to account the heterogeneous nature of enterprises and entrepreneurs. Overall, the result discloses a high failure rate of the small enterprises in the study sites and one can conclude that there is a lack of innovation from the side of entrepreneurs and a weak support from the government and other supporting institutions. In view of these, the researcher recommends an innovative support schemes to ameliorate and accelerate the growth of the small enterprises. / Development Studies / D. Phil. (Development Studies)

Background AIDS remains one of the world’s most serious health challenges affecting more females than men. The differences in the spread of Human Immunodeficiency Virus (HIV) among gender groups stem from biology, sexual behaviour and socially constructed gender differences between women and men in roles and responsibilities, access to resources and decision-making power. It could also be due to the females’ status in society which could be justified by lower economic and decision making ability. Purpose The purpose of this study was to explore and describe the role of gender in the spread of HIV among women of reproductive age in Ethiopia; with the view of developing gender sensitive HIV and AIDS prevention strategies. Methods The study used sequential mixed method with quantitative and qualitative paradigm. During first phase of the study, health facility based descriptive cross-sectional study design was used. Data was collected from 422 respondents using a structured questionnaire. Forty participants were recruited by purposive sampling from representatives working in reproductive health or related fields. Results About 83.2% of respondents reported that sexual intercourse discussion should be initiated by male partners. This showed that majority of respondents were dependent on their male partners in decision-making regarding sexual matters in their relationship. Multiple sexual partners were common among the respondents. One third of the respondents reported to have had intercourse with more than one partner during the past twelve months of the study period. Higher proportion of respondents (61.4%, n=259) had never used condom during sexual intercourse with their partner/s. As a result these risky sexual practices are a potential threat for spread of HIV and AIDS among women. Thus developed guidelines would alleviate the existing problems through implementation of strategies of HIV and AIDS prevention to enhance women’s status at household and different administrative structure level. Conclusion Gender disparities in relation to negotiating sexual relations among the study respondents were found to be still relevant. The culture that has placed men at the helm of leadership in sexual matters is strongly upheld and that includes who recommends use of preventive measures and who regulates when and how to enter into a sexual relationship. Guidelines for gender sensitive prevention strategies if applied appropriately would educate women and men to make decision about what directly affects their health / Health Studies / D. Litt. et Phil. (Health Studies)

Cette thèse décrit et analyse les caractéristiques ethnologiques, musicales et acoustiques de la lyre bagana des Amhara d’Ethiopie. L’étude des données ethnologiques montre que le bagana incarne de nombreuses valeurs de la société traditionnelle amhara. Instrument considéré comme un don de Dieu et qui fut joué par des rois, le bagana est sacré. C’est un instrument intime, dont le jeu (toujours en solo ou accompagné seulement de la voix) est considéré comme un acte de prière ou une méditation à caractère religieux. Le musicien ne se donne pas à voir, ni par une dimension spectaculaire de sa performance, ni par une dimension phatique.<p>L’analyse des accords utilisés dans le répertoire du bagana montre que cet instrument est essentiellement accordé selon deux échelles modales pentatoniques, tezeta et anchihoye. L’organisation temporelle des chants de bagana est fondée sur des pulsations discrètes très rapides. La pulsation apparente se compose d’un multiple de cette pulsation discrète qui change en fonction du motif joué, ce qui crée une sensation de rythme libre ou de rubato. Les chants de bagana sont fondés au niveau mélodique sur des unités qui se composent de paires de notes. <p>L’analyse musicale du répertoire du bagana montre que celui-ci est fondé sur la répétition variée d’un ostinato musical assez court couplé à des paroles qui changent sans se répéter (à l’exception du refrain) selon les lois de la poésie amharique orale traditionnelle. Les procédés de variations mis en œuvre sont en général assez subtils car ils doivent préserver la sensation de répétition tout en apportant des éléments nouveaux. <p>L’étude des propriétés acoustiques du bagana permet de déterminer que celle-ci produit des sons très graves (jusqu’au sol 1). Le dispositif chevalet large-obstacles modifie tous les paramètres du son. L’analyse de la facture traditionnelle montre que l’instrument est conçu pour produire un son grésillant, long et intense sans avoir recours à une caisse de résonance volumineuse. <p>Le bagana est un instrument puissant, qui permet l’établissement d’une relation directe avec des entités surnaturelles via une transe légère. La voix et l’instrument sont dans un rapport de fusion et de renforcement mutuel. Les modes phonatoires utilisés sont « breathy » et « harsh ». La présence de la voix agit comme un guide perceptif, qui intervertit le rapport fond-forme dans la perception de l’instrument. <p> / Doctorat en philosophie et lettres, Orientation histoire de l'art et archéologie / info:eu-repo/semantics/nonPublished

The government of the Federal Democratic Republic of Ethiopia proclaimed a new curriculum for reconstructing the education system. The programme aimed at changing the predominantly-used teacher-centred instructional strategies to student-centred, active learning methods. This motivated the main research question of this study namely What are Ethiopian students’ learning styles and attitudes towards active learning approaches? The specific research questions that were investigated were: • What are the learning styles of students in Grade 10 public and private schools and at second year university level, and do these students prefer certain learning styles? • What are the attitudes of students at Grade 10 public and private schools, and at second year university level in respect of active learning approaches? • Do significant relationships exist between the students’ learning styles and their attitudes towards active learning as regards the four dimensions of the Index of Learning Styles (ILS), namely active-reflective, sensing-intuitive, visual-reflective and sequential-global? • Are there significant differences in the students’ learning styles and their attitudes towards active learning in respect of gender, different education levels and types of schools? In order to answer these questions, the study made use of an exploratory, descriptive design. By means of questionnaires data were collected from a purposefully and a conveniently selected sample of 920 students from Grade 10 government and private schools and second year university students in Hawassa, Ethiopia. The sample comprised of 506 males and 414 females, 400 students from Government schools and 249 from private schools, and 271 from the university. The data were analysed by means of descriptive statistics (means and correlations) and inferential statistics (analysis of variance). The results indicated that the majority of the students’ learning styles were balanced between the two dimensions of the ILS scales. As secondary preference, they tended towards moderate categories, and a small section of the students preferred the strong categories of the scales. Secondly, the study determined that the sampled students in general, demonstrated a positive attitude towards active learning. Thirdly, by means of the study a significant relationship was ascertained between the students’ attitudes towards active learning and the active-reflective dimension of the ILS. Fourthly, significant differences were indicated in the students’ learning styles and attitudes towards active learning in respect of their gender, their education level and the types of schools. / Psychology of Education / D. Ed. (Psychology of Education)

Background: IPT is an effective, safe and feasible disease prevention scheme that should be administered for all PLHIV living in areas with high latent TB prevalence. Objective: To assess the impact of isoniazid in the incidence of tuberculosis among HIV infected individuals in Addis Ababa. Methods: A case control study design was undertaken among 489 HIV and TB infected patients in Addis Ababa from January 2008 to December 2010. Results: Tuberculosis incidence rate among those who developed TB after completing 6-9 month isoniazid preventative therapy was17.14 PYO compared to 10.28 PYO among those who were not. Isonizide reduced the chance of developing tuberculosis among HIV infected patients (OR= 0.072; 95% CI 0.044, 0.12). Age (AOR= 0.14; 95% CI 0.03, 0.97) and sex (AOR= 1.86; 95% CI 1.02, 2.23) of the patient, CD4 count at HIV diagnosis (AOR= 0.21; 95% CI 0.13, 0.31), clinical stage of HIV illness (AOR= 1.22; 95% CI 1.09, 1.84) and past tuberculosis history (AOR = 1.97; 95% CI 1.24, 3.67) were major factors associated with tuberculosis incidence. Conclusions: INH prophylaxis was associated with lower incidence of tuberculosis among PLHIV. / Health Studies / M. Public Health