The purpose of the study was to evaluate the IMB skills model for its relevance to the Ethiopian context. According to the model, adherence-related information and motivation work through adherence-related behavioural skills to affect adherence to ART. Quantitative, analytical, observational, cross-sectional, institution-based study was conducted to evaluate the model by assessing those patients who have and do not have the right information, motivation, and behavioural skills whether they have or do not have good adherence to ART. Data was collected using structured questionnaires where a total of 400 randomly selected participants provided data on adherence-related information, motivation and behavioral skills as well as adherence behavior per se. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 20.0. Both descriptive and inferential statistics used in the study. Only 90.75 % of the total sample population reported ART adherence rate of more than or equal to 95% in this study. Free and restricted model tests, through bivariate and multivariate analyses, used to assess the propositions of the IMB model of ART adherence and provided support for the interrelations between the elements proposed by the model. The study has supported the applicability of the IMB model of adherence to the Ethiopian context highlighting its application in adherence-promotion intervention efforts. The findings revealed the need for on-going educational, informational and other interventions to address the knowledge, motivation and adherence behavioural skills of patients in order to improve the current levels of ART adherence behaviour. / Health Studies / D. Litt. et. Phil. (Health Studies)

This thesis attempts to address how and why North Shäwa deteriorated from a political heartland to a region of impoverished peasants by the beginning of the 20th century. One of the factors that determine the selection of the place for a seat of the government for a region or country and sustainability of its system is its resource potential. In this case, arable and grazing land with other related land resources were decisive. They were some of the major factors contributing to both the origin and development of the kingdom. However, by the beginning of the 20th century, the region was abandoned by the court and by a significant proportion of its population. This was mainly because of the impoverishment of the region. The growth of the number of consumers (town dwellers) and the supplies needed by the kingdom exceeded the carrying capacity of North Shäwa. The economic productivity of the region could not correspond to the development of its needs. Thus, this thesis accords due emphasis to the factors that contributed to the impoverishment of North Shäwa and the consequences that followed. Throughout the thesis, North Shäwan peasants are the main subject of discussion. Political, social, cultural and geographical factors that impacted on the peasants’ economy and that retarded its development are discussed in the study. It also attempts to unearth the measures taken by the court and peoples of North Shäwa to withstand or escape from the prevailing socio-economic problems. Finally a comparison is made with other regions of the country to describe the political and socio-economic status of North Shäwans that continue to live in the region. This discussion covers the period from the 1880s up to the Italian occupation of Ethiopia in 1935 / History / D.Litt. et Phil. (History)

Unlike many other international instruments, accession to the WTO does not simply require the commitment of the government to sign and ratify the multilateral agreements. A country needs to make considerable legislative and administrative changes to comply with the standards of the WTO and its members to finalize the negotiation for accession. For governments with impure free market economy policy the challenges amplify. The government of Ethiopia publicly pronounces its adherence to the ideology of the developmental state. On the other hand the nucleus of WTO principles is progressive trade liberalization. Therefore, this dissertation tries to provide some reflection on the paradox created as a result of the divergence in priority between WTO principles and developmental state in the context of Ethiopian desire to join the organization. The research is an interdisciplinary work. The issues that will be discussed are not purely legal in their nature. They have legal, political and economic dimensions. And the main focus of the paper is on trade in services and foreign investment negotiation aspect of the accession. Furthermore the objective of the dissertation is to give some insight for policy makers about the challenges and opportunities that „Developmental State‟ ideology will pose in the accession process of Ethiopia to the WTO. The research is divided into five chapters. Chapter one gives introductory remarks about the concept of the developmental state and accession to the WTO. The limitations of the WTO accession process and an overview of the features of developmental state in the world and particularly in Ethiopia are also briefly discussed in the chapter. The origin and concept of developmental state in the world, in Africa and Ethiopia is discussed in some detail under chapter two. The chapter also tries to show the impact of developmental state policies in the laws of the country that are going to be deliberated in the process of accession. Chapter three is about accession to the WTO. In this chapter the requirements, benefits, challenges and procedures of accession are dealt in depth. The writer debates and tries to show the fact that the system is slowly shifting from rule based negotiation to power and precedent based negotiation. By analyzing the laws of Ethiopia that are inspired by the principles of developmental state against the legal and precedent requirements to join the WTO, I tried to correlate the findings of chapter two and three in chapter four. Specific strategies and advises on how to move the negotiation forward on certain areas are also outlined in this chapter. Finally, conclusion and my summarized recommendations are placed under chapter five. / Economics / LL.M (with specialization in International Economic Law)

This qualitative research investigated the implementation problems of apprenticeship training program in the Addis Ababa TVET colleges and enterprises. The research looked into the training program conducted by TVET Colleges and enterprises. Relevant literature on the nature of apprenticeship training and the factors that could affect its implementation were also reviewed. The research applied the theoretical statement of Bandura’s (1977) theory of observation /imitation/, Vygotsky’s theory of ZPD, contextual or the situated learning (Lave and Wenger, 1991), the constructivist view of learning and career theory as the main theoretical frameworks to describe the apprenticeship training process. The theories, however, do not mention the factors that can hamper the implementation of apprenticeship training in a specific social context. The theory of observation was preferred since it can describe the apprentice’s effort to master the skill of an occupation by observing the craftsman at the enterprises. The situated learning was preferred as it gives value to practice as a condition for the effectiveness of learning. Similarly, the research considered Vygotsky’s theory of the ZPD. The application of ZPD indicates the difference between what the apprentice can accomplish independently and what he/she can do with the close assistance of supervisor on a given task. Holland’s career theory (as cited in De lary, Duncan & Swarth, 2006) is also considered to describe the apprenticeship training in relation with an occupation. The current research has enabled to consider context specific conditions by focusing on the investigation of the causes of the implementation challenges of the apprenticeship training. The researcher collected data from Addis Ababa TVET Agency experts, deans of one private and another public TVET Colleges, college apprenticeship training coordinators, trainers, trainees, supervisors and enterprises by employing unstructured and structured interviews, observation and Focus Group Discussion tools. The analysis was made by making the data pass through three successive steps: data reduction, data display and interpretation, and conclusion. The findings showed that the implementation of the apprenticeship training program had challenges that could be shared among its actors; Trade Unions had no involvement in the implementation of the apprenticeship training program; the selected colleges and enterprises addressed their challenges by using limited strategies and without regular and systematic way; the presence of some less motivating factors for the participation of the apprentices in the apprenticeship training was reported; the presence of conditions that could adversely affect the apprentices’ acquisition of occupational skills was reported; the provision of apprenticeship training at the enterprises lack, either facilities or training services, in order to arrange the apprenticeship training program for TVET college trainees; and there were some indications for the presence of some weak professional qualities of supervisors that have implications for the apprentices’ training. Eventually, it was concluded that the implementation of apprenticeship training program in the Addis Ababa TVET Colleges and enterprises had challenges that require the consideration of both institutional and human conditions. / Curriculum and Instructional Studies / D. Ed. (Curriculum Studies)

Seed-oil based biodiesel production particularly biodiesel production from the nonedible oil seed bearing plant - Jatropha curcas L. - is a key strategic direction outlined in the biofuels strategy of the Government of Ethiopia. The main objective underlying the strategy include substitution of imported diesel oil used in the road transport sector while at the same time contributing to the local and global greenhouse gasses (GHG) reduction efforts. In this study the environmental benefits and costs of production and use of Jatropha biodiesel in the road transport sector of Ethiopia is assessed using a life cycle analysis (LCA) methodology. The analysis focused on determining the potential environmental impacts and net non-renewable energy saving potential of biodiesel from Jatropha oil-seeds using the following metrics: (i) Net Greenhouse Gas (GHG) reduction, and (ii) Net Energy Balance (NEB) relative to diesel oil. The study shows that the net GHG emissions reduction potential of Jatropha Methyl Ester (JME) is highly influenced by the magnitude of initial carbon loss occurring in the process of conversion of different land uses to Jatropha plantation, and less so on other unit processes of JME production system analysed. The NEB of JME relative to use of diesel oil per functional unit of one GJ is less sensitive to impacts of land use change and is generally positive. Where no land use change impacts is considered, or where Jatropha is grown on lands with low carbon stock such as grasslands, substitution of diesel oil with JME in Ethiopia can provide GHG emission reduction of about 43%, and for each MJ of JME produced the nonrenewable energy requirement will be 0,38 MJ. Production of JME by converting lands with high above ground, below ground and/or soil carbon stocks such as shrub lands or well stocked forest lands will result in net loss of carbon and require ecological carbon payback time of 50 to hundreds of years. The impact of introducing and use of JME-diesel oil blends by Anbassa City Bus Services Enterprise (ACBSE) bus fleets shows that, displacement of diesel oil with JME that have positive GHG reduction potential, will also contribute to the reduction of air pollutants and improvement of ambient air quality in Addis Ababa. Two key recommendations of this research work are that to ensure environmental sustainability of biodiesel production from Jatropha seeds (i) land availability and land suitability assessment for estimating the potential available land for Jatropha (and other oil-seed bearing plants) shall be conducted, and (ii) minimum requirements on GHG reduction and NEB requirements on biodiesel shall be established. / Environmental Sciences / M. Sc. (Environmental Management)

Background: Accidental exposure to patients’ body fluids (BFs) is an occupational hazard among health care workers (HCWs). The study aimed at describing the patterns of exposure to patients’ BFs among HCWs at a university hospital in Ethiopia. Methods: A contextual descriptive cross-sectional design was used for this study. Self-administered questionnaires were used to collect data. Results: The one year and professional life prevalence of occupational exposure to patients’ BFs among HCWs was 33.5% and 66.5% respectively. Circumstances that led to participants’ exposures to patients’ BFs include needle stick injuries to fingers and splashes to the eyes (82.4%); conducting procedures included blood withdrawal (10.8%) and inserting intravenous infusions (8.1%) and recapping of used needles (12.2%). Conclusion: Findings of this study generally indicated that occupational exposures to patients’ BF of different types and circumstances were common among all categories of HCWs in the study site. This high finding of BF exposure should not be over looked. HCWs should follow the universal precaution protocol and PEP need to be strengthened / Health Studies / M.A. (Public Health)

The aim of this study was to assess and explore the household environmental health factors associated with the occurrence of diarrhoea in under five children in Sebeta town of Ethiopia, in order to develop environmental health strategies for prevention of childhood diarrhoea. A descriptive, quantitative, contextual and cross-sectional study, using stratified random sampling method, was used to conduct the research. The data collection was carried out from November 6 to 28, 2013 using structured interview schedules and a total of 477 households’ mothers/caregivers with under five children had participated in the study. In analyzing data, both bivariate and multivariate analyses were employed using SPSS software. The finding of the study shows that the prevalence of childhood diarrhoea was 9.9%. A number of risk factors including socio-demographic variables, water and hygienic practices, and knowledge risk factors showed significant association with childhood diarrhoea on bivariate analysis using chi-squared and Fischer's exact tests. Multivariate analysis using binary logistic regression was conducted to examine the significance of identified risk factors in bivariate analysis. The results of multivariate regression analysis shows that four variables were associated with risk of childhood diarrhoea; including type of toilet facility (AOR: 0.37; 95% CI 0.16 – 0.87; p=0.023), availability of specific place for handwashing (AOR: 0.40; 95% CI 0.18 – 0.90; p=0.026), availability of handwashing facility (AOR: 0.20; 95% CI 0.06 – 0.70; p=0.012) and mothers’ knowledge on diarrhoea causation (AOR: 3.09; 95% CI 1.24 – 7.68; p=0.015). Although childhood diarrhoea was found to be less prevalent as compared to national and regional prevalence rates, diarrhoea remains one of the causes of morbidity in children of the studied households. The findings of the study concludes that childhood diarrhoea has a number of environmental determinants, notably due to environmental health risk factors associated with lack of improved sanitation and hand-washing facilities and poor knowledge on diarrhoea causation. The study thus recommends that effective measures to curtail prevalence of diarrhoea in urban contexts should be substantially increased by enhancing urban sanitation promotion programmes with emphasis on accelerating universal access to improved sanitation and handwashing facilities, together with efforts in promoting proper hygiene behaviours. / Health Studies / D. Litt. et Phil. (Health Studies)

No description available.

Background: In Ethiopia the first case of HIV infection was identified in 1984. Since then HIV/AIDS has created an enormous challenge to several communities, affecting the social and economic well-being of the entire nation. Realizing the enormous consequences of the epidemic, the Ethiopian government deployed tremendous efforts to create HIV awareness in order to bring changes in HIV-related behaviors to reduce the risk of HIV infection. Therefore, it is necessary to assess the role of HIV-related knowledge, attitude and behavior in HIV/AID prevention in Ethiopia. AIM: The aim of the study was to assess the changes in HIV-related knowledge, attitude, and behavior between 2005 and 2011 and its impact on HIV status among Ethiopians. METHODS: The study used a nationally representative sample from the cross sectional years of 2005 and 2011 Ethiopian Demographic and Health Survey (EDHS). Sample sizes of study population were 12,845 in 2005 and 28,532 in 2011. SAS-callable SUDAAN was used provide descriptive characteristics of socio-demographic characteristics and independent variable of HIV-related knowledge, attitude, and behavior. The binary and multivariable logistic regression analysis was conducted to assess changes in HIV-related knowledge, attitude, and behavior and, association between these factors and HIV status. For all results, statistical significant were determined if there were no overlap in the 95% CI of the percentages being compared. RESULTS: There was no difference in correct comprehensive knowledge of HIV between 2005 and 2011. However, there was significant change in knowledge of Mother to Child transmission (MTCT) of HIV, accepting attitude towards people living with HIV (PLWH) and sexual behavior between 2005 and 2011. Respondents who had high level of knowledge of MTCT increased from 40.2% in 2005 to 71.0% in 2011. Likewise, respondents with high level of accepting attitude towards PLWH also increased from 3.9% to 10.8%. Besides, in 2011 fewer people had started sex before the age of 15 years old, and more people knew sources of condoms in comparison to 2005 However the percentage of people who had multiple sexual partners increased from 1.2% to 1.8% between 2005 and 2011 respectively. The study also found significantly protective association between HIV positive status and having low or medium level of knowledge of MTCT of HIV (OR 0.08 or 0.78) and accepting attitude towards people living with HIV (OR 0.12 or 0.48). In contrast, HIV infection was significantly associated with having multiple sexual partners (OR 4.49). Conclusion: Efforts deployed by Ethiopian government and other international organizations in response to HIV/AIDS epidemics have had success in terms of improving MTCT knowledge of HIV, accepting attitude towards PLWH, knowledge of sources of condom and sexual debut between 2005 and 2011. Surprisingly, we did not find an evidence of high level of HIV knowledge to be protective against HIV infection in the current study. Therefore continuous intervention is recommended to seal the gap between knowledge and sexual practices that may influence safer sexual behavioral changes.

Since the 1950s, men and women, mainly Rastafari from the West Indies, have moved as repatriates to Shashamane, Ethiopia. This is a spiritually and ideologically oriented journey to the promised land of Ethiopia (Africa) and to the land granted by His Imperial Majesty Emperor Haile Selassie I. Although migration across regions of the global south is less common than migration from the global south to north, this move is even more distinct because it is not primarily motivated by economic concerns. This thesis - the first in-depth ethnographic study of the repatriate population - focuses on the conceptual and pragmatic ways in which repatriates and their Ethiopian-born children “rehome” this area of Shashamane that is now called Jamaica Safar (or village in the Amharic language). There is a simultaneous Rasta identification of themselves as Ethiopians and as His Majesty’s people, which is often contested in legal and civic spheres, with a West Indian social inscription of Shashamane. These dynamics have emerged from a Rastafari re-invention of personhood that was fostered in West Indian Creole society. These ideas converge in a central concern with the inalienability of the land grant that is shared by repatriates, their children and Rastafari outside Ethiopia as well. Accordingly, the repatriate population of Shashamane becomes the centre of international social and economic networks. The children born on this land thus demonstrate the success of their parents’ repatriation. They are the ones who will ensure the Rastafari presence there in perpetuity.