Introduction: Guinea worm disease (GWD) is a painful, disabling disease caused by the parasite dracunculus medinensis. The implementation of the global GWD eradication campaign resulted in a decrease of global burden of disease and several countries have been proclaimed free of the disease. Though, Ethiopia has implemented the GWD eradication programme since 1992 the disease remains endemic in the Gambella region. Purpose of the study: The purpose of this study was to explore the perceptions and experiences of the community of Gambella region on Guinea worm disease (GWD) eradication interventions. Methodology: A qualitative study paradigm with a phenomenological research design was employed to collect data using focus group discussions, in-depth individual interviews, document reviews, and observations. The study participants were determined by purposive sampling. Qualitative data analysis involved transcription, data entry, and management of verbal information followed by coding, categorizing into themes. Interpretation of the data was done using triangulation methodology with appropriate mechanisms for validity and trustworthiness. Result: The study found that there are gaps in the perceptions and understanding of the community and programme implementers about the achievement and application of the various interventions on the eradication of Guinea worm disease. Health education programme was not fine-tuned to the eradication of GWD by community participation. Community perception was not at the required level for the eradication of GWD due to the low success of the educational intervention. Conclusion: continuous health education targeting the community with clear objectives of helping to eradicate GWD was found to be limited in its coverage. In addition, provision of water filters necessary for GWD eradication was inadequate. Moreover, the community did not have clear understanding of the causes of GWD and its eradication strategy. It is hoped that the findings of this study would contribute significantly to the GWEP in Gambella region, as well as elsewhere where GWD may be endemic / Health Studies / M.A. (Public Health)

<p>This study explored the various forms public interest litigation takes in various legal systems, focusing on the practice in South Africa. An examination of the relevant legal regime in Ethiopia was made with a view to assessing its adequacy to cater for public interest actions and coming up with possible recommendations. Apart from the analysis of the adequacy of the legal framework, an attempt was made to identify other factors that may pose a challenge to the introduction of the system in Ethiopia.</p>

Magister Artium (Development Studies) - MA(DVS) / Clarifying the nexus between leadership and organisational effectiveness across the world remains a significant challenge that has raised robust scholarly debate. A wide range of conceptual models have been provided on effective leadership. But, at the global level few empirical studies have been done to examine transformational leadership in the context of Non-Government Organisations (NGOs). In line with the leadership theory and conceptual framework, this study sought to analyse members' perception of their leaders, using a case study NGO in Addis Ababa. The researcher employed both quantitative and qualitative research methods. Quantitative methodology used questionnaire surveys based on the Multifactor Leadership Questionnaire to assess the dominant leadership style within ANOPA+. Qualitative methodology was applied through semi-structured interviews, in order to deepen the understanding of the existing leadership style based on the members' perception of the organisation. The results of the study indicated that transformational leadership motivated followers to attain more than they thought possible, by appealing to followers self-esteem and inspiring them to go beyond self-centered interests. In addition, the research process identified five important gaps that impede the successful implementation of ANOPA+'s programme. First, this study revealed that ANOPA+ leaders failed to use, or lacked a proper understanding of, transformational leadership skills. Second, this empirical research, discovered that the dominant leadership style within ANOPA+ was transactional leadership. Third, this research confirmed that there was no statistically significant difference between the perception of staff and volunteers regarding the leadership style within ANOPA+. Fourth, the field data assessment showed that HIV/AIDS status is the crucial criterion for appointment as a leader in ANOPA+. However, ANOPA+ members believed that effective leaders should have a combination of the knowledge, skills and competencies that followers can use to perform their day-to-day work. Fifth, the study identified that the appointment of women in leadership positions within ANOPA+ is very low. Within the context of the above mentioned analysis, the study finally brings into focus general observations gained from the investigation and provides recommendations to policy makers and other stakeholders.

Text in English / Aim: The aims of this study were to investigate the treatment outcomes of patients with MDRTB and its determinants at referral hospitals in Ethiopia. The study also aims to develop a conceptual model for enhancing treatment of patients with MDR-TB in Ethiopia. Design and methods: A concurrent mixed methods design with quantitative dominance was used to investigate treatment outcomes of patients with MDR-TB and its determinants. Results: A total of 136 (n=136) patients with MDR-TB participated in the study, 74 (54%) were male and 62 (46%) were female. Forty-one (31%) of the patients had some co-morbidity with MDR-TB at baseline, and 64% had body mass index less than 18.5kg/m2. Eight (6%) of the patients were diagnosed among household contacts. At 24 months, 76/110 (69%) of the patients had successfully completed treatment, but 30/110 (27%) were died of MDR-TB. Multivariable logistic regression revealed that the odds of unfavourable treatment outcomes were significantly higher among patients with low body mass index (BMI <18.5kg/m2) (AOR=2.734, 95% CI: 1.01-7.395; P<0.048); and those with some co-morbidity with MDR-TB at the baseline (AOR=4.260, 95%CI: 1.607-11.29; p<0.004). The majority of the patients were satisfied with the clinical care they received at hospitals. But as no doctor was exclusively dedicated for the MDR-TB centre, patients could not receive timely medical attention and this was especially the case with those with emergency medical conditions. The caring practice of caregivers at the hospitals was supportive and empathic but it was desperate and alienating at treatment follow up centres. Patients were dissatisfied with the quality and adequacy of the socio-economic support they got from the programme. Despite the high MDR-TB and HIV/AIDS co-infection rate, services for both diseases was not available under one roof. Conclusions: Low body mass index and the presence of any co-morbidity with MDR-TB at the baseline are independent predictors of death among patients with MDR-TB. Poor communication between patients and their caregivers and inadequate socio-economic support were found to determine patients’ perceived quality of care and patients’ satisfaction with care given for MDR-TB. / Health Studies / D. Litt et Phil. (Health Studies)

<p>This study explored the various forms public interest litigation takes in various legal systems, focusing on the practice in South Africa. An examination of the relevant legal regime in Ethiopia was made with a view to assessing its adequacy to cater for public interest actions and coming up with possible recommendations. Apart from the analysis of the adequacy of the legal framework, an attempt was made to identify other factors that may pose a challenge to the introduction of the system in Ethiopia.</p>

Thesis (doctoral)--Uppsala universitet, 1986. / Summary in English. Includes bibliographical references (p. 222-224).

The thesis attempts to address two central problems in the process of understanding the phenomenon of a nation. First, to what extent does the modernist view that embeds the origin of a nation in the European historical context is valid? Second, to what extent does the existing normative knowledge base concerning the phenomena of a nation and an ethnic entity adequately delineate the conceptual and empirical boundaries in between of these two phenomena. The central focus of this thesis is; therefore, to expose a basic internal contradiction that is inherent in the existing conceptual understanding of a nation. Using the Oromo case as a vantage point, it is the conviction of this thesis that the concept of a nation is 'Eurocentric' to the neglect of historical specificities outside Europe such as the case with the Oromo people. The thesis generates its epistemological presumptions from Hans-Georg Gadamer's Philosophical Hermeneutics. Since the thesis will depart from the presumption that considers a nation as a concept, the thesis will attempt to capitalize on some methodological and conceptual insights from Reinhhart Koselleck's History of Concept. The thesis uses two kinds of sources materials: one, European theoretical literature on the concept of nation; two, ethnographic and historical...

Providing clean water remains a challenge in many African countries. Ethiopia, with the second largest population in Africa is also faced with this predicament. Efforts to improve supply have focused on abstracting groundwater. Although relatively cheaper to utilize, groundwater is prone to contamination, from improperly disposed of waste, particularly urban areas with no appropriate sanitation services. The city of Addis Ababa is faced with this difficult situation. Currently about 75 % of the population of Addis Ababa has access to sanitation in the form of pit latrines, while 0.6 % has access to sewerage services. The rest of the population is considered to have no access. This proliferation of pit latrines in the city has enhanced the risk of groundwater contamination. This research was initiated with the objective of assessing the temporal and spatial extent of contamination of groundwater due to human waste. It attempted to review the quality of water in deep wells and springs. The data analyzed indicates that the temporal and spatial extent of contamination has increased over the past few decades. Over abstraction of groundwater has also been observed. Whilst contaminant levels such as nitrates and chlorides in many wells are below maximum permissible values, few wells in the centre of the city have exhibited higher values. This steady temporal increase may soon make some wells unsuitable for human consumption. Efforts to reduce this risk will need to focus on sewerage services provision, review of existing environmental policy, public awareness drive and sustainable groundwater management. / D.Phil. (Environmental Science)

This study examined healthcare providers’ adherence to the national Tuberculosis guidelines (NTG) during the diagnosis and treatment of TB in Addis Ababa, Ethiopia using a descriptive, cross-sectional study design. Data were collected from 233 medical records using checklists. Adherence of healthcare providers to the NTG during the diagnosis of TB was 60.9% (n=67) for female and 56.1% (n=69) for male TB patients. However, 91.8% (n=101) female and 90.2% (n=111) male TB patients had been prescribed the correct numbers of anti-TB pills, complying with the NTG recommendations. There was an over-diagnosis of smear negative pulmonary Tuberculosis (PTB) as only 2.6% (n=2) of the 76 smear negative PTB patients were diagnosed correctly. Healthcare providers’ compliance with the NTG could be enhanced by providing appropriate in-service education, maintaining accurate records of all TB patients and providing supportive supervision to identify and address shortcomings.

Text in English / INTRODUCTION: Late in HIV epidemic while HIV program is maturing studies in rich and resource limited setting have shown controversial results with regard to whether childbearing desire and intention are changed after the expansion of ART and PMTCT services. There are few studies in Ethiopia which tried to find out fertility preferences after the decentralized ART and PMTCT services. PURPOSE: The objective of the study is to determine the prevalence of fertility desire, intention and associated factors among HIV positive males and females at health facilities in Hawassa city with chronic HIV care. METHOD: The study used quantitative, observational, analytic and cross-sectional study design. It was structured on Trait-Desire-Intention-Behaviour theoretical frame work. A gender based stratification followed by random sampling method was applied. An interviewer-administered structured data collection approach using the pre-tested questionnaire was applied in the study. The Microsoft Office Excel 2007 and Epi-Info version 3.5.3 were utilized for data analysis. In addition to descriptive statistics, both bivariate and multivariable logistic regressions were used to analyse the data. RESULT: With a respondent rate of 93%, a total of 460 PLHIV participated in the study with equal number of males and females. The majority of the participants were from urban (85%), in relationship (70.9%), and on ART (80%). The reported fertility desire, 43.9% (45.2% in males; 42.6% in females), and fertility intention, 44.9% (46.4% in males; 43.4% in females), were high. The median number of intended children was 2. About 54% of PLHIV were using at least one of the contraceptives with 32.4% of unmet need of family planning. Participants with overall experinece of 2 births or less (AOR: 2.4 95% CI 1.32-4.32; p-value=0.0042), without birth experience after HIV diagnosis (AOR:0.52 95% CI 0.28-0.98; p-value=0.0424) and whose partner also desired for childbearing (AOR: 19.73 95%CI 10.81-35.99; p-value=0.0000) were more likely to intend for a/another child.They wished and planned to get birth because; they did not have a/children before or fear of childless stigma (25.3%), ART could help to have negative child (21.8%), importance of parenthood (17.8%) and the desire of once partner (16.8%). The study participants had consulted health care workers (34.2%), approached their partner or their partner had already approached them (27.6%), tried to get a partner or married (17.6%) and stop using family planning (6%) to get pregnant. CONCLUSION: This study highlights high fertility desire and intention in the background of high unmet need for family planning among PLHIV. A development of comprehensive male partner-involved couple counseling protocol, improving the communication HCWs have with PLHIV to emphasize safer conception methods and strengthening all the components of PMCT integrating with other SRH services at chronic HIV clinic are critical. / Health Studies / M.A. (Public Health)