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Van Deuren, Rita, Tsegazeab Kahsu, Seid Mohammed, and Wondimu Woldie. "Ethiopian new public universities." Quality Assurance in Education 24, no. 2 (April 4, 2016): 158–72. http://dx.doi.org/10.1108/qae-12-2014-0054.
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Purpose – This paper aims to analyze and illustrate achievements and challenges of Ethiopian higher education, both at the system level and at the level of new public universities. Design/methodology/approach – Achievements and challenges at the system level are based on literature review and secondary data. Illustrative case studies are based on university data and interviews with university representatives. Findings – The Ethiopian higher education system has increased its enrollments substantially. The construction of 13 new universities that started enrolling students around 2007 contributed greatly to this achievement. Challenges accompanying this growth lie in funding, quality and quantity of staffing, teaching practices, research and community service, quality assurance and gender balance. Originality/value – The present study contributes to existing literature by describing case studies illustrating challenges and achievements in new public universities in Ethiopian higher education.
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Szélinger, Balázs. "The Treason of The Intellectuals an Essay About the Hungarian Lesson." Afrika Tanulmányok / Hungarian Journal of African Studies 13, no. 5. (January 20, 2021): 8–12. http://dx.doi.org/10.15170/at.2019.13.5.1.
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As the subtitle indicates, this is not a scholarly article based on research but one almost identical to the oral presentation I gave during the workshop “30 Years of Freedom – Farewell to Communism in Hungary, Local and Global Lessons” in Addis Ababa on October 25, 2019, organized jointly by the Embassy of Hungary in Addis Ababa, the Ethiopian Civil Service University, the Hungarian National University of Public Service, and the University of Pécs, Hungary. I made every effort to strengthen my arguments with valuable references.
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van Dijk, Meine Pieter, Carley Pennink, and Saskia Ruisink. "Capacity development for urban development: the evolution of the integrated urban management Masters course at the Ethiopian Civil Service University." Water Policy 15, S2 (November 1, 2013): 121–36. http://dx.doi.org/10.2166/wp.2013.216.
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This paper reviews the experiences with an integrated urban management Masters course, which saw an increase from 20 participants to 400 students in a period of 5 years. After a few years it became clear that it was difficult to absorb this number of Masters students in the government sector and that their skills did not match all the requirements. The paper looks at the external factors determining the success of the integrated urban management Masters course, and the desire of the Ethiopian government to make decentralization a reality. It also analyses the internal factors leading to positive outcomes of the interventions over time. The increasing complexity of urban problems cannot be managed by general urban managers; therefore specialized Masters programmes were launched. The programme evolved over time, reflecting the priorities of the Ethiopian government. Starting as a unified programme, the course was split into a series of specializations, focusing on water-related and environmental issues. The cooperation evolved over the period of the relationship into a partnership with leadership on the Ethiopian side. This contributed to the success in terms of the capacity built, the number of people trained, and their contribution to dealing with water and environmental problems in an urban context.
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Komo, Teshome Tola. "IN-SERVICE TEACHERS’ THEORETICAL ORIENTATIONS AND CLASSROOM PRACTICES: ANALYSIS OF ESPOUSED BELIEFS AND PERCEIVED PRACTICES." African Journal of Education and Practice 6, no. 7 (November 3, 2020): 53. http://dx.doi.org/10.47604/ajep.1163.
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Purpose: The purpose of this study was to identify the theoretical orientations that influence teaching practices, and the relationships between beliefs and practices of in-service teacher trainees drawn from different parts of Ethiopia who were attending summer training program in different academic departments of the Addis Ababa University.
Methodology: Participants of summer in-service program (N=276) were randomly selected from four subject areas and made to complete a self-report questionnaire designed for this purpose. The questionnaire had 40 Likert Scale type items rated over 5 points so as to collect data on beliefs and practices relating to planning, teaching and assessment behaviors of the surveyed teachers.
Findings: The Findings indicated that in most of the cases the beliefs and practices of the surveyed teachers aligned with constructivist reform which the Ethiopian Ministry of Education expects all teachers to implement. Congruence between espoused beliefs and perceived practices were noted with evidence of low relationship between the two. The findings have contributions to raising teachers’ tacit knowledge of teaching craft. Insights for educational administrators and areas of focus for future research were also identified.
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Deressa Guracho, Yonas, Getachew Setotaw Addis, Sileshi Mulatu Tafere, Kidanu Hurisa, Berhanu Boru Bifftu, Martha H. Goedert, and Yared Mulu Gelaw. "Prevalence and Factors Associated with Current Cigarette Smoking among Ethiopian University Students: A Systematic Review and Meta-Analysis." Journal of Addiction 2020 (April 21, 2020): 1–10. http://dx.doi.org/10.1155/2020/9483164.
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Background. Although tobacco use is highest in high-income countries, most tobacco-related deaths occur in low- and middle-income countries with the highest number of deaths recorded in East Africa. The aim of this systematic review and meta-analysis is to determine the pooled prevalence and associated factors of current cigarette smoking among Ethiopian university students. Methods. The authors searched databases from PubMed, PsycINFO, Google Scholar, EMBASE, and Web of Sciences. The publications included in the analysis were inclusive, the literature was searched from January 2011 to December 2018. The JBI-MAStARI critical appraisal tool was applied to 13 publications identified by the database search. I2 statistics were used to indicate heterogeneity. Publication bias was evaluated using the visual funnel plot. A p value < 0.1 was considered as indicative of statistically significant publication bias. A random effect meta-analysis model was computed to estimate the pooled prevalence of cigarette smoking, and the variables associated with cigarette smoking were examined. Results. The meta-analysis of 13 studies showed that the pooled prevalence of current cigarette smoking was found to be 12.55% (95% CI: 10.39–14.72; I2 = 94.0%) with no publication bias according to Egger’s test (p=0.007) for cigarette smoking by 2.05 (95% CI: 1.52–2.75). Factors associated with cigarette smoking were peer influence 2.79 (95% CI: 1.62–4.82; I2 = 35.7), khat chewing (95% CI: 2.81–15.26; I2 = 82.5), and alcohol use 11.16 (95% CI: 7.46–16.71). Conclusion. Our findings indicate a high prevalence of cigarette smoking among Ethiopian university students as compared to the general population. Gender, peer influence, khat chewing, and current alcohol use were significantly associated with cigarette smoking. The authors recommend promoting antismoking campaigns, emphasizing health hazard public service announcements about cigarettes, and integrating health education on smoking in youth-friendly services, especially targeting higher educational institutions.
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Petros, Philipos. "Risk perception, HIV/AIDS related knowledge, attitude and practice of the university community: The case of Ethiopian Civil Service College." HIV & AIDS Review 13, no. 1 (2014): 26–32. http://dx.doi.org/10.1016/j.hivar.2013.12.001.
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Willianms, Ellery. "Reviewer Acknowledgements." Business and Management Studies 6, no. 3 (September 26, 2020): 77. http://dx.doi.org/10.11114/bms.v6i3.5029.
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Business and Management Studies (BMS) would like to acknowledge the following reviewers for their assistance with peer review of manuscripts for this issue. Many authors, regardless of whether BMS publishes their work, appreciate the helpful feedback provided by the reviewers. Their comments and suggestions were of great help to the authors in improving the quality of their papers. Each of the reviewers listed below returned at least one review for this issue.Reviewers for Volume 6, Number 3Andrzej Niemiec, Poznań University of Economics and Business, PolandAnnu Tomar, Indian Institute of Management, IndiaAshford Chea, Benedict College, USADalia Susniene, Kaunas University of Technology, LithuaniaDereje Teklemariam Gebremeskel, Ethiopian Civil Service University, EthiopiaFuLi Zhou, Zhengzhou University of Light Industry, ChinaIulia Cristina Muresan, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, RomaniaJason Caudill, King University, USAJayalakshmy Ramachandran, Multimedia University, MalaysiaJulia Stefanova, Bulgarian Academy of Sciences, BulgariaLucie Andreisová, University of Economics in Prague, CzechM Fernando, European Campus of Graduate and Professional , Sri LankaMarica Ion Dumitrasco, Academy of Sciences of Moldova, MoldovaMichael Okoche, University of South Africa, UgandaMike Rayner, University of Portsmouth, UKMythili Kolluru, College of Banking and Financial Studies, OmanRashedul Hasan, International Islamic University Malaysia, MalaysiaSandeep Kumar, Tecnia Institute of Advanced Studies, Affiliated to GGSIP University Delgi, IndiaTetiana Paientko, Kyiv National Economic Univercity, UkraineYang Zhao, Sanofi Genzyme, USAZeki Atıl Bulut, Dokuz Eylul University, TurkeyZoran Mastilo, University of East Sarajevo, Bosnia and Herzegovina Ellery WillianmsEditorial AssistantOn behalf of,The Editorial Board of Business and Management StudiesRedfame Publishing9450 SW Gemini Dr. #99416Beaverton, OR 97008, USAURL: http://bms.redfame.com
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Habitu, Yohannes Ayanaw, Hedija Yenus Yeshita, Abel Fekadu Dadi, and Desta Galcha. "Prevalence of and Factors Associated with Emergency Contraceptive Use among Female Undergraduates in Arba Minch University, Southern Ethiopia, 2015: A Cross-Sectional Study." International Journal of Population Research 2018 (January 23, 2018): 1–8. http://dx.doi.org/10.1155/2018/2924308.
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Emergency contraceptives (ECs) need to be available and used appropriately as a backup in case regular contraception is not taken by people like university students. This study was conducted to assess emergency contraception use and its associated factors among female undergraduates of Arba Minch University. A cross-sectional study was conducted among 515 undergraduates using a structured questionnaire. Respondents were selected by the stratified random sampling technique and data were analyzed using SPSS version 20. Bivariate and multivariate logistic regression models were fitted to identify associated factors. The adjusted odds ratio with a 95% confidence interval was used to present the identified risk factors. The prevalence of emergency contraception use among Arba Minch University students was 78.0% (95% CI: 71.5%, 84.5%). Better information about emergency contraceptives (AOR = 6.3; 95% CI: 2.4, 9.7), good approach of EC service providers (AOR = 9.3; 95% CI: 2.4, 11.6), and positive attitude about ECs (AOR = 2.4; 95% CI: 1.5, 7.2) were factors significantly associated with EC use. The prevalence of emergency contraceptive use noted in this study was comparatively higher than the results found by previous studies conducted in Africa and Ethiopian universities. Continuing support for and wider dissemination of the class are recommended. The fact that the students/participants readily accepted the preceding provisions made such positive findings possible and sustainable.
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Burton, Zoë A., Yemane Ayele, and Philip McDonald. "Establishing a sustainable anaesthetic education programme at Jimma University Medical Centre, Ethiopia." Anaesthesia and Intensive Care 47, no. 4 (July 2019): 334–42. http://dx.doi.org/10.1177/0310057x19860984.
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Lack of continuing education and physician anaesthetist support are commonly cited problems amongst Ethiopian anaesthetic providers. Whilst operating at Jimma University Medical Centre (JUMC), Operation Smile volunteers identified a clear need for improvement in anaesthetic care delivery at JUMC. JUMC is a 450-bed university teaching hospital 350 km southwest of Addis Ababa. At the start of this programme it had two physician anaesthetists, with the majority of anaesthesia historically having been provided by non-physician anaesthesia providers. A visiting lecturer programme was established at JUMC in 2012 following collaboration between two consultant anaesthetists, working for Operation Smile and JUMC respectively. UK trainee anaesthetists in their final years of anaesthetic training volunteered at JUMC for periods of two to six months, providing sustainable education and consistent physician anaesthetist presence to support service provision and training. Over its six-year history, nine visiting lecturers have volunteered at JUMC. They have helped establish a postgraduate training programme in anaesthesia, assisting in the provision of a future physician anaesthetist workforce. Four different training courses designed for low- and middle-income countries (LMICs) have been delivered and visiting lecturers have trained local anaesthetists in subsequent course delivery. Patient safety and quality improvement projects have included introducing the World Health Organization Surgical Safety Checklist, Lifebox pulse oximeters, obstetric spinal anaesthesia packs, improving critical care delivery and establishing two post-anaesthetic care units. Development of partnerships on local, national and global platforms were key to the effective delivery of relevant sustainable education and support. Instilling local ownership proved fundamental to implementing change in the local safety culture at JUMC. Sound mentorship from anaesthetic consultant supervisors both in the UK and in Jimma was crucial to support the UK trainee anaesthetists working in a challenging global setting. This model of sustainable capacity building in an LMIC with a significant deficit in its physician workforce could be replicated in a similar LMIC setting.
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Hiran, Kamal Kant. "Investigating Factors Influencing the Adoption of IT Cloud Computing Platforms in Higher Education." International Journal of Human Capital and Information Technology Professionals 12, no. 3 (July 2021): 21–36. http://dx.doi.org/10.4018/ijhcitp.2021070102.
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Cloud computing has become an emerging IT platform for productive services and efficient use of innovation in higher education. The purpose of this research study is to investigate the factors that influence the adoption of cloud computing in Sub-Saharan Africa under Ethiopian higher education. These factors professed to influence the adoption of cloud computing built on the integrated framework of technology-organization-environment (TOE) framework, diffusion of innovation (DoI) theory, and sociocultural theory. In-depth interviews have been taken with the University of Gondar key professionals in Ethiopia to accomplish this research study. The results show that the organisational factors are more influential factors than the technological, environmental, and sociocultural factors to the adoption of cloud computing (CC) in the Ethiopian higher education (EHE) sector. This qualitative study aids researchers and practitioners in the field of IT technology cloud to employ these key factors suggestive to cloud computing adoption in the higher educational institutions.
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Handuleh, Jibril, Victor Periera-Sanchez, and Daniel Fekadu Wolde-Giorgis. "Innovative psychiatry medical education initiative: empowering and supervising trainees for future teaching in psychiatry training program establishment in Somaliland." BJPsych Open 7, S1 (June 2021): S141. http://dx.doi.org/10.1192/bjo.2021.400.
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AimsSomaliland is a de facto state in the horn of Africa. It unilaterally declared independence from rest of Somalia in 1991. Medical education in Somaliland started in the year 2000.Aim of the study is to explore the feasibility of teaching program for the country by its future potential psychiatry educators. The initiative started in 2019 to seek trainees with interest in academic psychiatry and support them with medical education skills. This is intended to prepare them for leading future teaching roles in both undergraduate and residency/fellowship in psychiatryAmoud University wanted to empower junior doctors at the university to have teaching skills needed to set up residency program. The Somaliland government asked Ethiopian ministry of health to offer psychiatry residency program for general practitioners in Somaliland to have future residency and fellowship in psychiatry. Several psychiatry trainees worked with the visiting professor from the United Kingdom who joined Somaliland medical school as visiting professor in psychiatryMethodThe visiting professor supported the trainee in setting up a psychiatry undergraduate training curriculum in line with Somaliland medical school curriculum. Before the teaching methods were didactic and role play based. The faculty introduced different teaching methods including flipchart, small/large group teaching which was student centered education. Students received a online survey to reflect on psychiatry teaching they received. post course survey was conducted at the end of the teaching to evaluate the teaching initiative.ResultSurvey revealed interesting pattern that students preferred class room based teaching in comparison to online teaching. 90 percent of the attendees showed interest in flipchart teaching compared to didactic model. They expressed increasing understanding of the subject matter when they read and discuss among themselves instead of lectures. 70% of students prefer more clinical teaching compared to online sessions.52% liked the new teaching module compared to the lecturing sytle.ConclusionSupervision of early career psychiatrists to undertake future academic psychiatry roles is an important step in building psychiatry faculty in medical schools. As the case of Somaliland this retains trainees in teaching roles in the future to teach undergraduates mental health courses. The other benefit is empowering them to set up psychiatry training program to close the service delivery gap with skilled psychiatrists in the future. Somaliland plans to set up its psychiatry residency/fellowship programs soon after this initiative.
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Belayneh, Amera Seifu. "Science Teachers’ Integrative practices in Teaching, Research, and Community Services: The Case of Three Universities in Ethiopia." Education & Self Development 16, no. 2 (June 30, 2021): 10–26. http://dx.doi.org/10.26907/esd.16.2.02.
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This study examined university science teachers’ integrative practices in teaching, research and community service at Bahir Dar, Dire-Dawa and Wolkitie universities. The data were obtained through questionnaires and interviews from randomly selected teachers. Interview data was also secured from purposively selected managers and teachers. The one sample t-test revealed that, except in their teaching practices, science teachers performed poorly in their research, community service and integrative practices among the missions (teaching, research and community service) of the university. The multiple regression analysis showed that the multiple contributions of teaching, research and community service practices towards these integrative practices was 44.12%, in which research took the major share (34.56%). The questionnaire data showed that institution-related factors (e.g., rigid financial rules) posed serious challenges in practicing research and community services. The interview data did not minimize the challenges related to personal factors (e.g., interest and motivation). This article shows that the university management are committed to providing practical encouragement to science teachers for research and community service. These are important for promoting better teaching delivery and integrative practices within the missions. Instead of attributing most of the challenges to institutional factors, science teachers should acknowledge their own personal problems and work to cope with the available external/institutional challenges. This will enhance the integrative practices among the missions which build the capacity for an effective science academic unit.
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Getachew, Abera. "Assessment of Psychological Counseling Service for Higher Education Institution Students." International Journal of Education and Literacy Studies 7, no. 4 (October 31, 2019): 53. http://dx.doi.org/10.7575/aiac.ijels.v.7n.4p.53.
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Guidance and counseling programs are effective in assisting young students in various aspects like academic achievement, study habits and choosing appropriate careers. A study was conducted in a public university in Ethiopia among 605 regular undergraduate students. Its objective was to investigate the students’ awareness and use of Psychological Counseling Service at Higher Education Institutions. The study results show that demographic variables were strongly accounted for the variances in awareness of psychological counseling and use of the service. Majority of the male students (67.8%) had not heard about the presence of psychological counseling service while 24.3% of female students did not know about such a service. More than 60% of the study participants gave top priority for psychological counseling service in higher education institutions. Students’ year of study and place of residence were significantly associated with the students rating of crisis intervention and emergency services, χ2 (9)=23.40, p<.01. The importance given to psychological counseling services also varied based on the place of origin and academic year of the students. Students believed psychological counseling service contributed to their academic success. Implications are discussed.
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Getachew, Abera, and Tefera Tekle. "Assessing Perceived Problems and Academic Counseling Benefits for Students and Teachers in Madda Walabu University, South East Ethiopia: A Cross-Sectional Survey." International Journal of Education and Literacy Studies 8, no. 1 (January 31, 2020): 119. http://dx.doi.org/10.7575/aiac.ijels.v.8n.1p.119.
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Academic counseling is a collaborative process that addresses the needs, problems, and interests of higher education students. The objective of the study was to investigate perceived problems and academic counseling benefits for students and teachers at Madda Walabu University in Ethiopia. Cross-sectional research design using quantitative methods was applied. The study selected 605 students as participants using a multi-stage sampling method. Results showed that nearly half of the students (49.9%) reported that they could benefit from academic counseling services. According to them, educational counseling improves anxiety management (66.3%), educational goal setting (69.4%) and time management (66.6%). Moreover, academic counseling turned out to be predictive for students’ academic success. However, the strength of the relationship also depended on the students’ socio-demographic factors. This study indicated that more than half of Madda Walabu University students had problems related to managing their time. Additionally, the students believed that academic counseling would benefit students and teachers in enhancing interpersonal relationships, improving study skills, goal setting, and understanding and managing diversity. The Ethiopian Ministry of Education and Madda Walabu University administrators, need to understand the significance of academic counseling for students’ academic performance. They should introduce a necessary intervention strategy that ensures students’ academic success.
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Legas, Alebachew Mohammed, and Antehun Atanaw Mengistu. "The practice and guidance and counseling in Amhara region Ethiopia." Global Journal of Guidance and Counseling in Schools: Current Perspectives 8, no. 3 (December 29, 2018): 119–27. http://dx.doi.org/10.18844/gjgc.v8i3.3605.
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The Practice of guidance and counseling service in Amhara region public university’s Ethiopia.
Alebachew Mohammed1 and Antehun Atanaw2
1Department of psychology, Debere Tabor university E-mail, alebemohaa@gmail.com
2Department of English language and literature, Debere Tabor university E-mail, antehuns@gmail.com
Abstract
Supporting students through their academic and social development are central mission of any university. This study aimed to assess the practice of guidance and counseling service in Amhara region public universities. The study was conducted on Bahir Dar university, Wollo university and Debre Tabor university. Through using sample size determination formula 576 regular students by stratified random sampling and 4 counselors using comprehensive sampling techniques were selected. The data was gathered through observation, interview and questionnaire. The collected data were analyzed qualitatively through narration of words and descriptive statistics of frequency and percentage. The finding indicates all counselors except Debre Tabor university don’t have female counselors as well all are first degree. Furthermore, the average the ratio of one counselor is 5-10,000 students. Regarding the awareness, majority of student 69%-77.1% of student don’t know the office location of the counselor. Approximately 1% of Bahir Dar university, 3% of Debere Tabor university, 4% of Wollo university students were reported using the service. Among this 28(50.9%) of student evaluated the service as not helpful. Regarding the referral of student by academic staffs (Instructors, departments and Faculty’s) to counselor found poor. Furthermore, counselors are not formally delegated to attend issues that concern students like Forum, discipline and HIV etc. which might be helpful for the intervention. All university use Regular government working time and no night, weekend, telephone counseling service. Student consult their problems mainly to their friends, mothers and religious father. Teachers and counselors are among the least possible source of advisee. In conclusion, the general service provision of guidance and counseling were found poor and given less attention by universities. Thus, ministry of education and the university officials should give due attention by restructuring the office and allocation of resource and experts.
Key word; guidance and counseling, student, counselor, personal and social problems
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Wolka, Sintayehu, Sahilu Assegid, Temesgen Tantu, Muluken Gunta, and Bereket Duko. "Determinants of Maternal Satisfaction with Existing Delivery Care at Wolaita Sodo University Teaching and Referral Hospital, Ethiopia." BioMed Research International 2020 (September 25, 2020): 1–7. http://dx.doi.org/10.1155/2020/6403123.
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Background. Assessing maternal satisfaction on delivery service has significant public health importance to measure the quality of maternal and child care services in a country. Therefore, the objective of this study was to further investigate the determinants of maternal satisfaction on delivery service provided at the Woliata Sodo University Teaching and Referral Hospital, Ethiopia. Methods. An institutionally based cross-sectional study was employed at the Wolaita Sodo University Hospital, Ethiopia. All mothers who gave birth between March and May 2018 were included in the study. Data were collected through using a pretested and structured interviewer-administered questionnaire. Both bivariate and multivariable logistic regression analyses were performed. A P value of <0.05 was used to declare statistical significance. Result. A total of 398 delivered mothers were included in the study. The rate of maternal satisfaction on existing delivery care was found to be 67.3%. Being less educated (AOR=5.06, [2.22-11.53]), primigravida (AOR=3.59, [1.17-11.04]), planned and wanted pregnancy (AOR=2.74, [1.21-6.18]), having antenatal care follow-up for current pregnancy (AOR=4.48, [2.04-9.83]), ever used family planning service (AOR=3.83, [1.95-67.52]), labor duration of less than 6 hours (AOR=5.96, [2.61-13.57]), and spontaneous vaginal delivery (AOR=2.82, [1.07-7.42]) were factors significantly associated with maternal satisfaction. Conclusion. In this study setting, maternal satisfaction was lower compared to other studies. Unreserved effort should be considered for future interventions.
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Ashenef, Ayenew, Elham Reshid, Zewdu Yilma, Tadesse Melaku, and Tesfahun Chane. "Assessment of the Use and Status of New Drug Information Centers in a Developing Country, Ethiopia: The Case of Public University Hospital Drug Information Centers." BioMed Research International 2018 (August 26, 2018): 1–11. http://dx.doi.org/10.1155/2018/3840976.
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Introduction. Drug information center (DIC), in most cases, is part and parcel of pharmacy service established as a unit that deals with offering recent, balanced, truthful facts about drugs to the public, patients, and health care professionals. Objective. To assess the query receiving and response trends by the drug information centers (DICs) found in main university affiliated teaching health care institutes in Ethiopia. Settings. The drug information centers located in Mekelle, Gondar, Jimma, Tikur Anbessa Specialized University Hospitals, and St. Peter Public Hospital, Ethiopia. Methods. It employed analytical, descriptive (cross-sectional), and retrospective methods. The study was performed from June to August, 2015. All the available documented data were gathered with the help of checklist and questionnaire (self-administered). Results. A total of 439 queries submitted to the DICs during their active service period were included in this study of which 407 were found to be suitable for this assessment. The highest inquiries had come from public hospitals (60 %) from health care workers (95.1 %), out of which pharmacists were the highest (63.57 %) submitters, followed by health care students (12.7 %). The major purposes of query submission were to improve treatment outcome of patients (33.9 %) and then to update the knowledge (25.1 %) although 39.3 % of the queries did not document it. The most common requests concern drug interaction (19.7 %) followed by therapeutic use (17.8 %) and the major pharmacological group is about antimicrobials (23.3 %) followed by antihypertensives (11.4 %). Web sites (31.4 %) were the most highly used references followed by Micromedex (19.0 %). Conclusion. The assessment of the DICs had shown that it is feasible to establish and develop DIC services in a developing country setting, Ethiopia. The study found that most of the common queries deal with drug interaction, therapeutic use, and general product information (most commonly about antimicrobials).
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Belachew, Sewunet Admasu, Adeladlew Kassie Netere, Amanual Getnet Mersha, Sileshi Ayele Abebe, Abebe Basazn Mekuria, and Daniel Asafw Erku. "Comprehensive Knowledge and Uptake of Cervical Cancer Screening Is Low Among Women Living With HIV/AIDS: The Case of Northwestern Ethiopia." Journal of Global Oncology 4, Supplement 1 (March 2018): 8s. http://dx.doi.org/10.1200/jgo.18.10000.
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Abstract 1 Purpose In Ethiopia, cervical cancer is the second most common type of cancer in women, and is approximately 8 times more common in HIV-infected women; however, data on the knowledge of HIV-infected women of cervical cancer and the acceptability of screening is scarce in Ethiopia. The current study aimed to assess the level of knowledge of cervical cancer and the uptake of screening among HIV-infected women in Gondar in northwestern Ethiopia. Methods A cross-sectional, questionnaire-based survey was conducted in 302 HIV-infected women who attended the outpatient clinic of the University of Gondar referral and teaching hospital from March 1, 2017, to March 30, 2017. Descriptive statistics and univariable and multivariable logistic regression analyses were also performed to examine factors that are associated with the uptake of cervical cancer screening service. Results Overall, only 64 respondents (21.2%) were knowledgeable about cervical cancer and screening, and only 71 respondents (23.5%) underwent screening in their lifetimes. Age between 21 years and 29 years (adjusted odds ratio [AOR], 2.78; 95% CI, 1.71 to 7.29), perceived susceptibility to the development of cervical cancer (AOR, 2.85; 95% CI, 1.89 to 6.16), and comprehensive knowledge of cervical cancer (AOR, 3.02; 95% CI, 2.31 to 7.15) were found to be strong predictors of cervical cancer screening service uptake. Conclusion Knowledge and uptake of cervical cancer screening among HIV-infected women was found to be poor. Taking into consideration the heightened importance of comprehensive knowledge for increasing the number of participants in cervical cancer screening services, different stakeholders working on cancer and HIV/AIDS should provide a customized health promotion intervention for, and create awareness among, HIV-infected women, as well as improve the accessibility of cervical cancer screening services in rural areas. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST No COIs from the authors.
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Tsegaye, Berhan, Elsabet Shudura, Amanuel Yoseph, and Alemu Tamiso. "Predictors of skilled maternal health services utilizations: A case of rural women in Ethiopia." PLOS ONE 16, no. 2 (February 19, 2021): e0246237. http://dx.doi.org/10.1371/journal.pone.0246237.
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Background Maternal health services are affected by complex factors from one setting to another. Consequently, health planners should prioritize different interventions and design appropriate programs to enhance maternal health services utilization. Results of prior studies are conflicting. Furthermore, only few studies were done from antenatal to postnatal continuum of care in Ethiopia. Objectives This study aimed to assess prevalence and predictors of skilled maternal health services utilization at Dale-Wonsho health and demographic surveillance site of the Hawassa University, South Ethiopia, in 2019. Methods A community based cross sectional study was conducted from January 1–30; 2019. A total of 682 women who gave birth in the last twelve months were selected by using a two stage sampling technique. Data were collected through face to face interview. Data were entered into Epidata version 3.1. Then, they were exported and analyzed by SPSS version 22. Bi-variable logistic regression analysis was done and variables with p-value less than 0.05 were considered as candidate for multivariable logistic regression analysis. Adjusted Odds Ratios (AOR) with 95% CI were computed, and p-value less than 0.01 was computed to determine the level of significance. Result Prevalence of antenatal care, institutional delivery and postnatal care utilizations were 69.1%, 52.1% and 32.7% respectively. Educated women (AOR = 4.72, 95%CI,2.82,7.9), household training (AOR = 8.52,95%CI = 5.5,13.1), middle wealth quantile(AOR = 0.8,95%CI,0.4–0.7), being richest wealth quantile (AOR = 0.16;95%CI = 0.06,0.41) and pregnancy plan (AOR = 3.65,95%CI,1.67–8.0) were factors positively associated with antenatal care utilization. Husband education (AOR = 4.96,95CI,3.08–8.0), and antenatal care (AOR = 5.9; 95%CI,3.87,9.1) were factors associated with institutional delivery. Maternal education (AOR = 2.5,95CI,1.4–4.4), information about postnatal care service utilization (AOR = 3.6,95CI,2.1,6.2) and women autonomy(AOR = 6.1,95CI,3.8,9.7) were positively associated with postnatal care service. Conclusion Prevalence of antenatal care, institutional delivery and postnatal care services were lower than the targeted plan. Policy makers should focus on capacity building of women both economically and academically. So, women should be more autonomous to utilize health services effectively. Moreover, awareness creation among women should be enhanced about maternal health service.
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Asamrew, Nebsu, Abduilhafiz A. Endris, and Musse Tadesse. "Level of Patient Satisfaction with Inpatient Services and Its Determinants: A Study of a Specialized Hospital in Ethiopia." Journal of Environmental and Public Health 2020 (August 13, 2020): 1–12. http://dx.doi.org/10.1155/2020/2473469.
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Background. The health care industry is undergoing a rapid transformation to meet the ever-increasing needs and demands of its patient population. Level of patients’ satisfaction is an important health outcome, which is regarded as a determinant measure for quality of care. This study was performed with the aim of assessing the level of patient satisfaction with inpatient services and its determinants in Black Lion Specialized Hospital, Addis Ababa, Ethiopia. Methods. A facility-based cross-sectional study was conducted from November 25th to December 20th, 2015, using 398 randomly selected patients. Ethical clearance was obtained from the Jimma University research review board, and verbal consent was also received from the study participants during data collection time. A pretested structured interview questionnaire was used to collect data from study participants. The collected data were handled by using SPSS statistical software. Before analysis, relevant explanatory variables were identified using factor analysis with varimax rotation, and bivariate analysis was carried out using linear regression for every independent variable with the outcome variable independently. Explanatory variables scoring p value <−0.05 were used for the final model after checking the assumption. Study findings are presented by using tables, graphs, and description. Results. A total of 398 patients were participated in the study, yielding a response rate of 100%. A total of 46.2% (95% CI: 41.2%–51.1%) patients were satisfied by the services they received in the hospital. Patient and health care provider interaction and general facility amenity-related domains were found to explain 96.4% of the variability in the net overall satisfaction score. Good quality services provided by hospital physicians, availability of laboratory and radiology services, pain management services, and inpatient pharmacy services of the hospital had positive influences. Besides toilet cleanliness, availability of rooms for accommodation and dietary service had significant relation with level of patient satisfaction. Quality of the inpatient pharmacy service had a great influence on satisfaction; a unit increase in it resulted in 2.3 (95% CI: 2.1–2.5) times increment in patient satisfaction level at p≤0.001. For final predictors, regression estimates for level of satisfaction moved from very dissatisfied to very satisfied when service improves by a unit. Conclusion. Overall patients’ satisfaction is lower than other studies in the nation. A great opportunity is there to improve patient’s satisfaction level if the service quality is improved around the time of patient and health care provider interaction and facility amenity services. Besides, improving the health literacy of service providers and devising a strategy to routinely assess satisfaction level of patients in the facility is critical. On top of this, providing tailored on-the-job training for health care workers in the facility is a crucial step in order to improve their knowledge and skills to render patient-centered quality service to improve their patients’ satisfaction. Using a checklist during service delivery may improve client patient interaction and ensure the standard. Facility design dimension can be considered for future research activities.
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Mekonnen, Alemayehu B., Elias A. Yesuf, Peggy S. Odegard, and Sultan S. Wega. "Implementing ward based clinical pharmacy services in an Ethiopian University Hospital." Pharmacy Practice (Internet) 11, no. 1 (March 2013): 51–57. http://dx.doi.org/10.4321/s1886-36552013000100009.
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Kumsa, Marema Jebessa, Bizuayehu Nigatu Lemu, and Teklehaimanot Mezgebe Nguse. "Lack of pocket money impacts Ethiopian undergraduate health science students learning activities." PLOS ONE 15, no. 12 (December 9, 2020): e0243634. http://dx.doi.org/10.1371/journal.pone.0243634.
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Background The cost of university presents various challenges with regards to students’ daily learning activities. This is particularly evident in developing countries, where higher education students face acute financial problems that greatly affect their daily educational activities. In Ethiopia, public university students do benefit from governmental cost-sharing programs. Moreover, health sciences students have additional costs during their clinical placements that are above the common expenses for university students. Objectives Authors aim to explore the challenges that undergraduate health sciences students in their clinical year face with limited pocket money, as well as how students perceive these limited funds affecting their learning activities and their ability to meet challenges. Methods This descriptive qualitative study was conducted at the Department of Medical Radiologic Technology, College of Health Sciences, at Addis Ababa University in Ethiopia. Interviews were conducted between January 28, 2019 and February 1, 2019 with twelve students; and only ten participants were included in the study. The semi-structured questions explored participants’ experiences and perceptions regarding the challenges of a lack of pocket money and its impacts on their learning activities. Their reaction to financial challenges was assessed. Results Four themes that are related to the impact of a lack of money on learning activities emerged from our interviews. First, students believed that their difficulty in obtaining pocket money from family or other funding sources contributed to their financial stress, which negatively impacted their learning. Moreover, their difficulty in affording the basic needs for a student greatly affected their learning abilities in the classroom as well as in their clinical placements. The ability to self-manage was also a significant concern for students, with the pressure to use self-control and proper money management adding to their financial stress. Lastly, students observed that the lack of pocket money affected their ability to make social connections at university, which they saw as negatively impacting their learning abilities. Conclusion Ethiopian undergraduate health sciences students faced many challenges due to the lack of pocket money and these challenges affected student learning both directly or indirectly. Based on our data, we believe that the underlying causes of student financial hardship can be addressed by increasing public awareness of university expenses, clarifying the cost-sharing system to the public, redesigning the cost-sharing policy, and improving university services. Additionally, teaching students self-management skills is also another area that could increase student success.
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Wayessa, Zelalem, Olana Dabi, and Gollo Dida. "CUSTOMERS’ SATISFACTION TOWARDS SERVICES PROVIDED BY BULE HORA UNIVERSITY, ETHIOPIA." Proceedings on Engineering Sciences 3, no. 2 (May 14, 2022): 217–30. http://dx.doi.org/10.24874/pes03.02.009.
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Fikadie, Getachew, Melkamu Bedimo, and Zelalem Alamrew. "Prevalence of Voluntary Counseling and Testing Utilization and Its Associated Factors among Bahirdar University Students." Advances in Preventive Medicine 2014 (2014): 1–9. http://dx.doi.org/10.1155/2014/906107.
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Background.In Ethiopia university students are among the most sexually active and high HIV risk young population group but unfortunately VCT uptake was low (35%–38%) among this group. Examining the factors contributing to VCT uptake is vital to facilitate HIV prevention and control efforts.Objective.To assess the prevalence of voluntary counseling and testing utilization and its associated factors among Bahirdar University students in April 2012.Methods.Cross-sectional study was conducted in April 2012, among Bahirdar University students. A multistage sampling procedure was used to select 801 students. Data were collected using pretested self-administered questionnaire and analyzed by using SPSS version-16.Results.772 students (79.7% males) participated in the study. The mean age of the respondents’ was 21.3. From all respondents 37.8% of the study participants had undergone HIV test. Different variables showed significant association with VCT uptake.Conclusion.The major factors identified for increased VCT service utilization were having a friend who got VCT, having discussion about HIV/AIDS with family, origin of residence, year of study, and having boy- or girlfriend. Therefore, actions targeting these predictors are necessary to effectively enhance the use of the VCT services utilization among students.
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Addissie, Adamu, Gabriele Braun, Tamiru Demeke, Tariku Wakuma, Claudia Hanson, and Eva Kantelhardt. "Breast Health Global Initiative Recommended Breast Cancer Prevention and Care in Rural Ethiopia." Journal of Global Oncology 4, Supplement 3 (October 2018): 1s. http://dx.doi.org/10.1200/jgo.18.99800.
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Purpose Breast cancer is the most common cancer among women worldwide and is the leading cause of cancer death among women in low- and middle-income countries, including Ethiopia. Availability of both basic and comprehensive services in all frontline health care facilities is important for cancer control. Whereas women are equally affected in both urban and rural settings, most services are present in urban areas. We assessed health system readiness for breast cancer prevention and treatment in selected hospitals in Western Ethiopia. Methods A total of seven rural hospitals in Western Ethiopia were assessed for availability of comprehensive breast cancer services. A checklist prepared on the basis of breast care prevention and control standards for low-resource settings—recommended by the 2007 Global Summit of Breast Health Global Initiative—was used for the assessment. Data were descriptively analyzed and discussed. Results Whereas cancer incidence and mortality rates are increasing in Ethiopia and other sub-Saharan countries, there is currently no competent health system available that is adequately equipped to meet this challenge. In Ethiopia, the majority of systemic oncologic treatment is administered at the Addis Ababa University Hospital in the capital city, and the majority of patients are referred to this center, which, for the average patient, is more than 500 km away. There are relatively large numbers of health professionals in health facilities in Western Ethiopia, but a critical absence of pathologists and oncologists. Basic diagnostic services, such as ultrasonography and X-ray, were found to be available in most hospitals; however, there were major gaps in cytologic and pathologic services. The nearest referral centers for pathology and additional breast cancer treatment required travelling significant distances; there were no systemic breast cancer treatment and palliative services available in Western Ethiopia. Conclusion Our study revealed that all health facilities lack a comprehensive package of breast cancer diagnosis and treatment services. The lack of implemented comprehensive breast care prevention, diagnosis, treatment, and referral services is representative of most other rural settings in Ethiopia. This calls for a nationally coordinated effort in defining and implementing breast cancer prevention and control standards to realize the national cancer control plan. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/jco/site/ifc . Eva Kantelhardt Travel, Accommodations, Expenses: Daiichi Sankyo Oncology Europe
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Tesfaye Kelemu, Robel, Alemayehu Bayray Kahsay, and Kedir Y. Ahmed. "Prevalence of Mental Distress and Associated Factors among Samara University Students, Northeast Ethiopia." Depression Research and Treatment 2020 (January 24, 2020): 1–7. http://dx.doi.org/10.1155/2020/7836296.
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Background. Empirical findings have indicated that higher institution students experience a higher prevalence of mental distress compared to the general population. Understanding the magnitude and associated factors of mental distress in university students would be helpful to practitioners and policymakers in Ethiopia. The aim of the present study was to examine the prevalence and associated factors of mental distress among Samara university students, Northeast Ethiopia. Methods. Institution based cross-sectional study design was conducted in Samara university from December to June 2018. A simple random sampling technique was employed to select the study participants. Self-Reporting Questionnaire-20 (SRQ-20) was used to measure the mental distress of students. Multivariable logistic regression modeling was used to examine the association between sociodemographic and psychosocial factors with the mental distress of students. Results. The proportion of students with mental distress were found to be 53.2% (95% confidence interval [CI]: 48.0%, 58.0%). Female students were more likely to be mentally distressed compared to male students (adjusted odds ratio [AOR]: 4.66; 95% CI: 2.81, 7.71). Ever khat use (AOR: 3.09; 95% CI: 1.74, 5.50) and poor sleep quality (AOR: 2.23; 95% CI: 1.12, 3.66) were significantly associated with mental distress of students. Conclusion. Our study indicates that the proportion of mental distress was found to be higher among Samara university students as compared to previously published studies in Ethiopia. Female students, ever khat users and those with poor sleep quality were associated with mental distress. There is a need for evidence-based interventional strategies such as self-help measures, sleep hygiene and peer support, as well as professional mental health services as part of student health services that would be helpful to reduce the burden of mental distress of students.
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Tegegn, Henok Getachew, Hailemariam Lemma Reda, and Yared Tilahun. "Access to Cancer Medicine Issues: Implication for Policy and Practice in Ethiopia." Journal of Global Oncology 4, Supplement 1 (March 2018): 21s. http://dx.doi.org/10.1200/jgo.18.14000.
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Abstract 55 Purpose Cancer currently is a major public health problem in developing countries. In Ethiopia, cancer is responsible for 5.8% of total national deaths. Patients often present with advanced stage cancer and have limited access to screening, diagnosis, and treatment. Access to affordable cytotoxic medicines is a major challenge in the care of patients with cancer, especially in resource-poor settings, such as Ethiopia. This aim of this study was to explore perceived challenges in the accessibility of cancer chemotherapy drugs among different stakeholders in Ethiopia. Methods A qualitative study was performed using face-to-face in-depth interviews with such key informants as health care providers, supply chain management experts, and decision makers working in the Ministry of Health. Results A total of six key informants participated in this case report, with two oncology pharmacists, two supply chain management experts, one expert from the Ministry of Health, and one private supplier. Challenges were explored and viewed from the perspectives of policy, supply chain management, and health service. The most frequently identified challenges were the presence of inconsistent services and few currently active cancer centers, such as Tikur Anbesa Specialized Hospital, Gondar University Hospital, and Jimma University Hospital; difficulties in cancer commodity management; implementation challenges with cancer medicine cost subsidy programs; lack of an efficient stock status reporting system; supplementary medicine requirements; an inefficient market (costly, few suppliers, and noneconomic quantities); the need for combinations of cancer medicines; and a lack of national treatment guidelines. Conclusion Respondents suggested ways forward that included the participation of relevant and specific stakeholders, such as government and private pharmaceutical suppliers, the Ministry of Health, nongovernmental organizations, and hospitals. Strengthening supply chain management at all levels and sustainable subsidy programs for cancer medicines should be sought to avoid frequent interruptions in the availability of chemotherapy drugs. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST No COIs from the authors.
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Anteneh, Asefa, Kassa Andargachew, and Dessalegn Muluken. "Patient satisfaction with outpatient health services in Hawassa University Teaching Hospital, Southern Ethiopia." Journal of Public Health and Epidemiology 6, no. 2 (February 28, 2014): 101–10. http://dx.doi.org/10.5897/jphe2013.0613.
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Addis, Zelalem, Wubet Birhan, Dejene Derseh, Biruktawit Sahle, and Netsanet Gizaw. "Physicians’ and Nurses’ Satisfaction With the Clinical Laboratory Service of Gondar University Hospital, Northwest Ethiopia." American Journal of Clinical Pathology 140, no. 3 (September 1, 2013): 324–28. http://dx.doi.org/10.1309/ajcpu1plvoin5jqi.
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Hambisa, Solomon, Abebaw Abie, Dejen Nureye, and Mohammed Yimam. "Attitudes, Opportunities, and Challenges for Clinical Pharmacy Services in Mizan-Tepi University Teaching Hospital, Southwest Ethiopia: Health Care Providers’ Perspective." Advances in Pharmacological and Pharmaceutical Sciences 2020 (March 31, 2020): 1–6. http://dx.doi.org/10.1155/2020/5415290.
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Background. Clinical pharmacy is a branch of health sciences that focuses more on the patient than on drug product-oriented services to optimize drug therapy. This study aimed to assess attitudes, opportunities, and challenges for clinical pharmacy services from the health care providers’ perspective in Mizan-Tepi University Teaching Hospital. Methods. A cross-sectional study was conducted among physicians, nurses, pharmacy professionals, and public health officers working in Mizan-Tepi University Teaching Hospital. A total of 119 health care providers participated in the study, and data were collected using a pretested self-administered questionnaire. The study tool was designed based on the instruments used in the previously conducted studies. Collected data were coded, entered, and analyzed using Statistical Package for the Social Sciences (SPSS, version 21). Furthermore, the descriptive and inferential statistics were performed. Results. Out of 119 health care providers included in the study, 59.66% of them were nurses. The majority of the health care providers (85.71%) had a positive attitude towards clinical pharmacy services. Most of the study participants mentioned that acceptance of clinical pharmacy services among health care providers as a major opportunity to clinical pharmacy services in Mizan-Tepi University Teaching Hospital. The major challenges described for the clinical pharmacy services include lack of support from hospital management, absence of clearly defined roles and responsibilities for the clinical pharmacists, and shortage of pharmacy workforce and staff turnover. Conclusion. Proper strategies should be in place to improve clinical pharmacy services and promote pharmacists’ role in providing patient care.
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Chargualaf, Michael J., Tieumy T. Giao, Anna C. Abrahamson, David Steeb, Miranda Law, Jill Bates, Teshome Nedi, and Benyam Muluneh. "Layered learning pharmacy practice model in Ethiopia." Journal of Oncology Pharmacy Practice 25, no. 7 (January 7, 2019): 1699–704. http://dx.doi.org/10.1177/1078155218820105.
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Purpose Ethiopia is home to a growing population of more than 100 million people. Healthcare in the region functions with a shortage of oncologists. Pharmacists as well as other healthcare providers can assist with expanding patient access to cancer care. A pilot project was proposed to provide education, determine areas to expand pharmacy services in oncology, and recommend interventions at Tikur Anbessa Specialized Hospital and Addis Ababa University. Methods A layered learning practice model comprising of a clinical pharmacist, a post-graduate year two oncology pharmacy resident, and two fourth-year student pharmacists was constructed for the experience. Through collaboration with the College of Pharmacy at Addis Ababa University, an international experience was developed to provide education and advance pharmacy practice at Tikur Anbessa Specialized Hospital. Results Based on findings from a needs assessment, the participants collaborated with key stakeholders to develop practices and procedures for the implementation of high-dose methotrexate and for comprehensive chemotherapy order review. In addition, 17 didactic lectures were provided to nine students enrolled in the Master of Pharmacy in Pharmacy Practice at the College of Pharmacy at Addis Ababa University. Conclusion This experience provided educational and clinical impact using a layered learning practice model, consisting of a clinical pharmacist, pharmacy resident, and pharmacy students in an international setting. There is significant potential for clinical pharmacy to positively impact patient care in the oncology setting in Ethiopia. Future initiatives for advancement include the safe handling of hazardous agents, additional therapeutic drug monitoring, and outpatient oncology pharmacist practice.
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Shudura, Elsabet, Amanuel Yoseph, and Alemu Tamiso. "Utilization and Predictors of Maternal Health Care Services among Women of Reproductive Age in Hawassa University Health and Demographic Surveillance System Site, South Ethiopia: A Cross-Sectional Study." Advances in Public Health 2020 (August 1, 2020): 1–10. http://dx.doi.org/10.1155/2020/5865928.
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Background. Regular utilization of maternal health care services decreases maternal morbidity and mortality. However, major predictors that influence the utilization of the existing maternal health care services are complex and differ from place to place. Therefore, assessing these predictors assists health planners to prioritize promotion strategies and is a fundamental step for intervention. This study assessed the utilization and predictors of maternal health care services among women of the reproductive age in Hawassa Health and Demographic Surveillance System site, South Ethiopia, 2019. Methods. A community-based cross-sectional study was conducted among 682 women of the reproductive age from January to February, in 2019. A two-stage stratified sampling method was utilized. Data were collected using a structured, face-to-face interviewer-administered questionnaire. The data were entered using Epi Data 3.1 and analyzed using SPSS version 20. The variables were entered into the multivariable model using the backward stepwise regression approach. Multivariable logistic regression analysis was used to identify factors associated with utilization of the maternal health care. Adjusted odds ratios (AORs) with 95% confidence interval (CI) were computed to assess the presence and strength of associations. Result. The overall utilization of ANC, institutional delivery, and PNC was 69.1, 52.1, and 32.7%, respectively. The odds of utilizing ANC were 4.72 times higher for women who have a formal education (AOR: 4.72, 95% CI = 2.82–7.90) as compared to those who have no formal education. The odds of utilizing institutional delivery were 5.96 times higher for women who had ANC follow-up (AOR: 5.96; 95% CI = 3.88–9.18) as compared to those who had no ANC follow-up. Presence of information about the PNC (AOR: 3.66; 95% CI = 2.18–6.14) and autonomy of a woman to make decision on health issues (AOR: 6.13, 95% CI = 3.86–9.73) were positively associated with utilization of PNC. Conclusion. The utilization of maternal health care services is far below the national target in the study area. Maternal and paternal education status, autonomy of the woman to make decision on the health issues, wealth status, and having a plan on the current pregnancy were major predictors of the maternal health care service utilization. Providing information and training about the model household to the women about maternal health care service utilization using various methods of health education should be considered.
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Siraneh, Yibeltal, and Ahadu Workneh. "Determinants and Outcome of Safe Second Trimester Medical Abortion at Jimma University Medical Center, Southwest Ethiopia." Journal of Pregnancy 2019 (July 7, 2019): 1–13. http://dx.doi.org/10.1155/2019/4513827.
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Background. Although the vast majority of abortions are performed in the first trimester, still 10–15% of terminations of pregnancies have taken place in the second trimester globally. As compared to first trimester, second trimester abortions disproportionately contribute to maternal morbidity and mortality especially in low-income countries where access to safe second trimester abortion is limited. The objective of this study was to identify factors affecting and outcome of induced safe second trimester medical abortion in Jimma University medical center, Southwest Ethiopia. Methods. Institution based cross-sectional study design was used to conduct a study among women who seek safe second trimester medical abortion services and admitted at gynecology ward. All (201) eligible study subjects included were those who came for safe medical abortion service during data collection period. Data collected using pretested structured questionnaire through exit-interviewing and some clinical data abstracted from their chart. The data was entered into EpData version 3.1 then exported to SPSS version 21.0 for analysis. Variables with P-value less than 0.25 in bivariate analysis were entered into the final predictive model. Multivariable logistic regression was used to identify determinants with 95% CI and P-value < 0.05. Hosmer and Lemeshow test were used to check model fitness at P-value of 0.05. Ethical clearance was obtained and confidentiality kept using codes and patient’s chart number. Results. In this study the response rate was 98.1%. Out of 201 women who participated in the study and were addmitted for safe second trimester medical abortion, 154 (76.6%) of them had complete abortion without any complication while the remaining 47 (23.4%) had incomplete abortion with one or more complication. Previous experience of abortion [AOR= 6.00, 95% CI= (3.77, 8.88)], gestational age [AOR=0.90, 95% CI= (0.07, 0.99)], parity [AOR=2.38, 95% CI= (1.04, 3.69)], cervical status [AOR=8.00, 95% CI= (5.72, 10.02)], overall waiting time for more than two weeks [AOR=0.53, 95% CI= (0.50, 0.96)], overall waiting time for two weeks [AOR=0.05, 95% CI= (0.01, 0.45)], and moderate anemia -(Hgb:7-10g/dl)-[AOR=0.07,95% CI= (0.01, 0.16)] were independent predictors for outcome of safe second trimester medical abortion. Conclusion. This finding implied that proportion of complete abortion without any complication overweighs incomplete abortions with one or more complication through induced safe second trimester medical abortion method. The outcome is strongly determined by gestational age, cervical status, previous experience of abortion, parity, moderate anemia, and overall waiting time. Induced second trimester medical abortion is already known as an effective and safe method. However, much should be done to reduce proportion of incomplete abortions by minimizing overall waiting time through intervening at low gestational age. Therefore, it is recommended that safe second trimester medical abortion services should be continued under a certain legal circumstances so as to reduce maternal morbidity and mortality.
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Mengist, Abeba, Yibeltal Aschale, and Alemayehu Reta. "Bacterial and Parasitic Assessment from Fingernails in Debre Markos, Northwest Ethiopia." Canadian Journal of Infectious Diseases and Medical Microbiology 2018 (October 18, 2018): 1–7. http://dx.doi.org/10.1155/2018/6532014.
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Background. Food handlers with untrimmed finger nails could contribute or serve as a vehicle for the transmission of food poisoning pathogens. Objectives. This study was conducted to determine the prevalence of bacteria and intestinal parasites among food handlers and antibiotic susceptibility profile of the isolated bacteria in Debre Markos University, Ethiopia. Materials and Methods. This laboratory-based cross-sectional study involved 220 food handlers working in food service establishments in Debre Markos University between 1st January 2015 to 31th June 2016. Subjects’ finger nail specimens of both hands were examined microscopically for intestinal parasites. For bacterial isolation, samples were cultured and bacterial species were identified following standard laboratory procedures. Antimicrobial susceptibility test was performed for all bacterial isolates by using Kirby-Bauer disk diffusion method. Results. Of the total 220 subjects examined, 29.5% showed positive culture for different bacterial species from their fingernail contents. Coagulase-negative Staphylococcus was the predominant bacteria species (12.3%) followed by Staphylococcus aureus (5%), E. coli (2.7%), Klebsiella species (2.7%), Enterococcus species (1.8%), Pseudomonas aeruginosa (1.8%), Proteus species (1.4%), Citrobacter species (1.4%), and Serratia species (0.9%). None of the food handlers showed positive culture for Shigella and salmonella and parasites in respect of their finger nail specimens. Isolation of bacteria in finger nail has significant association with finger nail status (P=0.044) and inverse relation with service years (P=0.048). All Staphylococcus aureus and coagulase-negative Staphylococcus species isolates were uniformly susceptible to vancomycin. Only one (9.1%) of Staphylococcus aureus isolates was resistant for methicillin. Conclusion. To prevent the food poisoning pathogens, implementation and adherence to infection are the key practices, specially food handlers with long finger nail harbor food debris, microbial contaminations, and allergens.
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Natarajan, Munusamy. "Use and impact of electronic resources by information science students at Jimma University, Jimma, Ethiopia." Collection Building 36, no. 4 (October 2, 2017): 163–71. http://dx.doi.org/10.1108/cb-12-2016-0036.
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Purpose This paper aims to describe the use of electronic resources and services provided at the social science library of Jimma University, Jimma. The paper is focused to find out the use of those resources by the students of information science and how frequently they are using, from where the information is accessed. Also, they have been requested about their preferences between an electronic and print journal format. Design/methodology/approach The questionnaire method is used for collecting the data from the undergraduate students of information science (2015/2016 batch). The questionnaire was distributed to 182 students, and the response rate 81.32 per cent was encouraging. Findings It has been found that the usage of e-journals is increasing; this is due to awareness among the students of information science about the e-resources and services. Owing to an easy access available at various places in the university, they are accessing these resources at hostels and departments more as compared to the library. Their visits to library have decreased. Research limitations/implications The study has been limited to Jimma University undergraduate students of information science only Practical implications It suggests for future improvised solutions. Originality/value The present paper will help other institutions to understand the need for library electronic resources and motivate them to update their resources in the larger interest of the students. The paper also indicates how a suitably designed survey can show the awareness and use of types of information services, in this case, e-journals. There is a dearth of such studies in India and abroad. The methodology and findings can be applied to other libraries to reveal similar trends, as well as comparisons.
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Teshome Hambisa, Mitiku, Andualem Derese, and Tilahun Abdeta. "Depressive Symptoms among Haramaya University Students in Ethiopia: A Cross-Sectional Study." Depression Research and Treatment 2020 (January 31, 2020): 1–9. http://dx.doi.org/10.1155/2020/5027918.
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Background. The prevalence of mental health problems including depression is increasing in severity and number among higher institution students, and it has a lot of negative consequences like poor academic performance and committing suicide. Identifying the prevalence and associated factors of mental illness among higher institution students is important in order to administer appropriate preventions and interventions. In Ethiopia, only a few studies tried to report associated factors of depression among university students. Objective. The objective of this study was to determine the prevalence and factors associated with depressive symptoms among Haramaya University students, Ethiopia. Methods. Institution-based, cross-sectional study design was conducted among 1040 students. A standard, self-administered questionnaire was used to get data from a sample of randomly selected 1040 undergraduate university students using a multistage systematic random sampling technique. The questionnaire used was the Beck Depression Inventory (BDI) scale which is a self-report 21-item scale that is used to assess the presence of depressive symptoms. All 21 items are rated on a three-point scale (0 to 3). Each question is scored on a 0 to 3 scale, and total scores range from 0 to 63, with higher scores reflecting greater levels of depressive symptoms. The questionnaire has been well validated as a measure of depressive symptomatology with scores 1-13 indicating minimal depressive symptoms, 14-19 showing mild depressive symptoms, 20-28 showing moderate depressive symptoms, and 29-63 indicating severe depressive symptoms. Logistic regression analysis was used to identify variables independently associated with depressive symptoms after we dichotomized the depressive symptoms screening tool to “yes/no” depressive symptoms. This means students who did not report any depressive symptoms were given “no” depressive symptoms and who reported at least one (≥1) depressive symptoms were given “yes” (depressive symptoms). Results. A total of 1022 (98.3%) out of 1040 students participated in this study. The mean age of participants was 20.9 years (SD±2.17), and the majority of them (76.0%) were male students. Prevalence of depressive symptoms among undergraduate students was 26.8% (95% CI: 24.84, 28.76). Among those who had reported depressive symptoms: 10%, 12%, 4%, and 1% of students reported minimal, mild, moderate, and severe depressive symptoms, respectively. Multivariable logistic regression analysis in the final model revealed that being a first-year student (AOR 6.99, 95% CI: 2.31, 21.15, p value < 0.001), being a second-year student (AOR 6.25, 95% CI: 2.05, 19.07, p value < 0.001), and being a third-year student (AOR 3.85, 95% CI: 1.26, 11.78, p value < 0.018) and being divorced/widowed (AOR 5.91, 95% CI: 1.31, 26.72, p value < 0.021), current drinking alcohol (AOR 2.53, 95% CI: 1.72,3.72, p value < 0.001), current smoking cigarettes (AOR 1.71, 95% CI: 1.02, 2.86, p value < 0.042), and current use of illicit substances (AOR 2.20, 95% CI: 1.26, 3.85, p value < 0.006) were independently associated with depressive symptoms. Having no religion and currently chewing Khat were statistically significantly associated with depressive symptoms in the binary logistic regression analysis but not in the final model. Conclusions. The prevalence of depressive symptoms among university students in this study is high relative to the general population. Sociodemographic factors year of study and current substance use were identified as associated factors of depressive symptoms. Recommendations. This finding suggests the need for the provision of mental health services at the university, including screening, counseling, and effective treatment. Families need to closely follow their students’ health status by having good communication with the universities, and they have to play their great role in preventing depression and providing appropriate treatment as needed. The governments and policy-makers should stand with universities by supporting and establishing matured policies which helps universities to have mental health service centers. Generally, the university and other stakeholders should consider these identified associated factors for prevention and control of mental health problems of university students.
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Nigussie, Tadesse, Temesgen Aferu, Yitagesu Mamo, and Mulugeta Feyisa. "Patient Satisfaction with HIV and AIDS Services in Mizan-Tepi University Teaching Hospital, Southwest Ethiopia." HIV/AIDS - Research and Palliative Care Volume 12 (September 2020): 403–10. http://dx.doi.org/10.2147/hiv.s254744.
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Abegaz, Tadesse M., Akshaya S. Bhagavathula, Yonas G. Tefera, Sewunet A. Belachew, and Henok G. Tegegn. "Medication therapy management services in emergency and ambulatory care of Gondar University Hospital, northwest Ethiopia." Journal of Pharmacy Practice and Research 48, no. 4 (June 21, 2018): 320–27. http://dx.doi.org/10.1002/jppr.1400.
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Fekadu, Ginenus, Saktu Dereje, Dinka Dugassa, Firomsa Bekele, Dawit Simegnew, Ebisa Turi, Tadesse Tolossa, Getahun Fetensa, Tamirat Alemu, and Busha Gamachu. "Type 2 diabetes mellitus patients’ satisfaction with pharmacy services in Wollega University Referral Hospital, Western Ethiopia." International Journal of Surgery: Global Health 3, no. 6 (October 22, 2020): e28-e28. http://dx.doi.org/10.1097/gh9.0000000000000028.
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Desita, Zerubabel Tegegne, and Wossen Mulugeta. "CT scan Positive Finding Pattern of Head Injury at the University of Gondar Hospital; North West Ethiopia." Malaysian Journal of Medical and Biological Research 1, no. 2 (December 31, 2014): 65–72. http://dx.doi.org/10.18034/mjmbr.v1i2.377.
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Background: Head injuries rank high among morbidities due to trauma. Computerized tomography is an important modality in the investigation of these cases. However, there is no literature on the importance of computerized tomography in the diagnosis of head injury in Ethiopia. This study therefore is aimed to document the computerized tomographic features of patients with head injury managed at the University of Gondar Teaching Hospital. Materials and Methods: A cross sectional study involving 96 patients with head injury who had CT scan of the head in the UOG hospital over a 12-month period. Results: Most of the patients were male (74%). Majority (58%) were in the age range of 20 to 40 years with a mean age of 31yrs. The most common abnormal findings were skull fracture (52%) and intracerebral hemorrhage and contusions (51%). It is followed by subdural hemorrhage (33%) soft tissue swelling 32% and epidural hemorrhage 10%. Conclusion: Skull fracture and intra cerebral hemorrhage were the most common abnormal findings. This study has demonstrated the importance of CT scan in the evaluation of head injury by giving visibility of intracranial post traumatic injuries in a high proportion of patients which would be difficult to reach in to diagnosis clinically or using skull radiography alone. This obviously will have a significant role in improving patient management. Taking this in to account expansion of CT scan service for moderate to severe head injury patients is recommended in Ethiopia.
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Belayneh, Tadesse, Mulat Adefris, and Gashaw Andargie. "Previous Early Antenatal Service Utilization Improves Timely Booking: Cross-Sectional Study at University of Gondar Hospital, Northwest Ethiopia." Journal of Pregnancy 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/132494.
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Background.Early booking of antenatal care (ANC) is regarded as a cornerstone of maternal and neonatal health care. However, existing evidence from developing countries indicate that lots of pregnant woman begin ANC booking lately.Objective.It was aimed to assess timing of ANC booking and associated factors among pregnant women attending ANC clinic at University of Gondar Hospital, 2013.Methods.An institution based cross-sectional study design was used to collect data with a face-to-face interview technique. Bivariate and multivariate analysis was used to identify associated factors for early ANC visit using SPSS version 20.Results.From total women (N = 369) interviewed, 47.4% were timely booked. Mothers with younger age (AOR = 3.83, 95% CI: 1.89, 10.53), formal education (AOR = 1.06, 95% CI: 1.03, −7.61), previous early ANC visit (AOR = 2.39, 95% CI: 2.23, 9.86), and perceived ANC visit per pregnancy of four and greater were significantly associated with early ANC visit.Conclusions.Although late booking is a problem in this study, previous early utilization of ANC visit favors current timely booking. This indicates that the importance of early booking was appropriately addressed from previous visits. Counseling of timely booking during ANC visit should be strengthened. Moreover, empowering through education is also recommended.
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Mengistu, Tesfaye Setegn. "Sexual and Reproductive Health Problems and Service Needs of University Students in South East Ethiopia: Exploratory Qualitative Study." Science Journal of Public Health 1, no. 4 (2013): 184. http://dx.doi.org/10.11648/j.sjph.20130104.13.
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Tesfaye, Yonas, Alemayehu Negash, Tsegaye Tewelde Gebrehiwot, Worknesh Tessema, Susan Anand, Gutema Ahmed, and Daniel Alemu. "Is There Association between Risky Sexual Behaviors and Depression Symptoms among Youth? A Case of Jimma University Students, Ethiopia." Psychiatry Journal 2019 (July 1, 2019): 1–12. http://dx.doi.org/10.1155/2019/3757656.
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Background. Risky Sexual Behaviors (RSB) and Depression symptoms expose young people to various reproductive health problems including sexually transmitted infections and HIV/AIDS. To date the link between these two major public health problems lacks empirical evidence in the context of higher education institutions in Ethiopia. Objective. The aim of this study was to assess association between risky sexual behavior and depression symptoms among Jimma University main campus students, Jimma, Ethiopia, 2016. Methods. An institution based quantitative cross sectional study was conducted. A pre-tested questionnaire and modified Beck Depression Inventory II were administered to 700 students, selected by multi-stage stratified sampling, from the main campus of Jimma University. Descriptive statistics, simple and multiple logistic regression models were used to analyze possible confounders. Presence of crude association between the dependent and independent variables was detected by bivariate logistic regression analysis. Variables with p value < 0.25 in bivariate analysis were analyzed by multivariable logistic regression to exclude the confounders. Adjusted odd ratios with 95%CI were computed to examine depression symptoms and other independent variables as predictors of RSB. Results. RSB were reported by 30.2% students. Out of 222 (33.6%) students with depression symptoms 105 (47.3%) reported RSB. Students with moderate depression symptoms are nearly two times more likely to experience risky sexual behavior than students with no depression symptoms (AOR 1.9, 95% CI: 1-3.1). Students with severe depression symptoms are nearly two and half times more likely to experience RSB than students with no depression symptoms counterparts (AOR 2.6, 95%CI: 1.3- 5.1). Conclusion. RSB were high among students with depression symptoms in the main campus of Jimma University. To help students overcome the challenges, recommendation was given for concerted action from the University, governmental and NGO, and the surrounding community to establish support services and various reproductive and mental health awareness programs within the campus.
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Gibbs, Nikki. "Reviewer Acknowledgements." Applied Economics and Finance 6, no. 1 (December 25, 2018): 118. http://dx.doi.org/10.11114/aef.v6i1.3905.
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Applied Economics and Finance (AEF) would like to acknowledge the following reviewers for their assistance with peer review of manuscripts for this issue. Many authors, regardless of whether AEF publishes their work, appreciate the helpful feedback provided by the reviewers. Their comments and suggestions were of great help to the authors in improving the quality of their papers. Each of the reviewers listed below returned at least one review for this issue.Reviewers for Volume 6, Number 1 Andrey Kudryavtsev, The Max Stern Yezreel Valley Academic College, IsraelAyoub Taha Sidahmed, SIU, SudanEyup Kadioglu, Capital Markets Board, TurkeyGetamesay Bekele Meshesha, Debre Berhan University, EthiopiaHe Nie, Jinan University, ChinaHichem Maraghni, University of Taibah, TunisiaIan McFarlane, University of Reading, UKIbrahim Baghdadi, Lebanese University, LebanonMagdalena Radulescu, University of Pitesti, RomaniaMagdalena Zioło, University of Szczecin, PolandMamdouh Abdelmoula M. Abdelsalam, Minufiya University, EgyptMarco MELE, University of Teramo, ItalyMarco Muscettola, Independent Researcher-Credit Risk Manager, ItalyMarta Borda, Wroclaw University of Economics, PolandMohammed Al-Mahish, King Faisal University, Saudi ArabiaNuno Crespo, ISCTE-IUL, PortugalOlena Sokolovska, Research Institute of Fiscal Policy, State Fiscal Service of Ukraine, UkrainePatrycja Kowalczyk-Rolczynska, Wroclaw University of Economics, PolandRajeev Rana, APB Govt. P.G. College, InidaRamona Orastean, Lucian Blaga University of Sibiu, RomaniaRichard Nguyen, Alliant International University, USARomeo Victor Ionescu, Dunarea de Jos University, RomaniaRuhet Genc, Turkish-German University, TurkeySteven V. Cates, Purdue University-Global, USASzabolcs Blazsek, Universidad Francisco Marroquín, GuatemalaVictoria Cociug, Academy of Sciences of Moldova, MoldovaZuzana Janko, San Francisco State University, USA Nikki GibbsEditorial AssistantOn behalf of,The Editorial Board of Applied Economics and FinanceRedfame Publishing9450 SW Gemini Dr. #99416Beaverton, OR 97008, USAURL: http://aef.redfame.com
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Dida, Nagasa, Birhanu Darega, and Abulie Takele. "Reproductive health services utilization and its associated factors among Madawalabu University students, Southeast Ethiopia: cross-sectional study." BMC Research Notes 8, no. 1 (2015): 8. http://dx.doi.org/10.1186/s13104-015-0975-5.
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Yosef, Zenebe, Tolu Feyissa Garumma, and Krahl Wolfgang. "Cigarette smoking among Jimma University Teaching and referral hospital outpatients attending services at psychiatry clinic Southwest, Ethiopia." Journal of Neuroscience and Behavioral Health 8, no. 3 (July 31, 2016): 13–19. http://dx.doi.org/10.5897/jnbh2016.0137.
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Gibbs, Nikki. "Reviewer Acknowledgements." Applied Economics and Finance 5, no. 4 (July 1, 2018): 185. http://dx.doi.org/10.11114/aef.v5i4.3400.
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Applied Economics and Finance (AEF) would like to acknowledge the following reviewers for their assistance with peer review of manuscripts for this issue. Many authors, regardless of whether AEF publishes their work, appreciate the helpful feedback provided by the reviewers. Their comments and suggestions were of great help to the authors in improving the quality of their papers. Each of the reviewers listed below returned at least one review for this issue.Reviewers for Volume 5, Number 4Ali Massoud, Sohag University, EgyptAndrey Kudryavtsev, The Max Stern Yezreel Valley Academic College, IsraelDyah Wulan Sari, Airlangga University, IndonesiaErdal Gumus, Eskisehir Osmangazi University, TurkeyEyup Kadioglu, Capital Markets Board, TurkeyGetamesay Bekele Meshesha, Debre Berhan University, EthiopiaHe Nie, Jinan University, ChinaIgor Matyushenko, School of Foreign Economic Relations and Touristic Business, UkraineJolita Vveinhardt, Lithuanian Sports University, LithuaniaMagdalena Zioło, University of Szczecin, PolandMahmoud Mohammed Sabra Al Azhar University-Gaza PalestineMamdouh Abdelmoula M. Abdelsalam, Minufiya University, EgyptMarco Muscettola, Independent Researcher-Credit Risk Manager, ItalyMarta Borda, Wroclaw University of Economics, PolandMojeed Idowu John Odumeso-Jimoh, Noble Integrated Resources & Management, NigeriaNicolas Afflatet, University of the Federal Armed Forces, GermanyNuno Crespo, ISCTE-IUL, PortugalOlena Sokolovska, Research Institute of Fiscal Policy, State Fiscal Service of Ukraine, UkrainePatrycja Kowalczyk-Rolczynska, Wroclaw University of Economics, PolandPayal Chadha, University of Wales Prifysgol Cymru, KuwaitRamona Orastean, Lucian Blaga University of Sibiu, RomaniaRichard Nguyen, Alliant International University, USARomeo Victor Ionescu, Dunarea de Jos University, RomaniaSteven V. Cates, Kaplan University, USASzabolcs Blazsek, Universidad Francisco Marroquín, GuatemalaTaro Abe, Nagoya Gakuin University, JapanVictoria Cociug, Academy of Sciences of Moldova, MoldovaZi-Yi Guo, Wells Fargo Bank, N.A., USANikki GibbsEditorial AssistantOn behalf of,The Editorial Board of Applied Economics and FinanceRedfame Publishing9450 SW Gemini Dr. #99416Beaverton, OR 97008, USAURL: http://aef.redfame.com
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Asrie, Fikir, Bamlaku Enawgaw, and Zegeye Getaneh. "Prevalence of thrombocytopenia among pregnant women attending antenatal care service at Gondar University Teaching Hospital in 2014, northwest Ethiopia." Journal of Blood Medicine Volume 8 (June 2017): 61–66. http://dx.doi.org/10.2147/jbm.s136152.
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Ayele, Tadesse Awoke, Telake Azale, Kassahun Alemu, Zewditu Abdissa, Haregewoin Mulat, and Abel Fekadu. "Prevalence and Associated Factors of Antenatal Depression among Women Attending Antenatal Care Service at Gondar University Hospital, Northwest Ethiopia." PLOS ONE 11, no. 5 (May 6, 2016): e0155125. http://dx.doi.org/10.1371/journal.pone.0155125.
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Lund, C., A. Alem, M. Schneider, C. Hanlon, J. Ahrens, C. Bandawe, J. Bass, et al. "Generating evidence to narrow the treatment gap for mental disorders in sub-Saharan Africa: rationale, overview and methods of AFFIRM." Epidemiology and Psychiatric Sciences 24, no. 3 (April 2, 2015): 233–40. http://dx.doi.org/10.1017/s2045796015000281.
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There is limited evidence on the acceptability, feasibility and cost-effectiveness of task-sharing interventions to narrow the treatment gap for mental disorders in sub-Saharan Africa. The purpose of this article is to describe the rationale, aims and methods of the Africa Focus on Intervention Research for Mental health (AFFIRM) collaborative research hub. AFFIRM is investigating strategies for narrowing the treatment gap for mental disorders in sub-Saharan Africa in four areas. First, it is assessing the feasibility, acceptability and cost-effectiveness of task-sharing interventions by conducting randomised controlled trials in Ethiopia and South Africa. The AFFIRM Task-sharing for the Care of Severe mental disorders (TaSCS) trial in Ethiopia aims to determine the acceptability, affordability, effectiveness and sustainability of mental health care for people with severe mental disorder delivered by trained and supervised non-specialist, primary health care workers compared with an existing psychiatric nurse-led service. The AFFIRM trial in South Africa aims to determine the cost-effectiveness of a task-sharing counselling intervention for maternal depression, delivered by non-specialist community health workers, and to examine factors influencing the implementation of the intervention and future scale up. Second, AFFIRM is building individual and institutional capacity for intervention research in sub-Saharan Africa by providing fellowship and mentorship programmes for candidates in Ethiopia, Ghana, Malawi, Uganda and Zimbabwe. Each year five Fellowships are awarded (one to each country) to attend the MPhil in Public Mental Health, a joint postgraduate programme at the University of Cape Town and Stellenbosch University. AFFIRM also offers short courses in intervention research, and supports PhD students attached to the trials in Ethiopia and South Africa. Third, AFFIRM is collaborating with other regional National Institute of Mental Health funded hubs in Latin America, sub-Saharan Africa and south Asia, by designing and executing shared research projects related to task-sharing and narrowing the treatment gap. Finally, it is establishing a network of collaboration between researchers, non-governmental organisations and government agencies that facilitates the translation of research knowledge into policy and practice. This article describes the developmental process of this multi-site approach, and provides a narrative of challenges and opportunities that have arisen during the early phases. Crucial to the long-term sustainability of this work is the nurturing and sustaining of partnerships between African mental health researchers, policy makers, practitioners and international collaborators.