Browsing by Author "Addissie, Adamu"

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    The Involvement of men in family Planning an Application of Transtheoretical model in Wolaita Soddo town south Ethiopia
    (Addis Abeba Universty, 2009-06) Wondimu, Abraham; Addissie, Adamu
    Introduction Reproductive health in its broader sense should be a concern for all and not for just that of women, and reproductive health matters needs the attention of entire family and the society at large. Historically most reproductive health programs focused mainly on women and offered their services exclusively to women’s. Most viewed women as the target group and paying little attention to the role that men might have with respect to women’s reproductive decision making and behavior. The behaviors of husband and male sexual partners have significant impact on the contraceptive use of their wives and partners.This study explored the involvement of men in family planning by employing one of the health behavior models TransTheoretical model (TTM) in Wolaita Soddo town. Objectives To assess the involvement of men in fertility preference and contraceptive use by using of Tran theoretical model of behavior change Methodology Community based cross-sectional study was done in Wolaita zone, Soddo town Southern Ethiopia. Both qualitative and quantitative method was employed Focus group discussion was a qualitative method to complement the finding of the quantitative study. Data entry, data cleaning and analysis was done by SPSS version15 soft ware package. Ethical clearance was obtained from school of public health faculty of medicine. viii Result About 96% of the respondents were familiar with at least one family planning method the commonly known method pills (96%) Injectables (94.5%), condom (88.6%) Norplant (35.3%) and IUD (22.5%) Overall 65.5% of married men currently practice family planning method 77.5% approved use of contraception and about 60% of study participant discussed the issue of family planning. Behavioral stage of men in family planning method use, 26.7% were in the precontemplation Stage,7.8% contemplation,4.5% preparation,16.1% in the action stage 49.4% in maintenance stage. Conclusion and recommendation The study found high prevalence of knowledge of contraceptive methods among married men, but a relatively low utilization of male method. Discussion between spouses and their joint decision-making on contraceptive use was also found to be high. Most of behavioural stage of men was in maintenance/action stage. Targeted Stage based IEC intervention were recommended Key Words Family planning, Male involvement, Transtheoretical model, Stage of change, Targeted Intervention
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    Malaria and HIV Co-Infection in Hadya Zone, Southern Ethiopia
    (A, 2004-04) Addissie, Adamu; Enquselassie, Fikre
    Back Ground: Malaria and HIV/AIDS are the major priority medical challenges facing sub-Saharan Africa in general and Ethiopia in particular and yet little has been known so far on the clinical and public health implications of HIV and Malaria co-infection. Even if the statistical effect is modest, any interaction between these two infections would have public health significance. Objectives: A cross sectional health institution based study was conducted between mid October 2003 and mid January 2004 in three health facilities in Hadya Zone, Southern Ethiopia. The objectives of the study were to determine the prevalence of HIV malaria co-infections in the area and to describe the clinical manifestations of malaria in HIV positive and HIV negative malaria patients. Subjects and methods: A total of 337 microscopically confirmed malaria patients in the age range of 15-34 years were included in the study. A structured questionnaire was used to collect data on socio demographic and clinical variables. Physicians used a checklist of physical findings during physical check up of patients. Anonymous HIV testing was done on the blood samples of the patients using single ELISA technique by an experienced laboratory technologist. xiv Results: The HIV serostatus assessment revealed that 4.2% (14 out of 337) of the patients were seropositive for HIV. No socio demographic difference was detected between HIV positive and HIV negative malaria patients. Conclusions and Recommendations: The study concluded that the current HIV prevalence among P.faciparum malaria patients was not different from the HIV seroprevalence in the general population in the area, based on the prevalence findings from the national sentinel reports. No strong evidence suggesting an association between HIV and malaria was identified. The need for further studies with improved methodologies and designs is emphasized. Key Words: HIV, Malaria, Coinfection, Health Institution, Ethiopia