Browsing by Author "Negash, Ashenafi"

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    Caring for HIV positive children: psychological functioning of care-givers with HIV positive children: a qualitative study Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Ababa University, 2019) Negash, Ashenafi; Bahiretibeb, Yonas (MD)
    Background: HIV/AIDS is an epidemic infectious illness which affects anyone regardless of age, sex, social class, academic level and race. It has a significant direct or indirect impact not only on the patient but also on the care-givers with significant morbidity, mortality and economic burden. Despite an increased care for the infected individual, the psychological impact of the illness on the care-givers has been undermined specially in low to middle income countries including Ethiopia. To date there have been no studies about the psychological functioning of care-givers raising HIV positive children. Objective: The objective of this study is to explore the psychological functioning of care-givers of HIV positive children following at Tikur Anbessa Specialized Hospital. Methods: Data was gathered on 14 participants, biological parent and close relative, using semi-structured interviews. The interviews were conducted in Amharic, transcribed and then translated into English. The data were analyzed using thematic analysis Result; This finding showed that the care-givers age range from 22-85 and 13 out 14 care-givers were female. Majority of them were at low academic level, low socioeconomic status and have temporary employment. Most of them were biological and single parent and they were also sero-positive. The result identified that caregivers experienced emotional pain after hearing the result, persistent or transient maternal guilty, depression, dealing with sero-discordance, discrimination, disclosure concern and change of behaviors in the child. The finding also highlighted the presence of economical struggle, house problem and unemployment on the care-givers. To get through their psychological distress care-givers also used spirituality, hope, getting financial or material support and sharing responsibility with older children as their coping mechanisms. Conclusion; Caring for HIV positive children is found to be psychologically burdensome especially in a resource limited setting. So, having an integrated mental health service for care-givers is unquestionable. Considering the high burden of care-giving in women, it will be very important to involve male care-givers and empower women economically.
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    Caring for HIV Positive children: Psychological functioning of care-givers with HIV positive children: a Qualitative study.
    (Addis Abeba University, 2019-01) Negash, Ashenafi; Bahiretibeb, Yonas ((MD), MSc, Associate professor, Department of Psychiatry); Girma, Fikirte ( (MD), Assistant professor, Department of Psychiatry, School of Medicine); Abebe, Workeabeba( MD, MPH,Associate professor, Department of Pediatrics and Child Health, School of Medicine)
    Background: HIV/AIDS is an epidemic infectious illness which affects anyone regardless of age, sex, social class, academic level and race. It has a significant direct or indirect impact not only on the patient but also on the care-givers with significant morbidity, mortality and economic burden. Despite an increased care for the infected individual, the psychological impact of the illness on the care-givers has been undermined specially in low to middle income countries including Ethiopia. To date there have been no studies about the psychological functioning of care-givers raising HIV positive children. Objective: The objective of this study is to explore the psychological functioning of care-givers of HIV positive children following at Tikur Anbessa Specialized Hospital. Methods: Data was gathered on 14 participants, biological parent and close relative, using semistructured interviews. The interviews were conducted in Amharic, transcribed and then translated into English. The data were analyzed using thematic analysis Result; This finding showed that the care-givers age range from 22-85 and 13 out 14 care-givers were female. Majority of them were at low academic level, low socioeconomic status and have temporary employment. Most of them were biological and single parent and they were also seropositive. The result identified that caregivers experienced emotional pain after hearing the result, persistent or transient maternal guilty, depression, dealing with sero-discordance, discrimination, disclosure concern and change of behaviors in the child. The finding also highlighted the presence of economical struggle, house problem and unemployment on the care-givers. To get through their psychological distress care-givers also used spirituality, hope, getting financial or material support and sharing responsibility with older children as their coping mechanisms. Conclusion; Caring for HIV positive children is found to be psychologically burdensome especially in a resource limited setting. So, having an integrated mental health service for caregivers is unquestionable. Considering the high burden of care-giving in women, it will be very important to involve male care-givers and empower women economically.
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    The Preparation of School Improvement Plan in Government Secondary Schools of Gulele Sub City, Addis Ababa
    (Addis Ababa University, 2018-02) Negash, Ashenafi; Yimam, Wossenu (Phd)
    The main purpose of the study was to examine plan preparation of school improvement program in government secondary schools of Gulele sub city, Addis Ababa. To this end, answers to the basic questions pertaining to what the practice of developing school improvement plan looks like, the extent of the participation of stakeholders, monitoring and evaluation mechanism, and factors that encountered in the school improvement planning process were sought in the study. The research design was descriptive in nature and the quantitative method supported by qualitative approach. The subjects of the study were 20 school leaders (3 principal,9 vice principal,4 secondary school supervisors and 4 sub city core process owners) 53 teachers, 30 students, 21 PSTA members,21 SIC members. Purposive sampling technique was employed to include the government secondary schools and samples of the principals, vice principals, supervisors and sub city core process owners. Simple random sampling technique was also used to select teacher respondents. The quantitative data were analyzed by using frequency, mean values and standard deviation. On the other hand, the data obtained through FGD and document review were analyzed qualitatively to substantiate the result of quantitative analysis. The finding of the study indicates that the preparation of the schools in preparing SIP plan was moderate due to the lack of the right human resource and also the finding revealed that there is visible lack of awareness and collaboration among the stakeholders. Besides, the contribution of SIC in plan preparation of SIP was weak, lack of professional support of secondary school supervisors; sub city education office and lack of conducting self assessment to identify the current status of the school were observed. Low performance of, principals, SIC committee, supervisors and sub city education office in taking corrective action and timely monitoring of strategic plan was observed. Thus, the school leaders were advised to conduct self assessment and prioritize the problems when planning for school improvement program. Finally, strengthening the stakeholders’ involvement and collaborative school improvement planning with strong monitoring and evaluation method are recommended.