Dr.Terefe Gelibo - Academia.edu (original) (raw)

Papers by Dr.Terefe Gelibo

PLOS ONE, 2022

Introduction In 2014, the Joint United Nations Programme on HIV/AIDS set an ‘ambitious’ 90-90-90 ... more Introduction In 2014, the Joint United Nations Programme on HIV/AIDS set an ‘ambitious’ 90-90-90 target for 2020. By 2016, there were disparities observed among countries in their progress towards the targets and some believed the targets were not achievable. In this report, we present the results of data from the Ethiopia Population-based HIV Impact Assessment survey analyzed to assess progress with the targets and associated factors. Methods We conducted a nationally representative survey in urban areas of Ethiopia. Socio-demographic and behavioural data were collected from consenting participants using a structured interview. HIV testing was done following the national HIV rapid testing algorithm and seropositivity confirmed using a supplemental laboratory assay. HIV viral suppression was considered if the viral load was <1,000 RNA copies/ml. Screening antiretroviral drugs was done for efavirenz, lopinavir, and tenofovir, which were in use during the survey period. In this ana...

Heliyon

Background: Moringa stenopetala is used for medicinal and nutritional purposes. This study was, t... more Background: Moringa stenopetala is used for medicinal and nutritional purposes. This study was, therefore, conducted to assess the contribution of Moringa stenopetala based diet in reducing under nutrition in under-five children in four districts of Southern Ethiopia. Method: A community-based comparative cross-sectional study design was employed from August to September 2016 in randomly selected comparative sites among 732 under five children. Anthropometric measurements of weight and height of children were measured based on the standard measurement protocol. Regarding moringa stenopetala diet, the consumption habit was collected by using a seven days food frequency questionnaire. Amount of moringa stenopetala leaf biomass portion size consumption was measured with local measurement and converted to kilograms. Anthropometric data were analyzed using WHO Anthro software to determine the nutritional status of the child. An independent t-test was conducted to compare the mean difference of WHO-Z score of child nutritional index. Statistical mean significance difference was measured based on p-value less than 0.05 with 95% confidence level. In addition chi-square test with a p-value, less than 0.05 with a 95% confidence level was used to compare the prevalence of stunting, wasting, and underweight in moringa stenopetala based diet and non-moringa stenopetala based diet consuming area. Result: The prevalence of stunting was 19% vs. 28.8%, wasting 4.7% vs. 9.6%, and underweight 12.19% vs 13.71% in moringa stenopetala based diet consuming and non-consuming participants respectively. There was a significant difference in stunting and wasting (p < 0.05) among moringa stenopetala based diet-consuming and non-consuming participants. Conclusion: The present study showed that moringa stenopetala based diet consumption had a significant contribution in reducing under-nutrition in under-five children.

Ethiopian Journal of public health and nutrition, Nov 16, 2020

PLOS ONE

The design and evaluation of national HIV programs often rely on aggregated national data, which ... more The design and evaluation of national HIV programs often rely on aggregated national data, which may obscure localized HIV epidemics. In Ethiopia, even though the national adult HIV prevalence has decreased, little information is available about local areas and subpopulations. To inform HIV prevention efforts for specific populations, we identified geographic locations and drivers of HIV transmission. We used data from adults aged 15–64 years who participated in the Ethiopian Population-based HIV Impact Assessment survey (October 2017–April 2018). Location-related information for the survey clusters was obtained from the 2007 Ethiopia population census. Spatial autocorrelation of HIV prevalence data were analyzed via a Global Moran’s I test. Geographically weighted regression analysis was used to show the relationship of covariates. The finding indicated that uncircumcised men in certain hotspot towns and divorced or widowed individuals in hotspot woredas/towns might have contribute...

PLOS ONE

Background The HIV epidemic in Ethiopia is concentrated in urban areas. Ethiopia conducted a Popu... more Background The HIV epidemic in Ethiopia is concentrated in urban areas. Ethiopia conducted a Population-based HIV Impact Assessment (EPHIA) in urban areas between October 2017 and April 2018 to measure the status of the country’s response to the epidemic. Methods We conducted field data collection and HIV testing in randomly selected households using the national, rapid testing algorithm with laboratory confirmation of seropositive samples using a supplemental assay. In addition to self-report on HIV diagnosis and treatment, all HIV-positive participants were screened for a set of HIV antiretroviral (ARV) drugs indicative of the first- and second-line regimens. We calculated weighted frequencies and 95% confidence intervals to assess regional variation in participants’ level of unawareness of their HIV-positive status (adjusted for ARV status). Results We interviewed 20,170 survey participants 15–64 years of age, of which 19,136 (95%) were tested for HIV, 614 (3.2%) tested positive,...

Background: Consuming any form of tobacco is one of the leading causes of preventable morbidity a... more Background: Consuming any form of tobacco is one of the leading causes of preventable morbidity and mortality. Tobacco smoking has been identified as one of the major risk factors for NCDs, including cardiovascular, chronic respiratory diseases, and different cancers. Although there is national information on magnitude of tobacco use, to date there is limited nationally representative data on factors associated with tobacco use. The aim of this study is to assess the distribution and predicators of tobacco use in Ethiopian adult population between 15 -59.Objectives: The main aim of this study was to assess the prevalence of tobacco use and its predictor in Ethiopia.Methods: A cross-sectional population based study design was employed among population age from 15- 69 years. A stratified, three-stage cluster sampling was used to identify the study subjects. Households in each cluster were selected using simple random sampling method. The sampling frame was based on the population and ...

Ethiopian Journal of Health Development, 2016

Introduction: According to the 2012 national immunization coverage survey report of Ethiopia, EPI... more Introduction: According to the 2012 national immunization coverage survey report of Ethiopia, EPI coverage by antigen is 79.6% for BCG, 80.0% for DPT-HepB-Hib1 90.1% for OPV1 65.7%; for adjusted DPT-HepB-Hib 3; 65.7 % for OPV3 and 68.2% for Measles. Similarly, the prevalence of full vaccination was 50%. However, the prevalence of valid vaccination dose for all vaccines is 18.6 %. Therefore, the aim of this study is to identify factors that determine the administration of full valid vaccines dose to set effective interventions. Methods: Data was obtained from the 2012 Immunization Coverage survey of Ethiopia, a cross-sectional study administered at the household level. Data were analyzed using SPSS version 20. Binary and multivariate logistic regression with 95% CI was done to assess factors associated with getting full valid vaccination dose. Results: As documented from the 2012 national immunization coverage survey, the coverage of full valid vaccination dose were very low as compared to full immunization coverage that is 18.6% Vs 50%, respectively.

Ethiopian Journal of Health Development, Feb 7, 2018

Introduction: Among African countries, Ethiopia has a relatively high burden of road traffic inju... more Introduction: Among African countries, Ethiopia has a relatively high burden of road traffic injuries. It is challenging to accurately estimate the public health burden and causes of road traffic crash in Ethiopia. Objective: The objective of this study is to describe the prevalence and determinants of road traffic injuries in Ethiopia. Methods: A population-based cross sectional study was conducted in accordance with the World Health Organization step-wise approach to survey of non-communicable diseases risk factors. The survey was carried out between April and June 2015. Men and women adults ages 15-69 years old were the target population. A single population-proportion formula was implemented to determine the sample size. Data were entered using e-STEPS, cleaned and analysed using SPSS and Stata. Descriptive weighted analysis was done along with complex sample analysis and bivariate and multivariate analysis was conducted for RTIs and associated factors. Results: About 3% (2.7%, ...

Background: There are multiple components that will influence the provision of maternal health se... more Background: There are multiple components that will influence the provision of maternal health service including availability of infrastructure; staff deployment and presence; and availability and quality of laboratory services provided. The major objective of the survey is to assess the availability and preparedness of health facilities in Ethiopia to provide quality maternal health services.

Background: Physical activity can significantly reduce burden of NCDs. Physical activity is a low... more Background: Physical activity can significantly reduce burden of NCDs. Physical activity is a low-cost and high impact interventions that can be easily implemented among majority of the population throughout the life. Global reports show that physical inactivity has become unique feature. As per the 2014 WHO report, globally, 20 percent of adult men and 27 percent of adult women did not meet the normal-recommendations of physical activity for health most of these being from urban settings. Objective: To assess the magnitude and determinants of physical inactivity among Ethiopian population. Methods: Community-based Cross-sectional study based on the World Health Organization (WHO) NCD Stepwise approach was conducted in Ethiopia from April to June 2015. All men and women age 15-69 years old were the target of this study. A mix of sampling approach namely stratified, three-stage cluster sampling, simple random sampling and Kish method were employed to select the study settings and the...

Background: Non-communicable diseases (NCDs), including cardiovascular diseases, diabetes mellitu... more Background: Non-communicable diseases (NCDs), including cardiovascular diseases, diabetes mellitus, cancers and chronic respiratory diseases, have remained the major burden and threat of the world with quite alarming rise in the developing nations. Eating a diet high in fruits and vegetables is associated with a decreased risk of many chronic diseases. Methods: Community-based cross-sectional survey based on the World Health Organization (WHO) NCD Stepwise approach was done. The survey was conducted in the 9 regions and two city administrations (Addis Ababa and Dire Dawa) in Ethiopia. The target population for this survey included all men and women age 15-69 years old who consider Ethiopia to be their primary place of residence. A single population-proportion formula was used to determine the sample size: design effect coefficient of 1.5, Z-score of1.96, proportion of 35.2%and marginal error of 0.04. A total of 513 EAs were covered nationwide. Thus, 10,260 study participants were in...

Ethiopian Journal of Health Development, 2017

Introduction: The burden of raised blood pressure and elevated blood glucose in sub-Saharan Afric... more Introduction: The burden of raised blood pressure and elevated blood glucose in sub-Saharan Africa has been increasing over the last couple of decades. However, a large proportion of the population with raised blood pressure and elevated blood glucose remain undiagnosed contributing to the increasing burden of the problem. There is paucity of published studies describing the burden of major NCDs in sub –Saharan Africa. Likewise, except very few studies in some pocket areas, there was no representative NCD risk factor survey undertaken in Ethiopia. This paper focuses on the data extracted from the survey on the prevalence of selected NCDs to elaborate more on the issues and to show the invisible magnitude of the two major health problems for policy and program development. Methods: A cross sectional study was conducted in Ethiopia using the WHO step-wise approach to the surveillance of NCD risk factors. The survey was carried out between April and June 2015. The data collection proce...

Ethiopian Journal of Health Development, 2017

Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available ... more Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available data demonstrate that nearly 80% of NCD deaths occur in low- and middle-income countries. Of these deaths, an estimated 1.5 million, or 4% were due to cancer. In Ethiopia, data on the preparedness of health facilities to cope with the rising epidemic of cancer are insufficient. Therefore, this survey was aimed to assess service availability and readiness for cancer health care in Ethiopia. Methods: The data used in this study is part of the 2014 Ethiopian service provision assessment survey which was conducted from 10 March to 25 July, 2014. There were a total of 873 health facilities included in this particular study. The facility inventory questionnaire collected information on whether the providers in the facility manage patients with cancer. Information about the readiness of facilities to provide good-quality client services on cancer, including the availability of guidelines and tr...

Ethiopian Journal of Health Development, 2018

Introduction : In Ethiopia, non-communicable diseases (NCDs) cause 42% of deaths, of which 27% ar... more Introduction : In Ethiopia, non-communicable diseases (NCDs) cause 42% of deaths, of which 27% are premature deaths before 70 years of age. The Disability Adjusted Life Years (DALYs) increased from below 20% in 1990 to 69% in 2015. With no action, Ethiopia will be the first among the most populous nations in Africa to experience dramatic burden of premature deaths and disability from NCDs by 2040. However, the national response to NCDs remains fragmented with the total health spending per capita for NCDs still insignificant. The focus of this paper is highlighting the burden of NCDs in Ethiopia and analyzing one of the two major WHO recommended policy issues; the status of integrated management of NCDs, in Ethiopia. NCDs are complex conditions influenced by a range of individual, social and economic factors, including our perceptions and behavior. Also, NCDs tend to be easily overlooked by individuals and policy makers due to their silent nature. Thus, effectively addressing NCDs re...

The major objective of the survey is to assess the availability and preparedness of health facili... more The major objective of the survey is to assess the availability and preparedness of health facilities in Ethiopia to provide quality Tuberculosis services. The survey was part of the 2014 Ethiopia Service Provision Assessment Plus Survey. A total of 1,327 health facilities were assessed. The results shows that more than two out of three (69%) facilities excluding health posts in Ethiopia offer any TB diagnostic, treatment or/and treatment follow up services. Among all health posts, 29% of them offer any TB diagnostic services and any treatment and/or treatment follow up services. Six in ten (59%) of facilities excluding health posts use sputum smear only to diagnose TB. Of those facilities offering any TB services more than half (60%) have trained staff. Among facilities excluding health posts offering any TB services, 44% have guidelines for diagnosis and treatment of TB, 18% have guideline for diagnosis and treatment of MDR-TB, and 9% have guideline for management of HIV and TB co...

Background: Cervix cancer is the most common cause of cancer deaths in Africa accounting for 10.4... more Background: Cervix cancer is the most common cause of cancer deaths in Africa accounting for 10.4 deaths, which represents one in five of all cancer deaths in African women Munoz et al. Sub-Saharan Africa bears the highest global burden of this fatal yet entirely preventable disease. The problem is particularly severe in sub-Saharan Africa, where the age-adjusted incidence rate is 45 per 100,000 women with Ethiopia at 35.9 per 100,000 women. Data from the Addis Ababa population based cancer registry showed that breast and cervical cancers were the leading causes of cancer, comprising 22.6% and 10.8% respectively of all cases of cancers. Methods: Community-based Cross-sectional survey based on the World Health Organization (WHO) NCD Stepwise approach was done. The survey was conducted in the 9 regions and two city administrations (Addis Ababa and Dire Dawa) in Ethiopia. The target population for this survey included all men and 15-69 years old who consider Ethiopia to be their primar...

Ethiopian Journal of Health Development, 2017

Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available ... more Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available data demonstrate that nearly 80% deaths of NCDs occur in low- and middle-income countries. Of these deaths, an estimated 1.5 million, or 4% were due to diabetes. In Ethiopia, data on the preparedness of health facilities to cope with the rising epidemic of diabetes are insufficient. Objective: This survey was aimed to assess service availability and readiness for diabetes health care. Methods: The data used in this study is part of the 2014 Ethiopian service provision assessment survey which was conducted from 10 March to 25 July, 2014. The study employed stratified random sampling designed to provide representative results for Ethiopia. In this study, health facility types managed by different management authorities were included from the eleven administrative regions of the country. There were a total of 873 health facilities included in this particular study. Data were collected using...

PLOS ONE, 2022

Introduction In 2014, the Joint United Nations Programme on HIV/AIDS set an ‘ambitious’ 90-90-90 ... more Introduction In 2014, the Joint United Nations Programme on HIV/AIDS set an ‘ambitious’ 90-90-90 target for 2020. By 2016, there were disparities observed among countries in their progress towards the targets and some believed the targets were not achievable. In this report, we present the results of data from the Ethiopia Population-based HIV Impact Assessment survey analyzed to assess progress with the targets and associated factors. Methods We conducted a nationally representative survey in urban areas of Ethiopia. Socio-demographic and behavioural data were collected from consenting participants using a structured interview. HIV testing was done following the national HIV rapid testing algorithm and seropositivity confirmed using a supplemental laboratory assay. HIV viral suppression was considered if the viral load was <1,000 RNA copies/ml. Screening antiretroviral drugs was done for efavirenz, lopinavir, and tenofovir, which were in use during the survey period. In this ana...

Heliyon

Background: Moringa stenopetala is used for medicinal and nutritional purposes. This study was, t... more Background: Moringa stenopetala is used for medicinal and nutritional purposes. This study was, therefore, conducted to assess the contribution of Moringa stenopetala based diet in reducing under nutrition in under-five children in four districts of Southern Ethiopia. Method: A community-based comparative cross-sectional study design was employed from August to September 2016 in randomly selected comparative sites among 732 under five children. Anthropometric measurements of weight and height of children were measured based on the standard measurement protocol. Regarding moringa stenopetala diet, the consumption habit was collected by using a seven days food frequency questionnaire. Amount of moringa stenopetala leaf biomass portion size consumption was measured with local measurement and converted to kilograms. Anthropometric data were analyzed using WHO Anthro software to determine the nutritional status of the child. An independent t-test was conducted to compare the mean difference of WHO-Z score of child nutritional index. Statistical mean significance difference was measured based on p-value less than 0.05 with 95% confidence level. In addition chi-square test with a p-value, less than 0.05 with a 95% confidence level was used to compare the prevalence of stunting, wasting, and underweight in moringa stenopetala based diet and non-moringa stenopetala based diet consuming area. Result: The prevalence of stunting was 19% vs. 28.8%, wasting 4.7% vs. 9.6%, and underweight 12.19% vs 13.71% in moringa stenopetala based diet consuming and non-consuming participants respectively. There was a significant difference in stunting and wasting (p < 0.05) among moringa stenopetala based diet-consuming and non-consuming participants. Conclusion: The present study showed that moringa stenopetala based diet consumption had a significant contribution in reducing under-nutrition in under-five children.

Ethiopian Journal of public health and nutrition, Nov 16, 2020

PLOS ONE

The design and evaluation of national HIV programs often rely on aggregated national data, which ... more The design and evaluation of national HIV programs often rely on aggregated national data, which may obscure localized HIV epidemics. In Ethiopia, even though the national adult HIV prevalence has decreased, little information is available about local areas and subpopulations. To inform HIV prevention efforts for specific populations, we identified geographic locations and drivers of HIV transmission. We used data from adults aged 15–64 years who participated in the Ethiopian Population-based HIV Impact Assessment survey (October 2017–April 2018). Location-related information for the survey clusters was obtained from the 2007 Ethiopia population census. Spatial autocorrelation of HIV prevalence data were analyzed via a Global Moran’s I test. Geographically weighted regression analysis was used to show the relationship of covariates. The finding indicated that uncircumcised men in certain hotspot towns and divorced or widowed individuals in hotspot woredas/towns might have contribute...

PLOS ONE

Background The HIV epidemic in Ethiopia is concentrated in urban areas. Ethiopia conducted a Popu... more Background The HIV epidemic in Ethiopia is concentrated in urban areas. Ethiopia conducted a Population-based HIV Impact Assessment (EPHIA) in urban areas between October 2017 and April 2018 to measure the status of the country’s response to the epidemic. Methods We conducted field data collection and HIV testing in randomly selected households using the national, rapid testing algorithm with laboratory confirmation of seropositive samples using a supplemental assay. In addition to self-report on HIV diagnosis and treatment, all HIV-positive participants were screened for a set of HIV antiretroviral (ARV) drugs indicative of the first- and second-line regimens. We calculated weighted frequencies and 95% confidence intervals to assess regional variation in participants’ level of unawareness of their HIV-positive status (adjusted for ARV status). Results We interviewed 20,170 survey participants 15–64 years of age, of which 19,136 (95%) were tested for HIV, 614 (3.2%) tested positive,...

Background: Consuming any form of tobacco is one of the leading causes of preventable morbidity a... more Background: Consuming any form of tobacco is one of the leading causes of preventable morbidity and mortality. Tobacco smoking has been identified as one of the major risk factors for NCDs, including cardiovascular, chronic respiratory diseases, and different cancers. Although there is national information on magnitude of tobacco use, to date there is limited nationally representative data on factors associated with tobacco use. The aim of this study is to assess the distribution and predicators of tobacco use in Ethiopian adult population between 15 -59.Objectives: The main aim of this study was to assess the prevalence of tobacco use and its predictor in Ethiopia.Methods: A cross-sectional population based study design was employed among population age from 15- 69 years. A stratified, three-stage cluster sampling was used to identify the study subjects. Households in each cluster were selected using simple random sampling method. The sampling frame was based on the population and ...

Ethiopian Journal of Health Development, 2016

Introduction: According to the 2012 national immunization coverage survey report of Ethiopia, EPI... more Introduction: According to the 2012 national immunization coverage survey report of Ethiopia, EPI coverage by antigen is 79.6% for BCG, 80.0% for DPT-HepB-Hib1 90.1% for OPV1 65.7%; for adjusted DPT-HepB-Hib 3; 65.7 % for OPV3 and 68.2% for Measles. Similarly, the prevalence of full vaccination was 50%. However, the prevalence of valid vaccination dose for all vaccines is 18.6 %. Therefore, the aim of this study is to identify factors that determine the administration of full valid vaccines dose to set effective interventions. Methods: Data was obtained from the 2012 Immunization Coverage survey of Ethiopia, a cross-sectional study administered at the household level. Data were analyzed using SPSS version 20. Binary and multivariate logistic regression with 95% CI was done to assess factors associated with getting full valid vaccination dose. Results: As documented from the 2012 national immunization coverage survey, the coverage of full valid vaccination dose were very low as compared to full immunization coverage that is 18.6% Vs 50%, respectively.

Ethiopian Journal of Health Development, Feb 7, 2018

Introduction: Among African countries, Ethiopia has a relatively high burden of road traffic inju... more Introduction: Among African countries, Ethiopia has a relatively high burden of road traffic injuries. It is challenging to accurately estimate the public health burden and causes of road traffic crash in Ethiopia. Objective: The objective of this study is to describe the prevalence and determinants of road traffic injuries in Ethiopia. Methods: A population-based cross sectional study was conducted in accordance with the World Health Organization step-wise approach to survey of non-communicable diseases risk factors. The survey was carried out between April and June 2015. Men and women adults ages 15-69 years old were the target population. A single population-proportion formula was implemented to determine the sample size. Data were entered using e-STEPS, cleaned and analysed using SPSS and Stata. Descriptive weighted analysis was done along with complex sample analysis and bivariate and multivariate analysis was conducted for RTIs and associated factors. Results: About 3% (2.7%, ...

Background: There are multiple components that will influence the provision of maternal health se... more Background: There are multiple components that will influence the provision of maternal health service including availability of infrastructure; staff deployment and presence; and availability and quality of laboratory services provided. The major objective of the survey is to assess the availability and preparedness of health facilities in Ethiopia to provide quality maternal health services.

Background: Physical activity can significantly reduce burden of NCDs. Physical activity is a low... more Background: Physical activity can significantly reduce burden of NCDs. Physical activity is a low-cost and high impact interventions that can be easily implemented among majority of the population throughout the life. Global reports show that physical inactivity has become unique feature. As per the 2014 WHO report, globally, 20 percent of adult men and 27 percent of adult women did not meet the normal-recommendations of physical activity for health most of these being from urban settings. Objective: To assess the magnitude and determinants of physical inactivity among Ethiopian population. Methods: Community-based Cross-sectional study based on the World Health Organization (WHO) NCD Stepwise approach was conducted in Ethiopia from April to June 2015. All men and women age 15-69 years old were the target of this study. A mix of sampling approach namely stratified, three-stage cluster sampling, simple random sampling and Kish method were employed to select the study settings and the...

Background: Non-communicable diseases (NCDs), including cardiovascular diseases, diabetes mellitu... more Background: Non-communicable diseases (NCDs), including cardiovascular diseases, diabetes mellitus, cancers and chronic respiratory diseases, have remained the major burden and threat of the world with quite alarming rise in the developing nations. Eating a diet high in fruits and vegetables is associated with a decreased risk of many chronic diseases. Methods: Community-based cross-sectional survey based on the World Health Organization (WHO) NCD Stepwise approach was done. The survey was conducted in the 9 regions and two city administrations (Addis Ababa and Dire Dawa) in Ethiopia. The target population for this survey included all men and women age 15-69 years old who consider Ethiopia to be their primary place of residence. A single population-proportion formula was used to determine the sample size: design effect coefficient of 1.5, Z-score of1.96, proportion of 35.2%and marginal error of 0.04. A total of 513 EAs were covered nationwide. Thus, 10,260 study participants were in...

Ethiopian Journal of Health Development, 2017

Introduction: The burden of raised blood pressure and elevated blood glucose in sub-Saharan Afric... more Introduction: The burden of raised blood pressure and elevated blood glucose in sub-Saharan Africa has been increasing over the last couple of decades. However, a large proportion of the population with raised blood pressure and elevated blood glucose remain undiagnosed contributing to the increasing burden of the problem. There is paucity of published studies describing the burden of major NCDs in sub –Saharan Africa. Likewise, except very few studies in some pocket areas, there was no representative NCD risk factor survey undertaken in Ethiopia. This paper focuses on the data extracted from the survey on the prevalence of selected NCDs to elaborate more on the issues and to show the invisible magnitude of the two major health problems for policy and program development. Methods: A cross sectional study was conducted in Ethiopia using the WHO step-wise approach to the surveillance of NCD risk factors. The survey was carried out between April and June 2015. The data collection proce...

Ethiopian Journal of Health Development, 2017

Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available ... more Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available data demonstrate that nearly 80% of NCD deaths occur in low- and middle-income countries. Of these deaths, an estimated 1.5 million, or 4% were due to cancer. In Ethiopia, data on the preparedness of health facilities to cope with the rising epidemic of cancer are insufficient. Therefore, this survey was aimed to assess service availability and readiness for cancer health care in Ethiopia. Methods: The data used in this study is part of the 2014 Ethiopian service provision assessment survey which was conducted from 10 March to 25 July, 2014. There were a total of 873 health facilities included in this particular study. The facility inventory questionnaire collected information on whether the providers in the facility manage patients with cancer. Information about the readiness of facilities to provide good-quality client services on cancer, including the availability of guidelines and tr...

Ethiopian Journal of Health Development, 2018

Introduction : In Ethiopia, non-communicable diseases (NCDs) cause 42% of deaths, of which 27% ar... more Introduction : In Ethiopia, non-communicable diseases (NCDs) cause 42% of deaths, of which 27% are premature deaths before 70 years of age. The Disability Adjusted Life Years (DALYs) increased from below 20% in 1990 to 69% in 2015. With no action, Ethiopia will be the first among the most populous nations in Africa to experience dramatic burden of premature deaths and disability from NCDs by 2040. However, the national response to NCDs remains fragmented with the total health spending per capita for NCDs still insignificant. The focus of this paper is highlighting the burden of NCDs in Ethiopia and analyzing one of the two major WHO recommended policy issues; the status of integrated management of NCDs, in Ethiopia. NCDs are complex conditions influenced by a range of individual, social and economic factors, including our perceptions and behavior. Also, NCDs tend to be easily overlooked by individuals and policy makers due to their silent nature. Thus, effectively addressing NCDs re...

The major objective of the survey is to assess the availability and preparedness of health facili... more The major objective of the survey is to assess the availability and preparedness of health facilities in Ethiopia to provide quality Tuberculosis services. The survey was part of the 2014 Ethiopia Service Provision Assessment Plus Survey. A total of 1,327 health facilities were assessed. The results shows that more than two out of three (69%) facilities excluding health posts in Ethiopia offer any TB diagnostic, treatment or/and treatment follow up services. Among all health posts, 29% of them offer any TB diagnostic services and any treatment and/or treatment follow up services. Six in ten (59%) of facilities excluding health posts use sputum smear only to diagnose TB. Of those facilities offering any TB services more than half (60%) have trained staff. Among facilities excluding health posts offering any TB services, 44% have guidelines for diagnosis and treatment of TB, 18% have guideline for diagnosis and treatment of MDR-TB, and 9% have guideline for management of HIV and TB co...

Background: Cervix cancer is the most common cause of cancer deaths in Africa accounting for 10.4... more Background: Cervix cancer is the most common cause of cancer deaths in Africa accounting for 10.4 deaths, which represents one in five of all cancer deaths in African women Munoz et al. Sub-Saharan Africa bears the highest global burden of this fatal yet entirely preventable disease. The problem is particularly severe in sub-Saharan Africa, where the age-adjusted incidence rate is 45 per 100,000 women with Ethiopia at 35.9 per 100,000 women. Data from the Addis Ababa population based cancer registry showed that breast and cervical cancers were the leading causes of cancer, comprising 22.6% and 10.8% respectively of all cases of cancers. Methods: Community-based Cross-sectional survey based on the World Health Organization (WHO) NCD Stepwise approach was done. The survey was conducted in the 9 regions and two city administrations (Addis Ababa and Dire Dawa) in Ethiopia. The target population for this survey included all men and 15-69 years old who consider Ethiopia to be their primar...

Ethiopian Journal of Health Development, 2017

Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available ... more Background: Non-communicable diseases (NCDs) are the leading causes of death globally. Available data demonstrate that nearly 80% deaths of NCDs occur in low- and middle-income countries. Of these deaths, an estimated 1.5 million, or 4% were due to diabetes. In Ethiopia, data on the preparedness of health facilities to cope with the rising epidemic of diabetes are insufficient. Objective: This survey was aimed to assess service availability and readiness for diabetes health care. Methods: The data used in this study is part of the 2014 Ethiopian service provision assessment survey which was conducted from 10 March to 25 July, 2014. The study employed stratified random sampling designed to provide representative results for Ethiopia. In this study, health facility types managed by different management authorities were included from the eleven administrative regions of the country. There were a total of 873 health facilities included in this particular study. Data were collected using...