53 research outputs found

    Social Exclusion and Early or Unwanted Sexual Initiation Among Poor Urban Females in Ethiopia

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    Context: Numerous studies of adolescent sexual behavior have explored factors associated with early sexual debut. However, few studies have examined the role of social exclusion and marginalization in relation to early and unwanted sexual initiation. Methods: A population-based study of 1,837 out-of-school females aged 10-19 was conducted in three low-income urban areas of Ethiopia in 2008. Descriptive and multivariate analyses were used to identify characteristics associated with having experienced coerced sexual initiation and sexual debut before age 15. Results: Nearly half (48%) of the young women in the sample were domestic workers, and many reported significant social exclusion, including lack of friends, community support networks and group membership. Overall, 23% reported being sexually experienced and 27% of those had first had sex before age 15. Compared with other young women, domestic workers were significantly more likely to have had sex before age 15 (odds ratio, 3.3), and to have been coerced into having sex (1.8). Social exclusion was associated with significantly higher odds of coerced first sex (2.0). Conclusions: Programs for female adolescents should build their social capital and inclusion, as well as provide opportunities for them to stay in school and obtain positive and nonexploitive forms of work

    Adolescent girls in urban Ethiopia: Vulnerability and opportunity

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    In 2008, the Population Council undertook a survey of out-of-school, adolescent girls (aged 10 to 19) in slum areas of urban Ethiopia—a population that is highly vulnerable to HIV infection. The survey serves as a baseline for HIV prevention programs designed and implemented jointly by the Ministry of Youth and Sports, Regional Bureaus of Youth and Sports, and the Population Council. This study provided valuable direction for programmers interested in supporting adolescent girls, particularly early adolescent (10 to 14 years old) and out-of-school girls who are highly vulnerable and in need of dedicated attention. Special efforts are needed to support the sizable population of girls living away from parents, often engaged in domestic work, which typically involves long hours, low pay, and exploitative conditions. Explicit messaging is also needed on nonconsensual and transactional sex, the risk of HIV transmission within marriage, and to promote the condom as an appropriate family planning and disease prevention method within marriage

    Technology and Customers’ Experiences in Fashion Physical Stores: The Case of Sweden

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    Title: Technology and Consumers’ Experiences in Fashion Physical Stores: The Case of Sweden Level: Master Thesis in Business Administration Author: Meron Kebede Abebaw; Willard Kingstone Matukuta Supervisor: Agneta Sundström, PhD Examiner: Maria Fregidou-Malama, PhD Date: May, 2018  Aim: The aim of this study is to analyze whether in-store digital technology in fashion retailers are used to change the customers’ shopping experience and behavior. Method: This study chooses qualitative research and used both primary and secondary data collection as method. Results and conclusions: This study have reached to conclude that: with the current advances in technology, physical stores can use in-store technology to give customers a new experience; physical stores perceive that using in-store digital technology will change customers shopping experience. Also, marketing mix inputs and technology affect customers’ behavior. Suggestions for future research: For future research, how smart fitting rooms may influence the customer experience in the physical store will be important to study. Researchers can also consider understanding customer responses to in-store technology. Finally, a customer’s perspective to both suggestions should improve the knowledge on whether digital solutions are preferred in in-store shopping or not. Contributions of the thesis: This thesis contributes to the current state of theories on in-store technology by showing atmosphere has effect on customers’ experiences and behavior in addition to the marketing mix. On the managerial perspective, analyzing the installation of this technology will enable to identify its effect on customers’ experiences and behavior. In addition, on the societal perspective, the behavior of customers will help in motivating younger generation to utilize this in-store technology

    Addis Birhan project: Working with boys and men to address young girls\u27 social vulnerability

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    In Ethiopia, the Ethiopia Ministry of Youth and Sports, the Amhara Regional Bureau of Youth and Sports, and the Population Council implemented programs for vulnerable girls. As these programs increased in popularity, demand for support programs arose from husbands. Qualitative, in-depth interviews were undertaken among adolescents, men, and women in the Amhara Region, exploring the roles of men and women, risk-taking behavior, and patterns of HIV and reproductive health vulnerability. Addis Birhan (“New Light”), a program of the Regional Bureaus of Youth and Sports in Amhara and Tigray and the Population Council for rural men in Ethiopia, targets married men in peri-urban and rural areas in northern Ethiopia. Based on existing curricula from Population Council India, Promundo, and EngenderHealth, the Population Council Ethiopia tailored a curriculum for rural Ethiopian men. Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 6 describes this program and a curriculum that includes modules on gender, relationships, caring for children and families, drugs and alcohol, HIV and AIDS, sexual and reproductive health, and violence

    Five-Year Trend Analysis of Malaria Prevalence in Dembecha Health Center, West Gojjam Zone, Northwest Ethiopia: A Retrospective Study

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    Background. Malaria is a mosquito-borne infectious disease known to cause significant numbers of morbidities and mortalities across the globe. In Ethiopia, its transmission is generally seasonal and highly unstable due to variations in topography and rainfall patterns. Studying the trends in malaria in different setups is crucial for area-specific evidence-based interventions, informed decisions, and to track the effectiveness of malaria control programs. The trend in malaria infections in the area has not been documented. Hence, this study aimed to assess the five-year trend in microscopically confirmed malaria cases in Dembecha Health Center, West Gojjam Zone, Amhara national regional state, Ethiopia. Methods. A health facility-based retrospective study was conducted in Dembecha Health Center from February to April 2018. All microscopically confirmed malaria cases registered between 2011/12 and 2015/16 were carefully reviewed from laboratory record books and analyzed accordingly. Results. A total of 12,766 blood films were requested over the last five years at Dembecha Health Center. The number of microscopically confirmed malaria cases was 2086 (16.34%). The result showed a fluctuating yet declining trend in malaria infections. The highest number of cases was registered in 2012/13, while the lowest was in 2015/16. Males and age groups >20 constituted 58.9% and 44.2% of the patients, respectively, being the hardest hit by malaria in the area. Malaria existed in almost every month and seasons. Plasmodium falciparum was the predominant species. The highest peak of malaria infections was observed in the late transition (October-December) 799 (38.3%) and early transition (May-June) 589 (28.2%) seasons. Conclusion. Although the results indicate a fluctuating yet declining trend, the prevalence of confirmed malaria cases in the area remains alarming and indicates a major public health burden. Therefore, close monitoring and intervention measures to control malaria infections in the area and also to tackle the dominant species, Plasmodium falciparum, are necessitated accordingly

    Parent-Child Communication and Reproductive Health Behaviors: A Survey of Adolescent Girls in Rural Tanzania

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    Adolescents who communicate with their parents about sexual and reproductive health are more likely to make healthy decisions. This study uses data from a survey conducted in Tabora, Tanzania (N= 1,966 unmarried girls; 425 sexually-experienced).  Multivariate logistic regression models are estimated to examine associations between parent-child communication and reproductive health outcomes, controlling for respondent and parent characteristics and socio-demographic factors. Among sexually-experienced girls, communication about HIV/AIDS was associated with greater odds of use of family planning, condom at first sex, consistent condom use and HIV testing. Alternately, communication about sexual relations was associated with lower odds of family planning use, while communication on family planning was associated with earlier initiation of sex. Findings indicate the content of parental sexuality communication is an important consideration for adolescent behavior.  Interventions should not only engage parents, but also provide guidance on how to communicate clearly and comprehensively about sexuality, contraceptive use and HIV/AIDS

    Evaluation of \u27Biruh Tesfa\u27 (Bright Future) program for vulnerable girls in Ethiopia

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    Adolescent girls in sub-Saharan Africa are disproportionately affected by HIV/AIDS compared to boys of the same age. Few programs on the continent have sought to address the social exclusion of most marginalized girls in the poorest communities, including child domestic workers and migrants, as well as their vulnerability to HIV. Moreover, few interventions have been rigorously evaluated. “Biruh Tesfa” (Bright Future) program is for poorest adolescent girls in urban Ethiopia and aims to build their social support and improve skills to prevent HIV infection. The project uses a combination of house-to-house recruitment, formation of girls’ groups by female mentors, and education on HIV/AIDS, life skills, and basic literacy. A quasi-experimental research design involving pre- and post-intervention surveys in experimental and control areas was used to measure changes in social safety nets, HIV knowledge, and prevention capabilities. Descriptive and multivariate analyses were conducted. At endline, girls in the intervention sites were more than twice as likely to report social support (odds ratio (OR) = 2.0) compared to girls in the control site. They were also twice as likely (OR = 1.9) to score highly on HIV knowledge questions, to know where to obtain voluntary counseling and testing (OR = 2.0) and to want to be tested (OR = 1.9). “Biruh Tesfa” is one of a few rigorously evaluated support programs targeted at vulnerable girls in sub-Saharan Africa. The positive changes suggest that well-designed programs can reach and effectively support the most vulnerable girls in the poorest areas, such as child domestic workers and rural-urban migrants

    Psychometric Properties of the Caring Behaviors Inventory-16 in Ethiopia

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    Background: The Caring Behaviors Inventory-16 (CBI-16) is a comprehensive instrument measuring caring behaviors as experienced by patients. The study aimed to translate, culturally adapt and evaluate the psychometric properties of the CBI-16 among adult patients who speak the Amharic language. Methods: The measure was completed by 304 hospitalized patients. Construct validity was evaluated via exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and contrasted groups' validity. Total CBI-16 scores were compared between groups that differed in self-rated satisfaction with care (Patient Satisfaction Instrument) to examine the contrasted groups' validity. Reliability was assessed using internal consistency (Cronbach's alpha). Results: The EFA suggested a four-factor model accounting for 66.1% of the total variance. The items loaded onto the subscales were similar to the CBI-24. The CFA supported the four-factor model with acceptable fit indices: normed Chi-square value 2.65 (X2 = 259.60, df = 98), SRMR = 0.06, and RMSEA = 0.07, CFI = 0.88 and TLI = 0.86. The contrasted groups' validity was supported by significantly higher CBI-16 scores reported by patients more satisfied with their care (t = 3.66, p < 0.001). The reliability of the instrument was satisfactory (Cronbach's alpha = 0.83). Conclusions: The Amharic version of the CBI-16 displayed a four-factor solution and was shown to be a valid and reliable instrument for the assessment of the perceptions of caring behaviors in Ethiopia
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