22 research outputs found

    Men's Attitude towards Contraceptive Use in Ethiopia: A Multilevel Analysis of 2000 Ethiopian Demographic and Health Survey

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    In Ethiopia, family planning program is women slanting. Men '.r exclusion fromfamily planning strongly affects their preferred family size and attitude towardscOnlraceptive use. Some researchers also concluded toot women's attitude towardscontraception is strongly affected by their husband's attitudes. This article isdesigned to examine the influence of husband's attitude towards couple's currentcontraceptive use in Ethiopia. The 2000 Ethiopian Demographic Health Su",ey datais used as main data source. The qualitative data is also collected rhrough in·depthinte",iew from thirty·six currently married men in four regions (Tigray, Amhara,Oromiya and SNNPR). BOlh bivariate and multivariate analyses are applied in thestudy. Multilevel modeling was also further developed to identify the possiblecommunity level variation on couple 's current contraceptive use. Both bivariate andmultivariate analysis results showed that husband's approval of contraceptive /Lieand couple communicarion are statistically signijicanJ (at p<O.OI level ofsignificance) in contraceptive use, indicating that husbands who approve and discussfamily planning with partners oove positive altitude towards contraceptive use.Moreover, significant community level variations have beet! found in the multilevelmodel, demonstraring rhe existence of variation in husbands' attitude towardscontraceptive use across communities. The author suggests thaI the policy effortshould be made to enable men for realizing the positive consequence of theirapproval and discussion regarding family planning. Furthermore, the exisringfamilyplanning program in Ethiopia should focus on changing men's altitude towardsfamily planning

    Improved microscopical diagnosis of pulmonary tuberculosis in developing countries

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    The diagnosis of pulmonary tuberculosis (TB) relies on the bacteriological examination of sputum. However, microscopy of smears made directly from sputum has a low sensitivity and there is an urgent need for improved methods. We have compared microscopy of smears made directly from sputum with microscopy after liquefaction of sputum with household bleach (NaOCl) and concentration of bacteria by centrifugation. In 3 studies performed in Ethiopia and India, the use of the NaOCl method increased the number of samples positive for acid-fast bacilli by more than 100%. The technique is appropriate for developing countries and its application would increase the efficiency of TB control programmes. As a potent disinfectant, NaOCl also has the advantage of lowering the risk of laboratory infection

    The use of rats to detect drug-resistant TB

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    Abstract: Although detection of drug-susceptible TB by Anti-Per-soonsmijnen Ontmijnende Product Ontwikkeling-trained African giant pouched rats has been known for more than a decade, the detection of drug-resistant TB (DR-TB) using rats has never been explored before. We present what we believe to be the first report on rifampicin-resis-tant TB (RR-TB) detected using Xpert (R) MTB/RIF Ultra, comparably identified by rats sniffing sputum samples from presumptive TB patients: 88% of RR-TB detected us-ing Ultra were identified by the rats. Further evaluation of the usefulness of rats for large-scale DR-TB contact triage testing is needed, especially in low-and middle-income countries, where resources are limited
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