A5082702781- Global Maternal and Child Health
- Mental Health Treatment and Access
- Tuberculosis Research and Epidemiology
- Child Nutrition and Water Access
- Parasites and Host Interactions
- Schizophrenia research and treatment
- Child and Adolescent Psychosocial and Emotional Development
- Maternal Mental Health During Pregnancy and Postpartum
- Mycobacterium research and diagnosis
- Family Caregiving in Mental Illness
- Healthcare Systems and Reforms
- Poverty, Education, and Child Welfare
- Diagnosis and treatment of tuberculosis
- Parasite Biology and Host Interactions
- HIV/AIDS Impact and Responses
- Malaria Research and Control
- Mosquito-borne diseases and control
- Infectious Diseases and Tuberculosis
- HIV/AIDS Research and Interventions
- Hepatitis B Virus Studies
- Pneumocystis jirovecii pneumonia detection and treatment
- Viral Infections and Vectors
- Migration, Health and Trauma
- Epilepsy research and treatment
- Food Security and Health in Diverse Populations
Addis Ababa University
2016-2025
King's College London
2009-2024
Kenya Medical Research Institute
2023-2024
Wellcome Trust
2023-2024
Maastricht University
2023
Hawassa University
2021-2023
University of Groningen
2023
Jimma University
2021-2022
Tulane University
2022
University of Oxford
2021
Background Little is known about how to tailor implementation of mental health services in low- and middle-income countries (LMICs) the diverse settings encountered within between countries. In this paper we compare baseline context, challenges opportunities districts five LMICs (Ethiopia, India, Nepal, South Africa Uganda) participating PRogramme for Improving Mental carE (PRIME). The purpose was inform development a comprehensive district plan integrate into primary care. Methods A...
HIV infection has been modifying both the epidemiology and outcome of parasitic infections. Hence, this study was undertaken to determine prevalence intestinal among people with without its association diarrhea CD4 T-cell count.A cross-sectional conducted at Hawassa Teaching Referral Hospital focusing on positive individuals, who gave blood for count their first enrollment clients tested negative from November, 2008 March, 2009. Data socio-demographic factors status were obtained by...
Evidence on mortality in severe mental illness (SMI) comes primarily from clinical samples high-income countries.To describe people with SMI among a population cohort low-income country.We followed-up 919 adults (from 68 378 screened) over 10 years. Standardised ratios (SMR) and years of life lost (YLL) as result premature were calculated.In total 121 patients (13.2%) died. The overall SMR was twice that the general population; higher for men schizophrenia. Patients died about three decades...
Summary Objectives To examine the impact of antenatal psychosocial stressors, including maternal common mental disorders (CMD), upon low birth weight, stillbirth and neonatal mortality, other perinatal outcomes in rural Ethiopia. Methods A population‐based sample 1065 pregnant women was assessed for symptoms CMD (Self‐Reporting Questionnaire‐20: SRQ‐20), stressful life events during pregnancy (List Threatening Experiences: LTE) worry about forthcoming delivery. In a sub‐sample 654 from six...
Child undernutrition is a major public health problem in low income countries. Prospective studies of predictors infant growth rural low-income country settings are relatively scarce but vital to guide intervention efforts. A population-based sample 1065 women the third trimester pregnancy was recruited from demographic surveillance site (DSS) Butajira, south-central Ethiopia, and followed up until infants were one year age. After standardising weight length using 2006 WHO child standard,...
The integration of maternal mental health into primary care has been advocated to reduce the treatment gap in low- and middle-income countries (LMICs). This study reports findings a cross-country situation analysis on services available five LMICs, inform development integrated care. was conducted districts Ethiopia, India, Nepal, South Africa Uganda, as part Programme for Improving Mental Health Care (PRIME). secondary data prevalence impact priority disorders (perinatal depression, alcohol...
Non-adherence to tuberculosis (TB) treatment can result in an emergence of new strains, prolonged infectiousness, drug resistance and poor outcomes. Thus, assessment the level adherence anti-TB treatment, outcomes identifying factors associated with non-adherence are vital for improving TB study area. The main objectives current were assess among patients taking identify non-adherence. Whereas, secondary previously treated at health institutions Alamata District, northeast Ethiopia.In a...
Background Developing evidence for the implementation and scaling up of mental healthcare in low- middle-income countries (LMIC) like Ethiopia is an urgent priority. Aims To outline a plan (MHCP), as scalable template rural Ethiopia. Method A mixed methods approach was used to develop MHCP three levels district health system (community, facility organisation). Results The community packages were case detection, reintegration inclusion. included capacity building, decision support staff...
As part of a situational analysis for research programme on the integration mental health care into primary (Programme Improving Mental Health Care-PRIME), we conducted baseline study aimed at determining broad indicators population level psychosocial distress in predominantly rural community Ethiopia. The was population-based cross-sectional survey 1497 adults selected through multi-stage random sampling process. Population evaluated by estimating magnitude common disorder symptoms (CMD;...
Though tuberculosis (TB) is preventable and curable, its global burden remains enormous. Similarly, TB one of the major public health problems in Ethiopia, particularly geographically isolated areas like Shinile town. The people town, Somali Regional State are underserved all forms care suffer from high TB. Low level knowledge about could affect health-seeking behavior patients sustain transmission disease within community. Therefore, current study was undertaken town with objective...
AimsSuicidal behaviour is an under-reported and hidden cause of death in most low- middle-income countries (LMIC) due to lack national systematic reporting for cause-specific mortality, high levels stigma religious or cultural sanctions. The information on non-fatal suicidal (ideation, plans attempts) LMIC a major barrier design implementation prevention strategies. This study aims determine the prevalence within community- health facility-based populations LMIC.Twelve-month ideation,...
Most women with postpartum depression (PPD) in low- and middle-income countries remain undiagnosed untreated, despite evidence for adverse effects on the woman her child. The aim of this study was to identify coping strategies used by PPD symptoms rural Ethiopia inform development socio-culturally appropriate interventions. A population-based, cross-sectional conducted a predominantly district southern Ethiopia. All live infants between one 12 months post-partum (n = 3147) were screened...
Background Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings. Aims To describe cross-country research methods used to evaluate district-level healthcare plans (MHCPs) Ethiopia, India, Nepal, South Africa Uganda. Method Multidisciplinary conducted community, facility district levels, embedded within a theory change. Results The following designs are employed MHCPs: (a) repeat community-based...
Toxoplasma gondii infections during pregnancy can result in abortion or congenital defects. Prevalence and risk factors of toxoplasmosis women child-bearing age Ethiopia are unknown. The current study was conducted with the objectives estimating seroprevalence potential acquiring T. infection by Central Ethiopia. A cross-sectional from March 2011 to September 2011. Sera 425 were analyzed indirect enzyme linked immunosorbent assay (ELISA). questionnaire survey administered for all...
In developing countries, children under the age of five years who live in slums are highly vulnerable to diarrhea. However, there is a paucity information on relationship between sanitation facilities and hygienic conditions acute diarrhea among under-five slum areas Addis Ababa, Ethiopia. Therefore, this study examines Ababa identifies main factors significantly associated with aged 0-50 months those slums.
There is limited evidence on the acceptability, feasibility and cost-effectiveness of task-sharing interventions to narrow treatment gap for mental disorders in sub-Saharan Africa. The purpose this article describe rationale, aims methods Africa Focus Intervention Research Mental health (AFFIRM) collaborative research hub. AFFIRM investigating strategies narrowing four areas. First, it assessing feasibility, acceptability by conducting randomised controlled trials Ethiopia South Task-sharing...
Context A robust evidence base is now emerging that indicates treatment for depression and alcohol use disorders (AUD) delivered in low middle-income countries (LMIC) can be effective. However, the coverage of services these conditions most LMIC settings remains unknown. Objective To describe methods a repeat cross-sectional survey to determine changes contact probable AUD four districts, present baseline findings regarding coverage. Methods Population-based surveys with structured...
Although alcohol use disorders contribute a high proportion of population disease burden, the treatment gap is large, especially in low- and middle-income countries. To narrow this gap, contextually relevant evidence needed to inform service development country settings. The aim study was assess magnitude for disorder, help-seeking behavior, stigma barriers care among people with disorder rural Ethiopia. A cross-sectional, house-to-house survey conducted Sodo district, south sample 1500...
Community-based rehabilitation (CBR) is recommended to address the social and clinical needs of people with schizophrenia in resource-poor settings. We evaluated effectiveness CBR at reducing disability 12 months who had disabling illness after having opportunity access facility-based care for 6 METHODS: This cluster-randomised controlled trial was conducted a rural district Ethiopia. Eligible clusters were subdistricts Sodo that not participated pilot study. Available randomised (in 1:1...
Evidence on the effectiveness of community-based health insurance (CBHI) in low-income countries is inconclusive. This study assessed impact CBHI service utilization and financial risk protection Ethiopia.We conducted a comparative cross-sectional nested within larger national household survey 2020. Data was collected from three groups households-CBHI member households (n = 1586), non-member implementing woredas 1863), non-CBHI 789). Indicators utilization, out-of-pocket spending,...