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Sub-Saharan Africa, the poorest region worldwide, has only recently begun to fully address the issues of meeting the water needs of its rapidly growing population, to reduce the deepening poverty besetting the region and to accelerate economic growth. The Nile Basin, characterized by sharp spatial and temporal variations in water resources and including countries with different economies, social and political structures and capacities, illustrates the challenges of developing and managing the waters of the Nile River and its tributaries, lakes and wetlands equitably among its 10 riparian countries. Ethiopia, the major source of the Nile but one of the poorest countries in the Nile Basin, has recently begun to implement plans to harness more Nile water through hydroelectric and irrigation development both for national use and for transboundary development as part of the Nile Basin Initiative. The Ethiopian government and communities, by using different management approaches and resources, are trying to boost water, energy and food production, strengthen conservation efforts and mitigate potential repercussions of water resources development. These initiatives and programs have not been comprehensively examined. In this study, the editors address these and other issues surrounding water resources management in all economic and water sectors in Ethiopia within the setting of the Nile Basin, the first comprehensive treatment of this subject. The wide scope of this book is consistent with the tenets of integrated water resources management, which demand that all water uses be managed in an integrated fashion for optimum and sustainable benefits to all water users, both humans and ecosystems. This book reveals the impacts of various resource management approaches and practices in Ethiopia and the Nile Basin. Specifically, it examines how deforestation and prevailing land use practices have exacerbated soil aridity and flood events, why irrigated agriculture and hydropower development have caused floodplain degradation, livelihood hardships and water-related diseases, where industrial and agricultural development is increasingly polluting water resources, how household water supplies can be obtained through rainwater harvesting and the dependence on hydropower reduced through alternative energy sources and how misguided government policies have impeded efforts to deal with these and other challenges. Results reveal dynamic interrelationships between these processes and identify the human and environmental driving forces, which must be understood in effective integrated water resources management. Another unique contribution of this book is the examination of the role of government and communities in managing water resources in Ethiopia. Results show that the top-down approach used by the socialist Derg government in soil and water conservation and social programs exacerbated water problems and reduced community participation. Moreover, the failure of its economic program reduced agricultural production, increasing dependency on relief food and further impeding community initiatives in soil and water conservation activities. Many elements of central planning persist in spite of the decentralization drive by the current government, but there is evidence that integration of the top-down and bottom-up approaches to water resources management is necessary (and feasible) to strengthen and up-scale programs to the national level. The book identifies a number of customary water and soil management practices and institutions that may strengthen especially community-based rainwater harvesting, small-scale irrigation, reforestation, soil and water conservation and flood control efforts. This is an important book for researchers and students of resources management, rural development, hydrology and African studies.
The pressing need to break the silence on non-consensual sex among young people – an issue shrouded by denial, underreporting and stigma – is self-evident. Despite the growing body of research regarding young people’s sexual behaviours, the study of coercive sexual experiences has generally been overlooked by both researchers and national programmes. Available evidence has been scattered and unrepresentative and despite this evidence, non-consensual sex among young people is perceived to be a rare occurrence. This volume dispels any such misconception. It presents a disturbing picture of non-consensual sex among girls as well as boys, and among married as well as unmarried young women in a variety of settings. This volume documents, moreover, the expanse of non-consensual experiences that young people face – from unwanted touch to forced penetrative sex and gang rape. Although the focus is on young females, the volume also sheds light on the experience of young males as both victims and perpetrators. This pioneering volume highlights key factors placing young people at risk, whilst outlining the significant distinctive health and social implications they face. Sex Without Consent also documents the unsupportive – and sometimes abusive or negligent – roles of families, teachers, health care providers and law enforcement agents, outlines promising efforts intended to prevent non-consensual sex or support survivors, and argues for profound changes in norms and values that tolerate or encourage non-consensual sex. The editors, based at the Population Council (New Delhi), the World Health Organization (Geneva), and Family Health International (Virginia) argue compellingly for a radical review and reform of existing programmes designed to prevent this kind of abuse and to support young survivors of sexual trauma in the developing world. Addressing the magnitude, determinants and consequences of sex without consent, this volume provides evidence-based directions for programming.
Solid waste management generates big challenges for society due to its large variability in production and composition, and because of its sanitary and environmental impacts. To contribute in facing this situation, this book includes a worldwide overview of experiences and conceptual and technical developments attained through research and development projects. In addition to minimizing generation, considered as the most desirable practice, it includes alternatives of valuation for potentially recoverable waste and strategies to reduce final conditioning and disposition risks. The book includes contextual technical, economical, political and social aspects aimed at proposing integral solutions for the solid waste management.
As a low-income country, Ethiopia has made impressive progress in improving health outcomes. This report examines how Ethiopia s Health Extension Program (HEP) has contributed to the country s move toward Univeral Health Coverage (UHC), and to shed light on how other countries may learn from Ethiopia s experiences of HEP when designing their own path to UHC. HEP is one of the government s UHC strategies introduced in a context of limited resources and low coverage of essential health services. The key aspects of the program include the capacity building and mobilization of more than 30, 000 Health Extension Workers (HEWs) targeting more than 12 million model families, and the mobilization of health development army ? to support the community-based health system. Using the HEP-UHC conceptual model and data from Demographic and Health Surveys, the study examines how the HEP has contributed to the country s move toward UHC. During the period that the HEP has been implemented, the country has experienced significant improvements in many dimensions: in terms of socioeconomic, psychological, behavioral, and biological dimensions of the beneficiaries; and in terms of the coverage of health care services. The study finds an accelerated rate of improvements among the rural, less-educated, and the poor population, which is leading to an overall reduction in equity gaps and improvements in the equity indicators including the concentration indices - that suggest a more equitable distribution of resources and health outcomes. The HEP in Ethiopia has demonstrated that an institutionalized community approach is effective in helping a country make progress toward UHC. The elements of success in the HEP include the emphasis on community mobilization which identifies community priorities, engages and empowers community members, and supports their ability to solve local problems. The other aspect of HEP is the emphasis on institutionalization of the activities, which addresses the sustainability of community programs through high level of political commitment, and effective coordination of national policies and leveraging of support from partners. These findings may offer useful lessons for other low income countries facing similar challenges in developing and implementing a sustainable UHC strategy.
This book provides a critical and decolonial analysis of gender and development theory and practice in religious societies through the presentation of a detailed ethnographic study of conjugal violence in Ethiopia. Responding to recent consensus that gender mainstreaming approaches have failed to produce their intended structural changes, Romina Istratii explains that gender and development analytical and theoretical frameworks are often constructed through western Euro-centric lenses ill-equipped to understand gender-related realities and human behaviour in non-western religious contexts and knowledge systems. Instead, Istratii argues for an approach to gender-sensitive research and practice which is embedded in insiders’ conceptual understandings as a basis to theorise about gender, assess the possible gendered underpinnings of local issues and design appropriate alleviation strategies. Drawing on a detailed study of conjugal abuse realities and attitudes in two villages and the city of Aksum in Northern Ethiopia, she demonstrates how religious knowledge can be engaged in the design and implementation of remedial interventions. This book carefully evidences the importance of integrating religious traditions and spirituality in current discussions of sustainable development in Africa, and speaks to researchers and practitioners of gender, religion and development in Africa, scholars of non-western Christianities and Ethiopian studies, and domestic violence researchers and practitioners.