Research Evidence Impact - Tegene's page

21/10/2025

Is demographic rift in the making in rural Ethiopia?
I have been working on a large national research project (Ethiopia) and, while analyzing household population data, I became curious about the population structure by age and s*x. In reviewing the results, two age groups stood out: 20–29 and 40–49 years.
There is a significant s*x imbalance:
• 20–29 years: Female-dominated (44% more females than males)
• 40–49 years: Male-dominated (56% more males than females)
This raises important questions:
• What is happening to males aged 20–29 in those woredas?
• What is happening to females aged 40–49 in those woredas?
Understanding the underlying reasons—such as migration or other demographic factors—is crucial to prevent or mitigate the potential negative impacts of this s*x imbalance, including:
• Social crises: Marriage-related challenges, family disruption (divorce, polygamy)
• Mental health issues: Widespread loneliness among men, increased harassment or vulnerability among women
• Economic instability: Labor market distortions, strained social safety nets
• Unplanned urbanization

16/05/2022

This might be helpful for those of you wanted it. A very good training.

27/03/2022

Why good implementation of health extension program matter in Ethiopia?
Maternal health continuum of care is an integrated service delivery of antenatal care, facility delivery and postnatal care on appropriate time and place. Continuum of care averts more maternal mortality than individual service provision. In Ethiopia a small percent of women complete continuum of care. Previous studies in Ethiopia explored the effect of time on CoC, however the effect of place of service delivery on subsequent continuum of care were not addressed.

This study, therefore, assessed the effect of place of service delivery on completion of subsequent continuum of care using data from 1431 fixed cohort of women during the National HEP assessment survey.

The proportion of women who took all essential maternal health services was very low. Whether first antenatal care is at health post or at health centre did not have a significant effect on the completion of maternal health continuum of care. Adherence to the existing recommendations of Ministry of Health for antenatal care visit increases the uptake of maternal health continuum of care. Better completion of maternal health services was observed in agrarian than pastoralist areas, among those who have exposure to health extension program, who have information about danger signs, and who deliver their previous child at health facility.

We can conclude that good implementation of the health extension program, and improving service quality at health facilities increase the uptakes of maternal health service. Moreover, promoting adherence of women to the ministry of health ANC recommendations increase uptakes.

Please read the full article by clicking the adjacent link. Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter? - PubMed (nih.gov)

10/06/2020

Here is the third reproductive health lecture series 3: deals more with safe motherhood and its major pillars.
Comments, suggestions, and questions welcome!

This lecture series deals more with safe motherhood; the rationale of safe motherhood and the pillars of safe motherhood.

01/06/2020

የከፍተኛ ትምህርትና ስልጠና ተማሪዎችና መምህራን ያለክፍያ በዲጂታል ላይበራሪ እንዲጠቀሙ ተወሰነ፡፡
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የኮቪድ 19 ወደ አገራችን መግባቱን ተከትሎ የከፍተኛ ትምህርትና ስልጠና (የዩኒቨርስቲዎችና ቴክኒክና ሙያ ትምህርትና ስልጠና) መቋረጡ እና ትምህርትን በቴክኖሎጂ አስደግፎ በኦንላይን የማስቀጠል ሥራ እየተሰራ እንደሆነ ይታወቃል፡፡

የሳይንስና ከፍተኛ ትምህርት ሚኒስቴር ትምህርትን በኦንላይን ሲያቀርብ የተማሪዎችን ኢኮኖሚያዊ አቅም በመገንዘብ በነፃ መጠቀም ለማስቻል ከኢትዮ ቴሌኮም ጋር እየሰራ መሆኑን መግለፃችን ይታወሳል፡፡

በዚሁ መሰረት ከዛሬ ጀምሮ የሚኒስቴር መስሪያ ቤቱ ያዘጋጀውን የዲጂታል ላይበራሪ ተማሪዎችና መምህራን ገብተው ሲጎበኙ ከከፍያ ነፃ ወይም ዜሮ ሬቲንግ እንዲሆን ተወስኗል፡፡

የሳይንስና ከፍተኛ ትምህርት ሚኒስቴር Ethio telecom ላደረገው ከፍተኛ ድጋፍ እያመሰገነ የከፍተኛ ትምህርትና ስልጠና ማህበረሰቡ በ http://ndl.ethernet.edu.et/ ገብታችሁ የነፃ አገልግሎቱን እንድታገኙ እየጋበዘ ተማሪዎችና መምህራን የኦንላይን መማር ማስተማር ሂደቱን በዚሁ አግባቡ እንድትቀጥሉ ያሳስባል፡፡

ቤተመፃህፍቱ ከ80 ሺህ በላይ ማጣቀሻ መፃፍህት፣ የመጀመሪያ ዓመት የዩኒቨርስቲ ተማሪዎች ሞጁሎች፣ በምስል የተደገፉ አጋዥ ማብራሪያዎች እንዲሁም የሁሉም የትምህርት አይነቶች ኮርስ ማቴሪያሎችን ይዟል፡፡
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የሳይንስና ከፍተኛ ትምህርት ሚኒስቴር ትክክለኛ የቴሌግራም ቻነል https://t.me/MinistryoSHE ነው፡፡ ሊንኩን ተጭነው ቤተሰብ በመሆን በሌላ አማራጭ ትክክለኛ መረጃ ያግኙ፡፡

27/05/2020

My piece of article on COVID intervention on Addis Fortune magazine.
People in rural areas are left out as they have little to no access to the media.
Messages from mass media are passive and result in low rates of predicted gains in the change in behavior.
Beyond the media, there is the matter of health illiteracy. This is closely related to education, and Ethiopia has one of the world’s lowest rates of prevalence.
It should also be taken into consideration that access to the media does not immediately translate to access to information. Ethiopia is a country where dozens of languages are spoken. If the messaging is not translated in every major language that is spoken and repeated in this manner several times, behavioral change is hard to bring about.

What shall be done?
Interventions aimed at achieving sustained behavior change will require a diversified approach.
Strengthen messaging in local languages. It is crucial to remember here that intermittent notices and bulletins will not bring about behavioral change. It has to be repeated several times a day and presented in a manner that appeals to the viewer instead of a drab presentation that just presents facts.
There is also the need to engage clan leaders, influential people, and community elders with the current prevention strategy and media campaign. These people will be detrimental to creating an air of legitimacy and import to the messaging on the pandemic.
There are also points that have been missing from the messaging. These include management and disposal interventions when it comes to bodily fluids and contaminated fomites. And, as a third of households in the country do not have access to improved water sources, water treatment methods should be included in the intervention package.

https://addisfortune.news/messaging-determines-whether-covid-19-can-be-beat/

24/05/2020

I started teaching reproductive health courses to my Postgraduate students using my youtube channel.
Anyone interested can follow the full course through a series of video lectures.
Here is the first video lecture (Introduction, History of reproductive health, gender, and reproductive health rights).
Follow the upcoming series of video lectures on Approaches to RH, Safe motherhood,..... New updates, guidelines, and others.
Subscribe to the channel.
Thank you!

This reproductive health lecture series describes about introduction, history and reproductive health rights.

14/05/2020

A youtube channel dedicated to educational purpose i.e Research, data analysis, methods, software... I started with "Forecasting COVID-19 using SIR model in Stata." Do not forget to subscribe. If you have any comments & questions you welcome.

It describes SIR model which is important to forecast the amount of spread of infectious diseases. Forecasting of a disease is important for planning purpose...