Distributions of AIDS cases by Region/country of Residence and by Year of Report.
Region/Country of residence
|
Year of Report
|
Total
|
Percent of Total
|
86
|
87
|
88
|
89
|
90
|
91
|
92
|
93
|
A.A
|
2
|
12
|
59
|
113
|
271
|
355
|
1204
|
1568
|
3584
|
41.57 %
|
Arssi
|
0
|
0
|
2
|
5
|
1
|
30
|
30
|
19
|
87
|
1.01%
|
Assosa
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
0
|
1
|
0.01%
|
Bale
|
0
|
0
|
0
|
2
|
2
|
10
|
18
|
28
|
60
|
0.70%
|
Borena
|
0
|
0
|
0
|
0
|
3
|
1
|
9
|
20
|
33
|
0.38%
|
Dire Dawa
|
0
|
0
|
1
|
2
|
24
|
39
|
89
|
285
|
440
|
5.10%
|
E gojjam
|
0
|
1
|
0
|
2
|
3
|
10
|
68
|
67
|
151
|
1.75%
|
E hararg
|
0
|
1
|
0
|
4
|
10
|
48
|
84
|
124
|
271
|
3.14%
|
E shoa
|
0
|
1
|
2
|
10
|
16
|
49
|
251
|
241
|
570
|
6.61%
|
Gambella
|
0
|
0
|
0
|
1
|
4
|
0
|
3
|
7
|
15
|
0.17%
|
Illubabor
|
0
|
0
|
1
|
2
|
0
|
17
|
10
|
122
|
152
|
1.76%
|
Kaffa
|
0
|
0
|
0
|
1
|
0
|
2
|
9
|
6
|
18
|
0.21%
|
Metekel
|
0
|
0
|
0
|
2
|
2
|
3
|
72
|
62
|
141
|
1.64%
|
N gonder
|
0
|
0
|
1
|
1
|
28
|
74
|
207
|
147
|
458
|
5.31%
|
N omo
|
0
|
0
|
0
|
0
|
5
|
16
|
38
|
55
|
114
|
1.32%
|
N shoa
|
0
|
1
|
1
|
2
|
2
|
6
|
26
|
48
|
86
|
1.00%
|
N wollo
|
0
|
0
|
1
|
0
|
2
|
15
|
41
|
67
|
126
|
1.46%
|
Ogaden
|
0
|
0
|
0
|
0
|
2
|
1
|
3
|
6
|
12
|
0.14%
|
S gander
|
0
|
0
|
0
|
1
|
4
|
17
|
91
|
13
|
126
|
1.46%
|
S omo
|
0
|
0
|
0
|
0
|
0
|
4
|
0
|
1
|
5
|
0.06%
|
S shoa
|
0
|
0
|
0
|
0
|
7
|
16
|
89
|
69
|
181
|
2.10%
|
S wollo
|
0
|
1
|
0
|
8
|
9
|
31
|
97
|
20
|
166
|
1.93%
|
Sidamo
|
0
|
0
|
1
|
0
|
9
|
16
|
127
|
226
|
379
|
4.40%
|
Tigray
|
0
|
0
|
1
|
4
|
2
|
8
|
8
|
13
|
36
|
0.42%
|
W gojam
|
0
|
0
|
1
|
11
|
6
|
24
|
56
|
164
|
762
|
8.84%
|
W hararge
|
0
|
0
|
0
|
0
|
3
|
18
|
19
|
24
|
64
|
0.74%
|
W shoa
|
0
|
0
|
4
|
6
|
2
|
22
|
63
|
198
|
295
|
3.42%
|
Wolliega
|
0
|
0
|
0
|
2
|
5
|
8
|
9
|
97
|
121
|
1.40%
|
Eritrea
|
0
|
0
|
0
|
9
|
25
|
37
|
24
|
18
|
133
|
1.42%
|
Djiboti
|
0
|
0
|
10
|
0
|
0
|
1
|
1
|
0
|
2
|
0.02%
|
India
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
1
|
0.01%
|
S africa
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
0
|
1
|
0.01%
|
Somalia
|
0
|
0
|
0
|
0
|
0
|
0
|
3
|
0
|
3
|
0.03%
|
Uganda
|
0
|
0
|
0
|
0
|
0
|
0
|
2
|
0
|
2
|
0.02%
|
Unknown
|
0
|
0
|
00
|
2
|
1
|
7
|
3
|
23
|
36
|
0.42%
|
TOTAL
|
2
|
17
|
85
|
190
|
448
|
885
|
3256
|
3739
|
8622
|
100.00%
|
Table 12: AIDS Cases by Risk Factors.
Risk Factors
|
Male
|
Female
|
Total
|
Percent
|
History of multi-Partner
|
4658
|
2721
|
7379
|
85.58%
|
Sexual Contact (MPSC)
|
|
|
|
|
History of Blood Transfusion
|
63
|
39
|
102
|
1.18%
|
Maternal HIV or Breast Feeding
|
54
|
56
|
110
|
1.28%
|
History of Illegal Injection
|
56
|
50
|
106
|
1.23%
|
IV drug abuse
|
4
|
2
|
6
|
0.07%
|
Unspecified
|
557
|
361
|
918
|
10.65%
|
Table 13: Clinical Signs and Symptoms of reported AIDS Cases.
Clinical manifestations:
|
Males
|
Females
|
Total
|
Percent
|
Major Symptoms
|
|
|
|
|
Weight loss> 10% of body weight (Faihre to thrive)
|
4898
|
3001
|
7899
|
91.61%
|
Prolonged Fewer for > 1 month
|
4635
|
2834
|
7469
|
86.63%
|
Chronic Diarrhoea for > 1 month
|
3514
|
2143
|
5657
|
65.61%
|
Minor Symptoms
|
|
|
|
|
Generalized Lymphadenopathy
|
1473
|
759
|
2232
|
25.89%
|
Persistent Cough for > 1 month
|
3748
|
2239
|
5987
|
69.44%
|
Skin rashes
|
115
|
61
|
176
|
2.04%
|
Tuberculosis (pulmonary and/or Diseminated)
|
1068
|
613
|
1681
|
19.50%
|
Recurrent herpes zoster
|
874
|
448
|
1322
|
15.33%
|
Generalized pruritic dematitis
|
891
|
582
|
1473
|
17.08%
|
Oropharyngeal candidiasis 1079
|
|
1712
|
19.86%
|
|
Pneumonia (including PCP) 378
|
633
|
589
|
6.83%
|
|
Chronic herpes simplex
|
211
|
44
|
89
|
1.03%
|
CNS derangement
|
45
|
44
|
144
|
1.67%
|
Night sweats & Generalized 110
|
100
|
167
|
1.94%
|
|
Body Weakness
|
57
|
|
|
|
Loss of appetite
|
18
|
6
|
24
|
0.28%
|
Kaposi’s Sarcoms
|
27
|
8
|
35
|
0.41%%
|
AIDS cases surveillance report in Ethiopia: 31, 1993
Table 14. Status of AIDS cases report for Addis Ababa Hospitals, January-October, 1993.
Hospital
|
J
|
F
|
M
|
A
|
M
|
J
|
J
|
A
|
S
|
O
|
N
|
D
|
Total
|
Alert
|
X
|
|
X
|
X
|
X
|
X
|
X
|
X
|
|
X
|
|
|
8
|
Amanuel
|
|
|
|
|
|
|
|
X
|
|
|
|
|
1
|
Armed Forces
|
|
X
|
|
|
X
|
|
X
|
|
|
|
|
|
3
|
Balcha
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Central Command
|
|
|
X
|
|
|
X
|
|
|
|
|
|
|
2
|
Central Prison
|
|
|
|
|
|
|
|
|
X
|
X
|
|
|
2
|
Ethio-Swedish
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Ghandi
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Kolfei TBC
|
|
|
|
|
|
|
|
X
|
|
X
|
|
|
2
|
Minilik II
|
|
X
|
X
|
X
|
X
|
|
|
|
X
|
|
|
|
5
|
St. Paulos
|
X
|
|
|
|
|
X
|
X
|
|
X
|
X
|
|
|
5
|
St. Petros
|
|
X
|
X
|
|
X
|
|
X
|
|
X
|
|
|
|
5
|
Police
|
X
|
X
|
|
|
|
|
|
|
X
|
|
|
|
3
|
Ras Desta
|
|
|
X
|
|
|
|
X
|
X
|
|
|
|
|
3
|
Tatek
|
|
|
X
|
|
X
|
|
|
|
|
|
|
|
2
|
Tikur Anbesa
|
|
X
|
|
|
|
|
X
|
|
X
|
|
|
|
3
|
Yekatit 12
|
X
|
X
|
X
|
X
|
|
X
|
X
|
|
X
|
X
|
|
|
8
|
Zewditu
|
X
|
|
X
|
|
|
|
X
|
X
|
|
|
|
|
4
|
-
Aert, Yekatit 12, Menelik II, St, Petros, Zewditu and Tikur Anbesa Hospitals are cooperative in reporting at least every two or three months.
-
Amanuel, Central Command, Central Prison, Kolfie TBC, Police, Ras Desta and Tatek Hospitals are not frequently reporting.
-
Balcha, Ethio-Swedish and Ghandi Hospitals gave no reports for the last ten months of 1993.
Table 14. Status of AIDS cases report for Regional Hospitals, January-October, 1993.
Hospital
|
J
|
F
|
M
|
A
|
M
|
J
|
J
|
A
|
S
|
O
|
N
|
D
|
Total
|
Ambo
|
X
|
|
|
X
|
|
|
|
X
|
|
X
|
|
|
4
|
Arbaminch
|
|
X
|
|
|
|
|
|
X
|
X
|
|
|
|
3
|
Asebe teferi
|
X
|
|
|
|
|
|
|
|
X
|
|
|
|
2
|
Assela
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Attat
|
X
|
|
X
|
|
X
|
|
X
|
|
X
|
X
|
|
|
6
|
Bornea
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Bushulo
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
|
|
10
|
Debre berhan
|
|
|
|
|
|
|
X
|
|
|
X
|
|
|
2
|
Debre markos
|
|
|
X
|
|
|
|
|
|
|
|
|
|
1
|
Debre tabor
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Dissie
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Dire dawa
|
|
X
|
X
|
|
X
|
|
X
|
|
|
X
|
|
|
5
|
Felege hiwot
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Ghimbi
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Goba
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Gondar college
|
|
|
|
X
|
|
|
X
|
|
|
|
|
|
2
|
Heroes center
|
X
|
|
|
|
|
|
|
|
|
|
|
|
1
|
Hiwot fana
|
X
|
|
X
|
|
X
|
|
X
|
|
|
|
|
|
4
|
Hossana
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Jimma
|
|
X
|
X
|
X
|
|
|
X
|
|
X
|
|
|
|
5
|
Metehara
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Mizan
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
Nazreth
|
|
|
|
|
X
|
|
|
|
X
|
X
|
|
|
3
|
Nekemet
|
X
|
X
|
|
|
|
X
|
|
|
|
|
|
|
3
|
Pawie
|
|
X
|
|
|
X
|
|
|
|
|
|
|
|
2
|
Shashemene
|
|
|
|
X
|
|
|
|
|
|
|
|
|
1
|
Woldiya
|
|
|
|
X
|
|
|
|
|
|
|
|
|
1
|
Wonji
|
X
|
X
|
|
X
|
X
|
X
|
|
X
|
|
X
|
|
|
7
|
yirgalem
|
X
|
X
|
|
X
|
|
|
X
|
|
|
|
|
|
4
|
-
Bushulo Halth Center has been reporting every month.
-
Wonji, Attat, Dawa, jimma, Ambo, Hiwot Fana and Yirgalem Hospitals also report some report some how every tow or three months.
-
Arbaminceh, Nazerth, Nekempt, Asebe Teferi, Debre Berhan, Gondar College, Pawi, Debre markos, Heros Center, Shashemene and Woldiya hospitals report cases although not regular.
-
While Asela, Borena, Debre Tabor, Dessie, Felege Hiwot, Ghimbi, Goba, Hossana, Metehara and Mizan Hospitals have not reported for the last 10 months of the year.
Abstracts Presented on the Fourth Annual Conference
of the Ethiopian Public Health Association Held on
December 8-10, 1993 at the Medical Faculty Auditorium,
Tikur Anbessa Hospital, Addis Ababa
Assessment of unmet needs and the demand for family planning in Addis Ababa.
Tekabe Ayalew, BA; Amare Dejene, MSc; Yared Mekonnen, BSc.
National Research Institute of Health.
A study was conducted to asses Unmet needs for FP in Addis Ababa. The city was categorized, for the Purpose of the study, in to two: inner which is densely Populated and periphery which is relatively sparsely Populated. Five kebeles from each category and hundred households from each kebele were selected randomly. A pretested questionnaire was administered through female enumerators, trained for this purpose. Among the interviewed (1(KX) women) the total number with unmet needs were 56.9% (559 women) of which 52.3% (523 women) Want to limit and 4.6% (46 women) Want to space their birth. The unmet need for limiting is higher at older age than at younger; in the case of spacing it is the vise versa. Unmet need was higher among the illiterate than among those with elementary, high school education and above. More than half of the women (56.9% ) were with Unmet needs, while the proportion of women who are currently using any type of contraceptive (CP) method was found to be 21.6%. This means that if the unmet need was to be satisfied, the prevalence may rise up to 78% -the total demand for family planning. A logistic and log linear analysis (using GLIM and SPSS/PC) was done in order to control confounders. And it was found that age, knowledge about CP and level of' education are the most important factors affecting Unmet need for FP and there was no significant interactive effect.
KAP study on natural family planning method and service providers among service providers at primary level of health care
Mathewos Wakbulcho, MD,MPH
Family Health Department, Ministry of Health
A health institute based cross sectional study was conducted between May and June, 1993 to assess knowledge, attitudes, practice & effectiveness of Natural Family Planning Methods among 260 randomly selected service providers (94 nurses and 166 health assistants) working in various Health facilities. The study indicated that, 75% of the nurses and 45% of the health assistants know at least one method (Breast feeding) of Natural Family Planning; other less known were rhythm, & coitus interptus methods. None of the respondents mentioned symptothermal methods of Natural Family Planning. Forty five percent of the nurses and 29% of the health assistants have good attitudes towards NIP methods and "TJ/V (x; "'V7tl never praCtlCea respectively. Current user rate of Natural Family Planning is only 2% whereas, all respondents are aware of modem contraceptive, there is a high never user rate (77% of nurses and 51% of health assistants) and moderate current users rate (55% of nurses and 29% of health assistant). Forty eight percent of the nurses and 80% of the health assistants don't know the effectiveness or reliability of Natural Family Planning in prevention of pregnancy. In-depth study is recommended to initiate National Natural Family Planning program to encourage coital & behavioural related FP service provision for a wide method mix. Further, factors related to Natural FP are discussed.
Health Institution Versus Community-Based Contraception Distribution: Does Payment for Modern Contraceptive Influence utilization?
|
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