Afework Mulugeta
Datos Biográficos
| ID | 7143653 |
|---|---|
| NOMBRE | Afework Mulugeta |
| NOMBRES | Afework |
| APELLIDO | Mulugeta |
| FIRMA | MULUGETA A |
| AFILIACIONES | Mekelle University |
| ORCID | 0000-0003-0707-4363 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2014 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Postnatal care in crisis
“Words fail to describe what has been done”
BACKGROUND: The surge in armed conflicts since the mid-2000s has significantly disrupted healthcare systems, leading to humanitarian crises and profound economic and infrastructure damage. This study explores the experiences of healthcare professionals to examine the impact of the war in Tigray on the healthcare system, professionals' livelihoods, community health, and healthcare services. METHODS: A qualitative study using a phenomenological app…
Drivers of community-based health insurance enrolment in post-war Tigray, Ethiopia
BACKGROUND: Community-based health insurance (CBHI) is crucial for strengthening primary healthcare (PHC) and progressing towards universal health coverage (UHC), especially in resource-constrained, war-affected settings. While previous studies have explored CBHI in various contexts, this study uniquely investigates household willingness to join (WTJ) CBHI and its determinants in post-war Tigray, Ethiopia, offering valuable insights into the spec…
Civilian family members’ deaths and perceived causes in war-torn Tigray, Ethiopia
Civilian family members' death report in this study is high. Large family size, widowed marital status, not displacing from home, having a disabled member of the family, and rural residences were the identified factors associated with civilian's death. In the context of the cessation of hostilities following the Pretoria Peace Agreement, sustained efforts from the government, humanitarian organizations, and the international community are essenti…
Barriers and Facilitators of Continuous Labor Companion Support in Ethiopia
In Ethiopia, women strongly desire continuous support during childbirth. Despite its benefits, this practice remains uncommon. The study aimed to evaluate health facility readiness and explore the preferences and experiences of women and providers to identify the factors affecting the implementation of continuous labor support in Ethiopia. This formative qualitative study utilized the COM-B model and Theoretical Domain Framework (TDF) to map barr…
Exploring physical, sexual and mental health consequences of gender-based violence among women and girls during conflict in Tigray, Ethiopia
Survivors experienced severe forms of physical injuries, posttraumatic stress disorder, and sexual and reproductive health problems. Humanitarian agencies and civic organizations need to provide immediate medical and psychological support to victims to reduce further health consequences and harm
Starvation remains the leading cause of death in Tigray, northern Ethiopia, after the Pretoria deal
Starvation was the leading cause of death across all ages in the study group. This reflects an expedited humanitarian response from aid agencies to prevent more deaths. Interventions, including the return of the displaced communities to their original homes, are needed to rescue those facing moderate to severe hunger
War-related sexual and gender-based violence in Tigray, Northern Ethiopia
INTRODUCTION: Sexual and gender-based violence (SGBV) during armed conflicts has serious ramifications with women and girls disproportionally affected. The impact of the conflict that erupted in November 2020 in Tigray on SGBV is not well documented. This study is aimed at assessing war-related SGBV in war-affected Tigray, Ethiopia. METHODS: A community-based survey was conducted in 52 (out of 84) districts of Tigray, excluding its western zone a…
Armed conflict and household food insecurity
Household food insecurity levels and household hunger status of the study communities was unacceptably high. The armed conflict has significant negative effect on food security in Tigray. It is recommended that the study communities need to be protected from the immediate and long-term consequences of conflict-induced household food insecurity
Prevalence and multi-level factors associated with acute malnutrition among children aged 6–59 months from war affected communities of Tigray, Northern Ethiopia, 2021
The burden of acute malnutrition is a severe public health problem in Tigray. To prevent the untimely suffering and death of children, regular nutrition screening, speedy, and appropriate referral of all malnourished children to nutritional services and large-scale humanitarian assistance including access to food; nutrition supplies; water, sanitation and hygiene supplies; and health care in a timely manner are required. In the prevailing armed c…
Child health services and armed conflict in Tigray, North Ethiopia
Background Access to basic health services, notably child health services, is severely hampered by the armed conflict in Tigray, North Ethiopia. Little is known regarding the impacts of the armed conflict during the war in Tigray on access to child health services. The current study investigates the impact of the armed conflict on the utilization of child health services in Tigray. Methods 4,381 caregivers from randomly recruited households (HHs)…
Is Women’s Engagement in Women’s Development Groups Associated with Enhanced Utilization of Maternal and Neonatal Health Services? A Cross-Sectional Study in Ethiopia
There is a need to improve the organization and management of the Women Development Group program as well as a need to strengthen the Women Development Group leaders' engagement in group activities to promote the utilization of maternal and neonatal health services
Community health extension workers’ training and supervision in Ethiopia
Training and supervision of health workers are critical components of any health system;thus, we assessed how they impact health extension workers’ (HEWs) role in non-communicable disease (NCD) service delivery in Ethiopia’s health extension program (HEP), using an in-depth qualitative study conducted in 2019.The study covered two regions—the Tigray and the South Nations, Nationalities and Peoples Region (SNNPR)—and involved the Federal Ministry …
If I Was Educated, I Would Call the Ambulance and Give Birth at the Health Facility”—A Qualitative Exploratory Study of Inequities in the Utilization of Maternal, Newborn, and Child Health Services in…
In earlier studies, we have shown that the utilization of maternal health services in rural Ethiopia was distributed in a pro-rich fashion, while the coverage of child immunization was equitably distributed. Hence, this study aimed to explore mothers' and primary healthcare workers' perceptions of inequities in maternal, newborn, and child health services in rural Ethiopia, along with the factors that could influence such differentials. A qualita…
Wealth and Education Inequities in Maternal and Child Health Services Utilization in Rural Ethiopia
As part of the 2030 maternal and child health targets, Ethiopia strives for universal and equitable use of health services. We aimed to examine the association between household wealth, maternal education, and the interplay between these in utilization of maternal and child health services. Data emanating from the evaluation of the Optimizing of Health Extension Program intervention. Women in the reproductive age of 15 to 49 years and children ag…
Magnitude and determinants of animal source food consumption among children aged 6–23 months in Ethiopia
In Ethiopia, only nearly half of children aged 6-23 months consume any type of ASF. The findings of this study imply that ASF consumption can be increased through integrated actions that involve community and religious leaders and programs focused on empowering households' capability of owning other socioeconomic entities including assets and livestock. This study also may contribute to the growing body of research works on the importance of ASF …
Health system capacity and readiness for delivery of integrated non-communicable disease services in primary health care
Background Non-communicable diseases (NCDs) now account for about 71% and 32% of all the deaths globally and in Ethiopia. Primary health care (PHC) is a vital instrument to address the ever-increasing burden of NCDs and is the best strategy for delivering integrated and equitable NCD care. We explored the capacity and readiness of Ethiopia’s PHC system to deliver integrated, people-centred NCD services. Methods A qualitative study was conducted i…
Lived Experiences and Perceptions of Childbirth among Pastoralist Women in North-Eastern Ethiopia
Maternity should be a time of hope and joy. However, for women in pastoralist communities in Ethiopia, the reality of motherhood is often grim. This problem is creating striking disparities of skilled birth uptake among the agrarian and pastoral communities in Ethiopia. So far, the depth and effects of the problem are not well understood. This study is intended to fill this research gap by exploring mothers' lived experiences and perceptions duri…
Socio-economic Variables Associated with Motivational Barriers of Food Choice among Lactating Women from Central Ethiopia
Understanding the drivers of food choice is essential to guide the nutrition interventions and tailor nutrition counseling messages. There is strong evidence from a published study, which demonstrate attention for the need to consider the wide range of drivers during food choice. Due to the large variety of food products on the market, consumers make a multitude of food choice daily. The study aimed to assess major motivational drivers of food ch…
Women’s development group leaders’ promotion of maternal, neonatal and child health care in Ethiopia
BACKGROUND: Women's development group leaders are volunteer community health workers in Ethiopia who, among other duties, promote health and prevention of diseases. They link and extend essential health services from health posts to households. OBJECTIVE: To assess the characteristics, knowledge, and practice of women's development group leaders in the field of maternal, neonatal, and child health care. METHOD: This study used a cluster-sampled c…
Factors associated with anaemia among women of reproductive age in Ethiopia
Anaemia has prevailed as a mild to severe public health problem in Ethiopian women of reproductive age. Many studies carried out on anaemia have been limited to subnational assessments and subgroups of women. The effects of potential factors thought to affect anaemia and severity levels of anaemia have not been well considered. Therefore, this study identifies individual, household and community level factors associated with anaemia among women o…
What factors are associated with maternal undernutrition in eastern zone of Tigray, Ethiopia? Evidence for nutritional well-being of lactating mothers
Efforts to ameliorate maternal undernutrition need to consider the influence of the rising epidemiology of adult mortality from chronic diseases. Our data clearly indicate the need for channeling the integrated intervention power of nutrition-sensitive development programs with that of nutrition-specific sectoral services
Wealth-based equity in maternal, neonatal, and child health services utilization
Utilization of maternal health services was low, inequitable, and skewed against women from the poorest households. In contrast, preventive child health services were equitably distributed. Efforts to increase utilization and reinforcement of pro-poor and pro-rural strategies for maternal, newborn and immunization services in Ethiopia should be strengthened
Dietary Diversity and Meal Frequency Practices among Children Aged 6-23 Months in Agro Pastoral Communities in Afar Region, Ethiopia
Introduction : Inappropriate infant and young child feeding practices in the first two years of life are among the major causes of childhood malnutrition in developing countries, including Ethiopia. Dietary diversity refers to increasing the consumption of a variety of foods across and within the food groups. Therefore, this study aimed to assess the minimum dietary diversity and minimum meal frequency practices among children aged 6-23 months in…
Understanding maternal mortality from top–down and bottom–up perspectives
BACKGROUND: Unacceptably high levels of preventable maternal mortality persist as a problem across sub-Saharan Africa and much of south Asia. Currently, local assessments of the magnitude of maternal mortality are not often made, so the best available information for health planning may come from global estimates and not reflect local circumstances. METHODS: A community-based cross-sectional survey was designed to identify all live births togethe…
Sin obras prominentes en esta página.
Malaria mortality in Africa and Asia
BACKGROUND: Malaria continues to be a major cause of infectious disease mortality in tropical regions. However, deaths from malaria are most often not individually documented, and as a result overall understanding of malaria epidemiology is inadequate. INDEPTH Network members maintain population surveillance in Health and Demographic Surveillance System sites across Africa and Asia, in which individual deaths are followed up with verbal autopsies…
The influence of father's child feeding knowledge and practices on children's dietary diversity
Infant and young child feeding has been recognised as an essential element to improve growth of children, especially in developing countries where malnutrition among children and its dire consequences are very prevalent. However, little attention has been paid on the influence of fathers on child feeding practices, although fathers are very important in raising well-adjusted, happy and successful children. Therefore, this study aimed to assess th…
Understanding maternal mortality from top–down and bottom–up perspectives
BACKGROUND: Unacceptably high levels of preventable maternal mortality persist as a problem across sub-Saharan Africa and much of south Asia. Currently, local assessments of the magnitude of maternal mortality are not often made, so the best available information for health planning may come from global estimates and not reflect local circumstances. METHODS: A community-based cross-sectional survey was designed to identify all live births togethe…
Infant mortality and causes of infant deaths in rural Ethiopia
The IMR for the four-year period was lower than the national and regional estimates. Our findings suggest the need to improve the newborn care, and empower teenagers to delay teenage pregnancy and attain higher levels of education
Treatment outcomes and their determinants in HIV patients on Anti-retroviral Treatment Program in selected health facilities of Kembata and Hadiya zones, Southern Nations, Nationalities and Peoples Re…
All people living with HIV/AIDS should initiate ART as early as possible. Initiation of ART at the early stages of the disease, before deterioration of the functional status of the patients and before the reduction of CD4 counts and hemoglobin levels with an intensified health education on adherence to ART regimen is recommended
Wealth-based equity in maternal, neonatal, and child health services utilization
Utilization of maternal health services was low, inequitable, and skewed against women from the poorest households. In contrast, preventive child health services were equitably distributed. Efforts to increase utilization and reinforcement of pro-poor and pro-rural strategies for maternal, newborn and immunization services in Ethiopia should be strengthened
Dietary Diversity and Meal Frequency Practices among Children Aged 6-23 Months in Agro Pastoral Communities in Afar Region, Ethiopia
Introduction : Inappropriate infant and young child feeding practices in the first two years of life are among the major causes of childhood malnutrition in developing countries, including Ethiopia. Dietary diversity refers to increasing the consumption of a variety of foods across and within the food groups. Therefore, this study aimed to assess the minimum dietary diversity and minimum meal frequency practices among children aged 6-23 months in…
Women’s development group leaders’ promotion of maternal, neonatal and child health care in Ethiopia
BACKGROUND: Women's development group leaders are volunteer community health workers in Ethiopia who, among other duties, promote health and prevention of diseases. They link and extend essential health services from health posts to households. OBJECTIVE: To assess the characteristics, knowledge, and practice of women's development group leaders in the field of maternal, neonatal, and child health care. METHOD: This study used a cluster-sampled c…
Factors associated with anaemia among women of reproductive age in Ethiopia
Anaemia has prevailed as a mild to severe public health problem in Ethiopian women of reproductive age. Many studies carried out on anaemia have been limited to subnational assessments and subgroups of women. The effects of potential factors thought to affect anaemia and severity levels of anaemia have not been well considered. Therefore, this study identifies individual, household and community level factors associated with anaemia among women o…
What factors are associated with maternal undernutrition in eastern zone of Tigray, Ethiopia? Evidence for nutritional well-being of lactating mothers
Efforts to ameliorate maternal undernutrition need to consider the influence of the rising epidemiology of adult mortality from chronic diseases. Our data clearly indicate the need for channeling the integrated intervention power of nutrition-sensitive development programs with that of nutrition-specific sectoral services
Health system capacity and readiness for delivery of integrated non-communicable disease services in primary health care
Background Non-communicable diseases (NCDs) now account for about 71% and 32% of all the deaths globally and in Ethiopia. Primary health care (PHC) is a vital instrument to address the ever-increasing burden of NCDs and is the best strategy for delivering integrated and equitable NCD care. We explored the capacity and readiness of Ethiopia’s PHC system to deliver integrated, people-centred NCD services. Methods A qualitative study was conducted i…
Lived Experiences and Perceptions of Childbirth among Pastoralist Women in North-Eastern Ethiopia
Maternity should be a time of hope and joy. However, for women in pastoralist communities in Ethiopia, the reality of motherhood is often grim. This problem is creating striking disparities of skilled birth uptake among the agrarian and pastoral communities in Ethiopia. So far, the depth and effects of the problem are not well understood. This study is intended to fill this research gap by exploring mothers' lived experiences and perceptions duri…
Socio-economic Variables Associated with Motivational Barriers of Food Choice among Lactating Women from Central Ethiopia
Understanding the drivers of food choice is essential to guide the nutrition interventions and tailor nutrition counseling messages. There is strong evidence from a published study, which demonstrate attention for the need to consider the wide range of drivers during food choice. Due to the large variety of food products on the market, consumers make a multitude of food choice daily. The study aimed to assess major motivational drivers of food ch…
Community health extension workers’ training and supervision in Ethiopia
Training and supervision of health workers are critical components of any health system;thus, we assessed how they impact health extension workers’ (HEWs) role in non-communicable disease (NCD) service delivery in Ethiopia’s health extension program (HEP), using an in-depth qualitative study conducted in 2019.The study covered two regions—the Tigray and the South Nations, Nationalities and Peoples Region (SNNPR)—and involved the Federal Ministry …
If I Was Educated, I Would Call the Ambulance and Give Birth at the Health Facility”—A Qualitative Exploratory Study of Inequities in the Utilization of Maternal, Newborn, and Child Health Services in…
In earlier studies, we have shown that the utilization of maternal health services in rural Ethiopia was distributed in a pro-rich fashion, while the coverage of child immunization was equitably distributed. Hence, this study aimed to explore mothers' and primary healthcare workers' perceptions of inequities in maternal, newborn, and child health services in rural Ethiopia, along with the factors that could influence such differentials. A qualita…
Wealth and Education Inequities in Maternal and Child Health Services Utilization in Rural Ethiopia
As part of the 2030 maternal and child health targets, Ethiopia strives for universal and equitable use of health services. We aimed to examine the association between household wealth, maternal education, and the interplay between these in utilization of maternal and child health services. Data emanating from the evaluation of the Optimizing of Health Extension Program intervention. Women in the reproductive age of 15 to 49 years and children ag…
Magnitude and determinants of animal source food consumption among children aged 6–23 months in Ethiopia
In Ethiopia, only nearly half of children aged 6-23 months consume any type of ASF. The findings of this study imply that ASF consumption can be increased through integrated actions that involve community and religious leaders and programs focused on empowering households' capability of owning other socioeconomic entities including assets and livestock. This study also may contribute to the growing body of research works on the importance of ASF …
War-related sexual and gender-based violence in Tigray, Northern Ethiopia
INTRODUCTION: Sexual and gender-based violence (SGBV) during armed conflicts has serious ramifications with women and girls disproportionally affected. The impact of the conflict that erupted in November 2020 in Tigray on SGBV is not well documented. This study is aimed at assessing war-related SGBV in war-affected Tigray, Ethiopia. METHODS: A community-based survey was conducted in 52 (out of 84) districts of Tigray, excluding its western zone a…
Armed conflict and household food insecurity
Household food insecurity levels and household hunger status of the study communities was unacceptably high. The armed conflict has significant negative effect on food security in Tigray. It is recommended that the study communities need to be protected from the immediate and long-term consequences of conflict-induced household food insecurity
Prevalence and multi-level factors associated with acute malnutrition among children aged 6–59 months from war affected communities of Tigray, Northern Ethiopia, 2021
The burden of acute malnutrition is a severe public health problem in Tigray. To prevent the untimely suffering and death of children, regular nutrition screening, speedy, and appropriate referral of all malnourished children to nutritional services and large-scale humanitarian assistance including access to food; nutrition supplies; water, sanitation and hygiene supplies; and health care in a timely manner are required. In the prevailing armed c…
Child health services and armed conflict in Tigray, North Ethiopia
Background Access to basic health services, notably child health services, is severely hampered by the armed conflict in Tigray, North Ethiopia. Little is known regarding the impacts of the armed conflict during the war in Tigray on access to child health services. The current study investigates the impact of the armed conflict on the utilization of child health services in Tigray. Methods 4,381 caregivers from randomly recruited households (HHs)…
Is Women’s Engagement in Women’s Development Groups Associated with Enhanced Utilization of Maternal and Neonatal Health Services? A Cross-Sectional Study in Ethiopia
There is a need to improve the organization and management of the Women Development Group program as well as a need to strengthen the Women Development Group leaders' engagement in group activities to promote the utilization of maternal and neonatal health services
Starvation remains the leading cause of death in Tigray, northern Ethiopia, after the Pretoria deal
Starvation was the leading cause of death across all ages in the study group. This reflects an expedited humanitarian response from aid agencies to prevent more deaths. Interventions, including the return of the displaced communities to their original homes, are needed to rescue those facing moderate to severe hunger
Exploring physical, sexual and mental health consequences of gender-based violence among women and girls during conflict in Tigray, Ethiopia
Survivors experienced severe forms of physical injuries, posttraumatic stress disorder, and sexual and reproductive health problems. Humanitarian agencies and civic organizations need to provide immediate medical and psychological support to victims to reduce further health consequences and harm
Postnatal care in crisis
Medicine (24 obras) · Environmental health (20 obras) · Global Maternal and Child Health (19 obras) · Demography (15 obras) · Public health (14 obras) · Child Nutrition and Water Access (12 obras) · Demography (12 obras) · Population (10 obras) · Cross-sectional study (8 obras) · Nursing (8 obras)