Objective To assess the availability of an institutional-level respectful maternity care (RMC) index, its components, and associated factors.Methods A cross-sectional study design was applied to a... Show moreObjective To assess the availability of an institutional-level respectful maternity care (RMC) index, its components, and associated factors.Methods A cross-sectional study design was applied to a 2016 census of 3804 health facilities in Ethiopia. The availability of an institutional-level RMC index was computed as the availability of all nine items identified as important aspects of institutional-level RMC during childbirth. Logistic regression analysis was used to identify factors associated with availability of the index.Results Three components of the institutional-level RMC index were identified: "RMC policy," "RMC experience," and "facility for provision of RMC." Overall, 28% of facilities (hospitals, 29.9%; health centers, 27.8%) reported availability of the institutional-level RMC index. Facility location urbanization (urban region), percentage of maternal and newborn health workers trained in basic emergency obstetric and newborn care, and availability of maternity waiting homes in health facilities were positively associated with availability of the institutional-level RMC index.Conclusion Only one in three facilities reported availability of the institutional-level RMC index. The Ethiopian government should consider strengthening support mechanisms in different administrative regions (urban, pastoralist, and agrarian), implementing the provision training for health workers that incorporates RMC components, and increasing the availability of maternity waiting homes. Show less
Human trafficking is a persistent global social and economic problem, and part of international organized crime, involving local regional, national, and global agents and networks, and victims... Show moreHuman trafficking is a persistent global social and economic problem, and part of international organized crime, involving local regional, national, and global agents and networks, and victims whose social characteristics traverse age (as they can be children, youths, or adults) and gender (women and men). Ethiopia is not an exception in this regard, and many disadvantaged Ethiopians have fallen victim to human trafficking. This study focuses on the trafficking of Ethiopian women to the Middle East to work as domestic workers. It documents how some of these trafficked women are recruited and transported, and often subjected to severe abuse, including denial of salary, sleep deprivation, passport confiscation, confinement, and physical and sexual assault. It is recognized that some women actively aim for irregular migratjon and try their luck, i.e., not all are by definition trafficked. They thereby aim to stay clear of trafficking agents and dependency but most become entangled in it. Only a few of the trafficked women can escape the above-mentioned abuses, depending on their employers and family or other social networks they may build up or appeal to in the host country. Forms of abuse and inhumane practices, however, predominate against most trafficked Ethiopian women and take place within the ambiguous framework of the kafala system, which is prevalent throughout the Middle Eastern countries.This study was motivated by at least two main concerns, one personal and the other academic. Personally I was intrigued by this tenacious phenomenon causing multiple problems for young women, often marking their lives, and by a concern to see the abusive aspects of the trafficking addressed. Academically, although there is a myriad of studies on the trafficking of Ethiopian women to the Middle East, there are few if any major academic research inquiries undertaken on the Arsi Zone, which is however one of the primary sources of Ethiopian women trafficked to the Middle East. Second, beyond responding to the need to study the root causes of human trafficking, a perplexing question is why human trafficking, in general, and women trafficking, in particular, is still on the increase, despite the proliferation of international, regional and national policy and legal frameworks and institutions established with the central aim of mitigating human trafficking through prevention, protection, and prosecution.Therefore, this study aims to explore the nature, prevalence, root causes, and societal consequences of human trafficking in the two Arsi zones of Arsi and Arsi West of Oromiya National Regional State, so as to inquire why they have persisted. To realize this objective, the data and information used in this study were collected from trafficked women themselves, from185their families, and from middlemen and agents, and relevant government officials, using both qualitative and quantitative methods of data collection in a complementary manner. The study has investigated the trafficking process, i.e., how those trafficked within Ethiopia and to Middle Eastern host countries are recruited and how they travel, are treated, tried to retain agency over their life, and tried to cope. It also sheds light on the role of women returnees from being trafficked, their experiences and tribulations, and (very occasional) successes.Theoretically, this study argues that although trafficking is a transnational phenomenon, its root causes are local, often determined by social and economic factors conducive to poverty, unemployment, gender inequality, and food insecurity, to mention the main ones. Therefore, mitigating women trafficking cannot be treated only as a matter of law and order in the liberal tradition of the individual-civic freedom and emancipation paradigm without giving due recognition to the persistent socio-economic factors which propelled trafficking in the first place. Integrating these two perspectives, which this study advocates, would have critical academic and policy implications for conceiving any credible and practicable interventions to mitigate human trafficking. Show less
Tura, A.K.; Aboul-Ela, Y.; Fage, S.G.; Ahmed, S.S.; Scherjon, S.; Roosmalen, J. van; ... ; Akker, T. van den 2020
With postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The... Show moreWith postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The purpose of this study was to identify areas of substandard care and establish recommendations for the management of PPH in Hiwot Fana Specialized University Hospital, eastern Ethiopia. Using standard criteria (n = 8) adapted to the local hospital setting, we audited 45 women with PPH admitted from August 2018 to March 2019. Four criteria were agreed as being low: IV line-setup (32 women, 71.1%), accurate postpartum vital sign monitoring (23 women, 51.1%), performing typing and cross-matching (22 women, 48.9%), and fluid intake/output chart maintenance (6 women, 13.3%). In only 3 out of 45 women (6.7%), all eight standard criteria were met. Deficiencies in the case of note documentation and clinical monitoring, non-availability of medical resources and blood for transfusion, as well as delays in clinical management were identified. The audit created awareness, resulting in self-reflection of current practice and promoted a sense of responsibility to improve care among hospital staff. Locally appropriate recommendations and an intervention plan based on available resources were formulated. Show less
In Ethiopia, as elsewhere in Africa, the boundaries of political belonging have always shifted. They continue to do so. Since the 1995 constitution, in a both peculiar and complex manner, ethnicity... Show moreIn Ethiopia, as elsewhere in Africa, the boundaries of political belonging have always shifted. They continue to do so. Since the 1995 constitution, in a both peculiar and complex manner, ethnicity has been included in the apparatus of rights and practices, with often far-reaching consequences for Ethiopian nation-building. Since 1991, citizenship in Ethiopia can hardly be discussed without reference to the post-1991 ethnofederal system, which was the result of the restructuring of domestic politics based on ethnolinguistic criteria. This reformation of the administrative landscape altered interethnic relations, and although justified as an answer to an age-old national question about belonging, and a guarantor for interethnic peace and justice, problems have abounded. In this article, we analyze Ethiopian citizenship in the wider context of global debates on “cultural citizenship.” We examine the bifurcated Ethiopian approach to national and regional citizenship and the language of cultural rights in a historical perspective both as continued subject-making as well as a form of claims-making. Focusing on citizenship and the powers that manifest social boundaries through cultural ascription, we circumvent both the instrumentalist and primordialist gaze on ethnicity and multiculturalism. Ethnicity appears as a reservoir and idiom of political appropriation within an evolving system of state-subject relations that has left the status of citizenship unresolved. Show less
‘Good governance’ has been defined as a necessary condition for (economic) ‘growth’ and ‘development’ not only in in developing world but also in the wealthier, developed nations. This paper seeks... Show more‘Good governance’ has been defined as a necessary condition for (economic) ‘growth’ and ‘development’ not only in in developing world but also in the wealthier, developed nations. This paper seeks to sociologically explore the ‘articulation’ of the ideology of good governance of the post-1991 Ethiopian federal state with versions of legitimate authority, just rule, accountability, economic fairness, etc. with reference to some local ethnic societies in Southern Ethiopia. Similarities and differences will be discussed so as to show that the concept of ‘good governance’ is multi-dimensional and ambivalent, evoking local notions (and expectations) of a just order and the rule of fairness among citizens as well. In the context of Ethiopia, its constant reiteration as a policy aim may thus also have contributed to citizens’ renewed claim-making as well as their rediscovering their own (cultural) notions of just governance. Show less
