16 research outputs found
An Analysis of Common Security and Defence Policy’s (CSDP) Strategic Communication (StratCom)
Strategic communication (StratCom) is established as one of the key functions and interests of contemporary
organisations and governments. The usefulness and importance of strategic communication becomes even more
essential when the organisation is defence and security-focused or involved in crisis management. The objective
of this study was to assess the strategic communication practices, and inherent challenges of communicating
Common Security and Defence Policy (CSDP) and present relevant reflections. A documentary analysis of the
relevant EU websites and social media pages of 16 CSDP missions and operations was conducted. This was
supplemented with eight key-informant interviews with Press and Public Information Officers (PPIOs) of CSDP
and EU strategists.
The research demonstrated that most CSDP missions and operations are present on most social media platforms
but they often garner very small number of likes, comments, shares, replies or interactions from their targeted
audiences. Features of an echo-chamber are also observed. The study also found that public affairs (information)
and public diplomacy were the two main forms of strategic communication that the CSDP utilises. CSDP’s
strategic communication also tends to take a one-way StratCom process. The challenges faced in terms of StratCom
by CSDP are not uniform; they are contextual ranging from resource, translation to mismatch of expectations. The
major challenge, however, emanates from the structural problems of CSDP or the EU itself that are beyond the
European External Action Service (EEAS) or the relevant Press and Public Information Offices (PPIOs). The study
recommendations include quicker EU level political and policy compromise on CSDP, training and resource
improvements for StratCom, ‘storytelling and use of real people’, highlighting gender, rights and local ownership,
increasing the link with the international media and regular and appropriate self-appraisals
Podoconiosis and soil-transmitted helminths (STHs): double burden of neglected tropical diseases in Wolaita zone, rural southern Ethiopia
Background
Both podoconiosis and soil-transmitted helminth (STH) infections occur among barefoot people in areas of extreme poverty; however, their co-morbidity has not previously been investigated. We explored the overlap of STH infection and podoconiosis in Southern Ethiopia and quantified their separate and combined effects on prevalent anemia and hemoglobin levels in podoconiosis patients and health controls from the same area.
Methods and Principal Findings
A two-part comparative cross-sectional study was conducted in Wolaita zone, southern Ethiopia. Data were collected from adult patients presenting with clinically confirmed podoconiosis, and unmatched adult neighborhood controls living in the same administrative area. Information on demographic and selected lifestyle factors was collected using interviewer-administered questionnaires. Stool samples were collected and examined qualitatively using the modified formalin-ether sedimentation method. Hemoglobin level was determined using two different methods: hemoglobinometer and automated hematology analyzer. A total of 913 study subjects (677 podoconiosis patients and 236 controls) participated. The prevalence of any STH infection was 47.6% among patients and 33.1% among controls (p<0.001). The prevalence of both hookworm and Trichuris trichiura infections was significantly higher in podoconiosis patients than in controls (AOR 1.74, 95% CI 1.25 to2.42, AOR 6.53, 95% CI 2.34 to 18.22, respectively). Not wearing shoes and being a farmer remained significant independent predictors of infection with any STH. There was a significant interaction between STH infection and podoconiosis on reduction of hemoglobin level (interaction p value = 0.002).
Conclusions
Prevalence of any STH and hookworm infection was higher among podoconiosis patients than among controls. A significant reduction in hemoglobin level was observed among podoconiosis patients co-infected with hookworm and ‘non-hookworm STH’. Promotion of consistent shoe-wearing practices may have double advantages in controlling both podoconiosis and hookworm infection in the study area
Media, conflict and peace : a study of the media reporting of two major conflicts and peace processes in the Horn of Africa
THESIS 11000The increase in global crises and conflicts as well as the ways and the effects of mediatisation of the phenomena has generated intense interest, research, and debate. This study is not about the impact debate i.e. the effect of crises and conflict or peace on mediatisation or the vice versa but the research attempted to investigate how each is mediatised in East Africa. The study investigated how conflicts and peace processes in the HoA i.e. the post 2007 election violence and peace process in Kenya and the border conflicts between Sudan and South Sudan around Abyei and the ensuing peace processes were covered by two different media outlets, the Daily Nation (DN) and the Integrated Regional Information Network (IRIN)
External quality assessment of AFB smear microscopy performances and its associated factors in selected private health facilities in Addis Ababa, Ethiopia
Tuberculosis (TB) is still a public health problem in sub Saharan African countries. In resource-limited settings, TB diagnosis relies on sputum smear microscopy, with low and variable sensitivities, especially in paucibacillary pediatric and HIV-associated TB patients. Tuberculosis microscopy centers have several weaknesses like overworking, insufficiently trained personnel, inconsistent reagent supplies, and poorly maintained equipments; thus, there is a critical need for investments in laboratory infrastructure, capacity building, and quality assurance schemes. The performance of TB microscopy centers in the private health facilities in Addis Ababa is not known so far. The main objective of the study was to assess laboratory performance of acid fast bacilli (AFB) smear microscopy and its associated factors in selected private health facilities in Addis Ababa, Ethiopia. A cross-sectional study was conducted in 33 selected private health facilities of Addis Ababa, Ethiopia comprising 7 hospitals, 2 NGO health centers, 23 higher clinics and 1 diagnostic laboratory that provide AFB smear microscopy services. The study was conducted from January to April 2014. A total of 283 stained sputum smears were randomly collected from participant laboratories for blinded rechecking, 320 panel slides were sent to 32 microscopy centers to evaluate their performance on AFB reading, staining and reporting. Checklists were used to assess quality issues of laboratories. Data were captured, cleaned, and analyzed using SPSS version 16.0; χ2 tests, kappa statistics were used for comparison purpose. P value < 0.05 considered statistically significant. Among the 32 participant laboratories, 2-scored 100%, 15 scored 80-95% & the remaining 15 scored 50-75% for overall proficiency test performance. There were 10 (3.15%) major errors and 121 (37.8%) minor errors. The sensitivity, specificity, PPV and NPV of panel reading by microscopy centers were 89%, 96%, 96%, and 90% respectively. Out of 283 randomly selected slides for blind rechecking, 11 (3.9%) slides interpreted falsely for AFB, with overall agreement of 97.5%, sensitivity of 88.4% and specificity of 99.3%. In terms of slide quality assessment, 71.6% of AFB slides were graded as good for evenness, cleanness, thickness, size, staining and labeling. The performance score for AFB slide evenness was 56.9% (161 slides) and for labeling quality was 90.8% (257 slides); having significant difference in slide quality (p value < 0.05). On-site evaluation indicated problems in terms of infrastructure, standard operating procedure, reagent quality; equipment maintenance, data management and training issues. Most of the health facilities had poor maintenance scheme for microscope (53.5%) and poor inventory management (25.0%) system. Microscopy centers that scored a proficiency of 75.5%; which is below the acceptable minimum score of 80% and an overall error rate of 3.9% for blinded rechecking needs attention. Moreover, there are gaps identified through on site assessment including poor SOP, reagent quality, equipment maintenance, data management & lack of updated training on AFB microscopy techniques, requiring a concerted effort to alleviate the bottle neck problems and strengthening the public private partnership to control TB.The Pan African Medical Journal 2016;2
Client related barriers for not utilizing trichiasis surgery, Mehalsayint district, South Wollo zone, North-east Ethiopia.
<p>Client related barriers for not utilizing trichiasis surgery, Mehalsayint district, South Wollo zone, North-east Ethiopia.</p
Service related barriers for not utilizing trichiasis surgery, Mehalsayint district, South Wollo zone, North-east Ethiopia.
<p>Service related barriers for not utilizing trichiasis surgery, Mehalsayint district, South Wollo zone, North-east Ethiopia.</p
Socio-demographic characteristics of respondents, Mehalsayint district, South Wollo zone, North-east Ethiopia.
<p>Socio-demographic characteristics of respondents, Mehalsayint district, South Wollo zone, North-east Ethiopia.</p
Determinants for not utilizing trichiasis surgery, Mehalsayint district, South Wollo zone, North-east Ethiopia.
<p>Determinants for not utilizing trichiasis surgery, Mehalsayint district, South Wollo zone, North-east Ethiopia.</p