Assessment of HIV/AIDS-Related Mortality among Primary and Secondary School Teachers in Addis Ababa (1998-2003) Using Verbal Autopsy

Asmelash, Abebe (2014) Assessment of HIV/AIDS-Related Mortality among Primary and Secondary School Teachers in Addis Ababa (1998-2003) Using Verbal Autopsy. Masters thesis, Addis Ababa University.

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Abstract

Acquired Immunodeficiency Syndrome (AIDS) has become a number one killer disease in Africa. The problem is believed to be so grave among government employees in general and teachers in particular; however, there are little hard data that substantiate the severity of the problem in these population groups . This cross-sectional study was aimed at assessing HIV/AIDS related mortality among primary and secondary school teachers. A total of 88 schools (66 primary and 22 secondary) were randomly selected for the survey and 193 deaths were identified. Complete data were obtained for 169 cases using verbal autopsy questionnaire. Verbal autopsies were reviewed by three physicians to determine the underlining cause of death. EPI-info version 6 and SPSS version 10 statistical packages were used to enter and analyze data. Proportions and rates were calculated to define the problem. Results showed that HIV/AIDS related illnesses were the leading cause of death accounted for 47.9% of all deaths. Tuberculosis was the major opportunistic infection in persons with HIV/AIDS, contributed for 88.9% of HIV related deaths. Mean age of death was 43.6 with SD 6.7. Most HIV related deaths (53.7%) were occurred in the age group 20-49 years (P= 0.015). Peak age of death was 35-39 years among males and 30-34 years among females for the year 2003. This shows that females have been dying at an earlier age compared to males. The likelihood of dying of HIV related illnesses was higher among widowed and divorced compared to the other groups (OR=4.74, 95% CI 1.14, 19.7). Most HIV related deaths (74%) had taken place at home, whereas 76% non-HIV related deaths were taken place in health institutions (P=0.009). In general HIV/AIDS was a cause for the majority of deaths and associated problems in both primary and secondary school teachers. Most teachers had died of the epidemic in their most productive age. Therefore it is advisable to make the teaching staff aware that they are being negatively affected by the epidemic. Further study with a more representative sample size is advisable since this study had limitation to get adequate sample size.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 02 Oct 2018 12:20
Last Modified: 02 Oct 2018 12:20
URI: http://thesisbank.jhia.ac.ke/id/eprint/5780

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