Assessment Of Hivaids-related Mortality Among Primary And Secondary School Teachers In Addis Ababa (1998-2003) Using Verbal Autopsy

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Acquired Immunodeficiency Syndrome (AIDS) has become a number one killer diseasernin Africa. The problem is believed to be so grave among government employees inrngeneral and teachers in particular; however, there are little hard data that substantiate thernseverity of the problem in these population groups . This cross-sectional study was aimedrnat assessing HIV/AIDS related mortality among primary and secondary school teachers.rnA total of 88 schools (66 primary and 22 secondary) were randomly selected for thernsurvey and 193 deaths were identified. Complete data were obtained for 169 cases usingrnverbal autopsy questionnaire. Verbal autopsies were reviewed by three physicians torndetermine the underlining cause of death. EPI-info version 6 and SPSS version 10rnstatistical packages were used to enter and analyze data. Proportions and rates wererncalculated to define the problem.rnResults showed that HIV/AIDS related illnesses were the leading cause of deathrnaccounted for 47.9% of all deaths. Tuberculosis was the major opportunistic infection inrnpersons with HIV/AIDS, contributed for 88.9% of HIV related deaths. Mean age of deathrnwas 43.6 with SD 6.7. Most HIV related deaths (53.7%) were occurred in the age grouprn20-49 years (P= 0.015). Peak age of death was 35-39 years among males and 30-34 yearsrnamong females for the year 2003. This shows that females have been dying at an earlierrnage compared to males.rnThe likelihood of dying of HIV related illnesses was higher among widowed andrndivorced compared to the other groups (OR=4.74, 95% CI 1.14, 19.7).rnMost HIV related deaths (74%) had taken place at home, whereas 76% non-HIV relatedrndeaths were taken place in health institutions (P=0.009).rnixrnIn general HIV/AIDS was a cause for the majority of deaths and associated problems inrnboth primary and secondary school teachers. Most teachers had died of the epidemic inrntheir most productive age. Therefore it is advisable to make the teaching staff aware thatrnthey are being negatively affected by the epidemic. Further study with a morernrepresentative sample size is advisable since this study had limitation to get adequaternsample size.

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Assessment Of Hivaids-related Mortality Among Primary And Secondary School Teachers In Addis Ababa (1998-2003) Using Verbal Autopsy

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