CORE Metadata, citation and similar papers at core.ac.uk Provided by National Academic Repository of Ethiopia INSTITUTE OF PUBLIC HEALTH COLLEGE OF MEDICINE AND HEALTH SCIENCES UNIVERSITY OF GONDAR A THESIS PROPOSAL SUBMITTED TO INISTITUTE OF PUBLIC HEALTH, GONDAR COLLEGE OF MEDICINE AND HEALTH SCIENCES, UNIVERSITY OF GONDAR IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF PUBLIC HEALTH Name of investigator KASSAHUN ASSEFA KASSAHUN ALEMU(BSc,MPH), Name of advisors YIFOKER TEFERA (BSc,MSc) ASSESSMENT OF RISKY SEXUAL BEHAVIOR TO HIV/AIDS AND ASSOCIATED FACTORS AMONG TRADITIONAL GOLD MINERS IN BERO WOREDA, Full title of the project BENCH MAJI ZONE, SOUTHERN ETHIOPIA. Duration of project February to June 2012 Study area Bero Woreda, Bench maji zone, southern Ethiopia Total cost of the project 21915.18 Birr. E mail:[email protected] Address of investigator Mobile: 0911015240 1 Acknowledgement I would like to express my heartfelt gratitude to my advisors Kassahun Alemu and Yifokire Tefera who have been a great help to the completion of this proposal starting from commenting the draft of my proposal and giving very important suggestions. I would also like to extend my appreciation to those who has helped me a lot in giving additional advice. Also want to express my great thanks to Gondar University Institute of Public Health members for their different suggestion and health informatics department for the internet access. i Table of content Contents Acknowledgement............................................................................................................ i Table of content ...............................................................................................................ii List of annex....................................................................................................................iv Acronyms ........................................................................................................................ v Summary.........................................................................................................................vi 1. Introduction ................................................................................................................. 1 1.1 Statement of the problem....................................................................................... 1 1.2 Review of Related Literature.................................................................................. 2 1.2.1 Risky Sexual Behavior..................................................................................... 2 1.2.2 Associated Factors for Risky Sexual Behaviors............................................... 4 1.3 Justification ............................................................................................................ 7 2. Objectives ................................................................................................................... 8 2.1 General Objective .................................................................................................. 8 2.2 Specific Objectives................................................................................................. 8 3. Methods ...................................................................................................................... 9 3.1 Study Design and Period ....................................................................................... 9 3.2 Study Area ............................................................................................................. 9 3.3 Source Population and Study Population............................................................... 9 3.3.1 Source Population ........................................................................................... 9 3.3.2 Study Population.............................................................................................. 9 3.4 Inclusion and Exclusion Criteria ............................................................................. 9 3.4.1 Inclusion Criteria .............................................................................................. 9 3.4.2 Exclusion Criteria............................................................................................. 9 3.5 Sample Size and Sampling Procedure................................................................... 9 3.5.1 Sample Size Determination ............................................................................. 9 3.5.2 Sampling Procedure ...................................................................................... 10 ii 3.6 Variables of the Study.......................................................................................... 11 3.6.1 Dependent Variable ....................................................................................... 11 3.6.2 Independent Variables................................................................................... 11 3.7 Operational Definition........................................................................................... 11 3.8 Data Collection Procedures ................................................................................. 12 3.8.1 Data Collection Tools..................................................................................... 12 3.8.2 Data Quality Control Issue............................................................................. 12 3. 9 Data Processing and Analysis ............................................................................ 12 4. Ethical Consideration ................................................................................................ 13 5. Dissemination of the Result....................................................................................... 13 6. Work Plan.................................................................................................................. 14 7. Budget Breakdown .................................................................................................... 15 REFERENCES.............................................................................................................. 17 Annexes ........................................................................................................................ 20 iii List of annex Annex 1: Declaration ……………………………………………………………………. 19 Annex 2: Assurance of investigator ………………………………………………....... 20 Annex 3: Conceptual frame work………………………………………………………. 21 Annex 4: Dummy Tables ……………………………………………………………...... 22 Annex 5: Information Sheet and Consent form ………………………………………. 32 Annex 6: Questionnaire (English and Amharic).……………………………………… 35 iv Acronyms AIDS Acquired Immuno Deficiency Syndrome ANC Antenatal Care AOR Adjusted Odds Ratio CSW Commercial Sex Workers EDHS Ethiopian Demographic and Health Survey EIFDDA Ethiopian Inter-faith Forum for Development, Dialogue and Action HIV Human Immune deficiency Virus STI Sexually Transmitted Infection UNAIDS United Nations Joint Program on HIV/AIDS WHO World Health Organization v Summary Introduction HIV/AIDS has been major health problem of the world for decades of years. Its burden is high in developing countries especially in sub Saharan Africa. Ethiopia is one of the most seriously affected countries in the world by the epidemic. In 2010, nationally an estimated 1.21 million Ethiopians were living with HIV. Unprotected sex with multiple partners is the greatest risk factor for HIV infection in developing countries. In Ethiopia risky sexual behaviors such as having multiple sexual partners and unprotected sex with non regular and non cohabiting partner are the major factors that place people at risk of exposure to HIV. Several studies have shown that miners are more likely to have unsafe sexual behaviors such as low levels of condom use, high number of concurrent partnerships and visiting commercial sex workers. In Ethiopia there are more than half a million traditional gold miners. However, there is lack of solid data and empirical research regarding the risky sexual behavior of this group of population. Objective: To assess the prevalence of risky sexual behavior to HIV/AIDS and factors associated with these behaviors among traditional gold miners. Methods: Community based cross-sectional quantitative study design will be conducted from April 5 to 20/2012 to assess the prevalence and the associated factors of risky sexual behavior to HIV/AIDS among traditional gold miners. Stratified systematic random sampling will be used to select the study subjects. Data will be collected by trained data collectors. Face to face interview technique using structured questionnaire will be used to collect data from the selected samples. The collected data will be entered using Epi-Info version 6 and analyzed using STATA version 11 software. Crude and adjusted logistic regression analyses will be used to identify the associated factors using logistic regression analyses model. Finally, the results will be presented with odds ratio (OR) and 95% confidence interval (CI) as well as appropriate tables and graphs. Work plan and budget: The project will start in April 5/2012 and end in April 20/2012. The total budget required for the project is Birr 21915.18 Birr. vi 1. Introduction 1.1 Statement of the problem Globally, an estimated 34 million people were living with HIV at the end of 2010. During the same year there were 2.7 million new infections globally. More than two-third of the global total people living with HIV resided in sub-Saharan Africa,