Melese Kitu
They are able because they thing they are able !!
Location Ethiopia
Activity
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Melese Kitu made a comment
A reseach I see was on Hearing Loss in childhood, Ethiopia: A Community Based Survey
The result shows that prevalence of disability in was 2.7% and bearing loss was the most common. -
Melese Kitu made a comment
In my setting, disabled peoples are more prone for discrimination. They are also seen as 'Sign of sin' for afamily.
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Melese Kitu made a comment
Hello Every one
I am Melese from Ethiopia. I am working in eye health research institution. So I am always had in contact with disabled peoples: during data collection. This course might give something new. -
Melese Kitu made a comment
I got it interesting. I learn lots of new things that might help me for my field work in research activities. Thanks to Dr Daksha Patel and the team.
Who knows I may have research on glaucoma for the future because of these input.
Thanks again. -
The researchs try to address treatment options for glaucoma.
There are limited studies that show the effect of treatments on glaucoma in different culture, settings and communitys. The effect and burden of glaucoma is masked by the cataract disease in low income countries like Ethiopia(in my setting). There are limited studies to show the prevalence of... -
Melese Kitu made a comment
Motivational intreview and patient-centered approach helps not for glaucoma cases approach only but for all patients and even to have good communication skill in life...
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In my setting there is high load patients waiting for examination services. So it is very difficult to do motivational interview as appropriate.
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Closing the patients, feel their feelings (Empathy), before any thing might be important. Then give knowlege (key informations about glaucoma), try to change their bad attitude ..........
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Melese Kitu made a comment
In ethiopia setting, primary hospitals had almost no eye health services, nearlly all had only Visual acuity charts. There are few teritary hospitals those had full eye care examination equipments.
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Melese Kitu made a comment
In these week we learn 'methods of diagnosis'. But not well practiced in our setting due to lack of instruments and also lack of skilled man power. I hope we all have anice time and got helpful especially for clinician.
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Melese Kitu made a comment
Visual acuity, visual field, IOP, pupilary light reflex,Slit lamp examinations are important fir all cases as every visit.
Gonioscopy, CCT, OCT, Dilated fundus examination and optic nerve head assessment are important 3 - 6 month interval -
Melese Kitu made a comment
Challenges to dx Glaucoma in my area, were
Availability of eye care institutions, Affordability to service costs, Awareness of community to the disease, Dependency to free of charge services, etc..Supporting mechanisms, Health education, give the service by community's affordable cost rather than free
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Melese Kitu made a comment
In my area Ethiopia in Amharic language Glaucoma is known as 'ye ayin gifit' meaning 'pressure on eye'.
Challenges to deliver as public health approach were limited number of Opthalmologist, lack of awareness of community, cost of DX and Txs, other communicable and life threatening health problems, lack of diagnostic instruments and SOPs for field assement... -
@AbdallahKunja, Interesting !!!!!!!!!
Thank you -
Melese Kitu made a comment
Some of lists that I learn from week one
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1) before, I think that causative agent for glucoma as single agent
2) before, I think that all raised IOP is due to or Diagnosed as 'Glaucoma'
3) before, I dont know 'Cataract if untreated' will lead to Glaucoma
4) Before I donot have clue about Glaucoma vs... -
Melese Kitu made a comment
It is difficult to estimate the ratio of glaucoma cases, but it can guessed as 1 in 10.
In my setting challenges for reducing glaucoma blindness were
1) Late diagnosis
2) Mis diagnosis by health proffesional
3) Drug Compliance
4) Loss to follow up
5) Cultural belfs etc.. -
In Amharic peoples call it (Glaucoma) as 'ye ayin gifit' these means 'Pressure on eye' and most of peoples will agree by these term.
I may describe Glaucoma to my community as ' irreversible and graduall vision loss which starts from periphery, mostly painless eye disease'
So I strongly RECOMMED them to vist health facilitys for eye care services. -
In case of my setting, to increase early detection of Glaucoma, I suggest
1) aggressive health education (many peoples do not have knowledge) about Glaucoma,
2) Training of Health proffesionals in Health center (to diagnosis Glaucoma) and
3) Training of Health extension workers (about referal system) -
Melese Kitu made a comment
I need some clarification here,
How pepole-centered pathways can improve the early detection of glaucoma in low income countries? what is thire relationship? -
Melese Kitu made a comment
Hello
I am Melese Kitu from Ethiopia. I have MPH in epidemiology and now i am working in NGO, which gives eye care services to the community and doing researchs, as coordinator position.
I always have field work, examinig and treating of eye diseased patients. What I face was how can I diagnosed Glaucoma cases? And i want to do researchs related to... -
Melese Kitu made a comment
Clear and understandable introduction.
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Melese Kitu made a comment
I learn how people reacts to emrgencis/trauma's, in psychological, social and also its mental health effect after the condition(post traumatic stress disorder)
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Melese Kitu made a comment
I have no experience on how children included and managed before ... i take my own from your experience
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Melese Kitu made a comment
I learn how clinical trial researchs become effective during covid 19 epidemic.
also i learn phases of of clinical trial.
That is so educative course. -
Melese Kitu made a comment
I learn how clinical trial researchs become effective during covid 19 epidemic.
also i learn phases of of clinical trial.
That is so educative course. -
Melese Kitu made a comment
very interesting and educative course to me. it has great contributions to my work. based on these course i will plan to fight avoidable causes of blindness to my community tirelessly .
i would like to say ''GREAT THANKS''''/Together we can ensure no one goes blind
needlessly!///// -
strength- availability of trained health professionals at lower level
weakness - service provision is not integrated with other health services.
opportunities - good collaboration with different secyors
threats - pandemics, -
In my setting, Early detection of refractive error is poor. diagnosing is only in teritiary hospitals.
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Melese Kitu made a comment
Refractive error prevalence difference between Africa and Asia's children is very high (2% & 80%)
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Melese Kitu made a comment
aperson who has good cataract surgery outcomes are a community ambassador & mobilizer to others.
monitoring the outcome helps to know good or poor surgical outcome rates. -
Melese Kitu made a comment
In Ethiopia prevalence of cataract is more than 50 percent ... cataract surgery is in another way is very minimal. agressive cataract campaigns will be needed to reduce the burden.
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Melese Kitu made a comment
in my setting Ethiopia, many causes of blindness is avoidable such as Trachoma, glaucoma, onchocerciasis, refractive error, etc...
I thing it may be much more than 80%, beyond global level.
i am working as TT surgeon in many rural areas and i saw these. -
Melese Kitu made a comment
hi dear/madam
I am melese from Ethiopia. now i an working in eye health research, i have seen the communities problem in my field. many peoples especially poors are affected by cataract and refractive errors at large. and also i see trachoma and trauma. all are treatable or preventable. but still the community is suffering by these eye diseases.
nice too... -
Melese Kitu made a comment
HI,
I am from Ethiopia. Working in charity organization -
Melese Kitu made a comment
I am melese from Ethiopia, knowing ethics is first thing to be a researcher.
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Melese Kitu made a comment
Educative time. Thanks !!!
please send me certificate !!!!! -
covid pandemic^s effect in my area is not just only morbidity and mortality , rather stress and economical effects doubled the burden
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Melese Kitu made a comment
Hello, I'm melese, from Ethiopia. I am highly interested by these course and st George's university too.
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Melese Kitu made a comment
I pass good time with the course. Thanks alot.
''please send me certificate by email''. -
Melese Kitu made a comment
I got new knowledge. e.g if P.Investigator had family participants (dependants...), payment vs componsation ... etc
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Melese Kitu made a comment
participants of my work (research) are patients of tracomatous trichasis ... what i face is all participants can not understand what i say(inform) to them. i informed to them beyond what is expected from me, but still some can not understand what is going on. ???????
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Melese Kitu made a comment
I'm melese from Ethiopia. now I am working in research center as data collector. these course will improve my knowledge on Research ethics and my work as well.
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Melese Kitu made a comment
thanks to all who contribute on development of these course. i enjoy it well.
I need these certificate. can you help me please? -
Melese Kitu made a comment
my name is melese kitu. I am from bahir dar, Ethiopia, the most beautiful city near to lake tana. currently I am working in amhara region, Ethiopia in any health activity. I want to learn these course to improve my English language writing, speeking & listings ability.
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Melese Kitu made a comment
We learn alot from these conversation ( Dr Matthew to DrEsmael) From his (Dr Esmael) experiences of trichiasis
management in Ethiopia .......
To back to discussion, To perform good quality surgery 1st invest more time to trainers during training after that on-job suportive supervision and Audit surgeons end up with quality surgery. based on auditing report... -
Melese Kitu made a comment
I have seen lack of surgeon ,fear of surgery , severity of pain, availability of caretaker etc as determinants of surgery.
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Melese Kitu made a comment
week 1 ... give pertinent information regarding trachoma, such as causative agent (bacterial chalamadya trachomatis straines), grading of tracoma (not stages ), GTMP etc.. interesting and full information for trachoma.
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Melese Kitu made a comment
standardized ...... meanes scientifically accepted equally & trained by time, knowledge, etc. which results approximately the same and qualified data across the globe .
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Melese Kitu made a comment
1..indirect transmission
2.. case control study
3...to identity the causative virulence gene
4... yes , to check for mutuation & emerging strain. -
Melese Kitu made a comment
good information !!
