Debark University

Contraceptive discontinuation rate and associated factors among reproductive-age women in Ethiopia: evidence from the 2023 performance monitoring for action cross-sectional survey

Contraception is used to prevent unintended pregnancies, space births, improve reproductive health, and enhance quality of life. Despite increased use of modern contraceptive methods in Ethiopia, contraceptive discontinuation remains a major public health challenge. It increases...

Association between climate variability adaptation practices and household food security in three agro-ecological zones of northwestern Ethiopia

Climate variability increasingly threatens smallholder agriculture and food security in sub-Saharan Africa, yet evidence on the comparative effectiveness of adaptation strategies, particularly integrated portfolios, remains limited. This study examines the association between cli...

Incidence, predictors, and population attributable fraction of hypertension among adults with diabetes mellitus in North Gondar Zone, Ethiopia: a retrospective cohort study

Hypertension is a common and serious complication of diabetes mellitus caused by metabolic and vascular changes that increase peripheral vascular resistance, raising the risk of cardiovascular disease, chronic kidney disease, and premature mortality. However, evidence on its inci...

The effect of strategic human resource management on organizational performance: Evidence from Ethiopian manufacturing companies

In today's competitive business environment, Strategic Human Resource Management (SHRM) is widely regarded as a lever for building competitive advantage and improving organizational performance. Yet empirical evidence on this relationship from Sub-Saharan African manufacturing fi...

Burden of fecal colonization with extended-spectrum beta-lactamase producing enterobacteriaceae among food handlers in Africa: A systematic review and meta-analysis

Abstract Background Antimicrobial resistance particularly from extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-PE) is a critical global public health threat, contributing significantly to infection-related mortality. The human intestinal tract is a key reservoir...

The predictive influence of principals’ ethical leadership on teacher work engagement in secondary schools

This study investigates the influence of principals’ ethical leadership practices on teacher work engagement in public secondary schools in the West Gondar Zone Administration, Ethiopia. Grounded in Job Demands-Resources (JD-R) theory and Social Exchange Theory (SET), the researc...