A critical element in building stronger health systems involves strengthening good governance to build capacity for transparent and fair health planning and priority setting. Over the past 20 years, the ethical framework Accountability for Reasonableness has been a prominent conceptual guide in strengthening fair and legitimate processes of health decision-making. While many of the principles embedded within the framework are congruent with Western conceptualizations of what constitutes procedural fairness, there is a paucity in the literature that captures the degree of (...) resonance between these principles and the views of decision makers from non-Western settings; particularly in Africa, where many countries have only recently, within the last 20-30 years, become more democratic. This paper contributes to the ethics literature by examining how Ethiopian decision makers conceptualize fair and legitimate health decision-making, and reflects on the degree of conceptual resonance between these views and the principles embedded in A4R. A qualitative case study approach from three districts in Ethiopia was undertaken. Fifty-eight decision makers from district, regional, zonal, and national levels were interviewed to describe their conceptualization of fairness and legitimacy in the district health planning process. Findings revealed that Ethiopians have a broad conception of fairness and legitimacy that while congruent with procedural justice, also aligned with principles of distributive and organizational justice. Researchers and practitioners seeking to strengthen procedural fairness in health priority setting must therefore recognize the significance of other philosophical dimensions influencing how fairness and legitimacy of health decision-making are constructed within the Ethiopian setting. (shrink)

The main objective of this study was to explore the perception of students on challenges that hindered the implementation of Civics and Ethical Education in Aleta Wondo secondary school. To achieve this objective, the study employed a cross sectional survey research design with a combination of mixed research approach. The quantitative data collected through survey was analyzed via mean and standard deviation while the qualitative data obtained from key informant interviews and document analysis was presented using narration. The findings of (...) the study indicated that content and context related problems such as repetition of the content, deformity of contents and improper mode of delivery of the course were identified as major factors that influenced the implementation of the discipline. Moreover, external environment related challenges such as engagement of a number of students in harmful activities, lack of parental involvement in the school activities, and mass media were major reasons for Civics and Ethical Education to meet its objectives ineffectively. Therefore, this study demanded all stakeholders to be highly committed to the effectiveness of the subject, and responsible to curb those challenges that affected the implementation of the discipline. (shrink)

Much innovation has taken place in the development of medical schools and licensure exam processes across the African continent. Still, little attention has been paid to education that enables the multidisciplinary, critical thinking needed to understand and help shape the larger social systems in which health care is delivered. Although more than half of medical schools in Canada, the United Kingdom, and the United States offer at least one medical humanities course, this is less common in Africa. We report on (...) the “liberal arts approach” to medical curricula undertaken by the University of Global Health Equity beginning in 2019. The first six-month semester of the curriculum, called Foundations in Social Medicine, includes courses in critical thinking and communication, African history and global political economy, medical anthropology and social medicine, psychology and health, gender and social justice, information technology and health, and community-based training. Additionally, an inquiry-based pedagogy with relatively small classes is featured within an overall institutional culture that emphasizes health equity. We identify key competencies for physicians interested in pursuing global health equity and how such competencies relate to liberal arts integration into the African medical school curriculum and pedagogical approach. We conclude with a call for a research agenda that can better evaluate the impact of such innovations on physicians’ education and subsequent practices. (shrink)

In _Locating Politics in Ethiopia's Irreecha Ritual_ Serawit Bekele Debele gives an account of politics and political processes in Ethiopia as manifested in Irreecha celebrations over the years.

The letter deals with the establishing and development of philosophical education in the Department of Philosophy of Addis Ababa University. It explores the focus of philosophical education since its inception, unravelling a trajectory that began with a few courses and has now reached a level where a PhD in teaching is offered and important research undertaken. It explains how certain philosophical issues have influenced the evolution of philosophical education in Ethiopia. The dynamics of philosophical education in Ethiopia is constituted by (...) the debate on the nature and task of philosophy. This highlights a healthy and fruitful debate by students of philosophy pointing out that philosophy can be contextualised to enlighten us on social and moral questions without, of course, forgetting the traditional and main branches of philosophy. (shrink)

Some of the African universities were established just over half a century ago, the overwhelming majority of them coming into being after independence. They came into being largely not on the basis of the desire of the African peoples but rather to serve a purpose related to colonialism. Even when this was not the purpose, the way they were established and organized, i. e. irrelevant curricula biased against the local knowledge and culture and an equally biased faculty made higher education (...) in Africa into a white elephant. Lack of resources and irrelevance of curricula did not enable the African university to play the role that is expected of it. The developments since the 1980s show the dependence of African universities. The so‐called reforms of the World Bank and Co. are meant to reduce African universities to vocational schools. Taking these into account the paper argues that the African university must try to recreate itself by overcoming extraversion and restructuring itself in such a way that it is ready to use universal knowledge without undermining indigenous knowledge. (shrink)

ABSTRACTThe study examined the attributes of sexual violence against girls and young women with disabilities in the northern part of Ethiopia. In order to reach the proposed objective, six in-depth...

This essay proposes African-based ethical solutions to profound human problems and a working African model to address those problems. The model promotes sustainability through advanced agroecological and information communication technologies. The essay’s first section reviews the ethical ground of that model in the work of the Senegalese scholar, Cheikh Anta Diop. The essay’s second section examines an applied African model for translating African ethical speculation into practice. Deeply immersed in European and African ethics, Godfrey Nzamujo developed the Songhaï Centers to (...) solve the problem of rural poverty in seventeen African countries. Harnessing advanced technologies within a holistic agroecological ecosystem, Nzamujo’s villages furnish education spanning the fields of ethics, information communication technology, microbiology, international development, and mechanical, electrical, civil and biological engineering in a community-based and centered development enterprise. The essay proposes a global consortium of ecovillages based on Nzamujo’s model. The final section explores funding methods for the consortium. The conclusion contemplates a return to Africa to supplement environmental ethics that enhance life’s future on earth. (shrink)