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Ethical issues in the care of older people in Ethiopia
Third-party funded project
Project title Ethical issues in the care of older people in Ethiopia
Principal Investigator(s) Mussie, Kirubel Manyazewal
Co-Investigator(s) Setchell, Jenny
Elger, Bernice Simone
Kaba, Mirgissa
Organisation / Research unit Ethik / Bio- und Medizinethik (Elger)
Project start 01.01.2020
Probable end 30.06.2023
Status Completed

Background: Older people in Ethiopia remain vulnerable and unnoticed. Although traditional family and community support are believed to be the main sources of care for older people, these sources are weakening due to mainly the growth of industrialisation and urbanisation. In the face of poverty and fragile health care system in the country, health care for the elderly faces ethical challenges that need much attention.

Objectives: The main objective of this study is to explore ethical issues in the care of older people in Ethiopia. Under this, there are four specific objectives: (1) to explore older people experiences of ethical situations while receiving care in primary health care settings; (2) to explore ethically problematic situations in providing care to older people; (3) to explore the experiences of facing and coping with ethically difficult situations in connection with elderly care; and (4) to explore factors that lead to steering away from ethical standards.

Methods: This will be a qualitative study using in-depth semi-structured interviews to collect data. The interviews will be conducted among purposively selected older patients and (formal and informal) care providers in Addis Ababa, Ethiopia’s capital. We will audiotape, transcribe and thematically analyse the data to present the findings.

Study relevance: This research will contribute to understandings of the ethical issues arising in relation to providing elderly care in a developing context. The findings of this study will inform discussions regarding the need to incorporate both carers’ and care receivers’ perspectives in designing strategies to better address challenges in maintaining older people dignity in resource poor settings where prioritisation comes into play to intensify ethical dilemmas. The results of such a study could also contribute to developing training materials to health care practitioners working in the areas of geriatrics in Ethiopia.


Financed by Commission of the European Union
University of Basel

Published results ()

  ID Autor(en) Titel ISSN / ISBN Erschienen in Art der Publikation
4657429  Mussie, Kirubel Manyazewal; Elger, Bernice Simone; Kaba, Mirgissa; Pageau, Félix; Wienand, Isabelle  Bioethical Implications of Vulnerability and Politics for Healthcare in Ethiopia and The Ways Forward  1176-7529 ; 1872-4353  Journal of Bioethical Inquiry  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
4657455  Mussie, Kirubel Manyazewal; Setchell, Jenny; Elger, Bernice Simone; Kaba, Mirgissa; Memirie, Solomon Tessema; Wangmo, Tenzin  Care of Older Persons in Eastern Africa: A Scoping Review of Ethical Issues    Frontiers in Public Health  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
4635930  Mussie, Kirubel Manyazewal; Pageau, Félix; Merkt, Helene; Wangmo, Tenzin; Elger, Bernice Simone  Challenges in providing ethically competent health care to incarcerated older adults with mental illness: a qualitative study exploring mental health professionals' perspectives in Canada.  1471-2318  BMC geriatrics  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
4626660  Mussie, Kirubel Manyazewal; Gradmann, Christoph; Yimer, Solomon Abebe; Manyazewal, Tsegahun  Pragmatic Management of Drug-Resistant Tuberculosis: A Qualitative Analysis of Human Resource Constraints in a Resource-Limited Country context-Ethiopia.  1661-8564  International Journal of Public Health  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
4600981  Mussie, Kirubel Manyazewal; Gradmann, Christoph; Manyazewal, Tsegahun  Bridging the gap between policy and practice: a qualitative analysis of providers' field experiences tinkering with directly observed therapy in patients with drug-resistant tuberculosis in Addis Ababa, Ethiopia  2044-6055  BMJ open  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
4664759  Mussie, Kirubel  Tuberculosis: A Historical and Global Bioethical Perspective    Tuberculosis: Integrated Science  Publication: Book Item (Buchkap., Lexikonartikel, jur. Kommentierung, Beiträge in Sammelbänden etc.) 

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