Thesis Title፡ _____________________________

Student Name:_________
Advisor Name____________
 Outline
 Introduction
 Background
 Objective
 Materials and Methods
 Significance of CBTP
 Ethical consideration
 Measurement of study variables
 Result and Discussion
 Conclusion
 Recommendation
 Problem identification and prioritization
 Action plan
 Acknowledgement
 References
 Introduction

o Harar Health Science College is committed to fostering community health through

education and outreach initiatives.

o The CBE program aims to empower students to engage directly with local populations,
addressing pressing health issues and improving environmental conditions.

o In Gelmeshira Kebele, located behind the SOS Children Village in Sofi Woreda, Harar
Town, our research will take place from March 4 to March 25, 2025. This area faces
significant community health challenges, including high rates of communicable
diseases, malnutrition, and poor sanitation practices. Additionally, environmental
conditions such as inadequate waste management and limited access to clean water
exacerbate these health issues.

o Our study will analyze these factors to develop targeted interventions that enhance the
health and well-being of the community.
 Background contd…

• CBE has its roots in service-learning and experiential education,

gaining traction in the late 20th century as educators recognized
the benefits of linking academic studies with community service.

• In many countries, including Ethiopia, CBE has been integrated

into health sciences education to prepare future healthcare
professionals to understand and address the unique health needs
of their communities.
Background contd…
• CBEis a program through which students get
practical problem-solving skills.
• CBE strategies
 CBTP

 TTP/DTTP

 SRP
CBTP: - is one form of the strategies of CBE-with
different phase. Each phase has specifically defined
educational objectives.

Come to MIC, Meet The World!

 Significance of CBE
 Bridges theory and practice, allowing students to apply classroom knowledge
to real-world situations.
 Cultivates civic duty, encouraging students to contribute positively to society.
 Equips students with communication, teamwork, problem-solving, and
leadership skills.
 Empowers communities to address their own challenges, improving overall
health and well-being.
 Encourages collaboration across disciplines to develop comprehensive
solutions to community issues.
 Raises awareness about health issues and promotes healthier lifestyles within the community.
 Prompts critical assessment of experiences, leading to continuous
improvement in community engagement.

Come to MIC, Meet The World!

 Statement of the Problem
• The following problems were observed
among the community members:
• Lack of Latrine Coverage Materials: 200 out of

419 HHs (approx-48%)

• Lack of Hand Washing Facilities Attached to

Latrines: 223 out of 419 HHs (approx-53%)

• Usage of Open Fields for Solid Waste Disposal:

50 out of 419 HHs (approx-12%)

• Lack of Compound Cleanliness: 121 out of 419

HHs (approx-29%)

• Usage of Untreated Water at Home for Drinking:

177 out of 419 HHs (approx-42%)

• Low HIV Testing Practice in the Community: 277

out of 419 individuals(approx-66%)

Statement of the Problem ..contd
Research questions
 Objective of the Study

 General Objectives
o The primary objective of this study is to assess community health-
related problems and environmental conditions in Gelmeshira
Kebele (located behind the SOS Children Village), Sofi Woreda,
Harar Region, Eastern Ethiopia, in 2025.
 Objective….

Specific Objectives:

1. To Identify Latrine Conditions: Evaluate the availability and

quality of latrine facilities within the community.

2. To Assess Kitchen Conditions: Investigate the sanitary

conditions of kitchens in households.

3. To Identify Dry Waste Disposal Mechanisms: Examine the

methods used for solid waste disposal in the community.
 Objective ………

4. To Assess Maternal ANC Follow-Up: Analyze the antenatal care

follow-up practices among pregnant women.
5. To Identify Immunization Status: Assess the immunization coverage
among infants in the community.
6. To Differentiate Breastfeeding Conditions: Evaluate the breastfeeding
practices and conditions for children.
7. To Assess HIV Status: Investigate the prevalence and awareness of
HIV status within the community.
8. To Assess General Drug Utilization: Analyze the patterns of drug
utilization among community members.
 Significance of the Study
 The findings will help identify and address significant health
disparities faced by the community in Gelmeshira Kebele..
 By assessing environmental conditions and health behaviors,
the study will contribute to promoting sustainable health
practices, such as proper sanitation and waste management,
which are vital for improving community health.
 The insights gained from this CBTP can inform local health
policies and programs, ensuring that they are evidence-based
and relevant to the community's needs.
 The study will foster community engagement by involving
local residents in the research process, thus empowering them
to take an active role in improving their health and
environment.
 Study Area and Period; Study Designs

o Study Area:
 The CBTP was conducted in Gelmeshira Kebele, located in
Sofi Woreda, Harar Region, Eastern Ethiopia. The study site,
situated around the back side of the SOS Children Village,
encompasses a total population of 1,427 individuals, with
419 households represented in the study.
o Study Period:
 The data collection took place from March 04 to March 25,
2025.
o Study Design:
 A community-based cross-sectional study design.
 Population
1. Source Population:

 The source population for this study includes all

households within Sofi Woreda, located in Harar

Town. .
2. Study Population:

 The study population consists of all systematically selected

households in Gelmeshira Kebele, specifically around the

back side of the SOS Children Village.

 Eligibility Criteria

1. Inclusion Criteria:
o All selected households located in Gelmeshira Kebele, Sofi
Woreda (around the back side of the SOS Children Village), were
included in the study.

2. Exclusion Criteria:
 The following households were excluded from the study:
 Households with residents who have lived there for less
than 6 months, as this may not provide a sufficient
understanding of the community's health dynamics.
 Houses that were permanently closed for a long period of
time, as they do not contribute to the data collection
efforts.
Chapter Three: Methodology of
the Study
Research Design and Approach
Sampling Design
Data Sources and Method of Collection
Method of Data Analysis
Reliability and validity of data
Chapter Four: Results and Discussion
 Results and
Discussion…..contd
 Chapter Five
Conclusions, Recommendations and Direction for further
research
 Conclusion

 The demographic analysis of the community reveals significant insights into the population’s structure:

o Gender Distribution: The sample is nearly balanced, with 49.3% males and 50.7% females, indicating a gender-equitable representation.

o Educational Status: A substantial portion of individuals (28.31%) has attained primary education, while 11% are underage and 6.66% are unable to read or write. This
highlights the need for improved literacy and educational opportunities.

o Marital Status: The majority of participants are married (51.15%), with a notable percentage of underage individuals (28.18%), suggesting a focus on family structures
and youth engagement.

o Occupational Landscape: A significant portion of the population is comprised of students (30.55%), reflecting the community's youthfulness, while 12.40% are merchants,
indicating economic activity.

o Religious Affiliation: The community is predominantly Muslim (76.03%), which may influence cultural practices and health-seeking behaviors.

• The maternal and child health conditions, along with family health insights, suggest a community that is largely engaged
with healthcare services, particularly for maternal health and immunization of children. However, there are areas for
improvement, particularly in understanding the factors leading to abortions and stillbirths, as well as enhancing
medication storage practices. Continued efforts to promote antenatal care, institutional deliveries, and vaccination
coverage will be essential for improving overall health outcomes in the community.
 Recommendations
1. Enhance Educational Programs:

o Develop community-based educational initiatives to improve literacy rates, especially targeting underage individuals and those unable to
read or write.

2. Promote Gender Equity:

o Foster programs that empower both males and females, ensuring equal access to education, healthcare, and employment opportunities.

3. Support for Young Families:

o Implement support systems for young and married individuals, focusing on family planning, health education, and economic opportunities.

4. Economic Development Initiatives:

o Encourage entrepreneurship and vocational training to enhance the employability of students and individuals in the community,
particularly in sectors like trade and services.

5. Cultural Sensitivity in Health Programs:

o Design health interventions that are culturally sensitive and align with the predominant religious values of the community, ensuring higher
acceptance and participation rates.
Direction for Future Research
Acknowledgements
 We would like to acknowledge Harar Health Science College for providing us the opportunity to conduct
and present this community-based training program (CBTP) successfully.

 We extend our heartfelt gratitude to the Harar Town, Sofi Woreda Gelmeshira Kebele community and the
administration office for their invaluable support, interest, and permission to conduct the CBTP within the
community.

 Furthermore, we would like to express our sincere appreciation to our instructors, Amanuel F. (MH in
Nutrition) and Gizaw K. (MSc in Midwifery Education), who tirelessly provided us with valuable
guidance and constructive feedback, contributing significantly to the successful completion of the CBTP.

 Finally, we wish to convey our deep gratitude to all Gelmeshira Kebele health extension workers for their
exceptional cooperation and support throughout our activities, which played a crucial role in our success.

Come to MIC, Meet The World!

Sample References
1. World Health Organization. (2022). Maternal and Child Health: Key Facts. Retrieved from WHO website.

2. United Nations Children’s Fund (UNICEF). (2021). State of the World’s Children 2021. New York: UNICEF.

3. Central Statistical Agency (CSA) of Ethiopia. (2020). Ethiopia Demographic and Health Survey 2019. Addis Ababa: CSA.

4. Ministry of Health, Ethiopia. (2020). National Reproductive Health Strategy. Addis Ababa: Federal Democratic Republic of
Ethiopia.

5. Gebrehiwot, T., & Berhe, T. (2021). Assessing the Impact of Community-Based Health Programs on Maternal and Child
Health. Ethiopian Journal of Health Sciences, 31(4), 123-134.

6. Kassebaum, N. J., et al. (2016). Global, Regional, and National Levels of Maternal Mortality, 1990-2015. The Lancet,
388(10053), 1775-1812.

7. Ethiopian Public Health Institute. (2020). Immunization Coverage Survey. Addis Ababa: EPHI.

8. Smith, J. A., & Brown, L. (2019). Understanding Health Literacy in Rural Communities. Journal of Community Health,
44(2), 345-352

Come to MIC, Meet The World!

Thank You