very often are not educated, can neither read nor write, difficult to have the opportunity to receive health information, especially related to HIV, in most cases do not enjoy real freedom of movement and decision-making on issues of culture as a lack of resources, are busy at home and have no time for anything other than work in the fields, housework and child care: the plight in which women still live in the Amhara region, especially in rural areas. Women who know almost nothing about what is good for their health, the importance of going to a doctor, take medicine, to submit to the prevention of the risks of pregnancy and the need for controls during the nine months, but also the threat of a home birth, let alone HIV, the modi di trasmissione del virus e dei sistemi di difesa.
È innegabile che gli ultimi programmi statali come pure l’impegno di organizzazioni non governative abbiano favorito un progresso e una maggiore diffusione d’informazioni. In particolar modo nelle zone urbane si registra una presa di coscienza di tali problemi e l’adozione di comportamenti che prestano più attenzione alla salute per evitare rischi dovuti a antiquate pratiche, la diffusione di malattie come l’HIV e altre patologie sessualmente trasmissibili; ma se anche in città restano grandi sacche di popolazione ancora non adeguatamente informate o che stentano a mettere in pratica gli insegnamenti ricevuti, nelle zone rurali la situazione è grave in generale and that for women it is even more. Just do a tour for the countryside and talk to people who live there, to confirm that the knowledge gap to the base level of the community is enormous. And the problem is that about 85% of the Ethiopian population lives in rural areas, of which a good portion in remote areas difficult to reach.
As stressed by the experts, doctors, heads of health offices, health workers extentional (women trained to provide information door to door), and in general the knowledge of rural women about health issues and especially on HIV / AIDS is very low and certainly lower than that of men, as the female component of the community is more difficult to engage in training and at least reached by information campaigns: women are often overworked in the fields and in the home and move less frequently than men, so that, for example, are less likely to come into contact with the VCT Center (Centers for consultation and voluntary HIV testing) pitches or other media; also have less time to attend courses and often have to ask permission from the husband, not always favorable. One must always consider the condition of inferiority in which culture since ancient times has placed women and that is still prevalent in remote areas. In many cases the wife is not free to choose whether to participate in a meeting or not, must ask permission from the husband who often opposed, sometimes for fear that she met another man, while others to the belief that his place is at home. Often, then, notices of courses and meetings are managed at Kebele level where, often, employees continue to send it to the males of the family because they are tied to the traditional view of roles. Moreover, it is also true that often it is the female component of the population in the first place not to be willing to get involved in these activities, citing as reasons the excessive homework. Then there is the appearance of 'feeling of inferiority' that internalized by women, preventing them from coming forward in many cases even if they need help. Finally, it is considered that many areas are actually difficult to achieve because there are no roads, therefore, women remain at home, are less exposed to information. The man, however, has more freedom of movement, is usually the one who participates in training and, more often attending the city has more opportunities to receive education, although minimal, also because it has more opportunities to listen to the radio and watch television, do not spread in the country.
The problem is that even if any information comes to subjects, from simple Receive the internalization and adoption of its behavior goes there. To delete old and hazardous practices takes a long time, not just any meeting or home visit dell'extentional some workers, especially taking into account the above and the low level of education of women. In addition to systematically disseminate information is also used in the accuracy and quality issues that sometimes seem to lack. Often, talking to people in rural areas, one realizes that, though rarely, have come in contact with experts, nurses or persons trained to teach the concepts of health education, but have not gotten the message that was sent to them, perhaps why not clear Birtukan Geremew, residing in rural Gozzamen woreda, for example, is a mother of three children, has never been subjected to anti-birth care during pregnancy, even for the newest member who has ten months, and only one of her children saw the light in a health post (a small clinic that is usually found in rural areas, the lowest level of health services) because during childbirth, which like the others was to take place at home, there were complications . Know absolutely nothing about HIV, let alone ways of mother to child transmission, however, it refers in his house have traveled extentional the health worker: "They came and talked about health, they said HIV but also something I did not understand anything, "says sincerely. He says that during every pregnancy went to the Health post vaccinations that you should do during the nine months, but never did other types of controls or HIV test. No one has recommended the service ANC (Anti Natal Care), blood tests or other necessary examinations when a woman is pregnant, for her welfare and that of the fetus. "I've never had problems during pregnancy, why go for more medical checks?" Said a quiet, adding that in general, only in cases of prolonged and very strong disorder or large accident, goes to a doctor, while usually heals herself or by traditional healers. Surprised to hear that, despite being repeatedly post the Health for vaccines, has never been spurred to do more tests, one wonders how it is possible. Unfortunately it is not the only woman in rural areas who says she went to the clinic during pregnancy but had not received information regarding treatment for HIV or anti-natalist. Advance reviews is not correct, but suspect that in smaller health centers in the country Kebele quality of service and staff training are not adequate rather arises spontaneously. To endorse this hypothesis are also the considerations of Asmare Mulugeta, head of the East Gojjam area of \u200b\u200bthe Department of Health, which emphasizes that there is a serious shortage of training for health workers extentional and how, therefore, are not adequately use the resources of the territory (...).
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