Hello Ethiohealthcare family. As you may know me; I am Seble Lemma besides my jobs I am also a volunteer bringing together initiations to help reach the unreached. I work on community projects in Africa and part of it is focused on giving hope to others that are most vulnerable to the economic changes and life challenges. I believe together we can to be able help one another and not solely depend on international aid alone. Based on our Ethiopian culture of care and love to one another we can give hope and remind others that they are not alone in this journey called life. Thus, we try to cover certain basic things that will fill up at least few basic life necessary things in the needs of others. I am organizing a continued effort to the visits to local community . The past year many organizations have made multiple efforts and we all continue to do so.


According to action against hunger “Owing to instability in bordering countries, particularly South Sudan, Ethiopia remains one of Africa’s leading host country for refugees.

Violence that erupted in 2017 on the border between the Oromia and Somali regions continued in 2018, with serious consequences: the number of internally displaced people as a result of the conflict has reached 1.8 million. In addition, Ethiopia hosts nearly 900,000 refugees from countries including South Sudan and Somalia.

The action against hunger also indicates that the country suffers from recurring climate shocks. Food insecurity and displacements caused by drought, epidemics, floods and other shocks continue to increase humanitarian needs among the most vulnerable populations. In 2018, about 7.8 million people received emergency food assistance from the government and international NGOs.”


And I believe it’s time we all take our individual roles to help one another supplement to the efforts that are being done in parallel.


The picture is added was taken from the my last visit to Addis Ababa on July 19, 2019. Such initiation was done for the third round and this image is added to illustrate and give a visual to you what I do. With the next upcoming visit I would like to add more buckets, more items in the buckets and reach more people in the community.


At this point I come to you as my resources are always numbered. This is why I am looking for your support to help address the basic needs of nutrition, health & wellbeing.

for the community.


The raised money will be used for purchasing buckets to be filled with hope like “buckets of hope” ( tesfa mestet : ተስፋ መስጠት) with (cooking oil, Shiro powder, teff, lentil, onions, basic clothing, health information sheet etc.) needed for their basic wellbeing and health prevention.


What is the advantage of the event?

Children and adolescents will have basic nutritious meal ingredients and basic clothing. They will feel loved and cared by your effort and contribution.

The community will feel a sense hope and  reassured that they are not alone and you and me do care about them.


And last but not least, I will share the experiences with you through articles and possibly via medias such as the website of my company and the official Facebook and Instagram page.


Thank you in advance for any support you can give.





Brought my baby home, yeah!! That is why i disappeared from you my favorite readers – 3 months are passed already. Now i am back to work and all. I am posting this on March 8 – yes – because it’s woman’s day and it’s a day that concerns me as well. I am a mother and my little one is also female. So i dedicate this for this post for this day; March8, 2012 🙂

For me, i would say having a baby is/was one of the most wonderful and challenging experience ever!! I am sure i can not tell all my almost one year experience, challenges and the feelings i had with just some words but let me share with you some of them and of course if you have any questions/advice feel free to say something.

During pregnancy

Frankly, it is not that much fun. You know why? – You would hate the food you really loved. And you have to watch everything you do including the way you sleep. I was a type of person who enjoyed sleeping on my back and chest but for almost 5 months i didn’t get the chance to do so but only on my sides. Generally it is not comfortable to sleep so you would wake up two or three times in the middle of the night. The other thing that wouldn’t let you sleep is that you will have to go to toilet to pee so frequently and that you have to drink so much fluid. Generally you start living for your baby ever since he/she is conceived. You see as much it is hard for the mother it was also the same for the husband in handling things with all the hormonal and non hormonal changes. However, generally let me leave some tips and things to follow if you are pregnant or planning to have a baby :-

  • Make an appointment with a doctor when you are 9weeks pregnant and continue on seeing your practitioner every four weeks.
  • Avoid alcohol and cigarrates
  •  If your immunizations are not up to date, let your practitioner know. They will start the vaccine for tetanus
  • Drink lots of fluids, especially water (8 to 10 glasses a day).
  • Stick to a diet naturally high in folic acid (oranges, melons and dark green vegetables).
  • Eat plenty of iron rich foods(whole grains, beans, raisins and nuts).
  • Keep your blood sugar level elevated by eating lots of high-protein and high-carbohydrate foods such as breads, brown rice, potatoes and cheese.
  • Avoid medication and consult with your doctor before taking any.
  • Get plenty of sleep, and try to nap if you feel tired during the day.
  •  Exercise but moderately. Don’t start a new exercise regimen when you’re pregnant, and be careful not to become overheated for prolonged periods. For me i had follow up with Kadisco Hospital and they have regular exercises for both couple and just mothers.
  • If you’re a coffee drinker , cut back, switch to decaf or try herbal or decaffeinated tea.
  • Start budgeting for your new life with baby
  • Choose a place to give birth(hospital? birthing center? home?) so that your mind is already set and feel comfortable.
  • Consider starting a pregnancy blog or a diary and having someone take a picture of you (and your expanding belly) each month. Time passes really fast and before you know it it is over.
  • Consider refraining from getting perms and other hair treatments involving heavy chemicals.
  • Buy a few pregnancy books or go to websites like www.babycenter.com  or  www.whattoexpect.com or others and dive in.

Hospital experience

The previous night we were both very exited and very scared. And me, i was wondering about the pain, if i would have a healthy baby (one of the paranoia which is common specially if you are a medical professional) and wondering how how it would feel to hold her in my arms. You just have so many things coming to your mind. Actually ever since i started my 37 weeks of pregnancy i was very eager for the due date and got even very emotional ever since.

Unlike other Ethiopian woman going to deliver there was no one staying with me other than my husband and just parents visiting for a couple of hours during the days. However, i am glad we made that decision. For new parents like us,  it was the most important moment to be together with your own family . In my opinion it is important that no one visited at the hospital considering the facts from my experience that the mother needs to rest and needs her privacy. And, having visitors increases the chances of bringing bacteria/virus for the new born and it is emotional time for both partners due to postpartum depression which shown in studies with a prevalence rate 5% to 25% among women, but methodological differences among the studies make the actual prevalence rate unclear. Among men, in particular new fathers, the incidence of postpartum depression has been estimated to be between 1.2% and 25.5%.

I was still unconscious when the midwife was working so hard in latching my little one lying next to me and giving my lovely husband information how to do feed and change diapers. Which i think is a great job she did in starting as early as possible with breastfeeding. He was also really good with her and even thought me how to do it. Then, I struggled to wake up fast to see her and that was just the most wonderful moment for me. Just beautiful!!

Home with a baby

It’s something totally new. The first two days she slept long hrs so we both had a chance to rest. All that she used to do was nurse – burp – poop – sleep and after that she started crying is a higher pitched voice day and night and a lot. It was stressful specially for us as new parents. She was crying wanting to feed which was not being produced much and my breast was very painful. By the way for all mums out there – perfect oil for your nipple in such situations :- Calendula Oil and you can find it in any herbal shops. It helps for diper rash for your baby as well.

Then it has become easier and easier everyday. My sweet mum and mum – in – law was helping in the house and giving me so much love . Any ways, all i can say it that every time i hold her in my arms and i feel the love again and again and i ask my self if it is really possible that a human being could love this much?

Now our daughter is 3 month old and i am surprised how fast she grew up. Now less crying, lots of smiles and makes these sweet sounds, grabs my fingers when i feed her and all; JUST SO AMAZING!!


It’s amazing how many complains you would hear from the health care system and the service being given in hospitals in Ethiopia. Of course there is no question to how many people they/we are helping and saving lives but there is still so much more to be improved. One of those things is treating a patient as a human being and considering psychological health too. It’s like no patient has any right to know what his/her disease condition is, what the doctor’s/nurse’s plans are and possible expectations. Nobody is willing to explain about your disease and possible out comes at all sometimes. I believe all patients have the right to know. I can tell you so many stories like this from my experiences.

My relative was admitted in a hospital for Septicemia and the doctor ordered investigations and started certain treatments IV(Intravenous). His wife asked the doctor ” so what is wrong with my husband? Did you find something? What is the treatment for? What should we do? What shall we expect? ” and a whole lot of questions. One time his mum, another time his daughter goes to the doctor to ask wanting to know.  And the only reply they got was ” he is fine he just have infection we will just check his urine and blood.” And after the test results came he kept on telling his wife that he just has infection and it continued for a week with her wanting to know eagerly what kind of infection it was and wanting to know what possible things to expect and to do to help. So in the end no body knew for what kind of infection they were treating him till the last day of his death.

Amazingly most places, they do invasive procedures and tests like lumbar puncture, repairing intestinal perforation with out even informing any one in the family or the patient him/her self. In addition to this they don’t explain what they are going to do , advantages and disadvantages of the treatment they are giving, aim of the procedures, etc. It makes me sick knowing all these things being a health professional and not doing anything so far in preventing/stopping this other than trying to talk to those specific professionals on the spot. In most hospitals being a patient lying in bed sick and worried if you would make it or not nobody tells you about your situation. No one tells you as a patient why they are giving you a medicine and and what are the possible out comes and all.

There are so many days that i hear people saying ”i hope nobody gets sick here in Ethiopia since the health care system is horrible in many aspects”. I say,  at least let’s do what we could do with all our capacity in being a good health care provider than being ignorant on some essential things to our patients who is trusting us. Let’s give psychological comfort to the patient in involving them in their treatment too. After all the definition of health includes a complete physical, mental, and social well- being too right?

Barcamp Ethiopia 2011: Session on making good choices for ” Your Sexual Health ”

Well, i am asking you today one question. Who wants to attend such an interesting session? Ok, let me explain some about the event in general.

What is Barcamp 2011?

Barcamp Ethiopia 2011 is the second large Barcamp to be organized in Ethiopia, the followup to last years successful Barcamp at EiABC (Ethiopian Institute of Architecture Building Construction and City Development), Addis Ababa University.

What is Barcamp it self?

A Barcamp is a sort of “unconference” (BAR= “Beyond All Recognition”): It is organized and administered not by an institution or a company, but by an open community of interested individuals. It has no pre-structured program – everything is planned and coordinated through a web-based public Wiki  and other online tools where anyone can post ideas and participate actively through collaboration.

So far, over 400 Barcamps have been held all over the world with different thematic focus, also in several other African countries, but until last year, never before in Ethiopia.

Last year,  September 17 -18, 2010 there were about more than 300 people gathered sharing business and educational ideas, knowledge and people networking and all having fun as well. An amazing event with varieties of sessions was held at EiABC , Addis Ababa University where young people also went back home inspired.

For further information on what was organized by community of those interested individuals  last year : http://barcamp.org/w/page/24618491/BarCampEthiopia

So this time it will be held at AAiT((5kilo technology faculty), Addis Ababa University.  It will  have sessions which will include interesting topics, more inspiring ideas and experiences worth sharing. Among those sessions there will an important topic focusing only ”on your sexual health”.  This including both Men’s and Women’s health. I am sure you will find it highly educational, interesting and enjoyable.

So please do come with experiences and knowledge to share and of course questions/doubts you have.

For further information on this year’s Barcamp: http://barcamp.org/w/page/40811139/BarCampEthiopia2011

Visit: Barcampethiopia.wordpress.com

When: September 23 and 24 2011

Opening Party: September 22 (tentative)

Where:  AAiT (5kilo technology faculty), Addis Ababa


Ethiopia is now focused on minimizing death of mothers and children focusing mainly on the countryside.  It’s very hard for many people of Ethiopia especially when you get out of addis and other major cities to find a health care service.  It is amazing how many people are not getting enough, proper medical care or none at all. Ethiopia is now trying to solve these problems by different approaches, projects and programs with USAID and other organizations.

Article – every year, 25,000 Ethiopian women die due to complications of pregnancy, labour and childbirth. This represents a total of 68 deaths a day. 500,000 women also suffer disabilities related to child pregnancy and childbirth. The main causes of death are hemorrhage, sepsis, hypertension, obstructed labour and abortion. Other direct causes such as HIV/AIDS, malaria and tuberculosis also take their toll. From this article; Newborn deaths are also estimated as 118, 000 per year.

The contributing factors include:

  • Lack of adequate information and support to women to control their reproductive health.
  • Inadequate knowledge about danger signs.
  • Lack of adequate medical facilities.
  • Cultural, traditional and economic factors restricting women from seeking services.
  • Lack of skilled care, especially midwifery services during antepartum, intrapartum and post partum period.

According to Ethiopia demography health survey, skilled attendance at birth is only 6%. And Ethiopia has only one midwife and three doctors for every 100,000 citizens. This has contributed to high level of maternal mortality. Internal evidence shown that availability of skilled attendant at birth ensures prevention and prompt treatment of complications and making a huge difference in the lives of women during labour and delivery.

Due to the programs that are already implemented it is believed that the number of deaths will decrease in significant amount. I have also seen with my own eyes and was very impressed how much it is improving with impacts made by the programs like Accelerated Health Officer Training Program (AHTOP). It is a program coordinated by JSI and funded by USAID. What they basically did was a train a nurse in that specific area to become health officers and increase skilled health professionals in handling critical cases in health centers and hospitals. This played a significant role in minimizing death specially those that occur in referring them to other hospitals because of lack of skilled manpower. And I think they are doing an amazing job in saving lives in villages and countrysides where they are assigned.

The program generally focused on:

  • Improving the quality of university-level health science education in Ethiopia. This was accomplished through the renovation of health care facilities and the creation of adequate classrooms, libraries, and laboratories at seven universities.
  • Increasing the number of students training to be health officers. The majority of students in the training program were practicing nurses who received basic science education in the first year, followed by two years of tailored instruction at a training hospital.

It is impressive how much was done so far and I hope such efforts and programs continues to change and improve the rest of the problems that exist when medical care in Ethiopia comes in to discussion. Things like not having ambu bag for resuscitation, no oxygen available at the emergency room and many more equipment lack in delivery rooms too.


Liya Abera, Director of Bala Health Center

Her name is Liya Abera Haile. A dedicated woman who impressed everyone in our team. You are probably wondering what her story is?! She was born in Alamata, studied in Mekelle Universtiy and now working in a small city called Bala which is about 25km from a city called Alamata (650 km from Addis Ababa). She was a nurse working in Alamata before  joining the AHOTP (Accelerated Health Officer Program). Now she is working as heath officer in this small city ; Bala as the head and director of the health center which has four health posts under the same health center. Her families and friends live hundreds of kilometers far from her but still dedicated to stay there in uncomfortable situation as a girl growing up in a bigger city. I know that this requires lots of commitment because being in the Health Profession my self as a Health Officer any one from different bigger cities in Ethiopia wants to stay in cities with a better paid NGO job even if we all promise on our graduation to serve our people knowing where the major problems are existing when it comes to health care.

The people living there tells that bala was known as a killer city because people get sick a lot and die before she begun working there. So people traveling past that city were not recommended to spend a night there at all because of the death and the disease situation there and also mainly known for malaria and communicable diseases. People of the village tells that so many things has changed since this woman came to that village. In my discussion over coffee with W/ro Tsega, a woman from the association of the ladies in that village being assigned as manager of the health education team told me that ‘’ there was even no toilet for the people but the commitment of this woman to saving people was amazing. The people love her so much that they said letting her go is like deciding on their death.

She convinced & gathered people of the village to work on issues like this together to construct simple toilets, supplying mosquito nets, HIV testing, health education and etc’’ I leave the the relation judgment between living situations with no toilet and possible health condition in a certain population plus achieving all these in just two years and 8 months as a single person with such facility deserves a reward. And, you might not see much from pictures and reading as much as going there and seeing all for your self but to give you simple highlight of Bala and the Bala Bealth Center take a look at the pictures at the bottom.

Basically ,what this health center focuses on prevention of diseases mostly on those which are pretty common in that area like malaria, oro fecal disease etc. And also focuses on minimizing woman and child death as well as woman health including contraception methods antenatal visits plus vaccination, etc. The health center is also working on raising HIV awareness and including home based health education, counseling and testing. They initiate people to know, accept and expose themselves plus teach others in the community. It is impressive how much change you see from the statics she had the health center posted on the walls. I am sure , if you go there as well,  you would go back home very impressed with what she is doing for people of Bala.

The Famous Restaurant in Bala.

View of Bala on a rainy day infront of the restaurant.

The Lovely Children of Bala.

Bala Health Center, Youth Group on Training ( working on HIV/AIDS ) and Welcome Coffee Ceremony for the Young University Students of Bala

Why Do More Men Commit Sucide? And Women Attempt?

It is really sad, we just lost an amazing doctor who used to be our doctor as well as our colleague. He was so amazing, hard working and a person who really cares about his patients. His family  must be so devastated specially his wife and his child. How is it even possible to tell this child when she grow up that her dad committed suicide? One thing is that it is one of the risk creating situation for the child to go for sucide too and the other thing is that she will always wonder why her dad choose to kill him self rather than being with her while she grows up. Or may be she will start thinking why she couldn’t save him or be there for him when he needed someone….hard staff!!

These days people commit suicide or attempt suicide very often and i always wonder why especially when successful people go for suicide. I think it is common to be affected by depression due to so much stress in their life if they don’t balance relaxation time with it. It’s really hard to give a certain explanation and bring out reasoning to it. It’s also not right to judge in my thinking….Very difficult!

Did you know that more than four times as many men as women die by suicide even if women attempt suicide more often during their lives than men, and women also report higher rates of depression. I used to have so many suicidal attempts when i was working in the Emergency room and most of the time it was more women who survived from suicidal attempts and more men dying. That was and is mostly because men and women use different suicide methods. Women in Ethiopia are more likely to ingest poisons than men. Of course in countries where the poisons are highly lethal and/or where treatment resources scarce like Ethiopia, rescue is rare and hence female suicides may outnumber males. But Men use highly lethal methods than women. Like strangulation or jumping from a building while women go for drinking poisons like Berkina which is used for washing cloths and most commonly used for suicidal attempts here in Ethiopia.

Normally persons who are planing to commit has certain behaviors you can see. Characteristically they have feelings of worthlessness, guilt, hopelessness that are so overwhelming  and they start believing that they are unable or unfit to live. However, the most common predisposing disorders that lead to suicide are depression and  bipolar (manicdepressive) disorder which encounters to  30% to 70% of suicide victims.

Who are at higher risk for suicide?

  • Young adults ( age 15-24)
  • Elderly
  • Terminally ill persons ( People diagnosed with Cancer, HIV,etc)
  • A person who experienced loss/stress
  • A person who have attempted sucide previously
  • Depressed persons
  • Substance abusers (eg. Cocaine/Crack,PCP,LSD etc..)

Suicidal Clues

Any one of these symptoms doesn’t necessarily mean that that person is committing suicide but most of these symptoms should send a signal to us for help:

  • Giving away personal , special and prized possessions
  • Canceling social engagements
  • Depression
  • Making out or changing a will
  • taking out or changing insurance policies
  • Obsession with death
  • positive or negative changes in behavior
  • poor appetite
  • Daring risk taking behavior
  • Poor appetite
  • Sleeping difficulties
  • Feeling of hopelessness
  • Difficulty in concentrating
  • Losing interest in activities
  • Telling as a jock that he/she intent to attempt suicide
  • He/she starts asking about poisons, guns or other killing objects

What to do when we think some one is planing suicide…

  • Don’t act shocked
  • Do not leave the person alone
  • Remove harmful objects around
  • Talk to the person and listen to him/her in nonjudgmental, caring attitude
  • Don’t swear to keep it a secrete
  • Encourage him/her to talk about feelings and to identify positive aspects about life
  • Encourage active participation in own care
  • Keep him/her active by assigning simple tasks
  • Ask straight forward questions again with out  being judgmental and try to find if he/she has specific plan designed how to do it.
  • Get professional help and don’t council the person your self

In remembrance of Dr. A

Telephone Numbers of Hospitals/Clinics in Addis

Cure Ethiopia Children’s Hospital

 Tel no -011 123 7767

Addis Ababa   26134 Code 1000

Asegedech Mother & Child – Hospital

011 662 2049

Addis Ababa   9031

ETHIO-Tebib Hospital

011 213 9300

Addis Ababa   9465

International Cardiovascular Hospital

011 442 4680

Addis Ababa   618 Code 1110


011 349 5475

Addis Ababa


011 371 1208

Addis Ababa


011 443 1992

Addis Ababa


011 371 6544

Addis Ababa


011 662 3915 |


011 275 7724 |


011 236 2229


011 551 4141


011 554 5559


011 551 1211


011 651 9103


011 661 1084


011 661 1112 |


011 661 1084


011 551 8470


011 371 6544


011 123 4272


011 646 4254


011 662 0479


011 156 4482


022 111 9800


011 275 0125


011 275 0125


011 156 1722


011 551 1211


011 371 1208


011 154 5725


011 551 8085


011 629 8902

Rating: Not Yet Rated (0)



011 661 4250


011 661 3622


011 245 5345


011 551 4141


011 275 7676


011 618 9696


011 629 4603


011 662 2049


011 618 1661


011 663 9759


011 156 4316


011 552 6655


011 439 2145


011 629 5420


011 554 5725

Isn’t it one of the deadly games we play in Addis?

It has become pretty common to play a deadly game in Addis Ababa actually almost in the whole Ethiopia. Some of those are drinking and driving, unprotected sex with some one we never even met before and so on….But i am not talking about those issues today. My topic today is about something which also become one of the only options of fun we think we have in Addis Ababa. ”DRINKING ALCOHOL AND GETTING WASTED”

What does it do?

I think we all know that alcohol is a central nervous depressant which affects all body tissues and we still don’t mind having a sip or some more specially when we are at either on wedding parties or any parties we mostly have on weekends in Addis right?…:) Any ways, it’s not my intention now to write about that since it could be fun sometimes for some of us….ok my point is many people don’t recognize it when it gets out of hand and develop alcoholism and eventually showing unusual signs both physical and psychological which will cause losing life eventually.

By the way there are two obvious dependence to alcohol consumption. Ok so, one is Physical dependence and it is when there is a physical/biological need for alcohol to avoid physical withdrawal symptoms. The other one is when a person is psychological dependance which is expressed when a person is craving for the subjective effect of alcohol. Now that i said some things about alcohol…..

What are the risk factors of becoming an alcohol abuser?

  1. Biological predisposition
  2. Depression and highly anxious characterstics
  3. Low self-esteem
  4. Poor self-control
  5. History of rebelliousness, poor school performance, delinquency
  6. Poor parental relationships

What are some of the signs commonly seen in alcohol abusers?

  1. Missing work or school ( where ever he/she has duties)
  2. Drinking alone
  3. Increased tolerance to alcohol
  4. Arguments about drinking
  5. Careless physical appearance
  6. Creating/making excuses to drink
  7. Confusion
  8. Restlessness
  9. Denial that a problem exists
  10. Suspiciousness
  11. Depression
  12. Decrease in self – esteem
  13. Irritability
  14. Isolation
  15. Blood alcohol levels of 0.1% which is 100mg alcohol per deciliter of blood or higher

We all know there are consequences to all the unhealthy things we do in general but what are the complications of alcohol abuse and what can it cause to our body? With chronic alcohol use one can end up having:-

  1. Hepatitis; cirrhosis of liver
  2. Brain damage
  3. Esophagitis and gastritis
  4. Vitamin deficiencies
  5. Pancreatitis
  6. Immune system dysfunction
  7. Cardiac disorder and etc…

All of these things which could  lead to – DEATH!! So let’s evaluate where we are today and take action accordingly right now!!

On Love study: Heart Breaks

Falling in Love hurts, and it sometimes brings heartbreaks. It is very common that people say to friends and families that their heart is broken either when someone gets away or still around you. It is a very strange term but explains the extent of the pain a little bit. But yet we don’t see any physical injury anywhere in or on our body and still hard to explain.

New research finding that i read today written on medicalnewstoday tells  that when you reminisce about the one that got away, the brain actually triggers sensations that you also feel in times of “real” physical pain, making heartbreak truly, physically painful to add to the emotional distress it sometimes causes.

It says that heartbreak is like one big emotional pain but it also seems to spark off hundreds of other emotions. We hate the feeling of heartbreak, and yet we find ourselves compelled to go over and over memories, ideas or fantasies which make the feeling worse.

Later in the article it illustrates that forty people analyzed from New York City and all of whom felt “intensely rejected,” took part in the study. While participants were told to look at photos, including photos of their friends (they were directed to think positive thoughts about them), and photos of their exes (they were directed to think about their breakup), their brains were scanned for changes in activity. The participants also underwent brain scans as they felt pain on their forearms similar to the feeling of holding a hot cup of coffee in comparison. Several of the same areas of the brain became active when the participants felt either physical pain or emotional pain.

Can you believe it?