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Background: Global evidence on psychosis is dominated by studies conducted in Western, high-income countries. The objectives of the Study of Context Of Psychoses to improve outcomes in Ethiopia (SCOPE) are (1) to generate rigorous evidence of psychosis experience, epidemiology and impacts in Ethiopia that will illuminate aetiological understanding and (2) inform development and testing of interventions for earlier identification and improved first contact care that are scalable, inclusive of difficult-to-reach populations and optimise recovery. Methods: The setting is sub-cities of Addis Ababa and rural districts in south-central Ethiopia covering 1.1 million people and including rural, urban and homeless populations. SCOPE comprises (1) formative work to understand care pathways and community resources (resource mapping); examine family context and communication (ethnography); develop valid measures of family communication and personal recovery; and establish platforms for community engagement and involvement of people with lived experience; (2a) a population-based incidence study, (2b) a case-control study and (2c) a cohort study with 12 months follow-up involving 440 people with psychosis (390 rural/Addis Ababa; 50 who are homeless), 390 relatives and 390 controls. We will test hypotheses about incidence rates in rural vs. urban populations and men vs. women; potential aetiological role of khat (a commonly chewed plant with amphetamine-like properties) and traumatic exposures in psychosis; determine profiles of needs at first contact and predictors of outcome; (3) participatory workshops to develop programme theory and inform co-development of interventions, and (4) evaluation of the impact of early identification strategies on engagement with care (interrupted time series study). Findings will inform development of (5) a protocol for (5a) a feasibility cluster randomised controlled trial of interventions for people with recent-onset psychosis in rural settings and (5b) two uncontrolled pilot studies to test acceptability, feasibility of co-developed interventions in urban and homeless populations. [ABSTRACT FROM AUTHOR]

Urbanization is occurring at an unprecedented rate in developing countries like Ethiopia, especially with the rapid growth of industrialization. However, this urbanization and industrial development surge puts immense pressure on preparing and implementing city spatial plans. Urban spatial planning plays a crucial role in shaping the development of cities, aiming to create livable and sustainable urban development. The plan-making process and its subsequent implementation often encounter challenges that hinder the realization of planned objectives. Galan and Dukem, cities near Addis Ababa's capital, have seen substantial industrial investment in recent decades. This article explores the challenges associated with urban spatial planning and industrial development while proposing alternative approaches. The paper relies on information gathered from primary and secondary sources, including expert surveys and key informants' interviews. The research highlights that industrial developments have led to significant and uncontrolled changes in urban land use and urbanization in the study areas. Due to the lack of clear planning guidelines and institutional capacity, the study cities are experiencing haphazard development without effective urban spatial plans. Proximity to Addis Ababa has driven the urbanization process through increased investments. The article contends that effective management of urbanization and industrialization can create enjoyable living conditions and foster job growth. Macroeconomic policies, including industrial policies, should pay attention to spatial elements and prevent policy-making processes that are "space-blind". This, however, requires clairvoyance and a high level of expertise, integrating inputs from advocacy planning and community participation to bridge gaps and ensure effective urban spatial plans and industrialization processes. [ABSTRACT FROM AUTHOR]