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This thesis has considered RCM (Regional Climate Data) which is 50km by 50km grid resolution and more accurate to change or to downscale the grid data in to point climate data(station data)than the Global model(GCM) which has the same grid resolution. This thesis work is possible by the help of almighty God and my family specially my sisters Kassaye, Bezu and Nigist Belay and my advisor Dr. Semu Ayalew.

Emotional distress is most common mental disorder associated with HIV. But little is known in Ethiopia; particularly for the study area where high prevalence of HIV is seen. Comparative cross sectional study employed in 2008 & symptom of emotional distress & their determinants among clients at VCTC prior to testing & counseling & at ART centers prior to initiation of ART assessed. Before the study, ethical clearance obtained from Ethical Committee of Jimma University & data collected using HADS. Of 720 clients, 75%, 55% & 65% respectively were age 18-34, females & literate. 22% ...