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Sample records for gambella region ethiopia

  1. Floods and health in Gambella region, Ethiopia: a qualitative assessment of the strengths and weaknesses of coping mechanisms

    PubMed Central

    Wakuma Abaya, Samson; Mandere, Nicodemus; Ewald, Göran

    2009-01-01

    Background Floods are the most frequent and devastating type of natural disaster worldwide, causing unprecedented deaths, diseases, and destruction of property and crops. Flooding has a greater impact in developing countries due to lack of sufficient disaster management structures and a lack of economic resources. Objective This study was conducted with the aim of contributing to the knowledge base of development strategies that reduce flood-related health risks in developing countries. The study focused particularly on assessing the flood risks and health-related issues in the Gambella region of Ethiopia; with the intent of producing relevant information to assist with the improvements in the efficacy of the current flood coping strategies in the region. Methods Data were gathered through interviews with 14 officers from different government and non-governmental organizations and a questionnaire survey given to 35 flood victims in Itang woreda. A qualitative approach was applied and the data were analyzed using content analysis. Results It was found that flooding is a common problem in Gambella region. The findings also indicate that the flood frequency and magnitude has increased rapidly during the last decade. The increase in floods was driven mainly by climate change and changes in land use, specifically deforestation. The reported main impacts of flooding on human health in Gambella region were deaths, injuries, and diseases such as malaria and diarrhea. Another notable consequence of flooding was crop destruction and subsequent malnutrition. Conclusions Three weaknesses that were identified in the current coping strategies for flood-related health impacts in Gambella region were a lack of flood-specific policy, absence of risk assessment, and weak institutional capacity. This study recommends new policy approaches that will increase the effectiveness of the current flood coping strategies to sustainably address the impact of flooding on human health. PMID

  2. Determinants for refusal of HIV testing among women attending for antenatal care in Gambella Region, Ethiopia

    PubMed Central

    2012-01-01

    Background In Gambella region, inhabitants owe socio-cultural factors that might favor refusal for HIV testing service utilization among Antenatal Care attendees. Objective To assess determinants for refusal of HIV testing service utilization among ANC attendees in Gambella Region. Methods A comparative cross sectional study was conducted among ANC attendees from March 2008 to May 2008 in four selected health facilities of Gambella region. Sample size of 332 participants (83 who refused HIV testing and 249 who accepted HIV testing) were taken for the study. The study was supplemented with four focus group discussions. Multivariate binary logistic regression was employed to control for confounding factors. Results When adjusted with other factors pregnant women with 2–3 live births in the past; who claimed divorce as a perceived response of their husband following HIV positive test result; who had not sought agreement from their husband for testing; disclosure of test for husband and being from certain ethnic group (E.g. Mejenger) were independent predictors for refusal of HIV testing among ANC attendees. Conclusion and recommendation Based on the findings, the following recommendations were forwarded: Provision of innovative information and education on the pre-test session for those pregnant women having two or more children; community involvement to tackle stigma; women empowerment; designing couple friendly counseling service; and fighting harmful traditional practices related with decision of HIV testing. PMID:22834566

  3. Work related injury among Saudi Star Agro Industry workers in Gambella region, Ethiopia; a cross-sectional study.

    PubMed

    Chercos, Daniel Haile; Berhanu, Demeke

    2017-01-01

    Work injury is an important cause of morbidity and mortality, much of these work injuries burden can be found in industry required heavy manual work such as, agriculture and fishers. Hence; agriculture is consistently cited as one of the most hazardous industry in the world. The objective of this study isto assess the magnitude and associated factors of work related injury among Saudi Star Agro Industry workers in Gambella region, South West Ethiopia. An institutional based cross-sectional study design was conducted on Saudi Star Agro Industry located in Gambella region, from February - June 2014 on 449 randomly selected workers who arestratifiedby working department. Anobservation checklist, factory clinical records and a structured interview questioner were used as a data collection tools. The prevalence of work related injury was 36.7%. Marital status [AOR;1.69, 95%; CI;(1.1-2.7)], service year [AOR;1.9,95%; CI;(1.17-3.1)], working more than 48 h per week [AOR;9.87, 95%; CI;(5.95-16.28)],safety training [AOR;3.38, 95%;CI;1.14-9.98)], regular health checkup [AOR; 12.29, 95%; CI (9-51.35)] and usage of personal protective equipment [AOR; 2.36, 95%; CI; (1.06-5.25)] were significant factors for the occurrence of work related injury. The prevalence of work related injury was high. Working hours, safety training and regular health checkup increases the risk of work related injury.

  4. Directly Observed Treatment Short-course (DOTS) for tuberculosis control program in Gambella Regional State, Ethiopia: ten years experience.

    PubMed

    Sisay, Solomon; Mengistu, Belete; Erku, Woldaregay; Woldeyohannes, Desalegn

    2014-01-20

    Tuberculosis is still the leading cause of illness in the world which accounted for 2.5% of the global burden of disease, and 25% of all avoidable deaths in developing countries. The aim of study was to assess impact of DOTS strategy on tuberculosis case finding and treatment outcome in Gambella Regional State, Ethiopia from 2003 up to 2012 and from 2002 up to 2011, respectively. Health facility-based retrospective study was conducted. Data were collected and reported in quarterly basis using WHO reporting format for TB case finding and treatment outcome from all DOTS implementing health facilities in all zones of the region to Federal Ministry of Health. A total of 10024 all form of TB cases had been registered between the periods from 2003 up to 2012. Of them, 4100 (40.9%) were smear-positive pulmonary TB, 3164 (31.6%) were smear-negative pulmonary TB and 2760(27.5%) had extra-pulmonary TB. Case detection rate of smear-positive pulmonary TB had increased from 31.7% to 46.5% from the total TB cases and treatment success rate increased from 13% to 92% with average mean value of being 40.9% (SD = 0.1) and 55.7% (SD = 0.28), respectively for the specified year periods. Moreover, the average values of treatment defaulter and treatment failure rates were 4.2% and 0.3%, respectively. It is possible to achieve the recommended WHO target which is 70% of CDR for smear-positive pulmonary TB, and 85% of TSR as it was already been fulfilled the targets for treatments more than 85% from 2009 up to 2011 in the region. However, it requires strong efforts to enhance case detection rate of 40.9% for smear-positive pulmonary TB through implementing alternative case finding strategies.

  5. Community’s knowledge, attitudes and practices about tuberculosis in Itang Special District, Gambella Region, South Western Ethiopia

    PubMed Central

    2013-01-01

    Background Tuberculosis (TB) is one of the primary public health problems in developing countries. HIV/AIDS, poverty, undernutrition, over-crowded living conditions and lack of knowledge about the disease have been known to increase the risk of spreading the bacteria and the risk of developing the disease. The objective of this study was to assess the level of TB knowledge, attitudes and practices of rural communities of Itang Special District of the Gambella Regional State of Ethiopia. Methods Between November 2011 and January 2012, a community-based cross sectional study was carried out in a randomly selected rural kebeles (i.e. the smallest administrative units) of Itang communities. The study participants were interviewed using pre-tested questionnaire. The overall knowledge, attitudes and practices of the study participants were assessed using the mean score of each outcome as a cut-off value. Having a score above the mean on each of the three target outcomes was equated with having a good level of knowledge, or having favorable attitude and good practices towards TB. Results Out of 422 study participants (58.5% males and 41.5% females) only 3.3% mentioned bacteria/germ as a cause of pulmonary TB (PTB) and 9.9% mentioned cough for at least two weeks as the sign of TB. Taking the mean knowledge score as the cut-off value, 57.6% (95% CI: 52.7% to 62.3%) of the study participants had good level of knowledge about TB, 40.8% (95% CI: 36.0% to 45.6%) had favorable attitude towards TB and 45.9% (95% CI: 41.1% to 50.9%) had good practices. Female participants were less likely to have good level of knowledge [adjusted odds ratio (AOR) = 0.33, 95% CI, 0.21 to 0.51, p < 0.001], less likely to have favorable attitude (AOR = 0.23, 95% CI, 0.14 to 0.37) and less likely to have good practices (AOR = 0.37, 95% CI, 0.24 to 0.57, p < 0.001) compared to male participants. Conclusion Majority of the study participants had no correct information about the

  6. Glucose-6-phosphate dehydrogenase deficiency among malaria suspects attending Gambella hospital, southwest Ethiopia.

    PubMed

    Tsegaye, Arega; Golassa, Lemu; Mamo, Hassen; Erko, Berhanu

    2014-11-18

    Glucose-6-phosphate dehydrogenase deficiency (G6PDd) is widespread across malaria endemic regions. G6PD-deficient individuals are at risk of haemolysis when exposed, among other agents, to primaquine and tafenoquine, which are capable of blocking malaria transmission by killing Plasmodium falciparum gametocytes and preventing Plasmodium vivax relapses by targeting hypnozoites. It is evident that no measures are currently in place to ensure safe delivery of these drugs within the context of G6PDd risk. Thus, determining G6PDd prevalence in malarious areas would contribute towards avoiding possible complications in malaria elimination using the drugs. This study, therefore, was aimed at determining G6PDd prevalence in Gambella hospital, southwest Ethiopia, using CareStart™ G6PDd fluorescence spot test. Venous blood samples were collected from febrile patients (n = 449) attending Gambella hospital in November-December 2013. Malaria was diagnosed using blood films and G6PDd was screened using CareStart™ G6PDd screening test (Access Bio, New Jersey, USA). Haematological parameters were also measured. The association of G6PD phenotype with sex, ethnic group and malaria smear positivity was tested. Malaria prevalence was 59.2% (96.6% of the cases being P. falciparum mono infections). Totally 33 participants (7.3%) were G6PD-deficient with no significant difference between the sexes. The chance of being G6PD-deficient was significantly higher for the native ethnic groups (Anuak and Nuer) compared to the 'highlanders'/settlers (odds ratio (OD) = 3.9, 95% confidence interval (CI) 0.481-31.418 for Anuak vs 'highlanders'; OD = 4.9, 95% CI 0.635-38.00 for Nuer vs 'highlanders'). G6PDd prevalence among the Nuer (14.3%) was significantly higher than that for the Anuak (12.0%). G6PDd prevalence in the area is substantial with 30 (90.9%) of the 33 deficient individuals having malaria suggesting the non-protective role of the disorder at least from clinical malaria

  7. Insecticide-treated net ownership and utilization and factors that influence their use in Itang, Gambella region, Ethiopia: cross-sectional study

    PubMed Central

    Watiro, Aklilu Habte; Awoke, Worku

    2016-01-01

    Background Malaria remains a major public health problem in Ethiopia. Consequently, Ethiopia designed the 2011–2015, Malaria Prevention and Control Strategic Plan to fight the vector. It was discovered that most of the studies conducted on the use of insecticide-treated nets (ITNs) were not in line with the strategic plan of the country. This study aimed to assess ITN ownership and utilization, and includes barriers related to its use among the target-area population at household (HH) level. Materials and methods A cross-sectional design was employed in Itang for this study. Data were collected by trained nurses through face-to-face interview and observation. A total of 845 participants were selected through multistage sampling, and the size was determined by using a single-population proportion formula. EPI Info and SPSS was used for analysis, and all necessary statistical association was computed in order to explain the outcome variable through explanatory variables of this study. Results Among 845 HHs interviewed, 81.7% (690) had at least one ITN, while 52.3% (361) had used the ITN the night preceding the data-collection day. HH awareness of malaria prevention, number of ITNs, family size, number of family members sharing sleeping area/beds, sleeping patterns of adolescents, HH-head age, and inconvenience of using ITNs were found to be barriers to the use of ITNs in this study. Conclusion and recommendation The study concluded that very few HHs owned ITNs and there was very low usage of ITNs. In recommendation, the regional health bureau and district health office should consider bigger nets that can accommodate family members who share the same sleeping area/bed in the area. PMID:27330332

  8. Assessment of Challenges and Opportunity of Basketball Developments in Some Selected Regions in Ethiopia

    ERIC Educational Resources Information Center

    Tufa, Gemechu Beker

    2015-01-01

    The intent of this study is to assess the challenges and Opportunity of Basketball development of in Some Selected Regions Ethiopia. The research made Addis Ababa, Oromia, Gambella and South Nation Nationality and People Regional States as the sites of this study. Both qualitative and quantitative approaches particularly a descriptive survey were…

  9. Spatial patterns of childhood diarrhea in Ethiopia: data from Ethiopian demographic and health surveys (2000, 2005, and 2011).

    PubMed

    Bogale, Getahun Gebre; Gelaye, Kassahun Alemu; Degefie, Degefie Tibebe; Gelaw, Yalemzewod Assefa

    2017-06-15

    Childhood diarrhea is a major public health problem, especially in developing countries, including Ethiopia. Exploring the spatial pattern of childhood diarrhea is important to monitor and design effective intervention programs. Therefore, this study aimed to explore the spatial patterns of childhood diarrhea in Ethiopia over the past one decade. A total of 29,358 under-five children were retrieved from three consecutive Ethiopian demographic and health surveys (2000, 2005, and 2011) and included into the study. Spatial cluster and autocorrelation analysis was done to explore the patterns of childhood diarrhea. Childhood diarrhea clustered spatially at a national level in all survey periods (Moran's I: 0.3830-1.3296, p < 0.05). Significant spatial clusters were found in different survey periods across the regions. The most likely spatial clusters were found in Southern Nations Nationalities and people, West Oromia, Gambella, Benshangul-Gumuz, and Somali regions. Childhood diarrhea also clustered at the border areas of Southern Nations Nationalities and People and Tigray, Central Somali and Western Oromia, Gambella and Amhara (West Gojam, Awi, Oromia, and Wag Himra) regions. In 2000, the most likely clusters were found in Southern Nations Nationalities and People, West Oromia, and Gambella regions (LLR = 55.37, p < 0.001); in 2005, at Southern Nations Nationalities and People (LLR: 45.69, p < 0.001); and in 2011, at Gambella, West Southern Nations Nationalities and People and Oromia, and Benshangul-Gumuz regions (LLR: 51.09, p < 0.001). In this study, childhood diarrhea remains public health problem and had a spatial variation across the regions. Identifying the risk areas would help in designing effective interventions to reduce childhood diarrhea in these areas.

  10. Ethiopia.

    PubMed

    1988-07-01

    Ethiopia lies in the Horn of Africa at the southern end of the Red Sea. It has the distinction of being the oldest independent country in Africa. In 1936, fascist Italy invaded and occupied Ethiopia, but Ethiopia regained its independence 5 years later with the help of colonial British forces. In 1974, civil unrest led to a coup and the armed forces deposed Emperor Haile Selassie. Today, the socialist government has a national legislature and a new constitution, both of which were created 13 years after the revolution. This government is faced with armed separatist movements in the autonomous regions of Eritrea and Tigre and also with periodic border conflicts with Somali forces. These conflicts combined with a massive drought in 1983-1985 and another in 1987 led to widespread famine in which an estimated 7.9 million people faced starvation and up to 1 million people died. Ethiopia has the potential for self-sufficiency in grains, livestock, vegetables, and fruits. Yet it's agriculture has been plagued not only with drought; but also soil degradation caused by overgrazing, deforestation, and high population density; dislocation due to the economy's rapid centralization; and government policies that do not provide incentives to producers. Still agriculture provides the basis of the nation's economy. Ethiopia has good relations with the Soviet Union, and the foreign policy of Ethiopia generally supports and parallels that of the USSR. After the revolution, the United States' relationship with Ethiopia has cooled because of differences over human rights. The US does assist with drought relief, however.

  11. Determinants of Children's Schooling: The Case of Tigray Region, Ethiopia

    ERIC Educational Resources Information Center

    Abafita, Jemal; Kim, Chang-Soo

    2015-01-01

    We analyze the determinants of educational outcomes of primary school children in Tigray region of Ethiopia using a survey data gathered from four villages in 2013. Four different measures of schooling were used to examine the impact of household and child-specific factors. First, we examine the determinants of school attendance (ever-attendance,…

  12. Determinants of Children's Schooling: The Case of Tigray Region, Ethiopia

    ERIC Educational Resources Information Center

    Abafita, Jemal; Kim, Chang-Soo

    2015-01-01

    We analyze the determinants of educational outcomes of primary school children in Tigray region of Ethiopia using a survey data gathered from four villages in 2013. Four different measures of schooling were used to examine the impact of household and child-specific factors. First, we examine the determinants of school attendance (ever-attendance,…

  13. Spatial distribution of malaria problem in three regions of Ethiopia

    PubMed Central

    2013-01-01

    Background The transmission of malaria is the leading public health problem in Ethiopia. From the total area of Ethiopia, more than 75% is malarious. The aim of this study was to identify socio-economic, geographic and demographic risk factors of malaria based on the rapid diagnosis test (RDT) survey results and produce the prevalence map of the area illustrating variation in malaria risk. Methods This study accounts for spatial correlation in assessing the effects of socio- economic, demographic and geographic factors on the prevalence of malaria in Ethiopia. A total of 224 clusters of about 25 households each were selected from the Amhara, Oromiya and Southern Nation Nationalities and People’s (SNNP) regions of Ethiopia. A generalized linear mixed model with spatial covariance structure was used to analyse the data where the response variable was the presence or absence of malaria using the RDT. Results The results showed that households in the SNNP region were found to be at more risk than Amhara and Oromiya regions. Moreover, households which have toilet facilities clean drinking water, and a greater number of rooms and mosquito nets in the rooms, have less chance of having household members testing positive for RDT. Moreover, from this study, it can be suggested that incorporating spatial variability is necessary for understanding and devising the most appropriate strategies to reduce the risk of malaria. PMID:23773317

  14. Ethiopia.

    ERIC Educational Resources Information Center

    Semaan, Leslie

    This document is a text dealing mainly with Ethiopia's rich cultural heritage and current lifestyles. It gives students the opportunity to go beyond the media coverage that has led to the perception of the whole of Ethiopia as a famine stricken land, and to discover the realities of this new nation, that about 15 percent of the population, mainly…

  15. Ethiopia.

    ERIC Educational Resources Information Center

    Semaan, Leslie

    This document is a text dealing mainly with Ethiopia's rich cultural heritage and current lifestyles. It gives students the opportunity to go beyond the media coverage that has led to the perception of the whole of Ethiopia as a famine stricken land, and to discover the realities of this new nation, that about 15 percent of the population, mainly…

  16. Climatic trends over Ethiopia: regional signals and drivers

    USGS Publications Warehouse

    Jury, Mark R.; Funk, Christopher C.

    2013-01-01

    This study analyses observed and projected climatic trends over Ethiopia, through analysis of temperature and rainfall records and related meteorological fields. The observed datasets include gridded station records and reanalysis products; while projected trends are analysed from coupled model simulations drawn from the IPCC 4th Assessment. Upward trends in air temperature of + 0.03 °C year−1 and downward trends in rainfall of − 0.4 mm month−1 year−1 have been observed over Ethiopia's southwestern region in the period 1948-2006. These trends are projected to continue to 2050 according to the Geophysical Fluid Dynamics Lab model using the A1B scenario. Large scale forcing derives from the West Indian Ocean where significant warming and increased rainfall are found. Anticyclonic circulations have strengthened over northern and southern Africa, limiting moisture transport from the Gulf of Guinea and Congo. Changes in the regional Walker and Hadley circulations modulate the observed and projected climatic trends. Comparing past and future patterns, the key features spread westward from Ethiopia across the Sahel and serve as an early warning of potential impacts.

  17. Study on the epidemiology of foot and mouth disease in Ethiopia.

    PubMed

    Ayelet, G; Gelaye, E; Negussie, H; Asmare, K

    2012-12-01

    This study was designed to describe the status of foot and mouth disease (FMD) in Ethiopia, through analysis of FMD outbreak reports and the detection of antibodies, to address the possibility of establishing a disease-free zone. Serum samples collected from cattle between 2003 and 2006 for the serosurveillance of rinderpest were used for this study. The records of the Ministry of Agriculture and Rural Development from 2002 to 2006 indicate that FMD outbreaks occurred each year in Ethiopia during this period, with the highest number in 2004, when 134 outbreaks took place. The highest rates were from the North Shoa zones of both the Oromia and Amhara regions. The serum samples were tested using the 3ABC enzyme-linked immunosorbent assay kit, to identify antibodies against FMD. From a total of 4,465 sera, 10.5% (n = 467) tested positive. The highest seroprevalence was detected in samples from the Eastern zone of Rgray with 41.5%; followed by the Guji zone of Oromia and Yeka district of the city of Addis Ababa, with 32.7% and 30%, respectively. Antibodies specific to FMD virus were not detected in Gambella or Benishangul. The effects of cattle, sheep and goat density, both separately and together, were analysed with a spatial regression model, but did not have a significant effect on seroprevalence. This indicates that other factors, such as farming systems and livestock movement, play a significant role in the occurrence of FMD. Based on these study findings, it might be appropriate to establish disease-free zones in Gambella and Benishangul.

  18. Regional groundwater flow modeling of the Geba basin, northern Ethiopia

    NASA Astrophysics Data System (ADS)

    Gebreyohannes, Tesfamichael; De Smedt, Florimond; Walraevens, Kristine; Gebresilassie, Solomon; Hussien, Abdelwassie; Hagos, Miruts; Amare, Kassa; Deckers, Jozef; Gebrehiwot, Kindeya

    2017-01-01

    The Geba basin is one of the most food-insecure areas of the Tigray regional state in northern Ethiopia due to recurrent drought resulting from erratic distribution of rainfall. Since the beginning of the 1990s, rain-fed agriculture has been supported through small-scale irrigation schemes mainly by surface-water harvesting, but success has been limited. Hence, use of groundwater for irrigation purposes has gained considerable attention. The main purpose of this study is to assess groundwater resources in the Geba basin by means of a MODFLOW modeling approach. The model is calibrated using observed groundwater levels, yielding a clear insight into the groundwater flow systems and reserves. Results show that none of the hydrogeological formations can be considered as aquifers that can be exploited for large-scale groundwater exploitation. However, aquitards can be identified that can support small-scale groundwater abstraction for irrigation needs in regions that are either designated as groundwater discharge areas or where groundwater levels are shallow and can be tapped by hand-dug wells or shallow boreholes.

  19. Regional groundwater flow modeling of the Geba basin, northern Ethiopia

    NASA Astrophysics Data System (ADS)

    Gebreyohannes, Tesfamichael; De Smedt, Florimond; Walraevens, Kristine; Gebresilassie, Solomon; Hussien, Abdelwassie; Hagos, Miruts; Amare, Kassa; Deckers, Jozef; Gebrehiwot, Kindeya

    2017-05-01

    The Geba basin is one of the most food-insecure areas of the Tigray regional state in northern Ethiopia due to recurrent drought resulting from erratic distribution of rainfall. Since the beginning of the 1990s, rain-fed agriculture has been supported through small-scale irrigation schemes mainly by surface-water harvesting, but success has been limited. Hence, use of groundwater for irrigation purposes has gained considerable attention. The main purpose of this study is to assess groundwater resources in the Geba basin by means of a MODFLOW modeling approach. The model is calibrated using observed groundwater levels, yielding a clear insight into the groundwater flow systems and reserves. Results show that none of the hydrogeological formations can be considered as aquifers that can be exploited for large-scale groundwater exploitation. However, aquitards can be identified that can support small-scale groundwater abstraction for irrigation needs in regions that are either designated as groundwater discharge areas or where groundwater levels are shallow and can be tapped by hand-dug wells or shallow boreholes.

  20. Peace in the Clinic: Rethinking "Global Health Diplomacy" in the Somali Region of Ethiopia.

    PubMed

    Carruth, Lauren

    2016-06-01

    Drawing on ethnographic research with Somalis, within aid organizations, and within health care facilities in the Somali Region of Ethiopia, this article argues that what is called "global health diplomacy," despite its origins and articulations in interstate politics, is fundamentally local and interpersonal. As evidence, I outline two very different health programs in the Somali Region of Ethiopia, and how, in each, existing animosities and political grievances were either reinforced or undermined. I argue that the provision of health care in politically insecure and post-conflict settings like the Somali Region of Ethiopia is precarious but pivotal: medical encounters have the potential to either worsen the conditions in which conflicts and crises recur, or build new interpersonal and governmental relations of trust. Effective global health diplomacy, therefore, cannot be limited to building clinics and donating medicine, but must also explicitly include building positive relationships of trust between oppositional groups within clinical spaces.

  1. Mapping and Modelling the Geographical Distribution and Environmental Limits of Podoconiosis in Ethiopia.

    PubMed

    Deribe, Kebede; Cano, Jorge; Newport, Melanie J; Golding, Nick; Pullan, Rachel L; Sime, Heven; Gebretsadik, Abeba; Assefa, Ashenafi; Kebede, Amha; Hailu, Asrat; Rebollo, Maria P; Shafi, Oumer; Bockarie, Moses J; Aseffa, Abraham; Hay, Simon I; Reithinger, Richard; Enquselassie, Fikre; Davey, Gail; Brooker, Simon J

    2015-01-01

    Ethiopia is assumed to have the highest burden of podoconiosis globally, but the geographical distribution and environmental limits and correlates are yet to be fully investigated. In this paper we use data from a nationwide survey to address these issues. Our analyses are based on data arising from the integrated mapping of podoconiosis and lymphatic filariasis (LF) conducted in 2013, supplemented by data from an earlier mapping of LF in western Ethiopia in 2008-2010. The integrated mapping used woreda (district) health offices' reports of podoconiosis and LF to guide selection of survey sites. A suite of environmental and climatic data and boosted regression tree (BRT) modelling was used to investigate environmental limits and predict the probability of podoconiosis occurrence. Data were available for 141,238 individuals from 1,442 communities in 775 districts from all nine regional states and two city administrations of Ethiopia. In 41.9% of surveyed districts no cases of podoconiosis were identified, with all districts in Affar, Dire Dawa, Somali and Gambella regional states lacking the disease. The disease was most common, with lymphoedema positivity rate exceeding 5%, in the central highlands of Ethiopia, in Amhara, Oromia and Southern Nations, Nationalities and Peoples regional states. BRT modelling indicated that the probability of podoconiosis occurrence increased with increasing altitude, precipitation and silt fraction of soil and decreased with population density and clay content. Based on the BRT model, we estimate that in 2010, 34.9 (95% confidence interval [CI]: 20.2-51.7) million people (i.e. 43.8%; 95% CI: 25.3-64.8% of Ethiopia's national population) lived in areas environmentally suitable for the occurrence of podoconiosis. Podoconiosis is more widespread in Ethiopia than previously estimated, but occurs in distinct geographical regions that are tied to identifiable environmental factors. The resultant maps can be used to guide programme planning

  2. Notes from the field: malnutrition and elevated mortality among refugees from South Sudan - Ethiopia, June-July 2014.

    PubMed

    Andresen, Ellen; Bilukha, Oleg O; Menkir, Zeray; Gayford, Megan; Kavosa, Millicent; Wtsadik, Mulugeta; Maina, Gidraf; Gose, Mesfin; Nyagucha, Irene; Shahpar, Cyrus

    2014-08-15

    As a result of armed civil conflict in South Sudan that started in mid-December of 2013, an estimated 1.1 million persons were internally displaced, and approximately 400,000 refugees fled South Sudan to neighboring countries (primarily to Ethiopia, Uganda, Sudan, and Kenya). Refugees from South Sudan arriving in Ethiopia are sheltered in three refugee camps located in Gambella region: Leitchuor, Kule, and Tierkidi. The camps were established during January-May 2014 and have estimated refugee populations of 47,000, 51,000, and 50,000, respectively. Reports from health clinics and humanitarian agencies providing assistance to refugees suggested poor nutritional status of arriving refugees and elevated mortality rates. To assess the nutritional status of refugee children aged 6-59 months and mortality rates (crude [all ages] and aged <5 years), the Administration for Refugee and Returnee Affairs (an Ethiopian government aid agency), the United Nations High Commissioner for Refugees, World Food Programme, and United Nations Children's Fund, in collaboration with CDC, conducted cross-sectional population-representative surveys in Leitchuor, Kule, and Tierkidi camps during June-July 2014. Anthropometric measurements in children were taken using standard procedures, and nutritional status was classified based on 2006 World Health Organization (WHO) growth standards. Hemoglobin was measured using HemoCue Hb 301. Anemia was diagnosed according to WHO thresholds. Retrospective mortality rates in Leitchuor and Kule were measured using a household census method.

  3. Mapping and Modelling the Geographical Distribution and Environmental Limits of Podoconiosis in Ethiopia

    PubMed Central

    Deribe, Kebede; Cano, Jorge; Newport, Melanie J.; Golding, Nick; Pullan, Rachel L.; Sime, Heven; Gebretsadik, Abeba; Assefa, Ashenafi; Kebede, Amha; Hailu, Asrat; Rebollo, Maria P.; Shafi, Oumer; Bockarie, Moses J.; Aseffa, Abraham; Hay, Simon I.; Reithinger, Richard; Enquselassie, Fikre; Davey, Gail; Brooker, Simon J.

    2015-01-01

    Background Ethiopia is assumed to have the highest burden of podoconiosis globally, but the geographical distribution and environmental limits and correlates are yet to be fully investigated. In this paper we use data from a nationwide survey to address these issues. Methodology Our analyses are based on data arising from the integrated mapping of podoconiosis and lymphatic filariasis (LF) conducted in 2013, supplemented by data from an earlier mapping of LF in western Ethiopia in 2008–2010. The integrated mapping used woreda (district) health offices’ reports of podoconiosis and LF to guide selection of survey sites. A suite of environmental and climatic data and boosted regression tree (BRT) modelling was used to investigate environmental limits and predict the probability of podoconiosis occurrence. Principal Findings Data were available for 141,238 individuals from 1,442 communities in 775 districts from all nine regional states and two city administrations of Ethiopia. In 41.9% of surveyed districts no cases of podoconiosis were identified, with all districts in Affar, Dire Dawa, Somali and Gambella regional states lacking the disease. The disease was most common, with lymphoedema positivity rate exceeding 5%, in the central highlands of Ethiopia, in Amhara, Oromia and Southern Nations, Nationalities and Peoples regional states. BRT modelling indicated that the probability of podoconiosis occurrence increased with increasing altitude, precipitation and silt fraction of soil and decreased with population density and clay content. Based on the BRT model, we estimate that in 2010, 34.9 (95% confidence interval [CI]: 20.2–51.7) million people (i.e. 43.8%; 95% CI: 25.3–64.8% of Ethiopia’s national population) lived in areas environmentally suitable for the occurrence of podoconiosis. Conclusions Podoconiosis is more widespread in Ethiopia than previously estimated, but occurs in distinct geographical regions that are tied to identifiable environmental

  4. Low-land Gully Formation in the Amhara Region, Ethiopia

    NASA Astrophysics Data System (ADS)

    Rijkee, Pim; Keesstra, Saskia; Mekonnen Gethahun, Mulatie

    2015-04-01

    Land degradation and related processes such as gullying, flooding and sedimentation, are global phenomena. Their economic consequences however are more severe in developing countries, which lack resources for prevention and mitigation. In Ethiopia, therefore, gully erosion as a form of land degradation is a prime issue. Over the past decade, gullies have formed in the foothills of the Minizr sub-catchment in the highlands of North-Western Ethiopia. Local extension workers have reported increased gully growth rates in the past five years in the downslope foothill areas. This study answers the following questions: has the gully growth rate indeed increased over the past five years compared to historical rates? What is the mechanism behind gully formation in the study area? In addition, this study looked at three possible root causes for increased erosion rates: changing land use, an increase in the ground water level, and the implementation of soil and water conservation measures in the watershed of the study area. The merit of this study is twofold. First, it shows the applicability of a fast, accessible and accurate way to digitally represent gullies through the use of video footage and photogrammetry. Secondly, it shows the dominant processes in gully formation in the area, allowing for a justified selection of measures to halt further gully growth and rehabilitate existing gullies. Two medium and one large gully were selected for detailed analysis. All gullies were located in gently-sloped areas (0-5%), with Vertisol-dominated soils. Gully shape and volume were derived using terrestrial photogrammetry in AgiSoft PhotoScan Professional. Still frames exported from video footage served as input. Approximately 30 points per gully were sampled weekly for soil moisture content over the course of September, November, and December 2014. In addition, the sites were checked for signs of subsurface flow at the end of the rainy season and again 3 months into the dry season

  5. Physicochemical and bacteriological quality of bottled drinking water in three sites of Amhara Regional State, Ethiopia.

    PubMed

    Biadglegne, Fantahun; Tessema, Belay; Kibret, Mulugeta; Abera, Bayeh; Huruy, Kahsay; Anagaw, Belay; Mulu, Andargachew

    2009-10-01

    The consumption of bottled drinking water is becoming increasing in Ethiopia. As a result there has been a growing concern about the chemical, physical and bacteriological quality of this product. Studies on the chemical, physical and bacteriological quality of bottled water is quite scarce in Ethiopia. This study was therefore aimed to assess the physicochemical and bacteriological qualities of three factories of bottled drinking water products produced in Amhara region. A Laboratory based comparative study was conducted to evaluate the physicochemical and bacteriological quality of three factories of bottled drinking water produced in Amhara region. Analysis on the quality of bottled drinking water from the sources, wholesalers and retailers were made with World Health Organization and Quality and Standards Authority of Ethiopia recommendations. Triplicate samples from three types of bottled drinking water were randomly collected and analyzed from June, 2006 to December, 2006. A total of 108 commercial bottled drinking water samples were analyzed. The result showed that except pH of factory A all the physicochemical parameters analyzed were with in the recommended limits. The pH value of factory A tested from sources is 5.3 and from wholesalers and retailers is 5.5 and 5.3, respectively, which is below the normal value set by World Health Organization (6.5-8.0) and Quality and Standards Authority of Ethiopia (6.0-8.5). Our analyses also demonstrated that 2 (16.7%) of the samples tested from sources and 1 (8.3%) from wholesalers of factory B were contaminated with total coliforms, where as 2 (16.7%) samples from retailers were also contaminated with total coliforms. On the other hand, 1 (8.3%) of the samples tested from wholesalers and 2 (16.7%) of the samples tested from retailers of factory A were also contaminated with total coliforms. Total coliforms were not detected from all samples of factory C, fecal coliforms were not also isolated from all samples

  6. Treatment outcome of smear-positive pulmonary tuberculosis patients in Tigray Region, Northern Ethiopia.

    PubMed

    Berhe, Gebretsadik; Enquselassie, Fikre; Aseffa, Abraham

    2012-07-23

    Monitoring the outcome of tuberculosis treatment and understanding the specific reasons for unsuccessful treatment outcome are important in evaluating the effectiveness of tuberculosis control program. This study investigated tuberculosis treatment outcomes and predictors for unsuccessful treatment outcome in the Tigray region of Ethiopia. Medical records of smear-positive pulmonary tuberculosis (PTB) patients registered from September 2009 to June 2011 in 15 districts of Tigray region, Northern Ethiopia, were reviewed. Additional data were collected using a structured questionnaire administered through house-to-house visits by trained nurses. Tuberculosis treatment outcomes were assessed according to WHO guidelines. The association of unsuccessful treatment outcome with socio-demographic and clinical factors was analyzed using logistic regression model. Out of the 407 PTB patients (221 males and 186 females) aged 15 years and above, 89.2% had successful and 10.8% had unsuccessful treatment outcome. In the final multivariate logistic model, the odds of unsuccessful treatment outcome was higher among patients older than 40 years of age (adj. OR=2.50, 95% CI: 1.12-5.59), family size greater than 5 persons (adj. OR=3.26, 95% CI: 1.43-7.44), unemployed (adj. OR=3.10, 95% CI: 1.33-7.24) and among retreatment cases (adj. OR=2.00, 95% CI: 1.37-2.92) as compared to their respective comparison groups. Treatment outcome among smear-positive PTB patients was satisfactory in the Tigray region of Ethiopia. Nonetheless, those patients at high risk of an unfavorable treatment outcome should be identified early and given additional follow-up and social support.

  7. Population-based prevalence survey of tuberculosis in the Tigray region of Ethiopia.

    PubMed

    Berhe, Gebretsadik; Enqueselassie, Fikre; Hailu, Elena; Mekonnen, Wondale; Teklu, Tsigemariam; Gebretsadik, Ataklti; Berhe, Rezene; Haile, Tewodros; Aseffa, Abraham

    2013-09-28

    Population based prevalence survey is an important epidemiological index to measure the burden of tuberculosis (TB) disease and monitor progress towards TB control in high burden countries like Ethiopia. This study was aimed to estimate the prevalence of bacteriologically confirmed pulmonary tuberculosis (PTB) in the Tigray region of Ethiopia. Sixteen rural and urban villages were randomly selected in a stratified multistage cluster sampling. Individuals aged 15 years and older were screened by symptom inquiry for PTB. Those individuals who were symptomatic of PTB provided two sputum samples for smear microscopy, culture and molecular typing. The study covering 4,765 households screened a total of 12,175 individuals aged 15 years and above. The overall weighted prevalence of bacteriologically confirmed PTB in the Tigray region of Ethiopia was found to be 216/100,000 (95% CI: 202.08, 230.76) while the weighted prevalence of smear-positive PTB was 169/100,000 (95% CI: 155.53, 181.60). The prevalence of bacteriologically confirmed TB was higher amongst males (352/100 000; 95% CI: 339.05, 364.52) than females (162/100 000; 95% CI: 153.60, 171.17) and among rural (222/100,000; 95% CI: 212.77-231.53) as compared to urban residents (193/100,000; 95% CI: 183.39-203.59). This study found a relatively higher prevalence smear-positive PTB in the region than in a same period nationwide survey and identified a significant number of undetected PTB cases. The urgency for improved TB case detection and intensified community awareness is emphasized.

  8. HIV Prevalence Correlates with High-Risk Sexual Behavior in Ethiopia's Regions.

    PubMed

    Kenyon, Chris R; Tsoumanis, Achilleas; Schwartz, Ilan Steven

    2015-01-01

    HIV prevalence varies between 0.9 and 6.5% in Ethiopia's eleven regions. Little has been published examining the reasons for this variation. We evaluated the relationship between HIV prevalence by region and a range of risk factors in the 2005 and 2011 Ethiopian Demographic Health Surveys. Pearson's correlation was used to assess the relationship between HIV prevalence and each variable. There was a strong association between HIV prevalence and three markers of sexual risk: mean lifetime number of partners (men: r = 0.87; P < 0.001; women: r = 0.60; P = 0.05); reporting sex with a non-married, non-cohabiting partner (men: r = 0.92; P < 0.001, women r = 0.93; P < 0.001); and premarital sex. Condom usage and HIV testing were positively associated with HIV prevalence, while the prevalence of circumcision, polygamy, age at sexual debut and male migration were not associated with HIV prevalence. Variation in sexual behavior may contribute to the large variations in HIV prevalence by region in Ethiopia. Population-level interventions to reduce risky sexual behavior in high HIV incidence regions should be considered.

  9. Mapping Distribution and Forecasting Invasion of Prosopis juliflora in Ethiopia's Afar Region

    NASA Astrophysics Data System (ADS)

    West, A. M.; Wakie, T.; Luizza, M.; Evangelista, P.

    2014-12-01

    Invasion of non-native species is among the most critical threats to natural ecosystems and economies world-wide. Mesquite (which includes some 45 species) is an invasive deciduous tree which is known to have an array of negative impacts on ecosystems and rural livelihoods in arid and semi-arid regions around the world, dominating millions of hectares of land in Asia, Africa, Australia and the Americas. In Ethiopia, Prosopis juliflora (the only reported mesquite) is the most pervasive plant invader, threatening local livelihoods and the country's unique biodiversity. Due to its rapid spread and persistence, P. juliflora has been ranked as one of the leading threats to traditional land use, exceeded only by drought and conflict. This project utilized NASA's Earth Observing System (EOS) data and species distribution modeling to map current infestations of P. juliflora in the Afar region of northeastern Ethiopia, and forecast its suitable habitat across the entire country. This project provided a time and cost-effective strategy for conducting risk assessments of invasive mesquite and subsequent monitoring and mitigation efforts by land managers and local communities.

  10. A description of malaria sentinel surveillance: a case study in Oromia Regional State, Ethiopia.

    PubMed

    Yukich, Joshua O; Butts, Jessica; Miles, Melody; Berhane, Yemane; Nahusenay, Honelgn; Malone, Joseph L; Dissanayake, Gunawardena; Reithinger, Richard; Keating, Joseph

    2014-03-11

    In the context of the massive scale up of malaria interventions, there is increasing recognition that the current capacity of routine malaria surveillance conducted in most African countries through integrated health management information systems is inadequate. The timeliness of reporting to higher levels of the health system through health management information systems is often too slow for rapid action on focal infectious diseases such as malaria. The purpose of this paper is to: 1) describe the implementation of a malaria sentinel surveillance system in Ethiopia to help fill this gap; 2) describe data use for epidemic detection and response as well as programmatic decision making; and 3) discuss lessons learned in the context of creating and running this system. As part of a comprehensive strategy to monitor malaria trends in Oromia Regional State, Ethiopia, a system of ten malaria sentinel sites was established to collect data on key malaria morbidity and mortality indicators. To ensure the sentinel surveillance system provides timely, actionable data, the sentinel facilities send aggregate data weekly through short message service (SMS) to a central database server. Bland-Altman plots and Poisson regression models were used to investigate concordance of malaria indicator reports and malaria trends over time, respectively. This paper describes three implementation challenges that impacted system performance in terms of: 1) ensuring a timely and accurate data reporting process; 2) capturing complete and accurate patient-level data; and 3) expanding the usefulness and generalizability of the system's data to monitor progress towards the national malaria control goals of reducing malaria deaths and eventual elimination of transmission. The use of SMS for reporting surveillance data was identified as a promising practice for accurately tracking malaria trends in Oromia. The rapid spread of this technology across Africa offers promising opportunities to collect

  11. Quality of tuberculosis care in six health facilities of Afar Region, Ethiopia.

    PubMed

    Girma, Anteneh; H/Mariam, Damen; Deribe, Kebede

    2010-07-01

    Quality tuberculosis care plays an important role in the status of tuberculosis (TB) control, treatment completion and adherence. Nonetheless, very little is known about the quality of TB care in public health facilities in Ethiopia. In this study we assessed the quality of TB care delivery in Afar Region of Ethiopia. A descriptive cross sectional health institution based survey with both semi-structured and structured questionnaires was employed. A mix of complementary techniques was administered Data were collected between 5th February and 10th March 2007 from six health institutions. Records were reviewed for 270 patients, exit interviews were made for 209 patients, six providers were interviewed & 49 patients were observed Data was collected by trained nurses and analyzed using SPSS 11.0 statistical software. The study had showed that delivery of materials, drugs and supplies for tuberculosis control activities were fairly good. Staffing qualities were poor and patterns of supervision were weak. A relatively higher proportion of patients were dissatisfied with the appropriateness and adequacy of working hours (63.6%) and waiting time (70.3%). Statistically significant correlation was observed between process quality and output quality (clients' satisfaction) parameters (p < 0.001). Continues quality improvement mechanisms to improve the different aspects of the programme and adherence to the National Tuberculosis and Leprosy Control Program guideline could be important interventions to enhance the quality of care delivery. An expanded community-based study to better guide quality DOTS program in pastoralist communities is crucial.

  12. Drug utilization in selected health facilities of South West Shoa Zone, Oromia Region, Ethiopia

    PubMed Central

    Kebede, Mengistu; Kebebe Borga, Dereje; Mulisa Bobasa, Eshetu

    2015-01-01

    Background Sustaining the availability and rational use of safe and effective drugs is a major problem in developing countries. Irrational drug use affects quality of health care more than accessibility of drugs. Objective To assess drug utilization in selected health facilities of South West Shoa Zone, Oromia Region, Ethiopia. Methods A cross-sectional study was conducted in selected health facilities of South West Shoa Zone from January 21–28, 2012 by using structured questionnaires. Results Of 50 prescribers and 30 dispensers, 58% and 83.3% were males, respectively. The result showed that majority of prescribers agreed on availability of essential drugs (72%) and had access to up-to-date drug information (76%). However, 43.3% of dispensers didn’t get access to up-to-date drug information. 86% and 88% of prescribers note cost of drugs and stick to standard treatment guidelines of Ethiopia during prescription, respectively. All drug dispensers check the name of the drug (100%), age of the patient (90%), the dosage form of drug (96.7%), the route of administration (90%), the duration of therapy (86.7%), and frequency of administration (86.7%) for prescription papers. Conclusion In general, drug utilization at the study sites was found to be good, although there are major deviations from the concept of rational drug use. PMID:26229506

  13. The new middle level health workers training in the Amhara regional state of Ethiopia: students' perspective.

    PubMed

    Getahun, Haileyesus; Yirga, Hanna; Argaw, Daniel

    2002-08-30

    Following health sector reform, Ethiopia started training new categories of health workers. This study addresses students' perspectives regarding their training and career plans. A cross sectional questionnaire was administered to 145 students in the three schools of the Amhara regional state of Ethiopia. The majority of students were male (62%) and originally from urban areas (76%). Job search was the most common reason for enrolling in the training for almost half (48%) of the respondents, followed by a desire to help the sick (46%). Once trained, the majority (98%) of graduates preferred to serve in the government sector and in rural health institutions (84%). Females were more willing to work in rural settings [chi2 (df 1)= 7.37; P = 0.007]. The majority (98%) of students felt the training period should be extended. 12% of graduates lacked confidence in their competencies after completing the training. A substantial proportion of the respondents (29%) did not feel the social science courses (Anthropology, Ecology and Psychology) were useful. This study demonstrates that mid-level health professional students are highly motivated, wish to address the health needs of rural communities, and are interested in professional development. However, students do not feel the training programs are fully addressing their needs. The students found that the duration of the training, the time for theory and practice, the availability of teaching materials, the course contents and their teachers were inadequate. This study suggests that the current training programs have serious inadequacies that need to be addressed.

  14. Uppermost mantle (Pn) velocity model for the Afar region, Ethiopia: an insight into rifting processes

    NASA Astrophysics Data System (ADS)

    Stork, A. L.; Stuart, G. W.; Henderson, C. M.; Keir, D.; Hammond, J. O. S.

    2013-04-01

    The Afar Depression, Ethiopia, offers unique opportunities to study the transition from continental rifting to oceanic spreading because the process is occurring onland. Using traveltime tomography and data from a temporary seismic deployment, we describe the first regional study of uppermost mantle P-wave velocities (VPn). We find two separate low VPn zones (as low as 7.2 km s-1) beneath regions of localized thinned crust in northern Afar, indicating the existence of high temperatures and, potentially, partial melt. The zones are beneath and off-axis from, contemporary crustal magma intrusions in active magmatic segments, the Dabbahu-Manda-Hararo and Erta'Ale segments. This suggests that these intrusions can be fed by off-axis delivery of melt in the uppermost mantle and that discrete areas of mantle upwelling and partial melting, thought to characterize segmentation of the uppermost mantle at seafloor spreading centres, are initiated during the final stages of break-up.

  15. Multidrug-resistant Mycobacterium tuberculosis and associated risk factors in Oromia Region of Ethiopia.

    PubMed

    Mulisa, Girma; Workneh, Tilaye; Hordofa, Niguse; Suaudi, Mohamed; Abebe, Gemeda; Jarso, Godana

    2015-10-01

    The aim of this study was to determine risk factors for tuberculosis (TB) caused by multidrug-resistant Mycobacterium tuberculosis (MDR-TB) in Oromia Region, Ethiopia. A 6-month case-control study was performed in 2013-14. Sputum samples and standardized questionnaire data (demographics, treatment, TB contact history, underlying disease, history of imprisonment) were collected from cases with suspected MDR-TB aged ≥ 18 years. Sputum was processed locally in the Oromia Public Health Laboratory using standard techniques. Data from MDR-TB cases and TB-positive controls were compared using logistic regression analysis. For each factor, the association with outcome variables was estimated by calculating the odds ratio (OR) together with the 95% confidence interval (95% CI). Of 439 suspected MDR-TB cases, 265 had a confirmed M. tuberculosis infection, of whom 88 (33%) had laboratory-confirmed MDR-TB. Over two-thirds (65%) were between 18 and 39 years of age. On multivariate analysis, an occupation of farming, known TB contact history, alcohol use, HIV infection, previous known TB history, and previous TB treatment outcome were predictors of MDR-TB. The rate of MDR-TB was high among suspected cases in the Oromia Region of Ethiopia. Local MDR-TB detection capacity and local epidemiology studies are essential to detect MDR-TB and guide the use of the sparse resources to optimize MDR-TB control. If TB is suspected, the presence of any of the above factors should alert Oromia Region clinicians and public health professionals to screen for MDR-TB. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. Tuberculosis Laboratory Diagnosis Quality Assurance among Public Health Facilities in West Amhara Region, Ethiopia.

    PubMed

    Shiferaw, Melashu Balew; Hailu, Hiwot Amare; Fola, Abebe Alemu; Derebe, Mulatu Melese; Kebede, Aimro Tadese; Kebede, Abayneh Admas; Emiru, Manamnot Agegne; Gelaw, Zelalem Dessie

    2015-01-01

    Reliable smear microscopy is an important component of Directly Observed Treatment Scheme (DOTS) strategy for TB control program in countries with limited resources. Despite external quality assessment is established in Ethiopia, there is lower TB detection rate (48%) in Amhara region compared to the World Health Organization (WHO) estimate (70%). This highlights the quality of smear microscopy needs to be evaluated. Therefore, the aim of this study was to assess the quality of sputum smear microscopy performance among health center laboratories in West Amhara region, Ethiopia. A cross sectional study was conducted from July 08, 2013 to July 07, 2014. Data were collected from 201 public health center laboratories using a structured questionnaire. Slides were collected based on Lot Quality Assurance Sampling (LQAS) method and rechecked blindly by trained laboratory technologists. The data were entered into EPI info V.7 and smear quality indicators and AFB results were analyzed by SPSS version 20. Among 201 laboratories enrolled in this study, 47 (23.4%) laboratories had major errors. Forty one (20.4%) laboratories had a total of 67 false negative and 29 (14.4%) laboratories had a total of 68 false positive results. Specimen quality, smear thickness and evenness were found poor in 134 (66.7%), 133 (66.2%) and 126 (62.7%) laboratories, respectively. Unavailability of microscope lens cleaning solution (AOR: 2.90; 95% CI: 1.25-6.75; P: 0.013) and dirty smears (AOR: 2.65; 95% CI: 1.14-6.18; P: 0.024) were correlated with false negative results whereas no previous EQA participation (AOR: 3.43; 95% CI: 1. 39-8.45; P: 0.007) was associated with false positive results. The performance of health facilities for sputum smear microscopy was relatively poor in West Amhara region. Hence, strengthening the EQA program and technical support on sputum smear microscopy are recommended to ensure quality tuberculosis diagnostic service.

  17. Ticks and tick-borne pathogens in livestock from nomadic herds in the Somali Region, Ethiopia.

    PubMed

    Tomassone, Laura; Grego, E; Callà, G; Rodighiero, P; Pressi, G; Gebre, S; Zeleke, B; De Meneghi, D

    2012-04-01

    Between May 2006 and January 2007, blood samples and ticks were randomly collected from 220 nomadic animals from Filtu and Dollo Odo districts, Libaan zone, in the Somali Region of Ethiopia. Overall, 81.5% cattle, 98.2% camels, 53.4% goats and 61.1% sheep were infested by ixodid ticks. Collected ticks (n = 1,036) were identified as Rhipicephalus pulchellus (40.1%), R. pravus (25.8%), Amblyomma gemma (9.4%), Hyalomma rufipes (13.3%), H. truncatum (2.8%), H. impeltatum (1.2%) and H. dromedarii (0.5%); immature stages (6.1%) belonged to the genera Rhipicephalus and Amblyomma. Tick infestation burden was evaluated by the Tick Abundance Score method on 57 animals from Dollo Odo in August 2006, and it was significantly higher in cattle and camels than in small ruminants (p < 0.001). Reverse Line Blot Hybridisation was applied to detect Theileria, Babesia, Ehrlichia and Anaplasma spp. Five out of 50 blood samples from Filtu, four from cattle and, surprisingly, one from a camel, were positive for Theileria mutans and two from cattle for T. velifera. Adult ticks (n = 104) from both districts were tested and A. gemma from cattle were positive to T. velifera (1) and Ehrlichia ruminantium (5 samples). Positive E. ruminantium samples were also tested by PCR targeting pCS20 and 16S rRNA genes and submitted to DNA sequencing. The phylogenetic reconstruction of pCS20 fragment showed the presence of the Somali region sequences in the East-South African group. Our results are the first available on ticks and selected tick-borne diseases from the Somali region of Ethiopia and could be used as preliminary information for planning sustainable control strategies for tick and tick-borne pathogens in the study area and in neighbouring areas with similar socio-ecological features.

  18. Prevalence of child malnutrition in agro-pastoral households in Afar Regional State of Ethiopia

    PubMed Central

    Fentaw, Rabia; Abebaw, Degnet

    2013-01-01

    Based on data generated from 180 randomly selected households with children age under five years old in Aysaita district of Afar region of Ethiopia, this study explored prevalence of malnutrition and scrutinized household characteristics, maternal characteristics, specifics of the child and economic variables associated with child malnutrition. The height-for-age Z-scores (HAZ), weight-for-height Z-scores (WHZ) and weight-for-age Z-scores (WAZ) were used to measure the extent of stunting, wasting and underweight, respectively. The results revealed that prevalence of long term nutritional imbalance and malnutrition status indicator (i.e. stunting) was 67.8%. The short term measure (wasting) was found to be 12.8% and underweight was found to be 46.1%. Moreover, children in households which are headed by women, and characterized by more dependency ratio, less access to assets, health services and institutions are more likely to be undernourished. PMID:23610605

  19. Mastitis in lactating camels (Camelus dromedarius) in Afar Region, north-eastern Ethiopia.

    PubMed

    Bekele, T; Molla, B

    2001-01-01

    Quarter milk samples (n = 543) from 152 traditionally managed lactating camels (Camelus dromedarius) in Afar Region, north-eastern Ethiopia were examined to determine the prevalence of camel mastitis and identify its bacterial causes. Out of 152 camels examined, 19 (12.5%) were diagnosed as clinical mastitis cases based on clinical signs and bacteriological examinations. Of the 257 California Mastitis Test (CMT) positive quarter milk samples 162 (63.0%) yielded pathogenic bacteria. A positive correlation was observed between CMT positive results and presence of major pathogens in camel milk samples. The main mastitis pathogens isolated were Staphylococcus aureus, coagulase-negative staphylococci, Streptococcus agalactiae, S. dysgalactiae, and other species of streptococci, Pasteurella haemolytica and E. coli. Results of the present study suggest that mastitis in Afar camels is prevalent, Gram-positive cocci are the major isolates from camel milk samples and the CMT can be used as a screening test for the detection of mastitis in camels.

  20. Prevalence of child malnutrition in agro-pastoral households in Afar Regional State of Ethiopia.

    PubMed

    Fentaw, Rabia; Bogale, Ayalneh; Abebaw, Degnet

    2013-04-01

    Based on data generated from 180 randomly selected households with children age under five years old in Aysaita district of Afar region of Ethiopia, this study explored prevalence of malnutrition and scrutinized household characteristics, maternal characteristics, specifics of the child and economic variables associated with child malnutrition. The height-for-age Z-scores (HAZ), weight-for-height Z-scores (WHZ) and weight-for-age Z-scores (WAZ) were used to measure the extent of stunting, wasting and underweight, respectively. The results revealed that prevalence of long term nutritional imbalance and malnutrition status indicator (i.e. stunting) was 67.8%. The short term measure (wasting) was found to be 12.8% and underweight was found to be 46.1%. Moreover, children in households which are headed by women, and characterized by more dependency ratio, less access to assets, health services and institutions are more likely to be undernourished.

  1. Evaluation of quality of beef produced and sold in parts of Tigray Region of Ethiopia.

    PubMed

    Kumar, Ashwani; Kebede, Etsay; Kassaye, Enquebaher

    2010-03-01

    Microbiological and physical quality of 83 samples of beef produced and marketed in some parts of Tigray region of Ethiopia were evaluated. The color, marbling, pH, bleeding status and aerobic plate count (APC) were within permissible limits in 35(42.16%), 47(56.63%), 51 (61.44%), 13(15.66%) and 20(24.09%) samples, respectively. Based on these parameters, a high percentage of samples (varying from 38.56%-84.34%) were of unsatisfactory quality. Such a widespread imperfect bleeding (84.34%) and high APC (75.91%) emphasize the need to improve the techniques of bleeding and hygienic conditions at the time of production of meat at abattoir and its marketing.

  2. Quality of Midwife-provided Intrapartum Care in Amhara Regional State, Ethiopia.

    PubMed

    Yigzaw, Tegbar; Abebe, Fantu; Belay, Lalem; Assaye, Yewulsew; Misganaw, Equlinet; Kidane, Ashebir; Ademie, Desalegn; van Roosmalen, Jos; Stekelenburg, Jelle; Kim, Young-Mi

    2017-08-16

    Despite much progress recently, Ethiopia remains one of the largest contributors to the global burden of maternal and newborn deaths and stillbirths. Ethiopia's plan to meet the sustainable development goals for maternal and child health includes unprecedented emphasis on improving quality of care. The purpose of this study was to assess the quality of midwifery care during labor, delivery and immediate postpartum period. A cross-sectional study using multiple data collection methods and a 2-stage cluster sampling technique was conducted from January 25 to February 14, 2015 in government health facilities of the Amhara National Regional State of Ethiopia. Direct observation of performance was used to determine competence of midwives in providing care during labor, delivery, and the first 6 h after childbirth. Inventory of drugs, medical equipment, supplies, and infrastructure was conducted to identify availability of resources in health facilities. Structured interview was done to assess availability of resources and performance improvement opportunities. Data analysis involved calculating percentages, means and chi-square tests. A total of 150 midwives and 56 health facilities were included in the study. The performance assessment showed 16.5% of midwives were incompetent, 72.4% were competent, and 11.1% were outstanding in providing routine intrapartum care. Forty five midwives were observed while managing 54 obstetric and newborn complications and 41 (91%) of them were rated competent. Inventory of resources found that the proportion of facilities with more than 75% of the items in each category was 32.6% for drugs, 73.1% for equipment, 65.4% for supplies, 47.9% for infection prevention materials, and 43.6% for records and forms. Opportunities for performance improvement were inadequate, with 31.3% reporting emergency obstetric and newborn care training, and 44.7% quarterly or more frequent supportive supervision. Health centers fared worse in provider

  3. A description of malaria sentinel surveillance: a case study in Oromia Regional State, Ethiopia

    PubMed Central

    2014-01-01

    Background In the context of the massive scale up of malaria interventions, there is increasing recognition that the current capacity of routine malaria surveillance conducted in most African countries through integrated health management information systems is inadequate. The timeliness of reporting to higher levels of the health system through health management information systems is often too slow for rapid action on focal infectious diseases such as malaria. The purpose of this paper is to: 1) describe the implementation of a malaria sentinel surveillance system in Ethiopia to help fill this gap; 2) describe data use for epidemic detection and response as well as programmatic decision making; and 3) discuss lessons learned in the context of creating and running this system. Case description As part of a comprehensive strategy to monitor malaria trends in Oromia Regional State, Ethiopia, a system of ten malaria sentinel sites was established to collect data on key malaria morbidity and mortality indicators. To ensure the sentinel surveillance system provides timely, actionable data, the sentinel facilities send aggregate data weekly through short message service (SMS) to a central database server. Bland-Altman plots and Poisson regression models were used to investigate concordance of malaria indicator reports and malaria trends over time, respectively. Discussion This paper describes three implementation challenges that impacted system performance in terms of: 1) ensuring a timely and accurate data reporting process; 2) capturing complete and accurate patient-level data; and 3) expanding the usefulness and generalizability of the system’s data to monitor progress towards the national malaria control goals of reducing malaria deaths and eventual elimination of transmission. Conclusions The use of SMS for reporting surveillance data was identified as a promising practice for accurately tracking malaria trends in Oromia. The rapid spread of this technology

  4. Newborn care practices at home and in health facilities in 4 regions of Ethiopia

    PubMed Central

    2013-01-01

    Background Ethiopia is one of the ten countries with the highest number of neonatal deaths globally, and only 1 in 10 women deliver with a skilled attendant. Promotion of essential newborn care practices is one strategy for improving newborn health outcomes that can be delivered in communities as well as facilities. This article describes newborn care practices reported by recently-delivered women (RDWs) in four regions of Ethiopia. Methods We conducted a household survey with two-stage cluster sampling to assess newborn care practices among women who delivered a live baby in the period 1 to 7 months prior to data collection. Results The majority of women made one antenatal care (ANC) visit to a health facility, although less than half made four or more visits and women were most likely to deliver their babies at home. About one-fifth of RDWs in this survey had contact with Health Extension Workers (HEWS) during ANC, but nurse/midwives were the most common providers, and few women had postnatal contact with any health provider. Common beneficial newborn care practices included exclusive breastfeeding (87.6%), wrapping the baby before delivery of the placenta (82.3%), and dry cord care (65.2%). Practices contrary to WHO recommendations that were reported in this population of recent mothers include bathing during the first 24 hours of life (74.7%), application of butter and other substances to the cord (19.9%), and discarding of colostrum milk (44.5%). The results suggest that there are not large differences for most essential newborn care indicators between facility and home deliveries, with the exception of delayed bathing and skin-to-skin care. Conclusions Improving newborn care and newborn health outcomes in Ethiopia will likely require a multifaceted approach. Given low facility delivery rates, community-based promotion of preventive newborn care practices, which has been effective in other settings, is an important strategy. For this strategy to be

  5. Spatial synchrony of malaria outbreaks in a highland region of Ethiopia.

    PubMed

    Wimberly, Michael C; Midekisa, Alemayehu; Semuniguse, Paulos; Teka, Hiwot; Henebry, Geoffrey M; Chuang, Ting-Wu; Senay, Gabriel B

    2012-10-01

    To understand the drivers and consequences of malaria in epidemic-prone regions, it is important to know whether epidemics emerge independently in different areas as a consequence of local contingencies, or whether they are synchronised across larger regions as a result of climatic fluctuations and other broad-scale drivers. To address this question, we collected historical malaria surveillance data for the Amhara region of Ethiopia and analysed them to assess the consistency of various indicators of malaria risk and determine the dominant spatial and temporal patterns of malaria within the region. We collected data from a total of 49 districts from 1999-2010. Data availability was better for more recent years and more data were available for clinically diagnosed outpatient malaria cases than confirmed malaria cases. Temporal patterns of outpatient malaria case counts were correlated with the proportion of outpatients diagnosed with malaria and confirmed malaria case counts. The proportion of outpatients diagnosed with malaria was spatially clustered, and these cluster locations were generally consistent from year to year. Outpatient malaria cases exhibited spatial synchrony at distances up to 300 km, supporting the hypothesis that regional climatic variability is an important driver of epidemics. Our results suggest that decomposing malaria risk into separate spatial and temporal components may be an effective strategy for modelling and forecasting malaria risk across large areas. They also emphasise both the value and limitations of working with historical surveillance datasets and highlight the importance of enhancing existing surveillance efforts.

  6. High rhesus (Rh(D)) negative frequency and ethnic-group based ABO blood group distribution in Ethiopia.

    PubMed

    Golassa, Lemu; Tsegaye, Arega; Erko, Berhanu; Mamo, Hassen

    2017-07-26

    Knowledge of the distribution of ABO-Rh(D) blood groups in a locality is vital for safe blood services. However, the distribution of these blood systems among Ethiopians in general is little explored. This study was, therefore, designed to determine the ABO-Rh(D) blood group distribution among patients attending Gambella hospital, southwestern Ethiopia. A cross-sectional study was conducted between November and December 2013 (N = 449). The patients were grouped into two broad categories. Those who originally moved from different parts of Ethiopia and currently residing in Gambella are named 'highlanders' (n = 211). The other group consisted of natives (Nilotics) to the locality (n = 238). ABO-Rh(D) blood groups were typed by agglutination, open-slide test method, using commercial antisera (Biotech laboratories Ltd, Ipswich, Suffolk, UK). Overall, majority of the participants (41.20%) had blood type 'O' followed by types 'A' (34.96%), 'B' (20.48%) and 'AB' (3.34%). However, blood type 'A' was the most frequent (44.07%) blood group among the 'highlanders' and 50.42% of Nilotic natives had type 'O'. The proportion of participants devoid of the Rh factor was 19.37%. While the ABO blood group distribution is similar to previous reports, the Rh(D) frequency is much higher than what was reported so far for Ethiopia and continental Africa.

  7. Internal parasites and health management of pigs in Burayu District, Oromia Regional State, Ethiopia.

    PubMed

    Kumsa, Bersissa; Kifle, Elias

    2014-02-26

    The study determined the prevalence and major types of gastrointestinal parasites in pigs and assessed the health management practices on farms in Burayu District in West Shoa Zone of Oromia Regional State, Ethiopia. The study was performed from November 2007 to April 2008 using standard coprological examination and a well-organised questionnaire survey. Of the 272 pigs examined for the presence of gastrointestinal parasites, 36 (13.2%) were infected with one or more types of parasite. Neither age nor management system proved to be a statistically significant factor in the prevalence of parasites. The highest prevalence of parasites was recorded in December, January and April, whereas the lowest was observed in February. Significant variation in the prevalence of parasites was noticed amongst study months. The majority of farmers did not use acaricides to treat and control external parasites. Anthelmintics were not used by any of the farmers. Some 76.1% of the farmers never used any type of treatment for sick pigs; 21.7% of the farmers used modern treatment and 2.2% of the farmers used traditional medicines. More than 95.0% of pigs were kept on soil floors and only 10.9% of the housing systems had good ventilation. Dung was removed at least every three days, with the majority of farmers (91.2%) removing it every morning. This study provided evidence for the occurrence of internal parasites in pigs kept in Burayu District in Oromia. Further epidemiological studies are needed to determine the zoonotic and economic importance of pig parasites in other parts of Ethiopia.

  8. Childhood diarrhea in high and low hotspot districts of Amhara Region, northwest Ethiopia: a multilevel modeling.

    PubMed

    Azage, Muluken; Kumie, Abera; Worku, Alemayehu; Bagtzoglou, Amvrossios C

    2016-05-16

    Childhood diarrhea is one of the major public health problems in Ethiopia. Multiple factors at different levels contribute to the occurrence of childhood diarrhea. The objective of the study was to identify the factors affecting childhood diarrhea at individual and community level. A cross-sectional study design was employed from February to March 2015 in high and low hotspot districts of Awi and West and East Gojjam zones in Amhara Region, northwest Ethiopia. Districts with high and low hotspots with childhood diarrhea were identified using SaTScan spatial statistical analysis. A total of 2495 households from ten (five high and five low hotspot) randomly selected districts were included in the study. A semi-structured questionnaire was used to collect data. Data were entered and cleaned in Epi Info 3.5.2 version and analyzed using Stata version 12. A multilevel logistic regression was used to identify factors associated with childhood diarrhea. The prevalence of childhood diarrhea was 13.5 % and did not show significant variation between high [14.3 % (95 % CI 12.3-16.2 %)] and low [12.7 % (95 % CI 10.9-14.6 %)] hotspot districts. Individual- and community-level factors accounted for 35 % of childhood diarrhea variation across the communities in the full model. Age of children (6-35 months), complementary feeding initiation below 6 months, inadequate hand washing practices, limited knowledge of mothers on diarrhea, lowest wealth status of households, and longer time interval to visit households by health extension workers were factors for increasing the odds of childhood diarrhea at the individual level. At the community level, lack of improved water supply and sanitation and unvaccinated children with measles and rotavirus vaccine were the factors associated with childhood diarrhea. In this study, childhood diarrhea occurrences remained high. Both individual- and community-level factors determined the occurrence of diarrhea. Interventions should consider both

  9. Urban Health Extension Services Utilization in Bishoftu Town, Oromia Regional State, Central Ethiopia.

    PubMed

    Gebreegziabher, Ewunetu Aberra; Astawesegn, Feleke Hailemichael; Anjulo, Antehun Alemayehu; Kerie, Mirkuzie Woldie

    2017-03-14

    Ethiopia has been deploying specially trained new cadres of community based health workers in urban areas of the country known as urban health extension professionals since 2009. At present, relatively little work has focused on understanding to what extent this new program is accepted and used by the community. Both qualitative and quantitative surveys were performed from March 10, 2012 to March 25, 2012 to explore the utilization of urban health extension services in Bishoftu Town, Oromia regional state, Central Ethiopia using a cross sectional study design. Qualitative data were collected using a total of 4 focus group discussions and 26 in-depth interviews. Quantitative data were collected from 418 randomly selected households using pre-tested, structured, interviewer-administered questionnaires. Data entry and analysis were done using SPSS version 16.0. Qualitative data were analyzed thematically. Of the 418 interviewed households, 72.8% of them had at least one service related contact with urban health extension professionals in the previous 6 month. The mean frequency of service related contact with Urban Health Extension Professionals was found to be 2.24 (±1) contacts per 6 months. The total number of households graduated as a model family in the study area was 3974 (14.3%). Though participants felt that urban health extension professionals faced community resistance at program implementation, its acceptability greatly improved in this study. Despite this, individual competencies of urban health extension professionals, availability of supply and logistic system, and the level of support from kebele officials were reported to influence the program acceptability and utilization. The introduction of urban health extension professionals positively changed the attitude of the majority of the households involved and improved the acceptability of the program. All stake holders, governmental and nongovernmental organizations, should have supportive systems to

  10. Bovine cysticercosis and its food safety implications in Harari People's National Regional State, eastern Ethiopia.

    PubMed

    Terefe, Yitagele; Redwan, Feysel; Zewdu, Endrias

    2014-02-19

    Taenia saginata cysticercosis is one of the zoonotic diseases that threaten food safety and food security, particularly in developing countries. A cross-sectional study was conducted to estimate the prevalence and cyst distribution in infected cattle, and food safety implications of Taenia saginata cysticercosis in Harari People's National Regional State, eastern Ethiopia. Post-mortem inspection of carcasses and organs of slaughtered cattle in Harar Municipal Abattoir, cyst viability tests and interviews with randomly selected meat consumers were undertaken. The post-mortem inspection showed that of the 898 local zebu cattle slaughtered for human consumption and examined for the presence of cysticerci of T. saginata, 19.7% (177/898; 95% CI = 17.2-22.5) harboured at least one cyst in the muscles or organs inspected. Of the edible anatomical sites with cysticerci, shoulder muscle, liver and heart together represented 65.4%, 66.0% and 65.4% respectively of relative prevalence, total cyst count and cyst viability. These edible sites are preferred above others by local people for preparation and consumption of raw or inadequately cooked meat dishes that are locally served as kurt, kitffo and dullet. The interviews revealed that among the 300 study participants, 182 (60.7%) had been infected by taeniosis at least once during the previous year and of these 99.0% had eaten raw or undercooked beef, the majority (88.3%) obtained from butchers assumed to provide officially inspected meat that was fit for consumption. This indicated that existing meat inspection processes were inadequate to prevent carcasses infected with T. saginata cysticerci from reaching consumers. The high prevalence of viable cysts in the edible parts of beef together with the widespread consumption of raw or undercooked beef indicated the importance of T. saginata cysticercosis as a food safety problem in eastern Ethiopia. The promotion of policies to upgrade existing meat inspection procedures and

  11. HIV Prevalence Correlates with High-Risk Sexual Behavior in Ethiopia's Regions

    PubMed Central

    Kenyon, Chris R.; Tsoumanis, Achilleas; Schwartz, Ilan Steven

    2015-01-01

    Background HIV prevalence varies between 0.9 and 6.5% in Ethiopia’s eleven regions. Little has been published examining the reasons for this variation. Methods We evaluated the relationship between HIV prevalence by region and a range of risk factors in the 2005 and 2011 Ethiopian Demographic Health Surveys. Pearson’s correlation was used to assess the relationship between HIV prevalence and each variable. Results There was a strong association between HIV prevalence and three markers of sexual risk: mean lifetime number of partners (men: r = 0.87; P < 0.001; women: r = 0.60; P = 0.05); reporting sex with a non-married, non-cohabiting partner (men: r = 0.92; P < 0.001, women r = 0.93; P < 0.001); and premarital sex. Condom usage and HIV testing were positively associated with HIV prevalence, while the prevalence of circumcision, polygamy, age at sexual debut and male migration were not associated with HIV prevalence. Conclusion Variation in sexual behavior may contribute to the large variations in HIV prevalence by region in Ethiopia. Population-level interventions to reduce risky sexual behavior in high HIV incidence regions should be considered. PMID:26496073

  12. Epidemiology of laboratory confirmed measles virus cases in Amhara Regional State of Ethiopia, 2004-2014.

    PubMed

    Getahun, Mekonen; Beyene, Berhane; Ademe, Ayesheshem; Teshome, Birke; Tefera, Mesfin; Asha, Anjelo; Afework, Aklog; HaileMariyam, Yoseph; Assefa, Esete; Gallagher, Kathleen

    2016-03-22

    Measles is a highly contagious viral infection causing large outbreaks all over the world. Despite the availability of safe and cost effective vaccine, measles remained endemic with persistent periodic outbreaks in the Horn of Africa. The aim of this study is to characterize laboratory confirmed measles cases in Amhara Regional State, which was one of the highly affected regions in Ethiopia. A suspected measles case was defined as any person presenting with fever, maculopapular rash and one or more of the three symptoms cough, coryza or conjunctivitis or a patient in whom a clinician suspects measles. A blood sample was collected for any measles suspected patient with a case based investigation form and specimen transported to the National Measles Laboratory in good condition where it was to be tested for Measles IgM antibody by ELISA technique. Data was entered and analyzed using Epi-Info 3.5.4 software. A total of 6579 samples were tested for measles IgM among 7296 samples collected in Amhara Regional State over 11 years (2004-2014). Of the tested samples, 2412 (36.7%) were found positive, while 3965 and 202 samples were found to be negative and equivocal (compatible) respectively. Patients with age ≥ 10 years were the most affected. The highest number of laboratory confirmed measles cases were detected in 2014 and cases were occurred in all of the 11 zones of the state. A seasonal peak was noted in the hot-dry season of the year. Measles remains to be a public health problem in Amhara Regional State of Ethiopia, mostly affecting people ≥ 10 years of age. Measles virus was detected in all zones of the state, reaching its peak in the hot-dry season. To reduce the incidence of measles, it is highly recommended to improve routine immunization, and conduct a wide age group campaign. Additional research to evaluate the knowledge, attitudes and practices of the general population and health care professionals about measles infection and vaccination is important

  13. Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia.

    PubMed

    Alemayehu, Mussie; Lemma, Hailemariam; Abrha, Kidan; Adama, Yohannes; Fisseha, Girmatsion; Yebyo, Henock; Gebeye, Ejigu; Negash, Kassahun; Yousuf, Jemal; Fantu, Tigist; Gebregzabher, Tesfay; Medhanyie, Araya Abrha

    2016-07-18

    Ethiopia is the second most populous country in Africa with a total fertility rate (TFR) of 4.8 children per a woman and contraceptive prevalence rate (CPR) of 29 %. The overall prevalence of modern family planning in a pastoralist community, like Afar region, is low (9.1 %). This study aimed to assess family planning utilization and associated factors among married women of Afar region, Eastern Ethiopia. A community-based cross-sectional study was conducted from January 10-28, 2013 among 602 women. Multistage sampling technique was used to select the study participants. Descriptive and multiple variable logistic regression analyses were done to isolate independent predictors on utilization of family planning using SPSS 20. The overall prevalence of family planning utilization in Afar region was 8.5 % (6.2-10.7). Majority of the women (92.2 %) had used injectable. The most common reasons mentioned in the non-use of family planning methods were religion-related (85.3 %), desire to have more children (75.3 %), and husband's objection (70.1 %). Women who had a positive attitude towards family planning utilization (AOR = 4.7, 95 % CI: 2.1, 10.3), owning radio (AOR = 1.8, 95 % CI: 1.02, 4.18), and literate (AOR = 4.4, 95 % CI: 1.80, 11.08) were more likely to use family planning methods as compared to their counterparts. The increase of monthly income was also associated with the likelihood of family planning methods utilization. The odds of using family planning methods were higher among those with monthly income of $27-$55.5 (AOR = 2. 0, 95 % CI: 1.9, 4.7) and > $55 (AOR = 4. 6, 95 % CI: 1.23-17.19) as compared to women with the lowest category of monthly income ($27 and less). The low coverage of family planning in the region could be due to the influence of husband, religious and clan leader. Attitude of women towards family planning methods, possession of radio, monthly income, and educational status could influence family

  14. Ten-year experiences of the tuberculosis control programme in the southern region of Ethiopia.

    PubMed

    Yassin, M A; Datiko, D G; Shargie, E B

    2006-10-01

    The tuberculosis control programme, southern region of Ethiopia. To assess the impact of the expansion of the DOTS strategy on tuberculosis (TB) case finding and treatment outcome. Reports of TB patients treated since the introduction of DOTS in the region were reviewed. Patients were diagnosed and treated according to World Health Organization (WHO) recommendations. Case notification and treatment outcome reports were compiled quarterly at district level and submitted to the regional programme. Of 136,572 cases registered between 1995 and 2004, 47% were smear-positive, 25% were smear-negative and 28% had extra-pulmonary tuberculosis (EPTB). In 2004, 94% of the health institutions were covered by DOTS. Between 1995 and 2004, the smear-positive case notification rate increased from 45 to 143 per 100,000 population, the case detection rate from 22% to 45%, and the treatment success rate from 53% to 85%. The default and failure rates decreased from 26% to 6% and from 7% to 1%, respectively. There was a steady increase in the treatment success rate with the decentralisation of DOTS. Although 94% coverage was achieved after 10 years, the stepwise scale-up was important in securing resources and dealing with challenges. The programme achieved 85% treatment success; however, with the current low case detection rate (45%), the 70% WHO target seems unachievable in the absence of alternative case-finding mechanisms.

  15. Survey of safety practices among hospital laboratories in Oromia Regional State, Ethiopia.

    PubMed

    Sewunet, Tsegaye; Kebede, Wakjira; Wondafrash, Beyene; Workalemau, Bereket; Abebe, Gemeda

    2014-10-01

    Unsafe working practices, working environments, disposable waste products, and chemicals in clinical laboratories contribute to infectious and non-infectious hazards. Staffs, the community, and patients are less safe. Furthermore, such practices compromise the quality of laboratory services. We conducted a study to describe safety practices in public hospital laboratories of Oromia Regional State, Ethiopia. Randomly selected ten public hospital laboratories in Oromia Regional State were studied from Oct 2011- Feb 2012. Self-administered structured questionnaire and observation checklists were used for data collection. The respondents were heads of the laboratories, senior technicians, and safety officers. The questionnaire addressed biosafety label, microbial hazards, chemical hazards, physical/mechanical hazards, personal protective equipment, first aid kits and waste disposal system. The data was analyzed using descriptive analysis with SPSS version16 statistical software. All of the respondents reported none of the hospital laboratories were labeled with the appropriate safety label and safety symbols. These respondents also reported they may contain organisms grouped under risk group IV in the absence of microbiological safety cabinets. Overall, the respondents reported that there were poor safety regulations or standards in their laboratories. There were higher risks of microbial, chemical and physical/mechanical hazards. Laboratory safety in public hospitals of Oromia Regional State is below the standard. The laboratory workers are at high risk of combined physical, chemical and microbial hazards. Prompt recognition of the problem and immediate action is mandatory to ensure safe working environment in health laboratories.

  16. Visceral Leishmaniasis in Benishangul-Gumuz Regional State, Western Ethiopia: Reemerging or Emerging?

    PubMed

    Abera, Adugna; Tasew, Geremew; Tsegaw, Teshome; Kejella, Asfaw; Mulugeta, Abate; Worku, Dagimlidet; Aseffa, Abraham; Gadisa, Endalamaw

    2016-07-06

    Kala-azar is a growing public health problem in Ethiopia. Benishangul-Gumuz regional state was previously not known to be endemic for the disease. In response to a case report from the region, we conducted a rapid assessment survey. A pretested questionnaire was used to capture sociodemographic and clinical histories pertinent to kala-azar. Study participants with complaints of fever and headache for 2 weeks or more were tested for kala-azar and malaria. All participants were screened with the leishmanin skin test and the direct agglutination test for exposure to Leishmania, defined as a positive result with either or both tests. Of 275 participants, 20 were exposed giving an overall leishmaniasis seroprevalence rate of 7.3%. Among the 20 positive individuals, 19 were farmers and nine of them reported no travel history outside their district. It appears that kala-azar is emerging in Dangur and Guba districts of Benishangul-Gumuz regional state, probably in connection with human encroachment into one or several previously out-of-reach zoonotic foci. We recommend integrated epidemiological surveys for confirmation and early containment of disease transmission in the area. © The American Society of Tropical Medicine and Hygiene.

  17. Persistent organochlorine pesticides residues in cow and goat milks collected from different regions of Ethiopia.

    PubMed

    Deti, Habtewold; Hymete, Ariaya; Bekhit, Adnan A; Mohamed, Abdel Maaboud I; Bekhit, Alaa El-Din A

    2014-07-01

    The present study investigated the bioaccumulation of organochlorines in two milk-producing animals (goats and cows) grazed on the same feed to explore the extent of organochlorines availability in milk and any species effect on the bioaccumulation pattern. Six organochlorine pesticides: aldrin, α-endosulfan, β-endosulfan, p,p'-DDE, o,p'-DDT and p,p'-DDT were determined in samples collected from four regions in Ethiopia. Aldrin (11.6μgkg(-1)) was detected only in one cow milk sample and α-endosulfan was detected in one goat milk sample at a level of 142.1μgkg(-1), and in one cow milk sample (47.8μgkg(-1)) from the same region. p,p'-DDE was detected in 40% of the milk samples analyzed while o,p'-DDT and p,p'-DDT were found in high amounts in almost all samples. The average total DDT (excluding DDD) in the samples was 328.5μgkg(-1). Regions known for their malaria epidemics were the most contaminated with DDT residue. The accumulation pattern in both species was not clear under natural sampling.

  18. Tuberculosis Laboratory Diagnosis Quality Assurance among Public Health Facilities in West Amhara Region, Ethiopia

    PubMed Central

    Shiferaw, Melashu Balew; Hailu, Hiwot Amare; Fola, Abebe Alemu; Derebe, Mulatu Melese; Kebede, Aimro Tadese; Kebede, Abayneh Admas; Emiru, Manamnot Agegne; Gelaw, Zelalem Dessie

    2015-01-01

    Introduction Reliable smear microscopy is an important component of Directly Observed Treatment Scheme (DOTS) strategy for TB control program in countries with limited resources. Despite external quality assessment is established in Ethiopia, there is lower TB detection rate (48%) in Amhara region compared to the World Health Organization (WHO) estimate (70%). This highlights the quality of smear microscopy needs to be evaluated. Therefore, the aim of this study was to assess the quality of sputum smear microscopy performance among health center laboratories in West Amhara region, Ethiopia. Materials and Methods A cross sectional study was conducted from July 08, 2013 to July 07, 2014. Data were collected from 201 public health center laboratories using a structured questionnaire. Slides were collected based on Lot Quality Assurance Sampling (LQAS) method and rechecked blindly by trained laboratory technologists. The data were entered into EPI info V.7 and smear quality indicators and AFB results were analyzed by SPSS version 20. Results Among 201 laboratories enrolled in this study, 47 (23.4%) laboratories had major errors. Forty one (20.4%) laboratories had a total of 67 false negative and 29 (14.4%) laboratories had a total of 68 false positive results. Specimen quality, smear thickness and evenness were found poor in 134 (66.7%), 133 (66.2%) and 126 (62.7%) laboratories, respectively. Unavailability of microscope lens cleaning solution (AOR: 2.90; 95% CI: 1.25–6.75; P: 0.013) and dirty smears (AOR: 2.65; 95% CI: 1.14–6.18; P: 0.024) were correlated with false negative results whereas no previous EQA participation (AOR: 3.43; 95% CI: 1. 39-8.45; P: 0.007) was associated with false positive results. Conclusion The performance of health facilities for sputum smear microscopy was relatively poor in West Amhara region. Hence, strengthening the EQA program and technical support on sputum smear microscopy are recommended to ensure quality tuberculosis diagnostic

  19. Contraception and fertility transition in AMHARA National Regional State of ETHIOPIA: an application of BONGAARTS' model.

    PubMed

    Alazbih, Nega Mihret; Tewabe, Getachew Nibret; Demissie, Tariku Dejene

    2017-01-01

    The overall decline of fertility in Amhara National Regional State between 2000 and 2011 was the highest in Ethiopia. The aim of the present study was to determine the most significant proximate determinant of fertility change during the last decade in the region using Bongaarts' model. The sources of data were the 2000, 2005, and 2011 Ethiopia Demographic and Health Surveys. The model indices were calculated for each survey. Decomposition of fertility change into components of proximal determinants was also carried out. An index value close to 1 is a negligible inhibiting effect while a large inhibiting effect when the value very closes to 0. The fertility-constraining effect of contraception increased from 0.93 in 2000 to 0.65 in 2011; however, it was lower than the effect of postpartum insusceptibility at all given times. The index of marriage remained unchanged in constraining fertility over the period (0.71 in 2000 and 0.70 in 2011) while the influence of postpartum insusceptibility slightly declined from 0.49 in 2000 to 0.54 in 2011 but was stronger than contraception and marriage. The contribution of contraception was most important in urban areas (0.46 in 2011 from 0.52 in 2005 and 0.64 in 2000); however, in rural areas, it became an important determinant over the period (0.95 in 2000 and 0.69 in 2011). The effect of postpartum insusceptibility in rural areas showed a decreasing trend (0.48 in 2000 and 0.53 in 2011). The index of marriage in rural areas was stable overtime (0.75 in 2000 and 0.73 in 2011) while in urban areas the effect declined from 0.42 in 2000 to 0.65 in 2011. Marriage was the most important proximate determinant of fertility among women with secondary and above education but the impact declined during the period (0.41 in 2000 and 0.61 in 2011). The importance of postpartum insusceptibility in limiting fertility among women with secondary and above education declined overtime (0.77 in 2000 and 0.87 in 2011) whereas the contribution of

  20. Prediction of Low Community Sanitation Coverage Using Environmental and Sociodemographic Factors in Amhara Region, Ethiopia

    PubMed Central

    Oswald, William E.; Stewart, Aisha E. P.; Flanders, W. Dana; Kramer, Michael R.; Endeshaw, Tekola; Zerihun, Mulat; Melaku, Birhanu; Sata, Eshetu; Gessesse, Demelash; Teferi, Tesfaye; Tadesse, Zerihun; Guadie, Birhan; King, Jonathan D.; Emerson, Paul M.; Callahan, Elizabeth K.; Moe, Christine L.; Clasen, Thomas F.

    2016-01-01

    This study developed and validated a model for predicting the probability that communities in Amhara Region, Ethiopia, have low sanitation coverage, based on environmental and sociodemographic conditions. Community sanitation coverage was measured between 2011 and 2014 through trachoma control program evaluation surveys. Information on environmental and sociodemographic conditions was obtained from available data sources and linked with community data using a geographic information system. Logistic regression was used to identify predictors of low community sanitation coverage (< 20% versus ≥ 20%). The selected model was geographically and temporally validated. Model-predicted probabilities of low community sanitation coverage were mapped. Among 1,502 communities, 344 (22.90%) had coverage below 20%. The selected model included measures for high topsoil gravel content, an indicator for low-lying land, population density, altitude, and rainfall and had reasonable predictive discrimination (area under the curve = 0.75, 95% confidence interval = 0.72, 0.78). Measures of soil stability were strongly associated with low community sanitation coverage, controlling for community wealth, and other factors. A model using available environmental and sociodemographic data predicted low community sanitation coverage for areas across Amhara Region with fair discrimination. This approach could assist sanitation programs and trachoma control programs, scaling up or in hyperendemic areas, to target vulnerable areas with additional activities or alternate technologies. PMID:27430547

  1. Distribution of brucellosis among small ruminants in the pastoral region of Afar, eastern Ethiopia.

    PubMed

    Ashenafi, F; Teshale, S; Ejeta, G; Fikru, R; Laikemariam, Y

    2007-12-01

    A cross-sectional study was conducted in the pastoral region of Afar, in eastern and central Ethiopia, to determine the distribution of brucellosis in small ruminants. Between December 2005 and June 2006, 1,568 serum samples were taken: 563 samples from sheep and 1,005 from goats. One hundred and forty-seven of these (9.4%) tested positive using the Rose Bengal plate test (RBPT), and 76 (4.8%) also tested positive by the complement fixation test (CFT). Brucellosis was detected in all five administrative zones of the region. The difference in prevalence (P) among the zones was not statistically significant (P > 0.05). The seroprevalence of Brucella infection was found to be 5.8% (n = 58) in goats and 3.2% (n = 18) in sheep. A prevalence rate of 5.3% was observed in adult animals and 1.6% in younger sheep and goats. Caprine species (chi2 = 5.56) and adult goats and sheep (chi2 = 4.84) were found to be at higher risk of Brucella infection (P < 0.05). No statistically significant difference was found between males and females (chi2 = 2.57, P > 0.05). The study showed that small-ruminant brucellosis is a widely distributed disease in Afar. The authors recommend the implementation of well-organised disease control and prevention methods to mitigate the economic losses and public health hazard caused by the disease.

  2. Comparative prevalences of some common intestinal helminth infections in different altitudinal regions in Ethiopia.

    PubMed

    Jemaneh, L

    1998-01-01

    Infection prevalences of Ascaris lumbricoides, Trichuris trichiura and the hookworms in school children in several communities of three altitudinal regions in Ethiopia have been analyzed. The prevalence of A. lumbricoides infection was 29% in the highlands, 35% in the temperate areas and 38% in the lowlands. The prevalence of hookworm infection was highest in the lowlands (24%) followed by the temperate (15%) and highland (7%) areas and the difference was significant (p < 0.0001). T. trichiura infection exhibited similar prevalences in all altitudinal regions (13% on the average). The prevalence of infection due to Ascaris lumbricoides and Trichuris trichiura was significantly correlated (rs = 0.55, p < 0.001) in the lowlands hinting the closely related distribution and co-occurrence of these parasites. The prevalence of infection due to the hookworms and T. trichiura in the temperate areas showed some pattern of association (rs = 0.29). A similar pattern has also been noted between the prevalence of infection due to A. lumbricoides and T. trichiura in the highland areas (rs = 0.48). The co-occurrence of A. lumbricoides and T. trichiura infections in the lowlands and in the highlands suggest that a concurrent intervention against infection due to these two parasites using the same control methods would be advantageous.

  3. Prediction of Low Community Sanitation Coverage Using Environmental and Sociodemographic Factors in Amhara Region, Ethiopia.

    PubMed

    Oswald, William E; Stewart, Aisha E P; Flanders, W Dana; Kramer, Michael R; Endeshaw, Tekola; Zerihun, Mulat; Melaku, Birhanu; Sata, Eshetu; Gessesse, Demelash; Teferi, Tesfaye; Tadesse, Zerihun; Guadie, Birhan; King, Jonathan D; Emerson, Paul M; Callahan, Elizabeth K; Moe, Christine L; Clasen, Thomas F

    2016-09-07

    This study developed and validated a model for predicting the probability that communities in Amhara Region, Ethiopia, have low sanitation coverage, based on environmental and sociodemographic conditions. Community sanitation coverage was measured between 2011 and 2014 through trachoma control program evaluation surveys. Information on environmental and sociodemographic conditions was obtained from available data sources and linked with community data using a geographic information system. Logistic regression was used to identify predictors of low community sanitation coverage (< 20% versus ≥ 20%). The selected model was geographically and temporally validated. Model-predicted probabilities of low community sanitation coverage were mapped. Among 1,502 communities, 344 (22.90%) had coverage below 20%. The selected model included measures for high topsoil gravel content, an indicator for low-lying land, population density, altitude, and rainfall and had reasonable predictive discrimination (area under the curve = 0.75, 95% confidence interval = 0.72, 0.78). Measures of soil stability were strongly associated with low community sanitation coverage, controlling for community wealth, and other factors. A model using available environmental and sociodemographic data predicted low community sanitation coverage for areas across Amhara Region with fair discrimination. This approach could assist sanitation programs and trachoma control programs, scaling up or in hyperendemic areas, to target vulnerable areas with additional activities or alternate technologies.

  4. Determinants of institutional delivery service utilization among pastorals of Liben Zone, Somali Regional State, Ethiopia, 2015.

    PubMed

    Zepro, Nejimu Biza; Ahmed, Ahmed Tahir

    2016-01-01

    Maternal health service utilizations are poorly equipped, inaccessible, negligible, and not well documented in the pastoral society. This research describes a quantitative and qualitative study on the determinants of institutional delivery among pastoralists of Liben Zone with special emphasis on Filtu and Deka Suftu woredas of Somali Region, Ethiopia. The study was funded by the project "Fostering health care for refugees and pastoral communities in Somali Region, Ethiopia". This community-based cross-sectional study was conducted during November 2015. Interviews through a questionnaire and focus group discussions were used to collect the data. Proportional to size allocation followed by systematic sampling technique was used to identify the study units. The major determinants of institutional delivery in the study area were as follows: being apparently healthy, lack of knowledge, long waiting time, poor quality services, cultural beliefs, religious misconception, partner decision, and long travel. Around one-third (133, 34.5%) of the women had visited at least once for their pregnancy. More than half (78, 58.6%) of the women had visited health facilities due to health problems and only 27 (19.9%) women had attended the recommended four antenatal care visits. Majority (268, 69.6%) of the pregnant women preferred to give birth at home. Women who attended antenatal care were two times more likely to deliver at health facilities (AOR, 95% confidence interval [CI] =2.38, 1.065-4.96). Women whose family members preferred health facilities had 14 times more probability to give birth in health institutions (AOR, 95% CI =13.79, 5.28-35.8). Women living in proximity to a health facility were 13 times more likely to give birth at health facilities than women living far away (AOR, 95% CI =13.37, 5.9-29.85). Nomadic way of life, service inaccessibility, and sociodemographic and cultural obstacles have an effect on the utilization of delivery services. Increasing access

  5. Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia

    PubMed Central

    2014-01-01

    Background Diarrhea is second only to pneumonia as the cause of child mortality worldwide. Developing countries particularly in Sub Saharan Africa including Ethiopia have a high burden of this disease. Studies showed that different factors were associated with the occurrence of childhood diarrhea. Therefore, this study was aimed to identify determinant factors of diarrhea in underfive children in Benishangul Gumuz Regional State, western Ethiopia. Method Demographic and Health Survey (DHS) data of 2011 was used for this study. The data was extracted from the National DHS data using data extraction tools. A total of 925 under five children were selected. The logistic regression model was employed to examine the determinants of childhood diarrhoea. Both bivariate and multivariate data analysis was performed using SPSS version 16.0. Result The results of this study indicated that low level of maternal education [AOR = 1.81, 95% CI (1.12,2.76)], absence of toilet facility [AOR = 3.5, 95% CI (2.4, 5.2)], improper child stool disposal methods [AOR = 2.05, 95%CI (1.36, 3.10)], having more than two under five children [AOR = 1.73, 95% CI (1.03, 2.93)], higher birth order [AOR = 6.1, 95% CI (3.1,12.2)] and the age of children [AOR = 1.9, 95% CI (1.2, 3.6)] were found to be the risk factors for childhood diarrhea after adjusting for other variables. When toilet facility was stratified by maternal education, it showed that children of mothers who had no education were the most vulnerable in the absence of toilet facilities [OR = 9.16, 95% CI (5.79, 14.48)]. Conclusion Under poor environmental conditions, mothers with primary education and above protected their children against diarrhea better than mothers with no education. Thus, implementing effective educational programs that emphasize environmental health and sanitation practices and encouraging female school enrolment would reduce childhood diarrheal morbidity in the region. PMID:24731601

  6. The yield of a tuberculosis household contact investigation in two regions of Ethiopia.

    PubMed

    Jerene, D; Melese, M; Kassie, Y; Alem, G; Daba, S H; Hiruye, N; Girma, B; Suarez, P G

    2015-08-01

    Amhara and Oromia regions, Ethiopia. To determine the yield of a household contact investigation for tuberculosis (TB) under routine programme conditions. Between April 2013 and March 2014, TB clinic officers conducted symptom-based screening for household contacts (HHCs) of 6015 smear-positive TB (SS+ TB) index cases. Based on quarterly reported programme data, we calculated the yield in terms of number needed to screen (NNS) and number needed to test (NNT). Of 15,527 HHCs screened, 6.1% had presumptive TB (8.5% in Oromia vs. 3.9% in Amhara). All forms of TB and SS+ TB were diagnosed in respectively 2.5% (Oromia 3.9% vs. Amhara 1.2%) and 0.76% (Oromia 0.98% vs. Amhara 0.55%) of contacts. The NNS to detect a TB case all forms and SS+ TB was respectively 40 and 132. The NNT to diagnose a TB case all forms and SS+ TB was respectively 2.4 and 8. Of 1687 eligible children aged <5 years, 323 were started on isoniazid preventive therapy. The yield of the household contact investigation was over 10 times higher than the estimated prevalence in the general population; household contact investigations can serve as an entry point for childhood TB care.

  7. Distribution and Availability of Essential Tuberculosis Diagnostic Items in Amhara Region, Ethiopia.

    PubMed

    Sinishaw, Mulusew Alemneh; Gebregergs, Gebremedhin Berhe; Shiferaw, Melashu Balew

    2015-01-01

    Adequate supplies of tuberculosis laboratory reagents and consumables are necessary for tuberculosis diagnosis and monitoring of treatment response. This study assessed the distribution and stock levels of laboratory commodities used in tuberculosis control in health centers of Amhara region, Ethiopia. A cross-sectional study was conducted in 82 health centers, among 801, providing sputum microscopy services. Stock levels were calculated, and distribution of reagents and consumables assessed. Thirty three (40.2%) health centers were under stocked for at least one of the key items for tuberculosis diagnosis at the time of visit. Fifteen (18.3%) health centers had no stocks of at least one of the key items (methylene blue (11%), carbol fuchsin (11%), acid alcohol (8.5%) and sputum cups (3.7%)). Of the 82 health centers, 77 (93.9%) did not fulfill the criteria for effective distribution of tuberculosis laboratory reagents and consumables. There were many health centers that had no or only low stocks of key tuberculosis laboratory reagents and consumables as a result of ineffective distribution system. It is necessary to strengthen supply chain management to ensure uninterrupted TB diagnostic service.

  8. Severe vitamin A deficiency in a rural village in the Hararge region of Ethiopia.

    PubMed

    Wolde-Gebriel, Z; Gebru, H; Fisseha, T; West, C E

    1993-02-01

    A total of 240 children were examined for vitamin A deficiency in a village in Hararge region of Ethiopia. Night blindness, Bitot's spots, corneal xerosis, corneal ulceration and corneal scars were observed in 69, 16, 2, 15 and 14 children, respectively, based on the most severe eye signs. Blood was collected from 76 children with eye signs and 9 other children selected at random. The concentration of retinol (vitamin A) in serum was < 0.35 mumol/l in 30.2% of children and the median serum retinol-binding protein, iron, transferrin saturation and ferritin levels were low while the parameters of iodine status, total triiodothyronine, total thyroxine and thyrotropin, were all within the normal range. Levels of IgG and IgM were elevated in 78.8% and 82.4% children, respectively, while C-reactive protein levels were elevated in 42.4% of children. There was a higher prevalence of wasting (33%) than stunting (10%) with an additional 8% of children being both stunted and wasted. In the 2 years prior to the study, there were 74 deaths of which 17 were reported to be associated with ruptured corneas. The community had been dependent on relief food aid for the previous 6 years.

  9. Immunization Coverage Surveys and Linked Biomarker Serosurveys in Three Regions in Ethiopia

    PubMed Central

    Travassos, Mark A.; Beyene, Berhane; Adam, Zenaw; Campbell, James D.; Mulholland, Nigisti; Diarra, Seydou S.; Kassa, Tassew; Oot, Lisa; Sequeira, Jenny; Reymann, Mardi; Blackwelder, William C.; Wu, Yukun; Ruslanova, Inna; Goswami, Jaya; Sow, Samba O.; Pasetti, Marcela F.; Steinglass, Robert; Kebede, Amha; Levine, Myron M.

    2016-01-01

    Objective Demographic and health surveys, immunization coverage surveys and administrative data often divergently estimate vaccination coverage, which hinders pinpointing districts where immunization services require strengthening. We assayed vaccination coverage in three regions in Ethiopia by coverage surveys and linked serosurveys. Methods Households with children aged 12–23 (N = 300) or 6–8 months (N = 100) in each of three districts (woredas) were randomly selected for immunization coverage surveys (inspection of vaccination cards and immunization clinic records and maternal recall) and linked serosurveys. IgG-ELISA serologic biomarkers included tetanus antitoxin ≥ 0.15 IU/ml in toddlers (receipt of tetanus toxoid) and Haemophilus influenzae type b (Hib) anti-capsular titers ≥ 1.0 mcg/ml in infants (timely receipt of Hib vaccine). Findings Coverage surveys enrolled 1,181 children across three woredas; 1,023 (87%) also enrolled in linked serosurveys. Administrative data over-estimated coverage compared to surveys, while maternal recall was unreliable. Serologic biomarkers documented a hierarchy among the districts. Biomarker measurement in infants provided insight on timeliness of vaccination not deducible from toddler results. Conclusion Neither administrative projections, vaccination card or EPI register inspections, nor parental recall, substitute for objective serological biomarker measurement. Including infants in serosurveys informs on vaccination timeliness. PMID:26934372

  10. Immunization Coverage Surveys and Linked Biomarker Serosurveys in Three Regions in Ethiopia.

    PubMed

    Travassos, Mark A; Beyene, Berhane; Adam, Zenaw; Campbell, James D; Mulholland, Nigisti; Diarra, Seydou S; Kassa, Tassew; Oot, Lisa; Sequeira, Jenny; Reymann, Mardi; Blackwelder, William C; Wu, Yukun; Ruslanova, Inna; Goswami, Jaya; Sow, Samba O; Pasetti, Marcela F; Steinglass, Robert; Kebede, Amha; Levine, Myron M

    2016-01-01

    Demographic and health surveys, immunization coverage surveys and administrative data often divergently estimate vaccination coverage, which hinders pinpointing districts where immunization services require strengthening. We assayed vaccination coverage in three regions in Ethiopia by coverage surveys and linked serosurveys. Households with children aged 12-23 (N = 300) or 6-8 months (N = 100) in each of three districts (woredas) were randomly selected for immunization coverage surveys (inspection of vaccination cards and immunization clinic records and maternal recall) and linked serosurveys. IgG-ELISA serologic biomarkers included tetanus antitoxin ≥ 0.15 IU/ml in toddlers (receipt of tetanus toxoid) and Haemophilus influenzae type b (Hib) anti-capsular titers ≥ 1.0 mcg/ml in infants (timely receipt of Hib vaccine). Coverage surveys enrolled 1,181 children across three woredas; 1,023 (87%) also enrolled in linked serosurveys. Administrative data over-estimated coverage compared to surveys, while maternal recall was unreliable. Serologic biomarkers documented a hierarchy among the districts. Biomarker measurement in infants provided insight on timeliness of vaccination not deducible from toddler results. Neither administrative projections, vaccination card or EPI register inspections, nor parental recall, substitute for objective serological biomarker measurement. Including infants in serosurveys informs on vaccination timeliness.

  11. Small ruminant brucellosis and community perception in Jijiga District, Somali Regional State, Eastern Ethiopia.

    PubMed

    Bekele, Mihreteab; Mohammed, Hassen; Tefera, Mulugeta; Tolosa, Tadele

    2011-04-01

    A cross-sectional study of brucellosis in small ruminants was carried out from October 2008 to March 2009 in Jijiga District, Somali Regional State of Ethiopia. Seven hundred thirty sera samples (421 of sheep and 309 of goats) were randomly collected from purposively selected villages of the study area. Structured questionnaire format was developed, pre-tested and administered to assess the perception of the community pertaining to brucellosis in sheep and goats. Sera samples were screened by Rose Bengal Plate Test (RBPT), and all samples tested positive by the RBPT were subjected to Complement Fixation Test (CFT) for confirmation. Of 12 serum samples that were positive by RBPT, 11 were positive by CFT. Statistically significant differences were not observed between the species as well as the sex groups (P > 0.05); however, the variation between the age groups was statistically significant (P < 0.05). Analysis of the questionnaire survey suggests that improper handling of aborted materials, consumption of raw milk, and lack of awareness about the disease, among others, might greatly contribute to further spread of brucellosis in their livestock and exposes the community to a public health hazard. In general, the sero-prevalence in the study area was not so high; nevertheless, appropriate brucellosis control and prevention methods should be implemented to circumvent future potential for economic losses and the public health hazard of the disease.

  12. Distribution and Availability of Essential Tuberculosis Diagnostic Items in Amhara Region, Ethiopia

    PubMed Central

    2015-01-01

    Adequate supplies of tuberculosis laboratory reagents and consumables are necessary for tuberculosis diagnosis and monitoring of treatment response. This study assessed the distribution and stock levels of laboratory commodities used in tuberculosis control in health centers of Amhara region, Ethiopia. A cross-sectional study was conducted in 82 health centers, among 801, providing sputum microscopy services. Stock levels were calculated, and distribution of reagents and consumables assessed. Thirty three (40.2%) health centers were under stocked for at least one of the key items for tuberculosis diagnosis at the time of visit. Fifteen (18.3%) health centers had no stocks of at least one of the key items (methylene blue (11%), carbol fuchsin (11%), acid alcohol (8.5%) and sputum cups (3.7%)). Of the 82 health centers, 77 (93.9%) did not fulfill the criteria for effective distribution of tuberculosis laboratory reagents and consumables. There were many health centers that had no or only low stocks of key tuberculosis laboratory reagents and consumables as a result of ineffective distribution system. It is necessary to strengthen supply chain management to ensure uninterrupted TB diagnostic service. PMID:26641097

  13. Ectoparasites of small ruminants in three selected agro-ecological sites of Tigray Region, Ethiopia.

    PubMed

    Mulugeta, Y; Yacob, Hailu T; Ashenafi, Hagos

    2010-08-01

    A study on ectoparasites of small ruminants in three selected agro-ecological sites of Tigray Region, Ethiopia disclosed an overall prevalence of 55.5% and 58% in each examined 750 sheep and goats, respectively. In the sheep population, Melophagus ovinus (19.1%), tick infestations (16%), Damalinia ovis (15.3%), Linognathus africanus (11.5%), and Ctenocephalides felis (9%) were the major ectoparasites. The major ectoparasites identified in goats were tick infestations (29.7%), L. africanus (27.9%), Sarcoptes scabiei var. caprae (12.5%), C. felis (11.1%), and Demodex caprae (6.8%). In sheep, there was a statistically significant difference (P < 0.001) in the prevalence of Damalinia ovis, M. ovinus, L. africanus, and ticks between midland and highland. In goats, the risk of Sarcoptes scabiei var. caprae infestation in midland (odds ratio (OR) = 17.2, P < 0.001) and lowland (OR = 5.2, P < 0.001) was 17.2 times and 5.2 times, respectively, higher than the highland. Favorable climatic conditions, backward level of management, poor level of consciousness and awareness of farmers, and weak animal health extension services are believed to have contributed for widespread distribution and occurrences of ectoparasites. The growing threat of ectoparasites to small ruminant production and the tanning industry needs well-coordinated and urgent control intervention.

  14. Paleoecological patterns at the Hadar hominin site, Afar Regional State, Ethiopia.

    PubMed

    Reed, Kaye E

    2008-06-01

    Reconstructing paleoecological patterns associated with hominin taxa, such as Australopithecus afarensis, is important for understanding possible evolutionary mechanisms involved in extinction and speciation events. It is critical to identify local, regional, or pan-African causal factors because patterns at these different levels may affect separate populations of the same species of hominin in unique ways. Habitat reconstructions of 12 submembers of the Hadar and Busidima formations (approximately 3.8-2.35 Ma) are presented here along with faunal differences in these submembers through time. Habitats with medium density tree and bush cover dominated the landscape through much of the earlier time period in the Hadar Formation. The lowermost Sidi Hakoma Member is the most closed habitat. The Denen Dora Member shows the influence of frequent floodplain edaphic grasslands with high abundances of reducin bovids. There is an influx of ungulates in the Kada Hadar Member (approximately 3.2--approximately 2.96 Ma) that indicates a more arid habitat populated by mammals that were recovered from earlier deposits further south in Ethiopia and Kenya. In the younger deposits from the Busidima Formation at Hadar, the landscape was open wooded grassland with some floodplain environments. The fossil assemblages from the Busidima Formation show a substantial species turnover. Although high numbers of A. afarensis specimens are associated with the lower Sidi Hakoma Member, they clearly inhabited a variety of habitats throughout the entire Hadar Formation. Australopithecus afarensis from Laetoli through Hadar times appears to have been a eurytopic species.

  15. Operational research on the correlation between skin diseases and HIV infection in Tigray region, Ethiopia.

    PubMed

    Padovese, Valeska; Racalbuto, Vincenzo; Barnabas, Gebre Ab; Morrone, Aldo

    2015-10-01

    In Ethiopia, skin diseases are among the leading causes of outpatient attendance to primary health service. Correlation of skin diseases and HIV has long been recognized and used to guide medical management in resource-limited settings. Therefore, this study aims to assess the correlation of skin diseases and HIV infection, to estimate epidemiological distribution in the study area, and to provide health workers of skin indicators for HIV early detection. The operational research was designed as a case-control study and carried out in three intervention districts of Tigray region; baseline and final data on skin diseases and HIV were compared with those of three control districts matched for population size, density, and environmental characteristics. Health workers of intervention districts were trained on skin diseases/STIs diagnosis and treatment. Data were collected from study and control districts and then analyzed at the Italian Dermatological Centre (IDC) in Mekele. In the research period, a total of 1044 HIV positive patients were detected. Disorders of skin and mucous membranes statistically related with HIV (P < 0.05) were tongue papillary atrophy (80%), oral hairy leukoplakia (69%), herpes zoster (66%), oral candidiasis (50%), pruritic papular eruption (43%), condylomata acuminata (38%), and telogen effluvium (27%). The high frequency of oral disorders and telogen effluvium is not described in literature and may be indicative for case detection. Operational research offers significant gains on health service delivery and outcomes at relatively low cost and in a short timeframe. © 2015 The International Society of Dermatology.

  16. Camel milk, amoxicillin, and a prayer: medical pluralism and medical humanitarian aid in the Somali Region of Ethiopia.

    PubMed

    Carruth, Lauren

    2014-11-01

    This paper details how exposure to new clinics, diagnostic technologies, and pharmaceuticals during humanitarian relief operations in the Somali Region of Ethiopia shaped local pluralistic health systems and altered the ways in which residents subsequently conceived of and treated illness and disease. Despite rising demand for pharmaceuticals and diagnostic technologies among Somalis in Ethiopia, local ethnophysiologies continued to draw upon popular ideas about humoral flows, divine action, and spirit possession. Demands for therapeutic camel milk, Qur'anic spiritual healing, herbal remedies, and other historically popular therapies persisted, but were shaped by concurrent demands for and understandings of diagnostic biotechnologies and pharmaceutical medications. The reverse was also true: contemporary understandings and uses of non-biomedical healing modalities among Somalis shaped evaluations of clinical care, including healthcare during humanitarian responses. To illustrate these phenomena, based on ethnographic research in eastern Ethiopia between 2007 and 2009, this paper explores three topics vital to Somalis' pluralistic healthcare systems: camel milk and the management of digestive bile; women's experiences and clinical presentations with pain and disorder in their reproductive systems; and the rising popularity of high-tech diagnostic tests. I conclude that medical humanitarian aid never happens in a vacuum or among truly treatment-naïve populations. Instead, aid unfolds within ever-changing and pluralistic health cultures, and it permanently alters and is altered by the frames within which people evaluate and make future decisions about healthcare.

  17. A qualitative exploration of care-seeking pathways for sick children in the rural Oromia region of Ethiopia.

    PubMed

    Shaw, Bryan; Amouzou, Agbessi; Miller, Nathan P; Bryce, Jennifer; Surkan, Pamela J

    2017-03-09

    Ethiopia has experienced rapid improvements in its healthcare infrastructure, such as through the recent scale up of integrated community case management (iCCM) delivered by community-based health extension workers (HEWs) targeting children under the age of five. Despite notable improvements in child outcomes, the use of HEWs delivering iCCM remains very low. The aim of our study was to explain this phenomenon by examining care-seeking practices and treatment for sick children in two rural districts in the Oromia Region of Ethiopia. Using qualitative methods, we explored perceptions of child illness, influences on decision-making processes occurring over the course of a child's illness and caregiver perceptions of available community-based sources of child illness care. Sixteen focus group discussions (FGDs) and 40 in-depth interviews (IDIs) were held with mothers of children under age five. For additional perspective, 16 IDIs were conducted fathers and 22 IDIs with health extension workers and community health volunteers. Caregivers often described the act of care-seeking for a sick child as a time of considerable uncertainty. In particular, mothers of sick children described the cultural, social and community-based resources available to minimize this uncertainty as well as constraints and strategies for accessing these resources in order to receive treatment for a sick child. The level of trust and familiarity were the most common dynamics noted as influencing care-seeking strategies; trust in biomedical and government providers was often low. Overall, our research highlights the multiple and dynamic influences on care-seeking for sick children in rural Ethiopia. An understanding of these influences is critical for the success of existing and future health interventions and continued improvement of child health in Ethiopia.

  18. Khat Chewing Practice and Associated Factors among Adults in Ethiopia: Further Analysis Using the 2011 Demographic and Health Survey

    PubMed Central

    Haile, Demewoz; Lakew, Yihunie

    2015-01-01

    Background Khat chewing has become a highly prevalent practice and a growing public health concern in Ethiopia. Although there have been many small scale studies, very limited national information has been available in the general population. This study aimed to identify factors associated with khat chewing practice among Ethiopian adults. Methods The study used the 2011 Ethiopian demographic and health survey data. The survey was cross-sectional by design and used a multistage cluster sampling procedure. Bivariate and multivariable logistic regression models with adjusted odds ratio (AOR) and their 95% confidence intervals (CI) were used to quantify the predictors. Results The overall khat chewing prevalence was 15.3% (95% CI: 14.90–15.71). Regional variation was observed with the highest in Harari [(53.2% (95% CI: 43.04–63.28)] and lowest in Tigray regional state [(1.1% (95% CI: 0.72–1.66)]. Multivariable analysis showed that Islam followers were 23.8 times more likely to chew khat as compared to Orthodox followers. Being a resident in Oromiya, South Nation, Nationalities and People (SNNP), Gambella, Harari and Dire Dawa regions had 1.9, 1.6, 3.1, 5.2 and 3.5 times higher odds of chewing khat as compared to Addis Ababa residents, respectively. Adults in the age group 45–49 years were 3.6 times more likely to chew khat as compared to 15–19 years. The middle and richest wealth quintiles were 1.3 and 1.5 times more likely to chew khat, respectively, as compared to the poorest category. Rural residents had 1.3 odds of chewing khat than urban residents. Those individuals who had occupation in sales, agriculture, service sector, skilled and unskilled manual workers were 1.6, 1.3, 2.4, 1.7 and 2.3 times more likely to chew khat, respectively, as compared to those who have no occupation. Females were 77% less likely to chew khat as compared to males. Formerly married and those experienced in child death had 1.4 and 1.2 times higher odds to chew khat as compared

  19. Chat (Catha edulis): a socio economic crop in Harar Region, Eastern Ethiopia.

    PubMed

    Kandari, Laxman S; Yadav, Hiranmai R; Thakur, Ashok K; Kandari, Tripti

    2014-01-01

    Chat (Catha edulis) is an important perennial crop and its leaves are chewed for a stimulating effect. It is widely cultivated in the Ethiopian highlands of Oromia region and is figured as Ethiopia's second largest foreign exchange earner. Its cultivation accounts for about 70% of farmer's income in the study area. The common effect of its consumption leads to insomnia, a condition that the users sometimes try to overcome with sedatives or alcohol. The present study is an attempt to survey and assess the impact of crop on the community. It has been observed to implicate health problems, reduces savings and nutritional standards of the family members. The chat yields in the area ranges from 1500-1800 kg/ha through monoculture. During the study, the average monthly income of the family practicing chat cultivation was from Birr 8, 533.00 to 13, 166.00 kg/ha per year in Baate and Genede cultivating areas. When the average cost per/ha was rupees 60/kg. The present study shows that during the recent past, leaf consumption has increased significantly. Chat growers are not only producers but also traders and consumers. Its consumption has become a widespread habit from secondary schools. Highest number of consumers was found to be among drivers followed by students and shopkeepers. The consumption of the plant is not considered a taboo but on contrary a status symbol in the region. It has no legal or moral implications and is considered as a part of custom and habit of local people. High value cash crop like vegetables and orchard fruits needs to be used as a replacement for chat which could be a regular source of income to farmers. Alternative sources of income for farmers needs to be scientifically worked out and proposed keeping in view the proportion of agricultural land reserved under chat cultivation and to increase the production of food grains being produced.

  20. Probabilistic seismic hazard analysis (PSHA) for Ethiopia and the neighboring region

    NASA Astrophysics Data System (ADS)

    Ayele, Atalay

    2017-10-01

    Seismic hazard calculation is carried out for the Horn of Africa region (0°-20° N and 30°-50°E) based on the probabilistic seismic hazard analysis (PSHA) method. The earthquakes catalogue data obtained from different sources were compiled, homogenized to Mw magnitude scale and declustered to remove the dependent events as required by Poisson earthquake source model. The seismotectonic map of the study area that avails from recent studies is used for area sources zonation. For assessing the seismic hazard, the study area was divided into small grids of size 0.5° × 0.5°, and the hazard parameters were calculated at the center of each of these grid cells by considering contributions from all seismic sources. Peak Ground Acceleration (PGA) corresponding to 10% and 2% probability of exceedance in 50 years were calculated for all the grid points using generic rock site with Vs = 760 m/s. Obtained values vary from 0.0 to 0.18 g and 0.0-0.35 g for 475 and 2475 return periods, respectively. The corresponding contour maps showing the spatial variation of PGA values for the two return periods are presented here. Uniform hazard response spectrum (UHRS) for 10% and 2% probability of exceedance in 50 years and hazard curves for PGA and 0.2 s spectral acceleration (Sa) all at rock site are developed for the city of Addis Ababa. The hazard map of this study corresponding to the 475 return periods has already been used to update and produce the 3rd generation building code of Ethiopia.

  1. Does decentralisation of tuberculosis care influence treatment outcomes? The case of Oromia Region, Ethiopia

    PubMed Central

    Raya, J.; Workineh, T.; Klinkenberg, E.; Enquselassie, F.

    2014-01-01

    Setting: Oromia Region, Ethiopia. Objective: To investigate the effect of decentralised care on anti-tuberculosis treatment outcomes and identify factors affecting outcome among new smear-positive tuberculosis (TB) patients. Design: This was a retrospective cohort study comparing patients treated in the community during the continuation phase with those managed throughout treatment in health facilities. Data were collected from TB registers and patient cards using a pre-tested data capture form. Results: Of the 2226 new smear-positive TB patients registered from July 2010 to June 2012 who were included in the study, 1599 (72.6%) received treatment in health facilities, and the rest in the community. Overall treatment success was 94.7%. Patients treated in the community had comparable treatment success with those managed in health facilities (aOR 1.7, 95%CI 0.80–3.57). Missing doses (OR 0.22, 95%CI 0.08–0.55), supervision during the continuation phase (OR 2.6, 95%CI 1.34–5.05), positive sputum at month 2 (OR 0.07, 95%CI 0.04–0.13) and human immunodeficiency virus infection (OR 0.25, 95%CI 0.13–0.46) were independent predictors of treatment success. Conclusion: Overall treatment success is high in new smear-positive TB patients in Oromia. Patients receiving treatment in the community during the continuation phase have treatment success comparable with that of patients managed in health facilities. PMID:26478507

  2. Anemia and associated factors among school-age children in Filtu Town, Somali region, Southeast Ethiopia.

    PubMed

    Gutema, Bekele; Adissu, Wondimagegn; Asress, Yaregal; Gedefaw, Lealem

    2014-01-01

    Anemia is one of the major public health problems affecting more than half of school-age children in developing countries. Anemia among children has been conclusively seen to delay psychomotor development, poor cognitive performance, impaired immunity and decrease working capacity. The purpose of this study is to determine the prevalence and associated factors of anemia among school-age children in Filtu Town, Somali region, Southeast Ethiopia. A community based cross-sectional study was conducted from July to August, 2013 in Filtu Town. A total of 355 school-age children between 5-15 years old were included in the study. Socio-demographic data were obtained from each participant using structured questionnaire. Hemoglobin concentration was determined by HemoCue 201(+) photometer (HemoCue, Angelholm, Sweden) analyzer. Hemoglobin values below 11.5 g/dl and 12 g/dl were considered as anemic for age ranges of 5-11 and 12-15 years, respectively. Anthropometric data were taken from each study participant. Peripheral blood film and stool examination were done for hemoparasite and intestinal parasite screening, respectively. Data were analyzed using SPSS version 16.0. Over all, prevalence of anemia was found to be 23.66%. The vast majority (73.81%) of the anemic children had mild anemia. Moderate and severe anemia accounted for 25% and 1.19% of the anemic children, respectively. Being from a family with low income (AOR = 9.44, 95% CI: 2.88, 30.99), stunted (AOR = 5.50, 95% CI: 2.83, 10.72), underweight (AOR = 2.07, 95% CI: 1.06, 4.05) and having intestinal parasite infection (AOR = 2.99, 95% CI: 1.05, 8.46) were identified as associated factors for anemia. Anemia is a moderate public health problem in school-age children for the study area. Interventions targeting nutritional deficiencies and parasitic infections are recommended.

  3. Knowledge and beliefs on antimicrobial resistance among physicians and nurses in hospitals in Amhara Region, Ethiopia

    PubMed Central

    2014-01-01

    Background Antimicrobial resistance (AMR) is a major global public health problem both in hospital and community acquired infections. The present study assessed the knowledge and beliefs on AMR among physicians and nurses in 13 hospitals in Amhara region, Ethiopia, which is a low-income country. Methods A cross-sectional study using a self-administered questionnaire was applied. Results A total of 385 participants (175 physicians and 210 nurses) took part in the study. Sixty five percent of physicians and 98% of nurses replied that they need training on antimicrobial stewardship. Only 48% of physicians and 22.8% of nurses had exposures for local antibiogram data. Overall, 278 (72.2%) of participants were knowledgeable about AMR. Majority of participants agreed or strongly agreed AMR as worldwide and national problem but few considered AMR as problem in their own hospitals. The two most important factors mentioned for AMR development were patients’ poor adherence to prescribed antimicrobials (86%) and overuse of antibiotics (80.5%). The most leading local factors identified for AMR development were: self-antibiotic prescription (53.5%), lack of access to local antibiogram data (12.3%) and prescriber poor awareness about AMR (9.2%). Factors perceived for excessive antibiotic prescriptions were: patient drive (56%), treatment failure (79%), unknown febrile illnesses (39.7%) and upper respiratory tract infections (33.4%). Conclusion Majority of physicians and nurses lack up to-date knowledge on AMR. Unavailability of local antibiogram data, self-prescription by patients and poor awareness on AMR are areas of interventions for prevention and control of AMR. PMID:24887310

  4. Attitude towards the Practice of Female Genital Cutting among School Boys and Girls in Somali and Harari Regions, Eastern Ethiopia

    PubMed Central

    2017-01-01

    Introduction. Female genital cutting (FGC) is a harmful traditional practice that violates women's rights and threatens their health. Although much work has been done to tackle this practice in Ethiopia, the prevalence remains very high in Somali and Harari regions. This study aims to investigate the attitude towards FGC of young people (boys and girls) in Somali and Harari regions of Eastern Ethiopia. Methods. A cross-sectional quantitative study was carried out in Somali and Harari regions from October to December 2015. Two districts were purposely selected from the two regions, and a stratified random sampling technique was employed to select 480 subjects from the randomly selected schools. Results. Out of 480 questionnaires distributed, 478 (99.6%) respondents filled the questionnaires and returned them. The finding of the study reveals that 86% of study participants condemn the practice of FGC. Almost 59% of male participants from both study areas preferred to marry uncircumcised girls. Being a female and being a Muslim are significantly associated with the support toward the continuation of the FGC (P < 0.05). Conclusion. Although the study demonstrates a positive attitude towards the abandonment of FGC, there is a need to increase the knowledge about the position of Islam in FGC and to educate women about the harmful effect of FGC. PMID:28386281

  5. Attitude towards the Practice of Female Genital Cutting among School Boys and Girls in Somali and Harari Regions, Eastern Ethiopia.

    PubMed

    Abathun, Asresash D; Gele, Abdi A; Sundby, Johanne

    2017-01-01

    Introduction. Female genital cutting (FGC) is a harmful traditional practice that violates women's rights and threatens their health. Although much work has been done to tackle this practice in Ethiopia, the prevalence remains very high in Somali and Harari regions. This study aims to investigate the attitude towards FGC of young people (boys and girls) in Somali and Harari regions of Eastern Ethiopia. Methods. A cross-sectional quantitative study was carried out in Somali and Harari regions from October to December 2015. Two districts were purposely selected from the two regions, and a stratified random sampling technique was employed to select 480 subjects from the randomly selected schools. Results. Out of 480 questionnaires distributed, 478 (99.6%) respondents filled the questionnaires and returned them. The finding of the study reveals that 86% of study participants condemn the practice of FGC. Almost 59% of male participants from both study areas preferred to marry uncircumcised girls. Being a female and being a Muslim are significantly associated with the support toward the continuation of the FGC (P < 0.05). Conclusion. Although the study demonstrates a positive attitude towards the abandonment of FGC, there is a need to increase the knowledge about the position of Islam in FGC and to educate women about the harmful effect of FGC.

  6. Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia.

    PubMed

    Tessema, Shewaye Belay; Adane, Mesafint Molla

    2015-09-10

    Client satisfaction is a vital component and main concern intertwined with strategic decisions in service provisions. To improve efficiency of services, eliciting the opinion of users about the available services and identifying factors associated with dissatisfaction is very critical. Thus, the main objective of this study was to assess the perceived levels of clients' satisfaction with health services at ART clinic level in health centres of Tigray Region in Ethiopia. Cross sectional study was conducted from May to June 2013 in Tigray Region ART clinics. A total of 714 ART care user were included in the study using both purposive and probability sampling technique. Data was collected by using structured questionnaire and the collected data was analysed using Statistical Package for the Social Sciences (SPSS) version 16.0. Crude and Adjusted logistic regression analyses were carried out to identify the associated factors underlying perceived levels of clients' overall satisfaction. Finally, the results were presented with table as well as odds ratio (OR) and 95% confidence interval (CI). A total of 714 study participants were enrolled in this study. An overall satisfaction level of 89.6% was reported by ART care service users. Higher scores of satisfaction of services provisions were reported for courtesy and respect (95.80%) followed by privacy (93.28%). On the other hand, respondents' dissatisfaction was rated 35.32% for toilet cleanliness followed by 26.19% for availability of additional drugs. As for overall satisfaction and associated factors, adjusted logistic regression analyses showed that marital status [AOR = 2.01 (95% CI: 1.11, 3.60)], educational status [AOR = 3.13 (95% CI: 1.15, 8.53)], travel distance to reach health centre [AOR = 3.59 (95% CI: 1.23, 10.50)], toilet cleanliness [AOR = 2.22 (95% CI :1.62, 6.32)], and ART drug availability [AOR = 2.60 (95% CI :1.18, 6.52)] were found to have influence on overall ART service

  7. Factors associated with nutritional status of infants and young children in Somali Region, Ethiopia: a cross- sectional study.

    PubMed

    Fekadu, Yirgu; Mesfin, Addisalem; Haile, Demewoz; Stoecker, Barbara J

    2015-09-02

    Inadequate nutrition during the first two years of life may lead to childhood morbidity and mortality, as well as inadequate brain development. Infants are at increased risk of malnutrition by six months, when breast milk alone is no longer sufficient to meet their nutritional requirements. However the factors associated with nutritional status of infants after 6 months of age have received little attention in pastoralist communities of Ethiopia. Therefore this study aimed to identify the factors associated with nutritional status of infants and young children (6-23 months) in Filtu town, Somali Region, Ethiopia. A cross-sectional community-based study was conducted. Simple random sampling was employed to select 214 infants for the study. Univariable and multivariable logistic regressions models were used in the statistical analysis. The strength of association was measured by odds ratios with 95% confidence intervals. Both the crude (COR) and adjusted odds ratios (AOR) are reported. The prevalence of wasting, stunting and underweight among infants and young children were 17.5% (95% CI: 12.91-23.22), 22.9% (95% CI: 17.6-28.9) and 19.5% (95% CI: 14.58-25.3) respectively. The multivariable logistic regression model showed that breastfeeding was independently associated with reduced odds of wasting (AOR = 0.38(95% CI: 0.14-0.99)). Diarrhea in the past 15 days (AOR = 2.13 (95% CI: 1.55-4.69)) was also associated with increased odds for wasting. The independent predictors of reduced odds for stunting were dietary diversity score ≥ 4 (AOR = 0.45(95% CI: 0.21-0.95)) and introduction of complementary feeding at 6 months (AOR = 0.25 (95% CI: 0.09-0.66)). Bottle feeding was associated with increased odds of stunting (AOR = 3.83 (95% CI: 1.69-8.67)). Breastfeeding was associated with reduced odds of underweight (AOR = 0.24 (95% CI: 0.1-0.59)), while diarrheal disease in the past 15 days was associated with increased odds of underweight (AOR = 3.54 (95% CI: 1

  8. Assessment of patients' knowledge, attitude, and practice regarding pulmonary tuberculosis in eastern Amhara regional state, Ethiopia: cross-sectional study.

    PubMed

    Esmael, Ahmed; Ali, Ibrahim; Agonafir, Mulualem; Desale, Adinew; Yaregal, Zelalem; Desta, Kassu

    2013-04-01

    Tuberculosis (TB) is a major public health problem in Ethiopia and the Amhara region. Assessment of knowledge, attitude, and health-seeking practice in this region is essential to plan, implement, and evaluate advocacy, communication, and social mobilization work. This may improve the case detection rate. The aim of this study was to assess the knowledge, attitude, and practice of patients toward TB in the Eastern Amhara region of Ethiopia. A cross-sectional survey was conducted among suspected and confirmed TB patients who were 18 years of age and older. For this purpose, 422 participants were enrolled. A structured and pre-validated questionnaire was used to collect data. In addition χ(2) and multivariate logistic regression analysis was used to see an association with different variables. The mean and median knowledge score of respondents about pulmonary TB was 6.81 and 7, respectively. The majority of respondents had several misconceptions in all aspects of the most infectious form of TB. About half of the respondents did not know the current free cost of TB diagnosis and treatment. The 69.9% of respondents claimed that cost is the main reason for not getting care. The majority of respondents had several misconceptions about TB. The TB control program needs to consider advocacy, communication, and social mobilization for addressing the gap in the study sites.

  9. Determinants of institutional delivery service utilization among pastorals of Liben Zone, Somali Regional State, Ethiopia, 2015

    PubMed Central

    Zepro, Nejimu Biza; Ahmed, Ahmed Tahir

    2016-01-01

    Maternal health service utilizations are poorly equipped, inaccessible, negligible, and not well documented in the pastoral society. This research describes a quantitative and qualitative study on the determinants of institutional delivery among pastoralists of Liben Zone with special emphasis on Filtu and Deka Suftu woredas of Somali Region, Ethiopia. The study was funded by the project “Fostering health care for refugees and pastoral communities in Somali Region, Ethiopia”. This community-based cross-sectional study was conducted during November 2015. Interviews through a questionnaire and focus group discussions were used to collect the data. Proportional to size allocation followed by systematic sampling technique was used to identify the study units. The major determinants of institutional delivery in the study area were as follows: being apparently healthy, lack of knowledge, long waiting time, poor quality services, cultural beliefs, religious misconception, partner decision, and long travel. Around one-third (133, 34.5%) of the women had visited at least once for their pregnancy. More than half (78, 58.6%) of the women had visited health facilities due to health problems and only 27 (19.9%) women had attended the recommended four antenatal care visits. Majority (268, 69.6%) of the pregnant women preferred to give birth at home. Women who attended antenatal care were two times more likely to deliver at health facilities (AOR, 95% confidence interval [CI] =2.38, 1.065–4.96). Women whose family members preferred health facilities had 14 times more probability to give birth in health institutions (AOR, 95% CI =13.79, 5.28–35.8). Women living in proximity to a health facility were 13 times more likely to give birth at health facilities than women living far away (AOR, 95% CI =13.37, 5.9–29.85). Nomadic way of life, service inaccessibility, and sociodemographic and cultural obstacles have an effect on the utilization of delivery services. Increasing

  10. An ethnobotanical survey of medicinal and edible plants of Yalo Woreda in Afar regional state, Ethiopia.

    PubMed

    Teklehaymanot, Tilahun

    2017-07-05

    The Afar people inhabit the sub-arid and arid part of Ethiopia. Recurrent drought and invasive encroaching plants are taking out plants that have cultural importance, and threaten the biodiversity and the associated traditional knowledge. Thus, the aim of the current study is to conduct an ethnobotanical survey and document medicinal and edible plants in Yalo Woreda in Afar regional state. A cross-sectional ethnobotanical study was carried out in eight kebeles of Yalo Woreda from October 2015 to December 2016. One hundred sixty informants were selected using purposive sampling. The data on diseases, medicinal and edible plants were collected using semi-structure interview and group discussion. The statistical methods, informant consensus factor, fidelity level, and preference ranking were conducted to analyze the data. One hundred and six plants were reported; gender and age differences had implication on the number of plants reported by informants. The knowledge of medicinal plants among informants of each kebele was not different (p < 0.5) and was not associated in particular with the religious establishment in the kebeles (informant*kebeles, Eta square = 0.19). Family Fabaceae was the major plant species, and shrubs (44%) were dominant plants reported. Leaf (52.94%) and oral (68%) were primary plant part used for remedy preparation and route of application, respectively. The plants with low fidelity values Indigofera articulata (0.25), Cadaba farinosa (0.22), Cadaba rotundifolia (0.19), and Acalypha fruticosa (0.15) were used to treat the category of diseases with high informant consensus value (0.69). Sixteen edible plants were identified that were consumed during wet and dry seasons. Balanites aegyptiaca, Balanites rotundifolia, and Dobera glabra were 'famine food' that were collected and stored for years. People in Yalo Woreda are more dependent on natural resources of the area for their livelihood. The threat of climatic change and encroaching invasive

  11. Prevalence and associated factors of occupational injuries among municipal solid waste collectors in four zones of Amhara region, Northwest Ethiopia.

    PubMed

    Eskezia, Debassu; Aderaw, Zewdie; Ahmed, Kedir Y; Tadese, Fentaw

    2016-08-24

    Refuse collectors are at a high risk for fatal and non-fatal occupational accidents. This is more intensified in developing countries, like Ethiopia, due to physically demanding nature of the job. However, information on occupational injuries and related factors are almost non-existent in Ethiopia. Thus, the aim of this study was to assess the prevalence of occupational injuries and its associated factors. A cross-sectional study was conducted among municipal solid waste collectors in four zones of Amhara region from February to May 2015. Computer generated simple random sampling technique was used to select the samples. Interviewer administrated questionnaires were used for the data collection process. Binary logistic regression was used to assess the association between outcome variables and explanatory variables. In this study, the annual prevalence of at least one occupational injury among solid waste workers was 34.3 % (95 % CI: 29.52, 39.10). Of these, 50.7 % of them were visited health facility to receive health care. The independent predictors of at least one occupational injury were shorter service years, low monthly salary, history of job related stress, and sleeping disturbance related to the job. Being illiterate, having lower monthly income, and those who reported sleeping disturbance were significantly and positively associated with severe occupational injuries of solid waste collectors. The magnitude of occupational injuries among municipal solid waste collectors is lower than other similar studies conducted in Ethiopia. Based on the finding of this and other studies, job rotation among work components, improvement of employees' income, job specific guideline regarding maximum production limits, and replacement of bags and bins with wheeled containers are an interventions expected to cope with the problem. There is also a need of specific periodic health surveillance (PHS) for refuse collectors to detect early signs of work related complaints and

  12. An ethnobotanical study of medicinal plants used in Kilte Awulaelo District, Tigray Region of Ethiopia

    PubMed Central

    2013-01-01

    Background The Ethiopian people have been dependent on traditional medicine, mainly medicinal plants, from time immemorial for control of human and animal health problems, and they still remain to be largely dependent on the practice. The purpose of the current study was to conduct ethnobotanical study to document medicinal plants used to treat diseases of human and domestic animals in Kilte Awulaelo District in the Tigray Region of Ethiopia. Methods Ethnobotanical data were collected between July and September 2011 through semi-structured interviews, ranking exercises and field observations. For the interviews, 72 knowledgeable informants were sampled using purposive sampling method. For the different ranking exercises, key informants were identified with the help of elders and local administrators from informants that were already involved in the interviews. Results The study revealed 114 medicinal plant species belonging to 100 genera and 53 families. The plants were used to treat 47 human and 19 livestock diseases. Of the species, the majority (74%) were obtained from the wild. Herbs were the most utilized plants, accounting for 44% of the species, followed by shrubs (29%). Leaf was the most commonly used plant part accounting for 42.98% of the plants, followed by roots (25.73%). Preference ranking exercise on selected plants used against abdominal pain indicated the highest preference of people for Solanum marginatum. Direct matrix ranking showed Cordia africana as the most preferred multipurpose plant in the community. Preference ranking of selected scarce medicinal plants indicated Myrica salicifolia as the most scarce species, followed by Boscia salicifolia and Acokanthera schimperi. According to priority ranking, drought was identified as the most destructive factor of medicinal plants, followed by overgrazing and firewood collection. Conclusion Medicinal plants are still playing significant role in the management of various human and livestock diseases in

  13. Characterization of the regional variability of flood regimes within the Omo-Gibe River Basin, Ethiopia

    NASA Astrophysics Data System (ADS)

    Yared, Adanech; Demissie, Solomon S.; Sivapalan, Murugesu; Viglione, Alberto; MacAlister, Charlotte

    2014-05-01

    Hydrological variability and seasonality is one of the Ethiopia's primary water resource management challenges. Variability is most obviously manifest in endemic, devastating droughts and floods. While the level of flooding is quite often extremely high and destroys human beings and property, in many cases flooding is of vital importance because the community benefits from flood recession agriculture. This is the case of the lower Omo plain whose agriculture is based on the regularity of the inundations due to flooding of the Omo Gibe River. The big flood in 2006, which caused death for more than 300 people and 2000 cattle, poses a dilemma. Flooding must be controlled and regulated in a way that the damages are reduced as much as possible but the flooding-related benefits are not lost. To this aim, characterization and understanding of hydrological variability of the Omo Gibe River basin is fundamental. The goal of this work is to extract the maximal amount of information on the hydrological variability and specially on the flooding regime from the few data available in the region. Because most of the basin is ungauged, hydrological information is reconstructed using the data from 9 gauged catchments. A daily water balance model has been developed, calibrated and validated for 9 gauged catchments and, subsequently, the parameters have been correlated to catchment characteristics in order to establish a functional relationship that allows to apply the model to ungauged catchments. Daily streamflow has been predicted for 15 ungauged catchments, which are assumed to comprehensively represent the hydrological variability of the Omo-Gibe River Basin. Even though both northern and southern catchments are affected by a strong seasonality of precipitation, with most of the rain falling in less than 3 months, most of the northern catchments are humid, while in the southern part of the Omo-Gibe River basin, the catchments are either humid, dry sub humid, semiarid or arid. As

  14. An ethnobotanical study of medicinal plants used in Kilte Awulaelo District, Tigray Region of Ethiopia.

    PubMed

    Teklay, Abraha; Abera, Balcha; Giday, Mirutse

    2013-09-08

    The Ethiopian people have been dependent on traditional medicine, mainly medicinal plants, from time immemorial for control of human and animal health problems, and they still remain to be largely dependent on the practice. The purpose of the current study was to conduct ethnobotanical study to document medicinal plants used to treat diseases of human and domestic animals in Kilte Awulaelo District in the Tigray Region of Ethiopia. Ethnobotanical data were collected between July and September 2011 through semi-structured interviews, ranking exercises and field observations. For the interviews, 72 knowledgeable informants were sampled using purposive sampling method. For the different ranking exercises, key informants were identified with the help of elders and local administrators from informants that were already involved in the interviews. The study revealed 114 medicinal plant species belonging to 100 genera and 53 families. The plants were used to treat 47 human and 19 livestock diseases. Of the species, the majority (74%) were obtained from the wild. Herbs were the most utilized plants, accounting for 44% of the species, followed by shrubs (29%). Leaf was the most commonly used plant part accounting for 42.98% of the plants, followed by roots (25.73%). Preference ranking exercise on selected plants used against abdominal pain indicated the highest preference of people for Solanum marginatum. Direct matrix ranking showed Cordia africana as the most preferred multipurpose plant in the community. Preference ranking of selected scarce medicinal plants indicated Myrica salicifolia as the most scarce species, followed by Boscia salicifolia and Acokanthera schimperi. According to priority ranking, drought was identified as the most destructive factor of medicinal plants, followed by overgrazing and firewood collection. Medicinal plants are still playing significant role in the management of various human and livestock diseases in the study area with herbs taking the

  15. How a geomorphosite inventory can contribute to regional sustainable development? The case of the Simen Mountains National Park, Ethiopia

    NASA Astrophysics Data System (ADS)

    Mauerhofer, Lukas; Reynard, Emmanuel; Asrat, Asfawossen; Hurni, Hans; Wildlife Conservation Authority, Ethiopian

    2016-04-01

    This research aimed at investigating how an inventory of geomorphosites can foster or improve the knowledge and management of geomorphological heritages in the context of developing countries. Accordingly, a geomorphosite inventory in the Simen Mountains National Park (SMNP), Ethiopia was conducted following the method of Reynard et al. (2015). The national context of geoheritage and geoconservation in Ethiopia was appraised and a road map for the management of the inventoried sites in the SMNP was elaborated. Ethiopia hosts numerous geoheritage sites, some of which of highest international significance. Therefore, geotourism has recently been promoted throughout the country (Asrat et al., 2008). Despite numerous trials of the scientific community, there is not yet a national policy for geoconservation in the country. Many parts of Ethiopia are underdeveloped in terms of economic subsistence and infrastructure, making these immediate priorities over conservation efforts. Nevertheless, this study showed that the Simen Mountains have the potential to become a UNESCO Global Geopark and that geosites could be used to develop geotourism within SMNP, and that development and conservation are not contradictory. Twenty-one geomorphosites were identified and assessed. Diverse geomorphological contexts including fluvial, structural, glacial, periglacial, anthropic and organic characterize the SMNP. The temporal stages, which allow the reconstitution of the morphogenesis of the Simen Mountains, are the Cenozoic volcanism, Last Glacial Maximum, Holocene as well as historic/modern landscape modification. Four synthesis maps were elaborated to present the results of the assessment. The average scientific value of the inventoried geomorphosites is very high compared to other inventories realized using the same method. This is particularly due to the extremely high integrity of the sites. Almost all geomorphosites are in a good state of conservation and only few sites are

  16. Mapping current and potential distribution of non-native Prosopis juliflora in the Afar region of Ethiopia

    USGS Publications Warehouse

    Wakie, Tewodros; Evangelista, Paul H.; Jarnevich, Catherine S.; Laituri, Melinda

    2014-01-01

    We used correlative models with species occurrence points, Moderate Resolution Imaging Spectroradiometer (MODIS) vegetation indices, and topo-climatic predictors to map the current distribution and potential habitat of invasive Prosopis juliflora in Afar, Ethiopia. Time-series of MODIS Enhanced Vegetation Indices (EVI) and Normalized Difference Vegetation Indices (NDVI) with 250 m2 spatial resolution were selected as remote sensing predictors for mapping distributions, while WorldClim bioclimatic products and generated topographic variables from the Shuttle Radar Topography Mission product (SRTM) were used to predict potential infestations. We ran Maxent models using non-correlated variables and the 143 species-occurrence points. Maxent generated probability surfaces were converted into binary maps using the 10-percentile logistic threshold values. Performances of models were evaluated using area under the receiver-operating characteristic (ROC) curve (AUC). Our results indicate that the extent of P. juliflora invasion is approximately 3,605 km2 in the Afar region (AUC = 0.94), while the potential habitat for future infestations is 5,024 km2 (AUC = 0.95). Our analyses demonstrate that time-series of MODIS vegetation indices and species occurrence points can be used with Maxent modeling software to map the current distribution of P. juliflora, while topo-climatic variables are good predictors of potential habitat in Ethiopia. Our results can quantify current and future infestations, and inform management and policy decisions for containing P. juliflora. Our methods can also be replicated for managing invasive species in other East African countries.

  17. Survey of Medicinal Plants Used to Treat Malaria by Sidama People of Boricha District, Sidama Zone, South Region of Ethiopia

    PubMed Central

    Asnake, Solomon; Teklehaymanot, Tilahun; Hymete, Ariaya; Erko, Berhanu; Giday, Mirutse

    2016-01-01

    In Ethiopia, malaria control has been complicated due to resistance of the parasite to the current drugs. Thus, new drugs are required against drug-resistant Plasmodium strains. Historically, many of the present antimalarial drugs were discovered from plants. This study was, therefore, conducted to document antimalarial plants utilized by Sidama people of Boricha District, Sidama Zone, South Region of Ethiopia. An ethnobotanical survey was carried out from September 2011 to February 2012. Data were collected through semistructured interview and field and market observations. Relative frequency of citation (RFC) was calculated and preference ranking exercises were conducted to estimate the importance of the reported medicinal plants in Boricha District. A total of 42 antimalarial plants belonging to 27 families were recorded in the study area. Leaf was the dominant plant part (59.0%) used in the preparation of remedies and oral (97.4%) was the major route of administration. Ajuga integrifolia scored the highest RFC value (0.80). The results of this study revealed the existence of rich knowledge on the use of medicinal plants in the study area to treat malaria. Thus, an attempt should be made to conserve and evaluate the claimed antimalarial medicinal plants with priority given to those that scored the highest RFC values. PMID:26989429

  18. The diagnostic challenge of mapping elephantiasis in the Tigray region of northern Ethiopia.

    PubMed

    Padovese, Valeska; Marrone, Rosalia; Dassoni, Federica; Vignally, Pascal; Barnabas, Gebre A; Morrone, Aldo

    2016-05-01

    In Ethiopia, lymphatic filariasis and podoconiosis are the two neglected tropical diseases planned to be mapped together within the recently launched Ethiopian neglected tropical diseases master plan (2013-2015). However, other disorders cause tropical lymphedema, and this report aims to identify clinical epidemiological aspects of limb swelling in northern Ethiopia and to provide an algorithm orienting the clinical diagnosis. Medical records of patients with lower limb elephantiasis attending the Italian Dermatological Centre of Mekele, Tigray capital city, over a 4-year period (2005-2009) were retrospectively analyzed. Nine variables were collected from the charts comprising demographic data, job, origin, literacy, clinical, histopathologic, microscopic, and cultural findings. Over a total of 511 patients, lymphedema resulted from trauma (40.7%), chronic venous insufficiency (12.5%), deep mycoses (10.8%), lymphatic filariasis (9.2%), elephantiasis nostras verrucosa (7.0%), tropical ulcer (6.3%), leprosy (4.9%), recurrent infections (3.1%), podoconiosis (1.8%), tuberculosis (1.0%), malignancy (1.3%), Kaposi's sarcoma (1.0%), leishmaniasis (0.2%), and neurofibromatosis (0.2%). Advanced-stage elephantiasis, chronic osteomyelitis, and podoconiosis not previously reported in Tigray were observed. Further epidemiological investigation and training programs addressed to healthcare providers at the peripheral level are needed to detect elephantiasis early, prevent disabilities, and improve patients' quality of life. © 2015 The International Society of Dermatology.

  19. Ownership and utilization of insecticide-treated nets (ITNs) for malaria control in Harari National Regional State, Eastern Ethiopia

    PubMed Central

    Teklemariam, Zelalem; Awoke, Aymere; Dessie, Yadeta; Weldegebreal, Fitsum

    2015-01-01

    Introduction Insecticide-treated nets (ITNs) stood at center in the current efforts to prevent and control malaria at community and individual levels. Though ITNs are the most prominent measure for large-scale deployment in highly endemic areas their compliance in terms of ownership and usage needs attention. The aim of this study was therefore to determine the ownership and utilization pattern of ITNs in Harari Peoples National Regional state, Ethiopia. Methods A community based cross-sectional study was conducted in Harari National Regional State from September to October, 2012. A total of 784 households were included from malarious areas. Data were collected by using structured questionnaires and observational checklist. Results About 57.9% of participants had at least one ITNs. The utilization of ITNs based on history of sleeping under net in the previous night was 73.3%. Regarding proper use of ITNs, 57.9% of respondents demonstrated proper hanging and tucking. Those households with secondary school education (AOR: 1.775(1.047, 3.009)), knowledge about ITNs use (AOR: 2.400(1.593, 3.615)) and knowledge of malaria transmission by bite of mosquito (AOR: 1.653(1.156, 2.365)) have more likely hood to own ITNs. Conclusion ITNs Ownership was low as compared to the target by Federal ministry of Health of Ethiopia. Though utilization of ITNs was promising, there are still significant number of participants who demonstrate hanging and tucking improperly. Therefore, health bureau need to work towards increasing the distribution of ITNs per household and also provide health information through health extension workers to enhance regular and proper usage of the ITNs. PMID:26405488

  20. Mapping current and potential distribution of non-native Prosopis juliflora in the Afar region of Ethiopia.

    PubMed

    Wakie, Tewodros T; Evangelista, Paul H; Jarnevich, Catherine S; Laituri, Melinda

    2014-01-01

    We used correlative models with species occurrence points, Moderate Resolution Imaging Spectroradiometer (MODIS) vegetation indices, and topo-climatic predictors to map the current distribution and potential habitat of invasive Prosopis juliflora in Afar, Ethiopia. Time-series of MODIS Enhanced Vegetation Indices (EVI) and Normalized Difference Vegetation Indices (NDVI) with 250 m2 spatial resolution were selected as remote sensing predictors for mapping distributions, while WorldClim bioclimatic products and generated topographic variables from the Shuttle Radar Topography Mission product (SRTM) were used to predict potential infestations. We ran Maxent models using non-correlated variables and the 143 species- occurrence points. Maxent generated probability surfaces were converted into binary maps using the 10-percentile logistic threshold values. Performances of models were evaluated using area under the receiver-operating characteristic (ROC) curve (AUC). Our results indicate that the extent of P. juliflora invasion is approximately 3,605 km2 in the Afar region (AUC  = 0.94), while the potential habitat for future infestations is 5,024 km2 (AUC  = 0.95). Our analyses demonstrate that time-series of MODIS vegetation indices and species occurrence points can be used with Maxent modeling software to map the current distribution of P. juliflora, while topo-climatic variables are good predictors of potential habitat in Ethiopia. Our results can quantify current and future infestations, and inform management and policy decisions for containing P. juliflora. Our methods can also be replicated for managing invasive species in other East African countries.

  1. Risky Sexual Behaviors among Female Youth in Tiss Abay, a Semi-Urban Area of the Amhara Region, Ethiopia

    PubMed Central

    Tadesse, Gojjam; Yakob, Bereket

    2015-01-01

    Background Little is known about sexual risks and associated factors about female youths in semi-urban areas of Ethiopia. This study aimed to describe the nature and magnitude of risky sexual behaviors, and the socio-demographic and behavioral determinants among female youths in Tiss Abay, a semi-urban area on the outskirts of Bahir Dar City of the Amhara Region in northern Ethiopia. Methods A cross-sectional census type study was conducted among female youths who were unmarried and aged 15–29 years in September 2011. Results 711 female youths participated in the study, with the mean age of initiation of sex of 78.6% being16.73±2.53 years. Only 52(9.3%) used condom during the first sex. Within the last 12 months, 509(71.6%) had sexual intercourse and 278(54.6%) had two or more sex partners, and 316(62.1%) did not use condom during their last sex. Sex under the influence of substances was reported by 350(68.8%), and a third of the recent sexes were against the will of participants. One or more risky sexual practices were reported by 503(70.3%) participants, including: multiple sexual partnerships, inconsistently using or not using condoms, sex under the influence of alcohol and/or sex immediately after watching pornography. Age group, current marital status, drinking homemade alcohol, chewing ‘khat’, watching pornography and using any form of stimulant substances were the predictors of risky sexual behavior. Watching pornography before sex and sex for transaction were the predicators of not using condom during most recent sex. Conclusions Risky sexual behaviors were very common among the female youths in Tiss Abay. Initiation of context-based interventions, such as raising awareness about the risks, safer sex practices, condom promotion and integration of gender issues in the programs are recommended. PMID:25738508

  2. Mapping Current and Potential Distribution of Non-Native Prosopis juliflora in the Afar Region of Ethiopia

    PubMed Central

    Wakie, Tewodros T.; Evangelista, Paul H.; Jarnevich, Catherine S.; Laituri, Melinda

    2014-01-01

    We used correlative models with species occurrence points, Moderate Resolution Imaging Spectroradiometer (MODIS) vegetation indices, and topo-climatic predictors to map the current distribution and potential habitat of invasive Prosopis juliflora in Afar, Ethiopia. Time-series of MODIS Enhanced Vegetation Indices (EVI) and Normalized Difference Vegetation Indices (NDVI) with 250 m2 spatial resolution were selected as remote sensing predictors for mapping distributions, while WorldClim bioclimatic products and generated topographic variables from the Shuttle Radar Topography Mission product (SRTM) were used to predict potential infestations. We ran Maxent models using non-correlated variables and the 143 species- occurrence points. Maxent generated probability surfaces were converted into binary maps using the 10-percentile logistic threshold values. Performances of models were evaluated using area under the receiver-operating characteristic (ROC) curve (AUC). Our results indicate that the extent of P. juliflora invasion is approximately 3,605 km2 in the Afar region (AUC  = 0.94), while the potential habitat for future infestations is 5,024 km2 (AUC  = 0.95). Our analyses demonstrate that time-series of MODIS vegetation indices and species occurrence points can be used with Maxent modeling software to map the current distribution of P. juliflora, while topo-climatic variables are good predictors of potential habitat in Ethiopia. Our results can quantify current and future infestations, and inform management and policy decisions for containing P. juliflora. Our methods can also be replicated for managing invasive species in other East African countries. PMID:25393396

  3. Risk factors for visceral leishmaniasis in a new epidemic site in Amhara Region, Ethiopia.

    PubMed

    Bashaye, Seife; Nombela, Nohelly; Argaw, Daniel; Mulugeta, Abate; Herrero, Merce; Nieto, Javier; Chicharro, Carmen; Cañavate, Carmen; Aparicio, Pilar; Vélez, Iván Darío; Alvar, Jorge; Bern, Caryn

    2009-07-01

    We conducted a case-control study to evaluate risk factors for visceral leishmaniasis during an epidemic in a previously unaffected district of Ethiopia. We also collected blood and bone marrow specimens from dogs in the outbreak villages. In multivariable analyses of 171 matched case-control pairs, dog ownership, sleeping under an acacia tree during the day, and habitually sleeping outside at night were associated with significantly increased risk. Specimens from 7 (3.8%) dogs were positive by immunofluorescent antibody test (IFAT) and both enzyme-linked immunosorbent assays (ELISAs), whereas Leishmania DNA was detected in 5 (2.8%) bone marrow aspirates (from 3 seropositive and 2 seronegative dogs). Insecticide-treated nets may only protect a portion of those at risk. Further research on the vectors, the role of the dog in the transmission cycle, and the effect of candidate interventions are needed to design the best strategy for control.

  4. Plant use in Odo-Bulu and Demaro, Bale region, Ethiopia

    PubMed Central

    2011-01-01

    This paper reports on the plant use of laypeople of the Oromo in Southern Ethiopia. The Oromo in Bale had names/uses for 294 species in comparison to 230 species documented in the lower reaches of the Bale area. Only 13 species was used for veterinary purposes, or as human medicine (46). Plant medicine served mostly to treat common everyday ailments such as stomach problems and diarrhea, for wound treatment and as toothbrush-sticks, as anthelmintic, for skin infections and to treat sore muscles and. Interestingly, 9 species were used to treat spiritual ailments and to expel demons. In most cases of medicinal applications the leaves or roots were employed. Traditional plant knowledge has clearly declined in a large part of the research area. Western style health care services as provided by governments and NGOs, in particular in rural areas, seem to have contributed to a decline in traditional knowledge, in part because the local population simply regards western medicine as more effective and safer. PMID:21943288

  5. Neonatal tetanus mortality survey, north and south Omo administrative regions, Ethiopia.

    PubMed

    Alemu, W

    1993-04-01

    Neonatal tetanus (NNT) is the second most frequent cause of infant mortality among the six vaccine preventable infections in developing countries. However, lack of reliable data has largely obscured the importance of the problem in these countries. A community based NNT mortality survey was conducted, using cluster sample method developed by WHO/EPI, in August 1989 in North and South Omo, Ethiopia. The study found 14 neonatal tetanus deaths among 2100 live births which occurred from 15 July 1988 to 15 July 1989, giving NNT mortality rate of 6.7/1000 LB (live births) and an estimated incidence rate of 8.4/1000 LB, accounting for 40% of all neonatal deaths. Male newborns were 2.5 times more commonly affected than females. Cutting of umbilical cord with unsterile instrument, home delivery attended by untrained TBAs, and lack of adequate tetanus TT immunization were found to be associated with increased incidence of NNT. Acceleration and promotion of TT immunization of all women of child bearing age and training of TBAs in proper obstetric care, coupled with continuous supportive supervision, is recommended in order to successfully execute the NNT elimination initiative undertaken by the Ministry of Health.

  6. Ectoparasites Prevalence in Small Ruminants in and around Sekela, Amhara Regional State, Northwest Ethiopia.

    PubMed

    Seyoum, Zewdu; Tadesse, Tsegaye; Addisu, Agerie

    2015-01-01

    This study was conducted to determine the prevalence and type of ectoparasites and to identify risk factors associated with ectoparasite infestations in small ruminants in and around Sekela, Northwest Ethiopia. Clinical examination and laboratory analysis were made on 304 sheep and 96 goats. The collected raw data were analyzed using χ (2)-test. Out of the 400 sampled animals, 182 (45.5%) were infested with one or more ectoparasites. The prevalent ectoparasites observed were lice, ticks, Ctenocephalides species, Melophagus ovinus, and Demodex species. The infestation rates of ectoparasites with age and sex were significantly varied (P < 0.05) in sheep but not in goats (P > 0.05). Body condition score was not significantly associated (P > 0.05) with ectoparasites infestation in both sheep and goats. In our attempt, only two cases due to Demodex species were recorded in sheep. In conclusion, the prevalence of ectoparasites in the present study was high and this could affect the wellbeing and productivity of small ruminants. Therefore, to reduce ectoparasites prevalence and impact on the productivity and health status, planning of integrated control measures with sustainable veterinary services aiming at creating awareness about the importance and control of ectoparasites for livestock owners is required.

  7. Conservation of socioculturally important local crop biodiversity in the Oromia region of Ethiopia: a case study.

    PubMed

    Balemie, Kebu; Singh, Ranjay K

    2012-09-01

    In this study, we surveyed diversity in a range of local crops in the Lume and Gimbichu districts of Ethiopia, together with the knowledge of local people regarding crop uses, socio-economic importance, conservation, management and existing threats. Data were collected using semistructured interviews and participant observation. The study identified 28 farmers' varieties of 12 crop species. Among these, wheat (Triticum turgidum) and tef (Eragrostis tef) have high intra-specific diversity, with 9 and 6 varieties respectively. Self-seed supply or seed saving was the main (80 %) source of seeds for replanting. Agronomic performance (yield and pest resistance), market demand, nutritional and use diversity attributes of the crop varieties were highlighted as important criteria for making decisions regarding planting and maintenance. Over 74 % of the informants grow a combination of "improved" and farmers' varieties. Of the farmers' varieties, the most obvious decline and/or loss was reported for wheat varieties. Introduction of improved wheat varieties, pest infestation, shortage of land, low yield performance and climate variability were identified as the principal factors contributing to this loss or decline. Appropriate interventions for future conservation and sustainable use of farmers' varieties were suggested.

  8. Ectoparasites Prevalence in Small Ruminants in and around Sekela, Amhara Regional State, Northwest Ethiopia

    PubMed Central

    Seyoum, Zewdu; Tadesse, Tsegaye; Addisu, Agerie

    2015-01-01

    This study was conducted to determine the prevalence and type of ectoparasites and to identify risk factors associated with ectoparasite infestations in small ruminants in and around Sekela, Northwest Ethiopia. Clinical examination and laboratory analysis were made on 304 sheep and 96 goats. The collected raw data were analyzed using χ2-test. Out of the 400 sampled animals, 182 (45.5%) were infested with one or more ectoparasites. The prevalent ectoparasites observed were lice, ticks, Ctenocephalides species, Melophagus ovinus, and Demodex species. The infestation rates of ectoparasites with age and sex were significantly varied (P < 0.05) in sheep but not in goats (P > 0.05). Body condition score was not significantly associated (P > 0.05) with ectoparasites infestation in both sheep and goats. In our attempt, only two cases due to Demodex species were recorded in sheep. In conclusion, the prevalence of ectoparasites in the present study was high and this could affect the wellbeing and productivity of small ruminants. Therefore, to reduce ectoparasites prevalence and impact on the productivity and health status, planning of integrated control measures with sustainable veterinary services aiming at creating awareness about the importance and control of ectoparasites for livestock owners is required. PMID:26464950

  9. Ingestion of indigestible foreign materials by free grazing ruminants in Amhara Region, Ethiopia.

    PubMed

    Sheferaw, Desie; Gebru, Fikreysus; Asrat, Metenyelesh; Tesfaye, Dawit; Debela, Etana

    2014-01-01

    Ruminants slaughtered in Bahir-Dar, northern Ethiopia, were studied to estimate the prevalence and types of foreign bodies in the rumen and reticulum. Of the 400 cattle, 320 sheep, and 320 goats examined between November 2011 and May 2012, 41.8, 20.6 and 11.9 %, respectively, contained one or more types of foreign bodies. The prevalence of foreign bodies was significantly (P < 0.05) higher (i) in cattle than in sheep and goats, (ii) in cattle in poor body condition than those in good condition, and (iii) in the rumen than in the reticulum. The most commonly encountered materials were plastics, which resulted from the widespread use of plastic bags and improper waste disposal. Other materials found were cloth, rope, metal, and leather. The study demonstrated that ruminants in the area are ingesting various types of indigestible foreign bodies, which can hamper their health and productivity. To avert the problem, collaborative intervention schemes need to be applied involving professionals, policy makers, livestock keepers, and environmental activists.

  10. Conservation of Socioculturally Important Local Crop Biodiversity in the Oromia Region of Ethiopia: A Case Study

    NASA Astrophysics Data System (ADS)

    Balemie, Kebu; Singh, Ranjay K.

    2012-09-01

    In this study, we surveyed diversity in a range of local crops in the Lume and Gimbichu districts of Ethiopia, together with the knowledge of local people regarding crop uses, socio-economic importance, conservation, management and existing threats. Data were collected using semistructured interviews and participant observation. The study identified 28 farmers' varieties of 12 crop species. Among these, wheat ( Triticum turgidum) and tef ( Eragrostis tef) have high intra-specific diversity, with 9 and 6 varieties respectively. Self-seed supply or seed saving was the main (80 %) source of seeds for replanting. Agronomic performance (yield and pest resistance), market demand, nutritional and use diversity attributes of the crop varieties were highlighted as important criteria for making decisions regarding planting and maintenance. Over 74 % of the informants grow a combination of "improved" and farmers' varieties. Of the farmers' varieties, the most obvious decline and/or loss was reported for wheat varieties. Introduction of improved wheat varieties, pest infestation, shortage of land, low yield performance and climate variability were identified as the principal factors contributing to this loss or decline. Appropriate interventions for future conservation and sustainable use of farmers' varieties were suggested.

  11. DDTs and other organochlorine pesticides in tissues of four bird species from the Rift Valley region, Ethiopia.

    PubMed

    Yohannes, Yared Beyene; Ikenaka, Yoshinori; Nakayama, Shouta M M; Mizukawa, Hazuki; Ishizuka, Mayumi

    2017-01-01

    Despite the presence of a wide variety and number of birds, there is exceedingly little data on organochlorine pesticide (OCP) residues in birds inhabiting in Africa. In the present study, concentrations of dichlorodiphenyltrichloroethanes (DDTs), hexachlorocyclohexanes, drins, cyclodienes, and hexachlorobenzene were measured in liver, kidney, heart and brain of 4 bird species from the Rift Valley region, Ethiopia. Indoor residual spraying of DDT for malaria vector control, and indiscriminate and illegal use of pesticides underline the relevance of this study. Levels of ΣOCPs ranged from 1.87 to 4586ng/g wet weight, and the scavenger bird species Leptoptilos crumeniferus had the highest level in liver. In all tissues, contamination profiles of OCPs within the species were similar, with DDTs≫other OCPs. Among the DDTs, p,p'-DDE was the most abundant compound and had significantly a higher burden in all tissues. The risk characterization demonstrated potential risks to the studied birds associated with DDE exposure. Maximum hepatic levels of p,p'-DDE exceeded the levels reported to trigger adverse effects. The detection of p,p'-DDT in all bird tissues suggests the release of fresh DDT to the environment. This is the first study to assay OCPs in different tissues of birds from the Ethiopian Rift Valley region, and henceforth the data will serve as a reference data for future studies.

  12. A Venue-Based Survey of Malaria, Anemia and Mobility Patterns among Migrant Farm Workers in Amhara Region, Ethiopia

    PubMed Central

    Schicker, Rebekah Stewart; Hiruy, Neway; Melak, Berhanu; Gelaye, Woyneshet; Bezabih, Belay; Stephenson, Rob; Patterson, Amy E.; Tadesse, Zerihun; Emerson, Paul M.; Richards, Frank O.; Noland, Gregory S.

    2015-01-01

    Background Mobile populations present unique challenges to malaria control and elimination efforts. Each year, a large number of individuals travel to northwest Amhara Region, Ethiopia to seek seasonal employment on large-scale farms. Agricultural areas typically report the heaviest malaria burden within Amhara thereby placing migrants at high risk of infection. Yet little is known about these seasonal migrants and their malaria-related risk factors. Methods and Findings In July 2013, a venue-based survey of 605 migrant laborers 18 years or older was conducted in two districts of North Gondar zone, Amhara. The study population was predominantly male (97.7%) and young (mean age 22.8 years). Plasmodium prevalence by rapid diagnostic test (RDT) was 12.0%; One quarter (28.3%) of individuals were anemic (hemoglobin <13 g/dl). Nearly all participants (95.6%) originated from within Amhara Region, with half (51.6%) coming from within North Gondar zone. Around half (51.2%) slept in temporary shelters, while 20.5% regularly slept outside. Only 11.9% of participants had access to a long lasting insecticidal net (LLIN). Reported net use the previous night was 8.8% overall but 74.6% among those with LLIN access. Nearly one-third (30.1%) reported having fever within the past two weeks, of whom 31.3% sought care. Cost and distance were the main reported barriers to seeking care. LLIN access (odds ratio [OR] = 0.30, P = 0.04) and malaria knowledge (OR = 0.50, P = 0.02) were significantly associated with reduced Plasmodium infection among migrants, with a similar but non-significant trend observed for reported net use the previous night (OR = 0.16, P = 0.14). Conclusions High prevalence of malaria and anemia were observed among a young population that originated from relatively proximate areas. Low access to care and low IRS and LLIN coverage likely place migrant workers at significant risk of malaria in this area and their return home may facilitate parasite transport to other

  13. A Venue-Based Survey of Malaria, Anemia and Mobility Patterns among Migrant Farm Workers in Amhara Region, Ethiopia.

    PubMed

    Schicker, Rebekah Stewart; Hiruy, Neway; Melak, Berhanu; Gelaye, Woyneshet; Bezabih, Belay; Stephenson, Rob; Patterson, Amy E; Tadesse, Zerihun; Emerson, Paul M; Richards, Frank O; Noland, Gregory S

    2015-01-01

    Mobile populations present unique challenges to malaria control and elimination efforts. Each year, a large number of individuals travel to northwest Amhara Region, Ethiopia to seek seasonal employment on large-scale farms. Agricultural areas typically report the heaviest malaria burden within Amhara thereby placing migrants at high risk of infection. Yet little is known about these seasonal migrants and their malaria-related risk factors. In July 2013, a venue-based survey of 605 migrant laborers 18 years or older was conducted in two districts of North Gondar zone, Amhara. The study population was predominantly male (97.7%) and young (mean age 22.8 years). Plasmodium prevalence by rapid diagnostic test (RDT) was 12.0%; One quarter (28.3%) of individuals were anemic (hemoglobin <13 g/dl). Nearly all participants (95.6%) originated from within Amhara Region, with half (51.6%) coming from within North Gondar zone. Around half (51.2%) slept in temporary shelters, while 20.5% regularly slept outside. Only 11.9% of participants had access to a long lasting insecticidal net (LLIN). Reported net use the previous night was 8.8% overall but 74.6% among those with LLIN access. Nearly one-third (30.1%) reported having fever within the past two weeks, of whom 31.3% sought care. Cost and distance were the main reported barriers to seeking care. LLIN access (odds ratio [OR] = 0.30, P = 0.04) and malaria knowledge (OR = 0.50, P = 0.02) were significantly associated with reduced Plasmodium infection among migrants, with a similar but non-significant trend observed for reported net use the previous night (OR = 0.16, P = 0.14). High prevalence of malaria and anemia were observed among a young population that originated from relatively proximate areas. Low access to care and low IRS and LLIN coverage likely place migrant workers at significant risk of malaria in this area and their return home may facilitate parasite transport to other areas. Strategies specifically tailored to

  14. Factors affecting performance of public hospital nurses in Addis Ababa region, Ethiopia.

    PubMed

    Negussie, Nebiat; Berehe, Costantinos

    2016-03-01

    Nurses have a major role to play in providing timely, quality health services in hospitals. It is important to identify factors influencing the performance of nurses to improve the quality of healthcare delivered in healthcare organizations. The objective of this study was to identify factors influencing job performance of nurses in public hospitals in Addis Ababa, Ethiopia. A cross-sectional survey was conducted from June 2010 to December 2010 in five public hospitals in Addis Ababa. Among 658 nurses meeting the inclusion criteria, the estimated sample size of 290 nurses was selected using a simple random sampling technique. Data were collected using self-administered questionnaire. A total of 230 (80%) questionnaires were returned of the 290 questionnaires distributed to respondents. The results of the study indicated that nurses have rated the following as below average: job performance (mean=2.71, SD=0.48), job satisfaction (mean=2.55, SD=0.39), and organizational commitment (mean=2.45, SD=0.36). Organizational commitment (β=0.69, P<0.01), career development (β=0.39, P<0.01), payment (β=0.41, P<0.01), relationship with colleagues (β=0.32, P<0.01), work condition (β=0.21, P<0.05), and years of experience (β=0.27, P<0.05) have significant effect on nurses' job performance. This study highlighted that organizational commitment, job satisfaction, and work experience were significant predictors of nurses' job performance. Healthcare organization should give more attention to factors that contribute to job satisfaction and organizational commitments to improve nurses' job performance.

  15. Health Care Seeking Behavior for Common Childhood Illnesses in Jeldu District, Oromia Regional State, Ethiopia.

    PubMed

    Kolola, Tufa; Gezahegn, Takele; Addisie, Mesfin

    2016-01-01

    Even though health care seeking interventions potentially reduce child mortality from easily treatable diseases, significant numbers of children die without ever reaching a health facility or due to delays in seeking care in Ethiopia. This study aimed to assess health care seeking behavior for common childhood illnesses and associated factors. A community-based cross-sectional study was conducted in Jeldu District from January to February 2011. A systematic sampling method was used for sample selection. Data were collected from 422 caregivers with under-five children who experienced diseases within six weeks before the survey. Interviewer administered structured and pre-tested questionnaire which were used to collect data. Data entry and cleaning were carried out using Epi Info version 3.5.1 and analyzed using SPSS version 16. Descriptive analysis was done to determine the magnitude of health care seeking behavior. Multivariate logistic regression analyses were performed to identify associated factors. A total of 422 caregivers of under-five children were participated in the study giving an overall response rate of 97.5%. Three hundred fifteen (74.6%) children sought care from health facilities for all conditions. However, only 55.4% of them were taken to health facilities as first source treatment during their illness and prompt care was also very low (13.7%). Marital status of the caregivers (AOR = 2.84; 95%CI: 1.62-4.98), number of symptoms experienced by the child (AOR = 2.04; 95%CI: 1.24-3.36) and perceived severity of the illness (AOR = 3.20; 95%CI: 1.96-5.22) were predictors of health care seeking behavior. Health care seeking behavior for childhood illnesses was delayed and decision to seek care from health facilities was influenced by worsening of the illnesses. Thus, community level promotion of prompt health care seeking is essential to enhance the health care seeking behavior for child hood illnesses in the locality.

  16. Merging Disparate Data Sources Into a Paleoanthropological Geodatabase for Research, Education, and Conservation in the Greater Hadar Region (Afar, Ethiopia)

    NASA Astrophysics Data System (ADS)

    Campisano, C. J.; Dimaggio, E. N.; Arrowsmith, J. R.; Kimbel, W. H.; Reed, K. E.; Robinson, S. E.; Schoville, B. J.

    2008-12-01

    Understanding the geographic, temporal, and environmental contexts of human evolution requires the ability to compare wide-ranging datasets collected from multiple research disciplines. Paleoanthropological field- research projects are notoriously independent administratively even in regions of high transdisciplinary importance. As a result, valuable opportunities for the integration of new and archival datasets spanning diverse archaeological assemblages, paleontological localities, and stratigraphic sequences are often neglected, which limits the range of research questions that can be addressed. Using geoinformatic tools we integrate spatial, temporal, and semantically disparate paleoanthropological and geological datasets from the Hadar sedimentary basin of the Afar Rift, Ethiopia. Applying newly integrated data to investigations of fossil- rich sediments will provide the geospatial framework critical for addressing fundamental questions concerning hominins and their paleoenvironmental context. We present a preliminary cyberinfrastructure for data management that will allow scientists, students, and interested citizens to interact with, integrate, and visualize data from the Afar region. Examples of our initial integration efforts include generating a regional high-resolution satellite imagery base layer for georeferencing, standardizing and compiling multiple project datasets and digitizing paper maps. We also demonstrate how the robust datasets generated from our work are being incorporated into a new, digital module for Arizona State University's Hadar Paleoanthropology Field School - modernizing field data collection methods, on-the-fly data visualization and query, and subsequent analysis and interpretation. Armed with a fully fused database tethered to high-resolution satellite imagery, we can more accurately reconstruct spatial and temporal paleoenvironmental conditions and efficiently address key scientific questions, such as those regarding the

  17. Regional geomorphic analysis and gis susceptibility mapping of landslides in the blue nile and the tekeze river basins of ethiopia

    NASA Astrophysics Data System (ADS)

    Ismail, Elamin Hassan Dai

    The Plateau region of Ethiopia lies within a seismically active continental extensional regime, which is being rapidly incised by the Blue Nile and the Tekeze Rivers. Extremely large landslides pose serious hazards in this highly populated region (>27 million), which is in the process of developing its hydrologic resources. This research sought to develop cost-effective methods to compile regional landslide inventory and landslide susceptibility maps, using geomorphic tools and GIS technologies. This work also sought to evaluate the relationships between landslide dams and knickpoints, caused by channel bed incision from those caused by slope failures, by utilizing identified knickpoints along 56 tributary channels across the study area. The study employed the weighted overlay technique to produce regional landslide susceptibility hazard maps, and for the first time, employing wind-driven and integrated rainfall/aspect rasters at various inclination to more realistically model the actual precipitation that is felt by hillsides of varying azimuth, shape, and height. Landslides greater than 500m long were tentatively identified on 1:200,000 topographic maps draped over 30m hill-shade generated ASTER GDEMv2. The mapping revealed different types of landslides, and also revealed a considerable number of old, dormant landslide features. The use of wind-driven rainfall with integrated rainfall and aspect rasters provided a much more detailed and asymmetric distribution of precipitation. Spatial distribution of the very high and high hazard areas, during the Kermit and Belg rainy seasons by a range of 0.38% for an inclination of 40o and 1.7% for inclinations on 60o, as compared to the traditional assumption of 90o vertical rainfall, without integration of a slope aspect raster.

  18. Primary and secondary anti-tuberculosis drug resistance in Hitossa District of Arsi Zone, Oromia Regional State, Central Ethiopia.

    PubMed

    Hamusse, Shallo Daba; Teshome, Dejene; Hussen, Mohammed Suaudi; Demissie, Meaza; Lindtjørn, Bernt

    2016-07-18

    Multidrug-resistant tuberculosis (MDR-TB) drugs which is resistant to the major first-line anti-TB drugs, Isoniazid and Rifampicin, has become a major global challenge in tuberculosis (TB) control programme. However, its burden at community level is not well known. Thus, the aim of study was to assess the prevalence of primary and secondary resistance to any first line anti-TB drugs and MDR TB in Hitossa District of Oromia Regional State, Central Ethiopia. Population based cross- sectional study was conducted on individuals aged ≥15 years. Those with symptoms suggestive of TB were interviewed and two sputum specimens were collected from each and examined using Lowenstein-Jensen (LJ) culture medium. Further, the isolates were confirmed by the Ziehl-Neelsen microscopic examination method. Drug susceptibility test (DST) was also conducted on LJ medium using a simplified indirect proportion method. The resistance strains were then determined by percentage of colonies that grew on the critical concentration of Isoniazid, Streptomycin, Rifampicin and Ethambutol. The overall resistance of all forms of TB to any first-line anti-TB drug was 21.7 %. Of the total new and previously treated culture positive TB cases, 15.3 and 48.8 % respectively were found to be a resistant to any of the first-line anti-TB drugs. Further, of all forms of TB, the overall resistance of MDR-TB was 4.7 %. However, of the total new TB cases, 2.4 % had primary while 14.3 % had secondary MDR-TB. Resistance to any of the first-line anti-TB drugs (adjusted odd ratio (AOR), 8.1; 95 % CI: 2.26-29.30) and MDR-TB (AOR), 7.1; 95 % CI: 2.6-43.8) was found to be linked with previous history of anti-TB treatment. The study has identified a high rate of primary and secondary resistance to any of the first-line anti-TB drugs and MDR-TB in the study area. The resistance may have resulted from sub-optimal performance of directly observed treatment short-course (DOTS) programme in the detecting infectious

  19. Community knowledge, attitude, and practices towards tuberculosis in Shinile town, Somali regional state, eastern Ethiopia: a cross-sectional study.

    PubMed

    Tolossa, Daniel; Medhin, Girmay; Legesse, Mengistu

    2014-08-07

    Though tuberculosis (TB) is preventable and curable, its global burden remains enormous. Similarly, TB is one of the major public health problems in Ethiopia, particularly in geographically isolated areas like Shinile town. The people in Shinile town, Somali Regional State of Ethiopia, are underserved in all forms of health care and suffer from high burden of TB. Low level of knowledge about TB could affect the health-seeking behavior of patients and sustain the transmission of the disease within the community. Therefore, the current study was undertaken in Shinile town with the objective of assessing communities' knowledge, attitude and practices towards TB. Community-based cross-sectional survey, involving 410 randomly selected individuals, was conducted in Shinile town from January to May, 2013. Data were analyzed using STATA V.11. Logistic regression technique was used to determine the association between socio-demographic characteristics and communities' knowledge of TB. While 94.9% of the respondents said that they ever heard about TB, only 22.9% knew that TB is caused by bacteria. Eighty percent have awareness that TB can be transmitted from a patient to another person and 79.3% know that transmission of TB can be preventable. Persistence cough (72.4%) was the most commonly stated symptom of TB and modern drugs used in health institutions (68.1%) was the preferred choice of treatment. Two hundred and ninety one respondents (71.0%) said that they would seek treatment at health facility if they realized that they had symptoms related to TB. Two hundred and twenty seven respondents (55.4%) considered TB as a very serious disease and 284 (69.3%) would experience fear if they themselves had TB. Individuals with educational level of grade 8 up to grade 12 had increased odds of having good level of overall TB knowledge compared to illiterate individuals (OR = 2.3; 95% CI: 1.2 to 4.6). The communities in Shinile town have basic awareness about TB which is not

  20. Knowledge of obstetric danger signs and associated factors among pregnant women in Erer district, Somali region, Ethiopia.

    PubMed

    Maseresha, Nebiyu; Woldemichael, Kifle; Dube, Lamessa

    2016-06-06

    Knowledge of danger signs of obstetric complications is first step in the appropriate and timely referral to essential obstetric care. Although women's knowledge about the obstetric danger signs is important for improving maternal and child health, little is known about the current knowledge and influencing factors in pastoral community of Ethiopia. This study, therefore, aims to fill this gap by assessing the current level of knowledge and associated factors of pregnant women living in Erer district of Somali region, Ethiopia. A community based, cross-sectional study was conducted from April 7 to 21, 2014. The study involved 666 pregnant women residing in the district. Two-stage sampling technique was used to select the study subjects. Data about women's socio-demographic information, reproductive history, knowledge of the danger signs, exposure to media and interventions were collected by interviewer administered questionnaires. A respondent who spontaneously mentioned at least two of the danger signs during each of the three periods was considered knowledgeable; otherwise not. Descriptive, bivariate, then multivariable logistic regression were done. Six hundred thirty two pregnant women were interviewed with a response rate of 94.9 %. Only 98 (15.5 %) respondents were knowledgeable about obstetric danger signs. Urban residence [AOR = 2.43; 95 % CI (1.40, 4.21)], women who had been pregnant five or more times [AOR = 6.65; 95 % CI (2.48, 17.89)] and antenatal care utilization [AOR = 5.44; 95 % CI (3.26, 9.09)] were associated with being knowledgeable about obstetric danger signs during pregnancy, childbirth and postpartum. A significant proportion of pregnant women in Erer district do not have knowledge of obstetric danger signs. The implication is that lack of recognition may lead to delay in seeking care. Area of residence, gravidity and antenatal care service utilization are independently associated with the knowledge of women on obstetric

  1. Birth preparedness and complication readiness in Robe Woreda, Arsi Zone, Oromia Region, Central Ethiopia: a cross-sectional study

    PubMed Central

    2014-01-01

    Background Globally, an estimated 287 000 maternal deaths occurred in 2010 annually as a result of complications of pregnancy and childbirth. Sub-Saharan Africa and Southern Asia were accounted for 85% of the global burden (245 000 maternal deaths) including Ethiopia. Obstetric related complications cannot be reliably predicted. Hence, insignificant decline of maternal mortality ratio might be due to the non use of birth preparedness and complication readiness strategies. Therefore, this paper aimed to assess knowledge and practices towards birth preparedness and complication readiness and associated factors among women of reproductive age group (15–49) in Robe Woreda, Arsi Zone, Oromia Region, Ethiopia. Method Community-based cross-sectional study supplemented by qualitative design was conducted in January, 2012. A total of 575 women from 5 kebeles were selected after proportionally allocated to population size and interviewed using structured and semi-structured, pre-tested questionnaires. Univariate and bivariate analysis was performed. Multiple logistic regression analysis was also done to control for possible confounding variables. Results Taking into account place of delivery identification, means of transportation, skilled attendant identification and saving money, about 16.5% of the respondents were prepared for birth and its complications. Preparation for birth and its complication was higher among educated mothers (AOR = 6.23, 95% CI = 1.5, 25.87). Monthly income of >716 Ethiopian birr (AOR = 1.94, 95% CI = 1.01, 3.87), ANC visit (AOR = 5.68, 95% CI = 1.27, 25.4), knowledge of obstetric complications (AOR = 2.94, 95% CI = 1.61, 5.37) and those who had given birth at health facility before their last delivery (AOR = 3.9, 95% CI = 2.04, 7.46) were also significantly associated with birth preparedness and complication readiness. Conclusion The study identified very low magnitude of birth preparedness and complication

  2. Ethnobotany of medicinal plants in Ada'a District, East Shewa Zone of Oromia Regional State, Ethiopia.

    PubMed

    Kefalew, Alemayehu; Asfaw, Zemede; Kelbessa, Ensermu

    2015-04-02

    An ethnobotanical study of medicinal plants was conducted in Ada'a District, Eastern Shewa Zone of Oromia Regional State of Ethiopia. The objective of the study was to identify and document medicinal plants and the associated ethnobotanical/ethnomedicinal knowledge of the local people. Relevant ethnobotanical data focused on medicinal plants and traditional herbal medicines were collected using guided field walk, semi-structured interview and direct field observation. Informant consensus method and group discussion were conducted for crosschecking and verification of the information. Both descriptive statistics and quantitative ethnobotanical methods were used for data analysis. We documented 131 species distributed in 109 genera and 54 families based on local claims of medicinal values. Patients who are using traditional drugs and herbalists collect most of these plants from the wild. The leading plant families that encompass large medicinal species were the Lamiaceae (14 species) followed by Asteraceae (13) and Solanaceae (7). The study reported the existence of a number of medicinal plants, an indication for the presence of plant-based traditional medicinal knowledge transfer that survived through generations. Informants asserted that wild growing medicinal plants are under threat due to increased use pressure coupled with unsuitable harvesting that frequently targets roots and barks for remedy preparations. This calls for urgent and collaborative actions to keep the balance between medicinal plants availability in the wild state and their utilization by the community. Furthermore, the study attempted to prioritize the most efficacious medicinal plants as perceived by the local people for possible pharmacological testing.

  3. Sero-prevalence and risk factors study of brucellosis in small ruminants in Southern Zone of Tigray Region, Northern Ethiopia.

    PubMed

    Teklue, Teshale; Tolosa, Tadele; Tuli, Getachew; Beyene, Belay; Hailu, Birhanu

    2013-11-01

    This study reports a prevalence and risk factor survey of brucellosis in small ruminants in Southern Zone of Tigray Region, Northern Ethiopia between October 2011 and April 2012 to determine the sero-prevalence of small-ruminant brucellosis and to identify associated risk factors for the occurrence of disease in small ruminants under extensive production system. Multistage random sampling was followed to select locations, flocks, and individual animals. Laboratory analysis of serum samples provided sero-prevalence estimates for flocks and geographic location. Information on risk factors at the individual and flock level was obtained by examination of individual animal and a questionnaire interview to flock owners. The overall individual animal-level sero-prevalence of brucellosis in small ruminants was 3.5 % and flock level sero-prevalence was 28.3 %, and the within-flock sero-prevalence was ranged from 0 % to 22.2 % based on the Complement Fixation Test. Multivariable logistic regression showed that the major risk factors for flock level sero-positivity were flock size and abortion history. This study showed that small-ruminant brucellosis is prevalent in the study area. Larger flock size and history of previous abortion in the flock were major risk factors identified for sero-positivity of small-ruminant brucellosis.

  4. Impact of temperature and precipitation on propagation of intestinal schistosomiasis in an irrigated region in Ethiopia: suitability of satellite datasets.

    PubMed

    Xue, Zhao; Gebremichael, Mekonnen; Ahmad, Rais; Weldu, Mekuria L; Bagtzoglou, Amvrossios C

    2011-09-01

    To assess the suitability of satellite temperature and precipitation datasets for investigating the dependence of Schistosoma mansoni disease transmission on meteorological conditions in an irrigated agricultural region in Ethiopia. Data used were monthly number of patients infected with S. mansoni and seeking treatment at the local hospital, monthly maximum air temperature from a local weather station, monthly average land surface temperature from MODIS satellite data, monthly total precipitation from a local rain gauge and precipitation estimates from four widely used satellite products, namely, TMPA 3B42RT, TMPA 3B42, CMORPH and PERSIANN. The number of patients was used as proxy for vector abundance. Temperature and precipitation play a role in the transmission of S. mansoni disease. There is a weak but significant positive correlation between monthly maximum air temperature derived from a meteorological station (or average land surface temperature derived from MODIS satellite product) and the number of patients in the same month. There is a significant negative correlation between monthly precipitation volume (derived from rain gauge or satellite data) and number of patients at lags of 1 and 2 months. Satellite temperature and precipitation products provide useful information to understand and infer the relationship between meteorological conditions and S. mansoni prevalence. © 2011 Blackwell Publishing Ltd.

  5. Characterization of Escherichia coli isolated from calf diarrhea in and around Kombolcha, South Wollo, Amhara Region, Ethiopia.

    PubMed

    Gebregiorgis, Ashenafi; Tessema, Tesfaye Sisay

    2016-02-01

    This study was carried out from October 2012 to end of February 2013 in and around Kombolcha, Amhara regional state, Ethiopia, using a total of 201 neonatal calves aged 1 day to 4 months and suffering from diarrhea. The objectives of the study were to isolate Escherichia coli from diarrheic calves, and to determine E. coli biotypes and risk factors associated with its isolation. The fecal samples were collected, transported, and processed following standard microbiological procedures. Seventy-four isolates of E. coli were identified. Yellowish diarrhea, younger age, and low-colostrum feeding were significantly associated with rate of E. coli isolation (P < 0.05). Then the 74 isolates of E. coli were biotyped using fermentation of 9 sugars and grouped into 12 biotypes; the most dominant was biotype III (36.8 %). Finally, by comparing with studies elsewhere, from the 12 isolated biotypes, 3 of them were suggested to be enteropathogenic E. coli (EPEC), entherotoxigenic E. coli (ETEC), and adhesion and effacing E. coli (AEEC) pathogenic strains. The present study showed that E. coli accounted for 37 % of calf diarrhea, with very diverse biotypes.

  6. Risk factors for active trachoma in children and trichiasis in adults: a household survey in Amhara Regional State, Ethiopia.

    PubMed

    Ngondi, Jeremiah; Gebre, Teshome; Shargie, Estifanos B; Graves, Patricia M; Ejigsemahu, Yeshewamebrat; Teferi, Tesfaye; Genet, Asrat; Mosher, Aryc W; Endeshaw, Tekola; Zerihun, Mulat; Messele, Ayenew; Richards, Frank O; Emerson, Paul M

    2008-05-01

    Identification of risk factors is essential for planning and implementing effective trachoma control programmes. We aimed to investigate risk factors for active trachoma and trichiasis in Amhara Regional State, Ethiopia. A survey was undertaken and eligible participants (children aged 1-9 years and adults aged 15 years and above) examined for trachoma. Risk factors were assessed through interviews and observations. Using ordinal logistic regression, associations between signs of active trachoma in children and potential risk factors were explored. Associations between trichiasis in adults and potential risk factors were investigated using conventional logistic regression. A total of 5427 children from 2845 households and 9098 adults from 4039 households were included in the analysis. Ocular discharge [odds ratio (OR)=5.9; 95% CI 4.8-7.2], nasal discharge (OR=1.6; 95% CI 1.3-1.9), thatch roof in household (OR=1.3; 95% CI 1.0-1.5), no electricity in household (OR=2.4; 95% CI 1.3-4.3) and increasing altitude (Ptrend<0.001) were independently associated with severity of active trachoma. Trichiasis was associated with increasing age (ORper 5 year increase=1.5; 95% CI 1.4-1.7), female gender (OR=4.5; 95% CI 3.5-5.8), increasing prevalence of active trachoma in children (Ptrend=0.003) and increasing altitude (Ptrend=0.015).

  7. Study of gastro-intestinal helminths of scavenging chickens in four rural districts of Amhara region, Ethiopia.

    PubMed

    Eshetu, Y; Mulualem, E; Ibrahim, H; Berhanu, A; Aberra, K

    2001-12-01

    A total of 267 rural scavenging chickens were examined from October 1998 to August 1999 in four woredas (districts) of the Amhara Region, Ethiopia. Of these chickens, 243 (91.01%) were found to harbour one to nine different helminth parasites and 24 (8.99%) were free of helminth parasites. A significant difference (P < 0.01) was found between the prevalence rates of helminth parasites in the different agro-ecological zones; the highest prevalence was observed in the lowland areas. This suggests that agro-ecology has a major influence on the distribution of helminth parasites. Nematodes recovered included Heterakis gallinarum (17.28%), Subulura brumpti (17.60%), Ascaridia galli (35.58%), Cheilospirura hamulosa (0.75%) and Dyspharynx spiralis (2.62%). The principal cestode species encountered were Raillietina echinobothrida (25.84%), Raillietina tetragona (45.69%), Raillietina cesticillus (5.62%), Amoebotaenia sphenoides (40.45%), Davainea proglottina (1.12%) and Choanotaenia infundibulum (4.49%).

  8. Contribution of traditional birth attendants to the formal health system in Ethiopia: the case of Afar region.

    PubMed

    Temesgen, Tedla Mulatu; Umer, Jemal Yousuf; Buda, Dawit Seyoum; Haregu, Tilahun Nigatu

    2012-01-01

    Traditional birth attendants (TBAs) have been a subject of discussion in the provision of maternal and newborn health care. The objective of this study was to assess the role of trained traditional birth attendants in maternal and newborn health care in Afar Regional State of Ethiopia. A qualitative study was used where 21 in-depth interviews and 6 focus group discussions were conducted with health service providers, trained traditional birth attendants, mothers, men, kebele leaders and district health personnel. The findings of this study indicate that trained traditional birth attendants are the backbone of the maternal and child health development in pastoralist communities. However, the current numbers are inadequate and cannot meet the needs of the pastoralist communities including antenatal care, delivery, postnatal care and family planning. In addition to service delivery, all respondents agreed on multiple contributions of trained TBAs, which include counselling, child care, immunisation, postnatal care, detection of complication and other social services. Without deployment of adequate numbers of trained health workers for delivery services, trained traditional birth attendants remain vital for the rural community in need of maternal and child health care services. With close supportive supervision and evaluation of the trainings, the TBAs can greatly contribute to decreasing maternal and newborn mortality rates.

  9. Ethnoveterinary plants of Ankober District, North Shewa Zone, Amhara Region, Ethiopia

    PubMed Central

    2014-01-01

    Background Traditional herbal preparations for addressing veterinary problems have been applied in Ankober District, Ethiopia, for generations. However, the millennia-old ethnoveterinary knowledge of the community, and the plants are subjected to loss without being scientifically documented due to anthropogenic and environmental threats. Hence, this study aims at providing a comprehensive documentation on ethnoveterinary plant knowledge of the people in order to preserve the fast-eroding knowledge and resources of the area. Methods Semi-structured interviews, focus group discussions, participant observation and walk-in-the-woods methods were used to gather ethnoveterinary data. Informant Consensus Factor (ICF) and Fidelity level (FL) values were calculated using quantitative approaches so as to check the level of informants' agreement on plant use and healing potential of ethnoveterinary medicinal plant species, respectively. Indigenous knowledge on use of medicinal plants for ethnoveterinary purposes among different informant groups was compared using One-way ANOVA and t-tests. Results A total of 51 plant species representing 50 genera and 35 botanical families used in the treatment of 33 different ailments were identified. Medicinal plant species belonging to families Asteraceae, Asclepiadaceae, Euphorbiaceae and Ranunculaceae were reported to be of frequent use in the local ethnoveterinary medical system. Roots (65%, 33 species) were most often utilized for remedy preparation. Highest ICF values were recorded for gastro-intestinal (0.71) ailments depicting best agreement on knowledge of medicinal plants used to treat aliments in this category. Embelia schimperi Vatke showed highest fidelity level value (90%) to treat gastro-intestinal diseases showing conformity of knowledge on this species' healing potential. Significant difference (P<0.05) was observed in average number of therapeutic plants reported by senior members of the community than younger groups

  10. Determinants of Neonatal Mortality in North Shoa Zone, Amhara Regional State, Ethiopia

    PubMed Central

    Kolola, Tufa; Ekubay, Meseret; Tesfa, Endalamaw; Morka, Wogene

    2016-01-01

    In Ethiopia, neonatal mortality has been declined since the declaration of Millennium Developmental Goals, but the rate was slower since 2006. Thus, this study was designed to assess the determinants of neonatal mortality (NM) in North Shoa Zone. A community based case-control study was conducted on 84 cases and 252 controls. Cases were deceased new-borns within 28 days of birth while controls were infants survived beyond the first 28 days. Data were collected from mothers of the cases and controls using interviewer administered questionnaires. Multivariate analysis was done to examine determinants of NM. Variables significantly associated with NM in bivariate analysis were selected for multivariate analysis. Neonates whose mothers not attended antenatal care (AOR: 3.47; 95%CI: 1.44–8.32), delivered at home (AOR: 2.86; 95%CI: 1.56–5.26), and not received postnatal care services (AOR: 3.09; 95%CI: 1.73–5.51) were more likely to die. The odds of neonatal death was higher among neonates not breastfed within the first hour of delivery than those who breastfed within the first hour of delivery (AOR: 23.48; 95%CI: 8.43–65.37). Likewise, no-colostrum intake was positively associated with neonatal death. Neonates born to mothers who not received or received a single dose of tetanus toxoid injection (TTI) were more likely to experience death than those neonates born to mothers who received two or more doses of TTI (AOR: 2.05; 95%CI: 1.14–3.70). Furthermore, being small in size at birth (AOR: 2.66; 95%CI: 1.33–5.33) and male in sex (AOR: 1.85; 95% CI: 1.06–3.26) were risk factors for NM. In conclusion, neonatal mortality was significantly associated with factors that are modifiable through addressing the continuum-of-care approach in healthcare services in North Shoa. This implies that ensuring a continuity of health care services for maternal and new-borns from antenatal to postnatal care will improve neonatal survival. PMID:27741284

  11. Health Care Seeking Behavior for Common Childhood Illnesses in Jeldu District, Oromia Regional State, Ethiopia

    PubMed Central

    Kolola, Tufa; Gezahegn, Takele; Addisie, Mesfin

    2016-01-01

    Background Even though health care seeking interventions potentially reduce child mortality from easily treatable diseases, significant numbers of children die without ever reaching a health facility or due to delays in seeking care in Ethiopia. This study aimed to assess health care seeking behavior for common childhood illnesses and associated factors. Methods A community-based cross-sectional study was conducted in Jeldu District from January to February 2011. A systematic sampling method was used for sample selection. Data were collected from 422 caregivers with under-five children who experienced diseases within six weeks before the survey. Interviewer administered structured and pre-tested questionnaire which were used to collect data. Data entry and cleaning were carried out using Epi Info version 3.5.1 and analyzed using SPSS version 16. Descriptive analysis was done to determine the magnitude of health care seeking behavior. Multivariate logistic regression analyses were performed to identify associated factors. Results A total of 422 caregivers of under-five children were participated in the study giving an overall response rate of 97.5%. Three hundred fifteen (74.6%) children sought care from health facilities for all conditions. However, only 55.4% of them were taken to health facilities as first source treatment during their illness and prompt care was also very low (13.7%). Marital status of the caregivers (AOR = 2.84; 95%CI: 1.62–4.98), number of symptoms experienced by the child (AOR = 2.04; 95%CI: 1.24–3.36) and perceived severity of the illness (AOR = 3.20; 95%CI: 1.96–5.22) were predictors of health care seeking behavior. Conclusion Health care seeking behavior for childhood illnesses was delayed and decision to seek care from health facilities was influenced by worsening of the illnesses. Thus, community level promotion of prompt health care seeking is essential to enhance the health care seeking behavior for child hood illnesses in the

  12. Ethnoveterinary plants of Ankober District, North Shewa Zone, Amhara Region, Ethiopia.

    PubMed

    Lulekal, Ermias; Asfaw, Zemede; Kelbessa, Ensermu; Van Damme, Patrick

    2014-02-11

    Traditional herbal preparations for addressing veterinary problems have been applied in Ankober District, Ethiopia, for generations. However, the millennia-old ethnoveterinary knowledge of the community, and the plants are subjected to loss without being scientifically documented due to anthropogenic and environmental threats. Hence, this study aims at providing a comprehensive documentation on ethnoveterinary plant knowledge of the people in order to preserve the fast-eroding knowledge and resources of the area. Semi-structured interviews, focus group discussions, participant observation and walk-in-the-woods methods were used to gather ethnoveterinary data. Informant Consensus Factor (ICF) and Fidelity level (FL) values were calculated using quantitative approaches so as to check the level of informants' agreement on plant use and healing potential of ethnoveterinary medicinal plant species, respectively. Indigenous knowledge on use of medicinal plants for ethnoveterinary purposes among different informant groups was compared using One-way ANOVA and t-tests. A total of 51 plant species representing 50 genera and 35 botanical families used in the treatment of 33 different ailments were identified. Medicinal plant species belonging to families Asteraceae, Asclepiadaceae, Euphorbiaceae and Ranunculaceae were reported to be of frequent use in the local ethnoveterinary medical system. Roots (65%, 33 species) were most often utilized for remedy preparation. Highest ICF values were recorded for gastro-intestinal (0.71) ailments depicting best agreement on knowledge of medicinal plants used to treat ailments in this category. Embelia schimperi Vatke showed highest fidelity level value (90%) to treat gastro-intestinal diseases showing conformity of knowledge on this species' healing potential. Significant difference (P<0.05) was observed in average number of therapeutic plants reported by senior members of the community than younger groups. Embelia schimperi Vatke and

  13. Ethnobotanical study of homegarden plants in Sebeta-Awas District of the Oromia Region of Ethiopia to assess use, species diversity and management practices.

    PubMed

    Mekonen, Tefera; Giday, Mirutse; Kelbessa, Ensermu

    2015-08-22

    Homegardens in Ethiopia are currently facing different threats mainly due genetic erosion, loss of traditional knowledge on their use and management and drought. On the other hand, research and documentation works on homegardens in the country are very limited. There is no previous report indicating conduct of ethnobotanical study on homegardens in selected study district. The present study thus attempted to document knowledge on uses and management practices of homegardens by people in study district. The study was conducted in Sebeta-Awas District, Southwestern Shewa Zone of Oromia Region, Ethiopia, between March and September 2009 to assess use, species diversity and conservation status of homegardens in the District. Data were collected using semi-structured interviews as well as through homegarden visits, market surveys and different ranking exercises. For the semi-structured interviews, 42 homegarden owners were selected randomly from seven sampled kebeles (smallest administrative units in Ethiopia), six from each kebele. For different ranking exercises, 14 informants (10 males and 4 females) were sampled using convenient sampling method from among homegarden owners that already participated in semi-structured interviews. In total, 113 plant species belonging to 46 families were recorded from the study area, of which 45 (39.8%) were herbs, 34 (30.1%) were trees, 26 (23.0%) were shrubs and 8 (7.1%) were climbers. Fabaceae had the highest number of species, followed by the families Asteraceae, Lamiaceae and Solanaceae. The cash crops Catha edulis, Rhamnus prinoides and Ruta chalepensis were the most frequently encountered homegarden plants. Cupressus lusitanica, Eucalyptus camaldulensis and Faidherbia albida were the most abundant tree species that had the highest densities of occurrence. Of the recorded plant species, 25% were used as sources of food, 13% as medicine and 10% as household tools. It can be concluded that homegardens in the study area are rich in

  14. Molecular Detection of Acinetobacter Species in Lice and Keds of Domestic Animals in Oromia Regional State, Ethiopia

    PubMed Central

    Kumsa, Bersissa; Socolovschi, Cristina; Parola, Philippe; Rolain, Jean-Marc; Raoult, Didier

    2012-01-01

    This study was conducted to determine the presence of Acinetobacter and Rickettsia species DNA in lice and Melophagus ovinus (sheep ked) of animals from Oromia Regional State in Ethiopia. From September through November 2011, a total of 207 cattle, 85 sheep, 47 dogs and 16 cats were examined for ectoparasites. Results of morphological identification revealed several species of ectoparasites: Linognathus vituli (L. vituli), Bovicola bovis (B. bovis) and Solenopotes capillatus (S. capillatus) on cattle; B. ovis and Melophagus ovinus (M. ovinus) on sheep; and Heterodoxus spiniger (H. spiniger) on dogs. There was a significantly (p≤0.0001) higher prevalence of L. vituli observed in cattle than both S. capillatus and B. bovis. Molecular identification of lice using an 18S rRNA gene analysis confirms the identified lice species by morphological methods. We detected different Acinetobacter species among lice (11.1%) and keds (86.4%) including A. soli in L. vituli of cattle, A. lowffii in M. ovinus of sheep, A. pittii in H. spiniger of dogs, 1 new Acinetobacter spp. in M. ovinus and 2 new Acinetobacter spp. in H. spiniger of dogs using partial rpoB gene sequence analysis. There was a significantly higher prevalence of Acinetobacter spp. in keds than in lice (p≤0.00001). Higher percentage of Acinetobacter spp. DNA was detected in H. spiniger than in both B. ovis and L. vituli (p≤0.00001). Carbapenemase resistance encoding genes for blaOXA-23, blaOXA-24, blaOXA-58, blaNDM-1 and blaOXA-51 were not found in any lice and keds. These findings suggest that synanthropic animals and their ectoparasites might increase the risk of human exposure to zoonotic pathogens and could be a source for Acinetobacter spp. infections in humans. However, additional epidemiological data are required to determine whether ectoparasites of animals can act as environmental reservoirs and play a role in spreading these bacteria to both animal and human hosts. PMID:23285015

  15. Hydrological responses to land use/cover changes in the source region of the Upper Blue Nile Basin, Ethiopia.

    PubMed

    Woldesenbet, Tekalegn Ayele; Elagib, Nadir Ahmed; Ribbe, Lars; Heinrich, Jürgen

    2017-01-01

    Understanding how changes in distinctive land use/land cover (LULC) types influence the basin hydrology would greatly improve the predictability of the hydrological consequences of LULC dynamics for sustainable water resource management. As the main flow contributor to the River Nile, quantifying the effect of LULC change on water resources in the source regions is very important for the assessment of water resources availability and management downstream in the riparian states in general and the study watersheds in particular. In this study, an integrated approach comprising hydrological modeling and partial least squares regression (PLSR) was used to quantify the contributions of changes in individual LULC classes to changes in hydrological components. Two watersheds, namely Lake Tana and Beles in the Upper Blue Nile Basin in Ethiopia, were considered for the conduction of hydrological modeling using LULC maps and the Soil and Water Assessment Tool (SWAT). In the Tana sub-basin, it is found that expansion of cultivation land and decline in woody shrub are the major contributors to the rise in surface run-off and to the decline in the groundwater component. Similarly, decline of woodland and expansion of cultivation land are the major contributors to the increase in surface run-off and water yield in the Beles sub-basin. Increased run-off and reduced baseflow and actual evapotranspiration would have negative impacts on water resources, especially in relation to erosion and sedimentation in the upper Blue Nile River Basin. As a result, expansion of cultivation land and decline in woody shrub/woodland appear to be major environmental stressors affecting local water resources. The wider implications of the hydrological changes on the Easter Nile water resources are briefly discussed. The approach to assessing changes in basin hydrology could generally be applied to a variety of other watersheds for which temporal digital LULC maps are available.

  16. An ethnobotanical study of medicinal plants in Wayu Tuka District, East Welega Zone of Oromia Regional State, West Ethiopia

    PubMed Central

    2013-01-01

    Background This paper reports an ethnobotanical study that focused on the traditional medicinal plants used by local communities to treat human and livestock ailments. A cross-sectional study was undertaken from September 2009 to June 2010 in Wayu Tuka District of Oromia Region, Ethiopia. The aim of the study is to document medicinal plants used by local people of the study area and the threats currently affecting medicinal plants. Methods Ethnobotanical data were collected using semi-structured interviews, field observations and group discussion in which 63 (41 men & 22 women) randomly selected informants participated. Of which, 11 (10 male and 1 female) were local healers. Paired comparison method, direct matrix ranking and Informant consensus factors (ICF) were used to analyze the importance of some plant species. Results A total of 126 medicinal plant species, distributed in 108 genera and 56 families, were collected together with their medicinal uses. Of the 126 species of medicinal plants collected from the study area, eighty six (68%) were obtained from the wild whereas thirty three (26%) were from homegardens. The Fabaceae came out as a leading family with 15 medicinal species while the Solanaceae followed with eight species. Seventy eight (62%) of the medicinal plants were reported as being used for treating human ailments, 23 (18.2%) for the treatment of livestock ailments and 25 (20%) for both. The most frequently used plant parts were leaves (43%), followed by roots (18.5%) while crushing, which accounted for (29%) and powdering (28%) were the widely used methods of preparation of traditional herbal medicines. Conclusion The number of reported medicinal plants and their uses by the local people of the District indicate the depth of the local indigenous knowledge on medicinal plants and their application. The documented medicinal plants can serve as a basis for future investigation of modern drug. PMID:24295044

  17. Molecular detection of Acinetobacter species in lice and keds of domestic animals in Oromia Regional State, Ethiopia.

    PubMed

    Kumsa, Bersissa; Socolovschi, Cristina; Parola, Philippe; Rolain, Jean-Marc; Raoult, Didier

    2012-01-01

    This study was conducted to determine the presence of Acinetobacter and Rickettsia species DNA in lice and Melophagus ovinus (sheep ked) of animals from Oromia Regional State in Ethiopia. From September through November 2011, a total of 207 cattle, 85 sheep, 47 dogs and 16 cats were examined for ectoparasites. Results of morphological identification revealed several species of ectoparasites: Linognathus vituli (L. vituli), Bovicola bovis (B. bovis) and Solenopotes capillatus (S. capillatus) on cattle; B. ovis and Melophagus ovinus (M. ovinus) on sheep; and Heterodoxus spiniger (H. spiniger) on dogs. There was a significantly (p≤0.0001) higher prevalence of L. vituli observed in cattle than both S. capillatus and B. bovis. Molecular identification of lice using an 18S rRNA gene analysis confirms the identified lice species by morphological methods. We detected different Acinetobacter species among lice (11.1%) and keds (86.4%) including A. soli in L. vituli of cattle, A. lowffii in M. ovinus of sheep, A. pittii in H. spiniger of dogs, 1 new Acinetobacter spp. in M. ovinus and 2 new Acinetobacter spp. in H. spiniger of dogs using partial rpoB gene sequence analysis. There was a significantly higher prevalence of Acinetobacter spp. in keds than in lice (p≤0.00001). Higher percentage of Acinetobacter spp. DNA was detected in H. spiniger than in both B. ovis and L. vituli (p≤0.00001). Carbapenemase resistance encoding genes for blaOXA-23, blaOXA-24, blaOXA-58, blaNDM-1 and blaOXA-51 were not found in any lice and keds. These findings suggest that synanthropic animals and their ectoparasites might increase the risk of human exposure to zoonotic pathogens and could be a source for Acinetobacter spp. infections in humans. However, additional epidemiological data are required to determine whether ectoparasites of animals can act as environmental reservoirs and play a role in spreading these bacteria to both animal and human hosts.

  18. Health Extension Workers' and Mothers' Attitudes to Maternal Health Service Utilization and Acceptance in Adwa Woreda, Tigray Region, Ethiopia

    PubMed Central

    Jackson, Ruth; Tesfay, Fisaha Haile; Godefay, Hagos; Gebrehiwot, Tesfay Gebregzabher

    2016-01-01

    Background The maternal health system in Ethiopia links health posts in rural communities (kebeles) with district (woreda) health centres, and health centres with primary hospitals. At each health post two Health Extension Workers (HEWs) assist women with birth preparedness, complication readiness, and mobilize communities to facilitate timely referral to mid-level service providers. This study explored HEWs’ and mother’s attitudes to maternal health services in Adwa Woreda, Tigray Region. Methods In this qualitative study, we trained 16 HEWs to interview 45 women to gain a better understanding of the social context of maternal health related behaviours. Themes included barriers to health services; women’s social status and mobility; and women’s perceptions of skilled birth attendant’s care. All data were analyzed thematically. Findings There have been substantial efforts to improve maternal health and reduce maternal mortality in Adwa Woreda. Women identified barriers to healthcare including distance and lack of transportation due to geographical factors; the absence of many husbands due to off-woreda farming; traditional factors such as zwar (some pregnant women are afraid of meeting other pregnant women), and discouragement from mothers and mothers-in-law who delivered their children at home. Some women experienced disrespectful care at the hospital. Facilitators to skilled birth attendance included: identification of pregnant women through Women’s Development Groups (WDGs), and referral by ambulance to health facilities either before a woman’s Expected Due Date (EDD) or if labour started at home. Conclusion With the support of WDGs, HEWs have increased the rate of skilled birth attendance by calling ambulances to transfer women to health centres either before their EDD or when labour starts at home. These findings add to the growing body of evidence that health workers at the community level can work with women’s groups to improve maternal

  19. Health Extension Workers' and Mothers' Attitudes to Maternal Health Service Utilization and Acceptance in Adwa Woreda, Tigray Region, Ethiopia.

    PubMed

    Jackson, Ruth; Tesfay, Fisaha Haile; Godefay, Hagos; Gebrehiwot, Tesfay Gebregzabher

    2016-01-01

    The maternal health system in Ethiopia links health posts in rural communities (kebeles) with district (woreda) health centres, and health centres with primary hospitals. At each health post two Health Extension Workers (HEWs) assist women with birth preparedness, complication readiness, and mobilize communities to facilitate timely referral to mid-level service providers. This study explored HEWs' and mother's attitudes to maternal health services in Adwa Woreda, Tigray Region. In this qualitative study, we trained 16 HEWs to interview 45 women to gain a better understanding of the social context of maternal health related behaviours. Themes included barriers to health services; women's social status and mobility; and women's perceptions of skilled birth attendant's care. All data were analyzed thematically. There have been substantial efforts to improve maternal health and reduce maternal mortality in Adwa Woreda. Women identified barriers to healthcare including distance and lack of transportation due to geographical factors; the absence of many husbands due to off-woreda farming; traditional factors such as zwar (some pregnant women are afraid of meeting other pregnant women), and discouragement from mothers and mothers-in-law who delivered their children at home. Some women experienced disrespectful care at the hospital. Facilitators to skilled birth attendance included: identification of pregnant women through Women's Development Groups (WDGs), and referral by ambulance to health facilities either before a woman's Expected Due Date (EDD) or if labour started at home. With the support of WDGs, HEWs have increased the rate of skilled birth attendance by calling ambulances to transfer women to health centres either before their EDD or when labour starts at home. These findings add to the growing body of evidence that health workers at the community level can work with women's groups to improve maternal health, thus reducing the need for emergency obstetric care

  20. Determinants of Desire for Children among HIV-Positive Women in the Afar Region, Ethiopia: Case Control Study.

    PubMed

    Mohammed, Fatimetu; Assefa, Nega

    2016-01-01

    The desire for a child in Ethiopian society is normal. Among HIV positive women, due to the risk of MTCT, it is imperative to understand factors influencing women's desire for children. This study aimed at assessing factors associated with desire for children among HIV-positive women in two selected hospitals of Afar Regional State, Ethiopia. A facility based case-control study was conducted among 157 cases (with a desire) and 157 controls of HIV positive individuals registered in the selected health facilities. The participants were selected by random sampling technique. Data were collected using face-to-face interview and was analyzed using logistic regression. Factors found to be independently associated with desire for children were age categories of 20-24 years (OR = 6.22, 1.29-10.87) and 25-29 years (OR = 14.6, 3.05-21.60), being married (OR = 5.51, 2.19-13.54), Afar ethnicity (OR 6.93, 1.19-12.14), having HIV-positive children (OR 0.23, 0.09-0.63), duration on ART more than one year (3.51, 1.68-9.05), CD4 count greater than 350 (OR 4.83, 1.51-7.27) and discussion of reproductive health issues with health providers (OR 0.31, 0.12-0.51). Women who were young, married, Afar, those who received ART more than one year, and had CD4 count >350 were more likely to have a desire for children. Health care workers at ART clinic should openly discuss about the reproductive options for the women living with HIV/AIDS.

  1. Modern contraceptive utilization and associated factors among married pastoralist women in Bale eco-region, Bale Zone, South East Ethiopia.

    PubMed

    Belda, Semere Sileshi; Haile, Mekonnen Tegegne; Melku, Abulie Takele; Tololu, Abdurehaman Kalu

    2017-03-14

    Women who live in remote rural areas encounter different challenges against contraception and often deny the use of modern contraceptive methods. The predictors of modern contraceptive utilization by pastoralist women in the Bale eco-region could be specific and are not well known. Therefore, this study aims to assess modern contraceptive utilization and its determinants among married pastoralist women in Bale eco-region, Oromia regional state, South East Ethiopia. A community-based cross-sectional study was conducted from 20th November 2015 to 30th February 2016. A structured questionnaire was used to interview 549 married pastoralist women who were selected by multistage sampling technique. The data were analyzed by SPSS - 21 software, multivariate logistic regression analysis was used to identify predictors of modern contraceptive use at (P-value <0.05), and odds ratios with 95% confidence interval were used to assess the strength of associations between variables. The current modern contraceptive method use by married pastoralist women was (20.8%). Among the total users, (78.1%) use the injectable method. The common reasons for non-use of modern contraceptive methods includes: religious-opposition (55.9%), desire for more children (28.3%), fear of side effects (25.5%), and husband's opposition (17.5%). Couple discussion (AOR = 4.63, 95%CI: 2.15, 9.98), perceived husband's approval (AOR = 8.00, 95% CI: 3.52, 18.19), discussion with health extension worker (AOR = 5.99, 95% CI: 1.81, 19.85), and perceived cultural acceptability (AOR = 2.10, 95% CI: 1.09, 4.03) were the independent predictors of modern contraceptive use by married pastoralist women in Bale eco-region. The study identified lower modern contraceptive method utilization by pastoralist women, and the majority of the contraceptive users rely on short- acting contraceptive methods. The uncomplimentary perceptions towards religious and cultural acceptability of modern contraceptive method

  2. Predictors of loss to follow-up in antiretroviral treatment for adult patients in the Oromia region, Ethiopia

    PubMed Central

    Megerso, Abebe; Garoma, Sileshi; Eticha, Tolosa; Workineh, Tilaye; Daba, Shallo; Tarekegn, Mihretu; Habtamu, Zelalem

    2016-01-01

    Purpose It is known that antiretroviral treatment (ART) reduces mortality from acquired immunodeficiency syndrome related causes. Patient’s lost to follow-up (LTFU) in this treatment poses a paramount problem to the public and health care services. Information on predictors of loss to follow-up is scarce in this study area and similar settings. Therefore, this study aimed at identifying correlates of loss to follow-up in ART among adult patients in the Oromia region of Ethiopia. Methods A case–control study was conducted between February 2015 and April 2015 using medical records. The stratified sampling technique was used to select health facilities. The number of patient records to be included in the study was proportionally allocated to each stratum based on their patient proportion in the regional data. Specific health facilities from which to include the records were randomly selected from a list of the health facilities per stratum. All adult patient records registered as LTFU (416) in the selected health facilities during the 12-month period prior to the data collection date, and 832 patients with good adherence to ART were included. Data were double-entered into Epi Info 7 and analyzed using SPSS 20. Descriptive statistics and binary logistic regression were used to report the results. Qualitative data were thematically analyzed using open code computer software. Results Age 15–24 years (adjusted odds ratio [AOR], 19.82 95% CI: 6.80, 57.73); day laborers (AOR, 5.36; 95% confidence interval [CI]: 3.23, 8.89), rural residents (AOR, 2.35; 95% CI: 1.45, 3.89), World Health Organization clinical stage IV (AOR, 2.29; 95% CI: 1.45, 3.62), baseline CD4 <350 cells/mL (AOR, 2.06; 95% CI: 1.36, 3.13), suboptimal adherence to ART (AOR, 7.42; 95% CI: 1.87, 29.41), were factors which increased the risk of loss to follow-up in ART. Conclusion Multiple risk factors, both socioeconomic and clinical, were associated with loss to follow-up. Attention is required to

  3. Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, ethiopia.

    PubMed

    Hailemariam, Assefa; Haddis, Fikrewold

    2011-07-01

    High fertility and low contraceptive prevalence characterize Southern Nations, Nationalities and Peoples Region. In such populations, unmet needs for contraception have a tendency to be high, mainly due to the effect of socio-economic and demographic variables. However, there has not been any study examining the relationship between these variables and unmet need in the region. This study, therefore, identifies the key socio- demographic determinants of unmet need for family planning in the region. The study used data from the 2000 and 2005 Ethiopian Demographic and Health Surveys. A total of 2,133 currently married women age 15-49 from the 2000 survey and 1,988 from the 2005 survey were included in the study. Unmet need for spacing, unmet need for limiting and total unmet need were used as dependent variables. Socio- demographic variables (respondent's age, age at marriage, number of living children, sex composition of living children, child mortality experience, place of residence, respondent's and partner's education, religion and work status) were treated as explanatory variables and their relative importance was examined on each of the dependent variables using multinomial and binary logistic regression models. Unmet need for contraception increased from 35.1% in 2000 to 37.4% in 2005. Unmet need for spacing remained constant at about 25%, while unmet need for limiting increased by 20% between 2000 and 2005. Age, age at marriage, number of living children, place of residence, respondent's education, knowledge of family planning, respondent's work status, being visited by a family planning worker and survey year emerged as significant factors affecting unmet need. On the other hand, number of living children, education, age and age at marriage were the only explanatory variables affecting unmet need for limiting. Number of living children, place of residence, age and age at marriage were also identified as factors affecting total unmet need for contraception

  4. Isolation of Multidrug-Resistant Escherichia coli O157 from Goats in the Somali Region of Ethiopia: A Cross-Sectional, Abattoir-Based Study

    PubMed Central

    Dulo, Fitsum; Feleke, Aklilu; Szonyi, Barbara; Fries, Reinhard; Baumann, Maximilian P. O.; Grace, Delia

    2015-01-01

    Toxigenic Escherichia coli (E. coli) are an important cause of gastroenteritis in developing countries. In Ethiopia, gastroenteritis due to food-borne disease is a leading cause of death. Yet, there is no surveillance for E. coli O157 and little is known about the carriage of this pathogen in Ethiopia’s livestock. This study aimed to assess the prevalence and levels of antimicrobial resistance of E. coli O157 in goat meat, feces, and environmental samples collected at a large abattoir in the Somali region of Ethiopia. The samples were enriched in modified tryptone broth containing novobiocin, and plated onto sorbitol MacConkey agar. Isolates were confirmed using indole test and latex agglutination. Antimicrobial susceptibility testing was conducted using the disk diffusion method. A total of 235 samples, including 93 goat carcass swabs, 93 cecal contents, 14 water, 20 hand, and 15 knife swabs were collected. Overall, six (2.5%) samples were contaminated with E. coli O157 of which two (2.1%) were isolated from cecal contents, three (3.2%) from carcass swabs, and one (7.1%) from water. All isolates were resistant to at least two of the 18 antimicrobials tested. Two isolates (33.3%) were resistant to more than five antimicrobials. Abattoir facilities and slaughter techniques were conducive to carcass contamination. This study highlights how poor hygiene and slaughter practice can result in contaminated meat, which is especially risky in Ethiopia because of the common practice of eating raw meat. We detect multi-resistance to drugs not used in goats, suggesting that drugs used to treat human infections may be the originators of antimicrobial resistance in livestock in this ecosystem. The isolation of multidrug-resistant E. coli O157 from goats from a remote pastoralist system highlights the need for global action on regulating and monitoring antimicrobial use in both human and animal populations. PMID:26561414

  5. Provider-initiated HIV testing and counseling among tuberculosis patients in a hospital in the Oromia region of Ethiopia.

    PubMed

    Yadeta, Damtew; Alemseged, Fisehaye; Biadgilign, Sibhatu

    2013-06-01

    Routine testing for human immunodeficiency virus (HIV) in settings with generalized HIV epidemics affords the benefit of diagnosing the infection early and thereby preventing morbidity, mortality and sustained transmission; early detection hastens the initiation of cotrimoxazole prophylaxis and anti-retroviral treatment (ART). Therefore, the objective of this study was to assess HIV counseling and testing among tuberculosis patients under routine care conditions in the Bishoftu hospital within the Oromia region of Ethiopia. A retrospective study was conducted from a tuberculosis (TB) registry, which included data from all adult patients who were diagnosed and treated at Bishoftu Hospital in Oromia from 2009 through 2011. The data were reviewed, coded and entered into the computer software, SPSS version 16.0, for analysis. We used a descriptive and multi-variable logistic regression model to predict HIV-positive status. Among the 682 patients recorded on the TB registry, the required variables for this study were completed for 681 adult tuberculosis patients. Out of all the TB patients for whom the variables were collected, 98% (669/681) were offered HIV counseling and testing, and nearly all of them (668/669) accepted and were tested for HIV. Among those patients who accepted for testing and were tested for HIV, 32.2% (215/668) tested positive. Pulmonary TB, among all types of all forms of TB, urban residence and the 25-64 age group were more generally associated with an HIV-positive status; however, male sex and pulmonary-positive types of TB were less likely to be HIV-positive. The acceptance rate for HIV counseling and testing services among TB patients was very high. However, there were missed cases in which the test was not offered. The prevalence of HIV was very high, and the infection was more prevalent among urban residents, females, young people and pulmonary-negative TB patients; thus, these patients need attention from all concerned parties. Copyright

  6. Low Coverage of Hepatitis B Vaccine and Determinants Among Health Professionals Working in Amhara Regional State Hospitals, Ethiopia

    PubMed Central

    2016-01-01

    More than two billion people have been infected with hepatitis B virus (HBV), 360 million have chronic infection and 600,000 die each year from HBV-related liver disease or hepatocellular carcinoma. Each year more than 66,000 health professionals are infected by hepatitis b virus and vaccination against hepatitis B saves the life’s of these health professionals. The aim of this study was to determine the prevalence and associated factors of hepatitis B vaccine coverage in a resource limited settings. A cross sectional study design was conducted. The study was conducted on 1184 health professionals at Amhara national regional state, Ethiopia. Simple random sampling technique was used. Structured questionnaire was used to collect the data. Descriptive statistics were used to identify the prevalence while Binary logistic regression was used to assess the determinants of hepatitis B vaccine coverage. The coverage of hepatitis B vaccine was 4%. Vaccination were affected by work load (AOR=0.19, 95%CI= 0.08-0.46; P<0.01), negligence (AOR=0.04, 95%CI=0.01-0.11: P<0.01), universal precaution training (AOR=14.75, 95%CI=5.66-38.44: P<0.01), perception that they are not at risk of infection (AOR=0.34, 95%CI=0.15-0.79: P=0.01), unaffordable cost (AOR=0.12, 95%CI=0.05-0.28: P<0.01), awareness about the vaccine (AOR=4.55, 95%CI=1.53-13.49: P<0.01), peer pressure (AOR=3.8, 95%CI=1.34-10.74: P=0.01), knowledge about where to get the vaccine (AOR=5.13, 95%CI=1.87-14.11: P=0.02), unavailability of the vaccine (AOR=0.25, 95%CI=0.1-0.63: P=0.03), year of experience (AOR=7.27, 95%CI=2.23-23.72: P<0.01). Low hepatitis B vaccine coverage was observed. The ministry of health should avail the vaccine to all those health professionals, develop awareness on HBV and improve the affordability of the vaccine. PMID:28299157

  7. Trace Element Contamination in Tissues of Four Bird Species from the Rift Valley Region, Ethiopia.

    PubMed

    Yohannes, Yared Beyene; Ikenaka, Yoshinori; Nakayama, Shouta M M; Mizukawa, Hazuki; Ishizuka, Mayumi

    2017-02-01

    Concentrations of ten trace elements (Hg, As, Cd, Pb, Co, Cr, Cu, Ni, Se and Zn) were determined in different tissues (liver, kidney, muscle, heart and brain) of African sacred ibis (Threskiornis aethiopicus), Hamerkop (Scopus umbretta), marabou stork (Leptoptilos crumeniferus) and great white pelican (Pelecanus onocrotalus) inhabiting the Ethiopian Rift Valley region. There were differences in trace element patterns among the bird species. Significantly (p < 0.05) higher concentrations of Cd (5.53 µg/g dw ± 2.94) in kidney and Hg (0.75 µg/g ww ± 0.30) in liver were observed in the great white pelican compared to the other species, and liver concentrations of these two elements showed positive correlations with trophic level. Concentrations of toxic elements (As, Cd, Pb and Hg) in liver were below their respective toxicological thresholds, indicating that the data may provide baseline information for future studies.

  8. Mites of sheep and goats in Oromia Zone of Amhara Region, North Eastern Ethiopia: species, prevalence and farmers awareness.

    PubMed

    Yasine, Ahmed; Kumsa, Bersissa; Hailu, Yacob; Ayana, Dinka

    2015-05-24

    Mites are one of the most common and widely distributed ectoparasites of small ruminants in Ethiopia, contributing to major hindrances in livestock productivity in the country. Despite of this fact, specific study was not conducted on mites of small ruminants in Ethiopia. Therefore, the present study was performed from October 2009 to May 2010 to determine the prevalence and species composition of mites in three agroecological zones in north eastern Ethiopia. In addition, a questionnaire survey on mites was conducted to assess the control practices and awareness of farmers in the study areas. Out of a total of 1280 sheep and 1264 goats examined, 97(7.6 %) of sheep and 174(13.8 %) goats were infested with one or more species of mites. In goats an overall prevalence of 10.3 % Sarcoptes, 2.8 % Demodex and 0.6 % Psoroptes were recorded whereas in sheep an overall prevalence of 3.5 % Sarcoptes, 2.1 % Demodex and 1.6 % Psoroptes were observed. Sarcoptes (P = 0.03; OR = 2.1) and Demodex (OR = 3.25; p = 0.004) were significantly more common in young than in adult sheep. Demodectic mange was significantly higher in young (4.1 %) compared to adult (2.3 %) goats (OR = 2.2; P = 0.02). Significantly higher (P < 0.01) overall prevalence of sarcoptic and demodectic mites in both sheep and goats with poor than with good body condition was recorded. Results of the questionnaire survey supported results of our cross-sectional study. This study demonstrates high prevalence of mange mites in sheep and goats of the study area. The study revealed that Sarcoptes is the predominant mite in both sheep and goats. Animal owners and veterinarians should consider mite control in small ruminants as part of the routine ectoparasite control in Ethiopia.

  9. Examining significant factors in micro and small enterprises performance: case study in Amhara region, Ethiopia

    NASA Astrophysics Data System (ADS)

    Cherkos, Tomas; Zegeye, Muluken; Tilahun, Shimelis; Avvari, Muralidhar

    2017-07-01

    Furniture manufacturing micro and small enterprises are confronted with several factors that affect their performance. Some enterprises fail to sustain, some others remain for long period of time without transforming, and most are producing similar and non-standard products. The main aim of this manuscript is on improving the performance and contribution of MSEs by analyzing impact of significant internal and external factors. Data was collected via a questionnaire, group discussion with experts and interviewing process. Randomly selected eight representative main cities of Amhara region with 120 furniture manufacturing enterprises are considered. Data analysis and presentation was made using SPSS tools (correlation, proximity, and T test) and impact-effort analysis matrix tool. The correlation analysis shows that politico-legal with infrastructure, leadership with entrepreneurship skills and finance and credit with marketing factors are those factors, which result in high correlation with Pearson correlation values of r = 0.988, 0.983, and 0.939, respectively. The study investigates that the most critical factors faced by MSEs are work premises, access to finance, infrastructure, entrepreneurship and business managerial problems. The impact of these factors is found to be high and is confirmed by the 50% drop-out rate in 2014/2015. Furthermore, more than 25% work time losses due to power interruption daily and around 65% work premises problems challenged MSEs. Further, an impact-effort matrix was developed to help the MSEs to prioritize the affecting factors.

  10. Pathology of Camel Tuberculosis and Molecular Characterization of Its Causative Agents in Pastoral Regions of Ethiopia

    PubMed Central

    Mamo, Gezahegne; Bayleyegn, Gizachew; Sisay Tessema, Tesfaye; Legesse, Mengistu; Medhin, Girmay; Bjune, Gunnar; Abebe, Fekadu; Ameni, Gobena

    2011-01-01

    A cross sectional study was conducted on 906 apparently healthy camels slaughtered at Akaki and Metehara abattoirs to investigate the pathology of camel tuberculosis (TB) and characterize its causative agents using postmortem examination, mycobacteriological culturing, and multiplex polymerase chain reaction (PCR), region of difference-4 (RD4)-based PCR and spoligotyping. The prevalence of camel TB was 10.04% (91/906) on the basis of pathology and it was significantly higher in females (χ2 = 4.789; P = 0.029). The tropism of TB lesions was significantly different among the lymph nodes (χ2 = 22.697; P = 0.002) and lung lobes (χ2 = 17.901; P = 0.006). Mycobacterial growth was observed in 34% (31/91) of camels with grossly suspicious TB lesions. Upon further molecular characterization using multiplex PCR, 68% (21/31) of the colonies showed a positive signal for the genus Mycobacterium, of which two were confirmed Mycobacterium bovis (M. bovis) by RD4 deletion typing. Further characterization of the two M. bovis at strains level revealed that one of the strains was SB0133 while the other strain was new and had not been reported to the M. bovis database prior to this study. Hence, it has now been reported to the database, and designated as SB1953. In conclusion, the results of the present study have shown that the majority of camel TB lesions are caused by mycobacteria other than Mycobacterium tuberculosis complex. And hence further identification and characterization of these species would be useful towards the efforts made to control TB in camels. PMID:21283668

  11. The quality of sputum smear microscopy in public-private mix directly observed treatment laboratories in West Amhara region, Ethiopia.

    PubMed

    Manalebh, Almaw; Demissie, Meaza; Mekonnen, Daniel; Abera, Bayeh

    2015-01-01

    Ethiopia adopted Public-Private Mix Directly Observed Treatment Short Course Chemotherapy (PPM-DOTS) strategy for tuberculosis (TB) control program. Quality of sputum smear microscopy has paramount importance for tuberculosis control program in resource-poor countries like Ethiopia. A cross-sectional study was conducted to assess the quality of sputum smear microscopy in 37 Public-Private Mix laboratories in West Amhara, Ethiopia. The three external quality assessment methods (onsite evaluation, panel testing and blind rechecking) were employed. Onsite assessment revealed that 67.6% of PPM-DOTS laboratories were below the standard physical space (5 X 6) m2. The average monthly workload per laboratory technician was 19.5 (SD±2.9) slides with 12.8% positivity rate. The quality of Acid Fast Bacilli (AFB) staining reagents was sub-standard. The overall agreement for blind rechecking of 1,123 AFB slides was 99.4% (Kappa = 0.97). Reading of 370 AFB panel slides showed 3.5% false reading (Kappa = 0.92). Moreover, the consistency of reading scanty bacilli slides was lower (93%) compared to 1+, 2+ and 3+ bacilli. Based on blind rechecking and panel testing results, PPM-DOTS site laboratories showed good agreement with the reference laboratory. Physical space and qualities of AFB reagents would be areas of intervention to sustain the quality of sputum smear microscopy. Therefore, regular external quality assessment and provision of basic laboratory supplies for TB diagnosis would be the way forward to improve the quality of sputum smear microscopy services in PPM-DOTS laboratories.

  12. Notes from the Field: Assessment of Health Facilities for Control of Canine Rabies - Gondar City, Amhara Region, Ethiopia, 2015.

    PubMed

    Pieracci, Emily G; Schroeder, Betsy; Mengistu, Araya; Melaku, Achenef; Shiferaw, Miriam; Blanton, Jesse D; Wallace, Ryan

    2016-05-06

    Rabies is an encephalitic disease that is nearly always fatal after onset of illness. Worldwide, rabies kills an estimated 59,000 humans each year (95% confidence interval [CI] = 25,000-159,000); the majority of the deaths are caused by the rabies virus variant that circulates in dogs (1,2). Canine rabies is endemic in Ethiopia, with an estimated 2,771 human deaths annually (CI = 1,116-12,660) (1-3). Annual rabies-associated livestock losses are estimated at >$50 million (USD), making rabies important to both human and animal health (1).

  13. Perinatal depression and associated factors among reproductive aged group women at Goba and Robe Town of Bale Zone, Oromia Region, South East Ethiopia.

    PubMed

    Tefera, Tomas Benti; Erena, Asfaw Negero; Kuti, Kemal Ahmed; Hussen, Mohammedawel Abduku

    2015-01-01

    In sub Saharan Africa little progress has been made towards achieving the Millennium Development Goals. Lack of achievement of MDGs is reflected in only minor changes in maternal mortality and child health - this is especially true in Ethiopia. Perinatal depression is common in developing countries where one in three women has a significant mental health problem during pregnancy and after childbirth. Perinatal depression is associated with inadequate prenatal care and poor maternal weight gain, low infant birth weight, and infant growth restriction. This study determined the prevalence of perinatal depression and its associated factors among reproductive age group women at Goba and Robe town of Bale zone; Oromia Region, South East Ethiopia. A cross sectional study with Simple Random sampling was employed to include 340 eligible subjects. The WHO self reporting questionnaire with 20 items with a cut off point 6 and above was used to separate non-cases/cases of perinatal depression. Data were collected by trained data collectors. Descriptive analysis was done using SPSS Version 16. Multivariate logistic regression was used to identify independent predictors of perinatal depression at 95% CI and P value of ≤ 0.05. Prevalence of perinatal depression was about 107(31.5%). About 20(5.9%), 86(25.3%) were current smokers and alcohol consumers respectively. Two hundred seventy seven (71.2%) of the respondents reported husband support during their pregnancy and after birth and 195(59.3%) were reported support from the husband's family/relatives. Maternal perceived difficulty of child care, family History of mental illness, family visit during the perinatal period, history of child death and husband smoking status were found as independent predictors of perinatal depression. This study found that 1 in 3 women in this region of Ethiopia have depression. Depression screening is not currently routine care, but should be given due attention due to the high prevalence of

  14. Awareness of female students attending higher educational institutions toward legalization of safe abortion and associated factors, Harari Region, Eastern Ethiopia: a cross sectional study.

    PubMed

    Geleto, Ayele; Markos, Jote

    2015-03-17

    Unsafe abortion has been recognized as an important public health problem in the world. It accounts for 14% of all maternal deaths in sub-Saharan African countries. In Ethiopia, 32% of all maternal deaths are accounted to unsafe abortion. Taking the problem of unsafe abortion into consideration, the penal code of Ethiopia was amended in 2005, to permit safe abortion under a set of circumstances. However, lack of awareness on the revised penal code is a major barrier that hinders women to seek safe abortion. The aim of this study is to assess awareness of female students attending higher educational institutions toward legalization of safe abortion and associated factors in Harari region, eastern Ethiopia. Institution-based descriptive cross sectional study was conducted among 762 female students who are attending five higher educational institutions in Harari Region. Systematic sampling method was used to identify study participants from randomly selected colleges. Self administered structured questionnaire was used to collect data. Data were entered in to Epi Info version 6.04 and analyzed by SPSS version 17.0 statistical packages. Frequency, percentage and ratio were used to describe variables. Multivariable logistic regression analysis was done to control confounders and odds ratio with 95% confidence interval was used to identify factors associated with awareness of female students to legalization of abortion. 762 study participants completed the survey questionnaire making the response rate 90.2%. Only 272 (35.7%) of the respondents reported that they have good awareness about legalization of safe abortion. Studying other fields than health and medicine [AOR 0.48; 95%CI (0.23, 0.85)], being the only child for their family [AOR 0.28; 95%CI (0.13, 0.86)], having no boy friend [AOR 0.34; 95%CI (0.12, 0.74)], using family planning [AOR 0.50; 95%CI (0.13 and 0.86)], being 25 years or older [AOR 1.64; 95%CI (1.33, 2.80)] were significantly associated with awareness

  15. Knowledge about Obstetric Danger Signs and Associated Factors among Mothers in Tsegedie District, Tigray Region, Ethiopia 2013: Community Based Cross-Sectional Study

    PubMed Central

    2014-01-01

    Background In many developing countries including Ethiopia, maternal morbidity and mortality still pose a substantial burden and thus progress towards the fifth Millennium Development Goal (MDG) remains slow. Raising awareness of women about the danger signs of pregnancy and childbirth is the first essential step in accepting appropriate and timely referral to obstetric care. However, in Ethiopia little is known about the knowledge level of mothers about obstetric danger signs. The objective of this study was to assess the status of knowledge of danger signs of pregnancy and childbirth among mothers who gave birth in the past two years prior to the survey in Tsegedie district, Tigray regional state, Ethiopia. Methods A Community based cross-sectional study was conducted from November 20, 2012 to June 30, 2013 on a randomly selected sample of 485 women who had at least one delivery in the past two years. Multistage sampling technique was employed to select the study participants. A pre-tested structured questionnaire was used to collect quantitative data. Focus group discussion and in-depth interviews were utilized to supplement the Quantitative data. Bivariate and multivariate data analysis was performed using SPSS version 17.0 software. Result Four hundred eighty five mothers participated in the study making a response rate of 100%. Vaginal bleeding was the most commonly mentioned danger signs of pregnancy (49.1%) and childbirth (52.8%). Two hundred eighty five (58.8%) and 299 (61.6%) of respondents mentioned at least two danger signs of pregnancy and childbirth respectively. One hundred seventy (35.1%) and 154 (31.8%) of respondents didn't know any danger signs of pregnancy and childbirth respectively. Educational status of the mother, place of delivery and having functional radio were found to be independent predictors of knowledge of women about the danger signs of pregnancy and childbirth. Conclusion Educational status of the mother, place of delivery and

  16. Epidemiology of Soil-Transmitted Helminth and Intestinal Protozoan Infections in Preschool-Aged Children in the Amhara Region of Ethiopia.

    PubMed

    Aiemjoy, Kristen; Gebresillasie, Sintayehu; Stoller, Nicole E; Shiferaw, Ayalew; Tadesse, Zerihun; Chanyalew, Melsew; Aragie, Solomon; Callahan, Kelly; Keenan, Jeremy D

    2017-02-06

    Intestinal parasites are important contributors to global morbidity and mortality and are the second most common cause of outpatient morbidity in Ethiopia. This cross-sectional survey describes the prevalence of soil-transmitted helminths and intestinal protozoa in preschool children 0-5 years of age in seven communities in the Amhara region of Ethiopia, and investigates associations between infection, household water and sanitation characteristics, and child growth. Stool samples were collected from children 0-5 years of age, 1 g of sample was preserved in sodium acetate-acetic acid-formalin, and examined for intestinal helminth eggs and protozoa cysts ether-concentration method. A total of 212 samples were collected from 255 randomly selected children. The prevalence of Ascaris lumbricoides, Trichuris trichiura, and hookworm were 10.8% (95% confidence interval [CI] 6.6-15.1), 1.4% (95% CI = 0-3.0), and 0% (95% CI = 0-1.7), respectively. The prevalence of the pathogenic intestinal protozoa Giardia lamblia and Entamoeba histolytica/dispar were 10.4% (95% CI = 6.2-14.6) and 3.3% (95% CI = 0.09-5.7), respectively. Children with A. lumbricoides infections had lower height-for-age z-scores compared with those without, but were not more likely to have stunting. Compared with those without G. lamblia, children with G. lamblia infections had lower weight-for-age and weight-for-height z-scores and were more than five times as likely to meet the z-score definition for wasting (PR = 5.42, 95% CI = 2.97-9.89). This article adds to a growing body of research on child growth and intestinal parasitic infections and has implications for their treatment and prevention in preschool-aged children.

  17. Prevalence, risk factors, and major bacterial causes of camel mastitis in Borana Zone, Oromia Regional State, Ethiopia.

    PubMed

    Regassa, Alemayehu; Golicha, Gelma; Tesfaye, Dawit; Abunna, Fufa; Megersa, Bekele

    2013-10-01

    A cross-sectional study was carried out from November 2010 up to April 2011 to estimate mastitis prevalence and associated risk factors and to assess its bacterial causes in traditionally managed camels in Borana Zone, Southern Ethiopia. Thus, 348 lactating camels were examined clinically, and subclinical cases were checked with California mastitis test (CMT). The overall prevalence of mastitis was 44.8 % (156/348), comprising clinical (19, 5.4 %) and subclinical (137, 39.4 %) cases. The quarter level prevalence of mastitis was 24.0 % (334/1,392). Of the total 1,392 examined teats, 30 were blind, and hence, from the 1,362 non-blind CMT-examined teats, 22.3 % (304/1,362) were CMT positive. Of the 304 CMT-positive samples, 264 were culture positive (197 Gram-positive, 41 Gram-negative, and 26 mixed isolates), and 40 were culture negative. The prevalence of Staphylococcus aureus was found to be the highest at both the animal (12.8 %, 39/304) and quarter level (2.9 %, 39/1,362). Regression analysis revealed higher likelihood of mastitis occurrence among camels from Dharito (OR = 3.4, 95 % confidence interval (CI) = 1.8, 6.4), Gagna (OR = 3.4, 95 % CI = 1.8, 6.5), and Haro Bake (OR = 2.6, 95 % CI = 1.3, 5.1) than camels from Surupha. Likewise, there was higher chance of mastitis occurrence among camels at the early lactation stage (OR = 2.3, 95 % CI = 1.1, 4.6) and camels with udder/teat lesions (OR = 13.7, 95 % CI = 1.7, 109.4) than among camels at late lactation stage and camels with healthy udder/teats, respectively. In conclusion, this study reveals the current status of camel mastitis in Southern Ethiopia.

  18. Some structural aspects of urbanization in Ethiopia.

    PubMed

    Rafiq, M; Hailemariam, A

    1987-07-01

    This article studies the emerging patterns of urbanization in Ethiopia. Over the period from 1967-1984, a number of structural changes have occurred which are likely to play a dominant role in the future urban growth in Ethiopia. In spite of its long history of settled population, Ethiopia did not witness sustained growth of urban centers. Ethiopia is 1 of the least urbanized areas in the Third World. A 3rd aspect of urbanization in Ethiopia is the wide range of regional differentials in the level of urbanization. Most of the urban population is concentrated in 2 administrative regions--Shoa and Eritrea. A more balanced urban growth may, inter alia, involve a better spread in terms of higher education, industrialization, provision of health and social services, and the development of communication and commercial infrastructure. Another striking feature of urbanization in Ethiopia is that growth has not been disproportionately concentrated in the largest urban centers. The largest urban centers have not assumed an inordinately higher level of primacy. The basic form of the curve depicting the relationship between the size of a locality and its rank has remained unchanged over the period. The post-revolution land reforms and the new socioeconomic structure emerging from reorganization of the society appear to have a rural-urban migration inhibiting effect. Some of the country's regional differentials may be associated with environmental factors.

  19. Seroepidemiological study of ovine toxoplasmosis in East and West Shewa Zones of Oromia Regional State, Central Ethiopia

    PubMed Central

    2013-01-01

    Background Toxoplasmosis is a globally distributed zoonosis. Consumption of raw or undercooked meat, which is among the main risk factors for acquiring human infection, is a popular tradition in Ethiopia. However, studies on toxoplasmosis in food animals used for human consumption in Ethiopia are very scarce. Thus, the objectives of the present study were to estimate the seroprevalence and the risk factors of T. gondii infection in sheep in Ambo, Ada’a-Liben and Fentale districts of Central Ethiopia. Sera from 1130 sheep were analyzed for Toxoplasma gondii specific IgG antibodies using an indirect enzyme linked immunosorbent assay (ELISA) with the P30 antigen. A questionnaire was administered to assess potential risk factors for T. gondii seropositivity. Association of seroprevalence with potential risk factors related to altitude, host and farm characteristics were analyzed by univariable and multivariable logistic regression. Results Overall flock and animal level seroprevalences were 70.48% (160/227; 95% CI: 64.51, 76.46) and 31.59% (357/1130; 95% CI: 28.88, 34.31), respectively. The multivariable logistic regression model indicated that the probability of acquiring T. gondii was higher in sheep from highland (2300 – 3200 meters above sea level) [Odds ratio (OR) = 4.11, 95% confidence interval (CI): 2.65, 6.36; P < 0.001] and midland (OR = 4.54, 95% CI: 2.76, 7.49; P < 0.001) than from lowland (<1500 meters above sea level), in females than in males (OR = 1.60, 95% CI: 1.04, 2.43, P = 0.033), in adult than in young animals (OR = 2.93, 95% CI: 1.97, 4.35, P < 0.001), in small than in large flocks (OR = 3.34, 95% CI: 1.26, 8.86, P = 0.016), and in sheep that were given tap water (OR = 4.07, 95% CI: 1.07, 15.42, P = 0.039) and river water (OR = 4.18, 95% CI: 1.54, 11.35, P = 0.005) than in those that drunk water from mixed sources (i.e., river, well, lake and pond). Conclusions The high flock and animal

  20. VISCERAL LEISHMANIASIS FROM AN AREA PREVIOUSLY NOT KNOWN TO BE ENDEMIC; DANGUR, BENSHANGUL-GUMUZ, REGIONAL STATE, NORTHWEST ETHIOPIA: A CASE REPORT.

    PubMed

    Abera, Adugna; Tasew, Geremew; Degu, Abay; Almneh, Mulusew; Mulugeta, Abate; Aseffa, Abraham; Gadisa, Endalamaw

    2016-01-01

    Visceral leishmaniasis (VL) is a ftial and growing public health problem in Ethiopia. VL is recently reported outside the major endemic foci, the lowlands in the northwest and the Omo and Abaroba-plain, Segen and Woito valleys in the southwest. Here, we report a visceral leishmaniasis case from Benishangul-Gumuz Regional state near the Guba area. The patient had no history of travel to known VL endemic areas. The patient is a temporary farm laborer from West Go'jam Zone, Wanbermna District in Amhara Regional State. While in Benishangul-Gumuz, the patient was diagnosed with prolonged and intermittentfever, epistaxis, splenomegaly, skin pallor, diarrhea, cough and oedema. Laboratory diagnosis results showed that he had marked leucopenia, thrombocytopenia and anemia. The patient was suspected of having VL and checked with rK39 immunochromnatography and direct agglutination tests which were positive for anti leishmanial antibodies. After getting full dose of sodium stibogluconate as per the national visceral leishmaniasis treatment guideline, was clinically cured. As the area in Benshangul-Gumuz where this patient contracted visceral leishmaniasis is under social and ecological transformation with large scale projects attracting huge influx of temporary laborers and settlers, due attention is needed with respect to introduction or emergence of VL transmission.

  1. Mycobacterium tuberculosis lineage 7 strains are associated with prolonged patient delay in seeking treatment for pulmonary tuberculosis in Amhara Region, Ethiopia.

    PubMed

    Yimer, Solomon A; Norheim, Gunnstein; Namouchi, Amine; Zegeye, Ephrem D; Kinander, Wibeke; Tønjum, Tone; Bekele, Shiferaw; Mannsåker, Turid; Bjune, Gunnar; Aseffa, Abraham; Holm-Hansen, Carol

    2015-04-01

    Recent genotyping studies of Mycobacterium tuberculosis in Ethiopia have reported the identification of a new phylogenetically distinct M. tuberculosis lineage, lineage 7. We therefore investigated the genetic diversity and association of specific M. tuberculosis lineages with sociodemographic and clinical parameters among pulmonary TB patients in the Amhara Region, Ethiopia. DNA was isolated from M. tuberculosis-positive sputum specimens (n=240) and analyzed by PCR and 24-locus mycobacterial interspersed repetitive unit-variable-number tandem-repeat (MIRU-VNTR) analysis and spoligotyping. Bioinformatic analysis assigned the M. tuberculosis genotypes to global lineages, and associations between patient characteristics and genotype were evaluated using logistic regression analysis. The study revealed a high diversity of modern and premodern M. tuberculosis lineages, among which approximately 25% were not previously reported. Among the M. tuberculosis strains (n=138) assigned to seven subgroups, the largest cluster belonged to the lineage Central Asian (CAS) (n=60; 26.0%), the second largest to lineage 7 (n=36; 15.6%), and the third largest to the lineage Haarlem (n=35; 15.2%). Four sublineages were new in the MIRU-VNTRplus database, designated NW-ETH3, NW-ETH1, NW-ETH2, and NW-ETH4, which included 24 (10.4%), 18 (7.8%), 8 (3.5%), and 5 (2.2%) isolates, respectively. Notably, patient delay in seeking treatment was significantly longer among patients infected with lineage 7 strains (Mann-Whitney test, P<0.008) than in patients infected with CAS strains (adjusted odds ratio [AOR], 4.7; 95% confidence interval [CI], 1.6 to 13.5). Lineage 7 strains also grew more slowly than other M. tuberculosis strains. Cases of Haarlem (OR, 2.8; 95% CI, 1.2 to 6.6) and NW-ETH3 (OR, 2.8; 95% CI, 1.0 to 7.3) infection appeared in defined clusters. Intensified active case finding and contact tracing activities in the study region are needed to expedite diagnosis and treatment of TB

  2. Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia

    PubMed Central

    2014-01-01

    Background Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and improve maternal health (Millennium Development Goal 4 and 5). Therefore, this study aimed to assess the prevalence and determinants of modern contraceptive utilization among married women of reproductive age group. Methods A community based cross-sectional study was conducted from August 15 to September 1, 2010 among married women aged 15–49 years in Debre Birhan District. Multistage sampling technique was used to select a total of 851 study participants. A pre-tested structured questionnaire was used for gathering data. Bivariate and multivariate logistic regression analyses were performed using SPSS version 16.0 statistical package. Results Modern contraceptive prevalence rate among currently married women was 46.9%. Injectable contraceptives were the most frequently used methods (62.9%), followed by intrauterine device (16.8%), pills (14%), norplant (4.3%), male condom (1.2%) and female sterilization (0.8%). Multiple logistic regression model revealed that the need for more children (AOR 9.27, 95% CI 5.43-15.84), husband approve (AOR 2.82, 95% CI 1.67-4.80), couple’s discussion about family planning issues (AOR 7.32, 95% CI 3.60-14.86). Similarly, monthly family income and number of living children were significantly associated with the use of modern contraceptives. Conclusion Modern contraceptive use was high in the district. Couple’s discussion and husband approval of contraceptives use were significantly associated with the use of modern contraceptives. Therefore, district health office and concerned stakeholders should focus on couples to encourage communication and male involvement for family planning. PMID:24490810

  3. Concentration levels of selected essential and toxic metals in potato (Solanum tuberosum L.) of West Gojjam, Amhara Region, Ethiopia.

    PubMed

    Tadesse, Berhe; Atlabachew, Minaleshewa; Mekonnen, Kebede Nigussie

    2015-01-01

    Potato (Solanum tuberosum L.) is one of the most widely used as a staple food crop for human diets. It is an excellent source of minerals. In this study, contents of Ca, Mg, Fe, Zn, Cd and Pb in potato cultivars cultivated in Yilmana Densa, and Mecha districts of the West Gojjam zone, Ethiopia were determined by flame atomic absorption spectrometry. A 0.50 g oven-dried potato sample was digested using a mixture of 10 mL HNO3:HClO4 (4:1 v/v) at 120 °C for 3 h. The concentration ranges in dry weight basis in decreasing order were: Mg (420-438 mg/kg) > Ca (176-254 mg/kg) > Fe (27.3-90.4 mg/kg) > Zn (20.6-77.7 mg/kg) > (2.00-17.4 mg/kg) for Pb. The toxic heavy metal Cd was below the limit of detection in all the analyzed samples (<0.1 mg/kg). The Mg found in highest contents while Fe was the most abundant microelement. The Cd was found below the provisional maximum tolerable daily intake of WHO/FAO and European Commission (EC) while Pb was above the limit. A wide range of variations was observed in the metal contents of potato cultivars collected from the two districts. Potato cultivars grown in West Gojam zone of Ethiopian could contribute a substantial amount of Fe and Zn together with the major elements, Ca and Mg to the individual's daily dietary needs if consumed on a regular basis.

  4. Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia.

    PubMed

    Mohammed, Abdurahman; Woldeyohannes, Desalegn; Feleke, Amsalu; Megabiaw, Berihun

    2014-02-03

    Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and improve maternal health (Millennium Development Goal 4 and 5). Therefore, this study aimed to assess the prevalence and determinants of modern contraceptive utilization among married women of reproductive age group. A community based cross-sectional study was conducted from August 15 to September 1, 2010 among married women aged 15-49 years in Debre Birhan District. Multistage sampling technique was used to select a total of 851 study participants. A pre-tested structured questionnaire was used for gathering data. Bivariate and multivariate logistic regression analyses were performed using SPSS version 16.0 statistical package. Modern contraceptive prevalence rate among currently married women was 46.9%. Injectable contraceptives were the most frequently used methods (62.9%), followed by intrauterine device (16.8%), pills (14%), norplant (4.3%), male condom (1.2%) and female sterilization (0.8%). Multiple logistic regression model revealed that the need for more children (AOR 9.27, 95% CI 5.43-15.84), husband approve (AOR 2.82, 95% CI 1.67-4.80), couple's discussion about family planning issues (AOR 7.32, 95% CI 3.60-14.86). Similarly, monthly family income and number of living children were significantly associated with the use of modern contraceptives. Modern contraceptive use was high in the district. Couple's discussion and husband approval of contraceptives use were significantly associated with the use of modern contraceptives. Therefore, district health office and concerned stakeholders should focus on couples to encourage communication and male involvement for family planning.

  5. The impacts of land use change on malaria vector abundance in a water-limited, highland region of Ethiopia.

    PubMed

    Stryker, Jody J; Bomblies, Arne

    2012-12-01

    Changes in land use and climate are expected to alter the risk of malaria transmission in areas where rainfall limits vector abundance. We use a coupled hydrology-entomology model to investigate the effects of land use change on hydrological processes impacting mosquito abundance in a highland village of Ethiopia. Land use affects partitioning of rainfall into infiltration and runoff that reaches small-scale topographic depressions, which constitute the primary breeding habitat of Anopheles arabiensis mosquitoes. A physically based hydrology model isolates hydrological mechanisms by which land use impacts pool formation and persistence, and an agent-based entomology model evaluates the response of mosquito populations. This approach reproduced observed interannual variability in mosquito abundance between the 2009 and 2010 wet seasons. Several scenarios of land cover were then evaluated using the calibrated, field-validated model. Model results show variation in pool persistence and depth, as well as in mosquito abundance, due to land use changes alone. The model showed particular sensitivity to surface roughness, but also to root zone uptake. Scenarios in which land use was modified from agriculture to forest generally resulted in lowest mosquito abundance predictions; classification of the entire domain as rainforest produced a 34% decrease in abundance compared to 2010 results. This study also showed that in addition to vegetation type, spatial proximity of land use change to habitat locations has an impact on mosquito abundance. This modeling approach can be applied to assess impacts of climate and land use conditions that fall outside of the range of previously observed variability.

  6. The Impacts of Land Use Change on Malaria Vector Abundance in a Water-Limited Highland Region of Ethiopia

    NASA Astrophysics Data System (ADS)

    Stryker, J.; Bomblies, A.

    2012-12-01

    Changes in land use and climate are expected to alter risk of malaria transmission in areas where rainfall limits vector abundance. We use a coupled hydrology-entomology model to investigate the effects of land use change on hydrological processes impacting mosquito abundance in a highland village of Ethiopia. Land use affects partitioning of rainfall into infiltration and runoff that reaches small-scale topographic depressions, which constitute the primary breeding habitat of Anopheles arabiensis mosquitoes. A physically-based hydrology model isolates hydrological mechanisms by which land use impacts pool formation and persistence, and an agent-based entomology model evaluates the response of mosquito populations. This approach reproduced observed interannual variability in mosquito abundance between the 2009 and 2010 wet seasons. Several scenarios of land cover were then evaluated using the calibrated, field-validated model. Model results show variation in pool persistence and depth, as well as in mosquito abundance, due to land use changes alone. The model showed particular sensitivity to surface roughness, but also to root zone uptake. Scenarios in which land use was modified from agriculture to forest generally resulted in lowest mosquito abundance predictions; classification of the entire domain as rainforest produced a 34% decrease in abundance compared to 2010 results. This study also showed that in addition to vegetation type, spatial proximity of land use change to habitat locations has an impact on mosquito abundance. This modeling approach can be applied to assess impacts of climate and land use conditions that fall outside of the range of previously observed variability.

  7. School-based surveys of malaria in Oromia Regional State, Ethiopia: a rapid survey method for malaria in low transmission settings.

    PubMed

    Ashton, Ruth A; Kefyalew, Takele; Tesfaye, Gezahegn; Pullan, Rachel L; Yadeta, Damtew; Reithinger, Richard; Kolaczinski, Jan H; Brooker, Simon

    2011-02-03

    In Ethiopia, malaria transmission is seasonal and unstable, with both Plasmodium falciparum and Plasmodium vivax endemic. Such spatial and temporal clustering of malaria only serves to underscore the importance of regularly collecting up-to-date malaria surveillance data to inform decision-making in malaria control. Cross-sectional school-based malaria surveys were conducted across Oromia Regional State to generate up-to-date data for planning malaria control interventions, as well as monitoring and evaluation of operational programme implementation. Two hundred primary schools were randomly selected using a stratified and weighted sampling frame; 100 children aged five to 18 years were then randomly chosen within each school. Surveys were carried out in May 2009 and from October to December 2009, to coincide with the peak of malaria transmission in different parts of Oromia. Each child was tested for malaria by expert microscopy, their haemoglobin measured and a simple questionnaire completed. Satellite-derived environmental data were used to assess ecological correlates of Plasmodium infection; Bayesian geostatistical methods and Kulldorff's spatial scan statistic were employed to investigate spatial heterogeneity. A total 20,899 children from 197 schools provided blood samples, two selected schools were inaccessible and one school refused to participate. The overall prevalence of Plasmodium infection was found to be 0.56% (95% CI: 0.46-0.67%), with 53% of infections due to P. falciparum and 47% due to P. vivax. Of children surveyed, 17.6% (95% CI: 17.0-18.1%) were anaemic, while 46% reported sleeping under a mosquito net the previous night. Malaria was found at 30 (15%) schools to a maximum elevation of 2,187 metres, with school-level Plasmodium prevalence ranging between 0% and 14.5%. Although environmental variables were only weakly associated with P. falciparum and P. vivax infection, clusters of infection were identified within Oromia. These findings

  8. School-based surveys of malaria in Oromia Regional State, Ethiopia: a rapid survey method for malaria in low transmission settings

    PubMed Central

    2011-01-01

    Background In Ethiopia, malaria transmission is seasonal and unstable, with both Plasmodium falciparum and Plasmodium vivax endemic. Such spatial and temporal clustering of malaria only serves to underscore the importance of regularly collecting up-to-date malaria surveillance data to inform decision-making in malaria control. Cross-sectional school-based malaria surveys were conducted across Oromia Regional State to generate up-to-date data for planning malaria control interventions, as well as monitoring and evaluation of operational programme implementation. Methods Two hundred primary schools were randomly selected using a stratified and weighted sampling frame; 100 children aged five to 18 years were then randomly chosen within each school. Surveys were carried out in May 2009 and from October to December 2009, to coincide with the peak of malaria transmission in different parts of Oromia. Each child was tested for malaria by expert microscopy, their haemoglobin measured and a simple questionnaire completed. Satellite-derived environmental data were used to assess ecological correlates of Plasmodium infection; Bayesian geostatistical methods and Kulldorff's spatial scan statistic were employed to investigate spatial heterogeneity. Results A total 20,899 children from 197 schools provided blood samples, two selected schools were inaccessible and one school refused to participate. The overall prevalence of Plasmodium infection was found to be 0.56% (95% CI: 0.46-0.67%), with 53% of infections due to P. falciparum and 47% due to P. vivax. Of children surveyed, 17.6% (95% CI: 17.0-18.1%) were anaemic, while 46% reported sleeping under a mosquito net the previous night. Malaria was found at 30 (15%) schools to a maximum elevation of 2,187 metres, with school-level Plasmodium prevalence ranging between 0% and 14.5%. Although environmental variables were only weakly associated with P. falciparum and P. vivax infection, clusters of infection were identified within

  9. Bovine trypanosomosis: changes in parasitemia and packed cell volume in dry and wet seasons at Gidami District, Oromia Regional State, western Ethiopia.

    PubMed

    Degneh, Efrem; Shibeshi, Workineh; Terefe, Getachew; Asres, Kaleab; Ashenafi, Hagos

    2017-09-11

    Animal trypanosomosis is one of the major disease problems affecting agricultural productivity in Ethiopia. The impact of the disease is believed to vary with season and agro-ecologies in line with fly vector distribution. A cross-sectional study on bovine trypanosomosis was conducted from November 2015 to June 2016, in seven selected villages of Gidami district, Oromia Regional State, western Ethiopia. A total of 930 blood samples were collected and subjected to parasitological and hematological analysis. The overall prevalence of bovine trypanosomosis was 14.1%. The seasonal prevalence shows 9.06% in early dry and 18.4% in early rainy seasons. Three trypanosome species, Trypanosoma congolense, Trypanosoma vivax and Trypanosoma brucei were identified in the examined animals. T. congolense followed by T. vivax were the predominant species (respectively 59.0 and 35.9% in early dry season and 62.0 and 22.8% in early rainy season). The prevalence of T. vivax remained similar in both early dry and early rainy seasons in both lowland and midland agroecologies whereas T. congolense was more dominant in the lowland area in both seasons compared to mid land study sites. The disease was more prevalent in lowland (23.9%) compared to midland (11.1%) during early rainy season (P < 0.001) whereas no significant difference was observed between the two agroecologies during early dry season (P = 0.165). Packed cell volume (PCV) was much lower in parasitemic animals than in aparasitemic cattle whereas the mean PCV value for parasitemic animals (20.36%; 95% CI 19.56 to 21.16) in early dry season was similar to values in early rainy season (20.46%, 95% CI 18.84 to 21.08%). A similar situation was noticed for animals in both low land and mid land study sites. Overall, the detection of trypanosomes in blood was significantly affected by agro-ecology, season and body condition of the animals. Special emphasis should be given to integrated trypanosomosis management in early rainy

  10. Risk of HIV and associated factors among infants born to HIV positive women in Amhara region, Ethiopia: a facility based retrospective study.

    PubMed

    Berhan, Zelalem; Abebe, Fantu; Gedefaw, Molla; Tesfa, Mulugeta; Assefa, Muluken; Tafere, Yilkal

    2014-12-04

    The estimated HIV prevalence among pregnant women in Ethiopia is 1.2 percent and unfortunately one of every 3 children born to these women gets infected with HIV. Elimination of these mother-to-child transmissions (MTCT) of HIV is possible through HIV testing during pregnancy and taking antiretroviral medications. However, only 24 percent of the pregnant women living with HIV have yet received the medication needed to prevent the transmission of HIV. Hence, there exists a concern that the rate of HIV infection among infants born to HIV positive mothers is increasing. This study assessed the prevalence of HIV infection and associated factors among infants born to women living with HIV, in South Gondar zone, Amhara region, Ethiopia. Facility based document review was conducted upon 434 charts. The study participants were HIV exposed infants enrolled from January to December 2012. The data were reviewed from all the 17 health facilities which were providing PMTCT services in the zone. The study included 434 HIV exposed infants having an HIV Deoxyribonucleic Acid (DNA) Polymerase Chain Reaction (PCR) test result. The data were collected using structured data extraction tool. Binary logistic regression analysis was employed to assess the putative association of independent variables with the outcome variable. Significance was taken at a P value<0.05 and 95% confidence level. The prevalence of HIV among HIV exposed infants was 10.1% (95% CI=7.3-13%). Delayed diagnosis (AOR=2.7, 95% CI=1.3, 29.4), mixed infant feeding (AOR=8.8, 95% CI=4.5, 22.8), failure to receive either antiretroviral therapy or prophylaxis during pregnancy or breast feeding (AOR=21.6, 95% CI=14.5, 39.8) and shorter duration of HIV treatment (AOR=12, 95% CI=(4.2, 45.0) were the factors that increase the risk of mother- to- child transmission of HIV. The prevalence of HIV infection among HIV exposed infants is strikingly high. Inadequate use of antiretroviral therapy and skilled delivery care were the

  11. Child marriage prevention in Amhara Region, Ethiopia: association of communication exposure and social influence with parents/guardians' knowledge and attitudes.

    PubMed

    Gage, Anastasia J

    2013-11-01

    Despite increasing international attention to child marriage and its negative health and social consequences, little is known about the knowledge and beliefs of individuals who are in control of negotiating children's marriages and of the social context in which these individuals function. Using data from a 2007 cross-sectional household survey and multilevel logistic regression models, this paper examined the associations of communication exposure and measures of social influence with knowledge of marriage legislation, perceptions that marriage before age 18 was "too early", and beliefs in daughters' rights to individual marriage choice among parents/guardians in Amhara Region, Ethiopia. The study found that mass media and interpersonal communication exposure were positively associated with all outcomes. The influence of communication exposure on knowledge of the legal minimum age at marriage and the perception that marriage before 18 was "too early" varied significantly across communities. Community pressure to stop child marriages and awareness of marriage law enforcement were positively associated with endorsing daughters' rights to choose their marriage age and partner. Perceived social norms regarding early marriage, normative beliefs and perceived benefits of delayed marriage were at least as important as communication exposure for endorsing daughters' rights to marriage choice. Gender and education differences were detected. The findings imply that child marriage-prevention programs should diversify information channels, reinforce perceived advantages of delayed marriage, and adopt a social influence perspective.

  12. More than eight in every nineteen inmates were living with depression at prisons of Northwest Amhara Regional State, Ethiopia, a cross sectional study design.

    PubMed

    Beyen, Teresa Kisi; Dadi, Abel Fikadu; Dachew, Berihun Assefa; Muluneh, Niguse Yigzaw; Bisetegn, Telake Azale

    2017-01-19

    Mental health is the greatest challenges for the current and future generations. Worldwide, out of the 66 million people suffering from depression; majority (85%) were from low and middle income countries. The prevalence was more common among the prisons population than the community. However, a worldwide consideration given to the problems is very low, particularly for prisoners. To assess level of depression and associated factors among prisoners in prisons of Northwest Amhara Regional State, Ethiopia, Institutional based cross sectional study was employed on 727 prisoners selected by multistage random sampling from three prisons of northwest Amhara. Patient Health Questionnaire (PHQ-9) was used to assess an individuals' depression level. The reliability of the tool was checked by Cronbach's Alpha (yielding value of 0.841). Multivariable logistic regression was done to identify factors associated with depression after Hosmer and lemeshow goodness of fit test was used for model fitness. Of the total prisoners participated (649), 284 (43.8%; 95% CI: 39.90, 47.67%) had symptoms of depression. Detainees' satisfaction level about life before imprisonment, belief about their life after imprisonment, plan to commit suicide, social support and types of prisons were significantly associated with depression. Depression level among detainees was found to be high. Thus, providing training to scale up satisfaction of prisoners, on how to cope up with environment just before imprisonment and release, and treating prisoners will improve the problem.

  13. Ethnobotanical study of wild edible plants in Burji District, Segan Area Zone of Southern Nations, Nationalities and Peoples Region (SNNPR), Ethiopia.

    PubMed

    Ashagre, Mersha; Asfaw, Zemede; Kelbessa, Ensermu

    2016-08-02

    An ethnobotanical study of wild edible plants was conducted in Burji District, Segan Area Zone of Southern Nations, Nationalities and Peoples Region, Ethiopia. The objective of the study was to identify and document wild edible plants and the associated ethnobotanical knowledge of the local people. Relevant ethnobotanical data focused on wild edible plants were collected using guided field walk, semi-structured interview, and direct field observation. Informant consensus method and group discussion were conducted for crosschecking and verification of the information. Both descriptive statistics and quantitative ethnobotanical methods were used for data analysis. We documented 46 species distributed in 37 genera and 29 families based on local claims of use as food. Local users collect most of these plants from the wild. The common plant families that encompass more number of wild edible plant species were Anacardiaceae (five species) followed by Boraginaceae, Fabaceae and Solanaceae which contributed three species each. The study showed the existence of a number of wild edible plants which mitigate food insecurity situations during problematic times that the people of the area face occasionally. Informants stated that wild growing edible plants are under threat due to increased anthropogenic pressure and disturbed climatic conditions. This calls for urgent and collaborative actions to keep the balance between edible plants availability in the wild and their utilization by the community. Furthermore, the study attempted to prioritize very important wild edible plants as perceived by the local people for possible domestication and/or sustainable utilization.

  14. Directly observed treatment short-course (DOTS) for treatment of new tuberculosis cases in Somali Regional State, Eastern Ethiopia: ten years retrospective study.

    PubMed

    Woldeyohannes, Desalegn; Sisay, Solomon; Mengistu, Belete; Kassa, Hiwot

    2015-08-19

    A third of the world population is infected with tuberculosis (TB) bacilli. TB accounts for 25% of all avoidable deaths in developing countries. The objective of the study was to assess impact of directly observed treatment short-course (DOTS) strategy on new tuberculosis case finding and treatment outcomes in Somali Regional State, Ethiopia from 2003 up to 2012 and from 2004 up to 2013, respectively. A health facility based retrospective study was employed. Quarterly reports were collected using World Health Organization (WHO) reporting format for TB case finding and treatment outcome from all zones in the region to the Federal Ministry of Health. A total of 31, 198 all types of new TB cases were registered and reported during the period from 2003 up to 2012, in the region. Out of these, smear positive pulmonary TB cases were 12,466 (40%), and 10,537 (33.8%) and 8195 (26.2%) for smear negative pulmonary TB and extra-pulmonary TB cases, respectively. An average case detection rate (CDR) of 19.1% (SD 3.6) and treatment success rate (TSR) of 85.5% (SD 5.0) for smear positive pulmonary TB were reported for the specified years period. For the overall study period, trend chi-squire analysis for CDR was X(2) = 2.1; P > 0.05 and X(2) = 5.64; P < 0.05 for TSR. The recommended TSR set by WHO was achieved (85.5%) and the CDR reported was far below (19.1%) from the recommended target. Extensive efforts should be established to maintain the achieved TSR and to increase the low CDR for the smear positive pulmonary TB cases through implementing alternative case finding strategies.

  15. Association of community sanitation usage with soil-transmitted helminth infections among school-aged children in Amhara Region, Ethiopia.

    PubMed

    Oswald, William E; Stewart, Aisha E P; Kramer, Michael R; Endeshaw, Tekola; Zerihun, Mulat; Melak, Berhanu; Sata, Eshetu; Gessese, Demelash; Teferi, Tesfaye; Tadesse, Zerihun; Guadie, Birhan; King, Jonathan D; Emerson, Paul M; Callahan, Elizabeth K; Freeman, Matthew C; Flanders, W Dana; Clasen, Thomas F; Moe, Christine L

    2017-02-17

    Globally, in 2010, approximately 1.5 billion people were infected with at least one species of soil-transmitted helminth (STH), Ascaris lumbricoides, Trichuris trichiura, hookworm (Ancylostoma duodenale and Necator americanus). Infection occurs through ingestion or contact (hookworm) with eggs or larvae in the environment from fecal contamination. To control these infections, the World Health Organization recommends periodic mass treatment of at-risk populations with deworming drugs. Prevention of these infections typically relies on improved excreta containment and disposal. Most evidence of the relationship between sanitation and STH has focused on household-level access or usage, rather than community-level sanitation usage. We examined the association between the proportion of households in a community with latrines in use and prevalence of STH infections among school-aged children. Data on STH prevalence and household latrine usage were obtained during four population-based, cross-sectional surveys conducted between 2011 and 2014 in Amhara, Ethiopia. Multilevel regression was used to estimate the association between the proportion of households in the community with latrines in use and presence of STH infection, indicated by > 0 eggs in stool samples from children 6-15 years old. Prevalence of STH infection was estimated as 22% (95% CI: 20-24%), 14% (95% CI: 13-16%), and 4% (95% CI: 4-5%) for hookworm, A. lumbricoides, and T. trichiura, respectively. Adjusting for individual, household, and community characteristics, hookworm prevalence was not associated with community sanitation usage. Trichuris trichuria prevalence was higher in communities with sanitation usage ≥ 60% versus sanitation usage < 20%. Association of community sanitation usage with A. lumbricoides prevalence depended on household sanitation. Community sanitation usage was not associated with A. lumbricoides prevalence among households with latrines in use. Among households

  16. Educational status as determinant of men's knowledge about vasectomy in Dangila town administration, Amhara region, Northwest Ethiopia.

    PubMed

    Temach, Abrham Jemberie; Fekadu, Gedefaw Abeje; Achamyeleh, Anemaw Asrat

    2017-04-18

    Although vasectomy is effective and less expensive contraceptive method, only few men are using it in Africa. The main reason for low level use may be low knowledge about vasectomy among men. Only few studies tried to investigate level of knowledge of vasectomy among married men in Ethiopia. But these studies have limitations in measuring knowledge. This study was therefore designed to assess knowledge of vasectomy among married men in Dangila town. A community based cross sectional study was conducted in Dangila town. Sample size was calculated using OpenEPI online sample size calculator for population based surveys. Multistage sampling technique was employed to recruit the study participants. Data collectors interviewed selected men using structured Amharic questionnaire from June to July, 2014. Two days training was given to data collectors and supervisors. Data were entered and analyzed using SPSS version 16. Binary logistic regression analysis was done to identify determinants of knowledge about vasectomy. A total of 872 men were interviewed. About 75% of men reported that they had ever heard about vasectomy. Men mentioned friends as main source of information for vasectomy. Among those who had ever heard, only 60.8% defined vasectomy correctly. About 20% defined vasectomy as "it is making the man impotent." Similarly about 16% equated vasectomy with castration. In this study, only 44.8% of men were knowledgeable about vasectomy. Married men who completed secondary education were 4.10(95%CI; 2.48 - 6.75) times more likely to be knowledgeable about vasectomy compared to those who did not attend formal education. Those who attended above secondary education were 5.73(95%CI 3.76 - 8.73) times more likely to be knowledgeable about vasectomy compared to those who did not attend formal education. Level of knowledge about vasectomy among married men in Dangla town was low and educational status was an important predictor of knowledge about vasectomy. Efforts are

  17. Risky Sexual Behaviors and Associated Factors among Jiga High School and Preparatory School Students, Amhara Region, Ethiopia

    PubMed Central

    Kassa, Getachew Mullu; Degu, Genet; Yitayew, Meseret; Misganaw, Worku; Muche, Mikiyas; Demelash, Tiguaded; Mesele, Meless; Ayehu, Melat

    2016-01-01

    Background. Young people constitute a large number of population worldwide, and majority of this population group lives in developing countries. They are at high risk of engaging in risky sexual behaviors. These risk sexual behaviors predispose youths to several sexual and reproductive health problems like STIs, HIV, unwanted pregnancy, and abortion. So, this study was conducted to assess the magnitude of risky sexual behaviors and associated factors among Jiga high school and preparatory school students, northwest Ethiopia. Methodology. Institutional based cross-sectional study design was conducted among Jiga town high school and preparatory school students. A total of 311 students were included in the study. Systematic random sampling method was used to select study participants. Data was entered using EpiData version 3.1 and it was exported to SPSS version 22 for further analysis. Descriptive analysis and bivariate and multivariate analysis were also calculated to determine factors associated with risky sexual behavior. Result. Forty-eight (16%) of respondents reported that they had sexual intercourse. From those who start sex, 44 (14.7%) were involved in risky sexual behavior which could predispose them to sexual and reproductive health problems. More than half, 27 (56.3%), of respondents first sexual intercourse was before their eighteenth birthday. The mean age and SD of fist sexual initiation were 17.2 years old and 1.35 years, respectively. Factors associated with risky sexual behavior include respondents between the ages of 20 and 23 (AOR: 5, 95%, CI: 1.59–15.98), drinking alcohol (AOR: 2.48, 95% CI: 1.13–5.41), and having poor knowledge towards HIV/AIDS (AOR: 4.53, 95%, CI: 2.06–9.94). Conclusion. A large number of in-school youths are involved in risky sexual behaviors like early sexual initiation, having multiple sexual partners, inconsistence use of condom, and having sex with high risk partner (CSWs). Age of respondents, alcohol drinking, and

  18. Risk factors for hospital-acquired infections in teaching hospitals of Amhara regional state, Ethiopia: A matched-case control study.

    PubMed

    Yallew, Walelegn Worku; Kumie, Abera; Yehuala, Feleke Moges

    2017-01-01

    Hospital-acquired infection affects hundreds of millions of people worldwide. It is a major global issue for patient safety. Understanding the potential risk factors is important to appreciate the local context. A matched case control study design, which is the first of its kind in the study region, was undertaken to identify risk factors in teaching hospitals of Amhara regional state, Ethiopia. A matched case control study design matched with age and hospital type was used. The study was conducted in University of Gondar and Felege-Hiwot medical teaching hospital. Cases were patients who fulfilled the criteria based on CDC definition of hospital-acquired infection and controls were patients admitted to the hospital that stayed for more than 48 hours in the ward in the study period, but who did not develop infection. For one case, four controls were selected. Of 545 patients, 109 were cases and 436 were controls. Conditional logistic regression using STATA 13 was used for data analysis. The median length of stay for cases and controls was 7 and 8 days, respectively. Patients admitted in wards with the presence of medical waste container in the room had 82% less chance of developing hospital-acquired infection (AOR 0.18; 95% CI, 0.03-0.98). The odds of developing hospital-acquired infection among immune deficient patients were 2.34 times higher than their counterparts (95% CI; 1.17-4.69). Patients received antimicrobials, central vascular catheter and surgery since admission had 8.63, 6.91 and 2.35 higher odds of developing hospital-acquired infection, respectively. Health providers and mangers should consider the provision and availability of healthcare materials and facilities in all of the ward rooms, follow appropriate safe medical procedures for use of external devices on patients, and give attention to the immunocompromised patients for the prevention and control of hospital-acquired infections.

  19. Clinical chemistry reference intervals of healthy adult populations in Gojjam Zones of Amhara National Regional State, Northwest Ethiopia.

    PubMed

    Mekonnen, Zewdie; Amuamuta, Asmare; Mulu, Wondemagegn; Yimer, Mulat; Zenebe, Yohannes; Adem, Yesuf; Abera, Bayeh; Gebeyehu, Wondemu; Gebregziabher, Yakob

    2017-01-01

    Reference interval is crucial for disease screening, diagnosis, monitoring, progression and treatment efficacy. Due to lack of locally derived reference values for the parameters, clinicians use reference intervals derived from western population. But, studies conducted in different African countries have indicated differences between locally and western derived reference values. Different studies also indicated considerable variation in clinical chemistry reference intervals by several variables such as age, sex, geographical location, environment, lifestyle and genetic variation. This study aimed to determine the reference intervals of common clinical chemistry parameters of the community of Gojjam Zones, Northwest Ethiopia. Population based cross-sectional study was conducted from November 2015 to December 2016 in healthy adult populations of Gojjam zone. Data such as, medical history, physical examination and socio-demographic data were collected. In addition, laboratory investigations were undertaken to screen the population. Clinical chemistry parameters were measured using Mindray BS 200 clinical chemistry autoanalyzer as per the manufacturer's instructions. Descriptive statistics was used to calculate mean, median and 95th percentiles. Independent sample T-test and one way ANOVA were used to see association between variables. After careful screening of a total of 799 apparently healthy adults who were consented for this study, complete data from 446 (224 females and 222 males) were included for the analysis. The mean age of both the study participants was 28.8 years. Males had high (P<0.05) mean and 2.5th-97.5th percentile ranges of ALT, AST, ALP, creatinine and direct bilirubin. The reference intervals of amylase, LDH, total protein and total bilirubin were not significantly different between the two sex groups (P>0.05). Mean, median, 95% percentile values of AST, ALP, amylase, LDH, creatinine, total protein, total bilirubin, and direct bilirubin across

  20. Field trials on the repellent activity of four plant products against mainly Mansonia population in western Ethiopia.

    PubMed

    Hadis, Mamuye; Lulu, Mesfin; Mekonnen, Yared; Asfaw, Teffera

    2003-03-01

    The repellent activity of essential oils of lemon eucalyptus (Eucalyptus maculata citrodion), rue (Ruta chalepensis), oleoresin of pyrethrum (Chrysanthemum cinerariaefolium) and neem (Azadiracta indica) have been field tested as 40%, 50% and 75% solutions in coconut oil against populations of mosquitoes consisting mainly of Mansonia in Gambella, western Ethiopia. A latin square design was used to randomize the test subjects for possible individual differences for mosquito attraction. Repellency was evaluated as the percentage protection. Deet was included in the study for comparison. All the plant products manifested repellency. At 50% concentration at which the highest repellency was recorded the protection was 91.6%, 87.0%, 96.0%, 97.9% for rue, neem, pyrethrum and deet, respectively. The essential oil of lemon eucalyptus was not tried at this concentration. At a 40% concentration deet, lemon eucalyptus and pyrethrum were significantly (p < 0.05) more effective than rue and neem. At a 50% concentration, deet and pyrethrum were significantly better (p < 0.05) than rue and neem. At a 75% concentration concentration, deet and lemon eucalypus performed significantly better (p < 0.05) than pyrethrum and neem. The difference between pyrethrum and neem was also significant (p < 0.01).

  1. Assessment of health system challenges and opportunities for possible integration of diabetes mellitus and tuberculosis services in South-Eastern Amhara Region, Ethiopia: a qualitative study.

    PubMed

    Workneh, Mahteme Haile; Bjune, Gunnar Aksel; Yimer, Solomon Abebe

    2016-04-19

    The double burden of tuberculosis (TB) and diabetes mellitus (DM) is a significant public health problem in low and middle income countries. However, despite the known synergy between the two disease conditions, services for TB and DM have separately been provided. The objective of this study was to explore health system challenges and opportunities for possible integration of DM and TB services. This was a descriptive qualitative study which was conducted in South-Eastern Amhara Region, Ethiopia. Study participants included health workers (HWs), program managers and other stakeholders involved in TB and DM prevention and control activities. Purposive sampling was applied to select respondents. In order to capture diversity of opinions among participants, maximum variation sampling strategy was applied in the recruitment of study subjects. Data were collected by conducting four focus group discussions and 12 in-depth interviews. Collected data were transcribed verbatim and were thematically analyzed using NVivo 10 software program. A total of 44 (12 in-depth interviews and 32 focus group discussion) participants were included in the study. The study participants identified a number of health system challenges and opportunities affecting the integration of TB-DM services. The main themes identified were: 1. Unavailability of system for continuity of DM care. 2. Inadequate knowledge and skills of health workers. 3. Frequent stockouts of DM supplies. 4. Patient's inability to pay for DM services. 5. Poor DM data management. 6. Less attention given to DM care. 7. Presence of a well-established TB control program up to the community level. 8. High level of interest and readiness among HWs, program managers and leaders at different levels of the health care delivery system. The study provided insights into potential health systems challenges and opportunities that need to be considered in the integration of TB-DM services. Piloting TB and DM integrated services in

  2. The Health Extension Program and Its Association with Change in Utilization of Selected Maternal Health Services in Tigray Region, Ethiopia: A Segmented Linear Regression Analysis

    PubMed Central

    Gebrehiwot, Tesfay Gebregzabher; San Sebastian, Miguel; Edin, Kerstin; Goicolea, Isabel

    2015-01-01

    Background In 2003, the Ethiopian Ministry of Health established the Health Extension Program (HEP), with the goal of improving access to health care and health promotion activities in rural areas of the country. This paper aims to assess the association of the HEP with improved utilization of maternal health services in Northern Ethiopia using institution-based retrospective data. Methods Average quarterly total attendances for antenatal care (ANC), delivery care (DC) and post-natal care (PNC) at health posts and health care centres were studied from 2002 to 2012. Regression analysis was applied to two models to assess whether trends were statistically significant. One model was used to estimate the level and trend changes associated with the immediate period of intervention, while changes related to the post-intervention period were estimated by the other. Results The total number of consultations for ANC, DC and PNC increased constantly, particularly after the late-intervention period. Increases were higher for ANC and PNC at health post level and for DC at health centres. A positive statistically significant upward trend was found for DC and PNC in all facilities (p<0.01). The positive trend was also present in ANC at health centres (p = 0.04), but not at health posts. Conclusion Our findings revealed an increase in the use of antenatal, delivery and post-natal care after the introduction of the HEP. We are aware that other factors, that we could not control for, might be explaining that increase. The figures for DC and PNC are however low and more needs to be done in order to increase the access to the health care system as well as the demand for these services by the population. Strengthening of the health information system in the region needs also to be prioritized. PMID:26218074

  3. Wet feet or walking on sunshine? Reconstruction of wet-dry variations in the source region of modern man: the Chew Bahir project, southern Ethiopia

    NASA Astrophysics Data System (ADS)

    Foerster, V.; Trauth, M. H.; Junginger, A.; Asrat, A.; Lamb, H. F.; Gebru, T.; Wennrich, V.; Weber, M.; Rethemeyer, J.; Nowaczyk, N.; Frank, U.; Brown, M. C.; Schaebitz, F.

    2012-04-01

    Chew Bahir, today a saline mudflat in a tectonically-bounded basin in southern Ethiopia, lies between the Main Ethiopian Rift and the Omo-Turkana basin, site of the oldest known anatomically modern human fossils. Sedimentary records from Chew Bahir can therefore provide fundamental data for reconstructing Late Quaternary environments in the source region of Homo sapiens. This project focuses on rapid climate shifts and their influence on the biosphere, and is a preliminary study for the ICDP "Hominid Sites and Paleolakes Drilling Project", and part of Cologne University's CRC-806 programme "Our Way to Europe", which aim to determine climatic and environmental history of East Africa during the last 200 ka - 1 Ma. Reconstruction of the major dry-wet-dry alternations is crucial for understanding the impact of climate variability on the emergence and dispersal of Homo sapiens from Africa into Eurasia. We present new results from six cores (9-18 m depth) drilled in a NW-SE transect across the basin. Sedimentological, geochemical, physical, magnetic and biological indicators, and a suite of AMS radiocarbon dates, reveal substantial variations in moisture availability during the last 45 ka. The data provide valuable insight into the timing, possible abruptness and synchronicity of precession-driven climate shifts like the African Humid Period (AHP ~ 15-5 ka BP), the last major alternation from dry to wet to dry conditions, and show that the site responded sensitively to older climatic fluctuations on millennial to centennial timescales. Chew Bahir therefore presents a suitable climate archive of a highly variable environment and offers an opportunity to retrieve 200 ka sediment records of paleoenvironmental history during the physical and cultural evolution of Homo sapiens.

  4. Prevalence, risk factors and antimicrobial susceptibility test of Staphylococcus aureus in Bovine cross breed mastitic milk in and around Asella town, Oromia regional state, southern Ethiopia.

    PubMed

    Seyoum, Befikadu; Kefyalew, Hailemariam; Abera, Birhanu; Abdela, Nejash

    2017-09-19

    A cross sectional study was undertaken from November 2016 to March 2017 in and around Asella town, Oromia regional state, southern Ethiopia, to determine the prevalence, associated risk factors and antimicrobial susceptibility of Staphylococcus aureus, in Bovine cross breed mastitis milk. A total of 384 lactating dairy cows were screened for mastitis based on clinical examinations and California mastitis test (CMT). Out of 230 lactating crossbred cows with either clinical or subclinical mastitis examined for the involvement of Staphylococcus aureus. Staphylococcus aureus was isolated at a rate of 47.2% (N=92) and 42.9% (N=15) of the sub- clinical and clinical cases, respectively. The overall prevalence of Staphylococcus aureus scored in this study was 46.5% (N=107). Descriptive statistics and chi-square were used in order to assess the magnitude of the difference of comparable variables, as a result, among risk factors considered, Age, parity, and lactation stage were found significantly associated with the occurrence of S. aureus in mastitis milk (p<0.05). The current study revealed that S. aureus has 0% susceptibility to penicillinG, followed by tetracycline (14.2%). However, these randomly selected isolates were found to be totally (100%) susceptible to the Kanamycin. The possible justification for, low antimicrobial susceptibility to these commonly used antimicrobials might be repeated and uncontrolled use of these drugs without veterinarian's prescription. Proper provention and regular antimicrobial sensitivity testing helps to select effective antibiotics and ultimately reduce the development of resistance towards commonly used antibiotics. To conclude, the study was able to show that, mastitis caused by S. aureus is one of the major problems of dairy cows in milk production and imposing public health hazard in study area. Hence, every possible control and prevention strategies should be implemented. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Level and determinants of food insecurity in East and West Gojjam zones of Amhara Region, Ethiopia: a community based comparative cross-sectional study.

    PubMed

    Motbainor, Achenef; Worku, Alemayehu; Kumie, Abera

    2016-06-11

    Food insecurity remains highly prevalent in developing countries and over the past two decades it has increasingly been recognized as a serious public health problem, including in Ethiopia. An emerging body of literature links food insecurity to a range of negative health outcomes and causes of a decline in productivity. The objectives of the present study were to determine the level of food insecurity in East Gojjam zone where the productive safety net program is available, and in West Gojjam zone where there is no program, and to identify the determinants of food insecurity in both East and West Gojjam zones of Amhara Region, Ethiopia. Community based comparative cross-sectional study design was used from 24 May 2013- 20 July 2013. Multistage sampling technique was implemented. A total of 4110 randomly selected households in two distinct populations were approached to be included in the study. Availability and absence of the productive safety net program between the two study areas was used to categorize them as comparative groups; otherwise the two communities are comparable in many socio-cultural characteristics. The household food security access scale questionnaire, developed by the Food and Nutrition Technical Assistant Project, was used to measure food security level. Socio-demographic and other household level information were collected by using a structured questionnaire. The binary logistic regression model was used to assess factors associated with food insecurity. From the total 4110 households, 3964 (96.45 %) gave complete responses. The total prevalence of food insecurity was 55.3 % (95 % CI: 53.8, 56.8). To compare food insecurity levels between the two zones, nearly sixty percent, 59.2 % (95 % CI: 57 %, 61.4 %) of the East Gojjam and 51.3 % (95 % CI: 49.1 %, 53.5) of West Gojjam households were food insecure. Family size (2-4) (AOR = 0.641, 95 % CI: 0.513, 0.801), non-merchant women (AOR = 1.638, 95 % CI: 1.015, 2

  6. Ethnobotanical study of plants used in management of livestock health problems by Afar people of Ada’ar District, Afar Regional State, Ethiopia

    PubMed Central

    2013-01-01

    Background The great majority of the Afar people of Ethiopia are pastoralists, highly dependent on livestock and livestock products. Livestock productivity is, however, frequently affected by different diseases. Although many districts in the Region have veterinary clinics, they lack basic facilities. As a result, the Afar people are still dependent on local materials, mainly plants, and traditional knowledge to manage livestock health problems. However, there is a serious threat to such local resources mainly due to recurrent drought and influence of modernization. Hence there is a need for proper documentation and evaluation of the existing ethnoveterinary knowledge in the Region. This study was aimed at documenting and analysing ethnoveterinary knowledge of people in Ada’ar District of the Afar Region associated with the use of plants. Methods The study involved interviewing selected knowledgeable Afar people in Ada’ar District on the use of plants to manage livestock ailments. Fidelity Level (FL) values were calculated for the reported medicinal plant to estimate their healing potentials. Specimens of reported medicinal plant were collected, identified and deposited at the National Herbarium, Addis Ababa University. Results The study revealed 49 medicinal plants as being used by the Afar people of Ada’ar District for the treatment of various livestock ailments, the majority of which (67.3%) were shrubs. Highest number of medicinal plants was used to treat blackleg, contagious caprine pleuropneumonia (CCPP), sudden sickness and pneumonia. Leaf was the most frequently sought plant part, accounting for 47% of the reported plants. All the medicnal plants used in the District were uncultivated ones growing in semi-disturbed and disturbed habitats as remnant plants and weeds. Cissus quadrangularis and Solanum incanum were the plants scoring the highest fidelity level values for their use to treat blackleg and respiratory tract problems, respectively. Conclusion

  7. On a mission: training traditional birth attendants in Ethiopia.

    PubMed

    Ciolino, Alice

    2011-06-01

    Alice Ciolino, a midwife from London spent eight months in Ethiopia with Doctors of the World. Her mission was to train Traditional Birth Attendants (TBAs). Based in the Somali region of Ethiopia, access to healthcare facilities was limited; indeed Kebri Dehar had the only hospital in the region. Here Alice shares her experience of what it is like to live and work in a remote part of the world, far from the medical facilities we take for granted in the West.

  8. Tuberculosis lymphadenitis in Ethiopia.

    PubMed

    Biadglegne, Fantahun; Tesfaye, Weghata; Anagaw, Belay; Tessema, Belay; Debebe, Tewodrose; Anagaw, Berhanu; Mulu, Andargachew; Sack, Ulrich; Rodloff, Arne C

    2013-01-01

    Tuberculosis (TB) is one of the most serious public health challenges in Ethiopia. Indeed, Ethiopia ranks 7th among 22 countries with a high burden of TB worldwide. Both pulmonary TB and extrapulmonary TB (EPTB) are issues of concern. Ethiopia ranks 3rd in terms of the number of EPTB patients worldwide, with TB lymphadenitis (TBL) being the most common. According to the World Health Organization's Global TB Report 2009, the estimated number of TB patients in Ethiopia was 314,267 in 2007, with an estimated incidence rate of 378 patients per 100,000 population. Furthermore, 36% patients suffered from EPTB, with TBL accounting for 80% of these patients. In Ethiopia, pathological services, culture, and drug susceptibility testing for mycobacterium species are not available as routine tests, not even for cases with suspected infection by drug-resistant strains. Therefore, the management of multidrug-resistant (MDR) TB in Ethiopia is currently unsatisfactory. Against this background, a high index of clinical doubt and timely use of diagnostic methods, prompt confirmation of diagnosis, and early initiation of specific anti-TB treatment are the key factors for the successful management of MDR-TB and TBL in Ethiopia.

  9. Women's preferences for obstetric care in rural Ethiopia: a population-based discrete choice experiment in a region with low rates of facility delivery.

    PubMed

    Kruk, M E; Paczkowski, M M; Tegegn, A; Tessema, F; Hadley, C; Asefa, M; Galea, S

    2010-11-01

    Delivery attended by skilled professionals is essential to reducing maternal mortality. Although the facility delivery rate in Ethiopia's rural areas is extremely low, little is known about which health system characteristics most influence women's preferences for delivery services. In this study, women's preferences for attributes of health facilities for delivery in rural Ethiopia were investigated. A population-based discrete choice experiment (DCE) was fielded in Gilgel Gibe, in southwest Ethiopia, among women with a delivery in the past 5 years. Women were asked to select a hypothetical health facility for future delivery from two facilities on a picture card. A hierarchical Bayesian procedure was used to estimate utilities associated with facility attributes: distance, type of provider, provider attitude, drugs and medical equipment, transport and cost. 1006 women completed 8045 DCE choice tasks. Among them, 93.8% had delivered their last child at home. The attributes with the greatest influence on the overall utility of a health facility for delivery were availability of drugs and equipment (mean β=3.9, p<0.01), seeing a doctor versus a health extension worker (mean β=2.1, p<0.01) and a receptive provider attitude (mean β=1.4, p<0.01). Women in rural southwest Ethiopia who have limited personal experience with facility delivery nonetheless value health facility attributes that indicate high technical quality: availability of drugs and equipment and physician providers. Well-designed policy experiments that measure the contribution of quality improvements to facility delivery rates in Ethiopia and other countries with low health service utilisation and high maternal mortality may inform national efforts to reduce maternal mortality.

  10. Energy and the agroeconomic complexity of Ethiopia

    NASA Astrophysics Data System (ADS)

    Karakatsanis, Georgios

    2016-04-01

    Since the Industrial Revolution, modern agriculture has transformed from a net energy supplier to a net energy user, via the extensive use fossil fuels -that substituted solar energy inputs- and petroleum derivative products (fertilizers) (Pimentel and Pimentel 2008; Woods et al. 2010). This condenses a significant overview of agricultural energetics, especially for economies set on their first stage of development, growth and economic diversification, such as Ethiopia. Ethiopia is the Blue Nile's most upstream country, constituting a very sensitive hydroclimatic area. Since 2008, Ethiopian agriculture experiences a boost in energy use and agricultural value-added per worker, due to the rapid introduction of oil-fueled agricultural machinery that increased productivity and allowed crop diversification. Agriculture in Ethiopia accounts for ~82% of its total exports, ~45% of its Gross Domestic Product (GDP) and ~75% of its total labor force. In addition, Ethiopia's agricultural sector is equipped with a set of new financial tools to deal with hydroclimatic extremes, like the 1983-85 droughts that deteriorated its crop output, causing a devastating famine. In fact, Ethiopia's resilience from the (most) recent drought (2015-16) has been remarkable. These facts signify that Ethiopia satisfies the necessary conditions to become a regional agritrade gravity center in the Blue Nile, granted that the dispersion of agricultural trade comprises a primary tool for securing food supply. As gravity equations have been used to model global trade webs (Tinbergen 1962), similar principles may apply to agritrade as well, for identifying emergent topological structures and supply chains. By examining the relation between energy inputs in agriculture with crop diversification and value-added chains of Ethiopia's agritrade, we could extract accurate information on the importance of energy for the country's agroeconomic complexity and regionalization trend across its first stages of

  11. Fertility desire among HIV-positive women in Tigray region, Ethiopia: implications for the provision of reproductive health and prevention of mother-to-child HIV transmission services.

    PubMed

    Melaku, Yohannes Adama; Zeleke, Ejigu Gebeye; Kinsman, John; Abraha, Akberet Kelem

    2014-11-19

    There is growing recognition of the difficult reproductive decisions faced by HIV-positive women. Studies in both resource-constrained and developed countries have suggested that many HIV-positive women continue to desire children in spite of their understanding of the possible risks that HIV poses. This study investigates the factors associated with fertility desire among HIV-positive women in Tigray region, Ethiopia. A cross-sectional survey was conducted among 964 HIV-positive women receiving HIV care in 12 health centers of Tigray region. In each health center, the number of study participants was allocated proportionally to the load of HIV-positive women in the chronic care clinics. A descriptive summary of the data and a logistic regression model were used to identify factors associated with fertility desire using odds ratios with a 95% confidence interval and P-value of 0.05. Four hundred and thirty nine (45.5%) of the participants reported a desire to have children in the future. Eighty six percent of the women had given birth to at least one live baby at the time of study, with the median number of live births being 2 (Inter quartile range = 1,3). Women in the age group of 15-24 years [AOR = 2.64(95% CI: 1.44, 4.83)] and 25-34 years [AOR = 2.37 (95% CI: 1.60, 2.4 3.50)] had higher fertility desire as compared to women in the age group of 35-49 years. Having no children [AOR = 25.76 (95% CI: 13.66, 48.56)], having one to two children [AOR = 5.14 (95% CI: 3.37, 7.84)] and disclosing HIV status to husband/sexual partner [AOR = 1.74 (95% CI: 1.11, 2.72)] were all independently associated with fertility desire. Age, HIV disclosure status to husband/sexual partner, and relatively few live children were all found to influence HIV-positive women's fertility desire. Programmers and policy makers should consider the effects of these factors for HIV-positive women as they develop HIV/AIDS interventions.

  12. Blending local scale information for developing agricultural resilience in Ethiopia

    USGS Publications Warehouse

    Funk, Christopher C.; Husak, Gregory; Mahiny, A.S; Eilerts, Gary; Rowland, James

    2013-01-01

    This brief article looks at the intersection of climate, land cover/land use, and population trends in the world's most food insecure country, Ethiopia. As a result of warming in the Indian and Western Pacific oceans, Ethiopia has experienced substantial drying over the past 20 years. We intersect the spatial pattern of this drying with high resolution climatologies, maps of agricultural expansion, population data, and socioeconomic livelihoods information to suggest that the coincidence of drying and agricultural expansion in south-central Ethiopia is likely adversely affecting a densely populated region with high levels of poverty and low wage levels.

  13. Prevalence and Genetic Diversity of Giardia duodenalis and Cryptosporidium spp. among School Children in a Rural Area of the Amhara Region, North-West Ethiopia

    PubMed Central

    de Lucio, Aida; Amor-Aramendía, Aranzazu; Bailo, Begoña; Saugar, José M.; Anegagrie, Melaku; Arroyo, Ana; López-Quintana, Beatriz; Zewdie, Derjew; Ayehubizu, Zimmam; Yizengaw, Endalew; Abera, Bayeh; Yimer, Mulat; Mulu, Wondemagen; Hailu, Tadesse; Herrador, Zaida; Fuentes, Isabel; Carmena, David

    2016-01-01

    Backgroud Giardia duodenalis and Cryptosporidium spp. are enteric protozoan causing gastrointestinal illness in humans and animals. Giardiasis and cryptosporidiosis are not formally considered as neglected tropical diseases, but belong to the group of poverty-related infectious diseases that impair the development and socio-economic potential of infected individuals in developing countries. Methods We report here the prevalence and genetic diversity of G. duodenalis and Cryptosporidium spp. in children attending rural primary schools in the Bahir Dar district of the Amhara Region, Ethiopia. Stool samples were collected from 393 children and analysed by molecular methods. G. duodenalis was detected by real-time PCR, and the assemblages and sub-assemblages were determined by multilocus sequence-based genotyping of the glutamate dehydrogenase and β-giardin genes of the parasite. Detection and identification of Cryptosporidium species was carried out by sequencing of a partial fragment of the small-subunit ribosomal RNA gene. Principal Findings The PCR-based prevalences of G. duodenalis and Cryptosporidium spp. were 55.0% (216/393) and 4.6% (18/393), respectively. A total of 78 G. duodenalis isolates were successfully characterized, revealing the presence of sub-assemblages AII (10.3%), BIII (28.2%), and BIV (32.0%). Discordant typing results AII/AIII and BIII/BIV were identified in 7.7% and 15.4% of the isolates, respectively. An additional five (6.4%) isolates were assigned to assemblage B. No mixed infections of assemblages A+B were found. Extensive genetic variation at the nucleotide level was observed within assemblage B (but no within assemblage A), resulting in the identification of a large number of sub-types. Cryptosporidium diversity was demonstrated by the occurrence of C. hominis, C. parvum, and C. viatorum in the population under study. Conclusions Our data suggest an epidemiological scenario with an elevated transmission intensity of a wide range of G

  14. Rural women are more likely to use long acting contraceptive in Tigray region, Northern Ethiopia: a comparative community-based cross sectional study.

    PubMed

    Alemayehu, Mussie; Kalayu, Aster; Desta, Alem; Gebremichael, Hailay; Hagos, Tesfalem; Yebyo, Henock

    2015-09-04

    In the latest report of Ethiopian Demographic and Health Survey (EDHS) 2011, the maternal mortality ratio (MMR) was estimated at 676/100,000 live births, with total fertility rate at 4.8 and contraceptive prevalence rate at 29 %. Knowledge and utilization of long acting contraceptive in the Tigray region are low. This study aims at comparing and identifying factors related to the utilization of long acting contraceptive in urban versus rural settings of Ethiopia. A comparative community-based cross-sectional study, comprised of quantitative and qualitative methods, was conducted among 1035 married women in Wukro (urban area) and Kilteawlaelo district (rural area) in March, 2013. Stratified sampling technique was employed to approach the study participants. Data were analyzed using SPSS version 20. Multiple logistic regression analysis was used to identify the respective effect of independent predictors on utilization of long acting contraceptive. The proportion of long acting contraceptive use among the respondents was 19.9 % in the town of Wukro and 37.8 % in the district of Kilteawlaelo. Implanon was the most common type of contraceptive used in both districts, urban (75 %) and rural (94 %). The odds of using the long acting contraceptive method were three times higher among married women in the rural areas as compared with the urban women [AOR = 3. 30; 95 %, CI:2.17, 5.04]. No or limited support from male partners was an obstacle to using long acting contraceptive method [AOR = 0. 24, 95 of CI: 0.13, 0.44]. Moreover, married women whose partner did not permit them to use long acting contraceptive [AOR = 0. 47, 95 % of CI: 0.24, 0.92] and women who attended primary education [AOR = 0.24, 95 %, CI: 0.13, 0.44] were significantly associated with long acting contraceptive use. Overall, the proportion of long acting contraceptive use has found to be low. Rural women were more likely to use long acting contraceptives as compared to urban women

  15. Prevalence and Genetic Diversity of Giardia duodenalis and Cryptosporidium spp. among School Children in a Rural Area of the Amhara Region, North-West Ethiopia.

    PubMed

    de Lucio, Aida; Amor-Aramendía, Aranzazu; Bailo, Begoña; Saugar, José M; Anegagrie, Melaku; Arroyo, Ana; López-Quintana, Beatriz; Zewdie, Derjew; Ayehubizu, Zimmam; Yizengaw, Endalew; Abera, Bayeh; Yimer, Mulat; Mulu, Wondemagen; Hailu, Tadesse; Herrador, Zaida; Fuentes, Isabel; Carmena, David

    2016-01-01

    Giardia duodenalis and Cryptosporidium spp. are enteric protozoan causing gastrointestinal illness in humans and animals. Giardiasis and cryptosporidiosis are not formally considered as neglected tropical diseases, but belong to the group of poverty-related infectious diseases that impair the development and socio-economic potential of infected individuals in developing countries. We report here the prevalence and genetic diversity of G. duodenalis and Cryptosporidium spp. in children attending rural primary schools in the Bahir Dar district of the Amhara Region, Ethiopia. Stool samples were collected from 393 children and analysed by molecular methods. G. duodenalis was detected by real-time PCR, and the assemblages and sub-assemblages were determined by multilocus sequence-based genotyping of the glutamate dehydrogenase and β-giardin genes of the parasite. Detection and identification of Cryptosporidium species was carried out by sequencing of a partial fragment of the small-subunit ribosomal RNA gene. The PCR-based prevalences of G. duodenalis and Cryptosporidium spp. were 55.0% (216/393) and 4.6% (18/393), respectively. A total of 78 G. duodenalis isolates were successfully characterized, revealing the presence of sub-assemblages AII (10.3%), BIII (28.2%), and BIV (32.0%). Discordant typing results AII/AIII and BIII/BIV were identified in 7.7% and 15.4% of the isolates, respectively. An additional five (6.4%) isolates were assigned to assemblage B. No mixed infections of assemblages A+B were found. Extensive genetic variation at the nucleotide level was observed within assemblage B (but no within assemblage A), resulting in the identification of a large number of sub-types. Cryptosporidium diversity was demonstrated by the occurrence of C. hominis, C. parvum, and C. viatorum in the population under study. Our data suggest an epidemiological scenario with an elevated transmission intensity of a wide range of G. duodenalis genetic variants. Importantly, the

  16. The Chew Bahir Project, southern Ethiopia: Reconstructing East African palaeoenvironments in the source region of modern man

    NASA Astrophysics Data System (ADS)

    Foerster, V. E.; Chew Bahir Science Team

    2011-12-01

    Chew Bahir is a tectonically bounded basin in the southern part of the Main Ethiopian Rift and in close proximity to the Omo valley, which contains some of the oldest known early modern human sites. As East African palaeoenvironments are highly variable and marked by extreme fluctuations in moisture availability, this in turn bears far reaching implications for the life, evolution and most notably for the expansion of Homo sapiens beyond the limits of the African continent. This study is a prerequisite for the ICDP- Hominin Sites And Paleolakes Drilling Project and part of the CRC-806 "Our way to Europe". The Chew Bahir Project will provide fundamental data to reconstruct late Quaternary East African environments including the timing, amplitude, synchronicity and abruptness of dry-wet-dry cycles and focuses on the interaction between those rapid climate shifts and their influence on the biosphere. This poster presents results from six cores (9-18m depth) from a NW-SE transect across the Chew Bahir basin that have recorded the climatic history of the past 45 ka and therewith can potentially elucidate those highly variable East African palaeoenvironments with emphasis on the last of the wet periods, the African Humid Period (AHP). Based on a series of multi-proxy analyses, comprising geochemical, physical and biological indicators as well as AMS 14C dates, it becomes obvious that the Chew Bahir responds decidedly sensitive towards even minor climatic fluctuations on millennial to even centennial timescales. Therefore, the Chew Bahir represents a unique site to reveal the impact of timing and mechanisms of local, regional and global climate events on the key region for humankind.

  17. Environmental and health impacts of effluents from textile industries in Ethiopia: the case of Gelan and Dukem, Oromia Regional State.

    PubMed

    Dadi, Diriba; Stellmacher, Till; Senbeta, Feyera; Van Passel, Steven; Azadi, Hossein

    2017-01-01

    This study focuses on four textile industries (DH-GEDA, NOYA, ALMHADI, and ALSAR) established between 2005 and 2008 in the peri-urban areas of Dukem and Gelan. The objectives of the study were to generate baseline information regarding the concentration levels of selected pollutants and to analyze their effects on biophysical environments. This study also attempts to explore the level of exposure that humans and livestock have to polluted effluents and the effects thereof. The findings of this study are based on data empirically collected from two sources: laboratory analysis of sample effluents from the four selected textile plants and quantitative as well as qualitative socioeconomic data collection. As part of the latter, a household survey and focus group discussions (FGDs) with elderly and other focal persons were employed in the towns of Dukem and Gelan. The results of the study show that large concentrations of biological oxygen demand (BOD5), chemical oxygen demand (COD), total suspended solids (TSS), and pH were found in all the observed textile industries, at levels beyond the permissible discharge limit set by the national Environmental Protection Authority (EPA). Furthermore, sulfide (S2), R-phosphate (R-PO4(3)), and Zn were found in large concentrations in DH-GEDA and ALMHADI, while high concentrations were also identified in samples taken from ALSAR and ALMHADI. In spite of the clear-cut legal tools, this study shows that the local environment, people, and their livestock are exposed to highly contaminated effluents. We therefore recommend that the respective federal and regional government bodies should reexamine the compliance to and actual implementation of the existing legal procedures and regulations and respond appropriately.

  18. Half of Pulmonary Tuberculosis Cases Were Left Undiagnosed in Prisons of the Tigray Region of Ethiopia: Implications for Tuberculosis Control.

    PubMed

    Adane, Kelemework; Spigt, Mark; Ferede, Semaw; Asmelash, Tsehaye; Abebe, Markos; Dinant, Geert-Jan

    2016-01-01

    Prison settings have been often identified as important but neglected reservoirs for TB. This study was designed to determine the prevalence of undiagnosed pulmonary TB and assess the potential risk factors for such TB cases in prisons of the Tigray region. A cross-sectional study was conducted between August 2013 and February 2014 in nine prisons. A standardized symptom-based questionnaire was initially used to identify presumptive TB cases. From each, three consecutive sputum samples were collected for acid-fast bacilli (AFB) microscopy and culture. Blood samples were collected from consented participants for HIV testing. Out of 809 presumptive TB cases with culture result, 4.0% (95% CI: 2.65-5.35) were confirmed to have undiagnosed TB. The overall estimated point prevalence of undiagnosed TB was found to be 505/100,000 prisoners (95% CI: 360-640). Together with the 27 patients who were already on treatment, the overall estimated point prevalence of TB would be 793/100,000 prisoners (95% CI: 610-970), about four times higher than in the general population. The ratio of active to passive case detection was 1.18:1. The prevalence of HIV was 4.4% (36/809) among presumptive TB cases and 6.3% (2/32) among undiagnosed TB cases. In a multivariate logistic regression analysis, chewing Khat (adjusted OR = 2.81; 95% CI: 1.02-7.75) and having had a close contact with a TB patient (adjusted OR = 2.18; 95% CI: 1.05-4.51) were found to be predictors of undiagnosed TB among presumptive TB cases. This study revealed that at least half of symptomatic pulmonary TB cases in Northern Ethiopian prisons remain undiagnosed and hence untreated. The prevalence of undiagnosed TB in the study prisons was more than two folds higher than in the general population of Tigray. This may indicate the need for more investment and commitment to improving TB case detection in the study prisons.

  19. Half of Pulmonary Tuberculosis Cases Were Left Undiagnosed in Prisons of the Tigray Region of Ethiopia: Implications for Tuberculosis Control

    PubMed Central

    Adane, Kelemework; Spigt, Mark; Ferede, Semaw; Asmelash, Tsehaye; Abebe, Markos; Dinant, Geert-Jan

    2016-01-01

    Introduction Prison settings have been often identified as important but neglected reservoirs for TB. This study was designed to determine the prevalence of undiagnosed pulmonary TB and assess the potential risk factors for such TB cases in prisons of the Tigray region. Method A cross-sectional study was conducted between August 2013 and February 2014 in nine prisons. A standardized symptom-based questionnaire was initially used to identify presumptive TB cases. From each, three consecutive sputum samples were collected for acid-fast bacilli (AFB) microscopy and culture. Blood samples were collected from consented participants for HIV testing. Result Out of 809 presumptive TB cases with culture result, 4.0% (95% CI: 2.65–5.35) were confirmed to have undiagnosed TB. The overall estimated point prevalence of undiagnosed TB was found to be 505/100,000 prisoners (95% CI: 360–640). Together with the 27 patients who were already on treatment, the overall estimated point prevalence of TB would be 793/100,000 prisoners (95% CI: 610–970), about four times higher than in the general population. The ratio of active to passive case detection was 1.18:1. The prevalence of HIV was 4.4% (36/809) among presumptive TB cases and 6.3% (2/32) among undiagnosed TB cases. In a multivariate logistic regression analysis, chewing Khat (adjusted OR = 2.81; 95% CI: 1.02–7.75) and having had a close contact with a TB patient (adjusted OR = 2.18; 95% CI: 1.05–4.51) were found to be predictors of undiagnosed TB among presumptive TB cases. Conclusions This study revealed that at least half of symptomatic pulmonary TB cases in Northern Ethiopian prisons remain undiagnosed and hence untreated. The prevalence of undiagnosed TB in the study prisons was more than two folds higher than in the general population of Tigray. This may indicate the need for more investment and commitment to improving TB case detection in the study prisons. PMID:26914770

  20. Integrating an NTD with One of “The Big Three”: Combined Malaria and Trachoma Survey in Amhara Region of Ethiopia

    PubMed Central

    Emerson, Paul M.; Ngondi, Jeremiah; Biru, Estifanos; Graves, Patricia M.; Ejigsemahu, Yeshewamebrat; Gebre, Teshome; Endeshaw, Tekola; Genet, Asrat; Mosher, Aryc W.; Zerihun, Mulat; Messele, Ayennew; Richards, Frank O.

    2008-01-01

    Background Amhara Regional State of Ethiopia has a population of approximately 19.6 million, is prone to unstable and epidemic malaria, and is severely affected by trachoma. An integrated malaria and trachoma control program is being implemented by the Regional Health Bureau. To provide baseline data, a survey was conducted during December 2006 to estimate malaria parasite prevalence, malaria indicators, prevalence of trachoma, and trachoma risk factors in households and people of all ages in each of the ten zones of the state, excluding three urban centers (0.4% of the population). Methodology/Principal Findings The study was designed to provide prevalence estimates at zone and state levels. Using multi-stage cluster random sampling, 16 clusters of 25 households were randomly selected in each of the ten zones. Household heads were interviewed for malaria indicators and trachoma risk factors (N = 4,101). All people were examined for trachoma signs (N = 17,242), and those in even-numbered households provided blood films for malaria parasite detection (N = 7,745); both thick and thin blood films were read. Zonal malaria parasite prevalence ranged from 2.4% to 6.1%, with the overall state-wide prevalence being 4.6% (95% confidence interval (CI): 3.8%–5.6%). The Plasmodium falciparum: Plasmodium vivax ratio ranged from 0.9–2.1 with an overall regional ratio of 1.2. A total of 14.8% of households reported indoor residual spraying in the past year, 34.7% had at least one mosquito net, and 16.1% had one or more long-lasting insecticidal net. Zonal trachoma prevalence (trachomatous inflammation follicular [WHO grade TF] in children aged 1–9 years) ranged from 12.6% to 60.1%, with the overall state-wide prevalence being 32.7% (95% CI: 29.2%–36.5%). State-wide prevalence of trachomatous trichiasis (TT) in persons aged over fifteen was 6.2% (95% CI: 5.3–7.4), and 0.3% (95% CI: 0.2–0.5) in children aged 0–14 years. Overall, an estimated 643

  1. Inclusion of Students with Disabilities in Formal Vocational Education Programs in Ethiopia

    ERIC Educational Resources Information Center

    Malle, Abebe Yehualawork; Pirttimaa, Raija; Saloviita, Timo

    2015-01-01

    In Ethiopia, individuals with disabilities have limited access to educational and vocational training opportunities. This study investigates prevailing challenges and opportunities for the participation of students with disabilities in vocational education programs in Ethiopia. Data for the study were gathered from the five biggest regions out of…

  2. English Teaching Profile: Ethiopia.

    ERIC Educational Resources Information Center

    British Council, London (England).

    A review of the status of English language instruction in Ethiopia begins with an overview of the role of English in the society in general, and goes on to outline the status of English use and instruction in the educational system at all levels (elementary, secondary, higher, and teacher), the characteristics and training of English language…

  3. English Teaching Profile: Ethiopia.

    ERIC Educational Resources Information Center

    British Council, London (England).

    A review of the status of English language instruction in Ethiopia begins with an overview of the role of English in the society in general, and goes on to outline the status of English use and instruction in the educational system at all levels (elementary, secondary, higher, and teacher), the characteristics and training of English language…

  4. Participatory study of medicinal plants used in the control of gastrointestinal parasites in donkeys in Eastern Shewa and Arsi zones of Oromia region, Ethiopia.

    PubMed

    Scantlebury, Claire E; Peachey, Laura; Hodgkinson, Jane; Matthews, Jacqui B; Trawford, Andrew; Mulugeta, Getachew; Tefera, Gebre; Pinchbeck, Gina L

    2013-09-11

    Gastrointestinal nematode infections constitute a threat to the health and welfare of donkeys worldwide. Their primary means of control is via anthelmintic treatments; however, use of these drugs has constraints in developing countries, including cost, limited availability, access to cheaper generic forms of variable quality and potential anthelmintic resistance. As an alternative, bioactive plants have been proposed as an option to treat and control gastrointestinal helminths in donkeys. This study aimed to use participatory methodology to explore donkey owner knowledge, attitudes and beliefs relating to the use of plant-based treatments for gastrointestinal parasites of donkeys in Ethiopia. In focus groups, 22/29 groups stated they knew of plants used for the treatment of gastrointestinal parasites in donkeys. All groups volunteered plants that were used in cattle and/or small ruminants. In total, 21 plants were named by participants. 'Koso' (Hagenia abyssinica) 'Grawa' (Vernonia amygdalina) and a mixed roots and leaves preparation were the most frequently named plant preparations. 'Enkoko' (Embelia shimperi) and 'a mixture of roots and leaves' were ranked highly for effectiveness in donkeys. However, 'Grawa' and 'Koso' were the highest ranked when taking into account both the rank position and the number of groups ranking the plant.Thematic analysis of participants' current attitudes and beliefs surrounding traditional plant-based remedies for gastrointestinal parasites revealed that anthelmintics obtained from clinics were generally favoured due to their ease of administration and perceived higher effectiveness. There was doubt surrounding the effectiveness of some plant-based treatments, but there were also perceived advantages including their low cost, ease of cultivation and availability. However, plant-based treatments were considered a "past trend" and people favoured "modern" medicine, particularly among the younger generation. There was extensive

  5. A qualitative study of attitudes and values surrounding stillbirth and neonatal mortality among grandmothers, mothers, and unmarried girls in rural Amhara and Oromiya regions, Ethiopia: unheard souls in the backyard.

    PubMed

    Sisay, Mitike Molla; Yirgu, Robel; Gobezayehu, Abebe Gebremariam; Sibley, Lynn M

    2014-01-01

    In Ethiopia, neonatal mortality and stillbirth are high and underreported. This study explored values related to neonatal mortality and stillbirth and the visibility of these deaths in rural Ethiopia among 3 generations of women. We conducted a qualitative study in 6 rural districts of the Oromiya and Amhara regional states during May 2012. We included 30 focus groups representing grandmothers, married women (mothers), and unmarried girls in randomly selected kebeles (villages). Until the 40th day of life, neonates are considered to be strangers to the community (not human). Their deaths are not talked about; they are buried in the house or in the backyard. Mothers are forbidden to mourn their loss lest they offend God and bring on future neonatal losses. Women who repeatedly lose their neonates may be blamed, mistreated, and dishonored through divorce. Neonatal death and stillbirth are attributed to supernatural powers, although some women and girls associate these deaths with poverty and lack of education. The desire for increased visibility of neonatal death is mixed. Unlike the grandmothers and unmarried girls, most of the married women want death to be visible to draw the attention of policy makers. Women prefer home birth and consider themselves lucky to be able to give birth at home. At present, there is no national vital registration system. Neonatal death and stillbirth are hidden and the magnitude is likely underrepresented. The delayed recognition of personhood, attribution of death to supernatural causes, social repercussions for women who experience a pregnancy loss, preference for home birth, and lack of a vital registration system all contribute to the invisibility of perinatal deaths. Increasing the visibility of (and counting) these deaths may require multifaceted behavior-change interventions. © 2014 by the American College of Nurse-Midwives.

  6. Oleaginous yeasts from Ethiopia.

    PubMed

    Jiru, Tamene Milkessa; Abate, Dawit; Kiggundu, Nicholas; Pohl, Carolina; Groenewald, Marizeth

    2016-12-01

    Oleaginous microorganisms can produce high amounts of oil (>20 % of their biomass) under suitable cultivation conditions. In this research work 200 samples were collected from soil, plant surfaces (leaves, flowers and fruits), waste oils from traditional oil milling houses and dairy products (cheese, milk and yoghurt) in Ethiopia. Three hundred and forty yeast colonies were isolated from these samples. By applying Sudan III staining tests, 18 strains were selected as possible oleaginous yeasts. The 18 strains were identified and characterized for their lipid production as a feedstock for biodiesel production in the future. They were identified using morphological and physiological methods as well as sequencing the 3'end of the small-subunit rRNA gene, the internal transcribed spacer regions (ITS; ITS 1, ITS 2 and the intervening 5.8S rRNA gene), and the D1/D2 domain of the 26S rRNA gene. The 18 yeasts were identified as Cutaneotrichosporon curvatus (syn, Cryptococcus curvatus) (PY39), Rhodotorula kratochvilovae (syn, Rhodosporidium kratochvilovae) (SY89), Rhodotorula dairenensis (SY94) and Rhodotourula mucilaginosa (SY09, SY18, SY20, PY21, PY23, PY25, SY30, PY32, SY43, PY44, SY52, PY55, PY61, SY75 and PY86). Under nitrogen-limited cultivation conditions, R. mucilaginosa PY44 produced the highest biomass (15.10 ± 0.54 g/L), while R. mucilaginosa PY32 produced the lowest biomass (10.32 ± 0.18 g/L). The highest lipid yield of 6.87 ± 0.62 g/L and lipid content of 46.51 ± 0.70 % were attained by C. curvatus (syn, C. curvatus) PY39. On the other hand, R. mucilaginosa PY61 gave the lowest lipid yield (2.06 ± 0.52 g/L) and R. mucilaginosa SY52 gave the lowest lipid content of 16.99 ± 0.85 %. The results in this research work suggest that much more oleaginous yeasts can be isolated from Ethiopian environment. On the basis of their substantial lipid production abilities, the three oleaginous yeast strains PY39, SY89 and SY18 were selected and

  7. Typhoid fever in Ethiopia.

    PubMed

    Beyene, Getenet; Asrat, Daniel; Mengistu, Yohannes; Aseffa, Abrham; Wain, John

    2008-12-01

    This review focuses on the reports of salmonellosis by investigators in different parts of Ethiopia, in particular focusing on the levels of typhoid fever. Many of the reports are published in local journals that are not available online. There have been seven studies which diagnosed typhoid fever by laboratory culture and there is no coordinated epidemiological surveillance. All conducted research and reports from different health institutions in Ethiopia indicate that typhoid fever was still a common problem up to the most recent study in 2000 and that the extensive use of first-line drugs has led to the development of multiple drug resistance. In the sites covered by this review, the total number of published cases of typhoid fever dropped over time reflecting the decline in research capacity in the country. Data on the proportion of patients infected by different serovars of Salmonella suggest that the non-Typhi serovars of Salmonella are increasing. The published evidence suggests that typhoid fever is a current public health problem in Ethiopia although population based surveys, based on good microbiological diagnosis, are urgently needed. Only then can the true burden of enteric fever be estimated and the benefit of public health control measures, such as health education, safe water provision, improved food hygienic practices and eventually vaccination, be properly assessed.

  8. Journey of Ethiopia Astronomy

    NASA Astrophysics Data System (ADS)

    Belay Tessema, Solomon

    2015-08-01

    Ancient astronomy had contributed away for the modern development of astronomy. The history of astronomy development in Ethiopian was liked with different beliefs and culture of the society. The Ethiopians were the first who invented the science of stars, and gave names to the planets, not at random and without meaning, but descriptive of the qualities which they conceived them to possess; and it was from them that this art passed, still in an imperfect state, to the Egyptians. Even though, Ethiopian’s contributions for astronomy in the world were immense but the journey of modern astronomy is still in the infant stage. The modern astronomy and space program in Ethiopia was started in 2004 in well organized form from three individuals to the public. In the past eleven years of journey of astronomy development in Ethiopia was the most challenging from national to international level. After strong struggle of a few committed individuals for the past eleven years the development of astronomy is completely changed from dark age to bright age. This paper will try to address the details of journey of astronomy in Ethiopia.

  9. Detection and molecular characterisation of Giardia duodenalis, Cryptosporidium spp. and Entamoeba spp. among patients with gastrointestinal symptoms in Gambo Hospital, Oromia Region, southern Ethiopia.

    PubMed

    Flecha, María J; Benavides, Cynthia M; Tissiano, Gabriel; Tesfamariam, Abraham; Cuadros, Juan; de Lucio, Aida; Bailo, Begoña; Cano, Lourdes; Fuentes, Isabel; Carmena, David

    2015-09-01

    To assess the prevalence and genetic diversity of the enteric protozoa species G. duodenalis, Cryptosporidium spp. and Entamoeba histolytica in individuals with gastrointestinal symptoms compatible with infections by these pathogens seeking medical attention in a rural area in southern Ethiopia. A total of 92 stool samples were initially screened by direct microscopy and immunochromatography and further confirmed by molecular methods. G. duodenalis-positive samples were molecularly characterised by multilocus genotyping of the glutamate dehydrogenase and β-giardin genes of the parasite. PCR and DNA sequence analysis of the gene encoding the 60-kDa glycoprotein was used for the subtyping of Cryptosporidium isolates. Detection and differential diagnosis of E. histolytica/dispar were conducted by real-time PCR. PCR-based prevalences were 10.9% for G. duodenalis, 1.1% for Cryptosporidium spp. and 3.3% for Entamoeba spp. Seven (four novel and three known) subtypes of G. duodenalis assemblage B were identified at the GDH locus and 5 (one novel and four known) at the BG locus. A novel variant of C. hominis subtype IbA9G3 was also identified. Two Entamoeba isolates were assigned to E. dispar and an additional one to E. histolytica. Although preliminary, our results strongly suggest that giardiasis, cryptosporidiosis and amoebiasis represent a significant burden in Ethiopian rural population. © 2015 John Wiley & Sons Ltd.

  10. Weather-based prediction of Plasmodium falciparum malaria in epidemic-prone regions of Ethiopia I. Patterns of lagged weather effects reflect biological mechanisms

    PubMed Central

    Teklehaimanot, Hailay D; Lipsitch, Marc; Teklehaimanot, Awash; Schwartz, Joel

    2004-01-01

    Background Malaria epidemics due to Plasmodium falciparum are reported frequently in the East African highlands with high case fatality rates. There have been formal attempts to predict epidemics by the use of climatic variables that are predictors of transmission potential. However, little consensus has emerged about the relative importance and predictive value of different factors. Understanding the reasons for variation is crucial to determining specific and important indicators for epidemic prediction. The impact of temperature on the duration of a mosquito's life cycle and the sporogonic phase of the parasite could explain the inconsistent findings. Methods Daily average number of cases was modeled using a robust Poisson regression with rainfall, minimum temperature and maximum temperatures as explanatory variables in a polynomial distributed lag model in 10 districts of Ethiopia. To improve reliability and generalizability within similar climatic conditions, we grouped the districts into two climatic zones, hot and cold. Results In cold districts, rainfall was associated with a delayed increase in malaria cases, while the association in the hot districts occurred at relatively shorter lags. In cold districts, minimum temperature was associated with malaria cases with a delayed effect. In hot districts, the effect of minimum temperature was non-significant at most lags, and much of its contribution was relatively immediate. Conclusions The interaction between climatic factors and their biological influence on mosquito and parasite life cycle is a key factor in the association between weather and malaria. These factors should be considered in the development of malaria early warning system. PMID:15541174

  11. Understanding Resilience Dimensions and Adaptive Strategies to the Impact of Recurrent Droughts in Borana Zone, Oromia Region, Ethiopia: A Grounded Theory Approach

    PubMed Central

    Birhanu, Zewdie; Ambelu, Argaw; Berhanu, Negalign; Tesfaye, Abraraw; Woldemichael, Kifle

    2017-01-01

    Recurrent shocks and stresses are increasingly deteriorating pastoralist communities’ resilience capacities in many aspects. A context specific resilience framework is essential to strengthen pastoralist community’s resilience capacity towards the impact of recurrent drought. Hence, the present study was aimed to develop a context specific and data driven resilience building framework towards impacts of recurrent droughts in the case of Borana pastoralists in Ethiopia. Qualitative grounded theory approach was employed to guide the study process. The data were collected through focus group discussions and in-depth interviews in two drought affected districts of Borana Zone during October 2013. The analysis was assisted by ATLAS. ti 7.1.4. The analysis provided a context specific resilience building conceptual tool, which consists of, closely interconnected, eight dimensions operating at multiple capacities and levels: environment (underlying vulnerability factor); livestock, infrastructures/social services, and wealth (immediate causes and effects); community network/social capital, as well as governance, peace and security (support and enabling factors oriented), psychosocial, and human capital (as eventual outcomes and impacts). The resilience capacities of these pastoralist communities have been eroded, leaving them without sufficient and effective adaptive strategies. The emergent resilience framework can serve as a useful guidance to design context-specific interventions that makes the people and the system resilient to the impacts of recurrent droughts. PMID:28134771

  12. Understanding Resilience Dimensions and Adaptive Strategies to the Impact of Recurrent Droughts in Borana Zone, Oromia Region, Ethiopia: A Grounded Theory Approach.

    PubMed

    Birhanu, Zewdie; Ambelu, Argaw; Berhanu, Negalign; Tesfaye, Abraraw; Woldemichael, Kifle

    2017-01-26

    Recurrent shocks and stresses are increasingly deteriorating pastoralist communities' resilience capacities in many aspects. A context specific resilience framework is essential to strengthen pastoralist community's resilience capacity towards the impact of recurrent drought. Hence, the present study was aimed to develop a context specific and data driven resilience building framework towards impacts of recurrent droughts in the case of Borana pastoralists in Ethiopia. Qualitative grounded theory approach was employed to guide the study process. The data were collected through focus group discussions and in-depth interviews in two drought affected districts of Borana Zone during October 2013. The analysis was assisted by ATLAS. ti 7.1.4. The analysis provided a context specific resilience building conceptual tool, which consists of, closely interconnected, eight dimensions operating at multiple capacities and levels: environment (underlying vulnerability factor); livestock, infrastructures/social services, and wealth (immediate causes and effects); community network/social capital, as well as governance, peace and security (support and enabling factors oriented), psychosocial, and human capital (as eventual outcomes and impacts). The resilience capacities of these pastoralist communities have been eroded, leaving them without sufficient and effective adaptive strategies. The emergent resilience framework can serve as a useful guidance to design context-specific interventions that makes the people and the system resilient to the impacts of recurrent droughts.

  13. Domestic violence and its predictors among married women in reproductive age in Fagitalekoma Woreda, Awi zone, Amhara regional state, North Western Ethiopia.

    PubMed

    Semahegn, Agumasie; Belachew, Tefera; Abdulahi, Misra

    2013-12-05

    Violence against women is one of the most systematic and prevalent human rights abuses in the world. It is a form of discrimination and deeply rooted in power imbalances and structural inequality between women and men. Documenting the extent of the problem and associated factors is essential to develop public health interventions to tackle violence against women. Therefore, the objective of this study was to determine magnitude of domestic violence and identify its predictors among married women in the reproductive age in north western Ethiopia. Community-based cross-sectional study was conducted from February 15 to March 15, 2011 among 682 married women and 46 key informants. Systematic sampling technique was used to select respondents for the quantitative method. Purposive sampling was used to select in-depth interview key informants for and focus group discussants. Data were analyzed using SPSS window version 16.0. Binary logistic regression and multivariable logistic regression analysis were carried out to determine the prevalence and identify independent predictors of domestic violence against women. Statistical association was measured by adjusted odds ratios and 95% confidence intervals. Statistical significance was declared at P < 0.05. The prevalence of domestic violence was 78.0%. About 73.3%, 58.4% and 49.1% of women reported different forms of psychological, physical and sexual violence, respectively. Alcohol consumption by husband (AOR = 1.9, 95%CI = 1.3, 2.8), being pregnant (AOR = 2.1, 95% CI = 1.4, 3.4), decision making power (AOR = 2.3, 95% CI = 1.5, 3.4) and annual income (AOR = 1.9, 95% CI = 1.1, 3.3) were predictors of domestic violence. The prevalence of domestic violence was very high as compared to other studies. Women's husband alcohol consumption, decision making power annual household income and being pregnant are some of the predictors of domestic violence against women.

  14. Genetic diversity of hepatitis C virus in Ethiopia.

    PubMed

    Hundie, Gadissa Bedada; Raj, V Stalin; GebreMichael, Daniel; Pas, Suzan D; Haagmans, Bart L

    2017-01-01

    Hepatitis C virus (HCV) is genetically highly divergent and classified in seven major genotypes and approximately hundred subtypes. These genotypes/subtypes have different geographic distribution and response to antiviral therapy. In Ethiopia, however, little is known about their molecular epidemiology and genetic diversity. The aim of this study was to investigate the distribution and genetic diversity of HCV genotypes/subtypes in Ethiopia, using 49 HCV RNA positive samples. HCV genotypes and subtypes were determined based on the sequences of the core and the nonstructural protein 5B (NS5B) genomic regions. Phylogenetic analysis revealed that the predominant was genotype 4 (77.6%) followed by 2 (12.2%), 1 (8.2%), and 5 (2.0%). Seven subtypes were identified (1b, 1c, 2c, 4d, 4l, 4r and 4v), with 4d (34.7%), 4r (34.7%) and 2c (12.2%) as the most frequent subtypes. Consistent with the presence of these subtypes was the identification of a potential recombinant virus. One strain was typed as genotype 2c in the NS5B region sequence and genotype 4d in the core region. In conclusion, genotype 4 HCV viruses, subtypes 4d and 4r, are most prevalent in Ethiopia. This genotype is considered to be difficult to treat, thus, our finding has an important impact on the development of treatment strategies and patient management in Ethiopia.

  15. Micronutrient Deficiencies and Related Factors in School-Aged Children in Ethiopia: A Cross-Sectional Study in Libo Kemkem and Fogera Districts, Amhara Regional State

    PubMed Central

    Herrador, Zaida; Sordo, Luis; Gadisa, Endalamaw; Buño, Antonio; Gómez-Rioja, Rubén; Iturzaeta, Jose Manuel; de Armas, Lisset Fernandez; Benito, Agustín; Aseffa, Abraham; Moreno, Javier; Cañavate, Carmen; Custodio, Estefania

    2014-01-01

    Introduction The present study describes the distribution of selected micronutrients and anaemia among school-aged children living in Libo Kemkem and Fogera (Amhara State, Ethiopia), assessing differences by socio-demographic characteristics, health status and dietary habits. Methods A cross-sectional survey was carried out during May–December 2009. Socio-demographic characteristics, health status and dietary habits were collected. Biomarkers were determined for 764 children. Bivariate and multivariable statistical methods were employed to assess micronutrient deficiencies (MD), anaemia, and their association with different factors. Results More than two thirds of the school-aged children (79.5%) had at least one MD and 40.5% had two or more coexisting micronutrient deficiencies. The most prevalent deficiencies were of zinc (12.5%), folate (13.9%), vit A (29.3%) and vit D (49%). Anaemia occurred in 30.9% of the children. Children living in rural areas were more likely to have vit D insufficiency [OR: 5.9 (3.7–9.5)] but less likely to have folate deficiency [OR: 0.2 (0.1–0.4)] and anaemia [OR: 0.58 (0.35–0.97)]. Splenomegaly was positively associated with folate deficiency and anaemia [OR: 2.77 (1.19–6.48) and 4.91 (2.47–9.75)]. Meat and fish consumption were inversely correlated with zinc and ferritin deficiencies [OR: 0.2 (0.1–0.8) and 0.2 (0.1–0.9)], while oil consumption showed a negative association with anaemia and deficiencies of folate and vitamin A [0.58 (0.3–0.9), OR: 0.5 (0.3–0.9) and 0.6 (0.4–0.9)]. Serum ferritin levels were inversely correlated to the presence of anaemia (p<0.005). Conclusion There is a high prevalence of vitamin A deficiency and vitamin D insufficiency and a moderate prevalence of zinc and folate deficiencies in school-aged children in this area. The inverse association of anaemia and serum ferritin levels may be due to the presence of infectious diseases in the area. To effectively tackle malnutrition

  16. Household flood preparedness and associated factors in the flood-prone community of Dembia district, Amhara National Regional State, northwest Ethiopia

    PubMed Central

    Ashenefe, Baye; Wubshet, Mamo; Shimeka, Alemayehu

    2017-01-01

    Background Flood preparedness empowers the community to respond effectively to related hazards. However, there was no research done in the country concerning household flood preparedness. Therefore, the aim of this study was to assess household flood preparedness and associated factors in the flood-prone community of Dembia district, northwest Ethiopia. Methods A community-based cross-sectional study was conducted from March to April 2014 in the Dembia district. A two-stage sampling technique was used. The study was conducted using 806 flood-prone participants. An interviewer-administered questionnaire was used to collect data. The collected data were entered using Epi info version 3.5.1 and transported into SPSS version 16 for further analysis. Descriptive and analytic statistics were computed. Variables having association with the outcome variable were reported using odds ratio with 95% confidence interval (CI). Model fitness was checked by Hosmer and Lemeshew chi-square test. Results Household flood preparedness was found to be 24.4%. The age group of ≥ 46 years (adjusted odds ratio [AOR]=2.62; 95% CI: 1.12, 6.00) above, monthly household income >893 Ethiopian Birr, (AOR=6.72; 95% CI: 2.2 7, 19.88) attending primary level education (AOR=22.08; 95% CI: 8.16, 59.74), warning system in household (AOR=5.41; 95% CI: 2.38, 12.32), knowledge of flood prevention, (AOR=2.52; 95% CI: 1.43, 5.57) were positively associated with household flood preparedness. Conclusion and recommendation This study has demonstrated that household flood preparedness was found to be low in the study area. Household flood preparedness was significantly associated with the older age group, attending primary level education, having a higher monthly income, receive household level warning messages, having knowledge on preparedness, prior exposure to a flood, and length of flood >6 days. Strengthening household flood preparedness in advance is important in order to prevent flood and its related

  17. A pilot study of a portable hand washing station for recently displaced refugees during an acute emergency in Benishangul-Gumuz Regional State, Ethiopia.

    PubMed

    Husain, Farah; Hardy, Colleen; Zekele, Lemlem; Clatworthy, David; Blanton, Curtis; Handzel, Thomas

    2015-01-01

    Diarrheal disease is a common cause of morbidity and mortality. Displaced populations are especially vulnerable due to overcrowded camps and limited access to water and sanitation facilities, increasing the risk for outbreaks. Hand washing with soap is effective against disease transmission, and studies suggest access to a convenient hand washing station may be the key to increasing hand washing behavior. This pilot study evaluated the acceptability, durability and use of a novel hand washing bag (HWB) at the household level among Sudanese refugees immediately following an acute emergency. We distributed one HWB to every household (n = 874) in Adamazin Transit Center in western Ethiopia. The evaluation consisted of baseline and endline surveys, three monthly monitoring visits and focus group discussions (FGDs) over a six month period. FGD data were analyzed using the Risk, Attitudes, Norms, Abilities, and Self-Regulatory model. Survey and monitoring data were analyzed using SPSS. Note: Residents were resettled to Bambasi Refugee Camp during the study period where the endline survey was conducted. Baseline data suggested water quantity and availability of soap were below SPHERE standards, however participants responded positively to the HWB. At the end of the monitoring period, 73.9 % of the same households retained their original HWBs and 66.7 % of bags had water at the time of the visit. The mean lifespan of the HWB during the monitoring period was 2.73 months. From a new sample of households selected for the endline evaluation, 93.0 % had an original HWB, but only 39.4 % had water in the bag. Endline FGD participants felt the HWB was useful, but reported insufficient soap and hygiene messaging. The HWB performed well during the early phases of the emergency, however longer term results in this setting are unclear. The low levels of reported use measured by proxy indicators at six months indicated decreasing acceptability over time or a reflection of

  18. Domestic violence and its predictors among married women in reproductive age in Fagitalekoma Woreda, Awi zone, Amhara regional state, North Western Ethiopia

    PubMed Central

    2013-01-01

    Background Violence against women is one of the most systematic and prevalent human rights abuses in the world. It is a form of discrimination and deeply rooted in power imbalances and structural inequality between women and men. Documenting the extent of the problem and associated factors is essential to develop public health interventions to tackle violence against women. Therefore, the objective of this study was to determine magnitude of domestic violence and identify its predictors among married women in the reproductive age in north western Ethiopia. Methods Community-based cross-sectional study was conducted from February 15 to March 15, 2011 among 682 married women and 46 key informants. Systematic sampling technique was used to select respondents for the quantitative method. Purposive sampling was used to select in-depth interview key informants for and focus group discussants. Data were analyzed using SPSS window version 16.0. Binary logistic regression and multivariable logistic regression analysis were carried out to determine the prevalence and identify independent predictors of domestic violence against women. Statistical association was measured by adjusted odds ratios and 95% confidence intervals. Statistical significance was declared at P < 0.05. Result The prevalence of domestic violence was 78.0%. About 73.3%, 58.4% and 49.1% of women reported different forms of psychological, physical and sexual violence, respectively. Alcohol consumption by husband (AOR = 1.9, 95%CI = 1.3, 2.8), being pregnant (AOR = 2.1, 95% CI = 1.4, 3.4), decision making power (AOR = 2.3, 95% CI = 1.5, 3.4) and annual income (AOR = 1.9, 95% CI = 1.1, 3.3) were predictors of domestic violence. Conclusion The prevalence of domestic violence was very high as compared to other studies. Women’s husband alcohol consumption, decision making power annual household income and being pregnant are some of the predictors of domestic violence against

  19. Classifying land cover from an object-oriented approach - applied to LANDSAT 8 at the regional scale of the Lake Tana Basin (Ethiopia)

    NASA Astrophysics Data System (ADS)

    Lemma, Hanibal; Frankl, Amaury; Poesen, Jean; Adgo, Enyew; Nyssen, Jan

    2017-04-01

    Object-oriented image classification has been gaining prominence in the field of remote sensing and provides a valid alternative to the 'traditional' pixel based methods. Recent studies have proven the superiority of the object-based approach. So far, object-oriented land cover classifications have been applied either at limited spatial coverages (ranging 2 to 1091 km2) or by using very high resolution (0.5-16 m) imageries. The main aim of this study is to drive land cover information for large area from Landsat 8 OLI surface reflectance using the Estimation of Scale Parameter (ESP) tool and the object oriented software eCognition. The available land cover map of Lake Tana Basin (Ethiopia) is about 20 years old with a courser spatial scale (1:250,000) and has limited use for environmental modelling and monitoring studies. Up-to-date and basin wide land cover maps are essential to overcome haphazard natural resources management, land degradation and reduced agricultural production. Indeed, object-oriented approach involves image segmentation prior to classification, i.e. adjacent similar pixels are aggregated into segments as long as the heterogeneity in the spectral and spatial domains is minimized. For each segmented object, different attributes (spectral, textural and shape) were calculated and used for in subsequent classification analysis. Moreover, the commonly used error matrix is employed to determine the quality of the land cover map. As a result, the multiresolution segmentation (with parameters of scale=30, shape=0.3 and Compactness=0.7) produces highly homogeneous image objects as it is observed in different sample locations in google earth. Out of the 15,089 km2 area of the basin, cultivated land is dominant (69%) followed by water bodies (21%), grassland (4.8%), forest (3.7%) and shrubs (1.1%). Wetlands, artificial surfaces and bare land cover only about 1% of the basin. The overall classification accuracy is 80% with a Kappa coefficient of 0.75. With

  20. A cross sectional study on nursing process implementation and associated factors among nurses working in selected hospitals of Central and Northwest zones, Tigray Region, Ethiopia.

    PubMed

    Baraki, Zeray; Girmay, Fiseha; Kidanu, Kalayou; Gerensea, Hadgu; Gezehgne, Dejen; Teklay, Hafte

    2017-01-01

    The nursing process is a systematic method of planning, delivering, and evaluating individualized care for clients in any state of health or illness. Many countries have adopted the nursing process as the standard of care to guide nursing practice; however, the problem is its implementation. If nurses fail to carry out the necessary nursing care through the nursing process; the effectiveness of patient progress may be compromised and can lead to preventable adverse events. This study was aimed to assess the implementation of nursing process and associated factors among nurses working in selected hospitals of central and northwest zones of Tigray, Ethiopia, 2015. A cross sectional observational study design was utilized. Data was collected from 200 participants using structured self-administered questionnaire which was contextually adapted from standardized, reliable and validated measures. The data were entered using Epi Info version 7 and analyzed using SPSS version 20 software. Data were summarized and described using descriptive statistics and multivariate logistic regression was used to determine the relationship of independent and dependent variable. Then, finally, data were presented in tables, graphs, frequency percentage of different variables. Seventy (35%) of participants have implemented nursing process. Different factors showed significant association. Nurses who worked in a stressful atmosphere of the workplace were 99% less likely to implement the nursing process than nurses who worked at a very good atmosphere. The nurses with an educational level of BSc. Degree were 6.972 times more likely to implement the nursing process than those who were diploma qualified. Nurses with no consistent material supply to use the nursing process were 95.1% less likely to implement the nursing process than nurses with consistent material supply. The majority of the participants were not implementing the nursing process properly. There are many factors that hinder them

  1. Planation surfaces in Northern Ethiopia

    NASA Astrophysics Data System (ADS)

    Coltorti, M.; Dramis, F.; Ollier, C. D.

    2007-09-01

    Planation surfaces are an old-fashioned topic in geomorphology, but they are nevertheless important where they make up much of the landscape. Northern Ethiopia is largely a stepped topography, caused by differential erosion. Exhumation of old planation surfaces that were preserved under sedimentary or volcanic cover is an important process in landscape evolution. The oldest planation surface is of early Palaeozoic age (PS1); the second is Late Triassic (PS2); and the third is of Early Cretaceous age (PS3). The Oligocene Trap Volcanics buried a surface (PS4) of early Tertiary age, which is now widely exposed by erosion as a surface that, where flat enough, is an exhumed planation surface. The surfaces do not relate to the supposed Africa-wide pediplain sequence of King [King, L.C., 1975. Planation surfaces upon highlands. Z. Geomorph. NF 20 (2), 133-148.], either in mode of formation and age. Although the region is tropical, there is scarce evidence of deep weathering and few indications that the surfaces could be regarded as etchplains. These surfaces indicate that eastern Africa underwent long episodes of tectonic quiescence during which erosion processes were able to planate the surface at altitudes not too far from sea level. Only after the onset of rifting processes, uplift became active and transformed a vast lowland plain into the present Ethiopian highlands, largely exceeding 2500 m a.s.l. Some hypotheses and speculations on the genesis of these surfaces are considered here.

  2. Levels of adherence and factors associated with adherence to option B+ prevention of mother-to-child transmission among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia, 2016

    PubMed Central

    2016-01-01

    OBJECTIVES The aim of this study was to measure the levels of adherence and to identify factors associated with adherence to option B+ prevention of mother-to-child transmission (PMTCT) among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia. METHODS An institution-based cross-sectional quantitative study design was employed from March 1, 2016 to April 14, 2016, using a standard structured data collection instrument. A sample of 191 human immunodeficiency virus (HIV)-positive pregnant and lactating mothers who were receiving PMTCT follow-up in the selected health facilities participated in the study. The data were entered using EpiData 3.1 and analyzed using SPSS version 21. Bivariate and multivariate logistic regression analyses were employed to identify factors associated with adherence. The p-values <0.05 and 95% confidence intervals (CIs) were used to identify associations between independent predictors and the outcome variable. RESULTS The level of adherence to option B+ PMTCT drugs was 87.9%. Women who received in-hospital treatment, who lived in rural areas, and faced challenges in initiating lifelong option B+ treatment on the same-day that they were diagnosed with HIV were less likely to adhere to the treatment (adjusted odds ratios [95% CI] of 0.3 [0.11 to 0.82], 0.26 [0.1 to 0.73], and 0.08 [0.02 to 0.37], respectively). CONCLUSIONS Collaborative efforts of zonal health departments with health facility administrators and counselors are recommended for effective and efficient interventions focusing on hospitals, rural areas, and patients who face challenges on the day of their diagnosis. PMID:27733034

  3. Experiences with smallpox eradication in Ethiopia.

    PubMed

    de Quadros, Ciro A

    2011-12-30

    The smallpox eradication campaign operated in Ethiopia from 1970 until 1977. During this time Ethiopia had only 84 hospitals, 64 health centres and fewer than 400 physicians in a country of 25 million people. In 1970 smallpox vaccination was relatively unknown in the country, and the government actually contested the fact that smallpox was present in the country. Most of the resources of the Ministry of Health were used for malaria eradication. Initial pessimism from the Ministry of Health and others was eventually overcome as the smallpox eradication campaign continued to pick up steam but many remained unenthusiastic. Ethiopia was the first country in the world to start its smallpox eradication campaign from day one with the strategy of "Surveillance and Containment". Establishing a surveillance system in a country with a limited health infrastructure was a daunting challenge. At the end of the first year of the programme in 1971, 26,000 cases of smallpox had been registered through the growing surveillance system. Throughout revolution of 1974 the smallpox campaign was the only UN program to operate in the country; in fact it expanded with the hire of many locals leading to a "nationalized" program. This development ushered in the most successful final phase of the program. As the program progressed cases were diminishing in most regions, however transmission continued in the Ogaden desert. Over the course of the campaign approximately 14.3 million US dollars was spent. Working conditions were extremely challenging and a variety of chiefs, guerrillas, landowners and governments had to be appeased. The programme was successful due to the dedicated national and international staff on the ground and by having the full support of the WHO HQ in Geneva.

  4. The epidemiology of burns in rural Ethiopia.

    PubMed Central

    Courtright, P; Haile, D; Kohls, E

    1993-01-01

    STUDY OBJECTIVE--The aims were (1) to review inpatient burn records of Attat Hospital (Ethiopia) for the years 1983-1989, and (2) to determine the prevalence of burns and knowledge of first aid for burns in 16 communities served by Attat Hospital in rural Ethiopia. DESIGN--A retrospective review of all records was used to describe characteristics of the inpatient with burns and cost of the service. Adult members of a systematic random sample (20%) of households from 16 communities (total population = 10,183) were interviewed. Questions focused on what to do to put out the fire, what to do for first aid for a burn, the major cause of adult and childhood burns, and a history of burn in any household member. SETTING--The study was conducted at Attat Hospital and in the surrounding Gurage-Chaha Region of West Shoa Province of Ethiopia. STUDY SUBJECTS--There were 271 burn inpatients during the 7 year period from 1983-1989; 163 households were selected for interview; there were no refusals. MAIN RESULTS--During the 7 year period the cost of tertiary inpatient burn treatment at Attat Hospital has been estimated to be US$86,366.72, of which the hospital absorbed 66%. From community based information the cumulative incidence of burns in this population was found to be 5-11%. The absence of a cumulative increase in burns over time in men suggests that female respondents may not fully recall burn histories in adult male household members. The study population possess inadequate knowledge regarding burn prevention and burn first aid. Deleterious traditional compounds were used on 32% of burn patients in the villages. CONCLUSIONS--Since most burns are related to household fires, generally in the domain of women in rural Ethiopia, women's groups may be the most appropriate setting for education on burn prevention and first aid. Burn prevention and first aid education should also be recognised as a priority in schools and in the training of community health workers. PMID:8436886

  5. Assessment of Production and Distribution of Printed Information Education Communication (IEC) Materials in Ethiopia and Utilization in the Case of Jimma Zone, Oromiya National Regional State: A Cross Sectional Study.

    PubMed

    Birhanu, Zewdie; Godesso, Ameyu; Jira, Challi; Morankar, Sudhakar

    2011-08-01

    Health promotion and health education activities rely on a variety of well designed and effective printed Information Education Communication materials to help ensure success. However, in Ethiopia, there is no well established evidence that shows the extent to which printed Information Education Communication materials are produced distributed, utilized and the existing needs and gaps. Therefore, the objective of this study was to assess the process of printed Information Education Communication materials production, distribution and utilization and to identify current Information Education Communication needs and gaps. Cross sectional study combining quantitative and qualitative approaches was conducted at Federal, Regional (Oromiya), zonal (Jimma) and facility levels. Fourteen health centers within Jimma Zone were randomly selected and 303 health workers working in these health centers were included in the study. Purposive sampling technique was used to identify respondents for in-depth interview. The quantitative data were analyzed by SPSS for windows version 16.0. The materials designed both by the Health Education Extension Center and Oromiya Regional Health Bureau were not fully culture sensitive. Information Education Communication materials inventories had not been practiced, particularly at zonal and health center levels. Furthermore, at zonal and health center level, there were no safe storage places. Chronic shortage of Information Education Communication materials was reported consistently. Only 206 (68.0%) of the participants had ever used printed Information Education Communication material. 146 (48.2%) and 29 (9.6%) of the participants were rated the IEC material they have seen as very good in terms of understablity and the extent to which it takes the local context into account, respectively. Participants who were nurse and laboratory technologist were 0.35 and 0.23 times less likely to use IEC materials than environmental Health experts [AOR=0

  6. Youth services in Ethiopia.

    PubMed

    Meredith, P

    1990-12-01

    Departing from the usual family planning education format in teenage counseling, the IPPF is funding youth centers providing contraception as well as education in Ethiopia, Kenya, Togo, Tunisia, and Turkey. The development concern is for a cost efficient and effective center with minimal criticism. 2 experimental Mexican models were used in the Ethiopian youth centers. Both models utilize young adult coordinators who supervise young promoters, however each operates differently. Mexican staff trained their African counterparts and a detailed project manual will be available soon. The Ethiopian youth centers utilizing NGO's and the private sector have been permitted freedom from central control. Alarming statistics include: 20.8% of pregnancies are teenaged; 20.8% of hospital reported abortions are teenaged; the contraceptive prevalence rate is 2%; population increased by 3% per year with the average children per woman of 7.5. Addis Ababa's youth project provides services to mostly zone 5 school aged adolescents who are informed and eager to purchase condoms, although they are not able to purchase them commercially. Revolutionary Ethiopian Youth Association (REYA) with its 200,000 membership, is increasing its contribution to expanding the network of promoters. Promoters are used to register those receiving free condoms, but the recommendation to cease this practice of registration is in, and replace it with the sale of 50 US cents per condom.

  7. The burden of neglected tropical diseases in Ethiopia, and opportunities for integrated control and elimination

    PubMed Central

    2012-01-01

    Background Neglected tropical diseases (NTDs) are a group of chronic parasitic diseases and related conditions that are the most common diseases among the 2·7 billion people globally living on less than US$2 per day. In response to the growing challenge of NTDs, Ethiopia is preparing to launch a NTD Master Plan. The purpose of this review is to underscore the burden of NTDs in Ethiopia, highlight the state of current interventions, and suggest ways forward. Results This review indicates that NTDs are significant public health problems in Ethiopia. From the analysis reported here, Ethiopia stands out for having the largest number of NTD cases following Nigeria and the Democratic Republic of Congo. Ethiopia is estimated to have the highest burden of trachoma, podoconiosis and cutaneous leishmaniasis in sub-Saharan Africa (SSA), the second highest burden in terms of ascariasis, leprosy and visceral leishmaniasis, and the third highest burden of hookworm. Infections such as schistosomiasis, trichuriasis, lymphatic filariasis and rabies are also common. A third of Ethiopians are infected with ascariasis, one quarter is infected with trichuriasis and one in eight Ethiopians lives with hookworm or is infected with trachoma. However, despite these high burdens of infection, the control of most NTDs in Ethiopia is in its infancy. In terms of NTD control achievements, Ethiopia reached the leprosy elimination target of 1 case/10,000 population in 1999. No cases of human African trypanosomiasis have been reported since 1984. Guinea worm eradication is in its final phase. The Onchocerciasis Control Program has been making steady progress since 2001. A national blindness survey was conducted in 2006 and the trachoma program has kicked off in some regions. Lymphatic Filariasis, podoconiosis and rabies mapping are underway. Conclusion Ethiopia bears a significant burden of NTDs compared to other SSA countries. To achieve success in integrated control of NTDs, integrated mapping

  8. Ethiopia's Grand Renaissance Dam: Implications for Downstream Riparian Countries

    NASA Astrophysics Data System (ADS)

    Zhang, Y.; Block, P. J.; Hammond, M.; King, A.

    2013-12-01

    Ethiopia has begun seriously developing their significant hydropower potential by launching construction of the Grand Ethiopian Renaissance Dam (GERD) on the Blue Nile River to facilitate local and regional growth. Although this has required substantial planning on Ethiopia's part, no policy dictating the reservoir filling rate strategy has been publicly issued. This filling stage will have clear implications on downstream flows in Sudan and Egypt, complicated by evaporative losses, climate variability, and climate change. In this study, various filling policies and future climate states are simultaneously explored to infer potential streamflow reductions at Lake Nasser, providing regional decision-makers with a set of plausible, justifiable, and comparable outcomes. Schematic of the model framework Box plots of 2017-2032 percent change in annual average streamflow at Lake Nasser for each filling policy constructed from the 100 time-series and weighted precipitation changes. All values are relative to the no dam policy and no changes to future precipitation.

  9. Special Report: Political Violence and Democratic Uncertainty in Ethiopia

    DTIC Science & Technology

    2007-08-01

    Washington, D.C. • María otero (Vice Chair), President, ACCION International, Boston, Mass. • Betty f. Bumpers, Founder and former President, Peace Links...well- planned intervention by Ethiopian forces in December 2006. Aside from its regional implications, the conflict suggests a smolder- ing tension among...from a national census of vital bureaucratic and administrative importance in a decentralized state such as Ethiopia, it is an invalu- able planning

  10. Adapting Active Learning in Ethiopia

    ERIC Educational Resources Information Center

    Casale, Carolyn Frances

    2010-01-01

    Ethiopia is a developing country that has invested extensively in expanding its educational opportunities. In this expansion, there has been a drastic restructuring of its system of preparing teachers and teacher educators. Often, improving teacher quality is dependent on professional development that diversifies pedagogy (active learning). This…

  11. Ethiopia: Country Status Report (Revision).

    ERIC Educational Resources Information Center

    McFerren, Margaret

    A survey of the status of language usage in Ethiopia begins with an overview of the distribution of Amharic, the sole official language and medium of elementary instruction, and Tigrinya, Oromo, Wolayto, Somali, Sidamo, Hadiyya, and English, the medium of secondary and higher education instruction. The relationship of language usage patterns to…

  12. Ocular morbidity among refugees in Southwest Ethiopia.

    PubMed

    Gelaw, Yeshigeta; Abateneh, Aemero

    2014-07-01

    Low vision and blindness are recognized as one of the major public health problems worldwide, especially in developing countries. The prevalence and cause of blindness and low vision vary from region to region, among different age and population groups in a country or geographical region. The objective of this study is thus to determine the causes of blindness and ocular morbidity among refugees in Southwest Ethiopia. A cross-sectional clinic based study was conducted on 1,054 refugees in Southwest Ethiopia. A basic anterior and posterior segment examination was done by ophthalmologists with Magnifying Loupe 2.5X and Direct Ophthalmoscope. Data were analyzed using SPSS version 16.0. The most common causes of ocular morbidity identified were trachoma 547(21.2%), cataract 501(19.4%), refractive error 353(13.7%), conjunctivitis 240(9.3%), glaucoma 130(5.1%) and climatic droplet keratopathy 112(4.4%). The overall prevalence of blindness was 26.2% and the prevalence of childhood blindness was 0.7%. The prevalence was higher among females (16.9%) than males (9.3%) and age groups 60 years and above (15.9%) than other age groups (10.3%) (P<0.05). The overall prevalence of low vision was 25.8% and the prevalence of low vision in pediatric age group was 0.9%. The leading causes of blindness were cataract 112(40.6%), trachomatous corneal opacity 58(21.0%) and glaucoma 49(17.8%). The commonest cause of low vision was cataract 102(37.6%) followed by trachomatous corneal opacity 49(18.1%) and refractive error 35(12.9%). There is a very high burden of blinding eye diseases among refugees. Integrated multidisciplinary intervention strategies for the prevention and control of blindness and low vision in the study settings should be initiated.

  13. Exploring Agro-Climatic Trends in Ethiopia Using CHIRPS

    NASA Astrophysics Data System (ADS)

    Pedreros, D. H.; Funk, C. C.; Brown, M. E.; Korecha, D.; Seid, Y. M.

    2015-12-01

    The Famine Early Warning Systems Network (FEWS NET) uses the Climate Hazards Group Infrared Precipitation with Stations (CHIRPS) to monitor agricultural food production in different regions of the world. CHIRPS is a 1981-present, 5 day, approximately 5km resolution, rainfall product based on a combination of geostationary satellite observations, a high resolution climatology and in situ station observations. Furthermore, FEWS NET has developed a gridded implementation of the Water Requirement Satisfaction Index (WRSI), a water balance measurement indicator of crop performance. This study takes advantage of the CHIRPS' long term period of record and high spatial and temporal resolution to examine agro-climatic trends in Ethiopia. We use the CHIRPS rainfall dataset to calculate the WRSI for the boreal spring and summer crop seasons, as well as for spring-summer rangelands conditions. We find substantial long term rainfall declines in the spring and summer seasons across southeastern and northeastern Ethiopia. Crop Model results indicate that rainfall declines in the cropped regions have been associated with water deficits during the critical grain filling periods in well populated and/or highly vulnerable parts of eastern Ethiopia. WRSI results in the pastoral areas indicate substantial reductions in rangeland health during the later part of the growing seasons. These health declines correspond to the regions of Somaliland and Afar that have experienced chronic severe food insecurity since 2010. Key words: CHIRPS, satellite estimated rainfall, agricultural production

  14. Differentiating flow, melt, or fossil seismic anisotropy beneath Ethiopia

    NASA Astrophysics Data System (ADS)

    Hammond, J. O. S.; Kendall, J.-M.; Wookey, J.; Stuart, G. W.; Keir, D.; Ayele, A.

    2014-05-01

    Ethiopia is a region where continental rifting gives way to oceanic spreading. Yet the role that pre-existing lithospheric structure, melt, mantle flow, or active upwellings may play in this process is debated. Measurements of seismic anisotropy are often used to attempt to understand the contribution that these mechanisms may play. In this study, we use new data in Afar, Ethiopia along with legacy data across Ethiopia, Djibouti, and Yemen to obtain estimates of mantle anisotropy using SKS-wave splitting. We show that two layers of anisotropy exist, and we directly invert for these. We show that fossil anisotropy with fast directions oriented northeast-southwest may be preserved in the lithosphere away from the rift. Beneath the Main Ethiopian Rift and parts of Afar, anisotropy due to shear segregated melt along sharp changes in lithospheric thickness dominates the shear-wave splitting signal in the mantle. Beneath Afar, away from regions with significant lithospheric topography, melt pockets associated with the crustal and uppermost mantle magma storage dominate the signal in localized regions. In general, little anisotropy is seen in the uppermost mantle beneath Afar suggesting melt retains no preferential alignment. These results show the important role melt plays in weakening the lithosphere and imply that as rifting evolves passive upwelling sustains extension. A dominant northeast-southwest anisotropic fast direction is observed in a deeper layer across all of Ethiopia. This suggests that a conduit like plume is lacking beneath Afar today, rather a broad flow from the southwest dominates flow in the upper mantle.

  15. The epidemiology of schistosomiasis mansoni and soil-transmitted helminths in elementary school children from the South Gondar Zone of the Amhara National Regional State, Ethiopia.

    PubMed

    Jemaneh, L

    2000-04-01

    In a cross-sectional survey undertaken in 22 communities of 6 districts in the South Gondar Zone of the Amhara National Regional State, 2279 school children had their stools examined for schistosomiasis mansoni and soil-transmitted helminths using the Kato-Katz technique. Overall the prevalence rates were 16.4%, 28.9%, 9.5% and 12.9% for S. mansoni, A. lumbricoides, T. trichiura and the hookworms, respectively. S. mansoni infection was registered from 14 of the 22 communities, in more than 60% of which the prevalence was over 20%. Infection with A. lumbricoides was noted in 20 schools and except in three schools the prevalence was above 20%. T. trichiura infection was found in 19 of the 22 schools with prevalence rates from 1.7% to 20.0%. Infection due to the hookworms was recorded in 17 schools, in 40% of which the prevalence was 20% or more. Generally communities of the western districts of the zone had higher infection rates of schistosomiasis mansoni and soil-transmitted helminthiasis as compared to those in the eastern districts. The presence of S. mansoni foci in 9 communities is reported for the first time. In general neither sex nor age were related to prevalence or intensity of infection. Forty nine percent of the examined children had one or more types of helminths, of which 32.5%, 13.3% and 2.4% were single, double and triple infections, respectively. A. lumbricoides commonly occurred with the other helminths. Multiplicity of infection was not sex related. 14.6%, 28.4%, 8.3% and 12.1% of the children had moderate or heavy infections of schistosomiasis mansoni, ascariasis, trichuriasis and hookworms, respectively.

  16. Magnetostratigraphy of the hominin-bearing Hadar Formation (Ledi-Geraru, Ethiopia), and regional evidence for environmental change ca. 3.2 Ma

    NASA Astrophysics Data System (ADS)

    Sier, M.; Dupont-Nivet, G.; Campisano, C. J.; Arrowsmith, R.; Dimaggio, E.; Reed, K.; Lockwood, C.; Franke, C.; Huesing, S.

    2007-12-01

    To date and characterize depositional environments of the hominin-bearing Hadar Formation, magnetostratigraphy was applied to Pliocene lacustrine sediments from the eastern part of the Hadar Basin (Ledi-Geraru research area). Characteristic geochemistry and lithologic features of three tuffaceous horizons at the bottom, middle and top of the stratigraphy are recognized as the Sidi Hakoma Tuff (SHT), Triple Tuff-4 (TT-4) and the Kada Hadar Tuff (KHT), respectively, previously dated by 40Ar/39Ar in other part of the basin. Demagnetizations and rock magnetic analysis of paleomagnetic samples collected at regular 50 cm intervals on a total stratigraphic thickness of 230 meters between the SHT and the KHT enable us to isolate paleomagnetic directions from a primary detrital remanent magnetization mostly carried by (titano-)magnetites basaltic in origin. These results indicate two paleomagnetic reversals bracketing a reversed polarity interval identified as the Mammoth event (chron 2An.2r). The average paleomagnetic direction, consistent with existing paleomagnetic data, indicates a post-3 Ma counterclockwise vertical-axis tectonic rotation (5-10 degrees) of the Hadar Basin and pervasive shallowing of paleomagnetic inclination (5-10 degrees) related to sedimentation and compaction. Ages of tuffaceous layers and of paleomagnetic reversals show excellent consistency between 40Ar/39Ar dating and the most up to date astronomically tuned polarity time scale. Linear interpolations indicate constant sediment accumulation rates (~90 cm/kyr) throughout the section, except for the uppermost part which shows a threefold increase between the top of the Mammoth 2An.2r chron and the KHT. Along with existing chronostratigraphic results from the Hadar Basin, we show that the steady-state deposition, taking place in an eastward tilting basin since ~3.4 Ma, was regionally disrupted ca. 3.2 Ma by a relatively short-lived but significant change in environmental conditions. This disruption

  17. Evolution, distribution, and characteristics of rifting in southern Ethiopia

    NASA Astrophysics Data System (ADS)

    Philippon, Melody; Corti, Giacomo; Sani, Federico; Bonini, Marco; Balestrieri, Maria-Laura; Molin, Paola; Willingshofer, Ernst; Sokoutis, Dimitrios; Cloetingh, Sierd

    2014-04-01

    Southern Ethiopia is a key region to understand the evolution of the East African rift system, since it is the area of interaction between the main Ethiopian rift (MER) and the Kenyan rift. However, geological data constraining rift evolution in this remote area are still relatively sparse. In this study the timing, distribution, and style of rifting in southern Ethiopia are constrained by new structural, geochronological, and geomorphological data. The border faults in the area are roughly parallel to preexisting basement fabrics and are progressively more oblique with respect to the regional Nubia-Somalia motion proceeding southward. Kinematic indicators along these faults are mainly dip slip, pointing to a progressive rotation of the computed direction of extension toward the south. Radiocarbon data indicate post 30 ka faulting at both western and eastern margins of the MER with limited axial deformation. Similarly, geomorphological data suggest recent fault activity along the western margins of the basins composing the Gofa Province and in the Chew Bahir basin. This supports that interaction between the MER and the Kenyan rift in southern Ethiopia occurs in a 200 km wide zone of ongoing deformation. Fault-related exhumation at ~10-12 Ma in the Gofa Province, as constrained by new apatite fission track data, occurred later than the ~20 Ma basement exhumation of the Chew Bahir basin, thus pointing to a northward propagation of the Kenyan rift-related extension in the area.

  18. Rights of the Child in Ethiopia.

    ERIC Educational Resources Information Center

    Schonveld, Ben; Mejia, Fernando

    This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the U.N. Convention on the Rights of the Child by the nation of Ethiopia. The report's introduction asserts that despite the considerable lip service being paid by Ethiopia's…

  19. Appraisal of Adult Literacy Programs in Ethiopia.

    ERIC Educational Resources Information Center

    Wagaw, Teshome G.

    This paper critically examines the goals, processes, resources, and effectiveness of Ethiopia's efforts to teach its people to read. Of the estimated 27 million people living in Ethiopia, only ten percent are literate. In recognition of this, and with the hypothesis that literacy skills are prerequisites for building a just and egalitarian…

  20. Ethiopia: The Search for Stability

    DTIC Science & Technology

    1966-04-08

    University, op. cit., p.70. 13 ••"> The official language of Ethiopia is Amharic which is spoken by about half of the population. However, in the...language, Amharic , and English. About 907c of the Ethiopian people are engaged in agriculture. The remaining are principally functionaries of the...alphabet, and the unfamiliarity by about half of the population with the official state language, Amharic . Although considerable progress has been

  1. Meat Consumption Culture in Ethiopia

    PubMed Central

    Jo, Cheorun

    2014-01-01

    The consumption of animal flesh food in Ethiopia has associated with cultural practices. Meat plays pivotal and vital parts in special occasions and its cultural symbolic weight is markedly greater than that accorded to most other food. Processing and cooking of poultry is a gender based duty and has socio-cultural roles. Ethiopians are dependent on limited types of animals for meats due to the taboo associated culturally. Moreover, the consumption of meat and meat products has a very tidy association with religious beliefs, and are influenced by religions. The main religions of Ethiopia have their own peculiar doctrines of setting the feeding habits and customs of their followers. They influence meat products consumption through dictating the source animals that should be used or not be used for food, and scheduling the days of the years in periodical permeation and restriction of consumptions which in turn influences the pattern of meat consumption in the country. In Ethiopia, a cow or an ox is commonly butchered for the sole purpose of selling within the community. In special occasions, people have a cultural ceremony of slaughtering cow or ox and sharing among the group, called Kircha, which is a very common option of the people in rural area where access of meat is challenging frequently. PMID:26760739

  2. Meat Consumption Culture in Ethiopia.

    PubMed

    Seleshe, Semeneh; Jo, Cheorun; Lee, Mooha

    2014-01-01

    The consumption of animal flesh food in Ethiopia has associated with cultural practices. Meat plays pivotal and vital parts in special occasions and its cultural symbolic weight is markedly greater than that accorded to most other food. Processing and cooking of poultry is a gender based duty and has socio-cultural roles. Ethiopians are dependent on limited types of animals for meats due to the taboo associated culturally. Moreover, the consumption of meat and meat products has a very tidy association with religious beliefs, and are influenced by religions. The main religions of Ethiopia have their own peculiar doctrines of setting the feeding habits and customs of their followers. They influence meat products consumption through dictating the source animals that should be used or not be used for food, and scheduling the days of the years in periodical permeation and restriction of consumptions which in turn influences the pattern of meat consumption in the country. In Ethiopia, a cow or an ox is commonly butchered for the sole purpose of selling within the community. In special occasions, people have a cultural ceremony of slaughtering cow or ox and sharing among the group, called Kircha, which is a very common option of the people in rural area where access of meat is challenging frequently.

  3. Non random distribution of child undernutrition in Ethiopia: spatial analysis from the 2011 Ethiopia demographic and health survey.

    PubMed

    Alemu, Zewdie Aderaw; Ahmed, Ahmed Ali; Yalew, Alemayehu Worku; Birhanu, Belay Simanie

    2016-12-03

    Child undernutrition showed geographical inequalities due to variations in contextual determinants from area to area which indicates that location is an important factor in child undernutrition. However, there are limited studies on spatial epidemiology of child undernutrition in Ethiopia. This study was aimed to identify the SaTScan spatial clusters of child undernutrition in Ethiopia. Nutritional indices of children (0-59 months) with Global Positioning System (GPS) location data were accessed from the 2011 Ethiopia Demographic and Health Survey (EDHS) after getting permission from the MEASURES Demographic and Health Survey (DHS) Program. The Bernoulli Model was fitted using SaTScan™ software, version 9.4. for SaTScan cluster analysis. Log Likelihood Ratio (LLR) test was used for each SaTScan cluster and size of the scanning SaTScan cluster to test the alternative hypothesis that there is an elevated risk within the SaTScan cluster compared to outside the SaTScan cluster. Less than 0.05 for LLR was considered as statistically significant level. The SaTScan spatial analysis result detected Liben, Afder and Borena administrative zones around the South East Ethiopia as the most likely primary spatial SaTScan clusters (LLR = 28.98, p < 0.001) for wasting. In the Northern, Middle, North East and North West areas of Ethiopia particularly from all administrative zones of Amhara, Tigray, Afar, Ben. Gumz regional states and East Welega and North Showa zones from Oromiya Regional State (LLR = 60.27, p < 0.0001) were detected as the most likely primary SaTScan clusters for child underweight. Also in the Northern, Middle, North East and North West areas of all administrative zones of Tigray, Amhara, Ben. Gumz and Afar regional states and West and North Showa and East Welega from Oromiya Regional States (LLR = 97.28, P < 0.0001) were primary SaTScan clusters for child stunting. The study showed geographical variability of child stunting, underweight

  4. African Regional Symposium on Telematics for Development. Report and Recommendations = Colloque regional africain la telematique au service du developpement. Rapport et recommandations (Addis Ababa, Ethiopia, April 3-7, 1995).

    ERIC Educational Resources Information Center

    International Telecommunication Union, Geneva (Switzerland).

    The African Regional Symposium on Telematics for Development was organized in view of the special educational and communication needs of Africa in a time of accelerating change and development of information technologies. The symposium brought together more than 150 African specialists, and over 40 participants from other regions and development…

  5. African Regional Symposium on Telematics for Development. Report and Recommendations = Colloque regional africain la telematique au service du developpement. Rapport et recommandations (Addis Ababa, Ethiopia, April 3-7, 1995).

    ERIC Educational Resources Information Center

    International Telecommunication Union, Geneva (Switzerland).

    The African Regional Symposium on Telematics for Development was organized in view of the special educational and communication needs of Africa in a time of accelerating change and development of information technologies. The symposium brought together more than 150 African specialists, and over 40 participants from other regions and development…

  6. Campaigning against female genital mutilation in Ethiopia using popular education.

    PubMed

    Spadacini, B; Nichols, P

    1998-07-01

    In Ethiopia, the Italian Association for Women in Development (AIDOS) has been working with Ethiopia's National Committee on Traditional Practices Affecting the Health of Women and Children for 5 years. AIDOS began working on female genital mutilation in the early 1980s and rejects charges of cultural imperialism that are applied to Northern organizations attempting to help African organizations address this violation of universal human rights. In Ethiopia, 85% of women are mutilated, with most undergoing Sunna, or removal of the prepuce of the clitoris. The joint project seeks to increase awareness about the health consequences of female genital mutilation in the target group. The primary technique used is provision of training of trainers courses and presentation of four modular units and audiovisual materials specifically designed for use with socially influential women, male and female secondary school students, community leaders, and health workers. In addition, an information/education campaign uses videos and sound and slide shows with accompanying story books. A second category of communication tools was developed for a mass information campaign, including radio spots, posters, information leaflets, and a newsletter. When the project was ready for expansion into the southern region of the country, it became clear that a new participatory communication strategy was required to stimulate discussion, such as the use of role playing and theater. Working together, the two organizations have successfully confronted project constraints such as the difficulty in assessing project impact, scheduling problems, and gender-biased assess to information.

  7. Seasonal Water Balance Forecasts for Drought Early Warning in Ethiopia

    NASA Astrophysics Data System (ADS)

    Spirig, Christoph; Bhend, Jonas; Liniger, Mark

    2016-04-01

    Droughts severely impact Ethiopian agricultural production. Successful early warning for drought conditions in the upcoming harvest season therefore contributes to better managing food shortages arising from adverse climatic conditions. So far, however, meteorological seasonal forecasts have not been used in Ethiopia's national food security early warning system (i.e. the LEAP platform). Here we analyse the forecast quality of seasonal forecasts of total rainfall and of the meteorological water balance as a proxy for plant available water. We analyse forecast skill of June to September rainfall and water balance from dynamical seasonal forecast systems, the ECMWF System4 and EC-EARTH global forecasting systems. Rainfall forecasts outperform forecasts assuming a stationary climate mainly in north-eastern Ethiopia - an area that is particularly vulnerable to droughts. Forecasts of the water balance index seem to be even more skilful and thus more useful than pure rainfall forecasts. The results vary though for different lead times and skill measures employed. We further explore the potential added value of dynamically downscaling the forecasts through several dynamical regional climate models made available through the EU FP7 project EUPORIAS. Preliminary results suggest that dynamically downscaled seasonal forecasts are not significantly better compared with seasonal forecasts from the global models. We conclude that seasonal forecasts of a simple climate index such as the water balance have the potential to benefit drought early warning in Ethiopia, both due to its positive predictive skill and higher usefulness than seasonal mean quantities.

  8. Flow, melt and fossil seismic anisotropy beneath Ethiopia

    NASA Astrophysics Data System (ADS)

    Hammond, James; Kendall, J.-Michael; Wookey, James; Stuart, Graham; Keir, Derek; Ayele, Atalay

    2014-05-01

    Ethiopia is a region where continental rifting gives way to oceanic spreading. Yet the role that pre-existing lithospheric structure, melt, mantle flow or active upwellings may play in this process is debated. Measurements of seismic anisotropy are often used to attempt to understand the contribution that these mechanisms may play. In this study we use new data in Afar, Ethiopia along with legacy data across Ethiopia, Djibouti and Yemen to obtain estimates of mantle anisotropy using SKS-wave splitting. We show that two layers of anisotropy exist, and use shear-wave splitting tomography to invert for these. We show that fossil anisotropy with fast directions oriented northeast-southwest may be preserved in the lithosphere away from the rift. Beneath the Main Ethiopian Rift and parts of Afar, anisotropy due aligned melt due to sharp changes in lithospheric thickness dominate the shear-wave splitting signal in the mantle. Beneath Afar, away from lithospheric topography, melt pockets associated with the crustal magma storage dominate the signal and little anisotropy is seen in the uppermost mantle suggesting melt retains no preferential alignment, possibly due to a lack of mantle lithosphere. These results show the important role melt plays in weakening the lithosphere and imply that as rifting evolves passive upwelling sustains extension. A dominant northeast-southwest anisotropic fast direction is observed in a deeper layer across all of Ethiopia. This suggests that a conduit like plume is absent beneath Afar today, rather a broad flow from the southwest dominates in the upper mantle.

  9. Rainfall and runoff variability in Ethiopia

    NASA Astrophysics Data System (ADS)

    Billi, Paolo; Fazzini, Massimiliano; Tadesse Alemu, Yonas; Ciampalini, Rossano

    2014-05-01

    Rainfall and river flow variability have been deeply investigated and and the impact of climate change on both is rather well known in Europe (EEA, 2012) or in other industrialized countries. Reports of international organizations (IPCC, 2012) and the scientific literature provide results and outlooks that were found contrasting and spatially incoherent (Manton et al., 2001; Peterson et al., 2002; Griffiths et al., 2003; Herath and Ratnayake, 2004) or weakened by limitation of data quality and quantity. According to IPCC (2012), in East Africa precipitation there are contrasting regional and seasonal variations and trends, though Easterling et al. (2000) and Seleshi and Camberlin (2006) report decreasing trends in heavy precipitation over parts of Ethiopia during the period 1965-2002. Literature on the impact of climate change on river flow is scarce in Africa and IPCC Technical Paper VI (IPCC, 2008) concluded that no evidence, based on instrumental records, has been found for a climate-driven globally widespread change in the magnitude/frequency of floods during the last decades (Rosenzweig et al., 2007), though increases in runoff and increased risk of flood events in East Africa are expected. Some papers have faced issues regarding rainfall and river flow variability in Ethiopia (e.g. Seleshi and Demaree, 1995; Osman and Sauerborn, 2002; Seleshi and Zanke, 2004; Meze-Hausken, 2004; Korecha and Barnston, 2006; Cheung et al., 2008) but their investigations are commonly geographically limited or used a small number of rain and flow gauges with the most recent data bound to the beginning of the last decade. In this study an attempt to depict rainfall and river flow variability, considering the longer as possible time series for the largest as possible number of meteo-stations and flow gauge evenly distributed across Ethiopia, is presented. 25 meteo-stations and 21 flow gauges with as much as possible continuous data records were selected. The length of the time

  10. Legal harvest and illegal trade: Trends, challenges, and options in khat production in Ethiopia.

    PubMed

    Cochrane, Logan; O'Regan, Davin

    2016-04-01

    The production of khat in Ethiopia has boomed over the last two decades, making the country the world's leading source. Khat is now one of Ethiopia's largest crops by area of cultivation, the country's second largest export earner, and an essential source of income for millions of Ethiopian farmers. Consumption has also spread from the traditional khat heartlands in the eastern and southern regions of Ethiopia to most major cities. This steady growth in production and use has unfolded under negligible government support or regulation. Meanwhile, khat, which releases a stimulant when chewed, is considered an illicit drug in an increasing number of countries. Drawing on government data on khat production, trade, and seizures as well as research on the political, socioeconomic, and development effects of plant-based illicit narcotics industries, this commentary identifies possible considerations and scenarios for Ethiopia as the country begins to manage rising khat production, domestic consumption, and criminalization abroad. Deeply embedded in social and cultural practices and a major source of government and agricultural revenue, Ethiopian policymakers have few enviable choices. Criminalization abroad raises a small but not insignificant possibility that previously nonexistent linkages between khat and transnational organized crime and trafficking networks will emerge. Likewise, more stringent regulation of khat in Ethiopia could merge with lingering political cleavages and anti-government sentiments, exacerbating low-level domestic conflicts.

  11. 2.5-million-year-old stone tools from Gona, Ethiopia.

    PubMed

    Semaw, S; Renne, P; Harris, J W; Feibel, C S; Bernor, R L; Fesseha, N; Mowbray, K

    1997-01-23

    The Oldowan Stone tool industry was named for 1.8-million-year-old (Myr) artefacts found near the bottom of Olduvai Gorge, Tanzania. Subsequent archaeological research in the Omo (Ethiopia) and Turkana (Kenya) also yielded stone tools dated to 2.3 Myr. Palaeoanthropological investigations in the Hadar region of the Awash Valley of Ethiopia, revealed Oldowan assemblages in the adjacent Gona River drainage. We conducted field work in the Gona study area of Ethiopia between 1992 and 1994 which resulted in additional archaeological discoveries as well as radioisotopic age control and a magnetic polarity stratigraphy of the Gona sequence. These occurrences are now securely dated between 2.6-2.5 Myr. The stone tools are thus the oldest known artefacts from anywhere in the world. The artefacts show surprisingly sophisticated control of stone fracture mechanics, equivalent to much younger Oldowan assemblages of Early Pleistocene age. This indicates an unexpectedly long period of technological stasis in the Oldowan.

  12. Health, Nutrition and Informal Education of Pre-School Children in South-West Ethiopia.

    ERIC Educational Resources Information Center

    Negussie, Birgit

    This report discusses the roles of health, nutrition and informal education in the preschool education of children in southwest Ethiopia. Information for the report is drawn from data from a study of traditional maternity and child care in the Southern Shewa region of the country. Mother and child health is a priority in Ethiopian health planning.…

  13. Ethnocentrism and Ethnic-Based Peer Preferences in Higher Education Institutions: Challenges and Implications for Ethiopia

    ERIC Educational Resources Information Center

    Admasu Gebru, Demewoz

    2012-01-01

    Ethiopia, a country containing more than 80 ethnic groups, has remarkably expanded the higher education sector and established universities based on equitable regional distribution in the two past decades. This article discusses and analyzes attitudes and behaviors of university students from various ethnic groups toward their own and other…

  14. Omotic Peoples and the Early History of Agriculture in Southern Ethiopia

    ERIC Educational Resources Information Center

    Assefa, Shiferaw Alemu

    2011-01-01

    The primary objective of this dissertation is to reconstruct the history of the Omotic societies of southwestern Ethiopia. Although historical, anthropological, and linguistic studies exist for this region, the gaps in our knowledge are great. Information on the history of Omotic people, their economic and political systems, beliefs and values,…

  15. Health, Nutrition and Informal Education of Pre-School Children in South-West Ethiopia.

    ERIC Educational Resources Information Center

    Negussie, Birgit

    This report discusses the roles of health, nutrition and informal education in the preschool education of children in southwest Ethiopia. Information for the report is drawn from data from a study of traditional maternity and child care in the Southern Shewa region of the country. Mother and child health is a priority in Ethiopian health planning.…

  16. Omotic Peoples and the Early History of Agriculture in Southern Ethiopia

    ERIC Educational Resources Information Center

    Assefa, Shiferaw Alemu

    2011-01-01

    The primary objective of this dissertation is to reconstruct the history of the Omotic societies of southwestern Ethiopia. Although historical, anthropological, and linguistic studies exist for this region, the gaps in our knowledge are great. Information on the history of Omotic people, their economic and political systems, beliefs and values,…

  17. Ethnocentrism and Ethnic-Based Peer Preferences in Higher Education Institutions: Challenges and Implications for Ethiopia

    ERIC Educational Resources Information Center

    Admasu Gebru, Demewoz

    2012-01-01

    Ethiopia, a country containing more than 80 ethnic groups, has remarkably expanded the higher education sector and established universities based on equitable regional distribution in the two past decades. This article discusses and analyzes attitudes and behaviors of university students from various ethnic groups toward their own and other…

  18. The seismicity of Ethiopia; active plate tectonics

    USGS Publications Warehouse

    Mohr, P.

    1981-01-01

    Ethiopia, descended from the semimythical Kingdom of Punt, lies at the strategic intersection of Schmidt's jigsaw puzzle where the Red Sea, Gulf of Aden, and the African Rift System meet. Because of geologically recent uplift combined with rapid downcutting erosion by rivers, notably the Blue Nile (Abbay), Ethiopia is the most mountainous country in Africa. It is also the most volcanically active, while its historical seismicity matches that of the midocean ridges. And, in a sense, Ethiopia is host to an evoloving ocean ridge system. 

  19. Treatment outcomes and their determinants in HIV patients on Anti-retroviral Treatment Program in selected health facilities of Kembata and Hadiya zones, Southern Nations, Nationalities and Peoples Region, Ethiopia.

    PubMed

    Ayele, Wondimu; Mulugeta, Afework; Desta, Alem; Rabito, Felicia A

    2015-08-27

    Ethiopia has been providing free Antiretroviral Treatment (ART) since 2005 for HIV/AIDS patients. ART improves survival time and quality of life of HIV patients but ART treatment outcomes might be affected by several factors. However, factors affecting treatment outcomes are poorly understood in Ethiopia. Hence, this study assesses treatment outcomes and its determinants for HIV patients on ART in selected health facilities of Kembata and Hadiya zones. A retrospective cohort study was conducted on 730 adult HIV/AIDS patients who enrolled antiretroviral therapy from 2007 to 2011 in four selected health facilities of Kembata and Hadiya zones of Southern Ethiopia. Study subjects were sampled from the health facilities based on population proportion to size. Data was abstracted using data extraction format from medical records. Kaplan-Meier survival function was used to estimate survival probability. Cox proportional hazards regression model was used to identify factors associated with time to death. Median age of patients was 32.4 years with Inter Quartile Range (IQR) [15, 65]. The female to male ratio of the study participants' was 1.4:1. Median CD4 count significantly increased during the last four consecutive years of follow up. A total of 92 (12.6%) patients died, 106(14.5%) were lost to follow-up, and 109(15%) were transferred out. Sixty three (68%) deaths occurred in the first 6 months of treatment. The median survival time was 25 months with IQR [9, 43]. After adjustment for confounders, WHO clinical stage IV [HR 2.42; 95% CI, 1.19, 5.86], baseline CD4 lymphocyte counts of 201 cell/mm(3) and 350 cell/mm(3) [HR 0.20; 95 % CI; 0.09-0.43], poor regimen adherence [HR 2.70 95% CI: 1.4096, 5.20], baseline hemoglobin level of 10 gm/dl and above [HR 0.23; 95% CI: 0.14, 0.37] and baseline functional status of bedridden [HR 3.40; 95% CI: 1.61, 7.21] were associated with five year survival of HIV patients on ART. All people living with HIV/AIDS should initiate ART as

  20. Self-medication practice in Ethiopia: a systematic review.

    PubMed

    Ayalew, Mohammed Biset

    2017-01-01

    Self-medication patterns vary among different populations, and are influenced by many factors. No review has been done that comprehensively expresses self-medication practice in Ethiopia. The aim of this study was to provide an overview of the literature on self-medication practice in Ethiopia. Databases (PubMed, Google Scholar, ResearchGate, and Hinari) were searched for published studies on the practice of self-medication in Ethiopia without restriction in the year of publication or methodology. Some studies were also identified through manual Google search. Primary search terms were "self medication", "Ethiopia", "self care", "non-prescription", "OTC drug use", "drug utilization", and "drug hoarding". Studies that measured knowledge only or attitude only or beliefs only and did not determine the practice of self-medication were excluded. The database search produced a total of 450 papers. After adjustment for duplicates and inclusion and exclusion criteria, 21 articles were found suitable for the review. All studies were cross-sectional in nature. The prevalence of self-medication varied from 12.8% to 77.1%, with an average of 36.8%. Fever/headache, gastrointestinal tract diseases, and respiratory diseases were the commonest illnesses/symptoms for which self-medication was taken. The major reasons for practicing self-medication were previous experience of treating a similar illness and feeling that the illness was mild. Analgesics/antipyretics, antimicrobials, gastrointestinal drugs, and respiratory drugs were the common drug classes used in self-medication. Mainly, these drugs were obtained from drug-retail outlets. The use of self-medication was commonly suggested by pharmacy professionals and friends/relatives. Self-medication practice is prevalent in Ethiopia and varies in different populations and regions of the country. Some of the self-medication practices are harmful and need prompt action. Special attention should be given to educating the public and

  1. Dynamically downscaled multi-model ensemble seasonal forecasts over Ethiopia

    NASA Astrophysics Data System (ADS)

    Asharaf, Shakeel; Fröhlich, Kristina; Fernandez, Jesus; Cardoso, Rita; Nikulin, Grigory; Früh, Barbara

    2016-04-01

    Truthful and reliable seasonal rainfall predictions have an important social and economic value for the east African countries as their economy is highly dependent on rain-fed agriculture and pastoral systems. Only June to September (JJAS) seasonal rainfall accounts to more than 80% crop production in Ethiopia. Hence, seasonal foresting is a crucial concern for the region. The European Provision of Regional Impact Assessment on a seasonal to decadal timescale (EUPORIAS) project offers a common framework to understand hindcast uncertainties through the use of multi-model and multi-member simulations over east Africa. Under this program, the participating regional climate models (RCMs) were driven by the atmospheric-only version of the ECEARTH global climate model, which provides hindcasts of a five-months period (May to September) from 1991-2012. In this study the RCMs downscaled rainfall is evaluated with respect to the observed JJAS rainfall over Ethiopia. Both deterministic and probabilistic based forecast skills are assessed. Our preliminary results show the potential usefulness of multi-model ensemble simulations in forecasting the seasonal rainfall over the region.

  2. Health and disease in rural Ethiopia.

    PubMed

    Finseth, K A; Finseth, F

    1975-05-01

    Ethiopia, among the world's poorest countries, suffers from a full spectrum of health problems. A plastic surgeon and a public health physician present their experiences in Sidamo province in the Rift Valley.

  3. Erosion-driven environmental degradation in Tigray, Ethiopia

    NASA Astrophysics Data System (ADS)

    Strong, N.; Willenbring, J.; Terwilliger, V. J.

    2009-12-01

    The Tigray Plateau of Northern Ethiopia is a key region for the study of relationships between climate, land use and the rise and fall of complex societies. Tigray has been the home to a succession of highly developed and powerful kingdoms and has a long history of agriculture, dating back to ~ 6,000 yrs BP. Unfortunately its mountainous topography makes the region particularly susceptible to accelerated erosion and mass wasting from intense land use practices and its location along the ITCZ and the East African rift system make the area prone to climatic changes. Today, after 6,000 years of agriculture, of which the last ~3,000 years have involved intense land use, the once fertile Tigray region is now highly degraded with frequent famine and some of the highest rates of soil erosion in the world. We find, based on a comparison of background (long-term) and anthropogenic short-term time-averaged erosion rates that deforestation and a transition to cropland farming likely increased rates of localized upstream erosion and downstream deposition by up to an order of magnitude greater than the natural background rates. We define three distinct periods of note in terms of rates and patterns of Holocene erosion and deposition in the east Tigray Plateau of Ethiopia. First, we take note of the depositional record and paleo-flaural reconstructions of a time of regional climate change yet little landuse change in Ethiopia, 7,500 - 6,000 cal yr BP (Late Prehistory and the beginning of the migration of peoples out of the Sahara and into Sudan and the highlands of Ethiopia). Second, we look at the stratigraphic record of the beginning of intense landuse and cultivation in the gently sloping lowland areas, 3200 -2300 Cal yrs BP (Pre-Aksumite period and the establishment of the first large centralized government in the upper Highlands). Third, we identify from the geological record a period of deforestation and farming of higher elevation, steep sloped hillsides and terraces 2300

  4. Determinants of fertility in Ethiopia.

    PubMed

    Ayele, Dawit Getnet

    2015-06-01

    The most important elements to determine the rate of population growth is fertility. Fertility is the main element to affect the welfare of mother. The survival of a child can be affected by high fertility and shorter birth intervals. For this study, the linear mixed model was used to determine factors affecting fertility status of women in Ethiopia. The 2011 Ethiopian demographic and health survey data was used for this study. From the result, materials used for roof, wall and floor were found to have a significant relation to fertility level of women in the last five years. Moreover, family size and births in the last five years were found to have a significant relationship. Significant variation in fertility level was observed among rural and urban residents of Ethiopia. To reduce the gap of fertility between rural and urban population, it is important to modernize different factors. These factors could be access to education, media, and providing employment opportunities in the modern economic sector. Besides this, it is important to develop and maintain the access of family planning services.

  5. Visceral Leishmaniasis in Ethiopia: An Evolving Disease

    PubMed Central

    Leta, Samson; Dao, Thi Ha Thanh; Mesele, Frehiwot; Alemayehu, Gezahegn

    2014-01-01

    Visceral leishmaniasis (also known as kala-azar) is classified as one of the most neglected tropical diseases. It is becoming a growing health problem in Ethiopia, with endemic areas that are continually spreading. The annual burden of visceral leishmaniasis (VL) in Ethiopia is estimated to be between 4,500 and 5,000 cases, and the population at risk is more than 3.2 million. There has been a change in the epidemiology of VL in Ethiopia. Over the last decades, almost all cases and outbreaks of VL were reported from arid and semi-arid parts of the country; however, recent reports indicated the introduction of this disease into the highlands. Migration of labourers to and from endemic areas, climatic and environmental changes, and impaired immunity due to HIV/AIDS and malnutrition resulted in the change of VL epidemiology. HIV spurs the spread of VL by increasing the risk of progression from asymptomatic infection towards full VL. Conversely, VL accelerates the onset of AIDS. In Ethiopia, VL epidemiology remains complex because of the diversity of risk factors involved, and its control is becoming an increasing challenge. This paper reviews the changes in epidemiology of VL in Ethiopia and discusses some of the possible explanations for these changes. The prospects for novel approaches to VL control are discussed, as are the current and future challenges facing Ethiopia's public health development program. PMID:25188253

  6. Epidemiology of laboratory confirmed measles virus cases in the southern nations of Ethiopia, 2007-2014.

    PubMed

    Getahun, Mekonen; Beyene, Berhane; Ademe, Ayesheshem; Teshome, Birke; Tefera, Mesfin; Afework, Aklog; HaileMariam, Yoseph; Assefa, Esete; Hailegiorgis, Yonas; Asha, Anjelo

    2017-01-19

    In Ethiopia, measles case-based surveillance was introduced in 2004 as one strategy for measles control by laboratory confirmation of suspected cases. In this article, epidemiological distribution of laboratory-confirmed measles cases were reported from the Southern Nation Nationalities and Peoples Region (SNNPR) of Ethiopia between 2007 and 2014, as the region is one of the highly measles affected areas in Ethiopia. A serum sample was collected from all measles suspected cases, and patient information was captured by case reporting format (CRF). Samples were transported to the National Measles Laboratory for Measles IgM testing by ELISA technique. Data entry and analysis were done using Epi-Info 3.5.4 software. A total of 4810 samples were tested for measles IgM using ELISA technique and 1507 (31.3%) were found positive during 2007-2014 in SNNPR of Ethiopia. Patients with age 1-4 years were the most affected regardless of sex. The incidence of measles confirmed cases increased from 15 in 2007 to 180 in 2013 per million population. The highest percentage of laboratory-confirmed cases were found in 2014. Measles was found distributed throughout the regional state. Measles was found a public health important disease in SNNPR of Ethiopia, mostly affecting children 1-4 years. The incidence of measles cases is increasing from time to time. Additional research to determine the genotype of circulating measles virus, knowledge, attitude and practice of professionals and the population for measles vaccination and infection in the region is important. A wide age group measles vaccination campaign is highly recommended.

  7. Establishing space research capability in Ethiopia

    NASA Astrophysics Data System (ADS)

    Bosinger, T.; Damtie, B.; Usoskin, I. G.

    It is often considered by various sources and institutions around the world that promotion of space physics activities in a developing country like Ethiopia is a waste of time and resources. It has, of course, some sense: developing countries should put all their efforts in improving the standard of life, infrastructure and basic education. However, it is straightforward to realize that nowadays improvement in any of the basic needs of developing countries is related to high technology (e.g. mobile phones, GPS, remote sensing). This means that a developing country has to take care of recruiting specialists among their own people who can take part in the decision making processes which are increasingly of global nature. Moreover, many citizens of developing countries are studying and working abroad attaining high expertise. As a matter of fact, there are more Ethiopians with PhD in physics working abroad than in the country. These people are lost for the benefit of their own country if there is no need for their profession in their home country. There is no doubt that the main task of improving the standard of living cannot be achieved without development and social transformation of the society, which can take place efficiently in a self-adopting and dynamic process. In line with the above argument, we have initiated the establishment of the Washera Space Physics Laboratory (WASPL) at Addis Ababa University in Ethiopia. It is a collaboration project between Oulu University and Addis Ababa University. The laboratory is expected to start operation of a pulsation magnetometer and photometer in September 2004. Other types of standard geophysical instruments are to be installed in subsequent missions. The project is of mutual interest of both parties. The equatorial ionosphere is still a poorly investigated region of our near Earth's space. In a first pilot investigation the existence and properties of the ionospheric Alfvén resonator (IAR) in the equatorial ionosphere

  8. Performance of Ethiopia's health system in delivering integrated community-based case management.

    PubMed

    Marsh, David R; Tesfaye, Hailu; Degefie, Tedbabe; Legesse, Hailemariam; Abebe, Hailu; Teferi, Efrem; Ashenafi, Addis; Ameha, Agazi; Kebede, Helina

    2014-10-01

    Analyzing complex health programs by their components and sub-components serves design, documentation, evaluation, research, and gap identification and prioritization. In 2012, we developed a rapid methodology to characterize integrated community case management (iCCM) programs, by assessing benchmarks for eight health system components in three program phases. OBJECTIVE. To assess iCCM benchmarks in Ethiopia three years after scale-up commenced, and to compare the benchmarks across the geographical region. METHODS. Six national iCCM experts scored each of 70 benchmarks (no, partial, or yes) and then were facilitated to reach consensus. RESULTS. Overall, iCCM benchmark achievement in Ethiopia was high (87.3%), highest for pre-introduction (93.0%), followed by introduction (87.9%) and scale-up (78.1%) phases. Achievement by system component was highest for coordination and policy (94.2%) and lowest for costing and finance (70.3%). Six regional, countries benchmark assessments, including two from Ethiopia 14 months apart, were highly correlated with program duration at scale (correlation coefficient: +0.88). Ethiopia has a mature, broad-based iCCM program. Despite limitations, the method described here rapidly, systematically, and validly characterized a complex program and highlighted areas for attention through government or partners.

  9. Natural infection of bats with Leishmania in Ethiopia.

    PubMed

    Kassahun, Aysheshm; Sadlova, Jovana; Benda, Petr; Kostalova, Tatiana; Warburg, Alon; Hailu, Asrat; Baneth, Gad; Volf, Petr; Votypka, Jan

    2015-10-01

    The leishmaniases, a group of diseases with a worldwide-distribution, are caused by different species of Leishmania parasites. Both cutaneous and visceral leishmaniasis remain important public health problems in Ethiopia. Epidemiological cycles of these protozoans involve various sand fly (Diptera: Psychodidae) vectors and mammalian hosts, including humans. In recent years, Leishmania infections in bats have been reported in the New World countries endemic to leishmaniasis. The aim of this study was to survey natural Leishmania infection in bats collected from various regions of Ethiopia. Total DNA was isolated from spleens of 163 bats belonging to 23 species and 18 genera. Leishmania infection was detected by real-time (RT) PCR targeting a kinetoplast (k) DNA and internal transcribed spacer one (ITS1) gene of the parasite. Detection was confirmed by sequencing of the PCR products. Leishmania kDNA was detected in eight (4.9%) bats; four of them had been captured in the Aba-Roba and Awash-Methara regions that are endemic for leishmaniasis, while the other four specimens originated from non-endemic localities of Metu, Bedele and Masha. Leishmania isolates from two bats were confirmed by ITS1 PCR to be Leishmania tropica and Leishmania major, isolated from two individual bats, Cardioderma cor and Nycteris hispida, respectively. These results represent the first confirmed observation of natural infection of bats with the Old World Leishmania. Hence, bats should be considered putative hosts of Leishmania spp. affecting humans with a significant role in the transmission.

  10. A climate trend analysis of Ethiopia

    USGS Publications Warehouse

    Funk, Christopher C.; Rowland, Jim; Eilerts, Gary; Kebebe, Emebet; Biru, Nigist; White, Libby; Galu, Gideon

    2012-01-01

    This brief report, drawing from a multi-year effort by the U.S. Agency for International Development (USAID) Famine Early Warning Systems Network (FEWS NET), examines recent trends in March-June, June-September, and March-September rainfall and temperature, identifying significant reductions in rainfall and increases in temperature over time in many areas of Ethiopia. Conclusions: * Spring and summer rains in parts of Ethiopia have declined by 15-20 percent since the mid-1970s. * Substantial warming across the entire country has exacerbated the dryness.* An important pattern of observed existing rainfall declines coincides with heavily populated areas of the Rift Valley in south-central Ethiopia, and is likely already adversely affecting crop yields and pasture conditions. * Rapid population growth and the expansion of farming and pastoralism under a drier, warmer climate regime could dramatically increase the number of at-risk people in Ethiopia during the next 20 years.* Many areas of Ethiopia will maintain moist climate conditions, and agricultural development in these areas could help offset rainfall declines and reduced production in other areas.

  11. HIV diagnosis and fertility intentions among couple VCT clients in Ethiopia.

    PubMed

    Bonnenfant, Yung-Ting; Hindin, Michelle J; Gillespie, Duff

    2012-01-01

    In Ethiopia, most HIV-affected couples are in serodiscordant relationships and must weigh any childbearing desires against the risk of transmitting the virus to a partner or child. This analysis investigates the relationship between HIV diagnosis and fertility intentions among couple voluntary counseling and testing (VCT) clients in Ethiopia and whether this relationship differs between men and women. Data come from the Ethiopia Voluntary Counseling and Testing Integrated with Contraceptive Services (VICS) study, which collected information from men and women attending VCT at eight public sector health facilities in the Oromia region of Ethiopia. VCT clients were asked about their fertility intentions before (pre-test) and after (post-test) receiving their HIV test results. Sex-stratified logistic regression was used to find characteristics, such as the couple's HIV status, associated with ceasing to desire children between pre-test and post-test versus desiring children at both time points. Women belonging to serodiscordant couples were much more likely to cease desiring children than women in HIV-concordant couples, regardless of whether the woman (aOR=11.08, p<0.001) or her partner (aOR=9.97, p=0.001) was HIV+. Only HIV+ men in serodiscordant relationships were more likely to stop desiring children than men in HIV-concordant couples (aOR=12.10, p<0.001). Serodiscordant couples would benefit from family planning services or referrals during VCT to help meet their reproductive needs.

  12. Geochronology and geochemistry of volcanic glasses associated with early Homo sapiens in Ethiopia.

    NASA Astrophysics Data System (ADS)

    Morgan, L. E.; Renne, P. R.; Woldegabriel, G.; White, T. D.

    2005-12-01

    In past work at hominid sites in Ethiopia, 40Ar/39Ar dating was used to constrain obsidian from the base of the Upper Herto Member of the Bouri Formation to 160 ± 2 ka. An overlying vitric tuff was then geochemically correlated to one from the Konso region of Ethiopia, which is constrained to be older than 154 ± 7 ka, thus leaving only 6 ± 7 ky between eruption and deposition of the fossils and artifacts at Herto. To continue these studies, we have collected and are currently analyzing obsidian and associated volcanic ashes from Middle Stone Age (MSA) archaeological and paleontological sites in the Middle Awash, Ethiopia. Distinctive geochemical signatures among most obsidian fragments collected (n=20 per site) suggest that obsidian was being derived from a variety of sources. By comparing our geochemical data with that from known obsidian deposits in Ethiopia and elsewhere in East Africa, we hope to determine the source localities for the obsidian and thus gauge the extent of trade networks during the MSA. Thus, by characterizing obsidian using both 40Ar/39Ar geochronology and trace element geochemistry, will make it possible to temporally refine the stratigraphy and prehistory at hominid sites, which in turn improves understanding of hominid behavior and evolution.

  13. Radargrammetry helps fight hunger in Ethiopia

    NASA Astrophysics Data System (ADS)

    Kanshie, Tadesse K.; Romeijn, Paul P.; Nezry, Edmond; Yakam-Simen, Francis

    2002-01-01

    This paper reports the operational implementation of radargrammetry for the production of Digital Elevation Models, or DEMs, to areas of rugged topography. The Southern Ethiopian Highlands east of lake Abaya, with elevations between ca. 900 and 4,400 meters, were mapped. Currently available topographical maps are of insufficient quality to assist a study of the area's unique land use system, which is arguably the oldest and most durably sustained land use system of the planet. Without external inputs or terracing, the land use system maintains soil fertility and staves-off hunger. It has been doing so during the past 30 years of unrest and civil war, in one of the most crowded regions of Ethiopia. However, the central role of the staple crop enset within the land use system and its production cycles has hardly been the subject of scientific study. Understanding of this system is most likely to be relevant to enhancement of health and productivity in many regions of the world. Upon the request of the Agricultural Bureau for Gedeo Zone, geocoded and georeferenced topographical maps with accuracy of 20 meters (x, y and z) were made by PRIVATEERS N.V. on the basis of RADARSAT multi-incidence (S2/S7) images. These maps are now incorporated as the basic layer within the Bureau's GIS system. Map production techniques proved to be cost effective and relevant; especially for mountainous areas with poor accessability where correct geographic information is not available. The ease of orientation proved of invaluable help to rationalize execution and planning of cost-effective environmental field work and reporting.

  14. Self-medication practice in Ethiopia: a systematic review

    PubMed Central

    Ayalew, Mohammed Biset

    2017-01-01

    Background Self-medication patterns vary among different populations, and are influenced by many factors. No review has been done that comprehensively expresses self-medication practice in Ethiopia. The aim of this study was to provide an overview of the literature on self-medication practice in Ethiopia. Materials and methods Databases (PubMed, Google Scholar, ResearchGate, and Hinari) were searched for published studies on the practice of self-medication in Ethiopia without restriction in the year of publication or methodology. Some studies were also identified through manual Google search. Primary search terms were “self medication”, “Ethiopia”, “self care”, “non-prescription”, “OTC drug use”, “drug utilization”, and “drug hoarding”. Studies that measured knowledge only or attitude only or beliefs only and did not determine the practice of self-medication were excluded. Results The database search produced a total of 450 papers. After adjustment for duplicates and inclusion and exclusion criteria, 21 articles were found suitable for the review. All studies were cross-sectional in nature. The prevalence of self-medication varied from 12.8% to 77.1%, with an average of 36.8%. Fever/headache, gastrointestinal tract diseases, and respiratory diseases were the commonest illnesses/symptoms for which self-medication was taken. The major reasons for practicing self-medication were previous experience of treating a similar illness and feeling that the illness was mild. Analgesics/antipyretics, antimicrobials, gastrointestinal drugs, and respiratory drugs were the common drug classes used in self-medication. Mainly, these drugs were obtained from drug-retail outlets. The use of self-medication was commonly suggested by pharmacy professionals and friends/relatives. Conclusion Self-medication practice is prevalent in Ethiopia and varies in different populations and regions of the country. Some of the self-medication practices are harmful and need

  15. Morbidity pattern among refugees in Eastern Ethiopia.

    PubMed

    Bisrat, F; Berhane, Y; Mamo, A; Asefa, E

    1995-11-01

    The population of refugees in eastern Africa and the health problems affecting them are enormous. This study was conducted to document the morbidity pattern among refugees in eastern Ethiopia. The study was conducted to document the morbidity pattern among refugees in eastern Ethiopia. The study utilized a descriptive cross sectional design. Data were collected using a uniform format from all refugee camps in the eastern Ethiopia. Respiratory tract infection and diarrhoeal diseases were identified to be the major causes of morbidity, accounting for 31.8% and 27.3% respectively in children under five years, and for 34.9% and 8.5% respectively in the other age groups. The findings were consistent with other studies done in refugee populations elsewhere. Universality of the problems was noted and a coordinated multidisciplinary approach is recommended to alleviate the health problems of refugees.

  16. Quantitative ethnobotany of medicinal plants used by Kara and Kwego semi-pastoralist people in lower Omo River Valley, Debub Omo Zone, Southern Nations, Nationalities and Peoples Regional State, Ethiopia.

    PubMed

    Teklehaymanot, Tilahun; Giday, Mirutse

    2010-07-06

    The people in Ethiopia have been using medicinal plants over centuries and the traditional knowledge is passed verbally from generation to generation. Therefore, the aim of this study was to document the medicinal plants used by Kara and Kwego semi-pastoralist people and to establish association between the species richness and diversity, habit, parts used and administration of medicinal plants reported by the two people. Semi-structured interview was used in data collection; Chi-Square test, t-test and univariate analysis were used to compare medicinal plants knowledge between Kara and Kwego people. Informant consensus factor (ICF), fidelity level (FL), and preference ranking of medicinal plants were computed. Fifty-seven medicinal plant species were indicated that were distributed into 33 families and 52 genera. Thirty-four of them were common to both people whereas 12 were unique to Kara and 11 to Kwego. There was no significant difference (p>0.05) between the two people in medicinal plant species richness and diversity. The growth forms, parts of medicinal plants and their conditions: fresh or dry used in the preparation of remedies and route of administration were not different (p>0.05). Root was 55% of the plant parts used and oral was 61% of route of administration. The informant consensus factor was not significantly different (p>0.05) between the two people. Solanum hastifolium Hochst. ex Dunal, Salvadora persica L. and Maeura sessiliflora Gilg were preferred more than the other medicinal plants reported to treat the prevalent diseases by both people. The information documented on the medicinal plants of these people may be used as baseline data for future studies on semi-arid and arid pharmacologically important medicinal plants and for phytochemical investigations. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

  17. Knowledge, Practice, and Associated Factors of Home-Based Management of Diarrhea among Caregivers of Children Attending Under-Five Clinic in Fagita Lekoma District, Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016

    PubMed Central

    Desta, Bogale Kassahun; Ashenafi, Tesfaye Demeke

    2017-01-01

    Introduction In Ethiopia, it is the second cause for clinical presentation among under five-year child population. Objective The main aim of this study was to assess knowledge, practice, and associated factors of home-based management of diarrhea among caregivers of children attending the under-five clinic. Methods Institution based quantitative cross-sectional study was carried out from March 1, 2016, to April 22, 2016. Results Two hundred eight (56.2%) of them had good knowledge and one hundred thirty-nine (37.6%) of them had the good practice of home management of diarrhea, specifically, primary education (AOR: 5.384, 95% CI: 2.008, 14.438), secondary and above education (AOR: 11.769, 95% CI: 3.527, 39.275), daily laborer (AOR: 0.208, 95% CI: 0.054, 0.810), and no information about diarrhea (AOR: 0.139, 95% CI: 0.054, 0.354). Moreover, age range of 25–35 (AOR: 4.091, 95% CI: 1.741, 9.616) and 36–45 (AOR: 3.639, 95% CI: 1.155, 11.460), being single (AOR: 0.111, 95% CI: 0.013, 0.938), being divorced (AOR: 0.120, 95% CI: 0.024, 0.598), illiteracy (AOR: 0.052, 95% CI: 0.017, 0.518), primary education (AOR: 0.143, CI: 0.046, 0.440), and no information about diarrhea (AOR: 0.197, 95% CI: 0.057, 0.685) were significantly associated variables with the outcome variables in multivariate regression. Conclusion Caregivers had slightly adequate knowledge but poor practice. PMID:28912970

  18. Soil erosion assessment and control in Northeast Wollega, Ethiopia

    NASA Astrophysics Data System (ADS)

    Adugna, A.; Abegaz, A.; Cerdà, A.

    2015-12-01

    Soil erosion is the main driver of land degradation in Ethiopia, and in the whole region of East Africa. This study was conducted at the Northeast Wollega in West Ethiopia to estimate the soil losses by means of the Revised Universal Soil Loss Equation (RUSLE). The purpose of this paper is to identify erosion spot areas and target locations for appropriate development of soil and water conservation measures. Fieldwork and household survey were conducted to identify major determinants of soil erosion control. Six principal factors were used to calculate soil loss per year, such as rainfallerosivity, soil erodiblity, slope length, slope steepness, crop management and erosion-control practices. The soil losses have shown spatio-temporal variations that range from 4.5 Mg ha-1 yr-1 in forest to 65.9 Mg ha-1 yr-1 in cropland. Results from the analysis of stepwise multiple linear regression show that sustainable soil erosion control are determined byknowledge of farmers about soil conservation, land tenure security and off-farm income at community level. Thus, policy aim at keeping land productivity will need to focus on terracing, inter-cropping and improved agro-forestry practices.

  19. New species from Ethiopia further expands Middle Pliocene hominin diversity.

    PubMed

    Haile-Selassie, Yohannes; Gibert, Luis; Melillo, Stephanie M; Ryan, Timothy M; Alene, Mulugeta; Deino, Alan; Levin, Naomi E; Scott, Gary; Saylor, Beverly Z

    2015-05-28

    Middle Pliocene hominin species diversity has been a subject of debate over the past two decades, particularly after the naming of Australopithecus bahrelghazali and Kenyanthropus platyops in addition to the well-known species Australopithecus afarensis. Further analyses continue to support the proposal that several hominin species co-existed during this time period. Here we recognize a new hominin species (Australopithecus deyiremeda sp. nov.) from 3.3-3.5-million-year-old deposits in the Woranso-Mille study area, central Afar, Ethiopia. The new species from Woranso-Mille shows that there were at least two contemporaneous hominin species living in the Afar region of Ethiopia between 3.3 and 3.5 million years ago, and further confirms early hominin taxonomic diversity in eastern Africa during the Middle Pliocene epoch. The morphology of Au. deyiremeda also reinforces concerns related to dentognathic (that is, jaws and teeth) homoplasy in Plio-Pleistocene hominins, and shows that some dentognathic features traditionally associated with Paranthropus and Homo appeared in the fossil record earlier than previously thought.

  20. Use of psychiatric rating instruments in Ethiopia.

    PubMed

    Fekadu, A; Kebede, D; Alem, A; Shibre, T

    2000-07-01

    It is quite fascinating to see the increasing use of psychiatric rating instruments in Ethiopia in the last 3 decades, almost parallel with the growing interest world-wide. A review of those instruments used in Ethiopia was made to evaluate their applicability and quality, and to recommend ways of ensuring standard use. In this paper, the effect of culture and translation are discussed and practical ways of using the instruments in field situation, and culturally sensitive and applicable ways of translation are endorsed. Their use in general medical settings, is also stressed.

  1. A westward extension of the tropical Pacific warm pool leads to March through June drying in Kenya and Ethiopia

    USGS Publications Warehouse

    Williams, A. Park; Funk, Christopher C.

    2010-01-01

    An estimated 14.3 million people are currently (July 2010) food insecure in Kenya and Ethiopia, and the U.S. government has spent more than $972 million on food aid in these two countries since 2009 (USAID, 2010). This insecurity stems from recent drought and rapid population growth that has outpaced agricultural development (Funk and others, 2008; Funk and Brown, 2009). Previous work by Funk and others (2005, 2008) and Verdin and others (2005) has linked drought conditions in Kenya and Ethiopia with warm sea surface temperatures (SSTs) in the Indian Ocean. Recent work has shown that Indian Ocean SSTs substantially affect rainfall in this region from March through June (Funk and others, 2008; Funk and Verdin, 2009). This season is known as the 'long rains' in Kenya and the 'Belg' rains in Ethiopia.

  2. Population pressure and land degradation: the case of Ethiopia.

    PubMed

    Grepperud, S

    1996-01-01

    Literature published during the 1970s generated a number of important hypotheses on the possible harmful consequences of rapid population growth. The population pressure hypothesis (PPH) relates land degradation directly to population pressure, arguing that under comparable physical conditions, heavily eroded areas occur in highly populated regions. This hypothesis is tested using a multivariate analysis to identify factors responsible for the observed spatial distribution of soil erosion in Ethiopia. A severity of soil erosion index, a proxy for some types of water erosion, was chosen as the dependent variable. Because the dependent variable is categorical and ordinal, an ordinal cumulative logit model was chosen for the analysis. The key finding is that the probability of an area being classified above any given level of soil erosion rapidly increases as population exceeds the population-supporting capacity of its region. In other words, as pressure from people and livestock exceeds some threshold, a rapid degradation of land takes place.

  3. Blindness, cataract surgery and mortality in Ethiopia.

    PubMed

    Thomas, Benjamin J; Sanders, David S; Oliva, Matthew S; Orrs, Mark S; Glick, Peter; Ruit, Sanduk; Chen, Wei; Luoto, Jill; Tasfaw, Alemu Kerie; Tabin, Geoffrey C

    2016-09-01

    To examine the relationships between blindness, the intervention of cataract surgery and all-cause mortality in a rural Ethiopian population. Population-based, interventional prospective study. Community-based detection methods identified blind Ethiopian persons from two selected kebeles in Amhara region, Ethiopia. Data from 1201 blind patients were collected-628 cataract-blind and 573 blind from other conditions. Free cataract surgery was provided for consenting, cataract-blind patients. Follow-up surveys were conducted after 12 months (±1 month)-the main outcome measure for this report is all-cause mortality at 1 year. During the follow-up period, 110 persons died from the selected population (mortality 9.2%), which consisted of those cataract-blind patients who received cataract surgery (N=461), cataract-blind patients who did not receive surgery (N=167) and all non-cataract-blind patients (N=573). Of the 461 patients who received cataract surgery, 44 patients died (9.5%). Of the 740 patients who did not receive surgery, 66 died (8.9%)-28 patients from the cohort of cataract-blind patients who did not receive surgery (16.8%) and 38 patients from the cohort of non-cataract blind (6.6%). Subgroup analysis revealed significantly increased odds of mortality for cataract-blind patients over 75 years of age who did not receive surgery and for unmarried patients of all age groups. In this population, mortality risk was significantly elevated for older cataract-blind patients when compared with non-cataract-blind patients-an elevation of risk that was not noted in an age-matched cohort of cataract-blind patients who underwent cataract surgery as early as 1-year follow-up. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  4. Multisector Nutrition Program Governance and Implementation in Ethiopia: Opportunities and Challenges.

    PubMed

    Kennedy, Eileen; Tessema, Masresha; Hailu, Tesfaye; Zerfu, Dilnesaw; Belay, Adamu; Ayana, Girmay; Kuche, Desalegn; Moges, Tibebu; Assefa, Tsehai; Samuel, Aregash; Kassaye, Tarik; Fekadu, Habtamu; Van Wassenhove, Joan

    2015-12-01

    Governments globally are stressing both direct nutrition interventions combined with nutrition sensitive policies and programs to combat malnutrition. Governance at all levels has been identified as a critical element in ensuring success of national nutrition plans. For example, the most recent National Nutrition Program (NNP) in Ethiopia discusses the essentiality of governance and coordination at all levels. The research uses a qualitative study based on semi-structured interviews with key informant. The research discussed in this article focuses on governance structures from national to regional to district level in Ethiopia with an emphasis on translation of a strategy and implementation of the NNP. This article concentrates primarily on results from the national and regional levels. Data at both the national and regional levels indicate that there is general agreement on the nature of the nutrition problems in Ethiopia. At all levels of government, under nutrition, food insecurity, and micronutrient deficiencies were listed as the main nutrition problems. The challenges in governance and implementation identified at both the national and regional levels, however, varied. The implementation of the 2013 NNP was in its early stages at the time of this research. While there was palpable energy around the launch of the NNP, respondents indicated issues related to leadership, coordination, collaboration, advocacy, and budget would be challenges in sustaining momentum. © The Author(s) 2015.

  5. Assessing the Desired and Actual Levels of Teachers' Participation in Decision-Making in Secondary Schools of Ethiopia

    ERIC Educational Resources Information Center

    Bademo, Yismaw; Tefera, Bekalu Ferede

    2016-01-01

    This study was conducted to assess the desired and actual levels of teachers' participation in decision-making process in Ethiopian secondary schools. For this, the study employed a cross-sectional survey design collecting data from sampled secondary school teachers (n = 258) found in Assosa Zone, Benishangual Gumuz Regional state, Ethiopia.…

  6. War and food security in Eritrea and Ethiopia, 1998-2000.

    PubMed

    White, Philip

    2005-06-01

    This paper examines the 1998-2000 'border' war between Eritrea and Ethiopia and its continuing legacies from the perspective of food security. Focusing on the food crisis that hit both countries during the same period and was allowed to develop into a famine in southeast Ethiopia, it argues that this was linked with the war in more ways than hitherto recognised. Such connections can be appreciated only by taking a longer-term view of the decline of the rural economy of which this food crisis was part, factoring in the role played by this and other conflicts that have flared up in the region. An analysis of this kind might have helped donors and aid agencies to respond more effectively both to short-term humanitarian needs in the midst of an inter-state war and to the need for longer-term support for food security in a region beset by endemic conflict.

  7. Pre-ART nutritional status and its association with mortality in adult patients enrolled on ART at Fiche Hospital in North Shoa, Oromia region, Ethiopia: a retrospective cohort study.

    PubMed

    Tesfamariam, Kokeb; Baraki, Negga; Kedir, Haji

    2016-12-20

    Human immunodeficiency virus (HIV) compromises the nutritional status of infected individuals and in turn, malnutrition worsens the effects of the infection itself by weakening the immune system consequently accelerating disease progression and death. However, few studies have examined the association between nutritional status at antiretroviral therapy (ART) initiation and early mortality. Therefore, this study assesses pre-ART nutritional status and other baseline characteristics and mortality among adult patients on ART at Fiche Hospital, Ethiopia. A retrospective cohort study was conducted among 489 ART enrolled adult patients between August 01, 2006 and September 30, 2013 in Fiche Hospital. Study participants were selected by using systematic random sampling method. Actuarial table was used to estimate survival of patients after ART initiation and log rank test was used to compare the survival curves. Cox proportional-hazard regression was used to determine independent predictors of time to death. Most of the study subjects were females 254 (51.9%). A total of 489 patients were included in the analysis, of whom 87 died during a median study follow-up of 22 months. The estimated mortality among malnourished was 21, 28, 33, and 38% at 5, 10, 15, and 25 months respectively with mortality incidence density of 5.63 deaths per 100 person years. The independent predictors of mortality were: BMI <18.5 kg/m(2) (AHR = 5.4 95% CI 3.03-9.58), baseline ambulatory functional status (AHR = 3.84; 95% CI 2.19-6.74), bedridden functional status (AHR = 4.78; 95% CI 2.14-10.65), WHO clinical stage III (AHR 2.21; 95% CI 1.16-4.21), WHO clinical stage IV (AHR 4.05; 95% CI 1.50-10.97) and CD4 count less than 200 cells/μl (AHR = 2.95; 95% CI 1.48-5.88), two and more opportunistic infections (AHR 2.30; 95% CI 1.11-4.75). Undernutrition at the time of ART initiation was associated with increased risk of death, particularly during the first 3 months after ART initiation

  8. Chow Bahir rift: A “failed” rift in southern Ethiopia

    NASA Astrophysics Data System (ADS)

    W-Gabriel, Giday; Aronson, James L.

    1987-05-01

    The Chow Bahir rift system is a major graben in a 300-km-broad rift zone recognized in southern Ethiopia between the Kenyan and Ethiopian domes where the East African rift is not well defined. An extinct (failed) rift discovered along the Omo Canyon to the north and on strike with the Chow Bahir rift ceased activity about 4 m.y. ago. Chow Bahir is in a younger stage of abandonment as the main Ethiopian rift propagates south into this region.

  9. Levels of selected metals in leaves of Cannabis sativa L. cultivated in Ethiopia.

    PubMed

    Zerihun, Agalu; Chandravanshi, Bhagwan Singh; Debebe, Ayalew; Mehari, Bewketu

    2015-01-01

    Cannabis sativa L. is one of the illicit drug bearing plants. Cannabis products are the most widely trafficked drugs worldwide. The highest levels of cannabis production in the world take place in the African continent. A small volume of cannabis is produced in rural areas of Ethiopia, of which a small portion is exported to neighboring countries and the majority is consumed at home. The literature survey revealed that there is no report on the metal contents in cannabis cultivated in Ethiopia. The main objective of this study is to determine the level of selected metals in leaves of Cannabis sativa L. cultivated in Ethiopia. Cannabis sativa L. samples were collected from Metema (Amhara Region), Mekelle (Tigray Region), Sheshemene (Oromia Region) and Butajira (South Nations Nationality and Peoples (SNNP) Region) of Ethiopia. After proper sample pretreatment, the volumes of reagents used, digestion temperature and digestion time were optimized and using the optimized conditions the levels of metals were determined by flame atomic absorption spectrometry. The accuracy of the optimized procedure was evaluated by analyzing the digest of the spiked samples with standard solution and the percentage recoveries varied from 88 to 103%. The levels of metals determined (µg/g dry weight) were in the ranges Ca (657-1,511), Zn (321-380), Ni (124-172), Cu (122-176), Cd (3-10), Pb (8-10), and Cr (4-8). Zn was with the highest concentration among trace metals. A statistical analysis of variance (ANOVA) at 95% confidence level indicated that there is a significant difference in the levels of all the metals between the four sample means except Pb. The results indicate that the content of Pb and Cd exceeds the permissible amount for medicinal plants which form the raw materials for the finished products set by World Health Organization (WHO).

  10. Mange mite infestation in small ruminants in Ethiopia: Systematic review and meta-analysis.

    PubMed

    Asmare, Kassahun; Abebe, Rahmeto; Sheferaw, Desie; Krontveit, Randi I; Barbara, Wieland

    2016-03-15

    Mange mites are economically important ectoparasites of sheep and goats responsible for rejection or downgrading of skins in tanneries or leather industries in Ethiopia. The objective of this systematic review was to compute the pooled prevalence estimate and identify factors influencing mange mite prevalence in sheep and goats at national level based on the available research evidence. Articles on mange mite infestation of small ruminants in Ethiopia were searched in PubMed, Web of Science, Google scholar and African journals on-line. The review was based on 18 cross-sectional studies carried out between 2003 and 2015 in four administrative states of Ethiopia. Accordingly, the pooled prevalence estimate in a random effects meta-analysis was estimated to be 4.4% (95% CI 3.0, 6.3) although there were evidence of a substantial amount of between-study variance (I(2)=98.4%). In subgroup and multivariable meta-regression analyses, animal species, agro-ecology and administrative state were found to have significant effect on the prevalence estimate (P<0.05) and explained 32.87% of the explainable proportion of the heterogeneity noted between studies The prevalence was found to be higher in goats in lowland agro-ecology. Region wise the highest estimate was calculated for Amhara (6.4%) followed by Oromia (4.7%), Tigray (3.6%) and Southern Nations, Nationalities and People Region (SNNPR) (3.1%). Significant difference was noted between Amhara and SNNPR. The study further revealed that mites of the genus Sarcoptes, Demodex and Psoroptes are the most prevalent mites infesting small ruminants in Ethiopia. Valid studies were lacking from five regional states. As some of these regions are known for their large small ruminant population, further studies are warranted to produce better picture of the infestation at a national level. Meanwhile, the need for monitoring the ongoing control intervention is suggested.

  11. Determinants of southeast Ethiopia seasonal rainfall

    NASA Astrophysics Data System (ADS)

    Jury, Mark R.

    2016-12-01

    The bi-modal climate of SE Ethiopia shares attributes with East Africa, notably that El Niño enhances rainfall, particularly in Sep-Nov season. In this study SE Ethiopia's continuous and seasonal rainfall relationships to global climate are studied to extend our knowledge of its determinants and predictability. A statistical forecast algorithm for the Sep-Nov short rains accounts for 54% of variance in 1980-2010. The Apr-Jun predictors include South Atlantic sea surface temperature, east Indian Ocean sea level air pressure and China upper zonal wind. Cooling in the South Atlantic coincides with a strengthened sub-tropical anticyclone, and later to changes in low level winds that bring orographic convection to SE Ethiopia. The slower El Niño-Southern Oscillation (ENSO) interacts with the faster Indian Ocean Dipole (IOD), but both signals mature too late for direct use in statistical prediction of Sep-Nov rainfall. Composite differences of the upper divergent circulation exhibit a global wave-2 pattern consistent with satellite-observed convection. One key feature is a zonal gradient in upper velocity potential over the Indian Ocean corresponding with a zonal atmospheric circulation. One outcome of this research is useful forecasts of SE Ethiopia Sep-Nov rainfall that will assist in agricultural planning.

  12. Report of the Utah Project in Ethiopia.

    ERIC Educational Resources Information Center

    Utah Univ., Salt Lake City.

    Since June of 1962, the University of Utah, in cooperation with the United States Agency for International Development and the Ethiopian Government, has helped to build a faculty of education at the Haile Sellassie I University in Addis Ababa, Ethiopia. The assignment has included two projects. The first was for preparation of junior-secondary and…

  13. Early Childhood in Ethiopia: Initiatives in Education

    ERIC Educational Resources Information Center

    Szente, Judit; Hoot, James; Tadesse, Selamawit

    2007-01-01

    This article informs readers about early childhood in one of the poorest nations in the world--Ethiopia. Within the context of ecological systems theory, it emphasizes the characteristics of early education programs such as pre-school and basic (primary) education, and creates connections with families' views about education. The article concludes…

  14. Communities and community genetics in Ethiopia.

    PubMed

    Tadesse, Luche; Tafesse, Fikru; Hamamy, Hanan

    2014-01-01

    The rates of congenital and genetic disorders in low and middle income countries are similar or might be higher than in high income countries due to a multitude of risk factors and the dearth of community genetic services. To direct effective preventive, diagnostic and counseling services, collecting data on the incidence and prevalence of various congenital and genetic disorders and their risk factors is a pre-requisite for establishing genetic services at the community level and mainly at the primary health care setting. This brief review is meant to assess the available epidemiological data in Ethiopia pertaining to congenital and genetic disorders on which the future community genetic services could be built. Existing epidemiological data on congenital and genetic disorders in Ethiopia is limited, and the few studies conducted revealed that folate and iodine deficiencies are prevalent among women in the reproductive age. Pregnant women's infection with syphilis and rubella is prevailing. Based on available data, cleft lip and palate, congenital heart diseases, club-foot, and gastro-intestinal malformations are the most common birth defects in Ethiopia. Community based studies to accurately demonstrate the incidence and prevalence levels of these disorders are almost unavailable. To plan for organization and implementation of community genetic services at the primary health care level in Ethiopia, conducting standardized epidemiological studies is currently highly recommended.

  15. Communities and community genetics in Ethiopia

    PubMed Central

    Tadesse, Luche; Tafesse, Fikru; Hamamy, Hanan

    2014-01-01

    The rates of congenital and genetic disorders in low and middle income countries are similar or might be higher than in high income countries due to a multitude of risk factors and the dearth of community genetic services. To direct effective preventive, diagnostic and counseling services, collecting data on the incidence and prevalence of various congenital and genetic disorders and their risk factors is a pre-requisite for establishing genetic services at the community level and mainly at the primary health care setting. This brief review is meant to assess the available epidemiological data in Ethiopia pertaining to congenital and genetic disorders on which the future community genetic services could be built. Existing epidemiological data on congenital and genetic disorders in Ethiopia is limited, and the few studies conducted revealed that folate and iodine deficiencies are prevalent among women in the reproductive age. Pregnant women's infection with syphilis and rubella is prevailing. Based on available data, cleft lip and palate, congenital heart diseases, club-foot, and gastro-intestinalmalformations are the most common birth defects in Ethiopia. Community based studies to accurately demonstrate the incidence and prevalence levels of these disorders are almost unavailable. To plan for organization and implementation of community genetic services at the primary health care level in Ethiopia, conducting standardized epidemiological studies is currently highly recommended. PMID:25404975

  16. Connecting Children with Modern Urban Ethiopia.

    ERIC Educational Resources Information Center

    Kurtz, Jane

    1998-01-01

    An author relates memorable experiences of living in Ethiopia and describes how her brother's friendship with a poor boy in the city of Addis Ababa who cared for pigeons led to a children's book. Includes a descriptive list of books on pigeons, Africa, pets and wild animals, and cities, and a list of books by the author. (AEF)

  17. Borrelia recurrentis in Head Lice, Ethiopia

    PubMed Central

    Boutellis, Amina; Mediannikov, Oleg; Bilcha, Kassahun Desalegn; Ali, Jemal; Campelo, Dayana; Barker, Stephen C.

    2013-01-01

    Since the 1800s, the only known vector of Borrelia recurrentis has been the body louse. In 2011, we found B. recurrentis DNA in 23% of head lice from patients with louse-borne relapsing fever in Ethiopia. Whether head lice can transmit these bacteria from one person to another remains to be determined. PMID:23648147

  18. Borrelia recurrentis in head lice, Ethiopia.

    PubMed

    Boutellis, Amina; Mediannikov, Oleg; Bilcha, Kassahun Desalegn; Ali, Jemal; Campelo, Dayana; Barker, Stephen C; Raoult, Didier

    2013-05-01

    Since the 1800s, the only known vector of Borrelia recurrentis has been the body louse. In 2011, we found B. recurrentis DNA in 23% of head lice from patients with louse-borne relapsing fever in Ethiopia. Whether head lice can transmit these bacteria from one person to another remains to be determined.

  19. The geometry and volume of melt beneath Ethiopia

    NASA Astrophysics Data System (ADS)

    Kendall, J. M.; Hammond, J. O. S.

    2016-12-01

    A range of seismic measurements can be used to map melt distribution in the crust and uppermost mantle. These include seismic P- and S-wave velocities derived from surface- and body-wave tomography, Vp/Vs ratios obtained from receiver functions, and estimates of seismic anisotropy and attenuation. The most obvious melt parameter that seismic data might be sensitive to is volume fraction. However, such data are more sensitive to the aspect ratio of melt inclusions, which is controlled by the melt wetting angle or in other words the shape of the melt inclusion. To better understand this we perform numerical modelling, varying the shape and amount of melt, to show how various seismic phases are effected by melt. To consider the effects on seismic anisotropy we assume that the melt can be stored in pockets of melt that are either horizontally or vertically aligned (e.g., sills versus dykes). We then consider a range of seismic observations from the rifting environment of Ethiopia. Recent studies of P- and S-wave tomography, Rayleigh and Love waves, and Pn or wide angle P-wave refractions provide provide complimentary constraints on melt volume, orientation and inclusion aspect ratio. Furthermore, receiver functions and shear-wave splitting in body waves show strong anisotropy in this region and can be used to constrain the strike of vertically-aligned partial melt. We show that melt in the mantle beneath Ethiopia is likely stored in low aspect ratio disk-like inclusions, suggesting melt is not in textural equilibrium. We estimate that 2-7% vertically aligned melt is stored beneath the Main Ethiopian Rift, >6% horizontally and vertically aligned melt is stored beneath the Afar-region of the Red Sea Rift and 1-6% horizontally aligned melt is stored beneath the Danakil microplate. This supports ideas of strong shear-derived segregation of melt in narrow parts of the rift and large volumes of melt beneath Afar.

  20. Anaesthesia in Ethiopia: providers' perspectives on the current state of the service.

    PubMed

    Bashford, Tom

    2014-01-01

    The improvement of surgical and anaesthetic safety in low-resource settings is hampered by a lack of reliable information on the current provision of these services. Ethiopia is one of the world's poorest countries and, despite large amounts of both foreign and domestic investment, still reports some of the worst health outcomes. However, information on anaesthesia and surgical provision is sparse. This work reproduces a questionnaire study, first used in Uganda in 2006, to survey practising anaesthetists regarding the current state of anaesthesia services across Ethiopia. The results indicate that a large proportion of centres remain unable to provide safe general, spinal, paediatric and obstetric anaesthesia, at all levels of hospital and across almost all of the country's regions. In addition to a lack of equipment and pharmaceuticals, anaesthetists report problems with professional recognition and a lack of access to continuing professional development as key barriers to service development.

  1. Paleoanthropology. Late Pliocene fossiliferous sedimentary record and the environmental context of early Homo from Afar, Ethiopia.

    PubMed

    DiMaggio, Erin N; Campisano, Christopher J; Rowan, John; Dupont-Nivet, Guillaume; Deino, Alan L; Bibi, Faysal; Lewis, Margaret E; Souron, Antoine; Garello, Dominique; Werdelin, Lars; Reed, Kaye E; Arrowsmith, J Ramón

    2015-03-20

    Sedimentary basins in eastern Africa preserve a record of continental rifting and contain important fossil assemblages for interpreting hominin evolution. However, the record of hominin evolution between 3 and 2.5 million years ago (Ma) is poorly documented in surface outcrops, particularly in Afar, Ethiopia. Here we present the discovery of a 2.84- to 2.58-million-year-old fossil and hominin-bearing sediments in the Ledi-Geraru research area of Afar, Ethiopia, that have produced the earliest record of the genus Homo. Vertebrate fossils record a faunal turnover indicative of more open and probably arid habitats than those reconstructed earlier in this region, which is in broad agreement with hypotheses addressing the role of environmental forcing in hominin evolution at this time. Geological analyses constrain depositional and structural models of Afar and date the LD 350-1 Homo mandible to 2.80 to 2.75 Ma.

  2. Scourge of life or an economic lifeline? Public discourses on khat (Catha edulis) in Ethiopia.

    PubMed

    Gebissa, Ezekiel

    2008-01-01

    Until the turn of the 20th century, only the religious and political elite of the city of Harer in eastern Ethiopia chewed khat. Its consumption has since spread to all regions of Ethiopia and all social groups, irrespective of religious affiliation, gender category, and age bracket, have taken up the habit. In a few decades khat has been transformed from a shrub grown for domestic consumption to the region's predominant cash crop; from a substance chewed on religious and cultural occasions to a visible and pervasive social habit; from a product sold in local markets to the most profitable commodity, whose trade involves millions of farmers, traders, and other service providers in the Horn of Africa and the Arabian Peninsula. The growing importance of khat has engendered a heated national debate in Ethiopia concerning the legal status of the plant. Opponents contend that khat is a health hazard with deleterious socioeconomic consequences and seek a complete ban to curb its "evil influence" on the country's youth and future. Others oppose any policy that ignores khat's micro- and macroeconomic benefits. This article outlines the positions the protagonists in this debate have staked out, critically evaluates their merits, and concludes by urging a public discourse on how to use the prosperity that the khat industry has generated to engender a sustainable economic development.

  3. Assessment of solar and wind energy resources in Ethiopia. I. Solar energy

    SciTech Connect

    Drake, F.; Mulugetta, Y.

    1996-09-01

    This paper describes how data from a variety of sources are merged to present new countrywide maps of the solar energy distribution over Ethiopia. The spatial coverage of stations with radiation data was found to be unsatisfactory for the purpose of a countrywide solar energy assessment exercise. Therefore, radiation had to be predicted from sunshine hours by employing empirical models. Using data from seven stations in Ethiopia, linear and quadratic correlation relationships between monthly mean daily solar radiation and sunshine hours per day have been developed. These regional models show a distinct improvement over previously employed countrywide models. To produce a national solar-energy distribution profile, a spatial extension of the radiation/sunshine relationships had to be carried out. To do this, the intercepts(a) and slopes(b) of each of the seven linear regression equations and another six from previous studies, completed in neighbouring Sudan, Kenya and Yemen, were used to interpolate the corresponding values to areas between them. Subsequent to these procedures, 142 stations providing only sunshine data were assigned their `appropriate` a and b values to estimate the amount of solar radiation received, which was then used to produce annual and monthly solar radiation distribution maps for Ethiopia. The results show that in all regions solar energy is an abundant resource. 19 refs., 11 figs., 4 tabs.

  4. Meta-analysis of Brucella seroprevalence in dairy cattle of Ethiopia.

    PubMed

    Asmare, Kassahun; Krontveit, Randi I; Ayelet, Gelagay; Sibhat, Berhanu; Godfroid, Jacques; Skjerve, Eystein

    2014-12-01

    This meta-analysis estimates a single-group summary (effect size) for seroprevalence of Brucella spp. exposure in dairy cattle of Ethiopia. It also attempts to identify study-level variables that could explain the variation in apparent seroprevalence. The literature search was restricted to studies published in English language from January 2000 to December 2013. A template was designed to retrieve the most biologically plausible and consistent variables from the articles. A total of 29 published papers containing 40 animal-level studies were used in the analyses. The single-group summary of Brucella seroprevalence in cattle was estimated to reach 3.3 % with 95 % confidence interval (CI) (2.6-4.2 %). Of all the variables considered, region was the only specific factor identified to explain about 20 % of between-study variation. Accordingly, the region-based meta-analysis forest plot revealed the highest prevalence in central Ethiopia followed by southern part. The lowest prevalence estimate was observed in the western part of the country. The visual inspection of the funnel plot demonstrated the presence of possible publication bias which might dictate shortage of studies with higher prevalences or variance inflation due to infectiousness of Brucella. In conclusion, the quantitative review showed the seroprevalence to be low but widely distributed. More importantly, the review underscores the need for isolation and characterization of the circulating Brucella spp. to capture the type of Brucella spp. involved and its distribution in cattle in Ethiopia.

  5. Prevalence and determinants of risky sexual practice in Ethiopia: Systematic review and Meta-analysis.

    PubMed

    Muche, Achenef Asmamaw; Kassa, Getachew Mullu; Berhe, Abadi Kidanemariam; Fekadu, Gedefaw Abeje

    2017-09-06

    Risky sexual practice is a major public health problem in Ethiopia. There are various studies on the prevalence and determinants of risky sexual practice in different regions of the country but there is no study which shows the national estimate of risky sexual practices in Ethiopia. Therefore, this review was conducted to estimate the national pooled prevalence of risky sexual practice and its risk factors in Ethiopia. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed to review published and unpublished studies in Ethiopia. The databases used were; PubMed, Google Scholar, CINAHL and African Journals Online. Search terms were; risky sexual behavior, risky sexual practice, unprotected sex, multiple sexual partner, early sexual initiation, and/or Ethiopia. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument was used for critical appraisal. The meta-analysis was conducted using Review Manager software. Descriptive information of studies was presented in narrative form and quantitative results were presented in forest plots. The Cochran Q test and I (2) test statistics were used to test heterogeneity across studies. The pooled estimate prevalence and the odd ratios with 95% confidence intervals were computed by a random effect model. A total of 31 studies with 43,695 participants were included in the meta-analysis. The pooled prevalence of risky sexual practice was 42.80% (95% CI: 35.64%, 49.96%). Being male (OR: 1.69; 95% CI: 1.21, 2.37), substance use (OR: 3.42; 95% CI: 1.41, 8.31), peer pressure (OR: 3.41; 95% CI: 1.69, 6.87) and watching pornography (OR: 3.6; 95% CI: 2.21, 5.86) were factors associated with an increase in risky sexual practices. The prevalence of risky sexual practices is high in Ethiopia. Being male, substance use, peer pressure and viewing pornographic materials were found to be associated with risky sexual practices. Therefore, life skills training is recommended to

  6. Podoconiosis in East and West Gojam Zones, Northern Ethiopia

    PubMed Central

    Molla, Yordanos B.; Tomczyk, Sara; Amberbir, Tsige; Tamiru, Abreham; Davey, Gail

    2012-01-01

    Background Podoconiosis is a neglected tropical disease (NTD) that is prevalent in red clay soil-covered highlands of tropical Africa, Central and South America, and northern India. It is estimated that up to one million cases exist in Ethiopia. This study aimed to estimate the prevalence of podoconiosis in East and West Gojam Zones of Amhara Region in northern Ethiopia. Methodology/Principal Findings A cross-sectional household survey was conducted in Debre Eliyas and Dembecha woredas (districts) in East and West Gojam Zones, respectively. The survey covered all 17,553 households in 20 kebeles (administrative subunits) randomly selected from the two woredas. A detailed structured interview was conducted on 1,704 cases of podoconiosis identified in the survey. Results The prevalence of podoconiosis in the population aged 15 years and above was found to be 3.3% (95% CI, 3.2% to 3.6%). 87% of cases were in the economically active age group (15–64 years). On average, patients sought treatment five years after the start of the leg swelling. Most subjects had second (42.7%) or third (36.1%) clinical stage disease, 97.9% had mossy lesions, and 53% had open wounds. On average, patients had five episodes of acute adenolymphangitis (ALA) per year and spent a total of 90 days per year with ALA. The median age of first use of shoes and socks were 22 and 23 years, respectively. More men than women owned more than one pair of shoes (61.1% vs. 50.5%; χ2 = 11.6 p = 0.001). At the time of interview, 23.6% of the respondents were barefoot, of whom about two-thirds were women. Conclusions This study showed high prevalence of podoconiosis and associated morbidities such as ALA, mossy lesions and open wounds in northern Ethiopia. Predominance of cases at early clinical stage of podoconiosis indicates the potential for reversing the swelling and calls for disease prevention interventions. PMID:22816005

  7. A decade of progress providing safe abortion services in Ethiopia: results of national assessments in 2008 and 2014.

    PubMed

    Dibaba, Yohannes; Dijkerman, Sally; Fetters, Tamara; Moore, Ann; Gebreselassie, Hailemichael; Gebrehiwot, Yirgu; Benson, Janie

    2017-03-04

    Ethiopia has one of the highest maternal mortality ratios in the world (420 per 100,000 live births in 2013), and unsafe abortion continues to be one of the major causes. To reduce deaths and disabilities from unsafe abortion, Ethiopia liberalized its abortion law in 2005 to allow safe abortion under certain conditions. This study aimed to measure how availability and utilization of safe abortion services has changed in the last decade in Ethiopia. This paper draws on results from nationally representative health facility studies conducted in Ethiopia in 2008 and 2014. The data come from three sources at two points in time: 1) interviews with 335 health providers in 2008 and 822 health care providers in 2014, 2) review of facility logbooks, and 3) prospective data on 3092 women in 2008 and 5604 women in 2014 seeking treatment for abortion complications or induced abortion over a one month period. The Safe Abortion Care Model was used as a framework of analysis. There has been a rapid expansion of health facilities eligible to provide legal abortion services in Ethiopia since 2008. Between 2008 and 2014, the number of facilities reporting basic and comprehensive signal functions for abortion care increased. In 2014, access to basic abortion care services exceeded the recommended level of available facilities providing the service, increasing from 25 to 117%, with more than half of regions meeting the recommended level. Comprehensive abortion services increased from 20% of the recommended level in 2008 to 38% in 2014. Smaller regions and city administrations achieved or exceeded the recommended level of comprehensive service facilities, yet larger regions fall short. Between 2008 and 2014, the use of appropriate technology for conducting first and second trimester abortion and the provision of post abortion family planning has increased at the same time that abortion-related obstetric complications have decreased. Ten years after the change in abortion law, service

  8. The prehistory of psychiatry in Ethiopia.

    PubMed

    Giel, R

    1999-01-01

    Ethiopian psychiatry has changed considerably during the last few years with an increasing number of Ethiopian doctors and nurses trained in psychiatry. In the paper is given an outline of the history of psychiatry in Ethiopia from 1965 onwards. Important improvements in the Amanuel Mental Hospital in Addis Ababa which for long was the only psychiatric facility in the country, the establishment of the Department of Psychiatry at the Medical Faculty of the University of Addis Ababa and the introduction of psychiatry in the curriculum of the medical faculty are important steps. Recently training of nurses and doctors in psychiatry has led to the establishment of psychiatric clinics in 26 district hospitals throughout the country staffed with psychiatric nurses supervised by psychiatrists from Amanuel Hospital in Addis Ababa. The development of psychiatric research in Ethiopia is also outlined.

  9. The Practices of Student Network as Cooperative Learning in Ethiopia

    ERIC Educational Resources Information Center

    Reda, Weldemariam Nigusse; Hagos, Girmay Tsegay

    2015-01-01

    Student network is a teaching strategy introduced as cooperative learning to all educational levels above the upper primary schools (grade 5 and above) in Ethiopia. The study was, therefore, aimed at investigating to what extent the student network in Ethiopia is actually practiced in line with the principles of cooperative learning. Consequently,…

  10. The Practices of Student Network as Cooperative Learning in Ethiopia

    ERIC Educational Resources Information Center

    Reda, Weldemariam Nigusse; Hagos, Girmay Tsegay

    2015-01-01

    Student network is a teaching strategy introduced as cooperative learning to all educational levels above the upper primary schools (grade 5 and above) in Ethiopia. The study was, therefore, aimed at investigating to what extent the student network in Ethiopia is actually practiced in line with the principles of cooperative learning. Consequently,…

  11. Extension Agents' Awareness of Climate Change in Ethiopia

    ERIC Educational Resources Information Center

    Abegaz, Dagmawi M.; Wims, Padraig

    2015-01-01

    Purpose: The fact that highly vulnerable countries like Ethiopia face far greater challenges from climate change makes agricultural adaptation a top priority. Even though the public agriculture extension system in Ethiopia plays a central role in facilitating and supporting adaptation, very limited information is available on how aware the actual…

  12. Extension Agents' Awareness of Climate Change in Ethiopia

    ERIC Educational Resources Information Center

    Abegaz, Dagmawi M.; Wims, Padraig

    2015-01-01

    Purpose: The fact that highly vulnerable countries like Ethiopia face far greater challenges from climate change makes agricultural adaptation a top priority. Even though the public agriculture extension system in Ethiopia plays a central role in facilitating and supporting adaptation, very limited information is available on how aware the actual…

  13. A Systems Approach to Improving Rural Care in Ethiopia

    PubMed Central

    Bradley, Elizabeth H.; Byam, Patrick; Alpern, Rachelle; Thompson, Jennifer W.; Zerihun, Abraham; Abeb, Yigeremu; Curry, Leslie A.

    2012-01-01

    Background Multiple interventions have been launched to improve the quality, access, and utilization of primary health care in rural, low-income settings; however, the success of these interventions varies substantially, even within single studies where the measured impact of interventions differs across sites, centers, and regions. Accordingly, we sought to examine the variation in impact of a health systems strengthening intervention and understand factors that might explain the variation in impact across primary health care units. Methodology/Principal Findings We conducted a mixed methods positive deviance study of 20 Primary Health Care Units (PHCUs) in rural Ethiopia. Using longitudinal data from the Ethiopia Millennium Rural Initiative (EMRI), we identified PHCUs with consistently higher performance (n = 2), most improved performance (n = 3), or consistently lower performance (n = 2) in the provision of antenatal care, HIV testing in antenatal care, and skilled birth attendance rates. Using data from site visits and in-depth interviews (n = 51), we applied the constant comparative method of qualitative data analysis to identify key themes that distinguished PHCUs with different performance trajectories. Key themes that distinguished PHCUs were 1) managerial problem solving capacity, 2) relationship with the woreda (district) health office, and 3) community engagement. In higher performing PHCUs and those with the greatest improvement after the EMRI intervention, health center and health post staff were more able to solve day-to-day problems, staff had better relationships with the woreda health official, and PHCU communities' leadership, particularly religious leadership, were strongly engaged with the health improvement effort. Distance from the nearest city, quality of roads and transportation, and cultural norms did not differ substantially among PHCUs. Conclusions/Significance Effective health strengthening efforts may require intensive

  14. Geographical variation and factors influencing modern contraceptive use among married women in Ethiopia: evidence from a national population based survey

    PubMed Central

    2013-01-01

    Background Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. Though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind in Ethiopia. This study aimed to identify factors associated with modern contraceptive use and to examine its geographical variations among 15–49 married women in Ethiopia. Methods We conducted secondary analysis of 10,204 reproductive age women included in the 2011 Ethiopia Demographic and Health Survey (DHS). The survey sample was designed to provide national, urban/rural, and regional representative estimates for key health and demographic indicators. The sample was selected using a two-stage stratified sampling process. Bivariate and multivariate logistic regressions were applied to determine the prevalence of modern contraceptive use and associated factors in Ethiopia. Results Being wealthy, more educated, being employed, higher number of living children, being in a monogamous relationship, attending community conversation, being visited by health worker at home strongly predicted use of modern contraception. While living in rural areas, older age, being in polygamous relationship, and witnessing one’s own child’s death were found negatively influence modern contraceptive use. The spatial analysis of contraceptive use revealed that the central and southwestern parts of the country had higher prevalence of modern contraceptive use than that of the eastern and western parts. Conclusion The findings indicate significant socio-economic, urban–rural and regional variation in modern contraceptive use among reproductive age women in Ethiopia. Strengthening community conversation programs and female education should be given top priority. PMID:24067083

  15. Geographical variation and factors influencing modern contraceptive use among married women in Ethiopia: evidence from a national population based survey.

    PubMed

    Lakew, Yihunie; Reda, Ayalu A; Tamene, Habtamu; Benedict, Susan; Deribe, Kebede

    2013-09-26

    Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. Though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind in Ethiopia. This study aimed to identify factors associated with modern contraceptive use and to examine its geographical variations among 15-49 married women in Ethiopia. We conducted secondary analysis of 10,204 reproductive age women included in the 2011 Ethiopia Demographic and Health Survey (DHS). The survey sample was designed to provide national, urban/rural, and regional representative estimates for key health and demographic indicators. The sample was selected using a two-stage stratified sampling process. Bivariate and multivariate logistic regressions were applied to determine the prevalence of modern contraceptive use and associated factors in Ethiopia. Being wealthy, more educated, being employed, higher number of living children, being in a monogamous relationship, attending community conversation, being visited by health worker at home strongly predicted use of modern contraception. While living in rural areas, older age, being in polygamous relationship, and witnessing one's own child's death were found negatively influence modern contraceptive use. The spatial analysis of contraceptive use revealed that the central and southwestern parts of the country had higher prevalence of modern contraceptive use than that of the eastern and western parts. The findings indicate significant socio-economic, urban-rural and regional variation in modern contraceptive use among reproductive age women in Ethiopia. Strengthening community conversation programs and female education should be given top priority.

  16. Reflections on the development of psychology in Ethiopia and future directions.

    PubMed

    Wondie, Yemataw

    2014-10-01

    The introduction and development of psychology in Ethiopia has been mainly limited to Addis Ababa University in the capital city, and also to educational and school psychology which was highly influenced by the field of education at this pioneering university. Similarly, mental health services have been principally developed at the Amanuel Mental Hospital in Addis Ababa that has existed since the 1950s. However, the expansion of higher learning institutions on one hand, and the apparent growing prevalence of mental illness on the other, seem to have contributed to the development of both mental health training and services in other regional cities and towns. Although the influence of the education-oriented psychological training of the Addis Ababa University is still present, clinical psychology education and services are now being started in other universities. One of these is the master's programme in clinical psychology opened for the first time in the University of Gondar. This article sheds light on the development of psychology in Ethiopia and addresses some of the issues raised about the factors that have influenced its development such as traditional beliefs, poverty and comparisons between mental health in lower middle-income countries and higher middle-income countries ( Uppal et al., 2014 ). The paper also proposes future directions for the education, research, infrastructure and services of clinical psychology and mental health in Ethiopia.

  17. Household dietary diversity, vitamin A consumption and food security in rural Tigray, Ethiopia.

    PubMed

    Schwei, Rebecca J; Tesfay, Haile; Asfaw, Frezer; Jogo, Wellington; Busse, Heidi

    2017-06-01

    To describe: household dietary diversity across four zones in Ethiopia; the relationship between household dietary diversity and consumption of vitamin A-rich foods; and the relationship between household dietary diversity and food security status. This was a cross-sectional survey. Data were collected using structured questionnaires in the local language. Household dietary diversity scores measured types of foods households consumed, and households were classified by food security status using a modified version of the Household Food Insecurity Access Scale. An ordinal logistics regression model was created to assess the relationship between three tiers of dietary diversity (low, medium and high) and food security while controlling for agricultural zone, educational variables and household characteristics. Rural households in Tigray, Ethiopia. Three hundred households in Tigray, Ethiopia, were interviewed. Of the households, 23, 47 and 30 % had low, medium and high dietary diversity, respectively. Among households with high dietary diversity, eggs and fruit were the most common foods added to the diet. In the fully adjusted model, participants who reported being food secure had 1·8 increased odds of greater dietary diversity (95 % CI 1·0, 3·2) compared with participants who were food insecure. Food security was positively associated with dietary diversity. In order to enhance health, interventions that improve dietary diversity and vitamin A consumption should remain important areas of focus for health leaders in the region.

  18. Epidemiological features of fasciolosis in working donkeys in Ethiopia.

    PubMed

    Getachew, M; Innocent, G T; Trawford, A F; Reid, S W J; Love, S

    2010-05-11

    A cross-sectional coprological survey in the tropical regions of Ada, Akaki, Bereh and Boset, and a retrospective post-mortem investigation were conducted to study the epidemiology of fasciolosis in working donkeys in Ethiopia. Faecal samples from 803 donkeys were collected, and the number of liver flukes recovered from 112 donkeys at post-mortem between 1995 and 2004 were analysed. There was a high prevalence of fasciolosis irrespective of the age of the donkeys. The overall prevalence of the infection was 44.4% in coprologically examined donkeys, and the prevalence in the donkeys examined post-mortem was 41.9%. The infection prevalence was significantly higher in Bereh and Ada regions than in Akaki and Boset regions. Bereh with 72.6% and Boset with 21.5% showed a significantly higher and lower infection prevalence, respectively, than the rest of the regions (P<0.001). There was no significant difference between different age groups of donkeys in the infection prevalence (P>0.05) but infection intensity was significantly higher in donkeys 8 years old and above (P<0.0001). Both Fasciola hepatica and Fasciola gigantica were identified.

  19. Strategic Challenges of PMTCT Program Implementation in Ethiopia.

    PubMed

    Balcha, Taye T; Lecerof, Susanne S; Jeppsson, Anders R

    2011-01-01

    The objective of this study is to evaluate the achievement of the prevent mother-to-child transmission (PMTCT) program and to describe the strategic challenges of its implementation in the the Oromia region, Ethiopia. PMTCT program reports were collected over a period of 12 months from 25 zones of Oromia region. The health facilities in these zones include 28 hospitals and 84 health centers. The reports were analyzed with regard to international and national policies, guidelines, and priorities. Meanwhile, in-depth interviews were conducted with key informants from the government and an nongovernmental organization (NGO). The reports showed that 72 277 (47%) pregnant women who attended antenatal care were tested for HIV. Although 1461 (65%) HIV-positive women walked away without intervention, 1579 (71%) babies born to HIV-positive mothers did not access prophylactic medicine. Interviews with key informants revealed that stakeholders' inertia to coordinated action, disconnect between the regional office and service providers at the grassroots, and an unclear national policy on HIV were major challenges to the program. Addressing policy issues and setting clear purposes for all partners need a committed local leadership and program ownership at regional and federal levels.

  20. Health system governance to support scale up of mental health care in Ethiopia: a qualitative study.

    PubMed

    Hanlon, Charlotte; Eshetu, Tigist; Alemayehu, Daniel; Fekadu, Abebaw; Semrau, Maya; Thornicroft, Graham; Kigozi, Fred; Marais, Debra Leigh; Petersen, Inge; Alem, Atalay

    2017-01-01

    Ethiopia is embarking upon a ground-breaking plan to address the high levels of unmet need for mental health care by scaling up mental health care integrated within primary care. Health system governance is expected to impact critically upon the success or otherwise of this important initiative. The objective of the study was to explore the barriers, facilitators and potential strategies to promote good health system governance in relation to scale-up of mental health care in Ethiopia. A qualitative study was conducted using in-depth interviews. Key informants were selected purposively from national and regional level policy-makers, planners and service developers (n = 7) and district health office administrators and facility heads (n = 10) from a district in southern Ethiopia where a demonstration project to integrate mental health into primary care is underway. Topic guide development and analysis of transcripts were guided by an established framework for assessing health system governance, adapted for the Ethiopian context. From the perspective of respondents, particular strengths of health system governance in Ethiopia included the presence of high level government support, the existence of a National Mental Health Strategy and the focus on integration of mental health care into primary care to improve the responsiveness of the health system. However, both national and district level respondents expressed concerns about low baseline awareness about mental health care planning, the presence of stigmatising attitudes, the level of transparency about planning decisions, limited leadership for mental health, lack of co-ordination of mental health planning, unreliable supplies of medication, inadequate health management information system indicators for monitoring implementation, unsustainable models for specialist mental health professional involvement in supervision and mentoring of primary care staff, lack of community mobilisation for mental health and low

  1. Spatial patterns of multidrug resistant tuberculosis and relationships to socio-economic, demographic and household factors in northwest Ethiopia.

    PubMed

    Alene, Kefyalew Addis; Viney, Kerri; McBryde, Emma S; Clements, Archie C A

    2017-01-01

    Understanding the geographical distribution of multidrug-resistant tuberculosis (MDR-TB) in high TB burden countries such as Ethiopia is crucial for effective control of TB epidemics in these countries, and thus globally. We present the first spatial analysis of multidrug resistant tuberculosis, and its relationship to socio-economic, demographic and household factors in northwest Ethiopia. An ecological study was conducted using data on patients diagnosed with MDR-TB at the University of Gondar Hospital MDR-TB treatment centre, for the period 2010 to 2015. District level population data were extracted from the Ethiopia National and Regional Census Report. Spatial autocorrelation was explored using Moran's I statistic, Local Indicators of Spatial Association (LISA), and the Getis-Ord statistics. A multivariate Poisson regression model was developed with a conditional autoregressive (CAR) prior structure, and with posterior parameters estimated using a Bayesian Markov chain Monte Carlo (MCMC) simulation approach with Gibbs sampling, in WinBUGS. A total of 264 MDR-TB patients were included in the analysis. The overall crude incidence rate of MDR-TB for the six-year period was 3.0 cases per 100,000 population. The highest incidence rate was observed in Metema (21 cases per 100,000 population) and Humera (18 cases per 100,000 population) districts; whereas nine districts had zero cases. Spatial clustering of MDR-TB was observed in districts located in the Ethiopia-Sudan and Ethiopia-Eritrea border regions, where large numbers of seasonal migrants live. Spatial clustering of MDR-TB was positively associated with urbanization (RR: 1.02; 95%CI: 1.01, 1.04) and the percentage of men (RR: 1.58; 95% CI: 1.26, 1.99) in the districts; after accounting for these factors there was no residual spatial clustering. Spatial clustering of MDR-TB, fully explained by demographic factors (urbanization and percent male), was detected in the border regions of northwest Ethiopia, in

  2. Spatial patterns of multidrug resistant tuberculosis and relationships to socio-economic, demographic and household factors in northwest Ethiopia

    PubMed Central

    Viney, Kerri; McBryde, Emma S.; Clements, Archie C. A.

    2017-01-01

    Background Understanding the geographical distribution of multidrug-resistant tuberculosis (MDR-TB) in high TB burden countries such as Ethiopia is crucial for effective control of TB epidemics in these countries, and thus globally. We present the first spatial analysis of multidrug resistant tuberculosis, and its relationship to socio-economic, demographic and household factors in northwest Ethiopia. Methods An ecological study was conducted using data on patients diagnosed with MDR-TB at the University of Gondar Hospital MDR-TB treatment centre, for the period 2010 to 2015. District level population data were extracted from the Ethiopia National and Regional Census Report. Spatial autocorrelation was explored using Moran’s I statistic, Local Indicators of Spatial Association (LISA), and the Getis-Ord statistics. A multivariate Poisson regression model was developed with a conditional autoregressive (CAR) prior structure, and with posterior parameters estimated using a Bayesian Markov chain Monte Carlo (MCMC) simulation approach with Gibbs sampling, in WinBUGS. Results A total of 264 MDR-TB patients were included in the analysis. The overall crude incidence rate of MDR-TB for the six-year period was 3.0 cases per 100,000 population. The highest incidence rate was observed in Metema (21 cases per 100,000 population) and Humera (18 cases per 100,000 population) districts; whereas nine districts had zero cases. Spatial clustering of MDR-TB was observed in districts located in the Ethiopia-Sudan and Ethiopia-Eritrea border regions, where large numbers of seasonal migrants live. Spatial clustering of MDR-TB was positively associated with urbanization (RR: 1.02; 95%CI: 1.01, 1.04) and the percentage of men (RR: 1.58; 95% CI: 1.26, 1.99) in the districts; after accounting for these factors there was no residual spatial clustering. Conclusion Spatial clustering of MDR-TB, fully explained by demographic factors (urbanization and percent male), was detected in the border

  3. Phenotypic and genotypic characterization of race TKTTF of Puccinia graminis f. sp. tritici that caused a wheat stem rust epidemic in southern Ethiopia in 2013-2014

    USDA-ARS?s Scientific Manuscript database

    A severe stem rust epidemic occurred in southern Ethiopia during November 2013 to January 2014 with yield losses close to 100% on the most widely grown wheat cultivar, 'Digalu'. Sixty-four stem rust samples collected from the regions were analyzed. A meteorological model for airborne spore dispersal...

  4. Circulating serovars of Leptospira in cart horses of central and southern Ethiopia and associated risk factors.

    PubMed

    Tsegay, K; Potts, A D; Aklilu, N; Lötter, C; Gummow, B

    2016-03-01

    Little work has been done on diseases of horses in Ethiopia or tropical regions of the world. Yet, Ethiopia has the largest horse population in Africa and their horses play a pivotal role in their economy as traction animals. A serological and questionnaire survey was therefore conducted to determine the circulating serovars of Leptospira and their association with potential risk factors in the cart horse population of Central and Southern Ethiopia. A total of 184 out of 418 cart horses from 13 districts had antibody titres of 1:100 or greater to at least one of 16 serovars of Leptospira species in Central and Southern Ethiopian horses. A significantly higher seropositivity (62.1%) was noted in horses from the highland agroecology followed by midland (44.4%) and lowland (39.8%). Serovar Bratislava (34.5%) was the predominant serovar followed by serovars Djasiman (9.8%), Topaz (5.98%) and Pomona (5.3%). Age and location proved to be associated with seropositive horses with older horses being more commonly affected and the districts of Ziway (Batu) (Apparent Prevalence (AP)=65.5%), Shashemene (AP=48.3%) and Sebeta (AP=41.4%) having the highest prevalence. Multivariable logistic regression found risk factors significantly associated with Leptospira seropositive horses were drinking river water (OR=2.8) and horses 7-12 years old (OR=5) and risk factors specifically associated with serovar Bratislava seropositive horses were drinking river water (OR=2.5), horses ≥13 years (OR=3.5) and the presence of dogs in adjacent neighbouring properties (OR=0.3). Dogs had a protective effect against seropositivity to serovars Bratislava and Djasiman, which may be due to their ability to control rodents. The high seroprevalence confirm that leptospirosis is endemic among horses of Central and Southern Ethiopia. The predominance of serovar Bratislava supports the idea that serovar Bratislava may be adapted to and maintained by the horse population of Central and Southern Ethiopia

  5. Intensified tuberculosis case finding, implementation of isoniazid preventive therapy and associated factors among people living with human immunodeficiency virus at public health facilities of Harari Region, Eastern Ethiopia: A cross-sectional study

    PubMed Central

    Geleto, Ayele; Abate, Degu; Egata, Gudina

    2017-01-01

    Objective: Globally, the number of people living with human immunodeficiency virus (PLHIV) particularly in sub-Saharan Africa is growing. This has been resulted in increased number of tuberculosis (TB) new cases. To control burden of TB among PLHIV, a number of collaborative TB/HIV activities were recommended. However, data about collaborative TB/HIV services in the study area is scarce. The objective of this study is to assess intensified TB case finding, implementation of isoniazid preventive therapy (IPT) and associated factors among PLHIV. Methods: A facility based cross-sectional study design was employed among 419 randomly selected PLHIV from public health facilities of Harari region. Systematic sampling method was used to obtain sample from each health facilities. Interviewer-administered questionnaire was used to collect data. Data were entered into EpiData and analyzed by SPSS statistical software. Multivariate logistic regression analysis was conducted to determine the presence of association between variables using odds ratio with 95% confidence interval and association was declared significant at P ≤ 0.05. Results: One hundred fifteen (75.2%) of the respondents reported that they offered screening for TB during their HIV chronic cares and 94 (29.8%) of them were found to be positive for active TB. Female sex [AOR 2.51; 95%CI (1.52, 6.14)], educated patients [AOR 0.52; 95%CI (0.21, 0.83)], CD4 count greater than 350 cells/dl3 [AOR 0.62; 95%CI(0.22,0.82)], Antiretroviral Therapy (ART) initiation [AOR 0.50; 95%CI (0.35, 0.88)] and missing dose of ART [AOR 2.57; 95%CI (1.21, 5.32)] were significantly associated with TB infection. Nearly four-fifth (78.7 %) of the study participants were provided IPT. Conclusions: Screening of TB among PLHIV and implementation of IPT in the region is lower when compared to the findings of other studies conducted in different parts of the country and needs to be improved through implementation of national and international

  6. Attitude toward female genital mutilation among Somali and Harari people, Eastern Ethiopia

    PubMed Central

    Abathun, Asresash Demissie; Sundby, Johanne; Gele, Abdi A

    2016-01-01

    Background Female genital mutilation (FGM) is a worldwide problem, and it is practiced by many communities in Africa and Asia as well as immigrants from those areas. This practice results in short- and long-term health consequences on women’s health. Like many other developing countries, FGM is widely practiced in Ethiopia, especially among Somali and Harari ethnic groups. Despite intensive campaigns against FGM in Ethiopia, since 2011, it has been practiced in the aforementioned communities. There is no recent information as to whether these campaigns have an impact on the attitude and practice of the community regarding FGM. This qualitative research was aimed at exploring the attitudes of Somali and Harari people between 18 and 65 years toward FGM. Methods A purposive sampling technique was used to recruit 64 (32 in each region) participants. Data were collected from October to December 2015 in Somali and Harari Regions. Results The findings showed that there was a strong support for the continuation of the practice among female discussants in Somali region, whereas male discussants from the same region and the majority of the participants from Harari region had a positive attitude toward the discontinuation of the practice. Marriageability was the major reason for practicing FGM in Somali region, whereas making girls calm, sexually inactive, and faithful for their husbands were mentioned in Harari region. Although young men in both the regions prefer to marry uncircumcised girls, the study showed that there are some differences in the attitude toward the FGM practice between the people in the two regions. Conclusion The findings show that there is an attitudinal difference between the people in the two regions, which calls for behavioral change communication using women-centered approach and culturally appropriate strategies. As young people in both the regions had the intention to marry uncircumcised girls, there has to be a strong advocacy and multisectoral

  7. Weather-based prediction of Plasmodium falciparum malaria in epidemic-prone regions of Ethiopia II. Weather-based prediction systems perform comparably to early detection systems in identifying times for interventions.

    PubMed

    Teklehaimanot, Hailay D; Schwartz, Joel; Teklehaimanot, Awash; Lipsitch, Marc

    2004-11-19

    Timely and accurate information about the onset of malaria epidemics is essential for effective control activities in epidemic-prone regions. Early warning methods that provide earlier alerts (usually by the use of weather variables) may permit control measures to interrupt transmission earlier in the epidemic, perhaps at the expense of some level of accuracy. Expected case numbers were modeled using a Poisson regression with lagged weather factors in a 4th-degree polynomial distributed lag model. For each week, the numbers of malaria cases were predicted using coefficients obtained using all years except that for which the prediction was being made. The effectiveness of alerts generated by the prediction system was compared against that of alerts based on observed cases. The usefulness of the prediction system was evaluated in cold and hot districts. The system predicts the overall pattern of cases well, yet underestimates the height of the largest peaks. Relative to alerts triggered by observed cases, the alerts triggered by the predicted number of cases performed slightly worse, within 5% of the detection system. The prediction-based alerts were able to prevent 10-25% more cases at a given sensitivity in cold districts than in hot ones. The prediction of malaria cases using lagged weather performed well in identifying periods of increased malaria cases. Weather-derived predictions identified epidemics with reasonable accuracy and better timeliness than early detection systems; therefore, the prediction of malarial epidemics using weather is a plausible alternative to early detection systems.

  8. Volcanic outcrops of southeast Ethiopia and the Ogaden Dyke Swarm

    NASA Astrophysics Data System (ADS)

    Mège, Daniel; Purcell, Peter; Jourdan, Fred; Pochat, Stéphane

    2013-04-01

    A new map of Tertiary volcanics occurrences in the Ogaden region of southeast Ethiopia and adjacent areas of Somalia has been prepared. Outcrop areas, mapped using satellite images and helicopter-­-supported field work in 2008, are more widespread than previously recognized, while magnetic and drill data reveal the vast subsurface extent of the magmatism. Several spectacular 'meandering' outcrops, over 100 km long, are undoubtedly exhumed canyon-­-filling flows and magnetic data show that many other apparently isolated outcrops are actually part of similar flows, the bulk of which are now subsurface. Age dating and well intersections show several volcanic episodes, with the major outpouring occurring across a broad peneplain in the Oligocene. Geological and aeromagnetic mapping, and 40Ar/39Ar age dating, reveal a dyke swarm extending SSE from the southern Afar margin more than 600 km across the Somali Plate, and coeval with dyke injection in the Red Sea rift at ~25 Ma. The Ogaden Dyke Swarm, which occurs in an area historically considered remote from the impact of the Afro-­-Arabian rifting and volcanism, appears associated with the Marda Fault and marks a zone of crustal dilation along the Red Sea trend across the Horn of Africa. Contemporaneous rifts, also trending WNW/ESE and over 120 km long, occur in NE Somalia, confirming the predominantly NE/SW-­-directed crustal stress regime in the Ogaden and adjacent region at this time.

  9. Response of Groundwater table to Eucalyptus Plantations in a Tropical Monsoon Climate, Lake Tana Basin, Ethiopia

    NASA Astrophysics Data System (ADS)

    Enku, Temesgen; Melesse, Assefa; Ayana, Essaya; Tilahun, Seifu; Abate, Mengiste; Steenhuis, Tammo

    2017-04-01

    Given the increasing demand for water resources and the need for better management of regional water resources, it is essential to quantify the groundwater use by phreatophytes in tropical monsoon climates. Phreatophytes, like eucalyptus plantations are reported to be a groundwater sink and it could significantly affect the regional groundwater resources. In our study, the consumptive groundwater use of a closed eucalyptus plantation was calculated based on the diurnal water table fluctuations observed in monitoring wells for two dry monsoon phases in the Fogera plain, northwest of Ethiopia. Automated recorders were installed to monitor the hourly groundwater table fluctuations. The groundwater table fluctuates from maximum at early in the morning to minimum in the evening daily and generally declined linearly during the dry phase averaging 3.1 cm/day during the two year period under the eucalyptus plantations. The hourly eucalypts transpiration rate over the daylight hours follows the daily solar irradiance curve for clear sky days. It is minimal during the night and reaches maximum of 1.65mm/hour at mid-day. The evapotranspiration from the groundwater by eucalyptus plantations during the dry phases was estimated at about 2300mm from October 1 to 31 May, in 2015 compared to about 900mm without eucalyptus trees. The average daily evapotranspiration was 9.6mm. This is almost twice of the reference evapotranspiration in the area and 2.5 times the actual rate under fallow agricultural fields. Thus, water resources planning and management in the region needs to consider the effect of eucalyptus plantations on the availability of groundwater resources in the highlands of Ethiopia. Key words: Eucalyptus, Evapotranspiration, Groundwater, Ethiopia, Lake Tana

  10. Sociocultural determinants of home delivery in Ethiopia: a qualitative study

    PubMed Central

    Kaba, Mirgissa; Bulto, Tesfaye; Tafesse, Zergu; Lingerh, Wassie; Ali, Ismael

    2016-01-01

    Background Maternal health remains a major public health problem in Ethiopia. Despite the government’s measures to ensure institutional delivery assisted by skilled attendants, home delivery remains high, estimated at over 80% of all pregnant women. Objective The study aims to identify determinants that sustain home delivery in Ethiopia. Methods A total of 48 women who delivered their most recent child at home, 56 women who delivered their most recent child in a health facility, 55 husbands of women who delivered within 1 year preceding the study, and 23 opinion leaders in selected districts of Amhara, Oromia, Southern Nations, Nationalities, and Peoples’ Region, and Tigray regions were involved in the study. Key informant interview, in-depth interviews, and focus group discussions were conducted to collect data using checklists developed for this purpose. Data reduction and analysis were facilitated by Maxqda qualitative data analysis software version 11. Results Findings show that pregnancy and delivery is a normal and natural life event. Research participants unanimously argue that such a life event should not be linked with health problems. Home is considered a natural space for delivery and most women aspire to deliver at home where rituals during labor and after delivery are considered enjoyable. Even those who delivered in health facilities appreciate events in connection to home delivery. Efforts are underway to create home-like environments in health facilities, but health facilities are not yet recognized as a natural place of delivery. The positive tendency to deliver at home is further facilitated by poor service delivery at the facility level. Perceived poor competence of providers and limited availability of supplies and equipment were found to maintain the preference to deliver at home. Conclusion The government’s endeavor to improve maternal health has generated positive results with more women now attending antenatal care. Yet over 80% of

  11. Genotype diversity of Mycobacterium isolates from children in Jimma, Ethiopia

    PubMed Central

    2013-01-01

    Background Paediatric tuberculosis (TB) is poorly addressed in Ethiopia and information about its magnitude and the genotype distribution of the causative Mycobacterium tuberculosis strains responsible for its spread are scanty. Methods Gastric lavage or sputum samples were collected from consecutively enrolled TB suspect children visiting Jimma University Hospital in 2011 and cultured on Middlebrook 7H11 and Löwenstein-Jensen media. Acid fast bacterial (AFB) isolates were subjected to molecular typing targeting regions of difference (RDs), 16S rDNA gene and the direct repeat (DR) region using multiplex polymerase chain reaction (mPCR), gene sequencing and spoligotyping, respectively. Molecular drug susceptibility testing of M. tuberculosis isolates was performed by Genotype®MTBDRplus line probe assay (LPA) (Hain Life Sciences, Germany). Results Gastric lavage (n = 43) or sputum (n = 58) samples were collected from 101 children and 31.7% (32/101) of the samples were positive for AFB by microscopy, culture and/or PCR. Out of 25 AFB isolates, 60% (15/25) were identified as M. tuberculosis by PCR, and 40% isolates (10/25) were confirmed to be non-tuberculous mycobacteria (NTM) by genus typing and 16S rDNA gene sequencing. Lineage classification assigned the M. tuberculosis strains into Euro-American (EUA, 66.7%; 10/15), East-African-Indian (EAI; 2/15), East-Asian (EA; 1/15) and Indio-Oceanic (IO; 1/15) lineages. Seven M. tuberculosis strains were new to the SpolDB4 database. All of the M. tuberculosis isolates were susceptible to isoniazid (INH) and rifampicin (RIF), except for one strain (of spoligotype SIT-149 or T3_ETH family) which had a mutation at the inhA locus which often confers resistance to INH (low level) and ethionamide. Conclusions Analysis of the genetic population structure of paediatric M. tuberculosis strains suggested similarity with that of adults, indicating an on-going and active transmission of M. tuberculosis from adults to children

  12. Genetic structuring of remnant forest patches in an endangered medicinal tree in North-western Ethiopia

    PubMed Central

    2014-01-01

    Background Habitat loss and fragmentation may have detrimental impacts on genetic diversity, population structure and overall viability of tropical trees. The response of tropical trees to fragmentation processes may, however, be species, cohort or region-specific. Here we test the hypothesis that forest fragmentation is associated with lower genetic variability and higher genetic differentiation in adult and seedling populations of Prunus africana in North-western Ethiopia. This is a floristically impoverished region where all but a few remnant forest patches have been destroyed, mostly by anthropogenic means. Results Genetic diversity (based on allelic richness) was significantly greater in large and less-isolated forest patches as well as in adults than seedlings. Nearly all pairwise FST comparisons showed evidence for significant population genetic differentiation. Mean FST values were significantly greater in seedlings than adults, even after correction for within population diversity, but varied little with patch size or isolation. Conclusions Analysis of long-lived adult trees suggests the formerly contiguous forest in North-western Ethiopia probably exhibited strong spatial patterns of genetic structure. This means that protecting a range of patches including small and isolated ones is needed to conserve the extant genetic resources of the valuable forests in this region. However, given the high livelihood dependence of the local community and the high impact of foreign investors on forest resources of this region, in situ conservation efforts alone may not be helpful. Therefore, these efforts should be supported with ex situ gene conservation actions. PMID:24602239

  13. ASTER First Views of Rift Valley, Ethiopia - Thermal-Infrared TIR Image color

    NASA Image and Video Library

    2000-03-11

    This image is a color composite covering the Rift Valley inland area of Ethiopia (south of the region shown in PIA02452). The color difference of this image reflects the distribution of different rocks with different amounts of silicon dioxide. It is inferred that the area with whitish color is covered with basalt and the pinkish area in the center contain sandesite. This is the first spaceborne, multi-band TIR image in history that enables geologists to distinguish between rocks with similar compositions. The size of image: 60 km x 60 km approx., ground resolution 90 m x 90 m approximately. http://photojournal.jpl.nasa.gov/catalog/PIA02453

  14. Early Pliocene hominids from Gona, Ethiopia.

    PubMed

    Semaw, Sileshi; Simpson, Scott W; Quade, Jay; Renne, Paul R; Butler, Robert F; McIntosh, William C; Levin, Naomi; Dominguez-Rodrigo, Manuel; Rogers, Michael J

    2005-01-20

    Comparative biomolecular studies suggest that the last common ancestor of humans and chimpanzees, our closest living relatives, lived during the Late Miocene-Early Pliocene. Fossil evidence of Late Miocene-Early Pliocene hominid evolution is rare and limited to a few sites in Ethiopia, Kenya and Chad. Here we report new Early Pliocene hominid discoveries and their palaeoenvironmental context from the fossiliferous deposits of As Duma, Gona Western Margin (GWM), Afar, Ethiopia. The hominid dental anatomy (occlusal enamel thickness, absolute and relative size of the first and second lower molar crowns, and premolar crown and radicular anatomy) indicates attribution to Ardipithecus ramidus. The combined radioisotopic and palaeomagnetic data suggest an age of between 4.51 and 4.32 million years for the hominid finds at As Duma. Diverse sources of data (sedimentology, faunal composition, ecomorphological variables and stable carbon isotopic evidence from the palaeosols and fossil tooth enamel) indicate that the Early Pliocene As Duma sediments sample a moderate rainfall woodland and woodland/grassland.

  15. Global mental health: perspectives from Ethiopia

    PubMed Central

    Fekadu, Abebaw; Thornicroft, Graham

    2014-01-01

    Background Global mental health (GMH) advocates for access to and the equitable provision of mental health care. Although the treatment gap is a useful construct to measure access and equitability of care, it fails to communicate the real-life consequences of the treatment gap and the urgent need to address care disparities. Objective The aim of this article is to present a perspective on the practical application of the principles of GMH to understand the real-life impact of the treatment gap and the approaches taken to improve treatment coverage in Ethiopia. Design A case study method is used. Results Multiple international collaborations undertaken in Ethiopia and facilitated by GMH to improve care, capacity, and the evidence base for increased treatment coverage are described briefly. A series of steps taken at the local and national levels to address the treatment gap are highlighted. The stories of two patients are also presented to illustrate the real-life consequences of the treatment gap and the potential transformational impact of addressing the treatment gap on patients, families, and communities. Conclusions GMH has a key role to play in addressing the treatment gap, which improves the life of people with mental disorders, their families, and their communities. However, national-level policy support and coordination are essential for any realistic improvement in treatment coverage. The reflections offered through the case examples may have utility in similar low-income settings. PMID:25280740

  16. An NGO at work: CARE-Ethiopia.

    PubMed

    1999-01-01

    Cooperation for American Relief to Everywhere (CARE) was established in response to the needs of the people after World War II through the distribution of food and clothes. CARE/Ethiopia, which signed its first Basic Agreement with the Relief and Rehabilitation Commission, was provided with assistance during the 1994 drought that affected Ethiopia. The primary objective of CARE was to alleviate the suffering brought about by severe food shortages and to expand the program to mitigation and development. This approach was based on the premise of a community-based development philosophy and as an implementation strategy for reaching the rural poor. The five programmatic areas highlighted by the CARE projects were the rural and urban infrastructure; water and sanitation; small-scale irrigation; reproductive health and HIV/AIDS; and microcredit. On the other hand, the family planning and HIV/AIDS project aimed to improve the knowledge, attitude and practice of rural communities towards family planning and reproductive health through community-based family planning services. Results of the project evaluation emphasize the significance of community-based programs in the improvement of health status. Two critical program constraints identified in this paper are lack of access to referral-level services and lack of systemic provision of contraceptive commodities. Several suggestions for future programs include the assurance that the volunteers would be provided with aid in work, childcare and free health services for their families.

  17. Pathways to psychiatric care in Ethiopia.

    PubMed

    Bekele, Y Y; Flisher, A J; Alem, A; Baheretebeb, Y

    2009-03-01

    Understanding the pathways to psychiatric care and recognition of delay points are crucial for the development of interventions that aim to improve access to mental health-care services. Over a 2-month period in 2003, a total of 1044 patients at the commencement of new episodes of care at Amanuel Specialized Mental Hospital in Addis Ababa, Ethiopia were interviewed using the encounter form that was developed by the World Health Organization (WHO) for the study of pathways to psychiatric care. The mental hospital was contacted directly by 41% of patients. The remaining patients sought care from up to four different caregivers before arriving at the psychiatric hospital. Where the initial service was not received at the psychiatric hospital, 30.9% of patients sought care from priests/holy water/church. The median delay between onset of illness and arrival at the psychiatric hospital was 38 weeks. The longest delays before arriving at the mental hospital were associated with having no formal education, joblessness, and diagnoses of epilepsy and physical conditions. Implementing a robust referral system and establishing a strong working relationship with both traditional and modern health-care providers, as well as designing a service delivery model that targets particular segments of the population, such as those who are uneducated, jobless and/or suffer from epilepsy and somatic conditions, should be the most important strategies towards improving mental health service delivery and shortening of undue delay for patients receiving psychiatric care in Ethiopia.

  18. Ecological Relationships between Arboviruses, Ectoparasites and Vertebrates in Ethiopia.

    DTIC Science & Technology

    1978-08-31

    Antibodies to the following viruses were involved: West Nile, Ntaya, Banzi (or Uganda S), Zika , Spondweni and Wesselsbron. Virus isolation, which had... viruses . Three strains remain unidentified and three others were abandoned in Ethiopia. Germiston virus was isolated from sentinel mice and Congo, Thogoto, dugbe and Jos viruses from ticks. (Author)...Ethiopia were resurveyed in order to identify the natural vertebrate reservoirs and vectors of arboviruses infecting man. From fall 1969 until spring 1977

  19. Geospatial Water Quality Analysis of Dilla Town, Gadeo Zone, Ethiopia - A Case Study

    NASA Astrophysics Data System (ADS)

    Pakhale, G. K.; Wakeyo, T. B.

    2015-12-01

    Dilla is a socio-economically important town in Ethiopia, established on the international highway joining capital cities of Ethiopia and Kenya. It serves as an administrative center of the Gedeo Zone in SNNPR region of Ethiopia accommodating around 65000 inhabitants and also as an important trade centre for coffee. Due to the recent developments and urbanization in town and surrounding area, waste and sewage discharge has been raised significantly into the water resources. Also frequent rainfall in the region worsens the problem of water quality. In this view, present study aims to analyze water quality profile of Dilla town using 12 physico-chemical parameters. 15 Sampling stations are identified amongst the open wells, bore wells and from surface water, which are being extensively used for drinking and other domestic purposes. Spectrophotometer is used to analyze data and Gaussian process regression is used to interpolate the same in GIS environment to represent spatial distribution of parameters. Based on observed and desirable values of parameters, water quality index (WQI); an indicator of weighted estimate of the quantities of various parameters ranging from 1 to 100, is developed in GIS. Higher value of WQI indicates better while low value indicates poor water quality. This geospatial analysis is carried out before and after rainfall to understand temporal variation with reference to rainfall which facilitates in identifying the potential zones of drinking water. WQI indicated that 8 out of 15 locations come under acceptable category indicating the suitability of water for human use, however remaining locations are unfit. For example: the water sample at main_campus_ustream_1 (site name) site has very low WQI after rainfall, making it unfit for human usage. This suggests undertaking of certain measures in town to enhance the water quality. These results are useful for town authorities to take corrective measures and ameliorate the water quality for human

  20. Assessing Potential Land Suitability for Surface Irrigation using Groundwater in Ethiopia

    NASA Astrophysics Data System (ADS)

    Worqlul, A. W.; Jeong, J.; Osorio, J.; Gerik, T.; Yihun, D.; Srinivan, R.; Clark, N.

    2016-12-01

    Although Ethiopia has large land areas that can potentially be developed for surface irrigation, only a fraction of the potential available land has been utilized. This paper presents evaluation of the potential lands in Ethiopia that are suitable for irrigation using groundwater. The suitable land was identified using GIS-based Multi-Criteria Evaluation (MCE) techniques applying a GIS model. The factors used were identified from literature and from experts in the region. Factors considered includes physical land features (land use, soil and slope), climate characteristics (rainfall and evapotranspiration), and market access (proximity to roads and access to market). Factors were weighted using a pair-wise comparison matrix, reclassified, and overlaid to identify the suitable areas for groundwater irrigation at 1 km grid. Groundwater data from the British Geological Survey were used to estimate potential groundwater availability and analyze the irrigation potential for dominant crops. Simulated output from SWAT could be used in areas where data is not available. Result indicates that approximately 6.0 million ha of land in Ethiopia is suitable for surface irrigation. A large portion of this suitable land is located in the Abbay, Rift Valley, Omo Ghibe, and Awash River basins, which all also have shallow groundwater access (< 20 m from the surface). The comparison between available groundwater and total crop water requirements indicated that current groundwater resources in the basins are not capable of irrigating all suitable land independently, but groundwater resources are a good option for supplementing current surface water resources in many regions. The study indicated that only 8 % of the suitable land could be irrigated with the groundwater within the grid.

  1. Haemolytic activity of soil from areas of varying podoconiosis endemicity in Ethiopia.

    PubMed

    Le Blond, Jennifer S; Baxter, Peter J; Bello, Dhimiter; Raftis, Jennifer; Molla, Yordanos B; Cuadros, Javier; Davey, Gail

    2017-01-01

    Podoconiosis, non-filarial elephantiasis, is a non-infectious disease found in tropical regions such as Ethiopia, localized in highland areas with volcanic soils cultivated by barefoot subsistence farmers. It is thought that soil particles can pass through the soles of the feet and taken up by the lymphatic system, leading to the characteristic chronic oedema of the lower legs that becomes disfiguring and disabling over time. The close association of the disease with volcanic soils led us to investigate the characteristics of soil samples in an endemic area in Ethiopia to identify the potential causal constituents. We used the in vitro haemolysis assay and compared haemolytic activity (HA) with soil samples collected in a non-endemic region of the same area in Ethiopia. We included soil samples that had been previously characterized, in addition we present other data describing the characteristics of the soil and include pure phase mineral standards as comparisons. The bulk chemical composition of the soils were statistically significantly different between the podoconiosis-endemic and non-endemic areas, with the exception of CaO and Cr. Likewise, the soil mineralogy was statistically significant for iron oxide, feldspars, mica and chlorite. Smectite and kaolinite clays were widely present and elicited a strong HA, as did quartz, in comparison to other mineral phases tested, although no strong difference was found in HA between soils from the two areas. The relationship was further investigated with principle component analysis (PCA), which showed that a combination of an increase in Y, Zr and Al2O3, and a concurrent increase Fe2O3, TiO2, MnO and Ba in the soils increased HA. The mineralogy and chemistry of the soils influenced the HA, although the interplay between the components is complex. Further research should consider the variable biopersistance, hygroscopicity and hardness of the minerals and further characterize the nano-scale particles.

  2. Peripheral Sensory Neuropathy and associated factors among adult diabetes mellitus patients in Bahr Dar, Ethiopia.

    PubMed

    Jember, Gashaw; Melsew, Yayehirad Alemu; Fisseha, Berihu; Sany, Kedir; Gelaw, Asmare Yitayeh; Janakiraman, Balamurugan

    2017-01-01

    Diabetic sensory neuropathy is a common form of microvascular complication among diabetic patients. The swiftly growing population of people living with diabetes in Ethiopia and lack of elaborated scientific data on peripheral sensory neuropathy among diabetic population in Ethiopia prompted this work. This study was set out to assess the enormity and associated factors of peripheral sensory neuropathy among diabetes patients attending chronic illness clinic of Felege Hiwot Regional Referral Hospital, Bahr Dar, Northwest Ethiopia. An institution based cross-sectional study was conducted at Felege Hiwot Referral Hospital chronic illness clinic using Michigan neuropathy screening instrument tool for diabetic peripheral sensory neuropathy on 408 diabetic patients during 2016. Data were collected using interview, patient record review, anthropometric measurements and physical examination. Both bivariate and multivariate binary logistic regression was employed to identify factors associated with peripheral sensory neuropathy. Odds ratios with their 95% CI and P value less than 0.05 used to determine statistically significant associations. A total of 368 patients were included with the mean age of 49 ± 14.3 years. The overall prevalence of Peripheral Sensory Neuropathy was found to be 52.2%. The major associated factors identified by multivariate analysis were age >50 years: AOR: 3.0 CI [1.11, 7.89]; overweight and obese: AOR: 7.3 CI [3.57, 14.99]; duration of DM: AOR: 3.4 CI [1.75, 6.60]; not involved in physical exercise: AOR: 4.8 CI [1.90, 7.89]; male gender: AOR: 2.4 CI [1.18, 5.05]. Almost half of the diabetic patients who attended Felege Hiwot regional referral hospital during study period were found to present with peripheral sensory neuropathy. Socio-demographic and bio characteristics like patients age, Body Mass Index, level of physical activity and marital status were significantly associated with diabetic peripheral sensory neuropathy.

  3. Molecular epidemiology and transmission dynamics of Mycobacterium tuberculosis in Northwest Ethiopia: new phylogenetic lineages found in Northwest Ethiopia.

    PubMed

    Tessema, Belay; Beer, Joerg; Merker, Matthias; Emmrich, Frank; Sack, Ulrich; Rodloff, Arne C; Niemann, Stefan

    2013-03-11

    Although Ethiopia ranks seventh among the world's 22 high-burden tuberculosis (TB) countries, little is known about strain diversity and transmission. In this study, we present the first in-depth analysis of the population structure and transmission dynamics of Mycobacterium tuberculosis strains from Northwest Ethiopia. In the present study, 244 M. tuberculosis isolates where analysed by mycobacterial interspersed repetitive unit - variable number tandem repeat 24-loci typing and spoligotyping methods to determine phylogenetic lineages and perform cluster analysis. Clusters of strains with identical genotyping patterns were considered as an indicator for the recent transmission. Of 244 isolates, 59.0% were classified into nine previously described lineages: Dehli/CAS (38.9%), Haarlem (8.6%), Ural (3.3%), LAM (3.3%), TUR (2.0%), X-type (1.2%), S-type (0.8%), Beijing (0.4%) and Uganda II (0.4%). Interestingly, 31.6% of the strains were grouped into four new lineages and were named as Ethiopia_3 (13.1%), Ethiopia_1 (7.8%), Ethiopia_H37Rv like (7.0%) and Ethiopia_2 (3.7%) lineages. The remaining 9.4% of the isolates could not be assigned to the known or new lineages. Overall, 45.1% of the isolates were grouped in clusters, indicating a high rate of recent transmission. This study confirms a highly diverse M. tuberculosis population structure, the presence of new phylogenetic lineages and a predominance of the Dehli/CAS lineage in Northwest Ethiopia. The high rate of recent transmission indicates defects of the TB control program in Northwest Ethiopia. This emphasizes the importance of strengthening laboratory diagnosis of TB, intensified case finding and treatment of TB patients to interrupt the chain of transmission.

  4. Factors Associated with Perceived Continuation of Females' Genital Mutilation among Women in Ethiopia.

    PubMed

    Fikrie, Zenebe

    2010-03-01

    Females genital mutilation is one of the harmful traditional practices affecting the health of women and children. It has a long-term physiological, sexual and psychological effect on women. Females' genital mutilation still remains to be a serious problem for large proportion of women in most sub-Saharan Africa countries including Ethiopia. The objective of the study was to identify the main factors contributing to the support for the continuation of female genital mutilations in Ethiopia. This study was conducted based on secondary data obtained from the Ethiopian Demographic and Health Survey 2005. A two-stage stratified cluster sampling design was applied for selecting the sampling units. Both descriptive and binary logistic regression analyses were used to analyse the data using SPSS for Windows version 16. The results on both descriptive and logistic regression model revealed that predictor variables like education, religion, residence, knowledge on ways of HIV transmission and region play significant role in determining the dependent variable. As a result, all predictor variables were strongly associated with the dependent variable. Regarding the fit of the model, support for the continuation of FGM, decreased with increase in education status. Furthermore, Muslim among other religions, and Somali and Afar among other regions, were more likely to support for the continuation of FGM. There was low awareness with less education status, Somali and Afar regions, rural residence, and Muslim religion were predictors of continuation of females' genital mutilation.

  5. Malaria diagnostic capacity in health facilities in Ethiopia

    PubMed Central

    2014-01-01

    Background Accurate early diagnosis and prompt treatment is one of the key strategies to control and prevent malaria in Ethiopia where both Plasmodium falciparum and Plasmodium vivax are sympatric and require different treatment regimens. Microscopy is the standard for malaria diagnosis at the health centres and hospitals whereas rapid diagnostic tests are used at community-level health posts. The current study was designed to assess malaria microscopy capacity of health facilities in Oromia Regional State and Dire Dawa Administrative City, Ethiopia. Methods A descriptive cross-sectional study was conducted from February to April 2011 in 122 health facilities, where health professionals were interviewed using a pre-tested, standardized assessment tool and facilities’ laboratory practices were assessed by direct observation. Results Of the 122 assessed facilities, 104 (85%) were health centres and 18 (15%) were hospitals. Out of 94 health facilities reportedly performing blood films, only 34 (36%) used both thin and thick smears for malaria diagnosis. The quality of stained slides was graded in 66 health facilities as excellent, good and poor quality in 11(17%), 31 (47%) and 24 (36%) respectively. Quality assurance guidelines and malaria microscopy standard operating procedures were found in only 13 (11%) facilities and 12 (10%) had involved in external quality assessment activities, and 32 (26%) had supportive supervision within six months of the survey. Only seven (6%) facilities reported at least one staff’s participation in malaria microscopy refresher training during the previous 12 months. Although most facilities, 96 (79%), had binocular microscopes, only eight (7%) had the necessary reagents and supplies to perform malaria microscopy. Treatment guidelines for malaria were available in only 38 (31%) of the surveyed facilities. Febrile patients with negative malaria laboratory test results were managed with artemether-lumefantrine or chloroquine in 51% (53

  6. A plume beneath western Ethiopia!

    NASA Astrophysics Data System (ADS)

    Keranen, K. M.; Hariharan, A.; Alemayehu, S.; Ayele, A.; Bastow, I. D.

    2016-12-01

    Body-wave tomography, receiver functions, and measurements of seismic anisotropy reveal a profound impact of magmatic systems on the crust and upper mantle beneath the Ethiopian highlands. Finite-frequency tomography (using the method of Schmandt et al., 2010) reveals a low-velocity conduit-like structure in the upper mantle beneath the Ethiopian highlands. We interpret the anomaly as a probable plume stem and the likely source of the Ethiopian flood basalts. This "plume" is located 300-km west of the actively-extending Main Ethiopian Rift (MER) and 700-km southwest of the suggested Afar plume. Within the lithosphere, the anomaly separates into multiple fingers, rising beneath previously enigmatic regions of off-rift Quaternary faulting and volcanism far west of the MER. One finger underlies the Lake Tana graben, within the highlands 400-km from the rift, and another finger rises beneath a lineament of faulting and volcanism known as the Yerer-Tullu Wellel lineament (YTVL). The YTVL runs along the southern edge of the Ethiopian highlands, between the interpreted plume source and the MER. We suggest that the Quaternary volcanism in the YTVL and the Tana regions is related to melt associated with these lithospheric velocity anomalies. At shallower depths, receiver function estimates indicate a concentrated zone of 40-45 km thick crust near the Lake Tana anomaly, thicker than the 30-35 km thick crust elsewhere beneath the Ethiopian Plateau. This crustal thickening, likely from magmatic underplating, and the recent Quaternary volcanism occur within the projected borders of a northwest-southeast trending Mesozoic Blue Nile rift system, suggesting control on magmatic ascent above the plume by the existing rift structure. The MER itself may have been influenced by both the plume beneath the Ethiopian highlands, and by a similar plume stem beneath Afar.

  7. Environmental and habitat management: the case of Ethiopia and Ghana.

    PubMed

    Kidane-Mariam, Tadesse

    2003-03-01

    This article examines the environment and habitat management experiences of Ethiopia and Ghana in the postindependence period (1960-2000). Based on extensive archival research, semistructured focused interviews of environment and habitat officers of the World Bank, the United Nations System and the International Union for the Conservation of Nature (IUCN) and personal professional field experiences, the paper argues that the uncritical adoption of externally generated discourses, narratives, policy guidelines, and strategies of environmental and habitat management has structured thought and action in both countries. The experience of both countries in defining and responding to environmental and human settlement management is explored from a political ecology perspective. The analysis indicates that both countries have essentially adopted a technocratic, state-centered, and unsustainable management strategy framework based on population control, poverty reduction, sustainable development, and capacity-building. It also suggests that international organizations such as the World Bank, INCN, and the United Nations system have been important sources of thought and action in both countries. Conversely, regional international organizations such as the Economic Commission for Africa, the Organization of African Unity and the African Development Bank have largely served as conduits for the diffusion of global discourses, narratives, policies and strategies. The need for adopting management policies and strategies that are based on principles of multiple engagement, decentralization, incentives, public education, and participation is underscored.

  8. Proposed water-supply investigations in Sidamo Province, Ethiopia

    USGS Publications Warehouse

    Phoenix, David A.

    1966-01-01

    The present report describes the results of an air and ground hydrologic reconnaissance of some 32,000 square kilometers in Sidamo Province of southern Ethiopia. Existing (1966) water resources developments, chiefly for livestock and village supplies, include surface reservoirs, a few drilled wells, several clusters of dug wells in the Mega area, several scattered springs, and the perennial Dawa Parma River. Surface-water reservoirs range from hand-dug ponds of a few hundred cubic meters capacity to large machine-constructed excavations built to hold 62,000 cubic meters of water. All the existing drilled wells tap saturated alluvium at depths of less than 120 meters. The dug wells tap water-bearing zones in tuffaceous lacustrine deposits or stream-channel alluvium generally at depths of less than 30 meters. The springs mostly rise from fractured Precambrian quartzite and individual discharges are all less than 75 liters per minute. The report also outlines the terms of reference for a longer term water-resources investigation of the region including staffing, housing and equipment requirements and other logistic support.

  9. Urinary schistosomiasis and malaria associated anemia in Ethiopia

    PubMed Central

    Deribew, Ketema; Tekeste, Zinaye; Petros, Beyene

    2013-01-01

    Objective To assess the prevalence of anemia in children with urinary schistosomiasis, malaria and concurrent infections by the two diseases. Methods Urine and blood samples were collected from 387 children (216 males and 171 females) to examine urinary schistosomiasis and malaria and to determine hemoglobin concentration at Hassoba and Hassoba Buri village in Amibara woreda, Afar region, Ethiopia. Results The overall prevalence of urinary schistosomiasis and Plasmodium falciparum malaria was 24.54% and 6.20% respectively. Only 2.84% of children carried concurrent infections of both parasites. There was high percentage of anemic patients (81.81%) in the coinfected cases than in either malaria (33.3%) or schistosomiasis (38.94%) cases. There was significantly low mean hemoglobin concentration in concurrently infected children than non-infected and single infected (P<0.05). The mean hemoglobin concentration between Plasmodium falciparum and S. haematobium infected children showed no significant difference (P>0.05). The level of hemoglobin was negatively correlated with the number of S. haematobium eggs/10 mL urine (r=-0.6) and malaria parasitemia (r=-0.53). Conclusions The study showed that anemia is higher in concurrently infected children than non-infected and single infected. Furthermore, level of hemoglobin was negatively correlated with the number of S. haematobium eggs and malaria parsitemia. Therefore, examination of hemoglobin status in patients co-infected with malaria and schistosomiasis is important to reduce the risk of anemia and to improve health of the community. PMID:23620856

  10. Facial injuries following hyena attack in rural eastern Ethiopia.

    PubMed

    Fell, M J; Ayalew, Y; McClenaghan, F C; McGurk, M

    2014-12-01

    Hyenas are effective hunters and will consider humans as potential prey if the need and opportunity arise. This study describes the circumstances of hyena attacks, the patterns of injuries sustained, and reconstruction in a resource-poor setting. As part of a charitable surgical mission to Ethiopia in 2012, 45 patients with facial deformities were reviewed, of whom four were victims of hyena attacks. A semi-structured interview was performed to ascertain the circumstances of the attack and the subsequent consequences. The age of the victims at the time of attack varied from 5 to 50 years. The attacks occurred when the victims were alone and vulnerable and took place in outdoor open spaces, during the evening or at night. The initial lunge was made to the facial area; if the jaws closed on the facial bones they were crushed, but in all cases the soft tissues were grasped and torn from the underlying bone. Reconstruction was dictated by the extent of soft tissue loss but could normally be obtained by use of local or regional flaps. Hyenas have been shown to attack humans in a predictable way and cause injuries that typically involve the soft tissues of the face.

  11. Investigating the resistance to telemedicine in Ethiopia.

    PubMed

    Xue, Yajiong; Liang, Huigang; Mbarika, Victor; Hauser, Richard; Schwager, Paul; Kassa Getahun, Mequanint

    2015-08-01

    Telemedicine has great potential to improve health care in Africa as well as other developing areas, especially when medical expertise is urgently needed in emergency situations. Yet resistance from healthcare professionals could prevent telemedicine's social value from being materialized. This article intends to understand why healthcare providers resist using telemedicine from a threat-control perspective. A survey on 107 healthcare professionals in Ethiopia was conducted. The resistance to telemedicine is determined by perceived threat and perceived controllability, which in turn are influenced by reduced autonomy, anxiety, and costs. Government support weakens the effect of perceived threat but strengthens the effect of perceived controllability on telemedicine resistance. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. Comparative Hydrology in Ethiopia: a learning experience

    NASA Astrophysics Data System (ADS)

    Berhanu, B.; Terefe, M.; Viglione, A.; Fant, C.; Gebretsadik, Y.; Cullis, J.; Mekonnen, G.; Alamirew, T.; Sivapalan, M.

    2012-04-01

    Ethiopia is climatically and environmentally extremely heterogeneous. The highlands receive a lot of rainfall (more than 2000 mm/year) concentrated in only three months. Most of Ethiopian runoff is produced in these highlands (part of this water reaches the Mediterranean sea through the Nile river). Lowlands vary from forests to deserts. The hottest place on earth is there (the Danakil depression, more than 150 meters below see level). This makes the spatial and temporal variability of hydrologic signatures very strong in the country. We present the results of a comparative hydrology exercise performed during a three-week Winter Research Workshop held in Addis Ababa during Christmas time this year. There, a new institution, the Ethiopian Institute of Water Resources (EIWR), and a new education program (18 PhD + 24 MSc) has been started less than one year ago. Instead of the traditional approach of education, based on lectures, reading and exercises, a learner-centered approach has been used: the students have been asked to collect available rainfall and runoff data, to interpret them by comparing and contrasting different catchments in the country, to develop conceptual models and use them to critically test ideas. The R software has been used in the workshop for two reason: (1) its flexibility makes it an ideal language for learner-centered education, since students can easily define new functions and extensions and can autonomously develop and test their hypothesis; (2) it is open source, light and free of charge, which makes it particularly appealing in developing countries like Ethiopia.

  13. Assessment of Nutrition Competency of Graduating Agriculture Students in Ethiopia: A Cross-sectional Study.

    PubMed

    Abebe, Mesfin G; Tariku, Mebit K; Yitaferu, Tadele B; Shiferaw, Ephrem D; Desta, Firew A; Yimer, Endris M; Akassa, Kefyalew M; Thompson, Elizabeth C

    2017-04-01

    To assess the level of nutrition-sensitive agriculture competencies of graduating midlevel animal and plant sciences students in Ethiopia and identify factors associated with the attainment of competencies. A cross-sectional study design using structured skills observation checklists, objective written questions, and structured questionnaires was employed. Two agriculture technical vocational education and training colleges in the 2 regions of Ethiopia. A total of 145 students were selected using stratified random sampling techniques from a population of 808 students with the response rate of 93%. Nutrition-sensitive agriculture competency (knowledge and skills attributes) of graduating students. Bivariate and multivariable statistical analyses were used to examine the association between the variables of students' gender, age, department, institutional ownership, and perception of learning environment and their performance in nutrition competency. Combined scores showed that 49% of students demonstrated mastery of nutrition competencies. Gender and institutional ownership were associated with the performance of students (P < .001); male students and students at a federal institution performed better. The study showed low performance of students in nutrition competency and suggested the need for strengthening the curriculum, building tutors' capacity, and providing additional support to female students and regional colleges. Copyright © 2016 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  14. Mitochondrial DNA assessment of Phytophthora infestans isolates from potato and tomato in Ethiopia reveals unexpected diversity.

    PubMed

    Shimelash, Daniel; Hussien, Temam; Fininsa, Chemeda; Forbes, Greg; Yuen, Jonathan

    2016-08-01

    Mitochondrial DNA (mtDNA) haplotypes were determined using restriction fragment length polymorphism (RFLP) for P. infestans sampled from 513 foliar lesions of late blight found on potato and tomato in different regions of Ethiopia. Among the four reported mitochondrial haplotypes of Phytophthora infestans, Ia, Ib and IIb were detected in 93 % of the samples analyzed but the vast majority of these were Ia. The remaining 7 % represented a previously unreported haplotype. DNA sequencing of this new haplotype also confirmed a single base nucleotide substitution that resulted in loss of EcoRI restriction site and gain of two additional MspI sites in cox1 and atp1 genes, respectively. There were 28 polymorphic sites among all nucleotide sequences including five reference isolates. Sites with alignment gaps were observed in P4 with one nucleotide deletion in 11 Ethiopian isolates. None of the reference sequence produced frame-shifts, with the exception of the 3-nucleotide deletion in the P4 region by Phytophthora andina, a feature that can be used to distinguish the new Ethiopian isolates from P. andina. While a distinguishing molecular data presented here clearly separated them from P. infestans, 7 % of the isolates that share this feature formed an important component of the late blight pathogen causing disease on Solanum tuberosum in Ethiopia. Thus, these Ethiopian isolates could represent a novel Phytophthora species reported for the first time here.

  15. Women's Land Tenure Security and Household Human Capital: Evidence from Ethiopia's Land Certification.

    PubMed

    Muchomba, Felix M

    2017-10-01

    This paper examines the impact of Ethiopia's gendered land certification programs on household consumption of healthcare, food, education, and clothing. Ethiopia embarked on a land tenure reform program in 1998, after years of communism during which all land was nationalized. The reform began in Tigray region where land certificates were issued to household heads, who were primarily male. In a second phase carried out in 2003-2005, three other regions issued land certificates jointly to household heads and spouses, presenting variation in land tenure security by gender. Results using household panel data show that joint land certification to spouses was accompanied by increased household consumption of healthcare and homegrown food and decreased education expenditure, compared to household-head land certification. Joint land certification was also accompanied by increased consumption of women's and girls' clothing, and decreased men's clothing expenditures indicating results may be explained by a shift in the gender balance of power within households. Analysis on the incidence and duration of illness indicates that increased healthcare expenditures after joint land certification may be due to joint certification households seeking more effective treatment than head-only certification households for household members who fell ill or suffered injuries.

  16. Trends and spatial distribution of annual and seasonal rainfall in Ethiopia

    USGS Publications Warehouse

    Cheung, W.H.; Senay, G.B.; Singh, A.

    2008-01-01

    As a country whose economy is heavily dependent on low-productivity rainfed agriculture, rainfall trends are often cited as one of the more important factors in explaining various socio-economic problems such as food insecurity. Therefore, in order to help policymakers and developers make more informed decisions, this study investigated the temporal dynamics of rainfall and its spatial distribution within Ethiopia. Changes in rainfall were examined using data from 134 stations in 13 watersheds between 1960 and 2002. The variability and trends in seasonal and annual rainfall were analysed at the watershed scale with data (1) from all available years, and (2) excluding years that lacked observations from at least 25% of the gauges. Similar analyses were also performed at the gauge, regional, and national levels. By regressing annual watershed rainfall on time, results from the one-sample t-test show no significant changes in rainfall for any of the watersheds examined. However, in our regressions of seasonal rainfall averages against time, we found a significant decline in June to September rainfall (i.e. Kiremt) for the Baro-Akobo, Omo-Ghibe, Rift Valley, and Southern Blue Nile watersheds located in the southwestern and central parts of Ethiopia. While the gauge level analysis showed that certain gauge stations experienced recent changes in rainfall, these trends are not necessarily reflected at the watershed or regional levels.

  17. Gravity tectonics of topographic ridges: Halokinesis and gravitational spreading in the western Ogaden, Ethiopia

    NASA Astrophysics Data System (ADS)

    Mège, Daniel; Le Deit, Laetitia; Rango, Tewodros; Korme, Tesfaye

    2013-07-01

    The Cenozoic history of the western Ogaden region of Ethiopia, between the Ethiopian rift and the South Afar margin, is marked by uplift and incision of the Ogaden plateau down to the Gorrahei Formation, an upper Cretaceous evaporite formation. Debuttressing of this and the overlying sedimentary formations resulted in widespread and spectacular gravitational spreading landforms over a minimum surface area of 15,000 km2, most of which remains unstudied. After clearing up some misconceptions about the surface geology of the study area, the Kebenawa Ridge in the Audo Range, observations are reported that point to a tectonic style controlled by halokinesis and subsequently, gravitational spreading. The role of diapirism and karstification in the observed halokinesis is discussed, as well as the influence of halokinesis on gravitational spreading. Spreading is in part akin to sackung, in that ridge deformation features include a crestal graben and basal ridge topography extrusion, and deformation was triggered by lateral ridge debuttressing. Ridge spreading also presents analogy with gravitational spreading of the Canyonlands grabens in the Needles District, Canyonlands National Park, Utah. The scale and the mechanisms are found to be basically similar, but two differences are noted. First, incision by the drainage network in response to plateau uplift in Ethiopia has debuttressed the topography along two parallel rivers, instead of a single river (the Colorado River) in Utah. Secondly, incision proceeded to the base of the evaporite layer in the Ogaden, whereas incision has not exceeded the top of the evaporite layer in Utah. These differences may have influenced the details of the spreading mechanisms in ways that remain to be investigated. Overall, in Ethiopia, association of halokinesis and a transitional mode of gravitational spreading at the interface between narrow ridge spreading (sackung) and plateau spreading (Canyonlands-type), illustrates a fascinating and

  18. Outcomes among HIV-infected children initiating HIV care and antiretroviral treatment in Ethiopia.

    PubMed

    Melaku, Zenebe; Lulseged, Sileshi; Wang, Chunhui; Lamb, Matthew R; Gutema, Yoseph; Teasdale, Chloe A; Ahmed, Solomon; Gadisa, Tsigereda; Habtamu, Zelalem; Bedri, Abubaker; Fayorsey, Ruby; Abrams, Elaine J

    2017-04-01

    To describe pediatric ART scale-up in Ethiopia, one of the 21 global priority countries for elimination of pediatric HIV infection. A descriptive analysis of routinely collected HIV care and treatment data on HIV-infected children (<15 years) enrolled at 70 health facilities in four regions in Ethiopia, January 2006-September 2013. Characteristics at enrollment and ART initiation are described along with outcomes at 1 year after enrollment. Among children who initiated ART, cumulative incidence of death and loss to follow-up (LTF) were estimated using survival analysis. 11 695 children 0-14 years were enrolled in HIV care and 6815 (58.3%) initiated ART. At enrollment, 31.2% were WHO stage III and 6.3% stage IV. The majority (87.9%) were enrolled in secondary or tertiary facilities. At 1 year after enrollment, 17.9% of children were LTF prior to ART initiation. Among children initiating ART, cumulative incidence of death was 3.4%, 4.1% and 4.8%, and cumulative incidence of LTF was 7.7%, 11.8% and 16.6% at 6, 12 and 24 months, respectively. Children <2 years had higher risk of LTF and death than older children (P < 0.0001). Children with more advanced disease and those enrolled in rural settings were more likely to die. Children enrolled in more recent years were less likely to die but more likely to be LTF. Over the last decade large numbers of HIV-infected children have been successfully enrolled in HIV care and initiated on ART in Ethiopia. Retention prior to and after ART initiation remains a major challenge. © 2017 John Wiley & Sons Ltd.

  19. Profiling of antibiotic resistance of bacterial species recovered from routine clinical isolates in Ethiopia.

    PubMed

    Ten Hove, Robert-Jan; Tesfaye, Melaku; Ten Hove, Witold Frederik; Nigussie, Mesfin

    2017-06-26

    With the alarming rise in antibiotic resistance in African countries, the need for a surveillance system in the region has become pressing. The rapid expansion of data networks makes it possible to set up healthcare applications that can be both cost-efficient and effective. Large data sets are available for assessment of current antibiotic resistance among Ethiopian patients. Based on the data-presentation, a practical approach is proposed on how diagnostic laboratories can participate remedial action against antibiotic resistance in Ethiopia. In Addis Ababa (Ethiopia), raw data comprising bacterial species name, specimen type and antibiograms covering the period January 2014 to May 2015 was accessed from the laboratory information management system. Using R code, the data was read and fitted into data-frames and analyzed to assess antibiotic resistance in the Ethiopian patient population. Susceptibility to an antibiotic was tested with 14.983 cultures of 54 different bacterial species or subgroups, isolated from 16 types of specimen. Half of the cultures (n = 6444) showed resistance to an antibiotic. Resistance against penicillin was highest with, on average, 91.1% of 79 bacterial cultures showing resistance. Very high resistance rates were also observed for ampicillin, whereas resistance was lowest with cefoxitin. Extraction and analysis of raw-data from the laboratory database is relatively simple and can provide valuable insight into the relationships between type of sample and drug-resistance in countries where such data is still scarce. With the largest number of antibiotic resistance tests described for Ethiopia, a tool is proposed for consistent data collection with specified core variables. Trends in antibiotic resistance can be revealed and treatment failures avoided when used as an easy accessible reference application for healthcare providers.

  20. Factors shaping interactions among community health workers in rural Ethiopia: rethinking workplace trust and teamwork.

    PubMed

    Dynes, Michelle M; Stephenson, Rob; Hadley, Craig; Sibley, Lynn M

    2014-01-01

    Worldwide, a shortage of skilled health workers has prompted a shift toward community-based health workers taking on greater responsibility in the provision of select maternal and newborn health services. Research in mid- and high-income settings suggests that coworker collaboration increases productivity and performance. A major gap in this research, however, is the exploration of factors that influence teamwork among diverse community health worker cadres in rural, low-resource settings. The purpose of this study is to examine how sociodemographic and structural factors shape teamwork among community-based maternal and newborn health workers in Ethiopia. A cross-sectional survey was conducted with health extension workers, community health development agents, and traditional birth attendants in 3 districts of the West Gojam Zone in the Amhara region of Ethiopia. Communities were randomly selected from Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) sites; health worker participants were recruited using a snowball sampling strategy. Fractional logit modeling and average marginal effects analyses were carried out to identify the influential factors for frequency of work interactions with each cadre. One hundred and ninety-four health workers participated in the study. A core set of factors-trust in coworkers, gender, and cadre-were influential for teamwork across groups. Greater geographic distance and perception of self-interested motivations were barriers to interactions with health extension workers, while greater food insecurity (a proxy for wealth) was associated with increased interactions with traditional birth attendants. Interventions that promote trust and gender sensitivity and improve perceptions of health worker motivations may help bridge the gap in health services delivery between low- and high-resource settings. Inter-cadre training may be one mechanism to increase trust and respect among diverse health workers, thereby increasing

  1. Molecular epidemiology of Plasmodium vivax and Plasmodium falciparum malaria among Duffy-positive and Duffy-negative populations in Ethiopia.

    PubMed

    Lo, Eugenia; Yewhalaw, Delenasaw; Zhong, Daibin; Zemene, Endalew; Degefa, Teshome; Tushune, Kora; Ha, Margaret; Lee, Ming-Chieh; James, Anthony A; Yan, Guiyun

    2015-02-19

    Malaria is the most prevalent communicable disease in Ethiopia, with 75% of the country's landmass classified as endemic for malaria. Accurate information on the distribution and clinical prevalence of Plasmodium vivax and Plasmodium falciparum malaria in endemic areas, as well as in Duffy-negative populations, is essential to develop integrated control strategies. A total of 390 and 416 community and clinical samples, respectively, representing different localities and age groups across Ethiopia were examined. Malaria prevalence was estimated using nested PCR of the 18S rRNA region. Parasite gene copy number was measured by quantitative real-time PCR and compared between symptomatic and asymptomatic samples, as well as between children/adolescents and adults from the local community. An approximately 500-bp segment of the human DARC gene was amplified and sequenced to identify Duffy genotype at the -33rd nucleotide position for all the clinical and community samples. Plasmodium vivax prevalence was higher in the south while P. falciparum was higher in the north. The prevalence of P. vivax and P. falciparum malaria is the highest in children compared to adolescents and adults. Four P. vivax infections were detected among the Duffy-negative samples. Samples from asymptomatic individuals show a significantly lower parasite gene copy number than those from symptomatic infections for P. vivax and P. falciparum. Geographical and age differences influence the distribution of P. vivax and P. falciparum malaria in Ethiopia. These findings offer evidence-based guidelines in targeting malaria control efforts in the country.

  2. High Prevalence of Humoral and Cellular Immunity to Influenza Viruses in Preschool Children Living in Addis Ababa, Ethiopia.

    PubMed

    Dembinski, Jennifer L; Mihret, Adane; Yimer, Solomon A; Tessema, Bamlak; Trieu, Mai-Chi; Tarekegn, Azeb; Getachew, Nahom; Cox, Rebecca J; Oftung, Fredrik; Haneberg, Bjørn; Aseffa, Abraham; Mjaaland, Siri

    2017-01-01

    Influenza in children who reside in tropical and subtropical regions has until recently been regarded as insignificant. However, new evidence suggests that it significantly impacts hospitalization and promotes secondary bacterial coinfections. Ethiopia is situated in a subtropical area where influenza viruses are likely to circulate year round. Clinical data were recorded in a cohort of 103 healthy preschool children recruited in Addis Ababa, Ethiopia. Humoral and cellular immune responses to influenza virus were determined by hemagglutination inhibition (HI) and interferon-γ enzyme-linked immunospot assays. Ninety-six percent of the children (2-5 years old) had pre-existing HI antibody responses to 1 or more of the circulating influenza A subtypes, H1N1 (51%), H3N2 (86%), or influenza B (51%) strains. At the age of 4, all children had been infected with at least 1 strain, and 75% had been infected with 2-4 different viral strains. CD4(+) and CD8(+) T-cell responses against conserved viral antigens increased with repeated exposures, indicating boosting of cross-reactive cellular immunity. Malnutrition did not seem to affect these immune responses to influenza. Influenza is highly prevalent among children in this area of Ethiopia. Due to the risk of secondary bacterial pneumonia, increased influenza awareness might benefit child health.

  3. Effects of the integrated Community Case Management of Childhood Illness Strategy on Child Mortality in Ethiopia: A Cluster Randomized Trial

    PubMed Central

    Amouzou, Agbessi; Hazel, Elizabeth; Shaw, Bryan; Miller, Nathan P.; Tafesse, Mengistu; Mekonnen, Yared; Moulton, Lawrence H.; Bryce, Jennifer; Black, Robert E.

    2016-01-01

    We conducted a cluster randomized trial of the effects of the integrated community case management of childhood illness (iCCM) strategy on careseeking for and coverage of correct treatment of suspected pneumonia, diarrhea, and malaria, and mortality among children aged 2–59 months in 31 districts of the Oromia region of Ethiopia. We conducted baseline and endline coverage and mortality surveys approximately 2 years apart, and assessed program strength after about 1 year of implementation. Results showed strong iCCM implementation, with iCCM-trained workers providing generally good quality of care. However, few sick children were taken to iCCM providers (average 16 per month). Difference in differences analyses revealed that careseeking for childhood illness was low and similar in both study arms at baseline and endline, and increased only marginally in intervention (22.9–25.7%) and comparison (23.3–29.3%) areas over the study period (P = 0.77). Mortality declined at similar rates in both study arms. Ethiopia's iCCM program did not generate levels of demand and utilization sufficient to achieve significant increases in intervention coverage and a resulting acceleration in reductions in child mortality. This evaluation has allowed Ethiopia to strengthen its strategic approaches to increasing population demand and use of iCCM services. PMID:26787148

  4. Population Genomics of Mycobacterium tuberculosis in Ethiopia Contradicts the Virgin Soil Hypothesis for Human Tuberculosis in Sub-Saharan Africa.

    PubMed

    Comas, Iñaki; Hailu, Elena; Kiros, Teklu; Bekele, Shiferaw; Mekonnen, Wondale; Gumi, Balako; Tschopp, Rea; Ameni, Gobena; Hewinson, R Glyn; Robertson, Brian D; Goig, Galo A; Stucki, David; Gagneux, Sebastien; Aseffa, Abraham; Young, Douglas; Berg, Stefan

    2015-12-21

    Colonial medical reports claimed that tuberculosis (TB) was largely unknown in Africa prior to European contact, providing a "virgin soil" for spread of TB in highly susceptible populations previously unexposed to the disease [1, 2]. This is in direct contrast to recent phylogenetic models which support an African origin for TB [3-6]. To address this apparent contradiction, we performed a broad genomic sampling of Mycobacterium tuberculosis in Ethiopia. All members of the M. tuberculosis complex (MTBC) arose from clonal expansion of a single common ancestor [7] with a proposed origin in East Africa [3, 4, 8]. Consistent with this proposal, MTBC lineage 7 is almost exclusively found in that region [9-11]. Although a detailed medical history of Ethiopia supports the view that TB was rare until the 20(th) century [12], over the last century Ethiopia has become a high-burden TB country [13]. Our results provide further support for an African origin for TB, with some genotypes already present on the continent well before European contact. Phylogenetic analyses reveal a pattern of serial introductions of multiple genotypes into Ethiopia in association with human migration and trade. In place of a "virgin soil" fostering the spread of TB in a previously naive population, we propose that increased TB mortality in Africa was driven by the introduction of European strains of M. tuberculosis alongside expansion of selected indigenous strains having biological characteristics that carry a fitness benefit in the urbanized settings of post-colonial Africa. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Population Genomics of Mycobacterium tuberculosis in Ethiopia Contradicts the Virgin Soil Hypothesis for Human Tuberculosis in Sub-Saharan Africa

    PubMed Central

    Comas, Iñaki; Hailu, Elena; Kiros, Teklu; Bekele, Shiferaw; Mekonnen, Wondale; Gumi, Balako; Tschopp, Rea; Ameni, Gobena; Hewinson, R. Glyn; Robertson, Brian D.; Goig, Galo A.; Stucki, David; Gagneux, Sebastien; Aseffa, Abraham; Young, Douglas; Berg, Stefan

    2015-01-01

    Summary Colonial medical reports claimed that tuberculosis (TB) was largely unknown in Africa prior to European contact, providing a “virgin soil” for spread of TB in highly susceptible populations previously unexposed to the disease [1, 2]. This is in direct contrast to recent phylogenetic models which support an African origin for TB [3, 4, 5, 6]. To address this apparent contradiction, we performed a broad genomic sampling of Mycobacterium tuberculosis in Ethiopia. All members of the M. tuberculosis complex (MTBC) arose from clonal expansion of a single common ancestor [7] with a proposed origin in East Africa [3, 4, 8]. Consistent with this proposal, MTBC lineage 7 is almost exclusively found in that region [9, 10, 11]. Although a detailed medical history of Ethiopia supports the view that TB was rare until the 20th century [12], over the last century Ethiopia has become a high-burden TB country [13]. Our results provide further support for an African origin for TB, with some genotypes already present on the continent well before European contact. Phylogenetic analyses reveal a pattern of serial introductions of multiple genotypes into Ethiopia in association with human migration and trade. In place of a “virgin soil” fostering the spread of TB in a previously naive population, we propose that increased TB mortality in Africa was driven by the introduction of European strains of M. tuberculosis alongside expansion of selected indigenous strains having biological characteristics that carry a fitness benefit in the urbanized settings of post-colonial Africa. PMID:26687624

  6. The Estimated Incidence of Induced Abortion in Ethiopia, 2014: Changes in the Provision of Services Since 2008.

    PubMed

    Moore, Ann M; Gebrehiwot, Yirgu; Fetters, Tamara; Wado, Yohannes Dibaba; Bankole, Akinrinola; Singh, Susheela; Gebreselassie, Hailemichael; Getachew, Yonas

    2016-09-01

    In 2005, Ethiopia's parliament amended the penal code to expand the circumstances in which abortion is legal. Although the country has expanded access to abortion and postabortion care, the last estimates of abortion incidence date from 2008. Data were collected in 2014 from a nationally representative sample of 822 facilities that provide abortion or postabortion care, and from 82 key informants knowledgeable about abortion services in Ethiopia. The Abortion Incidence Complications Methodology and the Prospective Morbidity Methodology were used to estimate the incidence of abortion in Ethiopia and assess trends since 2008. An estimated 620,300 induced abortions were performed in Ethiopia in 2014. The annual abortion rate was 28 per 1,000 women aged 15-49, an increase from 22 per 1,000 in 2008, and was highest in urban regions (Addis Ababa, Dire Dawa and Harari). Between 2008 and 2014, the proportion of abortions occurring in facilities rose from 27% to 53%, and the number of such abortions increased substantially; nonetheless, an estimated 294,100 abortions occurred outside of health facilities in 2014. The number of women receiving treatment for complications from induced abortion nearly doubled between 2008 and 2014, from 52,600 to 103,600. Thirty-eight percent of pregnancies were unintended in 2014, a slight decline from 42% in 2008. Although the increases in the number of women obtaining legal abortions and postabortion care are consistent with improvements in women's access to health care, a substantial number of abortions continue to occur outside of health facilities, a reality that must be addressed.

  7. Seismic performance analysis of Tendaho earth fill dam, Ethiopia.

    NASA Astrophysics Data System (ADS)

    Berhe, T.; Wu, W.

    2009-04-01

    The Tendaho dam is found in the Afar regional state, North Eastern part of Ethiopia. It is located within an area known as the ‘Tendaho Graben' ,which forms the center of Afar triangle, a low lying area of land where East African, Red sea and the Gulf of Eden Rift systems converge. The dam is an earthfill dam with a volume of about 4 Million cubic meters and with mixed clay core. The geological setting associated with the site of the dam, the geotechnical properties of the dam materials and seismicity of the region are reviewed. Based on this review, the foundation materials and dam body include some liquefiable granular soils. Moreover, the active East African Rift Valley fault, which can generate an earthquake of magnitude greater than 6, passes through the dam body. This valley is the primary seismic source contributing to the hazard at the Tendaho dam site. The availability of liquefiable materials beneath and within the dam body and the presence of the active fault crossing the dam site demand a thorough seismic analysis of the dam. The peak ground acceleration (PGA) is selected as a measure of ground motion severity. The PGA was selected according to the guidelines of the International Commission on Large Dams, ICOLD. Based on the criteria set by the ICOLD, the dam is analyzed for two different earthquake magnitudes, the Maximum Credible Earthquake (MCE) and the Operating Basis Earthquake (OBE). Numerical codes are useful tools to investigate the safety of dams in seismic prone areas. In this paper, FLAC3D numerical tool is used to investigate the performance of the dam under dynamic loading. Based on the numerical analysis, the seismic performance of the dam is investigated.

  8. Review of Policy, Regulatory, and Organizational Frameworks of Environment and Health in Ethiopia.

    PubMed

    Mitike, Getnet; Motbainor, Achenef; Kumie, Abera; Samet, Jonathan; Wipfli, Heather

    2016-01-01

    Ethiopia produced its Environmental Health Situational Analysis and Needs Assessment (SANA) report in 2010 as part of the global endeavor to characterize and underscore the importance of connecting health and environment. The assessment methods used in SANA 2010 were updated, replicated and used in this SABNA. with a focus on air pollution, occupational safety and health, and climate change. The purpose of the review was to examine national policies and identify gaps in regulations and organizational arrangements that determine Ethiopia's ability to mitigate and eventually prevent the health impacts of air pollution, occupational hazards, and climate change. The national policy and regulatory documents were reviewed. Literature was identified through electronic searches. Hard copies of past reports and policies were reviewed whenever necessary. A semi-structured guideline was used to conduct in-depth interviews aimed at identifying gaps and needs. The Constitution of Ethiopia has policy provisions related to air pollution, occupational safety and health (OSH), and climate change and health. Proclamation No. 300/2002 on Environmental Pollution Control specifies ambient air quality standards and allowable emissions. However, there were no documents that outlined the national or regional strategies that the ministries and agencies could adopt to translate existing policies, legal provisions, or guidelines for air pollution into practical programs. In the same way, a national OSH policy was lacking at the time this review was made on how occupational safety and health should be handled nationally or at lower governing levels as required by the International Occupation Safety and Health and Working Environment Convention No. 155/1981. Ethiopia is a signatory of this Convention. The results of the situational analysis indicate that there are cross-cutting gaps in the various sectors. Among these, addressing the critical shortage of skilled personnel is an urgent priority

  9. Levels of essential and non-essential metals in ginger (Zingiber officinale) cultivated in Ethiopia.

    PubMed

    Wagesho, Yohannes; Chandravanshi, Bhagwan Singh

    2015-01-01

    Ginger (Zingiber officinale Roscoe) is a common condiment for various foods and beverages and widely used worldwide as a spice. Its extracts are used extensively in the food, beverage, and confectionary industries in the production of products such as marmalade, pickles, chutney, ginger beer, ginger wine, liquors, biscuits, and other bakery products. In Ethiopia, it is among the important spices used in every kitchen to flavor stew, tea, bread and local alcoholic drinks. It is also chiefly used medicinally for indigestion, stomachache, malaria, fevers, common cold, and motion sickness. The literature survey revealed that there is no study conducted on the determination of metals in ginger cultivated in Ethiopia. Hence it is worthwhile to determine the levels of essential and non-essential metals in ginger cultivated in Ethiopia. The levels of essential (Ca, Mg, Fe, Zn, Cu, Co, Cr, Mn, and Ni) and non-essential (Cd and Pb) metals in ginger (Zingiber officinale Roscoe) cultivated in four different regions of Ethiopia and the soil where it was grown were determined by flame atomic absorption spectrometry. 0.5 g of oven dried ginger and soil samples were digested using 3 mL of HNO3 and 1 mL of HClO4 at 210°C for 3 h and a mixture of 6 mL aqua-regia and 1.5 mL H2O2 at 270°C for 3 h, respectively. The mean metal concentration (μg/g dry weight basis) ranged in the ginger and soil samples, respectively, were: Ca (2000-2540, 1770-3580), Mg (2700-4090, 1460-2440), Fe (41.8-89.0, 21700-46900), Zn (38.5-55.2, 255-412), Cu (1.1-4.8, 3.80-33.9), Co (2.0-7.6, 48.5-159), Cr (6.0-10.8, 110-163), Mn (184-401, 1760-6470), Ni (5.6-8.4, 14.1-79.3) and Cd (0.38-0.97, 0.24-1.1). The toxic metal Pb was not detected in both the ginger and soil samples. There was good correlation between some metals in ginger and soil samples while poor correlation between other metals (Fe, Ni, Cu). This study revealed that Ethiopian gingers are good source of essential metals and free from toxic

  10. Child Schooling in Ethiopia: The Role of Maternal Autonomy

    PubMed Central

    Mohanty, Itismita

    2016-01-01

    This paper examines the effects of maternal autonomy on child schooling outcomes in Ethiopia using a nationally representative Ethiopian Demographic and Health survey for 2011. The empirical strategy uses a Hurdle Negative Binomial Regression model to estimate years of schooling. An ordered probit model is also estimated to examine age grade distortion using a trichotomous dependent variable that captures three states of child schooling. The large sample size and the range of questions available in this dataset allow us to explore the influence of individual and household level social, economic and cultural factors on child schooling. The analysis finds statistically significant effects of maternal autonomy variables on child schooling in Ethiopia. The roles of maternal autonomy and other household-level factors on child schooling are important issues in Ethiopia, where health and education outcomes are poor for large segments of the population. PMID:27942039

  11. Health Care Seeking Behavior in Southwest Ethiopia

    PubMed Central

    Begashaw, Bayu; Tessema, Fasil; Gesesew, Hailay Abrha

    2016-01-01

    Background Rural and urban populations have disparate socio-demographic and economic characteristics, which have an influence on equity and their health seeking behavior. We examined and compared the health care seeking behavior for perceived morbidity between urban and rural households in Southwest Ethiopia. Methods Analytic cross-sectional study was conducted among urban and rural households living in Esera district of Southwest Ethiopia. A random sample of 388 head of households (126 urban and 262 rural) were selected. A pretested and structured questionnaire was used for data collection with face-to-face interview. In addition to descriptive methods, binary logistic regression was used to identify factors associated with health seeking behavior at p value of less than 0.05. Results Of the sample household heads, 377 (97.2%) (119 urban and 258 rural) were successfully interviewed. Among these, 58.4% (95% CI, 53.3–63.3%) of the households sought care from modern health care that was lower among rural (48.1%) than urban (80.7%) households. The prevalence of self-treatment was 35.3% in urban and 46.1% in rural households. Among the factors considered for modern health care utilization, higher monthly income (AOR, 5.6; 95% CI, 2.04–15.4), perceived severity of disease (AOR, 2.5; 95% CI, 1.1–5.8), acute duration of disease (AOR, 8.9; 95% CI, 2.4–33.3) and short distance from health facilities (AOR, 3; 95% CI, 1.2–8.4) among rural and being married (AOR, 11.3; 95% CI, 1.2–110.2) and perceived severity of disease (AOR, 6.6; 95% CI, 1.1–10.9) among urban households showed statistically significant association. Conclusions The general health seeking behavior of households on perceived morbidity was satisfactory but lower in rural compared to urban households. Self-medication was also widely practiced in the study area. The findings signal the need to work more on accessibility and promotion of healthcare seeking behavior especially among rural households

  12. Health Care Seeking Behavior in Southwest Ethiopia.

    PubMed

    Begashaw, Bayu; Tessema, Fasil; Gesesew, Hailay Abrha

    2016-01-01

    Rural and urban populations have disparate socio-demographic and economic characteristics, which have an influence on equity and their health seeking behavior. We examined and compared the health care seeking behavior for perceived morbidity between urban and rural households in Southwest Ethiopia. Analytic cross-sectional study was conducted among urban and rural households living in Esera district of Southwest Ethiopia. A random sample of 388 head of households (126 urban and 262 rural) were selected. A pretested and structured questionnaire was used for data collection with face-to-face interview. In addition to descriptive methods, binary logistic regression was used to identify factors associated with health seeking behavior at p value of less than 0.05. Of the sample household heads, 377 (97.2%) (119 urban and 258 rural) were successfully interviewed. Among these, 58.4% (95% CI, 53.3-63.3%) of the households sought care from modern health care that was lower among rural (48.1%) than urban (80.7%) households. The prevalence of self-treatment was 35.3% in urban and 46.1% in rural households. Among the factors considered for modern health care utilization, higher monthly income (AOR, 5.6; 95% CI, 2.04-15.4), perceived severity of disease (AOR, 2.5; 95% CI, 1.1-5.8), acute duration of disease (AOR, 8.9; 95% CI, 2.4-33.3) and short distance from health facilities (AOR, 3; 95% CI, 1.2-8.4) among rural and being married (AOR, 11.3; 95% CI, 1.2-110.2) and perceived severity of disease (AOR, 6.6; 95% CI, 1.1-10.9) among urban households showed statistically significant association. The general health seeking behavior of households on perceived morbidity was satisfactory but lower in rural compared to urban households. Self-medication was also widely practiced in the study area. The findings signal the need to work more on accessibility and promotion of healthcare seeking behavior especially among rural households.

  13. A novel hepatitis B virus subgenotype D10 circulating in Ethiopia.

    PubMed

    Hundie, G B; Stalin Raj, V; Gebre Michael, D; Pas, S D; Koopmans, M P; Osterhaus, A D M E; Smits, S L; Haagmans, B L

    2017-02-01

    Hepatitis B virus (HBV) is genetically highly divergent and classified in ten genotypes and forty subgenotypes in distinct ethno-geographic populations worldwide. Ethiopia is a country with high HBV prevalence; however, little is known about the genetic variability of HBV strains that circulate. Here, we characterize the complete genome of 29 HBV strains originating from five Ethiopian regions, by 454 deep sequencing and Sanger sequencing. Phylogenetically, ten strains were classified as genotype A1 and nineteen as genotype D. Fifteen genotype D strains, provisionally named subgenotype D10, showed a novel distinct cluster supported by high bootstrap value and >4% nucleotide divergence from other known subgenotypes. In addition, the novel D10 strains harboured nine unique amino acid signatures in the surface, polymerase and X genes. Seventy-two per cent of the genotype D strains had the precore premature stop codon G1896A. In addition, 63% genotype A and 33% genotype D strains had the basal core promoter mutations, A1762T/G1764A. Furthermore, four pre-S deletion variants and two recombinants were identified in this study. In conclusion, we identified a novel HBV subgenotype D10 circulating in Ethiopia, underlining the high genetic variability of HBV strains in Africa.

  14. Challenges of bacterial meningitis case management in low income settings: an experience from Ethiopia.

    PubMed

    Gudina, Esayas Kebede; Tesfaye, Markos; Adane, Aynishet; Lemma, Kinfe; Shibiru, Tamiru; Pfister, Hans-Walter; Klein, Matthias

    2016-07-01

    To investigate the current diagnostic and therapeutic strategies used in the care of patients with suspected bacterial meningitis at teaching hospitals in Ethiopia. This was a hospital-based retrospective study conducted at four teaching hospitals in different regions of Ethiopia. Participants were patients aged 14 years and older treated for suspected bacterial meningitis. Presenting complaints, diagnostic strategies used and treatments given were obtained from clinical records. A total of 425 patients were included in the study; 52.7% were men and 83.8% were younger than 50 years. Fever, headache, neck stiffness and impaired consciousness were the most common clinical presentations; 55.5% underwent lumbar puncture. Overall, only 96 (22.6%) patients had cerebrospinal fluid abnormalities compatible with bacterial meningitis. A causative bacterium was identified in only 14 cases. Ceftriaxone was used as the empiric treatment of choice, either alone or in combination with other antibiotics; 17.6% of patients were also given vancomycin. Adjunctive dexamethasone was given to 50.4%. Most patients treated as bacterial meningitis did not receive a proper diagnostic workup. The choice of antibiotic was not tailored to the specific clinical condition of the patient. Such an approach may result in poor treatment outcomes and lead to antibiotic resistance. Management of patients with suspected bacterial meningitis should be supported by analysis of cerebrospinal fluid, and treatment should be tailored to local evidence and current evidence-based recommendations. © 2016 John Wiley & Sons Ltd.

  15. Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia.

    PubMed

    Mahmud, Mahmud Abdulkader; Spigt, Mark; Mulugeta Bezabih, Afework; López Pavon, Ignacio; Dinant, Geert-Jan; Blanco Velasco, Roman

    2013-03-01

    Research on associated risk factors for intestinal parasitic infections and malnutrition in various geographic regions is needed for the development of appropriate control strategies. The aim of this study was to determine the risk factors associated with intestinal parasitic infections, anaemia, and malnutrition in school children, living in urban and rural areas of northern Ethiopia. Six hundred school children, aged 6-15 years, were randomly selected in a cross-sectional survey from 12 primary schools. Sociodemographic and anthropometric data were collected. Faecal samples were examined using direct, concentration, and the Kato-Katz methods. Urine specimens were analysed for Schistosoma haematobium ova. Haemoglobin was measured using a HemoCue spectrometer. The overall prevalence of intestinal parasitosis was 72% (95% confidence interval (CI): 66-76%). The prevalence of anaemia, stunting, and thinness were 11% (95% CI: 8-13%), 35% (95% CI: 31-38%), and 34% (95% CI: 30-38%), respectively. Poor personal hygiene habits were generally associated with anaemia and nutritional deficiency (low body mass index). Multivariate logistic regression models related Schistosoma mansoni infection with boys. Boys were also more likely to be malnourished. Hookworm infection was associated with anaemia and unhygienic finger nails. Access to clean water and latrines, with some hygiene and sanitation communication activities, could improve health of children in Ethiopia. The use of smartphone technology in demographic data collection proved to be successful. The potential advantage offered by this technology for parasitological field surveys merits further investigation.

  16. Knowledge, acceptability, and use of misoprostol for preventing postpartum hemorrhage following home births in rural Ethiopia.

    PubMed

    Gebre, Betemariam; Taddese, Zinaw; Deribe, Kebede; Legesse, Tsigereda; Omar, Meftuh; Biadgilign, Sibhatu

    2016-07-01

    To assess knowledge of, and intentions to use misoprostol to preventing postpartum hemorrhage by women in a pastoralist community of the Somali Region of Ethiopia. A cross-sectional study enrolled women aged 15-49years living in Adadle district, Ethiopia, between April 26 and May 3, 2012. A structured questionnaire was used to collect data on participants' knowledge of misoprostol and if they had any intention to use it in the future. Participants also detailed their preferred healthcare provider for administering misoprostol. A total of 829 women were enrolled in the study. Among the participants, 42 (5.1%) had knowledge of misoprostol and 302 (36.4%) described themselves as being willing to use misoprostol in the future. Among respondents who were willing to use misoprostol in the future, traditional birth attendants were the preferred healthcare practitioners to administer it. Awareness of misoprostol was low in the study sample but willingness to use the drug was somewhat higher. Raising awareness and knowledge among communities and traditional birth attendants regarding the advantages of misoprostol is crucial to enhance uptake and reduce the incidence of postpartum hemorrhage. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  17. Identification of a New Genotype of African Swine Fever Virus in Domestic Pigs from Ethiopia.

    PubMed

    Achenbach, J E; Gallardo, C; Nieto-Pelegrín, E; Rivera-Arroyo, B; Degefa-Negi, T; Arias, M; Jenberie, S; Mulisa, D D; Gizaw, D; Gelaye, E; Chibssa, T R; Belaye, A; Loitsch, A; Forsa, M; Yami, M; Diallo, A; Soler, A; Lamien, C E; Sánchez-Vizcaíno, J M

    2017-10-01

    African swine fever (ASF) is an important emerging transboundary animal disease (TAD), which currently has an impact on many countries in Africa, Eastern Europe, the Caucasus and the Russian Federation. The current situation in Europe shows the ability of the virus to rapidly spread, which stands to threaten the global swine industry. At present, there is no viable vaccine to minimize spread of the disease and stamping out is the main source of control. In February 2011, Ethiopia had reported its first suspected outbreaks of ASF. Genomic analyses of the collected ASF virus (ASFV) strains were undertaken using 23 tissue samples collected from domestic swine in Ethiopia from 2011 to 2014. The analysis of Ethiopian ASFVs partial p72 gene sequence showed the identification of a new genotype, genotype XXIII, that shares a common ancestor with genotypes IX and X, which comprise isolates circulating in Eastern African countries and the Republic of Congo. Analysis of the p54 gene also followed the p72 pattern and the deduced amino acid sequence of the central variable region (CVR) of the B602L gene showed novel tetramer repeats not previously characterized. © 2016 The Authors. Transboundary and Emerging Diseases Published by Blackwell Verlag GmbH.

  18. First archaeomagnetic field intensity data from Ethiopia, Africa (1615 ± 12 AD)

    NASA Astrophysics Data System (ADS)

    Osete, María Luisa; Catanzariti, Gianluca; Chauvin, Annick; Pavón-Carrasco, Francisco Javier; Roperch, Pierrick; Fernández, Víctor M.

    2015-05-01

    First archaeointensity determinations have been obtained from Ethiopia. Seven bricks (34 specimens) from the Däbsan archaeological remains were subjected to archaeointensity determination by means of classical Thellier-Thellier experiment including tests for magnetic anisotropy and magnetic cooling rate dependency. The age of the Däbsan Palace is well controlled by historical information: between 1603, when land grants were conceded to the Jesuits and the Catholicism was established as the official religion in Ethiopia, and the age of the Palace foundation in 1626-27. Successful archaeointensity determinations were obtained in 27 specimens from five individual bricks revealing an average field value of 33.5 ± 1.1 μT, which is 11-26% lower than expected values from global geomagnetic models based on historical and archaeomagnetic data. Global models for 1615 AD predict a low in central-southern Africa related to past location of the present Southern Atlantic Anomaly (SAA). Our results suggest that the field intensity in central Africa may have been slightly lower than global model predictions. This would indicate that the low could be probably more extended towards central-eastern Africa (or more intense) than previously considered. Further data from this region are especially welcome to delineate the evolution of the SAA.

  19. Deforestation and forest management in southern Ethiopia: investigations in the Chencha and Arbaminch areas.

    PubMed

    Assefa, Engdawork; Bork, Hans-Rudolf

    2014-02-01

    Long-term human impacts are considered to be the prime cause of unsustainable forest exploitation in Ethiopia. Yet there exist well-established systems and a wealth of local experience in maintaining and managing forests. This study explores the trends and driving forces of deforestation plus traditional practices regarding sustainable forest use and management in the Chencha and Arbaminch areas, Southern Ethiopia. Satellite image analysis (images from 1972, 1984 and 2006) combined with field surveys were used to detect and map changes in forest cover. Household interviews and group discussions with experienced and knowledgeable persons were also employed. The results show a 23 % decline in forest cover between 1972 and 2006 with the most significant change from 1986 to 2006. Change was greatest in the lowlands and remarkable episodic forest changes also occurred, suggesting nonlinear spatial and temporal forest cover dynamics. According to farmers, the main driver of deforestation is agricultural land expansion in response to local population increases and a decline in agricultural production. Growing local and regional fuel wood demand is another chief cause. Despite these issues, remarkable relicts of natural forests remain and trees on farmland, around homesteads and on fields in every village are basic elements of farm activities and social systems. This demonstrates the effect of cumulative traditional knowledge and long-term local experience with forest management and preservation. Therefore, these practices should be promoted and advanced through the integration of local knowledge and forest management practices in the design and implementation of sustainable environmental planning and management.

  20. Secular spring rainfall variability at local scale over Ethiopia: trend and associated dynamics

    NASA Astrophysics Data System (ADS)

    Tsidu, Gizaw Mengistu

    2016-07-01

    Spring rainfall secular variability is studied using observations, reanalysis, and model simulations. The joint coherent spatio-temporal secular variability of gridded monthly gauge rainfall over Ethiopia, ERA-Interim atmospheric variables and sea surface temperature (SST) from Hadley Centre Sea Ice and SST (HadISST) data set is extracted using multi-taper method singular value decomposition (MTM-SVD). The contemporaneous associations are further examined using partial Granger causality to determine presence of causal linkage between any of the climate variables. This analysis reveals that only the northwestern Indian Ocean secular SST anomaly has direct causal links with spring rainfall over Ethiopia and mean sea level pressure (MSLP) over Africa inspite of the strong secular covariance of spring rainfall, SST in parts of subtropical Pacific, Atlantic, Indian Ocean and MSLP. High secular rainfall variance and statistically significant linear trend show consistently that there is a massive decline in spring rain over southern Ethiopia. This happened concurrently with significant buildup of MSLP over East Africa, northeastern Africa including parts of the Arabian Peninsula, some parts of central Africa and SST warming over all ocean basins with the exception of the ENSO regions. The east-west pressure gradient in response to the Indian Ocean warming led to secular southeasterly winds over the Arabian Sea, easterly over central Africa and equatorial Atlantic. These flows weakened climatological northeasterly flow over the Arabian Sea and southwesterly flow over equatorial Atlantic and Congo basins which supply moisture into the eastern Africa regions in spring. The secular divergent flow at low level is concurrent with upper level convergence due to the easterly secular anomalous flow. The mechanisms through which the northwestern Indian Ocean secular SST anomaly modulates rainfall are further explored in the context of East Africa using a simplified atmospheric

  1. Maternal mortality studies in Ethiopia--magnitude, causes and trends.

    PubMed

    Gaym, Asheber

    2009-01-01

    Reduction of maternal mortality is a global public health priority. Periodic maternal mortality studies are required to monitor changing trends. Both direct and indirect methods of maternal mortality measurement are used in different settings. To study the geographic coverage, study base, type, maternal mortality ratio level and proportion of different causes of maternal deaths identified by maternal mortality studies conducted in Ethiopia. Electronic databases search coupled with search in local journals of health as well as interview with relevant university departments for unpublished literatures on maternal mortality studies was conducted. Structured questionnaire was used to extract relevant data which was analyzed using SPSS 13 statistical package. Twelve maternal mortality studies were identified from 1980 to 2008. Eight were hospital based and four community based studies. Only two were based on a national sample. Maternal mortality ratios ranged from 567 to 2600 per hundred thousand live births. Hospital studies had nearly double ratios compared to community studies. Maternal mortality ratios from hospitals outside Addis were nearly double or more compared to Addis hospital ratios. Abortion complications, ruptured uterus, puerperal sepsis, postpartum hemorrhage and preeclampsia/ eclampsia were the five major causes of maternal mortality. The only study conducted since 2000 has shown a marked reduction in abortion related mortality; compared to findings of earlier studies. Only four of the country's nine regions were covered by the hospital studies. The large pastoralist community has not been adequately addressed by any of the studies. There is a need to conduct national health facility based studies to gather representative data on the proportion of different causes of maternal deaths and their predisposing factors. Inclusion of verbal autopsy techniques to demographic and health surveys and the decennial census can increase the power of these studies to

  2. Paleoanthropology of the Kibish Formation, southern Ethiopia: Introduction.

    PubMed

    Fleagle, John G; Assefa, Zelalem; Brown, Francis H; Shea, John J

    2008-09-01

    Cranial and skeletal remains of modern humans, Homo sapiens, were discovered in the Kibish Formation in 1967 by a team from the Kenya National Museums directed by Richard Leakey. Omo I, from Kamoya's Hominid Site (KHS), consists of much of a skeleton, including most of the cranial vault, parts of the face and mandible, and many postcranial elements. Omo II, from Paul's Hominid Site (PHS), is a virtually complete calvaria. Only a limited fauna and a few stone artifacts attributed to the Middle Stone Age were recovered in conjunction with the fossil hominids. The available dating techniques suggested a very early age, over 100 ka, for Member I, from which the Omo I and Omo II fossils were recovered. However, in subsequent decades, the reliability of the dates and the provenance of the Kibish hominids were repeatedly questioned. The papers in this volume provide a detailed stratigraphic analysis of the Kibish Formation and a series of new radiometric dates that indicate an age of 196+/-2 ka for Member I and 104+/-1 for Member III, confirming the antiquity of the lower parts of the Kibish Formation and, in turn, the fossils from Member I. Studies of the postcranial remains of Omo I indicate an overall modern human morphology with a number of primitive features. Studies of an extensive lithic record from Members I and III indicate a Middle Stone Age technology comparable to assemblages of similar age elsewhere in Ethiopia. Studies of the mammalian, avian, and fish faunas indicate overall similarities to those found in the region today, with a few distinctive differences.

  3. Gastrointestinal parasites of working donkeys of Ethiopia.

    PubMed

    Getachew, M; Trawford, A; Feseha, G; Reid, S W J

    2010-01-01

    The general prevalence and population composition of gastrointestinal and pulmonary helminths of working donkeys were studied. For the purpose 2935 working donkeys were coprologically examined for nematode and cestode, and 215 donkeys for trematode infections. Seven donkeys that died due to various health problems or were euthanased on a welfare ground were necropsied and the parasites were recovered and identified to the species level. The study was conducted during the periods 1996-1999.Coprological examination revealed 99% strongyle, 80% Fasciola, 51% Parascaris, 30% Gastrodiscus, 11% Strongyloides westeri, 8% cestodes and 2% Oxyuris equi infection prevalence. Over 55% of donkeys had more than 1000 eggs per gram of faeces (epg). Forty two different species of parasites consisting of 33 nematodes, 3 trematodes, 3 cestodes and 3 arthropod larvae were identified from postmortem examined donkeys. Among the nematodes 17 species of Cyathostominae and 7 species of Strongylinae were identified. Other parasites identified include, Habronema muscae, Draschia megastoma, Trichostrongylus axei, Strongyloides westeri, Anoplocephala perfoliata, Anoplocephala magna, Anoplocephaloides (Paranoplocephala) mamillana, Parascaris equorum, Fasciola hepatica, Fasciola gigantica, Gastrodiscus aegyptiacus, Dictyocaulus arnfieldi, Oxyuris equi, Probstmayria vivipara, Gasterophilus intestinalis, Gasterophilus nasalis, Rhinoestrus uzbekistanicus and Setaria equina. This study revealed that working donkeys in Ethiopia are infected with a range of helminths and arthropod larvae, which are representatives of the important pathogenic parasites found in equids worldwide.

  4. Cropland land surface phenology and seasonality in East Africa: Ethiopia, Tanzania, and South Sudan

    NASA Astrophysics Data System (ADS)

    Alemu, W. G.; Henebry, G. M.

    2015-12-01

    Most people in East Africa depend on rainfed agriculture. Rainfall in the region has been decreasing recently and is highly variable in space and time leading to high food insecurity. A comprehensive understanding of the regional cropland dynamics is therefore needed. Land surface phenology and land surface seasonality have important roles in monitoring cropland dynamics in a region with sparse coverage of in situ climatic and biophysical observations. However, commonly used optical satellite data are often degraded by cloud cover, aerosols, and dust and they are restricted to daytime observations. Here we used near-daily passive microwave (PM) data at 25 km spatial resolution from a series of microwave radiometers—AMSR-E, FengYun3B/MWRI, AMSR2—to study cropland dynamics for 2003-2013 in three important grain production areas of East Africa: Ethiopia, Tanzania, and South Sudan. PM data can be collected through clouds and at night. Based on Google Earth imagery, we identified several cropland areas corresponding to PM grid cells. Rainfall from TRMM and atmospheric water vapor (V) from PM data displayed temporal patterns that were unimodal in Ethiopia and South Sudan, but bimodal in Tanzania. We fitted convex quadratic models to link growing season increments of V and vegetation optical depth (VOD) to accumulated V (AV). The models yielded high coefficients of determination (r2 ≥0.8) and phenometrics calculated from the parameter coefficients. Peak rainfall lagged peak V, but preceded peak VOD. Growing degree-days (GDD), calculated from the PM air temperature data, displayed a weaker bimodal seasonality in which the lowest values occurred during the peak rainy season, due to the cooling effect of latent heat flux and coupled with higher reflection of insolation by the cloud deck. V as a function of GDD displays quasi-periodic behavior. Drier sites in the region displayed larger (smaller) intra-annual dynamic range of V (GDD) compared to the moister sites.

  5. Climate change induced risk analysis of Addis Ababa city (Ethiopia)

    NASA Astrophysics Data System (ADS)

    Jalayer, Fatemeh; Herslund, Lise; Cavan, Gina; Printz, Andreas; Simonis, Ingo; Bucchignani, Edoardo; Jean-Baptiste, Nathalie; Hellevik, Siri; Fekade, Rebka; Nebebe, Alemu; Woldegerima, Tekle; Workalemahu, Liku; Workneh, Abraham; Yonas, Nebyou; Abebe Bekele, Essete; Yeshitela, Kumelachew

    2013-04-01

    CLUVA (CLimate change and Urban Vulnerability in Africa; http://www.cluva.eu/) is a 3 years project, funded by the European Commission in 2010. Its objective is to develop context-centered methods to assess vulnerability and increase knowledge on managing climate related risks and to estimate the impacts of climate changes in the next 40 years at urban scale in Africa. The project downscales IPCC climate projections to evaluate threats to selected African test cities; mainly floods, sea-level rise, droughts, heat waves, desertification. It also evaluates and links: social vulnerability; urban green structures and ecosystem services; urban-rural interfaces; vulnerability of urban built environment and lifelines; and related institutional and governance dimensions of adaptation. CLUVA combines assessment approaches to investigate how cities, communities and households can resist and cope with, as well as recover from climate induced hazards. This multi-scale and multi-disciplinary qualitative, quantitative and probabilistic approach of CLUVA is currently being applied to selected African test cities (Addis Ababa - Ethiopia; Dar es Salaam - Tanzania; Douala - Cameroun; Ouagadougou - Burkina Faso; St. Louis - Senegal). In particular, the poster will report on the progresses of the Addis Ababa case study. Addis Ababa, the largest city in Ethiopia, is exposed to heat waves, drought, and, more recently, to flash floods. Due to undulating topography, poor waste management and the absence of sustainable storm water management, Addis Ababa is prone to severe flood events during the rainy seasons. Metropolitan Addis Ababa is crossed by several small watercourses. Torrential rains, very common during the rainy season, cause a sudden rise in the flow of these water courses, inundating and damaging the settlements along their banks and affecting the livelihood of the local population. The combination of climate change and development pressures are expected to exacerbate the

  6. Publication Productivity of Academics in Jigjiga University, Ethiopia

    ERIC Educational Resources Information Center

    Feyera, Teka; Atelaw, Habtamu; Hassen, Najib Abdi; Fufa, Gemechu

    2017-01-01

    This descriptive cross-sectional survey examined faculty publication productivity at Jigjiga University, Ethiopia. It, specifically, aimed at exploring the factors and barriers that may influence publication productivity among academic staffs while also comparing variations across academic disciplines. The survey employed self-administered…

  7. Soil carbon and nitrogen losses following deforestation in Ethiopia

    USDA-ARS?s Scientific Manuscript database

    Dry Afromontane forests of Ethiopia have faced vast exploitation and almost all these forests have been converted to agricultural lands. The disappearance of the forests has been most drastic during the past 100 years and has affected the functionality and stability of agroecosystem. The dynamics in...

  8. Examining Some Aspects of Alternative Basic Education Programmes in Ethiopia

    ERIC Educational Resources Information Center

    Onwu, Gilbert O. M.; Agu, Augustine

    2010-01-01

    This study examines some aspects of the quality of Alternative Basic Education (ABE) provision in Ethiopia. Educational indicators of quality were formulated under two general topic areas of ABE programme process and content, and pupil learning outcomes. A qualitative-interpretative research approach and survey design was used to collect data from…

  9. Adult Basic Literacy "Initiatives" in Ethiopia: Change and Continuity

    ERIC Educational Resources Information Center

    Kenea, Ambissa

    2014-01-01

    The major purpose of the study was to look into change and continuity in the policy and practices of adult basic literacy initiatives in Ethiopia and to deduce lessons that can be drawn from the experiences for the future of adult basic literacy program in the country and elsewhere. Data was obtained through critical review of documents on the…

  10. Outcomes of Orphanhood in Ethiopia: A Mixed Methods Study

    ERIC Educational Resources Information Center

    Camfield, Laura

    2011-01-01

    The paper addresses the question of whether parental death always has a strongly negative effect on children's outcomes using quantitative and qualitative data from Young Lives, a longitudinal study of childhood poverty in Ethiopia. It investigates the validity of potential mediating factors identified by other studies in Sub-Saharan Africa using…

  11. Hemoglobin, Growth, and Attention of Infants in Southern Ethiopia

    ERIC Educational Resources Information Center

    Aubuchon-Endsley, Nicki L.; Grant, Stephanie L.; Berhanu, Getenesh; Thomas, David G.; Schrader, Sarah E.; Eldridge, Devon; Kennedy, Tay; Hambidge, Michael

    2011-01-01

    Male and female infants from rural Ethiopia were tested to investigate relations among hemoglobin (Hb), anthropometry, and attention. A longitudinal design was used to examine differences in attention performance from 6 (M = 24.9 weeks, n = 89) to 9 months of age (M = 40.6 weeks, n = 85), differences hypothesized to be related to changes in iron…

  12. Adult Basic Literacy "Initiatives" in Ethiopia: Change and Continuity

    ERIC Educational Resources Information Center

    Kenea, Ambissa

    2014-01-01

    The major purpose of the study was to look into change and continuity in the policy and practices of adult basic literacy initiatives in Ethiopia and to deduce lessons that can be drawn from the experiences for the future of adult basic literacy program in the country and elsewhere. Data was obtained through critical review of documents on the…

  13. The Current Teacher Education Programs in Ethiopia: Reflection on Practice

    ERIC Educational Resources Information Center

    Mekonnen, Geberew Tulu

    2017-01-01

    This study threw light on the current practice of Postgraduate Diploma in Teaching Program at Addis Ababa University, Ethiopia. The study focused on the enrolment, graduation and attrition proportion of Postgraduate Diploma in Teaching candidates in the year 2011 and 2015. The 2011 and 2015 academic years have been purposively selected because the…

  14. Growth and Visual Information Processing in Infants in Southern Ethiopia

    ERIC Educational Resources Information Center

    Kennedy, Tay; Thomas, David G.; Woltamo, Tesfaye; Abebe, Yewelsew; Hubbs-Tait, Laura; Sykova, Vladimira; Stoecker, Barbara J.; Hambidge, K. Michael

    2008-01-01

    Speed of information processing and recognition memory can be assessed in infants using a visual information processing (VIP) paradigm. In a sample of 100 infants 6-8 months of age from Southern Ethiopia, we assessed relations between growth and VIP. The 69 infants who completed the VIP protocol had a mean weight z score of -1.12 plus or minus…

  15. Growth and Visual Information Processing in Infants in Southern Ethiopia

    ERIC Educational Resources Information Center

    Kennedy, Tay; Thomas, David G.; Woltamo, Tesfaye; Abebe, Yewelsew; Hubbs-Tait, Laura; Sykova, Vladimira; Stoecker, Barbara J.; Hambidge, K. Michael

    2008-01-01

    Speed of information processing and recognition memory can be assessed in infants using a visual information processing (VIP) paradigm. In a sample of 100 infants 6-8 months of age from Southern Ethiopia, we assessed relations between growth and VIP. The 69 infants who completed the VIP protocol had a mean weight z score of -1.12 plus or minus…

  16. GEMINI-6 - EARTH-SKY - ETHIOPIA - OUTER SPACE

    NASA Image and Video Library

    1965-12-16

    S65-63162 (16 Dec. 1965) --- Central area of Ethiopia, south of Addis Ababa, showing Lakes Zwai, Langana, and Shala, as seen from the Gemini-6 spacecraft during its 14th revolution of Earth. Photo credit: NASA or National Aeronautics and Space Administration

  17. Teacher Preparation in Ethiopia: A Critical Analysis of Reforms

    ERIC Educational Resources Information Center

    Semela, Tesfaye

    2014-01-01

    The purpose of this article is to provide a more comprehensive picture of teacher preparation in Ethiopia on top of a closer scrutiny of current teacher education reforms. In particular, it presents teacher education within the context of policy implementation over the last six decades by highlighting key reforms and how these reforms impacted the…

  18. Mycobacterial Lineages Causing Pulmonary and Extrapulmonary Tuberculosis, Ethiopia

    PubMed Central

    Firdessa, Rebuma; Berg, Stefan; Hailu, Elena; Schelling, Esther; Gumi, Balako; Erenso, Girume; Gadisa, Endalamaw; Kiros, Teklu; Habtamu, Meseret; Hussein, Jemal; Zinsstag, Jakob; Robertson, Brian D.; Ameni, Gobena; Lohan, Amanda J.; Loftus, Brendan; Comas, Iñaki; Gagneux, Sebastien; Tschopp, Rea; Yamuah, Lawrence; Hewinson, Glyn; Gordon, Stephen V.; Young, Douglas B.

    2013-01-01

    Molecular typing of 964 specimens from patients in Ethiopia with lymph node or pulmonary tuberculosis showed a similar distribution of Mycobacterium tuberculosis strains between the 2 disease manifestations and a minimal role for M. bovis. We report a novel phylogenetic lineage of M. tuberculosis strongly associated with the Horn of Africa. PMID:23622814

  19. Mycobacterial lineages causing pulmonary and extrapulmonary tuberculosis, Ethiopia.

    PubMed

    Firdessa, Rebuma; Berg, Stefan; Hailu, Elena; Schelling, Esther; Gumi, Balako; Erenso, Girume; Gadisa, Endalamaw; Kiros, Teklu; Habtamu, Meseret; Hussein, Jemal; Zinsstag, Jakob; Robertson, Brian D; Ameni, Gobena; Lohan, Amanda J; Loftus, Brendan; Comas, Iñaki; Gagneux, Sebastien; Tschopp, Rea; Yamuah, Lawrence; Hewinson, Glyn; Gordon, Stephen V; Young, Douglas B; Aseffa, Abraham

    2013-03-01

    Molecular typing of 964 specimens from patients in Ethiopia with lymph node or pulmonary tuberculosis showed a similar distribution of Mycobacterium tuberculosis strains between the 2 disease manifestations and a minimal role for M. bovis. We report a novel phylogenetic lineage of M. tuberculosis strongly associated with the Horn of Africa.

  20. Teacher Preparation in Ethiopia: A Critical Analysis of Reforms

    ERIC Educational Resources Information Center

    Semela, Tesfaye

    2014-01-01

    The purpose of this article is to provide a more comprehensive picture of teacher preparation in Ethiopia on top of a closer scrutiny of current teacher education reforms. In particular, it presents teacher education within the context of policy implementation over the last six decades by highlighting key reforms and how these reforms impacted the…

  1. [International adoption from Ethiopia in a 5-year period].

    PubMed

    Martínez Ortiz, A; Domínguez Pinilla, N; Wudineh, M; González-Granado, L I

    2015-05-01

    An increase in the number of internationally adopted children has been observed in the last few years. The country of origin that has experienced a greater increase is Ethiopia. The health of internationally adopted children from Ethiopia has not been extensively assessed to date. The main objective of the study is to determine the prevalence of infectious diseases in children adopted from Ethiopia, and to assess their nutritional status. A prospective, observational cohort study was conducted using the medical records of 251 children adopted from Ethiopia to Spain in the period from Jan 1, 2006 and December 31, 2010. The mean age of the children was 7 months (range 1-120). Abnormalities were detected on physical examination in 56.6%. In 90% of cases the child was less than 5 years-old. Half of the sample had a weight below the third percentile, with some degree of malnutrition in 65% of the children. HIV exposure was not uncommon (4.8%). Low weight and acute gastroenteritis were the main findings in this cohort. Infectious diseases should be systematically assessed. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  2. Use of the Mass Media for Education in Ethiopia.

    ERIC Educational Resources Information Center

    Gupta, Sushma

    1995-01-01

    Explains how mass media, radio, and television have been playing an important role in the formal education of Ethiopian children for a quarter of a century. Describes the chronological development and future plans for the use of mass media in education. States that Ethiopia may serve as an example for other Third World countries. (PA)

  3. Andragogical Methods to Sustain Quality Adult Education in Ethiopia

    ERIC Educational Resources Information Center

    Seyoum, Yilfashewa; Basha, Garkebo

    2017-01-01

    This study aims to analyse the extent andragogy serves as a means to secure quality in adult education programs. It attempts to scrutinize how active learning methods are implemented effectively in adult education program in the Eastern part of Ethiopia. A survey research design was adapted as a method of the study. Stratified and purposive…

  4. Higher Education in Ethiopia: Expansion, Quality Assurance and Institutional Autonomy

    ERIC Educational Resources Information Center

    Akalu, Girmaw Abebe

    2014-01-01

    This article chronicles the key challenges facing Ethiopia as it embarks on an ambitious, ideologically-driven and aggressive expansion of its higher education system in an effort to address its national goals of economic growth and poverty reduction. It is argued that the urge for higher education expansion has placed undue pressures particularly…

  5. What Community Participation in Schooling Means: Insights from Southern Ethiopia

    ERIC Educational Resources Information Center

    Swift-Morgan, Jennifer

    2006-01-01

    Community participation is a term frequently used and often cited in international educational development. In this article, Jennifer Swift-Morgan investigates the definition and impact of community participation in schooling in rural Ethiopia. Although national governments, development agencies, and nongovernmental organizations across the…

  6. Situation Report--Dahomey, Ethiopia, Mali, and Mauritius.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in four foreign countries are presented in these situation reports. Countries included are Dahomey, Ethiopia, Mali, and Mauritius. Information is provided under two topics, general background and family planning situation, where appropriate and if it is available. General background covers ethnic…

  7. Examining Some Aspects of Alternative Basic Education Programmes in Ethiopia

    ERIC Educational Resources Information Center

    Onwu, Gilbert O. M.; Agu, Augustine

    2010-01-01

    This study examines some aspects of the quality of Alternative Basic Education (ABE) provision in Ethiopia. Educational indicators of quality were formulated under two general topic areas of ABE programme process and content, and pupil learning outcomes. A qualitative-interpretative research approach and survey design was used to collect data from…

  8. Hemoglobin, Growth, and Attention of Infants in Southern Ethiopia

    ERIC Educational Resources Information Center

    Aubuchon-Endsley, Nicki L.; Grant, Stephanie L.; Berhanu, Getenesh; Thomas, David G.; Schrader, Sarah E.; Eldridge, Devon; Kennedy, Tay; Hambidge, Michael

    2011-01-01

    Male and female infants from rural Ethiopia were tested to investigate relations among hemoglobin (Hb), anthropometry, and attention. A longitudinal design was used to examine differences in attention performance from 6 (M = 24.9 weeks, n = 89) to 9 months of age (M = 40.6 weeks, n = 85), differences hypothesized to be related to changes in iron…

  9. What Community Participation in Schooling Means: Insights from Southern Ethiopia

    ERIC Educational Resources Information Center

    Swift-Morgan, Jennifer

    2006-01-01

    Community participation is a term frequently used and often cited in international educational development. In this article, Jennifer Swift-Morgan investigates the definition and impact of community participation in schooling in rural Ethiopia. Although national governments, development agencies, and nongovernmental organizations across the…

  10. A review of toxoplasmosis in humans and animals in Ethiopia.

    PubMed

    Dubey, J P; Tiao, N; Gebreyes, W A; Jones, J L

    2012-11-01

    Toxoplasmosis caused by the protozoan parasite, Toxoplasma gondii, is a worldwide zoonosis. In this paper published information on toxoplasmosis in humans and other animals in Ethiopia is reviewed. Limited data indicate that the prevalence of T. gondii in humans in Ethiopia is very high, up to 41% of children aged 1-5 years were reported to be seropositive. There is little information on seroprevalence data in pregnant women and no data on congenital toxoplasmosis in children. About 1 million adults in Ethiopia are considered to be infected with HIV with less than one-third likely receive highly active antiviral therapy. Based on a conservative T. gondii seroprevalence of 50%, thousands might die of concurrent opportunistic infections, including toxoplasmosis. However, exact figures are not available, and most serological surveys are not current. Serological surveys indicate up to 79% of goats and sheep have T. gondii antibodies. However, there is no information on losses due to toxoplasmosis in livestock or the presence of viable T. gondii in any host in Ethiopia.

  11. Quality Education Reform and Aid Effectiveness: Reflections from Ethiopia

    ERIC Educational Resources Information Center

    Berry, Chris; Bogale, Solomon Shiferaw

    2011-01-01

    Ethiopia is a large country in the Horn of Africa. It has a diverse population of eighty million people who speak over thirty distinct languages. Approximately 80% of the population live in rural areas and rely on subsistence agriculture. Despite economic growth and an abundance of natural resources, it is a country with a per-capita income of…

  12. Researching Diverse Learners from Haiti, Eritrea, and Ethiopia.

    ERIC Educational Resources Information Center

    Sadler, Charlotte; Hytowitz, Sarah Gail; Frutiger, Eliso

    This report presents information to help teachers work with diverse students. The report includes: information regarding the countries and cultures of Haiti, Eritrea, and Ethiopia (for helping to establish rapport with diverse learners); characteristics of Haitians, Eritreans, and Ethiopians as contrasted with American students' characteristics…

  13. Salmonella in livestock and animal by-products in Ethiopia.

    PubMed

    Pegram, R G; Roeder, P L; Hall, M L; Rowe, B

    1981-11-01

    Samples derived from farm livestock, an abattoir and a bone factory, were examined for salmonella. Twenty-seven serotypes were detected in 130 infected samples. A bone factory product was heavily infected. Salmonellosis is considered to be an important disease of dromedary calves and poultry in Ethiopia.

  14. Quality Education Reform and Aid Effectiveness: Reflections from Ethiopia

    ERIC Educational Resources Information Center

    Berry, Chris; Bogale, Solomon Shiferaw

    2011-01-01

    Ethiopia is a large country in the Horn of Africa. It has a diverse population of eighty million people who speak over thirty distinct languages. Approximately 80% of the population live in rural areas and rely on subsistence agriculture. Despite economic growth and an abundance of natural resources, it is a country with a per-capita income of…

  15. Higher Education in Ethiopia: Expansion, Quality Assurance and Institutional Autonomy

    ERIC Educational Resources Information Center

    Akalu, Girmaw Abebe

    2014-01-01

    This article chronicles the key challenges facing Ethiopia as it embarks on an ambitious, ideologically-driven and aggressive expansion of its higher education system in an effort to address its national goals of economic growth and poverty reduction. It is argued that the urge for higher education expansion has placed undue pressures particularly…

  16. Education for International Understanding: The Case of Ethiopia.

    ERIC Educational Resources Information Center

    International Bureau of Education, Paris (France).

    This study reviews Ethiopia's efforts, experiences, and achievements with respect to developing education for international understanding over the past two decades in response to the United Nations recognition of the role education plays in promoting peace. It is an overture aimed at sharing ideas and experiences with all concerned for the…

  17. Effectiveness of Scaling up the ‘Three Pillars’ Approach to Accelerating MDG 4 Progress in Ethiopia

    PubMed Central

    Dougherty, Leanne; Pomeroy, Amanda M.; Karim, Ali M.; Mekonnen, Yared M.; Mulligan, Brian E.

    2014-01-01

    ABSTRACT This paper describes the integrated approach taken by the Government of Ethiopia with support from the Essential Services for Health in Ethiopia (ESHE) Project and assesses its effect on the coverage of six child health practices associated with reducing child mortality. The ESHE Project was designed to contribute to reducing high child mortality rates at scale among 14.5 million people through the ‘three pillars’ approach. This approach aimed to (i) strengthen health systems, (ii) improve health workers’ performance, and (iii) engage the community. The intervention was designed with national and subnational stakeholders’ input. To measure the Project's effect on the coverage of child health practices, we used a quasi-experimental design, with representative household survey data from the three most populous regions of Ethiopia, collected at the 2003-2004 baseline and 2008 endline surveys of the Project. A difference-in-differences analysis model detected an absolute effect of the ESHE intervention of 8.4% points for DTP3 coverage (p=0.007), 12.9% points for measles vaccination coverage (p<0.001), 12.6% points for latrines (p=0.002), and 9.8% points for vitamin A supplementation (p<0.001) across the ESHE-intervention districts (woredas) compared to all non-ESHE districts of the same three regions. Improvements in the use of modern family planning methods and exclusive breastfeeding were not significant. Important regional variations are discussed. ESHE was one of several partners of the Ministry of Health whose combined efforts led to accelerated progress in the coverage of child health practices. PMID:25895187

  18. Assessment of knowledge and practice of private practitioners regarding tuberculosis control in Ethiopia.

    PubMed

    Yimer, Solomon A; Holm-Hansen, Carol; Bjune, Gunnar

    2012-01-12

    Ethiopia has a growing private health sector. In recent years, the directly observed treatment short course (DOTS) strategy was initiated in selected private health facilities in the country. The objective of the present study was to assess knowledge and practice of private practitioners in tuberculosis (TB) control in Amhara Region, Ethiopia. An institution-based cross-sectional study was conducted among 112 private practitioners selected from all private health facilities in the region. The study was conducted between May and August 2008 and data was collected using a semi-structured questionnaire. Group differences were analyzed using the chi-square test. Fifty-nine (52.7%) of the private practitioners suspected TB in patients with three weeks' duration of cough. Only 37 (33.0%) of the private practitioners were able to precisely list the correct treatment regimens for all categories as recommended in the National Tuberculosis and Leprosy Control Program guidelines. The correct frequency of TB treatment monitoring was provided by 44 (50%) of the respondents. Overall 44 (39.3%) of the private practitioners did not have satisfactory knowledge about the directly observed treatment short course (DOTS) strategy. Those who attended DOTS training during the two years prior to the survey were more likely to have satisfactory knowledge compared to those who did not receive training (OR 4.45, 95% CI: 1.33, 14.87, p < 0.02). A significant proportion of private practitioners did not have satisfactory knowledge and practice about DOTS. The provision of regular DOTS refresher courses improves TB management for patients in the region.

  19. Ethiopia: between Sub-Saharan Africa and western Eurasia.

    PubMed

    Lovell, A; Moreau, C; Yotova, V; Xiao, F; Bourgeois, S; Gehl, D; Bertranpetit, J; Schurr, E; Labuda, D

    2005-05-01

    Ethiopia is central to population genetic studies investigating the out of Africa expansion of modern humans, as shown by Y chromosome and mtDNA studies. To address the level of genetic differentiation within Ethiopia, and its relationship to Sub-Saharan Africa and Eurasia, we studied an 8 kb segment of the X-chromosome from 72 chromosomes from the Amhara, Oromo and Ethiopian Jews, and compared these results with 804 chromosomes from Middle Eastern, African, Asian and European populations, and 22 newly typed Saharawi. Within Ethiopia the two largest ethnic groups, the Amhara and Oromo, were not found to be statistically distinct, based on an exact test of haplotype frequencies. The Ethiopian Jews appear as an admixed population, possibly of Jewish origin, though the data remain equivocal. There is evidence of a close relationship between Ethiopian and Yemenite Jews, likely a result of indirect gene flow. Within an African and Eurasian context, the distribution of alleles of a variable T(n) repeat, and the spread of haplotypes containing Africa-specific alleles, provide evidence of a genetic continuity from Sub-Saharan Africa to the Near East, and furthermore suggest that a bottleneck occurred in Ethiopia associated with an out of Africa expansion. Ethiopian genetic heterogeneity, as evidenced by principal component analysis of haplotype frequencies, most likely resulted from periods of subsequent admixture. While these results are from the analysis of one locus, we feel that in association with data from other marker systems they add a complementary perspective on the history of Ethiopia.

  20. Geology and mineral potential of Ethiopia: a note on geology and mineral map of Ethiopia

    NASA Astrophysics Data System (ADS)

    Tadesse, Solomon; Milesi, Jean-Pierre; Deschamps, Yves

    2003-05-01

    This work presents a geoscientific map and database for geology, mineral and energy resources of Ethiopia in a digital form at a scale of 1:2,000,000, compiled from several sources. The final result of the work has been recorded on CD-ROM in GIS format so that the map and the database could be available to users on a personal computer. Metallic resources (precious, rare, base and ferrous-ferroalloy metals) are widely related to the metamorphic meta-volcano-sedimentary belts and associated intrusives belonging to various terranes of the Arabian-Nubian Shield, accreted during the East and West Gondwana collision (Neoproterozoic, 900-500 Ma). Industrial minerals and rock resources occur in more diversified geological environments, including the Proterozoic basement rocks, the Late Paleozoic to Mesozoic sediments and recent (Cenozoic) volcanics and associated sediments. Energy resources (oil, coal, geothermal resources) are restricted to Phanerozoic basin sediments and Cenozoic volcanism and rifting areas.

  1. Major mental disorders in Butajira, southern Ethiopia.

    PubMed

    Awas, M; Kebede, D; Alem, A

    1999-01-01

    Previous studies conducted in Ethiopia lack information on the prevalence of specific mental disorders in rural communities. The lifetime and one-month prevalence of specific ICD-10 mental disorders and their associated socio-demographic factors were determined using the translated Amharic version of the Composite International Diagnostic Interview (CIDI) in a rural population. A total of 501 community subjects selected from a predominantly rural district by stratified random sampling were interviewed by non-clinician interviewers. The weighted aggregate lifetime prevalence of psychiatric morbidity was 31.8% (26.7% when substance dependence was not included). The most frequent specific diagnoses were: dissociative disorders (6.3%), mood disorders (6.2%), somatoform disorders (5.9%), and anxiety disorders (5.7%). After adjustment in a multivariate logistic model, female sex was shown to have a statistically significant association with mood disorders (Odds Ratio, OR = 3.84, 95% CI: 1.90, 7.73) and somatoform disorders (OR = 2.30, 95% CI: 1.13, 4.60). Severe cognitive and mood disorders were significantly associated with being elderly, i.e. 60 or more years of age (OR = 7.71, 95% CI: 1.58, 7.53; and OR = 3.68, 95% CI = 1.36, 9.95, respectively). Khat dependence was associated with being Muslim and with earning a low income. (OR = 3.5, 95% CI: 1.02, 11.98; and OR = 0.32, 95% CI: 0.10, 0.96, respectively). It is concluded that psychiatric morbidity is a major public health problem in the rural community.

  2. Use of Balanced Scorecard Methodology for Performance Measurement of the Health Extension Program in Ethiopia.

    PubMed

    Teklehaimanot, Hailay D; Teklehaimanot, Awash; Tedella, Aregawi A; Abdella, Mustofa

    2016-05-04

    In 2004, Ethiopia introduced a community-based Health Extension Program to deliver basic and essential health services. We developed a comprehensive performance scoring methodology to assess the performance of the program. A balanced scorecard with six domains and 32 indicators was developed. Data collected from 1,014 service providers, 433 health facilities, and 10,068 community members sampled from 298 villages were used to generate weighted national, regional, and agroecological zone scores for each indicator. The national median indicator scores ranged from 37% to 98% with poor performance in commodity availability, workforce motivation, referral linkage, infection prevention, and quality of care. Indicator scores showed significant difference by region (P < 0.001). Regional performance varied across indicators suggesting that each region had specific areas of strength and deficiency, with Tigray and the Southern Nations, Nationalities and Peoples Region being the best performers while the mainly pastoral regions of Gambela, Afar, and Benishangul-Gumuz were the worst. The findings of this study suggest the need for strategies aimed at improving specific elements of the program and its performance in specific regions to achieve quality and equitable health services.

  3. Barriers to tuberculosis care: a qualitative study among Somali pastoralists in Ethiopia

    PubMed Central

    2010-01-01

    Background At the dawn of the third millennium, while the control of the second biggest infectious killer in the world (tuberculosis [TB]) is an international priority, millions of pastoralist communities in the Horn of Africa are struggling to access TB care. Prompt diagnosis and treatment of pastoralist TB patients remain to be a challenge in TB control programs in many countries in this region, where pastoralism is a common means of livelihood. Better understanding of community perceptions of TB and its management could help identify reasons for the delay in diagnosis of TB among pastoral communities. The aim of this study is to explore barriers delaying diagnosis among pastoralist TB patients in the Somali Regional State (SRS) of Ethiopia. Methods A qualitative study, including 19 respondents was conducted in the SRS of Ethiopia. Participatory Rural Appraisal (PRA) and informal interview techniques were employed to explore pastoralists' migration patterns, their perceptions of TB and their access to TB services. The influence of these factors on the delay of TB patients in receiving biomedical diagnosis was then assessed. Results We found that lack of access to formal health services as well as traditional beliefs leading to self treatment were barriers to prompt bio-medical diagnosis of TB among pastoralist TB patients in the SRS of Ethiopia. This study highlights that limited access to TB control programs is the most important barrier in early seeking of biomedical diagnosis of TB among pastoral communities with nomadic pastoralist being the most affected. Conclusions Diagnostic and treatment facilities should be established in strategic villages that pastoralist can reach in both dry and wet seasons. Such facilities may alleviate the observed long distance to health facilities and thus long delay in diagnosis of TB. This strategy should be compounded with a community based TB control approach, whereby basic medical training on TB management such as provision

  4. The Magmatic Evolution of Dabbahu Volcano, Afar, Ethiopia

    NASA Astrophysics Data System (ADS)

    Field, L. P.; Blundy, J.; Yirgu, G.

    2008-12-01

    Dabbahu is situated in the western region of Afar, Ethiopia, at the northern end of the Manda Hararo rift segment. This volcano came back to life in 2005 with a small rhyolitic eruption from the Da'Ure vent, the first such eruption in Africa for a century. This coincided with the start of a major rifting event which has been modelled as a basalt dyke injection (Wright et al 2006). The aim of this research is to provide an insight into the history and evolution of a silicic magmatic centre in the rift, and to contribute to the wider aims of the NERC Afar Consortium to track the creation, migration, evolution and emplacement of magma from the asthenosphere to the crust. Here we report the results of recent fieldwork in the northern, ESE and summit areas of the volcano, the first geological expedition to the area for over 30 years (Barberi et al, 1975). The volcano is characterised by a wide range of magma types from alkali-basalts, through trachytes to pantellerites. Initial mapping has revealed that the volcano has not evolved through eruptions from a central vent but mainly through a series of N-S trending fissures located across the volcano, sub-parallel to the current rift axis. At least four generations of rifting have been identified, each associated with obsidian flows and pyroclastic deposits, some of which contain pumices and obsidian-pumice bombs ranging from ~0.08 to 2 m in length. Dabbahu shows several signs of rejuvenation, including substantial fumaroles activity. Geodetic surveys reveal subsidence of Dabbahu and nearby Gabho following the 2005 event, and subsequent inflation, consistent with emplacement of a shallow magma body. Our new SIMS data from feldspar hosted melt inclusions, suggests crystallisation occurs from depths of ~12 km. However, many inclusions are trapped between 3.5 and 6 km, suggesting magma is typically stored in this region prior to eruption. Whole rock and micro-analytical data of our samples will allow us to comprehensively

  5. Characterization of yield reduction in Ethiopia using a GIS-based crop water balance model

    USGS Publications Warehouse

    Senay, G.B.; Verdin, J.

    2003-01-01

    In many parts of sub-Saharan Africa, subsistence agriculture is characterized by significant fluctuations in yield and production due to variations in moisture availability to staple crops. Widespread drought can lead to crop failures, with associated deterioration in food security. Ground data collection networks are sparse, so methods using geospatial rainfall estimates derived from satellite and gauge observations, where available, have been developed to calculate seasonal crop water balances. Using conventional crop production data for 4 years in Ethiopia (1996-1999), it was found that water-limited and water-unlimited growing regions can be distinguished. Furthermore, maize growing conditions are also indicative of conditions for sorghum. However, another major staple, teff, was found to behave sufficiently differently from maize to warrant studies of its own.

  6. Household vulnerability to food crisis and mortality in the drought-prone areas of northern Ethiopia.

    PubMed

    Ezra, M; Kiros, G E

    2000-07-01

    This study examines the association between a household's degree of vulnerability to food crisis and the incidence of deaths using primary survey data carried out to look at the demographic consequences of drought and famine in the drought-prone areas of northern Ethiopia. Retrospective data on the occurrences of deaths within a household were collected for the period 1984 to 1994. Consistent with previous studies, the findings confirm that mortality was clustered among the age groups 1-4 and 5-9 and varied considerably by famine and non-famine years. Enormous variation in incidence of deaths was also observed by region, ethnicity and religion. Most importantly, the analysis provides substantial evidence that the level of household vulnerability to food crisis is strongly related to the number of hunger-related deaths reported in a household.

  7. Paleoanthropology. Early Homo at 2.8 Ma from Ledi-Geraru, Afar, Ethiopia.

    PubMed

    Villmoare, Brian; Kimbel, William H; Seyoum, Chalachew; Campisano, Christopher J; DiMaggio, Erin N; Rowan, John; Braun, David R; Arrowsmith, J Ramón; Reed, Kaye E

    2015-03-20

    Our understanding of the origin of the genus Homo has been hampered by a limited fossil record in eastern Africa between 2.0 and 3.0 million years ago (Ma). Here we report the discovery of a partial hominin mandible with teeth from the Ledi-Geraru research area, Afar Regional State, Ethiopia, that establishes the presence of Homo at 2.80 to 2.75 Ma. This specimen combines primitive traits seen in early Australopithecus with derived morphology observed in later Homo, confirming that dentognathic departures from the australopith pattern occurred early in the Homo lineage. The Ledi-Geraru discovery has implications for hypotheses about the timing and place of origin of the genus Homo.

  8. Altitudinal changes in malaria incidence in highlands of Ethiopia and Colombia.

    PubMed

    Siraj, A S; Santos-Vega, M; Bouma, M J; Yadeta, D; Ruiz Carrascal, D; Pascual, M

    2014-03-07

    The impact of global warming on insect-borne diseases and on highland malaria in particular remains controversial. Temperature is known to influence transmission intensity through its effects on the population growth of the mosquito vector and on pathogen development within the vector. Spatiotemporal data at a regional scale in highlands of Colombia and Ethiopia supplied an opportunity to examine how the spatial distribution of the disease changes with the interannual variability of temperature. We provide evidence for an increase in the altitude of malaria distribution in warmer years, which implies that climate change will, without mitigation, result in an increase of the malaria burden in the densely populated highlands of Africa and South America.

  9. Mental disorders among the Borana semi-nomadic community in Southern Ethiopia

    PubMed Central

    Beyero, Teferra; Alem, Atalay; Kebede, Derege; Shibire, Teshome; Desta, Menelik; Deyessa, Negussie

    2004-01-01

    This study aimed to estimate the lifetime prevalence and socio-demographic correlates of psychiatric disorders among the Borana semi-nomadic community of the Oromia region of Ethiopia. 1854 people of both sexes, aged 15 years and above, were interviewed during the survey. The households were selected by using a cluster sampling method proportionate to population size. The interviews were conducted by trained high school graduates using the Oromiffa version of the Composite International Diagnostic Interview (CIDI). The lifetime prevalence of ICD-10 mental disorders, including substance abuse, was 21.6%. Affective disorders were found in 1.7% of the study population, whereas neurotic and somatoform disorders constituted 14%. No cases of schizophrenia were detected. The prevalence of substance use was 10.1%. Studies using other methods, including interview by clinicians, might shed more light on the nature of mental illness in this unique community. PMID:16633472

  10. Risk map for cutaneous leishmaniasis in Ethiopia based on environmental factors as revealed by geographical information systems and statistics.

    PubMed

    Seid, Ahmed; Gadisa, Endalamaw; Tsegaw, Teshome; Abera, Adugna; Teshome, Aklilu; Mulugeta, Abate; Herrero, Merce; Argaw, Daniel; Jorge, Alvar; Kebede, Asnakew; Aseffa, Abraham

    2014-05-01

    Cutaneous leishmaniasis (CL) is a neglected tropical disease strongly associated with poverty. Treatment is problematic and no vaccine is available. Ethiopia has seen new outbreaks in areas previously not known to be endemic, often with co-infection by the human immunodeficiency virus (HIV) with rates reaching 5.6% of the cases. The present study concerns the development of a risk model based on environmental factors using geographical information systems (GIS), statistical analysis and modelling. Odds ratio (OR) of bivariate and multivariate logistic regression was used to evaluate the relative importance of environmental factors, accepting P ≤ 0.056 as the inclusion level for the model's environmental variables. When estimating risk from the viewpoint of geographical surface, slope, elevation and annual rainfall were found to be good predictors of CL presence based on both probabilistic and weighted overlay approaches. However, when considering Ethiopia as whole, a minor difference was observed between the two methods with the probabilistic technique giving a 22.5% estimate, while that of weighted overlay approach was 19.5%. Calculating the population according to the land surface estimated by the latter method, the total Ethiopian population at risk for CL was estimated at 28,955,035, mainly including people in the highlands of the regional states of Amhara, Oromia, Tigray and the Southern Nations, Nationalities and Peoples' Region, one of the nine ethnic divisions in Ethiopia. Our environmental risk model provided an overall prediction accuracy of 90.4%. The approach proposed here can be replicated for other diseases to facilitate implementation of evidence-based, integrated disease control activities.

  11. Female genital cutting starts to decline among women in Oromia, Ethiopia.

    PubMed

    Rahlenbeck, S; Mekonnen, W; Melkamu, Y

    2010-06-01

    The study explored factors influencing attitudes towards the practice of female genital cutting (FGC) among women in Oromia region, Ethiopia. Representative data from 2221 women aged 15-49 years from the Ethiopia Demographic and Health Survey in 2005 were evaluated. Overall, 88.4% of women had undergone FGC. Prevalence significantly decreased with birth date, ranging from 95.1% in women aged 45-49 years to 75.8% in those aged 15-19 years. Overall, 63.7% of women favoured the discontinuation of FGC, while 29.7% favoured its continuation. Education was strongly correlated with a stance against the practice: while only 54.6% of illiterate women were against it, this figure was 95.5% among women who had completed secondary school. While the reported prevalence was similar among Christian (87.8%) and Islamic women (89.1%), 56.3% of Islamic women favoured discontinuation compared with 70.5% of Christian women. The higher that women scored on empowerment indices, the more they opposed the practice. In logistic regression models, educational level (P=0.001), personal FGC experience (P=0.001), religious affiliation (P=0.02) and self-empowerment were factors (P=0.01 and P=0.004) significantly associated with favouring discontinuation. Future efforts encouraging an end to FGC must include the illiterate population in the Oromia region and focus on improving the status of women. Copyright 2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  12. Exclusive breast feeding is the strongest predictor of infant survival in Northwest Ethiopia: a longitudinal study.

    PubMed

    Biks, Gashaw Andargie; Berhane, Yemane; Worku, Alemayehu; Gete, Yigzaw Kebede

    2015-05-01

    Despite the overall national success in reducing infant mortality rate in Ethiopia, infant mortality rate is still high in northwest Amhara region. This study is conducted in one of the high mortality areas with the aim of identifying risk factors that are associated with infant mortality in Northwest Amhara Region, Ethiopia. A prospective open cohort study involving 1752 infants (1472.4518 person years of follow-up) was undertaken from November 2009 to August 2011. Kaplan-Meier Survival analysis was used to estimate infant mortality rate. Risk factors associated with infant mortality were assessed using multivariate Poisson regression. The overall infant mortality rate was 88 per 1000 person-years (95% CI: 74.3, 104.9). After controlling other important predictors in multivariate Poisson regression, infants not exclusively breastfed [IRR = 7.86, 95% CI: (5.11, 12.10), )], breast milk initiated after 24 hours of birth [IRR = 4.84,95% CI: (2.94,7.99)], mothers not washing hands with soap after visiting toilet and before feeding child [IRR = 4.61, 95% CI: (2.24, 9.48)], being rural residents [IRR = 2.33, 95% CI: (1.12, 4.88)], infants born within 24 months for the previous birth [IRR = 2.79, 95%CI: (1.88, 4.15)], have increased the risk of infant mortality. In conclusion, exclusive breast feeding is the strongest predictor of infant survival in this predominantly rural setting where hygienic standards are poor. Supporting mothers to exclusively breast feeding which is cost effective, safe and feasible strategy, can help reduce infant mortality in the study setting.

  13. Shrinking the Lymphatic Filariasis Map of Ethiopia: Reassessing the Population at Risk through Nationwide Mapping

    PubMed Central

    Assefa, Ashenafi; Cano, Jorge; Deribe, Kebede; Gonzalez-Escalada, Alba; Shafi, Oumer; Davey, Gail; Brooker, Simon J.; Kebede, Amha; Bockarie, Moses J.

    2015-01-01

    Background Mapping of lymphatic filariasis (LF) is essential for the delineation of endemic implementation units and determining the population at risk that will be targeted for mass drug administration (MDA). Prior to the current study, only 116 of the 832 woredas (districts) in Ethiopia had been mapped for LF. The aim of this study was to perform a nationwide mapping exercise to determine the number of people that should be targeted for MDA in 2016 when national coverage was anticipated. Methodology/Principal Finding A two-stage cluster purposive sampling was used to conduct a community-based cross-sectional survey for an integrated mapping of LF and podoconiosis, in seven regional states and two city administrations. Two communities in each woreda were purposely selected using the World Health Organization (WHO) mapping strategy for LF based on sampling 100 individuals per community and two purposely selected communities per woreda. Overall, 130 166 people were examined in 1315 communities in 658 woredas. In total, 140 people were found to be positive for circulating LF antigen by immunochromatographic card test (ICT) in 89 communities. Based on WHO guidelines, 75 of the 658 woredas surveyed in the nine regions were found to be endemic for LF with a 2016 projected population of 9 267 410 residing in areas of active disease transmission. Combining these results with other data it is estimated that 11 580 010 people in 112 woredas will be exposed to infection in 2016. Conclusions We have conducted nationwide mapping of LF in Ethiopia and demonstrated that the number of people living in LF endemic areas is 60% lower than current estimates. We also showed that integrated mapping of multiple NTDs is feasible and cost effective and if properly planned, can be quickly achieved at national scale. PMID:26539700

  14. Concordance of poor child feeding and preventive behavior and its predictors in southwest rural Ethiopia

    PubMed Central

    Fentahun, Netsanet; Lachat, Carl; Belachew, Tefera

    2016-01-01

    Background Inappropriate child feeding and caring practices are a major cause of malnutrition. To date, no studies have examined concordance and discordance of child feeding and preventive behavior and their predictors in developing countries. Methods We used baseline data generated from A 2-year-longitudinal agriculture-nutrition panel survey conducted from February 9 to April 9, 2014, in nine districts encompassing 20 randomly selected counties in Oromiya Region and Southern Nation, Nationality and Peoples Region in Ethiopia. Households were recruited using the Expanded Program on Immunization sampling method. A total of 623 children under the age of 5 years and their respective caregivers were included in the analyses. Generalized estimating equations were used to account for clustered observations. Results Concordance of poor child feeding and preventive behavior was observed in 45.1% of the children, while 45.5% of the children were suffering from discordance of poor child feeding and preventive behavior. Concordance and discordance of poor child feeding and preventive behavior had almost different predictors. Concordance of poor child feeding and preventive behavior was significantly associated with the age of the caretaker of ≥40 years (odds ratio (OR)=2.14; 95% confidence interval (CI): 1.04, 4.41), low household dietary diversity (OR=3.69; 95% CI: 1.93, 7.04), medium household dietary diversity (OR=2.17; 95% CI: 1.17, 4.00), severe household food insecurity (OR=1.72; 95% CI: 1.01, 2.93), and increase with increasing child age. Conclusion A substantial number of children in the southwest of rural Ethiopia are exposed to both poor child feeding and preventive behavior. Low household dietary diversity and extreme food insecurity household were predictors of concordance of poor child feeding and poor preventive behavior and provide useful entry points for comprehensive interventions to address child feeding and caring in the area. PMID:27511625

  15. Remote sensing-based time series models for malaria early warning in the highlands of Ethiopia.

    PubMed

    Midekisa, Alemayehu; Senay, Gabriel; Henebry, Geoffrey M; Semuniguse, Paulos; Wimberly, Michael C

    2012-05-14

    Malaria is one of the leading public health problems in most of sub-Saharan Africa, particularly in Ethiopia. Almost all demographic groups are at risk of malaria because of seasonal and unstable transmission of the disease. Therefore, there is a need to develop malaria early-warning systems to enhance public health decision making for control and prevention of malaria epidemics. Data from orbiting earth-observing sensors can monitor environmental risk factors that trigger malaria epidemics. Remotely sensed environmental indicators were used to examine the influences of climatic and environmental variability on temporal patterns of malaria cases in the Amhara region of Ethiopia. In this study seasonal autoregressive integrated moving average (SARIMA) models were used to quantify the relationship between malaria cases and remotely sensed environmental variables, including rainfall, land-surface temperature (LST), vegetation indices (NDVI and EVI), and actual evapotranspiration (ETa) with lags ranging from one to three months. Predictions from the best model with environmental variables were compared to the actual observations from the last 12 months of the time series. Malaria cases exhibited positive associations with LST at a lag of one month and positive associations with indicators of moisture (rainfall, EVI and ETa) at lags from one to three months. SARIMA models that included these environmental covariates had better fits and more accurate predictions, as evidenced by lower AIC and RMSE values, than models without environmental covariates. Malaria risk indicators such as satellite-based rainfall estimates, LST, EVI, and ETa exhibited significant lagged associations with malaria cases in the Amhara region and improved model fit and prediction accuracy. These variables can be monitored frequently and extensively across large geographic areas using data from earth-observing sensors to support public health decisions.

  16. Remote sensing-based time series models for malaria early warning in the highlands of Ethiopia

    PubMed Central

    2012-01-01

    Background Malaria is one of the leading public health problems in most of sub-Saharan Africa, particularly in Ethiopia. Almost all demographic groups are at risk of malaria because of seasonal and unstable transmission of the disease. Therefore, there is a need to develop malaria early-warning systems to enhance public health decision making for control and prevention of malaria epidemics. Data from orbiting earth-observing sensors can monitor environmental risk factors that trigger malaria epidemics. Remotely sensed environmental indicators were used to examine the influences of climatic and environmental variability on temporal patterns of malaria cases in the Amhara region of Ethiopia. Methods In this study seasonal autoregressive integrated moving average (SARIMA) models were used to quantify the relationship between malaria cases and remotely sensed environmental variables, including rainfall, land-surface temperature (LST), vegetation indices (NDVI and EVI), and actual evapotranspiration (ETa) with lags ranging from one to three months. Predictions from the best model with environmental variables were compared to the actual observations from the last 12 months of the time series. Results Malaria cases exhibited positive associations with LST at a lag of one month and positive associations with indicators of moisture (rainfall, EVI and ETa) at lags from one to three months. SARIMA models that included these environmental covariates had better fits and more accurate predictions, as evidenced by lower AIC and RMSE values, than models without environmental covariates. Conclusions Malaria risk indicators such as satellite-based rainfall estimates, LST, EVI, and ETa exhibited significant lagged associations with malaria cases in the Amhara region and improved model fit and prediction accuracy. These variables can be monitored frequently and extensively across large geographic areas using data from earth-observing sensors to support public health decisions. PMID

  17. Population level mental distress in rural Ethiopia

    PubMed Central

    2014-01-01

    Background As part of a situational analysis for a research programme on the integration of mental health care into primary care (Programme for Improving Mental Health Care-PRIME), we conducted a baseline study aimed at determining the broad indicators of the population level of psychosocial distress in a predominantly rural community in Ethiopia. Methods The study was a population-based cross-sectional survey of 1497 adults selected through a multi-stage random sampling process. Population level psychosocial distress was evaluated by estimating the magnitude of common mental disorder symptoms (CMD; depressive, anxiety and somatic symptoms reaching the level of probable clinical significance), harmful use of alcohol, suicidality and psychosocial stressors experienced by the population. Results The one-month prevalence of CMD at the mild, moderate and severe threshold levels was 13.8%, 9.0% and 5.1% respectively. The respective one-month prevalence of any suicidal ideation, persistent suicidal ideation and suicide attempt was 13.5%, 3.8% and 1.8%. Hazardous use of alcohol was identified in 22.4%, significantly higher among men (33.4%) compared to women (11.3%). Stressful life events were widespread, with 41.4% reporting at least one threatening life event in the preceding six months. A similar proportion reported poor social support (40.8%). Stressful life events, increasing age, marital loss and hazardous use of alcohol were associated with CMD while stressful life events, marital loss and lower educational status, and CMD were associated with suicidality. CMD was the strongest factor associated with suicidality [e.g., OR (95% CI) for severe CMD = 60.91 (28.01, 132.48)] and the strength of association increased with increase in the severity of the CMD. Conclusion Indicators of psychosocial distress are prevalent in this rural community. Contrary to former assumptions in the literature, social support systems seem relatively weak and stressful life events common

  18. Tephrochronology of the Western Margin, Gona, Ethiopia

    NASA Astrophysics Data System (ADS)

    Kleinsasser, L. L.; Quade, J.; Levin, N.; McIntosh, W.; Simpson, S. W.; Semaw, S.

    2006-12-01

    The Gona Paleoanthropological Research Project (GPRP) area includes many rich fossil localities that are of great consequence to the study of human evolution. Genetic estimates of the divergence between human and chimpanzee lineages indicate that this split happened between 5 and 7 Mya. The sedimentary deposits at Gona range in age from .15 Ma to 4.5 Ma at the base of the Sagantole Formation, with additional minor sedimentary deposits in the underlying Adu-Asa Formation. These older sedimentary deposits occur as small, disconnected packages interlayered with lava flows and are repeated due to NS-trending, west-dipping normal faults that accommodated extension in the Afar rift. New 40Ar-39Ar dates on tuffs from the Adu-Asa Formation indicate that the oldest hominid fossils thus found at Gona are around 5.5 Ma, and that all of the fossil sites in the Adu-Asa Formation identified thus far are approximately the same age. One tuff, named the Belewa, is dated at 5.51+/- .03 Ma, while the Kobo'o tuff, which outcrops to the west and thus is lower in the section, is dated at 5.42 +/-.07 Ma. Both dates are from sanidine and errors are at the 2 sigma level. In addition to these 40Ar-39Ar dates for the Adu-Asa Formation, the relative ages of many deposits have been clarified through studies of the major element geochemistry of glass shards from ashfall tuffs, which occur as beds within the sedimentary deposits. These geochemical comparisons, along with detailed stratigraphic sections through many sedimentary packages, have allowed the identification and correlation of four major tuffs, including the Belewa and Kobo'o tuffs, throughout the pre-4.5 Ma deposits of the Gona project area. Such studies may also lead to larger-scale correlations between the Gona project and other paleoanthropological projects in Ethiopia. Additional work on the tephrochronology and stratigraphy in the younger Sagantole, Hadar, and Busidima Formations has furthered our understanding of those deposits

  19. Knowledge and practice of tuberculosis infection control among health professionals in Northwest Ethiopia; 2011.

    PubMed

    Temesgen, Chanie; Demissie, Meaza

    2014-11-19

    Tuberculosis (TB) is highly prevalent in sub-Saharan Africa, making the risk of infection transmission high in these countries. Despite high prevalence of TB and expected high probability of nosocomial transmission in Ethiopia, a rapid assessment done in 2008 revealed that most health facilities in Ethiopia do not use tuberculosis infection control (TBIC) practices. Patients and providers are therefore at risk of exposure to TB, especially at high case load facilities. The purpose of this study was to assess TBIC knowledge and practices among health professionals working in hospitals in the Amhara region of Northwest Ethiopia. An institution-based hybrid study was implemented form August 2010 to January 2011. The subjects were health professionals who were proportionally selected from each hospital. Subjects self-administered a questionnaire that contained sections on socio-demographics and on TBIC knowledge and practice. Those answering ≥60% of knowledge questions correctly and ≥50% of practice questions correctly were considered to have good knowledge and practice, respectively. A total of 313 healthcare professionals were enrolled from four healthcare facilities. The response rate was 96%. Only 18.8% received in-service training. Among those who were trained, 74.4%, 95% CI (69.6, 79.3%) were found to have good knowledge and 63.2%, 95% CI (57.9, 68.6%) good practice on TBIC. Training was found to be a predictor of TBIC knowledge, AOR* 3.386 and 95% CI (1.377, 8.330) while knowledge of TBIC was a strong predictor of good TBIC practice, AOR* 10.667 and 95% CI (5.769, 19.721). Though the majority of the respondents had good TBIC knowledge and practice, a considerable proportion of healthcare professionals were not trained on TBIC. Respondents trained on TBIC were found to be more knowledgeable than those not trained. Similarly, respondents with good TBIC knowledge were 10 times more likely to have good TBIC practice compared to those with poor TBIC knowledge

  20. Low birth weight and macrosomia in Tigray, Northern Ethiopia: who are the mothers at risk?

    PubMed

    Mengesha, Hayelom Gebrekirstos; Wuneh, Alem Desta; Weldearegawi, Berhe; Selvakumar, Divya L

    2017-06-12

    Infant birth weight, which is classified into low birth weight, normal birth weight and macrosomia, is associated with short and long-term health consequences, such as neonatal mortality and chronic disease in life. Macrosomia and low birth weight are double burden problems in developing counties, such as Ethiopia, but the paucity of evidence has made it difficult to assess the extent of this situation. As a result there has been inconsistency in the reported prevalence of low birth weight and macrosomia in Ethiopia. This study aimed to determine the incidence and predictors of low birth weight and macrosomia in Tigray, Northern Ethiopia. We conducted a cross-sectional survey among a cohort of 1152 neonates delivered in Tigray Region at randomly selected hospitals between April and July 2014. We used the birth weight category described previously as an outcome variable. Data were collected using structured questionnaire by midwives. We entered and analyzed data using STATA™ Version 11.0. Data were described using a frequency, percentage, relative risk ratio, and 95% confidence interval. Multinomial logistic regression was conducted to identify independent predictors of low birth weight and macrosomia. In this study, we found a 10.5% and 6.68% incidence of low birth weight and macrosomia, respectively. Seventy (57.8%) of all low birth weight neonates were term births. The predictors for low birth weight were: early marriage (<18 year) (RRR: 0.59, CI: 0.35-0.97); rural residence (RRR: 0.53, CI: 0.32-0.9); prematurity (RRR: 15.4, CI: 9.18-25.9); no antenatal follow-up (RRR: 6.78, CI: 2.39-19.25); and female sex (RRR: 1.77, CI: 1.13-2.77). Predictors for macrosomia were: female gender (RRR: 0.58, CI: 0.35-0.9); high body mass index (RRR: 5.0, CI: 1.56-16); post-maturity (RRR: 2.23, CI: 1.06-4.6); and no maternal complication (RRR: 0.46, CI: 0.27-0.8). In this study, we found gestational age and gender of the neonate to be common risk factors for both low birth

  1. Permian and Triassic microfloral assemblages from the Blue Nile Basin, central Ethiopia

    NASA Astrophysics Data System (ADS)

    Dawit, Enkurie L.

    2014-11-01

    adapted to coastal plain wetland environments with the return of humid conditions in the Middle to early Late Triassic. The present data constitute the first paleontologically substantiated record for the existence of Permian strata in the Blue Nile Basin. The new results allow for the first time a reliable biostratigraphic subdivision of the central Ethiopia Karoo and its correlation with coeval strata of adjacent regions in Gondwana. From a phytogeographic point of view, the overall microfloral evidence is in support of the position of central Ethiopia occupying the northern part of the southern Gondwana palynofloral province. In view of palaeoecological and paleoclimatic conditions, the microfloral change from the base to the top of the studied section may indicate a response to shifting climatic belts from warm- and cool-temparate climate in the earliest Permian to progressively drier seasonal conditions at successively higher palaeolatitudes during the Late Permian to Middle Triassic.

  2. Determinants of neonatal mortality in rural Northern Ethiopia: A population based nested case control study.

    PubMed

    Yirgu, Robel; Molla, Mitike; Sibley, Lynn

    2017-01-01

    In low income and middle income countries, neonatal mortality remains high despite the gradual reduction in under five mortality. Newborn death contributes for about 38% of all under five deaths. This study has identified the magnitude and independent predictors of neonatal mortality in rural Ethiopia. This population based nested case control study was conducted in rural West Gojam zone, Northern Ethiopia, among a cohort of pregnant women who gave birth between March 2011 and Feb 2012. The cohort was established by Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) project in 2010 by recruiting mothers in their third trimester, as identified by trained community volunteers. Once identified, women stayed in the cohort throughout their pregnancy period receiving Community Maternal and Newborn Health (CMNH) training by health extension workers and community volunteers till the end of the first 48 hours postpartum. Cases were 75 mothers who lost their newborns to neonatal death and controls were 150 randomly selected mothers with neonates who survived the neonatal period. Data to identify cause of death were collected using the WHO standard verbal autopsy questionnaire after the culturally appropriate 40 days of bereavement period. Binomial logistic regression model was used to identify independent contributors to neonatal mortality. The neonatal mortality rate was AOR(95%CI) = 18.6 (14.8, 23.2) per 1000 live births. Neonatal mortality declined with an increase in family size, neonates who were born among a family of more than two had lesser odds of death in the neonatal period than those who were born in a family of two AOR (95% CI) = 0.13 (0.02, 0.71). Mothers who gave birth to 2-4 AOR(95%CI) = 0.15 (0.05, 0.48) and 5+ children AOR(95%CI) = 0.08 (0.02, 0.26) had lesser odds of losing their newborns to neonatal mortality. Previous history of losing a newborn to neonatal death also increased the odds of neonatal mortality during the last birth AOR (95%CI

  3. Geographic Variation and Factors Associated with Female Genital Mutilation among Reproductive Age Women in Ethiopia: A National Population Based Survey.

    PubMed

    Setegn, Tesfaye; Lakew, Yihunie; Deribe, Kebede

    2016-01-01

    's support of FGM continuation. FGM prevalence and geographic clustering showed variation across regions in Ethiopia. Individual, economic, socio-demographic, religious and cultural factors played major roles in the existing practice and continuation of FGM. The significant geographic clustering of FGM was observed across regions in Ethiopia. Therefore, targeted and integrated interventions involving religious leaders in high FGM prevalence spot clusters and addressing the socio-economic and geographic inequalities are recommended to eliminate FGM.

  4. Geographic Variation and Factors Associated with Female Genital Mutilation among Reproductive Age Women in Ethiopia: A National Population Based Survey

    PubMed Central

    Setegn, Tesfaye; Lakew, Yihunie; Deribe, Kebede

    2016-01-01

    with decreased odds of women’s support of FGM continuation. FGM prevalence and geographic clustering showed variation across regions in Ethiopia. Conclusion Individual, economic, socio-demographic, religious and cultural factors played major roles in the existing practice and continuation of FGM. The significant geographic clustering of FGM was observed across regions in Ethiopia. Therefore, targeted and integrated interventions involving religious leaders in high FGM prevalence spot clusters and addressing the socio-economic and geographic inequalities are recommended to eliminate FGM. PMID:26741488

  5. Why do women prefer home births in Ethiopia?

    PubMed

    Shiferaw, Solomon; Spigt, Mark; Godefrooij, Merijn; Melkamu, Yilma; Tekie, Michael

    2013-01-16

    Skilled attendants during labor, delivery, and in the early postpartum period, can prevent up to 75% or more of maternal death. However, in many developing countries, very few mothers make at least one antenatal visit and even less receive delivery care from skilled professionals. The present study reports findings from a region where key challenges related to transportation and availability of obstetric services were addressed by an ongoing project, giving a unique opportunity to understand why women might continue to prefer home delivery even when facility based delivery is available at minimal cost. The study took place in Ethiopia using a mixed study design employing a cross sectional household survey among 15-49 year old women combined with in-depth interviews and focus group discussions. Seventy one percent of mothers received antenatal care from a health professional (doctor, health officer, nurse, or midwife) for their most recent birth in the one year preceding the survey. Overall only 16% of deliveries were assisted by health professionals, while a significant majority (78%) was attended by traditional birth attendants. The most important reasons for not seeking institutional delivery were the belief that it is not necessary (42%) and not customary (36%), followed by high cost (22%) and distance or lack of transportation (8%). The group discussions and interviews identified several reasons for the preference of traditional birth attendants over health facilities. Traditional birth attendants were seen as culturally acceptable and competent health workers. Women reported poor quality of care and previous negative experiences with health facilities. In addition, women's low awareness on the advantages of skilled attendance at delivery, little role in making decisions (even when they want), and economic constraints during referral contribute to the low level of service utilization. The study indicated the crucial role of proper health care provider

  6. Reducing Maternal Deaths in Ethiopia: Results of an Intervention Programme in Southwest Ethiopia

    PubMed Central

    Mitiku, Demissew; Zidda, Zillo; Yaya, Yaliso

    2017-01-01

    Background In a large population in Southwest Ethiopia (population 700,000), we carried out a complex set of interventions with the aim of reducing maternal mortality. This study evaluated the effects of several coordinated interventions to help improve effective coverage and reduce maternal deaths. Together with the Ministry of Health in Ethiopia, we designed a project to strengthen the health-care system. A particular emphasis was given to upgrade existing institutions so that they could carry out Basic (BEmOC) and Comprehensive Emergency Obstetric Care (CEmOC). Health institutions were upgraded by training non-clinical physicians and midwives by providing the institutions with essential and basic equipment, and by regular monitoring and supervision by staff competent in emergency obstetric work. Results In this implementation study, the maternal mortality ratio (MMR) was the primary outcome. The study was carried out from 2010 to 2013 in three districts, and we registered 38,312 births. The MMR declined by 64% during the intervention period from 477 to 219 deaths per 100,000 live births (OR 0.46; 95% CI 0.24–0.88). The decline in MMR was higher for the districts with CEmOC, while the mean number of antenatal visits for each woman was 2.6 (Inter Quartile Range 2–4). The percentage of pregnant women who attended four or more antenatal controls increased by 20%, with the number of women who delivered at home declining by 10.5% (P<0.001). Similarly, the number of deliveries at health posts, health centres and hospitals increased, and we observed a decline in the use of traditional birth attendants. Households living near to all-weather roads had lower maternal mortality rates (MMR 220) compared with households without roads (MMR 598; OR 2.72 (95% CI 1.61–4.61)). Conclusions Our results show that it is possible to achieve substantial reductions in maternal mortality rates over a short period of time if the effective coverage of well-known interventions is

  7. Physician distribution and attrition in the public health sector of Ethiopia

    PubMed Central

    Assefa, Tsion; Haile Mariam, Damen; Mekonnen, Wubegzier; Derbew, Miliard; Enbiale, Wendimagegn

    2016-01-01

    Background Shortages and imbalances in physician workforce distribution between urban and rural and among the different regions in Ethiopia are enormous. However, with the recent rapid expansion in medical education training, it is expected that the country can make progress in physician workforce supply. Therefore, the aim of this study was to examine the distribution of physician workforce in Ethiopia and assess the role of retention mechanisms in the reduction of physician migration from the public health sector of Ethiopia. Methods This organizational survey examined physician workforce data from 119 hospitals from 5 regions (Amhara, Oromia, Southern Nations Nationalities and Peoples Region [SNNPR], Tigray, and Harari) and 2 city administrations (Addis Ababa and Dire Dawa City). Training opportunity, distribution, and turnover between September 2009 and July 2015 were analyzed descriptively. Poisson regression model was used to find the association of different covariates with physician turnover. Results There were 2,300 medical doctors in 5 regions and 2 city administrations in ~6 years of observations. Of these, 553 (24.04%) medical doctors moved out of their duty stations and the remaining 1,747 (75.96%) were working actively. Of the actively working, the majority of the medical doctors, 1,407 (80.5%), were males, in which 889 (50.9%) were born after the year 1985, 997 (57%) had work experience of <3 years, and most, 1,471 (84.2%), were general practitioners. Within the observation period, physician turnover among specialists ranged from 21.4% in Dire Dawa to 43.3% in Amhara region. The capital, Addis Ababa, was the place of destination for 32 (82%) of the physicians who moved out to other regions from elsewhere in the country. The Poisson regression model revealed a decreased incidence of turnover among physicians born between the years 1975 and 1985 (incident rate ratio [IRR]: 0.63; 95% confidence interval [CI]: 0.51, 0.79) and among those who were born

  8. 76 FR 61134 - Waiver of Restriction on Assistance to the Central Government of Ethiopia