Wakuma Abaya, Samson; Mandere, Nicodemus; Ewald, Göran
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
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
Watiro, Aklilu Habte; Awoke, Worku
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
Tufa, Gemechu Beker
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…
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…
Abafita, Jemal; Kim, Chang-Soo
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,…
Jury, Mark R.; Funk, Christopher C.
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.
Ayelet, G; Gelaye, E; Negussie, H; Asmare, K
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.
Gebreyohannes, Tesfamichael; De Smedt, Florimond; Walraevens, Kristine; Gebresilassie, Solomon; Hussien, Abdelwassie; Hagos, Miruts; Amare, Kassa; Deckers, Jozef; Gebrehiwot, Kindeya
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.
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.
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.
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
Andresen, Ellen; Bilukha, Oleg O; Menkir, Zeray; Gayford, Megan; Kavosa, Millicent; Wtsadik, Mulugeta; Maina, Gidraf; Gose, Mesfin; Nyagucha, Irene; Shahpar, Cyrus
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.
Rijkee, Pim; Keesstra, Saskia; Mekonnen Gethahun, Mulatie
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
West, A. M.; Wakie, T.; Luizza, M.; Evangelista, P.
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.
Tomassone, Laura; Grego, E; Callà, G; Rodighiero, P; Pressi, G; Gebre, S; Zeleke, B; De Meneghi, D
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.
Fentaw, Rabia; Bogale, Ayalneh; Abebaw, Degnet
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.
Fentaw, Rabia; Abebaw, Degnet
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
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
Wimberly, Michael C; Midekisa, Alemayehu; Semuniguse, Paulos; Teka, Hiwot; Henebry, Geoffrey M; Chuang, Ting-Wu; Senay, Gabriel B
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.
Kumsa, Bersissa; Kifle, Elias
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.
Terefe, Yitagele; Redwan, Feysel; Zewdu, Endrias
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
Kenyon, Chris R.; Tsoumanis, Achilleas; Schwartz, Ilan Steven
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
Deti, Habtewold; Hymete, Ariaya; Bekhit, Adnan A; Mohamed, Abdel Maaboud I; Bekhit, Alaa El-Din A
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.
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
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.
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.
Ashenafi, F; Teshale, S; Ejeta, G; Fikru, R; Laikemariam, Y
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.
Reed, Kaye E
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.
Bekele, Mihreteab; Mohammed, Hassen; Tefera, Mulugeta; Tolosa, Tadele
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.
Sinishaw, Mulusew Alemneh; Gebregergs, Gebremedhin Berhe; Shiferaw, Melashu Balew
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.
Mulugeta, Y; Yacob, Hailu T; Ashenafi, Hagos
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.
Wolde-Gebriel, Z; Gebru, H; Fisseha, T; West, C E
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.
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.
Kandari, Laxman S; Yadav, Hiranmai R; Thakur, Ashok K; Kandari, Tripti
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.
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
Abathun, Asresash D; Gele, Abdi A; Sundby, Johanne
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.
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
Haile, Demewoz; Lakew, Yihunie
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
Zepro, Nejimu Biza; Ahmed, Ahmed Tahir
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
Yared, Adanech; Demissie, Solomon S.; Sivapalan, Murugesu; Viglione, Alberto; MacAlister, Charlotte
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
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
Mauerhofer, Lukas; Reynard, Emmanuel; Asrat, Asfawossen; Hurni, Hans; Wildlife Conservation Authority, Ethiopian
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
Wakie, Tewodros; Evangelista, Paul H.; Jarnevich, Catherine S.; Laituri, Melinda
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.
Asnake, Solomon; Teklehaymanot, Tilahun; Hymete, Ariaya; Erko, Berhanu; Giday, Mirutse
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
Teklemariam, Zelalem; Awoke, Aymere; Dessie, Yadeta; Weldegebreal, Fitsum
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
Wakie, Tewodros T.; Evangelista, Paul H.; Jarnevich, Catherine S.; Laituri, Melinda
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
Wakie, Tewodros T; Evangelista, Paul H; Jarnevich, Catherine S; Laituri, Melinda
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.
Tadesse, Gojjam; Yakob, Bereket
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
Sheferaw, Desie; Gebru, Fikreysus; Asrat, Metenyelesh; Tesfaye, Dawit; Debela, Etana
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.
Seyoum, Zewdu; Tadesse, Tsegaye; Addisu, Agerie
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.
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.
Seyoum, Zewdu; Tadesse, Tsegaye; Addisu, Agerie
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
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
Balemie, Kebu; Singh, Ranjay K.
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.
Yohannes, Yared Beyene; Ikenaka, Yoshinori; Nakayama, Shouta M M; Mizukawa, Hazuki; Ishizuka, Mayumi
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.
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.
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
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.
Campisano, C. J.; Dimaggio, E. N.; Arrowsmith, J. R.; Kimbel, W. H.; Reed, K. E.; Robinson, S. E.; Schoville, B. J.
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
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
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).
Eshetu, Y; Mulualem, E; Ibrahim, H; Berhanu, A; Aberra, K
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%).
Teklue, Teshale; Tolosa, Tadele; Tuli, Getachew; Beyene, Belay; Hailu, Birhanu
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.
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
Kolola, Tufa; Ekubay, Meseret; Tesfa, Endalamaw; Morka, Wogene
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
Jackson, Ruth; Tesfay, Fisaha Haile; Godefay, Hagos; Gebrehiwot, Tesfay Gebregzabher
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
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
Woldesenbet, Tekalegn Ayele; Elagib, Nadir Ahmed; Ribbe, Lars; Heinrich, Jürgen
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.
Kumsa, Bersissa; Socolovschi, Cristina; Parola, Philippe; Rolain, Jean-Marc; Raoult, Didier
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.
Kumsa, Bersissa; Socolovschi, Cristina; Parola, Philippe; Rolain, Jean-Marc; Raoult, Didier
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
Megerso, Abebe; Garoma, Sileshi; Eticha, Tolosa; Workineh, Tilaye; Daba, Shallo; Tarekegn, Mihretu; Habtamu, Zelalem
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
Dulo, Fitsum; Feleke, Aklilu; Szonyi, Barbara; Fries, Reinhard; Baumann, Maximilian P. O.; Grace, Delia
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
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
Yohannes, Yared Beyene; Ikenaka, Yoshinori; Nakayama, Shouta M M; Mizukawa, Hazuki; Ishizuka, Mayumi
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.
Mamo, Gezahegne; Bayleyegn, Gizachew; Sisay Tessema, Tesfaye; Legesse, Mengistu; Medhin, Girmay; Bjune, Gunnar; Abebe, Fekadu; Ameni, Gobena
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
Manalebh, Almaw; Demissie, Meaza; Mekonnen, Daniel; Abera, Bayeh
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.
Pieracci, Emily G; Schroeder, Betsy; Mengistu, Araya; Melaku, Achenef; Shiferaw, Miriam; Blanton, Jesse D; Wallace, Ryan
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).
Aiemjoy, Kristen; Gebresillasie, Sintayehu; Stoller, Nicole E; Shiferaw, Ayalew; Tadesse, Zerihun; Chanyalew, Melsew; Aragie, Solomon; Callahan, Kelly; Keenan, Jeremy D
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.
Regassa, Alemayehu; Golicha, Gelma; Tesfaye, Dawit; Abunna, Fufa; Megersa, Bekele
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.
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
Abera, Adugna; Tasew, Geremew; Degu, Abay; Almneh, Mulusew; Mulugeta, Abate; Aseffa, Abraham; Gadisa, Endalamaw
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.
Tadesse, Berhe; Atlabachew, Minaleshewa; Mekonnen, Kebede Nigussie
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.
Stryker, Jody J; Bomblies, Arne
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.
Stryker, J.; Bomblies, A.
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.
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
the Centre for Development and Environment (CDE) at the University of Bern , GIGA at the University of Hamburg, Deutsche Gesellschaft für...foreign entities. The press and NGOs have levied particular criticism on Ethiopia because of controversial land deals in the Gambella region in the
Gage, Anastasia J
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.
Kassa, Getachew Mullu; Degu, Genet; Yitayew, Meseret; Misganaw, Worku; Muche, Mikiyas; Demelash, Tiguaded; Mesele, Meless; Ayehu, Melat
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
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.
Gebrehiwot, Tesfay Gebregzabher; San Sebastian, Miguel; Edin, Kerstin; Goicolea, Isabel
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
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.
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.
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
Funk, Christopher C.; Husak, Gregory; Mahiny, A.S; Eilerts, Gary; Rowland, James
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.
Hadis, Mamuye; Lulu, Mesfin; Mekonnen, Yared; Asfaw, Teffera
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).
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
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
Foerster, V. E.; Chew Bahir Science Team
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.
Dadi, Diriba; Stellmacher, Till; Senbeta, Feyera; Van Passel, Steven; Azadi, Hossein
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.
Adane, Kelemework; Spigt, Mark; Ferede, Semaw; Asmelash, Tsehaye; Abebe, Markos; Dinant, Geert-Jan
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
Malle, Abebe Yehualawork; Pirttimaa, Raija; Saloviita, Timo
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…
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…
Jiru, Tamene Milkessa; Abate, Dawit; Kiggundu, Nicholas; Pohl, Carolina; Groenewald, Marizeth
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
Belay Tessema, Solomon
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.
Birhanu, Zewdie; Ambelu, Argaw; Berhanu, Negalign; Tesfaye, Abraraw; Woldemichael, Kifle
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.
Birhanu, Zewdie; Ambelu, Argaw; Berhanu, Negalign; Tesfaye, Abraraw; Woldemichael, Kifle
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
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
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
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
de Quadros, Ciro A
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.
Courtright, P; Haile, D; Kohls, E
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
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
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
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.
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…
Casale, Carolyn Frances
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…
Zhang, Y.; Block, P. J.; Hammond, M.; King, A.
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.
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
Pedreros, D. H.; Funk, C. C.; Brown, M. E.; Korecha, D.; Seid, Y. M.
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
Philippon, Melody; Corti, Giacomo; Sani, Federico; Bonini, Marco; Balestrieri, Maria-Laura; Molin, Paola; Willingshofer, Ernst; Sokoutis, Dimitrios; Cloetingh, Sierd
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.
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
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.
Sier, M.; Dupont-Nivet, G.; Campisano, C. J.; Arrowsmith, R.; Dimaggio, E.; Reed, K.; Lockwood, C.; Franke, C.; Huesing, S.
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
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…
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…
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
Spirig, Christoph; Bhend, Jonas; Liniger, Mark
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.
Spadacini, B; Nichols, P
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.
Hammond, James; Kendall, J.-Michael; Wookey, James; Stuart, Graham; Keir, Derek; Ayele, Atalay
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.
Billi, Paolo; Fazzini, Massimiliano; Tadesse Alemu, Yonas; Ciampalini, Rossano
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
Cochrane, Logan; O'Regan, Davin
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.
Semaw, S; Renne, P; Harris, J W; Feibel, C S; Bernor, R L; Fesseha, N; Mowbray, K
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.
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.
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).
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…
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.…
Assefa, Shiferaw Alemu
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,…
Admasu Gebru, Demewoz
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…
Finseth, K A; Finseth, F
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.
Hammond, J. O. S.; Kendall, J.-M.; Wookey, J.; Stuart, G. W.; Keir, D.; Ayele, A.
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.
Asharaf, Shakeel; Fröhlich, Kristina; Fernandez, Jesus; Cardoso, Rita; Nikulin, Grigory; Früh, Barbara
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.
Strong, N.; Willenbring, J.; Terwilliger, V. J.
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
Leta, Samson; Dao, Thi Ha Thanh; Mesele, Frehiwot; Alemayehu, Gezahegn
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
Kassahun, Aysheshm; Sadlova, Jovana; Benda, Petr; Kostalova, Tatiana; Warburg, Alon; Hailu, Asrat; Baneth, Gad; Volf, Petr; Votypka, Jan
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.
Funk, Christopher C.; Rowland, Jim; Eilerts, Gary; Kebebe, Emebet; Biru, Nigist; White, Libby; Galu, Gideon
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.
Kanshie, Tadesse K.; Romeijn, Paul P.; Nezry, Edmond; Yakam-Simen, Francis
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.
Morgan, L. E.; Renne, P. R.; Woldegabriel, G.; White, T. D.
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.
Ayalew, Mohammed Biset
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
Bisrat, F; Berhane, Y; Mamo, A; Asefa, E
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.
Haile-Selassie, Yohannes; Gibert, Luis; Melillo, Stephanie M; Ryan, Timothy M; Alene, Mulugeta; Deino, Alan; Levin, Naomi E; Scott, Gary; Saylor, Beverly Z
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.
Adugna, A.; Abegaz, A.; Cerdà, A.
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.
Williams, A. Park; Funk, Christopher C.
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.
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.
Jury, Mark R.
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.
Boutellis, Amina; Mediannikov, Oleg; Bilcha, Kassahun Desalegn; Ali, Jemal; Campelo, Dayana; Barker, Stephen C; Raoult, Didier
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.
Boutellis, Amina; Mediannikov, Oleg; Bilcha, Kassahun Desalegn; Ali, Jemal; Campelo, Dayana; Barker, Stephen C.
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
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)
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…
Szente, Judit; Hoot, James; Tadesse, Selamawit
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…
Finseth, Katherine Alden; Finseth, Frederick
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. ImagesFIG. 1FIG. 2FIG. 3FIG. 4FIG. 5FIG. 6 PMID:1173955
Bademo, Yismaw; Tefera, Bekalu Ferede
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.…
W-Gabriel, Giday; Aronson, James L.
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.
Asmare, Kassahun; Abebe, Rahmeto; Sheferaw, Desie; Krontveit, Randi I; Barbara, Wieland
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.
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
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.
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.
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.
Drake, F.; Mulugetta, Y.
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.
Asmare, Kassahun; Krontveit, Randi I; Ayelet, Gelagay; Sibhat, Berhanu; Godfroid, Jacques; Skjerve, Eystein
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.
institutions who generously shared their time, exper- tise, and knowledge about Ethiopia. These people include Paul B . Henze, The Rand Corporation...editorial review and managed production. Joan C. Cook compiled the index. Malinda B . Neale of the Library of Congress Printing and Processing Section...30 xi 5 Ihc ~tri Atti A~i No~h~x .lIa .\\i I 0 1 poviapfiv and tDrainiati . 7 7 Population b , .Xi and • m , POW. .......... . ...... ,• 8
Reda, Weldemariam Nigusse; Hagos, Girmay Tsegay
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,…
Abegaz, Dagmawi M.; Wims, Padraig
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…
Getachew, M; Innocent, G T; Trawford, A F; Reid, S W J; Love, S
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.
Viney, Kerri; McBryde, Emma S.; Clements, Archie C. A.
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
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...
Tsegay, K; Potts, A D; Aklilu, N; Lötter, C; Gummow, B
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
Mège, Daniel; Purcell, Peter; Jourdan, Fred; Pochat, Stéphane
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.
Semaw, Sileshi; Simpson, Scott W; Quade, Jay; Renne, Paul R; Butler, Robert F; McIntosh, William C; Levin, Naomi; Dominguez-Rodrigo, Manuel; Rogers, Michael J
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.
Fekadu, Abebaw; Thornicroft, Graham
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
Kaba, Mirgissa; Bulto, Tesfaye; Tafesse, Zergu; Lingerh, Wassie; Ali, Ismael
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
Abathun, Asresash Demissie; Sundby, Johanne; Gele, Abdi A
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
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
Geleto, Ayele; Abate, Degu; Egata, Gudina
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
Pakhale, G. K.; Wakeyo, T. B.
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
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.
Phoenix, David A.
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.
Deribew, Ketema; Tekeste, Zinaye; Petros, Beyene
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
Fell, M J; Ayalew, Y; McClenaghan, F C; McGurk, M
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.
Berhanu, B.; Terefe, M.; Viglione, A.; Fant, C.; Gebretsadik, Y.; Cullis, J.; Mekonnen, G.; Alamirew, T.; Sivapalan, M.
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.
Mège, Daniel; Le Deit, Laetitia; Rango, Tewodros; Korme, Tesfaye
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
Cheung, W.H.; Senay, G.B.; Singh, A.
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.
Shimelash, Daniel; Hussien, Temam; Fininsa, Chemeda; Forbes, Greg; Yuen, Jonathan
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.
Berhe, T.; Wu, W.
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.
Amouzou, Agbessi; Hazel, Elizabeth; Shaw, Bryan; Miller, Nathan P.; Tafesse, Mengistu; Mekonnen, Yared; Moulton, Lawrence H.; Bryce, Jennifer; Black, Robert E.
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
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
Begashaw, Bayu; Tessema, Fasil; Gesesew, Hailay Abrha
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
Assefa, Engdawork; Bork, Hans-Rudolf
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.
Osete, María Luisa; Catanzariti, Gianluca; Chauvin, Annick; Pavón-Carrasco, Francisco Javier; Roperch, Pierrick; Fernández, Víctor M.
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.
Mahmud, Mahmud Abdulkader; Spigt, Mark; Mulugeta Bezabih, Afework; López Pavon, Ignacio; Dinant, Geert-Jan; Blanco Velasco, Roman
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.
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
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.
Getachew, M; Trawford, A; Feseha, G; Reid, S W J
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.
Fleagle, John G; Assefa, Zelalem; Brown, Francis H; Shea, John J
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.
Tsidu, Gizaw Mengistu
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
Alemu, W. G.; Henebry, G. M.
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.
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…
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...
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)
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…
Kennedy, Tay; Thomas, David G.; Woltamo, Tesfaye; Abebe, Yewelsew; Hubbs-Tait, Laura; Sykova, Vladimira; Stoecker, Barbara J.; Hambidge, K. Michael
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…
Akalu, Girmaw Abebe
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…
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…
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…
Berry, Chris; Bogale, Solomon Shiferaw
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…
Dubey, J P; Tiao, N; Gebreyes, W A; Jones, J L
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.
Aubuchon-Endsley, Nicki L.; Grant, Stephanie L.; Berhanu, Getenesh; Thomas, David G.; Schrader, Sarah E.; Eldridge, Devon; Kennedy, Tay; Hambidge, Michael
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…
Onwu, Gilbert O. M.; Agu, Augustine
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…
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…
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…
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)
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…
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
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
Tadesse, Solomon; Milesi, Jean-Pierre; Deschamps, Yves
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.
Awas, M; Kebede, D; Alem, A
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.
Lovell, A; Moreau, C; Yotova, V; Xiao, F; Bourgeois, S; Gehl, D; Bertranpetit, J; Schurr, E; Labuda, D
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.
Dougherty, Leanne; Pomeroy, Amanda M.; Karim, Ali M.; Mekonnen, Yared M.; Mulligan, Brian E.
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
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
Teklehaimanot, Hailay D; Teklehaimanot, Awash; Tedella, Aregawi A; Abdella, Mustofa
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.
Siraj, A S; Santos-Vega, M; Bouma, M J; Yadeta, D; Ruiz Carrascal, D; Pascual, M
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.
Villmoare, Brian; Kimbel, William H; Seyoum, Chalachew; Campisano, Christopher J; DiMaggio, Erin N; Rowan, John; Braun, David R; Arrowsmith, J Ramón; Reed, Kaye E
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.
Ezra, M; Kiros, G E
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.
Senay, G.B.; Verdin, J.
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.
Seid, Ahmed; Gadisa, Endalamaw; Tsegaw, Teshome; Abera, Adugna; Teshome, Aklilu; Mulugeta, Abate; Herrero, Merce; Argaw, Daniel; Jorge, Alvar; Kebede, Asnakew; Aseffa, Abraham
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.
Kleinsasser, L. L.; Quade, J.; Levin, N.; McIntosh, W.; Simpson, S. W.; Semaw, S.
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
Fentahun, Netsanet; Lachat, Carl; Belachew, Tefera
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
Biks, Gashaw Andargie; Berhane, Yemane; Worku, Alemayehu; Gete, Yigzaw Kebede
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.
Assefa, Ashenafi; Cano, Jorge; Deribe, Kebede; Gonzalez-Escalada, Alba; Shafi, Oumer; Davey, Gail; Brooker, Simon J.; Kebede, Amha; Bockarie, Moses J.
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
Dawit, Enkurie L.
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.
Mitiku, Demissew; Zidda, Zillo; Yaya, Yaliso
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
Although known for many years, non-filarial elephantiasis remains a public health problem in tropical Africa, including the farming community of Ethiopia. The problem may be exacerbated in women who shoulder most of the burden of agricultural labour in the countryside. The intention of this brief review is to emphasise the burden of the disease and to alert researchers and organisations concerned with health care and prevention.
Sanbata, Habtamu; Asfaw, Araya; Kumie, Abera
An estimated 95% of the population of Ethiopia uses traditional biomass fuels, such as wood, dung, charcoal, or crop residues, to meet household energy needs. As a result of the harmful smoke emitted from the combustion of biomass fuels, indoor air pollution is responsible for more than 50,000 deaths annually and causes nearly 5% of the burden of disease in Ethiopia. Very limited research on indoor air pollution and its health impacts exists in Ethiopia. This study was, therefore, undertaken to assess the magnitude of indoor air pollution from household fuel use in Addis Ababa, the capital city of Ethiopia. During January and February, 2012, the concentration of fine particulate matter (PM2.5) in 59 households was measured using the University of California at Berkeley Particle Monitor (UCB PM). The raw data was analysed using Statistical Package of Social Science (SPSS version 20.0) software to determine variance between groups and descriptive statistics. The geometric mean of 24-h indoor PM2.5 concentration is approximately 818 μg m-3 (Standard deviation (SD = 3.61)). The highest 24-h geometric mean of PM2.5 concentration observed were 1134 μg m-3 (SD = 3.36), 637 μg m-3 (SD = 4.44), and 335 μg m-3 (SD = 2.51), respectively, in households using predominantly solid fuel, kerosene, and clean fuel. Although 24-h mean PM2.5 concentration between fuel types differed statistically (P < 0.05), post hoc pairwise comparison indicated no significant difference in mean concentration of PM2.5 between improved biomass stoves and traditional stoves (P > 0.05). The study revealed indoor air pollution is a major environmental and health hazard from home using biomass fuel in Addis Ababa. The use of clean fuels and efficient cooking stoves is recommended.
Setegn, Tesfaye; Lakew, Yihunie; Deribe, Kebede
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
Alemu, Daniel S.
Private for-profit higher education has been rapidly expanding in developing countries worldwide since the early 1990s. This global trend has been particularly evident in Ethiopia, where only three public universities existed until 1996. By 2005, about 60 private for-profit higher education institutions had been founded in Ethiopia. This has led…
Describes the historical development of libraries in Ethiopia. Examines the National Library of Ethiopia, Addis Ababa University Libraries, the Institute of Ethiopian Studies Library, and the Ethiopian Science and Technology Documentation and Information Center. Discusses the development of special libraries, libraries and documentation centers of…
... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Ethiopia Pursuant to Section 7086(c)(2) of... Section 7086(c)(1) of the Act with respect to Ethiopia and I hereby waive such restriction....
... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Ethiopia Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act with respect to Ethiopia and I hereby waive this restriction....
Alemu, Daniel S.; Tekleselassie, Abebayehu A.
The purpose of this study is to explain the formulation, implementation, and outcome of Ethiopia's instructional language policy in light of the PRINCE system of power analysis as adapted by Fowler (2004), along with several literature references pertinent to the issue. After providing a brief background on Ethiopia and its education and language…
Woldemicael, Gebremariam; Tenkorang, Eric Y
This paper examines the net effect of women's autonomy on their health seeking behavior in Ethiopia. We hypothesize that women with higher autonomy are more likely to seek health care during pregnancy and delivery than those with lower autonomy. The paper also examines whether the autonomy-health utilization relationship is influenced by individual (education, work status, religion) and, household (wealth and rural-urban residence) level factors, all of which are important for both autonomy and health-care utilization. Results indicate that women's autonomy remains significant even after adjusting for other individual and household variables. Besides autonomy, our results highlight other individual and household level influences on the health seeking behaviors of women in Ethiopia. Results also demonstrate the need to look beyond individual level factors when examining the health seeking behaviors of women in Ethiopia. The statistical significance of some individual-level measures, such as education means it cannot be used as proxy for women's autonomy. This calls for policy makers not only to empower women, but also provide them with better formal education.
Bobosha, Kidist; Tang, Sheila Tuyet; van der Ploeg-van Schip, Jolien J; Bekele, Yonas; Martins, Marcia V S B; Lund, Ole; Franken, Kees L M C; Khadge, Saraswoti; Pontes, Maria Araci de Andrade; Gonçalves, Heitor de Sá; Hussien, Jemal; Thapa, Pratibha; Kunwar, Chhatra B; Hagge, Deanna A; Aseffa, Abraham; Pessolani, Maria Cristina Vidal; Pereira, Geraldo M B; Ottenhoff, Tom H M; Geluk, Annemieke
Silent transmission of Mycobacterium leprae, as evidenced by stable leprosy incidence rates in various countries, remains a health challenge despite the implementation of multidrug therapy worldwide. Therefore, the development of tools for the early diagnosis of M. leprae infection should be emphasised in leprosy research. As part of the continuing effort to identify antigens that have diagnostic potential, unique M. leprae peptides derived from predicted virulence-associated proteins (group IV.A) were identified using advanced genome pattern programs and bioinformatics. Based on human leukocyte antigen (HLA)-binding motifs, we selected 21 peptides that were predicted to be promiscuous HLA-class I T-cell epitopes and eight peptides that were predicted to be HLA-class II restricted T-cell epitopes for field-testing in Brazil, Ethiopia and Nepal. High levels of interferon (IFN)-γ were induced when peripheral blood mononuclear cells (PBMCs) from tuberculoid/borderline tuberculoid leprosy patients located in Brazil and Ethiopia were stimulated with the ML2055 p35 peptide. PBMCs that were isolated from healthy endemic controls living in areas with high leprosy prevalence (EChigh) in Ethiopia also responded to the ML2055 p35 peptide. The Brazilian EChigh group recognised the ML1358 p20 and ML1358 p24 peptides. None of the peptides were recognised by PBMCs from healthy controls living in non-endemic region. In Nepal, mixtures of these peptides induced the production of IFN-γ by the PBMCs of leprosy patients and EChigh. Therefore, the M. leprae virulence-associated peptides identified in this study may be useful for identifying exposure to M. leprae in population with differing HLA polymorphisms.
Assefa, Tsion; Haile Mariam, Damen; Mekonnen, Wubegzier; Derbew, Miliard; Enbiale, Wendimagegn
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
Mura, Alessandra; Socolovschi, Cristina; Ginesta, Jacques; Lafrance, Bertrand; Magnan, Stéphan; Rolain, Jean-Marc; Davoust, Bernard; Raoult, Didier; Parola, Philippe
DNA extracted from 363 ticks collected in Ethiopia and 9 ticks collected in Chad, Africa were screened by PCR to detect DNA from spotted fever group rickettsiae. Fifteen ticks (4.1%) collected in Ethiopia and one tick (11%) collected in Chad tested positive when PCR targeting the gltA and ompA rickettsial genes was performed. PCR-positive products of the gltA and ompA genes were used for DNA sequencing. Rickettsia africae was detected in 12/118 Amblyomma lepidum and in 1/2 A. variegatum. Also, 2/12 Hyalomma marginatum rufipes collected in Ethiopia and one H. marginatum rufipes collected in Chad were positive for R. aeschlimannii. Our results confirm the previously reported presence of R. africae in Ethiopia and also show the first evidence of R. aeschlimannii in ticks collected in Ethiopia and Chad.
The earliest evidence of Australopithecus goes back to ca 4.2 Ma with the first recorded appearance of Australopithecus 'anamensis' at Kanapoi, Kenya. Australopithecus afarensis is well documented between 3.6 and 3.0 Ma mainly from deposits at Laetoli (Tanzania) and Hadar (Ethiopia). The phylogenetic relationship of these two 'species' is hypothesized as ancestor-descendant. However, the lack of fossil evidence from the time between 3.6 and 3.9 Ma has been one of its weakest points. Recent fieldwork in the Woranso-Mille study area in the Afar region of Ethiopia has yielded fossil hominids dated between 3.6 and 3.8 Ma. These new fossils play a significant role in testing the proposed relationship between Au. anamensis and Au. afarensis. The Woranso-Mille hominids (3.6-3.8 Ma) show a mosaic of primitive, predominantly Au. anamensis-like, and some derived (Au. afarensis-like) dentognathic features. Furthermore, they show that, as currently known, there are no discrete and functionally significant anatomical differences between Au. anamensis and Au. afarensis. Based on the currently available evidence, it appears that there is no compelling evidence to falsify the hypothesis of 'chronospecies pair' or ancestor-descendant relationship between Au. anamensis and Au. afarensis. Most importantly, however, the temporally and morphologically intermediate Woranso-Mille hominids indicate that the species names Au. afarensis and Au. anamensis do not refer to two real species, but rather to earlier and later representatives of a single phyletically evolving lineage. However, if retaining these two names is necessary for communication purposes, the Woranso-Mille hominids are best referred to as Au. anamensis based on new dentognathic evidence.
Wolde-Meskel, Endalkachew; Terefework, Zewdu; Frostegård, Asa; Lindström, Kristina
The genetic diversity within 195 rhizobial strains isolated from root nodules of 18 agroforestry species (15 woody and three herbaceous legumes) growing in diverse ecoclimatic zones in southern Ethiopia was investigated by using PCR-RFLP of the ribosomal operon [16S rRNA gene, 23S rRNA gene and the internal transcribed spacer (ITS) region between the 16S rRNA and 23S rRNA genes] and 16S rRNA gene partial sequence (800 and 1350 bp) analyses. All of the isolates and the 28 reference strains could be differentiated by using these methods. The size of the ITS varied among test strains (500-1300 bp), and 58 strains contained double copies. UPGMA dendrograms generated from cluster analyses of the 16S and 23S rRNA gene PCR-RFLP data were in good agreement, and the combined distance matrices delineated 87 genotypes, indicating considerable genetic diversity among the isolates. Furthermore, partial sequence analysis of 67 representative strains revealed 46 16S rRNA gene sequence types, among which 12 were 100% similar to those of previously described species and 34 were novel sequences with 94-99% similarity to those of recognized species. The phylogenetic analyses suggested that strains indigenous to Ethiopia belonged to the genera Agrobacterium, Bradyrhizobium, Mesorhizobium, Methylobacterium, Rhizobium and Sinorhizobium. Many of the rhizobia isolated from previously uninvestigated indigenous woody legumes had novel 16S rRNA gene sequences and were phylogenetically diverse. This study clearly shows that the characterization of symbionts of unexplored legumes growing in previously unexplored biogeographical areas will reveal additional diversity.
Beyene, Yonas; Katoh, Shigehiro; Woldegabriel, Giday; Hart, William K; Uto, Kozo; Sudo, Masafumi; Kondo, Megumi; Hyodo, Masayuki; Renne, Paul R; Suwa, Gen; Asfaw, Berhane
The Acheulean technological tradition, characterized by a large (>10 cm) flake-based component, represents a significant technological advance over the Oldowan. Although stone tool assemblages attributed to the Acheulean have been reported from as early as circa 1.6-1.75 Ma, the characteristics of these earliest occurrences and comparisons with later assemblages have not been reported in detail. Here, we provide a newly established chronometric calibration for the Acheulean assemblages of the Konso Formation, southern Ethiopia, which span the time period ∼1.75 to <1.0 Ma. The earliest Konso Acheulean is chronologically indistinguishable from the assemblage recently published as the world's earliest with an age of ∼1.75 Ma at Kokiselei, west of Lake Turkana, Kenya. This Konso assemblage is characterized by a combination of large picks and crude bifaces/unifaces made predominantly on large flake blanks. An increase in the number of flake scars was observed within the Konso Formation handaxe assemblages through time, but this was less so with picks. The Konso evidence suggests that both picks and handaxes were essential components of the Acheulean from its initial stages and that the two probably differed in function. The temporal refinement seen, especially in the handaxe forms at Konso, implies enhanced function through time, perhaps in processing carcasses with long and stable cutting edges. The documentation of the earliest Acheulean at ∼1.75 Ma in both northern Kenya and southern Ethiopia suggests that behavioral novelties were being established in a regional scale at that time, paralleling the emergence of Homo erectus-like hominid morphology.
Melaku, Samuel; Alemie, Getahun Asres
Background. In Ethiopia the prevalence of all forms of TB is estimated at 261/100 000 population, leading to an annual mortality rate of 64/100 000 population. The incidence rate of smear-positive TB is 108/100 000 population. Objectives. To assess knowledge, attitudes, and practices regarding TB among pastoralists in Shinille district, Somali region, Ethiopia. Method. A community-based cross-sectional study was conducted among 821 pastoralists aged >18 years and above from February to May, 2011 using self-structured questionnaire. Results. Most (92.8%) of the study participants heard about TB, but only 10.1% knew about its causative agent. Weight loss as main symptom, transmittance through respiratory air droplets, and sputum examination for diagnosis were the answers of 34.3%, 29.9%, and 37.9% of pastoralists, respectively. The majority (98.3%) of respondents reported that TB could be cured, of which 93.3% believed with modern drugs. About 41.3% of participants mentioned covering the nose and mouth during sneezing and coughing as a preventive measure. The multivariate logistic regression analysis indicated that household income >300 Ethiopian Birr and Somali ethnicity were associated with high TB knowledge. Regarding health seeking behaviour practice only 48.0% of the respondents preferred to visit government hospital and discuss their problems with doctors/health care providers. Conclusion. This study observed familiarity with gaps and low overall knowledge on TB and revealed negative attitudes like discrimination intentions in the studied pastoral community. PMID:24381757
Beyene, Yonas; Katoh, Shigehiro; WoldeGabriel, Giday; Hart, William K.; Uto, Kozo; Sudo, Masafumi; Kondo, Megumi; Hyodo, Masayuki; Renne, Paul R.; Suwa, Gen; Asfaw, Berhane
The Acheulean technological tradition, characterized by a large (>10 cm) flake-based component, represents a significant technological advance over the Oldowan. Although stone tool assemblages attributed to the Acheulean have been reported from as early as circa 1.6–1.75 Ma, the characteristics of these earliest occurrences and comparisons with later assemblages have not been reported in detail. Here, we provide a newly established chronometric calibration for the Acheulean assemblages of the Konso Formation, southern Ethiopia, which span the time period ∼1.75 to <1.0 Ma. The earliest Konso Acheulean is chronologically indistinguishable from the assemblage recently published as the world’s earliest with an age of ∼1.75 Ma at Kokiselei, west of Lake Turkana, Kenya. This Konso assemblage is characterized by a combination of large picks and crude bifaces/unifaces made predominantly on large flake blanks. An increase in the number of flake scars was observed within the Konso Formation handaxe assemblages through time, but this was less so with picks. The Konso evidence suggests that both picks and handaxes were essential components of the Acheulean from its initial stages and that the two probably differed in function. The temporal refinement seen, especially in the handaxe forms at Konso, implies enhanced function through time, perhaps in processing carcasses with long and stable cutting edges. The documentation of the earliest Acheulean at ∼1.75 Ma in both northern Kenya and southern Ethiopia suggests that behavioral novelties were being established in a regional scale at that time, paralleling the emergence of Homo erectus-like hominid morphology. PMID:23359714
Asfaw, Elias; Dominis, Sarah; Palen, John G H; Wong, Wendy; Bekele, Abebe; Kebede, Amha; Johns, Benjamin
Formalized task shifting structures have been used to rapidly scale up antiretroviral service delivery to underserved populations in several countries, and may be a promising mechanism for accomplishing universal health coverage. However, studies evaluating the quality of service delivery through task shifting have largely ignored the patient perspective, focusing on health outcomes and acceptability to health care providers and regulatory bodies, despite studies worldwide that have shown the significance of patient satisfaction as an indicator of quality. This study aimed to measure patient satisfaction with task shifting of antiretroviral services in hospitals and health centres in four regions of Ethiopia. This cross-sectional study used data collected from a time-motion study of patient services paired with 665 patient exit interviews in a stratified random sample of antiretroviral therapy clinics in 21 hospitals and 40 health centres in 2012. Data were analyzed using f-tests across provider types, and multivariate logistic regression to identify determinants of patient satisfaction. Most (528 of 665) patients were satisfied or somewhat satisfied with the services received, but patients who received services from nurses and health officers were significantly more likely to report satisfaction than those who received services from doctors [odds ratio (OR) 0.26, P < 0.01]. Investments in the health facility were associated with higher satisfaction (OR 1.07, P < 0.01), while costs to patients of over 120 birr were associated with lower satisfaction (OR 0.14, P < 0.05). This study showed high levels of patient satisfaction with task shifting in Ethiopia. The evidence generated by this study complements previous biomedical and health care provider/regulatory acceptability studies to support the inclusion of task shifting as a mechanism for scaling-up health services to achieve universal health coverage, particularly for underserved areas facing severe health worker
Kumsa, Bersissa; Socolovschi, Cristina; Raoult, Didier; Parola, Philippe
Little is known about Borrelia species transmitted by hard ticks in Ethiopia. The present study was conducted from November 2011 through March 2014 to address the occurrence and molecular identity of these bacteria in ixodid ticks infesting domestic animals in Oromia, Ethiopia. A total of 767 ixodid ticks collected from domestic animals were screened for Borrelia DNA by quantitative (q) real-time PCR followed by standard PCR and sequencing to identify the species. Overall, 3.8% (29/767) of the tested ticks were positive for Borrelia DNA, including 8/119 (6.7%) Amblyomma cohaerens, 1/42 (2.4%) Am. gemma, 3/53 (5.7%) Am. variegatum, 5/22 (22.7%) Amblyomma larvae, 3/60 (5%) Amblyomma nymphs, 2/139 (1.4%) Rhipicephalus (Boophilus) decoloratus, 2/31 (6.4%) Rh. decoloratus nymphs, and 5/118 (4.2%) Rh. pulchellus using 16S genus-specific qPCR. The prevalence of Borrelia DNA was significantly higher in genus Amblyomma (20/298, 6.7%) than in the genus Rhipicephalus (9/417, 2.1%) ticks (P=0.001). Sequencing of PCR products from the flaB and 16S rRNA genes of Borrelia spp. from Amblyomma ticks showed the presence of a new species between the relapsing fever and Lyme disease groups. However, Borrelia sp. detected in Rhipicephalus ticks clustered with B. theileri/B. lonestari. The human pathogenicity of the Borrelia sp. detected in Amblyomma ticks from Ethiopia has not yet been investigated, whereas the Borrelia sp. detected in Rhipicephalus ticks in our study is the causative agent of bovine borreliosis in cattle and may have veterinary importance in different parts of Ethiopia. Furthermore, the detection of previously unrecognized Borrelia species in Amblyomma and Rhipicephalus ticks in Ethiopia generates additional questions concerning the bacterial fauna in hard ticks and will prompt researchers to perform detailed studies for better understanding of ixodid ticks associated bacteria.
Benoit, Margaret H.; Nyblade, Andrew A.; Owens, Thomas J.; Stuart, Graham
Ethiopia has been subjected to widespread Cenozoic volcanism, rifting, and uplift associated with the Afar hot spot. The hot spot tectonism has been attributed to one or more thermal upwellings in the mantle, for example, starting thermal plumes and superplumes. We investigate the origin of the hot spot by imaging the S wave velocity structure of the upper mantle beneath Ethiopia using travel time tomography and by examining relief on transition zone discontinuities using receiver function stacks. The tomographic images reveal an elongated low-velocity region that is wide (>500 km) and extends deep into the upper mantle (>400 km). The anomaly is aligned with the Afar Depression and Main Ethiopian Rift in the uppermost mantle, but its center shifts westward with depth. The 410 km discontinuity is not well imaged, but the 660 km discontinuity is shallower than normal by ˜20-30 km beneath most of Ethiopia, but it is at a normal depth beneath Djibouti and the northwestern edge of the Ethiopian Plateau. The tomographic results combined with a shallow 660 km discontinuity indicate that upper mantle temperatures are elevated by ˜300 K and that the thermal anomaly is broad (>500 km wide) and extends to depths ≥660 km. The dimensions of the thermal anomaly are not consistent with a starting thermal plume but are consistent with a flux of excess heat coming from the lower mantle. Such a broad thermal upwelling could be part of the African Superplume found in the lower mantle beneath southern Africa.
Tsegaw, Teshome; Gadisa, Endalamaw; Seid, Ahmed; Abera, Adugna; Teshome, Aklilu; Mulugeta, Abate; Herrero, Merce; Argaw, Daniel; Jorge, Alvar; Aseffa, Abraham
Visceral leishmaniasis (VL), a vector-borne disease strongly influenced by environmental factors, has (re)-emerged in Ethiopia during the last two decades and is currently of increasing public health concern. Based on VL incidence in each locality (kebele) documented from federal or regional health bureaus and/or hospital records in the country, geographical information systems (GIS), coupled with binary and multivariate logistic regression methods, were employed to develop a risk map for Ethiopia with respect to VL based on soil type, altitude, rainfall, slope and temperature. The risk model was subsequently validated in selected sites. This environmental VL risk model provided an overall prediction accuracy of 86% with mean land surface temperature and soil type found to be the best predictors of VL. The total population at risk was estimated at 3.2 million according to the national population census in 2007. The approach presented here should facilitate the identification of priority areas for intervention and the monitoring of trends as well as providing input for further epidemiological and applied research with regard to this disease in Ethiopia.
Iwnetu, Rahel; van den Hombergh, Jan; Woldeamanuel, Yimtubezinash; Asfaw, Mulat; Gebrekirstos, Cherinet; Negussie, Yared; Bekele, Teklu; Ashenafi, Senait; Seyoum, Berhanu; Melaku, Kibrebeal; Yamuah, Lawrence; Tilahun, Hiwot; Tadesse, Zerihun; Aseffa, Abraham
Ethiopia reports the third highest number of extrapulmonary TB cases globally, most of which are lymph node TB (TBLN). We investigated the performance of the available diagnostic tests for TBLN. Fine needle aspirate (FNA) and excision biopsy samples from affected lymph nodes were collected from 150 consenting patients with suspected TBLN visiting regional hospitals in Ethiopia. The sensitivity, specificity, positive (PPV) and negative predictive value (NPV) of histopathology against culture as reference was 92%, 88%, 97% and 77% and of FNA cytology (FNAC) 76%, 88%, 100% and 55%, respectively. Naked eye examination of FNA had 67% sensitivity and 64% specificity. HIV coinfection did not diminish the performance of macroscopic examination, Ziehl-Neelsen stain, histology or cytology examinations. When any positive result in ZN, histopathology or culture was considered confirmatory, clinical diagnosis could be confirmed in 85% of the patients, suggesting that TBLN is over-diagnosed in up to 15% of cases. With combined criteria as reference standard, the sensitivity, specificity, PPV and NPV of FNAC was 72%, 100%, 100% and 55%, respectively. FNAC is a practical tool that can improve the diagnosis of TBLN in high-burden settings. Over-diagnosis alone cannot explain the high burden of LNTB in Ethiopia.
Background Cataract is the leading cause of blindness worldwide, with the greatest burden found in low-income countries. Cataract surgery is a curative and cost-effective intervention. Despite major non-governmental organization (NGO) support, the cataract surgery performed in Southern Region, Ethiopia is currently insufficient to address the need. We analyzed the distribution, productivity, cost and determinants of cataract surgery services. Methods Confidential interviews were conducted with all eye surgeons (Ophthalmologists & Non-Physician Cataract Surgeons [NPCS]) in Southern Region using semi-structured questionnaires. Eye care project managers were interviewed using open-ended qualitative questionnaires. All eye units were visited. Information on resources, costs, and the rates and determinants of surgical output were collected. Results Cataract surgery provision is uneven across Southern Region: 66% of the units are within 200 km of the regional capital. Surgeon to population ratios varied widely from 1:70,000 in the capital to no service provision in areas containing 7 million people. The Cataract Surgical Rate (CSR) in 2010 was 406 operations/million/year with zonal CSRs ranging between 204 and 1349. Average number of surgeries performed was 374 operations/surgeon/year. Ophthalmologists and NPCS performed a mean of 682 and 280 cataract operations/surgeon/year, respectively (p = 0.03). Resources are underutilized, at 56% of capacity. Community awareness programs were associated with increased activity (p = 0.009). Several factors were associated with increased surgeon productivity (p < 0.05): working for >2 years, working in a NGO/private clinic, working in an urban unit, having a unit manger, conducting outreach programs and a satisfactory work environment. The average cost of cataract surgery in 2010 was US$141.6 (Range: US$37.6–312.6). Units received >70% of their consumables from NGOs. Mangers identified poor staff motivation, community
Moges, Asmare D.; Admassu, Belayneh; Belew, Derbew; Yesuf, Mohammed; Njuguna, Joyce; Kyalo, Martina; Ghimire, Sita R.
Twenty three polymorphic microsatellite markers were developed for citrus plant pathogenic fungus, Colletotrichum gloeosporioides, and were used to analyze genetic diversity and population structure of 163 isolates from four different geographical regions of Ethiopia. These loci produced a total of 118 alleles with an average of 5.13 alleles per microsatellite marker. The polymorphic information content values ranged from 0.104 to 0.597 with an average of 0.371. The average observed heterozygosity across all loci varied from 0.046 to 0.058. The gene diversity among the loci ranged from 0.106 to 0.664. Unweighted Neighbor-joining and population structure analysis grouped these 163 isolates into three major groups. The clusters were not according to the geographic origin of the isolates. Analysis of molecular variance showed 85% of the total variation within populations and only 5% among populations. There was low genetic differentiation in the total populations (FST = 0.049) as evidenced by high level of gene flow estimate (Nm = 4.8 per generation) among populations. The results show that Ethiopian C. gloeosporioides populations are generally characterized by a low level of genetic diversity. The newly developed microsatellite markers were useful in analyzing the genetic diversity and population structure of the C. gloeosporioides populations. Information obtained from this study could be useful as a base to design strategies for better management of leaf and fruit spot disease of citrus in Ethiopia. PMID:26978654
Fisseha, Shimeles; Mewa, Getnet
Landslide represents one of the main constraints for the development of road infrastructures in many parts of Ethiopia. While rugged topography, intra-sedimentary clay horizons, thick talus deposits at the foot of hills and wide spread tectonic fissures and faults account for the prominent inducing factors, heavy monsoon rainfall is the most common triggering factor for the majority of road failures caused by landslides. We present the results of geoelectrical investigation of a landslide that caused a severe damage to the Dedebit-Adi-Remets segment of the recently built highway that transects the high relief and mountainous region of Tigray, northern Ethiopia. Vertical Electrical Sounding (VES) measurements were taken at twelve points, systematically distributed to cover the affected area. The resulting geo-electric sections revealed that the shallow subsurface is composed of four distinct geo-electric layers. The corresponding major lithological successions, from top to bottom, are: unconsolidated conglomeratic layer, moist silty clay, moderately weathered and fractured basaltic rock and a possibly saturated portion of the basalt. Major discontinuities, indications of structural weak zones, have also been inferred based on abrupt vertical shift in geo-electrical layer boundaries between neighboring soundings. Based on the main findings, the road failure in the study area appears to be caused by a downslope movement of the subgrade composed of top unconsolidated sediment soaked with water from heavy rain. The location of the probable slip plane could be the inclined interface between the conductive clayey soil and the underlying resistive weathered basalt.
Teklu, Berhan M; Adriaanse, Paulien I; Ter Horst, Mechteld M S; Deneer, John W; Van den Brink, Paul J
Scenarios for future use in the pesticide registration procedure in Ethiopia were designed for 3 separate Ethiopian locations, which are aimed to be protective for the whole of Ethiopia. The scenarios estimate concentrations in surface water resulting from agricultural use of pesticides for a small stream and for two types of small ponds. Seven selected pesticides were selected since they were estimated to bear the highest risk to humans on the basis of volume of use, application rate and acute and chronic human toxicity, assuming exposure as a result of the consumption of surface water. Potential ecotoxicological risks were not considered as a selection criterion at this stage. Estimates of exposure concentrations in surface water were established using modelling software also applied in the EU registration procedure (PRZM and TOXSWA). Input variables included physico-chemical properties, and data such as crop calendars, irrigation schedules, meteorological information and detailed application data which were specifically tailored to the Ethiopian situation. The results indicate that for all the pesticides investigated the acute human risk resulting from the consumption of surface water is low to negligible, whereas agricultural use of chlorothalonil, deltamethrin, endosulfan and malathion in some crops may result in medium to high risk to aquatic species. The predicted environmental concentration estimates are based on procedures similar to procedures used at the EU level and in the USA. Addition of aquatic macrophytes as an ecotoxicological endpoint may constitute a welcome future addition to the risk assessment procedure. Implementation of the methods used for risk characterization constitutes a good step forward in the pesticide registration procedure in Ethiopia.
Welay, Getachew Mebrahtu; Alene, Kefyalew Addis
OBJECTIVES Poor treatment outcomes of visceral leishmaniasis (VL) are responsible for the high mortality rate of this condition in resource-limited settings such as Ethiopia. This study aimed to identify the proportion of poor VL treatment outcomes in northwest Ethiopia and to evaluate the determinants associated with poor outcomes. METHODS A hospital-based retrospective study was conducted among 595 VL patients who were admitted to Kahsay Abera Hospital in northwest Ethiopia from October 2010 to April 2013. Data were entered into Epi Info version 7.0 and exported to SPSS version 20 for analysis. Bivariate and multivariate logistic regression models were fitted to identify the determinants of VL treatment outcomes. Adjusted odds ratio (aORs) with 95% confidence intervals (CIs) were used, and p-values <0.05 were considered to indicate statistical significance. RESULTS The proportion of poor treatment outcomes was 23.7%. Late diagnosis (≥29 days) (aOR, 4.34; 95% CI, 2.22 to 8.46), severe illness at admission (inability to walk) (aOR, 1.63; 95% CI, 1.06 to 2.40) and coinfection with VL and human immunodeficiency virus (HIV) (aOR, 2.72; 95% CI, 1.40 to 5.20) were found to be determinants of poor VL treatment outcomes. CONCLUSIONS Poor treatment outcomes, such as death, treatment failure, and non-adherence, were found to be common. Special attention must be paid to severely ill and VL/HIV-coinfected patients. To improve VL treatment outcomes, the early diagnosis and treatment of VL patients is recommended. PMID:28092934
Steenhuis, Tammo; Collick, Amy; Wondie, Ayalew; Jemberu, Tsehai
This presentation will highlight our experience in teaching 19 Master's students from diverse backgrounds hydrology and watershed management in Ethiopia. Although the program was based at Bahir Dar University on the shores of Lake Tana in Ethiopia, the students received an US degree. The goal was to train professionals who can help to institute more effective and sustainable watershed management practices in Ethiopia. Teaching hydrology was a challenge. From the literature and personal observation, it was obvious that the traditional techniques of predicting runoff based on infiltration excess runoff and SCS curve number method were not satisfactory. Saturation excess runoff was more likely. However there was no research to prove that it actually was the case. In class we taught both runoff principles but stressed the saturation excess runoff. It was impossible to convince the students that the techniques that came from the western world be incorrect. For their Masters thesis, eight students did field research on runoff and erosion processes in watershed (some of which has a long record of discharge and sediment data). The students recorded water table heights, measured infiltration rates and determined where most erosion took place in the landscape. Based on this data they modeled the previously observed discharge successful using a saturation excess type model. From these studies we could establish that saturation in the landscape had a great effect on both runoff and sediment losses. As result of the field work, students had changed their mind about the appropriateness of using for example the SCS curve number method in Ethiopian highlands Perhaps the lesson to be learned is that we do not need a lot of funds to teach students the right hydrology. However, there is no substitute for going out in the field and experiencing what the right hydrology is by studying the processes in the landscape itself. By simply teaching in class, students will and cannot accept
Demeke, Berhan; Jenberie, Shiferaw; Tesfaye, Biruk; Ayelet, Gelagay; Yami, Martha; Lamien, Charles Euloge; Gelaye, Esayas
Marek's disease (MD) is a lymphoproliferative and neuropathic disease of domestic chickens and less commonly, turkeys and quails, caused by a highly contagious, cell-associated, oncogenic herpesvirus. In Ethiopia, MD is believed to be introduced with importation of exotic and crossbred to improve the poultry production and has been reported to be a potential threat to the poultry sector both in backyard and commercial farming systems. This study was aimed at isolation and molecular analysis of MD virus isolates circulating in chicken population in the central part of Ethiopia where commercial farms are populated. From September 2013 to January 2014, clinical and post-mortem examination were conducted on diseased chickens suspected of MD virus infection. Representative spleen and feather follicle samples were collected following sterile procedure, and infectious virus isolation was performed using primary chicken fibroblast cell culture. Cell culture inoculated with suspension of pathological samples developed characteristic MD virus cytopathic effect of rounding of the cells and small plaques. Further analysis of the virus was conducted by conventional PCR amplifying the ICP4 gene fragment from eleven tissue samples using MD virus specific primers. PCR products were further sequenced and analyzed. Nucleotide sequence similarity search of the local isolates resulted a high degree of sequence similarity with Gallid Herpes virus type 2 strain (Marek's disease virus type 1, JN034558). To our knowledge, the present study is the first report conducted on virus isolation and molecular characterization of MD virus isolates circulated in Ethiopia. Eleven ICP4-like gene fragment (318 bp) sequences generated in the present study were uploaded in the public database (KU842366-76). Further research on virus isolation, genetic characterization, and infection dynamics is recommended targeting chickens of all age groups reared in different agro-ecological zones under different
Teka, Hiwot; Petros, Beyene; Yamuah, Lawrence; Tesfaye, Gezahegn; Elhassan, Ibrahim; Muchohi, Simon; Kokwaro, Gilbert; Aseffa, Abraham; Engers, Howard
Background Plasmodium vivax accounts for about 40% of all malaria infection in Ethiopia. Chloroquine (CQ) is the first line treatment for confirmed P. vivax malaria in the country. The first report of CQ treatment failure in P. vivax was from Debre Zeit, which suggested the presence of chloroquine resistance. Methods An in vivo drug efficacy study was conducted in Debre Zeit from June to August 2006. Eighty-seven patients with microscopically confirmed P. vivax malaria, aged between 8 months and 52 years, were recruited and treated under supervision with CQ (25 mg/kg over three days). Clinical and parasitological parameters were assessed during the 28 day follow-up period. CQ and desethylchloroquine (DCQ) blood and serum concentrations were determined with high performance liquid chromatography (HPLC) in patients who showed recurrent parasitaemia. Results Of the 87 patients recruited in the study, one was lost to follow-up and three were excluded due to P. falciparum infection during follow-up. A total of 83 (95%) of the study participants completed the follow-up. On enrolment, 39.8% had documented fever and 60.2% had a history of fever. The geometric mean parasite density of the patients was 7045 parasites/μl. Among these, four patients had recurrent parasitaemia on Day 28. The blood CQ plus DCQ concentrations of these four patients were all above the minimal effective concentration (> 100 ng/ml). Conclusion Chloroquine-resistant P. vivax parasites are emerging in Debre Zeit, Ethiopia. A multi-centre national survey is needed to better understand the extent of P. vivax resistance to CQ in Ethiopia. PMID:18959774
Gebrekidan, Hagos; Hailu, Asrat; Kassahun, Aysheshm; Rohoušová, Iva; Maia, Carla; Talmi-Frank, Dalit; Warburg, Alon; Baneth, Gad
Piroplasmosis caused by different tick-borne hemoprotozoan parasites of the genera Theileria and Babesia is among the most economically important infections of domestic ruminants in sub-Saharan Africa. A survey for piroplasm infection was conducted in three locations in Northern Ethiopia. Of 525 domestic ruminants surveyed, 80% of the cattle, 94% of the sheep and 2% of the goats were positive for different Theileria spp. based on PCR of blood followed by DNA sequencing. Sheep had a significantly higher rate of infection compared with cattle (P<0.0003) and both sheep and cattle had higher rates of infection compared to goats (P<0.0001). Four species of Theileria were detected in cattle: T. velifera, T. mutans, T. orientalis complex and T. annulata with infection rates of 66, 8, 4, and 2%, respectively. This is the first report of T. annulata, the cause of Tropical Theileriosis in Ethiopia. Of the two Theileria spp. detected in small ruminants, T. ovis was highly prevalent (92%) in sheep and rare in goats (1.5%) whereas T. seperata was infrequent in sheep (2%) and rare in goats (0.4%). None of the animals were positive for Babesia spp.; however, Sarcocystis capracanis and S. tenella were detected in one goat and a sheep, respectively. The widespread distribution of Theileria spp. among cattle in northern Ethiopia including the virulent T. annulata and more mildly pathogenic T. mutans and T. orientalis, and the high infection rate in sheep with the usually sub-clinical T. ovis indicate extensive exposure to ticks and transmission of piroplasms with an important economic impact.
International Federation of Library Associations, The Hague (Netherlands).
Six of the seven papers in this collection focus on regional library activities in Africa, Asia and Oceania, and Latin America and the Caribbean: (1) "Libraries and Information Services in a Changing World: The Challenges African Information Services Face at the End of the 1980s" (Dejen Abate, Ethiopia); (2) "The Computer and…
Biadgilign, Sibhatu; Shumetie, Arega; Yesigat, Habtamu
Background Policy discussions and debates in the last couple of decades emphasized efficiency of development policies for translating economic growth to development. One of the key aspects in this regard in the developing world is achieving improved nutrition through economic development. Nonetheless, there is a dearth of literature that empirically verifies the association between economic growth and reduction of childhood undernutrition in low- and middle-income countries. Thus, the aim of the study is to assess the interplay between economic growth and reduction of childhood undernutrition in Ethiopia. Methods The study used pooled data of three rounds (2000, 2005 and 2010) from the Demographic and Health Surveys (DHS) of Ethiopia. A multilevel mixed logistic regression model with robust standard errors was utilized in order to account for the hierarchical nature of the data. The dependent variables were stunting, underweight, and wasting in children in the household. The main independent variable was real per capita income (PCI) that was adjusted for purchasing power parity. This information was obtained from World Bank. Results A total of 32,610 children were included in the pooled analysis. Overall, 11,296 (46.7%) [46.0%-47.3%], 8,197(33.8%) [33.2%-34.4%] and 3,175(13.1%) [12.7%-13.5%] were stunted, underweight, and wasted, respectively. We found a strong correlation between prevalence of early childhood undernutrition outcomes and real per capita income (PCI). The proportions of stunting (r = -0.1207, p<0.0001), wasting (r = -0.0338, p<0.0001) and underweight (r = -0.1035, p<0.0001) from the total children in the household were negatively correlated with the PCI. In the final model adjustment with all the covariates, economic growth substantially reduced stunting [β = -0.0016, SE = 0.00013, p<0.0001], underweight [β = -0.0014, SE = 0.0002, p<0.0001] and wasting [β = -0.0008, SE = 0.0002, p<0.0001] in Ethiopia over a decade. Conclusion Economic growth
Fuller, G K; Lemma, A; Haile, T
Schistosomiasis mansoni infection was found in more than 50 tourists who had visited Omo National Park, Ethiopia, and bathed and swum in the Mui River. A survey revealed Schistosoma mansoni infection in 41% of Park residents and in 33% of the neighboring Suri people. Eggs were found in stools and adult worms at autopsy of wild Papio anubis and Cercopithecus aethiops. Trematode larvae were found in 27% of Biomphalaria pfeifferi snails found in the Mui River. The source of the disease and the implications of its spread with the future development of the Omo Valley are discussed.
Ameha, Aklilu; Larsen, H O; Lemenih, Mulugeta
Different arrangements of decentralized forest management have been promoted as alternatives to centralized and top down approaches to halt tropical deforestation and forest degradation. Ethiopia is one of the countries piloting one of these approaches. To inform future programs and projects it is essential to learn from existing pilots and experiences. This paper analyses five of the pilot participatory forest management (PFM) programs undertaken in Ethiopia. The study is based on the Forest User Group (FUG) members' analyses of the programs using selected outcome variables: forest income, change in forest conditions, forest ownership feelings and effectiveness of FUGs as forest managing institutions. These variables were assessed at three points in time-before the introduction of PFM, during the project implementation and after the projects ended. Data were collected using group discussions, key informant interviews and transect walks through the PFM forests. The results show that in all of the five cases the state of the forest is perceived to have improved with the introduction of PFM, and in four of the cases the improvement was maintained after projects ended. Regulated access to the forests following introduction of PFM was not perceived to have affected forest income negatively. There are, however, serious concerns about the institutional effectiveness of the FUGs after projects ended, and this may affect the success of the PFM approach in the longer term.
Background Stigma attached to tuberculosis contributes to the limited effectiveness of current TB control approaches. However, there is a dearth of studies that explore the causes of stigma attached to tuberculosis and its effects on patients and tuberculosiscontrol programs in Ethiopia. Methods An institution-based qualitative study was conducted at St. Peter Tuberculosis Specialized Hospital in Addis Ababa, Ethiopia from July to August, 2015. Ten in-depth interviews and 6 key-informant interviews were carried out among tuberculosis patients and healthcare workers, respectively.The Open Code computer software package was used to analyze the data thematically. Results The study revealed that fear of infection and inappropriate health education messages by media were the main causes of tuberculosis stigma. The patients experienced isolation within their family and community, separation, and financial crisis. The stigma attached to tuberculosis may contribute to delayed healthcare seeking, poor treatment adherence, and poor prognosis. Conclusion Interventions thatreduce the stigma attached to tuberculosis should target on areas, such as creating community awareness, patient counseling on problem-solving and emotional skills, preparing culturally sensitive and scientifically sound media messages, providing financial support for the patients, and enhancing the qualities of the healthcare workers, such as empathy, concern, respect for the patient and cultural sensitivity. PMID:27054714
The year 2013 marks exactly 200 years since John Snow, known as the father of modern epidemiology, was born. In 19th century, epidemiologists like John Snow, concentrated almost entirely upon infectious diseases of humans measuring the burden of disease, describing pattern and attempting to understand the transmission dynamics. During the second half of the 20th century; big changes occurred so that epidemiologists in the developed world started to use systematized approaches to investigate the etiologies, conditions and to evaluate interventions through different study designs. However, the situation in the developing world is not the same as the rest of the world. Even 200 years after Snow's birth, epidemiological capacity is lowest in Africa. This article attempts to describe that Ethiopia is not exceptional. In the past few decades, there have been some attempts to build capacity in the country by launching training programs in clinical epidemiology, general epidemiology and field epidemiology. However, not only few epidemiologists are trained, but, limited funding, high-teaching burdens, poor working conditions and low salaries are among important contributors for epidemiological brain drain in Ethiopia. Thus, strengthening learning opportunities and rewarding career paths are required to increase human resource capacity and retain skilled personnel in the field of epidemiology.
Habte, Dereje; Asrat, Kalid; Magafu, Mgaywa G M D; Ali, Ibrahim M; Benti, Tadele; Abtew, Wubeshet; Tegegne, Girma; Abera, Dereje; Shiferaw, Solomon
A total of 8260 children between the ages of 6-59 months were analyzed to identify the risk factors associated with childhood anaemia in Ethiopia. The overall mean (SD/standard deviation) haemoglobin (Hgb) level among the under-five children was 10.7 (2.2) g/dl and 50.3% were anaemic. Childhood anaemia demonstrated an increasing trend with maternal anaemia levels of mild, moderate and severe anaemia: odds ratio of 1.82, 2.16 and 3.73 respectively (p< 0.01). Children whose mothers had no formal education were 1.38 times more likely to be anaemic (p<0.01). The poorest and poorer wealth index groups had 1.52 and 1.25 increased odds of childhood anaemia respectively (p< 0.01). Childhood anaemia in Ethiopia is a severe public health problem. Maternal anaemia and socio-economic status were found to be associated with anaemia in children. A holistic approach of addressing mothers and children is of paramount importance.
Ameha, Aklilu; Larsen, H. O.; Lemenih, Mulugeta
Different arrangements of decentralized forest management have been promoted as alternatives to centralized and top down approaches to halt tropical deforestation and forest degradation. Ethiopia is one of the countries piloting one of these approaches. To inform future programs and projects it is essential to learn from existing pilots and experiences. This paper analyses five of the pilot participatory forest management (PFM) programs undertaken in Ethiopia. The study is based on the Forest User Group (FUG) members' analyses of the programs using selected outcome variables: forest income, change in forest conditions, forest ownership feelings and effectiveness of FUGs as forest managing institutions. These variables were assessed at three points in time—before the introduction of PFM, during the project implementation and after the projects ended. Data were collected using group discussions, key informant interviews and transect walks through the PFM forests. The results show that in all of the five cases the state of the forest is perceived to have improved with the introduction of PFM, and in four of the cases the improvement was maintained after projects ended. Regulated access to the forests following introduction of PFM was not perceived to have affected forest income negatively. There are, however, serious concerns about the institutional effectiveness of the FUGs after projects ended, and this may affect the success of the PFM approach in the longer term.
Ayele, A.; Kendall, M.; Stuart, G.
Rifting in northern Ethiopia represents a transition from continental- to incipient oceanic- rifting. In an effort to obtain a better understanding of the role of asthenospheric dynamics in this transition, we re-analyse and enhance SKS splitting at stations distributed along the E.African Rift. New observations of shear-wave splitting and receiver functions are investigated at two Ethiopian stations near Addis Ababa, one broad-band (FURI) and the other short-period (AAE) close to the rift. Stations on or near the E. African Rift show the polarisation of the fast shear-wave (φ ) aligned parallel to the rift axis. However, the magnitude of the splitting increases northward and may be explained by the higher melt production observed in the Ethiopian part of the rift. Stations in Kenya show smallest splitting values ( ~ 1s.), whilst the Djibouti station, ATD, shows the largest splitting (1.6s.). The Ethiopian results show a constancy in δ t and φ with respect to backazimuth, thus suggesting a single anisotropic layer beneath the stations. There is no observed correlation in φ with APM direction. Shear-wave splitting in local events recorded at FURI also reveal anisotropy in the crust with a similar orientation to the SKS results. Receiver function analysis at FURI and AAE supports evidence from refraction experiments of thick crust ( ~38km) in the region of continental rifting. There is also evidence for a deeper interface, ~60km below Moho, in the broadband FURI data, but not in the short-period AAE data, thus suggesting this may not be a sharp interface. This interface may mark the base of the lithosphere in this region. Azimuthal asymmetry in the receiver functions suggests the layer is dipping away from the rift and anisotropy may be affecting the results. One interpretation is that the anisotropy is due to aligned melt in upper c.90km of lithosphere. A <1% volume fraction of melt aligned in vertical ellipsoidal pockets generates sufficient splitting to
Hammond, J. O.; Kendall, J. M.; Stuart, G. W.; Ebinger, C. J.
In March 2007 41 seismic stations were deployed in north east Ethiopia. These stations recorded until October 2009, whereupon the array was condensed to 13 stations. Here we show estimates of crustal structure derived from receiver functions and upper mantle velocity structure, derived from tomography and shear-wave splitting using the first 2.5 years of data. Bulk crustal structure has been determined by H-k stacking receiver functions. Crustal Thickness varies from ~45km on the rift margins to ~16km beneath the northeastern Afar stations. Estimates of Vp/Vs show normal continental crust values (1.7-1.8) on the rift margins, and very high values (2.0-2.2) in Afar, similar to results for the Main Ethiopian Rift (MER). This supports ideas of high levels of melt in the crust beneath the Ethiopian Rift. Additionally, we use a common conversion point migration technique to obtain high resolution images of crustal structure beneath the region. Both techniques show a linear region of thin crust (~16km) trending north-south, the same trend as the Red Sea rift. SKS-wave splitting results show a general north east-south west fast direction in the MER, systematically rotating to a more north-south fast direction towards the Red Sea. Additionally, stations close to the recent Dabbahu diking episode show sharp lateral changes over small lateral distances (40° over <30km), with fast directions overlying the Dabbahu segment aligning parallel with the recent diking. This supports ideas of melt dominated anisotropy beneath the Ethiopian rift. The magnitude of splitting in this region is smaller than that seen at the MER, suggesting a thinner region of melt, or less focused melt is causing the anisotropy. Seismic tomography inversions show that in the top 150km low velocities highlight plate boundaries. The low velocity anomalies extend from the main Ethiopian rift NE, towards Djibouti, and from Djibouti NW towards the Dabbahu segment The lowest velocities exist on the rift
Bhola, H. S.
When Ethiopia launched its National Literacy Campaign (NLC) in July 1979, it was announced that illiteracy would be removed from the urban areas of the country by 1982 and from rural Ethiopia by 1987. By the end of the 12th round of the NLC in February 1985, 16.9 million youths and adults had been covered by the campaign, and 12 million (almost…
Saylor, Beverly Z; Angelini, Joshua; Deino, Alan; Alene, Mulugeta; Fournelle, John H; Haile-Selassie, Yohannes
Tephra geochemistry and (40)Ar/(39)Ar geochronology are reported for the Waki-Mille area in the northwestern part of the Woranso-Mille paleoanthropological project area in the west central Afar region of Ethiopia. Previous studies documented dentognathic fossils that are morphologically intermediate between Australopithecus anamensis and Australopithecus afarensis and some that are attributed to Australopithecus afarensis. Additional dentognathic remains from the study area were assigned to the newly identified species Australopithecus deyiremeda. These fossil hominin taxa were recovered from volcanic and sedimentary strata containing tuffs ranging in age from more than 3.77 million years ago (Ma) to less than 3.469 Ma. One of the tuffs was correlated based on geochemistry, feldspar mineralogy, and age to the Lokochot Tuff of the Omo-Turkana Basin of southern Ethiopia and Kenya. Variations in major and minor element abundances in volcanic glass demarcate ten geochemically distinct tuffs and tuff sequences, including three that are geochemically similar to widespread regional tuffs, specifically the Lomogol, Lokochot, and β- Tulu Bor/Sidi Hakoma tuffs. A new (40)Ar/(39)Ar age for the Waki Tuff, which is geochemically similar to the Lomogol Tuff, is 3.664 ± 0.016 Ma. Other tuffs in the Waki-Mille area are geochemically dissimilar to regional tuffs documented to date. Identification of tuffs based on character, stratigraphic position, and geochemistry refines local stratigraphic correlations and delineates the geographic distributions of precisely dated fossiliferous levels within the Waki-Mille area.
Midekisa, Alemayehu; Senay, Gabriel B.; Wimberly, Michael C.
Malaria is a major global public health problem, particularly in Sub-Saharan Africa. The spatial heterogeneity of malaria can be affected by factors such as hydrological processes, physiography, and land cover patterns. Tropical wetlands, for example, are important hydrological features that can serve as mosquito breeding habitats. Mapping and monitoring of wetlands using satellite remote sensing can thus help to target interventions aimed at reducing malaria transmission. The objective of this study was to map wetlands and other major land cover types in the Amhara region of Ethiopia and to analyze district-level associations of malaria and wetlands across the region. We evaluated three random forests classification models using remotely sensed topographic and spectral data based on Shuttle Radar Topographic Mission (SRTM) and Landsat TM/ETM+ imagery, respectively. The model that integrated data from both sensors yielded more accurate land cover classification than single-sensor models. The resulting map of wetlands and other major land cover classes had an overall accuracy of 93.5%. Topographic indices and subpixel level fractional cover indices contributed most strongly to the land cover classification. Further, we found strong spatial associations of percent area of wetlands with malaria cases at the district level across the dry, wet, and fall seasons. Overall, our study provided the most extensive map of wetlands for the Amhara region and documented spatiotemporal associations of wetlands and malaria risk at a broad regional level. These findings can assist public health personnel in developing strategies to effectively control and eliminate malaria in the region.
Assefa, Kebebew; Merker, Arnulf; Tefera, Hailu
Sixty tef germplasm populations consisting of 3,000 panicle-derived lines from six western and southern regions of Ethiopia were evaluated for 17 pheno-morphic and agronomic traits on pellic Vertisols at Debre Zeit Agricultural Research Center during the 1999 main season. The objectives were to study the extent and pattern of variation of the germplasm with respect to regions and altitude zones, to classify the populations into relatively homogenous groups and to identify the major traits contributing to the overall diversity of the populations. At 75 % similarity level, the 60 populations aggregated into nine complexes of two to 10, with 12 populations remaining un-grouped. Five principal components (PC) extracted about 81 % of the gross variance among the populations. About 40 % of the variance accounted for by the first PC alone resulted largely from variations in diameters of the two basal culm internodes, grain yield and number of spikelets/panicle, shoot phytomass and grain yield/plant, and number of culm internodes. The entire regional as well as the clinal (altitude zone) variation was explained by five and two PCs, respectively. The discriminant analyses depicted about 77 % correct grouping of the 47 populations into nine clusters and about 62 % and 68 % correct origin-based classification of the germplasm in terms of altitude zones and regions, respectively. In general, the study demonstrated the existence of regional and clinal (altitude zone) variation patterns in the tef germplasm populations. The broad trait variation in the germplasm implies ample opportunities for genetic improvement of tef through selection and hybridization.
Fekadu, Abebaw; Teferra, Solomon; Hailu, Asrat; Gebre-Mariam, Tsige; Addissie, Adamu; Deressa, Wakgari; Yimer, Getnet; Reja, Ahmed
Low income countries like Ethiopia are underrepresented in clinical research. As a major public commitment to clinical research, Ethiopia celebrated the International Clinical Trial Day (ICTD) for the first time on 20 May 2014 under the auspices of Addis Ababa University. The motto for the day was 'Clinical Trials for Excellence in Patient Care'. The celebration offered an opportunity to inform academic staff, researchers, students and the leadership about clinical trials being conducted and to discuss the future of clinical trials in the country. Although clear challenges to the conduct of trials abound, clinical trials registered from Ethiopia in trial registration databases is increasing. Cross-country collaborations, international funding support, motivation of academic staff to conduct clinical trials and the commitment and engagement of the leadership in research are all improving. The overall impact of clinical trials is also encouraging. For example, some of the trials conducted in Ethiopia have informed treatment guidelines. However, administrative capacity, research infrastructure as well as financial support remain weak. There is a need for enhanced university-industry linkage and translation of research findings into locally relevant evidence. Ethiopia, as well as the whole of Africa, has an unparalleled opportunity to lead the way in clinical trials, given its prospect of development and the need to have locally relevant evidence for its growing population. In this commentary we reflect on the celebration of ICTD, the status and opportunities for conducting clinical trials and the way forward for facilitating clinical trials in Ethiopia and Africa.
Weidert, Karen; Gessessew, Amanuel; Bell, Suzanne; Godefay, Hagos; Prata, Ndola
Ethiopia has made notable progress in increasing awareness and knowledge of family planning and is considered a success story among funders and program planners. Yet unmet need among rural women (28.6%) is almost double that of urban women (15.5%), with a wide gap in total fertility rate depending on urban (2.6) or rural (5.5) residence. This study investigates the impact of a service delivery model that combines community-based distribution (CBD) of contraception with social marketing in Tigray, Ethiopia, to create a more sustainable approach to CBD. Between September 2011 and October 2013, 626 volunteer CHWs were recruited and trained to administer depot medroxyprogesterone acetate (DMPA) injections and provide counseling and referrals to the health post for other methods; the project implementation period ended in June 2014. The CHWs received a supply of DMPA injections in the form of a microloan from a drug revolving fund; the CHWs charged women a minimal fee (5 birr, or US$0.29), determined based on willingness-to-pay data, for each DMPA injection; and the CHWs returned part of the fee (3 birr) to the drug revolving fund while keeping the remaining portion (2 birr). The CHWs also promoted demand for family planning through door-to-door outreach and community meetings. Existing health extension workers (HEWs) provided regular supervision of the CHWs, supplemented by in-depth supervision visits from study coordinators. Baseline and endline representative surveys of women of reproductive age, as well as of participating CHWs, were conducted. In addition, DMPA provision data from the CHWs were collected. Between October 2011 and June 2014, the CHWs served in total 8,604 women and administered an estimated 15,410 DMPA injections, equivalent to providing 3,853 couple-years of protection. There was a 25% significant increase in contraceptive use among surveyed women, from 30.1% at baseline to 37.7% at endline, with DMPA use largely responsible for this increase
Background Podoconiosis is a form of non-filarial elephantiasis that affects barefoot individuals in highland tropical areas. The disease presents with bilateral, asymmetric swelling of the legs, usually confined to below the knee. This study aimed to assess podoconiosis patients’ perceptions of prevention, control, causes and familial clustering of the disease, and to document physical, social and economic impairments associated with the disease, with the ultimate aim of enabling development of tailored interventions in this region. Methods This descriptive study is part of the largest cross-sectional community-based household survey yet conducted on podoconiosis. It was completed in November and December, 2011, in Debre Eliyas and Dembecha Woredas of East and West Gojam Zones, northern Ethiopia, and consisted of a house-to-house census by community health workers followed by interviews of identified patients using a structured questionnaire. Results In the 17,553 households surveyed, 1,319 patients were identified. More male as compared to female patients were married (84.6% vs. 53.6%, χ2 = 157.1, p < 0.0001) while more female as compared to male patients were divorced (22.5% vs. 3.6%, χ2 = 102.3, p < 0.0001). Less than half of the study subjects believed podoconiosis could be prevented (37.5%) or controlled (40.4%) and many (41.3%) did not know the cause of podoconiosis. Two-fifths of the study subjects had a relative affected with podoconiosis. Approximately 13% of the respondents had experienced one or more forms of social stigmatization. The coping strategies adopted by patients to mitigate the physical impairments caused by podoconiosis were: working only occasionally (44.9%), avoiding physically demanding tasks (32.4%), working fewer hours (21.9%) or completely stopping work (8%). Most study subjects (96.4%) had noticed a decline in their income following the development of podoconiosis, and 78% said they were poorer than their healthy
Habtamu, Esmael; Deribe, Kebede; Rajak, Saul; Bremner, Stephen; Davey, Gail
Background Rural populations in low-income countries commonly suffer from the co-morbidity of neglected tropical diseases (NTDs). Podoconiosis, trachomatous trichiasis (both NTDs) and cataract are common causes of morbidity among subsistence farmers in the highlands of northern Ethiopia. We explored whether podoconiosis was associated with cataract or trachomatous trichiasis (TT) among this population. Methods A comparative cross-sectional study was conducted in East Gojam region, Amhara, Ethiopia in May 2016. Data were collected from patients previously identified as having podoconiosis and from matched healthy neighbourhood controls. Information on socio-demographic factors, clinical factors and past medical history were collected by an interview-administered questionnaire. Clinical examination involved grading of podoconiosis by examination of both legs, measurement of visual acuity, direct ophthalmoscopy of dilated pupils to grade cataract, and eyelid and corneal examination to grade trachoma. Multiple logistic regression was conducted to estimate independent association and correlates of podoconiosis, TT and cataract. Findings A total of 700 participants were included in this study; 350 podoconiosis patients and 350 healthy neighbourhood controls. The prevalence of TT was higher among podoconiosis patients than controls (65 (18.6%) vs 43 (12.3%)) with an adjusted odds ratio OR 1.57 (95% CI 1.02–2.40), p = 0.04. There was no significant difference in prevalence of cataract between the two populations with an adjusted OR 0.83 (95% CI 0.55–1.25), p = 0.36. Mean best visual acuity was 0.59 (SD 0.06) in podoconiosis cases compared to 0.44 (SD 0.04) in controls, p<0.001. The proportion of patients classified as blind was higher in podoconiosis cases compared with healthy controls; 5.6% vs 2.0%; adjusted OR 2.63 (1.08–6.39), P = 0.03. Conclusions Individuals with podoconiosis have a higher burden of TT and worse visual acuity than their matched healthy
Background Anopheles arabiensis, the main malaria vector in Ethiopia, shows both anthropophilic and zoophilic behaviours. Insecticide resistance is increasing, and alternative methods of vector control are needed. The objectives of this study were to determine the blood meal origins and the susceptibility to insecticides of An. arabiensis from Chano village near Arba Minch in South-West Ethiopia. Methods Blood meal sources of anopheline mosquitoes collected using Centers for Disease Control and Prevention (CDC) light traps and pyrethrum spray catches (PSC) from human dwellings, and hand-held mouth aspirators from outdoor pit shelters were analysed using a direct enzyme-linked-immunosorbent assay (ELISA). The susceptibility of An. arabiensis to pyrethroid insecticides (alphacypermethrin, lambdacyhalothrin, deltamethrin, and cyfluthrin) and DDT was assessed using females reared from larval and pupal collections from natural breeding sites. Results The blood meal origins of 2967 freshly fed Anopheles mosquitoes were determined. An. arabiensis was the predominant species (75%), and it fed mainly on cattle. The densities of both freshly fed An. arabiensis and those fed on human blood followed similar seasonal patterns. The overall human blood index (HBI) of An. arabiensis, including mixed blood meals, was 44% and the bovine blood index (BBI) was 69%. The HBI of An. arabiensis from CDC light trap collections was 75% and this was higher than those for PSC (38%) and outdoor pit shelter collections (13%), while the BBI was 65% for PSC, 68% for outdoor pit shelters and 72% for CDC light traps. More freshly fed and human blood-fed An. arabiensis were sampled from houses close to the shore of Lake Abaya (the major breeding site). A high proportion of An. arabiensis was resistant to the pyrethroid insecticides, with a mortality rate of 56% for lambdacyhalothrin, 50% for cyfluthrin and alphacypermethrin, 47% for deltamethrin, and 10% for DDT. Conclusion Anopheles arabiensis is
Gari, Akawak; Yarlagadda, Raghavendra; Wolde-Mariam, Messay
Background: Traditional medicine (TM) has maintained its popularity in all regions of the developing world. Even though, the wide acceptance of TM is a well-established fact, its status in a population with access to modern health is not well clear in the whole country. This study was carried out to assess the knowledge, attitudes, practice and management of TM among the community of Burka Jato Kebele, West Ethiopia. Methodology: A descriptive cross-sectional study was conducted on a total of 282 sampled individuals’ selected using systematic random sampling from January 28, 2013 to February 8, 2013 in Burka Jato Kebele, Nekemte town, East Wollega Zone, West of Ethiopia. Results: The majority (94.22%) of people in the study area relied on TM. Most of them were aware of medicinal herbs (55.7%). About half (40.79%) of the respondents were aware of the major side-effects of TM such as diarrhea (36.64%). About 31.85% of them prefer traditional medical practices (TMP) because they are cheap. Most (50%) of the species were harvested for their leaves to prepare remedies, followed by seed (21.15%) and root (13.46%) and the methods of preparation were pounding (27.54%), crushing (18.84%), a concoction (15.95%) and squeezing (13.04%). About 53.84% of them were used as fresh preparations. Remedies were reported to be administered through oral (53.85%), dermal or topical (36.54%), buccal (3.85%) and anal (5.77%). Conclusion: The study revealed that the use of TMs were quite popular among the population and a large proportion of the respondents not only preferred, but also used TMs notwithstanding that they lived in the urban communities with better access to modern medical care and medical practitioners. To use TM as a valuable alternative to conventional western medicine, further investigation must be undertaken to determine the validity, efficacy of the plants to make it available as an alternative medicine to human beings. PMID:25883518
Bottenberg, Helen Carrie
This work utilizes the Four-Dimensional Plates (4DPlates) software, and Differential Interferometric Synthetic Aperture Radar (DInSAR) to examine plate-scale, regional-scale and local-scale kinematics of the Afro-Arabian Rift System with emphasis on the Afar Depression in Ethiopia. First, the 4DPlates is used to restore the Red Sea, the Gulf of Aden, the Afar Depression and the Main Ethiopian Rift to development of a new model that adopts two poles of rotation for Arabia. Second, the 4DPlates is used to model regional-scale and local-scale kinematics within the Afar Depression. Most plate reconstruction models of the Afro-Arabian Rift System relies on considering the Afar Depression as a typical rift-rift-rift triple junction where the Arabian, Somali and Nubian (African) plates are separating by the Red Sea, the Gulf of Aden and the Main Ethiopian Rift suggesting the presence of "sharp and rigid" plate boundaries. However, at the regional-scale the Afar kinematics are more complex due to stepping of the Red Sea propagator and the Gulf of Aden propagator onto Afar as well as the presence of the Danakil, Ali Sabieh and East Central Block "micro-plates". This study incorporates the motion of these micro-plates into the regional-scale model and defined the plate boundary between the Arabian and the African plates within Afar as likely a diffused zone of extensional strain within the East Central Block. Third, DInSAR technology is used to create ascending and descending differential interferograms from the Envisat Advanced Synthetic Aperture Radar (ASAR) C-Band data for the East Central Block to image active crustal deformation related to extensional tectonics and volcanism. Results of the DInSAR study indicate no strong strain localization but rather a diffused pattern of deformation across the entire East Central Block.
Terwilliger, V. J.; Eshetu, Z.; Colman, A. S.; Fogel, M.
Portions of Ethiopia today are experiencing increasing temperatures and drought frequencies. The longest known hominid record is in Ethiopia's Awash Basin. Reconstructing past environments in Ethiopia may, therefore, contribute both to understanding present day and past consequences of climate change. Studies suggest that at least 7000 years of environmental reconstruction may be possible from isotopic analyses of organic matter in some Ethiopian paleosols. We have measured δ 13C and δ 15N of organic matter from modern soils in Ethiopia to explore the climatic dependence of these signals and thus to determine the maximum resolution of climatic reconstruction possible by bulk isotopic analyses of soil organic matter (SOM). Surface soil samples were taken at elevations from 350 - 3500 m in drought affected regions and from 1050 - 3100 m in regions with no history of drought. Collections were made at an altitude resolution of better than 150 m. Deeper soil samples (max. 27 m) were also obtained at 22 elevations in sites of the Awash Basin that had already been studied using other paleoenvironmental proxies. Soils were sampled in grassland, shrubland, forest, and grass/sedge wetland. The δ 15N values of SOM decreased significantly with increase in elevation and were sensitive to both overlaying vegetation type and drought proclivity. Our results support hypotheses that δ 15N values vary with total nitrogen pools in soils which, in turn vary with humidity and associated microbial influences. The δ 13C values of SOM had a quadratic relationship to elevation that most likely reflected the relative compositions of C3 and C4 biomass in overlying vegetation. Exposure to drought could not be detected by δ 13C values. At sites in the Hadar region where depth profile measurements were made to 27 m, δ 13C values decreased with depth. This result conforms to inferences from other proxy that a cooler, wetter climate previously existed. Nitrogen contents of soils below 3 m
Polun, S. G.; Stockman, M. B.; Hickcox, K.; Horrell, D.; Tesfaye, S.; Gomez, F. G.
As the only subaerial exposure of a ridge - ridge - ridge triple junction, the Afar region of Ethiopia and Djibouti offers a rare opportunity to assess strain partitioning within this type of triple junction. Here, the plate boundaries do not link discretely, but rather the East African rift meets the Red Sea and Gulf of Aden rifts in a zone of diffuse normal faulting characterized by a lack of magmatic activity, referred to as the central Afar. An initial assessment of Late Quaternary strain partitioning is based on faulted landforms in the Dobe - Hanle graben system in Ethiopia and Djibouti. These two extensional basins are connected by an imbricated accommodation zone. Several fault scarps occur within terraces formed during the last highstand of Lake Dobe, around 5 ka - they provide a means of calibrating a numerical model of fault scarp degradation. Additional timing constraints will be provided by pending exposure ages. The spreading rates of both grabens are equivalent, however in Dobe graben, extension is partitioned 2:1 between northern, south dipping faults and the southern, north dipping fault. Extension in Hanle graben is primarily focused on the north dipping Hanle fault. On the north margin of Dobe graben, the boundary fault bifurcates, where the basin-bordering fault displays a significantly higher modeled uplift rate than the more distal fault, suggesting a basinward propagation of faulting. On the southern Dobe fault, surveyed fault scarps have ages ranging from 30 - 5 ka with uplift rates of 0.71, 0.47, and 0.68 mm/yr, suggesting no secular variation in slip rates from the late Plestocene through the Holocene. These rates are converted into horizontal stretching estimates, which are compared with regional strain estimated from velocities of relatively sparse GPS data.
Sintayehu, G; Melesse, B; Abayneh, D; Sintayehu, A; Melaku, S; Alehegne, W; Mesfin, S; De Blas, I; Casal, J; Allepuz, A; Martin-Valls, G; Africa, T; Abera, K
An epidemiological survey was conducted in pastoral regions of Ethiopia to investigate the distribution of brucellosis in sheep and goats. Between November 2004 and December 2007, a total of 6,201 serum samples were collected from 67 randomly selected peasant associations, 25 districts and eight pastoral zones of Ethiopia. The Rose Bengal plate test (RBPT) and complement fixation test were used in series. Samples for bacteriology were collected from three export abattoirs, where 285 goats were randomly selected and tested by RBPTthree days before slaughter. Tissue samples were collected from 14 strongly positive goats and cultured in dextrose agar and Brucella agar base. To confirm and subtype the isolates, staining, biochemical tests and polymerase chain reaction were used. The overall standardised seroprevalence of brucellosis was 1.9%, ranging from 0.07% in Jijiga zone to 3.3% in Borena zone. There was statistically significant variation among the studied regions, zones, districts and peasant associations (p < 0.05). Male goats and sheep were twice as likely to test positive as females (relative risk [RRJ: 2.04; 95% confidence interval [CI]:1.7-3.4; x2 = 21.05, p < 0.05). Adults (older than 1.5 years) were three times more likely to test positive than younger animals (RR: 2.76; 95% CI: 1.14-6.73; chi2 = 5.18, p < 0.05). Goats were around four times more likely to be infected than sheep (RR: 3.8; 95% CI: 2.4-6.1; chi2 = 36.99, p < 0.05). Brucella melitensis was isolated from 2 of the 14 samples analysed. The widespread distribution of brucellosis in goats and sheep in these areas justifies the use of control measures to minimise the economic losses and public health hazards.
Sordo, Luis; Gadisa, Endalamaw; Custodio, Estefanía; Cruz, Israel; Simón, Fernando; Abraham, Zelalem; Moreno, Javier; Aseffa, Abraham; Tsegaye, Hailu; Nieto, Javier; Chicharro, Carmen; Cañavate, Carmen
In Libo Kemkem (a district of Amhara region, Ethiopia), no cases of kala-azar had ever been reported until 2005 when an outbreak occurred. Over one-third of those cases were children under 15 years of age. The aim of the present study was to determine the prevalence of Leishmania infection in children aged 4–15 years. A cross-sectional survey was conducted in 2009. Children participating in the survey were selected using a three-stage cluster sampling method. A total of 386 children were included in the study. The overall prevalence of Leishmania infection (direct agglutination test- and/or rK39 immunochromatographic test- and/or leishmanin skin test-positive subjects) in this population was 1.02% (95% confidence interval = 0–4.54), and prevalence was higher in boys and children older than 12 years. Only one case of active disease was encountered. The results suggest that the conditions responsible for the outbreak no longer reign. However, active surveillance remains necessary. PMID:22665599
Sordo, Luis; Gadisa, Endalamaw; Custodio, Estefanía; Cruz, Israel; Simón, Fernando; Abraham, Zelalem; Moreno, Javier; Aseffa, Abraham; Tsegaye, Hailu; Nieto, Javier; Chicharro, Carmen; Cañavate, Carmen
In Libo Kemkem (a district of Amhara region, Ethiopia), no cases of kala-azar had ever been reported until 2005 when an outbreak occurred. Over one-third of those cases were children under 15 years of age. The aim of the present study was to determine the prevalence of Leishmania infection in children aged 4-15 years. A cross-sectional survey was conducted in 2009. Children participating in the survey were selected using a three-stage cluster sampling method. A total of 386 children were included in the study. The overall prevalence of Leishmania infection (direct agglutination test- and/or rK39 immunochromatographic test- and/or leishmanin skin test-positive subjects) in this population was 1.02% (95% confidence interval = 0-4.54), and prevalence was higher in boys and children older than 12 years. Only one case of active disease was encountered. The results suggest that the conditions responsible for the outbreak no longer reign. However, active surveillance remains necessary.
Liu, Benjamin M.; Abebe, Yitayew; McHugh, Oloro V.; Collick, Amy S.; Gebrekidan, Brhane; Steenhuis, Tammo S.
This study highlights two highly degraded watersheds in the semi-arid Amhara region of Ethiopia where integrated water resource management activities were carried out to decrease dependence on food aid through improved management of ‘green’ water. While top-down approaches require precise and centrally available knowledge to deal with the uncertainty in engineering design of watershed management projects, bottom-up approaches can succeed without such information by making extensive use of stakeholder knowledge. This approach works best in conjunction with the development of leadership confidence within local communities. These communities typically face a number of problems, most notably poverty, that prevent them from fully investing in the protection of their natural resources, so an integrated management system is needed to suitably address the interrelated problems. Many different implementing agencies were brought together in the two study watersheds to address water scarcity, crop production, and soil erosion, but the cornerstone was enabling local potential through the creation and strengthening of community watershed management organizations. Leadership training and the reinforcement of stakeholder feedback as a fundamental activity led to increased ownership and willingness to take on new responsibilities. A series of small short term successes ranging from micro-enterprise cooperatives to gully rehabilitation have resulted in the pilot communities becoming confident of their own capabilities and proud to share their successes and knowledge with other communities struggling with natural resource degradation.
Clarke, Neville; Bizimana, Jean-Claude; Dile, Yihun; Worqlul, Abeyou; Osorio, Javier; Herbst, Brian; Richardson, James W; Srinivasan, Raghavan; Gerik, Thomas J; Williams, Jimmy; Jones, Charles A; Jeong, Jaehak
This study investigates multi-dimensional impacts of adopting new technology in agriculture at the farm/village and watershed scale in sub-Saharan Africa using the Integrated Decision Support System (IDSS). Application of IDSS as an integrated modeling tool helps solve complex issues in agricultural systems by simultaneously assessing production, environmental, economic, and nutritional consequences of adopting agricultural technologies for sustainable increases in food production and use of scarce natural resources. The IDSS approach was applied to the Amhara region of Ethiopia, where the scarcity of resources and agro-environmental consequences are critical to agricultural productivity of small farm, to analyze the impacts of alternative agricultural technology interventions. Results show significant improvements in family income and nutrition, achieved through the adoption of irrigation technologies, proper use of fertilizer, and improved seed varieties while preserving environmental indicators in terms of soil erosion and sediment loadings. These pilot studies demonstrate the usefulness of the IDSS approach as a tool that can be used to predict and evaluate the economic and environmental consequences of adopting new agricultural technologies that aim to improve the livelihoods of subsistence farmers.
McNatt, Zahirah; Linnander, Erika; Endeshaw, Abraham; Tatek, Dawit; Conteh, David
Abstract Many countries struggle to develop and implement strategies to monitor hospitals nationally. The challenge is particularly acute in low-income countries where resources for measurement and reporting are scarce. We examined the experience of developing and implementing a national system for monitoring the performance of 130 government hospitals in Ethiopia. Using participatory observation, we found that the monitoring system resulted in more consistent hospital reporting of performance data to regional health bureaus and the federal government, increased transparency about hospital performance and the development of multiple quality-improvement projects. The development and implementation of the system, which required technical and political investment and support, would not have been possible without strong hospital-level management capacity. Thorough assessment of the health sector’s readiness to change and desire to prioritize hospital quality can be helpful in the early stages of design and implementation. This assessment may include interviews with key informants, collection of data about health facilities and human resources and discussion with academic partners. Aligning partners and donors with the government’s vision for quality improvement can enhance acceptability and political support. Such alignment can enable resources to be focused strategically towards one national effort – rather than be diluted across dozens of potentially competing projects. Initial stages benefit from having modest goals and the flexibility for continuous modification and improvement, through active engagement with all stakeholders. PMID:26600614
McNatt, Zahirah; Linnander, Erika; Endeshaw, Abraham; Tatek, Dawit; Conteh, David; Bradley, Elizabeth H
Many countries struggle to develop and implement strategies to monitor hospitals nationally. The challenge is particularly acute in low-income countries where resources for measurement and reporting are scarce. We examined the experience of developing and implementing a national system for monitoring the performance of 130 government hospitals in Ethiopia. Using participatory observation, we found that the monitoring system resulted in more consistent hospital reporting of performance data to regional health bureaus and the federal government, increased transparency about hospital performance and the development of multiple quality-improvement projects. The development and implementation of the system, which required technical and political investment and support, would not have been possible without strong hospital-level management capacity. Thorough assessment of the health sector's readiness to change and desire to prioritize hospital quality can be helpful in the early stages of design and implementation. This assessment may include interviews with key informants, collection of data about health facilities and human resources and discussion with academic partners. Aligning partners and donors with the government's vision for quality improvement can enhance acceptability and political support. Such alignment can enable resources to be focused strategically towards one national effort - rather than be diluted across dozens of potentially competing projects. Initial stages benefit from having modest goals and the flexibility for continuous modification and improvement, through active engagement with all stakeholders.
Jemaneh, L; Taticheff, S
A village-to-village search for active dracunculiasis cases was carried out in an endemic area of the Bume (Nyangaton) tribe of South Omo Region, Ethiopia. A total of 21 cases, of which 6, 5, and 10 had pre-emergent, emergent and complicated Guinea worm disease, respectively, were identified. Twenty-two worms, ranging from 1-3 per patient, were removed mainly from the lower limbs; worm appearance seems to be associated more with the right limb. Adults between the ages of 20-30 years are highly affected and infection appears to be sex-related as 14/21 (66.7%) of the cases are females. Water procured from water-holes drug in dry river beds provides an ideal situation for the transmission of dracunculiasis amongst the tribesmen. The knowledge, attitudes and perceptions of the Bume people towards the disease and the public health significance of dracunculiasis are discussed in relation to the current goal of the national and global Guinea worm eradication programme.
Wakjira, Dereje T; Fischer, Anke; Pinard, Michelle A
Many common pool resources have traditionally been managed through intricate local governance arrangements. Over time, such arrangements are confronted with manifold political, social, economic and ecological changes. However, the ways in which local governance arrangements react to such changes are poorly understood. Using the theoretical concept of institutional adaptation, we analyse the history of Harenna forest, Ethiopia, to examine processes of institutional change over the last 150 years. We find that the traditional institutions that governed Harenna's resources persisted, in essence, over time. However, these institutions were modified repeatedly to address changes caused by varying formal, supra-regional governance regimes, the development of markets for forest products, increasing population pressure and changes in formal property rights. A key mechanism for adaptation was combining elements from both informal and formal institutions, which allowed traditional rules to persist in the guise of more formal arrangements. Our findings also highlight several constraints of institutional adaptation. For example, by abolishing fora for collective decision-making, regime changes limited adaptive capacity. To conclude, we argue that such insights into traditional resource governance and its adaptability and dynamics over time are essential to develop sustainable approaches to participatory forest management for the future, both in Harenna and more generally.
Adamu, Abebaw Yirga
This study investigated factors that contributed to the participation of a rural community in health education. It was conducted in the Awi zone of the Amhara region in Ethiopia. The participants were rural community members and health extension workers. Purposive and snowball sampling techniques were used to recruit rural community members, whereas convenient sampling was used to recruit health extension workers. Data was collected through in-depth individual interviews, and focus group discussions. The study revealed various factors contributing to the participation of a rural community in health education, including attainability of the objectives of health education, profiles of the health extension workers, peer influence, organization of the health education program in terms of place and time, and meaningfulness of the health education in terms of rural community lives. Although the ultimate goal of participation in health education is similar for all rural community members, they were attracted to the program by one or more than one different factor. Efforts aimed at enhancing participation of a rural community in health education program should address each factor that contributes to the participation of community members.
de la Torre, Ignacio; Mora, Rafael; Arroyo, Adrian; Benito-Calvo, Alfonso
The Mieso valley is a new paleoanthropological sequence located in East-Central Ethiopia. It contains Middle and Upper Pleistocene deposits with fossil and lithic assemblages in stratified deposits. This paper introduces the Middle Pleistocene archaeological sequence, attributed to the late Acheulean. Low density clusters of artefacts suggest short-term use of the landscape by Acheulean hominins. In Mieso 31, one of the excavated assemblages, refit sets indicate fragmentation of the reduction sequences and enable study of the initial stages of biface manufacture. Mieso 7, also a stratified site, is primarily characterized by a small concentration of standardized cleavers, and portrays another dimension of Acheulean technology, that related to final stages of use and discard of large cutting tools. Available radiometric dates place the Mieso Acheulean around 212 ka (thousands of years) ago, which would make this sequence among the latest evidence of the Acheulean in East Africa, in a time span when the Middle Stone Age is already documented in the region.
Swanson-Hysell, N.; Maloof, A. C.; Condon, D. J.; Park, Y.; MacLennan, S. A.; Schoene, B.; Tremblay, M. M.; Alene, M.; Anttila, E.; Haileab, B.; Tesema, T.
The early Neoproterozoic is a crucial period in the evolution of life and climate on Earth. Basins that developed during the time contain a record of the diversification of eukaryotic life as well as large-scale changes to the carbon cycle and paleogeography during the period leading up to Cryogenian glaciation. Understanding global change leading up to Cryogenian glaciation is key for interpreting the boundary conditions that resulted in the beginning of dramatic climate and geochemical oscillations during this critical interval. Existing age models for Neoproterozoic nonglacial intervals, such as the time leading up to Cryogenian glaciation, largely have been based on correlation of carbonate δ13C values, but there are few tests of the assumed synchroneity of these records between basins. In contrast to the ash-poor successions typically targeted for Neoproterozoic chemostratigraphy, the Tonian to Cryogenian Tambien Group (Tigray region, Ethiopia) was deposited in an arc-proximal basin where volcanic tuffs suitable for U-Pb geochronology are preserved within the mixed carbonate-siliciclastic sedimentary succession. We use physical and isotopic stratigraphic data sets from Tambien Group sedimentary rocks in concert with high-precision U-Pb dates from intercalated tuffs to establish global synchroneity of large scale carbon isotopic change. These new temporal constraints strengthen the case for interpreting Neoproterozoic carbon isotope variation as a record of large-scale changes to the carbon cycle. Furthermore, these dates strengthen the temporal framework for interpreting paleogeographic change, geochemical cycling, and environmental evolution during the radiation of early eukaryotes.
Unwanted pregnancy is associated with increased risk of maternal mortality and morbidity. This study was done to determine the causes of unwanted pregnancy and its impact on maternal health. A cross sectional study (February 1, 2002-January 31, 2004) was conducted on 907 patients with diagnosis of abortion and admitted to the gynecological ward of Adigrat zonal hospital, Tigray Region, Ethiopia. This accounts to 12.6% of all hospital and 60.6% of gynecological admissions. The majority of these women (69.8%) had unwanted pregnancy. Modern contraception methods were not in use in 76.2% of unwanted and 57.7% of wanted pregnancies (P = 0.008). Interference was reported in 81.4% of unwanted pregnancy. High incidence of complication was reported in patients with unwanted pregnancy. In this study it is found that unwanted pregnancy is associated with increased risk of maternal morbidity and mortality. The development and prompt implementation of a strategy that enables women to safely manage unwanted pregnancy is recommended.
Altare, Chiara; Delbiso, Tefera Darge; Guha-Sapir, Debarati
Child undernutrition is a major public health concern in Ethiopia (stunting national prevalence: 44%; wasting: 10%), despite the overall improvement in child health status during the last decade. Hundreds of small-scale surveys are conducted in Ethiopia’s emergency pockets under ENCU’s supervision. We reviewed the evidence from small-scale surveys conducted between 2008 and 2013 with two objectives: to provide a summary estimate of wasting prevalence from emergency pockets and to examine reasons for variation in prevalence estimates. We created a dataset by combining data from the Complex Emergency Database, the Famine Early Warning System Network and the Armed Conflict Location Event Data. We conducted a meta-analysis of small-scale surveys using a random effects model with known within-study heterogeneity. The influence of survey covariates on estimated prevalence was investigated with meta-regression techniques. We included 158 surveys in the analysis. A high degree of heterogeneity among surveys was observed. The overall estimate of wasting prevalence was 10.6% (95% CI 9.8–11.4), with differences among regions and between residents and refugees. Meta-regression results showed that vaccination coverage, child mortality, diarrhea prevalence and food insecurity are significantly associated with wasting prevalence. Child care and displacement status were not. Aggregated analysis of small-scale surveys provides insights into the prevalence of wasting and factors explaining its variation. It can also guide survey planning towards areas with limited data availability. PMID:26828512
Tiruneh, Yordanos M.; Wilson, Ira B.
This study assessed adherence to antiretroviral therapy (ART) among people living with HIV/AIDS in Ethiopia and explored the sociocultural context in which they relate to their regimen requirements. Data were collected through semi-structured in-depth interviews with 105 patients on ART and observations held at the study clinic. We analyzed data using both qualitative and quantitative methods. Our findings indicate that study participants are highly adherent to dose but less adherent to dose schedule. Strict dose time instructions were reported as stressful and unrealistic. The discrepancy between adherence to dose and dose schedule could be explained by time perception, difficulty with the strictness of medication regimens, or beliefs about dose timing adherence. Care providers should acknowledge the complexities of medication practices and engage in shared decision-making to incorporate patients’ perspectives and identify effective interventions. PMID:26873491
Istre, G R; Fontaine, R E; Tarr, J; Hopkins, R S
An outbreak of acute schistosomiasis occurred among a group of adventurers who took part in a rafting expedition on the Omo River in Ethiopia in November 1981. Six (55%) of the 11 members of the expedition experienced Schistosoma mansoni infection confirmed by stool examination. Five of these six had symptoms compatible with acute schistosomiasis. Eosinophilia was the most frequent sign of infection (five of six), and fever, the most common symptom (four of six). Despite medical evaluations, illnesses had remained undiagnosed until January 1982. This outbreak should alert physicians to the risk of schistosomiasis among travelers to this part of Africa and the difficulty of correct diagnosis early in the course of the disease.
Pearson, Osbjorn M; Fleagle, John G; Grine, Frederick E; Royer, Danielle F
In addition to the new fragments of the Omo I skeleton, renewed fieldwork in the Kibish Formation along the lower reaches of the Omo River in southwestern Ethiopia has yielded new hominin finds from the Kibish Formation. The new finds include four heavily mineralized specimens: a partial left tibia and a fragment of a distal fibular diaphysis from Awoke's Hominid Site (AHS), a parietal fragment, and a portion of a juvenile occipital bone. The AHS tibia and fibula derive from Member I and are contemporaneous with Omo I and II. The other specimens derive from Chad's Hominid Site (CHS), and derive from either Member III or IV, which constrains their age between approximately 8.6 and approximately 104 ka.
Sagbakken, Mette; Frich, Jan C; Bjune, Gunnar A
Management of early tuberculosis (TB) symptoms and adherence to medical treatment are main challenges in controlling TB. The aim of this study is to explore how symptoms of TB are perceived and managed, from the onset of symptoms and during the course of treatment, in Addis Ababa, Ethiopia. We conducted a qualitative interview study, including 50 in-depth interviews and 2 focus groups, with TB patients, their relatives, and health personnel. We found that a patient's perceptions and self-treatment of early symptoms could cause diagnostic delay. Stigma associated with TB and public health services made many patients approach private clinics, causing further delay. Both private and public clinics often labeled and managed symptoms according to lay explanatory models. Lack of adequate knowledge about TB's etiology and cure caused patients to continue relating to symptoms by reference to their own understanding. This affected patients' ability to manage TB and its treatment.
Despite a record of mineral activity that dates back to Biblical times and the occurrence of a wide variety of minerals, as well as continuing efforts to discover major ore deposits, Ethiopia's mineral resources ahve remained of minor importance in the world economy. Mineral production in the last 20 years, for example, forms less than 1% of the estimated GDP. Well known minerals andmineral products available in the country in commercial quantities are: gold, platinum, manganese ore, natural agas, clays and clay products, feldspars, gypsum and anhydrite, slat, lime, limestone, cement, sand, structural and crushed stones, marble, mineral water and pumice. There are also vast reserves of water and geothermal power. Recently discovered deposits (over the last 20 years), with major reserves that may attain an important role in mineral production in the future, include potash salts, copper ore and diatomites. Minerals which are known to occur in Ethiopia, but of which supplies are deficient, or which have not yet been proved to exist in economic quantities are: nickel, iron, chromium, mineral fuels (oil, coal and uranium), sulphur, asbesttos, mica, talc, barytes, fluorites, borates, soda-ash, phosphates, wolframite, abrasives (garnet), molybdenite and vanadium. Within the last few years there has been an increasing appreciation of the economic significance of a mineral industry and a definite attempt to foster it. Mineral ownership is vested in the state are cotnrolled by the MInistry of Mines, Energy and Water Resources. The law relating to foreign investment in mines is liberal. The plans for the future have to provide for detailed and intensive exploration of the country's mineral resources, manufacture and fabrication.
Taye, Molla; Afework, Mekbeb; Fantaye, Wondwossen; Diro, Ermias; Worku, Alemayehu
Background Birth defects are defined as structural and functional defects that develop during the organogenesis period and present at birth or detected later in life. They are one of the leading causes of infant and child mortality, morbidity, and long term disability. The magnitude of birth defects varies from country to country and from race/ethnicity to race/ethnicity, and about 40–60% of their causes are unknown. The known causes of birth defects are genetic and environmental factors which may be prevented. For various reasons, there is lack of data and research on birth defects in Ethiopia. Objective The major objective of this study is to estimate the magnitude of birth defects in Ethiopia. Subject and Methods A hospital based, retrospective, cross sectional, descriptive study was conducted. The subjects were babies/children aged 0–17years who visited selected hospitals between 2010 and 2014. Fourteen hospitals (8 in Addis Ababa, 6 in Amhara Region) were selected purposively based on case load. A data retrieving form was developed to extract relevant information from record books. Results In the hospitals mentioned, 319,776 various medical records of children aged 0–17years were found. Of these, 6,076 (1.9% with 95% CI: 1.85%–1.95%) children were diagnosed as having birth defects. The majority (58.5%) of the children were male and 41.5% female. A slightly more than half (51.1%) of the children were urban dwellers, while 48.9% were from rural areas. Among the participants of the study the proportion of birth defects ranged as follows: orofacial (34.2%), neural tube (30.8%), upper and lower limb (12.8%), cardiovascular system (10.3%), digestive system and abdominal wall (4.8%), unspecified congenital malformations (2.5%), Down syndrome (2%), genitourinary system (2%), head, face, and neck defects (0.4%), and others (0.3%). The trend of birth defects increased linearly over time [Extended Mantel-Haenszel chi square for linear trend = 356.7 (P<0
Foster, Byron Alexander; Jerene, Degu; Ruff, Andrea
Purpose The Ethiopian Paediatric HIV Cohort (EPHIC) was established to identify clinical and laboratory predictors of virological treatment failure to ultimately develop a clinical–immunological prediction rule with area under the curve of >0.80 for detecting first-line antiretroviral therapy failure (ARTF). It will also assess the performance of the current WHO guidelines for detection of first-line ARTF in children. Participants Using a prospective cohort design, HIV-infected children and adolescents below the age of 18 years are followed every 6 months with a set of clinical and laboratory parameters at 6 hospitals in southern Ethiopia. For inclusion in the cohort, children should be on or are initiating first-line antiretroviral therapy (ART) and are not on second-line ART. Virological treatment failure is taken as the gold standard for the diagnosis of treatment failure. Findings to date From October 2015 through April 2016, 628 children have been enrolled from 6 different HIV treatment centres across southern Ethiopia. The mean age at enrolment was 11.1 years and 47.6% were girls. Many of the children (88.6%) were at WHO Clinical stage 1 at time of enrolment. At enrolment, the mean duration on first-line ART was 45 months. Substitution of ART drugs was performed to nearly half (42.6%) of the cohort. Adherence as assessed with the Visual Analogue Scale was high (mean, 94.4%; SD=11.9). The median CD4 count of the cohort at enrolment was 741 with 3.1% having a value consistent with ARTF. Future plans Regular data uploads from the 6 hospitals in southern Ethiopia enable this cohort to be followed prospectively. The cohort will be completed in September 2017. The successful completion of this study will allow for better targeting of viral-load testing to those at highest risk in resource-poor settings and provide clinicians and policymakers with a practical prediction rule. Ethics approval SNNPR Regional Health Bureau Institutional Review Board. PMID
Keesstra, Saskia; Hartog, Maaike; Muluneh, Alemayehu; Stroosnijder, Leo
In the Central Rift Valley of Ethiopia, small scale farmers mostly rely on rainfall for crop production. The erratic nature of rainfall causes frequent crop failures and makes the region structurally dependent on food aid. Rainwater Harvesting (RWH) is a technique to collect and store runoff that could provide water for livestock, domestic use or small scale irrigation. Usually, such irrigation is promoted for high value crops, but in the light of regional food security it may become interesting to invest in irrigation of maize. In this research, two cemented RWH cisterns were investigated to determine their economic and social potential for supplemental irrigation of maize using drip irrigation. For this, data from test fields with irrigated maize and monitoring of water levels of the cisterns were used, as well as a survey under 30 farmers living close to the experimental site. The results show that catchment size and management should be in balance with the designed RWH system, to prevent too little runoff or flooding. An analysis with Cropwat 8.0 was used to investigate the possibility of irrigating maize with the observed amounts of water in the RWH cisterns. This would suffice for 0.3-0.8 ha of maize. For a RWH cistern with a drip irrigation system to be economically viable, the production on this acreage should become 3-4 ton/ha; 2.5 times higher than the current yield. But the biggest challenge would be to change the perception of respondents, who don't find it logical to spend precious water on a common crop like maize. Therefore, if the Ethiopian government considers the irrigation of maize to be important for regional food security, it is recommended to either subsidize the construction of RWH cisterns or provide credit on favourable terms.
Gebru, Tsige; Viehberg, Finn A.; Frank, Ute; Asrat, Asfawossen; Weber, Michael E.; Foerster, Verena; Wennrich, Volker; Rethemeyer, Janet; Brown, Maxwell C.; Lamb, Henry F.; Schäbitz, Frank
The structure and evolution of East Africa Rift Valley has made the region sensitive to climate change, with alternating wet and arid periods that may have influenced human evolution. Understanding environmental change and its impact on human societies for the last few millennia may provide insights that can be applied to longer records from the region. Geophysical and geochemical data together with ostracods and sedimentary charcoal were used to reconstruct Holocene environments at Lake Chamo, a rift lake in southern Ethiopia. Humid conditions in the early to mid Holocene are inferred from high Si count and high diatom abundance. Poor calcite preservation along with relatively lowered lightness (L*) value also confirm this humid period. Abundant charcoal suggests more stable woody savanna vegetation during this time. A major change to aridity occurred at 5200 cal yr BP, as indicated by high amounts of calcite in the sediments and high ostracod abundance. The dramatic decline of charcoal concentration after this time clearly shows the vegetation response to aridity. Fluctuating value of Ca and Sr in conjunction with high colour changes during 2400 - 800 cal yr BP, reflecting the changing conditions of reducing/oxidizing reaction that might indicate the occurrence of both humid and dry periods. High catchment inwash and deposition of terrigenious material at 1500 - 800 cal yr BP indicate periods of intensive erosion. This intensive erosion might favor as a function of both anthropogenic impact and climatic variability. Moderate values of all the geochemical data along with higher values of "L*-a*-b*" colour data from 800 cal yr BP to the present indicated generally dry conditions. Overall, the record from Lake Chamo shows major environmental changes, in agreement with other studies from the region.
Adaye, Abebe Alaro
This paper reports on past educational objectives of the old political regime in Ethiopia and new educational objectives of revolutionary Ethiopia. It is reported that these new objectives focus on education for production, scientific research, and socialist consciousness, and that all subjects are based on Marxism-Leninism. Curricular objectives…
Jenkins, Susanna; Lark, Murray; Loughlin, Sue; Fontijn, Karen; Mather, Tamsin; Pyle, David; Lewi, Elias; Yirgu, Gezahegn; Vye-Brown, Charlotte; Sparks, Steve
Despite large numbers of very visible active volcanoes in sub-Saharan Africa, data about eruptions are limited compared to elsewhere in the world. We present the method and findings from elicitations carried out to characterise likely future eruptions in the region as part of a World Bank GFDRR risk profiling project for sub-Saharan Africa. The purpose of the elicitations was to better understand the characteristics and frequencies of explosive eruptions at volcanoes in Ethiopia and Kenya. The elicitations will provide source parameters for tephra fall modelling at select volcanoes in Ethiopia (Aluto, Corbetti, Fentale) and Kenya (Menegai, Longonot, Suswa). There were two stages of elicitation: 1) a 'sanity check' of initial assumptions around likely eruption style, magnitude and frequency for the six selected volcanoes; 2) a formal SHELF (SHeffield ELicitation Framework) elicitation that centred round establishing frequency-magnitude relationships for the volcanoes. The elicitation suggested that explosive eruptions at Aluto and Corbetti were less likely than at the other volcanoes, although the uncertainty was significant. Menengai and Rungwe volcano in Tanzania (elicited as an analogue for Fentale, Longonot and Suswa volcanoes) were characterised by approximately similar probabilities of eruption. However, Rungwe was considered more likely to produce larger explosive (VEI ≥ 4) eruptions than Menengai. Elicitation discussions highlighted the knowledge and data gaps for African volcanoes and raised important questions around whether gaps in the eruption record were real and related to changing regimes at the volcanoes over time or if they were a function of under-recording or lack of preservation. Further investigation is therefore needed to validate the findings of the elicitation. It is hoped that continued collaboration with local partners and studies within the ongoing NERC-funded RiftVolc project will address these issues and help to improve our knowledge
Kruk, Margaret E.; Riley, Patricia L.; Palma, Anton M.; Adhikari, Sweta; Ahoua, Laurence; Arnaldo, Carlos; Belo, Dercio F.; Brusamento, Serena; Cumba, Luisa I. G.; Dziuban, Eric J.; El-Sadr, Wafaa M.; Gutema, Yoseph; Habtamu, Zelalem; Heller, Thomas; Kidanu, Aklilu; Langa, Judite; Mahagaja, Epifanio; McCarthy, Carey F.; Melaku, Zenebe; Shodell, Daniel; Tsiouris, Fatima; Young, Paul R.; Rabkin, Miriam
Introduction Option B+, an approach that involves provision of antiretroviral therapy (ART) to all HIV-infected pregnant women for life, is the preferred strategy for prevention of mother to child transmission of HIV. Lifelong retention in care is essential to its success. We conducted a discrete choice experiment in Ethiopia and Mozambique to identify health system characteristics preferred by HIV-infected women to promote continuity of care. Methods Women living with HIV and receiving care at hospitals in Oromia Region, Ethiopia and Zambézia Province, Mozambique were shown nine choice cards and asked to select one of two hypothetical health facilities, each with six varying characteristics related to the delivery of HIV services for long term treatment. Mixed logit models were used to estimate the influence of six health service attributes on choice of clinics. Results 2,033 women participated in the study (response rate 97.8% in Ethiopia and 94.7% in Mozambique). Among the various attributes of structure and content of lifelong ART services, the most important attributes identified in both countries were respectful provider attitude and ability to obtain non-HIV health services during HIV-related visits. Availability of counseling support services was also a driver of choice. Facility type, i.e., hospital versus health center, was substantially less important. Conclusions Efforts to enhance retention in HIV care and treatment for pregnant women should focus on promoting respectful care by providers and integrating access to non-HIV health services in the same visit, as well as continuing to strengthen counseling. PMID:27551785
Beyene, Abebe; Kassahun, Yared; Addis, Taffere; Assefa, Fassil; Amsalu, Aklilu; Legesse, Worku; Kloos, Helmut; Triest, Ludwig
Although waste from coffee processing is a valuable resource to make biogas, compost, and nutrient-rich animal food, it is usually dumped into nearby water courses. We carried out water quality assessment at 44 sampling sites along 18 rivers that receive untreated waste from 23 coffee pulping and processing plants in Jimma Zone, Ethiopia. Twenty upstream sampling sites free from coffee waste impact served as control, and 24 downstream sampling sites affected by coffee waste were selected for comparison. Physicochemical and biological results revealed a significant river water quality deterioration as a result of disposing untreated coffee waste into running water courses. During coffee-processing (wet) season, the highest organic load (1,900 mg/l), measured as biochemical oxygen demand, depleted dissolved oxygen (DO) to a level less than 0.01 mg/l, and thus curtailed nitrification. During off season, oxygen started to recuperate and augmented nitrification. The shift from significantly elevated organic load and reduced DO in the wet season to increased nitrate in the off season was found to be the determining factor for the difference in macroinvertebrate community structure as verified by ordination analysis. Macroinvertebrate diversity was significantly reduced in impacted sites during the wet season contrary to the off season. However, there was a significant difference in the ratio of sensitive to pollution-tolerant taxa in the off season, which remained depreciated in the longer term. This study highlights the urgency of research exploring on the feasibility of adopting appropriate pollution abatement technologies to implement ecologically sound coffee-processing systems in coffee-growing regions of Ethiopia.
Assefa, Yibeltal; Van Damme, Wim; Mariam, Damen Haile; Kloos, Helmut
Expanding access to HIV counseling and testing (HCT) and antiretroviral treatment (ART) has reduced morbidity and mortality in people living with HIV/AIDS. As a result, many countries are scaling up HIV/AIDS services. In this paper we discuss challenges experienced during the move toward universal access to HCT and ART services in Ethiopia. We reviewed routine reports from the Ministry of Health and implementing partners. We also had interviews, about linkage to and retention in care of patients, with 10 HIV/AIDS program managers, as well as 2 to 7 health care providers and 5 to 15 patients in each of 23 health centers and 32 hospitals in all regions of the country. We found that the number of people tested for HIV increased 10-fold from 435,854 in 2005 to 4,559,954 in 2008. Only 61% of the HIV-positive patients were linked to chronic care immediately after tested for HIV. The number of patients initiated on ART annually increased from 26,021 in 2005 to 53,696 in 2008. Attrition of patients increased from 18% in 2005 to 26% in 2008. Our interviews indicated that fear of stigma, transport cost, feeling healthy and opting for traditional medicines were the main reasons for poor linkage to and retention in care. Lack of nutrition and feeling better were also reasons for poor retention. In conclusion, in spite of the rapid scale-up of HCT and ART services in Ethiopia, linkage and retention were not adequate. Therefore, strategies should be developed and implemented to improve linkage and retention.
Background Though birth interval has beneficial effects on health status of the mother and their children, it is affected by range of factors some of which are rooted in social and cultural norms and the reproductive behaviors of individual women. However, there was limited data showed the determinants of birth intervals in rural pastoral communities of South Ethiopia. Therefore, the study was aimed to assess the determinants of inter birth interval among women’s of child bearing age in Yaballo Woreda, Borena zone, Oromia Regional State, Ethiopia. Methods A community based unmatched case–control study with multi stage sampling technique was conducted from January to March 2012. Cases were women with two subsequent birth intervals of less than three years and controls were women with two subsequent birth intervals between three and above years. Simple random sampling technique was employed to select six hundred fifty two (326 cases and 326 controls) study subjects. All explanatory variables that were associated with the outcome variable (birth interval) during bivariate analysis were included in the final logistic model. Multivariable backward logistic regression when P values less than or equal to 0.05 and 95% CI were used to determine independent determinants for the outcome of interest. Results The median duration of birth interval was 31 & 40 months among cases and controls respectively. Variables such as number of children (AOR 3.73 95% CI: (1.50, 9.25), use of modern contraceptives (AOR 5.91 95% CI: (4.02, 8.69), mothers’ educational status (AOR 1.89 95% CI: (1.15, 3.37), and sex of the child (AOR 1.72 95% CI: (1.17, 2.52) were significantly associated with birth intervals. Conclusions Concerted efforts to encourage modern contraceptive use, women education, and breastfeeding should be made. PMID:23688144
Custodio, Estefanía; Gadisa, Endalamaw; Sordo, Luis; Cruz, Israel; Moreno, Javier; Nieto, Javier; Chicharro, Carmen; Aseffa, Abraham; Abraham, Zelalem; Hailu, Tsegaye; Cañavate, Carmen
Background In northern Ethiopia the prevalence of visceral leishmaniasis is steadily rising posing an increasing public health concern. In order to develop effective control strategies on the transmission of the disease it is important to generate knowledge on the epidemiological determinants of the infection. Methodology/Principal Findings We conducted a cross-sectional survey on children 4–15 years of age using a multi staged stratified cluster sampling on high incidence sub-districts of Amhara regional state, Ethiopia. The survey included a socio-demographic, health and dietary questionnaire, and anthropometric measurements. We performed rK39-ICT and DAT serological tests in order to detect anti-Leishmania antibodies and carried out Leishmanin Skin Test (LST) using L.major antigen. Logistic regression models were used. Of the 565 children surveyed 56 children were positive to infection (9.9%). The individual variables that showed a positive association with infection were increasing age, being male and sleeping outside [adjusted odds ratios (95% CI): 1.15 (1.03, 1.29), 2.56 (1.19, 5.48) and 2.21 (1.03, 4.71) respectively] and in relation to the household: past history of VL in the family, living in a straw roofed house and if the family owned sheep [adjusted OR (95% CI): 2.92 (1.25, 6.81), 2.71 (1.21, 6.07) and 4.16 (1.41, 12.31) respectively]. Conclusions/Significance A behavioural pattern like sleeping outside is determinant in the transmission of the infection in this area. Protective measures should be implemented against this identified risk activity. Results also suggest a geographical clustering and a household focalization of the infection. The behaviour of the vector in the area needs to be clarified in order to establish the role of domestic animals and house materials in the transmission of the infection. PMID:23029576
Wakie, Tewodros; Kumar, Sunil; Senay, Gabriel; Takele, Abera; Lencho, Alemu
A number of studies have reported the presence of wheat septoria leaf blotch (Septoria tritici; SLB) disease in Ethiopia. However, the environmental factors associated with SLB disease, and areas under risk of SLB disease, have not been studied. Here, we tested the hypothesis that environmental variables can adequately explain observed SLB disease severity levels in West Shewa, Central Ethiopia. Specifically, we identified 50 environmental variables and assessed their relationships with SLB disease severity. Geographically referenced disease severity data were obtained from the field, and linear regression and Boosted Regression Trees (BRT) modeling approaches were used for developing spatial models. Moderate-resolution imaging spectroradiometer (MODIS) derived vegetation indices and land surface temperature (LST) variables highly influenced SLB model predictions. Soil and topographic variables did not sufficiently explain observed SLB disease severity variation in this study. Our results show that wheat growing areas in Central Ethiopia, including highly productive districts, are at risk of SLB disease. The study demonstrates the integration of field data with modeling approaches such as BRT for predicting the spatial patterns of severity of a pathogenic wheat disease in Central Ethiopia. Our results can aid Ethiopia's wheat disease monitoring efforts, while our methods can be replicated for testing related hypotheses elsewhere.
Mesfin, Fisseha; Demissew, Sebsebe; Teklehaymanot, Tilahun
Background Medicinal plants are the integral part of the variety of cultures in Ethiopia and have been used over many centuries. Hence, the aim of this study is to document the medicinal plants in the natural vegetation and home gardens in Wonago Woreda, Gedeo Zone, Southern Nations, Nationalities and Peoples Regional State (SNNPR). Materials and methods Thirty healers were selected to collect data on management of medicinal plants using semi-structured interview, group discussion, and field observation. The distribution of plant species in the study areas was surveyed, and preference ranking, direct matrix ranking, priority ranking of factors and Informant consensus factor (ICF) were calculated. Results The informants categorized the vegetation into five community types based on plant density and associated landform: 'Raqqa', 'Hakka cadanaba', 'Mancchha', 'Bullukko', and 'Wodae gido'. 155 plant species were collected from the natural vegetation and 65 plant species from the home gardens ('Gattae Oduma'). Seventy-two plant species were documented as having medicinal value: Sixty-five (71%) from natural vegetation and 27 (29%) from home gardens. Forty-five (62%) were used for humans, 15(21%) for livestock and 13(18%) for treating both human and livestock ailments: 35 (43.2%) were Shrubs, 28(34.5%) herbs, 17 (20.9%) trees and 1(1.2%) climbers. The root (35.8%) was the most commonly used plant part. The category: malaria, fever and headache had the highest 0.82 ICF. Agricultural expansion (24.4%) in the area was found to be the main threat for medicinal plants followed by fire wood collection (18.8%). Peoples' culture and spiritual beliefs somehow helped in the conservation of medicinal plants. Conclusion Traditional healers still depend largely on naturally growing plant species and the important medicinal plants are under threat. The documented medicinal plants can serve as a basis for further studies on the regions medicinal plants knowledge and for future
Benito-Calvo, Alfonso; Barfod, Dan N; McHenry, Lindsay J; de la Torre, Ignacio
This paper presents the Quaternary sequence of the Mieso area of Central-East Ethiopia, located in the piedmont between the SE Ethiopian Escarpment and the Main Ethiopian Rift-Afar Rift transition sector.In this region, a piedmont alluvial plain is terraced at þ25 m above the two main fluvial courses, the Mieso and Yabdo Rivers. The piedmont sedimentary sequence is divided into three stratigraphic units separated by unconformities. Mieso Units I and II contain late Acheulean assemblages and a weakly consolidated alluvial sequence, consisting mainly of fine sediments with buried soils and, to a lesser degree, conglomerates. Palaeo-wetland areas were common in the alluvial plain, represented by patches of tufas, stromatolites and clays. At present, the piedmont alluvial surface is preserved mainly on a dark brown soil formed at the top of Unit II. Unit III corresponds to a fluvial deposit overlying Unit II, and is defined by sands, silty clays and gravels, including several Later Stone Age (LSA) occurrences. Three fine-grained tephra levels are interbedded in Unit I (tuffs TBI and TA) and II (tuff CB), and are usually spatially-constrained and reworked. Argon/argon (40Ar/39Ar) dating from tuff TA, an ash deposit preserved in a palustrine environment, yielded an age of 0.212 ± 0.016 Ma (millions of years ago). This date places thetop of Unit I in the late Middle Pleistocene, with Acheulean sites below and above tuff TA. Regional correlations tentatively place the base of Unit I around the Early-Middle Pleistocene boundary, Unit II inthe late Middle Pleistocene and within the Late Pleistocene, and the LSA occurrences of Unit III in the LatePleistoceneeHolocene.
Tilahun, Hibret; Fekadu, Binyam; Abdisa, Habtamu; Canavan, Maureen; Linnander, Erika; Bradley, Elizabeth H; Berman, Peter
Ethiopia implemented an innovative community-based health program, called the health extension program, to enhance access to basic health promotion, disease prevention and selected curative services by establishing health posts in every village, also called kebeles, with average of 5000 people, staffed with two health extension workers (HEWs). This time and motion study was done to estimate the amount of time that HEWs spend on various work duties and to explore differences in urban compared with rural settings and among regions. A total of 44 HEWs were observed for 21 consecutive days, and time and motion data were collected using tablet computers. On average, HEWs were on duty for 15.5 days out of the 21 days of observation period, and on average, they stayed on duty for about 6 hours per day. Out of the total observed work time, the percentages of total time spent on various activities were as follows: providing health education or services (12.8%); participating in meetings and giving trainings (9.3%); conducting community mapping and mobilization (0.8%); recordkeeping, reporting, managing family folders (13.2%); managing commodities and supplies (1.3%); receiving supervision (3.2%); receiving training (1.6%); travel between work activities (15.5%); waiting for clients in the health post (or health centre in urban settings) (24.9%); building relationships in the community (13.3%); and other activities that could not be meaningfully categorized (4%). The proportion of time spent on different activities and the total time worked varied significantly between rural and urban areas and among the regions (at P < 0.05). Findings of this study indicate that only a minority of HEW time is spent on providing health education and services, and substantial time is spent waiting for clients. The efficiency of the HEW model may be improved by creating more demand for services or by redesigning service delivery modalities.
Meshesha, Derege Tsegaye; Tsunekawa, Atsushi; Tsubo, Mitsuru; Haregeweyn, Nigussie; Adgo, Enyew
Land degradation in many Ethiopian highlands occurs mainly due to high rainfall erosivity and poor soil conservation practices. Rainfall erosivity is an indicator of the precipitation energy and ability to cause soil erosion. In Central Rift Valley (CRV) of Ethiopia, where the climate is characterized as arid and semiarid, rainfall is the main driver of soil erosion that in turn causes a serious expansion in land degradation. In order to evaluate the spatial and temporal variability of rainfall erosivity and its impact on soil erosion, long-term rainfall data (1980-2010) was used, and the monthly Fournier index (FI) and the annual modified Fournier index (MFI) were applied. Student's t test analysis was performed particularly to examine statistical significances of differences in average monthly and annual erosivity values. The result indicated that, in a similar spatial pattern with elevation and rainfall amount, average annual erosivity is also found being higher in western highlands of the valley and gradually decreased towards the east. The long-term average annual erosivity (MFI) showed a general decreasing trend in recent 10 years (2000-2010) as compared to previous 20 years (1980-1999). In most of the stations, average erosivity of main rainy months (May, June, July, and August) showed a decreasing trend, whereby some of them (about 33.3 %) are statically significant at 90 and 95 % confidence intervals but with high variation in spatial pattern of changes. The overall result of the study showed that rainfall aggression (erosivity) in the region has a general decreasing trend in the recent decade as compared to previous decades, especially in the western highlands of the valley. Hence, it implies that anthropogenic factors such as land use change being coupled with topography (steep slope) have largely contributed to increased soil erosion rate in the region.
Background Ethiopia is the second most populous country in sub Saharan Africa with high total fertility rate, and high maternal and child mortality rates. In sub Saharan African countries, including Ethiopia, even though studies show that demand for contraception is high, the practice is low. Particularly, in Ethiopia, despite the fact that practices on long acting and permanent methods are believed to be low, there are limited evidences on the real magnitude of demand for the methods. Methods To assess demand for long acting and permanent contraceptive methods and associated factors among married women of reproductive age group in Debre Markos town, Amhara Regional State, North West Ethiopia, A community based cross sectional study was conducted, from April 08–19, 2012. Systematic sampling technique was used to select 523 study participants. Pre tested structured Amharic version questionnaire was used to collect the data through interview. Both bivariate and multiple logistic regressions were used to identify associated factors. Results Among 519 respondents, 323 (62.2%) were using modern family planning (FP) methods in which 101 (19.5%) were using long acting and permanent contraceptive methods (LAPMs). Among all respondents, 171 (32.9%) had unmet need for LAPMs. The total demand for LAPMs was 272 (52.4%) of which 37.1% were satisfied and 62.9% unsatisfied demand. Being in the older age group (40-44 years) [AOR = 2.8; 95% CI:1.12, 9.55], having no desire for more child [AOR = 20.37; 95% CI:9.28, 44.72], desire to have a child after 2 years [AOR = 6.4; 95%CI:3.04,13.47], not ever heard of modern FP [AOR = 5.73; 95% CI:1.26, 25.91], not ever using of modern FP [AOR = 1.89; 95% CI:1.01, 3.55] and having no spousal discussion in the last six month [AOR = 1.642, 95% CI: 1.049, 2.57) were some of the factors significantly associated with demand for LAPMs. Conclusions Demand and unmet need for LAPMs were high in the study area. Therefore
Shaw, Bryan; Amouzou, Agbessi; Miller, Nathan P.; Tsui, Amy O.; Bryce, Jennifer; Tafesse, Mengistu; Surkan, Pamela J.
Ethiopia has invested significant resources in integrated community case management (iCCM) of childhood illness. In Oromia Region, iCCM scale-up was phased in, allowing for comparisons between districts providing iCCM and routine services. We assessed the determinants of utilization of health extension workers (HEWs) delivering iCCM services at rural health posts by caregivers of sick, under-five children in a cross-sectional survey. We found low utilization of HEWs with only 9.3% of caregivers of a child sick with diarrhea, fever, and/or pneumonia in the previous 2 weeks taking their child to HEWs in both iCCM and routine areas. There was a higher likelihood of utilization of HEWs in iCCM areas (OR: 1.44; 95% CI: 0.97–2.12; P = 0.07), but this effect disappeared after accounting for confounders. In iCCM areas, maternal education, illness type, and distance were associated with utilization. Perceptions of illness severity and service quality were the primary reasons given for not utilizing the health post. Our findings suggest that though iCCM is reaching some vulnerable populations, there remain significant barriers to use of HEWs delivering iCCM services. Efforts for demand generation and minimization of remaining barriers are urgently needed for the sustained success of the iCCM strategy in Ethiopia. PMID:26195461
Molecular studies suggest that the lineages leading to humans and chimpanzees diverged approximately 6.5-5.5 million years (Myr) ago, in the Late Miocene. Hominid fossils from this interval, however, are fragmentary and of uncertain phylogenetic status, age, or both. Here I report new hominid specimens from the Middle Awash area of Ethiopia that date to 5.2-5.8 Myr and are associated with a wooded palaeoenvironment. These Late Miocene fossils are assigned to the hominid genus Ardipithecus and represent the earliest definitive evidence of the hominid clade. Derived dental characters are shared exclusively with all younger hominids. This indicates that the fossils probably represent a hominid taxon that postdated the divergence of lineages leading to modern chimpanzees and humans. However, the persistence of primitive dental and postcranial characters in these new fossils indicates that Ardipithecus was phylogenetically close to the common ancestor of chimpanzees and humans. These new findings raise additional questions about the claimed hominid status of Orrorin tugenensis, recently described from Kenya and dated to approximately 6 Myr.
Mebratie, Anagaw D; Sparrow, Robert; Yilma, Zelalem; Alemu, Getnet; Bedi, Arjun S
Low contract renewal rates have been identified as one of the challenges facing the development of community-based health insurance (CBHI) schemes. This article uses longitudinal household survey data gathered in 2012 and 2013 to examine dropout in the case of Ethiopia's pilot CBHI scheme. We treat dropout as a function of scheme affordability, health status, scheme understanding and quality of care. The scheme saw enrolment increase from 41% 1 year after inception to 48% a year later. An impressive 82% of those who enrolled in the first year renewed their subscriptions, while 25% who had not enrolled joined the scheme. The analysis shows that socioeconomic status, a greater understanding of health insurance and experience with and knowledge of the CBHI scheme are associated with lower dropout rates. While there are concerns about the quality of care and the treatment meted out to the insured by providers, the overall picture is that returns from the scheme are overwhelmingly positive. For the bulk of households, premiums do not seem to be onerous, basic understanding of health insurance is high and almost all those who are currently enrolled signalled their desire to renew contracts.
Wynn, Jonathan G; Sponheimer, Matt; Kimbel, William H; Alemseged, Zeresenay; Reed, Kaye; Bedaso, Zelalem K; Wilson, Jessica N
The enhanced dietary flexibility of early hominins to include consumption of C4/crassulacean acid metabolism (CAM) foods (i.e., foods derived from grasses, sedges, and succulents common in tropical savannas and deserts) likely represents a significant ecological and behavioral distinction from both extant great apes and the last common ancestor that we shared with great apes. Here, we use stable carbon isotopic data from 20 samples of Australopithecus afarensis from Hadar and Dikika, Ethiopia (>3.4-2.9 Ma) to show that this species consumed a diet with significant C4/CAM foods, differing from its putative ancestor Au. anamensis. Furthermore, there is no temporal trend in the amount of C4/CAM food consumption over the age of the samples analyzed, and the amount of C4/CAM food intake was highly variable, even within a single narrow stratigraphic interval. As such, Au. afarensis was a key participant in the C4/CAM dietary expansion by early australopiths of the middle Pliocene. The middle Pliocene expansion of the eastern African australopith diet to include savanna-based foods represents a shift to use of plant food resources that were already abundant in hominin environments for at least 1 million y and sets the stage for dietary differentiation and niche specialization by subsequent hominin taxa.
Wynn, Jonathan G.; Sponheimer, Matt; Kimbel, William H.; Alemseged, Zeresenay; Reed, Kaye; Bedaso, Zelalem K.; Wilson, Jessica N.
The enhanced dietary flexibility of early hominins to include consumption of C4/crassulacean acid metabolism (CAM) foods (i.e., foods derived from grasses, sedges, and succulents common in tropical savannas and deserts) likely represents a significant ecological and behavioral distinction from both extant great apes and the last common ancestor that we shared with great apes. Here, we use stable carbon isotopic data from 20 samples of Australopithecus afarensis from Hadar and Dikika, Ethiopia (>3.4-2.9 Ma) to show that this species consumed a diet with significant C4/CAM foods, differing from its putative ancestor Au. anamensis. Furthermore, there is no temporal trend in the amount of C4/CAM food consumption over the age of the samples analyzed, and the amount of C4/CAM food intake was highly variable, even within a single narrow stratigraphic interval. As such, Au. afarensis was a key participant in the C4/CAM dietary expansion by early australopiths of the middle Pliocene. The middle Pliocene expansion of the eastern African australopith diet to include savanna-based foods represents a shift to use of plant food resources that were already abundant in hominin environments for at least 1 million y and sets the stage for dietary differentiation and niche specialization by subsequent hominin taxa.
Wynn, Jonathan G.; Sponheimer, Matt; Kimbel, William H.; Alemseged, Zeresenay; Reed, Kaye; Bedaso, Zelalem K.; Wilson, Jessica N.
The enhanced dietary flexibility of early hominins to include consumption of C4/crassulacean acid metabolism (CAM) foods (i.e., foods derived from grasses, sedges, and succulents common in tropical savannas and deserts) likely represents a significant ecological and behavioral distinction from both extant great apes and the last common ancestor that we shared with great apes. Here, we use stable carbon isotopic data from 20 samples of Australopithecus afarensis from Hadar and Dikika, Ethiopia (>3.4–2.9 Ma) to show that this species consumed a diet with significant C4/CAM foods, differing from its putative ancestor Au. anamensis. Furthermore, there is no temporal trend in the amount of C4/CAM food consumption over the age of the samples analyzed, and the amount of C4/CAM food intake was highly variable, even within a single narrow stratigraphic interval. As such, Au. afarensis was a key participant in the C4/CAM dietary expansion by early australopiths of the middle Pliocene. The middle Pliocene expansion of the eastern African australopith diet to include savanna-based foods represents a shift to use of plant food resources that were already abundant in hominin environments for at least 1 million y and sets the stage for dietary differentiation and niche specialization by subsequent hominin taxa. PMID:23733965
McDougall, Ian; Brown, Francis H; Fleagle, John G
In 1967 the Kibish Formation in southern Ethiopia yielded hominid cranial remains identified as early anatomically modern humans, assigned to Homo sapiens. However, the provenance and age of the fossils have been much debated. Here we confirm that the Omo I and Omo II hominid fossils are from similar stratigraphic levels in Member I of the Kibish Formation, despite the view that Omo I is more modern in appearance than Omo II. 40Ar/39Ar ages on feldspar crystals from pumice clasts within a tuff in Member I below the hominid levels place an older limit of 198 +/- 14 kyr (weighted mean age 196 +/- 2 kyr) on the hominids. A younger age limit of 104 +/- 7 kyr is provided by feldspars from pumice clasts in a Member III tuff. Geological evidence indicates rapid deposition of each member of the Kibish Formation. Isotopic ages on the Kibish Formation correspond to ages of Mediterranean sapropels, which reflect increased flow of the Nile River, and necessarily increased flow of the Omo River. Thus the 40Ar/39Ar age measurements, together with the sapropel correlations, indicate that the hominid fossils have an age close to the older limit. Our preferred estimate of the age of the Kibish hominids is 195 +/- 5 kyr, making them the earliest well-dated anatomically modern humans yet described.
Burgi, Pierre-Yves; Caillet, Marc; Haefeli, Steven
The shield volcano Erta'Ale, situated in the Danakil Depression, Ethiopia, is known for its active lava lake. In February 2001, our team visited this lake, located inside an 80-m-deep pit, to perform field temperature measurements. The distribution and variation of temperature inside the lake were obtained on the basis of infrared radiation measurements performed from the rim of the pit and from the lake shores. The crust temperature was also determined from the lake shores with a thermocouple to calibrate the pyrometer. We estimated an emissivity of the basalt of 0.74 from this experiment. Through the application of the Stefan-Boltzmann law, we then obtained an estimate of the total radiative heat flux, constrained by pyrometer measurements of the pit, and visual observations of the lake activity. Taking into account the atmospheric convective heat flux, the convected magma mass flux needed to balance the energy budget was subsequently derived and found to represent between 510 and 580 kg s-1. The surface circulation of this mass flux was also analyzed through motion processing techniques applied to video images of the lake. Electronic supplementary material to this paper can be obtained by using the Springer LINK server located at http://dx.doi.org/10.1007/s00445-002-0224-3.
Diop, Gora; Yanagida, Tetsuya; Hailemariam, Zerihun; Menkir, Sissay; Nakao, Minoru; Sako, Yasuhito; Ba, Cheikh Tidiane; Ito, Akira
Genetic diversity of Moniezia spp. from domestic ruminants in Senegal and Ethiopia was investigated based on the nucleotide sequences of mitochondrial cytochrome c oxidase subunit 1 (cox1) and nuclear small subunit ribosomal RNA gene (SSU rDNA). A total of 64 adult tapeworms were collected from sheep, goat and cattle, and the tapeworms from cattle were all morphologically identified as Moniezia benedeni. On the other hand, the tapeworms obtained from sheep and goat were identified as Moniezia expansa or could not be identified because of the lack of diagnostic morphologic character, i.e. interproglottidal glands (IPGs). Phylogenetic analysis based on cox1 gene sequences revealed that the worms from sheep/goat and cattle formed distinct clades, and three mitochondrial lineages were confirmed within the sheep/goat tapeworms. The maximum pairwise divergences among the three mitochondrial linages were about 3% in cox1 and 0.1% in SSU rDNA, while that between the worms from sheep/goat and cattle reached 13% in cox1 and 2.7% in SSU rDNA. All of the three mitochondrial lineages contained tapeworms morphologically identified as M. expansa, and the tapeworms without IPGs were confirmed in one of the three lineages, indicating the tapeworms without IPGs were also M. expansa.
Kaczynski, R.; Rylko, A.
Old topographic map published in 1975 elaborated from aerial photographs taken in 1972, Landsat TM data acquired in May 1986 and Landsat ETM+ from June 2002 have been used to assess the changes of the lake Aba Samuel in Ethiopia. First map of the lake has been done in the framework of UNDP project running in 1988-90 in the Ethiopian Mapping Authority. The second classification map has been done as M.Sc. thesis in the MUT in 2015. Supervised classification methods with the use of ground truth data have been used for elaboration of the Landsat TM data. From the year 1972 up to 1986 the area of the lake has decreased by 23%. From 1986 up to 2002 the area of the lake has decreased by 20%. Therefore, after 30 years the lake was smaller by 43%. This have had very bad influence on the lives of the local population. From other recent data in the period from 2002-2015 the lake has practically disappeared and now it is only a small part of the river Akaki. ENVI 5.2 and ERDAS IMAGINE 9.2 have been used for Radiometric Calibration, Quick Atmospheric Correction (QUAC) and supervised classification of Landsat ETM+ data. The Optimum Index Factor shows the best combination of Landsat TM and ETM+ bands for color composite as 1,4,5 in the color filters: B, G, R for the signature development. Methodology and final maps are enclosed in the paper.
Background. The extent, nature, and determinants of medication use of individuals can be known from drug utilization studies. Objectives. This study intended to determine medication consumption, sharing, storage, and disposal practices of university students in Northwest Ethiopia. Methods. A descriptive cross-sectional study was conducted on 404 university students selected through stratified random sampling technique. Data were collected using self-administered questionnaire and analyzed with SPSS version 20 statistical software. Pearson's Chi-square test of independence was conducted with P < 0.05 taken as statistically significant. Results. At 95.3% response rate, the prevalences of medication consumption and sharing were 35.3% (N = 136) and 38.2% (N = 147), respectively. One hundred (26%) respondents admitted that they often keep leftover medications for future use while the rest (N = 285, 74%) discard them primarily into toilets (N = 126, 44.2%). Evidence of association existed between medication taking and year of study (P = 0.048), medication sharing and sex (P = 0.003), and medication sharing and year of study (P = 0.015). Conclusion. There is a high prevalence of medication consumption, medication sharing, and inappropriate disposal practices which are influenced by sex and educational status of the university students. Thus medication use related educational interventions need to be given to students in general. PMID:28393101
Cook, J.; Masuda, Y.; Fortmann, L.; Smith-Nilson, M.; Gugerty, M.
What is the impact of providing convenient water supply on water carriers' pattern of time use? How much of the freed time is re-allocated to paid market work, education (for girls), agricultural labor, or leisure? Do women report spending more time on activities they enjoy? Does convenient water supply lead to a re-allocation of leisure time to other household members? These questions are an important, but largely missing, piece of the economic evidence base for investment in the water supply sector. Cairncross and Valdmanis (2007) observe that "given the relevance of the time-saving benefit to water supply policy and the fact that the benefit is usually uppermost in the mind of the consumer, it is remarkable how few data have been collected on the amounts of time spent collecting water". We address this gap by measuring changes in time use among female water carriers before and after new water systems are installed in three rural villages in the Oromia region of Ethiopia. The timing of completion of the projects in the three villages was staggered over time for logistical reasons, so our quasi-experimental design allows us to control for any region-wide changes in time use. Because of low literacy levels, we used a pictorial time use elicitation approach based on respondents' recall of the previous day as well as the standard questions used in the DHS and LSMS ("how many minutes..."). We measured time use for all household members over the age of 10. We use this unique panel dataset with both pre- and post-project time use data to examine not only the effect on water carriers' time use but also any intra-household reallocation of time savings. In total, we interviewed 454 randomly-selected households in the three villages over three rainy seasons, and collected time use information on 1,590 household members. Primary water carriers spend (pre-project) an average of 110 minutes per day collecting water, roughly representative of water collection times reported in
Teklehaymanot, Tilahun; Giday, Mirutse
An ethnobotanical study was conducted from October 2005 to June 2006 to investigate the uses of medicinal plants by people in Zegie Peninsula, northwestern Ethiopia. Information was gathered from 200 people: 70 female and 130 males, using semistructured questionnaire. Of which, six were male local healers. The informants, except the healers, were selected randomly and no appointment was made prior to the visits. Informant consensus factor (ICF) for category of aliments and the fidelity level (FL) of the medicinal plants were determined. Sixty-seven medicinal plants used as a cure for 52 aliments were documented. They are distributed across 42 families and 64 genera. The most frequently utilized plant part was the underground part (root/rhizome/bulb) (42%). The largest number of remedies was used to treat gastrointestinal disorder and parasites infections (22.8%) followed by external injuries and parasites infections (22.1%). The administration routes are oral (51.4%), external (38.6%), nasal (7.9%), and ear (2.1%). The medicinal plants that were presumed to be effective in treating a certain category of disease, such as 'mich' and febrile diseases (0.80) had higher ICF values. This probably indicates a high incidence of these types of diseases in the region, possibly due to the poor socio-economic and sanitary conditions of this people. The medicinal plants that are widely used by the local people or used as a remedy for a specific aliment have higher FL values (Carissa spinarum, Clausena anisata, Acokanthera schimperi, Calpurnia aurea, Ficus thonningii, and Cyphostemma junceum) than those that are less popular or used to treat more than one type of aliments (Plumbago zeylanicum, Dorstenia barnimiana). PMID:17355645
Degefu, Tulu; Wolde-meskel, Endalkachew; Frostegård, Åsa
The taxonomic diversity of thirty-seven Rhizobium strains, isolated from nodules of leguminous trees and herbs growing in Ethiopia, was studied using multilocus sequence analyses (MLSA) of six core and two symbiosis-related genes. Phylogenetic analysis based on the 16S rRNA gene grouped them into five clusters related to nine Rhizobium reference species (99-100% sequence similarity). In addition, two test strains occupied their own independent branches on the phylogenetic tree (AC86a2 along with R. tibeticum; 99.1% similarity and AC100b along with R. multihospitium; 99.5% similarity). One strain from Milletia ferruginea was closely related (>99%) to the genus Shinella, further corroborating earlier findings that nitrogen-fixing bacteria are distributed among phylogenetically unrelated taxa. Sequence analyses of five housekeeping genes also separated the strains into five well-supported clusters, three of which grouped with previously studied Ethiopian common bean rhizobia. Three of the five clusters could potentially be described into new species. Based on the nifH genes, most of the test strains from crop legumes were closely related to several strains of Ethiopian common bean rhizobia and other symbionts of bean plants (R. etli and R. gallicum sv. phaseoli). The grouping of the test strains based on the symbiosis-related genes was not in agreement with the housekeeping genes, signifying differences in their evolutionary history. Our earlier studies revealing a large diversity of Mesorhizobium and Ensifer microsymbionts isolated from Ethiopian legumes, together with the results from the present analysis of Rhizobium strains, suggest that this region might be a potential hotspot for rhizobial biodiversity.
Field, L.; Blundy, J.; Brooker, R. A.; Wright, T.; Yirgu, G.
A variety of methods exist to constrain sub-volcanic storage conditions of magmas. Petrological, seismological and satellite geodetic methods are integrated to determine storage conditions of peralkaline magmas beneath Dabbahu Volcano, Afar, Ethiopia. Secondary ion mass spectrometry (SIMS) analysis of volatile contents in melt inclusions trapped within phenocrysts of alkali feldspar, clinopyroxene and olivine from pantellerite obsidians representing the youngest eruptive phase (<8 ka) show H2O contents ≤5.8 wt.% and CO2 contents generally below 500 ppm, although rarely as high as 1,500 ppm. Volatile saturation pressures (at 679-835°C) are in the range 43-207 MPa, consistent with published experimental data for similar pantellerites, which show that the phenocryst assemblage of alkali feldspar + cpx + aenigmatite ± ilmenite is stable at 100 to 150 MPa. Inferred magma storage depths for these historic eruptions are ~1-5 km below sea-level, consistent with the depths of earthquakes, associated with magma chamber deflation following a dyke intrusion in the period Oct 2005-Apr 2006. Interferometric synthetic aperture radar (InSAR) data for the same period reveal a broad ~20 km diameter area of uplift. Modelling of different geometries reveals that a series of stacked sills over a 1-5 km depth range best matches the InSAR data. The consistency of depth estimates based on petrological study of ancient eruptions and the seismicity, inflation and deflation of Dabbahu observed in relation to the dyking event of 2005, suggest a small but vertically extensive and potentially long-lived magma storage region.
Nikus Fido, Neno; Aman, Mamusha; Brihnu, Zewdie
Background HIV stigma has an important role in the spread of the AIDS epidemic. It profoundly affects the lives of individuals living with HIV/AIDS. Fear of being identified as having HIV may discourage a person from getting tested, accessing medical services, and obtaining medications. Thus, this study was aimed at assessing HIV-related stigma and associated factors among antiretroviral treatment (ART) clients in Jimma town, Oromia region, Southwest Ethiopia. Methods A facility-based cross-sectional study was conducted from March 11 to April 26, 2015, in ART clinics in Jimma town. Consecutively identified sample was obtained from ART clients who voluntarily participated in the survey after signing written consent. A structured interviewer-administered questionnaire was used to collect the data. Multiple linear regressions were conducted to assess the factors associated with various stigma domains. Results Out of 349 clients requested, 318 (91.1%) respondents voluntarily participated in the study; among them, 204 (64.2%) respondents were females and the mean age of the respondents was 32.9 years. The mean score (and possible range) of experienced HIV stigma was 41.5±12.6 (20.0–86.7), internalized stigma was 50.5±16.4 (20–96.5), and perceived stigma was 56.2±19.2 (20–100). Conclusion The study revealed that duration of ART use and provider-initiated and forced HIV testing were significantly associated with the three HIV stigma domains. Despite the lower experienced HIV stigma, there were higher internalized and perceived stigmas. Therefore, HIV counseling services should be strengthened for new ART beginners, including pretest counseling. PMID:27920581
Birmeta, Genet; Nybom, Hilde; Bekele, Endashaw
In southwest Ethiopia, the cultivation area of Ensete ventricosum (enset) overlaps with the natural distribution area of this species. Analyses of genetic diversity were undertaken using RAPD to provide information for conservation strategies as well as evidence of possible gene flow between the different gene pools, which can be of interest for future improvement of cultivated enset. The extent of RAPD variation in wild enset was investigated in 5 populations in the Bonga area (Kefficho administrative region) and 9 cultivated clones. Comparisons were also made with some Musa samples of potential relevance for crop improvement. Nine oligonucleotide primers amplified 72 polymorphic loci. Population differentiation was estimated with the Shannon index (G'(ST)=0.10), Nei's G(ST) (0.12) and AMOVA (Phi(ST)=0.12), and appears to be relatively low when compared with outbreeding, perennial species in general. Cluster analysis (UPGMA) and principal component analysis (PCA) similarly indicated low population differentiation, and also demonstrated that cultivated clones essentially clustered distinctly from wild enset samples, suggesting that the present-day cultivated enset clones have been introduced to domestication from a limited number of wild progenitors. In addition, subsequent gene flow between wild and cultivated enset may have been prohibited by differences between modes of propagation and harvesting time; cultivated enset is propagated vegetatively through sucker production and the plant is generally harvested before maturity or flower set, thereby hindering pollination by wild enset or vice versa. A significant correlation was not found between genetic and geographical distances. The relatively high total RAPD diversity suggests that wild enset populations in the Bonga area harbour genetic variability which could potentially act as a source for useful or rare genes in the improvement of cultivated enset. As expected, E. ventricosum was clearly differentiated from
Brown, Francis H; McDougall, Ian
Mesozoic and Cenozoic sedimentary rocks in the Turkana Depression of northern Kenya and southern Ethiopia rest on basement rocks that yield K/Ar cooling ages between 433 and 522 Ma. Proven Cretaceous strata are exposed in Lokitaung Gorge in northwest Kenya. Eocene basalts and rhyolites in Lokitaung Gorge, the Nabwal Hills, and at Kangamajoj, date between 34 and 36 Ma, recording the earliest volcanism in the region. Oligocene volcanic rocks, with associated fossiliferous sedimentary strata at Eragaleit, Nakwai, and Lokone, all west of Lake Turkana, are 23 to 28 Ma old, as is the Langaria Formation east of Lake Turkana. Lower and Middle Miocene volcanic and sedimentary sequences are present both east and west of Lake Turkana, where ages from 17.9 to 9.1 Ma have been measured at many levels. Upper Miocene strata are presently known only at Lothagam, with ages ranging from 7.4 to 6.5 Ma. Deposition of Pliocene strata of the Omo Group begins in the Omo-Turkana, Kerio, and South Turkana basins -4.3 Ma ago and continues in parts of those basins until nearly the present time, but with some gaps. These strata are linked through volcanic ash correlations at many levels, as are Pleistocene strata of the Omo Group (principally the Shungura, Koobi Fora, and Nachukui formations). (40) Ar/(39) Ar dates on many volcanic ash layers within the Omo Group, supplemented by K/Ar ages on intercalated basalts and paleomagnetic polarity stratigraphy, provide excellent age control from 4.2 to 0.75 Ma, although there is a gap in the record between -1 Ma and 0.8 Ma. Members I to III of the Kibish Formation in the lower Omo Valley record deposition between 0.2 and 0.1 Ma ago; Member IV, correlative with the Galana Boi Formation, was deposited principally between 12 and 7 ka BP.
Samrock, F.; Kuvshinov, A.; Bakker, J.; Jackson, A.; Fisseha, S.
The Main Ethiopian Rift Valley encompasses a number of volcanoes, which are known to be actively deforming with reoccurring periods of uplift and setting. One of the regions where temporal changes take place is the Aluto volcanic complex. It hosts a productive geothermal field and the only currently operating geothermal power plant of Ethiopia. We carried out magnetotelluric (MT) measurements in early 2012 in order to identify the source of unrest. Broad-band MT data (0.001-1000 s) have been acquired at 46 sites covering the expanse of the Aluto volcanic complex with an average site spacing of 1 km. Based on this MT data it is possible to map the bulk electrical resistivity of the subsurface down to depths of several kilometres. Resistivity is a crucial geophysical parameter in geothermal exploration as hydrothermal and magmatic reservoirs are typically related to low resistive zones, which can be easily sensed by MT. Thus by mapping the electrical conductivity one can identify and analyse geothermal systems with respect to their temperature, extent and potential for production of energy. 3-D inversions of the observed MT data from Aluto reveal the typical electrical conductivity distribution of a high-enthalpy geothermal system, which is mainly governed by the hydrothermal alteration mineralogy. The recovered 3-D conductivity models provide no evidence for an active deep magmatic system under Aluto. Forward modelling of the tippers rather suggest that occurrence of melt is predominantly at lower crustal depths along an off-axis fault zone a few tens of kilometres west of the central rift axis. The absence of an active magmatic system implies that the deforming source is most likely situated within the shallow hydrothermal system of the Aluto-Langano geothermal field.
Grove, Matt; Lamb, Henry; Roberts, Helen; Davies, Sarah; Marshall, Mike; Bates, Richard; Huws, Dei
The numerous dispersal events that have occurred during the prehistory of hominin lineages are the subject of longstanding and increasingly active debate in evolutionary anthropology. As well as research into the dating and geographic extent of such dispersals, there is an increasing focus on the factors that may have been responsible for dispersal. The growing body of detailed regional palaeoclimatic data is invaluable in demonstrating the often close relationship between changes in prehistoric environments and the movements of hominin populations. The scenarios constructed from such data are often overly simplistic, however, concentrating on the dynamics of cyclical contraction and expansion during severe and ameliorated conditions respectively. This contribution proposes a two-stage hypothesis of hominin dispersal in which populations (1) accumulate high levels of climatic tolerance during highly variable climatic phases, and (2) express such heightened tolerance via dispersal in subsequent low-variability phases. Likely dispersal phases are thus proposed to occur during stable climatic phases that immediately follow phases of high climatic variability. Employing high resolution palaeoclimatic data from Lake Tana, Ethiopia, the hypothesis is examined in relation to the early dispersal of Homo sapiens out of East Africa and into the Levant. A dispersal phase is identified in the Lake Tana record between c. 112,550 and c. 96,975 years ago, a date bracket that accords well with the dating evidence for H. sapiens occupation at the sites of Qafzeh and Skhul. Results are discussed in relation to the complex pattern of H. sapiens dispersal out of East Africa, with particular attention paid to the implications of recent genetic chronologies for the origin of non-African modern humans.
Hadgu, Gebre; Tesfaye, Kindie; Mamo, Girma
The impact of climatic change can be on specific locations. However, the broader the affected area coverage, in mind, the higher would be the chance in missing critical details. In this light, this paper attempts to assess the possible climatic changes and their corresponding implications on agricultural production in northern Ethiopia. The analysis is based on the future (2030 and 2050) temperature and rainfall data, downscaled as ensemble of four general circulation models (GCMs) using the A2 and B1 emission scenarios for ten meteorological stations located in different agroecological zones of the study region. The result indicates that, based on emission scenarios, the mean maximum and minimum temperature would increase by 2-2.3 and 0.8-0.9 °C in 2030 and by 2.2-2.7 and 1.4-1.7 °C in 2050, respectively. This will be accompanied by an increase in the frequency of hot days and nights and a decrease in cool days and nights. While annual rainfall totals will remain unchanged, main rainy season ( kiremt) rainfall total would increase on average in 12.9 and 14.2 % under A2 and 9.5 and 11.2 % under B1 by 2030 and 2050, respectively. Owing to an increase in kiremt rainfall, the yield of maize and sorghum may increase at some sites under future climatic conditions, and the increase would be higher under CO2 fertilization. The results suggest the need for site-specific adaptation strategies to reduce the impact and/or exploit the opportunities of climate change.
Tekola, Bethlehem; Griffin, Christine; Camfield, Laura
This paper discusses the advantages and challenges of using qualitative methods to elicit poor children's perspectives about threats and positive influences on their wellbeing. It draws on research carried out by the author on the subjective experiences of poor children in Addis Ababa, the capital of Ethiopia in terms of their understandings of…
Osterwalder, Lars; Johnson, C Annette; Yang, Hong; Johnston, Richard B
Elevated concentrations of naturally-occurring fluoride in groundwater pose a serious health risk to millions of people living in the Ethiopian Rift Valley. In the absence of low-fluoride water resources of sufficient capacity, fluoride removal from drinking water is the accepted mitigation option. To date, five different community-level fluoride-removal technologies have been implemented in Ethiopia, although only a few units have been found in a functional state in the field. Which technology should be promoted and up-scaled is the subject of controversial debate amongst key stakeholders. This paper describes a multi-criteria decision analysis exercise, which was conducted with the participation of stakeholders in Ethiopia during a one-day workshop, to assess in an objective and transparent manner the available technology options. Criteria for technology comparison were selected and weighted, thus enabling the participants to assess the advantages and disadvantages of the different technologies and hear the views of other stakeholders. It was shown that there is no single most-preferable, technical solution for fluoride removal in Ethiopia. Selection of the most suitable solution depends on location-specific parameters and on the relative importance given to different criteria by the stakeholders involved. The data presented in this paper can be used as reference values for Ethiopia.
Mekonnen, Mulat; Hannu, Savolainen; Elina, Lehtomäki; Matti, Kuorelahti
This study compares the socio-emotional problems experienced by deaf and hard of hearing (DHH) students with those of hearing students in Ethiopia. The research involved a sample of 103 grade 4 students attending a special school for the deaf, a special class for the deaf and a regular school. Socio-emotional problems were measured using Goodman's…
Malaria is a disease directly linked to temperature and rainfall. In Ethiopia, the influence of climate variables on malaria transmission and the subsequent role of ENSO in the rise of malaria incidence are becoming more recognized. Numerous publications attest to the extreme sensitivity of malaria to climate in Ethiopia. The majority of large-scale epidemics in the past were associated with climatic factors such as temperature and rainfall. However, there is limited information on climate variability and ENSO at the district level to aid in public health decision-making. Since 2008, the National Meteorogy Agency (NMA) and the International Research Institute for Climate and Society (IRI) have been collaborating on improving climate services in Ethiopia. This collaboration spurred the implementation of the Enhancing National Climate Services (ENACTS) initiative and the creation of the IRI Data Library (DL) NMA Ethiopia Maproom. ENACTS provides reliable and readily accessible climate data at high resolutions and the Maproom uses ENACTS to build a collection of maps and other figures that monitor climate and societal conditions at present and in the recent past (1981-2010). A recent analysis exploring the relationship of rainfall and temperature ENACTS products to malaria epidemics in proceeding rainy seasons within 12 woredas found above normal temperature anomalies to be more readily associated with epidemics when compared to above normal rainfall anomalies, regardless of the ENSO phase (Figure 1-2).
Background. The social and economic changes taking place in developing countries are influencing the pace at which hypertension and its risk factors are expanding. As opposed to the already established inverse association in developed nations, the association between socioeconomic status and hypertension in developing countries is poor and inconsistent. This study aims to determine the association between socioeconomic status and hypertension among teachers and bankers in Addis Ababa, Ethiopia. Methods. This study is based on a cross-sectional study conducted to assess the prevalence of NCDs in Addis Ababa, Ethiopia. The study was undertaken among workers of the Commercial Bank of Ethiopia and teachers of public schools in 2010. Results. Majority of participants were teachers (70.3%). Most of the respondents (54.1%) earn an annual income between 15,000 ETB and 48,000 ETB, and 51.9% of them have educational status of first degree and above. Among the socioeconomic factors income was strongly associated with the odds of having hypertension (AOR: 2.17 with 95% CI: 1.58–2.98). Conclusions. Higher burden of hypertension is observed among teachers and bankers in Addis Ababa, Ethiopia. Promotion of healthy behaviors and interventions that target higher income groups needs to be put in place. PMID:27313874
Livelihoods of pastoralists in the Borana Zone of southern Ethiopia have become increasingly vulnerable as a result of stressors like accelerating population growth, shrinking resource availability, sedentarization, and increased frequency and severity of drought. A research team from the USDA Agric...
Groundnut (Arachis hypogaea L.) is an important cash and food crop in eastern Ethiopia. The lack of awareness and data on Aspergillus and aflatoxin contamination of groundnut and groundnut food products in the area are lacking. Therefore, this study was conducted to: i) assess major Aspergillus spec...
Hussen, Sophia Ahmed; Tsegaye, Mulugeta; Argaw, Meron Gurji; Andes, Karen; Gilliard, Danielle; del Rio, Carlos
People living with HIV (PLHIV) in Ethiopia and other developing nations face numerous challenges to their health and well-being, including poverty, limited healthcare infrastructure, and high levels of societal stigma. Despite these challenges, resilient trajectories have been observed even within such resource-limited settings. In Ethiopia, such resilience is exemplified by the ‘Expert Patients’, HIV-positive lay health workers who function as adherence counsellors, health educators, outreach workers and community advocates. We conducted a multi-method qualitative study with 20 Expert Patients in Addis Ababa, Ethiopia in order to understand pathways to resilience in this select population. Participants described 3 key mechanisms of resilient coping: (1) The use of spirituality and faith-based practices to manage psychological difficulties associated with living with HIV; (2) Utilisation of social capital from family and community networks as a buffer against the psychological and economic consequences of societal stigma; and (3) Serving others as a mechanism for finding optimism and purpose in life. Interventions designed to facilitate and/or augment these social processes in the wider community may be promising strategies for improving health among PLHIV in Ethiopia and other resource-limited settings. PMID:24520996
Desta, Menelik; Deyessa, Negussie; Fish, Irving; Maxwell, Benjamin; Zerihun, Tigist; Levine, Saul; Fox, Claire; Giedd, Jay; Zelleke, Tesfaye G.; Alem, Atalay; Garland, Ann F.
In Ethiopia there is a severe shortage of child mental health professionals. Identification and intervention for young children's mental health problems is crucial to improve developmental trajectories and reduce the severity of emotional and behavioral disorders. Teachers can play an important role in early problem detection. This role is…
... the Territory and Airspace of Ethiopia Federal Special Federal Aviation Regulation No. 87 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 87 Special Federal...
... the Territory and Airspace of Ethiopia Federal Special Federal Aviation Regulation No. 87 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 87 Special Federal...
... the Territory and Airspace of Ethiopia Federal Special Federal Aviation Regulation No. 87 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 87 Special Federal...
The study examined perceived causes of mental health problems and professional help-seeking behavior among university students in Ethiopia. Data were collected from 370 students from four randomly selected colleges. The results revealed that the majority of the participants were able to recognize major mental health problems such as schizophrenia…
Assefa, T.; Sperling, L.; Dagne, B.; Argaw, W.; Tessema, D.; Beebe, S.
Purpose: This research, conducted in Ethiopia, involved select stakeholders in the variety evaluation process early: to identify a greater number of acceptable varieties and to shorten a lengthy research and release process. Design/methodology/approach: A Participatory Plant Breeding (PPB) approach was used in both on-station and community-based…
Abejehu, Sintayehu Belay
Continuous assessment is part and parcel of instructional process that has to be taken as a key tool in educational quality assurance endeavor. Thus, this article examined the actual practice of continuous assessment in primary schools of Chagni City Administration, Ethiopia. To address this purpose the study employed descriptive survey design.…
Angelakis, Emmanouil; Diatta, Georges; Abdissa, Alemseged; Trape, Jean-François; Mediannikov, Oleg; Richet, Hervé; Raoult, Didier
To determine the presence of Bartonella quintana in head and body lice from persons in different locations in Ethiopia, we used molecular methods. B. quintana was found in 19 (7%) genotype C head lice and in 76 (18%) genotype A body lice. B. quintana in head lice was positively linked to altitude (p = 0.014).
Soybean rust, caused by the fungal pathogen P. pachyrhizi, has been reported in 10 African countries since the first report in Uganda in 1996. In 2016, a severe epidemic caused “clouds” of urediniospores to be observed when walking through fields in mid-October 2016 in Jimma Ethiopia. In the first ...
Kebebe, E G; Oosting, S J; Baltenweck, I; Duncan, A J
While there is a general consensus that using dairy technologies, such as improved breeds of dairy cows, can substantially increase farm productivity and income, adoption of such technologies has been generally low in developing countries. The underlying reasons for non-adoption of beneficial technologies in the dairy sector are not fully understood. In this study, we characterised adopters and non-adopters of dairy technologies in Ethiopia and Kenya based on farmers' resources ownership in order to identify why many farmers in Ethiopia and Kenya have not adopted improved dairy technologies. As compared to non-adopters, farmers who adopt dairy technology own relatively more farm resources. The result signals that differences in resource endowments could lead to divergent technology adoption scenarios. Results show that a higher proportion of sample smallholders in Kenya have adopted dairy technologies than those in Ethiopia. Except for the use of veterinary services, fewer than 10% of sample farmers in Ethiopia have adopted dairy technologies-less than half the number of adopters in Kenya. The higher level of dairy technology adoption in Kenya can be ascribed partly to the long history of dairy development, including improvements in the value chain for the delivery of inputs, services and fluid milk marketing. Interventions that deal with the constraints related to access to farm resources and input and output markets could facilitate uptake of dairy technology in developing countries.
Modern Ethiopia has made progress that has altered the status and functions of its various languages. With modernization, the reasons for and means of interethnic contact have multiplied, creating the need for a common language. Amharic, once confined to a rather small area, has spread geographically and grown in status in the last thousand years,…
Sjostrom, Margareta; Sjostrom, Rolf
The Yemissrach Dimts Literacy Campaign in Ethiopia, begun in 1962 and concentrated in rural areas for the benefit of adults, was evaluated in a study of 466 program participants and 66 additional adult villagers. The study focused on student achievement, teaching methods, benefits experienced by participants, and the literacy campaign's role…
Mediannikov, Oleg; Abdissa, Alemseged; Socolovschi, Cristina; Diatta, Georges; Trape, Jean-François; Raoult, Didier
We collected 284 ticks in Ethiopia (109 Amblyomma cohaerens, 173 Rhipicephalus decoloratus, and 2 Rhipicephalus praetextatus). We found no rickettsiae and bartonellae. In 7.3% of the A. cohaerens, we found a Borrelia sp. that may represent a new species distant from both relapsing fever group and Lyme borreliae.
Macphee, Paula-Louise; Fitz-Gerald, Ann
This paper argues for the importance, benefits and wider impact of a donor-funded, locally supported postgraduate programme in security sector management (SSM) for government officials in Ethiopia. With the exception of specialised education and training programmes within the field of peace and conflict studies, the role of education in…
It is believed that the possibilities of integrating environmental issues into the formal and nonformal education programs depend on the capacity of teachers who put such programs into effect. A pilot project, aimed at building the capacity of schools in Ethiopia to address key environmental issues, was initiated in 2004. Among the major…
Mekonnen, Dawit M.
In 2003 the Ethiopian education system experienced wide-ranging reform that touches every aspect of the system. This reform is called TESO (Teacher Education System Overhaul). Designed to address educational problems in Ethiopia, TESO introduced significant structural changes and promised to bring a "paradigm shift" in the Ethiopian…
Weldeab, Chernet Tekle; Opdal, Liv Randi
Parental experiences in raising children with intellectual disability in Addis Ababa, Ethiopia are described. Using a qualitative research approach, interviews from eleven families formed a rich contextual data base, in addition to informal observations, informal conversations, discussions with key informants, and document review. Findings show…
Golda Meir Mount Carmel International Training Centre, Haifa (Israel).
This report describes a course on early childhood education methodology and practice that was held at the Ministry of Education in Addis Ababa, Ethiopia, for 35 Ethiopian early childhood educators and administrators. In addition to presenting developmental profiles of preschool children, the 3-week course addressed philosophies of early childhood…
Tessema, Kedir Assefa
In this paper, the author argues that the pre-service secondary teacher education "paradigm shift" or "system overhaul" that has been implemented during the 2003-2005 time period in Ethiopia reflects the pursuit of pathways which the author refers to as a managerial approach. Grounded mainly on personal narratives of a key…
Tessema, Kedir Assefa
With the emergence of the discourse of TESO, teacher education in Ethiopia has been struggling to change rhetoric and practice by reaffirming a managerially driven reform performance. The terrain is now characterized by fresh, but globally dominant rhetoric. Salient in the emerging discourse is reform mottos and agendas such as "active…
Tessema, Kedir Assefa
There have been significant increases in the number of universities and student enrollments in the last fifteen years in Ethiopia. The numerical gains have brought about improved access to higher education for students. The expansion has also diversified fields of study and opened opportunities to pursue higher degrees to a significant number of…
Haile, Getinet; Haile, Beliyou
We examine work participation and schooling for children aged 7-15 using survey data from rural Ethiopia. Bivariate probit and age-adjusted educational attainment equations have been estimated. Male children are found to be more likely to attend school than their female counterparts. "Specialization" in child labour is also found, with…
Yates, Brian James
This is a comprehensive study of key Oromo actors in the central Ethiopia traditional provinces of Wallo and Shawa, specifically the Mammadoch of Wallo and the Tulama of Shawa during the reigns of Emperors Tewodros II (r.1855-68), Yohannes IV (1872-1888) and Menilek II (1889-1913). The Oromo entered the political arena in the highlands of Ethiopia…
Bacterial spot of tomato (BST) is a major constraint to tomato production in Ethiopia and many other countries leading to significant crop losses. In the present study, using pathogenicity tests, sensitivity to copper and streptomycin, and multilocus sequence analysis, a diverse group of Xanthomonas...
The highlands of northern Ethiopia suffer from severe land degradation manifested by widespread gully and channel erosion and network development. Research on the geomorphic adjustment of similar landscapes in the midcontinental United States has resulted in the development of the computer models BS...
The higher education (HE) subsystem in Ethiopia has passed through a series of policy reforms in the last 10 years. Key reform areas ranged from improving quality and relevance of programmes to promoting equality in access to and success in HE. Despite the effort underway, gender inequality has remained a critical challenge in the subsystem. This…
... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Ethiopia Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act and similar provisions of law in prior year Acts with respect to...
Abafita, Jemal; Chala, Badassa Wolteji; Eba, Kasahun; Kim, Kyung-Ryang; Kim, Chang-Soo
The use or misuse of addictive substances like khat has become widespread among the youths especially in countries where the substance is produced and/or consumed. In this paper, we examine whether khat use has any impact on the academic achievement of university students with particular reference to undergraduates in Jimma University, Ethiopia.…
Thirty-eight sorghum accessions from Ethiopia and Mali along with resistant (Sureno and SC719) and susceptible (RTx430 and RTx2536) checks were evaluated in replicated plots for resistance against Fusarium thapsinum at Isabela, Puerto Rico. Environmental conditions such as temperature, relative hum...
Akalu, Girmaw Abebe
The continuing professional development (CPD) of teachers has increasingly come to be considered an important component of teacher policy reforms throughout much of the world. As part of its comprehensive school improvement and teacher development programmes, Ethiopia has recently developed a national policy framework on CPD for teachers. Arguing…
Waktola, Daniel Kassahun
Lack of environmental awareness is one of the underlying causes of severe environmental degradation in Ethiopia. As teachers' colleges are a seedbed of such awareness, assessment of college curricula should shed light on the possibilities they offer to develop capacities to address environmental degradation. This small-scale study is based on the…
Abiy, Dessalegn Samuel; Kabeta, Genet Gelana; Mihiretie, Dawit Mekonnen
Initiated by a "Pilot workshop on developing capacity for establishing lifelong learning systems in UNESCO Member States" held at the UNESCO Institute for Lifelong Learning, the purpose of this study was to develop a Lifelong Learning system in Ethiopia. Preparations for its conceptualisation included the review of relevant national…
This paper explores children's understandings of poverty, ill-being and well-being in Ethiopia using data collected through group exercises with children aged 5-6 and 11-13 participating in Young Lives, an international study of childhood poverty. In some respects the characteristics of poverty reported by children resemble those reported by…
Gebru, Demewoz Admasu
Unprecedented expansion of the public higher education sector in Ethiopia has brought about masses of early career academics (ECAs) to take up teaching and research in the sector. In recognition of a multitude of responsibilities and challenges these ECAs would face, a higher diploma program (HDP) was introduced in 2004 both for ECAs and senior…
Chisholm, Mervin E.; Jimma, Tefera Tadesse; Tatsuya, Natsume; Manathunga, Catherine
The purpose of this dialogue was to begin grappling with notions of neutrality and academic development in three non-western contexts: (1) Jamaica; (2) Ethiopia; and (3) Japan. The authors were asked to describe the political geography of academic development in their countries and to explore questions of neutrality. This dialogue therefore tries…
Abebe, Tatek; Kjorholt, Anne Trine
This article explores the role of children in household livelihoods among the Gedeo ethnic community in Ethiopia. Three themes are discussed--reproductive activities, entrepreneurial work in marketplaces and sociospatial mobility--in the context of recent theoretical debates over children's agency and social competence. With shifts in rural…
Kurtz, Kimberly M.; Shepherd, Terry L.
In many countries, children with disabilities seldom receive the educational services they need. Economic instability has often forced a reduction in services for children with disabilities. Cultural values have also impacted support for children with disabilities. A special education residential facility in Ethiopia that serves orphaned children…
Ethiopia, a country with 82 distinctly different languages and ethnic groups, has recently emerged from decades of civil war. In the process of restoring civilian rule, alliances have formed between a wide spectrum of local interest groups. Education generally, and language policy more specifically, continues to be one of the most contentious…
The author, as an otolaryngologist and the Director of Global ENT (Ear, Nose and Throat) Outreach, traveled to Ethiopia to help 11 children who could not breathe because of respiratory papillomas blocking their airways and who had been hospitalized for years. The disease, called juvenile respiratory papillomatosis, is what affected these 11…
Cervical cancer is the leading cause of cancer deaths among women in Ethiopia. This may be due to the high prevalence of high-risk human papillomavirus (HR-HPV) genotypes in the population. So far, few studies have been done that showed the presence of HR-HPV genotypes. The HR-HPV-16, -18, -52, -56, -31 and -58 were the most common genotypes reported in Ethiopia. The introduction of HPV vaccines in Ethiopia is likely to go a long way in reducing cervical cancer deaths. However, there are few challenges to the introduction of the vaccines. The target population for HPV vaccination is at the moment not well-defined. Besides, the current HPV vaccines confer only type-specific (HPV-16 and -18) immunity, leaving a small proportion of Ethiopian women unprotected against other HR-HPV genotypes such as 52, 56, 31 and 58. Thus, future HPV vaccines such as the nanovalent vaccine may be more useful to Ethiopia as they will protect women against more genotypes.
Cervical cancer is the leading cause of cancer deaths among women in Ethiopia. This may be due to the high prevalence of high-risk human papillomavirus (HR-HPV) genotypes in the population. So far, few studies have been done that showed the presence of HR-HPV genotypes. The HR-HPV-16, -18, -52, -56, -31 and -58 were the most common genotypes reported in Ethiopia. The introduction of HPV vaccines in Ethiopia is likely to go a long way in reducing cervical cancer deaths. However, there are few challenges to the introduction of the vaccines. The target population for HPV vaccination is at the moment not well-defined. Besides, the current HPV vaccines confer only type-specific (HPV-16 and -18) immunity, leaving a small proportion of Ethiopian women unprotected against other HR-HPV genotypes such as 52, 56, 31 and 58. Thus, future HPV vaccines such as the nanovalent vaccine may be more useful to Ethiopia as they will protect women against more genotypes. PMID:27004064
Hersi, Afra Ahmed
This article explores the complex factors, both individual and social, that contribute to the resiliency and academic achievement of six adolescent African immigrant students from Cape Verde and Ethiopia who were enrolled in a small high school in the United States. The school was designed specifically for recent adolescent immigrant students.…
Woldehanna, Tassew; Jones, Nicola; Tefera, Bekele
The complexities of intergenerational and gendered intra-household resource allocations are frequently overlooked in poverty reduction policies. To address this lacuna, this article focuses on links between macro-development policies and children's paid and unpaid work burden in Ethiopia. Using a mixed methods approach, quantitative household…
Cats are important in the epidemiology of Toxoplasma gondii because they are the only hosts that excrete environmentally resistant oocysts in feces. In the present study, hearts, serum, and feces from 36 feral cats from Addis Ababa area, Ethiopia were examined for T. gondii infection. Antibodies to ...
Swancott, Rachel; Uppal, Gobinderjit; Crossley, Jon
The present article reports on the variation of mental health resources across the globe and considers the merits or otherwise of the process of globalization in low- and middle-income countries (LMIC), with a specific emphasis on Ethiopia. Although globalization has gained momentum in recent years, there is a concern that the globalization of Western mental health frameworks is problematic, as these concepts have been developed in a different context and do not accommodate the current diversity in understanding in LMIC countries. The importance of understanding the mental health frameworks of LMIC like Ethiopia, prior to considering if and how aspects of high-income countries (HIC) conceptualizations may be appropriately imported, is therefore reflected upon. Traditional approaches in managing mental health difficulties and possible reasons for the limited engagement with clinical psychology in Ethiopia are considered. Current developments within the fields of mental health and clinical psychology in Ethiopia are discussed, and the need to develop more local research in order to increase understanding and evaluate treatment interventions is recognized. Further consideration and debate by Ethiopian mental health professionals as well as those from HIC are recommended, to promote both reciprocal learning and new local discourses about mental health.
Urbaniak, M.; Zerihun Negussie, Y.; Zalewski, M.
The transfer of dioxins along river continuum is a well know process which indicated permanent increase of their content in the river sediments. Despite this, there is still lack of empirical data highlighting the role of lakes and reservoirs in dioxins transfer along river continuum. Using the ecohydrology as a framework for water problem solving, the reduction of dioxins bioaccumulation in aquatic food chain should be based on two steps: 1) a reduction of dioxins emission to the water ecosystems and 2) an understanding of the role that the factors determining dioxins accumulation, transportation and transformation in the river and lake/reservoir system play for implementation of ecohydrological biotechnologies and system solutions. From limnological perspective lakes and reservoirs are considered as traps for organic and mineral sediments and bounded with them nutrients and other polluting substances. As effect of long term ecological succession the amount of sedimented matter, nutrients and loads and concentrations of pollutants usually increases. Such situation was observed in Asella lake, located in the Arsi zone of the Oromia region about 175 kilometers from Addis Ababa, Ethiopia. As the results of above processes the high concentration of dioxin concentrations in the sediments was observed, inducing decline in the water resources use. During this study the spatial pattern of dioxins concentration and toxicity (measured as WHO TEQ concentration) in the sediments of Asella river and lake taken before (in 2009) and after (in 2010) construction of Sequentional BioFiltering System (SBFS) were compared. The determination of dioxin concentrations were followed according to US EPA 1613 and 1668 Methods. Among the samples collected in the 2009 year, the contamination of lake sediments amounted for 127.65 ng kg-1 dry weight (d.w.), whereas concentration of dioxins in samples taken at the lake outflow decreased to the value of 26.65 ng kg-1 d.w. The WHO
Kebede, Alemi; Hassen, Kalkidan; Nigussie Teklehaymanot, Aderajew
Background Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government’s efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home. Objective The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia. Methods The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel–Haenszel odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Heterogeneity of the study was assessed using I2 test. Results People living in urban areas (OR =13.16, CI =1.24, 3.68), with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively), who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39), and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57) showed significant association with institutional delivery service utilization. Women’s autonomy was not significantly associated with institutional delivery service utilization. Conclusion and recommendation Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available communication networks such as health development army and promotion of antenatal care visits and completion of four standard visits by pregnant women were recommended. PMID:27672342
Worku, F. F.; Werner, M.; Wright, N.; van der Zaag, P.; Demissie, S.
Endorheic basins, often found in semi-arid and arid climates, are particularly sensitive to changes in climatological fluxes such as precipitation, evaporation and runoff, resulting in variability of river flows as well as of water levels in end-point lakes that are often present. In this paper we apply the Indicators of Hydrological Alteration (IHA) to characterise change to the natural flow regime of the Omo-Ghibe basin in Southern Ethiopia. This endorheic basin is considered relatively pristine, with the basin being the main source of flow to Lake Turkana, the end-point lake in the East-African rift valley. The water level in Lake Turkana shows significant fluctuation, but an increasing trend can be observed over the past 20 yr. The reasons are currently not well understood. Of the five groups of metrics in the IHA, only those related to magnitude were found to show significant trends, with the main trend being the increase of flow during the dry season. This trend was not reflected in climatological drivers such as rainfall, evaporation, and temperature (which shows an increasing trend), but rather is attributed to the substantial changes in Land Use and Land Cover (LULC) in the basin. The impact on the basin hydrology is apparent mainly in the more humid part of the basin. The significant shift from forest and woodland to grassland and cropland results in a decrease of actual evaporation and subsequent increase in (dry season) runoff. The long term trend of the increasing levels in lake Turkana are related to these trends in dry season flows, while shorter term fluctuations of the lake levels are attributed primarily to anomalies in consecutive wet and dry season rainfall.
Worku, F. F.; Werner, M.; Wright, N.; van der Zaag, P.; Demissie, S. S.
Endorheic basins, often found in semi-arid and arid climates, are particularly sensitive to variation in fluxes such as precipitation, evaporation and runoff, resulting in variability of river flows as well as of water levels in end-point lakes that are often present. In this paper we apply the indicators of hydrological alteration (IHA) to characterise change to the natural flow regime of the Omo-Ghibe Basin in southern Ethiopia. Little water resource infrastructure has been developed in the basin to date, and it is considered pristine. The basin is endorheic and is the main source of flow to Lake Turkana in the East African Rift Valley. The water level in Lake Turkana shows significant fluctuation, but increase of its level can be observed over the past 20 years. The reasons are currently not well understood. Of the five groups of hydrological characteristics in the IHA (magnitude, timing, duration, frequency and variability), only those related to magnitude were found to show significant trends, with the main trend being the increase of flow during the dry season. This trend was not reflected in climatological drivers such as rainfall, evaporation and temperature (which shows a positive trend), but rather is attributed to the substantial changes in land use and land cover in the basin. The change in the basin hydrology is apparent mainly in the more humid part of the basin. The significant shift from forest and woodland to grassland and cropland results in a decrease of actual evaporation and subsequent increase in (dry season) runoff. The long-term trend of the increasing levels in Lake Turkana are related to these trends in dry season flows, while shorter-term fluctuations of the lake levels are attributed primarily to anomalies in consecutive wet and dry season rainfall.
The late Quaternary Kibish Formation of the Omo Valley, southwestern Ethiopia, preserves environments reflecting a history of fluctuations in the level of nearby Lake Turkana over the past 200,000 years. The Kibish Formation has yielded a diverse mammalian fauna (as well as birds and crocodiles), stone tools, and the oldest anatomically modern Homo sapiens. Fish, the most common vertebrate fossils in this unit, are reported in this study. Catfish (especially clariids and Synodontis) and Nile perch (Lates niloticus) predominate, but the gymnarchid Gymnarchus, a cyprinid (Barbus), tigerfish (Hydrocynus), pufferfish (Tetraodon), and other catfish are also present. In total, nine teleost genera are found in the Kibish Formation, representing a subset of the 37 genera that constitute the modern Omo-Turkana ichthyofauna. Several taxa present in the modern fauna, including Polypterus and members of the family Cichlidae, are not found in the Kibish deposits. Most specimens are preserved as disarticulated or broken skeletal elements, but some preservation of articulated elements (e.g., sets of vertebrae, crania with lower jaws or cleithra) also occurs. Many of the catfish and Nile perch specimens are larger than the largest reported from the modern river or lake. Faunas of Kibish Members I and III closely resemble one another; the fauna from Member IV contains only the three most common taxa (Clarias, Synodontis, Lates), though this may result from insufficient sampling. Barbed bone points have been collected from the upper part of the formation, indicating a long association between the human inhabitants and the fish fauna of the Omo Valley.
Keflie, Tibebe Seyoum; Ameni, Gobena
Introduction Tuberculosis causes illness among millions of people each year and ranks as the second leading cause of death from infectious disease worldwide. The aim of this study was to investigate the detection rate of microscopic examination and estimate risk of transmission of TB by smear negative pulmonary TB patients. Methods A cross-sectional study and retrospective data analysis on TB were undertaken in Northwest Shewa, Ethiopia. Microscopic examination, bacterial culture and PCR were performed. The statistical analysis was made by using STATA software version 10. Results A total of 92 suspected TB cases was included in the study. Of these, 27.17% (25/92) were positive for microscopic examination and 51% (47/92) for culture. The sensitivity and specificity of microscopic examination with 95% CI were 48.94% (34.08% to 63.93%) and 95.56% (84.82 to 99.33%), respectively. The positive and negative predictive values were 92% (73.93% to 98.78%) and 64.18% (51.53% to 75.53%), respectively. Of 8150 pulmonary TB cases in the retrospective study, 58.9% was smear negative. The proportion of TB-HIV co-infection was 28.66% (96/335). Conclusion The sensitivity of microscopic examination was 48.94% which was very low. The poor sensitivity of this test together with the advent of HIV/AIDS elevated the prevalence of smear negative pulmonary TB. This in turn increased the risk of TB transmission. PMID:25810798
Demissie, Biadgilgn; Billi, Paolo; Frankl, Amaury; Haile, Mitiku; Lanckriet, Sil; Nyssen, Jan
Excessive sedimentation and flood hazard are common in ephemeral streams which are characterized by flashy floods. The purposes of this study was to investigate the temporal variability of bio-climatic factors in controlling sediment supply to downstream channel reaches and the effect of bridges on local hydro-geomorphic conditions in causing the excess sedimentation and flood hazard in ephemeral rivers of the Raya graben (northern Ethiopia). Normalized Difference Vegetation Index (NDVI) was analyzed for the study area using Landsat imageries of 1972, 1986, 2000, 2005, 2010, and 2012). Middle term, 1993-2011, daily rainfall data of three meteorological stations, namely, Alamata, Korem and Maychew, were considered to analyse the temporal trends and to calculate the return time intervals of rainfall intensity in 24 hours for 2, 5, 10 and 20 years using the log-normal and the Gumbel extreme events method. Streambed gradient and bed material grain size were measured in 22 river reaches (at bridges and upstream). In the study catchments, the maximum NDVI values were recorded in the time interval from 2000 to 2010, i.e. the decade during which the study bridges experienced the most severe excess sedimentation problems. The time series analysis for a few rainfall parameters do not show any evidence of rainfall pattern accountable for an increase in sediment delivery from the headwaters nor for the generation of higher floods with larger bedload transport capacities. Stream bed gradient and bed material grain size data were measured in order to investigate the effect of the marked decrease in width from the wide upstream channels to the narrow recently constructed bridges. The study found the narrowing of the channels due to the bridges as the main cause of the thick sedimentation that has been clogging the study bridges and increasing the frequency of overbank flows during the last 15 years. Key terms: sedimentation, ephemeral streams, sediment size, bridge clogging
Background Diabetes mellitus is recognized as one of the emerging public health problems in developing countries. However, its magnitude has not been studied at community levels, making the provision of appropriate services difficult in such countries. Hence, this study aimed to compare the magnitude and associated risks of diabetes mellitus among urban and rural adults in northwest Ethiopia. Methods A cross-sectional population based survey was performed using the WHO STEPwise method on adults aged 35 years and above. A multistage cluster random sampling strategy was used to select study participants from urban and rural locations. Fasting blood glucose levels were determined using peripheral blood samples by finger puncture. Prevalence was computed with a 95% confidence interval for each residential area. Selected risk factors were assessed using logistic regression. Results The prevalence of diabetes mellitus among adults aged 35 years and above was 5.1% [95% CI: 3.8, 6.4] for urban and 2.1% [95% CI: 1.2, 2.9] for rural dwellers. The majority (69%) of the identified diabetic cases were not diagnosed prior to the survey. The highest proportion (82.6%) of the undiagnosed cases was noted among the rural population and 63% among the urban population. Family history of diabetes (AOR = 5.05; 2.43, 10.51), older age (AOR = 4.86; 1.99, 11.9) and physical inactivity (AOR = 1.92; 1.06, 3.45) were significantly associated with diabetes mellitus among the urban population. Alcohol consumption (AOR = 0 .24, 0 .06, 0.99) was inversely associated with diabetes mellitus in rural areas. Conclusion The prevalence of diabetes mellitus is considerably high among the urban compared to the rural population. Diabetes is largely undiagnosed and untreated, especially in rural settings. Appropriate actions need to be taken to provide access to early diagnosis and treatment in order to reduce associated complications. PMID:24479725
Foerster, Verena; Vogelsang, Ralf; Junginger, Annett; Asrat, Asfawossen; Lamb, Henry F.; Schaebitz, Frank; Trauth, Martin H.
Our understanding of the impact of climate-driven environmental change on prehistoric human populations is hampered by the scarcity of continuous paleoenvironmental records in the vicinity of archaeological sites. Here we compare a continuous paleoclimatic record of the last 20 ka before present from the Chew Bahir basin, southwest Ethiopia, with the available archaeological record of human presence in the region. The correlation of this record with orbitally-driven insolation variations suggests a complex nonlinear response of the environment to climate forcing, reflected in several long-term and short-term transitions between wet and dry conditions, resulting in abrupt changes between favorable and unfavorable living conditions for humans. Correlating the archaeological record in the surrounding region of the Chew Bahir basin, presumably including montane and lake-marginal refugia for human populations, with our climate record suggests a complex interplay between humans and their environment during the last 20 ka. The result may contribute to our understanding of how a dynamic environment may have impacted the adaptation and dispersal of early humans in eastern Africa.
Johns, Benjamin; Yihdego, Yemane Yeebiyo; Kolyada, Lena; Dengela, Dereje; Chibsa, Sheleme; Dissanayake, Gunawardena; George, Kristen; Taffese, Hiwot Solomon; Lucas, Bradford
ABSTRACT Background: Indoor residual spraying (IRS) for malaria prevention has traditionally been implemented in Ethiopia by the district health office with technical and operational inputs from regional, zonal, and central health offices. The United States President's Malaria Initiative (PMI) in collaboration with the Government of Ethiopia tested the effectiveness and efficiency of integrating IRS into the government-funded community-based rural health services program. Methods: Between 2012 and 2014, PMI conducted a mixed-methods study in 11 districts of Oromia region to compare district-based IRS (DB IRS) and community-based IRS (CB IRS) models. In the DB IRS model, each district included 2 centrally located operational sites where spray teams camped during the IRS campaign and from which they traveled to the villages to conduct spraying. In the CB IRS model, spray team members were hired from the communities in which they operated, thus eliminating the need for transport and camping facilities. The study team evaluated spray coverage, the quality of spraying, compliance with environmental and safety standards, and cost and performance efficiency. Results: The average number of eligible structures found and sprayed in the CB IRS districts increased by 19.6% and 20.3%, respectively, between 2012 (before CB IRS) and 2013 (during CB IRS). Between 2013 and 2014, the numbers increased by about 14%. In contrast, in the DB IRS districts the number of eligible structures found increased by only 8.1% between 2012 and 2013 and by 0.4% between 2013 and 2014. The quality of CB IRS operations was good and comparable to that in the DB IRS model, according to wall bioassay tests. Some compliance issues in the first year of CB IRS implementation were corrected in the second year, bringing compliance up to the level of the DB IRS model. The CB IRS model had, on average, higher amortized costs per district than the DB IRS model but lower unit costs per structure sprayed and per
Alemu, Getahun; Tekola Ayele, Fasil; Daniel, Takele; Ahrens, Christel; Davey, Gail
Background Podoconiosis is an environmental lymphoedema affecting people living and working barefoot on irritant red clay soil. Podoconiosis is relatively well described in southern Ethiopia, but remains neglected in other parts of the Ethiopian highlands. This study aimed to assess the burden of podoconiosis in rural communities in western Ethiopia. Methodology/Principal Findings A cross-sectional study was conducted in Gulliso woreda (district), west Ethiopia. A household survey in the 26 rural kebeles (villages) of this district was conducted to identify podoconiosis patients and to measure disease prevalence. A more detailed study was done in six randomly selected kebeles to describe clinical features of the disease, patients' experiences of foot hygiene, and shoe wearing practice. 1,935 cases of podoconiosis were registered, giving a prevalence of 2.8%. The prevalence was higher in those aged 15–64 years (5.2%) and in females than males (prevalence ratio 2.6∶1). 90.3% of patients were in the 15–64 year age group. In the detailed study, 335 cases were interviewed and their feet assessed. The majority of patients were farmers, uneducated, and poor. Two-third of patients developed the disease before the age of thirty. Almost all patients (97.0%) had experienced adenolymphangitis (ALA - red, hot legs, swollen and painful groin) at least once during the previous year. Patients experienced an average of 5.5 ALA episodes annually, each of average 4.4 days, thus 24 working days were lost annually. The incidence of ALA in podoconiosis patients was higher than that reported for filariasis in other countries. Shoe wearing was limited mainly due to financial problems. Conclusions We have documented high podoconiosis prevalence, frequent adenolymphangitis and high disease-related morbidity in west Ethiopia. Interventions must be developed to prevent, treat and control podoconiosis, one of the core neglected tropical diseases in Ethiopia. PMID:21666795
Gossa, Weyinshet; Wondimagegn, Dawit; Mekonnen, Demeke; Eshetu, Wondwossen; Abebe, Zerihun; Fetters, Michael D
As a very low-income country, Ethiopia faces significant development challenges, though there is great aspiration to dramatically improve health care in the country. Family medicine has recently been recognized through national policy as one potential contributor in addressing Ethiopia’s health care challenges. Family medicine is a new specialty in Ethiopia emerging in the context of family medicine development in Sub-Saharan Africa. The Addis Ababa University family medicine residency program started in 2013 and is the first and the only family medicine program in the country as of March 2016. Stakeholders on the ground feel that family medicine is off to a good start and have great enthusiasm and optimism for its success. While the Ministry of Health has a vision for the development of family medicine and a plan for rapid upscaling of family medicine across the country, significant challenges remain. Continuing discussion about the potential roles of family medicine specialists in Ethiopia and policy-level strategic planning to place family medicine at the core of primary health care delivery in the country is needed. In addition, the health care-tier system needs to be restructured to include the family medicine specialists along with appropriately equipped health care facilities for training and practice. Key stakeholders are optimistic that family medicine expansion can be successful in Ethiopia through a coordinated effort by the Ministry of Health and collaboration between institutions within the country, other Sub-Saharan African countries, and international partners supportive of establishing family medicine in Ethiopia. PMID:27175100
Foot and mouth disease (FMD), world's most important highly infectious and contagious trans-boundary animal diseases, is responsible for huge global losses of livestock production as well as severe impacts on international trade. This vesicular disease is caused by foot and mouth disease virus of the genus Aphthovirus, family Picornaviridae. Currently FMD is major global animal health problem and endemic in Africa including Ethiopia. This paper systematically reviewed the sero-prevalence reports, associated risk factors and distribution of FMD in Ethiopia with the main aim of making compressive document on prevalence, risk factor and distribution of the disease thus helping as a basis for designing effective control strategies. FMD is widely distributed in Ethiopia and its prevalence varies from place to place with seropositivity that ranges from 5.6% to 42.7% in cattle and from 4% to 11% in small ruminant and in 30% in ungulate wildlife. In Ethiopia endemic distributions of five of seven serotypes, namely serotypes O, A, C, SAT1 and SAT2 have been documented. The dominant serotype being reported recently is serotype O and serotype C has not been reported in the country since 1983. However, serotype C specific antibody was detected in cattle indicating that circulation of serotype C viruses in the country may have gone unnoticed. The most common risk factor associated with FMD infection in Ethiopia includes production system, geographic location, species, age of animals, contact with wildlife and season of the year, mixed animal species and Breed. Conclusively, this paper revealed as FMD is posing a major threat in different area of the country thereby causing substantial economic losses through morbidity, mortality and restriction of international trade. Thus, demanding for great attention as its occurrence is may affect the export earnings of the country thereby threaten the livelihood of farmers and economy of the country at large.
Rawat, Rahul; Mwangi, Edina M.; Tesfaye, Roman; Abebe, Yewelsew; Baker, Jean; Frongillo, Edward A.; Ruel, Marie T.; Menon, Purnima
Optimal breastfeeding (BF) practices in Ethiopia are far below the government’s targets, and complementary feeding practices are poor. The Alive & Thrive initiative aimed to improve infant and young child feeding (IYCF) practices through large-scale implementation of social and behavior change communication interventions in four regions of Ethiopia. The study assessed the effects of the interventions on IYCF practices and anthropometry over time in two regions–Southern Nations, Nationalities and Peoples Region and Tigray. A pre- and post-intervention adequacy evaluation design was used; repeated cross-sectional surveys of households with children aged 0–23.9 mo (n = 1481 and n = 1494) and with children aged 24–59.9 mo (n = 1481 and n = 1475) were conducted at baseline (2010) and endline (2014), respectively. Differences in outcomes over time were estimated using regression models, accounting for clustering and covariates. Plausibility analyses included tracing recall of key messages and promoted foods and dose-response analyses. We observed improvements in most WHO-recommended IYCF indicators. Early BF initiation and exclusive BF increased by 13.7 and 9.4 percentage points (pp), respectively. Differences for timely introduction of complementary foods, minimum dietary diversity (MDD), minimum meal frequency (MMF), minimum acceptable diet (MAD), and consumption of iron-rich foods were 22.2, 3.3, 26.2, 3.5, and 2.7 pp, respectively. Timely introduction and intake of foods promoted by the interventions improved significantly, but anthropometric outcomes did not. We also observed a dose-response association between health post visits and early initiation of BF (OR: 1.8); higher numbers of home visits by community volunteers and key messages recalled were associated with 1.8–4.4 times greater odds of achieving MDD, MMF, and MAD, and higher numbers of radio spots heard were associated with 3 times greater odds of achieving MDD and MAD. The interventions were
Leta, Samson; Mesele, Frehiwot
The livestock subsector has an enormous contribution to Ethiopia's national economy and livelihoods of many Ethiopians. The subsector contributes about 16.5% of the national Gross Domestic Product (GDP) and 35.6% of the agricultural GDP. It also contributes 15% of export earnings and 30% of agricultural employment. The livestock subsector currently support and sustain livelihoods for 80% of all rural population. The GDP of livestock related activities valued at 59 billion birr. Ethiopian livestock population trends, distribution and marketing vary considerably across space and time due to a variety of reasons. This study was aimed to assess cattle and shoat population growth trend, distribution and their access to market. Regression analysis was used to assess the cattle and shoat population growth trend and Geographic Information Systems (GIS) techniques were used to determine the spatial distribution of cattle and shoats, and their relative access to market. The data sets used are agricultural census (2001/02) and annual CSA agricultural sample survey (1995/96 to 2012/13). In the past eighteen years, the livestock population namely cattle, sheep and goat grew from 54.5 million to over 103.5 million with average annual increment of 3.4 million. The current average national cattle, sheep and goat population per km(2) are estimated to be 71, 33 and 29 respectively (excluding Addis Ababa, Afar and Somali regions). From the total livestock population the country owns about 46% cattle, 43% sheep and 40% goats are reared within 10 km radius from major livestock market centres and all-weather roads. On the other hand, three fourth of the country's land mass which comprises 15% of the cattle, 20% of the sheep and 21% of goat population is not accessible to market (greater than 30 km from major livestock market centres). It is found that the central highland regions account for the largest share of livestock population and also more accessible to market. Defining the
Ayele, Atalay; Stuart, Graham; Kendall, J.-Michael
Seismic anisotropy beneath broad-band stations in the vicinity of the East African rift are compared with those on stable cratonic parts of Africa and Arabia. Such measurements offer potential constraints on rift processes, absolute plate motions (APM) and tectonic structure. New SKS shear wave splitting parameters are analysed beneath the broad-band stations of FURI and AAE (Ethiopia), BGCA (Central African Republic) and RAYN (Saudi Arabia). The number of events considered at the four stations varies from 13 to 32 and provides good azimuthal coverage. Stations on or near the rift show the polarization of the fast shear wave (φ) aligned parallel to the rift axis. The magnitude of the splitting delay (δt) increases northward along the East African rift. Previously published measurements in Kenya show the smallest splitting value (1.0 s), whilst the Djibouti station, ATD, shows the largest splitting (1.6 s). The Ethiopian results (δt= 1.38 + 0.03 s, φ= 36°+ 1) show constancy in δt and φ with respect to backazimuth, thus, suggesting a single anisotropic layer beneath the stations. There is no observed correlation of φ with APM direction. Less splitting (δt) is observed beneath cratonic parts of Africa. BGCA in central Africa shows splitting parallel to the inferred direction of transpression, not the APM direction. Receiver-function analysis at FURI and AAE supports evidence from refraction experiments of thick crust (ca 40 km) in the region of continental rifting, however, the analysis shows a deeper interface at a depth of 90 km, also. This interface may mark the base of the lithosphere in this region. One interpretation of the splitting results is that the anisotropy at the Ethiopian stations is the result of aligned melt in this upper 90 km of lithosphere. A < 1 per cent volume fraction of melt aligned in thin (aspect-ratio <0.03) vertical ellipsoidal pockets generates sufficient splitting to explain the data. Higher splitting magnitudes in the north
Roba, Alemzewed C; Gabriel-Micheal, Kebebush; Zello, Gordon A; Jaffe, Joann; Whiting, Susan J; Henry, Carol J
Poor nutrition in adolescent girls poses critical health risks on future pregnancy and birth outcomes especially in developing countries. Our purpose was to assess nutritional status and dietary intake of rural adolescent girls and determine pulse and food intake patterns associated with poor nutritional status. A cross-sectional community-based study was conducted in a traditional pulse growing region of southern Ethiopia on 188 girls between 15 to 19 years of age, with 70% being from food insecure families. Prevalence of stunting (30.9%) and underweight (13.3%) were associated with low food and nutrient intake. Diets were cereal-based, with both animal source foods and pulses rarely consumed. Improving dietary intakes of female adolescents with nutrient dense foods would ensure better health for themselves and for the next generation.
Yirga, Wondimu Shanko; Kassa, Nega Assefa; Gebremichael, Mengistu Welday; Aro, Arja R
Background Female genital mutilation (FGM) is nontherapeutic surgical modification of the female genitalia. It is an ancient tradition in large parts of Africa, including Ethiopia, especially in the eastern part of the country. This study aimed to identify the prevalence, perceptions, perpetuators, reasons for conducting FGM, and factors associated with this practice with regard to women’s health. Methods Community-based cross-sectional house-to-house interviews were conducted during 2008 among 858 females of reproductive age (15–49 years), in Kersa district, East Hararge, Oromia region, Ethiopia. Proportions and Chi-square tests were used to describe the data and logistic regression was used to describe statistical associations. Statistical significance was set at P < 0.05. Results FGM was reported to be known by 327 (38.5%) of the interviewees. The majority (n = 249, 76.1%) reported that local healers were the main performers of FGM, and 258 (78.9%) respondents stated that the clitoris was the part removed during circumcision. The main reason for the practice of FGM was reduction of female sexual hyperactivity (reported by 198 women [60.3%]). Circumcision of daughters was reported by 288 (88.1%) respondents, and this showed a statistically significant association with the Christian religion (P = 0.003), illiteracy (P = 0.01), and Amhara ethnicity (P = 0.012). The majority of the respondents (792, 92.3%) were themselves circumcised and 68.8% did not know of any health-related problems associated with FGM. Conclusion In spite of FGM being a common practice in the study area, only one third of the respondents stated that they knew about it. Local healers were the main performers of FGM. Some of the women knew about the negative reproductive health effects of FGM and some had also experienced these themselves. However, only a few had tried to stop the practice and the majority had taken no steps to do so. This may be attributable to the fear of becoming alienated
Meza, Hailemariam; Gebresamuel, Girmay; Asfaha, Tesfaalem; Frankl, Amaury
degraded hillsides to landless farmers for tree planting should be scaled-up to other regions where extreme shortage of land and soil erosion challenges the rural livelihoods. Key words: degraded hillsides, tree planting, soil properties, northern Ethiopia.
Tesfaye, Gashaw; Wolff, Matthias
Effective management is essential for small-scale fisheries to continue providing food and livelihoods for households, particularly in developing countries where other options are often limited. Studies on the population dynamics and stock assessment on fishery target species are thus imperative to sustain their fisheries and the benefits for the society. In Lake Koka (Ethiopia), very little is known about the vital population parameters and exploitation status of the fishery target species: tilapia Oreochromis niloticus, common carp Cyprinus carpio and catfish Clarias gariepinus. Our study, therefore, aimed at determining the vital population parameters and assessing the status of these target species in Lake Koka using length frequency data collected quarterly from commercial catches from 2007-2012. A total of 20,097 fish specimens (distributed as 7,933 tilapia, 6,025 catfish and 6,139 common carp) were measured for the analysis. Von Bertalarffy growth parameters and their confidence intervals were determined from modal progression analysis using ELEFAN I and applying the jackknife technique. Mortality parameters were determined from length-converted catch curves and empirical models. The exploitation status of these target species were then assessed by computing exploitation rates (E) from mortality parameters as well as from size indicators i.e., assessing the size distribution of fish catches relative to the size at maturity (Lm), the size that provides maximum cohort biomass (Lopt) and the abundance of mega-spawners. The mean value of growth parameters L∞, K and the growth performance index ø' were 44.5 cm, 0.41/year and 2.90 for O. niloticus, 74.1 cm, 0.28/year and 3.19 for C. carpio and 121.9 cm, 0.16/year and 3.36 for C. gariepinus, respectively. The 95 % confidence intervals of the estimates were also computed. Total mortality (Z) estimates were 1.47, 0.83 and 0.72/year for O. niloticus, C. carpio and C. gariepinus, respectively. Our study suggest that
Brown, Francis H; Fuller, Chad R
The Kibish Formation in southwestern Ethiopia, with an aggregate thickness of approximately 105 m, consists of lacustrine, marginal lacustrine, and deltaic deposits. It is divided into four members numbered I to IV on the basis of erosion surfaces (disconformities) between the strata of each member. It overlies the Mursi and Nkalabong formations, the latter of which is here shown to correlate with the Shungura Formation. Tephra layers in each member allow for secure correlation between geographically separated sections on the basis of the composition of their volcanic glass. Members I, III, and IV of the Kibish Formation appear to have been deposited at the same times as sapropels S7 (197 ka), S4 (104 ka), and S1 (8 ka) in the eastern Mediterranean Sea, respectively. We correlate the KHS Tuff of the Kibish Formation with a >154-kyr-old unnamed tuff in the Konso Formation. Tephra in Member IV may derive from Mount Wenchi, a volcano situated on the divide between the Omo and Blue Nile drainage basins. Thin-bedded sedimentary layers probably represent annual deposition reflecting rapid sedimentation (approximately 30 m/kyr) of parts of the formation. This conclusion is supported by variation in paleomagnetic inclination through a sequence of these layers at KHS. Two fossils of early Homo sapiens (Omo I and Omo II) derive from Member I. Their stratigraphic placement is confirmed by analysis of the KHS Tuff in the lower part of Member II at both fossil sites. The KHS Tuff lies above a disconformity, which itself lies above the fossils at both sites. (40)Ar/(39)Ar dates provide an estimated age of approximately 195 kyr for these fossils. Omo III, a third fossil H. sapiens, probably also derives from Member I of the Kibish Formation and is of similar age. Hominin fossils from AHS, a new site, also derive from Member I. Hominin fossils from CHS can only be placed between 104 ka and 10 ka, the H. sapiens specimen from JHS is most likely 9-13 kyr in age, and a partial
Mengiste, Bezatu; Mesfin, Frehiwot; Godana, Wanzahun
Objectives The aim of this study was to determine factors associated with active pulmonary tuberculosis seen in cases in Ambo Hospital, Ethiopia. Design A facility-based prospective case-control study. Setting Patients attending Ambo Hospital from 01 December 2011 to 29 March 2012. Participants The sample included 312 adult patients attending Ambo Hospital. The main outcome measure was presence of active pulmonary tuberculosis (TB). Explanatory measures Age, gender, occupation, educational status, marital status, place of residence, patient history of TB, family history of TB, human immunodeficiency virus (HIV) infection, smoking, alcohol intake, khat chewing, body mass index (BMI), employment, diabetes, history of asthma, previous history of worm infestation, history of hospitalisation, number of adults living in the household (HH), person per room, housing condition. Results A total of 312 study participants, including 104 active pulmonary tuberculosis (PTB) cases (cases) and 208 non-active PTB cases (controls), were recruited for the present study. Having one or more family member with a history of TB (OR = 4.4; 95% CI: 1.50–12.90), marital status (OR = 7.6; 95% CI: 2.2–12.6), male gender (OR = 3.2; 95% CI: 1.4–7), rural residence (OR = 3.3; P = 0.012), being a current or past smoker (OR = 2.8; 95% CI: 1.1–7.2), BMI < 18.5 (OR = 2.1; 95% CI: 1.03–4.2), HIV infection (OR = 8.8; 95% CI: 2.4–23.8) and a history of worm infestation (OR = 6.4; 95% CI: 2.6–15.4) remained significant independent host-related factors for active PTB. Conclusion Patients who came from a compound with more than two HHs were more likely to develop active PTB than those who came from a compound with only one HH. Those who lived in houses with no windows were more likely to develop active PTB than those who lived in houses with one or more windows, had a family history of TB, lived in rural areas. Sex of the patient was a predicting factor. Not being the owner of the house was
Sibley, Lynn; Buffington, Sandra Tebben; Tedessa, Lelisse; McNatt, Kathryn
Home-Based Life Saving Skills (HBLSS) was integrated over 3 years into a district-level child survival project coordinated through the Ministry of Health and Save the Children Foundation/US in Liben Woreda, Guji Zone, Oromia Region, southern Ethiopia. During late 2004, the second phase of the program was reviewed for performance, home-based management, learning transfer, and program coverage. The immediate posttraining performance score for HBLSS guides for "First Actions" was 87% (a 78% increase over the pretraining baseline) and 79% at 1 year (a 9% decrease from the immediate posttraining score). The home-based management score of women attended by HBLSS guides for "First Actions" was 89%, compared to 32% for women assisted by other unskilled attendants. HBLSS guides teach women and families in the community as they were taught, by using pictorial Take Action Cards, role-play and demonstration, and a variety of venues. Estimates of HBLSS coverage suggest that HBLSS guides attended 24% to 26% of births, and 54% of women giving birth were exposed to HBLSS training. The HBLSS field tests demonstrate a promising program that increases access to basic care for poor, underserved, rural populations who carry the greatest burden of maternal and neonatal mortality.
As key economic, ecological and demographic trends converge to reshape Africa and its relationship with the outside world, a new politics is emerging in the twenty-first century around the water-food-energy nexus, which is central to the continent's relevance in the global economy. On the one hand, Malthusian anxieties are proliferating; pessimists link population growth and growing water scarcity to state failure and 'water wars'. On the other hand, entrepreneurs, sovereign wealth funds and speculators consider Africa's potential in water resources, energy production and food output as one of the last great untapped opportunities for the global economy: Africa is on the brink of an agro-industrial transformation. This article examines how African actors are not merely responding to economic and environmental changes but also thinking politically about water, food and energy security. Many of them are seizing the new opportunities to redefine their national politics, their relationship with local communities and their ties with external players, regionally and globally. Ethiopia's project of hydro-agricultural state-building helps to identify the most important fault lines of this new politics at the national, local and international level. The politics of water security and energy development simultaneously puts African states and their populations on the defensive, as they grapple with huge challenges, but also provides them with unique opportunities to take advantage of a more favourable global configuration of forces.
Fashing, Peter J; Nguyen, Nga; Fashing, Norman J
Desert locust (Schistocerca gregaria) outbreaks have occurred repeatedly throughout recorded history in the Horn of Africa region, devastating crops and contributing to famines. In June 2009, a desert locust swarm invaded the Guassa Plateau, Ethiopia, a large and unusually intact Afroalpine tall-grass ecosystem, home to important populations of geladas (Theropithecus gelada), Ethiopian wolves (Canis simensis), thick-billed ravens (Corvus crassirostris), and other Ethiopian or Horn of Africa endemics. During the outbreak and its aftermath, we observed many animals, including geladas, ravens, and a wolf, feeding on locusts in large quantities. These observations suggest surprising flexibility in the normally highly specialized diets of geladas and wolves, including the potential for temporary but intensive insectivory during locust outbreaks. To our knowledge, Guassa is the highest elevation site (3,200-3,600 m) at which desert locusts, which require temperatures >20 degrees C for sustained flight, have been reported. Continued monitoring will be necessary to determine whether the June 2009 outbreak was an isolated incident or part of an emerging pattern in the Ethiopian Highlands linked to global warming. The intensive consumption of desert locusts by geladas, wolves, and ravens during the outbreak at Guassa raises concerns about pesticide-based locust control strategies and potential unintended adverse effects on endemic and endangered wildlife.
Almaw, G; Duguma, M; Wubetie, A; Tuli, G; Koran, T
Contagious bovine pleuropneumonia (CBPP) was recognised on Bako Agricultural Research Farm, in the Oromia Region of Ethiopia, for the first time on 5 May 2011. The outbreak was investigated by combining recognition of clinical signs, post-mortem examination, mycoplasma isolation and serological testing using competitive enzymelinked immunosorbent assay (c-ELISA). The clinical cases were monitored for eight months; sick animals were treated with a range of antibiotics and isolated if necessary. The outbreak of CBPP was confirmed both bacteriologically and serologically and had spread to almost the entire herd (96.7%) within the eight-month observation period. Of the animals that recovered after antibiotic treatment, 12.3% fell sick again, showed typical signs of CBPP and were considered to be carriers. The role of treatment in the prevention of the spread of CBPP was minimal. Newly purchased animals that were not tested and quarantined before being introduced onto the farm were suspected to have been the most probable source of infection.
Azage, Muluken; Abeje, Gedefaw; Mekonnen, Alemtsehay
Background. Early detection of breast cancer using breast self-examination (BSE) plays an important role in decreasing its morbidity and mortality. Objective. To identify factors associated with BSE among health extension workers in Northwest Ethiopia. Methods. Cross-sectional study design was employed from October to November, 2012 in West Gojjam Zone of Amhara region. Simple random sampling technique was used to recruit a total of 390 health extension workers (HEWs). A structured Amharic questionnaire was used to collect the data. Data were entered and analyzed using SPSS statistical package version 16.0. Result. This study found that 37% of HEWs had ever practiced BSE and 14.4% practiced it regularly. The three main reasons for not doing regular BSE were no breast problem (53.2%), not knowing the technique of BSE (30.6%), and not knowing the importance of BSE (21.4%). Discussion with families on BSE and history of breast examination by health professionals were found significantly associated with ever practice of BSE. Conclusion. BSE practice was found low in this study. Having information on the importance of BSE was predictor of BSE practice. Therefore, it is important to give training on BSE techniques and its role on breast cancer prevention for HEWs.
Azage, Muluken; Abeje, Gedefaw; Mekonnen, Alemtsehay
Background. Early detection of breast cancer using breast self-examination (BSE) plays an important role in decreasing its morbidity and mortality. Objective. To identify factors associated with BSE among health extension workers in Northwest Ethiopia. Methods. Cross-sectional study design was employed from October to November, 2012 in West Gojjam Zone of Amhara region. Simple random sampling technique was used to recruit a total of 390 health extension workers (HEWs). A structured Amharic questionnaire was used to collect the data. Data were entered and analyzed using SPSS statistical package version 16.0. Result. This study found that 37% of HEWs had ever practiced BSE and 14.4% practiced it regularly. The three main reasons for not doing regular BSE were no breast problem (53.2%), not knowing the technique of BSE (30.6%), and not knowing the importance of BSE (21.4%). Discussion with families on BSE and history of breast examination by health professionals were found significantly associated with ever practice of BSE. Conclusion. BSE practice was found low in this study. Having information on the importance of BSE was predictor of BSE practice. Therefore, it is important to give training on BSE techniques and its role on breast cancer prevention for HEWs. PMID:24298389
Gebregergs, G B; Alemneh, M; Koye, D N; Kassie, Y; Assefa, M; Ayalew, W; Temesgen, C; Klinkenberg, E; Tadesse, T
Contexte : En 2011, l'Ethiopie a introduit une stratégie de dépistage de la tuberculose (TB) basé sur les symptômes parmi les patients venant en consultation externe afin d'augmenter l'identification de patients suspects de TB.Objectif : Evaluer la mise en œuvre et les facteurs affectant le dépistage symptomatique de la TB en consultation externe dans des centres de santé de la région d'Amhara, Ethiopie.Schéma : Grâce à une étude transversale, 86 centres de santé publics, choisis au hasard et offrant des services DOTS, ont été inclus dans cette étude. Les données ont été recueillies grâce à une revue des registres et à des entretiens avec les personnes clé des services de consultations externes.Résultats : Vingt-huit pour cent des centres de santé (24/86) avaient une pratique médiocre du dépistage symptomatique de la TB, définie comme un dépistage de <80% des consultants externes. Les facteurs associés à un dépistage plus exhaustif comprenaient le fait d'avoir un centre de santé actif et bien fonctionnel, une équipe multidisciplinaire discutant des services liés à la TB (aOR 2,29, IC95% 2,23–30,80) et un soutien d'un partenaire pour les activités liées à la TB (aOR 4,84, IC95% 1,05–22,40) ; par contre, la disponibilité du traitement antirétroviral y était négativement associée. Dans tous les centres de santé combinés, 1,6% des consultants externes ont été identifiés comme suspects de TB.Conclusion : Dans cette étude, un quart des centres de santé avait une pratique de dépistage de la TB médiocre dans ses services de consultation. Il est recommandé de renforcer les équipes multidisciplinaires et d'étendre le soutien par un partenaire afin d'améliorer la pratique du dépistage de la TB dans les services de consultation externe en Ethiopie.
Ketema, K H; Raya, J; Workineh, T; Klinkenberg, E; Enquselassie, F
Contexte : Région d'Oromia, Ethiopie.Objectif : Examiner l'effet d'un traitement décentralisé de la tuberculose (TB) sur les résultats de ce traitement et identifier les facteurs affectant les résultats parmi des patients tuberculeux nouveaux à frottis positif.Schéma : Etude rétrospective de cohorte comparant les patients traités en communauté pendant la phase de continuation avec ceux traités dans les structures de santé. Des données ont été recueillies à partir des registres de TB et des cartes de traitement des patients grâce à un formulaire de recueil de données prétesté.Résultats : De 2226 patients tuberculeux nouveaux à frottis positif enregistrés entre juillet 2010 et juillet 2012, et inclus dans cette étude, 1599 (72,6%) ont été traités dans des structures de santé et le reste en communauté. Le succès d'ensemble du traitement a été de 94,7%. Les patients traités en communauté ont eu un taux de réussite comparable à ceux traités dans les structures de santé (OR ajusté 1,7 ; IC95% 0,80–3,57). Des doses manquées (OR 0,22 ; IC95% 0,08–0,55), une supervision pendant la phase de prolongation (OR 2,6 ; IC95% 1,34–5,05), des crachats positifs au deuxième mois (OR 0,07 ; IC95% 0,04–0,13) et l'infection au virus de l'immunodéficience humaine (OR 0,25 ; IC95% 0,13–0,46) étaient des facteurs prédictifs indépendants de succès du traitement.Conclusion : Le succès d'ensemble du traitement est élevé chez les patients tuberculeux nouveaux à frottis positif de la région d'Oromia. Les patients traités en communauté pendant la phase de continuation ont un taux de réussite du traitement comparable à celui des patients traités dans des structures de santé.
Hoover Institution, Stanford, Calif., 1983. This description applies, of course, to most modern African states. 6 1889. The Italian and Amharic texts...today. The differentiation of Ge’ez (which seems to have ceased being spo- ken around 1000 A.D., though it remains in use in the church) into Amharic ...Semitic population of the northern Ethiopian highlands? They must have been absorbed by the Amhara and the Tigreans. 13 "The emergence of Amharic and its
Guyassa, Etefa; Frankl, Amaury; Zenebe, Amanuel; Lanckriet, Sil; Demissie, Biadgilgn; Zenebe, Gebreyohanis; Poesen, Jean; Nyssen, Jan
proportion of built-up areas also explains the shrinking of shrubland. On the studied flight of aerial photographs, forests were not existing in 1935 and have not been restored until present. The increased area of open water, on the other hand, is related to the ongoing land rehabilitation activities carried out in the region. These results confirm previous studies that severe land degradation has occurred in the Highlands of Northern Ethiopia over a long time, due to early (pre-1935) cropland expansion and deforestation.
Nguyen, My Huong; Habib, Ndema; Afework, Mesganaw Fantahun; Harries, Jane; Iyengar, Kirti; Moodley, Jennifer; Constant, Deborah; Sen, Swapnaleen
Objective To assess the accuracy of assessment of eligibility for early medical abortion by community health workers using a simple checklist toolkit. Design Diagnostic accuracy study. Setting Ethiopia, India and South Africa. Methods Two hundred seventeen women in Ethiopia, 258 in India and 236 in South Africa were enrolled into the study. A checklist toolkit to determine eligibility for early medical abortion was validated by comparing results of clinician and community health worker assessment of eligibility using the checklist toolkit with the reference standard exam. Results Accuracy was over 90% and the negative likelihood ratio <0.1 at all three sites when used by clinician assessors. Positive likelihood ratios were 4.3 in Ethiopia, 5.8 in India and 6.3 in South Africa. When used by community health workers the overall accuracy of the toolkit was 92% in Ethiopia, 80% in India and 77% in South Africa negative likelihood ratios were 0.08 in Ethiopia, 0.25 in India and 0.22 in South Africa and positive likelihood ratios were 5.9 in Ethiopia and 2.0 in India and South Africa. Conclusion The checklist toolkit, as used by clinicians, was excellent at ruling out participants who were not eligible, and moderately effective at ruling in participants who were eligible for medical abortion. Results were promising when used by community health workers particularly in Ethiopia where they had more prior experience with use of diagnostic aids and longer professional training. The checklist toolkit assessments resulted in some participants being wrongly assessed as eligible for medical abortion which is an area of concern. Further research is needed to streamline the components of the tool, explore optimal duration and content of training for community health workers, and test feasibility and acceptability. PMID:26731176
Habtamu, Esmael; Wondie, Tariku; Aweke, Sintayehu; Tadesse, Zerihun; Zerihun, Mulat; Mohammed, Aderajew; Zewudie, Zebideru; Callahan, Kelly; Emerson, Paul M.; Bailey, Robin L.; Mabey, David C. W.; Rajak, Saul N.; Kuper, Hannah; Polack, Sarah; Weiss, Helen A.; Burton, Matthew J.
Background Trachomatous trichiasis significantly reduces vision and health related quality of life (QoL). Although trichiasis surgery is widely performed to treat trichiasis, there is little data on the effect of surgery on QoL. We measured the impact of trichiasis surgery on vision and health related QoL in a longitudinal study from Amhara Region, Ethiopia. Methodology/Principal Findings We recruited 1000 adult participants with trichiasis (cases) and 200 comparison participants, matched to every fifth trichiasis case on age (+/- two years), sex and location. Vision-related quality of life (VRQoL) and health-related quality of life (HRQoL) were measured using the WHO/PBD-VF20 and WHOQOL-BREF questionnaires respectively, at enrolment and 12 months after enrolment. All trichiasis cases received free standard trichiasis surgery immediately after enrolment. The mean difference in QoL scores between enrolment and follow-up for cases and comparison participants, and the difference-in-differences by baseline trichiasis status was analysed using random effects linear regression, the later adjusted for age, sex and socioeconomic status. At 12-months follow-up, data was collected from 980 (98%) and 198 (98%) trichiasis cases and comparison participants respectively. At this follow-up visit, VRQoL and HRQoL scores of trichiasis cases improved substantially in all subscales and domains by 19.1–42.0 points (p<0.0001) and 4.7–17.2 points (p<0.0001), respectively. In contrast, among the comparison participants, there was no evidence of improvement in VRQoL and HRQoL domain scores during follow-up. The improvement in VRQoL and HRQoL in cases was independent of the presence of visual acuity improvement at 12 months. Conclusions/Significance Trichiasis surgery substantially improves both VRQoL and HRQoL regardless of visual acuity change. Unprecedented effort is needed to scale-up trichiasis surgical programmes not only to prevent the risk of sight loss but also to improve
Thompson, Jessica C; McPherron, Shannon P; Bobe, René; Reed, Denné; Barr, W Andrew; Wynn, Jonathan G; Marean, Curtis W; Geraads, Denis; Alemseged, Zeresenay
Two fossil specimens from the DIK-55 locality in the Hadar Formation at Dikika, Ethiopia, are contemporaneous with the earliest documented stone tools, and they collectively bear twelve marks interpreted to be characteristic of stone tool butchery damage. An alternative interpretation of the marks has been that they were caused by trampling animals and do not provide evidence of stone tool use or large ungulate exploitation by Australopithecus-grade hominins. Thus, resolving which agents created marks on fossils in deposits from Dikika is an essential step in understanding the ecological and taphonomic contexts of the hominin-bearing deposits in this region and establishing their relevance for investigations of the earliest stone tool use. This paper presents results of microscopic scrutiny of all non-hominin fossils collected from the Hadar Formation at Dikika, including additional fossils from DIK-55, and describes in detail seven assemblages from sieved surface sediment samples. The study is the first taphonomic description of Pliocene fossil assemblages from open-air deposits in Africa that were collected without using only methods that emphasize the selective retention of taxonomically-informative specimens. The sieved assemblages show distinctive differences in faunal representation and taphonomic modifications that suggest they sample a range of depositional environments in the Pliocene Hadar Lake Basin, and have implications for how landscape-based taphonomy can be used to infer past microhabitats. The surface modification data show that no marks on any other fossils resemble in size or shape those on the two specimens from DIK-55 that were interpreted to bear stone tool inflicted damage. A large sample of marks from the sieved collections has characteristics that match modern trampling damage, but these marks are significantly smaller than those on the DIK-55 specimens and have different suites of characteristics. Most are not visible without magnification
Gebremariam, Tikabo; Belay, Shumuye
A study was carried out with the objective to assess the utilization practices of local feed resources. It was implemented in Tanqua-Abergelle district of the Tigray region, Northern Ethiopia. Lemlem and Gera peasant associations (PAs) were selected purposively based on their potentiality in livestock resources and road access for household (HH) interview purpose. Likewise, Sheka-Tekli and Hadinet PAs were chosen for the purpose of focus group discussion (FGD). A total of 60 HHs (30 from each PA) were selected randomly for interview using semi-structured questionnaire. About 16 % of the respondents were female HHs. Two FGDs were held with key informants. The collected data were analyzed using SPSS (2013, version 21) statistical software procedures. The study area is characterized by mixed crop-livestock farming system with high interaction between crop and livestock. Livestock are the mainstay for the farm community with many benefits as sources of draught, meat, milk, income, and manures. Cattle are kept primarily for the purpose of draught power with meat and milk as secondary products, whereas shoats are kept mainly for cash income, manure, meat, and milk. The land holding size per HH was 1.44 ha while the herd size was 4.93 tropical livestock unit (TLU). Almost all the land holding (97 %) is allocated for crop cultivation with lesser for forage production (<1 %) indicating poor attention for fodder harvesting. The cattle herd is composed of local breeds (99 %) with less exotic/crossbred (1 %), indicating that the livestock rearing is practiced using local breed. Crop residues, natural pastures, stubble grazing, hay, and browsing are the main feed resources for animals. The availability and contribution of each feed vary with season and areas. Sorghum stover is the main feed source in the area and followed by maize stover, Eragrostis tef straw, and pulse straws. Crop residues are fed as basal diet with no or less supplementation using local concentrates
Gonsalves, Lianne; Donovan, Samuel E; Ryan, Victoria; Winch, Peter J
In rural Ethiopia, environmental degradation and a shortage of arable land impose a major toll on the population. Population, health, and environment (PHE) programs, such as that of the Ethio-Wetlands and Natural Resources Association (EWNRA), have evolved to address these issues. This article examines the community-based distribution (CBD) of family planning commodities in rural Ethiopia through EWNRA's large, multisectoral PHE program. Participants indicated that the integrated program encouraged acceptance of family planning and reduced geographic barriers to access. Through peer education and collaboration across government ministries, EWNRA leveraged integrated population-environment messages to garner support for its network of CBD providers. These integration strategies are a model for PHE programs worldwide, especially amid the global response to climate change. Because of the complex nature of PHE organizations, researchers often find it difficult to effectively document and evaluate their programs. With this in mind, we propose a framework to assess PHE integration.
Fekadu, Abebaw; Hanlon, Charlotte; Medhin, Girmay; Alem, Atalay; Selamu, Medhin; Giorgis, Tedla W.; Shibre, Teshome; Teferra, Solomon; Tegegn, Teketel; Breuer, Erica; Patel, Vikram; Tomlinson, Mark; Thornicroft, Graham; Prince, Martin; Lund, Crick
Background Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority. Aims To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia. Method A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation). Results The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability. Conclusions The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC. PMID:26447174
Gani, M Royhan; Gani, Nahid D
The nature and type of landscape that hominins (early humans) frequented has been of considerable interest. The recent works on Ardipithecus ramidus, a 4.4 million years old hominin found at Middle Awash, Ethiopia, provided critical information about the early part of human evolution. However, habitat characterization of this basal hominin has been highly contested. Here we present new sedimentological and stable isotopic (carbon and oxygen) data from Aramis, where the in situ, partial skeleton of Ar. ramidus (nicknamed 'Ardi') was excavated. These data are interpreted to indicate the presence of major rivers and associated mixed vegetations (grasses and trees) in adjacent floodplains. Our finding suggests that, in contrast to a woodland habitat far from a river, Ar. ramidus lived in a river-margin forest in an otherwise savanna (wooded grassland) landscape at Aramis, Ethiopia. Correct interpretation of habitat of Ar. ramidus is crucial for proper assessment of causes and mechanisms of early hominin evolution, including the development of bipedalism.
Gani, M. Royhan; Gani, Nahid D.
The nature and type of landscape that hominins (early humans) frequented has been of considerable interest. The recent works on Ardipithecus ramidus, a 4.4 million years old hominin found at Middle Awash, Ethiopia, provided critical information about the early part of human evolution. However, habitat characterization of this basal hominin has been highly contested. Here we present new sedimentological and stable isotopic (carbon and oxygen) data from Aramis, where the in situ, partial skeleton of Ar. ramidus (nicknamed 'Ardi') was excavated. These data are interpreted to indicate the presence of major rivers and associated mixed vegetations (grasses and trees) in adjacent floodplains. Our finding suggests that, in contrast to a woodland habitat far from a river, Ar. ramidus lived in a river-margin forest in an otherwise savanna (wooded grassland) landscape at Aramis, Ethiopia. Correct interpretation of habitat of Ar. ramidus is crucial for proper assessment of causes and mechanisms of early hominin evolution, including the development of bipedalism.
Simpson, Scott W; Kleinsasser, Lynnette; Quade, Jay; Levin, Naomi E; McIntosh, William C; Dunbar, Nelia; Semaw, Sileshi; Rogers, Michael J
Since 2000, significant collections of Latest Miocene hominin fossils have been recovered from Chad, Kenya, and Ethiopia. These fossils have provided a better understanding of earliest hominin biology and context. Here, we describe five hominin teeth from two periods (ca. 5.4 Million-years-ago and ca. 6.3 Ma) that were recovered from the Adu-Asa Formation in the Gona Paleoanthropological Research Project area in the Afar, Ethiopia that we assign to either Hominina, gen. et sp. indet. or Ardipithecus kadabba. These specimens are compared with extant African ape and other Latest Miocene and Early Pliocene hominin teeth. The derived morphology of the large, non-sectorial maxillary canine and mandibular third premolar links them with later hominins and they are phenetically distinguishable and thus phyletically distinct from extant apes.
Moch, R W; Ebner, E E; Barsoum, L S; Botros, B A
Seven hundred and fifty-eight serum samples from domestic and wild animals in Ethiopia were tested for leptospiral antibodies by the microscopic agglutination test. The following percentages of seropositivity were obtained: horse (91.3 per cent), cow (70.7 per cent), pig (57.1 per cent), goat (47.3 per cent), sheep (43.4 per cent), camel (15.4 per cent), and dog (8.3 per cent). All 54 samples from birds and wild animals were seronegative. Most of the positive sera exhibited reaction to more than one serotype and antibodies to serotype butembo were predominant in sera of the majority of the examined species. However, grippotyphosa, rather than butembo was the predominant reacting serotype in camels and dogs. It is concluded that leptospirosis is of significant prevalence in domestic animals in Ethiopia and may constitute an occupational health hazard to man.
Gebru, Tamirat; Hailu, Asrat; Kremsner, Peter G; Kun, Jürgen FJ; Grobusch, Martin P
Background Atovaquone is part of the antimalarial drug combination atovaquone-proguanil (Malarone®) and inhibits the cytochrome bc1 complex of the electron transport chain in Plasmodium spp. Molecular modelling showed that amino acid mutations are clustered around a putative atovaquone-binding site resulting in a reduced binding affinity of atovaquone for plasmodial cytochrome b, thus resulting in drug resistance. Methods The prevalence of cytochrome b point mutations possibly conferring atovaquone resistance in Plasmodium falciparum isolates in atovaquone treatment-naïve patient cohorts from Lambaréné, Gabon and from South Western Ethiopia was assessed. Results Four/40 (10%) mutant types (four different single polymorphisms, one leading to an amino acid change from M to I in a single case) in Gabonese isolates, but all 141/141 isolates were wild type in Ethiopia were found. Conclusion In the absence of drug pressure, spontaneous and possibly resistance-conferring mutations are rare. PMID:17118179
Levene, Dan; Phillips, David Iw; Alemu, Shitaye
Effective medical care for non-communicable diseases (NCD) remains lamentably poor in Ethiopia and many low-income countries. Consequently, where modern medicine does not reach or is rejected, traditional treatments prevail. These are fragmented and esoteric by nature, and their understanding of illness is so fundamentally different that confusion proliferates when attempts are made to introduce modern medical care. Ethiopia is host to a variety of longstanding medical belief systems that coexist and function together, where modern medicine is often viewed as just another choice. This multiplicity of approaches to illness is accompanied by the Ethiopian custom of weaving layers of meaning, often contradictory, into speech and conversation - sometimes referred to as 'wax and gold', the 'wax' being the literal and the 'gold' the deeper, even hidden, meaning or significance. We argue that engagement with traditional belief systems and understanding these subtleties of meaning could assist in more effective NCD care.
Parmar, Aditya; Kirchner, Sascha M.; Langguth, Henning; Döring, Thomas F.; Hensel, Oliver
Insect specimens of adult beetles and larvae of 7–9 and 9–10 mm length, respectively were collected from infested dry cassava at two locations from multiple stores in southern Ethiopia. The specimens were identified as Heterobostrychus brunneus (Murray, 1867) commonly known as boxwood borer and auger beetle. The study presents a current record of H. brunneus in Ethiopia, particularly in the context of infesting food products. Additionally, a wide geographical distribution of the pest was reviewed and presented in this article. Current evidence suggests that H. brunneus is a serious pest of forest wood, structural timbers, and dried food products and that it carries a risk to be introduced into various other parts of the world via global trade. PMID:28130456
Asher, Laura; Fekadu, Abebaw; Hanlon, Charlotte; Mideksa, Gemechu; Eaton, Julian; Patel, Vikram; De Silva, Mary J.
Background Community-based rehabilitation (CBR) is a multi-sectoral strategy to improve the functioning and quality of life of people with disabilities. The RISE (Rehabilitation Intervention for people with Schizophrenia in Ethiopia) trial will evaluate the effectiveness of CBR for people with schizophrenia in Ethiopia. Nevertheless, the components of CBR that are both feasible and likely to prove effective in low and middle-income countries such as Ethiopia are unclear. Methods In this study intervention development work was undertaken to design a CBR intervention that is acceptable and feasible in the local context. The development work consisted of five phases. 1: Identify potential components of CBR for schizophrenia, 2: Situational analysis, 3: Determine feasibility of CBR (Theory of Change workshops with experts and local stakeholders), 4: Determine acceptability of CBR (16 in-depth interviews and five focus group discussions with people with schizophrenia, caregivers, health workers and community leaders) and 5: Synthesise results to finalise intervention. A Theory of Change map was constructed showing the causal pathway for how we expect CBR to achieve its impact. Results People with schizophrenia in rural Ethiopia experience family conflict, difficulty participating in work and community life, and stigma. Stakeholders perceived CBR to be acceptable and useful to address these problems. The focus of CBR will be on the individual developing the skills and confidence to perform their previous or desired roles and activities. To ensure feasibility, non-health professionals will be trained to deliver CBR and provide supervision, rather than mental health specialists. Novel components of CBR for schizophrenia included family intervention and dealing with distressing symptoms. Microfinance was excluded due to concerns about stress and exploitation. Community mobilisation was viewed as essential to ensure the effectiveness and sustainability of CBR. Conclusion
Background The consequences of maternal mortality on orphaned children and the family members who support them are dramatic, especially in countries that have high maternal mortality like Ethiopia. As part of a four country, mixed-methods study (Ethiopia, Malawi, South Africa, and Tanzania) qualitative data were collected in Butajira, Ethiopia with the aim of exploring the far reaching consequences of maternal deaths on families and children. Methods We conducted interviews with 28 adult family members of women who died from maternal causes, as well as 13 stakeholders (government officials, civil society, and a UN agency); and held 10 focus group discussions with 87 community members. Data were analyzed using NVivo10 software for qualitative analysis. Results We found that newborns and children whose mothers died from maternal causes face nutrition deficits, and are less likely to access needed health care than children with living mothers. Older children drop out of school to care for younger siblings and contribute to household and farm labor which may be beyond their capacity and age, and often choose migration in search of better opportunities. Family fragmentation is common following maternal death, leading to tenuous relationships within a household with the births and prioritization of additional children further stretching limited financial resources. Currently, there is no formal standardized support system for families caring for vulnerable children in Ethiopia. Conclusions Impacts of maternal mortality on children are far-reaching and have the potential to last into adulthood. Coordinated, multi-sectorial efforts towards mitigating the impacts on children and families following a maternal death are lacking. In order to prevent impacts on children and families, efforts targeting maternal mortality must address inequalities in access to care at the community, facility, and policy levels. PMID:26001276
Taye, M. T.; Block, P.
Ethiopia's National Meteorological Association (NMA) regularly issues season-ahead precipitation predictions nationally in support of sectoral applications including agriculture, reservoir management, and disaster risk management. Current NMA prediction techniques rely strongly on an analogue approach conditioned on the current El Nino Southern Oscillation (ENSO) state. We explore simple to complex techniques for improving these ENSO-based predictions, building on current methods. We will also briefly discuss stated disconnects between NMA's predictions and adoption into sectoral decision-making.
Yimer, Mulat; Hailu, Tadesse; Mulu, Wondemagegn; Abera, Bayeh
Elephantiasis is a symptom of a variety of diseases that is characterized by the thickening of the skin and underlying tissues, especially in the legs, male genitals and female breasts. Some conditions having this symptom include: Elephantiasis nostras, due to longstanding chronic lymphangitis; Elephantiasis tropica or lymphatic filariasis, caused by a number of parasitic worms, particularly Wuchereria bancrofti; non-filarial elephantiasis or podoconiosis, an immune disease caused by heavy metals affecting the lymph vessels; proteus syndrome, the genetic disorder of the so-called Elephant Man, etc. Podoconiosis is a type of lower limb tropical elephantiasis distinct from lymphatic filariasis. Lymphatic filariasis affects all population at risk, whereas podoconiosis predominantly affects barefoot subsistence farmers in areas with red volcanic soil. Ethiopia is one of the countries with the highest number of podoconiosis patients since many people are at risk to red-clay soil exposure in many parts of the country. The aim of this review was to know the current status and impact of podoconiosis and its relevance to elephantiasis in Ethiopia. To know the epidemiology and disease burden, the literatures published by different scholars were systematically reviewed. The distribution of the disease and knowledge about filarial elephantiasis and podoconiosis are not well known in Ethiopia. It is relatively well studied in southern Ethiopia but data from other parts of the country are limited. Moreover, programmes that focus on diagnosis, treatment, prevention and control of filarial elephantiasis and podoconiosis are also non-existent even in endemic areas. Furthermore, the disease mapping has not been carried out country-wide. Therefore, in order to address these gaps, Ethiopian Ministry of Health needs to take initiative for undertaking concrete research and mapping of the disease in collaboration with stakeholders.
Doherty, Tanya; Rohde, Sarah; Besada, Donela; Kerber, Kate; Manda, Samuel; Loveday, Marian; Nsibande, Duduzile; Daviaud, Emmanuelle; Kinney, Mary; Zembe, Wanga; Leon, Natalie; Rudan, Igor; Degefie, Tedbabe; Sanders, David
Background To examine changes in under–5 mortality, coverage of child survival interventions and nutritional status of children in Ethiopia between 2000 and 2011. Using the Lives Saved Tool, the impact of changes in coverage of child survival interventions on under–5 lives saved was estimated. Methods Estimates of child mortality were generated using three Ethiopia Demographic and Health Surveys undertaken between 2000 and 2011. Coverage indicators for high impact child health interventions were calculated and the Lives Saved Tool (LiST) was used to estimate child lives saved in 2011. Results The mortality rate in children younger than 5 years decreased rapidly from 218 child deaths per 1000 live births (95% confidence interval 183 to 252) in the period 1987–1991 to 88 child deaths per 1000 live births in the period 2007–2011 (78 to 98). The prevalence of moderate or severe stunting in children aged 6–35 months also declined significantly. Improvements in the coverage of interventions relevant to child survival in rural areas of Ethiopia between 2000 and 2011 were found for tetanus toxoid, DPT3 and measles vaccination, oral rehydration solution (ORS) and care–seeking for suspected pneumonia. The LiST analysis estimates that there were 60 700 child deaths averted in 2011, primarily attributable to decreases in wasting rates (18%), stunting rates (13%) and water, sanitation and hygiene (WASH) interventions (13%). Conclusions Improvements in the nutritional status of children and increases in coverage of high impact interventions most notably WASH and ORS have contributed to the decline in under–5 mortality in Ethiopia. These proximal determinants however do not fully explain the mortality reduction which is plausibly also due to the synergistic effect of major child health and nutrition policies and delivery strategies. PMID:27175280
AIDS: Nigeria, Ethiopia, Russia, India, and China 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER 5e...TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) Office of the Director of National Intelligence,Washington,DC...20511 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME( S ) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM( S ) 11
Hawks, John; de Ruiter, Darryl J; Berger, Lee R
Villmoare et al. (Reports, 20 March 2015, p. 1352) report on a hominin mandible from the Ledi-Geraru research area, Ethiopia, which they claim to be the earliest known representative of the genus Homo. However, certain measurements and observations for Australopithecus sediba mandibles presented are incorrect or are not included in critical aspects of the study. When correctly used, these data demonstrate that specimen LD 350-1 cannot be unequivocally assigned to the genus Homo.
Teklu, Gebreyohans Gebru; Hailu, Teweldemedhn Gebretinsae; Eshetu, Gebremedhin Romha
Background Rabies is a fatal zoonotic disease that has been known in Ethiopia for centuries in society as “Mad Dog Disease”. It is an important disease with veterinary and public health significance in the North western zone of Tigray where previous studies have not been conducted. Frequent occurrence of outbreaks in the area led the researchers to carry out a four year retrospective study to estimate the incidence of human rabies exposure in Northwestern Tigray, Ethiopia. Methodology A referent study was conducted on human rabies exposure cases recorded from 2012 to 2015 at Suhul hospital, Shire Endaselase, Northwestern Tigray, Ethiopia. Exposure cases included in this research constituted victims bitten by unprovoked dogs and who received post exposure prophylaxis (PEP) at the hospital. Two thousand one hundred eighty human rabies exposure cases retrieved from the rabies case database were included in this study. Principal findings The majority of the exposed cases were males (1363/2180, 63%). Age wise, the most exposed age group was ≥15 years in all the study years: 166 (58%), 335 (65%), 492 (66%) and 394 (63%) in 2012, 2013, 2014 and 2015, respectively. Similarly, exposure cases for human rabies increased with age in both males and females across the study years. The incidence of human rabies exposure cases calculated per 100,000 populations was 35.8, 63.0, 89.8 and 73.1 in 2012, 2013, 2014 and 2015, respectively. Binary logistic regression analysis revealed that being male was a risk for human rabies exposure in all the study years. Conclusion The study discovered the highest annual human rabies exposure incidence in Ethiopia. This suggests an urgent need for synergistic efforts of human and animal health sectors to implement prevention and control strategies in this area. PMID:28060935
Western orientation and turned quickly toward Marxism-Leninism and the Soviet Union; Kenya in 1978, when President Jomo Kenyatta died and was succeeded...President Jomo Kenyatta -but with none of the consequences that shook Ethiopia in the years following 1974. President Kenyatta went through a much...its apogee at a time when President Kenyatta was in an advanced stage of decline, Kenya’s leaders demonstrated skill in protecting the country’s
contained in many research studies and documents of the 1970s, when any Regulation on Peasant Producer Cooperatives, Addis Ababa, 1979 (in Amharic ...problems was underestimated. Emphases in programmatic 19Declaration of the iI Congress of COPWE (January 6, 1983), Addis Ababa, 1983 (in Amharic ). - 27...and the United Democratic Front of Ethiopia (UDFE) are active in several provinces with a predominantly Amharic population under the slogan of
Delbiso, Tefera Darge; Rodriguez-Llanes, Jose Manuel; Altare, Chiara; Masquelier, Bruno; Guha-Sapir, Debarati
Background Women's malnutrition, particularly undernutrition, remains an important public health challenge in Ethiopia. Although various studies examined the levels and determinants of women's nutritional status, the influence of living close to an international border on women's nutrition has not been investigated. Yet, Ethiopian borders are regularly affected by conflict and refugee flows, which might ultimately impact health. Objective To investigate the impact of living close to borders in the nutritional status of women in Ethiopia, while considering other important covariates. Design Our analysis was based on the body mass index (BMI) of 6,334 adult women aged 20–49 years, obtained from the 2011 Ethiopian Demographic and Health Survey (EDHS). A Bayesian multilevel multinomial logistic regression analysis was used to capture the clustered structure of the data and the possible correlation that may exist within and between clusters. Results After controlling for potential confounders, women living close to borders (i.e. ≤100 km) in Ethiopia were 59% more likely to be underweight (posterior odds ratio [OR]=1.59; 95% credible interval [CrI]: 1.32–1.90) than their counterparts living far from the borders. This result was robust to different choices of border delineation (i.e. ≤50, ≤75, ≤125, and ≤150 km). Women from poor families, those who have no access to improved toilets, reside in lowland areas, and are Muslim, were independently associated with underweight. In contrast, more wealth, higher education, older age, access to improved toilets, being married, and living in urban or lowlands were independently associated with overweight. Conclusions The problem of undernutrition among women in Ethiopia is most worrisome in the border areas. Targeted interventions to improve nutritional status in these areas, such as improved access to sanitation, economic and livelihood support, are recommended. PMID:27388539
of further nationalization. More and more of the economy is slipping underground, out of regime control. 131 Unclassified SCURI? CLASSFICArION OiF...power engineering, and mining (pp. A.48-A.49). 7The Economist, November 28, 1987. OThe inevitable result of such a system would be to create...come only from the West, prospects for industrial development in Ethiopia are dim. The GOSPLAN advisers could not raise the image of a glorious
Rodriguez-Llanes, Jose Manuel; Donneau, Anne-Françoise; Speybroeck, Niko; Guha-Sapir, Debarati
Abstract Objective To estimate the prevalence of childhood wasting and to investigate the effects of drought and conflict on wasting in crisis-affected areas within Ethiopia. Methods We searched the Complex Emergency Database for nutrition surveys carried out in Ethiopia over the period 2000–2013. We extracted data on the prevalence of wasting (weight-for-height z-scores below –2) among children aged 6–59 months for areas of Ethiopia that had sufficient data available. Data on any conflict events (irrespective of magnitude or impact) and episodes of seasonal drought affecting the survey areas were extracted from publicly available data sources. Random-effects Bayesian meta-analysis was used to synthesize the evidence from 231 small-scale surveys. Findings From the total sample of 175 607 children analysed, the pooled number of children wasted was 21 709. The posterior median prevalence of wasting was 11.0% (95% credible interval, CrI: 10.3–11.7) over the 14-year period. Compared with areas unaffected by drought, the estimated prevalence of wasting was higher in areas affected by moderate levels of drought (posterior odds ratio, OR: 1.34; 95% CrI: 1.05–1.72) but similar in severe drought-affected areas (OR: 0.96; 95% CrI: 0.68–1.35). Although the pooled prevalence of wasting was higher in conflict-affected than unaffected areas, the difference was not plausible (OR: 1.02; 95% CrI: 0.82–1.26). Conclusion Despite an overall declining trend, a wasting problem persists among children in Ethiopia. Conflict events did not have a major impact on childhood wasting. Nutrition interventions should go beyond severe drought-prone areas to incorporate areas where moderate droughts occur. PMID:28250509
Assefa, Y; Mitchell, A; Conlong, D E; Muirhead, K A
Cotesia flavipes (Cameron) (Hymenoptera: Braconidae) is used as a classical biological control agent against Chilo partellus (Swinhoe) (Lepidoptera: Crambidae), a serious exotic pest of cereal crops in eastern and southern Africa. This parasitoid has been introduced into several African countries for the control of C. partellus in maize, Zea mays L., and sorghum, Sorghum bicolor (L.), but it has never been released in Ethiopia. It is hypothesized that it spread into Ethiopia from populations released in Kenya and Somalia to become the predominant parasitoid of C. partellus in maize and sorghum fields of the country. In recent surveys conducted in Ethiopia, C. flavipes was recovered from C. partellus in sugarcane, Saccharum L. spp. hybrids, at a site >2,000 km from the nearest known release sites in Kenya and Somalia. These findings question published hypotheses that estimate the dispersal rate of C. flavipes to be 60 km per year in Africa, and they suggest that since its release in Africa this parasitoid has developed strains adapted to searching particular host plants infested by particular stem borers. The anomalies between our results and previous reports evoked the hypothesis that C. flavipes in Ethiopian sugarcane might be a different strain. To test this hypothesis, we compared partial COI gene sequences of C. flavipes collected from sugarcane in Ethiopia and those of specimens from other African countries to determine the origin of the Ethiopian population. In addition, COI sequences were obtained for C. flavipes from other continents. The C. flavipes population established in Ethiopian sugarcane is most closely related to the populations released against C. partellus in maize in other parts of Africa, which were derived from the original population imported from Pakistan. The dispersal rate of the parasitoid was estimated to be >200 km per year.
López-Perea, Noemí; Sordo, Luis; Gadisa, Endalamaw; Cruz, Israel; Hailu, Tsegaye; Moreno, Javier; Aseffa, Abraham; Cañavate, Carmen; Custodio, Estefanía
Background In the northwest of Ethiopia, at the South Gondar region, there was a visceral leishmaniasis (VL) outbreak in 2005, making the disease a public health concern for the regional health authorities ever since. The knowledge on how the population perceives the disease is essential in order to propose successful control strategies. Methodology/Principal findings Two surveys on VL knowledge, attitudes and practices were conducted at the beginning (May 2009) and at the end (February 2011) of a VL longitudinal study carried out in rural communities of Libo Kemkem and Fogera, two districts of the Amhara Regional State. Results showed that VL global knowledge was very low in the area, and that it improved substantially in the period studied. Specifically, from 2009 to 2011, the frequency of proper knowledge regarding VL signs and symptoms increased from 47% to 71% (p<0.0001), knowledge of VL causes increased from 8% to 25% (p<0.0001), and knowledge on VL protection measures from 16% to 55% (p<0.0001). Moreover, the improvement observed in VL knowledge was more marked among the families with no previous history of VL case. Finally, in 2011 more than 90% of the households owned at least an impregnated bed net and had been sprayed, and attitudes towards these and other protective measures were very positive (over 94% acceptance for all of them). Conclusions/Significance In 2009 the level of knowledge regarding VL was very low among the rural population of this area, although it improved substantially in the study period, probably due to the contribution of many actors in the area. VL patients and relatives should be appropriately informed and trained as they may act as successful health community agents. VL risk behavioural patterns are subject to change as attitudes towards protective measures were very positive overall. PMID:24743328
Tribolo, Chantal; Asrat, Asfawossen; Bahain, Jean-Jacques; Chapon, Cécile; Douville, Eric; Fragnol, Carole; Hernandez, Marion; Hovers, Erella; Leplongeon, Alice; Martin, Loïc; Pleurdeau, David; Pearson, Osbjorn; Puaud, Simon; Assefa, Zelalem
Goda Buticha is a cave site near Dire Dawa in southeastern Ethiopia that contains an archaeological sequence sampling the late Pleistocene and Holocene of the region. The sedimentary sequence displays complex cultural, chronological and sedimentological histories that seem incongruent with one another. A first set of radiocarbon ages suggested a long sedimentological gap from the end of Marine Isotopic Stage (MIS) 3 to the mid-Holocene. Macroscopic observations suggest that the main sedimentological change does not coincide with the chronostratigraphic hiatus. The cultural sequence shows technological continuity with a late persistence of artifacts that are usually attributed to the Middle Stone Age into the younger parts of the stratigraphic sequence, yet become increasingly associated with lithic artifacts typically related to the Later Stone Age. While not a unique case, this combination of features is unusual in the Horn of Africa. In order to evaluate the possible implications of these observations, sedimentological analyses combined with optically stimulated luminescence (OSL) were conducted. The OSL data now extend the radiocarbon chronology up to 63 ± 7 ka; they also confirm the existence of the chronological gap between 24.8 ± 2.6 ka and 7.5 ± 0.3 ka. The sedimentological analyses suggest that the origin and mode of deposition were largely similar throughout the whole sequence, although the anthropic and faunal activities increased in the younger levels. Regional climatic records are used to support the sedimentological observations and interpretations. We discuss the implications of the sedimentological and dating analyses for understanding cultural processes in the region.
Asrat, Asfawossen; Bahain, Jean-Jacques; Chapon, Cécile; Douville, Eric; Fragnol, Carole; Hernandez, Marion; Hovers, Erella; Leplongeon, Alice; Martin, Loïc; Pleurdeau, David; Pearson, Osbjorn; Puaud, Simon; Assefa, Zelalem
Goda Buticha is a cave site near Dire Dawa in southeastern Ethiopia that contains an archaeological sequence sampling the late Pleistocene and Holocene of the region. The sedimentary sequence displays complex cultural, chronological and sedimentological histories that seem incongruent with one another. A first set of radiocarbon ages suggested a long sedimentological gap from the end of Marine Isotopic Stage (MIS) 3 to the mid-Holocene. Macroscopic observations suggest that the main sedimentological change does not coincide with the chronostratigraphic hiatus. The cultural sequence shows technological continuity with a late persistence of artifacts that are usually attributed to the Middle Stone Age into the younger parts of the stratigraphic sequence, yet become increasingly associated with lithic artifacts typically related to the Later Stone Age. While not a unique case, this combination of features is unusual in the Horn of Africa. In order to evaluate the possible implications of these observations, sedimentological analyses combined with optically stimulated luminescence (OSL) were conducted. The OSL data now extend the radiocarbon chronology up to 63 ± 7 ka; they also confirm the existence of the chronological gap between 24.8 ± 2.6 ka and 7.5 ± 0.3 ka. The sedimentological analyses suggest that the origin and mode of deposition were largely similar throughout the whole sequence, although the anthropic and faunal activities increased in the younger levels. Regional climatic records are used to support the sedimentological observations and interpretations. We discuss the implications of the sedimentological and dating analyses for understanding cultural processes in the region. PMID:28125597
Beck, Dana C; Choi, Kristen R; Munro-Kramer, Michelle L; Lori, Jody R
The purpose of this review is to integrate evidence on human trafficking in Ethiopia and identify gaps and recommendations for service delivery, research and training, and policy. A scoping literature review approach was used to systematically search nursing, medical, psychological, law, and international databases and synthesize information on a complex, understudied topic. The search yielded 826 articles, and 39 met the predetermined criteria for inclusion in the review. Trafficking in Ethiopia has occurred internally and externally in the form of adult and child labor and sex trafficking. There were also some reports of organ trafficking and other closely related human rights violations, such as child marriage, child soldiering, and exploitative intercountry adoption. Risk factors for trafficking included push factors (poverty, political instability, economic problems, and gender discrimination) and pull factors (demand for cheap labor). Trafficking was associated with poor health and economic outcomes for victims. Key recommendations for service delivery, research and training, and policy are identified, including establishing comprehensive services for survivor rehabilitation and reintegration, conducting quantitative health outcomes research, and reforming policy around migration and trafficking. Implementing the recommendations identified by this review will allow policy makers, researchers, and practitioners to take meaningful steps toward confronting human trafficking in Ethiopia.
On September 9, 2009, Ethiopia enacted a highly restrictive biosafety law firmly based on precautionary principles as a foundation for its GMO regulation system. Its drafting process, led by the country's Environmental Protection Authority, was judged as biased, focusing only on protecting the environment from perceived risks, giving little attention to potential benefits of GMOs. Many of its provisions are very stringent, exceeding those of Cartagena Protocol on Biosafety, while others cannot be fulfilled by applicants, collectively rendering the emerged biosafety system unworkable. These provisions include requirements for advance informed agreement and rigorous socioeconomic assessment in risk evaluation for all GMO transactions, including contained research use-which requires the head of the competent national authority of the exporting country to take full responsibility for GMO-related information provided-and stringent labeling, insurance and monitoring requirements for all GMO activities. Furthermore, there is no provision to establish an independent national biosafety decision-making body(ies). As a result, foreign technology owners that provide highly demanded technologies like Bt cotton declined to work with Ethiopia. There is a fear that the emerged biosafety system might also continue to suppress domestic genetic engineering research and development. Thus, to benefit from GMOs, Ethiopia has to revise its biosafety system, primarily by making changes to some provisions of the law in a way that balances its diverse interests of conserving biodiversity, protecting the environment and enhancing competition in agricultural and other economic sectors.
Gelaw, Sifrash Meseret
Background. Ethiopia is among highly tuberculosis affected countries. This might be related to low level of awareness on the disease in the population. The objective of the study was to determine the level of tuberculosis knowledge and socioeconomic factors associated with it. Methods. The 2011 Ethiopia health and demographic survey data were used. Overall tuberculosis knowledge score was computed to evaluate the outcome variable. Multivariable logistic regression was employed to identify independent socioeconomic factors associated with low tuberculosis knowledge. Results. The overall tuberculosis knowledge was low, 44.05% (95% CI: 42.05-46.24%) among women and 32.3% (95% CI: 30.34-34.32%) among men. Rural women (AOR = 1.22) and youth, no formal education (women: AOR = 3.28, men: AOR = 7.42), attending only primary education (women: AOR = 1.95, men: AOR = 3.49), lowest wealth quintiles (women: AOR = 1.4, Men: AOR = 1.28), unskilled female manual workers (AOR = 4.15), female agricultural employee (AOR = 2.28), and lack of access to media (women: AOR = 1.52, men: AOR = 1.71) are significantly associated with low tuberculosis knowledge. Conclusion. The level of tuberculosis knowledge among adults in Ethiopia is low and varied by socioeconomic groups. Tuberculosis control programs should consider appropriate strategies for tuberculosis education, promotion, communication, and social mobilization to address the rural women, youths, the poor, less educated people, and unskilled workers.
Gelaw, Sifrash Meseret
Background. Ethiopia is among highly tuberculosis affected countries. This might be related to low level of awareness on the disease in the population. The objective of the study was to determine the level of tuberculosis knowledge and socioeconomic factors associated with it. Methods. The 2011 Ethiopia health and demographic survey data were used. Overall tuberculosis knowledge score was computed to evaluate the outcome variable. Multivariable logistic regression was employed to identify independent socioeconomic factors associated with low tuberculosis knowledge. Results. The overall tuberculosis knowledge was low, 44.05% (95% CI: 42.05–46.24%) among women and 32.3% (95% CI: 30.34–34.32%) among men. Rural women (AOR = 1.22) and youth, no formal education (women: AOR = 3.28, men: AOR = 7.42), attending only primary education (women: AOR = 1.95, men: AOR = 3.49), lowest wealth quintiles (women: AOR = 1.4, Men: AOR = 1.28), unskilled female manual workers (AOR = 4.15), female agricultural employee (AOR = 2.28), and lack of access to media (women: AOR = 1.52, men: AOR = 1.71) are significantly associated with low tuberculosis knowledge. Conclusion. The level of tuberculosis knowledge among adults in Ethiopia is low and varied by socioeconomic groups. Tuberculosis control programs should consider appropriate strategies for tuberculosis education, promotion, communication, and social mobilization to address the rural women, youths, the poor, less educated people, and unskilled workers. PMID:26949546
Sembroni, Andrea; Faccenna, Claudio; Becker, Thorsten W.; Molin, Paola; Abebe, Bekele
Ethiopia is a key site to investigate the interactions between mantle dynamics and surface processes because of the presence of the Main Ethiopian Rift (MER), Cenozoic continental flood basalt volcanism, and plateau uplift. The role of mantle plumes in causing Ethiopia's flood basalts and tectonics has been commonly accepted. However, the location and number of plumes and their impact on surface uplift are still uncertain. Here, we present new constraints on the geological and topographic evolution of the Ethiopian Plateau (NW Ethiopia) prior to and after the emplacement of the large flood basalts (40-20 Ma). Using geological information and topographic reconstructions, we show that the large topographic dome that we see today is a long-term feature, already present prior the emplacement of the flood basalts. We also infer that large-scale doming operated even after the emplacement of the flood basalts. Using a comparison with the present-day topographic setting we show that an important component of the topography has been and is presently represented by a residual, non-isostatic, dynamic contribution. We conclude that the growth of the Ethiopian Plateau is a long-term, probably still active, dynamically supported process. Our arguments provide constraints on the processes leading to the formation of one of the largest igneous plateaus on Earth.
Sembroni, Andrea; Faccenna, Claudio; Becker, Thorsten W.; Molin, Paola; Abebe, Bekele
Ethiopia is a key site to investigate the interactions between mantle dynamics and surface processes because of the presence of the Main Ethiopian Rift (MER), Cenozoic continental flood basalt volcanism, and plateau uplift. The role of mantle plumes in causing Ethiopia's flood basalts and tectonics has been commonly accepted. However, the location and number of plumes and their impact on surface uplift are still uncertain. Here we present new constraints on the geological and topographic evolution of the Ethiopian Plateau (NW Ethiopia) prior to and after the emplacement of the large flood basalts (40-20 Ma). Using geological information and topographic reconstructions, we show that the large topographic dome that we see today is a long-term feature, already present prior to the emplacement of the flood basalts. We also infer that large-scale doming operated even after the emplacement of the flood basalts. Using a comparison with the present-day topographic setting, we show that an important component of the topography has been and is presently represented by a residual, nonisostatic, dynamic contribution. We conclude that the growth of the Ethiopian Plateau is a long-term, probably still active, dynamically supported process. Our arguments provide constraints on the processes leading to the formation of one of the largest igneous plateaus on Earth.
Wirth, James P; Rohner, Fabian; Petry, Nicolai; Onyango, Adelheid W; Matji, Joan; Bailes, Adam; de Onis, Mercedes; Woodruff, Bradley A
Poor linear growth in children <5 years old, or stunting, is a serious public health problem particularly in Sub-Saharan Africa. In 2013, the World Health Organization (WHO) released a conceptual framework on the Context, Causes and Consequences of Childhood Stunting (the 'WHO framework') that identifies specific and general factors associated with stunting. The framework is based upon a global review of data, and we have applied it to a country-level analysis where health and nutrition policies are made and public health and nutrition data are collected. We reviewed the literature related to sub-optimal linear growth, stunting and birth outcomes in Ethiopia as a case study. We found consistent associations between poor linear growth and indicators of birth size, recent illness (e.g. diarrhoea and fever), maternal height and education. Other factors listed as causes in the framework such as inflammation, exposure to mycotoxins and inadequate feeding during and after illness have not been examined in Ethiopia, and the existing literature suggests that these are clear data gaps. Some factors associated with poor linear growth in Ethiopia are missing in the framework, such as household characteristics (e.g. exposure to indoor smoke). Examination of the factors included in the WHO framework in a country setting helps identifying data gaps helping to target further data collection and research efforts. © 2016 Blackwell Publishing Ltd.
Footer, Cheryl Burditt; Tsegaye, Hailu Seifu; Yitnagashaw, Tesfaye Asnake; Mekonnen, Wintana; Shiferaw, Tizita Destaw; Abera, Endashaw; Davis, Alice
Ethiopia recently introduced the Doctor of Physiotherapy (DPT) degree at Addis Ababa University as a mechanism to increase the work force capacity of primary care providers in the health sector. The DPT program was supported by an international academic partnership and was designed to empower physiotherapists as leaders to move the profession forward. The curriculum was framed by core pedagogical principles and strategies and was phased into two programs. First, the 4-year Advanced Standing DPT program focused on developing registered Ethiopian physiotherapists with Bachelor of Science degrees as academic faculty. Second, these new faculty would then sustain a 6-year Generic DPT program that would matriculate students upon graduation from high school. The curriculum represented depth and breadth of foundation and clinical sciences, evidence-based practice, clinical reasoning skills, and interprofessional education opportunities. A leadership thread provided opportunities to develop skills necessary to effectively navigate and manage the challenges faced by the profession. The main outcomes included (1) an 8-year international partnership, (2) the academic performance of students, and (3) and leadership capabilities as demonstrated through activities and assignments. While the program has been criticized as an unnecessary extravagance for Ethiopia, the advantages of the DPT degree were revealed in a direct comparison to other academic physiotherapy programs in Ethiopia. In the end, because the DPT is new to the country, it will take time to fully understand the true impact within the Ethiopian health system.
Footer, Cheryl Burditt; Tsegaye, Hailu Seifu; Yitnagashaw, Tesfaye Asnake; Mekonnen, Wintana; Shiferaw, Tizita Destaw; Abera, Endashaw; Davis, Alice
Ethiopia recently introduced the Doctor of Physiotherapy (DPT) degree at Addis Ababa University as a mechanism to increase the work force capacity of primary care providers in the health sector. The DPT program was supported by an international academic partnership and was designed to empower physiotherapists as leaders to move the profession forward. The curriculum was framed by core pedagogical principles and strategies and was phased into two programs. First, the 4-year Advanced Standing DPT program focused on developing registered Ethiopian physiotherapists with Bachelor of Science degrees as academic faculty. Second, these new faculty would then sustain a 6-year Generic DPT program that would matriculate students upon graduation from high school. The curriculum represented depth and breadth of foundation and clinical sciences, evidence-based practice, clinical reasoning skills, and interprofessional education opportunities. A leadership thread provided opportunities to develop skills necessary to effectively navigate and manage the challenges faced by the profession. The main outcomes included (1) an 8-year international partnership, (2) the academic performance of students, and (3) and leadership capabilities as demonstrated through activities and assignments. While the program has been criticized as an unnecessary extravagance for Ethiopia, the advantages of the DPT degree were revealed in a direct comparison to other academic physiotherapy programs in Ethiopia. In the end, because the DPT is new to the country, it will take time to fully understand the true impact within the Ethiopian health system. PMID:28377916
Kassa, Getu Dereje
Conventional research approaches have tried to address the major research and development problems in Ethiopia. However, these approaches could not achieve the desired level of improvement unless they are supported by modern biotechnological tools. Biotechnological facilities exist scattered in different institutions in Ethiopia, a country with immense genetic biodiversity, but no precise information is available as to their capacities, capabilities and the associated technical and administrative gaps. A study based on structured questionnaires, interviews with key informants and reviewing secondary sources was initiated in 2006 by the Horn Biotechnology Forum to generate such information and design strategies for bridging the gaps. The study showed that seven institutions with a total of 24 branches are engaged in biotechnology research/teaching and development at different stages, mainly tissue culture, but including bio-fertilizers, molecular marker, embryo transfer, immunology, vaccine and diagnostic kit development and epidemiology. Ten centers have modest to well equipped laboratories and a few other laboratories are also under expansion. By and large, the future success of biotechnological research and development in Ethiopia depends on the level of attention to be given by the government on capacity building and on the level of collaboration among the institutions.
Kelemework, Abebe; Tora, Abebayehu; Amberbir, Tsigie; Agedew, Getnet; Asmamaw, Abiyu; Deribe, Kebede
Objective To explore the influence of personal, cultural and socioeconomic factors related to footwear use and non-use in northern Ethiopia. Design A qualitative study was conducted using focus group discussions and in-depth individual interviews. Data were collected using semistructured interview guides. Setting The study was conducted in East and West Gojjam Zones, Amhara region, northwest Ethiopia. Participants A total of 91 individuals from 4 target groups participated in individual and group interviews: (1) non-affected community leaders including Idir (a form of social insurance) leaders, school principals, kebele (the lowest administrative unit) officials, health professionals, teachers, merchants and religious leaders; (2) affected men and women; (3) non-affected men and women not in leadership positions; and (4) school children (both male and female). Results Participants perceived a range of health benefits from donning footwear, including protection against injury and cold. Various types of shoes are available within the community, and their use varied depending on the nature of activities and the season. Personal and socioeconomic barriers hindered the desire to consistently use footwear. Widely established barefoot traditions and beliefs that footwear is uncomfortable, heavy and may weaken the feet have made the regular use of footwear uncommon. Economic constraints were also mentioned as hindering ownership and use of footwear. Distance from places where shoes could be bought also contributed to limited access. Cultural influences promoting gender inequality resulted in women being least able to access shoes. Conclusions We identified several individual, cultural and socioeconomic barriers that influence individuals’ decisions about and use of footwear in rural northern Ethiopia. Promoting education on the health benefits of footwear, curbing podoconiosis-related misconceptions and integrating these with economic empowerment programmes, may all
Aregawi, Maru; Lynch, Michael; Bekele, Worku; Kebede, Henok; Jima, Daddi; Taffese, Hiwot Solomon; Yenehun, Meseret Aseffa; Lilay, Abraham; Williams, Ryan; Thomson, Madeleine; Nafo-Traore, Fatoumata; Admasu, Kesetebirhan; Gebreyesus, Tedros Adhanom; Coosemans, Marc
Background The Government of Ethiopia and its partners have deployed artemisinin-based combination therapies (ACT) since 2004 and long-lasting insecticidal nets (LLINs) since 2005. Malaria interventions and trends in malaria cases and deaths were assessed at hospitals in malaria transmission areas during 2001–2011. Methods Regional LLINs distribution records were used to estimate the proportion of the population-at-risk protected by LLINs. Hospital records were reviewed to estimate ACT availability. Time-series analysis was applied to data from 41 hospitals in malaria risk areas to assess trends of malaria cases and deaths during pre-intervention (2001–2005) and post-interventions (2006–2011) periods. Findings The proportion of the population-at-risk potentially protected by LLINs increased to 51% in 2011. The proportion of facilities with ACTs in stock exceeded 87% during 2006–2011. Among all ages, confirmed malaria cases in 2011 declined by 66% (95% confidence interval [CI], 44–79%) and SPR by 37% (CI, 20%–51%) compared to the level predicted by pre-intervention trends. In children under 5 years of age, malaria admissions and deaths fell by 81% (CI, 47%–94%) and 73% (CI, 48%–86%) respectively. Optimal breakpoint of the trendlines occurred between January and June 2006, consistent with the timing of malaria interventions. Over the same period, non-malaria cases and deaths either increased or remained unchanged, the number of malaria diagnostic tests performed reflected the decline in malaria cases, and rainfall remained at levels supportive of malaria transmission. Conclusions Malaria cases and deaths in Ethiopian hospitals decreased substantially during 2006–2011 in conjunction with scale-up of malaria interventions. The decrease could not be accounted for by changes in hospital visits, malaria diagnostic testing or rainfall. However, given the history of variable malaria transmission in Ethiopia, more data would be required to exclude the
Mesfin, Eyob Abera; Taye, Bineyam; Belay, Getachew; Ashenafi, Aytenew
Introduction The World Health Organization Regional Office for Africa (WHO AFRO) introduces a step wise incremental accreditation approach to improving quality of laboratory and it is a new initiative in Ethiopia and activities are performed for implementation of accreditation program. Methods Descriptive cross sectional study was conducted in 30 laboratory facilities including 6 laboratory sections to determine their status towards of accreditation using WHO AFRO accreditation checklist and 213 laboratory professionals were interviewed to assess their knowledge on quality system essentials and accreditation in Addis Ababa Ethiopia. Results Out of 30 laboratory facilities 1 private laboratory scored 156 (62%) points, which is the minimum required point for WHO accreditation and the least score was 32 (12.8%) points from government laboratory. The assessment finding from each section indicate that 2 Clinical chemistry (55.2% & 62.8%), 2 Hematology (55.2% & 62.8%), 2 Serology (55.2% & 62.8%), 2 Microbiology (55.2% & 62.4%), 1 Parasitology (62.8%) & 1 Urinalysis (61.6%) sections scored the minimum required point for WHO accreditation. The average score for government laboratories was 78.2 (31.2%) points, of these 6 laboratories were under accreditation process with 106.2 (42.5%) average score, while the private laboratories had 71.2 (28.5%) average score. Of 213 respondents 197 (92.5%) professionals had a knowledge on quality system essentials whereas 155 (72.8%) respondents on accreditation. Conclusion Although majority of the laboratory professionals had knowledge on quality system and accreditation, laboratories professionals were not able to practice the quality system properly and most of the laboratories had poor status towards the WHO accreditation process. Thus government as well as stakeholders should integrate accreditation program into planning and health policy. PMID:26889317
Gebremariam, Kidanu; Assefa, Demeke; Weldegebreal, Fitsum
Purpose The aim of this study was to assess the prevalence and associated factors of female genital cutting (FGC) among young adult (10–24 years of age) females in Jigjiga district, eastern Ethiopia. Methods A school-based cross-sectional mixed method combining both quantitative and qualitative research methods was employed among 679 randomly selected young adult female students from Jigjiga district, Somali regional state, eastern Ethiopia, from February to March 2014 to assess the prevalence and associated factors with FGC. A pretested structured questionnaire was used to collect data. The qualitative data were collected using focus group discussion. Results This study depicted that the prevalence of FGC among the respondents was found to be 82.6%. The dominant form of FGC in this study was type I FGC, 265 (49.3%). The majority of the respondents, 575 (88.3%), had good knowledge toward the bad effects of FGC. Four hundred and seven (62.7%) study participants had positive attitude toward FGC discontinuation. Religion, residence, respondents’ educational level, maternal education, attitude, and belief in religious requirement were the most significant predictors of FGC. The possible reasons for FGC practice were to keep virginity, improve social acceptance, have better marriage prospects, religious approval, and have hygiene. Conclusion Despite girls’ knowledge and attitude toward the bad effects of FGC, the prevalence of FGC was still high. There should be a concerted effort among women, men, religious leaders, and other concerned bodies in understanding and clarifying the wrong attachment between the practice and religion through behavioral change communication and advocacy at all levels. PMID:27563257
Background A majority of Ethiopians rely on traditional medicine as their primary form of health care, yet they are in danger of losing both their knowledge and the plants they have used as medicines for millennia. This study, conducted in the rural town of Fiche in Ethiopia, was undertaken with the support of Southern Cross University (SCU) Australia, Addis Ababa University (AAU) Ethiopia, and the Ethiopian Institute of Biodiversity (EIB), Ethiopia. The aim of this study, which included an ethnobotanical survey, was to explore the maintenance of tradition in the passing on of knowledge, the current level of knowledge about medicinal herbs and whether there is awareness and concern about the potential loss of both herbal knowledge and access to traditional medicinal plants. Methods This study was conducted using an oral history framework with focus groups, unstructured and semi-structured interviews, field-walk/discussion sessions, and a market survey. Fifteen people were selected via purposeful and snowball sampling. Analysis was undertaken using a grounded theory methodology. Results Fourteen lay community members and one professional herbalist provided information about 73 medicinal plants used locally. An ethnobotanical survey was performed and voucher specimens of 53 of the plants, representing 33 families, were collected and deposited at the EIB Herbarium. The community members are knowledgeable about recognition of medicinal plants and their usage to treat common ailments, and they continue to use herbs to treat sickness as they have in the past. A willingness to share knowledge was demonstrated by both the professional herbalist and lay informants. Participants are aware of the threat to the continued existence of the plants and the knowledge about their use, and showed willingness to take steps to address the situation. Conclusion There is urgent need to document the valuable knowledge of medicinal herbs in Ethiopia. Ethnobotanical studies are imperative
Campisano, Christopher J; Feibel, Craig S
Central to the debate surrounding global climate change and Plio-Pleistocene hominin evolution is the degree to which orbital-scale climate patterns influence low-latitude continental ecosystems and how these influences can be distinguished from regional volcano-tectonic events and local environmental effects. The Pliocene Hadar Formation of Ethiopia preserves a record of hominin paleoenvironments from roughly 3.5 to 2.2 Ma at a temporal resolution relevant to evolutionary change within hominins and other taxa. This study integrates the high-resolution sedimentological and paleontological records at Hadar with climate proxies such as marine core isotope, dust, and sapropel records. Consistent cycling observed both between and within fluvial and lacustrine depositional environments prior to 2.9 Ma at Hadar appears to be predominantly climatic in nature. In contrast a significant change in depositional facies after 2.9 Ma to sequences dominated by conglomerate cut-and-fill cycles indicates a strong tectonic signature related to regional developments in the Main Ethiopian Rift. While specific events seen in marine proxy records may have parallels in the Hadar environmental archive, their overall patterns of high versus low variability may be even more relevant. For example, periods of relatively high-amplitude climate oscillations between 3.15 and 2.95 Ma may be linked to noted size-related morphological changes within the Hadar Australopithecus afarensis lineage and a significant increase in more arid-adapted bovid taxa. Increased aridity in East Africa during this period is also indicated by peaks in eolian dust in the marine core record. Conversely, the dominant lacustrine phase at Hadar ca. 3.3 Ma coincides with the least variable period in several climate proxy records, including marine core foraminifera delta(18)O values and eolian dust concentration. This phase is also coeval with low insolation variability and a very distinct and significant long-term period
Mirkena, T; Duguma, G; Willam, A; Wurzinger, M; Haile, A; Rischkowsky, B; Okeyo, A M; Tibbo, M; Solkner, J
Based on the results of participatory approaches to define traits in the breeding objectives, four scenarios of ram selection and ram use were compared via deterministic modelling of breeding plans for community-based sheep breeding programmes in four diverse agro-ecological regions of Ethiopia. The regions (and production systems) were Afar (pastoral/agro-pastoral), Bonga and Horro (both mixed crop-livestock) and Menz (sheep-barley). The schemes or scenarios differed in terms of selection intensity and duration of ram use. The predicted genetic gains per year in yearling weight (kilograms) were comparable across the schemes but differed among the breeds and ranged from 0.399 to 0.440 in Afar, 0.813 to 0.894 in Bonga, 0.850 to 0.940 in Horro, and 0.616 to 0.699 in Menz. The genetic gains per year in number of lambs born per ewe bred ranged from 0.009 to 0.010 in both Bonga and Horro. The predicted genetic gain in the proportion of lambs weaned per ewe joined was nearly comparable in all breeds ranging from 0.008 to 0.011. The genetic gain per year in milk yield of Afar breed was in the order of 0.018 to 0.020 kg, while the genetic gain per generation for greasy fleece weight (kg) ranged from 0.016 to 0.024 in Menz. Generally, strong selection and shorter duration of ram use for breeding were the preferred options. The expected genetic gains are satisfactory but largely rely on accurate and continuous pedigree and performance recording.
Background In countries with scarce specialized Human resource for health, patients are usually referred. The other alternative has been mobilizing specialists, clinical specialist outreach. This study examines whether clinical specialist outreach is a cost effective way of using scarce health expertise to provide specialist care as compared to provision of such services through referral system in Ethiopia. Methods A cross-sectional study on four purposively selected regional hospitals and three central referral hospitals was conducted from Feb 4-24, 2009. The perspective of analysis was societal covering analytic horizon and time frame from 1 April 2007 to 31 Dec 2008. Data were collected using interview of specialists, project focal persons, patients and review of records. To ensure the propriety standards of evaluation, Ethical clearance was obtained from Jimma University. Results It was found that 532 patients were operated at outreach hospitals in 125 specialist days. The unit cost of surgical procedures was found to be ETB 4,499.43. On the other hand, if the 125 clinical specialist days were spent to serve patients referred from zonal and regional hospitals at central referral hospitals, 438 patients could have been served. And the unit cost of surgical procedures through referral would have been ETB 6,523.27 per patient. This makes clinical specialist outreach 1.45 times more cost effective way of using scarce clinical specialists' time as compared to referral system. Conclusion Clinical specialist outreach is a cost effective and cost saving way of spending clinical specialists' time as compared to provision of similar services through referral system. PMID:20540766
Diro, Ermias; van Griensven, Johan; Mohammed, Rezika; Colebunders, Robert; Asefa, Mesfin; Hailu, Asrat; Lynen, Lutgarde
In regions where it is endemic, visceral leishmaniasis is an important opportunistic infectious disease in people living with HIV. Typically, clinical presentation of visceral leishmaniasis includes chronic fever, hepatosplenomegaly, and weight loss. In Leishmania infantum endemic regions in Europe, atypical visceral leishmaniasis presentations have been well documented, with almost every possible organ involved. However, such reports are rare in Leishmania donovani endemic regions such as east Africa. In this Personal View, we describe the various atypical disease presentations in patients screened as part of an HIV and visceral leishmaniasis clinical trial in north Ethiopia, where up to 40% of patients with visceral leishmaniasis are co-infected with HIV. Atypical presentations such as these are not covered in clinical guidelines used in these settings. Apart from the lack of diagnostic facilities, this gap contributes to the underdiagnosis of atypical visceral leishmaniasis, with associated morbidity and mortality. Involvement of clinicians experienced with the management of HIV and visceral leishmaniasis co-infection in the development of HIV clinical guidelines in affected regions is warranted.
Mekonnen, Daniel; Admassu, Aschalew; Wassie, Belaynew; Biadglegne, Fantahun
Introduction In Ethiopia, the most widely used disinfectant is 5% Hypochlorites. However, Ethiopian national health safety and infection prevention guideline recommendation on the use of bleach is not consistent and varying from 0.1%-4%. The purpose of this study was therefore to assess the effective time-concentration relationship of sodium hypochlorite against Mycobacterium tuberculosis complex isolates in the absence of any organic load. Methods This experimental study was conducted in Bahir Dar Regional laboratory from February-June 2013. Test suspensions of 1.5 X 108 CFU/ml prepared using normal saline containing 0.5% tween 80. From 5% stock, 0.1%, 0.5%, 1% and 2% bleach was prepared. A 1ml of test strain suspension and 1ml of bleach mixed and allowed to stand until the specified time achieved, neutralized by 48 ml phosphate buffer. 100µl from the diluted sediment were spread on two L-J mediums and incubated at 37°C for 8 weeks. Results When 0. 1% bleach was used for 10 min, majority 11/20 of isolates showed 3 x 103 CFU/ml growth (ME = 4.4) which was inefficient. However, when the time increased, the log10 reduction was acceptable, ME >5 and it was effective. The bleach solution containing 0.5% and above was effective in all respective times. In this study, there is no difference observed in the tuberculocidal activity of bleach against resistant and sensitive strains. Conclusion Our study showed that in the absence of any organic load, 0.1% bleaches over 15 min and 0.5% bleaches over 10 min was found to be tuberculocidal. PMID:26668688
Dynes, Michelle M; Hadley, Craig; Stephenson, Rob; Sibley, Lynn M
Task shifting in response to the health workforce shortage has resulted in community-based health workers taking on increasing responsibility. Community health workers are expected to work collaboratively, though they are often a heterogeneous group with a wide range of training and experience. Interpersonal relationships are at the very core of effective teamwork, yet relational variables have seldom been the focus of health systems research in low resource, rural settings. This article helps fill this knowledge gap by exploring the dyadic level, or relational, characteristics of community maternal and newborn health workers and the individual and collective influence of these characteristics on interaction patterns. Network data were collected from community health workers (N = 194) in seven rural kebeles of Amhara region, Ethiopia from November 2011 to January 2012. Multiple Regression Quadratic Assignment Procedure was used to fit regression models for frequency of work interactions, a proxy for teamwork. Strong and consistent evidence was found in support of Trust and Past training together as important relational factors for work interactions; less consistent evidence was found across sites in support of Homophily, Distance and Shared motivations. Our findings also point to a typology of network structure across sites, where one set of networks was characterized by denser and stronger health worker ties relative to their counterparts. Our results suggest that the development of interventions that promote trust and incorporate cross-cadre training is an important step in encouraging collective action. Moreover, assessing the structure of health worker networks may be an effective means of evaluating health systems strengthening efforts in rural, low-resource settings. PMID:25311147
Dynes, Michelle M; Hadley, Craig; Stephenson, Rob; Sibley, Lynn M
Task shifting in response to the health workforce shortage has resulted in community-based health workers taking on increasing responsibility. Community health workers are expected to work collaboratively, though they are often a heterogeneous group with a wide range of training and experience. Interpersonal relationships are at the very core of effective teamwork, yet relational variables have seldom been the focus of health systems research in low resource, rural settings. This article helps fill this knowledge gap by exploring the dyadic level, or relational, characteristics of community maternal and newborn health workers and the individual and collective influence of these characteristics on interaction patterns. Network data were collected from community health workers (N = 194) in seven rural kebeles of Amhara region, Ethiopia from November 2011 to January 2012. Multiple Regression Quadratic Assignment Procedure was used to fit regression models for frequency of work interactions, a proxy for teamwork. Strong and consistent evidence was found in support of Trust and Past training together as important relational factors for work interactions; less consistent evidence was found across sites in support of Homophily, Distance and Shared motivations. Our findings also point to a typology of network structure across sites, where one set of networks was characterized by denser and stronger health worker ties relative to their counterparts. Our results suggest that the development of interventions that promote trust and incorporate cross-cadre training is an important step in encouraging collective action. Moreover, assessing the structure of health worker networks may be an effective means of evaluating health systems strengthening efforts in rural, low-resource settings.
Negussie, Henok; Addissie, Thomas; Addissie, Adamu; Davey, Gail
Background Community-based randomized controlled trials are often complex pieces of research with significant challenges around the approach to the community, information provision, and decision-making, all of which are fundamental to the informed consent process. We conducted a rapid ethical assessment to guide the preparation for and conduct of a randomized controlled trial of podoconiosis treatment in northern Ethiopia. Methods A qualitative study was carried out in Aneded woreda, East Gojjam Zone, Amhara Regional State from August to September, 2013. A total of 14 In-depth Interviews (IDIs) with researchers, experts, and leaders, and 8 Focus Group Discussions (FGDs) involving 80 participants (people of both gender, with and without podoconiosis), were conducted. Interviews were carried out in Amharic. Data analysis was started alongside collection. Final data analysis used a thematic approach based on themes identified a priori and those that emerged during the analysis. Results Respondents made a range of specific suggestions, including that sensitisation meetings were called by woreda or kebele leaders or the police; that Health Extension Workers were asked to accompany the research team to patients’ houses; that detailed trial information was explained by someone with deep local knowledge; that analogies from agriculture and local social organisations be used to explain randomisation; that participants in the ‘delayed’ intervention arm be given small incentives to continue in the trial; and that key community members be asked to quell rumours arising in the course of the trial. Conclusion Many of these recommendations were incorporated into the preparatory phases of the trial, or were used during the course of the trial itself. This demonstrates the utility of rapid ethical assessment preceding a complex piece of research in a relatively research-naive setting. PMID:26967654
Emishaw, Luelseged; Laó-Dávila, Daniel A.; Abdelsalam, Mohamed G.; Atekwana, Estella A.; Gao, Stephen S.
The Broadly Rifted Zone (BRZ) is a 315 km wide zone of extension in southern Ethiopia. It is located between the Southern Main Ethiopian Rift and the Eastern Branch of the East African Rift System (EARS) represented by the Kenya-Turkana Rift. The BRZ is characterized by NE-trending ridges and valleys superimposed on regionally uplifted ( 2 km average elevation) terrain. Previous studies proposed that the BRZ is an overlap zone resulted from northward propagation of the Kenya-Turkana Rift and southward propagation of the Southern Main Ethiopian Rift. To understand the relationship between the BRZ's extensional style and its crustal and upper mantle structures, this work first estimated the Moho depth using the two-dimensional (2D) radially-averaged power spectral analysis of the World Gravity Map. Verification of these results was accomplished through lithospheric-scale 2D forward gravity models along E-W profiles. This work found that the Moho topography beneath the BRZ depicts a dome-like shape with a minimum depth of 27 km in the center of the dome. This work proposes that the Moho doming, crustal arching underlying the BRZ and associated topographic uplift are the result of asthenospheric mantle upwelling beneath the BRZ. This upwelling changed to a NE-directed lateral mantle flow at shallower depth. This is supported by seismic tomography imaging which shows slow S-wave velocity anomaly at lithospheric depth of 75 km to 150 km stretching in a NE-SW direction from beneath the BRZ to the Afar Depression. This work proposes that the asthenospheric upwelling created gravitationally unstable dynamic topography that triggered extensional gravitational collapse leading to the formation of the BRZ as a wide rift within the narrow rift segments of the EARS.
Samuel, Melaku; Fetters, Tamara; Desta, Demeke
Where unmet need for the safest, most effective, and long-acting reversible contraceptives (LARCs) is very high, the health system and partners need to implement problem-solving, locally feasible, and comprehensive family planning delivery strategies. Because young and unmarried women are most at risk for unintended pregnancy and repeat abortion due to poor access to contraceptive services, postabortion family planning (PAFP) is a key component in such strategies. In Southern Nations, Nationalities, and People's Region, Ethiopia, Ipas implemented health system strengthening efforts from fiscal year (FY) 2010 (July 2009 to June 2010) to FY 2014 (July 2013 to June 2014) to improve the quality of PAFP services and expand method choice in 101 public facilities. The intervention significantly improved PAFP uptake at the project sites. Specifically, the proportion of abortion clients receiving LARCs progressively improved during the intervention period. The proportion of abortion clients who left the facilities with a contraceptive method increased from 58% in FY 2010 to 83% in FY 2014. The share of method mix for LARCs rose from 2% in FY 2010 to 55% in FY 2014, while the share for condoms, injectables, and oral contraceptives declined from 98% to 45%. Implant use rose from 2% in FY 2010 to 43% in FY 2014, while the use of intrauterine devices increased from 0.1% in FY 2010 to 12% in FY 2014. A larger proportion of PAFP users received LARCs at health centers, where midwives and nurses are the primary providers, than at hospitals (59% versus 37%, respectively). A broader method mix can satisfy clients with a variety of needs, a key factor for higher uptake of more effective methods and program success. Further evidence-based interventions need to be implemented to improve the quality of PAFP in a feasible and replicable strategy that addresses unmet need for modern contraceptive methods.
Samuel, Melaku; Fetters, Tamara; Desta, Demeke
ABSTRACT Where unmet need for the safest, most effective, and long-acting reversible contraceptives (LARCs) is very high, the health system and partners need to implement problem-solving, locally feasible, and comprehensive family planning delivery strategies. Because young and unmarried women are most at risk for unintended pregnancy and repeat abortion due to poor access to contraceptive services, postabortion family planning (PAFP) is a key component in such strategies. In Southern Nations, Nationalities, and People’s Region, Ethiopia, Ipas implemented health system strengthening efforts from fiscal year (FY) 2010 (July 2009 to June 2010) to FY 2014 (July 2013 to June 2014) to improve the quality of PAFP services and expand method choice in 101 public facilities. The interve