28 research outputs found
evaluation of Lathyrus sativus cultivated in Ethiopia for proximate composition, minerals, β-ODAP and anti-nutritional components
Grass pea (Lathyrus sativus L.) is one of the most important food legumes in countries like Bangladesh, India and Ethiopia. The legume is nutritious, rich in protein (28-32%) and contains good quantities of essential amino acids. Consumption of Lathyrus sativus seeds has been associated for more than 2000 years with neurolathyrim caused by the nearotoxin ß-ODAP (ß-N-Oxalyl-L-α, ßdiaminopropionic acid) present in the seeds. In the present study, Lathyrus sativus seed samples collected from the traditional grass pea growing areas in the country were analyzed for characteristics such as crude protein (CP), ß-ODAP, catechin equivalents (CE), trypsin inhibitor activity (TIA), 100 seed weight, seed color and consumption habit of grass pea seeds. The CP content ranged from 272.9 g/kg -1 to 319.8 g/kg -1 dry matter, the lowest and highest CP being observed in samples collected from Grar Jarso and Akaki, respectively. There were higher variations between samples in ß-ODAP levels. On average, ß-ODAP level in samples from Akaki was about twofold higher than those from Asgido. CE, which detects simple flavonoids as well as condensed tannins, was not more than 7.66 g/kg-1 dry matter in any sample. The TIA content did not differ significantly between the samples. The correlation coefficients indicated that, ß-ODAP, CE, TIA and 100 seed weight were positively correlated (p<0.05) with CP. In contrast, CE and TIA were negatively correlated (p<0.05) with ß-ODAP. The dietary interviews revealed that grass pea has diversified uses in Ethiopia both as human food and feed or crop. The habit of consuming shiro wot (the Ethiopian traditional spiced soup-like dish), kik wot (sauce made of dehusked split seeds) kollo (roasted whole seeds), nifro (boiled whole seeds) or kitta (unlearned flat bread) prepared from grass pea alone is significantly higher (p<0.05) than the habit of consuming those food items prepared from grass pea mixed with other legumes. Further studies are warranted to understand the reasons that influenced food choices of the housewives for establishing respective ways to improve healthy consumption habits.Key words: consumption habit, Lathyrus sativus, ß-ODAP, tannins, trypsin inhibitor activity. Le petit pois (Lathyrus sativus L.) est l’une des légumineuses alimentaires les plus importantes dans des pays tels que le Bangladesh, l’Inde et l’Ethiopie. Les légumineuses sont nutritives, riches en protéines (28-32%) et elles contiennent de bonnes quantités d’acides aminés essentiels. La consommation des graines de Lathyrus sativus a été associée pendant plus de 2000 ans au neurolathyrime causé par le néarotoxine ß-ODAP (ß-N-Oxalyl-L-α, l’acide ß- diaminopropionique) présentdans les graines. Au cours de la présente étude, des échantillons de graines de Lathyrus sativus collectés à partir des régions où pousse le petit pois traditionnel dans le pays ont été analysés pour trouver des caractéristiques telles que les  protéines à l’état brut (CP), ß-ODAP, des équivalents de catéchine (CE), l’activité inhibitrice de trypsine (AIT), le poids de la graine 100, la couleur de la graine et les habitudes liées à la consommation des graines de petits pois. Le contenu de CP variait entre 272.9 g/kg -1 et 319.8 g/kg -1 de matière sèche, le niveau le plus bas et le plus élevé de CP étant observés dans des échantillons collectés à Grar Jarso et à Akaki, respectivement. Il y avait des variations plus élevées entre les   échantillons dans les niveaux de ß-ODAP. En moyenne, la teneur en ß-ODAP dans les échantillons d’Akaki était presque le double de celle des échantillons d’Asgido. CE, qui détecte de simples flavonoïdes et des tanins condensés, ne constituait pas plus de 7.66 g/kg-1 de matière sèche dans n’importe quel échantillon. La teneur en AIT ne différait pas beaucoup entre les échantillons. Les coefficients des corrélations indiquaient que les poids des graines de ß-ODAP, CE, AIT et 100 avaient des corrélations positives (p<0.05) avec CP. Par contre, CE et AIT avaient une corrélation négative (p<0.05) avec ß-ODAP. Les interviews sur les régimes alimentaires ont révélé qu’en Ethiopie le petit pois est utilisé de manières diversifiées à la fois en tant qu’aliment humain et en tant que ration de nourriture ou culture. L’habitude de consommer le shiro wot (un plat  traditionnel éthiopien épicé qui ressemble à de la soupe), le kik wot (sauce faite de graines cassées et décortiquées), le kollo (des graines entières rôties), le nifro (des graines entières bouillies) ou le kitta (un pain plat désappris), préparés à partir de petit pois uniquement, est beaucoup plus répandue (p<0.05) que l’habitude de consommer ces denrées alimentaires préparées à partir du petit pois mélangé avec d’autres légumineuses. Des études plus approfondies s’imposent pour  comprendre les raisons qui ont influencé les choix des aliments chez les femmes au foyer pour établir les moyens respectifs d’améliorer des habitudes alimentaires saines.Mots-clés: habitude alimentaire, Lathyrus sativus, ß-ODAP, tanins, activité inhibitrice de trypsine.
Why Give Birth in Health Facility? Users' and Providers' Accounts of Poor Quality of Birth Care in Tanzania.
In Tanzania, half of all pregnant women access a health facility for delivery. The proportion receiving skilled care at birth is even lower. In order to reduce maternal mortality and morbidity, the government has set out to increase health facility deliveries by skilled care. The aim of this study was to describe the weaknesses in the provision of acceptable and adequate quality care through the accounts of women who have suffered obstetric fistula, nurse-midwives at both BEmOC and CEmOC health facilities and local community members. Semi-structured interviews involving 16 women affected by obstetric fistula and five nurse-midwives at maternity wards at both BEmOC and CEmOC health facilities, and Focus Group Discussions with husbands and community members were conducted between October 2008 and February 2010 at Comprehensive Community Based Rehabilitation in Tanzania and Temeke hospitals in Dar es Salaam, and Mpwapwa district in Dodoma region. Health care users and health providers experienced poor quality caring and working environments in the health facilities. Women in labour lacked support, experienced neglect, as well as physical and verbal abuse. Nurse-midwives lacked supportive supervision, supplies and also seemed to lack motivation. There was a consensus among women who have suffered serious birth injuries and nurse midwives staffing both BEmOC and CEmOC maternity wards that the quality of care offered to women in birth was inadequate. While the birth accounts of women pointed to failure of care, the nurses described a situation of disempowerment. The bad birth care experiences of women undermine the reputation of the health care system, lower community expectations of facility birth, and sustain high rates of home deliveries. The only way to increase the rate of skilled attendance at birth in the current Tanzanian context is to make facility birth a safer alternative than home birth. The findings from this study indicate that there is a long way to go
Global, regional, and national prevalence and mortality burden of sickle cell disease, 2000–2021: a systematic analysis from the Global Burden of Disease Study 2021
Background
Previous global analyses, with known underdiagnosis and single cause per death attribution systems, provide only a small insight into the suspected high population health effect of sickle cell disease. Completed as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021, this study delivers a comprehensive global assessment of prevalence of sickle cell disease and mortality burden by age and sex for 204 countries and territories from 2000 to 2021.
Methods
We estimated cause-specific sickle cell disease mortality using standardised GBD approaches, in which each death is assigned to a single underlying cause, to estimate mortality rates from the International Classification of Diseases (ICD)-coded vital registration, surveillance, and verbal autopsy data. In parallel, our goal was to estimate a more accurate account of sickle cell disease health burden using four types of epidemiological data on sickle cell disease: birth incidence, age-specific prevalence, with-condition mortality (total deaths), and excess mortality (excess deaths). Systematic reviews, supplemented with ICD-coded hospital discharge and insurance claims data, informed this modelling approach. We employed DisMod-MR 2.1 to triangulate between these measures—borrowing strength from predictive covariates and across age, time, and geography—and generated internally consistent estimates of incidence, prevalence, and mortality for three distinct genotypes of sickle cell disease: homozygous sickle cell disease and severe sickle cell β-thalassaemia, sickle-haemoglobin C disease, and mild sickle cell β-thalassaemia. Summing the three models yielded final estimates of incidence at birth, prevalence by age and sex, and total sickle cell disease mortality, the latter of which was compared directly against cause-specific mortality estimates to evaluate differences in mortality burden assessment and implications for the Sustainable Development Goals (SDGs).
Findings
Between 2000 and 2021, national incidence rates of sickle cell disease were relatively stable, but total births of babies with sickle cell disease increased globally by 13·7% (95% uncertainty interval 11·1–16·5), to 515 000 (425 000–614 000), primarily due to population growth in the Caribbean and western and central sub-Saharan Africa. The number of people living with sickle cell disease globally increased by 41·4% (38·3–44·9), from 5·46 million (4·62–6·45) in 2000 to 7·74 million (6·51–9·2) in 2021. We estimated 34 400 (25 000–45 200) cause-specific all-age deaths globally in 2021, but total sickle cell disease mortality burden was nearly 11-times higher at 376 000 (303 000–467 000). In children younger than 5 years, there were 81 100 (58 800–108 000) deaths, ranking total sickle cell disease mortality as 12th (compared to 40th for cause-specific sickle cell disease mortality) across all causes estimated by the GBD in 2021.
Interpretation
Our findings show a strikingly high contribution of sickle cell disease to all-cause mortality that is not apparent when each death is assigned to only a single cause. Sickle cell disease mortality burden is highest in children, especially in countries with the greatest under-5 mortality rates. Without comprehensive strategies to address morbidity and mortality associated with sickle cell disease, attainment of SDG 3.1, 3.2, and 3.4 is uncertain. Widespread data gaps and correspondingly high uncertainty in the estimates highlight the urgent need for routine and sustained surveillance efforts, further research to assess the contribution of conditions associated with sickle cell disease, and widespread deployment of evidence-based prevention and treatment for those with sickle cell disease.publishedVersio
Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: a cross sectional study
Determinants of Loss to Follow Up Among Adult People Living with HIV Enrolled in Antiretroviral Therapy in West Wollega Public Hospitals, Oromia, Ethiopia
Siraj Benti Biratu,1 Abreha Addis Gesese2 1Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia; 2Department of Clinical Nursing, Gambella Teachers Education and Health Science College, Gambella, EthiopiaCorrespondence: Abreha Addis Gesese, Email [email protected]: Antiretroviral Treatment (ART) reduces morbidity and mortality in patients with human immunodeficiency virus (HIV). However, clients loss to follow-up (LTFU) from the treatment poses a paramount problem to the public, healthcare, and patient outcome. Thus, this study identified determinants of loss to follow-up to ART among adult clients in West Wollega hospitals, Oromia, Ethiopia, in 2021.Methods: An unmatched case-control study was conducted and a systematic random sampling technique was used. Data were collected from patient charts by three BSC nurses and three card reporters using a structured checklist. Then, it was entered into Epi-data version 3.1 and analyzed using SPSS version 21. Descriptive statistics (frequency and percentage) were used to present the results. Bivariate and multivariable logistic regression analyses were performed using the backward stepwise method. Adjusted odds ratio (AOR) and p-values < 0.05 were used to declare significant association with loss to follow-up. Model fitness was checked using Hosmer-Lemeshow goodness-of-fit.Results: A total of 399 (133 patients and 266 controls) participated in this study. Rural residents (AOR:3.46, 95% CI:1.65, 7.25), male patient (AOR: 2.65 95% CI 1.54,4.55), lack of formal education (AOR: 4.35, 95% CI 1.53, 12.41), base line CD4 ≤ 350 (AOR: 5.25, 95% CI 1.93,14.24), poor functional status (AOR: 4.298, 95% CI 5.33,34.62) and WHO stages III & IV (AOR: 2.65, 95% CI 1.68,4.19), and tuberculosis co-infection (AOR: 2.82, 95% CI 1.11,7.45) were determinant factors of loss to follow up.Conclusion: Rural residence, male sex, daily laborer, no formal education, baseline CD4 count < 350 cells/mm3, baseline advanced WHO clinical stage, and TB co-infection were determinants of LTFU. Therefore, emphasis should be given to the identified factors along with awareness creation and health education sessions. Regular TB screening, optimal adherence regardless of their stay on ART, and follow-up study are recommended.Keywords: ART, loss to follow-up, adults, determinants, People Living with HIV, West Ethiopi
PEER REVIEWED ARTICLE No 10 - EVALUATION OF LATHYRUS SATIVUS CULTIVATED IN ETHIOPIA FOR PROXIMATE COMPOSITION, MINERALS, â-ODAP AND ANTI-NUTRITIONAL COMPONENTS
Grass pea (Lathyrus sativus L.) is one of the most important
food legumes in countries like Bangladesh, India and Ethiopia. The
legume is nutritious, rich in protein (28-32%) and contains good
quantities of essential amino acids. Consumption of Lathyrus sativus
seeds has been associated for more than 2000 years with neurolathyrim
caused by the nearotoxin β-ODAP (β-N-Oxalyl-L-α,
βdiaminopropionic acid) present in the seeds. In the present
study, Lathyrus sativus seed samples collected from the traditional
grass pea growing areas in the country were analyzed for
characteristics such as crude protein (CP), β-ODAP, catechin
equivalents (CE), trypsin inhibitor activity (TIA), 100 seed weight,
seed color and consumption habit of grass pea seeds. The CP content
ranged from 272.9 g/kg -1 to 319.8 g/kg -1 dry matter, the lowest and
highest CP being observed in samples collected from Grar Jarso and
Akaki, respectively. There were higher variations between samples in
β-ODAP levels. On average, β-ODAP level in samples from Akaki
was about twofold higher than those from Asgido. CE, which detects
simple flavonoids as well as condensed tannins, was not more than 7.66
g/kg-1 dry matter in any sample. The TIA content did not differ
significantly between the samples. The correlation coefficients
indicated that, β-ODAP, CE, TIA and 100 seed weight were
positively correlated (p<0.05) with CP. In contrast, CE and TIA were
negatively correlated (p<0.05) with β-ODAP. The dietary
interviews revealed that grass pea has diversified uses in Ethiopia
both as human food and feed or crop. The habit of consuming shiro wot
(the Ethiopian traditional spiced soup-like dish), ≤kik wot
(sauce made of dehusked split seeds) kollo (roasted whole seeds), nifro
(boiled whole seeds) or kitta (unlearned flat bread) prepared from
grass pea alone is significantly higher (p<0.05) than the habit of
consuming those food items prepared from grass pea mixed with other
legumes. Further studies are warranted to understand the reasons that
influenced food choices of the housewives for establishing respective
ways to improve healthy consumption habits
Implications of land management practices on selected ecosystem services in the agricultural landscapes of Ethiopia : a review
Human-induced land degradation and impairment of ecosystem services (ES) are among the serious problems in Ethiopia due to excessive pressure on land and water resources. Thus, various land management (LM) practices have been done to enhance ES and environmental sustainability. However, very little is known about the influence of efficacious LM practices on multiple ES. This study aims at assessing the implication of LM practices on crop yield, soil carbon stock, soil fertility, soil moisture, runoff, soil loss, nutrient loss, and cultural/societal services. A systematic review and synthesis methods were employed. Predefined criteria were used to screen relevant articles; thereby, 572 observations from 94 studies were extracted and synthesized. The results showed that agronomic practices increased grain yields, soil carbon stock, soil fertility, and soil moisture on average by 28, 29, 43 and 14%, respectively. Biological practices regulated runoff, soil loss, and nutrient loss on average by 46, 59 and 94%, respectively. Overall, LM practices were efficacious to enhance delivery of ES bundles but soil bund and fanyaa juu reduced the grain yield on average by 24 and 22%, respectively. This indicates that there are trade-offs between provisioning and other services like regulating, supporting and cultural under physical structures. However, landscape-level collective impact of different LM practices exhibited without any ES trade-offs. The integration of properly designed physical structures with agronomic and biological practices is imperative to enhance ES and balance the trade-offs in the agricultural landscapes. Further, it is important to find out alternative combinations of agricultural LM practices and evaluate for ES delivery