Assessment of factors associated with voluntary counseling and testing uptake among students in Bahir Dar University: A case control study

Background: Voluntary counseling and testing (VCT) is one of the cornerstones for successful implementation of HIV prevention, care and support services among HIV negative and positive individuals.Objectives: This study was intended to assess the factors associated with the use of VCT service among students in Bahir Dar UniversityMethods: Unmatched case-control study was conducted among 158 cases (who had received VCT services) and 318 control students from March 20 to May 10, 2010. The study subjects were selected randomly among 452 students who had received VCT and 2548 controls. Data were collected using a pre-tested self-administered questionnaire.Results: The findings indicated that male [OR= 1.84 (95% CI: 1.15, 2.92)], married [AOR=2.95 (95% CI: 1.23, 7.10)] and senior students [AOR=8.64 (2.70, 24.13)] were more likely to be tested than their counterparts. Knowledge, [AOR=2.44 (95% CI: 1.39, 4.28)], attitude [AOR=2.23 (95% CI: 1.19, 4.16)] and risk perception [AOR=5.43 (95%CI: 3.38, 8.72)] showed significant association with VCT service.Conclusion: In order to promote VCT service, more emphasis should be given to the knowledge and attitudes of students towards VCT, and to help the students to internalize the risk of HIV so that they can take preventivemeasures. Furthermore, strategies should be designed to help senior students to be tested.[Ethiop. J. Health Dev. 2012;26(1):16-21

Citrus Production, Constraints and Management Practices in Ethiopia: The Case of Pseudocercospora Leaf and Fruit Spot Disease

Citrus is economically important fruit crop in Ethiopia. However, its production is seriously constrained by various diseases including Pseudocercospora leaf and fruit spot. Surveys were conducted between June 2012 and May 2013 in the main citrus production areas of the country to assess the spread of the disease, and to determine its incidence and severity. A total of forty-nine citrus orchards in twenty-eight districts were surveyed. Random sampling techniques were used for data collection. The results showed that the disease had prevailed and widely spread in the districts assessed in the wet humid areas of the south, southwest, northwest, and north central parts, but not in the low altitude drier areas of the central rift valley and the eastern region of the country. Accordingly, 63.3% of the orchards surveyed were infected with the disease. The overall mean incidences of the disease on leaves of sweet orange, mandarin, lemon and lime were 36.2, 21.5, 17.1 and 16.3% while disease severity ratings were 2.6, 2.3, 2.0 and 1.7, respectively. Similarly, the average incidences and severities on fruits were 63.8, 29.4, 18.0 and 16.7%, and 4.0, 3.0, 2.0 and 2.0, in the same order. However, disease incidences in the different orchards ranged from zero to 76.7% on leaves and from zero to 100% on fruits. Disease severity ratings also varied from one to five on both leaves and fruits. In general, citrus orchards in the south and southwest Ethiopia that are known to have high rainfall and humidity conditions were more severely affected by the disease than those in the northwest and north central parts of the country. In these areas, respondents indicated that many farmers completely abandoned their citrus trees due to this disease. The causative agent was also identified to be the fungus Pseudocercospora angolensis based on cultural and morphological characteristics, and pathogenicity tests of representative isolates obtained from infected leaf and fruit samples.Keywords: Citrus Leaf and fruit spot disease; Pseudocercospora angolensis; Ethiopi

Physiological Rances and Virulence Diversity of Puccinia graminis f. sp. tritici on Wheat in Ethiopia

The physiologic races of the rust fungus Puccinia graminis f. sp. tritici in the main wheat-growing regions of Ethiopia were determined on seedlings of the standard wheat stem rust differentials following the international system of nomenclature. Forty-four races were identified among the 75 isolates studied over a period of four years. The 16 isolates collected in 2001 all belonged to different race groups. The 33 isolates collected in 2002 belonged to 23 race groups, and, the 17 and nine rust isolates collected in 2003 and 2004 respectively belonged to eight and three race groups. Most of the rust samples collected from individual wheat fields belonged to different groups with only a few belonging to the same race group. The physiologic race breakdown differed greatly from year to year. TTR was the only race identified in all cropping seasons. Races such as TTT, TTR, PTT, PTR and TTQ showed relatively wider virulence spectra. Races such as TTR and TTT showed a relatively wider spatial distribution. Generally, P. graminis populations in Ethiopia appear to be highly variable, and this should be an important consideration when devising a breeding programme for this country

Risk factors for multidrug resistant tuberculosis patients in Amhara National Regional State.

Background: Multidrug resistant tuberculosis(MDR-TB) is becoming a major threat to tuberculosis control programs in Ethiopia.Objectives: To determine risk factors of MDR-TB patients in Amhara National Regional State, Ethiopia.Methods: Case-control study was conducted from May 2013 to January 2014. Resistance to rifampicin and isoniazid were done molecularly using line probe assay. TB patients infected with MDR-M.tuberculosis and non MDR-M.tuberculosis strain were considered as cases and controls, respectively. Data was collected using structured questionnaire with face to face interview. Patients’ clinical record review was also done.Multivariate analysis was computed to determine the risk factors of MDR-TB.Results: A total of 153 MDR-TB and equal number of non MDR-TB patients’ participated in the study. Patients who had TB treatment failure (AOR=13.5,CI=2.69-70), cavitations on chest x-ray (AOR=1.9,CI=1.1-3.38) and contact with MDR-TB patients (AOR=1.4,CI=0.19-0.39) were more likely to be MDR-TB patients. Low monthly income (AOR=1.1,CI=0.34-0.47),alcohol consumption (AOR=1.5,CI=0.2-0.98) and young age (AOR=2.9,CI=1.07-7.68) were the other risk factors of MDR-TB.Conclusions: TB treatment failure, cavitation on chest X-ray, contact with MDR-TB patients and low socioeconomic status were important risk factors for development of MDR-TB. Therefore, strict adherence to directly observed therapy, appropriate management of TB patients and advice on the value of nutrients are helpful to control the spreading of MDR-TB.Key words: Risk factors, MDR-TB, Ethiopia

Videovoice diaries to understand the perspectives of community health volunteers in Ethiopia: insights from collaborative qualitative research

Background: Audio-visual diary to collect data on daily routines of study participants is relatively new in health systems research. The concept uses participatory research techniques to elicit participants' views, priorities and empower them to take action. Methods: We discuss a collaborative qualitative study conducted by university researchers, rural communities and health managers (Southwest Ethiopia). We used Videovoice to understand the role of community health volunteers as mediators of accessible and responsive Primary Health Care in Ethiopia. Footage is obtained from 30 Health Development Army leaders in 3 diverse districts, over 3–4 months. Following community engagement and training, participants received an encrypted phone with recording capability. They are supported by researchers through regular contacts, to establish trust, support, and reduce social desirability. A co-production workshop with participants and researchers to interpret the findings will be held. Results: Employing Videovoice diaries demonstrates that collaborations involving academic researchers, community members and volunteers (as lay researchers) and managers have considerable benefits as well as challenges. Videovoice shifts power to the participants: they determine what to capture, what is important and how to convey their views and activities. Data is enriched by participant-generated insights into the reasons behind their decisions. Intensive engagement, effective communication and trust are essential in understanding constraints and preferences of their role, and interpreting findings. A multi-disciplinary research team will enhance the analytical process. Discussion: Videovoice can be a useful tool in enabling lay researchers to describe their daily life, better understand their needs, and identify mechanisms for change. The approach can strengthen the immediacy of the research, capturing perceptions within context. Co-production will involve a significant shift in power and emergence of new directions

Body mass index trajectories in early childhood in relation to cardiometabolic risk profile and body composition at 5 years of age

BACKGROUND: Both impaired and accelerated postnatal growth have been associated with adult risks of obesity and cardiometabolic diseases, like type 2 diabetes and cardiovascular disease. However, the timing of the onset of cardiometabolic changes and the specific growth trajectories linking early growth with later disease risks are not well understood. OBJECTIVES: The aim of this study was to identify distinct trajectories of BMI growth from 0 to 5 y and examine their associations with body composition and markers of cardiometabolic risk at age 5 y. METHODS: In a prospective birth cohort study of 453 healthy and term Ethiopian children with BMIs assessed a median of 9 times during follow-up, we identified subgroups of distinct BMI trajectories in early childhood using latent class trajectory modeling. Associations of the identified growth trajectories with cardiometabolic markers and body composition at 5 y were analyzed using multiple linear regression analyses in 4 adjustment models for each outcome. RESULTS: We identified 4 heterogeneous BMI growth trajectories: stable low BMI (19.2%), normal BMI (48.8%), rapid catch-up to high BMI (17.9%), and slow catch-up to high BMI (14.1%). Compared with the normal BMI trajectory, children in the rapid catch-up to high BMI trajectory had higher triglycerides (TGs) (range of β-coefficients in Models 1-4: 19-21%), C-peptides (23-25%), fat masses (0.48-0.60 kg), and fat-free masses (0.50-0.77 kg) across the 4 adjustment models. Children in the stable low BMI trajectory had lower LDL cholesterol concentrations (0.14-0.17 mmol/L), HDL cholesterol concentrations (0.05-0.09 mmol/L), fat masses (0.60-0.64 kg), and fat-free masses (0.35-0.49 kg), but higher TGs (11-13%). CONCLUSIONS: The development of obesity and cardiometabolic risks may be established already in early childhood; thus, our data provide a further basis for timely interventions targeted at young children from low-income countries with unfavorable growth patterns. The birth cohort was registered at ISRCTN as ISRCTN46718296

Molecular evaluation of Ethiopian sweet sorghum germplasm and their contribution to regional breeding programs

Sweet sorghum is an excellent feedstock for ethanol production and is also used for food and livestock feed. Germplasm collection and characterization in sweet sorghum is a crucial step towards breeding and development of superior genotypes for various end-uses. In the present study, 13 Simple Sequence Repeat (SSR) markers were used for genotyping 175 Ethiopian sweet sorghum genotypes alongside 27 improved accessions from eastern and southern Africa. All the tested markers detected 159 alleles and a high degree of polymorphism information content (PIC) averaging 0.69. A comparison between Ethiopian and improved accessions revealed higher allele numbers (124) in Ethiopian than improved accessions (92 alleles). More than half (65 out of 124) of the alleles observed in the Ethiopian accessions were rare (<5%) and 64 were private (only present within Ethiopian accessions) while in the improved accessions, 41% and 38% of the alleles detected were rare and private respectively. Both weighted Neighbor Joining-based clustering and hierarchical clustering grouped the 202 accessions into three major clusters based on geographical origin. Ethiopian accessions from the north (north Wello and south Tigray) not only clustered separately from accessions from the west central and eastern Ethiopia, but were also distinct from most of the improved genotypes. Our results reveal an unexploited highly diverse sweet sorghum genetic resource from Ethiopia that can be included in the regional breeding programs in order to efficiently optimize productivity

002 BP: VIDEOVOICE DIARIES TO UNDERSTAND THE PERSPECTIVES OF COMMUNITY HEALTH VOLUNTEERS IN ETHIOPIA: INSIGHTS FROM COLLABORATIVE QUALITATIVE RESEARCH

Background Audio-visual diary to collect data on daily routines of study participants is relatively new in health systems research. The concept uses participatory research techniques to elicit participants' views, priorities and empower them to take action. Methods We discuss a collaborative qualitative study conducted by university researchers, rural communities and health managers (Southwest Ethiopia). We used Videovoice to understand the role of community health volunteers as mediators of accessible and responsive Primary Health Care in Ethiopia. Footage is obtained from 30 Health Development Army leaders in 3 diverse districts, over 3–4 months. Following community engagement and training, participants received an encrypted phone with recording capability. They are supported by researchers through regular contacts, to establish trust, support, and reduce social desirability. A co-production workshop with participants and researchers to interpret the findings will be held. Results Employing Videovoice diaries demonstrates that collaborations involving academic researchers, community members and volunteers (as lay researchers) and managers have considerable benefits as well as challenges. Videovoice shifts power to the participants: they determine what to capture, what is important and how to convey their views and activities. Data is enriched by participant-generated insights into the reasons behind their decisions. Intensive engagement, effective communication and trust are essential in understanding constraints and preferences of their role, and interpreting findings. A multi-disciplinary research team will enhance the analytical process. Discussion Videovoice can be a useful tool in enabling lay researchers to describe their daily life, better understand their needs, and identify mechanisms for change. The approach can strengthen the immediacy of the research, capturing perceptions within context. Co-production will involve a significant shift in power and emergence of new directions

Association Mapping Reveals Novel Stem Rust Resistance Loci in Durum Wheat at the Seedling Stage

Wheat stem rust rapidly evolves new virulence to resistance genes. Recently emerged races in East Africa, such as TTKSK (or Ug99), possess broad virulence to durum cultivars, and only a limited number of genes provide resistance. An association mapping (AM) study conducted on 183 durum wheat accessions has allowed us to identify 41 quantitative trait loci (QTLs; determination coefficient [R2] values from 1.1 to 23.1%) for seedling resistance to one or more of four highly virulent stem rust races: TRTTF, TTTTF, TTKSK (Ug99), and JRCQC, two of which (TRTTF and JRCQC) were isolated from Ethiopia. Among these loci, 24 are novel, while the remaining 17 overlapped with loci previously shown to provide field resistance in Ethiopia and/or chromosome regions known to harbor designated stem rust resistance designated loci (Sr). The identified loci were either effective against multiple races or race specific, particularly for race JRCQC. Our results highlight that stem rust resistance in durum wheat is governed in part by loci for resistance across multiple races, and in part by race-specific ones (23 and 18, respectively). Collectively, these results provide useful information to improve the effectiveness of marker-assisted selection towards the release of durum wheat cultivars with durable stem rust resistance