Desarrollo de alianzas en la región de la IGAD

¿Cómo pueden las alianzas y los enfoques innovadores mejorar la coherencia de las políticas y su efectividad en la región de la IGAD en el contexto de los desastres y el cambio climático

Forage Monitoring and Prediction Model for Early Warning Application over the East of Africa Region

Rangelands dominate arid and semi-arid lands of the Greater Horn ofAfrica (GHA) region, whereby pastoralism being the primary source oflivelihood. The pastoral livelihood is affected by the seasonal variabilityof pasture and water resources. This research sought to design a grid-basedforage monitoring and prediction model for the cross-border areas of theGHA region. A technique known as Geographically Weighted Regressionwas used in developing the model with monthly rainfall, temperature,soil moisture, and the Normalized Difference Vegetation Index (NDVI).Rainfall and soil moisture had a high correlation with NDVI, and thusformed the model development parameters. The model performed wellin predicting the available forage biomass at each grid-cell with March-May and October-December seasons depicting a similar pattern but witha different magnitude in ton/ha. The output is critical for actionable earlywarning over the GHA region’s rangeland areas. It is expected that thismode can be used operationally for forage monitoring and prediction overthe eastern Africa region and further guide the regional, national, sub-national actors and policymakers on issuing advisories before the season

Unrelenting catastrophic droughts and successive failed rainy seasons in the Greater Horn of Africa

▪ The Greater Horn of Africa (GHoA) is one of the world's most negatively impacted regions by climatic extremes and changes affecting millions, including farmers and livestock keepers. ▪ Addressing the impacts of devastating extreme weather events, climate variabilities, and changes in GHoA require, among other things, strengthening Climate Information Services (CIS), including in terms of Anticipatory Action, Early Warning Systems (EWS), and preparedness and early action for climate-resilient development. ▪ Part of the recommendations and policy-related solutions to the devastating extreme weather events and climate crisis calls for countries to shift from delayed silos and reactive emergency management to proactive responses through effective joint investment, adoption, and implementation of multi-hazard early warning for all initiatives and programs aimed at enhanced regional preparedness and early action by the GHoA countries and the international development partners. ▪ These include: (i) Strengthening disaster risk knowledge and management, (ii) Enhancing infrastructure, human and technical capacity for observing, monitoring, analysing, and forecasting extreme weather and climate variability-related hazards, (iii) Improving communication and dissemination for better access, uptake, and use of a multi-hazard early warning, and (iv) Enhancing preparedness and coordinated early action by building regional, national, and community-level response capabilities of the GHoA countries. ▪ There is a clear and urgent need to protect the lives of millions of people, including smallholder farmers and livestock keepers, from extreme weather and the climate crisis in the GHoA region. ▪ National governments, regional climate centers, and international development partners should support the enhancement and sustainability of infrastructure, as well as human and technical expertise in the region to take advantage of the advances in science and technology (i.e., use of digital decision support tools, ICTs, and broadcast systems) to ensure the availability and accuracy of CIS and EWS for enhanced service delivery for all, preparedness and early action at the national and sub-national levels

Semilobar holoprosencephaly with cebocephaly associated with maternal early onset preeclampsia: a case report

Abstract Background The term holoprosencephaly was proposed by DeMyer and Zeman. It is a developmental defect of the embryonic forebrain with heterogeneous etiology including genetic and environmental factors. It is commonly associated with midfacial defects and has a spectrum of presentations. There are four types: alobar, semilobar, lobar, and variant. Holoprosencephaly is relatively rare. The overall prevalence in a multicenter study was 1 in 13,000 to 18,000 live births. However, the presentation of holoprosencephaly with cebocephaly, micropenis, agenesis of middle phalanges of the fifth finger, and postaxial polydactyly in association with early onset preeclampsia is extremely rare. We report a case with a constellation of the above congenital anomalies. Case presentation A 34-year-old gravida II para l woman presented to Felege Hiwot Referral Hospital with the diagnosis of semilobar holoprosencephaly and early onset preeclampsia with severity features. The gestational age at admission was 26 + 3 weeks. She is Amhara by ethnicity. The pregnancy was from a non-consanguineous marriage. She presented with the complaints of severe and persistent headache associated with blurring of vision and generalized body swelling. After she was stabilized, she and her husband were counselled and termination was decided. She gave birth after three doses of 100 microgram misoprostol given vaginally every 3 hours. The outcome was 1.1 kg male neonate; there were associated dysmorphic features of holoprosencephaly such as cebocephaly, micropenis, and postaxial polydactyl with agenesis of middle phalanges of the fifth finger. Only basic care was given and the neonate died after 20 minutes’ stay in our neonatal intensive care unit. The mother was counselled to have preconception and antenatal screening in her next pregnancy. She left the hospital relatively well. Conclusion In women with a history of holoprosencephaly or holoprosencephaly in the current pregnancy, antenatal workups should include workup for fetal chromosomal disorders and metabolic workup for maternal preeclampsia. Sonographic diagnoses of holoprosencephaly always need a careful search for other congenital anomalies. In the severe forms, early termination should be counseled for its poor prognosis. Associated severe congenital anomalies and severe morbidities of the survivor can be discussed while counselling

Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Abstract Background Abdominal pregnancy may account for up to 1.4% of all ectopic pregnancies. The incidence of abdominal pregnancy differs in various literatures and ranges between 1:10,000 pregnancies to 1:30, 000 pregnancies. The clinical symptoms of an uncomplicated abdominal pregnancy are unspecific. There are reports of maternal and fetal survival from advanced abdominal pregnancies. Case presentation Our case was a 26 years old gravida 4, para 3 (2 alive, one early neonatal death) woman. She presented to Felegehiwot Referal Hospital with a principal complaint of vomiting, epigastric pain, headache, and blurring of vision. Emergency cesarean delivery was decided with the impression of bicornuate uterus with intrauterine pregnancy, intrauterine growth restriction and sever preeclampsia.it was found to be advanced abdominal pregnancy. Placenta was removed and pack was used to control bleeding. Both the mother and neonate were discharged in a good condition. Conclusion Abdominal pregnancy with live fetus is an extremely rare condition and requires a high index of suspicion. Endometrial cavity may not be required for development of severe preeclampsia and packing is effective in controlling bleeding in selected cases