Peace Education: A Missing Link in the Adult Education Sub-sector of Ethiopia?

The purpose of this study was to explore whether peace education has been incorporated into the integrated functional adult education program of Ethiopia. To this end, qualitative research design was employed. Phenomenological approach and qualitative content analysis were used. The required data were obtained from both primary and secondary sources. A total of 53 respondents were selected by using purposive, availability and snow-ball sampling techniques in this qualitative study. Instruments of data collection were semi-structured interview guide, focus group discussion and open-ended questionnaire. The collected data were analyzed, triangulated, and interpreted qualitatively. Bias was overcome by using triangulation, member-checking, and tick description. The findings indicated that peace education as a theme was not integrated into the functional adult education program of Ethiopia even though there are peace education related concepts. It had also identified opportunities to integrate peace education into the educational program and also indicated the challenges like the lack of peace education in academic programs could lead to shortage of qualified professional peace education teachers; and integrating peace education into functional adult education program of the nation might incur huge financial costs. Based on the major findings, it was safely concluded that even though there are some peace education-related contents in the IFAE program, the lack of peace education as an independent theme in the adult education subsector of the country could hamper the development of the required modern conflict resolution techniques among adult learners.Keywords: peace education, integrated functional adult education, stakeholder participatio

Challenges of Containing New HIV Infections in Ethiopia: Unacknowledged Transmission Route

As the main goal of the Partnership Framework (PF) between the Government of Ethiopia (GoE) and the U.S. Government (USG), Ethiopia has set a national target of reducing new HIV infections by 50% by the end of 2014 (National Target). Funded by the USG, the PF provides a five-year joint strategic plan (2010-2014) for cooperation to support Ethiopia’s national HIV/AIDS response (PEPFAR, 2010). Ethiopia has an estimated adult prevalence of 1.5% and about a million people living with HIV/AIDS (PLWHA) (ECSA & IFC, 2012), among countries most affected by the epidemic. The International Labor Organization (ILO) projection for 2015 indicates that as much as 8.5% of the Ethiopian labor force loss will be due to HIV/AIDS deaths (World Learning, 2012). On the other hand, since the PF took effect, USG funding to the program has been in constant decline. Moreover, the PF does not fully take into account context and development barriers due to the prevailing social, political, economic and development policies in the country. Participation of the private sector, independent civil societies and media in the development process has been severely curtailed. Contextual factors have been seriously challenging the prevention of mother-to-child transmissions (PMTCT) efforts. Furthermore, the country lacks a comprehensive strategy to fully address the issue of most-at-risk population (MARP) as drivers of the HIV epidemic; and the HIV/AIDS response excludes Men who have sex with Men (MSM), a “significant unacknowledged” but fast growing transmission route of HIV (Tadele, 2008). Drawing from literature review and practicum experience in Ethiopia, this paper examines the feasibility of Ethiopia’s National Target. The main problem in the HIV/AIDS discourse in Ethiopia appears to be behavioral change, but not lack of knowledge. In addition, contrary to the widespread public belief that homosexuality is not Ethiopian, there exists a flourishing underground male-sex trade in Addis Ababa

Predictors of Neonatal mortality among Neonates who admitted in Neonatal intensive Care Unit at Arba Minch General Hospital

Introduction: The neonatal period refers to the first 28 days of life. Newborns are particularly vulnerable to death. The predictors associated with neonatal mortality need to be addressed, as identifying the predictors will contribute to reducing the rates of neonatal morbidity and mortality.Method: A facility-based retrospective cohort study was conducted of 332 records of neonates who were admitted to the neonatal intensive care unit at Arba Minch General Hospital. Data were collected from randomly selected neonate records using computer-generated random numbers. Data were entered into Epi-info version 3.5.1 and exported to SPSS v.23 for analysis. Crude hazard ratios, adjusted hazard ratios and 95% confidence intervals were used to assess the strength of association and statistical significance. The incidence density rate of death with respect to ‘person time at risk’ was calculated. Variables which had a p-value of ≤ 0.25 in bivariate analysis were considered as candidates for multivariate regression analysis; variables that had a p-value of ≤0.05 in the multivariate analysis were considered as independent predictors of neonatal mortality in the final Cox regression analysis.Result: The incidence density rate of neonatal mortality was 31.6 per 1,000 neonate days. The neonatal mortality predictors were 5th-minute APGAR score ≤5 (AHR: 1.9; 95%CI: 1.02,3.54); 2nd to 4th birth order (AHR:13; 95%CI: 5.1,33.4); 5th birth order (AHR:24; 95%CI: 10.5,55.2); history of two to four live births(AHR: 0.16; 95%CI: 1.07,3.63); history of ≥5 live births (AHR: 0.18; 95%CI: 0.06,0.51); and not initiating exclusive breastfeeding within the first hour of delivery (AHR: 1.8: 95%CI: 1.03,3.18).Conclusion: The incidence density rate of neonatal mortality was 31.6 per 1,000 neonate days, and maternal age, APGAR score, birth order, parity, and exclusive breastfeeding initiation were independent predictors of neonatal mortality. [Ethiop.J. Health Dev. 2019; 33(1):46-52]Key words: Neonatal mortality; Predictors; Arba Minch General hospita

Water Demand and Allocation in the Mara River Basin, Kenya/Tanzania in the Face of Land Use Dynamics and Climate Variability

The Mara River Basin (MRB) is endowed with pristine biodiversity, socio-cultural heritage and natural resources. The purpose of my study is to develop and apply an integrated water resource allocation framework for the MRB based on the hydrological processes, water demand and economic factors. The basin was partitioned into twelve sub-basins and the rainfall runoff processes was modeled using the Soil and Water Assessment Tool (SWAT) after satisfactory Nash-Sutcliff efficiency of 0.68 for calibration and 0.43 for validation at Mara Mines station. The impact and uncertainty of climate change on the hydrology of the MRB was assessed using SWAT and three scenarios of statistically downscaled outputs from twenty Global Circulation Models. Results predicted the wet season getting more wet and the dry season getting drier, with a general increasing trend of annual rainfall through 2050. Three blocks of water demand (environmental, normal and flood) were estimated from consumptive water use by human, wildlife, livestock, tourism, irrigation and industry. Water demand projections suggest human consumption is expected to surpass irrigation as the highest water demand sector by 2030. Monthly volume of water was estimated in three blocks of current minimum reliability, reserve (\u3e95%), normal (80–95%) and flood (40%) for more than 5 months in a year. The assessment of water price and marginal productivity showed that current water use hardly responds to a change in price or productivity of water. Finally, a water allocation model was developed and applied to investigate the optimum monthly allocation among sectors and sub-basins by maximizing the use value and hydrological reliability of water. Model results demonstrated that the status on reserve and normal volumes can be improved to ‘low’ or ‘moderate’ by updating the existing reliability to meet prevailing demand. Flow volumes and rates for four scenarios of reliability were presented. Results showed that the water allocation framework can be used as comprehensive tool in the management of MRB, and possibly be extended similar watersheds

Intellectual property law food and agricultural law and food security : the case of Southern Africa

This thesis is written with the purpose of answering three basic questions: Is the current intellectual property (IP) law capable of facilitating and supporting the goal of ending hunger and increasing food security? Will the current international food law promote fair and equitable food production and supply practices to benefit all who need it and will the existing international food law including IP, create incentives for farming practices that are ecologically sound as well as culturally and socially appropriate? The Southern African communities, in particular the San communities, will be used as a classic case study to highlight the reality experienced in developing countries under existing international food systems and IP law. The study will analyse the law by using this has created a gap and impacted on broader food security, making it difficult for small level agribusinesses to cope and compete in the midst of global economic change. The study will further illustrate the negotiations that have led to the formulation of various multilateral systems, including IP, dealing with food and agriculture. It is argued that the primary failing of the current global food systems in addressing food security is of great concern and should be addressed with urgency and a high level of commitment and political will. Negotiations on agriculture and food in various international forums should take some responsibility for the lack of transparency, commitment and consistency within its member states. Subsequently the historical disadvantaged position of developing countries to negotiate more favourable terms in international treaties governing food and agriculture is important and should be critically analysed to develop a more sustainable solution for food security.case study that will allow the comprehension of the law, the behaviour of society and the outcome in the application of the law in real life experience. This enables us to identify the gap created in the law addressing food security. The analysis deals with the interface between IP law and food control, as well as international conventions and treaties governing food and agriculture. This study will promote a better understanding of how the international food systems affect the future of food security exposing the fragility of the system. Furthermore, this study will summarise the negotiations that led to the formulation of various multilateral systems including IP dealing with food and agriculture. After providing the background to the current IP law and international food law addressing food security, the way in which the current international food law influences food security is analysed. It is argued that the existing international food and IP law approach to food securityThesis (LLD)--University of Pretoria, 2018.Private LawLLDUnrestricte

Urogenital Myiasis in Wolaita Sodo, Southern Ethiopia: Case Report

Background: Myiasis is the infestation of human beings with fly larvae which feed on hosts living or dead tissue. The diagnosis of this case made by presence of larvae in affected body parts. In tropical countries myiasis can present commonly but still there is no a report of Urogenital myiasis case presentation in the case of Ethiopia. Case presentation: A 19 years old male patient presented to Dermatology clinic at wolaita sodo university teaching and referral hospital with complaining of an itchy and painful small red raised/nodular/a painful penile lesion on the urethral meatus and glans of penis and on physical examination shows well demarcated centrally punctuated nodular lesion over the glans of the penis and urethral meatus with serous exudates discharge from opening that had appeared on the lesion.  He had been treated with antibiotics treated for suspected Furuncle before three weeks at early onset, but not improved. Then the patient was successfully managed by manual removal of larvae after white petrolatum Vaseline application and local anesthesia for twenty minutes and antibiotics therapy. Conclusion: Genital myiasis should be considered as differential diagnosis for nodular lesions on the gentalia, particularly in tropical countries where myiasis is more frequent, as in the case presented. Keywords: Myiasis, Urogenital, wolaita sodo, Infestation DOI: 10.7176/JHMN/59-0

Perinatal Survival and Predictors of Mortality among Mothers with Hypertensive Disorders of Pregnancy at Antenatal care Clinics in Gamo Zone Public Hospitals

BACKGROUND፡ Pregnancy induced hypertension represents a significant public health problem throughout the world, which may complicate 0.5%–10% of all pregnancies. It is the leading cause of maternal as well perinatal mortality and morbidity worldwide. Pregnancy induced hypertension is a multisystem disorder unique to pregnancy and results in high perinatal mortality. The objective of this study was to determine the survival status, incidence and predictors of perinatal mortality among mothers with pregnancy induced hypertension at antenatal clinics of Gamo Zone public hospitals.METHODS: Facility-based retrospective cohort study was conducted among selected 576(192 exposed and 384 unexposed) antenatal care attendants' record at Gamo Zone public hospitals from 1st January 2018 to 31st December 2018. Data were entered into Epi data version 3.02 and exported to SPSS V 25 for analysis. Kaplan Meier survival curve together with log rank test was fitted to test the survival time. Statistical significance was declared at Pvalue <0.05 using cox proportional hazard model.RESULT: The incidence of perinatal mortality was 124/1000 births. The cumulative proportion of surviving at the end of 4th , 8th, 12th and 16th weeks of follow-up among the exposed groups was 96.9%, 93.5%, 82.1% and 61.6% respectively whereas it was 99.5%, 98.9% and 98.5% at the end of 4th, 8th and 12th weeks of follow-up for the non-exposed groups respectively. Parity of >5(AHR: 6.3; 95%CI: 1.36,10.55), mothers who delivered at<34 weeks of gestation(AHR:7.8; 95%CI: 2.6,23.1), being preterm(AHR:6; 95%CI: 5.3,19.2), perinatal birth weight<2500gm(AHR:6.1; 95&CI: 1.01,37.9), vaginal deliveryn(AHR:2.7; 95%CI:1.13,6.84), maternal highest systolic blood pressure level >160mmHg (AHR: 2.3; 95%CI: 1.02,5.55) and prepartum onset of pregnancy induced hypertension (AHR:6; 95%CI: 5.3,19.2) were statistically significant in multivariable analysis.CONCLUSION: The risk of perinatal mortality was high among the mothers with pregnancy induced hypertension compared to those of pregnancy induced hypertension free mother,s and the perinatal mortality rate was high. High parity, low gestational age, low number of antenatal care visits, low birth weight, vaginal delivery, antepartum onset of pregnancy induced hypertension and highest maternal systolic blood pressure level were the independent predictors of perinatal mortality

Prevalence of Poor Diabetes Self-Management Behaviors among Ethiopian Diabetes Mellitus Patients: A Systematic Review and Meta- Analysis

BACKGROUND: Diabetes has no cure so far, but appropriate self-management contributes to delay or control its progression. However, poor self-management by diabetic patients adds to disease burden. The pooled prevalence of overall, and its main components of poor self-management among Ethiopian diabetic patients remain elusive. Hence, this study aimed to determine the prevalence of poor diabetes self-management behaviors among diabetic patients in Ethiopia.METHOD: by using different combinations of search terms, we accessed articles done until February 15, 2020 through Pubmed, Scopus, Web of Science and Embase databases. Newcastle-Ottawa quality assessment scale was used for quality assessment, and STATA version 14 software along with the random-effects model was employed for statistical analyses. The Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA.) guideline was followed to report the results.RESULT: Twenty-one studies with 7,168 participants were included in this meta-analysis. The overall pooled prevalence of poor self-management behavior among diabetic patients in Ethiopia was 49.79% (95% CI: 43.58%, 56.01%). Based on subgroup analysis, the estimated magnitudes of poor selfmanagement by regions were 68.58% in Tigray, 55.46% in Harari, 54.74%, in Amhara, 40.90%, in SNNPRS and 37.06% in Addis Ababa. The worst (80.91%) and relatively better (24.65%) self-management components were observed on self-blood glucose monitoring and medication adherence, respectively.CONCLUSION: One in two diabetic patients in Ethiopia had poor self-management. Thus, we strongly recommend to the ministry of health and universities to train diabetes health educators, and the health facilities to deliver tailored diabetes health education

Job Satisfaction and Associated Factors Among Anesthetists at Government Hospitals of Addis Ababa, Ethiopia

Background: Anesthetic practice is always at high risk in medical profession. Job satisfaction level of Anesthetist can be affected by different factors. An investigation to retain anesthetists in the profession to meet the increasing demands of the healthcare system has a great importance. This study was aimed to determine the level of job satisfaction and associated factors among anesthetists working in government hospitals of Addis Ababa. Methods: A cross-sectional study conducted on sampled 101 anesthetists. Simple random sampling method was used to obtain the study participants. Data were collected using a structured questionnaire, comprised two main parts; demography and job satisfaction. Respondent rated 18 factors related to job satisfaction using six point Likert scale. A descriptive analysis using Proportion and frequency were used. A‘chi square’ test were used to assess statistical significance of association and P-values less than 0.05 were considered as statistically significant. Results: Among 101 anesthetists respondent, 57% were male, the majority of respondents were below the age of 30 years 58.4% and 59.4% of the respondents were single. A 53% of the respondents were satisfied and the highest dissatisfaction rate was in the age group of below thirty.  Satisfaction in helping others, responsibilities and freedom to choose method of working were significantly associated with job satisfaction. The major reasons reported for their dissatisfaction were inadequate salary, lack of public awareness about the role of anesthetists and professional hazard. Conclusion: There is a low level of job satisfaction among anesthetists who are working in government hospitals of Addis Ababa. Therefore, improving satisfaction level of anesthetist by solving major reasons of dissatisfaction is strongly recommended. Keywords: Anesthetists , satisfaction , dissatisfaction , government hospitals DOI: 10.7176/JHMN/94-05 Publication date:October 31st 2021

Episodic disturbances drive nutrient dynamics along freshwater‐to‐estuary gradients in a subtropical wetland

Wetlands are biogeochemically active ecosystems where primary production and respiration interact with physico‐chemical conditions to influence nutrient availability across spatio‐temporal scales. The effect of episodic disturbances on water quality dynamics within wetlands is relatively unknown, especially in large oligotrophic wetlands such as the Everglades. We describe a range of episodic disturbance events and their impacts on the spatio‐temporal dynamics of surface water total N (TN) and total P (TP) concentrations in the Everglades as a means to understand their effect and legacies. Water quality monitoring along the two principal drainages—Taylor Slough (TS) and Shark River Slough (SRS)—has been ongoing since 2000, spanning myriad disturbances ranging from high‐energy storms such as Hurricane Wilma in 2005 to a record cold event in 2010 and large fires. Local events include pulsed rainfall, low marsh stage, and stage recession and recovery (i.e., droughts and subsequent dry‐to‐wet transitions). The deposition of marine‐derived sediment from Hurricane Wilma corresponded with a doubling of TP in SRS mangrove sites (from 0.39 to 0.84 μmol/L) before recovering to pre‐disturbance mean after 5–6 yr. A brief increase in TP within one week of the 2010 cold event was followed by delayed spikes in TN (\u3e1000 μmol/L) and TN:TP exceeding 5000 after one month. In 2008, a large fire in upper SRS prior to the wet season caused a lagged TP pulse at downstream locations SRS2, SRS3, and possibly SRS4. TP also varied negatively with depth/stage in marsh sites and positively with salinity in estuarine sites, reflecting physical concentration or dilution effects. In upper TS, TP varied according to extremes such as high rainfall and low stage relative to normal conditions. Although excess P in the Everglades is generally derived from anthropogenic upland or natural marine sources, episodic disturbance mobilizes internal sources of nutrients along an Everglades freshwater‐to‐estuary continuum, affecting water quality from days to years depending on disturbance type and intensity. The capacity for resilience is high in coastal wetland ecosystems that are exposed to high‐energy tropical storms and other episodic events, even in the highly managed Florida Everglades