Retrospective Assessment of Malnutrition Among Under-five Children in Ayder Referral Hospital, Tigray Ethiopia

Currently worldwide there are about 60 million children with moderate acute and 13 million with severe acute malnutrition. About 9% of sub-Saharan African and 15%of south Asian children have moderate acute malnutrition and about 2% of children in developing countries have severe acute malnutrition. The objective of aim the study was to assess the magnitude of malnutrition in under five children in Ayder referral hospital using a retrospective cross-sectional study design. This study showed that male children, 168(58.1%), were higher than female, 121(41.9%).. Majority, 133(46%), were in the age group b/n 12 to 24 months .More than half, 186(64.4%) were rural dwellers. The types of malnutrition identified were Marasmus, kwashiorkor, Marasmic kwash and underweight which account for 116(40.1%), 69(23.9%), 54(18.7%) and 50(17.5%) respectively. Marasmus was the predominant type of malnutrition in all age groups of under five malnourished children with prevalence of 40.1% where as underweight was the prevalent type of malnutrition (17.3%). More over the infant feeding practices such as exclusive breast feeding, timely initiation of complementary feeding, and having history of breast feeding once in their life during infancy were relatively higher among the children as compared with other studies

Child labor and childhood behavioral and mental health problems in Ethiopia

Background: According to ILO estimates, at least 180 million children aged 5 to 14 years are currently engaged in fulltime work in the developing countries. However, very little information exists about childhood behavioral and mental disorders in Ethiopia. Objective: The objectives of this study are to estimate the prevalence and describe the nature of behavioral and mental health problems, as well as child abuse, nutritional problems, gross physical illness and injury among child laborers aged 8 to 15 years in Ethiopia. However, only the behavioral and mental health problems of the study population are examined here. Methods: A cross-sectional survey of children aged 8 to 15 years, and who were engaged in fulltime work in different formal and informal sectors non-laborers, was conducted in four major towns of Ethiopia. The screening instrument known as Reported Questionnaire on Children (RQC) and a diagnostic instrument known as the Diagnostic Interview for Children and Adolescents ( DICA) were used to detect symptoms and signs of behavioral and mental problems in the children. br> Results: A total of 2000 child laborers and 400 non-laborers were interviewed using RQC to screen for probable cases of behavioral and mental problems. Of these, 50% of the laborers and 42% of the non-laborers were males. The mean age of the laborers was 13.8 ±1.8 years while that of the non-laborers was 12.2 ±2.1 years. More females (76.8%) were found to have been engaged in domestic labor than males. The RQC interview screened 9.4% (n=226) of the children as probable cases of mental/ behavioral disorders, (14.0% non-laborers and 8.5% laborers). The second stage DICA interview gave an overall prevalence of 5.5% (4.9% in laborers and 8.8% in non-laborers). Conclusion: The prevalence of childhood behavioral and mental disorders in this study is within the range reported in previews studies conducted on children of the same age group. However, the lower prevalence of childhood disorders in the child laborers compared to that of the non-laborers found in the current study is probably due to selection bias or healthy workers effect. Thus, further study is recommended to explain this unexpected finding. The Ethiopian Journal of Health Development Vol. 20 (2) 2006: 119-12

Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern Ethiopia: one year follow-up

Background: Podoconiosis is a non-filarial elephantiasis caused by long-term barefoot exposure to volcanic soils in endemic areas. Irritant silicate particles penetrate the skin, causing a progressive, debilitating lymphoedema of the lower leg, often starting in the second decade of life. A simple patient-led treatment approach appropriate for resource poor settings has been developed, comprising (1) education on aetiology and prevention of podoconiosis, (2) foot hygiene (daily washing with soap, water and an antiseptic), (3) the regular use of emollient, (4) elevation of the limb at night, and (5) emphasis on the consistent use of shoes and socks. Methodology/Principal Findings: We did a 12-month, non-comparative, longitudinal evaluation of 33 patients newly presenting to one clinic site of a non-government organization (the Mossy Foot Treatment & Prevention Association, MFTPA) in southern Ethiopia. Outcome measures used for the monitoring of disease progress were (1) the clinical staging system for podoconiosis, and (2) the Amharic Dermatology Life Quality Index (DLQI), both of which have been recently validated for use in this setting. Digital photographs were also taken at each visit. Twenty-seven patients completed follow up. Characteristics of patients completing follow-up were not significantly different to those not. Mean clinical stage and lower leg circumference decreased significantly (mean difference -0.67 (95% CI -0.38 to -0.96) and -2.00 (95% CI -1.26 to -2.74), respectively, p<0.001 for both changes). Mean DLQI diminished from 21 (out of a maximum of 30) to 6 (p<0.001). There was a non-significant change in proportion of patients with mossy lesions (p = 0.375). Conclusions/Significance: This simple, resource-appropriate regimen has a considerable impact both on clinical progression and self-reported quality of life of affected individuals. The regimen appears ideal for scaling up to other endemic regions in Ethiopia and internationally. We recommend that further research in the area include analysis of cost-effectiveness of the regimen

Podoconiosis and soil-transmitted helminths (STHs): double burden of neglected tropical diseases in Wolaita zone, rural southern Ethiopia

Background Both podoconiosis and soil-transmitted helminth (STH) infections occur among barefoot people in areas of extreme poverty; however, their co-morbidity has not previously been investigated. We explored the overlap of STH infection and podoconiosis in Southern Ethiopia and quantified their separate and combined effects on prevalent anemia and hemoglobin levels in podoconiosis patients and health controls from the same area. Methods and Principal Findings A two-part comparative cross-sectional study was conducted in Wolaita zone, southern Ethiopia. Data were collected from adult patients presenting with clinically confirmed podoconiosis, and unmatched adult neighborhood controls living in the same administrative area. Information on demographic and selected lifestyle factors was collected using interviewer-administered questionnaires. Stool samples were collected and examined qualitatively using the modified formalin-ether sedimentation method. Hemoglobin level was determined using two different methods: hemoglobinometer and automated hematology analyzer. A total of 913 study subjects (677 podoconiosis patients and 236 controls) participated. The prevalence of any STH infection was 47.6% among patients and 33.1% among controls (p<0.001). The prevalence of both hookworm and Trichuris trichiura infections was significantly higher in podoconiosis patients than in controls (AOR 1.74, 95% CI 1.25 to2.42, AOR 6.53, 95% CI 2.34 to 18.22, respectively). Not wearing shoes and being a farmer remained significant independent predictors of infection with any STH. There was a significant interaction between STH infection and podoconiosis on reduction of hemoglobin level (interaction p value = 0.002). Conclusions Prevalence of any STH and hookworm infection was higher among podoconiosis patients than among controls. A significant reduction in hemoglobin level was observed among podoconiosis patients co-infected with hookworm and ‘non-hookworm STH’. Promotion of consistent shoe-wearing practices may have double advantages in controlling both podoconiosis and hookworm infection in the study area

Unlocking the potential of flood farming to reduce flood risks and boost dryland production in Ethiopia

Ethiopia is experiencing extreme weather variability with some areas being vulnerable to drought, while others are impacted by flooding. Despite being given relatively less attention as compared to drought, flooding has long been recognized as one of the major disasters affecting the lives and livelihoods of the people. Flood disaster has been limited in the past in terms of frequency and scope. The recent trend of increasing incidents of floods in Ethiopia is disrupting the livelihoods of the population residing in the lowlands. Flood hazard is part and parcel of living for a large number of people in the lowlands such as districts in Afar located along Awash River, in the Somali region along the Wabi Shebele River, in the South Omo along Omo River, in Gambella along the Baro and Akobo Rivers, and floodplains surrounding Lake Tana. The humid highlands that are characterized by steep ad rugged terrain and heavy rainfall features pose the lowlands prone to floods during the rainy seasons. Often, floods occur in the country as a result of intense and sustained rainfalls in the highlands causing rivers to overflow and inundate areas along the riverbanks in lowland plains. On the other hand, these regions have one of the highest potentials for flood farming as the runoff generated from the highlands of Oromia, Amhara, SNNPR, and Tigray can be available in the immediate lowlands

Short term fallow and partitioning effects of green manures on wheat systems in East African highlands

Soil fertility depletion is a major constraint of smallholder farming in sub-Saharan Africa. We tested the aftereffects of green manures, namely vetch (Vicia sativa L.), lupin (Lupinus polyphyllus L.), and lablab (Lablab purpureus L.) incorporated into the soil compared to three fertilizer levels (0/0, 23/0, and 78/20 kg N/P h

Cellular and Cytokine Responses in the Granulomas of Asymptomatic Cattle naturally infected with Mycobacterium bovis in Ethiopia

Cells (CD3+ T cell and CD68+ macrophages), cytokines (IFN-γ+ and TNF-α+) and effector molecule (iNOS+) responses were evaluated in the lymph nodes and tissue of cattle naturally infected with Detailed post mortem and immunohistochemical examinations of lesions were performed on 16 cows positive for single intradermal cervical comparative tuberculin (SICCT) test which were identified from dairy farms located around the Addis Ababa City. The severity of the gross lesion was significantly higher (p=0.003) in culture positive (n=12) cows than in culture negative (n=4). Immunohistochemical techniques showed that in culture positive cows, the mean immunolabeling fraction of CD3+ T cells decreased as the stage of granuloma increased from stage I to stage IV (p<0.001). In contrast, the immunolabelling fraction of CD68+ macrophages, IFN-γ+, TNF-α+ and iNOS+ increased from stage I to stage IV (p< 0.001). In culture negative cows, early stages showed a significantly higher fraction of CD68+ macrophages (p=0.03) and iNOS+ (p=0.007) when compared to culture positive cows. Similarly, at advanced granuloma stages, culture negative cows demonstrated significantly higher mean proportions of CD3+ T cells (p< 0.001) compared to culture positive cows. Thus, this study demonstrates that following natural infection of cows with , as the stage of granuloma increases from stage I to stage IV, the immunolabelling fraction of CD3+ cells decreases while the immunolabeling fraction of CD68+ macrophages, IFN-γ+, TNF-α+ and iNOS+ increases. [Abstract copyright: Copyright © 2020 Tulu et al.

Effects of land management practices and land cover types on soil loss and crop productivity in Ethiopia: A review

Identifying land management practices (LMPs) that enhance on-site sediment management and crop productivity is crucial for the prevention, reduction, and restoration of land degradation and contributing to achieving land degradation neutrality (LDN). We reviewed studies in Ethiopia to assess the effects of LMPs on soil loss (84 studies) and crop productivity (34 studies) relative to control practice. Yield variability on conserved lands was assessed using 12,796 fixed plot data. Effects of LMP on soil loss were 0.5–55 t ha−1y−1 compared to control practices yielding 50 to 140 t ha−1y−1. More than 55% of soil loss records revealed soil loss less than the tolerable rate (10 t ha−1). Area closure, perennial vegetation cover, agronomic practices, mechanical erosion control practices, annual cropland cover, and drainage groups of practices led to 74.0 ± 18.3%, 69.0 ± 24.6%, 66.2 ± 30.5%, 66.1 ± 18.0%, 63.5 ± 20.0%, and 40 ± 11,1% soil loss reduction, respectively. A yield increase of 25.2 ± 15.0%, 37.5 ± 28.0%, and 75.4 ± 85.0% was found from drainage, agronomy, and mechanical erosion control practices, respectively. The average yield loss by erosion on fields without appropriate land management practice and on conserved fields was 26.5 ± 26.0% and 25 ± 3.7%, respectively. The findings suggest that practices that entail a continuous presence of soil cover during the rainy season, perennial vegetation, retention of moisture, and barriers for sediment transport were most effective at decreasing soil loss and increasing productivity. This review provides evidence to identify the best LMP practices for wider adoption and inform decision-making on LMP investments towards achieving sustainable solutions to reverse land degradation

Uji Sifat Fisik Cold Cream Kombinasi Ekstrak Kulit Buah Manggis (Garcinia Mangostana L.), Daun Binahong (Anredera Cordifolia), Herba Pegagan (Centella Asiatica) Sebagai Antiluka Bakar

Pengobatatan luka bakar menggunakan tanaman herbal telah banyak dikembangkan, seperti menggunakan tanaman kulit buah manggis, binahong dan pegagan.Kulit buah manggis memiliki derivat xanton yaitu ?-mangostin yang terkandung daam kulit buah manggis memiliki aktivitas antioksidan dan antimikroba yang paling besar.Daun binahong juga memiliki aktivitas farmakologi sebagai antioksidan serta ekstrak etanol daun binahong memiliki aktivitas antiluka bakar secara visual dan secara histopatologi mampu menurunkan infiltrasi sel radang, meningkatkan granulasi jaringan dan kepadatan kolagen.Kemudian herba pegagan juga mempunyai kandungan utama asiatikosida yang termasuk golongan flavonoid dapat memfasilitasi penyembuhan luka dengan mempercepat epitelisasi. Berdasarkan hal tersebut maka akan dibuat sediaan topikal yaitu cold cream untuk mempermudah pengaplikasian dari kedua ekstrak tersebut untuk mengobati luka bakar. Tujuan dari penelitian ini adalah untuk mengetahui sifat fisik yang paling baik dalam formula sediaan cold cream kombinasi ekstrak kulit buah manggis,daun binahong, dan herba pegagan. Pengujian sifat fisik meliputi Uji sifat fisik meliputi Uji homogenitas, Uji Ph, Uji viskositas, Uji daya lekat, Uji daya sebar.Hasil penelitian menunjukkan bahwa cold cream kombinasi ekstrak kulit buah manggis (Garcinia mangostana L.), daun binahong (Anredera cordifolia), dan herba pegagan (Centella asiatica) memiliki sifat fisik yang baik dengan cold cream homogen tipe M/A, daya lekat sebesar 13,88 ± 3,6 g.cm/det, daya sebar 5,15 ± 0,82 pada beban 150 gram, pH 6,29 dan tipe aliran tiksotropik