‘A Last Resort and Often Not an Option at All’: Farming and Young People in Ethiopia

Development policies in Ethiopia emphasise agriculture as the pathway to industrialisation. Policies allude to the need for a new generation of young, literate and trained farmers to transform the agricultural sector and bring about the required growth in agricultural output. The success of this strategy largely depends on the willingness of the new generation of literate rural youth to take up agriculture as a potentially rewarding livelihood. This article investigates, based on fieldwork conducted in two rural kebeles of Ethiopia, whether young rural people have this willingness to take up agriculture. It examines the factors that contribute to both the desirability (and undesirability) of agriculture as a future livelihood. Findings revealed that very few young people and their parents were considering farming as a possible option for a future livelihood. For others, farming/agriculture might be a last resort

Changing computing curricula in African universities: evaluating progress and challenges via design-reality gap analysis.

Information and communication technologies (ICTs) are diffusing rapidly into all African nations. Effective use of the new technology requires a step-change in local skill levels; including a step-change in ICT-related university education. Part of that process must be an updating of university computing curricula, ranging from computer science through to information systems. Adoption of international curricula offers a ready means for updating, but African universities face challenges of implementing these curricula “ curricula that were typically designed for Western rather than African realities. To help understand the issues surrounding implementation of international computing curricula in Africa, we selected a case example: Ethiopian higher education. Using the design-reality gap model and its 'OPTIMISM' checklist of dimensions, we analysed what ensued following its 2008 decision to adopt a new IEEE/ACM-inspired computing curriculum. We find that significant progress has been made, but that important gaps between design and reality “ and, hence, challenges “ remain. We are therefore able to identify specific actions along particular dimensions such as technology and skills that will help close design-reality gaps, and secure greater implementation. We propose that this analysis method will prove a valuable strategic tool for computing curriculum reform in other African nations

Innovation for green industrialisation: an empirical assessment of innovation in Ethiopia’s cement, leather and textile sectors

Ethiopia has recently committed to economic transformation and industrialisation through a low-carbon development trajectory. Existing literature highlights innovation as a critical driver of industrialisation, and the need for ‘green’ innovations to improve resource productivity and reduce pollution. However, empirical studies investigating the nexus between green innovation systems and industrialisation in developing countries are limited. Based on nine semi-structured interviews and a survey of 117 firms, this paper assesses sectoral systems of innovation in Ethiopia’s cement, leather and textile sectors, with a view to understanding their functioning toward supporting green industrialisation. Results revealed low rates of product and process innovations among firms in Ethiopia. The main inhibitors of innovation are high costs of technology, inadequate finance and limited information. Improving competitiveness is the main driver of firms’ innovation, while reducing environmental impacts and meeting environmental regulations were among the least important motivators. Moreover, interactions among firms, government and other actors encourage innovation. The study therefore suggests enhancing coordination among key actors, providing financial incentives for firms, and enforcing environmental regulations

Client preferences and acceptability for medical abortion and MVA as early pregnancy termination method in Northwest Ethiopia

<p>Abstract</p> <p>Background</p> <p>Increasing access to safe abortion services is the most effective way of preventing the burden of unsafe abortion, which is achieved by increasing safe choices for pregnancy termination. Medical abortion for termination of early abortion is said to safe, effective, and acceptable to women in several countries. In Ethiopia, however, medical methods have, until recently, never been used. For this reason it is important to assess women's preferences and the acceptability of medical abortion and manual vacuum aspiration (MVA) in the early first trimester pregnancy termination and factors affecting acceptability of medical and MVA abortion services.</p> <p>Methods</p> <p>A prospective study was conducted in two hospitals and two clinics from March 2009 to November 2009. The study population consisted of 414 subjects over the age of 18 with intrauterine pregnancies of up to 63 days' estimated gestation. Of these 251 subjects received mifepristone and misoprostol and 159 subjects received MVA. Questionnaires regarding expectations and experiences were administered before the abortion and at the 2-week follow-up visit.</p> <p>Results</p> <p>The study groups were similar with respect to age, marital status, educational status, religion and ethnicity. Their mean age was about 23, majority in both group completed secondary education and about half were married. Place of residence and duration of pregnancy were associated with method choice. Subjects undergoing medical abortions reported significantly greater satisfaction than those undergoing surgical abortions (91.2% vs 82.4%; <it>P </it>< .001). Of those women who had medical abortion, (83.3%) would choose the method again if needed, and (77.4%) of those who had MVA would also choose the method again. Ninety four percent of women who had medical abortion and 86.8% of those who had MVA would recommend the method to their friends.</p> <p>Conclusions</p> <p>Women receiving medical abortion were more satisfied with their method and more likely to choose the same method again than were subjects undergoing surgical abortion. We conclude that medical abortion can be used widely as an alternative method for early pregnancy termination.</p

Health-industry linkages for local health: reframing policies for African health system strengthening

The benefits of local production of pharmaceuticals in Africa for local access to medicines and to effective treatment remain contested. There is scepticism among health systems experts internationally that production of pharmaceuticals in sub-Saharan Africa (SSA) can provide competitive prices, quality and reliability of supply. Meanwhile low-income African populations continue to suffer poor access to a broad range of medicines, despite major international funding efforts. A current wave of pharmaceutical industry investment in SSA is associated with active African government promotion of pharmaceuticals as a key sector in industrialization strategies. We present evidence from interviews in 2013–15 and 2017 in East Africa that health system actors perceive these investments in local production as an opportunity to improve access to medicines and supplies. We then identify key policies that can ensure that local health systems benefit from the investments. We argue for a ‘local health’ policy perspective, framed by concepts of proximity and positionality, which works with local priorities and distinct policy time scales and identifies scope for incentive alignment to generate mutually beneficial health–industry linkages and strengthening of both sectors. We argue that this local health perspective represents a distinctive shift in policy framing: it is not necessarily in conflict with ‘global health’ frameworks but poses a challenge to some of its underlying assumptions

Pursuing climate resilient coffee in Ethiopia – a critical review

This paper provides a multi-scalar examination of the Ethiopian coffee sector and its pursuit of climate resilience. Concern is growing about the potential impact of climate change on Arabica coffee in Ethiopia and the 25 million livelihoods it supports. Arabica coffee has a relatively narrow envelope of climatic suitability and recent studies suggest that the area of bioclimatically suitable space for the species in its native Ethiopia could decline dra- matically in the coming decades. We adopt a critical perspective on resilience that reflects on the situated nature of the ecology/science of coffee and climate change and the operation of social, economic, and discursive power across scales, paying particular attention to the differentiated impacts of climate change and associated resi- lience strategies. This analysis begins by reviewing Ethiopia’s Climate Resilient Green Economy strategy and argues that the current lack of attention to coffee is inappropriate considering the coffee sector’s vulnerability to climate change, economic importance and association with forests. The paper then examines the contemporary coffee sector which provides the context for reflecting on three potential responses to the threat climate change poses; a spatial response from farmers, adaptive farm management responses such as changing shade levels and the development of the country’s genetic resources to cultivate improved varieties. The analysis explores the disconnect between the interventions emerging from national and international institutions and the local con- text. The multi-scale approach highlights the presence of complex normative trade-offs associated with pursing climate resilience strategies and reinforces the importance of appreciating the dynamics which influence deci- sion-making in the country

Newborn care practices and health seeking behavior in rural eastern Ethiopia: a community based study

Background: Most of the newborns death in developing countries occur at home. Up to two-thirds of these deaths would have been prevented if mothers and newborns receive known and effective interventions. The objective of this study is to determine newborn care practices and health seeking behavior in rural eastern Ethiopia. Methods: A community based cross-sectional study was conducted in Adadle District, Ethiopian Somali Regional State. A multi stage random sampling technique was applied. Women of reproductive age group (15-49 years) living in the Adadle District were eligible to participate in the study. Data were entered, cleaned and analyzed using SPSS version 19 for windows. Results: A total of 829 women between the ages of 15 and49 years were involved in the study.. Of which, 698 women had a live birth, 23% reported that their babies were placed skin-to-skin with their mothers’ belly/chest before the placenta was delivered, 79% of newborns were bathed within 24 hours of delivery. From this figure, 71% of the babies were bathed within the first 12 hours after delivery and 44% reported their baby was ill during the first week of life. Conclusion: The study had shown suboptimal newborns practice in the study area, which put the newborns into significant health risk. Strong public education and capacity building to frontline health workers can be recommended

Do National and International Ethics Documents Accord With the Consent Substitute Model for Emergency Research?

In 2010 Largent, Wendler and Emanuel proposed the ‘consent substitute model’ for emergency research with incapacitated participants. The model provides a means to enroll participants in emergency research without consent, if five conditions are met: (1) the research addresses the patients’ urgent medical needs (2) the risk‐benefit ratio is favorable (3) there are no known conflicts with patients’ values or interests (4) cumulative net risk is minimal and (5) consent is given as soon as possible. We review national and international ethics laws, regulations and guidelines to determine (a) whether they accord with the consent substitute model’s five conditions and (b) the level of congruence across these documents. We find that only one document meets all five conditions and that there is significant disparity among the documents, particularly between national and international ones. These differences may have stymied international collaboration in emergency research. We recommend that the two international documents used most, the International Council for Harmonisation’s Guideline for Good Clinical Practice and the World Medical Association’s Declaration of Helsinki, are revised to include more specific provisions on emergency medical research