Assessment of pharmacists workforce in Ethiopia

Background: Health workers are recognized as the cornerstone for the success of the health sector programs. In this regard, proper planning of the development of health workers including pharmacists based on evidence is critical.Aim: To assess pharmacists work force in Ethiopia.Method: A national facility based census of the pharmacist workforce was conducted in Ethiopia. Pharmacists’ job satisfaction was also assessed taking cross-section of pharmacists from six regions by applying stratified random sampling method. Self-administered questionnaire was employed for the quantitative data collection.Results: The study revealed a pharmacist density of 2.38 per 100,000 population. Across different regions of the country, the density ranges from 0.66 to 29.88. Pharmacists’ satisfaction with their job appeared to be slightly above the average mean score, with overall mean job satisfaction score of 3.0(SD=1.11) in a scale of 1-5. Relation with fellow professionals was an item with the highest mean job satisfaction, while remuneration, ranked least by pharmacists. Hospital pharmacists and younger pharmacists were significantly less satisfied than pharmacists in the other categories.Conclusion: This study has shown that Ethiopia suffers from shortage of pharmacists and maldistribution across regions was also evident. Moreover, job satisfaction of the pharmacists in the country was slightly higher than the average mean satisfaction score. Thus, government and other stakeholders should work together to devise mechanisms that could improve pharmacists’ job satisfaction, ease uneven distribution among regions and increase the future workforce

PABRA means partnership: Transforming agriculture in Africa together

For two decades, the Pan-Africa Bean Research Alliance (PABRA), a partnership developed and facilitated by the International Center for Tropical Agriculture (CIAT) – a CGIAR Research Center – has fostered a pan-African research and development partnership to strengthen the common bean value chain. Common beans are important food legumes and contribute to the food and nutrition security, income generation and enhances production systems in over 32 countries in sub-Saharan Africa. To achieve food and nutrition security, Africa must participate, promote regional, continental, and global markets, and strengthen key value chains. Our policies need to be deliberately tailored, made conducive and supportive so as to take advantage of opportunities offered by technological development and innovations. Enhancing capacities of different stakeholder cannot be emphasized. With a changing climate, Africa needs to be prepared with mitigation strategies, plans, policies, tools and actions that enhance resilience of our production systems and communities

Evaluation of 93 accessions of African yam bean (Sphenostylis stenocarpa) grown in Ethiopia for physical, nutritional, antinutritional, and cooking properties

Open Access Journal; Published online: 31 May 2022African yam bean has immense food and nutrition potential and is resilient to adverse environmental conditions. Despite its potential, the crop is underutilized, which could be attributed to seed hardness (requiring about 6–24 hours of cooking time); and the abundance of antinutrient factors (tannin, phytate, and oxalate). This study evaluated the physical (seed hardness, cooking time) and chemical compositions (crude protein, tannin, phytate, and oxalate) of 93 AYB accessions grown in Ethiopia. The seed hardness of each accession was determined by the compression force and compression time using Texture Analyzer, whereas cooking time was ascertained using Mattson Bean Cooker. The accession’s crude protein level, tannin, oxalate, and phytate were investigated from flour samples using standard laboratory procedures. Highly significant () differences were observed for cluster means of compression force, cooking time, and oxalate. The accessions were grouped into three clusters: cluster-II was prominent with 42 accessions, while cluster-I had the least (25). The mean values for compression force ranged from 50.05 N ± 10.25 (TSs-423) to 278.05 N ± 13.42 (TSs-378) whereas compression time varied from 0.35 secs ± 0.02 (TSs-334) to 5.57 secs ± 6.12 (TSs-62B). Cooking time ranged from 127.50 mins ± 2.12 (TSs-82A) to 199.50 mins ± 10.61 (TSs-138B); crude protein ranged from 15.41% ± 0.11 (TSs-269) to 24.51% ± 0.22 (TSs-446). Tannin ranged from 0.61 mg/g  ± 0.02 (TSs-47) to 9.62 mg/g ± 0.03 (TSs-334) likewise, phytate ranged from 0.28 ± 0.01 (TSs-137) to 7.01 ± 0.10 (TSs-3). Accessions TSs-55; TSs-82 showed the lowest oxalate content of 0.21% ± 0.01; 0.21% ± 0.00, respectively. Similarly, TSs-352; TSs-47 revealed the most abundant tannin content of 0.70 ± 0.00 and 0.70 ± 0.07. The correlation analysis revealed a low positive and significant () association (r = 0.24) between protein and phytate content

Respectful maternity care in Ethiopian public health facilities

Background: Disrespect and abuse of women during institutional childbirth services is one of the deterrents to utilization of maternity care services in Ethiopia and other low- and middle-income countries. This paper describes the prevalence of respectful maternity care (RMC) and mistreatment of women in hospitals and health centers, and identifies factors associated with occurrence of RMC and mistreatment of women during institutional labor and childbirth services. Methods: This study had a cross sectional study design. Trained external observers assessed care provided to 240 women in 28 health centers and hospitals during labor and childbirth using structured observation checklists. The outcome variable, providers' RMC performance, was measured by nine behavioral descriptors. The outcome, any mistreatment, was measured by four items related to mistreatment of women: physical abuse, verbal abuse, absence of privacy during examination and abandonment. We present percentages of the nine RMC indicators, mean score of providers' RMC performance and the adjusted multilevel model regression coefficients to determine the association with a quality improvement program and other facility and provider characteristics. Results: Women on average received 5.9 (66%) of the nine recommended RMC practices. Health centers demonstrated higher RMC performance than hospitals. At least one form of mistreatment of women was committed in 36% of the observations (38% in health centers and 32% in hospitals). Higher likelihood of performing high level of RMC was found among male vs. female providers ((beta) over cap = 0: 65, p = 0.012), midwives vs. other cadres ((beta) over cap = 0: 88, p = 0.002), facilities implementing a quality improvement approach, Standards-based Management and Recognition (SBM-R (c)) ((beta) over cap = 1: 31, p = 0.003), and among laboring women accompanied by a companion (beta) over cap = 0: 99, p = 0.003). No factor was associated with observed mistreatment of women. Conclusion: Quality improvement using SBM-R (c) and having a companion during labor and delivery were associated with RMC. Policy makers need to consider the role of quality improvement approaches and accommodating companions in promoting RMC. More research is needed to identify the reason for superior RMC performance of male providers over female providers and midwives compared to other professional cadre, as are longitudinal studies of quality improvement on RMC and mistreatment of women during labor and childbirth services in public health facilities

Contactless doping characterization of Ga_2O_3 using acceptor Cd probes

Finding suitable p-type dopants, as well as reliable doping and characterization methods for the emerging wide bandgap semiconductor beta-Ga_2O_3 could strongly influence and contribute to the development of the next generation of power electronics. In this work, we combine easily accessible ion implantation, diffusion and nuclear transmutation methods to properly incorporate the Cd dopant into the beta-Ga_2O_3 lattice, being subsequently characterized at the atomic scale with the Perturbed Angular Correlation (PAC) technique and Density Functional Theory (DFT) simulations. The acceptor character of Cd in beta-Ga_2O_3 is demonstrated, with Cd sitting in the octahedral Ga site having a negative charge state, showing no evidence of polaron deformations nor extra point defects nearby. The possibility to determine the charge state of Cd will allow assessing the doping type, in particular proving p-type character, without the need for ohmic contacts. Furthermore, a possible approach for contactless charge mobility studies is demonstrated, revealing thermally activated free electrons for temperatures above similar to 648 K with an activation energy of 0.54(1) and local electron transport dominated by a tunneling process between defect levels and the Cd probes at lower temperatures

The Physiology and Proteomics of Drought Tolerance in Maize: Early Stomatal Closure as a Cause of Lower Tolerance to Short-Term Dehydration?

Understanding the response of a crop to drought is the first step in the breeding of tolerant genotypes. In our study, two maize (Zea mays L.) genotypes with contrasting sensitivity to dehydration were subjected to moderate drought conditions. The subsequent analysis of their physiological parameters revealed a decreased stomatal conductance accompanied by a slighter decrease in the relative water content in the sensitive genotype. In contrast, the tolerant genotype maintained open stomata and active photosynthesis, even under dehydration conditions. Drought-induced changes in the leaf proteome were analyzed by two independent approaches, 2D gel electrophoresis and iTRAQ analysis, which provided compatible but only partially overlapping results. Drought caused the up-regulation of protective and stress-related proteins (mainly chaperones and dehydrins) in both genotypes. The differences in the levels of various detoxification proteins corresponded well with the observed changes in the activities of antioxidant enzymes. The number and levels of up-regulated protective proteins were generally lower in the sensitive genotype, implying a reduced level of proteosynthesis, which was also indicated by specific changes in the components of the translation machinery. Based on these results, we propose that the hypersensitive early stomatal closure in the sensitive genotype leads to the inhibition of photosynthesis and, subsequently, to a less efficient synthesis of the protective/detoxification proteins that are associated with drought tolerance

Market‐led options to scale up legume seeds in developing countries: Experiences from the Tropical Legumes Project

There are several hurdles to ensure sustainable seed production and consistent flow of improved legume varieties in sub‐Saharan Africa (SSA) and South Asia (SA). The unreliable demand, autogamous nature of most of the grain legumes, and slow variety replacement rate by smallholder farmers do not provide strong incentive for private seed companies to invest in legume seed business. Unless a well thought‐out and comprehensive approach to legume seed delivery is developed, current seed shortages will continue, eroding emerging market opportunities. The experiences reported here are collated through a 10‐year partnership project, the Tropical Legumes in SSA and SA. It fostered innovative public–private partnerships in joint testing of innovative market‐led seed systems, skills and knowledge enhancement, de‐risking private sector initiatives that introduced in new approaches and previously overlooked entities in technology delivery. As new public and private seed companies, individual seed entrepreneurs and farmer organizations emerged, the existing ones enhanced their capacities. This resulted in significant rise in production, availability and accessibility of various seed grades of newly improved and farmer demanded legume varieties in the target countries

Health-related quality of life and its predictors among patients with breast cancer at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Abstract Background Breast cancer is the second most prevalent malignancy in Ethiopia and severely affects patients’ health-related quality of life (HRQOL). We aimed to assess HRQoL, factors influencing HRQoL, and utilities among breast cancer patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods A hospital-based cross-sectional study was conducted in Tikur Anbessa Specialized Hospital from December 2017 to February, 2018. A total of 404 breast cancer patients were interviewed using the validated Amharic version of the European Organization for Research and Treatment of Cancer module (EORTC QLQ-C30), EORTC QLQ-BR23, and Euro Quality of Life Group’s 5-Domain Questionnaires 5 Levels (EQ-5D-5 L) instruments. Mean scores and mean differences of EORTC- QLQ-C30 and EORTC- QLQ-BR23 were calculated. One-way ANOVA test was employed to determine the significance of mean differences among dependent and independent variables while stepwise multivariate logistic regression was used to identify factors associated with the global quality of life (GQOL). Coefficients and level specific utility values obtained from a hybrid regression model for the Ethiopian population were used to compute utility values of each health state. Data was analyzed using SPSS version 23. Results The mean age of patients was 43.94 ± 11.72 years. The mean score for GQoL and visual analog scale was 59.32 ± 22.94 and 69.94 ± 20.36, respectively while the mean utility score was 0.8 ± 0.25. Predictors of GQoL were stage of cancer (AOR = 7.94; 95% CI: 1.83–34.54), cognitive functioning (AOR = 2.38; 95% CI: 1.32–4.31), pain (AOR = 7.99; 95% CI: 4.62–13.83), financial difficulties (AOR = 2.60; 95% CI: 1.56–4.35), and future perspective (AOR = 2.08; 95% CI: 1.24–3.49). Conclusions The overall GQoL of breast cancer patients was moderate. Targeted approaches to improve patients’ HRQoL should consider stage of cancer, cognitive functioning, pain, financial status and worries about the patient’s future health. This study also provides estimates of EQ-5D utility scores that can be used in economic evaluations