Ecosystem-based interventions and farm household welfare in degraded areas: Comparative evidence from Ethiopia

Agricultural productivity and farm household welfare in areas of severe land degradation can be improved through ecosystem-based interventions. Decisions on the possible types of practices and investments can be informed using evidence of potential benefits. Using farm household data together with a farm level stochastic simulation model provides an initial quantification of farm income and nutrition outcomes that can be generated over a five year period from manure and compost based organic amendment of crop lands. Simulated results show positive income and nutrition impacts. Mean farm income increases by 13% over the planning period, from US$32,833 under the business as usual situation (application of 50 kg DAP and 25 kg urea ha− 1 yr− 1) to US$37,172 under application of 10 t ha− 1 yr− 1 farm yard manure during the first three years and 5 t ha− 1 yr− 1 during the last two years. As a result of organic soil amendment, there is an associated increase in the available calorie, protein, fat, calcium, and iron per adult equivalent, giving the improvement in farm household nutrition. The evidence is substantive enough to suggest the promotion and adoption at scale, in degraded ecosystems, of low cost organic soil amendment practices to improve agricultural productivity and subsequent changes in farm household welfare

Treatment outcome and associated factors of severe acute malnutrition among 6–59 months old children in Debre Markos and Finote Selam hospitals, Northwest Ethiopia: a retrospective cohort study

BACKGROUND: In Ethiopia, the health sector has increased its efforts to enhance good nutritional practices through health education, treatment of extremely malnourished children and provision of micronutrients for mothers and children. But, the poor nutritional status of women and children continues to be still a major public health problem. METHODS: A retrospective cohort study was conducted to assess the treatment outcome and associated factors of severe acute malnutrition among a total of 253 children age 6–59 months old. Severe acute malnutrition registration logbook and patient charts were used as a source of data. Data were entered in to Epi-data version 3.1 and exported to SPSS version 20 for analysis. To identify associated factors, Cox proportional hazard analysis was computed and p-value <0.05 at 95% confidence interval was considered as statistically significant. RESULTS: The recovery rate was 77.9% and the overall median recovery time was 11 days. Those children age from 24 to 35 months had 34% lower probability of recovery from SAM compared to 6–11 months old children (AHR = 0.66, 95% CI: 0.35–0.89). Children whose ages from 36 to 59 months had 47% lower probability of recovery from SAM compared to 6–11 months old children (AHR = 0.53, 95% CI: 0.31–0.91). HIV negative children had 2.48 times higher probability of getting recovered from SAM compared to HIV positive children (AHR = 2.48, 95% CI: 1.23–5.01). Children who didn’t take folic acid supplement had 65% lower probability of recovery from SAM compared to children who took folic acid supplement (AHR = 0.35, 95% CI: 0.14–0.89). CONCLUSIONS: This study found that recovery rate of 6–59 months old children treated for severe acute malnutrition in therapeutics units was in acceptable range based on the WHO recommendation. Folic acid supplementation and screening for HIV status should be promoted at all levels of health facilities during early age

Household dietary diversity and associated factors among residents of finote selam town, north west Ethiopia: a cross sectional study

BACKGROUND: Monotonous low quality diets are the norm in resource-limited environments across the globe. Dietary diversity is a challenge for rural communities in developing countries. Their diets are based on starchy staples with inadequate animal products, fresh fruits and vegetables. METHODS: A community based cross sectional study was conducted from August 22–30, 2015 at Finote Selam Town. Systematic random sampling technique was used to select 400 households. Data were collected using pretested and semi-structured questionnaire. Both bivariate and multivariate logistic regression analyses were carried out to identify factors associated with household dietary diversity. RESULTS: The prevalence of low, medium and high dietary diversity scores were 11.8, 67.2 and 21% respectively. Family head (Men headed) [AOR = 4.75 (2.22, 10.16)], frequency of eating [AOR = 6.06 (2.82, 13.06)] and shortage of water for cooking [AOR = 5.69 (1.39, 23.27)] were significantly associated with household dietary diversity. CONCLUSIONS: In this study the prevalence of adequate household diversity was 88.2%. Family head, frequency of eating and shortage of water for cooking were significant factors for household dietary diversity. Empowering women, increasing frequency of eating among family members and avoiding shortage of water for cooking were recommended to sustain and improve household dietary diversity

Nasal colonization and antimicrobial susceptibility pattern of Staphylococcus aureus among pre-school children in Ethiopia

Abstract Background Staphylococcus aureus is one of the bacterium that can asymptomatically colonize the human upper respiratory tract (i.e. nose and throat). Carriage of S. aureus, including methicillin resistant S. aureus, is common to children. The aim at this study was to determine the nasal colonization, associated factors and antimicrobial susceptibility patterns of S. aureus isolates among pre-school children in Debre Markos town. Methods Institutional-based cross sectional study was conducted. A total of 400 nasal swabs were collected from pre-school children from April to June, 2015 following standard microbiological methods. MRSA was detected using both Cefoxitin (30 μg) and Oxacillin (6 μg) (Oxoid Ltd. England) discs in combination and associated factors were assessed using self-administered pretested questionnaires, which were delivered to the children’s parents/guardians. Statistical analysis of the data (logistic regression) was done using SPSS V-22. Results A total of 52 S. aureus isolate was recovered from 400 nasal swap samples. The prevalence of S. aureus among pre-School children was 13% (52/400). The susceptibility patterns of the isolates to commonly used antibiotics were: 84.62% to Chloramphenicol, 69.2% to Doxycycline and Tetracycline, 92.3% to Kanamycin, 7.7% to Ampicillin and Penicillin, 86.6% to Ceftriaxone, and 76.9% to Augmentin. All the isolates were sensitive to Oxacillin and Cefoxitin, mean there was no methicillin resistant S. aureus isolate, and also sensitive to Gentamycin, Erythromycin and Clindamycin. The main associated factors of nasal colonization of S. aureus in the study area was, having recurrent acute otitis media (AOM) [AOR = 2.37 (1.11, 5.06)], Children admission in hospital [AOR = 1.96 (1.03, 3.73)] and cough [AOR = 2.09 (1.08, 4.09)]. Conclusions The prevalence of S. aureus nasal colonization among pre-school children was relatively low in absence of MRSA. Factors like; recurrent AOM, hospital admission and cough were significantly associated with S. aureus nasal colonization. Most of the isolates were resistant to β-lactam drugs and sensitive to drugs like Gentamycin, Erythromycin, Clindamycin, Chloramphenicol, Doxycycline, Tetracycline, Kanamycin and Augmentin

Nutritional knowledge, dietary practice and associated factors among adults on antiretroviral therapy in Felege Hiwot referral hospital, Northwest Ethiopia

Abstract Background Nutritional support is identified as one of the most critical and immediate needs for people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Adequate nutrition is vital to optimize response to medical treatment, manage opportunistic infections, maintain the immune system, and support optimal quality of life for people living with HIV/AIDS (PLWHA). Evidence has shown that the progression of the disease could be slowed with good nutrition. Nutrition interventions increase compliance with treatment regimens and optimize the benefits of antiretroviral drugs. The nutritional knowledge, dietary practice and associated factors among adults on antiretroviral therapy are not well understood generally in Ethiopia and particularly in Bahir Dar City. Therefore, the aim of this study was to assess the nutritional knowledge, dietary practice and associated factors among adult PLWHA on anti-retroviral therapy (ART) in Felege Hiwot Referral Hospital. Methods Institution based cross-sectional study was conducted from April 13 to May 18, 2017 in Felege Hiwot Referral Hospital. Systematic random sampling technique was used to select 539 adults on highly active antiretroviral treatment (HAART). Data were collected using a semi-structured and pretested questionnaire. Bivariate and multivariate logistic regression analyses were carried out to identify factors associated with nutritional knowledge and dietary practice. Results This study shows that 25.8, 52.5 and 21.7% of respondents had poor, average and good nutritional knowledge scores respectively. Ever heard about good nutrition and received dietary counselling were significant factors for nutritional knowledge. This study also reveals that 3.2, 66.4 and 30.4% of respondents had poor, average and good dietary practice scores respectively. Presence of gastrointestinal symptom, ever heard about good nutrition and good nutritional knowledge were significant factors for dietary practice. Conclusions This study found that the magnitude of good nutritional knowledge and good dietary practice were 21.7 and 30.4%. Nutrition education and counseling should be given by health care workers for patients on ART to improve their nutritional knowledge. The media should also strengthen its role in disseminating nutrition information. The health professionals should routinely diagnose and treat gastrointestinal symptoms to maintain patients’ appetite for food their by increasing dietary intake

Perception of communities when managing exclosures as common pool resources in northwestern Ethiopia

Understanding the different perceptions of the local community regarding the use and management of common pool resources, such as exclosures, could better support targeted interventions by government and development partners. Here, we report on a study conducted in the Gomit watershed, northwestern Ethiopia, using a survey and key informant interviews, to examine community perceptions on (a) the biophysical condition (i.e., challenge of land degradation and restoration), (b) the action situations (user's access to and control over resources and decision-making processes involved in taking actions in managing the exclosure), (c) actors' interactions (formal and informal institutions involved in the management of exclosures), and (d) perceived outcomes (benefits and tradeoffs of managing exclosures). Many people in the Gomit watershed recognize land degradation as a serious problem and believe that exclosures support restoration of degraded landscapes and improve ecosystem services. Informal institutions play a key role in managing exclosures by improving benefit sharing and mobilizing the local community for collective action. However, some community members have concerns about recent expansion of exclosures because of (a) limited short-term derived benefits, (b) reductions in fuelwood availability, (c) increased degradation of remaining communal grazing lands, and (d) poor participation of marginalized groups in decision making. Addressing such concerns through the promotion of short-term benefits of exclosures and increasing community participation in decision-making and benefit sharing is crucial. The study provides evidence to support government and development partners on the establishment and management of exclosures through identifying the benefits and drawbacks as perceived by different sectors of the community

Ecosystem-based interventions and farm household welfare in degraded areas: comparative evidence from Ethiopia

Agricultural productivity and farm household welfare in areas of severe land degradation can be improved through ecosystem-based interventions. Decisions on the possible types of practices and investments can be informed using evidence of potential benefits. Using farm household data together with a farm level stochastic simulation model provides an initial quantification of farm income and nutrition outcomes that can be generated over a five year period from manure and compost based organic amendment of crop lands. Simulated results show positive income and nutrition impacts. Mean farm income increases by 13% over the planning period, from US$32,833 under the business as usual situation (application of 50 kg DAP and 25 kg urea ha- 1 yr- 1) to US$37,172 under application of 10 t ha- 1 yr- 1 farm yard manure during the first three years and 5 t ha- 1 yr- 1 during the last two years. As a result of organic soil amendment, there is an associated increase in the available calorie, protein, fat, calcium, and iron per adult equivalent, giving the improvement in farm household nutrition. The evidence is substantive enough to suggest the promotion and adoption at scale, in degraded ecosystems, of low cost organic soil amendment practices to improve agricultural productivity and subsequent changes in farm household welfare