Milk yield and quality of crossbred dairy cows fed with different levels of vetch (Vicia dasycarpa) hay and concentrate on a basal diet of fresh cut napier grass (Penissetium purpureum)

This study was conducted to examine the effect of different levels of vetch hay (Vicia dasycarpa) supplementation on feed intake, milk yield and milk composition of 50:50 Boran-Freisian crossbred dairy cows fed a basal diet of napier grass (Penissetium purpureum). Five crossbred dairy cows at an early stage of lactation with average milk yield of 6 – 8 liters/cow/day and body weight of 390 ±15 kg (mean±STD) were arranged in a 5*5 latin square design. In the first 4 treatments, napier grass was fed ad libitum as basal diet, while in T5 (the control diet) native hay was the basal diet. In treatment 1, 2 and 3 vetch hay was supplemented at 20% (2.4 kg), 30% (3.6 kg) and 40% (4.8 kg) replacement of the total daily DM intake, respectively. In T4 and T5 concentrate mix (55% wheat bran, 43% noug seed cake (Gizotia abysinica) and 2% salt) was supplemented at the rate of 0.5 kg per liter of milk produced. Total dry matter intake differed among treatments in the order of T4>T3=T5>T2>T1. Milk yield was greater for concentrate supplemented treatments compared with the vetch supplemented ones, and was similar (P>0.05) among the different level of vetch supplemented groups. Milk fat and protein were not affected (P>0.05) by treatments. In general this study indicated that optimum milk production (8.81 liter/cow/day) can be obtained with the use of napier grass supplemented with 2.4 kg/cow/day vetch hay dry matter

Male Involvement in Family Planning Services

Family planning is the ability of individuals and couples to anticipate and obtain their preferred number of children, spacing, and timing of births. It is accomplished through the use of contraceptive methods and the treatment of involuntary infertility. Family planning is important for the well-being of women and their families, and it can help a country reduce poverty and achieve the SDGs faster. When family planning methods are used effectively, they assist couples in having the number of children they desire, improve maternal and child health, which may assist women in avoiding unintended pregnancies, and lower risk factors for maternal and child mortality. Increasing the use of condoms and vasectomies among men is only one aspect of male involvement in family planning. It also includes the number of men who support and encourage their partners and peers to use family planning, as well as the number of men who influence policy to make it more favorable to promoting male-related programs. Men’s participation is critical to women’s health and program completion, as it promotes shared responsibility for birth control, contraceptive reputation, and thus the women are more likely to adopt and continue using beginning prevention if their partner’s active assistance

Refresher Training Workshop on Feeds and Forage for Dairy Development

Report on Refresher Training Workshop on Feeds and Forage for Dairy Development 27-28 March 2023| Addis Ababa, Ethiopi

Factors associated with mortality of TB/HIV co-infected patients in Ethiopia

Background: Despite the large number of TB patients on ART in Ethiopia, their mortality remains high. This study reports the effect of TB on HIV related mortality and determinants of TB/HIV co-infection related mortality.Methods: A longitudinal study design was employed as part of the Advanced Clinical Monitoring of ART (ACM) in Ethiopia. All patients started on ART at or after January 1, 2005 were included. Survival analysis was done to compare survival patterns of HIV patients with TB against HIV patients without TB. In addition, determinants of survival among TB/HIV co-infected patients were analyzed. Adjusted effects of the different factors on time to death were generated using Cox-proportional hazards regression.Results: A total of 3,889 patients were enrolled in the ACM study, of which 355 TB cases were identified, making the crude prevalence 9% (95% CI 8.3 – 10.2). Overall, incidence of TB was 2.2 (95% CI 1.9-2.4) per 100 person-years. TB was highest in the first 2 months and declined with time on ART to reach 1 per 100 person years after 24 months on ART. TB was significantly associated with mortality among HIV patients on HAART (AHR 2.0, 95% CI 1.47-2.75). Male gender was associated with mortality among TB/HIV co-infected patients.Conclusion: Tuberculosis plays a key role in HIV associated mortality. Targeted interventions which can keep patients free of TB in the early stages of their treatment are required to reduce TB related mortality.Key Words: Tuberculosis, Antiretroviral therapy, Mortalit

Evaluation of radio broadcasts on livestock feed and forage technologies

The International Livestock Research Institute (ILRI) works for better lives through livestock in developing countries. ILRI is co-hosted by Kenya and Ethiopia and has 14 offices across Asia and Africa. The institute is one of the CGIAR research centres, a global research partnership for a food-secure future. CGIAR science is dedicated to reducing poverty, enhancing food and nutrition security, and improving natural resources and ecosystem services. Its research is carried out by 15 CGIAR centres in close collaboration with hundreds of partners, including national and regional research institutes, civil society organizations, academia, development organizations and the private sector. Africa Research in Sustainable Intensification for the Next Generation (Africa RISING) is a program funded by the United States Agency for International Development (USAID) and operates in six African countries (Mali, Ghana, Tanzania, Malawi, Zambia and Ethiopia). The program aims to contribute to Feed the Future goals of reducing hunger, poverty and under-nutrition by delivering high quality research outputs that are relevant to these goals. Through action research and development partnerships, Africa RISING is creating opportunities for smallholder farm households to move out of hunger and poverty through sustainably intensified farming systems that improve food, nutrition and income security, particularly for women and children, and conserve or enhance the natural resource base. In Ethiopia, the main aim of the project is to identify and validate solutions to the problems experienced by smallholder crop–livestock farmers. Some problems arise from the difficulties facing farmers in managing natural resources and achieving efficiencies from managing crops, trees, water and livestock together. These efficiencies are often influenced by other factors such as access to inputs and reliability of markets. To address this complexity, Africa RISING takes an integrated approach to strengthening farming systems. It conducts participatory research that identifies technologies and management practices that work for farmers and takes account of contextual issues like markets for inputs and outputs, community and other institutions and policy environments that influence farm households. The project in Ethiopia facilitates wider scaling of validated crop-livestock-natural resource management technologies to reach and benefit more smallholder farmers. Accelerating the Impact of CGIAR Climate Research for Africa (AICCRA) is a three-year (2021–2023) project that operates in six African countries, including Ethiopia. The project is supported by a grant from the International Development Association (IDA) of the World Bank and will enhance the research and capacity-building activities of CGIAR and its partners. AICCRA in Ethiopia aims to strengthen the capacity of targeted national partners and stakeholders of the CGIAR Research Program on Climate Change, Agriculture and Food Security (CCAFS) East Africa to access and implement at scale validated climate-smart agriculture technologies, climate information services and climate-informed digital ag-advisories to build the resilience of agri-food systems. The value chains considered for AICCRA’s project in Ethiopia include beans, wheat, small ruminants and livestock feed and forage options. The AICCRA project in Ethiopia has eight research activities, four of which the livestock feed and forage options value chain contributes to. These four are capacity building to support the implementation of climate-smart agriculture (CSA) technology packages; identification of climate, gender and social inclusion-smartness of CSA packages; prioritization and awareness increase of best-bet CSA options and approaches for key value chains; and integration of climate-smart options and tailored climate-smart innovation (CSI) advisory systems for specific value chains. The Sustainable Intensification of Mixed Farming Systems (SIMFS) initiative aims to provide equitable, transformative pathways for improved livelihoods of actors in mixed farming systems through sustainable intensification within target agroecologies and socio-economic settings. Through action research and development partnerships, the initiative will improve smallholder farmers' resilience to weather-induced shocks, provide a more stable income and significant benefits in welfare, and enhance social justice and inclusion for 13 million people by 2030. Activities will be implemented in six focus countries globally, representing diverse mixed farming systems as follows: Ghana (cereal–root crop mixed), Ethiopia (highland mixed), Malawi (maize mixed), Bangladesh (rice mixed), Nepal (highland mixed), and Lao People's Democratic Republic (upland intensive mixed/ highland extensive mixed). Africa RISING, AICCRA projects and SIMFS initiative contracted a consultant to undertake media and communications-related activities. These included media assessment, facilitating media partnership, training radio journalists on livestock feed and forage technologies, and monitoring the radio broadcasts

Measuring socioeconomic inequalities in postnatal health checks for newborns in Ethiopia: a decomposition analysis

BackgroundAddressing health inequity is a top priority for achieving sustainable development goals. The existing evidences in Ethiopia have shown that there are substantial inequalities in the use of health services among various socioeconomic strata. Therefore, the present study aimed to measure socioeconomic inequalities and the contributing factors in postnatal health checks for newborns in Ethiopia.MethodsWe used a secondary data from the recent 2019 Ethiopia Mini Demographic and Health Survey dataset. The study includes a weighted sample of 2,105 women who gave birth in the 2 years preceding to the survey. The study participants were selected using two stage cluster sampling techniques. The socioeconomic inequality in postnatal health checks for newborns was measured using the Erreygers Normalized Concentration Index (ECI) and illustrated by the concentration curve. A decomposition analysis was done to identify factors contributing to the socioeconomic related inequality in postnatal health checks for newborns in Ethiopia.ResultsThe concentration curve of postnatal health checks for newborns lay below the line of equality, and the Erreygers normalized concentration index was 0.133, with a standard error = 0.0333, and a p value <0.001; indicating that the postnatal health check for newborns was disproportionately concentrated among newborns with higher socioeconomic status. The decomposition analysis reported that antenatal care (ANC) visit (59.22%), household wealth index (34.43%), and educational level of the mother (8.58%) were the major contributors to the pro-rich socioeconomic inequalities in postnatal health checks for newborns.ConclusionThe finding revealed that there is a pro-rich inequality in postnatal health checks for newborns in Ethiopia. To reduce the observed socioeconomic health inequality, the government needs to improve ANC visits, implement strategies to access health service for economically disadvantaged groups, and increase educational attainment among women

Global injury morbidity and mortality from 1990 to 2017 : results from the Global Burden of Disease Study 2017

Correction:Background Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries. Methods We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs). Findings In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505). Interpretation Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care.Peer reviewe

Global, regional, and national burden of neurological disorders, 1990–2016 : a systematic analysis for the Global Burden of Disease Study 2016

Background: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders. Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach. Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanus, meningitis, and encephalitis. The four largest contributors of neurological DALYs were stroke (42·2% [38·6–46·1]), migraine (16·3% [11·7–20·8]), Alzheimer's and other dementias (10·4% [9·0–12·1]), and meningitis (7·9% [6·6–10·4]). For the combined neurological disorders, age-standardised DALY rates were significantly higher in males than in females (male-to-female ratio 1·12 [1·05–1·20]), but migraine, multiple sclerosis, and tension-type headache were more common and caused more burden in females, with male-to-female ratios of less than 0·7. The 84 risks quantified in GBD explain less than 10% of neurological disorder DALY burdens, except stroke, for which 88·8% (86·5–90·9) of DALYs are attributable to risk factors, and to a lesser extent Alzheimer's disease and other dementias (22·3% [11·8–35·1] of DALYs are risk attributable) and idiopathic epilepsy (14·1% [10·8–17·5] of DALYs are risk attributable). Interpretation: Globally, the burden of neurological disorders, as measured by the absolute number of DALYs, continues to increase. As populations are growing and ageing, and the prevalence of major disabling neurological disorders steeply increases with age, governments will face increasing demand for treatment, rehabilitation, and support services for neurological disorders. The scarcity of established modifiable risks for most of the neurological burden demonstrates that new knowledge is required to develop effective prevention and treatment strategies. Funding: Bill & Melinda Gates Foundation

Estimating global injuries morbidity and mortality : methods and data used in the Global Burden of Disease 2017 study

Background While there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria. Methods In this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation. In summary, these methods included estimating cause-specific mortality for every cause of injury, and then estimating incidence for every cause of injury. Non-fatal disability for each cause is then calculated based on the probabilities of suffering from different types of bodily injury experienced. Results GBD 2017 produced morbidity and mortality estimates for 38 causes of injury. Estimates were produced in terms of incidence, prevalence, years lived with disability, cause-specific mortality, years of life lost and disability-adjusted life-years for a 28-year period for 22 age groups, 195 countries and both sexes. Conclusions GBD 2017 demonstrated a complex and sophisticated series of analytical steps using the largest known database of morbidity and mortality data on injuries. GBD 2017 results should be used to help inform injury prevention policy making and resource allocation. We also identify important avenues for improving injury burden estimation in the future.Peer reviewe