Prevalence of HIV/AIDS: A report based on a survey in women attending ANC services in Eritrea in 2005

Study objective: To determine the prevalence and socio-demographic factors of HIV in ANC attendees in Eritrea. Methods: Cross sectional anonymous unlinked sentinel surveillance of HIV prevalence in ANC attendee pregnant women frpm March 2005 to May 2006. The study was conducted in 15 clusters; 10 urban and 5 rural clusters with a total of 19 urban and 26 rural sentinel sites that includes all six capital cities and a number of semi urban and rural sentinel sites from all six zones of Eritrea. Cluster sampling, non probability consecutive sampling of pregnant women who came to attend their first ANC in the study sites. Result: The total sample size was 5033. The over all HIV prevalence in pregnant women attending ANC was 2.38%. The highest prevalence was observed in Southern Red Sea zone (5.9%) followed by central zone (3.48%). Lowest prevalence was seen in Anseba zone (1.3%), South zone (1.65%), Northern Red Sea zone (1.77%), and Gash Barka zone (2.06%). It was found to be 3.04% in urban women and 0.9% in rural women. It was also higher in single women 7.2% than in married women 2%. HIV prevalence increased with age (1.3%) in women aged 15-19, 2% in 20-24, 3.8% in 25-29, 2.5% in 30-34, 1.5% in 35-39, 2.7% in 40-44 and 1.8% in 15-24 years age group women. Further the prevalence fluctuated with level of formal education and occupation; 0.9% in illiterate and 4% in women with secondary school education, 1.94% in house wives, 5.9% in women daily labourers, 5.6% in unemployed unmarried women, and 8.5% in commercial sexual workers. 5.4% in women whose partners are truck/bus drivers, 3.8%% in women whose partners are merchants and 2.6% in women whose partner’s are in the military/national service. Conclusion: HIV prevalence in Eritrea is low and declining from the highest 4.2% in 1999 to 2.38% in 2005 ANS sentinel surveillance. HIV prevalence was more prevalent in urban areas, in single, young women and increased with increasing age and educational level and was influenced by the women’s and partners occupation

Assessment of nausea and vomiting of pregnancy on antenatal clients of Addis Ababa

Background: Nausea and vomiting of pregnancy (NVP) are common symptoms experienced during pregnancy. Both mild and severe symptoms can have significant morbidities and socioeconomic impact. Despite its frequency and associated distress, its exact cause is unknown. No study was done addressing this particular important issue in our country and this study will serve as a bench mark for future work on the topic in the Ethiopian context.Objective: To assess nausea and vomiting of pregnancy on ANC (antenatal care) clients of three hospitals of Addis Ababa.Methods: A descriptive facility based cross-sectional study, done in three teaching hospitals of Addis Ababa, the capital city of Ethiopia. Semi-structured questionnaires were administered to random sample of 384 pregnant women. Descriptive statistic was used to summarize data. P-value and χ² test were used to measure associations.Results: The prevalence of nausea and vomiting of pregnancy was 74.5%, with 4.4% being admitted for severe symptoms. It was found out that 91% had symptoms in the 1st trimester, 2.1% after mid pregnancy, and 85% were triggered by smell and taste. Primigravidity, nulliparity, excessive salivation and food aversion were significantly associated with nausea and vomiting connected with pregnancy. Significant associations were also observed between admission for severity and being unmarried, loss to work, affected relationship, more frequent vomiting, and early onset of symptoms. Severe frequency of vomiting was a major factor associated with admission for severity and loss to work.Conclusion and recommendation: Nausea and vomiting of pregnancy found in this study were similar to other studies. Sensory stimuli were major trigger of symptoms and more frequent vomiting was linked with more admission. Importance of supportive measures, rest, counseling and advice on diet and life style modification needs to be underscored and early treatment of vomiting need to be considered

An African PhD Program in Information Systems: The Case of Addis Ababa University, Ethiopia

This case study is about the first Information Systems PhD program in Ethiopia and the region, a collaborative effort of thirteen universities around the globe. Fifteen faculty members traveled to Ethiopia to launch the program for classes, which will start in 2009. This paper depicts the program design and program development and an outline of the overall program. The authors share their personal experience in the development of this unique IS PhD program

A novel disease affecting the predatory mite Phytoseiulus persimilis (Acari, Phytoseiidae): 2. disease transmission by adult females

Adult female Phytoseiulus persimilis Athias-Henriot (Acari, Phytoseiidae) of one of our laboratory populations (=NR-population), show the following set of symptoms: predators shrink several days after mating, cease egg production and die several days after shrinking, show a lower degree of attraction to herbivore-induced plant volatiles and a shorter choice time in olfactometer tests, have the tendency to leave a prey patch with ample food, may carry excretory crystals in the legs, may cease prey consumption, and have a lower excretion rate. We hypothesized earlier that this characteristic syndrome, called non-responding (=NR-) syndrome, is caused by a pathogen infecting P. persimilis. To further support this hypothesis we here study several transmission modes of the factor causing the NR-syndrome. In all tests we measured size, short-term fecundity, mortality, predator position, response to plant odors and crystal location, thus including 6 of the 9 symptoms known yet. No evidence was found for vertical transmission from parent to offspring. Eggs from symptomatic females of the NR-population mated by males of the NR-population gave rise to normal-sized, well performing predators, when they had been surface sterilized or transferred to a new leaf. However, such eggs gave rise to shrunken females (17%) when left on the leaf where they had been laid. In the latter case transmission via products deposited on the leaf by the mothers was possible. We therefore tested several modes of horizontal transmission by exposing females of a commercial population that never showed the NR-syndrome (=R1-population) to products related to the symptomatic NR-population. No evidence was found for transmission via food or via squashed adult females. However, symptoms were induced in adult females of the R1-population after a 3-day exposure to a live adult female of the NR-population (incubation period=3¿7 days, fraction shrunken females=53%) and after a 1-day exposure to feces and debris collected from such females (incubation period=2¿4 days, fraction shrunken females=65%). Contact with live females and feces of the R1-population did not induce the syndrome. These results clearly indicate that the NR-syndrome is a contagious phenomenon and that the factor inducing the syndrome is transmitted horizontally among and between generations via feces and debris deposited by symptomatic females. The results are discussed in the context of mite pathology and biological contro

LISA 2.0: lightweight internet of things service bus architecture using node centric networking

Internet of things (IoT) technologies are advancing rapidly and a wide range of physical networking alternatives, communication standards and platforms are introduced. However, due to differences in system requirements and resource constraints in devices, there exist variations in these technologies, standards, and platforms. Consequently, application silos are formed. In contrast to the freedom of choice attained by a range of options, the heterogeneity of the technologies is a critical interoperability challenge faced by IoT systems. Moreover, IoT is also limited to address new requirements that arise due to the nature of the majority of smart devices. These requirements, such as mobility and intermittent availability, are hardly satisfied by the current IoT technologies following the end-to-end model inherited from the Internet. This paper introduces a lightweight, distributed, and embedded service bus called LISA which follows a Node Centric Networking architecture. LISA is designed to provide interoperability for resource-constrained devices in IoT. It also enables a natural way of embracing the new IoT requirements, such as mobility and intermittent availability, through node centric networking. LISA provides a simple application programming interface for developers, hiding the variations in platform, protocol or physical network, thus facilitating interoperability in IoT systems. LISA is inspired by network on terminal architecture (NoTA), a service centric open architecture originated by Nokia Research Center. Our extensive experimental results show the efficiency and scalability of LISA in providing a lightweight interoperability for IoT systems

Wheat rust epidemics damage Ethiopian wheat production: A decade of field disease surveillance reveals national-scale trends in past outbreaks.

Wheat rusts are the key biological constraint to wheat production in Ethiopia-one of Africa's largest wheat producing countries. The fungal diseases cause economic losses and threaten livelihoods of smallholder farmers. While it is known that wheat rust epidemics have occurred in Ethiopia, to date no systematic long-term analysis of past outbreaks has been available. We present results from one of the most comprehensive surveillance campaigns of wheat rusts in Africa. More than 13,000 fields have been surveyed during the last 13 years. Using a combination of spatial data-analysis and visualization, statistical tools, and empirical modelling, we identify trends in the distribution of wheat stem rust (Sr), stripe rust (Yr) and leaf rust (Lr). Results show very high infection levels (mean incidence for Yr: 44%; Sr: 34%; Lr: 18%). These recurrent rust outbreaks lead to substantial economic losses, which we estimate to be of the order of 10s of millions of US-D annually. On the widely adopted wheat variety, Digalu, there is a marked increase in disease prevalence following the incursion of new rust races into Ethiopia, which indicates a pronounced boom-and-bust cycle of major gene resistance. Using spatial analyses, we identify hotspots of disease risk for all three rusts, show a linear correlation between altitude and disease prevalence, and find a pronounced north-south trend in stem rust prevalence. Temporal analyses show a sigmoidal increase in disease levels during the wheat season and strong inter-annual variations. While a simple logistic curve performs satisfactorily in predicting stem rust in some years, it cannot account for the complex outbreak patterns in other years and fails to predict the occurrence of stripe and leaf rust. The empirical insights into wheat rust epidemiology in Ethiopia presented here provide a basis for improving future surveillance and to inform the development of mechanistic models to predict disease spread

The development of a business intelligence web application to support the decision-making process regarding absenteeism in the workplace

Nowadays, one of the biggest concerns of industries all over the world is situations regarding absenteeism, since it has a great impact on the productivity and economy of companies, as well as on the health of their employees. The major causes of absenteeism appear to be work accidents and sickness leaves, which lead to the attempt by companies of understanding how the workload is related to the health of their collaborators and, consequently, to absenteeism. Thus, this paper proposes the design and development of a Web Application based on Business Intelligence indicators in order to help the health and human resources professionals of a Portuguese company analyse the relation between absenteeism and the health and lifestyle of employees, with the intention of concluding whether the work executed on the company is harming workers’ health. Furthermore, it is intended to discover the principal motives for the numerous and more frequent absences in this company, so that it is possible to decrease the absenteeism rate and, hence, improve the decision-making process. This platform will also provide higher quality healthcare and the possibility to find patterns in the absence of collaborators, as well as reduce time-waste and errors.This work has been supported by FCT –Fundação para a Ciência e Tecnologia within the Project Scope: UID/CEC/00319/201

A systems and partnership approach to agricultural research for development: Lessons from Ethiopia

In spite of the availability of several improved agricultural technologies generated by the research system in Ethiopia over the last four decades, adoption of these innovations by smallholder farmers has been very low. This has led to stagnation of agricultural productivity and low crop yields, exposing the country to recurrent food shortfalls and national food insecurity. The old approach to agricultural research emphasized developing new technologies mainly through onstation research that were then supposed to reach farmers through the public-sector extension system. The Ethiopian Institute of Agricultural Research (EIAR) has in recent years introduced a shift in agricultural research for development, which is based on the innovation systems approach that involved cultivating partnerships with several actors along the value chain, especially farmers, farmers’ cooperatives and input suppliers. This paper presents the methodology used to facilitate agricultural innovations and the diffusion of new technologies and illustrates the outcomes of this initiative with regard to technology adoption, productivity growth and the market orientation of production. The authors use examples from experiences in scaling up three grain legumes. Compared to the three-year baseline average (2003–05), crop output increased nationally by 89%, 85% and 97% in 2008 for common bean, chickpea and lentil respectively. Nationally, 53–59% of the output growth is attributable to yield growth due to technological change, while the balance is due to area expansion. These results affirm that the new approach has led to accelerated adoption of new and high-yielding or low-risk varieties

The burden of neglected tropical diseases in Ethiopia, and opportunities for integrated control and elimination

Background: Neglected tropical diseases (NTDs) are a group of chronic parasitic diseases and related conditions that are the most common diseases among the 2·7 billion people globally living on less than US$2 per day. In response to the growing challenge of NTDs, Ethiopia is preparing to launch a NTD Master Plan. The purpose of this review is to underscore the burden of NTDs in Ethiopia, highlight the state of current interventions, and suggest ways forward. Results: This review indicates that NTDs are significant public health problems in Ethiopia. From the analysis reported here, Ethiopia stands out for having the largest number of NTD cases following Nigeria and the Democratic Republic of Congo. Ethiopia is estimated to have the highest burden of trachoma, podoconiosis and cutaneous leishmaniasis in sub-Saharan Africa (SSA), the second highest burden in terms of ascariasis, leprosy and visceral leishmaniasis, and the third highest burden of hookworm. Infections such as schistosomiasis, trichuriasis, lymphatic filariasis and rabies are also common. A third of Ethiopians are infected with ascariasis, one quarter is infected with trichuriasis and one in eight Ethiopians lives with hookworm or is infected with trachoma. However, despite these high burdens of infection, the control of most NTDs in Ethiopia is in its infancy. In terms of NTD control achievements, Ethiopia reached the leprosy elimination target of 1 case/10,000 population in 1999. No cases of human African trypanosomiasis have been reported since 1984. Guinea worm eradication is in its final phase. The Onchocerciasis Control Program has been making steady progress since 2001. A national blindness survey was conducted in 2006 and the trachoma program has kicked off in some regions. Lymphatic Filariasis, podoconiosis and rabies mapping are underway. Conclusion: Ethiopia bears a significant burden of NTDs compared to other SSA countries. To achieve success in integrated control of NTDs, integrated mapping, rapid scale up of interventions and operational research into co implementation of intervention packages will be crucial