Evaluation of Feeding Different Levels of Red Haricot Bean Screening (Phaseolus Vulgaris.L) on Egg Production and Quality Parameters of White Leghorn Hens

The study was conducted to evaluate effects of feeding different levels of red haricot bean screening (RHBS) on dry matter intake, body weight gain, egg production, egg quality and feed conversion ratio of white leghorn chicken. A total of 225 (195 hens + 30 cocks) at age of 30 weeks with initial body weight of1104.7±16.35 gram were randomly distributed in to 15 pens each with 13 hens and 2 cocks. The pens were randomly allocated to five treatment diets in completely randomized design. The five treatment diets used in the present study were containing 0%, 20%, 40%, 60% and 80% of RHBS for T1, T2, T3, T4 and T5, respectively. Crude protein and metabolizable energy content of RHBS was 29.01% and 3276Kcal/Kg. Dry matter intake (92.5, 95.03, 91.03, 90.09 and 89.7 for T1, T2, T3, T4 and T5, respectively, was significantly (P<0.05) different which is high in T2 and low in T5. Hen day egg production (51.82, 54.67, 48.25, 46.7 and 41.45 and hen house egg production (50.45, 54.67, 48.25, 45.49 and 41.45 for T1, T2, T3, T4 and T5, respectively were significantly (P<0.05) different which was high T2 and low in T5. feed conversion ratio 3.51, 3.48, 3.71, 3.83 and 4.37 and egg mass 26.35, 27.28, 24.53, 23.47 and 20.49 for T1, T2, T3, T4, and T5, respectively were statistically (P<0.05) different among the treatments. There was no significant difference (P>0.05) among treatments on average daily body weight gain per bird, egg weight, shell weight, shell thickness, albumen quality, yolk weight, yolk diameter, yolk height. Yolk color and index were significantly (P<0.05) different which were high in T5 and low in T1. Therefore, increasing proportions of RHBS above 50% in the layer ration improve yellowness and index of egg yolk, but affect feed conversion ratio, egg mass and egg production negatively. Keywords; Diet, Egg Production, Haricot Bean Screenin

Challenges and Socio-Economic Importance of Fish Production in Ethiopia:Review

Fish is one of the most traded agricultural commodities and a major export for many developing countries, offering an opportunity for trade agreements which contribute to the development of poor countries. Development in fish production would have great economy contribution to the country, Ethiopia. This is because fisheries provide employment, food and income. Fish provide fatty acids critical for brain development, as well as protein and minerals. Good fisheries governance can contribute to sustainable aquatic resource management. Fish production potential of Ethiopia is estimated to be 51,400 tones per annum. Lake Tana, Ashenge, Hayk, Koka, Ziway, Langano, Awassa, Abaya and Chamo are among the potential fish rich lakes found in the country. The main commercial species contributing to the total landing are Oreochromis niloticus, Labeohori, Clarias gariepinus, Barbus species and Latesniloticus. Overfishing, improper management, weak institutional capacity,  lack of a reliable data collection system, the remoteness of fishing areas, the lack of basic infrastructure and equipments, the degradation of natural resources and the limited funds to implement the country’s strategies, plans and legislations are among important challenges of fish production in Ethiopia. By solving the challenges it is possible to improve fish production in the country. Therefore, all concerned bodies should be involved in solving the addressed production challenges to achieve future projected goal of the sector. Keywords: Challenges, Economic Contribution, Fish Productio

Do parents and young people communicate on sexual matters? The situation of Family Life Education (FLE) in a rural town in Ethiopia

Abstract: As a result of a cultural taboo, adolescents in many developing countries rarely discuss sexual matters explicitly with their parents. Most information for their patchy knowledge often comes from peers of the same sex, who may themselves be uninformed or incorrectly informed. This report is a summary of two surveys carried out on two occasions (November 1996 and October 1997, respectively) on 343 high school students and 246 families who had children 10-24 years of age in a rural town 160 Km south of Addis Ababa. The purpose was to assess the awareness and attitude of both study groups on major Family Life Education (FLE) components and know the level of parent-adolescent communication on matters related to young people’s sexuality. Findings suggest that young people’s knowledge on aspects of their sexuality is incomplete and not enough to minimise risk-taking. Yet, more than half of them believed that is unacceptable to discuss growth changes and sexual issues with parents during adolescence. Different grade and age levels did not influence the consensus except for a female sex, which significantly favoured this negative attitude. For some who approved discussion (sexual matters and contraception), peers were preferred most. Furthermore, 31.5% of the students were sexually active, and 65.7% of the sexually active ones reported use of some contraception (including calendar method) in the past. Likewise, parents had a partial knowledge regarding adolescent sexual maturation and behaviour or complication of teenage pregnancy. Nonetheless, 93% did not approve premarital sex and ironically, not more than 20% of them reported discussion of growth changes during adolescence, sexuality, and contraception in the past. However, parental education and lower family size positively influenced this attitude and practice. Implications of the study were discussed and recommendations made on future needs to initiate a comprehensive FLE in the school system and increase the responsibility of parents in adolescent sexuality. [Ethiop. J. Health Dev. 1999;13(3):205-210

Experience of traumatic events in people with severe mental illness in a low-income country:a qualitative study

BACKGROUND: This study describes the trauma experiences of people with severe mental illness (SMI) in Ethiopia and presents a model of how SMI and trauma exposure interact to reduce functioning and quality of life in this setting.METHODS: A total of 53 participants living and working in a rural district in southern Ethiopia were interviewed: 18 people living with SMI, 21 caregivers, and 14 primary health care providers.RESULTS: Many participants reported that exposure to traumatic and stressful events led to SMI, exacerbated SMI symptoms, and increased caregiver stress and distress. In addition, SMI symptoms and caregiver desperation, stress or stigma were also reported to increase the possibility of trauma exposure.CONCLUSIONS: Results suggest it is incumbent upon health professionals and the broader health community to view trauma exposure (broadly defined) as a public health problem that affects all, particularly individuals with SMI

COVID-19: Initial synthesis of the epidemiology, pathogenesis, diagnosis, treatment, and public health control approaches

Introduction: The coronavirus disease (abbreviated COVID-19) pandemic caused by SARS-CoV-2 has devastated the world in the space of just a few months. Since it was first reported in December 31, 2019 in the Hubei province of China, at the time of writing, over 2 million people have been infected, with over 127,598 deaths in 202 countries and territories. Records of global distribution show a steady increase, although the USA is leading in its distribution, with Italy reporting close to 20,000 deaths. The purpose of this rapid review is to synthesize available evidence on the epidemiology, pathogenesis, diagnosis and public health control measures to inform policy, programs and research on COVID-19. Methods: A rapid review method was employed using PubMed and Google Scholar search engines. Journal articles, reports and government documents were included in our search, which is focused on the disease epidemiology, advancements in diagnostics, treatment and vaccines, public health control measures, and psychosocial interventions for health care providers. The contents of the identified articles were examined and abstracted by a team of investigators. The concepts represented by the individual reviews were collated to give a complete picture of COVID-19 based on the evidence we have so far. The search period spanned December 30, 2019 to April 15, 2020. Findings: The severity of the disease and its fast spread, three times faster than the flu, has challenged the health systems of almost every country in the world. Although, for now, the case burden remains low in Africa, the impact of COVID-19 is anticipated to be severe if it becomes widespread. Efforts to curb the pandemic, involving prevention, disease surveillance, contact tracing, clinical management and the development of new treatments and diagnostics, is ongoing across the globe. While writing this review, more than 73 vaccines are at the exploratory or preclinical stage, while two are in phase I clinical trialsYet, non-pharmaceutical interventions are critical to stopping the spread of the virus. Africa, in particular, should put extra effort into making preventive public health measures work, because health systems in the continent are too weak to withstand the effect of the pandemic should it hit hard, and the economic implications of extreme control measures following a delayed response would be severe. On the bright side, the lessons drawn from this pandemic are likely to improve the preparedness and response to similar future outbreaks and pandemics. [Ethiop. J. Health Dev. 2020; 34(2):129-140] Key words: Coronavirus, COVID-19, pandemic, SARS-CoV-

Beyond the biomedical: community resources for mental health care in rural Ethiopia.

BACKGROUND: The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. METHOD: We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. RESULTS: The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. DISCUSSION: The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention

Community-based rehabilitation intervention for people with schizophrenia in Ethiopia (RISE):results of a 12-month cluster-randomised controlled trial

BACKGROUND: Community-based rehabilitation (CBR) is recommended to address the social and clinical needs of people with schizophrenia in resource-poor settings. We evaluated the effectiveness of CBR at reducing disability at 12 months in people with schizophrenia who had disabling illness after having had the opportunity to access facility-based care for 6 months METHODS: This cluster-randomised controlled trial was conducted in a rural district of Ethiopia. Eligible clusters were subdistricts in Sodo district that had not participated in the pilot study. Available subdistricts were randomised (in a 1:1 ratio) to either the intervention group (CBR plus facility-based care) or to the control group (facility-based care alone). An optimisation procedure (accounting for the subdistrict mean WHO Disability Assessment Schedule (WHODAS) score and the potential number of participants per subdistrict) was applied for each of the eight health facilities in the district. An independent statistician, masked to the intervention or control label, used a computer programme to randomly choose the allocation sequence from the set of optimal ones. We recruited adults with disabling illness as a result of schizophrenia. The subdistricts were eligible for inclusion if they included participants that met the eligibility criteria. Researchers recruiting and assessing participants were masked to allocation status. Facility-based care was a task-shared model of mental health care integrated within primary care. CBR was delivered by lay workers over a 12-month period, comprising of home visits (psychoeducation, adherence support, family intervention, and crisis management) and community mobilisation. The primary outcome was disability, measured with the proxy-rated 36-item WHODAS score at 12 months. The subdistricts that had primary outcome data available were included in the primary analysis. This study is registered with ClinicalTrials.gov, NCT02160249.FINDINGS: Enrolment took place between Sept 16, 2015 and Mar 11, 2016. 54 subdistricts were randomised (27 to the CBR plus facility-based care group and 27 to the facility-based care group). After exclusion of subdistricts without eligible participants, we enrolled 79 participants (66% men and 34% women) from 24 subdistricts assigned to CBR plus facility-based care and 87 participants (59% men and 41% women) from 24 subdistricts assigned to facility-based care only. The primary analysis included 149 (90%) participants in 46 subdistricts (73 participants in 22 subdistricts in the CBR plus facility-based care group and 76 participants in 24 subdistricts in the facility-based care group). At 12 months, the mean WHODAS scores were 46·1 (SD 23·3) in the facility-based care group and 40·6 (22·5) in the CBR plus facility-based care group, indicating a favourable intervention effect (adjusted mean difference -8·13 [95% CI -15·85 to -0·40]; p=0·039; effect size 0·35). Four (5%) CBR plus facility-based care group participants and nine (10%) facility-based care group participants had one or more serious adverse events (death, suicide attempt, and hospitalisation).INTERPRETATION: CBR delivered by lay workers combined with task-shared facility-based care, was effective in reducing disability among people with schizophrenia. The RISE study CBR model is particularly relevant to low-income countries with few mental health specialists.FUNDING: Wellcome Trust

Community-based rehabilitation intervention for people with schizophrenia in Ethiopia (RISE) cluster-randomised controlled trial:An exploratory analysis of impact on food insecurity, underweight, alcohol use disorder and depressive symptoms

We evaluated the effectiveness of community-based rehabilitation (CBR) in reducing depressive symptoms, alcohol use disorder, food insecurity and underweight in people with schizophrenia. This cluster-randomised controlled trial was conducted in a rural district of Ethiopia. Fifty-four sub-districts were allocated in a 1:1 ratio to the facility-based care [FBC] plus CBR arm and the FBC alone arm. Lay workers delivered CBR over 12 months. We assessed food insecurity (self-reported hunger), underweight (BMI< 18.5 kg/m2), depressive symptoms (PHQ-9) and alcohol use disorder (AUDIT ≥ 8) at 6 and 12 months. Seventy-nine participants with schizophrenia in 24 sub-districts were assigned to CBR plus FBC and 87 participants in 24 sub-districts were assigned to FBC only. There was no evidence of an intervention effect on food insecurity (aOR 0.52, 95% CI 0.16-1.67; p = 0.27), underweight (aOR 0.44, 95% CI 0.17-1.12; p = 0.08), alcohol use disorder (aOR 0.82, 95% CI 0.24-2.74; p = 0.74) or depressive symptoms (adjusted mean difference - 0.06, 95% CI -1.35, 1.22; p = 0.92). Psychosocial interventions in low-resource settings should support access to treatment amongst people with schizophrenia, and further research should explore how impacts on economic, physical and mental health outcomes can be achieved

'Restoring the person's life': a qualitative study to inform development of care for people with severe mental disorders in rural Ethiopia.

AIMS: In low-income countries, care for people with severe mental disorders (SMDs) who manage to access treatment is usually emergency-based, intermittent or narrowly biomedical. The aim of this study was to inform development of a scalable district-level mental health care plan to meet the long-term care needs of people with SMD in rural Ethiopia. METHODS: The present study was carried out as formative work for the Programme for Improving Mental health CarE which seeks to develop, implement and evaluate a district level model of integrating mental health care into primary care. Six focus group discussions and 25 in-depth interviews were conducted with service planners, primary care providers, traditional and religious healers, mental health service users, caregivers and community representatives. Framework analysis was used, with findings mapped onto the domains of the Innovative Care for Chronic Conditions (ICCC) framework. RESULTS: Three main themes were identified. (1) Focused on 'Restoring the person's life', including the need for interventions to address basic needs for food, shelter and livelihoods, as well as spiritual recovery and reintegration into society. All respondents considered this to be important, but service users gave particular emphasis to this aspect of care. (2) Engaging with families, addressed the essential role of families, their need for practical and emotional support, and the importance of equipping families to provide a therapeutic environment. (3) Delivering collaborative, long-term care, focused on enhancing accessibility to biomedical mental health care, utilising community-based health workers and volunteers as an untapped resource to support adherence and engagement with services, learning from experience of service models for chronic communicable diseases (HIV and tuberculosis) and integrating the role of traditional and religious healers alongside biomedical care. Biomedical approaches were more strongly endorsed by health workers, with traditional healers, religious leaders and service users more inclined to see medication as but one component of care. The salience of poverty to service planning was cross-cutting. CONCLUSIONS: Stakeholders prioritised interventions to meet basic needs for survival and endorsed a multi-faceted approach to promoting recovery from SMD, including social recovery. However, sole reliance on this over-stretched community to mobilise the necessary resources may not be feasible. An adapted form of the ICCC framework appeared highly applicable to planning an acceptable, feasible and sustainable model of care