Hydrological modelling of a catchment using the SWAT model in the upper Blue Nile basin of Ethiopia

Sustaining upland agriculture and food security is very much constrained by continuing land degradation brought by soil erosion due to lack of effective rainwater management strategies. Recently a large body of research evidence has established that significant potential exists to increase agricultural productivity through sustainable rainwater management interventions. Hydrological models are essential to understand the hydrological response of a catchment. The current paper focuses on hydrological modelling of catchment with SWAT model using its two versions, SWAT-CN and SWAT-WB. It is also aimed to verify the impact of existing land and water management practices on runoff yield and the applicability of the model for water resource assessment in the watershed. The model was applied on two watersheds, Mizewa (27 km2) and Gumara (1278 km2) that are located in the upper Blue Nile basin of Ethiopia in Fogera district. Data needed for modelling work was collected from available nearby stations and from the recently installed hydrological-meteorological stations. Model performances were compared prior to parameter optimization . After these initial findings, the SWAT-CN model was calibrated and validated and hence reasonable results were obtained. The results indicate that the model performance was in acceptable range and there are no many changes to predict the flow by the two versions of SWAT model. The concept of rainwater management is at an infant stage, though water scarcity and catchment degradation are serious threats in Mizewa watershed. HRU analysis indicates that agricultural land is the most runoff generating areas. Soil evaporation compensation factor (ESCO) and initial SCS curve number II value (CN2) are the two most sensitive parameters indicating that effective rainwater management interventions has a great impact in reducing soil erosion and land degradation. Some future management interventions were proposed such as discussing with local farmers and stakeholders

Prevalence of Camel Trypanosomosis at Selected Districts of Bale Zone, Southern Ethiopia

Across-sectional study was conducted from November 2013 to March 2014 at selected districts of Bale zone, Oromia Regional States of Ethiopia to determine the prevalence of camel trypanosmosis and assess associated potential risk factors. Simple random sampling technique was used and the study animals were selected based on the camel population of the district in the study area. The wet, thin smear and the Buffy coat examination was employed under microscope. Out of 392 examined animals, 70 (17.9%) were positive for Trypanosome evansi. There was statistically significant difference between age groups, districts of the animals and trypanosome infection (P<0.05). Higher prevalence of the infection was recorded in Age group of >4 years (27.6%) followed by 3 years (14.5%) and 3-4 years old camels (10.5%) respectively. However, there was no statistically significant difference observed between sex with the occurrence of the disease (P>0.05). The highest prevalence of the disease was observed in Delo-Mena district, 42 (23.9%) whereas the lowest was recorded in Goro district, 9 (9.90%) during the study period. The result of the current study revealed that camel trypanosmosis was highly prevalent in the study area. Thus, there is need of further study on the distribution and seasonality of the disease and its vectors in order to establish effective prevention and control measures in affected herd.Keywords: Bale Zone Buffy coat Camel trypanosomosis Ethiopia Prevalence Smea

Calcium, Magnesium, Iron, Zinc and Copper, Compositions of Human Milk from Populations with Cereal and ‘Enset’ Based Diets

Backround: As breast milk is normally the only source of food in the early stages of life, the dietary levels of the essential elements in the milk of lactating mothers are significantly important. Ethiopia is a country of many nations and nationalities with distinct dietary habits. This variation in food habit may result in the variation of the nutritional quality of milk of lactating mothers who live in different part of the country, which in turn may affect the intake of nutrients by breast-fed infants. Therefore, a cross-sectional study of the levels of Ca, Mg, Fe, Zn and Cu in milk of mothers from societies with cereal and ‘enset’ based dietary habits was carried out to assess the influence of maternal diet on the levels of the elements in human milk.Methods: Milk samples were collected from 27 voluntary mothers in Jimma and in 18 rural areas of Welkite. Breast milk samples were collected within four days postpartum and the concentrations of the elements were determined by using FAAS.Results: Average concentrations (mg/L) of the elements determined in the milk of mothers from Jimma and rural Welkite respectively were: Ca (758 ± 107, 579 ± 168); Mg (22.6 ± 7.87, 30.5 ± 13.4); Fe (0.50 ± 0.08, 0.41 ± 0.17); Zn (2.3 ± 1.2, 2.49 ± 0.88) and Cu (0.28 ± 0.14, 0.16 ± 0.08).Conclusions: Milk samples from Jimma were found to have significantly higher levels of Ca and Cu than those of rural Welkite (P < 0.05). Breast milk Ca and Cu levels were thus found to be influenced by dietary intake.Keywords: Human milk, Ethiopia, Welkite, Jimma, Essential elements, ‘Teff’, ‘Enset’

Glycogenic control and associated factors among diabetic patients visiting Adama specialized Hospital, Oromiya, Ethiopia: A facility based cross sectional study

Introduction: Although glycaemic control is essential in diabetes management, evidences are lacking in resource limited settings. Therefore, this study was intended to assess the level of glycaemic control and associated factors among diabetic patients.Methods: The data were collected from 332 diabetic patients in Adama Specialized Hospital, Ethiopia from February to March 2012. A patient was included in the study if he/she was 15 years and above. The data were collected using structured questionnaires; a medical card review and anthropometric measurement was done by trained nurses. SPSS version 16.0 was used to analyze the data.Results: The study revealed that 180 (55.9%) of the respondents were adequately controlled their glycaemic level. The remaining were poorly controlled their glycaemic level. Poor glycaemic control was found among rural residents, type I diabetic patients, older age groups (>46 years), those who consumed alcohol and less restricted simple sugar intake, don’t adhere to their meal time and had been prescribed oral hypoglycaemic drug alone (p<0.05). On the other hand, being physically active, obtaining advice from health workers and self monitoring blood glucose level significantly helped patients to control their gylcaemic level (p<0.05).Conclusions: Significant proportions of diabetic patients were not able to control their glycaemic level and poor diabetic control was mainly found in patients with poor self care practices. Thus, health care providers should deliver individualized patient education and support those with elevated glycaemic level to help them better controls their conditions.Keywords: Diabetic, Glycaemic control, EthiopiaAfr J Health Sci. 2013; 26:302-31

Predictors of Treatment Seeking Intention among People with Cough in East Wollega, Ethiopia Based on the Theory of Planned Behavior: A Community Based Cross -Sectional Study

Background: Early treatment seeking for cough is crucial in the prevention and control of Tuberculosis. This study was intended to assess treatment seeking intention of people with cough of more than two weeks, and to identify its predictors.Methods: A community based cross-sectional study was conducted among 763 individuals with cough of more than two weeks in East Wollega Zone from March 10 to April 16, 2011. Study participants were selected from eighteen villages by cluster sampling method. Data collection instruments were developed according to the standard guideline of the theory of planned behavior. The data were analyzed with SPSS 16.0. Multiple linear regression was used to identify predictors.Results: Mean score of intention was found to be 12.6 (SD=2.8) (range of possible score=3-15). Knowledge (β=0.14, 95%CI: 0.07-0.2), direct attitude (β=0.31, 95%CI: 0.25-0.35), belief-based attitude (β=0.03, 95%CI: 0.02-0.06) and perceived subjective norm (β=0.22, 95%CI: 0.13 -0.31) positively predicted treatment seeking intention. However, perceived behavioral control and control belief were not significantly associated with treatment seeking intention (p>0.05). Being smoker (β=-0.97, 95%CI:-1.65- (-0.37)) and higher family income (β=-0.06, 95%CI:-0.07-(-0.01) were significantly associated with lower treatment seeking intention.Conclusion: TPB significantly predicted treatment seeking intention among the study participants. Attitude and silent beliefs held by the respondents play an important role and should be given emphasize in prevention and control of Tuberculosis.Keywords: Tuberculosis, Cough, Intention, Treatment, Theory of Planned Behavio

Study on gross pulmonary lesions in lungs of slaughtered animals and their economic importance in Tigray, Ethiopia

A cross-sectional epidemiological study on slaughtered cattle at Mekelle abattoir, Northern Ethiopia, was conducted from November 19, 2008 to February 21, 2009 to investigate the distribution and risk factors of pulmonary lesions. The pulmonary lesions and diseases were diagnosed on the basis of pathological findings. Out of the 1,148 slaughtered cattle examined, 990 (86.2%) had one or more lesions. The prevalence of pulmonary lesions in the slaughtered cattle varied among categories of the study variables. The most common lesions were congestion (38.5%), emphysema (36.3%), hydatidosis (18.3%), abscesses (7.1%) and verminous pneumonia (3.2%). The risk factors identified on statistical basis (p < 0.05) were fat in cattle in pulmonary congestion, old age (>7 years) and very lean cattle in pulmonary emphysema and pulmonary abscesses and young age (<7 years) in verminous pneumonia. A total of 990 lungs (86.2%) were condemned or partially trimmed due to pulmonary lesions with an economic loss of 7,920 Ethiopian Birrs (ET Birr). This loss was calculated from the mean retail local market price of cattle lung and the total number of lungs condemned during the study period. Annual economic lose due to lung condemnation, determined by considering annual slaughter rate of cattle and prevalence of lung lesions in the abattoir, was estimated to be 65,000 ET Birr (US$). Keywords: Pulmonary lesions, Cattle, Abattoir, Economic loss, Ethiopia

Incidence and predictors of loss to follow-up among HIV-positive adults in northwest Ethiopia: a retrospective cohort study.

BackgroundDespite the rapid expansion of antiretroviral therapy services, 'loss to follow-up' is a significant public health concern globally. Loss to follow-up of individuals from ART has a countless negative impact on the treatment outcomes. There is, however, limited information about the incidence and predictors of loss to follow-up in our study area. Thus, this study aimed to determine the incidence rate and predictors of loss to follow-up among adult HIV patients on ART.MethodsA retrospective cohort study was undertaken using 484 HIV patients between January 30, 2008, and January 26, 2018, at Debre Markos Referral Hospital. All eligible HIV patients who fulfilled the inclusion criteria were included in this study. Data were entered into Epi-data Version 4.2 and analyzed using STATATM Version 14.0 software. The Nelson-Aalen cumulative hazard estimator was used to estimate the hazard rate of loss to follow-up, and the log-rank test was used to compare the survival curve between different categorical variables. Both bivariable and multivariable Cox-proportional hazard regression models were fitted to identify predictors of LTFU.ResultsAmong a cohort of 484 HIV patients at Debre Markos Referral Hospital, 84 (17.36%) were loss their ART follow-up. The overall incidence rate of loss to follow-up was 3.7 (95% CI 3.0, 5.0) per 100 adult-years. The total LTFU free time of the participants was 2294.8 person-years. In multivariable Cox-regression analysis, WHO stage IV (AHR 2.8; 95% CI 1.2, 6.2), having no cell phone (AHR 1.9; 95% CI 1.1, 3.4), and rural residence (AHR 0.6; 95% CI 0.37, 0.99) were significant predictors of loss to follow-up.ConclusionThe incidence of loss to ART follow-up in this study was low. Having no cell phone and WHO clinical stage IV were causative predictors, and rural residence was the only protective factor of loss to follow-up. Therefore, available intervention modalities should be strengthened to mitigate loss to follow-up by addressing the identified risk factors

Assessment of rainwater management practices and land use land cover changes in the Meja watershed of Ethiopia

Poor rainwater management (RWM) practices and resultant problems of land degradation and low water productivity are severe problems in the rural highlands of Ethiopia. The current study was undertaken at Meja watershed, which is located in the Jeldu district of Oromia region. The study investigated rainwater management practices and associated socio-economic and biophysical conditions in the watershed. The existing RWM interventions, their extent and the nature of changes in land use and land cover (LULC) conditions were mapped and evaluated. Results indicated that over the two decades between 1990 and 2010 there was an increase in the extent of cultivated land and large expansion in eucalyptus plantation at the expense of natural forest and grazing lands. Results indicate that, with few exceptions of RWM interventions practised, there were mainly poor and inefficient rainwater management practices. The overall effect leads to inadequacy of water for household consumption, livestock and for intensifying agricultural production via small scale irrigation systems. Deforestation and poor resource management resulted in soil degradation, reduction of hydrological regimes and water productivities in the watershed

Maternal and perinatal mortality and morbidity of uterine rupture and its association with prolonged duration of operation in Ethiopia: A systematic review and meta-analysis.

BACKGROUND: Uterine rupture is the leading cause of maternal and perinatal morbidity and it accounts for 36% of the maternal mortality in Ethiopia. The maternal and perinatal outcomes of uterine rupture were inconclusive for the country. Therefore, this systematic review and meta-analysis aimed to estimate the pooled maternal and perinatal mortality and morbidity of uterine rupture and its association with prolonged duration of operation. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist was used for this systematic review and meta-analysis. We systematically used PubMed, Cochrane Library, and African Journals online databases for searching. The Newcastle- Ottawa quality assessment scale was used for critical appraisal. Egger's test and I2 statistic used to assess the check for publication bias and heterogeneity. The random-effect model was used to estimate the pooled prevalence and odds ratios with 95% confidence interval (CI). RESULTS: The pooled maternal mortality and morbidity due to uterine rupture in Ethiopia was 7.75% (95% CI: 4.14, 11.36) and 37.1% (95% CI: 8.44, 65.8), respectively. The highest maternal mortality occurred in Southern region (8.91%) and shock was the commonest maternal morbidity (24.43%) due to uterine rupture. The pooled perinatal death associated with uterine rupture was 86.1% (95% CI: 83.4, 89.9). The highest prevalence of perinatal death was observed in Amhara region (91.36%) and the lowest occurred in Tigray region (78.25%). Prolonged duration of operation was a significant predictor of maternal morbidity (OR = 1.39; 95% CI: 1.06, 1.81). CONCLUSIONS: The percentage of maternal and perinatal deaths due to uterine rupture was high in Ethiopia. Uterine rupture was associated with maternal morbidity and prolonged duration of the operation was found to be associated with maternal morbidities. Therefore, birth preparedness and complication readiness plan, early referral and improving the duration of operation are recommended to improve maternal and perinatal outcomes of uterine rupture