Epidemiology of gastrointestinal helminthiasis of small ruminants in selected sites of North Gondar zone, Northwest Ethiopia

A cross-sectional study was conducted to determine the prevalence and risk factors associated with small ruminant helminthiasis in north Gondar zone, northwest Ethiopia from November-January, 2008. A total of 558 small ruminants (458 sheep and 100 goats) were examined using standard parasitological procedure. The study revealed that the overall prevalence of helminthiasis was 47.67%. The species level prevalence of helminthiasis was 46.07% and 55% in sheep and goats respectively. Strongyles were the most prevalent parasites encountered in the area followed by Fasciola. A statistically significant difference was found in prevalence between sheep and goat. Agroecology was found to be associated with prevalence rate and species of parasite found. Sex and age of the animals were shown to have association with prevalence but significant difference was not found. Therefore during the control and treatment of small ruminant helminthiasis agroecology, species, age and sex of the animals should be considered as potential risk factors for the occurrence of the disease in the study areas

Fodder and fertilizer trees action research in Africa RISING sites

United States Agency for International Developmen

Mixed-effects height prediction model for Juniperus procera trees from a Dry Afromontane Forest in Ethiopia.

Tree height is a crucial variable in forestry science. In the current study, an accurate height prediction model for Juniperus procera Hochst. ex Endl. trees were developed, using a nonlinear mixed-effects modeling approach on 1215 observations from 101 randomly established plots in the Chilimo Dry Afromontane Forest in Ethiopia. After comparing 14 nonlinear models, the most appropriate base model was selected and expanded as a mixed-effects model, using the sample plot as a grouping factor, and adding stand-level variables to increase the model’s prediction ability. Using a completely independent dataset of observations, the best sampling alternative for calibration was determined using goodness-of-fit criteria. Our findings revealed that the Michaelis–Menten model outperformed the other models, while the expansion to the mixed-effects model significantly improved the height prediction. On the other hand, incorporating the quadratic mean diameter and the stem density slightly improved the model’s prediction ability. The fixed-effects of the selected model can also be used to predict the mean height of Juniperus procera trees as a marginal solution. The calibration response revealed that a systematic selection of the three largest-diameter trees at the plot level is the most effective for random effect estimation across new plots or stands

A Call to Improve Methods for Estimating Tree Biomass for Regional and National Assessments

Tree biomass is typically estimated using statistical models. This review highlights five limitations of most tree biomass models, which include the following: (1) biomass data are costly to collect and alternative sampling methods are used; (2) belowground data and models are generally lacking; (3) models are often developed from small and geographically limited data sets; (4) simplistic model forms and predictor variables are used; and (5) variation is commonly averaged or grouped rather than accounted for. The consequences of these limitations are highlighted and discussed. Several recommendations for future efforts are presented including the following: (1) collection of field measurements of tree biomass using consistent protocols; (2) compilation of existing data; (3) continued evaluation and improvement of existing models; (4) exploration of new models; and (5) adoption of state-of-the-art analytical and statistical techniques. Given the increasing importance of accurately estimating forest biomass, there is a critical need to understand, evaluate, and improve current tree biomass prediction methods.Keywords: forest biomass, statistical equations, tree measurementsKeywords: forest biomass, statistical equations, tree measurement

Analyses of HIV-1 integrase sequences prior to South African national HIV-treatment program and available of integrase inhibitors in Cape Town, South Africa

HIV-Integrase (IN) has proven to be a viable target for highly specific HIV-1 therapy. We aimed to characterize the HIV-1 IN gene in a South African context and identify resistance-associated mutations (RAMs) against available first and second generation Integrase strand-transfer inhibitors (InSTIs). We performed genetic analyses on 91 treatment-naïve HIV-1 infected patients, as well as 314 treatmentnaive South African HIV-1 IN-sequences, downloaded from Los Alamos HIV Sequence Database. Genotypic analyses revealed the absence of major RAMs in the cohort collected before the broad availability of combination antiretroviral therapy (cART) and INSTI in South Africa, however, occurred at a rate of 2.85% (9/314) in database derived sequences. RAMs were present at IN-positions 66, 92, 143, 147 and 148, all of which may confer resistance to Raltegravir (RAL) and Elvitegravir (EVG), but are unlikely to affect second-generation Dolutegravir (DTG), except mutations in the Q148 pathway. Furthermore, protein modeling showed, naturally occurring polymorphisms impact the stability of the intasome-complex and therefore may contribute to an overall potency against InSTIs. Our data suggest the prevalence of InSTI RAMs, against InSTIs, is low in South Africa, but natural polymorphisms and subtype-specific differences may influence the effect of individual treatment regimens

Exploring barriers to the use of formal maternal health services and priority areas for action in Sidama zone, southern Ethiopia.

In 2015 the maternal mortality ratio for Ethiopia was 353 per 100,000 live births. Large numbers of women do not use maternal health services. This study aimed to identify factors influencing the use of maternal health services at the primary health care unit (PHCU) level in rural communities in Sidama zone, south Ethiopia in order to design quality improvement interventions. We conducted a qualitative study in six woredas in 2013: 14 focus group discussions (FGDs) and 44 in-depth interviews with purposefully selected community members (women, male, traditional birth attendants, local kebele administrators), health professionals and health extension workers (HEWs) at PHCUs. We digitally recorded, transcribed and thematically analysed the interviews and FGDs using Nvivo. The 'three delay model' informed the analytical process and discussion of barriers to the use of maternal health services. Lack of knowledge on danger signs and benefits of maternal health services; cultural and traditional beliefs; trust in TBAs; lack of decision making power of women, previous negative experiences with health facilities; fear of going to an unfamiliar setting; lack of privacy and perceived costs of maternal health services were the main factors causing the first delay in deciding to seek care. Transport problems in inaccessible areas were the main contributing factor for the second delay on reaching care facilities. Lack of logistic supplies and equipment, insufficient knowledge and skills and unprofessional behaviour of health workers were key factors for the third delay in accessing quality care. Use of maternal health services at the PHCU level in Sidama zone is influenced by complex factors within the community and health system. PHCUs should continue to implement awareness creation activities to improve knowledge of the community on complications of pregnancy and benefits of maternal health services. The health system has to be responsive to community's cultural norms and practices. The mangers of the woreda health office and health centres should take into account the available budgets; work on ensuring the necessary logistics and supplies to be in place at PHCU

Digital health for the end TB strategy : developing priority products and making them work

In 2014, the World Health Organization (WHO) developed the End TB Strategy in response to a World Health Assembly Resolution requesting Member States to end the worldwide epidemic of tuberculosis (TB) by 2035. For the strategy's objectives to be realised, the next 20 years will need novel solutions to address the challenges posed by TB to health professionals, and to affected people and communities. Information and communication technology presents opportunities for innovative approaches to support TB efforts in patient care, surveillance, programme management and electronic learning. The effective application of digital health products at a large scale and their continued development need the engagement of TB patients and their caregivers, innovators, funders, policy-makers, advocacy groups, and affected communities. In April 2015, WHO established its Global Task Force on Digital Health for TB to advocate and support the development of digital health innovations in global efforts to improve TB care and prevention. We outline the group's approach to stewarding this process in alignment with the three pillars of the End TB Strategy. The supplementary material of this article includes target product profiles, as developed by early 2016, defining nine priority digital health concepts and products that are strategically positioned to enhance TB action at the country level