Climate Variability, Communities\u27 Perceptions and Land Management Strategies in Lay Gayint Woreda, Northwest Ethiopia

Climate variability is the fluctuation of climatic elements from the normal or baseline values. Agrarian communities are the most sensitive social groups to climate variability and associate extreme weather-induced hazards due to the fact that climate variability affects the two most important direct agricultural production inputs, such as rainfall and temperature. As Ethiopia is heavily dependent on agriculture its economic development is being hindered by climate variability coupled with many other deriving forces. Therefore, the objective of this study is to examine climate variability, local communities\u27 perceptions and land management strategies to reduce the adverse impact of climate variability in Lay Gayint Woreda, Ethiopia. Both primary and secondary data were used to complete this study. Primary data were collected and analyzed from a total of 200 randomly selected respondents reside in different agro-ecological areas. Metrology data were gathered from Nefas Mewcha Station from the years 1979 to 2010. Standardized rainfall anomaly index (SRAI), crop diversification index (CDI) and other descriptive statistical techniques were used to analyze the data. The results obtained from the climate data revealed an increase in temperature, and decrease and/or erratic in rainfall distribution. Time series SRAI from 1979 to 2010 indicates that 2002 and 2008 were characterized by extreme and severe dry conditions in order of importance with high impact on crop yields whist only 1984 and 1990 received near normal rainfall amount. Similarly, the survey result reveals that out of the total household heads, 87.5 % perceived that there was an increase in temperature over the last 20 years. The survey result also disclosed that significant numbers of households are more likely to adopt different land management strategies to reduce the negative impact of climate variability. Constructing terraces and check dams as well as planting trees were the major land management strategies used by the local communities. However, crop diversification index (CDI) was found to be 0.11 as the cultivated area is stanch to one crop indicating very low alternative crop production in the study area. Although the study area receives variable and inefficient rainfall the rugged topography and poor soil conditions have hindered the development of irrigation facilities. Local context-specific integrated watershed management activities, small-scale irrigation schemes and extension services need to be strengthened to reduce the impact of climate variability. Policy makers need also to substantially invest in establishing information dissemination systems in order to provide reliable weather information for farmers given that crop production is largely dependent on it

Why do people not attend for treatment for trachomatous trichiasis in Ethiopia? A study of barriers to surgery.

BACKGROUND: Trachomatous trichiasis (TT) surgery is provided free or subsidised in most trachoma endemic settings. However, only 18-66% of TT patients attend for surgery. This study analyses barriers to attendance among TT patients in Ethiopia, the country with the highest prevalence of TT in the world. METHODOLOGY/PRINCIPAL FINDINGS: Participants with previously un-operated TT were recruited at 17 surgical outreach campaigns in Amhara Region, Ethiopia. An interview was conducted to ascertain why they had not attended for surgery previously. A trachoma eye examination was performed by an ophthalmologist. 2591 consecutive individuals were interviewed. The most frequently cited barriers to previous attendance for surgery were lack of time (45.3%), financial constraints (42.9%) and lack of an escort (35.5% in females, 19.6% in males). Women were more likely to report a fear of surgery (7.7% vs 3.2%, p<0.001) or be unaware of how to access services (4.5% vs 1.0% p<0.001); men were more frequently asymptomatic (19.6% vs 10.1%, p<0.001). Women were also less likely to have been previously offered TT surgery than men (OR = 0.70, 95%CI 0.53-0.94). CONCLUSIONS/SIGNIFICANCE: The major barriers to accessing surgery from the patients' perspective are the direct and indirect costs of surgery. These can to a large extent be reduced or overcome through the provision of free or low cost surgery at the community level. TRIAL REGISTRATION: ClinicalTrials.gov NCT00522860 and NCT00522912

Teachers’ Perceptions and Practices of Active Learning in Haramaya University, Eastern Ethiopia: The Case of Faculty of Education

The purpose of this study was to investigate instructors’ perceptions and practices of active learning, assess the extent to which instructors’ perceptions influence their practices and identify factors affecting the  implementation of active learning in Haramaya University faculty of education. To conduct the study, descriptive survey design was employed. A total of 123 instructors participated in the study and completed  questionnaires. This was complemented by a qualitative approach that  used observation checklists and interviews for data gathering: 9 lessons were observed while the instructors were teaching in the actual classes. In addition, semi-structured interviews were conducted with three instructors. In the selection of the sample population, purposive and systematic samplings were used. The data were analyzed using percentage, mean  and grand mean. The findings of the study revealed that the respondents have perceived active learning positively. In spite of their good  perceptions, their practices of active learning were low. Among the major factors affecting the effective implementation of active learning were instructors’ tendency toward the traditional/lecture method, lack of  students’ interest, shortage of time, lack of instructional material and large class size. Finally, recommendations were forwarded based on the major findings so as to minimize problems encountered and maximize the  implementation of active learning in the study area

Absorbable versus silk sutures for surgical treatment of trachomatous trichiasis in Ethiopia: a randomised controlled trial.

BACKGROUND: Trachoma causes blindness through an anatomical abnormality called trichiasis (lashes touching the eye). Trichiasis can recur after corrective surgery. We tested the hypothesis that using absorbable sutures instead of silk sutures might reduce the risk of recurrent disease among patients with major trichiasis in a randomised trial. METHODS AND FINDINGS: 1,300 individuals with major trichiasis from rural villages in the Amhara Region of Ethiopia were recruited and assigned (1:1) by computer-generated randomisation sequence to receive trichiasis surgery using either an absorbable suture (polyglactin-910) or silk sutures (removed at 7-10 days) in an otherwise identical surgical technique. Participants were examined every 6 months for 2 years by clinicians masked to allocation. The primary outcome measure was recurrent trichiasis (≥one lash touching the eye) at 1 year. There was no difference in prevalence of recurrent trichiasis at 1 year (114 [18.2%] in the absorbable suture group versus 120 [19.7%] in the silk suture group; odds ratio = 0.90, 95% CI 0.68-1.20). The two groups also did not differ in terms of corneal opacification, visual acuity, conjunctival inflammation, and surgical complications. CONCLUSIONS: There was no evidence that use of absorbable polyglactin-910 sutures was associated with a lower prevalence of trichiasis recurrence at 1 year postsurgery than silk sutures. However, from a programmatic perspective, polyglactin-910 offers the major advantage that patients do not have to be seen soon after surgery for suture removal. The postoperative review after surgery using absorbable polyglactin-910 sutures can be delayed for 3-6 months, which might allow us to better determine whether a patient needs additional surgery. TRIAL REGISTRATION: ClinicalTrials.gov NCT00522860

The use of chlorhexidine in the prevention of alveolar osteitis after third molar extractions

Data sources: Cochrane Central Register of Controlled Trials (CENTRAL), Medline through PubMed, Scopus, Science Direct, ISI Web of Science, Evidence-Based Dentistry, ClinicalTrials.gov, the European Union Clinical Trials Register, the Spanish General University Board database of doctoral theses in Spain (TESEO), the Spanish National Research Council (CSIC) bibliographic databases, and the Spanish Medical Index (IME).Study selection: Randomised controlled trials (RCTs) (with or without placebo) of patients of any age or gender who underwent maxillary or mandibular third molar extractions. Studies were required to have analysed the efficacy of only chlorhexidine in any concentration, formulation or treatment regimen for preventing alveolar osteitis (AO). There was no language restriction.Data extraction and synthesis: Data extraction was carried out independently by two researchers, and a third researcher was consulted in case of disagreements. When explicit data were not stated in the text, they were calculated using data from the tables where possible. In addition, authors were contacted to obtain any necessary missing information. Datasets were assessed for heterogeneity, and meta-analysis was conducted on homogenous datasets. Publication bias was assessed through funnel plots. The research was conducted and is reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.Results: Twenty-three studies published from 1979 to 2015, corresponding to 18 trials (16 parallel-group and two split-mouth RCTs), that reported on 2,824 third molar extractions (1,458 in experimental group and 1,366 in control group) were included. The overall relative risk (RR) was 0.53 (95% CI, 0.45-0.62; PConclusions: The use of chlorhexidine, in any formulation (rinse or gel), concentration (0.12% or 0.20%), or regimen (before, during and/or after surgery), is efficacious and effective in preventing AO in patients who have undergone third molar extraction. The findings showed that in order to prevent one case of AO, eight patients would have to be treated with chlorhexidine. Chlorhexidine gel was found to be moderately more efficacious than the rinse formulation.</p

Patterns of domestication in the Ethiopian oil-seed crop noug (Guizotia abyssinica)

Noug (Guizotia abyssinica) is a semidomesticated oil-seed crop, which is primarily cultivated in Ethiopia. Unlike its closest crop relative, sunflower, noug has small seeds, small flowering heads, many branches, many flowering heads, and indeterminate flowering, and it shatters in the field. Here, we conducted common garden studies and microsatellite analyses of genetic variation to test whether high levels of crop–wild gene flow and/or unfavorable phenotypic correlations have hindered noug domestication. With the exception of one population, analyses of microsatellite variation failed to detect substantial recent admixture between noug and its wild progenitor. Likewise, only very weak correlations were found between seed mass and the number or size of flowering heads. Thus, noug's ‘atypical’ domestication syndrome does not seem to be a consequence of recent introgression or unfavorable phenotypic correlations. Nonetheless, our data do reveal evidence of local adaptation of noug cultivars to different precipitation regimes, as well as high levels of phenotypic plasticity, which may permit reasonable yields under diverse environmental conditions. Why noug has not been fully domesticated remains a mystery, but perhaps early farmers selected for resilience to episodic drought or untended environments rather than larger seeds. Domestication may also have been slowed by noug's outcrossing mating syste

Social and institutional factors affecting the daily experiences of the spouses of international students: Voices from the Midwest and implications to academic institutions

The decades after WWII witnessed a substantial increase in the number of international students coming to the U.S. In the course of decades, international students and their families have become essential both to the economic and cultural life of campus communities throughout the country. Yet, academic institutions continue to overlook the needs of a very important segment of this constituency: accompanying spouses of international students. Currently, appropriate programs and services targeting the needs of spouses of international students are lacking. Except sporadic efforts by a few institutions, suitable programs targeting the contemporary needs of accompanying spouses are virtually absent. Based on interviews with twelve women from eleven different countries, this study examines the day-to-day experiences of female spouses of international students as they reside in the U.S. with legally dependent status. While accompanying spouses are both men and women, due to the disproportionately small number of men who come as accompanying spouses, this study focuses on the experiences of women who sojourn in the U.S. to await the completion of the studies of an undergraduate or graduate student spouse. This study provides insights into the challenges as well as benefits of coming to the U.S. as an accompanying spouse. From the stories these women told, large numbers of accompanying international spouses are well-educated individuals, some with years of professional experience. The study revealed that these women, due to their legally restricted status, tend to live for years in a type of social isolation filled with economic and emotional struggle. A strong message for academic institutions emerges: while there has been a historical link between international spouses and community volunteer organizations serving this group, community networks no longer have the capacity to meet the needs of this group. Hence, as universities worldwide compete to attract international students, the existence of university services and programs for accompanying spouses could eventually become a key factor in determining where couples decide to enroll

Landscape Change in Arid and Semi-Arid Rangeland of Borana, Southern Ethiopia: Implication for Management

The Borana rangelands in southern Ethiopia (between 4°3’N to 5°0’N and 37°4’E to 38°2’E) comprise important cultural landscapes with a unique feature of the tula-well landscapes. Until a few decades ago, the Borana rangelands were considered one of the most productive and resilient ecosystems in East Africa. In recent years, however, the Borana rangelands have undergone a large reduction in grassland cover probably as a result of anthropogenic and natural-induced factors (Coppock 1994), with consequences on the livelihood of the local communities. Therefore, the objective of the study was to investigate the dynamics of landscape change in the Borana rangelands of Ethiopia based on satellites imagery

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

Epilation for minor trachomatous trichiasis: four-year results of a randomised controlled trial.

BACKGROUND: Trachomatous trichiasis (TT) needs to be managed to reduce the risk of vision loss. The long-term impact of epilation (a common traditional practice of repeated plucking of lashes touching the eye) in preventing visual impairment and corneal opacity from TT is unknown. We conducted a randomized controlled trial of epilation versus surgery for the management of minor TT (fewer than six lashes touching the eye) in Ethiopia. Here we report the four-year outcome and the effect on vision and corneal opacity. METHODOLOGY/ PRINCIPAL FINDINGS: 1300 individuals with minor TT were recruited and randomly assigned to quality trichiasis surgery or repeated epilation using high quality epilation forceps by a trained person with good near vision. Participants were examined six-monthly for two-years, and then at four-years after randomisation. At two-years all epilation arm participants were offered free surgery. At four-years 1151 (88.5%) were re-examined: 572 (88%) and 579 (89%) from epilation and surgery arms, respectively. At that time, 21.1% of the surgery arm participants had recurrent TT; 189/572 (33%) of the epilation arm had received surgery, while 383 (67%) declined surgery and had continued epilating ("epilation-only"). Among the epilation-only group, 207 (54.1%) fully controlled their TT, 166 (43.3%) had minor TT and 10 (2.6%) had major TT (&gt;5 lashes). There were no differences between participants in the epilation-only, epilation-to-surgery and surgery arm participants in changes in visual acuity and corneal opacity between baseline and four-years. CONCLUSIONS/ SIGNIFICANCE: Most minor TT participants randomised to the epilation arm continued epilating and controlled their TT. Change in vision and corneal opacity was comparable between surgery and epilation-only participants. This suggests that good quality epilation with regular follow-up is a reasonable second-line alternative to surgery for minor TT for individuals who either decline surgery or do not have immediate access to surgical treatment