Irrigation practices, state intervention and farmer’s life: Worlds in drought-prone Tigray

Irrigation practicesWater usersDamsIrrigation canalsIrrigation managementWater allocation

Initiation of Healers in Ethiopia: A Case Study

The aim of this study is to see how healers are initiated in Ethiopia. The paper also describes the position of traditional healers in the current situation of Ethiopia. It is found out that most of spiritual healers believed that they are selected by divine power or spirit. The selections are manifested by a single or a combination of ways namely: through dream, escaping mortal accident, and miraculous healing from chronic illnesses. However, secular healers got the initiation through apprenticeship. It is noted that in many cases »spirit selected healers« could also undergo apprenticeship

Scaling out sweetpotato and potato-led interventions to improve nutrition and food security in Tigray and SNNPR, Ethiopia

This flyer is a brief of the ‘Scaling out sweetpotato and potato-led interventions to improve nutrition and food security in Tigray and SNNPR’ project, which is being implemented in the Southern Nations, Nationalities and Peoples’ Region (SNNPR) and the Tigray region in the north of Ethiopia. At present, the project covers a total of 75 kebeles (villages) in 20 woredas (districts) in the two regions. It summarizes the objectives, achievements and lessons of the project between June 2014 and July 2015

Prevalence and variability of HIV/AIDS-associated neurocognitive impairments in Africa: a systematic review and meta-analysis

AbstractsBackgroundHIV AIDS associated neurocognitive impairments negatively affect treatment adherence viral load suppression CD4 count functionality and the overall quality of life of people with seropositive status However huge variability is observed across primary studies regarding the prevalence and determinants of neurocognitive impairment in people with HIV AIDS This systematic review and meta analysis sought to determine the pooled prevalence of neurocognitive impairment and identify factors contributing to variations in its estimate among people living with HIV AIDS in Africa MethodsA comprehensive literature search of scientific databases Medline PubMed SCOPUS Web of Science PsycINFO and EMBASE was performed from inception onward Google and Google Scholar were also searched for grey literature Research articles available until July 15 2022 were included We used STATA version 14 statistical software for analysis A random effect model was executed to pool the reported prevalence of neurocognitive impairments Subgroup analysis was done to show variations in the prevalence of neurocognitive impairments and factors that might contribute to these variations ResultsA literature search resulted in 8 047 articles After the removal of duplications and thorough evaluation a total of 49 studies were included in the meta analysis The prevalence of HIV AIDS associated neurocognitive impairments was highly variable across studies ranging from 14 to 88 yielding the pooled prevalence of HIV AIDS associated neurocognitive impairment to be 46 34 95 CI 40 32 52 36 and I2 98 5 with a P value of 0 001 ConclusionsA large proportion of people living with HIV AIDS in Africa have HIV AIDS associated neurocognitive impairment This illustrates the need to establish practical approaches to early identification and effective control of HIV AIDS associated neurocognitive impairments However there were variabilities in the reported prevalence of HIV AIDS associated neurocognitive impai

Magnitude and determinants of stunting in children underfive years of age in food surplus region of Ethiopia: The case of West Gojam Zone

Background: Child malnutrition is a major public health problem in Ethiopia. Surprisingly, the highest level of stunting is found in food surplus areas of the country. Objective: To identify the determinants of stunting in food surplus areas of West Gojam Zone. Method: A community based cross-sectional survey was conducted on 622 mother-child pairs of 0-59 month old children in Mecha and Wenberma Woredas of West Gojam Zone, Northern Ethiopia between May and June 2006. The study investigated the differential impact of demographic and socio-economic factors, health related factors and dietary factors on stunting among under-five children. Both bivariate analysis and multivariate analysis (logistic regression model) were used to identify the determinants of under-five stunting. Results: The analyses revealed that 43.2 (12.0-17.6) 95% CI percent of the children under age five were suffering from chronic malnutrition, 14.8 (39.3-47.1) 95% CI percent were acutely malnourished and 49.2 (45.3-53.1) 95% CI percent were found to be under-weight. The main contributing factors for under-five stunting were found to be sex of the child, child’s age, diarrhea episode, deprivation of colostrum, duration of breastfeeding, pre-lacteal feeds, type of food, age of introduction of complementary feeding and method of feeding. Conclusion: The findings of this study led to the realization that inappropriate feeding practice is the principal risk factor which brought about nutritional deprivation among under-five children in food surplus areas of Ethiopia. Thus, the importance of appropriate feeding during infancy and childhood cannot be overstated even in food surplus areas. The high prevalence of malnutrition in the study area points out the need to revisit the impression held by many people that malnutrition is not a problem in food surplus areas. Development and implementation of preventive policies aimed at addressing child malnutrition should also consider food surplus areas of the country. [Ethiop. J. Health Dev. 2009;23(2):98-106

Which nets are being used: factors associated with mosquito net use in Amhara, Oromia and Southern Nations, Nationalities and Peoples' Regions of Ethiopia.

RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.BACKGROUND: There has been recent large scale-up of malaria control interventions in Ethiopia where transmission is unstable. While household ownership of long-lasting insecticidal nets (LLIN) has increased greatly, there are concerns about inadequate net use. This study aimed to investigate factors associated with net use at two time points, before and after mass distribution of nets. METHODS: Two cross sectional surveys were carried out in 2006 and 2007 in Amhara, Oromia and SNNP regions. The latter was a sub-sample of the national Malaria Indicator Survey (MIS 3R). Each survey wave used multi-stage cluster random sampling with 25 households per cluster (224 clusters with 5,730 households in Baseline 2006 and 245 clusters with 5,910 households in MIS 3R 2007). Net ownership was assessed by visual inspection while net utilization was reported as use of the net the previous night. This net level analysis was restricted to households owning at least one net of any type. Logistic regression models of association between net use and explanatory variables including net type, age, condition, cost and other household characteristics were undertaken using generalized linear latent and mixed models (GLLAMM). RESULTS: A total of 3,784 nets in 2,430 households were included in the baseline 2006 analysis while the MIS 3R 2007 analysis comprised 5,413 nets in 3,328 households. The proportion of nets used the previous night decreased from 85.1% to 56.0% between baseline 2006 and MIS 3R 2007, respectively. Factors independently associated with increased proportion of nets used were: LLIN net type (at baseline 2006); indoor residual spraying (at MIS 3R 2007); and increasing wealth index at both surveys. At both baseline 2006 and MIS 3R 2007, reduced proportion of nets used was independently associated with increasing net age, increasing damage of nets, increasing household net density, and increasing altitude (>2,000 m). CONCLUSION: This study identified modifiable factors affecting use of nets that were consistent across both surveys. While net replacement remains important, the findings suggest that: more education about use and care of nets; making nets more resistant to damage; and encouraging net mending are likely to maximize the huge investment in scale up of net ownership by ensuring they are used. Without this step, the widespread benefits of LLIN cannot be realized

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

Malaria indicator survey 2007, Ethiopia: coverage and use of major malaria prevention and control interventions

<p>Abstract</p> <p>Background</p> <p>In 2005, a nationwide survey estimated that 6.5% of households in Ethiopia owned an insecticide-treated net (ITN), 17% of households had been sprayed with insecticide, and 4% of children under five years of age with a fever were taking an anti-malarial drug. Similar to other sub-Saharan African countries scaling-up malaria interventions, the Government of Ethiopia set an ambitious national goal in 2005 to (i) provide 100% ITN coverage in malarious areas, with a mean of two ITNs per household; (ii) to scale-up indoor residual spraying of households with insecticide (IRS) to cover 30% of households targeted for IRS; and (iii) scale-up the provision of case management with rapid diagnostic tests (RDTs) and artemisinin-based combination therapy (ACT), particularly at the peripheral level.</p> <p>Methods</p> <p>A nationally representative malaria indicator survey (MIS) was conducted in Ethiopia between September and December 2007 to determine parasite and anaemia prevalence in the population at risk and to assess coverage, use and access to scaled-up malaria prevention and control interventions. The survey used a two-stage random cluster sample of 7,621 households in 319 census enumeration areas. A total of 32,380 people participated in the survey. Data was collected using standardized Roll Back Malaria Monitoring and Evaluation Reference Group MIS household and women's questionnaires, which were adapted to the local context.</p> <p>Results</p> <p>Data presented is for households in malarious areas, which according to the Ethiopian Federal Ministry of Health are defined as being located <2,000 m altitude. Of 5,083 surveyed households, 3,282 (65.6%) owned at least one ITN. In ITN-owning households, 53.2% of all persons had slept under an ITN the prior night, including 1,564/2,496 (60.1%) children <5 years of age, 1,891/3,009 (60.9%) of women 15 - 49 years of age, and 166/266 (65.7%) of pregnant women. Overall, 906 (20.0%) households reported to have had IRS in the past 12 months. Of 747 children with reported fever in the two weeks preceding the survey, 131 (16.3%) sought medical attention within 24 hours. Of those with fever, 86 (11.9%) took an anti-malarial drug and 41 (4.7%) took it within 24 hours of fever onset. Among 7,167 surveyed individuals of all ages, parasitaemia as estimated by microscopy was 1.0% (95% CI 0.5 - 1.5), with 0.7% and 0.3% due to <it>Plasmodium falciparum </it>and <it>Plasmodium vivax</it>, respectively. Moderate-severe anaemia (haemoglobin <8 g/dl) was observed in 239/3,366 (6.6%, 95% CI 4.9-8.3) children <5 years of age.</p> <p>Conclusions</p> <p>Since mid-2005, the Ethiopian National Malaria Control Programme has considerably scaled-up its malaria prevention and control interventions, demonstrating the impact of strong political will and a committed partnership. The MIS showed, however, that besides sustaining and expanding malaria intervention coverage, efforts will have to be made to increase intervention access and use. With ongoing efforts to sustain and expand malaria intervention coverage, to increase intervention access and use, and with strong involvement of the community, Ethiopia expects to achieve its targets in terms of coverage and uptake of interventions in the coming years and move towards eliminating malaria.</p

Integrating an NTD with One of “The Big Three”: Combined Malaria and Trachoma Survey in Amhara Region of Ethiopia

The “big three” killer diseases are malaria, HIV/AIDS, and tuberculosis; control programs for these diseases are usually well developed and financed. The neglected tropical diseases (NTDs) are a group of ancient afflictions that are frequently sidelined by planners and are under-resourced. Opportunities of integrating the big three with NTDs have been talked about but not widely acted upon. There is potential synergy for an integrated trachoma and malaria control program since control of both diseases is community-based. The first step in accessing these synergies has been an integrated malaria prevalence and indicator and trachoma prevalence and risk factor survey. This has been achieved at the incremental cost of one additional staff member per field team. The results give unprecedented precision for the calculation of intervention targets for the integrated program and demonstrate that it is possible to integrate NTDs with the “big three.

Development of a scalable mental healthcare plan for a rural district in Ethiopia

Background:Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority.AimsTo outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia.Method:A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation).Results:The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability.Conclusions:The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC