The Galabat-Metema cross-border onchocerciasis focus: The first coordinated interruption of onchocerciasis transmission in Africa.

BACKGROUND: Onchocerciasis transmission across international borders is not uncommon, yet a coordinated cross border stops mass drug administration (MDA) decision has not been documented. METHODS/PRINCIPLE FINDINGS: The Galabat-Metema focus involves neighboring districts on the border between Sudan and Ethiopia. Mass drug administration (MDA) was provided once and subsequently twice per year in this focus, with twice-per-year beginning in Ethiopia's Metema subfocus in 2016 and in the Sudan's Galabat subfocus in 2008. Ov16 ELISA-based serosurveys were conducted in 6072 children under 10 years of age in the Metema subfocus in 2014, and 3931 in the Galabat in 2015. Between 2014 and 2016, a total of 27,583 vector Simulium damnosum flies from Metema and 9,148 flies from Galabat were tested by pool screen PCR for Onchocerca volvulus O-150 DNA. Only 8 children were Ov16 seropositive (all in the Metema subfocus); all were negative by skin snip PCR. The upper limit of the 95% confidence interval (UCL) for Ov16 seropositive was <0.1% for the overall focus and 0.14 positive fly heads per 2000 (UCL = 0.39/2000). However, an entomological 'hotspot' was detected on the Wudi Gemzu river in Metema district. The hotspot was confirmed when 4 more positive fly pools were found on repeat testing in 2017 (1.04 L3/2000 flies (UCL = 2.26/2000). Information exchange between the two countries led to stopping MDA in a coordinated fashion in 2018, with the exception of the hotspot at Wudi Gemzu, where MDA with ivermectin was increased to every three months to hasten interruption of transmission. CONCLUSION: Coordinated stop MDA decisions were made by Sudan and Ethiopia based on data satisfying the World Health Organization's criteria for interruption of onchocerciasis transmission. Definitions of entomological 'hotspots' and buffer zones around the focus are proposed

Children with Moderate Acute Malnutrition with No Access to Supplementary Feeding Programmes Experience High Rates of Deterioration and No Improvement: Results from a Prospective Cohort Study in Rural Ethiopia

Background: Children with moderate acute malnutrition (MAM) have an increased risk of mortality, infections and impaired physical and cognitive development compared to well-nourished children. In parts of Ethiopia not considered chronically food insecure there are no supplementary feeding programmes (SFPs) for treating MAM. The short-term outcomes of children who have MAM in such areas are not currently described, and there remains an urgent need for evidence-based policy recommendations. Methods: We defined MAM as mid-upper arm circumference (MUAC) of ≥11.0cm and <12.5cm with no bilateral pitting oedema to include Ethiopian government and World Health Organisation cut-offs. We prospectively surveyed 884 children aged 6–59 months living with MAM in a rural area of Ethiopia not eligible for a supplementary feeding programme. Weekly home visits were made for seven months (28 weeks), covering the end of peak malnutrition through to the post-harvest period (the most food secure window), collecting anthropometric, socio-demographic and food security data. Results: By the end of the study follow up, 32.5% (287/884) remained with MAM, 9.3% (82/884) experienced at least one episode of SAM (MUAC <11cm and/or bilateral pitting oedema), and 0.9% (8/884) died. Only 54.2% of the children recovered with no episode of SAM by the end of the study. Of those who developed SAM half still had MAM at the end of the follow up period. The median (interquartile range) time to recovery was 9 (4–15) weeks. Children with the lowest MUAC at enrolment had a significantly higher risk of remaining with MAM and a lower chance of recovering. Conclusions: Children with MAM during the post-harvest season in an area not eligible for SFP experience an extremely high incidence of SAM and a low recovery rate. Not having a targeted nutrition-specific intervention to address MAM in this context places children with MAM at excessive risk of adverse outcomes. Further preventive and curative approaches should urgently be considered

Implementation of Nursing Process and Its Associated Factor Among Nurses at Woldia Comprehensive Specialized Hospital, Northern Ethiopia: An Institution-Based Cross-Sectional Study

Gizachew Yilak, Addisu Getie, Awet Fitwi, Adam Wondmieneh, Teshome Gebremeskel School of Nursing, College of Health Sciences, Woldia University, Woldia, EthiopiaCorrespondence: Gizachew Yilak, Email [email protected]: Many countries have adopted the nursing process as a basic requirement for quality health care services, but there is a problem with its implementation in the clinical areas of many hospitals. Even though nurses accept the benefits of the nursing process, they do not use it practically. The implementation of the nursing process in Ethiopia is not well organized and developed. Many health care settings in Ethiopia demand the application of the nursing process in clinical practice.Methods: An institutional-based, descriptive cross-sectional study design was conducted at Woldia Comprehensive Specialized hospital. A simple random sampling technique was applied to select study subjects. The data were collected using self-administered questionnaires from August (01/0821 to September 01/09/2021. Binary logistic regressions were used. Then, P-value < 0.05 was considered statistically significant in this study.Results: This study reviled that 62.8% of nurses implemented the nursing process. Work experience greater than or equal to five years [AOR: 1.79; 95% CI (1.31– 4.84)], support from the administration of the organization to do the nursing process [AOR: 1.98; 95% CI (1.22– 3.01)], and knowledgeable nurses [AOR: 2.21; 95% CI (1.32– 4.97)] are significantly associated with the implementation of the nursing process.Conclusion: More than sixty present nurses implemented the nursing process. Work experience, organizational support to implement the nursing process, and knowledge were significant factors affecting the implementation of the nursing process.Keywords: nursing process, nurse, Woldia comprehensive specialized hospita

The Psychological Impacts During the Initial Phase of the COVID-19 Outbreak, and its Associated Factors Among Pastoral Community in West Omo Zone, South-West Ethiopia, 2020: A Community-Based Study

Nigusie Shifera,1 Gebremeskel Mesafint,2 Alemayehu Sayih,2 Gizachew Yilak,3 Abebaw Molla,4 Tewodros Yosef,1 Rahel Matiyas5 1Department of Epidemiology and Biostatics, School of Public Health, Mizan-Tepi University, Mizan-Aman, Ethiopia; 2Department of Nursing, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia; 3School of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia; 4Department of Nutrition, School of Public Health, Mizan-Tepi University, Mizan-Aman, Ethiopia; 5Department of Psychology, College of Social Science and Humanity, Mizan-Tepi University, Mizan-Aman, EthiopiaCorrespondence: Nigusie ShiferaDepartment of Epidemiology and Biostatics, School of Public Health, Mizan-Tepi University, Mizan-Aman, EthiopiaEmail [email protected]: COVID-19 is a global pandemic and a major health crisis affecting several nations. Such outbreaks are associated with adverse mental health consequences to any group of the population. Despite its negative effects, no study has addressed the potential psychological impacts of the COVID-19 outbreak among the pastoral community. This study aims to assess psychological experiences during the early stages of the COVID-19 outbreak and the factors that contributed to it among pastoral community residents in West Omo, South-West Ethiopia.Methods: A community-based cross-sectional study was carried out from May to June 2020. The study subjects were selected through a multistage sampling technique. Data were collected through face-to-face interviews, and entered into EpiData 3.1, then exported to SPSS version 24 for statistical analysis. The psychological impact was assessed by the Depression, Anxiety and Stress Scale (DASS-21). P-value &lt; 0.20 during bi-variable analysis was considered as a candidate for multivariable logistic regression. Independent factors of depression, anxiety, and stress were assessed using adjusted odds ratio with 95% confidence level s at P-value &lt; 0.05 cut-off point.Results: A total of 845 eligible pastoral residents were interviewed, with a 94.4% response rate. The prevalence of a positive response for anxiety, depression and stress was 30.8%, 26.3% and 24.4%, respectively. Being female was highly associated with developing anxiety and depression. Anxiety was found to be three times more prevalent among the respondents with &ge; 3 family members. Furthermore, participants with a history of mental illness, poor social support, and a high perceived life threat were also at a higher risk of experiencing anxiety, depression, and stress.Conclusion: The prevalence of positive depression, anxiety and stress results were high. As a result, special attention should be paid, by governmental and non-governmental health organizations, to psychosocial and mental health programs for pastoral residentsduring the COVID-19 pandemic.Keywords: COVID-19, anxiety, depression, outbreak, stres

Determining the groundwater potential for agricultural use in Ethiopian Highlands [Abstract only]

The Ethiopian government has declared the Lake Tana - Beles region to be a growth corridor and irrigation development is one of the priorities. Since the dry season river flow is limited, groundwater has the greatest potential for increasing irrigation in the near future. The main drawback is lack of information on sustainable groundwater use and specifically the ground water potential. Therefore the objective of this research is to calculate the annual groundwater recharge. The study was conducted in Robit-Bata, an experimental watershed of 911 ha, located at the south-eastern edge of Lake Tana. Farmers have excavated more than 300 hand dug wells for irrigation use from which, we used 50 wells for water table fluctuation observations for one year starting from April, 2014. Daily Precipitation was recorded for the same period. The annual recharge was estimated using the water – level fluctuation method. Specific yield was defined as the difference of porosity and field capacity of the subsurface formation. The annual average areal groundwater recharge was 640 mm/year, which is 41% of the rainfall and ranged from 50mm to 390mm per week for the various locations in the watershed. The greatest recharge amounts were found in the plains at the foot of the hills and river course areas consisting mostly weathered basalt rock. At those locations the groundwater rose steadily during the rainy monsoon phase. Smaller amount of recharge occurred both near the top of the hills with tough rock formation and in the, flat areas near to stream with sandy and clay deposits and groundwater at, shallow well depth. Our study indicates that the current use of the groundwater seems sustainable. Further research is required for optimized utilization of the limited groundwater resources for irrigation development to meet the food security of the community

Adaptation of the SCS [Soil Conservation Service] runoff equation for a (Sub) humid monsoon climate

The Soil Conservation Service Runoff equation was developed and tested for the temperate climate in the United States. Application to the monsoon climates has been only partially successful. The objective to adapt the SCS equation to a monsoon climate equation is to predict watershed runoff. The adaptation is based on the fact that in many humid areas the main mechanism for direct runoff is saturation excess and in monsoon climates the contributing area expands as a function of the cumulative effective rainfall ( Pe). This then translate in smaller watershed storage (S) in the equation. When estimating runoff contributing area within a watershed and assessing the runoff mechanisms, we have used the original concept of SCS-CN approach in a 113 ha Anjeni and 113ha Maybar Watersheds in the headwaters of the Blue Nile Basin, North Ethiopian highland. Analysis was done at daily, weekly and biweekly base using nine years of hydrological data (1988-97) by classifying the rainfall seasons in to six based on the seasonal cumulative of effective rainfall (Pe). The initial abstraction (Ia) was taken to be equal to the evapotranspiration loss (E) computed by Thornthwaite-Mather water balance method in replacement of the 20% of the potential storage (S). Effective rainfall (Pe) is the difference of total rainfall and Ia. The model performed more as the seasonal cumulative Pe is increased indicating that runoff responses occurred as the watershed saturated. The proportion of runoff contributing area (Af) increased linearly until the cumulative Pe up to nearly 500mm and then the watershed reaches in equilibrium for addition increase of Pe, which is in line with the concept of partial source area hydrology