Afar Region Of Ethiopia Research Articles

Rural Households' Demand Status for Mitigation of Prosopis juliflora (Sw.) DC Invasion and Its Determinant Factors in Ethiopia: Empirical Evidence from Afar National Regional State.

Ethiopia is among the world's poorest nations, and its economy is growing extremely slowly; thus, the government's budget to manage environmental amenities is not always sufficient. Thus, for the provision of environmental management services such as the eradication of Prosopis juliflora, the participation of local households and other stakeholders is crucial. This study is therefore initiated with the objective of assessing rural households' demands for mitigating Prosopis juliflora invasion in the Afar Region of Ethiopia. A multistage sampling technique was employed to obtain the 313 sample rural households that were used in the analysis, and those sample households were selected randomly and independently from the Amibara and Awash Fentale districts of Afar National Regional State, Ethiopia. In doing this, a seemingly unrelated bivariate probit model was used to determine factors affecting rural households' demands for mitigating Prosopis juliflora invasion. Consequently, as per the inferential statistical results, there was a significant mean/percentage difference between willing and nonwilling households for the hypothesized variables, except for some variables such as farm experience; years lived in the area, distance from the market, and dependency ratio. Furthermore, the seemingly unrelated bivariate probit model result indicates that sex, family size, tenure security, livestock holding, frequency of extension contact, and years lived in the area were important factors influencing the willingness to participate in Prosopis juliflora management practices positively, whereas age, off-farm/nonincome, and bid value affected willingness to pay negatively and significantly. Hence, to improve the participation level of households, policymakers should target these variables.

Predicting the peak flow and assessing the hydrologic hazard of the Kessem Dam, Ethiopia using machine learning and risk management centre-reservoir frequency analysis software

Abstract Flooding due to overtopping during peak flow in embankment dams primarily causes dam failure. The Kessem River watershed of the Awash basin in the Rift Valley of the Afar region in Ethiopia was studied intricately to predict the causes of the Kessem Dam safety using machine learning predictive models and risk management centre-reservoir frequency analysis. Recently developed recurrent neural network predictive models with hybrid Soil Conservation Service Curve Number (SCS-CN) were used for simulation of river flow. Peak daily inflow to the reservoir is predicted to be 467.72, 435.88, and 513.55 m3/s in 2035, 2061, and 2090, respectively. The hydrologic hazard analysis results show 2,823.57 m3/s and 935.21 m; 2,126.3 m3/s and 934.18 m; and 11,491.1 m3/s and 942.11 m peak discharge and maximum reservoir water level during the periods of 2022–2050, 2051–2075, and 2076–2100, respectively, for 0.0001 annual exceedance probability. The Kessem Dam may potentially be overtopped by a flood with a return period of about 10,000 years during the period of 2076–2100. Quantitative hydrologic risk assessment of the dam is used for dam safety evaluation to decide whether the existing structure provides an adequate level of safety, and if not, what modifications are necessary to improve the dam's safety.

Spatial variations and determinants of bottle feeding among children aged 0-23 months in Ethiopia in 2019: A spatial and multi-level analysis.

Bottle feeding should be avoided since it interferes with optimal breastfeeding and it causes diarrheal-related morbidity and mortality. Despite the WHO's recommendation that children to avoid bottle feeding, it is still widely practiced in developing countries including our country, Ethiopia. Therefore, this study aimed to assess the spatial variations, and determinants of bottle feeding among children aged 0-23 months using the recent demographic and health survey data for Ethiopia. A secondary data analysis was conducted using the 2019 Ethiopian mini demographic and health survey data. The total weighted sample of 2067 children aged 0-23 months was included in this study. Spatial analysis was done to identify the hotspot areas of bottle feeding among children in Ethiopia. Multivariable multilevel logistic regression was used to identify predictors of bottle feeding. The spatial analysis was done using ArcGIS 10.7 and Sat Scan 9.6 software. The prevalence of bottle feeding among children aged 0-23 months was 21.52% with 95% CI(19.80%, 23.34%). Age of the child from 6-11 months, and 12-23 months age, having secondary and above education [AOR = 2.09; 95%CI; 1.31, 3.32], being from middle and rich household [AOR = 2.14; 95%CI; 1.37, 3.34] and [AOR = 2.30; 95%CI; 1.46, 3.63], and twin birth [AOR = 8.06; 95%CI; 2.87, 22.58] were significant predictors of bottle feeding. Hotspot areas of bottle feeding were observed in Addis Ababa, Dire Dawa, Harari, and Afar regions of Ethiopia. Bottle feeding practice was found to be spatially clustered in Ethiopia. Education, wealth index, parity, and child's age were significant predictors of bottle feeding. Hotspot areas of bottle feeding were observed in Addis Ababa, Dire Dawa, Harari, and Afar regions. Special attention should be directed towards mothers residing in hotspot areas, educated mothers, mothers of multiple births, and mothers from rich households through community education programs focused on child feeding practices to reduce the practice of bottle-feeding in Ethiopia.

Potential fish yield and biology of some fish in Lake Hertale, Afar regional state, Ethiopia

The Afar region is characterized by an arid and semi-arid climate with erratic rainfall and is prone to frequent droughts despite being endowed with fresh and saline water bodies along the Awash River Basin. Lake Hertale is one of those fresh water bodies located in the middle of the Awash River Valley. The lake's fishery is presumed not to have been exploited before. The study attempted to describe some physico-chemical parameters, fish species composition, estimate production potential which are relevant to develop a lake fishery with the prospect of contributing to food and nutrition security. The nutrient and chlorphyl-a measurements indicated eutrophic state but with apparently comparative low primary biomass. Conductivity, dissolved oxygen and temperature were within the optimal range for warm water species along with slightly alkaline pH. It was found that Lake Hertale is home to four important fish species, namely, Nile Tilapia (Oreochromis niloticus), barbs (Lebobarbus intermidus), African catfish (Clarias gariepinus) and Common carp (Cyprinus carpio), Nile crocodiles, several species of birds and hippopotamus. Labeobarbus constituted 56%, followed by Nile tilapia with 31% of the total population. The African Catfish constituted only 9% of the catch. The mean lengths of African Catfish and Labeobarbus were 47.2 and 38 cm respectively. The mean lengths of Nile tilapia and Common carp were 22.8 and 21.7 cm respectively. The fish production potential of the lake was estimated from 94.3 to 238 tons per year, with an average production of 145.7 tons per year. The estimate production potential can support up to 21 to 28 fishers, with an average number of 25 fishermen to sustainably utilize the lake's fishery potential. Lake Hertale and other adjacent lakes in the Afar region of Ethiopia can complement to the fight against hunger and malnutrition. Besides, through appropriate fishery development intervention, it is possible to create employment for the predominantly pastoralist Afar community.

The earliest most complete skeleton of Theropithecus

The middle Pliocene site of Woranso-Mille in the Afar Region of Ethiopia has yielded numerous significant early hominin fossils representing multiple, coexisting taxa. Here we report on another significant discovery, the oldest partial skeleton of the papionin, Theropithecus. The specimen was recovered from the Aralee Issie collection area over multiple field seasons from 2004 through 2019. The specimen was unearthed in situ from the fluvial facies of the Mesgid Dora Tuff dated to 3.66–3.57 Ma. The partial skeleton, ARI-VP-1/26, is that of a subadult male lacking a skull. In the absence of unambiguously associated craniodental remains, the male status of the specimen was established from the dimensions of the long bones in comparison to those of other Theropithecus from Woranso-Mille. ARI-VP-1/26 is noteworthy because it preserves partial hand and foot skeletons, including a complete set of metacarpals from the left side. The theropith status of ARI-VP-1/26 was established based on the detailed anatomy of the postcranial skeleton, especially the proximal and distal humerus, proximal radius, and proximal femur. The morphology of the postcranium of ARI-VP-1/26 is consistent with that of recognized Theropithecus from Woranso-Mille and, specifically, with specimens recognized as Theropithecus oswaldi cf. darti from other sites. The ratio of the lengths of the first metacarpal to metacarpals 2–5 in ARI-VP-1/26 is intermediate between that seen in extant Papio and Theropithecus. In Theropithecus gelada and Theropithecus brumpti, the pairing of pollical and indical metacarpals of near equal length contributes to the species' high opposability index and is associated with a ‘manual grazing’ feeding habit. Cercopithecids constitute 43% of the identified vertebrates at Aralee Issie, and T. oswaldi cf. darti is the most common mammalian species. The monkeys of Aralee Issie lived in an open shrubland habitat, but the specific reasons for their high prevalence at the site are unclear.

A qualitative study on the unresolved problem of female genital mutilations, socio-cultural reasons, and policy issues in the Afar regions of Ethiopia

A qualitative study on the unresolved problem of female genital mutilations, socio-cultural reasons, and policy issues in the Afar regions of Ethiopia

Hotspots of un-iodized salt availability among Ethiopian households, evidence from the national survey data

BackgroundUniversal salt iodization was started before decades but there are communities using the un-iodized salt till now. More than one-tenth of the Ethiopian community uses un-iodized salt.ObjectiveThis study aimed to identify the hotspots and associate factors of un-iodized salt availability in Ethiopia based on Ethiopian national household survey data.MethodsWe conducted an in-depth analysis of the Ethiopian Demographic and Health Survey 2016 data. A total of 15,567 households were included in the final analysis. We cleaned and weighed the data using Stata version 16 software and descriptive outputs were reported in graphs and tables. We computed the weighted prevalence of un-iodized salt and prepared it for spatial analysis. Global-level spatial autocorrelation, hotspot analysis using the Getis-Ord Gi* statistics, and spatial interpolation using empirical Bayesian interpolation were executed using ArcGIS 10.3 to predict the magnitude of un-iodized salt at the national level. The binary logistics regression model was used to identify the contributing factors of un-iodized salt utilization. Model goodness of fit was tested with Hosmer and Lemeshow goodness-of-fit test (P = 0.96). Finally, the adjusted odds ratio (AOR) with 95% CI was reported to identify significant factors.ResultsThe magnitude of un-iodized salt availability was 14.19% (95% CI: 13.65, 14.75) among Ethiopian households. Un-iodized salt hotspots were found in Afar, Somalia, and Benishangul Gumuz regions. Compared to poorest wealth index: poorer (AOR = 0.55, 95% CI: 0.48, 0.64), middle (AOR = 0.51, 95% CI: 0.44, 0.60), richer (AOR = 0.55, 95% CI: 0.47, 0.64), and richest (AOR = 0.61, 95% CI: 0.50, 0.75); compared to uneducated household head: heads with secondary (AOR = 0.72, 95% CI: 0.60, 0.67) and above secondary (AOR = 0.54, 95% CI: 0.43, 0.67) education reduced the odds of un-iodized salt viability, while households living in highland (AOR = 1.16, 95% CI: 1.05, 1.29) had increased the odds of un-iodized salt availability.ConclusionMore than a tenth of the households in Ethiopia uses un-iodized salt. Hotspots of un-iodized salt availability were found in Somali and Afar regions of Ethiopia. Better wealth index and education of the household heads reduces the odds of un-iodized salt availability while living in a high altitude above 2200 m increases the odds of un-iodized salt availability in Ethiopia.

Determination on Level of Iodized Salt Availability in Households and Related Factors

Background: Iodine deficiency (ID) affects 1.88 billion people worldwide. The World Health Organization (WHO) suggested that 90% of households should consume at least 15 ppm (parts per million) of iodized salt (IS) to effectively manage iodine deficiency disorders (IDD) in a world population. The principal goal of this study was to assess the availability of IS and associated factors among households in the Afar region of Ethiopia. Methods: At the community of Afar Region (AR), the cross-sectional study (CSS) was undertaken among 549 household members from December 01 to 30, 2017 G.C. A multi-stage stratified and systematic random sampling technique (SRST) was applied to select the study participants. A well-structured questionnaire was used to collect data among the study population, and salt samples were analysed using a Rapid test kit (RTK). The collected data was entered into Epi-info (EI) version 7 for cleaning and exported to Statistical Package for the Social Sciences (SPSS) 20.0 for further analysis completion. A Binary Logistic Regression (BLR) has been used to investigate the relationship between several parameters and the level of availability of IS with a considered statistically significant p-value of <0.05, and the study reported as per the Strengthening the reporting of observational studies in epidemiology (STROBE) checklist guidelines. Result: The study found that 38.1% [95 % CI: 33.9 – 42.3] of households had access to IS. However, the salt type usage [AOR=1.86, 95% CI: 1.075, 3.241], container used type [AOR=4.42, 95% CI: 2.53, 7.73], storage place [AOR=2.03, 95% CI: 1.271, 3.273) and storage duration [AOR=1.66, 95% CI: 1.003, 2.760] of factors were statistically associated with the level availability of IS at household. Conclusion: The research region has a poor availability of appropriate IS at the household level. The type of salt used, type of container used for storage, place of storage, and duration of storage were factors associated with the availability of IS. As a result, households should be educated about the need for IS and its safe management.

Mobile Health and Nutrition Team Service Implementation in Somali and Afar Regions of Ethiopia: A Qualitative Implementation Science Study.

Ethiopia has been implementing Mobile Health and Nutrition Teams (MHNTs) to improve the accessibility of essential healthcare services for unreached populations with poor infrastructure to ensure health for all target by Universal health coverage (UHC). However, the current implementation status of this MNHT is not assessed. This study aimed to capture the current implementation status of the MHNT from the program managers, supporting partners and decision makers at each level of the health system structure in Afar and Somali regions. We conducted qualitative study with phenomenological study design. The data was collected from RHB MHNT coordinator, woreda health office MHNT coordinator, MHNT leader and representatives from implementing partners. The interview guides were developed using the CFIR framework. Out of the 17 respondents, 13 responded all the standard service packages a MHNT is expected to deliver (76.5%). Overall, the KIIs mentioned that the MHNTs are effective in ensuring access and quality of health services. MHNT strategy has high demand and acceptability by the community and the service providers. The main barrier to program implementation is the gap in service integration within and across sectors. Inadequate staffing of the MHNT, gaps in ensuring proper professional mix, frequent turnover of contract health workers, and skill gaps hamper effective and sustainable implementation of the program. MHNT establishment, effectiveness, acceptability and sustainably in the implementing woredas of Afar and Somali Regions is very promising. The culture of MHNT documentation and reporting needs some improvement. Besides, community engagement and government ownership are good drivers for sustainability of MHNT. Standardizing and adding additional professionals with capacity building is crucial to ensuring service quality. Furthermore, community mobilization and woreda leadership commitment boosting will be needed for granting sustainability. Finally, national scale up of this alternative strategy is recommended through standardized implementation modality.

Halibee fossil assemblages reveal later Pleistocene cercopithecins (Cercopithecidae: Primates) in the Middle Awash of Ethiopia

AbstractObjectivesThe goals of this study were to describe and interpret two new fossil assemblages of cercopithecin monkeys (n = 328), one from the Faro Daba beds (ca. 100,000 years) and the other one from the Chai Baro beds (>158,000 years old), in the Afar Rift of Ethiopia.Materials and MethodsWe describe the two assemblages and compare them to extant cercopithecin species and the smaller fossil assemblage from Asbole, Ethiopia (ca. 600 ka). We use a population‐based approach to the taxonomy given the unusually large number of specimens. Craniodental and postcranial anatomy are presented. Evidence of locomotor habitus is described and evaluated in a framework of hybridization and postcranial plasticity.ResultsWe attribute all cercopithecin specimens from both beds to cf. Chlorocebus and conclude that the Faro Daba and Chai Baro assemblages likely sample single species at each time horizon. Subtle differences between the two assemblages, mostly in postcranial morphology, are insufficient to justify separation at the species level.DiscussionThe large sample sizes and unique preservational aspects of these two assemblages open a new window into the recent evolution of guenons. Our data indicate that these fossil populations may be ancestral to the cercopithecins currently living in the Afar region of Ethiopia.

Response of youth participation in agricultural diversification as rural job creation work in rift valley for afar region in Ethiopia

Response of youth participation in agricultural diversification as rural job creation work in rift valley for afar region in Ethiopia

Dietary diversity practice and its influencing factors among pregnant women in Afar region of Ethiopia: mixed method study

BackgroundPregnancy can aggravate nutritional deficiencies, especially micronutrient deficiencies, which can have major health impact for the fetus and mother. Women in low-income countries are frequently malnourished when they become pregnant. Identifying the magnitude of dietary diversity and its influencing factors among pregnant women in the pastoral region of Afar, where no study has been conducted, is critical for establishing an intervention program in the region.MethodA mixed study comprising 241 pregnant women and six focus group discussions was conducted from October 1 to November 10, 2018. Participants in the quantitative study were selected by a systematic sampling method, whereas those in the focus group discussions were selected by a purposive sampling method. The data were collected using pretested questionnaires administered via face-to-face interviews. Logistic regression determines the association between the dietary diversity practice and its influencing factors. The results were presented by the odds ratio with a 95% confidence interval. A P-value of < 0.05 is used to declare a statistically significant. A thematic framework was used to analyze the qualitative data.ResultsSeventy-three percent of pregnant women had poor dietary diversity. Dietary diversity was higher in younger pregnant women who were under the age of 20 years (AOR = 5.8; at 95% CI: 1.6–13.5) and aged between 21 and 25 years (AOR = 3.9; at 95% CI: 1.1–12.2) than those pregnant women over the age of 30 years. Those participants with a high average family income (above 4500 birr) had good dietary diversity compared to those with an average family income of less than 1500 birr (AOR = 0.1: 95% CI; 0.02–0.7) and 1500–3000 birr (AOR = 0.05: 95% CI; 0.01–0.2). Pregnant women who had one antenatal care visit had less dietary diversity practice than those who had four or more antenatal care visits (AOR = 0.18: 95% CI; 0.04–0.8). Protein-rich foods (meat and eggs), cereal-based semi-solid foods (porridge and soup), milk, bananas and cabbage, were the most commonly tabooed foods during pregnancy. Protein-rich foods were thought to increase the size of the fetus. Semi-solid foods (porridge and soup), bananas, and cabbage, on the other hand, were thought to stick to the fetus's body.ConclusionMost of the study participants had poor dietary diversity. Older women have lower dietary diversity practices than younger women. Pregnant women with a low family income and only one prenatal care visit were less likely to practice dietary diversity than pregnant women with a high family income and those with four or more antenatal care visits. Pregnant women practiced food taboos due to misconceptions that were producing large babies and attached to the babies’ bodies. A public health campaign emphasizing the necessity of antenatal care follow-ups should be launched. Community nutrition education should be provided to reduce the traditional beliefs about certain foods, especially for older women.

Turn up the Dial: System Dynamics Modeling of Resource Allocations toward Rural Water Supply Maintenance in East Africa

Water stress is increasingly affecting hundreds of millions of people around the world. In East Africa, severe and persistent drought periods negatively impact health and livelihoods. Drought increases reliance on mechanized boreholes to extract groundwater. However, without adequate resource allocations, effective monitoring of borehole functionality, and reliable maintenance service, breakdown rates increase and downtimes last many months. Our study applies system dynamics modeling to investigate the effects of allocating resources to borehole maintenance and repair in the Afar Region in Ethiopia and Turkana County in Kenya. We inform model calibration with runtime and functionality estimates derived from sensors installed on 245 boreholes and apply sensitivity analyses varying budget allocations to optimize for functionality. We conclude that increasing the borehole repair and maintenance budgets in Turkana from the current 30% to 85% of available budgets could result in an additional 83 working boreholes and 95% functionality in 2030. In Afar, increasing maintenance budgets from 38% to 79% could result in functionality levels of 75% by 2030, well above currently projected levels of 54%.

Climate-inferred distribution estimates of mid-to-late Pliocene hominins

During the mid-to-late Pliocene (ca. 4–3 Ma), several hominin species were present in central Sahel, eastern and southern Africa. The potential for the discovery of hominin remains from this interval is limited by the availability of exposed Pliocene deposits and the ability to investigate them. As a result, most discoveries have been made in the Afar region of Ethiopia and in the Lake Turkana basin, thus unveiling only a portion of Pliocene hominins' probable geographical presence. In this study we provide a continental view of geographic areas potentially accessible to these hominins. To do so, we estimate the climatic envelope suitable for mid-to-late Pliocene hominin presence, using the earth system model IPSL-CM5A and the Maxent habitat suitability algorithm. Our analysis reveals high habitat suitability for these hominin species in semi-arid regions where annual thermal amplitude and mean annual precipitation are moderate, mostly corresponding to tropical xerophytic shrublands. Our habitat model estimates geographically continuous, suitable climatic conditions for hominins between central Sahel and northeastern Africa, but not between eastern and southern Africa. This discontinuity suggests that southern African and eastern African hominins were separated by an environmental barrier that could only be crossed during particularly favourable periods or by undertaking long-range dispersal over climatically hostile habitats. Under climate conditions of northern hemisphere summer at perihelion this climatic barrier is not present. In contrast, the Turkana basin, the Laetoli region, and a large part of southern Africa remain suitable for all precession angles, suggesting that these areas may have functioned as refugia. The constant presence of these stable areas combined with the periodic establishment of corridors for dispersion can potentially explain hominin diversity in eastern Africa. • Paleoclimatic reconstructions and HSM depict high suitability in semi-arid regions • Eastern and southern suitable areas are disconnected under mean Pliocene climate • Under specific precession configurations this climatic barrier disappears • Turkana basin and the Laetoli region could have work as climatic refugia • High Pliocene Hominin diversity could be linked with periodic presence of corridors.

Mosaic habitats at Woranso-Mille (Ethiopia) during the Pliocene and implications for Australopithecus paleoecology and taxonomic diversity

Many important Pliocene hominin specimens have been recovered from Woranso-Mille, a paleontological research area in the Afar region of Ethiopia, including the complete cranium of Australopithecus anamensis, a partial skeleton of Australopithecus afarensis, mandibular and maxillary elements representing a new species, Australopithecus deyiremeda, and a partial foot of an as-yet-unnamed species. Woranso-Mille is the only site, so far, to have reported the co-existence of more than one early hominin species between 3.8 and 3.3 Ma and the temporal overlap between A. anamensis and A. afarensis. Thus, the site has important implications for our understanding of the paleoecology and taxonomic diversity of early hominins and their ecological niche. This paper explores the paleohabitats of Woranso-Mille through its faunal community ecological structure and taxonomic composition using correspondence analysis and Forbes modified similarity index. The results suggest that Pliocene Woranso-Mille was a mosaic of different habitat types, with riparian woodland and floodplain grassland along rivers draining into a lake, along with less mesic habitats such as woodland, grassland, and shrubland. The apparent high level of vegetation heterogeneity may have promoted dietary specializations and niche differentiation among the different Australopithecus species at Woranso-Mille and allowed for their co-existence at the site.

The importance of water quality in classifying basic water services: The case of Ethiopia, SDG6.1, and safe drinking water.

IntroductionSustainable Development Goal (SDG) 6 aims to coordinate international efforts toward “clean water and sanitation.” However, water contaminated with pathogenic bacteria or thermotolerant coliforms (TTC) will not achieve the SDG target of clean water in the lives of people around the world. The aim of this study is to assess the water quality parameters of basic water services in Amhara and Afar regions of Ethiopia as well as the role and importance of local managerial committees in ensuring basic water functionality.MethodsThis mixed methods research, conducted in January-June 2019, sampled 22 districts from food-insecure areas in the Amhara and Afar regions of Ethiopia. From the 22 districts, which represent nearly one third of all districts in each region, 111 water services classified as “basic” were randomly selected. For each selected water service, research included: water quality sample testing, visual observation of water services, interviews and focus group discussions with the associated water managerial committee members. Descriptive statistics frequency, percent, mean, median, standard deviations, normal tables, cross-tables and graphs are used to present the data.ResultsAlthough the international water standard for thermotolerant coliform (TTC) levels is 0 CFU/100ml, in our sample of 111 water services, the maximum TTC counts were 71 CFU/100 ml and the mean was 4 CFU/100 ml. Thermotolerant coliform counts were above the permissible standard values for nearly 40% (n = 111) of the basic water services. TTC was detected in 44 (39.64%) (n = 111) basic water services. Of these, 38 (34.23%) were operationally functional while 6 (5.41%) were not functional. Approximately one third of the basic water services sampled, deemed “functional” by international standards, do not provide potable water due to thermotolerant coliform (TTC) levels.ConclusionOur findings from the Amhara and Afar regions of Ethiopia demonstrate that water quality parameters are not currently considered in classifying basic water services. This suggests that international efforts to address SDG 6 should incorporate water quality as a key parameter to better track international progress toward “clean water and sanitation” efforts. We discuss two potential pathways for stronger inclusion of water quality parameters in international definitions: (1) to mandate water quality within “functional” and “non-functional” definitions or (2) to add a ladder rung titled “safe basic water services” to the international drinking water ladder. Our findings from Ethiopia suggest that additional research should be undertaken in development contexts to assess whether or not “functional” basic water services provide safe drinking water to users.

Geographical variation in determinants of high-risk fertility behavior among reproductive age women in Ethiopia using the 2016 demographic and health survey: a geographically weighted regression analysis

BackgroundMaternal and child mortalities are the main public health problems worldwide and both are the major health concern in developing countries such as Africa and Asia. The fertility behavior of women characterized by maternal age, birth spacing, and order, impacts the health of women and children. The aim of this study was to assess the geographically variation in risk factors of high-risk fertility behavior (HRFB) among reproductive-age women in Ethiopia using the 2016 Demographic and Health Survey.MethodsA total of 11,022 reproductive-age women were included in this study. The data were cleaned and weighted by STATA 14.1 software. Bernoulli based spatial scan statistics was used to identify the presence of pure high-risk fertility behavior spatial clusters using Kulldorff’s SaTScan version 9.6 software. ArcGIS 10.7 was used to visualize the spatial distribution of high-risk fertility behavior. Geographically weighted regression analysis was employed by multiscale geographical using Multiscale geographical weighted regression version 2.0 software. A p-value of less than 0.05 was used to declare statistically significant predictors (at a local level).ResultsOverall, 76% with 95% confidence interval of 75.60 to 77.20 of reproductive age women were faced with high-risk fertility problems in Ethiopia. High-risk fertility behavior was highly clustered in the Somali and Afar regions of Ethiopia. SaTScan identified 385 primary spatial clusters (RR = 1.13, P < 0.001) located at Somali, Afar, and some parts of Oromia Regional Stateregional state of Ethiopia. Women who are living in primary clusters were 13% more likely venerable to high-risk fertility behavior than outside the cluster. In geographically weighted regression, not using contraceptives and home delivery were statistically significant vary risk factors affecting high- risk fertility behavior spatially. No contraceptive use and home delivery were statistically significant predictors (at the local level) in different regions of Ethiopia.ConclusionIn Ethiopia, HRFB varies across regions. Statistically, a significant-high hot spot high-risk fertility behavior was identified at Somali and Afar. No contraceptive use and home delivery were statistically significant predictors (at a local level) in different regions of Ethiopia. Therefore, policymakers and health planners better to design an effective intervention program at Somali, and Afar to reduce high-risk fertility behavior and Special attention needs about health education on the advantage of contraceptive utilization and health facility delivery to reduce high-risk fertility behavior.

Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia.

The main purpose of this research was to analyze gender context in the Afar region of Ethiopia and propose a set of strategies or actions to improve adolescent and youth health. Using a pre-established gender analysis framework, an explorative qualitative study was conducted in five districts. Sixteen key informants and eight focus group discussions were conducted among adult women and men of young adolescents and youth. The study revealed that younger and older women are the most disadvantaged groups of the society. This is due to the high workload on women and girls (housekeeping, building a house and taking care of cattle and children), they also are less valued, have no control over resources and have no part in decision making, including their personal life choices. As a result, they rarely access school and health facilities. They are forced get married according to arranged marriage called “absuma.” As such, they suffer from multiple reproductive health problems. Women have poor decision-making autonomy, lack control over resources, have limited participation in socio-economic practices, and experience child and early forced marriage, and this poor service utilization has exposed them to the worst sexual and reproductive health outcomes.

The Rise of New Forms of Power in Africa: The Emergence of Big Men in the Afar Region of Ethiopia

This article chronicles the emergence of a new form of power in the Afar Region of Ethiopia. The Afar people are predominantly Muslim pastoralists who live in a territory referred to as the Afar-Triangle (located in Ethiopia, Djibouti and Eritrea). Fieldwork for this study was conducted on Dobi in the Afar Region of Ethiopia, the second largest salt mining site in Ethiopia. In 2004, Dobi fell under the control of an individual by the name of As Mohammed Humed Yayyo. This article focuses on this specific Big Man. Since his emergence, this Big Man became the sole power figure who grants access to mine salt on Dobi and who collects taxes. The nature of the relation between the Big Man and the Ethiopian State has been fluid and is characterised by collaboration and conflict.

Factors associated with the uptake of newly introduced childhood vaccinations in Ethiopia: the cases of rotavirus and pneumococcal conjugate vaccines

BackgroundChildhood immunization programmes have made substantial contributions to lowering the burden of disease among children in developing countries, however a large proportion of children still remain unimmunized. This study aimed to explore the determinants of rotavirus vaccine (RVV) and pneumococcal conjugate vaccine (PCV) uptake in Ethiopia.MethodsThe 2016 Ethiopian demographic and health survey dataset was used in this analysis. A total of 2004 children aged 12–23 months were included in the analysis. A multivariable logistic regression model was employed to identify the determinants of uptake of the complete schedules of RVV (two doses) and PCV (three doses). Crude and adjusted odds ratios with 95% confidence intervals (CIs) were calculated.ResultsThe uptakes of the complete schedules of RVV and PCV among children aged 12–23 months were 56 and 49.1%, respectively. The likelihood of immunization with the complete schedule of RVV was significantly lower among children from the relatively poor Afar region in Ethiopia (AOR 0.16; 95%-CI 0.04–0.61). Similarly, children living in not only the Afar region (AOR 0.10; 95%-CI 0.03–0.38), but also the Gambela region (AOR 0.25; 95%-CI 0.08–0.83), were less likely to be vaccinated with PCV. On the other hand, children from more wealthy households had higher odds of vaccination with RVV (AOR 1.69; 95%-CI 1.04–2.75). Also attending antenatal care (ANC) was found to be significantly associated with uptake of the complete schedule of RVV and PCV.ConclusionsThe uptake of RVV and PCV is suboptimal in Ethiopia. The uptake of the vaccines were found to be associated with region, ANC use and wealth status.