Northern Ethiopia Research Articles

Structural stability and organic carbon stock of soils under three land use systems from semi-arid area of northern Ethiopia

Structural stability and organic carbon stock of soils under three land use systems from semi-arid area of northern Ethiopia

Aquatic Bird Species Richness and Distribution along an Age Gradient of Reservoirs in Tigray National Regional State, Northern Ethiopia

Aquatic Bird Species Richness and Distribution along an Age Gradient of Reservoirs in Tigray National Regional State, Northern Ethiopia

Population structure and spatial distribution of Mycobacterium tuberculosis in Ethiopia

Ethiopia is one of the countries with a high tuberculosis (TB) burden, yet little is known about the spatial distribution of Mycobacterium tuberculosis (Mtb) lineages. This study identifies the spoligotyping of 1735 archived Mtb isolates from the National Drug Resistance Survey, collected between November 2011 and June 2013, to investigate Mtb population structure and spatial distribution. Spoligotype International Types (SITs) and lineages were retrieved from online databases. The distribution of lineages was evaluated using Fisher’s exact test and logistic regression models. The Global Moran’s Index and Getis-Ord Gi statistic were utilized to identify hotspot areas. Our results showed that spoligotypes could be interpreted and led to 4 lineages and 283 spoligotype patterns in 91% of the isolates, including 4% of those with multidrug/rifampicin resistance (MDR/RR) TB. The identified Mtb lineages were lineage 1 (1.8%), lineage 3 (25.9%), lineage 4 (70.6%) and lineage 7 (1.6%). The proportion of lineages 3 and 4 varied by regions, with lineage 3 being significantly greater than lineage 4 in reports from Gambella (AOR = 4.37, P < 0.001) and Tigray (AOR = 3.44, P = 0.001) and lineage 4 being significantly higher in Southern Nations Nationalities and Peoples Region (AOR = 1.97, P = 0.026) than lineage 3. Hotspots for lineage 1 were located in eastern Ethiopia, while a lineage 7 hotspot was identified in northern and western Ethiopia. The five prevalent spoligotypes, which were SIT149, SIT53, SIT25, SIT37 and SIT26 account for 42.8% of all isolates under investigation, while SIT149, SIT53 and SIT21 account for 52–57.8% of drug-resistant TB cases. TB and drug resistant TB are mainly caused by lineages 3 and 4, and significant proportions of the prevalent spoligotypes also influence drug-resistant TB and the total TB burden. Regional variations in lineages may result from both local and cross-border spread.

Composition and Structural Diversity of Woody Species in the Wof Ayzurish Forests, the Dry Afromontane Forest of the Northern Ethiopia

Composition and Structural Diversity of Woody Species in the Wof Ayzurish Forests, the Dry Afromontane Forest of the Northern Ethiopia

Causes, Impacts and Mitigation Measures of Human Large Mammal Conflict in Estie Densa Forest Reserve, Estie District, Northern Ethiopia

Human-wildlife conflict is a significant threat to the continued survival of many species and the livelihood of humans. This study aims to assess the conflict between humans and mammals in Estie Densa Forest Reserve, located in Estie Woreda. Currently, the forest reserve faces many problems like crop damage, disease transmission, livestock depredation, and even loss of human life. So, the study generates general information about human mammals conflict and provides baseline information for other researchers. Selection of 95 respondents from local communities through purposive sampling. The Chi-Square Test was employed to determine the significance of differences across the three Villages, and the results were presented in the form of tables and percentages. Crop raiding and livestock depredation have been proven the primary drivers of human-mammal conflict and are statistically significant among the Villages (P≤0.05). Anibus Baboon, Wild Pig, and Common Jackal were the major drivers of the conflict, and had statistical difference among Villages (P≤0.05). Property Loss, and Wildlife Loss covered more than 91% of the total impact perceived as a result of human mammals conflict, and statistically significant (P≤0.05). Livestock guarding (using dogs and shepherds; 50.52%) was the most efficient approach for alleviating livestock depredation and disease transmission from wildlife to livestock and vice versa. While fencing and crop guarding (35.79%) were second in terms of mitigation, but ranked first in terms of reducing agricultural damage caused by wildlife. There should be better awareness of the value and significance of wild animals, the ecology, tourism, and overall conservation of wild mammals.

Antimicrobial susceptibility patterns of urinary tract infections causing bacterial isolates and associated risk factors among HIV patients in Tigray, Northern Ethiopia

BackgroundUrinary tract infections, a prevalent global infectious disease, are clinical issues not well studied in HIV-positive individuals. UTIs have become a global drug resistance issue, but the prevalence and antibiotic susceptibility patterns of UTI-causing bacteria among HIV patients in Tigray, Ethiopia, are poorly understood. This study aims to identify the prevalence of UTI-causing bacteria, their antibiotic susceptibility patterns, and associated risk factors in HIV patients attending ART clinics at Mekelle General Hospital and Ayder Comprehensive Specialized Hospital in Tigray, Northern Ethiopia.MethodClean-catch midstream urine samples (10–15 mL) were collected from HIV patients who are attending ART clinics at Mekelle General Hospital and Ayder Comprehensive Specialized Hospital. Samples were analyzed based on standard microbiological protocols using cysteine-lactose electrolyte deficient (CLED) agar. Pure colonies of bacterial isolates were obtained by sub-culturing into Mac-Conkey, Manitol Salt agar and blood agar plates. The bacterial isolates were then identified using macroscopic, microscopic, biochemical, and Gram staining methods. Gram-negative bacteria were identified using biochemical tests like triple sugar iron agar, Simon’s citrate agar, lysine iron agar, urea, motility test, and indol test, whereas Gram-positive isolates were identified using catalase and coagulase tests. The Kirby-Bauer disk diffusion technique was used to analyze the antimicrobial susceptibility pattern of bacterial isolates. Data was analyzed using SPSS version 25.0.ResultsAmong the 224 patients, 28 (12.5%) of them had been infected by UTIs-causing bacteria. E. coli was the dominant bacterium (16 (57%)) followed by K. pneumoniae (4 (14%)), and S. aureus (3 (11%)). Of the total bacterial isolates, 22 (78.6%) of them developed multi-drug resistance. All Gram-positive (100%) and 75% of Gram-negative bacterial isolates were found to be resistant to two or more drugs. Patients with a history of UTIs, and with CD4 count < 200 cells/ mm3, were more likely to have significant bacteriuria. Compared to male patients, female patients were more affected by the UTIs-causing bacteria. More than 93% of the UTIs-causing bacterial isolates were susceptible to nitrofurantoin, ceftriaxone, ciprofloxacin, and gentamycin; whereas they are highly resistant to ampicillin (96%), cotrimoxazole (82%) and tetracycline (71%).ConclusionsMost of the bacterial isolates were highly resistant to ampicillin, cotrimoxazole, and tetracycline. Female patients were more affected by the UTIs causing bacteria. The highest prevalence (12.5%) of UTIs in HIV patients needs special attention for better management and monitoring. Previous UTI history and immune suppression are predictors of UTIs, highlighting the need for intervention measures involving molecular studies to identify resistant bacteria genes and promote patient immune reconstitution.

Woody vegetation cover change and vulnerability to deforestation in Mugulat Area, Eastern Tigray, Ethiopia

Deforestation is the main challenge that forests in Ethiopia are currently facing. Identifying the factors that have the most significant impact on woody vegetation coverage will help sustain the remaining forests and increase woody vegetation coverage in severely degraded landscapes. Therefore, this study was conducted in the Mugulat area of northern Ethiopia to determine the magnitude of woody vegetation cover change and quantify the vulnerability of woody vegetation to disturbances using GIS techniques. Landsat images from 1984, 2000, and 2017 were used for this study. Multi-criteria evaluation through the overlay weight analysis of ArcGIS 10.5 was used to evaluate the vulnerability of woody vegetation to disturbance risk. Cultivated land increased by 35.04 % from 28.51 km2 in 1984 to 38.51 km2 in 2017. Shrubland alarmingly almost reduced by half (47.49 % %) from 24.44 km2 in 1984 to 12.83 km2 in 2017. Over the last 30 years, forest land increased from 4.70 km2 in 2017 to 3.71 km2 in 1984. Along with a forest cover increase of 26.64 %, the results show that woody vegetation cover declined from 48.35 % in 1984 to 32.95 % in 2017, corresponding to an annual loss of 27.42 ha. The significant decline in shrublands is an indicator of the vulnerability of the woody vegetation cover in the study area. Over 50 % and 25 % of the vegetation cover range from very high to high vulnerability, respectively, and are susceptible to disturbance. Restoration measures must be implemented to reduce the vulnerability of the woody vegetation cover. Policymakers and decision-makers should focus on nature-based solutions and climate-smart agriculture, which can contribute to increasing woody vegetation cover.

Identification of adaptable sunflower (Helianthus annuus L.) genotypes using yield performance and multiple-traits index

Sunflower is the most important oil crop ranked as fourth edible oil in the world. The study was conducted in Northern Ethiopia during 2017–2019 cropping seasons using randomized completely block design with three replications. The objective was to decipher the genotype by environment interaction (GEI) in multi-environment trials (MET) and identify adaptable sunflower genotypes. Combined ANOVA, AMMI ANOVA and Eberhart and Rusell regression were analyzed, and GGE bi-plots, AMMI1 and AMMI2 bi-plots, Principal component Analysis (PCA), multi-trait genotype–ideotype distance index (MGIDI), correlation network plot for sunflower traits were sketched. AMMI stability measures, Best Linear Unbiased Prediction (BLUP) based indexes; parametric and non-parametric statistics were computed using R-statistical software. In the AMMI ANOVA the main effects of the environment (E) (54.18 % SS), genotype (G) (16.9 % SS) and GEI (23.50 % SS) were significant (p < 0.001). The genotypic Likely-hood Ratio Test revealed significant for all traits. The AMMI bi-plot and the GGE bi-plots selected G10 and G2 as the most adaptable genotypes. CV, HMGV, RPGV, HMRPGV, Pi, GAI, KRS, S(3) and S(6) also identified G10 as the most stable genotype. Based on the MGIDI, G10 (MGIDI = 1.45) and G5 (MGIDI = 2.19) are selected and these genotypes are recommended for further cultivation in Tigray.

Petrogenesis of the Newly Discovered Neoproterozoic Adakitic Rock in Bure Area, Western Ethiopia Shield: Implication for the Pan-African Tectonic Evolution

The Neoproterozoic Bure adakitic rock in the western Ethiopia shield is a newly discovered magmatic rock type. However, the physicochemical conditions during its formation, and its source characteristics are still not clear, restricting a full understanding of its petrogenesis and geodynamic evolution. In this study, in order to shed light on the physicochemical conditions during rock formation and provide further constraints on the petrogenesis of the Bure adakitic rock, we conduct electron microprobe analysis on K-feldspar, plagioclase, and biotite. Additionally, we investigate the trace elements and Hf isotopes of zircon, and the Sr-Nd isotopes of the whole rock. The results show that the K-feldspar is orthoclase (Or = 89.08~96.37), the plagioclase is oligoclase (Ab = 74.63~85.99), and the biotite is magnesio-biotite. Based on the biotite analysis results, we calculate that the pressure during rock formation was 1.75~2.81 kbar (average value of 2.09 kbar), representing a depth of approximately 6.39~10.2 km (average value of 7.60 km). The zircon thermometer yields a crystallization temperature of 659~814 °C. Most of the (Ce/Ce*)D values in the zircons plotted above the Ni-NiO oxygen buffer pair, and the calculated magmatic oxygen fugacity (logfO2) values vary from −18.5 to −4.9, revealing a relatively high magma oxygen fugacity. The uniform contents of FeO, MgO, and K2O in the biotite suggest a crustal magma source for the Bure adakitic rock. The relatively low (87Sr/86Sr)i values of 0.70088 to 0.70275, positive εNd(t) values of 3.26 to 7.28, together with the positive εHf(t) values of 7.64~12.99, suggest that the magma was sourced from a Neoproterozoic juvenile crust, with no discernable involvement of a pre-Neoproterozoic continental crust, which is coeval with early magmatic stages in the Arabian Nubian Shield elsewhere. Additionally, the mean Nd model ages demonstrate an increasing trend from the northern parts (Egypt, Sudan, Afif terrane of Arabia, and Eritrea and northern Ethiopia; 0.87 Ga) to the central parts (Western Ethiopia shield; 1.03 Ga) and southern parts (Southern Ethiopia Shield, 1.13 Ga; Kenya, 1.2 Ga) of the East African Orogen, which indicate an increasing contribution of pre-Pan-African crust towards the southern part of the East African Orogen. Based on the negative correlation between MgO and Al2O3 in the biotite, together with the Lu/Hf-Y and Yb-Y results of the zircon, we infer that the Bure adakitic rock was formed in an arc–arc collision orogenic environment. Combining this inference with the whole rock geochemistry and U-Pb age of the Bure adakitic rock, we further propose that the rock is the product of thickened juvenile crust melting triggered by the Neoproterozoic Pan-African Orogeny.

Unique bird diversity in an Ethiopian church forest

AbstractToday, most of Ethiopia’s church forests are small forest patches surrounded by a degraded and anthropogenically modified landscape, mostly arable land. Nevertheless, these forest islands may still provide valuable habitats for typical forest species. It remains questionable whether these habitat remnants provide sufficient resources for forest species to successfully reproduce and persist in the long run. In this study, we assessed bird species based on point-counts in and around Tara Gedam Church Forest in northern Ethiopia. We observed birds in typical natural evergreen Afromontane forest (forest interior and forest edge) and in anthropogenic habitats, the semi-natural shrublands, agricultural land, and Eucalyptus tree plantations. We assigned ecological and behavioural characteristics to each of the bird species observed. Our results point to a specific bird community restricted to the forest interior and characterized by forest generalists and forest specialist birds. Along the forest edge, a mix of forest generalists and species of the open landscape can be found, creating mixed communities with high species overlap. The highest number of species was observed at the forest edge and in semi-natural shrubland, where both, open-land and forest species were found. On the other hand, the total number of species in the forest interior was comparatively low, with insectivorous and frugivorous typical forest species. Our results underline the fact that even small forest remnants are important for the conservation of forest species, which do not evade surrogate forest habitats.

Seasonal breeding in three sympatric rodent species in semi-arid Tigray, northern Ethiopia

Abstract We investigated the breeding activity of three sympatric rodent species: Stenocephalemys albipes, Mastomys awashensis, and Acomys cahirinus, in the semi-arid region of Tigray in northern Ethiopia, using mark-recapture data, to determine the influence of rainfall on their breeding patterns within exclosure (i.e., protected area from livestock grazing). Breeding activities of S. albipes and M. awashensis commenced during the wet season, continued into the early dry season, and ceased during the subsequent dry season. The proportion of breeding females reached its peak during the wet season, gradually declining until the dry season. In contrast, A. cahirinus exhibited a different breeding strategy, with year-round breeding, including during the dry season, a period characterized by limited resources. A significant difference in the proportion of breeding females among the three species was observed across seasons. Furthermore, all species shared a common trend of heightened breeding activity, particularly at the conclusion of the wet season and the onset of the early dry season. These findings enhance our understanding of the interplay between rainfall and seasonal breeding within exclosures, while other variables remain constant. Moreover, the region’s future plans for managing rodents and the establishment of exclosures must take this information into account.

War related disruption of clinical tuberculosis services in Tigray, Ethiopia during the recent regional conflict: a mixed sequential method study

BackgroundMore than 70% of the health facilities in Tigray, northern Ethiopia, have been totally or partially destroyed by the recent war in the region. Diagnosis and management of tuberculosis were among many health services that suffered. In this study we assess the status of tuberculosis care in health facilities of Tigray during the recent war and compare it with the immediate pre-war state.MethodsUsing sequential mixed method, we analyzed and compared the availability of diagnostic services in 69 health facilities and the utilization of tuberculosis care in 50 of them immediately before the war (September-October 2020) and during the war (November-July 2021). TB focal persons in each selected health facility were interviewed to evaluate the status of diagnostic services. Patient service utilization was assessed using health facility registrations. We also compared the average monthly case detection rate of multidrug resistant tuberculosis in the region before and during the war. We computed summary statistics and performed comparisons using t-tests. Finally, existing challenges related to tuberculosis care in the region were explored via in-depth interviews. Two investigators openly coded and analyzed the qualitative data independently via thematic analysis.ResultsAmong the 69 health facilities randomly selected, the registers of 19 facilities were destroyed by the war; data from the remaining 50 facilities were included in the TB service utilization analysis. In the first month of the war (November 2021) the number of tuberculosis patients visiting health facilities fell 34%. Subsequently the visitation rate improved steadily, but not to pre-war rates. This reduction was significant in northwest, central and eastern zones. Tuberculosis care in rural areas was hit hardest. Prior to the war 60% of tuberculosis patients were served in rural clinics; this number dropped to an average of 17% during the war. Health facilities were systematically looted. Of the 69 institutions assessed, over 69% of the microscopes in health centers, 87.5% of the microscopes in primary hospitals, and 68% of the microscopes in general hospitals were stolen or damaged. Two GeneXpert nucleic acid amplification machines were also taken from general hospitals. Regarding drug resistant TB, the average number of multidrug resistant tuberculosis (MDR TB) cases detected per month was reduced by 41% during the war with p-value < 0.001. In-depth interviews with eight health care workers indicated that the main factors affecting tuberculosis care in the area were lack of security, health facility destruction, theft of essential equipment, and drug supply disruption.Conclusion and recommendationMany tuberculosis patients failed to visit health facilities during the war. There was substantial physical damage to health care facilities and systematic looting of diagnostic equipment. Restoring basic public services and revitalizing clinical care for tuberculosis need urgent consideration.

Optimal pumping policy from well field connected with a stream

Conjunctive use management of water resources is of paramount importance in the backdrop of the growing demand for freshwater resources. With this viewpoint, this study is aimed to present a methodological approach utilizing the combined use of simulation and optimization models for evolving strategies or policies for the management of water resources in a well-field connected to a stream. The proposed methodology incorporates the coupling of the groundwater simulation model with the optimization model for decision-making through the response matrix method. In this study, a numerical groundwater flow model using MODFLOW was used to simulate the response of stream-aquifer interactions. A linear optimization model was formulated to account for the best optimal groundwater withdrawal taking into consideration the allowable drawdown, permissible stream flow depletion, and satisfaction of the water demands. Such management options permit the investigation of alternative strategies for groundwater abstraction in a well-field hydraulically connected to a stream for sustainable development of water resources. The model was applied in a hypothetical well field study area hydraulically connected to a stream and satisfactory results were obtained. The methodology was also very important to understand the tradeoff between groundwater withdrawal and the depletion of flow to the nearby stream. This approach was applied to the Aynalem well field stream-aquifer system which is located in Northern Ethiopia. Results show that groundwater extraction from the Aynalem well field triggers stream flow depletion and it is possible to decrease the stream flow depletion by 3.5–4.5% by adjusting current groundwater withdrawal schedules and configuration of existing wells.

Damage to the public health system caused by war-related looting or vandalism in the Tigray region of Northern Ethiopia.

The war that started on November 4, 2020, in the Tigray region of Northern Ethiopia severely affected the health sector. However, there is no available evidence to suggest the economic damage caused to the public health system because of war-related looting or vandalism. This study was aimed at estimating the cost of war-related looting or vandalism in Tigray's public health system in Northern Ethiopia in 2021. A provider perspective, a mixed costing method, a retrospective cross-sectional approach, a 50% inflation rate, and a 50 Ethiopian birr equivalent to one United States dollar ($) for the money value were used. The data were analyzed using Microsoft Excel, taking into consideration the Sendai framework indicators. The total economic cost of the war-related looting or vandalism in monetary terms was more than $3.78 billion, and the damage to the economic value in monetary terms was more than $2.31 billion. Meanwhile, the direct economic loss to the health system in monetary terms was more than $511 million. According to this assessment, 514 (80.6%) health posts, 153 (73.6%) health centers, 16 (80%) primary hospitals, 10 (83.3%) general hospitals, and 2 (100%) specialized hospitals were damaged and/or vandalized either fully or partially due to the war. This war seriously affected the public health sector in the Tigray region. The Federal Government of Ethiopia, the Ministry of Health of Ethiopia, the Tigrayan Government, the Tigray Regional Health Bureau, and the international community must make efforts to find resources for the revitalization of the damaged, plundered, and vandalized healthcare system.

Undiagnosed hypertension and associated factors among adult population in central zone of Tigray, Northern Ethiopia 2020: A cross-sectional study.

Undiagnosed hypertension is a major risk factor for cardiovascular diseases and complications such as heart attack and stroke. Limited information is available on the prevalence of undiagnosed hypertension and its associated factors in Ethiopia, particularly in the study setting. This study aimed to assess the prevalence of undiagnosed hypertension and its associated factors in the central zone of Tigray, Northern Ethiopia. A community-based cross-sectional study was conducted from April 1 to May 31, 2020. A pretested structured questionnaire was used and both face-to-face interview and physical measurement were used to collect the data. Blood pressure was measured on two different days for each study participant, and an average of the measurements were taken. In addition, 736 participants were included in this study, through a systematic random sampling technique. Data were analyzed using SPSS version 23. Bivariate and multivariable logistic regression analyses were performed to identify factors associated with undiagnosed hypertension. Adjusted odds ratios and 95% confidence intervals were used to show the strength of the association and declare statistical significance at p < 0.05. In the study, the mean age of the participants was 51.9 (standard deviation: 17.9) years old. Prevalence of undiagnosed hypertension was found 15.4% (N = 113). The factors associated with undiagnosed hypertension were being divorced (adjusted odds ratio [AOR] = 15.2, 95% confidence interval [CI]: 8.2-28.3), alcohol consumption (AOR = 2.07, 95%CI: 1.22-3.51), not eating fruits (AOR = 4.1, 95%CI: 2.37-7.08), not eating vegetables (AOR = 3.47, 95%CI: 2.02-5.96) and poor knowledge (AOR = 3.05, 95%CI: 2.75-7.83). Around one in six study participants had undiagnosed hypertension. Being divorced, drinking alcohol, not eating fruits, not consuming vegetables, and having poor knowledge of hypertension were significant factors. Public health interventions, like providing adequate hypertension health information, frequent screening, and implementation of an appropriate intervention for particular factors, are critical for reducing the burden of undiagnosed hypertension.

Evaluation of different fertilizer sources for sustainable carrot production in Tehuledere district, northern Ethiopia

The demand for organic agriculture has been growing due to concerns about the environmental and health impacts of chemical-intensive farming. The study aimed to investigate the effects organic fertilizers on carrot (Nantes) growth and yield in Tehuledere district. The experiment was conducted at two sites (Gobeya and Libannos) using four fertilizer types (vermicompost, conventional compost, mixture of the two, and inorganic fertilizer) and a control. The experiment was laid out in randomized complete block design with three replications, and data were analysed using R-software. The study analyzed various growth (emergence percentage, plant height, leaf number, fresh weight, and dry weight of leaves), and yield (root length, root diameter, fresh weight of roots, marketable root yield, unmarketable root yield, and total root yield) parameters. Generally, fertilizer application improved (p<0.001) growth and yield compared to the control. Vermicompost and inorganic fertilizer (NPSB) showed similar results (p>0.001) but the highest values (p<0.001) for most of the parameters (marketable yield was 41.7t/ha±0.76 for vermicompost and 42.5t/ha±1.14 for NPSB). However, NPSB could pose negative environmental impact that could not result in sustainability if used in excess and inappropriate (method and time) in particular. Therefore, carrot production using vermicompost is recommended for farmers of Tehuledere district and similar agroecological areas to enhance productivity while contributing to sustainable agriculture. The results have implications for policy makers, researchers, and farmers interested in promoting environmentally friendly and sustainable carrot production.

Comparison of SWAT and WEPP for Modeling Annual Runoff and Sediment Yield in Agewu - Mariyam Watershed, Northern Ethiopia

The Soil and Water Assessment Tool (SWAT) and the Geographic Water Erosion Prediction Project (Geo-WEPP) were applied to compare modeling of annual runoff and sediment yield in the Agewmariam watershed, eastern Amhara Region, Ethiopia. Spatial and temporal data distributions were required as inputs to run both models. Soil texture and other soil properties were measured in the field and in the laboratory, and soil maps were generated from global digital soil maps. Land use maps were created by manually digitizing Google Earth images. Watersheds were defined using watershed DEMs and gradient maps were created for each runoff event. Runoff samples were collected and analyzed for sediment concentrations in the laboratory; average annual runoff and sediment volumes were estimated using the WEPP and SWAT models. The results were satisfactory compared to the observed values, with R2 values of 0.86 and 0.91 for the SWAT and WEPP models, respectively, and NSE values of 0.54 and 0.71 for the monthly runoff. The estimated annual mean runoff and sediment yield at the watershed outlets were 65.54 mm, 146.14 mm, 43t/ha/yr and 41.7t/ha/yr for the WEPP and SWAT models, respectively. Several sub watersheds were determined to be susceptible to soil erosion and were prioritized, so more attention was given to this area to reduce runoff and soil erosion. Therefore, the SWAT and WEPP models were suitable for estimating annual runoff and sediment volumes. Sediment yields simulated from both models were high and alarming and far exceeded the allowable rate of soil loss.

THE RELATIONSHIP BETWEEN TOTAL QUALITY MANAGEMENT, PATIENT SATISFACTION, SERVICE QUALITY, AND TRUST IN THE HEALTHCARE SECTOR: THE CASE OF ETHIOPIAN PUBLIC HOSPITALS

The aim of this research is to investigate the direct effects of total quality management (TQM) on perceived service quality (SQ) and patient satisfaction (PSAT), the impact of SQ on PSAT and patient trust (TR), and the influence of PSAT on TR among in-patients in selected Public Hospitals in Northern Ethiopia. Employing a quantitative approach, a questionnaire was administered via convenience sampling. The study included a sample of 293 in-patients receiving treatment in selected public hospitals in Ethiopia, with data analysis conducted using Amoss26 and SPSS26. The findings revealed that total quality management positively influenced patient satisfaction and perceived service quality, while SQ also had a positive effect on PSAT and TR. Moreover, PSAT exhibited a positive impact on TR among in-patients in selected public hospitals in Northern Ethiopia. This research significantly contributes to the existing literature and warrants further investigation, as there is a dearth of studies on total quality management in the healthcare sector compared to manufacturing industries. Additionally, this study provides valuable insights for healthcare sector managers in strategic planning and decision- making processes.

Delays to treatment initiation and emergence of drug resistance among new adult tuberculosis patients in Tigray, Northern Ethiopia.

Introduction. Studies in Ethiopia have indicated that tuberculosis (TB) patient's elapsed a long time before initiating treatment.Gap Statement. However, there is very limited evidence on the association of treatment initiation delay with drug resistance.Research Aim. To investigate the association of delayed treatment initiation with drug resistance among newly diagnosed TB patients in Tigray, Ethiopia.Methods. We conducted a follow-up study from October 2018 to June 2020 by recruiting 875 pulmonary tuberculosis (PTB) patients from 21 randomly selected health facilities. Delays to initiate treatment and drug resistance were collected using a standardized questionnaire and standard laboratory investigation. The association of delay to initiate treatment with acquired drug resistance was modelled using penalized maximum-likelihood (PML) regression models. Data were analysed using stata software version 15. Statistical significance was reported whenever the P-value was less than 0.05.Result. The median total delay to treatment initiation was 62 days with an inter-quartile range of 16-221 days. A unit change in time to initiate treatment reduced the risk of acquired drug resistance by 3 %. Being smear-positive at the end of treatment and after 2 months of treatment initiation were significantly associated with a higher risk of acquired drug resistance. Whereas, having a mild clinical condition was associated with a lower risk of drug resistance.Conclusion. Time to treatment initiation delay is associated with an increased risk of the emergence of drug resistance. Efforts targeted towards reducing the negative effects of PTB should focus on reducing the length of delay to initiate treatment.

Hydrogeochemical characterization of groundwater in mountainous catchment and its suitability for drinking purposes in Irob, Tigray, Northern Ethiopia

Abstract The primary source of drinking water in Ethiopia's semi-arid mountainous regions is groundwater. The present study aims to assess the hydrogeochemical characteristics of low-grade basement rocks dominated by mountainous catchments. Moreover, it examines the suitability of the groundwater quality for drinking purposes in Irob, Tigray, northern Ethiopia. However, relatively little is known about the water chemistry and groundwater quality of the resources in the area. Fifteen samples of groundwater were collected and examined for ions according to standard procedures. The outcomes were assessed against the World Health Organization (WHO) drinking water quality criteria. To identify the source of dissolved ions and the process involved, graphic interpretations were applied. The results show that Ca–Mg–SO4–HCO3 and Ca–SO4–HCO3 were the dominant water types. Gibbs plots and ionic ratios reveal that silicate weathering, carbonate dissolution and ion exchange control water chemistry. Furthermore, the findings reveal that 60, 80, 46.67, 46.67, 60, 6.67, 60 and 53.33% of samples are above the safe limits of the WHO for hardness, alkalinity, total dissolved solids, electrical conductivity, calcium (Ca2+), potassium (K+), bicarbonate (HCO3-) and sulfate (SO42-), respectively. Consequently, the groundwater quality assessment demonstrates that the water sources in lower parts of the catchment are unsuitable for drinking.