Rural Ethiopian Community Research Articles

Perception of smallholder farmers about climate change and its impacts on crop production across agroecological zones of the Gassera District, Southeastern Ethiopia

Climate change and variability have threatened rainfed agriculture by affecting the livelihoods of rural communities in Ethiopia. The study area, Gassera District, is among the high-potential crop production areas of the Bale Zone and is severely impacted by recurrent droughts resulting from climate change. This study evaluated smallholder farmers’ perceptions of significant climate change and its effects on food crop production across the agroecological zones of the Gassera District. A cross-sectional survey design was employed to collect data from 444 farm households via multistage random sampling techniques. Multiple linear regression (MLR) models were used for the data analysis. The results revealed that 98.5% of the interviewed farmers were aware of climate variability and that 51.6% understood its impact to a reasonable extent. However, over half of the farmers did not perceive climate change as the greatest threat to their livelihood. Most farmers experienced rain becoming more erratic, starting late, and ending early as medium climatic factors (60.4%, 68.1%, and 66.2%, respectively), affecting their crop production. The results revealed that rainfall had a negative and insignificant decreasing trend (2.92 mm/year). The annual mean temperature exhibited a positive and statistically significant increasing trend (Ρ < 0.01). Crop production is positively and linearly correlated with the amount of annual rainfall at the Ρ ≤ 0.05 level of significance. The findings revealed that the greatest crop yield loss was associated with lowland agroecology. The MLR results revealed that farmer agroecology, age, sex, and chemical use had substantial impacts on crop yield loss. We urge farmers to understand the long-term effects of climate change on their livelihoods.

Correlation of Clinical Severity of Trachomatous Inflammation and Chlamydia trachomatis Bacterial Load.

The purpose of this study was to investigate the correlation between bacterial load of Chlamydia trachomatis as measured from quantitative polymerase chain reaction (qPCR) and the relative clinical severity of trachomatous inflammation. Individuals with trachoma from rural communities in Ethiopia had photographs taken as well as swabs obtained of the upper tarsal conjunctivas. Conjunctival swabs were processed with PCR assay, which provided quantitative results of ocular chlamydial load. A series of 125 conjunctival photographs were ranked from least to most severe according to clinical severity for follicular and papillary conjunctivitis. Higher intensity rankings of trachomatous inflammation were associated with higher chlamydial load for both follicular inflammation (Spearman's ρ = 0.43; P <0.001) and papillary inflammation (Spearman's ρ = 0.50; P <0.001). Rankings of trachomatous inflammation may be a clinically meaningful indicator of trachoma.

Implications of COVID-19 prevention on the occurrence of childhood diarrhea in the Semen Bench district, Bench Sheko zone, southwestern Ethiopia.

Coronavirus (COVID-19) is a virus that occurred in Wuhan, China, in December 2019 and has spread to several countries. Although interventions in water, sanitation, and hygiene (WASH) for COVID-19 are likely a pre-existing response to childhood diarrhea, evidence of the effects of COVID-19 preventative strategies on childhood diarrhea has been lacking. This study aimed to assess the implications of COVID-19 prevention for the occurrence of childhood diarrhea in rural communities of Ethiopia. A community-based cross-sectional study was conducted from 10 May 2020 to 30 July 2020 involving selected households in the Semen Bench district, Bench Sheko zone, southwestern Ethiopia. A single population proportion formula was used to obtain a total of 768 sample sizes. Data were collected from selected households using a simple random sampling technique. Epidata 3.1 was used to enter the data and then exported to Stata 14 for analysis. Descriptive statistics along with binary and multivariable logistic regression analyses were used to identify factors of COVID-19 knowledge and practices related to childhood diarrhea. The chi-squared test was used to check the association between COVID-19 prevention and childhood diarrhea reduction. A total of 720 (93.75%) households participated in the study to achieve the study objectives. Approximately 55% of the participants had a good understanding of COVID-19 prevention, while only 48.5% had good COVID-19 prevention practices. The prevalence of childhood diarrhea was 19.3% which was more common among households with poor practices of COVID-19 prevention. The respondents with poor COVID-19 prevention knowledge were 42% (AOR = 0.58, 95% CI: 0.398, 0.847, P = 0.005) less likely to develop childhood diarrhea than those who had good COVID-19 prevention knowledge. Households with poor practices for COVID-19 prevention were 75.1% more likely to develop childhood diarrhea than those who had good preventive practices for COVID-19 prevention (AOR = 1.751, 95% CI: 1.193, 2.571, P = 0.004). The lower risk of childhood diarrhea is significantly related to good COVID-19 prevention practices. However, households with no formal education and a lack of WASH facilities have a higher likelihood of having childhood diarrhea in the household. COVID-19 preventative strategies help reduce the prevalence of diarrhea in children. More research using prospective study designs and advanced statistical models is needed to better understand the implication of COVID-19 preventative efforts in reducing childhood diarrhea.

Antenatal care service utilization disparities between urban and rural communities in Ethiopia: A negative binomial Poisson regression of 2019 Ethiopian Demography Health Survey.

Although there have been consistent improvements in maternal mortality, it remains high in developing countries due to unequal access to healthcare services during pregnancy and childbirth. Thus, this study aimed to further analyze the variations in the number of antenatal care utilizations and associated factors among pregnant women in urban and rural Ethiopia. A total of 3962 pregnant women were included in the analysis of 2019 Ethiopian Demographic and Health Survey data. A negative binomial Poisson regression statistical model was used to analyze the data using STATA version 14.0. An incident rate ratio with a 95% confidence interval was used to show the significantly associated variables. Of the 3962 (weighted 3916.67) pregnant women, about 155 (15.21%) lived in urban and 848 (29.29%) rural residences and did not use antenatal care services in 2019. Women age group 20-24 (IRR = 1.30, 95%CI:1.05-1.61), 25-29 (IRR = 1.56, 95%CI:1.27-1.92), 30-34 (IRR = 1.65, 95%CI:1.33-2.05), and 35-39 years old (IRR = 1.55, 95%CI:1.18-2.03), attending primary, secondary, and higher education (IRR = 1.18, 95%CI:1.07-1.30), (IRR = 1.26, 95%CI:1.13-1.42) and (IRR = 1.25, 95%CI:1.11-1.41) respectively, reside in middle household wealth (IRR = 1.31, 95%CI:1.13-1.52), richer (IRR = 1.45, 95%CI:1.26-1.66) and richest (IRR = 1.68, 95%CI:1.46-1.93) increases the number of antenatal care utilization among urban residences. While attending primary (IRR = 1.34, 95%CI:1.24-1.45), secondary (IRR = 1.54, 95%CI:1.34-1.76) and higher education (IRR = 1.58, 95%CI:1.28-1.95), following Protestant (IRR = 0.76, 95%CI:0.69-0.83), Muslim (IRR = 0.79, 95%CI:0.73-0.85) and Others (IRR = 0.56, 95%CI:0.43-0.71) religions, reside in poorer, middle, richer, and richest household wealth (IRR = 1.51, 95%CI:1.37-1.67), (IRR = 1.66, 95%CI:1.50-1.83), (IRR = 1.71, 95%CI:1.55-1.91) and (IRR = 1.89, 95%CI:1.72-2.09) respectively, being married and widowed/separated (IRR = 1.85, 95%CI:1.19-2.86), and (IRR = 1.95, 95%CI:1.24-3.07) respectively were significantly associated with the number of antenatal care utilization among rural residences. The utilization of antenatal care is low among rural residents than among urban residents. To increase the frequency of antenatal care utilization, health extension workers and supporting actors should give special attention to pregnant women with low socioeconomic and educational levels through a safety-net lens.

Smallholder Sesame Producers’ Adaptation Decisions to Climate Change and Its Determinants in Western Ethiopia

The agricultural sector remains the main source of livelihood for rural communities in Ethiopia, but the challenge of changing climate continues to pose a serious threat to its development. This study investigated factors affecting smallholder farmers’ decisions to adopt adaptation options to climate change in West Ethiopia using data collected from 400 sampled households. The Rainfall Satisfaction Index and Multinomial Logit Model were used to analyze farmers’ exposure to climate variability and factors that shape farmers&amp;apos; adaptation strategies. The findings of the study showed that the majority of farmers are experiencing high exposure to climate change both in terms of variable rainfall and rising temperature. In response, to adapt to the impact of climate change farmers were participating in agronomic practices, livelihood diversification, soil and water conservation, and small-scale irrigation as the dominant adaptation options. It is also observed that adopting agronomic practices was significantly impacted by social capital, crop failure experience, and access to early warning. Gender of the household, education, and livestock ownership were found to have a negative relationship with livelihood diversification. The study further revealed that soil and water conservation measures are positively affected by perception of temperature increment, exposure to early warning systems, and larger size of cultivated land. In addition, the adoption of small-scale irrigation was significantly influenced by access to credit, social capital, and the educational status of household heads. Consequently, the result implies that programs and policies designed to curb the calamities of climate change should emphasize creating effective early warning systems to increase farmer awareness, reach farmers with effective microfinance institutions, and encourage farmers’ ties to many social cooperatives.

Safe delivery kits and newborn infection in rural Ethiopian communities.

Our goal in this study to investigate the impacts of using safe delivery kits, along with education on their appropriate use, has on preventing newborn and maternal infection. A cross-sectional study. Participants, and Interventions: we conducted the study on 23 sites across a rural district in Oromia Region, Ethiopia. Safe delivery kits were distributed by health extension workers. Participants comprised 534 mothers between the ages of 17 and 45 years, who were given a safe delivery kit at 7 months' pregnancy for use during their subsequent delivery. Data collection was performed by the trained interviewers in rural Ethiopian communities. Multiple logistic regression analyses showed an independent association between using the cord tie provided in the kits and decreased newborn infection. Specifically, newborns whose mothers used the cord tie were 30 times less likely to develop cord infection than those not using the cord tie in the kits. Further, mothers who received education regarding safe delivery kit use had lower rates of puerperal infection. Single-use delivery kits, when combined with education regarding the appropriate means of using the kit, can decrease the likelihood of maternal infection. Nurses and health extension workers in low and middle-income countries should educate mothers on safe delivery kits by providing information regarding their usefulness and the importance of correct and consistent use. Implications for Health Policy: our findings emphasize the need for further interventions in vulnerable countries designed to increase the rate of hygienic birthing practices for deliveries outside health-care facilities.

Gendered livelihood impacts and responses to an invasive, transboundary weed in a rural Ethiopian community

Gender as unequal power relations intersects with global environmental change threatening agriculture-based livelihoods, including land degradation, increasing climate variability, and invasive alien plants. Commonly overlooked, invasive alien plants may have gendered impacts on everyday life that disproportionately affect the less powerful. Drawing on experiences of smallholder farmers in Ethiopia’s Oromia region with an invasive, transboundary weed, Parthenium hysterophorus L., this paper illustrates how environmental change interacts with pre-existing vulnerabilities to shape individual and household-level impacts and responses. We applied a feminist perspective in livelihoods and environmental change research and praxis to explore the intersection of gendered livelihoods and parthenium management in spaces of everyday life. While invasive plants, including parthenium, may be easily perceptible in the field, understanding impacts on livelihoods requires consideration of women’s and men’s roles and responsibilities within the broader household compound as well as intra-household decision-making. Parthenium can be harmful to environmental, animal, and human health, but unduly impacts women’s labor, spaces, and assets, including cows whose milk may be tainted by grazing in parthenium-infested fields. We demonstrate the importance of considering women’s social networks and so-called reproductive space and labor to understand gendered and place-based inequities of climate change. This study reveals intimate connections between environmental stressors and gendered livelihoods. Our findings demonstrate how inequalities can be reinforced by new forms of vulnerability, with response options socially differentiated. We argue that a feminist livelihood lens helps bridge the global scale of environmental change with local scales of gendered livelihood adaptation embedded within broader socio-environmental change.

Effects of urban expansion on the surrounding agricultural communities of the southern Ethiopian town of Jajura

ABSTRACT This study used a mixed research design for several reasons. Firstly, the researchers used longitudinal data from open-source remote sensing satellite imagery dating back at least 30 years to study urban expansion into rural farmland. Then, the researchers used cross-sectional data from household surveys, where data collection tools such as questionnaires and structured interviews were utilized. A simple sampling procedure was used to ensure the representativeness of homogeneous target group households. The survey data was analyzed with SPSS software, and the urban-to-farmland extent was investigated with Landsat satellite images and observation intervals every 10 years for the last 30 years. The key finding of this study was that urban expansion is encroaching onto farmland, negatively impacting household livelihoods. It is recommended that urban expansion should be managed and minimized and that cooperation with the communities in the study area is an important issue. The study emphasizes the significance of comprehending the implications of uncontrolled urban development on rural communities in Ethiopia, using a mixed research approach comprising both longitudinal and cross-sectional data. The research demonstrates that expanding cities are having a considerable impact on agricultural livelihoods and require delicate handling to mitigate their unfavorable influence.

Intrauterine growth pattern in Butajira HDSS, Southern Ethiopia: BUNMAP pregnancy cohort

BackgroundAbnormal fetal growth pattern during pregnancy including excessive fetal size and intrauterine growth restrictions are the major determinants for perinatal outcomes and postnatal growth. Ultrasonography is a useful tool in monitoring fetal growth for appropriate care and interventions. However, there are few longitudinal studies using serial ultrasonography in low and middle-income countries. Moreover, the reference charts used for fetal growth monitoring in low-income countries comes from high income countries with distinct population features. Therefore, the purpose of this study was to evaluate the intrauterine growth pattern of the fetus using serial ultrasonography.MethodsWe conducted a prospective community-based cohort study from March 2018 to December 2019. Pregnant women with gestational age of 24 weeks or below living in the Butajira HDSS were enrolled. We followed the pregnant women until delivery. Serial ultrasound measurements were taken, and fetal weight was estimated using the Hadlock algorithm based on biparietal diameter, head circumference, abdominal circumference, and femur length. The z-scores and percentiles of biometric measurements were calculated and compared to the INTERGROWTH-21st International Standards for Fetal Growth.ResultsWe reviewed a total of 2055 ultrasound scans and 746 women who fulfill the inclusion criteria were involved”. We found similar distribution patterns of biometric measurements and estimated fetal weight compared to the previous study done in Ethiopia, the WHO and INTERGROWTH-21st references. In our study, the 5th,50th and 95th percentiles of estimated fetal weight distribution have a similar pattern to the WHO and INTERGROWTH-21st charts. The 50th and 95th percentile had also a similar distribution pattern with the previous study conducted in Ethiopia. We found that 10% of the fetus were small for gestational age (below the 10th percentile) based on the Z-score of estimated fetal weight.ConclusionOur study evaluated the fetal growth patterns in rural community of Ethiopia using serial ultrasound biometric measurements. We found similar IUG patterns to the WHO and INTERGROWTH-21st reference standards as well as the previous study conducted in Ethiopia.

Performance evaluation of biocoagulant for the effective removal of turbidity and microbial pathogens from drinking water.

In this study, Moringa seeds, aloe vera leaves, and cactus leaves were used as biocoagulants for the treatment of drinking water. The effects of coagulant type, coagulant dosage, and pH were studied on the quality of the treated water. Response surface methodology was used to predict and optimize the parameters. The standard Six Jar test was used to measure the performance of coagulants. Three mixing modes were used in the jar test: quick mixing at 1 min at 120 rpm, slow mixing for 19 min at 40 rpm, and 15 min settling. The characterization results showed that extracts of Moringa seeds, aloe vera leaves, and cactus leaves contain 43.95 ± 0.49, 13.9 ± 0.42, and 10.94% ± 0.37 protein, respectively. It was revealed that coagulant type, coagulant dosage, and the interaction between (coagulant type (MS-SC and AV-SC) and pH) were significant (p < 0.05) for turbidity removal. Jar test results showed a removal efficiency of turbidity 98.83%, and 98.74% and 69.83% using MS-SC, and AV-SC and Ca-SC bio, respectively. These results imply that the three coagulants can be considered as effective, low-cost, and eco-friendly resources for the treatment of drinking water in rural communities of Ethiopia where access to clean water is scarce.

Exploring Communication Intervention in Enhancing Agricultural Production to Improve the Livelihood of Rural Communities in Ethiopia

Exploring Communication Intervention in Enhancing Agricultural Production to Improve the Livelihood of Rural Communities in Ethiopia

Effect of wood moisture content on the performance of wood burning cook stoves

ABSTRACT Rural Ethiopian communities rely mostly on biomass fuels for subsistence and productive purposes. With an increasing population and dwindling forest resources, wood fuel consumption has exceeded its supply. Besides, people do not know ways of maximising biomass efficiency. The study involves the burning efficiencies of woods with varied moisture contents. Eucalyptus wood of five different moisture contents was used in five identical wood-burning stoves purposefully constructed for this purpose. Tests were conducted over 5 days, thereby giving five replications. In the tests, food temperature, stove body temperature, and stove smoke outlet temperature measurements were conducted along with ambient air temperatures. Wood with 10% moisture content performs better during combustion with respect to low and high moisture content wood. High moisture content delayed the cooking onset and low moisture decreased the duration of effective cooking. The 50% moisture content or greater with respect to oven-dried wood failed to cook. Moisture content of around 30% delayed the time to reach cooking temperature by two and hence elongated the cooking time. There is also the extended smoke time as observed from the smoke outlet temperature.

Assessing the roles of stakeholders in community projects on environmental security and livelihood of impoverished rural society: A nongovernmental organization implementation strategy in focus

The current study investigates how stakeholders' participation was used to improve environmental security and the livelihoods of the poor in rural community of Ethiopia. In particular, the study attempts to identify models of stakeholder participation and the factors that influence participation using qualitative methods. In-depth interviews, focus group discussions, organizational documents and observation used to collect the data. Thematic analysis of the data highlights consultation, collaboration, and partnership as key organizing constructs. The study offers a distinctive viewpoint on the literature and on rural community practice through the participation of stakeholders. We suggest nongovernmental organizations thoroughly utilize grassroots approach to gain acceptance, trust and sustainability of community projects.

Sustainable Rural Electrification: Harnessing a Cosmolocal Wind

In this article, we explore the sustainability potential of an alternative commons-based mode of production called cosmolocalism. Cosmolocal production combines global knowledge production with local physical production. Such a production mode has been applied across the globe for locally manufacturing small wind turbines (SWTs) for rural electrification. We assess the sustainability of such cosmolocal SWTs in a case study of electrifying a rural community in Ethiopia. In this context, the life cycles of five SWT alternatives have been compared, ranging from conventional industrially produced turbines to open-source locally manufactured and maintained ones. Our case study indicates that the local manufacturing and maintenance of SWTs offer significant advantages and may redeem small wind turbines as a sustainable component for rural electrification. Specifically, the fully cosmolocal alternative (A1) performs better than any other alternative in technical, environmental, and social criteria, while it is close to the best-performing alternative with regard to economic objectives. For this solution to be implemented, the institutional burden cannot be neglected, but can rather be considered a sine qua non condition for locally manufactured and maintained SWTs. A set of generic institutional interventions to create favourable conditions for cosmolocal production is proposed, which needs to be elaborated in a context-specific manner.

The role of traditional birth attendants and problem of integration with health facilities in remote rural community of West Omo Zone 2021: exploratory qualitative study

BackgroundMothers in rural Ethiopian communities prefer giving birth at home. In developing countries, traditional birth attendants play an important role in reducing the maternal mortality rate. In Ethiopia, however, their role during pregnancy, childbirth, the postnatal period, and their integration with health professionals is not clearly defined. This study aimed to explore the role of traditional birth attendants in feto-maternal care during pregnancy, childbirth, and the postnatal period, and integration with health professionals in the West Omo Zone, southern Ethiopia.MethodsA qualitative descriptive design was used with triangulation of methods and data sources. We conducted in-depth interviews with traditional birth attendants, key informant interviews with health care professionals and community or religious leaders, and two focus group discussions with multiparous pregnant women. Each interview and focus group discussion was tape-recorded and the data obtained were transcribed and translated into English for analysis. The analysis was done based on thematic analysis framework.ResultsTraditional birth attendants stated that they used herbal remedies to treat nausea and vomiting, decrease pain during labor, and increase pregnant women's desire to push. The absence of incentives for their work, shortage of logistics, and lack of training was mentioned as challenges to the continuity of their roles. All study participants explained the importance of training traditional birth attendants on maternal and child health in rural communities. However, health care professionals reported that few traditional birth attendants advised mothers about traditional practices such as milk tooth extraction and uvulectomy.Conclusion and recommendationTraditional birth attendants continued their roles despite the existing challenges. There was no integration between TBA and the formal health care system. The need for training traditional birth attendants has been emphasized by all study participants and its impact on reducing feto-maternal death was recognized by health care professionals. Therefore, the federal ministry of health should works better for the development of TBAs to scale up their skills across all regions in the country.

The effect of spacing and high planting density on yield of Eucalyptus globulus

Production and marketing of Eucalyptus wood products play a significant poverty alleviation role; as a source of regular income and construction materials in turn improving the livelihoods of the rural community in Ethiopia. The study was conducted in Sidama region (Gorche district), South Central Ethiopia. The aim of study was to see the effect of spacing regimes (selected from the most common spacing practices in community) on yield of Eucalyptus globulus woodlots. Twenty five sample household&rsquo;s woodlot from each spacing regime with a total of 100 woodlot plantations were sampled from two kebeles. Measurements of all DBH and height of standing E. globulus woodlot tree were made. Yield was significantly affected by the initial spacing regimes. With decreasing spacing, mean volume per tree was decreasing while volume per hectare was increasing. Within&nbsp; 1m x 0.75m, 0.75m x 0.5m, 0.5 x 0.5m and 0.5m x 0.25m spacing regimes,&nbsp; 0.031, 0.024, 0.0185 and 0.0116 m3/tree and 407.75, 637.82, 737.35 and 930.07m3/ ha mean volume of woodlot respectively were recorded. A one-way ANOVA revealed that there were a significant difference within; Volume, DBH and height of all spacing regimes. Local construction material /Seregela, Kuami, Weraji, Korkoro mager were the most common assortment poles depending on diameter and height. The study further revealed that highest number of biggest sized diameter construction pole were found from lower density planting, (1m x 0.75m) and the highest number of construction pole assortment were found from closer spacing (0.5m x 0.25m). In conclusion, spacing regimes had seriously affected yield of E. globulus woodlots. Finally, woodlot growers&rsquo; preference for different spacing regimes primarily depends on obtaining better final yield. And 1m x 0.7m and 0.75m x 0.5m spacing was found better in terms of providing proportional pole sizes of each assortment types

The microeconomics of adaptation: Evidence from smallholders in Ethiopia and Niger

Climate change is expected to bring higher temperatures, changes to rainfall patterns and in many places increased frequency and severity of extreme weather. Climate change is slated to affect the global food equation both on the supply and demand side as well as local level food systems where small farm communities often depend on local and their own production. As climate change has become more pronounced, the risk to land-based food security faced by many of the world’s poor, such as rural communities in Ethiopia and Niger, seems to have become more intense and less predictable. To avoid food insecurity in response to climatic and other stressors, adaptation by small-scale, subsistence farms needs to be accelerated. To effectively intervene to do so, there is a need to understand adaptive behavior in terms of its drivers and its relation with welfare outcomes such as food security. In this paper, we develop a conceptual framework of risk and adaptation, use regression and cluster analysis and the most recent version of the Living Standards Measurement Surveys data for rural areas in Ethiopia and Niger, to advance our understanding. We find that adaptation is associated with lower food insecurity in Ethiopia but not in Niger. Formal education appears as a central element of adaptive capacity and is associated with both adaptive production and income strategies. Female-headed households are much less adapted to a changing climate. Perceived risk based on past hazard experience is crucial for adaptation. Results from the cluster analysis confirm that spatial poverty traps exist. To maintain or enhance welfare in the short term and resilience in the long run in the face of a changing climate, policy makers would do well to focus on micro-regions identified as highly food insecure and build adaptive capacity through, for example, gender inclusive education interventions.

Water, Sanitation, and Hygiene Risk Factors on the Prevalence of Diarrhea among Under-Five Children in the Rural Community of Dangila District, Northwest Ethiopia.

Background Under-five diarrhea is one of the major causes of morbidity and mortality in developing countries. Despite the tremendous achievement in reducing child mortality and morbidity in the last two decades, diarrhea is still the major causes of morbidity and mortality in resource-limited countries like Ethiopia due to the absence of clean water and poor sanitation and hygiene. Objective This study aimed to assess the association of water, sanitation, and hygiene on the prevalence of diarrhea among under-five children in the rural community of Ethiopia. Methods A cross-sectional study was conducted among randomly selected 419 under-five children from October to December 2021 in Dangila district, Northwest Ethiopia. A structured questionnaire was used to collect sociodemographic, environmental, and behavioral data. Data were entered into Epi Info and analyzed using SPSS software. Descriptive analysis was used to calculate the prevalence of diarrhea. Univariate and multivariate logistic regression were used to compute the association of water, sanitation, and hygiene with diarrhea. Statistical significance was considered if P < 0.05. Results Among 419 participants, the prevalence of diarrhea was 106 (25.3%). The absence of handwashing habit of children (AOR = 7.70; 95% CI: 2.71–21.79) and caregivers after toilet (AOR = 19.10; 95% CI: 5.46–66.52), absence of latrine (AOR = 3.87; 95% CI: 1.24–12.08), playing with soil (AOR = 8.40; 95% CI: 4.58–36.66), and eating soil (AOR = 6.24; 95% CI: 1.99–19.78) were significantly associated with under-five diarrhea. Children who drink unprotected water were 2.21 times (AOR = 2.21; 95% CI: 0.51–9.69) more exposed to under-five diarrhea than who drink protected water, but it is not statistically significant (P = 0.29). Conclusion The prevalence of under-five diarrhea is high in Dangila district. The absence of clean water and poor handwashing practice and the absence of latrine are the main factors associated with diarrhea. Therefore, strengthening water, sanitation, and hygiene strategy in the rural community should be prioritized.

Vulnerability of community to climate stress: An indicator-based investigation of Upper Gana watershed in Omo Gibe basin in Ethiopia

The frequency and intensity of extreme climate events such as heavy rainfall and droughts are expected to increase with climate change and are predicted to severely affect the agriculture sector. However, drought vulnerability of rural communities in sub-Saharan Africa is not well documented, despite these communities being composed of mainly smallholder farmers whose livelihoods depend on rainfed agriculture. In this study, we evaluated the vulnerability of a rural community in Ethiopia to drought using both primary and secondary data. The primary data was generated from a household survey, whereas the secondary data was obtained from the National Meteorology Agency of Ethiopia and Climate Hazards Group Infrared Precipitation (CHIRP) product. We decomposed vulnerability in to three components which are exposure, sensitivity, and adaptive capacity to drought based on indices derived from the primary and secondary data. Results show that the average score for exposure, sensitivity, and adaptive capacity is nearly equal. High seasonal water variability coupled with severe, frequent, and long drought status increases exposure to drought in the study area. The main factor which affects sensitivity to drought in this community is the land cover. For adaptive capacity, the social capital of the community is low while their physical capital is high. The overall estimated drought vulnerability shows that the community is moderately vulnerable. The community's exposure and sensitivity analyses show the need to increase the amount of moisture stored within the soil with the adoption of appropriate soil and water conservation techniques. Results also show that the head of the household's educational level, the number of livestock owned, and annual income affect the community's adaptive capacity.

Knowledge, attitude, and practices to zoonotic disease risks from livestock birth products among smallholder communities in Ethiopia

Many causes of abortion in livestock are due to zoonotic pathogens that pose serious infection risks for humans. Carefully designed, empirical One Health research allows to untangle the complexity around these risks and guides the development of practical health education guidelines and best prevention practices for veterinary public health interventions. To support this, the study presented here aimed at understanding knowledge, attitudes, and practices (KAP) on zoonotic risks from livestock birth products among rural communities in Ethiopia. From July 2018 to February 2019, a cross-sectional study design was conducted with 327 randomly selected farmers and pastoralists in five districts in three regions in Ethiopia. The structured questionnaire consisted of 48 items to evaluate knowledge (24), attitude (9), and prevention practices (15) related to zoonotic diseases risks from livestock birth products. A unidimensional two-parameter logistic (2-PL) Item Response Theory (IRT) model was used for zoonotic disease risk KAP scale construction and evaluation. The 2-PL IRT model was fitted to determine the probability of a person to appropriately respond to an item with a provided zoonotic disease KAP level. We then examined differential item functioning (DIF) concerning to five important covariates. The attitude subscale had the highest total mean score (37.3, ± 28.92%) and the knowledge subscale had the lowest mean score (22.4, ± 33.6%) among the three subscales. The mixed model regression analysis indicated that region was the only apparent factor explaining differences in zoonotic diseases knowledge, attitude, and practice total mean scores. The knowledge and attitude subscales had good internal consistency with a Cronbach's α at 0.83 and 0.81, respectively, whereas the practice subscale had lower internal consistency with 0.51. There was a positive association between responding to knowledge questions correctly and a positive attitude (r2 = 0.44, p < 0.0001) and self-reported good practice (r2 = 0.307, p < 0.0001). The differential item functioning test showed that 19 of 37 (51.35%) and 12 of 37 (32.43%) items of the retained KAPs survey items had non-uniform and uniform DIF linked to at least one covariate respectively and all the covariates were related with DIF in at least one item. This study found substantial knowledge gaps, a low level of the desired attitude, and high-risk behavioural practices regarding zoonotic disease from livestock birth products. Consequently, livestock keepers are likely exposed to pathogens and thus these practices are an important contributing factor for zoonotic disease infection in people.