South Wollo Zone Research Articles

Complementary food hygiene practice and associated factors among mothers with children aged 6–23 months in Dessie Zuria, South Wollo Zone, Amhara, Ethiopia, 2023

BackgroundImplementing appropriate complementary food hygiene practices is essential to lower the incidence of food-borne disease and malnutrition in children. However, this aspect is often overlooked in resource-limited settings, and information regarding these practices is not fully available and is not assessed enough. Therefore, this study aimed to assess complementary food hygiene practices and their associated factors in Dessie Zuria, South Wollo Zone, Amhara, Ethiopia, in 2023.MethodsAn institutional-based cross-sectional study design was conducted from 17 April to 18 May 2023, among 366 mothers with children aged 6–23 months. Dessie Zuria was purposively selected, and a systematic random sampling technique was used to recruit study participants. Data were collected using pretested and structured questionnaires. Finally, the data were entered using EPI-info and then exported to SPSS version 26. Bivariable and multivariable logistic regression analyses were used to identify factors associated with complementary feeding hygiene practices. Both crude odds ratios (COR) and adjusted odds ratios (AOR) with a 95% confidence level (CI) were computed, and a p-value of <0.05, in the final model, was considered statistically significant.ResultsThe proportion of households practicing complementary food hygiene was 22.22%. Factors associated with these practices included access to media such as television or radio (AOR = 10.51, 95% CI: 2.8, 39.28), starting complementary feeding before 6 months (AOR = 2.01, 95% CI: 1.05, 3.84), and the child’s age being 6 to 11 months (AOR = 0.25, 95% CI: 0.08, 0.7).ConclusionThe prevalence of complementary food hygiene practices was poor. Healthcare professionals should promote starting breastfeeding at the age of 6 months. In addition, media companies ought to make an effort to create a positive social and cultural environment that encourages complementary feeding practices for young children.

Vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023

Improving maternal and perinatal outcomes can be achieved by identifying factors affecting successful vaginal delivery following induction of labor, particularly in developing countries with low rates of induction. Besides this, evidence regarding the magnitude of successful vaginal delivery following induction and associated factors is limited in Ethiopia. Therefore, this study aimed to assess the magnitude of vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023. An institutional-based cross-sectional study was conducted among 385 from April 1 to June 15, 2023. A systematic random sampling method was used to select each participant. A pretested structured interviewer-administered questionnaire and checklist were used to collect data. Epi-Data version 4.6 and SPSS version 26 software were used for data entry and analysis, respectively. Multivariable binary logistic regression was used to identify associated factors and an adjusted odds ratio with a 95% confidence interval was used to identify significant variables. Model fitness was checked using the Hosmer-Lemeshow goodness of fit test. The study reported that 75.6% of participants gave vaginal delivery following induction with a 95% CI (71.00-79.80). Mid-upper arm circumstance 23–28 cm (AOR = 2.55, 95% CI: 1.19–5.47), multiparty (AOR = 3.01, 95% CI: 1.430–6.33), favorable bishop (AOR = 3.79, 95% CI: 1.74–8.26), oxytocin with cervical ripening method (AOR = 3.74, 95% CI: 1.99–7.04), and birth weight less than 4000gram (AOR = 5.40, 95% CI: 1.54–18.91) were factors significantly associated with successful vaginal delivery following induction. Therefore, obstetric caregivers should consider pre-induction assessments such as bishop score of the cervix and fetal weight estimation and improving the nutritional status of pregnant women.

Nurses’ implementation of evidence based practice in nursing process and its associated factors in South Wollo Zone public hospitals, Northeast Ethiopia: a mixed method study

BackgroundEvidence-based practice is clinical decision-making using the best evidence available in the context of individual patients’ preferences and clinical expertise. It is serving as a crucial instrument for the health science disciplines to minimize the theory-practice gap although the level of practice is unknown. Thus, this study aimed to assess nurses’ implementation of evidence-based practice in nursing process and its associated factors in South Wollo Zone Public Hospitals.MethodsAn explanatory sequential mixed method was employed from April 1 to May 29, 2023, among 419 nurses for the quantitative part and 15 others for the qualitative part. The data were collected using structured, pretested, self-administered questionnaires. Simple random and purposive sampling techniques were used to select participants for the quantitative and qualitative studies, respectively. The bivariable analysis was done primarily, and variables with a p-value < 0.25 were further examined using a multivariable logistic regression model to control con-founders. Then, variables having a p-value less than 0.05 with a 95% CI were used to declare significantly associated factors. The key informants were interviewed using pre-made interview guidelines, and then open code software was utilized to conduct a thematic analysis.ResultNurses who had poor implementation of evidence-based practice in the nursing process were 228 [54.42%; 95% CI: (49.8–59.3)]. Similarly, the key informants concluded that the implementation of evidence-based practice in the nursing process was low. Participants who were 31– 40 years old [AOR = 0.61, 95% CI: (0.38–0.99)], 41–50 years [AOR = 0.32, 95% CI: (0.15–0.65)], working at general hospitals [AOR = 3.37, 95% CI: (1.39–8.18)] and comprehensive specialized hospitals [AOR = 7.29, 95% CI: (3.06 − 17.31)], lack of training about evidence-based practice (AOR = 2.50, 95% CI: (1.36–4.56)], and lack of internet access [AOR = 2.46, 95% CI: (1.43–4.23)] were factors associated with poor levels of nurses’ implementation of evidence-based practice in the nursing process. The absence of computers, libraries, and updated guidelines were other factors identified on the quality analysis.ConclusionNurses’ implementation of evidence-based practice in the nursing process was low. Age, working in general hospitals, and comprehensive and specialized hospitals, lack of training, and internet access were factors that had significant associations. Hence, hospital managers should give an attention to internet access and training about utilization of evidence-based practice in nursing process, particularly for those aged above thirty years old.

Impacts of Irrigated Water Use on Household’s Income in South Wollo Zone, Amhara Regional State, Ethiopia

Agriculture is the backbone of the Sub-Saharan African economy. Ethiopia&amp;apos;s GDP is also shared by 45 from the agriculture sectors. However, it is confronted and challenged by variable rainfall and climate changes. Particularly, in South Wollo zone, agriculture is not exceptional in facing such daunting challenges and effects of variable rainfall and climate change despite there are abundant alternative irrigated water resources. River and groundwater sources have not yet been used as alternative uses for agricultural production. As a result, rural households&amp;apos; income couldn’t meet their minimum food and nonfood requirements. This study, thus, attempted to evaluate the impact of irrigated water use on rural household&amp;apos;s income in South Wollo Zone, Amhara regional state, Ethiopia. In pursuit of this, it employed a descriptive type of research design and triangulated research approach that consists of both quantitative and qualitative techniques. Primary and secondary data were collected from small scale irrigated households and secondary sources. Binary logistic regression was used to determine major significant factors that affect households&amp;apos; irrigated water use for agricultural production. A propensity core matching model was employed to evaluate irrigated water use and agriculture on household’s income. This study result (binary logistic regression result) showed that the household’s family size, land size and willingness were significant factors that determined irrigated water use for agricultural production at 95 percent level of significance. The propensity score matching model result also shows that irrigated water use significantly created significant impact on household’s income. It is, thus, keenly important to change and improve the smallholder farmer’s land size, extension services, rural credit, technology, education level, awareness about family size, and willingness to use irrigated water sources, such as, ground and river water for agriculture agricultural production that increase their level of income.

Impact of urban productive safety net program on urban households' asset accumulation and food consumption rate in Dessie City, South Wollo Zone, Amhara Region, Ethiopia.

Agriculture is the driver of economic growth in many developing countries like Ethiopia, where it often represents at least 25% of gross domestic product. But the quality and productivity of the land depends on the way agriculture is practiced. Better agricultural techniques are necessarily including Productive Safety net Program. Urban Productive Safety Net Program is designed to support the poor households and establish urban safety net mechanisms. While several studies have examined the effects of rural productive safety net programs, the outcomes of similar programs in urban areas are not well documented. This knowledge gap hinders the ability to effectively design and implement urban productive safety net programs. The main objective of this study was to assess the impact of urban productive safety net program on asset accumulation and consumption rate in Dessie city. Both primary and secondary data sources were used. A total of 112 households were selected randomly among the public work Urban Productive Safety Net Program beneficiary and non-beneficiary households. Descriptive analysis, inferential statistics and econometric models were used for analysis. Based on the econometric estimation results the demographic and socio-economic variables such as education, access to credit, access to extension services and adult male labor force revealed positive relation to public work urban productive safety net program beneficiary and non-beneficiary household's asset accumulation and consumption. The impact of program participation was also found to be positive and significant for both home asset and community asset. While food and non-food consumption even the total consumption and food security status are also positive. Generally, the result indicated that, due to program participation beneficiary households have higher home asset and community asset and better consumption and food security status.

Spatial distribution and clustering of contagious caprine pleuropneumonia in goats of Amhara region, Ethiopia

A cross-sectional study with a multistage cluster sampling technique was undertaken from January to July 2019 in Amhara region to identify spatial clusters and distributions of contagious caprine pleuropneumonia (CCPP) hotspots. In the study, a total of 2080 goats from 258 flocks across 60 villages in 12 districts were tested for CCPP serostatus using Competitive Enzyme-Linked Immunosorbent Assay (C-ELISA). Villages were taken as an aggregate unit to detect spatial distribution and clustering. Spatial autocorrelation, interpolation, and spatial scan statistics analyses were employed to analyze the spatial patterns and clusters of CCPP serostatus. The overall seroprevalence of CCPP at the animal level was 5.1 % (95 % CI: 3.8–6.6). The spatial distribution of CCPP seropositivity was non-random at the village level (Moran's I: 0.400791, P-value <0.01). Two statistically significant spatial clusters of CCPP seropositive were found: one in West Gojjam and the other encompassing parts of North Wollo, Oromiya Liyu zone, and South Wollo zones. The CCPP seropositivity showed spatial variation across the Amhara region. High CCPP seropositive spots were found in the southwestern and northeastern parts of the Amhara region. Generally, the findings of this study provide valuable insights in developing disease control strategies, prioritizing target intervention areas and measures, and designating CCPP disease-free zones. Applying movement restrictions and vaccinating goats will be important intervention measures to prevent and control CCPP in the region.

“A quantitative analysis on the adoption of soil, water, and forest conservation technologies in the upper Gelana watershed, Northeast Ethiopian highlands”

Globally, the degradation of soil, water, and forests has had a significant impact on both livelihoods and the environment. This issue is particularly severe in developing countries, including Ethiopia. Despite extensive efforts to implement conservation measures for soil, water, and forests in the highlands of Ethiopia, there has been a lack of thorough evaluation and documentation regarding the adoption of these practices by rural households. It is crucial to have scientific and up-to-date information at various spatial scales in order to effectively monitor existing practices, scale up successful initiatives, and promote sustainable regional development. Therefore, this paper focuses on analyzing the adoption of soil, water, and forest conservation activities by households in the upper Gelana watershed, South Wollo zone, Amhara Regional State of Ethiopia. The field data collection for this study took place from January to March 2022, from 150 rural household heads. Data analysis was carried out using SPSS software version 23. Descriptive statistics, Pearson bivariate correlation, and multinomial logistic regression were used. The survey findings revealed that 69 % of the respondents had implemented various soil, water, and forest conservation measures at different stages. The Pearson correlation results indicated a positive relationship between the adoption of soil, water and forest conservation practices. The multinomial logistic regression analysis has revealed that age, gender, access to credit, and access to extension services, significantly influenced the households’ decision behaviour to adopt soil conservation practices. Age, access to extension service, and access to water resource were significant predictors of adoption of water conservation practices; whereas age, educational status, and access to extension service were significant predictors of adoption of forest conservation practices. This study underscores the significance of institutional factors in driving the adoption of technology in the research area. It further recommends policies that prioritize the dissemination of information on effective strategies, improvement of access to extension services, water resources, and credit facilities to promote sustainable watershed management. This study is exceptional in its innovative approach, which explores the convergence of these vital conservation domains within the distinct setting of the upper Gelana watershed. Studying the adoption of these technologies is crucial for informing policy-making and designing effective interventions that promote sustainable watershed practices. In this case, the Ministry of Agriculture, and development agents should scale up the adoption of these practices and take remedial actions for those not yet adopted.

Pregnant women's knowledge, attitude, and practice toward physical exercise during pregnancy and its associated factors at Dessie town health institutions, Ethiopia

Physical exercise consists of planned, repetitive, and intentional movements that reduce the risk of pregnancy-related complications. Worldwide, there is a high rate of physical inactivity during pregnancy, including in Ethiopia, which has detrimental effects on both pregnant women and their developing fetus. This study aimed to assess pregnant women's knowledge, attitude, and practice toward physical exercise during pregnancy and its associated factors among antenatal care attendants at health institutions in Dessie, South Wollo Zone, Amhara Region, Ethiopia, in 2023. An institutional-based cross-sectional study was conducted among 614 pregnant women receiving antenatal care between January 18, 2023, and February 25, 2023. The study participants were selected using systematic random sampling technique. Data were collected using a pretested, face-to-face interviewer-administered, and semistructured questionnaire. The data were cleaned, coded, and entered into EpiData (version 4.6; www.epidata.dk) and analyzed using SPSS (version 25; SPSS Inc, Chicago, IL). Bivariate and multivariate binary logistic regression analyses were performed to identify factors associated with knowledge, attitude, and practice toward physical exercise during pregnancy. Variables with a P value of <.2 in the bivariate analysis were transferred to the multivariate analysis. Finally, the adjusted odds ratio and 95% confidence interval with a P value of <.05 in the multivariate analysis were considered statistically significant. The study found that 56.3% of participants had good knowledge, 51.5% of participants had a favorable attitude, and 32.2% of participants practiced physical exercise during pregnancy. Age, educational level, and heard about physical exercise during pregnancy were positively associated with pregnant women's knowledge and attitude. In addition, age, antenatal care follow-up, no history of abortion, ever done physical exercise before becoming pregnant, and good knowledge were positively associated with pregnant women's practice of physical exercise during pregnancy. Our findings indicate that approximately half of the participants had good knowledge and a favorable attitude. However, almost one-third of the participants practiced physical exercise during their pregnancy. It is recommended that antenatal care providers advise pregnant women to strengthen their antenatal care follow-up and offer health education and counseling about the benefits of physical exercise during pregnancy.

Landslide susceptibility mapping using modified frequancy ratio method in Correb area, South Wollo, North-Western Ethiopia

Correb area in Mekdela Woreda, South-Wollo Zone, North-Western Ethiopia is one of the most landslide affected region. The primary aim of this study was to assess the landslide susceptibility of the area and create a landslide susceptibility map. A bivariate statistical frequency ratio model was used to accomplish this goal. Using fieldwork and Google Earth picture interpretation, a map of landslides was made. A total of 524 landslides were identified and then classified in to training landslide (75%) for model development and validation landslide (25%) for model validation. Eight landslide causative factors slope, aspect, elevation, distance to drainage, distance to spring, slope material, distance to lineament, and vegetation cover were integrated with training landslides in order to determine frequency ratio value(weight) for each class of landslide causative factors. Furthermore, each causative factor’s prediction rate or weight was established. Relative frequency values were allocated to the appropriate factor classes and prediction rate values were allocated to the appropriate causative factors and summed using a raster calculator algorithm in order to produce the landslide susceptibility map. The final landslide susceptibility map revealed that 27.54% (31.52 km2) of the study area falls under very low susceptible, 30.35% (34.74 km2) low susceptible, 21.36% (24.44 km2) moderate susceptible, 14.74% (16.88 km2) high susceptible, and the rest 6.01% (6.88 km2) as very high susceptible. This shows that more than 20% of the area has probability and risk of landslide while about 80% has relatively low probability and risk of this natural hazard. The performance of modified frequency ratio model for landslide susceptibility mapping was validated using simply overlay, relative landslide density index, and receiver operating characteristics curve. Both training and validation landslides were rare in the very low and low susceptibility classes and strongly concentrated in the high and very high susceptibility classes, according to validation using simple overlay and the relative landslide density index. The implemented model performed exceptionally well, as seen by the receiver operating characteristics curve, which showed 82.6% success rate and an 83.1% prediction rate. In general, the model produced reasonable accuracy. The resultant map would be useful for general land use planning, site selection, and landslide prevention and mitigation programs.

Enteral tube feeding practices and associated factors among nurses working in South Wollo Zone Specialized and General Hospitals, Wollo, Ethiopia, 2022.

Enteral tube feeding is recommended as a route for nutrient delivery in critically ill patients. The practice of enteral tube feeding by nurses significantly influences patient treatment outcomes. Therefore, this study aimed to identify the practices of enteral tube feeding and the associated factors among nurses working in South Wollo Zone Specialized and General Hospitals, Wollo, Ethiopia, 2022. A hospital-based cross-sectional study design was conducted on 420 nurses from 1st August to 1st September 2022. Simple random sampling methods were used to select study participants. Data were collected using self-administered questionnaires and an observational checklist. The data were entered into Epi Data version 4.6 and analyzed using SPSS version 26. Variables with a p-value <0.05, a 95% confidence interval, and an adjusted odd ratio were considered to be significantly associated with enteral tube feeding practice. A total of 400 nurses participated in the study, yielding a 95.2% response rate. The overall good practice of enteral tube feeding among nurses was 114 (28.5%) with a 95% CI of 23.8-33. Enteral tube feeding practice was significantly associated with a lack of adequate resources (AOR = 0.359, 95% CI: 0.192-0.673), unfamiliarity with current guidelines (AOR = 0.346, 95% CI: 0.203-0.586), lack of awareness (AOR = 0.511, 95% CI: 0.306-0.673) and the thermal effect of food (AOR = 0.56, 95% CI: 0.348-0.889). The enteral tube feeding practice among nurses was found to be 28.5%. Significant determinants of enteral tube feeding practice included a lack of awareness, inadequate resources in the institution, and unfamiliarity with the current guidelines for enteral feeding. To improve enteral feeding practices, it is recommended that sufficient resources be provided, guidelines be made readily available, and training programs be conducted for the nursing staff.

Time to recovery from severe community-acquired pneumonia and its predictors among 6 to 59 months of age children admitted to South Wollo zone public hospitals, North East Ethiopia: a prospective follow-up study

IntroductionEthiopia is one of those countries with higher burden of community acquired pneumonia among its people, under five children are the members of society that are highly affected by pneumonia particularly Severe Community Acquired Pneumonia. However, there are limited studies on time to recovery and its predictors in under-five children and most of them are retrospective which fails to address important variables that affect the time to recovery. Therefore, the aim of this study was to estimate the median time to recovery and its predictors among under five children admitted to South Wollo zone public hospitals, North East Ethiopia.MethodsAn institution-based prospective cohort study was conducted from March 10 to May 10, 2021, with 270 study subjects. A systematic random sampling technique was used. Data was collected by interview and chart review. The data were entered and analyzed using Epi Data version 3.1 and STATA version 14.0, respectively. Kaplan-Meier and Cox regression models were used to test the time and predictors of recovery from severe community-acquired pneumonia.ResultsThe overall incidence of recovery rate (95% confidence interval) from Severe Community-Acquired Pneumonia was 20.45(17.84–23.46) per 100 person days observation with median (IQR) time to recovery of [3, 5] days. The predictors of time to recovery from Severe Community-Acquired Pneumonia were having comorbidities on admission [AHR = 0.49 (95%CI: 0.32,0.75)], reaching hospitals after 5 days of onset of symptoms [AHR = 0.35 (95%CI: 0.20,0.60)], having Middle Upper Arm Circumference < = 12.5 cm [AHR = 0.21 (95%CI: 0.12,0.37)], the presence of smoker in the house [AHR = 0.21 (95%CI: 0.10,0.42)] and being not fully immunized for age [AHR = 0.35 (95%CI: 0.24,0.53)].Conclusion and recommendationsGenerally the recovery time of children with Severe Community Acquired Pneumonia in the study area was within the recommended national standards. Due attention should be given to children with the identified predictors while treating them.

Cultural competence and associated factors among nurses working in public hospitals of South Wollo zone, Northeast Ethiopia: a multi-center cross-sectional study

BackgroundEnhancing cultural competence stands as a cornerstone in the realm of clinical nursing. Consequently, nurses engaging with culturally diverse communities encounter significant challenges. In Ethiopia, nurses providing care often prioritize physical well-being, the therapeutic journey, and medical interventions, while overlooking the critical cultural dimensions of patient care. Therefore, this study aims to assess the level of cultural competence and its determining factors among nurses employed in public hospitals located in the South Wollo Zone of northeastern Ethiopia.MethodsA multicenter, institution-based cross-sectional study was conducted, involving 629 nurses employed in public hospitals across northeastern Ethiopia. Participants were selected using a simple random sampling method. Data were gathered using a structured, self-administered English version of the Nurse Cultural Competence Scale Questionnaire (NCCSQ), and subsequently entered into Epi-data 4.6 for analysis. Statistical analysis was performed using SPSS version 26, employing multiple linear regression analysis to identify determining factors.ResultThe participants’ overall mean score for cultural competence was 3.198 [95% CI: 3.161, 3.234]. Specifically, factors such as being a female nurse (β = 0.089, CI: 0.019–0.159), having a diploma level of education (β = -0.084, CI: -0.101 to -0.007), having 11–20 years of work experience (β = 0.412, CI: 0.090–0.815), a 1:15 nurse-to-patient ratio (β = 0.081, CI: 0.010–0.162), experience with caring for culturally and ethnically diverse patients (β = 0.362, CI: 0.248–0.476), comprehensive hospital level (β = 0.699, CI: 0.496–0.903), and attending cultural training (β = 0.002, CI: 0.234–0.931) were predictors of the mean score for cultural competence.ConclusionIn this study, the level of cultural competence was found to be at a moderate level and need more effort. Factors such as gender, years of work experience, nurse-to-patient ratio, experience in caring for culturally and ethnically diverse patients, hospital level, educational attainment, attendance of cultural training, and the presence of a feedback system for cultural competence were identified as predictors of cultural competence level. Sharing experiences from higher-level hospitals to lower-level ones and strengthening cultural competence training sessions for nurses can significantly enhance cultural competence within clinical settings.

Seroprevalence and associated risk factors of contagious caprine pleuropneumonia in selected districts of South Wollo Zone Northeast Ethiopia

Contagious caprine pleuropneumonia (CCPP) is a severe and devastating respiratory disease of goats, which is characterized by severe serofibrinous pleuropneumonia accompanied by high morbidity and mortality. A cross-sectional study was conducted from July 2022 to January 2023 to determine the seroprevalence of CCPP and identify risk factors associated with the occurrence of CCPP in goats in five selected districts of the South Wollo Zone of the Eastern Amhara region. A total of 384 sera samples were collected from goats and examined for antibodies specific to Mycoplasma capricolum subspecies capripneumoniae (Mccp) using Competitive Enzyme-Linked ImmunoSorbent Assay (cELISA) test. Out of the total examined sera, 26 samples were positive for CCPP, giving an overall seroprevalence of 6.7% (95% CI = 6.64–9.77). A seroprevalence of 5.05%, 4.65%, 2.78%, 12.90%, and 10.77% were recorded in Ambasel, Tehuledere, Kalu, Dessie Zuria and Kutaber districts, respectively. However, there was no statistically significant difference among these five districts (p > 0.05). The seroprevalence of CCPP varies significantly between age groups and agroecology (p < 0.05). However, the seroprevalence did not vary with sex, body condition score (BCS), and flock size (p > 0.05). Old-aged goats (OR = 4.10) and goats found in the lowlands (OR = 5.09) were at higher risk of infection with CCPP than young-aged goats and goats found in the highlands, respectively. In conclusion, the present seroprevalence investigation indicated the occurrence of CCPP in those selected study districts of the South Wollo Zone. Therefore, appropriate control measures, including avoiding the mixing of flocks and vaccination should be designed and implemented especially in the lowland areas and older goats to reduce the further spread and magnitude of the disease.

Determinants of thinness among school adolescents in Legehida district, Amhara region, north east Ethiopia: an unmatched case-control study

BackgroundAdolescence is a critical stage of human growth and development, and adolescent nutritional status is a significant predictor of health outcomes. However, adolescents in developing countries, including Ethiopia, have received little attention from nutrition-related programs in recent decades. Consequently, malnutrition among adolescents is a widespread issue in these regions.ObjectiveThe study aimed to identify the determinants of thinness among school adolescents in the Legehida district of South Wollo Zone, Northeastern Ethiopia.MethodsA school-based, unmatched case-control study was conducted from January 20 to February 2, 2019. A total of 525 school-aged adolescents (175 cases and 350 controls) from the Legehida district were enrolled using a multistage sampling technique. Data were collected through interview-administered questionnaires and anthropometric measurements. EpiData version 3.1 was used for data entry, while Anthroplus software was employed for anthropometric measurement entry and analysis. The data were then exported to SPSS version 25 for further analysis. Bivariate and multivariable logistic regression analyses were performed to assess the determinants of adolescent thinness.ResultsIn this study, thinness among school adolescents was significantly associated with several factors: the absence of a latrine at home [AOR = 8.2, 95% CI (3.8, 8.17)], meal skipping per day [AOR = 3.1, 95% CI (1.2, 7.3)], inadequate consumption of fruits and vegetables [AOR = 7.5, 95% CI (3.9, 14.5)], having more than four household members [AOR = 13.6, 95% CI (7.1, 26)], and the consumption of unsafe water [AOR = 7.7, 95% CI (3.8, 15.6)].Conclusions and recommendationsThe absence of latrines and access to clean water, dietary factors, and family size emerged as significant contributors to adolescent thinness in this study. Addressing the nutritional challenges faced by adolescents will require collaborative efforts across sectors.

Dairy Farmers’ Perception on Dairy Cattle Feeds and Feeding System: Brewery By-product Utilization Practice at Kombolcha Regiopolitan City, Ethiopia

A survey was conducted in three selected kebeles of Kombolcha Regiopolitan City in South Wollo Zone. The selected kebeles were in proximity to brewery factory, Ethiopia. A semi-structured questionnaire was used to collect perception data from purposively selected three kebeles and a total of 57 randomly selected dairy farmers. Data collected were analyzed with a statistical package for social sciences (Version 20) and Microsoft Excel (2010). Smallholder dairy farmers had average herd size of 10.7 and 0.08 hectare total dairy farm per household. Average daily milk yield and lactation length of dairy cows was 10.8 liter/day and 9.5 months, respectively. The majority of farmers (59.6%) reared dairy cows with 50-75% exotic blood. The most smallholder dairy farmers satisfied their feed demand from the market and had a trend of providing both dense and poor quality affordable feed ingredients. Smallholder dairy farmers gave priority to feed different kind of cattle in the order of lactating cows, calve, pregnant, heifers and dry cows and used (100%) wet brewery spent grain as a source of dairy feed. Though, there was a brewery by-product supply deficit for half of year. The majority smallholder dairy farmers delivered brewery by-product directly from the brewery factories and followed by wholesalers and retailers. The majority of smallholder dairy farmers (96.4%) stated that the brewery spent grain was fed and stored freshly using different conservation techniques, and the remaining stored in ensiled (1.8%) and dried (1.8%) forms. Smallholder dairy farmers had no brewery spent grain ensiling practice and feeding brewery yeast to dairy animals. Smallholder dairy farmers indicated that high price due to abnormal market chain and shortage of brewery spent grain supply were the major challenges to sustain dairy industry in the study area, and the majority (40.6%) claimed to get swift solutions at high cost and less accessible brewery by-product.

Effect of various supplements on productive performance of honey bees, in the south Wollo Zone, Ethiopia.

The productivity and well-being of honey bee colonies are greatly influenced by the nutrients present in the hives. A study was conducted to evaluate different supplemental feeds on honey bee productive performance during dearth periods. Thirty colonies were grouped into five (four treatment groups and one control group) and each group contained three sub-groups (2 weak, 2 strong, and 2 very strong). Control groups were not given any supplementation. Treatment diets were T1 (50% sugar syrup + 14% roasted barley powder (beso) + 36% roasted spiced pea powder (Shiro)), T2 (50% powder sugar + 14% white sorghum powder + 36% bakery yeast, T3 (50% powder sugar + 14% white sorghum powder + 36% skimmed milk powder), T4 (50% sugar syrup with infusion of stinging nettle and 1% kerefa + 50% white sorghum powder). Feed was given on the entrance sides. The performance of experimental colonies was measured every 21 days in two phases during the dry season (from 3_2_2021 to 27_4_2021) and the rainy season (from 28-7_2021 to 1_10_2021). Feed intake, space (cm2) of pollen, nectar, and honey in the comb were measured using a frame-sized transparent grid meter. The study revealed significant differences (p<0.0001) in all measured parameters among the various treatments. The diet provided by T4 showed the highest levels of crude protein (18.15%) and carbohydrates (92.15%), whereas the diet presented by T3 had the lowest crude protein content (6.66%) and the diet offered by T1 had the lowest carbohydrate content (61.91%). In general, colonies that received T4 showcased superior performance compared to others. They exhibited a feed intake of 98.3%, a nectar area of 54.3 cm2, a pollen area of 68.7 cm2, a honey area of 311.2 cm2, and a honey yield of 7 kg. Consequently, their net profit amounted to 51.54 USD. On the other hand, the colonies that received T1 had the lowest performance indicators. They demonstrated a feed intake of only 54.7%, a nectar area of 37.6 cm2, a pollen area of 48.8 cm2, a honey area of 254.3 cm2, a honey yield of 2.8 kg, and a net profit of 18.81 USD. The significance of this study was to enable the beekeepers in realizing the effects of feed supplements on the productivity and profitability of honeybee colonies.

Health Services Utilization and Associated Factors among Internally Displaced Persons in South Wollo Zone, North-Eastern Ethiopia

Health Services Utilization and Associated Factors among Internally Displaced Persons in South Wollo Zone, North-Eastern Ethiopia

Breast problems and associated factors among lactating women in Northeast Ethiopia, 2022

Breastfeeding is the cornerstone of child and maternal health. However, maternal breast problems during breastfeeding have been frequently reported as one of the reasons for early discontinuation of breastfeeding. Despite the importance of having knowledge on breast problems magnitude and its associated factors in the clinical practices and designing effective interventions, there is limited data on this topic. Therefore, this study aimed to assess the prevalence and associated factors of breast problem among postnatal lactating women in Legambo district, south wollo zone, North East Ethiopia, in 2022. A community-based cross sectional study was conducted among 610 lactating mothers in Legambo district. Multi-stage sampling was employed to select study participants. Interviewer administered, WHO B-R-E-A-S-T-Feeding, observational checklist and maternal self-reported breast problem questionnaires were used to collect the data. Epi-Data version 3.1 was used for data entry and export to SPSS version 25.0 for analysis. Descriptive statistics and bi-variable and multivariable analysis was carried out. On the multivariable logistic regression, variables with p-value < 0.5 were considered as they had statistically significant association with breast problem. The overall prevalence of breast problems among postnatal lactating women was 54.3% (95%, CI 49.3–59.3%). Primipara (AOR = 5.09; 95% CI 3.40–7.62), preterm infant (AOR = 2.12; 95% CI 1.22–3.66), home delivery (AOR = 3.67; 95% CI 1.62–8.30), ineffective breastfeeding techniques (AOR = 2.45; 95%CI 1.61–3.74), caesarean section delivery (AOR = 2.05;95%CI :1.15–3.64) and mixed type of feeding (AOR = 1.97:95%CI 1.34–2.89) were factors showed significant association. The prevalence of breast problems was 54.3%. Relevant factors related to an increase risks are being primipara, cesarean section delivery, home delivery, preterm birth, ineffective breastfeeding techniques and mixed type of feeding.

Evaluation of Fruit Flies (Diptera: Tephritidae) Attractants in Northeastern Ethiopia

A study was conducted in South Wollo and North Wollo administrative zones of northeastern Ethiopia in 2018; Torula yeast, protien hydrolase, methyl eugenol, trimed lure and terpinyil acetate were evaluated for adult fruit fly species complexes trapping. Four fruit fly species was trapped; Bactrocera dorsalis, Ceratitis cosyra, Ceratitis capitata and Ceratitis fasciventris. Bactrocera dorsalis was the most abundant species accounted for 97.9% of the total trapped adults. The number of B. dorsalis C. cosyra and C. capitata showed a significant difference among trapping locations and attractants; The highest number of B. dorsalis was trapped with methyl eugenol at Kalu (722.2 flies/ trap/ week); C. capitata was higher at Habru which was guava and coffee dominated habitat while C. cosyra was relatively higher at Kobo which is mango dominated; more adults were trapped in male lure traps (97.03%) than food-based attractants (2.97%); food-based attractants could be valuable alternatives for detection and monitoring of fruit flies.

Characterize and analysis of meteorological and hydrological drought trends under future climate change conditions in South Wollo, North Wollo, and Oromia Zones, in Ethiopia

This research was conducted on North Wollo, South Wollo, and Oromia special zones, in Ethiopia. The study aimed to analyze the temporal and spatial variability of meteorological and hydrological drought trends using the selected drought indices and to predict its future trend in the selected areas. To achieve these objectives, meteorological and hydrological data were collected from the Ethiopian Meteorology Institute and the Ministry of Water and Energy respectively. The historical and future drought condition was analyzed by using the standardized precipitation index (SPI), reconnaissance drought index (RDI), and streamflow drought index (SDI) from the drought indicator calculator (DrinC) software. Based on the availability of the data, for historical drought analysis, ten meteorological stations with thirty-two years of daily data were selected. For the future scenario, RCP 4.5 was used to downscale the future climate data and to forecast SPI and RDI values. Also, an artificial neural network (ANN) was applied to forecast the future streamflow data using Python software, then the future hydrological drought was determined using the forecasted streamflow data. The result indicates that all zones were historically affected by severe to extreme droughts, especially 1984, 1986, 1987, 1989, 1991, 1992, 2003, 2007, 2010, 2013, and 2014 years. From 1984 to 1992 the probability of severe to extreme drought occurrence was on average of two years intervals and from 1992 to 2003 there is a huge gap. From the future drought analysis results, the probability of severe to extreme drought occurrence will be at five-year intervals on average. Based on the analyzed results, the frequency of severe to extreme drought occurrence of historical drought which was two and three years was increased to five years for the future conditions on average. But, these are short intervals and the magnitude of the event is very high. So, the regional water and energy office and other concerned bodies in the area have to plan a good drought mitigation mechanism and should develop a drought early warning system for the communities in and around the study area.