Southeast Ethiopia Research Articles

Performance Evaluation and Adaptability Study of Fodder Beet (<i>Beta vulgaris L</i>.) Cultivars in Highlands of Bale Zone South East Ethiopia

Shortage animal feed interims of quality and quantity is the major bottle neck in livestock production through the year in Ethiopia particularly in the highlands of Bale Zone. A study was conducted at Sinana Agricultural Research Center (SARC), South East Ethiopia for three consecutive cropping season (2020/21, 2021/22 and 2022/23) in two locations (Sinana on station and Agarfa subsite) to evaluate the adaptability of four Cultivars of Fodder beet (namely Bircks, Kulumsa, Magnum and Robbos). Experimental plots were laid out in a randomized complete block design with three replications. All cultivars were performed well. However, there is significant variation among the Cultivars. The combined result over locations over years indicated that, Kulumsa cultivars gives the highest shoot fresh biomass yield (41.88 t ha<sup>-1</sup>), root fresh biomass yield (86.49 t ha<sup>-1</sup>) and shoot Dry biomass yield (4.52 t ha<sup>-1</sup>). The remaining cultivars have not statistically significant different. Based on the results of this study, it is concluded that the Fodder beet Kulumsa cultivars was found a promising in terms of grain and biomass yield, than others that could be demonstrated and popularized as an alternative feed resources under smallholder conditions in the study areas and with similar climatic and edaphic conditions.

Blood Pressure Control and Associated Factors among Hypertension Comorbid Type 2 Diabetic Patients in Southeast Ethiopia.

Hypertension is the main contributor to the morbidity and mortality of patients with cardiovascular disease. Even though hypertension is very common in comorbid type 2 diabetic patients, it is frequently overlooked. This study aimed to assess blood pressure control and its associated factors among hypertension comorbid type 2 diabetic patients in Bale Zone public hospitals in Southeast Ethiopia. A hospital-based cross-sectional study design was conducted among hypertension comorbid type 2 diabetic patients. The data were collected using an interviewer-administered structured questionnaire and a review of the medical charts of patients. A simple random sampling technique was used to select the study participants. The bivariate and multivariate logistic regression analyses were performed to assess the association between blood pressure control and its associated factors. Independent variables that showed a P < 0.25 in the bivariate analysis was included in the multivariate analysis. Finally, variables with a P < 0.05 were declared statistically significant factors. The total number of participants in the study was 378. The overall magnitude of uncontrolled hypertension among hypertension comorbid diabetic patients was found to be 82.5% (95% CI: 78.7%, 86.4%). Nonadherence to antihypertensive medication (AOR = 2.45, 95% CI: 1.11, 5.39, P = 0.027), duration of hypertension >10 years (AOR = 5.2, 95% CI: 1.27, 21.38, P = 0.022), participants who attended secondary education (AOR = 3.2, 95% CI: 1.18, 8.87, P = 0.023), and being obese (AOR = 4.1, 95% CI: 1.24, 13.49, P = 0.021) were significantly associated with uncontrolled hypertension. Uncontrolled hypertension was found to be high among hypertension comorbid type 2 diabetic patients. Patients' adherence to antihypertensive medication, physical activity, and alcohol abstinence should be maximized. Loss of weight is also crucial, as is the early detection and management of comorbidities.

Plant Community Composition and Structural Pattern Dynamics in Robe-Raya Natural Forest, Southeast Ethiopia

Due to its fortuitous mix of geography, terrain, and geology, Ethiopia is the home of unique assemblages of rich biodiversity. However, this impressive biological diversity is increasingly threatened by the combined effects of different drivers before they are sufficiently investigated. The present work was carried out in Robe-Raya Natural Forest, located in Southeast Ethiopia, with the intention of examining plant community formation and structural dynamics of the forest species. Sixty (20 m × 20 m) quadrats were placed at 100 m distance along eleven east-west directed transect lines systematically. In order to gather juvenile’s data, five subquadrats (2 m × 2 m) were established within the main quadrat, distributed at each corner and middle. In each quadrat, all woody species were recorded and counted; diameter (DBH) and height were measured using tape meter and a hypsometer, respectively, and cover abundance was recorded (in %). Cluster analysis was computed using R-Package to map-out the community types. Species diversity and composition among community types were computed using the Shannon-Wiener index and Sorenson’s coefficient, respectively. Frequency, density, height, DBH, basal area, and IVI were used to analyze structural dynamics. Age-class density ratios were used to examine the regeneration status. Ninety-four woody plant species belonging to 39 families were documented. Asteraceae was the most species-rich family (10 species). The common growth form was shrubs (44.7%) followed by trees (41.5%). Cluster analysis produced four community types. In total, the species diversity and evenness were 3.75 and 0.88, respectively. The forest density and basal area were 1183.3 stems/ha and 57.52 m2·ha−1, respectively. Structural dynamics analyses demonstrated that the forest was composed of, largely, young trees and shrubs and under fair regeneration status. Certain species that have been identified to have low IVI and poor regeneration status should be prioritized for conservation.

Effects of Slope Position on Soil Physicochemical Properties of Cultivated Land Use Type in Danka Watershed of Dinsho District, Bale Highland, Oromia, Southeast Ethiopia

Quantify and understand soil nutrient loss under different undulating topography farming bases for site-specific management and targeted fertilizer application rates. The study aimed to assess the effect of slope positions on soil physicochemical properties at the Danka watershed of Dinsho District Bale Highland, Southeastern Ethiopia. Consequent to the reconnaissance survey, soil samples were taken from the cultivated land use type in three replications at three different soil depths (0-0, 20-40, and 40-60 cm) and three slope positions (upper, middle, and lower), analyzed follow standard laboratory procedure and further analyzed using R software 4.1.1 version. The results showed soil physicochemical properties were significantly (P ≤ 0.05) influenced by the interaction between slope positions and soil depth. The results of soil physical properties varied from 1.29 -1.73 g cm-3, 2.47 – 2.74 g cm-3, 47.80 - 36.75%, 10.78 – 15.11%, 12.76 – 18.16%, and 4.06 – 8.16% bulk density, particle density, total porosity, FC, PWP, and AWHC, respectively. Selected soil chemical properties varied from 5.91 - 6.45, 0.64 - 3.20%, 0.04 - 0.25%, 1.14 - 5.60 gm/kg, and 10.24 - 37.24 cmol (+)/kg) soil pH, organic matter, total nitrogen, available phosphorus, and CEC, respectively. The values of exchangeable bases were concentration increased from the upper slope position toward the lower slope position and with increased soil depth. Soil micronutrients were increased with increased slope and decreased with increased soil depth. The lowest slope position had relatively better soil nutrient contents than other slope positions. It is advised that integrated soil fertility management, biophysical soil and water conservation, and slope-based, site-specific fertilizer rating for advance agricultural precision and ensure food security.

Health related quality of life and its predictors among postpartum mother in Southeast Ethiopia: A cross-sectional study

BackgroundPost-childbirth, woman's health-related quality of life (HRQOL) is significantly impacted, leading to decreased daily activity, reduced self-care, challenges with breastfeeding and baby weaning, and increased medical costs for both mother and newborn.This study aimed to assess the HRQOL and its predictors among postpartum women in Southeast Ethiopia. MethodsA cross-sectional study was conducted in Southeast Ethiopia between March and May 2022, involving randomly selected sample of 794 postpartum women attending immunization services in public health facilities. Data was collected using a validated questionnaire, and descriptive statistics were computed. A bivariable and multivariable logistic regression model was fitted to predict HRQOL, with odds ratios and 95% confidence intervals used to estimate associations. ResultsThe study revealed that the overall HRQOL, physical component summary, and mental component summary of quality of life had mean scores of 43.80 ± 27.88, 45.39 ± 28.58, and 42.20 ± 28.15(mean ± SD) respectively. Walking to the health facility (AOR = 2.09; 95% CI: (1.31,3.31); using public transport (AOR = 2.58; 95% CI = 1.69–3.93); having the fear of COVID-19 (AOR = 1.46; 95% CI = 1.08–1.99); having health facility admission history during the recent pregnancy (AOR = 1.62; 95% CI = 1.08–2.44); having postpartum depression (PPD) (AOR = 2.13; 95% CI = 1.57–2.89) were predictors of a lower level of overall HRQOL among postpartum women. ConclusionThe study found that nearly half of postpartum women in Ethiopia have lower HRQOL, with factors such as transport use, recent baby's pregnancy admission history, and postpartum depression (PPD) significantly affecting their overall, physical, and mental HRQOL. Fear of COVID-19 was found to be significantly associated with lower overall and physical HRQO. The implementation of appropriate strategies addressing identified factors is crucial for enhancing the HRQOL among postpartum women in Ethiopia.

Spatiotemporal trends and variability of rainfall across agro-ecologies in East Guji Zone, Southeast Ethiopia

Distribution and trends of rainfall reveal spatial and temporal variability that have a paramount effect on the life and livelihood of small-holder farmers. This study aimed to analyze spatial variability and temporal trends of rainfall distribution across the three Agro-Ecological Zones (AEZs) of East Guji. Time series gridded daily rainfall data (1990–2020) were collected from the Ethiopian Meteorological Institution. Different descriptive statistics, trend tests: Man Kendal and Sen’s slope estimator, Inverse Distance Weighted Index and Precipitation Concentration Index (PCI) was used in the study. The finding demonstrated that altitude and rainfall decrease as one advances from the western (highland) to the eastern (lowland) direction in the study area where the highest rainfall was recorded in Solemo (highland) and the least in Negele (lowland).The study showed that as altitude increases annual rainfall also increases and rainfall variability decreases. Similarly the mean length of the growing season declines as one advance from the highlands to the lowlands. The PCI of the lowlands, midlands, and highlands AEZs was 19%, 17%, and 12% respectively. The PCI showed that those highlands had moderately concentrated rainfall but both lowlands, and midlands, had an irregular distribution of rainfall. The Coefficient of Variation (CV) indicated that highland areas had moderate variability in rainfall in all seasons except winter. In contrast, the low and midlands had shown high variability of rainfall (&gt;30%) in all seasons. From a seasonal perspective, both CV and PCI revealed that the winter season showed more variability than others. Moreover, a significant increasing trend of annual rainfall was observed in the highlands AEZs (Bore 15.3mm/year and Solemo14.6mm/year), lowland AEZs (Chembe 10.9mm/year, Dawa 8mm/year and Bitata 7.8mm/year) as well as midland AEZs (Kercha 14.5mm/year) at a significant level of 5%. Therefore, strategies should be designed to use additional water resources for irrigation; and provide short-cycle grown and drought-resistant crops in the rest of the midlands and lowlands AEZs.

Wetland Ecosystem: Plant Species Diversity, Services, Degradation Drivers, and Community Perception in Sinana District, Oromia Region, Southeast Ethiopia

Wetlands are a vital source of biodiversity and ecosystem services. The study investigated the plant species diversity and assessed the perception of the ecosystem services of the area and drivers of wetland degradation in Sinana district, Southeast Ethiopia. Vegetation inventory, household surveys, focused group discussions, and key informant interviews were employed to gather information. A total of 45 sample plots laid along transacts were inventoried. A plot size of 5 m × 5 m (25 m2) and 1 m × 1 m (1 m2) nested within the major plot was used for shrubs and herbs, respectively. A total of 137 households were surveyed to collect socioeconomic data. The study identified 20 plant species belonging to 14 families. Family Cyperaceae was dominant within the studied wetland. The Shannon diversity (H=1.15) indicates that the wetland has low vegetation diversity with an uneven distribution (E=0.385) of vegetation. A total of 20 ecosystem services thought to be underprovisioning, regulating, and cultural services were identified. According to plaintiffs, major provision services are grazing livestock (77.4%), irrigation (76.6%), and harvesting of grass for fodder (68.6%). Important drivers of wetland degradation are a shortage of cropland (70.8%), lack of awareness (69.3%), upland land degradation (65.7%), and increasing population (62%). The main driver, a shortage of cropland, was the key driver, followed by a lack of awareness and upland land degradation. Therefore, the result heightened that the studied wetland is under serious degradation due to high human pressure associated with population growth and climate change. Thus, an appropriate wetland management strategy must be designed.

Spatio-temporal distribution and transmission dynamics of sheep pox and goat pox diseases in South Wollo zone north East Ethiopia

Sheep pox (SP) and goat pox diseases (GP) are highly transmittable, malignant systemic and economically significant caused by the genus Capripoxvirus. using The spatio-temporal distribution of SP and GP outbreaks in South Wollo zone from September 2013 to December 2019 was determined retrospectively using SP and GP outbreaks report Kombolcha regional laboratory. A follow up study was also conducted from December 2019 to March 2021 to estimate the transmission parameter of SP and GP outbreaks in South Wollo zone of Kutaber district, Amhara region. Tissue samples from outbreaks in Kundi and Haroye kebele of Kutaber district were taken to confirm the outbreak by conventional polymerase chain reaction (PCR). The transmission parameters were estimated using Generalized linear model (GLM) based on stochastic Susceptible Infected and Recovered (SIR) model. In South Wollo zone, 249 SGP outbreaks were reported from 2013 to 2019. The incidence differed between months, with a highest peak in October and November and a lowest peak in February. The basic reproduction ratios (R0) of the SGP disease outbreaks were 1.84 and 3 for Haroye and Kundi kebele outbreaks, respectively. The disease is distributed throughout the zone and the investigated active outbreaks had moderate transmission between animals. Hence, it needs a great effort which focuses on the application of control measures that reduce the transmission of the disease.

Prevalence And Associated Factors Of Burnout Among Bule Hora University Teachers

The present study intended to assess the prevalence of burnout and its associated factors among teachers at Bule Hora University teachers, South East Ethiopia. A cross-sectional survey design was employed to achieve the objective of the study. Using a simple random sampling technique, 220 volunteer teachers who were actively working at Bule Hora University during the study period were selected. Standardized instruments like the Maslach Burnout Inventory (MBI), General Self-efficacy Scale (GSE), Rosenberg Self-esteem Scale (RSE), and Life Orientation Test-Revised (LOT-R) were used to collect the data, whereas quantitative data analysis techniques such as frequency, percentage, and linear regression analysis were utilized to analyze the collected data. In this study, a high percentage of emotional exhaustion (EE) (42.73%) and depersonalization (DP) (45.45%) and a low percentage of personal accomplishment (PA) (56.36%) indicated a prevalence of burnout. The study also showed a significant positive correlation between PA and self-efficacy, whereas optimism had a negative correlation with EE and DP. While self-efficacy significantly predicted PA, optimism significantly predicted both EE and DP. From this result, we can conclude that the prevalence of burnout is attributed to self-efficacy and optimism. Therefore, concerned bodies ought to design appropriate interventions that incorporate self-efficacy and optimism to manage university teachers' burnout.

Identifying Soil Erosion Risks for Planning of Watershed Management: The Case of Weyib Watershed, Southeast Ethiopia

Identifying Soil Erosion Risks for Planning of Watershed Management: The Case of Weyib Watershed, Southeast Ethiopia

Assessment of Violence during COVID-19 among Reproductive Age Women in Arsi Zone, South East Ethiopia.

Preventive measures, like staying at home during lockdown, are mandatory during the COVID-19 pandemic. Particularly as a result of staying at home, violence against women is beginning to increase in correlation with these measures. Therefore, the purpose of this study was to assess the prevalence of violence against women of reproductive age during the COVID-19 pandemic in the Arsi Zone. A community-based cross-sectional study design was employed from February 15 to March 30, 2021. A multistage sampling technique was used to recruit 1458 women aged 15-49 years old. Data entry was performed using Epi info-7 and exported to SPSS version 25 for analysis. A logistic regression analysis was employed to identify factors associated with violence against women at p value <0.05 and AOR values with 95% CI. The prevalence of violence against women during COVID-19 was 51.1% (95% CI 48.5-53.7%). Psychological violence (31.8%) and controlling behavior violence (29.3%) were the leading types of violence followed by economic (20.2%) and sexual violence (15.6%). Respondents who had monthly income of <1000 birr (AOR = 1.72; 95% CI, 1.18, 2.51), 1001-2000 birr (AOR = 2.22; 95% CI, 1.51, 3.27), 2001-3000 birr (AOR = 1.91; 95% CI, 1.26, 2.91), and 3001-4000 birr (AOR = 2.03; 95% CI, 1.31, 3.14), quarreled with their partner's family (AOR = 3.36; 95% CI: 2.14-5.30), witnessed chilhood family violence (AOR = 2.34; 95% CI: 1.81-3.02), and decisions made on the household issue by husband only (AOR = 2.62; 95% CI: 2.01-3.41) or wife only (AOR = 1.99; 95% CI: 1.33-2.98) were significantly associated with violence against women. In addition, we found that participants whose partners cannot read and write (AOR = 2.63; 95% CI: 1.19- 5.81), drink alcohol (AOR = 2.78; 95% CI: 2.10-3.76), chew chat (AOR = 3.27; 95% CI: 2.21-4.85), ever fighting or aggressive with other men (AOR = 2.73; 95% CI: 1.51-4.95), and partners' families taking part in the decision making (AOR = 2.32; 95% CI: 1.49-3.62) were also associated with violence against women. One in every two women was the victim of any form of violence in the study area. Hence, empowering women's economic status and enhancing community-based health education for males on behavioral lifestyle modification were required to prevent violence against women.

Experience of caregivers on the continuum of care and prevention of malnutrition among children with cholera in Ethiopia: a phenomenology study

IntroductionMalnutrition is a public health problem in low- and middle-income countries among children. Although illnesses such as diarrhea are common immediate drivers of childhood malnutrition, their consequences could be averted through optimal sick child feeding and care to ensure the continuum of care. This study aimed to explore the lived experiences of mothers/caregivers on continuum of care to prevent malnutrition among children with cholera in Ethiopia.MethodsA phenomenology study design was applied to explore experiences of mothers/caregivers in the Bale and Guji zones of the Oromia region, southeast Ethiopia, from November to December 2022 using an unstructured interview guide. The saturation of ideas was used to stop the in-depth interview. Translated data were cleaned and imported into ATLAS.ti7 software for analysis. Using an open coding system, the data were coded into a meaningful context. Deeper immersion into data with repeated reading, creating themes, subthemes, and family/category were carried out. In coding and categorization, multiple coders were involved. The finding was presented using well-spoken verbatim/quotes as illustrations and in narratives.ResultsIn this qualitative study, ten participants were taken to explore their lived experience on the continuum of care for children with acute malnutrition and cholera. The study found that poverty, expensive cost of living, and poor utilization of diversified food were challenges. Moreover, health facilities did not provide any services to mothers whose child was admitted for malnutrition treatment. Children five years and above were excluded from both therapeutic food and screening for malnutrition program. Interruptions of supplies, low attention given to child feeding, inadequate knowledge, and lack of time to prepare diversified food were the main findings.ConclusionPoverty, poor feeding habits, supplies interruption and non-inclusion of malnourished children five and above in screening for malnutrition and in the therapeutic feeding program is missed opportunities that lead to decreased early detection and treatment of malnutrition among children with cholera. Moreover, mothers/caregivers did not receive any service from health facilities when their child was admitted for treatment of malnutrition. This situation forces them to stop treatment before their child recovers from malnutrition, which has a negative impact on the continuum of care and prevention of malnutrition. Therefore, we strongly recommend strengthening emergency nutrition within the country’s health system and revising the food and nutrition policy to incorporate emergency nutrition, with a particular focus on children under the age of fifteen. Additionally, it is important that the study’s recommendations underscore the significance of a multi-sectoral approach that involves collaboration among the health sector, government agencies, and non-governmental organizations. Moreover, adaptive agricultural products be made easily accessible to the community which is crucial in effective preventing and reducing malnutrition in children in the study and similar settings.

Trends of Land Cover Change and Conservation Challenges of Grevy’s Zebra (Equus grevyi, Oustalet 1882) in Hallaydeghe Asebot Proposed National Park, Southeast Ethiopia

Large parts of biodiversity in protected areas (PAs) and their ecosystem services have been deteriorated due to land cover change over time. To reverse these effects, analysis of land cover change is essential. One of the protected areas, Hallaydeghe Asebot Proposed National Park (HAPNP), was assumed its land cover change and was undergone from one habitat type to others during the last three decades. As a result, wildlife species particularly Grevy’s zebra (Equus grevyi) in HAPNP are facing conservation challenges. Here, we aimed to examine the land cover changes of HAPNP for the period of 1990–2021 and assess Grevy’s zebra conservation challenges so as to improve the protection of the park and conservation of the species. Landsat images for the years 1990, 2006, and 2021 were generated to analyze land cover change of the study area. In addition, ground control points and information from elder and knowledgeable informants were collected to substantiate the result. Household survey, key informant interviews, and field observation checklist were utilized to collect data on conservation challenges. To generate land cover change maps, the satellite image for each period was classified using supervised classification. Content analysis was used to analyze conservation challenges of the species. The findings of this study revealed that 12.2% of grassland cover lost from 1990 to 2021 (i.e., an estimated annual average loss 0.4%). The remaining grassland cover in the HAPNP was aggregated in a small land area. On the other hand, the size of bushland increased by 26.4% during the same year (i.e., an estimated annual average gain 0.9%). These findings have implications for conservation and management of grazers. Major drivers for conservation challenges of Grevy’s zebra were habitat degradation, unintegrated development, and poor law enforcement practices. Grassland restoration program and species conservation challenges’ intervention strategy should be designed and implemented to safeguard the natural habitat and the species that occur in the HAPNP.

Species composition, relative abundance, and habitat association of birds in Dodola dry evergreen afro-montane forest and sub-afro-alpine scrubland vegetation, southeast Ethiopia.

Birds' functional groups are useful for maintaining fundamental ecological processes, ecosystem services, and economic benefits. Negative consequences of loss of functional groups are substantial. Birds are usually found at a high trophic level in food webs and are relatively sensitive to environmental change. The first surveillance bird study was carried out southeast of Ethiopia adjacent to Bale Mountain National Park aimed at investigating the composition, relative abundance, and distribution of Aves. Using regular systematic point transact sampling, the density and species composition were analyzed through the mark recapture distance sampling engine assisted by R statistical software. This study recorded a total of seventy-eight bird species over two distinct seasons. Among these, fifteen species were exclusive to Erica habitats, twenty-six were found in natural forest habitats, and three were specific to plantation forest habitats. The study also discovered three endemic species. Based on the 2018 IUCN Red List categories, six of the species are globally threatened, three are near threatened, and the remaining sixty-nine are classified as least concern. The relative abundance of birds did not significantly differ across habitats and seasons, but variations were observed among blocks. Bird density was found to fluctuate across the three habitats and two seasons; however, these habitat differences were not influenced by seasonal changes. The findings of this study reveal that the differences in composition and relative abundance are not merely seasonal changes in the forest and Erica habitats. Instead, these habitats create microclimates that cater to specific bird species. However, this localized endemism also presents challenges. The concentration of endemic species and potential resource constraints could pose a threat to these habitat-specialist birds.

Effect of nutrition education integrating the health belief model and theory of planned behavior on dietary diversity of pregnant women in Southeast Ethiopia: a cluster randomized controlled trial

BackgroundMaternal anemia, miscarriage, low birth weight (LBW), preterm birth (PTB), intrauterine growth restriction (IUGR), prenatal and infant mortality, morbidity, and the risk of chronic disease later in life are all increased by a lack of dietary diversity during pregnancy. However, evidence for the effect of nutrition education on the dietary diversity score (DDS) among pregnant women was sparse in Ethiopia, particularly in the study areas. This study aimed to assess the effect of nutrition education on dietary diversity among pregnant women in urban settings in Southeast Ethiopia.MethodsA community-based two-arm parallel cluster randomized controlled trial was conducted among 447 randomly selected pregnant women attending antenatal care (224 intervention group and 223 control group) at health facilities from February to December 2021. A multistage cluster sampling technique, followed by systematic sampling, was used to select the pregnant women. Pregnant women who participated in the interventions were given nutrition education starting at 16 weeks of gestation and continuing for 6 months. We used a pre-tested, interviewer-administered, structured questionnaire to collect the data. A 24-hour qualitative dietary recall was used to calculate the dietary diversity score (DDS). A multivariable generalized estimating equation (GEE) model was conducted to evaluate the intervention effect.ResultsAfter the intervention, the proportion of adequate dietary diversity was 14.15% higher in the intervention arm compared to the control group (45.09% versus 30.94%, P = 0.002). The overall difference in adequate dietary diversity between the two groups was 8.5%. After adjusting for background characteristics, the multivariable GEE binary logistic model revealed that having received intervention [(AOR = 1.89, 95% CI: 1.27, 2.79)], being literate [(AOR = 3.41, 95% CI: 1.13, 10.23)], and having high wealth [(AOR = 1.60, 95% CI: 1.09, 2.35)] significantly improved adequate dietary diversity.ConclusionThe findings indicated that having received the intervention, being literate, and having a high level of wealth significantly improved maternal dietary diversity. Efforts should be made to increase nutrition education using the health belief model (HBM) and the theory of planned behavior (TPB). Moreover, there is a need to improve literacy and economic empowerment through income-generating activities to enhance adequate dietary diversification during pregnancy.Trial registrationClinicaltrials.gov (PACTR202201731802989, Retrospectively registered on 24 January 2022).

Level of client satisfaction among family planning service users in semi-pastoralist areas of Southeast Ethiopia: a mixed-methods study.

Client satisfaction with family planning services is a crucial metric for gauging healthcare providers' performance. There is a dearth of local data that explores the factors that influence clients' satisfaction with family planning services in semi-pastoral areas using a mixed-methods approach. This study aimed to assess the level of client satisfaction and its associated factors among family planning service users in six public health centers in Southeast Ethiopia. A multi-centered, concurrent, mixed-method survey using quantitative and qualitative methods was conducted in six public health centers in Southeast Ethiopia from March 15 to April 16, 2022. Four hundred nineteen systematically selected family planning method users and their respective six family planning service providers were approached using a purposive sampling technique. A multivariable binary logistic regression model was used to identify the independent factors associated with clients' satisfaction with family planning services. Four hundred fourteen study participants were finally approached, and client satisfaction with family planning services in those centers was 57.5% with a 95% CI of 52.71%-62.71%. Being in the age group of 25-34 years (AOR = 1.99; 95% CI 1.2, 3.29), married (AOR = 2.41; 95% CI 1.13, 5.15), waiting less than 30 min (AOR = 1.74; 95% CI 1.11, 2.72), and receiving the family planning method they want (AOR = 2.35; 95% CI 1.16, 4.76) were positively associated with client satisfaction. Updating the provider's skills and knowledge, keeping clients' method choices, and leaving free decisions also increased client satisfaction. In this study, client satisfaction with family planning services remains low. Users' age, marital status, waiting time, and wish to receive the method they want were positively associated with client satisfaction.

Diabetes-related distress and its associated factors among people with type 2 diabetes in Southeast Ethiopia: a cross-sectional study

BackgroundDiabetes-related distress lowers the motivation for self-care, often leading to lowered physical and emotional well-being, poor diabetes control, poor medication adherence and increased mortality among individuals with diabetes.ObjectiveTo assess factors...

Magnitude of postpartum morbidity and associated factors in southeast Ethiopia, 2022: A facility-based cross-sectional study.

Maternal mortality in Ethiopia is estimated to be 205 per 100,000 live births, with postpartum morbidities expected to surpass maternal mortality substantially. Beside this, there is a lack of information on postpartum morbidities in the study area. Thus, the purpose of this study was to assess the magnitude of postpartum morbidities and associated factors in Bale Robe Town, southeast Ethiopia. An institution-based cross-sectional study was employed among 371 from 1 April to 30 May 2022 among postpartum women attending postnatal care service in the Bale-Robe Town public health facilities. A face-to-face interviewer administered a structured questionnaire, and the participants were selected through a systematic random sampling technique. A bivariate analysis was performed to see the association between each independent variable and dependent variable, and variables with p-values less than 0.25 in the bivariate analysis were retrieved for multivariable analyses. A p-value of less than 0.05 indicated a 95% confidence interval as the level of statistical significance. A total of 366 participants were involved in the study, giving us a response rate of 98.6%. The magnitude of postpartum morbidities among mothers was found to be 102 (27.9%), with a confidence interval of 95% CI: 23.3, 32.8. Women who hadn't had antenatal care follow-up (AOR = 2.47, 95% CI: 1.36, 4.50), instrumental delivery (AOR = 2.69, 95% CI: 1.16, 6.26), unskilled birth attendant (AOR = 3.35, 95% CI: 1.06, 10.63), rural residence (AOR = 2.21, 95% CI: 1.26, 3.89), and current pregnancy-related morbidity or abnormality (AOR = 3.81, 95% CI: 2.00, 7.25) were significantly associated factors. This study revealed that the occurrence of postpartum morbidity in Bale Robe is a great health concern. Therefore, we recommend health professionals and health extension workers strengthen early detection and management of intrapartum abnormalities, give attention during instrumental deliveries, and strengthen skilled birth attendants.

Delay in seeking treatment and associated factors among women with pelvic organ prolapse in Bale Zone, Southeast Ethiopia: a hospital-based cross-sectional study

Delay in seeking treatment and associated factors among women with pelvic organ prolapse in Bale Zone, Southeast Ethiopia: a hospital-based cross-sectional study

Pertussis outbreak investigation in Likimsa-Bokore kebele, Meda Walebu district, Bale zone, Oromia region, Ethiopia, 2019: a descriptive cross-sectional study.

pertussis is a major cause of childhood morbidity and mortality. Globally, an estimated 45 millions cases and 400,000 deaths occur every year. Meda Walebu surveillance office reported a pertussis outbreak among the residents of the Liqimsa-Bokore kebele communities. We investigated to describe the magnitude of the pertussis outbreak in Likimsa-Bokore kebele of Meda-Walebu district, Bale Zone, Southeast Ethiopia. we conducted a descriptive cross-sectional study in April 2019. We identified pertussis cases recorded on the line list. Suspected cases of pertussis were defined as any resident of Likimsa-Bokore kebele with cough illness and any of the following: paroxysms of coughing, inspiratory whooping, post-tussive vomiting, or apnea. The pentavalent vaccine coverage data were extracted from the Bale zone health management information system department database. Microsoft Excel pivot table and SPSS version 23 software cleaned and analyzed the data. in three months period, a total of 439 suspected cases of pertussis were reported from Likimsa-Bokore kebele of the Meda-Walebu district. Half of the cases 220(50.1%) have occurred in females and the majority of cases 256 (58.3%) occurred in under five years children. The median age of cases was 4 years ranging from 2 months to 30 years (interquartile range= 4 years). The overall Attack Rate (AR) was 55 per 1000 population with a case fatality rate of 0.7% (3 deaths/439). Children less than five years were the most affected age group with an AR of 198 per 1000 population. The administrative pentavalent vaccine coverage of the district was above 100% during the year 2015-2018. the overall attack rate of pertussis outbreak was high. Children under five years were the most affected age group irrespective of high administrative coverage of the pentavalent vaccine. Strengthening routine immunization management and intensified surveillance system is required for early detection, investigation, and response activities.