Southwest Ethiopia Research Articles

The Involvement of Religious Leaders in Supporting Institutional Childbirth in Rural Jimma Zone, Oromia, Southwest Ethiopia: An exploratory Qualitative Study.

This exploratory qualitative study examined the involvement of religious leaders in maternal health practices with a focus on promoting institutional childbirth in the rural Jimma Zone, Oromia, Ethiopia. In-depth interviews with 24 male religious leaders revealed five key themes: awareness of childbirth practices, religious beliefs, experiences of childbirth preparedness, experiences at health institutions, and challenges with using institutional childbirth services. The findings indicate that, while religious leaders significantly influence community attitudes toward institutional childbirth, their impact is often limited by a lack of awareness and insufficient engagement with health services. This study underscores the need for culturally sensitive interventions incorporating religious beliefs into maternal health promotion. Enhanced collaboration between health care providers and religious leaders, along with targeted training, is essential for improving maternal health outcomes and increasing the use of institutional childbirth services in rural Ethiopia and other similar contexts.

The effect of agro-ecological zone on the chemical composition of feed resources in the Gera district, southwest Ethiopia

The poor quality of available feed resources is the major limiting factor for livestock production in Ethiopia. The aim of this study was to determine and compare the chemical composition of major feed resources in three agro-ecological zones (AEZs) of the Gera District, southwest Ethiopia. Three representative samples of natural pasture (Cynodon dactylon, Pavonia schimperiana Hochst and Rhynchosia ferruginea), three indigenous fodder trees and shrubs (IFTSs) (Erythrina abyssinica, Vernonia amygdalina and Maytenus undat), two cultivated forages (Pennisetum purpureum and Pennisetum pedicellatum) and five crop residues (Hordeum vulgare (barley), Zea mays (maize), Sorghum bicolor (sorghum), Triticum aestivum (wheat) and Eragrostis tef (Teff)) were randomly and separately collected from the Highland (HL), midland (ML) and lowland (LL) AEZs. The samples were analyzed for ash, dry matter (DM), crude protein (CP), neutral detergent fiber (NDF), acid detergent fiber (ADF), ether extract (EE), and acid detergent lignin (ADL) content using standard analytical methods. The results showed that AEZ significant (P < 0.05) affected the chemical composition parameters of most of the feed samples. Regardless of the feed sample and AEZs, the mean DM, CP, ash, EE, NDF, ADF, ADL and CF content varied from 89.17% in Pennisetum purpureum to 92.22 ± 0.51 in Erythrina abyssinica, 2.90 ± 0.22% in Triticum aestivum to 10.70 ± 0.52 in Vernonia amygdalina, 7.24 ± 0.19% in Sorghum bicolor to 13.25 ± 0.51% in Pavonia Schimperiana Hochst, 1.33 ± 0.04% in Triticum aestivum to 2.39 ± 0.15% in Maytenus undata, 57.65 ± 1.19% in Erythrina Abyssinica to 79.16 ± 1.04% in Triticum aestivum, 34.57% in Pennisetum purpureum to 59.41 ± 0.98% in Sorghum bicolor, 8.15 ± 0.62% in Rhynchosia ferruginea to 12.65 ± 0.57% in Triticum aestivum and 37.51% in Pennisetum pedicelatum to 69.93 ± 0.65% DM in Triticum aestivum, respectively. It was observed that IFTSs had the highest CP and the lowest NDF, implying their potential for protein supplement, whereas crop residues had the lowest CP and the highest NDF, indicating the need for their treatment using urea or supplementing animals with protein source feeds, especially during the dry season. In conclusion, AEZ has an influence on the chemical composition traits of feed resources attributed to its effects on the microclimate conditions that affect plant growth and maturation in the study sites.

Levels of organochlorine pesticides in the chewable and leftover parts of the khat (Catha edulis) sold in local markets of Jimma Town, Southwest Ethiopia

ABSTRACT This study aimed to determine the residual levels of organochlorine pesticides (OCPs) in chewable (tender leaves) and leftovers (mature leaves) of khat sold in local markets in Jimma town, southwest Ethiopia. Samples were collected from various local khat market places in Jimma town, based on their growing origin. A modified QuEChERS method was used to extract pesticides from the samples before their analysis by GC‒MS. The findings indicated that p,p’-dichlorodiphenyldichloroethylene (p,p’-DDE) and p,p’-dichlorodiphenyltrichloroethane (p,p’-DDT) were detected in 88.3% and 76.6% of chewable samples, and in 86% and 69% of khat leftovers samples. The p,p’-DDE and p,p’-DDT levels found in chewable khat ranged from 10.12–45.39 and 8.53–34.15 µg/kg, respectively. While in leftover khat they ranged from 30.12–45.04 and 6.73–32.16 µg/kg, respectively. It was found that the concentration of p,p’-DDE is greater than its precursor compound p,p’-DDT for each sample, indicating past use of DDT in the study area. None of the detected analytes exceeded the maximum residue level (MRL) values established by the FAO/WHO or European Commission (EC) of 50 µg/kg. However, no information is available regarding these pesticides’ collective and synergetic negative impacts on consumers.

Assessment of horse breeding and husbandry practices in southwest Ethiopia: Its implication to design breeding program

Ethiopian horses are multipurpose horses that have socioeconomic significance for smallholder farmers. However, studies regarding their husbandry practices have received little attention. Thus, the current study was conducted to assess the horse husbandry practices in the southwest Ethiopia. Data were collected through semi-structured questionnaires from a total of 196 randomly selected respondents. The general linear model and frequency procedures of the Statistical Analysis System (SAS 9.0) were used to analyze the quantitative and qualitative data, while indices were calculated using Microsoft Excel 2016. Most of the respondents from the Telo district were illiterate, while the percentage of literate farmers was greater in the Gesha and Masha districts. The within-household flock structure and level of importance were dominated by cattle and sheep, followed by horses. The horses were used for transport, draft power, and breeding purposes. In terms of shelters, the horses in the Telo district stayed in shelters, while the horses in the Masha district stayed in forests during both the dry and wet seasons. However, the majority of the horses in the Gesha district were sheltered during the wet season, while they were left to stay in the forest during the dry season. The respondents provided supplementary feed and water to their horses while the water point was located within a kilometer distance. Government and private veterinary shops were the primary sources of veterinary services. Farmers sold their horses at the local market. Castration was performed to minimize aggressiveness. Body size, conformation, and temperament were used as sire selection criteria. An increasing trend in horse population size due to increased farmer interest was observed. In the studied areas, horses were found to be highly important to the livelihood of the farmers. However, horse husbandry practices were led by a considerably greater number of illiterate farmers. Moreover, horse management activities, including the housing of horses, need more attention. Therefore, successive awareness-raising campaigns, including the introduction of formal schooling, are recommended to improve the horse breeding and husbandry practices. Moreover, breeding programs with the aim of genetic improvement and conservation need to be designed to optimize the sustainable utilization of the horses.

Knowledge and acceptability of the human papillomavirus vaccine and associated factors among adolescent girls in public primary schools in Dessie Town, South Wollo, Northeast Ethiopia, 2020: A cross-sectional study.

To assess the knowledge and acceptability of the human papillomavirus (HPV) vaccine and the associated factors among adolescent girls in public primary schools in Dessie Town, South Wollo, Northeast Ethiopia in 2020. This was an institutional cross-sectional study conducted from 1 November to 30 November 2020 among 844 adolescent girls. A systematic random sampling method was used to select participants, who completed a pretested, self-administered questionnaire. Data were entered into EpiData V.4.6 and exported to SPSS V.25 for analysis. A binary logistic regression model identified the contributing factors to HPV vaccine knowledge and acceptance. Adjusted OR (AOR) and 95% CI computed at p<0.05 were used to assess significance levels. The primary outcomes of interest were knowledge and acceptability of the HPV vaccine. The HPV vaccine is known and acceptable to 47% and approximately 43% of the respondents, respectively. Age (AOR=3.51, 95% CI 1.62 to 7.6), father's educational level (AOR=2.62, 95% CI 1.57 to 4.38) and parent-child communication about sex and reproductive health (AOR=1.94, 95% CI 1.36 to 2.76) were associated with knowledge of the HPV vaccine. Acceptance of the HPV vaccine was significantly influenced by fathers' educational level (AOR=1.88, 95% CI:1.02 to 3.29), knowledge of Pap smear tests (AOR=2.54, 95% CI 1.79 to 3.62) and knowledge of the HPV vaccine (AOR=5.30, 95% CI 3.77 to 7.73). In this study, there was generally good and high acceptance of the HPV vaccine, respectively, compared with a study conducted in Southwest Ethiopia. The study, however, had limitations in terms of recall bias, assessment of coverage/effectiveness over time and generalisability due to the institutional sample used.

Perception of Women Toward Childbirth Positions Among Women on Postnatal Unit at Jimma Medical Center, South West Ethiopia: A Phenomenological Qualitative Study

Objective: To explore the perceptions of women toward child birthing positions among women on the postnatal unit at Jimma Medical Center, Jimma town, Ethiopia, in 2020. Design: A descriptive phenomenological approach was employed among women from the postnatal unit and maternity care providers from the labor and delivery unit. Setting: Jimma Medical Center, south-west Ethiopia Participants: 40 study participants were selected purposively. 30 postnatal women were recruited for both an in-depth interview and a focus group discussion. From maternity health care providers, 10 health professionals were interviewed. Results: This study involved 30 study participants for in-depth interviews and one focus group discussion with 10 participants. Regarding the variables influencing the use of alternative birth positions in the medical facility, responses were obtained from both women and medical professionals. The women were placed in common supine positions because they were ignorant of other birth positions, because they were passive in allowing themselves to be in the position that they preferred, and because medical professionals lacked the necessary knowledge and expertise to provide alternative birth positions. Conclusion and Recommendations: The women were coerced to take birth positions against their will by healthcare providers. Thus, evidence-based alternative birth positions should be made available and implemented in order to enhance the practice of healthcare providers.

Optimizing inorganic blended fertilizer application for the maximum grain yield and profitability of bread wheat and food barley in Dawuro Zone, Southwest Ethiopia

Abstract In a specific area, fertilizer application for a crop depends on the soil type and profitability. Optimizing chemical fertilizer utilization in crop production is crucial from an environmental and economic point of view. However, there is limited information available on the optimum NPSB fertilizer rate for the production of wheat and barley in the study area. Thus, the study aimed to establish area-specific NPSB (18.9% N, 16.44% P, 6.95% S, and 0.1% B) blended fertilizer rate recommendations for the optimal grain yield and profitability of wheat and barley. The field experiment was conducted in two locations in the 2021 and 2022 cropping seasons using a randomized complete block design with three replications. The nine treatments included 0, 25, 50, 75, 100, 125, 150, 175, and 200 kg ha−1 NPSB fertilizer rates. Growth, yield, and yield component data in wheat and barley were collected from randomly selected individual plants and the net plot area. An economic analysis was conducted for grain yield using the procedure established by the International Maize and Wheat Improvement Center. The analysis of variance results showed that blended fertilizer significantly (p &lt; 0.01) affected plant height, number of productive tillers, spike length, number of kernels, thousand seed weight, biomass yield, grain yield, and harvest index traits. The application of a 150 kg ha−1 NPSB rate produced the highest grain yield (5419.0 kg ha−1) in wheat, whereas the application of a 125 kg ha−1 NPSB rate gave the maximum grain yield (4708.0 kg ha−1) in food barley. The economic analysis revealed that the application of a 150 kg ha−1 NPSB fertilizer rate for wheat gave the highest net benefits (309711.50 ETB ha−1) and marginal rate of return (MRR) (4096.96%), while the application of a 125 kg ha−1 NPSB fertilizer rate for barley obtained the highest net benefits (184424.00 ETB ha−1) and MRR (2195.39%). Therefore, to optimize the productivity and profitability of wheat and barley in the study area and similar agroecologies, farmers are recommended to use 150 kg ha⁻¹ NPSB for wheat and 125 kg ha⁻¹ NPSB for barley.

Factors Influencing Farmers’ Adoption of Climate Smart Agriculture Practices in the Case of Ilu Aba Bora Zone, South West Ethiopia

To overcome the challenges of climate change, this study was intended to identify factors that affect the farmers’ adoption of CSA in the Ilu Aba Bora Zone of Southwest Ethiopia across varying agro-ecological zones. A mixed research design was used for this study. During this study, representative districts (Bure, Hurumu, and Nono Sale) were selected purposely based on their differences in agro-ecology, while rural kebeles and respondents were selected randomly from the districts to minimize the biases of the data. Data collection tools employed were a questionnaire, KKI, FGD, and field observations. A binomial logistic regression model was used to identify the interaction of response and explanatory variables and to draw a conclusion. The findings of this study revealed the majority (63.1%) of farmers did not have an understanding of the meaning, function, and goals of CSA practices. Existing CSA options in the study area were conservation agriculture, crop diversification, agro-forestry, early warning system, livelihood diversification, and improved livestock feed, which were practiced at different levels and by a few households. In particular, the early warning system and improved livestock feed were the least implemented CSA options, whereas livelihood diversification, conservation agriculture, and agro-forestry were the highly adopted practices in the area. Independent variables including on-farm income, farming experience, weather information, agro-ecology, farm land size, age, extension service, marital status, and off-farm income were the factors significantly affecting the adoption of CSA practices in the study area. Experts, governments, and nongovernmental organizations should improve farmers’ awareness of the benefits of CSA practices in ensuring food security, climate mitigation and adaptation through training and capacity building. The result of this study will show the direction for farmers, policy makers, planners, and other stakeholders to set up a solution in order to promote CSA practices and technologies based on agro-ecology.

Falciparum malaria with haemorrhagic stroke in a 26-year male patient: report of a rare case

BackgroundMalaria continues to cause unacceptably high levels of disease and death despite increased global efforts and is still significant public health problem. African countries are disproportionately affected by malaria. The objective of this study was to describe a rare case of haemorrhagic stroke as a possible complication of malaria in a 26-year-old male patient.Case presentationA 26-year-old male from southwest Ethiopia presented with complaint of loss of consciousness (LOC) of 12 h duration. He had fever, headache, vomiting, chills, rigors and shivering three days prior to the loss of consciousness. On physical examination, pulse rate 116 beats/min, blood pressure of 120/90 mmHg, respiratory rate was 24 breaths/min, a temperature of 38.9◦C and oxygen saturation of 94%. Nervous system examination; stuporous with Glasgow Coma Scale (GCS) 10/15(M5, E3, V2). Blood film and RDT confirmed a Plasmodium falciparum infection and a non-contrast CT scan found a right cerebral parenchymal haemorrhage.Discussion and conclusionThe presented case described a very rare case of a 26-year-old male patient who was diagnosed with left side hemiparesis secondary to a haemorrhagic stroke, associated with P. falciparum malaria. This report highlights the fact that malaria with stroke should be considered a differential diagnosis in a patient presenting with body weakness in a malaria endemic area and in individuals who had travel history to malaria endemic areas.

Analyzing health service employees’ intention to use e-health systems in southwest Ethiopia: using UTAUT-2 model

BackgroundE-health systems have the potential to improve healthcare delivery and access to medical services in resource-constrained settings. Despite its impact, the system exhibits a low level of consumer acceptance and intention to use it. This research paper aims to analyze the intention of health service employees to use e-health systems in southwest Ethiopia using the UTAUT-2 model.MethodInstitutional-based cross-sectional studies were conducted at four referral hospitals (two private and two public) to examine the acceptance of e-health among consumers. Employees who had previous experience with diagnostic information systems and the health logistic information system were given structured questionnaires based on the UTAUT-2 model. The data were analyzed using the PLS-SEM method to identify the key factors that influence the intention to use e-health systems. The data were analyzed using SPSS version 20 and SmartPLS 3 software.ResultOut of the 400 surveyed employees, 225 (56.25%) valid questionnaires were collected. The findings indicate that three factors—effort expectancy (β = 0.276, t = 3.015, p = 0.001), habit (β = 0.309, t = 3.754, p = 0), and performance expectancy (β = 0.179, t = 1.905, p = 0.028)—had a significant positive impact on employees’ intention to use e-health systems. On the other hand, factors such as social influence, facilitating conditions, hedonic motivation, and price values did not appear as significant predictors of intention to use e-health. The study model was able to predict 63% of employees’ intentions to use e-health systems.ConclusionEffort expectancy, habit, and performance expectancy were significant predictors of employees’ intention to use e-health systems among health service employees in southwest Ethiopia. The study supports the ideas that ease of use, experience with information systems, and the role of the systems in improving job performance contribute to employees’ intention to use e-health. Policymakers and healthcare organizations in the region can use these findings to develop strategies for successful implementation and adoption of e-health systems, ultimately improving healthcare services and outcomes for the population.

Stability analysis of dry matter and seed yield of cowpea [Vigna unguiculata (L.) walp.] genotypes in humid and lowland areas of southwestern Ethiopia

Cowpea is a multi-purpose legume interested in dealing with genotype and genotype-by-environment interaction which has a significant impact on the success of breeding method. Twelve cowpea genotypes were examined across three experimental sites in Southwest Ethiopia through the cropping seasons in 2020 and 2021. A randomized complete block design (RCBD) with three replications for each location was applied to complete the trials, and the dry mater and seed yields were recorded and analyzed using AMMI and GGE biplot models. Dry matter yield (DMY) was significantly influenced by genotype (35.51 %), environment (34.25 %), and genotype by environment (G × E) interface (24.82 %), according to the combined analysis of variance. On the other hand, seed yield (SY) was highly influenced by the environment (39.93 %), genotype-environment (G × E) (19.08 %), and genotype (11.88 %). For both dry matter and seed yield, the investigated genotypes were divided into four mega-environments using AMMI and GGE biplot. The initial mega-environment contain E6, the subsequent contain E3 and E5, the third one has E1 and E2, and the final mega-environment hold E4 for dry matter and E3, E4, and E6, E5, as well as E1, and E2 for seed yield. The GGE biplot revealed that the three vertex genotypes for dry matter yield, G6, G7, and G10 whereas, six vertexes for seed yield G2, G6, G8, G7, G11, and G10, scored higher yield in corresponding environment, while the AMMI model showed G4, G6, G9, and G10 were comparably stable and high yielders for DMY and G4, G5, and G9 were for SY, whereas G6 and G7 had the highest SY but were unstable genotypes. Based on the AEC line, genotypes represented by G4, and G9 were relatively stable and high yielders for both DMY and SY. The selected genotypes could be suggested for variety development in the region.

Land Use Land Cover Change and Its Effect on Selected Soil Physico-Chemical Properties in Southwest Ethiopia

Land cover transformation exerts adverse effects on the environment. This study examined the changes in land cover in the Semen Bench District of southwest Ethiopia from 1986 to 2018, as well as its implications for soil physico-chemical properties. A mixed-method approach was employed, integrating remote sensing (RS) and geospatial data with soil physico-chemical analysis and key informant interviews. Landsat images were processed using ERDAS IMAGINE 2015, and the land use land cover (LU/LC) map was classified using a supervised method employing the maximum likelihood classifier (MLC) algorithm. The classification accuracy was 90%, 87.5%, and 90% for the years 1986, 2001, and 2018, respectively, with corresponding kappa coefficients of 0.87, 0.83, and 0.87. One-way analysis of variance (ANOVA) was conducted to assess differences in soil parameters across various land uses, utilizing SAS software (Version 9.3). The findings indicated that agroforestry and settlements increased by 95% and 428.7%, respectively, while forestland and cropland decreased by 38.6% and 96%, respectively, primarily driven by the expansion of cash crops such as coffee, khat, and eucalyptus, as well as population growth. Significant changes (P&amp;lt;0.05) were observed in soil bulk density, soil organic matter, soil pH, available phosphorus, total nitrogen, exchangeable cations, cation exchange capacity, and electrical conductivity, due to land cover change. Conversely, soil texture remained unaffected (P&amp;gt;0.05) by these transformations. Consequently, it is essential to develop sustainable natural resource management plans to combat deforestation and the decline in soil fertility.

Anemia and associated factors among HIV/AIDS patients treated with antiretroviral therapy at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

Anemia and associated factors among HIV/AIDS patients treated with antiretroviral therapy at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

Infectious and obstetric determinants of anemia among pregnant women in Southwest Ethiopia.

Anaemia, characterized by low red blood cell or haemoglobin levels, impairs oxygen transport in the body and poses a major global public health issue, particularly affecting pregnant women and children. This study focuses on identifying the factors contributing to anaemia among pregnant women receiving antenatal care (ANC) at Mizan-Tepi University Teaching Hospital (MTUTH) in southwest Ethiopia. A hospital-based unmatched case-control study was conducted from July 1 to August 30, 2022, involving 370 pregnant women (90 with anaemia and 280 without). Data collection included questionnaires, laboratory tests (Hgb and stool examination), and anthropometric measurements. SPSS version 21 was used for data analysis, with binary logistic regression identifying factors associated with anaemia. The significance level was set at a p-value <0.05. The study achieved a 100% response rate for both cases and controls. Factors identified as determinants of anaemia among pregnant women included malaria infection (AOR = 7.83, 95% CI: 3.89-15.8), hookworm infection (AOR = 2.73, 95% CI: 1.39-5.34), short birth interval (AOR = 7.11, 95% CI: 3.59-14.2), and history of unsafe abortion (AOR = 5.40, 95% CI: 2.46-11.8). This study found that malaria infection, hookworm infection, birth interval <33 months, and a history of unsafe abortion are factors contributing to anaemia in pregnant women. Strategies such as distributing insecticide-treated bed nets (ITNs) to combat malaria, improving sanitation, anthelmintic drugs, promoting family planning to prevent unwanted pregnancies and unsafe abortions, and providing preconception care can help reduce the incidence of anaemia.

Therapeutic efficacy of artemether–lumefantrine in the treatment of uncomplicated Plasmodium falciparum malaria in Arba Minch Zuria District, Gamo Zone, Southwest Ethiopia

BackgroundArtemether–lumefantrine (AL) has been the primary anti-malarial drug used to treat uncomplicated Plasmodium falciparum malaria in Ethiopia since 2004. However, there have been recent reports of AL resistance mutations in different African countries, including Ethiopia. This is concerning and requires periodic monitoring of anti-malarial drug resistance. Therefore, the current study aimed to evaluate the therapeutic efficacy of AL in treating uncomplicated P. falciparum malaria in the Arba Minch Zuria District, Gamo Zone, Southwest Ethiopia.MethodsA single-arm prospective study with a 28-day follow-up period was conducted from July to October 2022. Capillary blood samples were collected for RDT and microscopic examination. The study enrolled monoinfected P. falciparum patients aged ≥ 18 years at Ganta Sira Health Post. Sociodemographic and clinical data were recorded, and a dried blood spot (DBS) was prepared for each participant. Nested polymerase chain reaction (nPCR) genotyping of the msp-1 and msp-2 genes was only performed for recurrent cases to distinguish between recurrence and reinfection. Data entry and analysis were performed using the WHO Excel spreadsheet and SPSS version 26.ResultsA total of 89 patients were enrolled, and 67 adequately completed the 28-day follow-up period. AL showed a 100% clearance rate for fever on day 2 and asexual parasites on day 3. Gametocytes were detected in 13.5% (12/89) of the participants. The gametocyte clearance rate was 58.3% (7/12) until day 7 and 100% (12/12) until day 14. Five participants developed recurrent malaria, three of whom experienced relapse and two of whom experienced reinfection. Based on the Kaplan–Meier survival analysis, the PCR-uncorrected and PCR-corrected cumulative incidence of success were 93.7% (95% CI 85.5–97.3) and 96.2% (95% CI 85.5–98.7), respectively.ConclusionAL was efficacious in treating uncomplicated P. falciparum malaria in the study area. However, the detection of recurrent patients highlights the need for continuous efficacy studies in this area.

Investigating the Effects of Dietary Supplementation and High-Intensity Motor Learning on Nutritional Status, Body Composition, and Muscle Strength in Children with Moderate Thinness in Southwest Ethiopia: A Cluster-Randomized Controlled Trial.

In Ethiopia, moderate thinness (MT) is a persistent issue among children. Yet, evidence on the effects of dietary supplementation and motor skills training in these children is limited. This study aimed to assess the effect of Ready-to-Use Supplementary Food (RUSF), whether or not combined with high-intensity motor learning (HiML), on weight, height, body composition, and muscle strength in children 5-7 years old with MT living in Jimma Town, Ethiopia. A cluster-randomized controlled trial was carried out among 69 children (aged 5-7) with MT assigned to receive RUSF (n = 23), RUSF + HiML (n = 25), or no intervention (control group, n = 21). A multivariable Generalized Estimating Equations model was used and the level of significance was set at alpha < 0.05. At baseline, there were no significant differences in the outcome measurements between the RUSF, RUSF + HiML, and control groups. However, after 12 weeks of intervention, there were significant mean differences in differences (DIDs) between the RUSF group and the control arm, with DIDs of 1.50 kg for weight (p < 0.001), 20.63 newton (N) for elbow flexor (p < 0.001), 11.00 N for quadriceps (p = 0.023), 18.95 N for gastrocnemius sup flexor of the leg (p < 0.001), and 1.03 kg for fat-free mass (p = 0.022). Similarly, the mean difference in differences was higher in the RUSF + HiML group by 1.62 kg for weight (p < 0.001), 2.80 kg for grip strength (p < 0.001), 15.93 for elbow flexor (p < 0.001), 16.73 for quadriceps (p < 0.001), 9.75 for gastrocnemius sup flexor of the leg (p = 0.005), and 2.20 kg for fat-free mass (p < 0.001) compared the control arm. RUSF alone was effective, but combining it with HiML had a synergistic effect. Compared to the control group, the RUSF and RUSF + HiML interventions improved the body composition, height, weight, and muscle strength of the studied moderately thin children. The findings of this study suggest the potential that treating moderately thin children with RUSF and combining it with HiML has for reducing the negative effects of malnutrition in Ethiopia. Future research should explore these interventions in a larger community-based study. This trial has been registered at the Pan African Clinical Trials Registry (PACTR) under trial number PACTR202305718679999.

Assessment of livestock husbandry practices and production constraints among smallholder mixed crop-livestock production systems in the Majang zone, southwest Ethiopia

Livestock production plays a significant role in improving the livelihoods of poor smallholder farmer households in the Majang zone. However, despite its importance, there is limited information on husbandry practices and constraints on livestock production to design and implement effective interventions to maximize productivity. The aim of this study was to assess husbandry practices and major constraints on livestock production in the Majang zone, southwest Ethiopia. A semi-structured questionnaire was used to collect data from a randomly selected sample of 168 households (HHs) through a face-to-face interview from January to May 2021. The results revealed that mixed crop-livestock farming is the dominant livestock production system in the study area. The overall average herd size per household (HH) was 2.15 ± 0.11 cattle, 0.15 ± 0.01 sheep, 0.31 ± 0.09 goats, 0.10 ± 0.02 donkey, 0.04 ± 0.00 mule, 0.13 ± 0.02 horses and 0.24 ± 0.02 chickens. Overall herd size did not differ significantly by AEZ except for sheep (p < 0.05). The primary reason for keeping cattle, goats, sheep, equines and poultry were milk production (27.4 %), meat for home consumption (33.9 %), cash income (33.3 %), transportation (85.1 %), and meat for home consumption (72 %), respectively. In the dry and wet seasons, natural pasture, crop residues, indigenous fodder trees and shrubs (IFTSs), nonconventional feed resources (NCFRs), crop stubbles and improved forages were the main livestock feed resources. The majority (60.1 %) of respondents practiced free-grazing systems. Separate sheds, family dwellings, kraals, and open-walled sheds were the main housing systems used for animals. The majority (79.2 %) of respondents used rivers as a source of livestock drinking water. Trypanosomiasis (18.45 %), African horse sickness (66.1 %) and Newcastle disease (47.02 %) were the most important diseases of livestock. Diseases (35.7 %), lack of access to artificial insemination (35.7 %) and inadequate veterinary services (11.3 %) were identified as the top three constraints limiting production. It is recommended that constraints identified by farmers should be considered in developing and implementing effective interventions to improve livestock productivity and their contribution to poverty alleviation in the study area.

Electrocardiographic abnormalities and associated factors among HIV-infected adults on antiretroviral therapy.

Individuals living with HIV are at increased risk of developing cardiovascular diseases. This heightened vulnerability is influenced by various factors, including the direct impact of HIV infection, the side effects of HIV medications, and a higher presence of traditional cardiovascular risk factors. Detecting and managing cardiovascular diseases early in HIV-infected individuals is crucial for their overall health and well-being. Electrocardiography, a simple and non-invasive test, can provide valuable information in this regard. However, there is currently no published data on the prevalence of electrocardiographic abnormalities and the associated factors among HIV-infected adults in Ethiopia. This study was aimed at assessing the prevalence of ECG abnormalities and associated factors among HIV-infected adults on antiretroviral therapy. A hospital-based comparative cross-sectional study was conducted at Mettu Karl Specialized Hospital (MKSH), southwest Ethiopia, among 96 HIV-infected patients and 96 HIV-negative control groups. A systematic random sampling technique was used to select HIV-infected respondents, and HIV-negative respondents were purposively recruited from caregivers. A face-to-face interview with a semi-structured and pretested questionnaire was conducted to collect the socio-demographic and behavioral characteristics of the study participants. Electrocardiography was done for all study participants using a 12-lead electrocardiograph, interpreted by a cardiologist, and classified according to the Minnesota Code classification system. The data were entered into Epi-Data version 4.6 and exported to SPSS version 25 for analysis. Finally, descriptive statistics, chi-square, independent t-test, bivariable, and multivariable logistic regression analyses were done at a 5% significance level. The study found that 49% of HIV-infected and 19.8% of HIV-negative participants had at least one ECG abnormality. The proportion of coded ST-segment abnormalities, T-wave abnormalities, longer QT interval, and sinus tachycardia was significantly higher in HIV-infected respondents than in HIV-negatives. Being a smoker [AOR = 3.7, 95%CI: 1.03-13.6], being on Protease inhibitors [AOR = 3.6, 95%CI: 1.02-13.1] and having CD4 less than 350 cells/mm3 [AOR = 3.2, 95%CI: 1.22-8.49] were significantly associated with ECG abnormalities among HIV-infected respondents. Compared to HIV-negative participants, HIV-infected patients had a significantly higher prevalence of ECG abnormalities. Screening for ECG abnormalities is needed for the early detection of cardiac abnormalities and the reduction of future complications.

Tsetse fly density and trypanosoma infection rate in Bedele and Dabo Hana districts of Buno Bedele Zone, Southwest Ethiopia

BackgroundTrypanosomiasis is an infectious disease caused by parasitic protozoa of the genus Trypanosome and primarily transmitted by tsetse flies. This study aimed to determine the density of tsetse flies and the rate of trypanosome infection in the Bedele and Dabo Hana districts of the Buno Bedele Zone in Ethiopia.ResultsA cross-sectional study was conducted from January to February 2023 to catch tsetse flies, determine tsetse density, and estimate the trypanosome infection rate. We used 100 traps (40 NGU, 30 pyramidal, and 30 biconical) to catch the flies. The following standard procedures were followed to identify the specific trypanosome species in the collected tsetse flies: The flies were dissected, and the salivary glands were removed. We placed the salivary glands in a drop of saline solution on a microscope slide. A coverslip was placed over the salivary glands, the slide was examined under a microscope, and the trypanosomes were identified based on their morphology. A total of 3,740 tsetse flies were captured from 100 traps, resulting in an overall apparent density of 18.7 flies per trap per day. Within the study area, only one species of tsetse fly, Glossina tachinoides, was identified. Of the 1,320 dissected Glossina tachinoides, 1.82% were found to be infected with trypanosome parasites. Among these infections, 58.33% were attributed to Trypanosoma congolense, while the remaining 41.67% were caused by Trypanosoma brucei. The infection rate of trypanosomes was significantly higher in female tsetse flies (87.5%) as compared to male flies (12.5%). Furthermore, a significantly higher infection rate was observed in flies older than 20 days (83.33%) and in hunger stage 1 flies (58.33%) compared to hunger stages 2, 3, and 4.ConclusionsThis study highlights the necessity of implementing control and suppression measures targeting the vector (tsetse flies) and the parasite (trypanosomes) to effectively manage and prevent pathogenic animal trypanosomiasis.

Job satisfaction and associated factors among rural health extension workers in Buno Bedele Zone South West Ethiopia

Job satisfactions have impacts on productivity and essentials provision of care for maternal and child health in the rural area. Despite Health extension workers (HEWs) have pivotal role towards improvement of maternal and child health outcome, there is scarcity of data regarding their job satisfaction, hence this study was employed to assess the level of job satisfaction and associated factors among rural HEW in Buno Bedele Zone, Southwest Ethiopia. A Facility based cross-sectional study design was conducted among 393 randomly selected HEW from May to June, 2023. A pretested; questionnaire was used to collect the data. SPSS version 25 was used for statistical analysis. Logistic regression analysis with odds ratio (OR), a 95% CI and P < 0.05 were used to declare statistical significance. The overall satisfaction of health extension workers was 45.5%, [95% Confidence interval CI 44.0–46.09]. Availability of residence [AOR = 2.349, 95% CI 1.352, 4.083], transfer between kebeles [AOR = 0.267, 95% CI 0.132, 0.540], availability of medical supply [AOR = 2.853, 95% CI 1.474, 5.523], Good working environment [AOR = 3.395, 95% CI 2.017, 5.717], Getting technical support during work from their supervisor [AOR = 3.656, 95% CI 1.851, 7.219] were significantly associated factors with HEW job satisfaction. More than half of the health extension workers were dissatisfied with their jobs. Availability of living home, Transfer, medical supply, Environment, Support was predictor of job satisfaction. It is crucial to encourage intervention mode that may enhance their satisfaction and motivation of HEWs to improve service provision.