Ethiopian System Research Articles

Agronomic and socio-economic drivers of fertilizer use and crop productivity in smallholder wheat production systems in Ethiopia

Agronomic and socio-economic drivers of fertilizer use and crop productivity in smallholder wheat production systems in Ethiopia

The impact of the herd health interventions in small ruminants in low input production systems in Ethiopia.

Diseases have a negative impact on production and profitability of small ruminants. A good herd health program can decrease the number of sick animals and improve herd performance. In a longitudinal study, small ruminant herd health interventions such as community-based strategic gastrointestinal (GI) parasite control, prevention and control of major respiratory diseases and capacity development activities were implemented. In four districts of Ethiopia, where the Community Based Breeding Program (CBBP) is implemented, morbidity and mortality data were collected from January 2018 to July 2021 in 1047 smallholder farms with the objective of evaluating the impact of herd health interventions. A total of 2,643 sick animals and 516 deaths of small ruminants were recorded during the study period. The disease cases were categorized into eight groups: gastrointestinal, neurological, reproductive, respiratory, skin, systemic, other diseases (eye disease, foot disease etc) and unknown diseases. Chi-square and proportions were used to analyze morbidity and mortality by district, agro-ecological zone and age of the animal. The data showed that the general trend in the occurrence of cases and morbidity rate were decreasing from 2018 to 2021 in intervention villages. Overall, the morbidity rate in young animals (7.36%) was highier than in adults (3.49%) and the mortality rate difference between young and adult animals was also statistically significant (p < 0.001). The morbidity and mortality rates varied significantly (p < 0.001) among districts and among agro-ecologies. According to the data, treating and following up of infected animals reduced the mortality rate significantly. The relative risk of death in treated animals after the case reported was 0.135. Generally, the intervention impact analysis revealed that morbidity rate was significantly decreased (p = 0.009) in intervention years (6.31% in 2018 to 3.02% in 2021) and that herd health interventions provide an added value. Generally, herd health intervention had significant impact in reducing the morbidity rates in years and treatment and follow up of sick animals due to early reporting reduced mortality rate significantly. It is recommended that the herd health management should be the core activity under small ruminant production programs.

Analysis of alternative national development pathways for the cattle system in Ethiopia: linked economic and animal systems (LEAS) model

Analysis of alternative national development pathways for the cattle system in Ethiopia: linked economic and animal systems (LEAS) model

Identification of enset (ensete ventricoum (Welw.) cheesman) landraces and farmers preference in wolaita zone, Southern Ethiopia

Abstract The enset farming system in Ethiopia, a significant agricultural system, is primarily cultivated by the Wolaita people, who prefer different landraces due to their unique traits. Thus, this study aimed to identify a landrace with specific traits that farmers preferred in the Wolaita Zone in 2021 from 14 Kebeles, each with 15 households. The study used both qualitative and quantitative data. SPSS software was used quantitative analysis: cross-tabulation, descriptive statistics, multidimensional preference analysis, Pearson correlation, t and chi square tests. As a result, 93 landraces and 4 cultivars were identified with varying frequency and distribution within and between farms, indicating farmers’ preference for different traits. Enset landraces preferred for high yield of Kocho were: Gena, Anko-gena, Halla, Mazia, Ala-gena, Godaria, Tuzuma; Bulla were: Halla, Mazia, Tuzuma, Gena, Gefetanuwa, Anko-gena, Argama, Ala-gena, Shalakumia; Amicho use; Arkia, Agina, chichia, Sutia, Kabaria, Nakaka, Katania; For fiber strength and durability were: Halla, Tuzuma, Mazia Anko-gena, Argama and Ala-gena. Medicinal use: Lochingia, Gefetanuwa, Argama, and Arkia. For overall traits, the most preferred landrace in the study area was Halla, Mazia, Tuzuma, Anko-gena, Argama, Shalakumia, Gena, Kabaria, Wanadia, Ala-gena, Gefetanuwa, Nakaka, Lembuwa, Sutia, Arkia, Katania, Godaria, Chichia, and Lochingia in order. Therefore, enset landraces–mainly used for amicho were extensively used and having medicinal values were rarely grown due to their susceptibility to both biotic and abiotic factors was under threat of erosion. So, to sustain the production of different landraces, it is recommended to collect, conserve, and raise awareness among the young generation about specific traits.

Understanding the conflict and exploring political alternatives to remake a stable political system in Ethiopia

Understanding the conflict and exploring political alternatives to remake a stable political system in Ethiopia

Health-promoting behavior and its determinants towards non-communicable diseases among adult residents of the Gedeo zone, South Ethiopia: the application of the health belief model.

Non-communicable diseases are becoming a challenge for the health care system in Ethiopia, which has suffered a double burden from infectious and rapidly increasing non-communicable diseases. However, there is little information on health-promoting behavior in the study settings. Thus, the purpose of this study was to determine health-promoting behaviors and its associated factors among adult's residents of Gedeo zone. A cross-sectional study was conducted among 705 adult residents of Gedeo zone, south Ethiopia, selected using a multi-stage sampling technique. Interviews administered through a structured questionnaire were used to collect the data. The data were entered using Kobo Collect and analyzed using Stata version 17. The baseline characteristics of the participants were summarized using descriptive statistics. The independent sample t-test and one-way ANOVA were used to compare two groups and more than two groups, respectively. Stepwise multiple linear regression analysis was used to identify the potential determinants of health-promoting behavior and its components. Statistically significant factors were declared at p-value of less than or equal to 0.05. The overall means score for health-promoting behavior was 73.88 ± 16.79. Physical activity and spiritual growth had the lowest and highest mean scores, respectively. The variables: gender, marital status, education, family history of NCDs, health insurance status, perceived health status, knowledge of NCD risk factors, risk perception of NCDs, expected outcome, cues to action, and self-efficacy showed a statistically significant difference in overall health-promoting behavior. The total health-promoting behavior score was associated with age, gender, perceived health status, marital status, family history of NCDs, health insurance, knowledge of NCD risk factors, perceived threat, expected outcome, self-efficacy, and cues to action. In the study, the mean score of health-promoting behaviors was low. Socio-demographic and economic variables, family history of NCD, perceived health status, knowledge of NCD risk factors, perceived threat, expected outcome, self-efficacy, and cues to action affect health-promoting behaviors. Therefore, the study suggests establishing health promotion programs to increase residents' awareness of health-promoting lifestyles, empower them to adopt healthy lifestyles, and improve health outcomes by increasing self-efficacy, providing education, and creating supportive environments.

Monitoring the Cost and Affordability of a Healthy Diet within Countries: Building Systems in Ethiopia, Ghana, Malawi, Nigeria, Pakistan, Tanzania, and Viet Nam

BackgroundGovernments around the world collect food price data on a frequent basis, often monthly, for the purpose of monitoring inflation. These routine economic data can be used with a nutrition-sensitive lens for understanding economic access to a healthy diet. The Food and Agriculture Organization of the United Nations has adopted the cost and affordability of a healthy diet (CoAHD) for annual tracking alongside other food security indicators. This indicator is relevant in many countries for informed decision-making and accountability toward Food Systems Summit pathways. National governments may wish to include this indicator in their own monitoring systems, using existing subnational price and income data. ObjectivesWe describe emerging systems in several countries for monitoring CoAHD and analytical tools that facilitate the calculation of CoAHD. We discuss reasons why the indicator may differ when calculated using subnational data compared with the global monitoring system and how to interpret differences. MethodsBetween June 2016 and February 2024, 19 workshops were held in 7 countries (Ethiopia, Ghana, Malawi, Nigeria, Pakistan, Tanzania, and Viet Nam), where stakeholder discussions covered sources of food price data, institutions involved, policy uses, and direct training in calculation of CoAHD. Food price data collected by national organizations were used to calculate CoAHD in partnership with government agencies. ResultsCalculating CoAHD using subnational data uses the same methods across settings, but the mechanisms for monitoring and dissemination are different in each country, illustrating heterogeneity in how the metric can most effectively be incorporated within existing structures. Results from national and global monitoring systems have expected differences based on data sources, healthy diet standards, and affordability standards. ConclusionsCoAHD can be calculated with existing data and resources, facilitated by new software tools and user tutorials. In the future, it can be further streamlined, leveraging technical assistance from global institutions and aligning national and global monitoring systems.

Stakeholders’ perceptions of occupational competency assessment and certification systems in Ethiopia’s TVET programs

PurposeThis research aims to explore stakeholder perspectives on Ethiopia’s occupational competency assessment and certification systems.Design/methodology/approachThe study utilized a mixed-methods strategy within a concurrent embedded design and adopted a pragmatic perspective. Data collection involved questionnaires, interviews, and focus group discussions, selecting respondents via purposive sampling for their significant experience and deep understanding of competency assessment. Analytical methods included descriptive and inferential statistics, as well as narrative techniques.FindingsThere is a generally positive perception of the value of competency assessments. However, the study finds several major limitations: inadequate candidate competency assessment, lack of skill gap analysis in TVET institutions for improved training, failure to maintain assessment standards, a high candidate-to-assessor ratio, and assessment tools that do not meet occupational standards. These issues show that the existing method misjudges TVET candidates' skills. To increase employer acceptance of competency assessments, the Center of Competence (CoC) agencies should integrate industry expertise, highlight their benefits, and emphasize the importance of training quality and career goals for candidates and trainers.Practical implicationsA study reveals that African nations like Ethiopia, Ghana, South Africa, Rwanda, Morocco, Benin, and Senegal have been implementing competency-based training (CBT) for around two decades, with support from countries like Canada, France, Belgium, Germany, Switzerland, Australia, Luxembourg, and Japan. However, the programs are often inconsistent and disorganized, with little private sector participation. There is a significant difference between the goals of quality assurance entities and the resources allocated. Although competency assessment is a fundamental part of CBT, there is a lack of research demonstrating its practice. Therefore, we conducted this research in Ethiopia, the second most densely populated nation in Africa. The results apply to other comparable nations implementing CBT programs (IIEP-UNESCO, 2021).Originality/valueThe research on stakeholders' perceptions of competency assessment is still in its early stages, with most studies focusing on training quality-related issues. This study expands on our knowledge of occupational competency assessment by analyzing perspectives from a comprehensive stakeholder perspective, considering contextualized assessment practices, addressing stakeholder needs, providing practical implications, and identifying future research directions. Furthermore, it offers valuable perspectives on developing competency-based education in Africa and other regions.

Cost-benefit analysis of intervention reducing young stock mortality in Ethiopia.

Livestock provide meat, milk, draught labour, are used for breeding, and act as a store of value for smallholder farmers. High young stock mortality (YSM) has the potential to cause significant financial loss. The Young Stock Mortality Reduction Consortium collaborated on a project to deliver a package of basic health and husbandry interventions to reduce YSM for cattle and small ruminants in mixed and pastoral production systems in Ethiopia. Prior to the intervention, YSM rates ranged from 9.8% for calves in mixed systems, to 35.6% for small ruminants in pastoral systems. Proportional reductions YSM from the intervention ranged from 60% for calves and for small ruminants in mixed systems, to 72% for calves in pastoral systems. This brief research report assesses the costs and benefits of the intervention ex-poste to determine its efficiency. NPVs for the intervention (per household) were calculated for a range of benefit periods (from 1 to 20 years), based on the cost of training enumerators and farmers and the net annual household benefits realised within each benefit period. We found in both pastoral and mixed systems the net annual household benefit for the intervention was positive. For pastoral households the intervention achieves a positive NPV after 2 years. For mixed households the intervention achieves a positive NPV after 11 years. Overall, we found the benefits of the intervention exceed the costs, by a very large amount in pastoral systems, and that benefits were larger for households that kept larger numbers of breeding females.

Reviewing the macroeconomic relevance of education system in Ethiopia: the role of skill gap

Reviewing the macroeconomic relevance of education system in Ethiopia: the role of skill gap

Capacitating One Health in Eastern and Southern Africa: Experiences and Implications in Ethiopia

Abstract The Capacitating One Health in Eastern and Southern Africa (COHESA) project team has embarked on an initiative to assess and enhance the OH landscape in Eastern and Southern Africa (ESA). To achieve the institutionalization and operationalization of OH, the project team has developed a multifaceted evaluation tool to assess the status of OH across research and innovation, governance, education, and implementation. The major findings of this assessment reveal a complex landscape of challenges and opportunities in Ethiopia. Within research and innovation, Ethiopia faces gaps in institutionalization and awareness of OH approaches and principles. In the field of education, participants emphasize the absence of formal OH education aligned with the education system in Ethiopia, emphasizing the need for robust action to align OH approaches and principles into the existing curriculum. Additionally, the governance structure for OH is not fully institutionalized, necessitating policy attention and resource allocation. Implementation of OH efforts also encounters challenges due to the lack of formal institutionalization and dedicated budgets. The Ethiopian COHESA team has developed a comprehensive plan to address these major thematic findings through advocacy, documentation of evidence, capacity building, and the championing of OH at all levels (regional and national). This case underscores the importance of government ownership and collaboration among stakeholders to bridge gaps and establish a solid foundation for OH in Ethiopia. This work also sheds light on Ethiopia’s journey toward institutionalizing and implementing OH practices and serves as a valuable resource for other countries seeking to embark on similar initiatives. Information © The Authors 2024

Integrating Traditional Medicine into the Healthcare System in Ethiopia: Promoting Research and Avoiding Misappropriation

Traditional medicine is a form of medicine that has been widely used in Ethiopia for thousands of years. However, it is still practiced in the absence of formal healthcare. The current approach to the protection of traditional medicinal resources in Ethiopia is based on multiple fragmented legislations and neglects one of these problems. The main objective of this paper is to discuss the need for integrating traditional medicine into national healthcare system and protecting of traditional medicinal resources in Euthopia. This normative legal research employs statutory approach. It is found that Ethiopia has put in place a legal framework for the protection of its traditional medicinal resources, but the role of traditional medicine in healthcare is not clearly defined. Many medicinal plants are, consequently, at risk of extinction and biopiracy. Ay policy option that seeks to protect traditional medicinal resources must have in mind these three problems together, i.e loss of traditional knowledge, loss of medicinal plants, and potential misappropriation. Integrating traditional medicine into the modern health care system requires careful consideration of conservation, protection, and development of traditional practices.

Nutrition profiles of farm households across different farming systems in Ethiopia: Unpacking the determinants and implications for nutrition-sensitive interventions.

Tackling nutrition insecurity remains a critical challenge in developing countries. In the predominantly rain-fed and smallholder-based farming systems of Ethiopia, production diversity and livelihood strategies of the farm households vary across geographic areas. However, the effects of household socioeconomic characteristics, production diversity, and household incomes on nutrition profiles in distinct settings have been inadequately understood. Therefore, this study was undertaken to examine the association of farming system type, sources of income, and household wealth status with household nutrition profiles in three remote locations such as Mennisa, Welmel Tiqa, and Agam Wuha that represent root crops-based farming, maize-based semi-pastoral farming, and teff-based cereal farming systems, respectively. A combination of qualitative and quantitative data collection techniques was employed. A multistage sampling procedure was used to select a total of 265 smallholder households for the structured survey interviews. Standard statistical tests and Tobit regression analyses were performed after determining the wealth category of each household. Results revealed a diversity of income sources used by each of the farm households with average values of 9 in Mennisa, 10 in Agam Wuha, and 11 in Welmel Tiqa, with the contributions of each income source varying by household wealth category and location. As expected, expenditures on food significantly exceeded those on non-food categories for poor households and vice versa for rich wealth households. The average total food variety score (FVS) for Welmel Tiqa was twice that for Agam Wuha, confirming the need for site-specific nutrition profile assessments. Despite the observed differences in household nutrition profiles among wealth categories and locations, the apparent intakes of vitamin A, vitamin B12, vitamin D, and calcium were consistently below the population-level estimated average requirements across all locations. The number of adequately consumed nutrients by farm households was negatively associated with family size, age of household heads, livestock holdings, wealth categories, and irrigation use, and positively associated with crop production diversity, income diversity, and FVS. The negative association between irrigation use and nutrition security was likely due to the focus on producing crops with a high market value on land under irrigation, coupled with ineffective allocation of generated income for enhancing household nutritional outcomes. Therefore, programs that include irrigated agriculture investments should consider adopting a more integrated nutrition-sensitive interventions, including consideration of locally adapted nutritious crops, such as orange-flesh sweet potato, to address critical deficiency of Vitamin A, nutrition training coupled with development of recipes and cooking demonstrations, and marketing and promotion for nutritious crops.

The impact of household wealth on soil organic carbon and nitrogen stocks in enset (Ensete ventricosum (welw.) cheesman) based farming systems in southern Ethiopia

Enset [Ensete ventricosum (welw.) cheesman] is a multi-purpose perennial crop that is an important keystone species for home garden agroforestry systems in Ethiopia and has great potential to increase resilience to climate change, sequester carbon and reduce net greenhouse gas emissions. Therefore, it could be an important crop to be grown more widely in the future. Carbon sequestration is in part due to application of large amounts of organic matter to enset. However, availability of organic matter for use in enset-based farming systems is likely to be related to wealth status of farmers. Because evidence on the influence of wealth on soil carbon is limited, this study assessed influence of household wealth on soil organic carbon, nitrogen and carbon dioxide emissions from enset-based farming systems in southern Ethiopia. Farmlands managed by resource rich farmers had significantly higher organic carbon in 0–20 cm soil depth (4.6 % and 5.8 %) than those managed by resource-poor farmers (3.7 % and 4.3 %). Total nitrogen followed similar trends. Results suggest that wealth status influences soil properties by determining organic inputs, highlighting the importance of livestock. Resource-poor farmers who do not own livestock should therefore take measures to obtain inputs from other sources, such as compost or vermi-compost.

Hidden cost of hospital-based delivery and associated factors among postpartum women attending public hospitals in Gamo zone, southern Ethiopia

BackgroundSince 2005, the healthcare system in Ethiopia has implemented policies to promote the provision of free maternal healthcare services. The primary goal of these policies is to enhance the accessibility of maternity care for women from various socioeconomic backgrounds. Additionally, the aim is to increase the utilization of maternity services, such as institutional deliveries, by removing financial obstacles that pregnant women may face. Even though maternity services are free of charge. The hidden cost has unquestionably been a key obstacle in seeking and utilizing health care services. Significant payments due to delivery services could create a heavy economic burden on households.ObjectivesTo determine the hidden cost of hospital-based delivery and associated factors among postpartum women attending public hospitals in Gamo zone, southern Ethiopia 2023.MethodsA facility-based cross-sectional study was conducted on 411 postpartum women in Gamo Zone Public Health Hospitals from December 1, 2022, to January 30, 2023. The systematic sampling technique was applied to reach study units. Data was collected using the Kobo Toolbox Data Collection Tool and exported to SPSS statistical software version 27 for analysis. Simple linear regression and multiple linear regression were done to see the association of variables. The significance level was declared at a P-value < 0.05 in the final model.ResultThe median hidden cost of hospital-based delivery was 1142 Ethiopian birr (ETB), with a range (Q) of 2262 (504–2766) ETB. Monthly income of the family (β = 0.019), obstetrics complications (β = 0.033), distance from the health facility (β = 0.003), and mode of delivery (β = 0.072), were positively associated with the hidden cost of hospital-based delivery. While, rural residence (β = −0.041) was negatively associated with the outcome variable.ConclusionThis study showed the hidden cost of hospital based delivery was relatively high. Residence, monthly income of the family, obstetric complications, mode of delivery, and distance from the health facility were statistically significant. It is important to take these factors into account when designing health intervention programs and hospitals should prioritize the availability of essential drugs and medical supplies within their facilities to address direct medical costs in hospitals.

Impact of COVID-19 on agri-food systems: An assessment of actors along the food value chain in Ethiopia, Uganda, Nigeria and Mali

Food security in Africa was impacted as a result of supply chain disruptions and government lockdowns brought on by the Coronavirus Disease of 2019 (COVID-19) pandemic. With participation from important actors in the agricultural value chain, the Sasakawa Africa Association (SAA) assessed the effect of COVID-19 on agri-food system in Ethiopia, Mali, Nigeria, and Uganda. Farmers, agro-processors, private service providers, off-takers and merchants, input dealers, and Ministry of Agriculture Extension service personnel are among the value chain actors that took part in the study. The survey, which was held from April 13 to April 16, 2020, used semi-structured tools and questionnaires aimed at the different stakeholders. The study used a cluster sample technique. The data were analyzed using SPSS software, which included frequency counts, percentages, rank correlation, and categorical regression. Based on the severity of the lockdowns associated to COVID-19, the survey found that the outcomes differed by country. The analysis shows a negative association between e-extension and education during the COVID-19 epidemic, but a high and positive correlation (p &lt; 0.01) between extension services and postharvest services, as well as credit availability. Factors such as transportation, labor availability, price fluctuations, output market activity, loan availability, and food and nutrition security were significantly and positively correlated with COVID-19 awareness. Additionally, the respondents indicated that price changes were favourably correlated with labour availability and transportation, and that farming activities were significantly and positively correlated with food and nutrition security, labour availability, and the output market. According to the perspective data collected in every country during the COVID-19 epidemic, postharvest services, agricultural input activities, and food and nutrition security all heavily relied on extension services, with postharvest services having a negative correlation with extension services. The results of the analysis show that COVID-19 impacted several variables that are associated with extension services across the four countries. For instance, the R2 value of the relationship between value chain variables and extension service delivery across Mali (0.485), Nigeria (0.621), Ethiopia (0.426), Uganda (0.529), and the combined countries (0.511) indicates that the variation of the dependent variables can account for 48.5% of the variation in the values of the independent variable (extension service delivery) in Mali, 62.1% in Nigeria, 42.6% in Ethiopia, 52.9% in Uganda, and 51.1% in the combined countries. Farmers' access to agricultural labour, credit services, inputs for agriculture, and output markets was restricted by the ban on travel and social gatherings. Smallholder farmers should employ digital solutions more to strengthen the agricultural value chain's actors' resilience against potential pandemics or conflicts, according to the study's implications for extension services. This will reduce the requirement for extensive personal touch and travel in the delivery of extension services. The study also highlights how crucial it is for extension services to show tangible outcomes and benefits in order to increase farming communities' and value chain actors' resilience in any difficult circumstances. Key words: COVID-19, food systems, extension services, value chain actors, output markets

Diversity of plant-parasitic nematodes associated with chickpea (Cicer arietinum L.) in the main growing areas of Ethiopia

Summary Chickpea is one of the most important legume crops in Ethiopia; however, its production is far below the mean international chickpea production due to biotic and abiotic stressors. Plant-parasitic nematode infestation is extensive in chickpea-growing areas worldwide. The distribution and population density of plant-parasitic nematodes in chickpea were determined during the September-December 2021 growing season. Ten plant-parasitic nematode taxa were identified from 27 localities across ten districts in the main chickpea-growing areas in Ethiopia. Pratylenchus had the highest prominence values, followed by Rotylenchulus and Meloidogyne spp. Helicotylenchus, Hoplolaimus, Scutellonema and Quinisulcius were more prevalent than Criconemoides and Ditylenchus. Sequences of different molecular markers, including D2-D3 of 28S rDNA, ITS of rDNA, and COI and Nad5 of mtDNA, revealed the presence of Meloidogyne javanica, Rotylenchulus parvus, Scutellonema clathricaudatum and Helicotylenchus caudatus. Helicotylenchus caudatus and R. parvus are the first reports from Ethiopia and chickpea, while S. clathricaudatum is the first report for chickpea. This study provides essential baseline information of nematode pest occurrence on chickpea in Ethiopia. This information will raise awareness among growers, agricultural officers, and extension advisors, enabling them to develop effective nematode management strategies for the chickpea production system in Ethiopia.

Student engagement in a differentiated higher education system in Ethiopia: a multilevel analysis

PurposeThe purpose of this study is to examine effects of classroom-level and student-level factors on student engagement in the context of a higher education system vertically differentiated into research, applied and comprehensive university types.Design/methodology/approachThe study used a cross-sectional multilevel design to explain student engagement based on class and student variables. Specifically, the study collects data from 656 students and 61 randomly selected teachers at both levels and uses multilevel modeling to explain relationship patterns.FindingsThe results show that institutions vary significantly in student engagement scores. In addition, while a significant variation is found at the student and classroom level, the effects of academic achievement, instructional quality, teaching experience and teacher qualifications on student engagement vary across classrooms in institutions. However, the interaction effect of classroom and student-level variables on student engagement remains non-significant.Originality/valueThe main contribution of this lies in the explanation of student engagement using classroom and student level factors in a vertically differentiated higher education system using multilevel modeling. Student engagement varied in classrooms research universities applied and comprehensive universities.

Assessing flood risks and exploring opportunities for flood-based farming in the dry lowlands of Ethiopia

Food grown in the rainfed system in Ethiopia is frequently insufficient to meet household food needs due to recurrent drought, which causes severe food insecurity. Ethiopia’s drylands have also been hit by an increase in torrential floods. As a result, the ability to adapt to shocks and risks decreases. Despite the opportunity of highland-to-lowland to lowland connectivity, the opportunities for flood-recession farming are poorly understood. This study maps flood recession opportunities incorporating national flood occurrence information, flood images, and SMAP surface soil moisture from Soil Moisture Active Passive (SMAP) images in Omo Gibe basin and Mile sub-basin. The analysis demonstrates that during the past three decades, there have been substantial flood incidents in the country’s eastern, south-eastern, and southern regions. Notably, floods that happened in 1996, 2005, 2006, 2013, and 2018 affected 90, 91, 74, 74, and 69 locations, respectively. In 2020, flooding affected a considerable area (274 locations), which demonstrates the rise in flood hazards. Based on multi-criteria suitability analysis, about 32 million hectares of lowlands are highly suitable (61%) and moderately suitable (39%) for flood-based farming. In the Omo-Gibe and the Mile sub-basin, flood-recession zone mapping using a change detection approach revealed that Omo-Gibe basin has 107,359 ha and 29,550 ha of flood zones suitable for flood recession farming and Mile sub-basin of 8,048 ha and 88 ha, during the major and short rainy seasons, respectively. Our results highlight the extent of flood-prone areas and their suitability for flood farming and provide evidence of alternative strategies for managing flood risks. Consequently, identifying potential flood-prone areas using remote sensing technology aids decision-makers and subject-matter experts in introducing and demonstrating various types of flood-based farming. Further research is recommended to identify and validate appropriate flood farming practices under different biophysical and socio-economic contexts and explore complementary opportunities as well as support informed decision-making on flood risk management and recession flood strategies in the dry lowlands of Ethiopia.

Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges

BackgroundEthiopia and Kenya have adopted the community-based integrated community case management (iCCM) of common childhood illnesses and newborn care strategy to improve access to treatment of infections in newborns and young infants since 2012 and 2018, respectively. However, the iCCM strategy implementation has not been fully integrated into the health system in both countries. This paper describes the extent of integration of iCCM program at the district/county health system level, related barriers to optimal integration and implementation of strategies.MethodsFrom November 2020 to August 2021, Ethiopia and Kenya implemented the community-based treatment of possible serious bacterial infection (PSBI) when referral to a higher facility is not possible using embedded implementation research (eIR) to mitigate the impact of COVID-19 on the delivery of this life-saving intervention. Both projects conducted mixed methods research from April-May 2021 to identify barriers and facilitators and inform strategies and summative evaluations from June-July 2022 to monitor the effectiveness of implementation outcomes including integration of strategies.ResultsStrategies identified as needed for successful implementation and sustainability of the management of PSBI integrated at the primary care level included continued coaching and support systems for frontline health workers, technical oversight from the district/county health system, and ensuring adequate supply of commodities. As a result, support and technical oversight capacity and collaborative learning were strengthened between primary care facilities and community health workers, resulting in improved bidirectional linkages. Improvement of PSBI treatment was seen with over 85% and 81% of estimated sick young infants identified and treated in Ethiopia and Kenya, respectively. However, perceived low quality of service, lack of community trust, and shortage of supplies remained barriers impeding optimal PSBI services access and delivery.ConclusionPragmatic eIR identified shared and unique contextual challenges between and across the two countries which informed the design and implementation of strategies to optimize the integration of PSBI management into the health system during the COVID-19 pandemic. The eIR participatory design also strengthened ownership to operationalize the implementation of identified strategies needed to improve the health system’s capacity for PSBI treatment.