Academic literature on the topic 'Southern Oromia, Ethiopia'

Abstract In Ethiopia, little is known about the extent of out-of-pocket health expenditures and the associated financial hardships at national and regional levels. We estimated the incidence of both catastrophic and impoverishing health expenditures using data from the 2015/16 Ethiopian household consumption and expenditure and welfare monitoring surveys. We computed incidence of catastrophic health expenditures (CHE) at 10% and 25% thresholds of total household consumption and 40% threshold of household capacity to pay, and impoverishing health expenditures (IHE) using Ethiopia's national poverty line (ETB 7184 per adult per year). Around 2.1% (SE: 0.2, P < 0.001) of households would face CHE with a 10% threshold of total consumption, and 0.9% (SE: 0.1, P < 0.001) of households would encounter IHE, annually in Ethiopia. CHE rates were high in the regions of Afar (5.8%, SE: 1.0, P < 0.001) and Benshangul-Gumuz (4.0%, SE: 0.8, P < 0.001). Oromia (n = 902 000), Amhara (n = 275 000) and Southern Nations Nationalities and Peoples (SNNP) (n = 268 000) regions would have the largest numbers of affected households, due to large population size. The IHE rates would also show similar patterns: high rates in Afar (5.0%, SE: 0.96, P < 0.001), Oromia (1.1%, SE: 0.22, P < 0.001) and Benshangul-Gumuz (0.9%, SE: 0.4, P = 0.02); a large number of households would be impoverished in Oromia (n = 356 000) and Amhara (n = 202 000) regions. In summary, a large number of households is facing financial hardship in Ethiopia, particularly in Afar, Benshangul-Gumuz, Oromia, Amhara and SNNP regions and this number would likely increase with greater health services utilization. We recommend regional-level analyses on services coverage to be conducted as some of the estimated low CHE/IHE regional values might be due to low services coverage. Periodic analyses on the financial hardship status of households could also be monitored to infer progress towards universal health coverage.

Background. Khat chewing has become prevalent in the world due to the improvement of road and air transportation. In Ethiopia, khat chewing is more prevalent and widely practiced by men. Khat has a negative effect on social, economic, and mental health. There is variation in khat cultivation, use, and factors that associated with khat chewing in the Ethiopian regions. Therefore, this study is aimed at showing spatial distribution and factors associated with khat chewing among male adults 15-59 years in Ethiopia. Methods. A total of 12,594 men were included in this study. ArcGIS version 10.7 software was used to show the spatial distribution of chewing khat among adult men in Ethiopia. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant purely spatial clusters for chewing khat in Ethiopia. A multilevel logistic regression model was fitted to identify factors associated with khat chewing. A P value < 0.05 was taken to declare statistically significant predictors. Results. The EDHS 2016 survey showed that the high proportion of chewing khat was found in Dire Dawa, Harari, Southern Oromia, Somali, and Benishangul Gumuz regions. In spatial scan statistics analysis, a total of 126 clusters (LLR=946.60, P value < 0.001) were identified. Age group 30-44 years old (AOR=1.60, 95% CI: 1.37, 1.86) and 45-59 years old (AOR=1.33, 95% CI: 1.09, 1.61), being single (AOR=1.86, 95% CI: 1.64, 2.12), Muslim religion followers (AOR=15.03, 95% CI: 11.90, 18.90), media exposed (AOR=0.77, 95% CI: 0.68, 0.86), had work (AOR=2.48, 95% CI: 2.08, 2.95), alcohol drinker (AOR=3.75, 95% CI: 3.10, 4.53), and region (Afar, Amhara, Benishangul Gumuz, Gambela, Harari, Oromia, Somali, Southern Nations, Nationalities, and People’s Region (SNNPR), and Tigray) and two cities (Addis Ababa and Dire Dawa) were statistically significant factors affecting chewing khat in Ethiopia. Conclusions. In Ethiopia, the spatial distribution of khat chewing among adult men was nonrandom. A high proportion of khat chewing was observed in Dire Dawa, Harari, Southern Oromia, Somali, and Benishangul Gumuz regions. Older age group, being single marital status, alcohol drinker, media unexposed, had no work, and Muslim religion follower were factors affecting khat chewing. Policymakers should be given spatial attention in reducing the prevalence of chewing khat by teaching the health impact of khat chewing through media in the identified regions.

BackgroundCOVID-19 has caused a global public health crisis affecting most countries, including Ethiopia, in various ways. This study maps the vulnerability to infection, case severity and likelihood of death from COVID-19 in Ethiopia.MethodsThirty-eight potential indicators of vulnerability to COVID-19 infection, case severity and likelihood of death, identified based on a literature review and the availability of nationally representative data at a low geographic scale, were assembled from multiple sources for geospatial analysis. Geospatial analysis techniques were applied to produce maps showing the vulnerability to infection, case severity and likelihood of death in Ethiopia at a spatial resolution of 1 km×1 km.ResultsThis study showed that vulnerability to COVID-19 infection is likely to be high across most parts of Ethiopia, particularly in the Somali, Afar, Amhara, Oromia and Tigray regions. The number of severe cases of COVID-19 infection requiring hospitalisation and intensive care unit admission is likely to be high across Amhara, most parts of Oromia and some parts of the Southern Nations, Nationalities and Peoples’ Region. The risk of COVID-19-related death is high in the country’s border regions, where public health preparedness for responding to COVID-19 is limited.ConclusionThis study revealed geographical differences in vulnerability to infection, case severity and likelihood of death from COVID-19 in Ethiopia. The study offers maps that can guide the targeted interventions necessary to contain the spread of COVID-19 in Ethiopia.

Background: In 2011, the World Health Organization recognized podoconiosis as one of the neglected tropical diseases. Nonetheless, the number of people with podoconiosis and the geographical distribution of the disease is poorly understood. Based on a nationwide mapping survey and geostatistical modelling, we predict the prevalence of podoconiosis and estimate the number of cases across Ethiopia. Methods: We used nationwide data collected in Ethiopia between 2008 and 2013. Data were available for 141,238 individuals from 1,442 villages in 775 districts from all nine regional states and two city administrations. We developed a geostatistical model of podoconiosis prevalence among adults (individuals aged 15 years or above), by combining environmental factors. The number of people with podoconiosis was then estimated using a gridded map of adult population density for 2015. Results: Podoconiosis is endemic in 345 districts in Ethiopia: 144 in Oromia, 128 in Southern Nations, Nationalities and People’s [SNNP], 64 in Amhara, 4 in Benishangul Gumuz, 4 in Tigray and 1 in Somali Regional State. Nationally, our estimates suggest that 1,537,963 adults (95% confidence intervals, 290,923-4,577,031 adults) were living with podoconiosis in 2015. Three regions (SNNP, Oromia and Amhara) contributed 99% of the cases. The highest proportion of individuals with podoconiosis resided in the SNNP (39%), while 32% and 29% of people with podoconiosis resided in Oromia and Amhara Regional States, respectively. Tigray and Benishangul Gumuz Regional States bore lower burdens, and in the remaining regions, podoconiosis was almost non-existent. Discussion: The estimates of podoconiosis cases presented here based upon the combination of currently available epidemiological data and a robust modelling approach clearly show that podoconiosis is highly endemic in Ethiopia. Given the presence of low cost prevention, and morbidity management and disability prevention services, it is our collective responsibility to scale-up interventions rapidly.

Background: In 2011, the World Health Organization recognized podoconiosis as one of the neglected tropical diseases. Nonetheless, the magnitude of podoconiosis and the geographical distribution of the disease is poorly understood. Based on a nationwide mapping survey and geostatistical modelling, we predict the prevalence of podoconiosis and estimate the number of cases across Ethiopia. Methods: We used nationwide data collected in Ethiopia between 2008 and 2013. Data were available for 141,238 individuals from 1,442 communities in 775 districts from all nine regional states and two city administrations. We developed a geostatistical model of podoconiosis prevalence among adults (individuals aged 15 years or above), by combining environmental factors. The number of people with podoconiosis was then estimated using a gridded map of adult population density for 2015. Results: Podoconiosis is endemic in 345 districts in Ethiopia: 144 in Oromia, 128 in Southern Nations, Nationalities and People’s [SNNP], 64 in Amhara, 4 in Benishangul Gumuz, 4 in Tigray and 1 in Somali Regional State. Nationally, our estimates suggest that 1,537,963 adults (95% confidence intervals, 290,923-4,577,031 adults) were living with podoconiosis in 2015. Three regions (SNNP, Oromia and Amhara) contributed 99% of the cases. The highest proportion of individuals with podoconiosis resided in the SNNP (39%), while 32% and 29% of people with podoconiosis resided in Oromia and Amhara Regional States, respectively. Tigray and Benishangul Gumuz Regional States bore lower burdens, and in the remaining regions, podoconiosis was almost non-existent. Conclusions: The estimates of podoconiosis cases presented here based upon the combination of currently available epidemiological data and a robust modelling approach clearly show that podoconiosis is highly endemic in Ethiopia. Given the presence of low cost prevention, and morbidity management and disability prevention services, it is our collective responsibility to scale-up interventions rapidly.

This study was conducted in the Borana rangelands, southern Oromia, Ethiopia with the aim of investigating land-use/cover changes, rangeland condition and indentifying major change drivers in the rangelands. Satellite image scenes, ground survey and people’s perceptions were assessed to identify changes on herbaceous and woody species composition. Ordination techniques were used for correlation of grass and woody species into environmental variables. Piospheric effects on vegetation composition around patch resources were also examined. These assessments were designed to bring out both spatial and seasonal variation in vegetation parameters. Rangeland condition was determined using the ecological index (EIM) and the weighted palatability composition (WPC) methods. Grazing capacity assessment was largely based on rain-use efficiency, range condition, density of woody plants. Woody cover in the Borana increased from 11.3% in the 1970s to 49.26% in 2000s, while, grassland cover declined from 58% to 32% during the same period. The cultivated/built up area also increased gradually over the years though the extent of increment was less compared to the woody cover changes. The calculated NDVI values for the 2000s were low relative to the 1970s. Ground survey results demonstrated that herbaceous biomass production and woody plant density varied significantly (P < 0.01) for the different sites in Borana. Nevertheless, herbaceous plant diversity and evenness did not differ significantly (P>0.05) across the different sites and around patch resource areas. This confirms the resilience of the Borana rangeland to the effects of grazing pressure and climatic variability. Overall, the density of woody plants varied from moderate to sever encroachment, which corresponds to the rangeland condition classes from very poor to fair. The results of the present study showed that the nutrient contents of herbaceous plants (CP, NDF, ADF, ADL and ash) were greatly influenced by species, stage of maturity, site and season. Herbaceous species with high crude protein content based on laboratory results were also ranked as the top important species by the pastoralists. Similarly, herbaceous forage species with a high structural fiber were considered inferior. Pastoralists’ knowledge and laboratory results on the nutritive value of key herbaceous species complemented each other. The stocking density of livestock units was higher than the grazing capacity for the Borana rangelands. Stocking density for the Borana rangeland using rain-use efficiency was 1.43 ha/TLU. There was no significant difference in the grazing capacity across the different sites in the study area under the existing management. The majority of pastoralists believed that the rangelands in Borana have been degraded, as consequence of recurrent drought (83%), population pressure (65%), poor management and inappropriate government policy (38%). The majority of the respondents (94%) also asserted that the traditional coping mechanisms of Borana pastoralists have declined. There is therefore a need for designing appropriate pastoral land-use policies that fit the ecological potential of the region to ensure sustainable ecosystem functioning. We suggest a comprehensive and adaptive range management for the implementation of appropriate land-use systems for the different livestock species. There is need to adjust stocking rates based on seasonal availability of forage. This would foster economic feasibility and ecological sustainability of the Borana pastoral production system.
Thesis (PhD)--University of Pretoria, 2013.
gm2013
Plant Production and Soil Science
Unrestricted

The burden of ticks in semi-arid lands of Ethiopia is not as pronounced as in some more humid areas of the continent. Nevertheless, the increasing recourse to chemicals smuggled by illegal traders has led to serious problems, including poisoning of humans and animals, discontinuous and irrational treatment regimens, tick-resistance to acaricidal products, loss of traditional knowledge and weakening of social structures. In order to encourage a resumption of the long-established ethnoveterinary practices, a survey on plants locally used in tick control was undertaken, and plant species used in other parts of the continent for the same purpose were considered. On these bases, 28 plant species or varieties were collected in the study area: Acacia seyal var. seyal, Adenium somalense, Aloe calidophila, Aloe parvidens, Azadirachta indica, Boscia angustifolia, Calotropis procera, Calpurnia aurea, Cissus quadrangularis, Commiphora erythraea, Cordia africana, Croton macrostachys, Croton megalocarpus, Datura stramonium, Euphorbia candelabrum, Euphorbia tirucalli, Ficus sycomorus, Ficus thonningii, Lantana camara, Maerua triphylla, Ocimum suave, two varieties of Ricinus communis (one with green fruits and another with red ones), Solanum incanum, Solanum somalense, Sterculia rhynchocarpa, Tagetes minuta and Vernonia amygdalina. In general, leaves were collected and used. However, due to the scarcity of foliar material, the whole plant of T. minuta and O. suave, the whole stem of A. somalense and C. quadrangularis, the branches of E. candelabrum and E. tirucalli, the bark in the case of A. seyal, C. erythraea and S. rhynchocarpa, were examined. After drying and grinding, the plant material was extracted with hexane and acetone, and made up to different concentrations to test the relevant repellent and toxic properties on adult Rhipicephalus pulchellus unfed ticks. For every bioassay, four replications, each using ten ticks, were performed. For the repellency bioassays, ticks were placed on a rectangular polystyrene platform stuck in a plastic basin and surrounded by water, in order to prevent them from moving away. Two glass rods, each provided with filter paper at the top and at the base, were inserted at opposite edges of the platform. The two filter papers of one rod were impregnated with the testing solution (i.e. solvent plus extract) at different concentrations while those of the other rod were treated with the pertinent extractant (hexane or acetone). Because of their inherent tendency to climb, most of the ticks settled onto the rods (mainly at the top), and their distribution was different depending on the repellency capacity of the extracts. The relevant data were then converted into repellency indexes using the formula [(Nc - Nt)/(Nc + Nt)] x 100, where Nc refers to the number of ticks on the control rod and Nt to the number of ticks on the test rod (Lwande et al., 1999; Pascual-Villalobos and Robledo, 1998). For the toxicity bioassays, 1 ìl of the extract at different concentrations was placed onto each tick and the mortality or weakening ratio was recorded after 24 hours. Because of the intrinsic toxicity of hexane, only acetone extracts were used for these assays. Due to the efficacy in extracting volatile compounds, hexane extracts had, for 24 plant species, better repellent properties than acetone extracts. Moreover, at a concentration of 10%, four species had negative repellency indexes with hexane extracts and five with acetone ones. At such concentration, these extracts therefore seemed to attract the ticks rather than repel them. At a concentration of 10%, thirteen hexane and five acetone extracts had repellency indexes > 50. At a concentration of 5%, only five hexane extracts and no acetone ones exceeded this value. Finally, only one species had a repellency index > 50 with the hexane extract at a 1% concentration. The plants showing good repellency indexes with at least one of the two solvents were A. calidophila, C. quadrangularis, C. erythraea, C. macrostachys, C. megalocarpus, D. stramonium, L. camara, M. triphylla, O. suave, the two varieties of R. communis and T. minuta. Amomg them, from a practical point of view, it is suitable to concentrate on O. suave, T. minuta and, to a certain extent, A. calidophila. In fact, C. quadrangularis, C. erythraea, C. macrostachys, D. stramonium, M. triphylla and the two varieties of R. communis had good repellent properties using hexane extracts at 10%, but not at 5%. Because trees like C. erythraea, C. macrostachys, C. megalocarpus and M. triphylla are highly valuable in a very dry environment, an excessive exploitation can put them in danger. Since D. stramonium, L. camara and R. communis are toxic plants, their extracts can be a serious threat for both humans and animals. Furthermore, L. camara is one of the worst weeds in the world, making it very inappropriate for lands already subject to the problem of bush encroachment. For all these reasons, T. minuta and O. suave appear to be the most promising plants; moreover, they are very well known in Southern Ethiopia and occur widely all over the area. On the contrary, A. calidophila is limited to just some places and the cultivation of Aloe species needs special attention, so it is not very suitable for people with a nomadic lifestyle. Concerning the toxicity bioassays, C. aurea extracts yielded by far the best results. In fact, all the ticks used had severe movement impairment when put in contact with acetone extracts at the concentrations of 20% and 10%. At a 5% concentration, 85% of the ticks had the same symptoms. In a separate test, a 10% water extract had a similar effect on 30 ticks out of 40, demonstrating the ease of extraction and application of the active compounds. The plant is well known, mainly by the Borana pastoralists, and is resistant to drought. It is also well able to grow in overgrazed areas, and its cultivation does not require special skills. Some of the extracts of other species gave good or fair results in the toxicity bioassays but, apart from S. incanum, only at a very high concentration (20%). Further studies may include isolation and characterization of the active compounds from the best species, setting up of a suitable plan for livestock treatment, and organization of a production and distribution cycle of appropriate phytomedicines in the pertinent pastoral area.
Dissertation (MSc (Veterinary Science))--University of Pretoria, 2007.
Paraclinical Sciences
unrestricted

Kyoto University (京都大学)
0048
新制・課程博士
博士(地域研究)
甲第10992号
地博第9号
新制||地||3(附属図書館)
UT51-2004-G839
京都大学大学院アジア・アフリカ地域研究研究科アフリカ地域研究専攻
(主査)助教授 重田 眞義, 教授 島田 周平, 助教授 木村 大治
学位規則第4条第1項該当