The impact of beekeeping on household income: evidence from north-western Ethiopia.

The existing literature acknowledges the benefits of beekeeping as a livelihood diversification strategy and income source for farmers across the world. However, the impact of beekeeping on income at household level has rarely been quantified. Furthermore, the few existing studies provide conflicting evidence and the methods quantifying the impact of participating in beekeeping are not rigorous. In this study, we identify key determinants of such participation and quantify the impact of beekeeping on household income. We use a cross-sectional data set collected from 392 randomly selected households in north-western Ethiopia, employing the endogenous switching regression model with estimated treatment effects. Unlike the methods used by previous studies, the approach adopted here enabled the control of observed and unobserved heterogeneities that affect not only the decision to participate in beekeeping, but also income differences among households. The results show that there are important differences between beekeepers and non-beekeepers in terms of their skills and resource endowments. After these differences were controlled for, beekeeping participation was found to increase income by 3,418 Ethiopian Birr (ETB) per person, namely a 51% increase. Furthermore, it was estimated that households not participating in beekeeping could have increased their income by ETB 442 per person (an 11% increase) had they become beekeepers. These findings indicate that income gains from beekeeping participation are 22-44 percentage points higher than benefits reported by previous studies. Capitalising on the existing beekeeping policy, targeted beekeeping extension to farmers could contribute to closing gaps in skills and resource endowments and, hence, minimising differences in income.

Bacterial contamination and antibiogram of isolates from health care workers' fomites at Felege Hiwot Referral Hospital, Northwest Ethiopia

Background: Health care workers' fomites are highly predisposed to bacterial contamination in the health care setting and are potential sources of hospital-acquired infections. However, there is scarcity of data on the status of bacterial contamination and antibiogram of isolates from HCWs' fomites in Ethiopia. This study determined the bacterial contamination and antibiogram of isolates from health care workers' fomites at Felege Hiwot Referral Hospital, Ethiopia. Methods: A cross-sectional study was conducted from February to April 2017 in different wards of the hospital. From 422 health care workers' fomites, surface samples were swabbed using a simple-rinse method. Data from participants were collected by face-to-face interviews using a structured questionnaire. Bacterial colonies were counted and species were identified using standard bacteriological techniques. Drug susceptibility testing was performed using a disk diffusion technique. Chi-square test was computed to ascertain the association between variables. Regression analysis was computed to identify the independent risk factors. Results: Overall, 243 (57.6%) fomites were contaminated with aerobic bacteria. Working in medical (AOR=5.2, 95% CI=1.85-14.8) and gynecology (AOR=3.1, 95% CI=1.5-6.43) wards and intensive care units (AOR=16, 95% CI=2.1-17.9), and poor laundering of HCWs' uniforms (AOR=1.3, 95% CI=1.34-3.72), were significantly associated with bacterial contamination. Staphylococcus aureus (19.2%) was the predominant pathogen, followed by Klebsiella pneumoniae (6.4%). The proportion of K. pneumoniae (P<0.001) and E. coli (P=0.014) was significantly highest in mobile phones and white coats, respectively. S. aureus isolates were resistant to penicillin (82.7%) and co-trimoxazole (53.1%). K. pneumoniae isolates were 100% resistant to ampicillin. E. coli isolates were 87.5% resistant to co-trimoxazole. Overall, 204 (88.3%) of the isolates were multidrug-resistant. The overall multidrug-resistant rates among S. aureus, K. pneumoniae and E. coli isolates were 88.9%, 92.6% and 100%, respectively. Conclusions: Bacterial contamination of health care workers' fomites is a major health care problem in the study area. Multidrug-resistant isolates are alarmingly high in pathogenic bacteria. Therefore, hospital HCWs need to implement proper handling of fomites to reduce contamination and the spread of drug-resistant pathogens

Magnitude of Cryptococcal Antigenemia among HIV Infected Patients at a Referral Hospital, Northwest Ethiopia.

BACKGROUND: Cryptococcosis is one of the common opportunistic fungal infections among HIV infected patients living in Sub-Saharan Africa, including Ethiopia. The magnitude of the disease at Felege Hiwot Referral Hospital (FHRH) in particular and in Ethiopia at large is not well explored. METHODS: A retrospective document review and analysis was done on records of 137 HIV infected patients who visited FHRH ART clinic from 1 Sep to 30 Dec 2016 and had registered data on their sex, age, CD4 count and cryptococcal antigen screening result. The cryptoccocal antigen (CrAg) detection was done by the IMMY CrAg® LFA (Cryptococcal Antigen Lateral Flow Assay) kit from patient serum as per the manufacturer's instruction. All data were entered, cleared, and analyzed using SPSS v20. Descriptive data analysis and cross tabulation were done to assess factors associated with cryptococcal antigenemia. Statistical significance was set at p-value less than or equal to 0.05. RESULTS: More than half of the participants, 54.7% (75/137), included in the study were females. The median age of the participants was 32.0 years (ranged: 8-52 years). The mean CD4 count was 51.8 with SD of 26.3 (range 3-98). All the patients were HIV stage IV. The proportion of positive cryptococal antigen from serum test was at 11.7% (95% CI: 7.3-18.1%). The IMMY CrAg® LFA result was found statically associated with patient sex (p= 0.045). However, it was not associated with patient age group and the CD4 count (P>0.05). CONCLUSIONS: This study provided baseline data on the magnitude of cryptococcal antigenemia among HIV positive patients that is not touched before in the studied area. The results of the study showed that this opportunistic fungal infection is an important health concern among HIV patients. Further studies with sound design employing adequate sample size should be considered.

A 5 year trend analysis of malaria prevalence with in the catchment areas of Felegehiwot referral Hospital, Bahir Dar city, northwest-Ethiopia: a retrospective study.

BACKGROUND: Malaria is one of the killer diseases in Ethiopia and it is still the first leading cause of death in health facilities. However, there is no information yet regarding the trends of malaria prevalence at health institution and particularly at Felegehiwot referral Hospital. Hence , knowing the trends of malaria prevalence at each health facilities is essential to design appropriate interventions. Therefore, the present study addressed the above gaps. RESULTS: Overall, 14,750 blood films were diagnosed for malaria. Of these, 740 (5%) were confirmed with microscope. Plasmodium falciparum and Plasmodium vivax accounted for 397 (53%) and 331 (45%), respectively. Age groups >20 year (p < 0.02) and males (p < 0.025) were significantly affected. CONCLUSIONS: In conclusion, P. falciparum was predominant as compared to P. vivax. Hence, it needs close monitoring and intervention measures for control activities.

Louse-borne relapsing fever profile at Felegehiwot referral hospital, Bahir Dar city, Ethiopia: a retrospective study.

BACKGROUND: Louse- borne relapsing fever is an acute febrile illness caused by Borrelia recurrentis and is transmitted by body lice, Pediculus humanus corporis. The disease has occurred as epidemic in different parts of the country.Therefore, the aim of this retrospective study was conducted to assess the LBRF profile for the last four years. METHODS: A retrospective study was conducted on patients with LBRF admitted from 2009-2012 at Felegehiwot referral hospital. The diagnosis was based on both clinical and laboratory methods. Patients with strong clinical suspicion of LBRF and positive for Borrelia species in their blood was diagnosed as LBRF cases. Data was collected from all patients with LBRF- like symptoms in their registration book. Data was checked for completeness, coded and analysed using SPSS version 16. P < 0.05 was considered significant for comparison. RESULTS: Of the 4559 patients admitted with LBRF- like symptoms, 4178 (91.6%) were males and 381 (8.4%) were females. Most of the patients (74.2%) were within age groups 11-20 years. The majority of patients (94.4%) were from urban residence. The overall prevalence of LBRF was 225 (4.9%) and the highest prevalence 171 (5.1%) was observed in age groups of 11-20 years. The association between seasonal variation and prevalence of LBRF showed that more patients with positive for Borrelia species were recorded in dry 27 (9.7%) than wet 198 (4.6%) seasons (P < 0.001). Finally, a trend in prevalence of LBRF for the last four years showed that the highest numbers of cases were documented in 2010. CONCLUSION: The overall prevalence of LBRF was high and the highest prevalence was observed in young age groups. Moreover, most of the patients with LBRF were from urban dwellers. Therefore, health education should be delivered towards LBRF prevention in the city.

Farmers' perceptions on trypanosomosis and trypanotolerance character of the taurine Sheko.

In the humid and subhumid tropics, trypanosomosis is an economically important zoonotic protozoan disease of the commonly kept farm animal species and their wild relatives. For example, more than 20% of the humid western and southwestern Ethiopia, which is home to more than 14 million heads of cattle, is under varying levels of trypanosomosis risk. Our study was, therefore, initiated to document farmers' perception on trypanosomosis and Sheko's trypanotolerance character. Our findings showed that trypanosomosis was the most frequently reported cattle disease in the Bench Maji Zone. Accordingly, 76.7% of the farmers reported the epidemiological importance of trypanosomosis, and they also noted that trypanosomosis on average accounted for 63.0% of annualized cattle death. The reported signs of trypanosomosis and trypanotolerance indicators were consistent with literature reports. Moreover, 66.7% of the farmers reported Sheko's trypanotolerance character. In the course of time, smallholder farmers have developed ethnoveterinary practices that are mainly used to prevent the landing of vector flies on the animal. Wet and warm seasons of the year, i.e., spring and, to some extent, the beginning of summer and autumn, were reported as peak periods of trypanosomosis risk. Therefore, this showed the need for incorporating farmers' knowledge in trypanosomosis control programs.

Trypanosomosis and phenotypic features of four indigenous cattle breeds in an Ethiopian field study.

We conducted a two-part study in the native home areas of four cattle breeds, Abigar, Gurage, Horro and Sheko, in south-western Ethiopia. The first part of the study investigated livestock keeper knowledge about trypanosomosis and trypanotolerance. For each breed 60 livestock keepers were interviewed, resulting in a total of 240 interviews. The second part of the study focused on biological evidence for trypanotolerance. Blood samples of about 100 head of cattle per breed were collected during peak trypanosomosis challenge period and analyzed for packed cell volume (PCV) and parasitaemia. In addition individual body measurements of the sampled animals were taken and the keepers provided some information regarding their animals. Livestock keeper interviews revealed that trypanosomosis was considered a major problem in all areas (95-100%). Almost all Abigar livestock keepers knew how trypanosomosis is transmitted, whereas only 34-52% of the keepers of the other breeds had that knowledge. Most Sheko keepers (75%) knew of trypanotolerance and claimed to have trypanotolerant animals in their own herds. Among the other three breeds the knowledge of trypanotolerance was much less (8-18%). A majority of the keepers were interested in purchasing trypanotolerant animals. PCV was highest among Horro (26.2) and Sheko (25.1) cattle whereas Abigar had the lowest PCV (20.0). Sheko were least infected by trypanosomes (6%) and had the lowest number of trypanocidal treatments per year (1 treatment/animal and year). Abigar cattle were most infected (23%) followed by Gurage (20%) and Horro (17%). Gurage had by far the highest number of treatments per animal and year (24). There were large differences between the number of cattle perceived by the keepers to be infected, and the number detected from blood sampled, among Abigar, Gurage and Horro. Sheko livestock keepers were better at correctly diagnosing trypanosomosis in their animals. It is concluded that Sheko cattle have higher trypanotolerance attributes of the breeds investigated and a better use of this breed could improve cattle health and household welfare in tsetse-infested areas.

Breed and trait preferences of Sheko cattle keepers in southwestern Ethiopia.

Like their smallholder subsistence counterparts in developing countries, breed and trait preferences of Sheko cattle keepers have broad perspectives. Our study has documented breed and trait preferences of Sheko cattle keepers in southwestern Ethiopia--the natural breeding tract of Sheko cattle. Our results showed that due to their multifunctionality, cattle are the most preferred livestock species. Overall, farmers showed slightly more preference to local Zebus over Sheko breed. This is due to voracious feeding behavior of Sheko cattle, which make them less preferable in the face of worsening feed shortage, and due to aggressive temperament of Sheko cattle. This is despite Sheko's outperforming potential over local Zebus in their milk production, draft power, and hardiness. At trait level, overall milk production was consistently reported as the most preferred trait followed by fertility and traction. This trait preference rank has matched with the reported frequency count ranks for Sheko cattle use. However, breed preference rank has not matched with reported trait preference ranks because Sheko excels local Zebus in all the three most preferred traits, but it was ranked second. Therefore, to minimize these conflicting interests, breed management plans for Sheko cattle should target on strategies that help to solve feed shortage problem and to improve feeding practices, and on selection of less aggressive Sheko cattle. Therefore, these strategies should be considered in line with Sheko cattle conservation and genetic improvement programs.

Livestock keeper perceptions of four indigenous cattle breeds in tsetse infested areas of Ethiopia.

Four cattle breeds indigenous to western and south-western Ethiopia--Abigar, Gurage, Horro and Sheko--were included in a study of the perceptions of smallholder cattle keepers regarding cattle management, production levels and constraints for production. A semi-structured questionnaire was used and 60 cattle keepers from each of the four areas were interviewed. Diseases were reported as the main constraint to cattle production by a majority of livestock keepers in all areas except in the Sheko area, where over-stocking was the main constraint. Among diseases, trypanosomosis was the main livestock disease according to more than half of Gurage, Horro and Sheko keepers, whereas anthrax was most important in the Abigar area. Gurage had highest age at first calving, longest calving interval and also the lowest milk production, whereas Sheko and Abigar had the most favorable characteristics both for milk production (600-700 kg) and fertility (age at first mating 3-3.5 years and above 8 calves/cow). Cattle keepers in the Sheko area reported relatively less problems with cattle diseases compared to the other areas, especially regarding trypanosomosis. Abigar showed a different disease pattern than the other breeds and may also have advantages as regards trypanotolerance.