Helminth Parasite Prevalence in the Endangered Ethiopian Wolf (Canis simensis) in Web Valley, Bale Mountains National Park, Ethiopia.

Ethiopian wolves (EWs), Canis simensis, are the rarest canids in the world and Africa's most endangered carnivore, found in only six isolated habitat fragments in the highlands of Ethiopia. Previous reports on the prevalence of parasites in the EW in Bale Mountains National Park (BMNP) are limited, with little information on their helminth fauna. This study seeks to understand the prevalence of helminth parasites in the EW in BMNP, Ethiopia. In this study, fecal samples were collected from 43 EWs in Web Valley (WV), BMNP, from June to October 2020, and the presence of helminth eggs was assessed using fecal sedimentation and centrifugal floatation methods with microscopy. Forty-two out of 43 fecal samples from wolves (98%) contained eggs from two taxonomic groups of helminths. Eggs from Capillaria spp. and Trichuris vulpis were found most frequently, followed by Toxocara canis, Diphyllobothrium spp., Toxascaris leonina, and Capillaria aerophila. One EW (2%) was recorded for harboring the cestode Moniezia expansa. About 9 of the 43 EWs (21%) presented monospecific infection: 9 EWs (21%) harbored 2 parasite species, 9 EWs (21%) hosted 3 parasite species, 11 EWs (26%) had infection involving 4 parasite species, 2 EWs (5%) were infected with 5 parasite species, 1 EW (2%) presented 6 parasite species, 1 EW (2%) harbored 7 parasite species, and 1 EW (2%) was diagnosed without parasite species. Concurrent helminth infection was highly associated with female EW. Megeti 3 was associated with a low level of concurrent helminth infection. The prevalence of helminth parasites found in wolves in the study area suggests that the environment is highly contaminated with intestinal parasites. Regular control of parasite transmission in EW, domestic dogs, and humans in and around BMNP, public education, and further parasite epidemiological studies must be conducted.

Perceived Childbirth Self-Efficacy and Its Associated Factors Among Pregnant Women in South-Central Ethiopia.

Background: Childbirth self-efficacy has been identified as a significant indicator of a positive childbirth experience. It is, however, the most neglected aspect of maternal care, and evidence in this regard was lacking in Ethiopia. Therefore, this study aimed to assess perceived childbirth self-efficacy and its associated factors among pregnant women in the Gurage zone, southern Ethiopia. Methods: The current study was conducted from April to May 2022 using a facility-based cross-sectional study design. We used a systematic sampling technique and selected a total of 423 women. To collect the data, we utilized an interviewer-administered questionnaire containing a childbirth self-efficacy inventory scale. Multiple linear regression analysis was employed to discover the factors influencing a woman's self-efficacy during childbirth. Results: The current study included 423 pregnant women in total. This study revealed that the overall mean score for perceived childbirth self-efficacy was 489.06 (SD = 65.77). Social support (ß = 0.214, P< 0.001), psychological well-being (ß = 0.254, P< 0.001), education status at the secondary level (ß = 0.151, P< 0.001), no fundal pressure (ß = 0.11, P = 0.010), and planned pregnancy (ß = 0.10, P =0.013) were positively associated with childbirth self-efficacy. Fear of childbirth (ß = 0.19, P< 0.001), Primipara women (ß = 0.14, P< 0.001), women who had experienced discomfort during vaginal examination (ß = 0.10, P = 0.009), and women who experienced the inability to push (ß = 0.10, P = 0.013) were negatively associated with childbirth self-efficacy. Conclusion: The overall mean score for the perceived childbirth self-efficacy was high when compared to the previous studies conducted in Australia. Healthcare professionals should create multifaceted strategies to support childbirth self-efficacy, such as relaxation techniques, prenatal psycho-education to reduce childbirth fear, enhance psychological well-being and encourage social support, particularly partner support during pregnancy and childbirth.

Genotype × environment interaction of lowland bread wheat varieties for irrigation in different areas of Oromia.

Ethiopia is the leading wheat producer in Sub-Saharan Africa, and the productivity has increased in the last few years. There is also a potential for irrigated wheat production in the lowlands, even though its cultivation is at infant stage. The experiment was conducted in the Oromia region at nine locations in 2021 with irrigation. The study aimed to select high yielding and stable bread wheat variety/ies for lowland areas. Twelve released bread wheat varieties were tested using randomized complete block design with two replications. Environment had the largest effect, 76.5% of total variability, while genotypes 5.0% and GE interaction 18.5% explained total sum of squares. The average grain yield of varieties across locations ranged from the lowest 1.40 t ha-1 at Girja to the highest 6.55 t ha-1 at Daro Labu, with a grand mean of 3.14 t ha-1. The result showed that varieties released for irrigated areas, Fentale 1, Ardi, and Fentale 2, were ranked the top three based on overall environment mean grain yield. The first and second principal component account 45.5% and 24.7% of the genotype by environment interaction (G × E), respectively, explained 70.2% of the total variation. Daro Lebu and Bedeno were the most productive environment, while Girja was the least productive of irrigated bread wheat for lowlands of the Oromia region. Genotype Selection Index (GSI) showed that varieties Fentale 2, Fentale 1, Pavon 76, and ETBW9578 are stable and high yielding. Based on AMMI and GGE biplot analysis, Girja indicated the most discriminating area and Sewena as representative environment for selecting wide adaptable irrigated lowland varieties. The results of the present study indicated that Fentale 2 and Fentale 1 showed better yield stability across all test environments, therefore, these bread wheat varieties are recommended for wide cultivation in irrigated areas of the Oromia region.

Early initiation of breast feeding and associated factors among mother-baby dyads with immediate skin-to-skin contact: cross-sectional study based on the 2016 Ethiopian Demographic and Health Survey data.

OBJECTIVE: The study aimed to assess the practice of early initiation of breast feeding (EIBF) and associated factors among mother-baby dyads who practiced immediate skin-to-skin contact in Ethiopia. DESIGN: Cross-sectional study. SETTING: The study was conducted nationally in nine regional states and two city administrations. PARTICIPANTS: In the study, 1420 mother-baby dyads with last-born children (children born in the 2 years preceding the survey, children <24 months old) and children put on the mother's bare skin. The data of the study participants were extracted from the Ethiopian Demographic and Health Survey 2016. OUTCOME MEASURES: The outcome measure of the study was the proportion of EIBF among mother-baby dyads and associations. RESULTS: EIBF among mothers and newborns with skin-to-skin contact was 88.8% (95% CI 87.2 to 90.4). EIBF among mother-baby dyads with immediate skin-to-skin contact was more likely among mothers from wealthy families (adjusted OR (AOR)=2.37, 95% CI 1.38 to 4.08), attended secondary and above education (AOR=1.67, 95% CI 1.12 to 2.57), living in Oromia (AOR=2.87, 95% CI 1.11 to 7.46), Harari (AOR=11.60, 95% CI 2.48 to 24.34) and Dire Dawa (AOR=2.93, 95% CI 1.04 to 8.23) regions, gave birth by non-caesarean section (AOR=3.34, 95% CI 1.33 to 8.39), gave birth at hospital (AOR=2.02, 95% CI 1.02 to 4.00), and health centre (AOR=2.19, 95% CI 1.21 to 3.98), and gave birth by midwifery assistance (AOR=1.62, 95% CI 1.06 to 2.49). CONCLUSION: Nine in ten mother-baby dyads with immediate skin-to-skin contact early initiate breast feeding. The EIBF was affected by educational status, wealth index, region, mode of delivery, place of delivery and delivery assisted by midwifery. Improving healthcare service, institutional delivery and the competency of maternal healthcare providers may aid the EIBF in Ethiopia.

Factors associated with infants' sunlight exposure among mothers attending the EPI unit of Wolkite University Specialized Hospital.

BACKGROUND: Infant sunlight exposure in their early infancy is essential for the cutaneous synthesis of vitamin D. Vitamin D deficiency is highly prevalent due to inadequate exposure to sunlight. In Ethiopia, one in thirteen children had rickets, which could be prevented by sunlight exposure or supplementation. This study aimed to identify the practice of infants' sunlight exposure and associated factors among mothers attending the Expanded program immunization unit of Wolkite University Specialized Hospital. METHOD: This study employed an institutional-based cross-sectional study design to collect data. Data were collected from 220 mothers using an interviewer-administered questionnaire. The study employed a systematic random sampling technique to reach the study participants. The collected data were entered into a computer using the software Epidata 3.1 version and exported to SPSS version 23 for statistical analysis. Descriptive and inferential analysis was conducted. Logistic regression analysis was done, and a statistical association was declared at a p-value < 5% and a 95% confidence interval(CI). Then the results were presented using a frequency table, figures, and description. RESULT: A total of 220 infant-coupled mothers who visited the Expanded program immunization unit were included in the study. According to the current study, 67.3% of mothers had good practice with infants' sunlight exposure. Mothers' practice of infant sunlight exposure was affected by age of mothers 30-34 years, [AOR = 3.10, 95%CI (1.13, 8.51)], and age ≥35 years, [AOR = 4.49, 95%CI (1.20, 16.86)], and living in urban, [AOR = 1.94, 95%CI (1.053, 3.57)]. CONCLUSION: The current study showed that two-thirds (67.3%) of mothers had good practice of sunlight exposure to their infants. Factors that affect mothers' practice of infants' sunlight exposure are age and place of residence. Health professionals should provide health education for mothers on the benefits of infants' sunlight exposure.

Determinants of Pelvic Floor Disorders among Women Visiting the Gynecology Outpatient Department in Wolkite University Specialized Center, Wolkite, Ethiopia.

Background: Pelvic floor disorders encompass a broad range of interrelated clinical conditions. Pelvic floor disorders are a common public health concern that affects the lives of millions of adult females. This disorder is expected to be more widespread and probably more severe among women in low-income countries. However, there is limited knowledge about pelvic floor disorders and their determinants among women in Ethiopia. Objective: The purpose of the study was to assess the determinants of pelvic floor disorders among women who visited the gynecology outpatient service at the Wolkite University Specialized Hospital, Wolkite, Ethiopia, in 2021. Methods: A cross-sectional hospital study was conducted on 275 randomly chosen women from June 1 to July 1, 2021. A systematic sampling technique was used when selecting the study subjects. The data were gathered using interviewer administered structured questionnaires. The data collected was entered in version 3.1 of EpiData, and version 23 of Statistical Package for Social Sciences was used for the analysis. The variables with a P-value <0.25 in the bivariate analysis were considered for a subsequently built multivariable model, and factors with P < 0.05 in the final model were statistically significant. The results were presented in an adjusted odds ratio with a 95% confidence interval. Result: The prevalence of pelvic floor disorder was reported to be 17.8% with 9.3% of the women experiencing urinary incontinence, 8.9% experiencing pelvic organ prolapse, and 5.9% experiencing anal incontinence. Two hundred thirty-two (85.9%) were currently married, while 110 (40.7%) were housewives. Statistically, a significant association was found between age at first pregnancy (AOR = 5.193; 95% CI = 1.905-14.157), many vaginal deliveries (AOR = 15.858; 95% CI = 5.305-47.400), history of episiotomy (AOR = 7.508 95% CI = 1.556-36.224), and menopause (AOR = 7.665; 95% CI = 2.440-24.078) when analyzed with a multivariate logistic regression model. Conclusion: In this study, age at first pregnancy, number of vaginal births, history of episiotomy, and menopause were independently associated with pelvic floor disorder. Therefore, educating women about the year of their first pregnancy, promoting family planning, and advice on the prevention of routine episiotomy by a health professional is recommended.

Magnitude and factors associated with iron supplementation among pregnant women in Southern and Eastern Regions of Ethiopia: Further Analysis of mini demographic and health survey 2019.

BACKGROUND: Anemia is a global public health problem that affects pregnant women. The most common cause of anemia is iron deficiency which is extremely common in developing countries. World health organization reported that 36.5% of pregnant women are anemic globally. In Ethiopia, 27.08% of women of the reproductive age group are anemic. Therefore, this study aimed to identify the magnitude and factors associated with iron supplementation during pregnancy in the southern and eastern regions of Ethiopia. METHODS: The data used in this analysis were extracted from Mini Demographic and Health Survey 2019. The survey was conducted in 9 regional states and two city administrations. The data used in the analysis were extracted from individual women datasets, and 1780 study participants were included in this study. The logistic regression analysis including bivariate and multivariable logistic regression at a 95% confidence interval and a p-value less than 0.05 was used. RESULT: The finding of the study shows that iron supplementation during pregnancy in Southern and Eastern parts of Ethiopia was 50.06%. Among those who received iron, only about 20% took it for 90 days and more during their pregnancy. Iron supplementation among the pregnant women was affected by secondary education [AOR = 2.20, 95%CI (1.325, 3.638)], residing in urban [AOR = 1.75, 95%CI (1.192, 2.574)], having media at home [AOR = 1.41, 95%CI (1.022, 1.946)], having antenatal care follow up [AOR = 9.27, 95%CI (4.727, 18.169)], having 4 and more ANC follow up [AOR = 2.01, 95%CI (1.468,2.760], having antenatal care follow up at government health institutions [AOR = 3.40, 95%CI (1.934, 5.982)], and giving birth at governmental health institutions [AOR = 1.70, 95%CI (1.236, 2.336)]. CONCLUSION: Only one in two pregnant women was supplemented with iron during their recent pregnancy. The supplementation was affected by women's education, place of residence, presence of media at home, antenatal care follow-up, the number of antenatal care follow up, antenatal care follows up at governmental health institutions, and giving birth at the governmental health institution. The availability and accessibility of maternal care services and their functionality in providing maternal care services improve the supplementation.

Determinants of Dietary Diversity Practice among Pregnant Women in the Gurage Zone, Southern Ethiopia, 2021: Community-Based Cross-Sectional Study.

Background: Dietary diversification is considered the proxy indicator of dietary quality and nutrient adequacy during pregnancy. Pregnant women have been considered susceptible to malnutrition because of their increased nutrient demands and thus consuming a variety of foods in their diet plays a lion's role in ensuring adequate nutrient intake. So understanding bottleneck factors associated with dietary diversity practice is very crucial to encouraging adequate dietary diversity practice. Therefore, this paper aimed to assess determinants of dietary diversity practice among pregnant women in the Gurage zone, Southwest Ethiopia. Methods: A community-based cross-sectional analytical study was conducted among 726 pregnant women, 13 key informants, and 27 focus group discussion discussants in the Gurage zone, southwest Ethiopia, from 1 September to 1 November 2021. A face-to-face interviewer-administered questionnaire was used to collect the data. According to the Minimum Dietary Diversity Score for Women (MDD-W) tool, women who consumed more than or equal to 5 of 10 food groups in the previous 24 hours had a diverse diet. Epi data version 3.1 was used for data entry, while SPSSversion 26 was used for analysis. To determine factors associated with dietary diversity, bivariate and multivariable logistic regression models were used to obtain crude odds ratio (COR), adjusted odds ratios (AOR), and 95 percent confidence intervals (CIs). Statistical significance was determined using adjusted odds ratios (AORs) with 95 percent confidence intervals (CIs) and p values less than 0.05. In narrative form, qualitative results were triangulated with quantitative data. Results: The overall prevalence of the adequate dietary diversity practice was found to be 42.1% with 95% CI (48.4-46.1%) and the mean dietary diversity score was 5.30 ± 1.49 standard deviation (SD). Multivariable analysis revealed that primary school level [AOR = 6.471 (2.905, 12.415)], secondary school level (9-12) [AOR = 7.169 (4.001, 12.846)], college and above level [AOR = 32.27 (15.044, 69.221)], women with higher empowerment [AOR = 3.497 (2.301, 5.315)], women with a favorable attitude toward dietary diversity [AOR = 1.665 (1.095, 2.529)], women from wealthier households [AOR = 2.025 (1.252, 3.278)], and having well-secured food status [AOR = 3.216 (1.003, 10.308)] were variables that influence dietary diversity practice. Three FGD and 13 key informant interviews were conducted, and the results of qualitative data generated three major themes. Conclusion: The overall prevalence of adequate dietary diversity practice was found to be low in this study when compared to studies conducted in Ethiopia. Maternal educations, mothers' attitudes toward dietary diversity, women empowerment, food security status, and wealth index level of the household were determinant factors that influence dietary diversity practice in this study. Therefore, programs aimed to improve pregnant women's dietary diversity practice should focus on improving the socioeconomic status and creating a congenial environment to promote women's empowerment.

Genome-wide association analysis of anthracnose resistance in sorghum [Sorghum bicolor (L.) Moench].

In warm-humid ago-ecologies of the world, sorghum [Sorghum bicolor (L.) Moench] production is severely affected by anthracnose disease caused by Colletotrichum sublineolum Henn. New sources of anthracnose resistance should be identified to introgress novel genes into susceptible varieties in resistance breeding programs. The objective of this study was to determine genome-wide association of Diversity Arrays Technology Sequencing (DArTseq) based single nucleotide polymorphisms (SNP) markers and anthracnose resistance genes in diverse sorghum populations for resistance breeding. Three hundred sixty-six sorghum populations were assessed for anthracnose resistance in three seasons in western Ethiopia using artificial inoculation. Data on anthracnose severity and the relative area under the disease progress curve were computed. Furthermore, the test populations were genotyped using SNP markers with DArTseq protocol. Population structure analysis and genome-wide association mapping were undertaken based on 11,643 SNPs with <10% missing data. The evaluated population was grouped into eight distinct genetic clusters. A total of eight significant (P < 0.001) marker-trait associations (MTAs) were detected, explaining 4.86-15.9% of the phenotypic variation for anthracnose resistance. Out of which the four markers were above the cutoff point. The significant MTAs in the assessed sorghum population are useful for marker-assisted selection (MAS) in anthracnose resistance breeding programs and for gene and quantitative trait loci (QTL) mapping.

Energy and nutrient intake of infants and young children in pastoralist communities of Ethiopia.

OBJECTIVE: Nutrient intake from complementary foods often is suboptimal in subsistent farming households of developing countries, but little is known about this in pastoralist communities. The aim of this study was to estimate the energy and nutrient intake of children ages 6 to 23 mo living in pastoralist communities of Ethiopia. METHOD: As part of the Ethiopian National Food Consumption Survey, 24-h dietary recall data were collected through in-home interviews from a nationally representative sample. In the present study, we report on the feeding characteristics, energy and nutrient intake of infants and young children (ages 6-23 mo) living in pastoralist communities (N = 896) of Ethiopia. Energy and nutrient intakes were estimated and compared with estimated needs from complementary foods. The nutrient density of the complementary diets was compared with desired densities. RESULTS: About one-third of the children were stunted. Diets were predominantly dairy and cereal-based. The dietary diversity score was low (2 ± 1.2). Consumption of nutrient-dense foods such as animal source foods (other than milk), vitamin A-rich fruits and vegetables was very low. Energy intake from complementary foods were inadequate. Multiple micronutrient deficiencies including thiamin, niacin, iron, zinc, and calcium and in some instances vitamins A and C were observed in young children. The number of micronutrients for which intake was found deficient increased with child's age. CONCLUSION: Energy and nutrient intakes from complementary foods are inadequate in pastoralist communities of Ethiopia. Interventions that improve knowledge and practice of complementary feeding are needed in this setting.

Survival status and factors associated with treatment outcome of severely malnourished children admitted to Ayder referral hospital: a cross-sectional study.

BACKGROUND: Severe acute malnutrition remains the major cause of morbidity and mortality for children under five years of age in developing countries. The prevalence of wasting, underweight and stunting has remained high in Ethiopia and even unacceptably higher in Tigray region. The objective of the study is to assess the survival status and treatment outcome of patients with severe acute malnutrition and to identify contributing factors for poor treatment outcome. METHODS: An institutional-based cross-sectional study was conducted on 195 patients, selected using systematic random sampling technique, from 24-Mar-2015 to 7-Jun-2015 in Ayder Referral Hospital. Logistic regression was carried out to identify factors associated with treatment outcome. Rates of mortality associated with the disease were determined using Kaplan-Meier survival analysis. A Log Rank, Breslow, and Tarone-Ware test were employed for the overall comparisons of the survival curves. Statistical significance was declared at p - value <0.05. RESULT: Out of 195 children admitted with SAM, the cure, death, defaulter, non-respondent and transferred-out rates were 22.1%, 3.6%, 43.6%, 9.2% and 21.5% respectively. Overall, 43.6% of the children were recovered from their disease. The mean length of stay of a 'recovered' child in the hospital was 21.56 ±1.27 days (95% CI: 19.04-24.09 days). Free from acute febrile illness (AOR = 4.20, 95% CI: 1.10-16.09, p < 0.036) and usage of deworming medications (AOR = 0.36, 95% CI: 0.14-0.93, p < 0.036) were significantly associated with positive and negative treatment outcomes respectively. Children with >70% of weight for height (WFH) and mid-upper arm circumference (MUAC) of >12 cm at admission had a better treatment outcome than children with WFH of ≤ 70% (p < 0.038) and MUAC of ≤ 12 cm (p < 0.090). Treatment using ready-to-used therapeutic food (RUTF) provided a longer all-cause mortality protection than the treatment using F-75 and F-100 (p < 0.010). CONCLUSION: The cure rate in this study was found to be sub-optimal. Absence of acute febrile illness and deworming medication use were factors contributing to good treatment outcome. A WFH of >70%, MUAC of ≥ 12 cm and treatment using RUTF provided a longer all-cause mortality protection.