Effect of climate change on reservoir water balance and irrigation water demand: a case of Gidabo irrigation project, Rift Valley Basin, Ethiopia.

The consequences of climate change on agriculture water demand are among the current and prospective challenges. The amount of water needed by crops is significantly affected by the regional climate. The influence of climate change on irrigation water demand and reservoir water balance components were examined. The results of seven regional climate models were compared, and the top-performing model was chosen for the study area. After model calibration and validation, the HEC-HMS model was used to forecast future water availability in the reservoir. The results show that under the RCP 4.5 and RCP 8.5 emission scenarios, the reservoir's water availability in the 2050s will decline by approximately 7% and 9%, respectively. The CROPWAT results showed that the required irrigation water might rise by 26 to 39% in the future. However, the water supply for irrigation may be drastically reduced due to the drop in reservoir water storage. As a result, the irrigation command area could drop up to 21% (2878.4 ha) to 33% (4502 ha) in future climatic conditions. Therefore, we recommend alternative watershed management techniques and climate change adaptation measures to endure upcoming water shortages in the area.

'We identify, discuss, act and promise to prevent similar deaths': a qualitative study of Ethiopia's Maternal Death Surveillance and Response system.

INTRODUCTION: Ethiopia introduced national Maternal Death Surveillance and Response (MDSR) in 2013 and is among the first sub-Saharan African countries to capture data on facility-based and community-based maternal deaths. We interviewed frontline MDSR implementers about their experiences of the first 2 years of MDSR, including perceptions of its introduction and outcomes for health services. METHODS: We conducted a qualitative case study in 4 zones in the largest regions, interviewing 69 key informants from regional, zonal, district and facility levels. RESULTS: A defining feature of Ethiopia's MDSR system is its integration within existing disease surveillance, with both benefits and challenges. Facilitators of the system's introduction were strong political support, alignment with broader health strategies and strong links across health system departments. Barriers included confusion around new responsibilities, high staff turnover and fear of legal repercussions. Stakeholders believed MDSR increased confidence in using local data to improve maternal health services and enhanced communication across the health system. CONCLUSIONS: MDSR systems take time to establish, encountering challenges in early implementation. Ensuring MDSR has a clear purpose, explicitly defined roles and responsibilities, and adequate supervisory support from the start will ensure it becomes embedded within the health system as routine practice rather than perceived as a stand-alone system. Countries planning to adopt or extend MDSR can learn from Ethiopia's experience, particularly the decision to make maternal mortality a weekly reportable condition within Public Health Emergency Management.