Economic, environmental and social indicators of sustainability among smallholders in Ethiopia: Based on tool for agroecological performance evaluation data.

This data article is a result of research conducted by a multidisciplinary team of researchers with the aim of analyzing agroecological transition and performance of agroecology in Ethiopia. It was conducted in four districts of Oromia and Southern Nations, Nationalities and People's (SNNP) regional states - Fedis district (East Hararghe Zone) and Miesso district (West Hararghe Zone) from the Oromia region, and Kindo Koysha district (Wolaita Zone) and Meskan district (Gurage Zone) of SNNP region. The rationale behind generating this dataset lies on the fact that there is scanty empirical evidence on the multidimensional performance of agroecology in the country. Available evidence only provides data on limited indicators of sustainability. Hence, there is a lack of comprehensive data on the economic, environmental and social indicators of sustainability and agroecological transition in the context of smallholder farming systems in the country. To fill this gap, the Food and Agriculture Organization of the United Nations (FAO) commissioned a consultancy project that employed the Tool for Agroecological Performance Evaluation (TAPE) to assess several dimensions and indicators of agroecological transitions and generate globally comparable data. A random sample of 619 farms were selected from 12 Kebeles (i.e., the lowest administrative unit), and trained enumerators gathered primary data based on a modified TAPE questionnaire using Kobo Toolbox. Participation of smallholders was on a voluntary basis and informed consent was obtained from the respondents. The survey questionnaire contained information on basic socio-economic and demographic characteristics, access to services and infrastructure, livelihood and Income-Generating Activities (IGAs), social and ecological indicators. Data on the 10 elements of agroecology was also collected. The collected data were entered into a STATA software, cleaned and analyzed through descriptive and inferential statistics. The outputs were summarized in Tables, Charts and Graphs. Since the data contained in this data article are disaggregated by study district, categories of agroecological transition, production typology and land size groups, this can foster the promotion of specific projects and programs that can address expressed needs of smallholder farmers. It can also facilitate agro-ecological based implementation of development interventions to encourage agroecological transition, sustainable development and food systems. The dataset can also enable researchers, practitioners and other decision-makers to make comparative analysis on the economic, environmental and social dimensions of sustainability. The analyzed data is provided in this data article. The raw data used to prepare figures is provided as a supplementary material. A copy of the questionnaire, raw dataset, and description of variables are available online on Mendeley Data.

Status of youth access to and participation in development interventions: Data from agro-pastoral areas of east and west hararghe zones, Oromia Regional State, Ethiopia.

The rationale behind generating this dataset lies on the fact that there are limited data on the status of agro-pastoral youth participation in programs, projects and development interventions by the public sector, NGOs and other stakeholders. Moreover, the relationship between youth participation in interventions and changes in their livelihoods has not been properly investigated, documented and shared. Traditionally, field-based research has focused on household heads and excluded male and female youth in many contexts. The unavailability of such data severely limited the capability of various actors to make evidence-based and informed decision. It also hampered the design and implementation of youth-focused development interventions. To this end, a survey was conducted among agro-pastoral youth residing in four Woredas of East and West Hararghe Zones of Oromia Regional State, Ethiopia. A total of 398 male and female youth were randomly selected and interviewed using 12 enumerators and 5 supervisors. Participation was on a voluntary basis and informed consent was obtained from the respondents. The survey questionnaire contained information on basic socio-economic and demographic features, access to services and infrastructures, youth livelihood and income-generating activities (IGAs), and youth participation in programs, projects and development interventions, among others. The collected data were entered into a STATA software, cleaned and analysed through descriptive and inferential statistics. The outputs of the analyses were summarized in Tables, Charts and Graphs. Since the youth represent the majority of the working force in Ethiopia, they deserve a special attention. If handled properly, they can be a force for positive change. Therefore, such dataset is needed to help local level planning, implementation, monitoring and evaluation of youth livelihood transformation projects and programs. Since the data contained in this article are disaggregated by gender, Woreda and Zone, this can foster the promotion of specific projects and programs that can address expressed needs of male and female youth in agro-pastoral areas. It can also facilitate agro-ecological based implementation of development interventions. The dataset can also enable researchers, practitioners and other decision-makers to make comparative analysis on agro-pastoral youth employment, engagement in on-farm and non-/off-farm IGAs, determinants of youth participation in development programs and interventions, and impact of youth participation on livelihood transformation. The summarized dataset is provided in this article. A copy of the questionnaire is provided as a supplementary material.

Prevalence of pregnancy-related complications and associated factors among reproductive-aged women in northwest Ethiopia: A community-based retrospective cross-sectional study.

OBJECTIVE: To determine the Prevalence and factors associated with pregnancy-related complications among reproductive-aged women in northwest Ethiopia. METHODS: A community-based retrospective cross-sectional study was conducted among 2367 mothers who delivered from November 2018 to April 2019. Two-stage stratified random sampling technique was employed in clustered villages from three districts out of 10. Pretested and semi-structured interviewer-administered questionnaire was used to collect information on pregnancy-related complications. A binary logistic regression model was fitted to identify the associated factors. RESULTS: Overall, 2335 (98.6%) women participated in the study. Mean age of respondents was 15.4 (SD ±3.2) years and 1763 (75.5%) of the women were below 18 years of age. The number of pregnancy-related complications was 372 (15.9%). Severe headache and high fever were the most frequently reported complications. Having a history of known health problem (adjusted odds ratio [aOR] 10.0, 95% confidence interval [CI] 7.10-14.10), history of hypertension (aOR 3.90, 95% CI 1.10-14.20), heart problems (aOR 1.90, 95% CI 1.10-3.30), and living in urban areas (aOR 1.40, 95% CI 1.10-1.81) were the factors associated with pregnancy-related complications. CONCLUSION: The number of pregnancy-related complications was high. Having a history of a known health problem, having a hypertension problem, having a heart problem, and being an urban resident were contributing factors.

Prevalence and risk factors for initiating tobacco and alcohol consumption in adolescents living in urban and rural Ethiopia.

OBJECTIVES: African countries are potential high growth markets for the alcohol and tobacco industries. This study aimed to identify exposures that are associated with initiating use of alcohol and tobacco products in young people living in Ethiopia. As televised football and Internet viewing are media through which products can be promoted to this population efficiently, these risk factors were of particular interest. STUDY DESIGN: This is a cross-sectional study. METHODS: Data were collected using a self-administered questionnaire of 3967 children aged 13-19 years in 20 high schools in urban and rural Ethiopia on consumption and risk factors for alcohol and tobacco use in 2016, as well as exposure to potential sources of advertising. RESULTS: Eight percent of respondents reported having ever smoked and 3% were current smokers. Twenty-nine percent reported ever having used alcohol, and 14% were current users. Risk factors for ever smoking included father smoking (odds ratio [OR] 1.95; 95% confidence interval [CI]: 1.21 to 3.15), mother smoking (OR 3.90; 95% CI: 1.63 to 9.33), best friend smoking (OR 5.86; 95% CI: 4.31 to 7.96) and home Internet access (OR 1.75; 95% CI: 1.35 to 2.27). There was a very strong positive association between ever having smoked cigarettes and ever having tried alcohol (P < 0.001). Risk factors for currently drinking alcohol included father drinking (OR 1.45; 95% CI: 1.05 to 2.01), mother drinking (OR 2.00; 95% CI: 1.44 to 2.77), home Internet access (OR 1.53; 95% CI: 1.24 to 1.90) and regular watching of televised football (OR 2.44 compared to those who do not; 95% CI: 1.58 to 3.78). CONCLUSIONS: As in rich countries, tobacco and alcohol use among Ethiopian teenagers increases among those exposed to family and peer use but are also more common among those accessing the Internet and, for alcohol, those watching televised football. The effect of watching televised football on alcohol use, at least, is likely to be due to exposure to advertising.

Bioreaction Engineering Leading to Efficient Synthesis of L-Glyceraldehyd-3-Phosphate.

Enantiopure L-glyceraldehyde-3-phosphate (L-GAP) is a useful building block in natural biological and synthetic processes. A biocatalytic process using glycerol kinase from Cellulomonas sp. (EC 2.7.1.30) catalyzed phosphorylation of L-glyceraldehyde (L-GA) by ATP is used for the synthesis of L-GAP. L-GAP has a half-life of 6.86 h under reaction conditions. The activity of this enzyme depends on the Mg2+ to ATP molar ratio showing maximum activity at the optimum molar ratio of 0.7. A kinetic model is developed and validated showing a 2D correlation of 99.9% between experimental and numerical data matrices. The enzyme exhibits inhibition by ADP, AMP, methylglyoxal and Ca2+ , but not by L-GAP and inorganic orthophosphate. Moreover, equal amount of Ca2+ exerts a different degree of inhibition relative to the activity without the addition of Ca2+ depending on the Mg2+ to ATP molar ratio. If the Mg2+ to ATP molar ratio is set to be at the optimum value or less, inorganic hexametaphosphate (PPi6) suppresses the enzyme activity; otherwise PPi6 enhances the enzyme activity. Based on reaction engineering parameters such as conversion, selectivity and specific productivity, evaluation of different reactor types reveals that batchwise operation via stirred-tank reactor is the most efficient process for the synthesis of L-GAP.

Demographic and mortality analysis of hospitalized children at a referral hospital in Addis Ababa, Ethiopia.

BACKGROUND: Global childhood mortality rates remain high. Millennium Development Goal 4 focused efforts on reducing rates by two-thirds between 1990 and 2015. In Ethiopia, child mortality rates dropped 71 % from 1990 to 2015, however it is estimated that 184,000 Ethiopian children die each year. There is limited information about pediatric hospital admissions in Ethiopia. Our aims were to examine the temporal relationship of mortality to admission, describe the demographics, and identify cause mortality of children admitted to the Zewditu Memorial Hospital (ZMH). METHODS: A four-year retrospective review of pediatric admissions was conducted at the pediatric emergency room and pediatric hospital ward at ZMH in Addis Ababa, Ethiopia. Admission entries from 2011-2014 of children age 29 days-14 years were reviewed. Age, gender, admission date, disease classification, discharge status and date were obtained. Patient gender was compared using Chi-square analysis. A descriptive analysis was used for age and cause mortality. RESULTS: A total of 6866 patient entries were reviewed. The proportion of admissions younger than age 5 was 0.747 (95 % CI 0.736-0.757). Overall mortality was 0.042 (95 % CI, 0.037-0.047). The proportion of recorded deaths occurring within 2 days of admission was 0.437 (95 % CI 0.380-0.494). The proportion of male admissions was significantly higher than female admissions in all age groups (male 0.575, p < 0.0001, 95 % CI 0.562-0.586). The main causes of mortality were pneumonia (0.253, 95 % CI, 0.203-0.303), severe acute malnutrition (0.222, 95 % CI 0.174-0.27), HIV/AIDS-related complications (0.056, 95 % CI 0.029-0.083), spina bifida (0.049, 95 % CI 0.024-0.074), and hydrocephalus (0.045, 95 % CI 0.021-0.069). CONCLUSIONS: Our study revealed a lower mortality rate than previously reported in Ethiopia. Despite this, 44 % of pediatric hospital mortality occurred early during hospitalization, higher than reported at other Ethiopian hospitals. This adds further evidence that systematic efforts should be dedicated to improve pediatric emergency care. Admissions included 58 % male patients, similar to other reports in Ethiopia implying that this may be a nation-wide phenomenon. The observed disparity may be due to societal factors regarding care-seeking behaviors or male predilection for respiratory illness warranting further investigation. Cause mortality patterns were similar to reports in analogous settings.

The burden of road traffic injuries in an emergency department in Addis Ababa, Ethiopia.

SETTING: The emergency department (ED) of Zewditu Memorial Hospital, Addis Ababa, Ethiopia. OBJECTIVE: To document the proportion, trend, characteristics and outcomes of road traffic injury (RTI) related ED admissions (⩾15 years) between 2014 and 2015. DESIGN: A retrospective, cross-sectional study using routinely collected ED data. RESULTS: Of 10 007 ED admissions, 779 (8%) were RTI cases; this proportion peaked in the month of January (11%). Medical records were available for 522 (67%) of these RTI cases. The median age was 28 years and 69% were males. The majority were pedestrians (69%) injured by an automobile (78%). On triage, 32% were classified as needing urgent/immediate intervention. Head injuries (20%) were the second most common injury after lower limb injuries (36%). ED outcomes were as follows: discharged (68%), hospitalised (17%), referred (17%) and died (1%). Among the 78 hospitalised cases, respectively 62% and 16% were admitted to the surgical and orthopaedic departments. Of 146 RTI cases with head injuries, 25% were hospitalised, of whom 82% were admitted to the surgical department. CONCLUSION: Our findings can guide policy makers in referral hospitals in improving the planning of hospital resources and the prioritisation of public health needs linked to further urban development. A comprehensive plan to prevent RTIs, particularly among pedestrians in Addis Ababa, is urgently needed.

Contexte : Le service des urgences de l'hôpital Zewditu Memorial, Addis-Abeba, Ethiopie.Objectif : Documenter la proportion, la tendance, les caractéristiques et le devenir des patients (âgés ⩾15 ans) admis pour des blessures de la route (RTI) entre 2014 et 2015.Schéma : Une étude rétrospective transversale basée sur des données recueillies en routine par le service des urgences.Résultats : Sur 10 007 admissions aux urgences, 779 (8%) étaient des cas de RTI; cette proportion culminait au mois de janvier (11%). Les dossiers médicaux ont été disponibles pour 522 (67%) de ces cas de RTI. Leur âge médian était de 28 ans et 69% étaient des hommes. La majorité était des piétons (69%) blessés par une automobile (78%). Lors du triage, 32% ont été classés comme ayant besoin d'une intervention urgente/immédiate. Les traumatismes crâniens (20%) étaient au deuxième rang, suivant les blessures des membres inférieurs (36%). Le devenir des patients a été le suivant : sortie (68%), hospitalisation (17%), référence (17%) et décès (1%). Parmi les 78 cas hospitalisés, respectivement 62% et 16% ont été admis dans les services de chirurgie et d'orthopédie. Sur les 146 cas de RTI ayant eu un traumatisme crânien, 25% ont été hospitalisés, dont 82% ont été admis en service de chirurgie.Conclusion : Nos résultats peuvent guider les décideurs des hôpitaux de référence dans l'amélioration de la répartition des ressources et le choix de priorités en matière de besoins de santé publique liés au développement urbain ultérieur. Il y a un besoin urgent d'un plan complet de prévention des RTI, particulièrement parmi les piétons à Addis-Abeba.

Marco de referencia: El servicio de urgencias del Zewditu Memorial Hospital de Adís Abeba, en Etiopía.Objetivo: Verificar la proporción de los pacientes (⩾15 años de edad) que ingresaron al servicio de urgencias (ED) por traumatismos causados por el tránsito (RTI) y analizar las tendencias, las características y los desenlaces de estos casos del 2014 al 2015.Método: Fue este un estudio transversal realizado a partir de los datos corrientes recogidos retrospectivamente en el ED.Resultados: De los 10 007 ingresos al ED, 779 correspondieron a casos de RTI (8%); esta proporción fue más alta durante el mes de enero (11%). De estos casos, se pudo recuperar la historia clínica de 522 pacientes (67%). La mediana de la edad fue 28 años y el 69% de los pacientes era de sexo masculino. La mayoría de los pacientes eran peatones (69%) y la causa del accidente había sido un automóvil (78%). Tras la clasificación de los pacientes al ingreso, se consideró que el 32% precisaba una intervención urgente o inmediata. El traumatismo craneoencefálico fue la segunda lesión más frecuente (20%) después de las lesiones de los miembros inferiores (36%). Los desenlaces clínicos del ED fueron como sigue: alta (68%), hospitalización (17%), remisión (17%) y muerte (1%). De los 78 pacientes hospitalizados, el 62% ingresó al servicio de cirugía y el 16% al servicio de ortopedia. De los 146 casos de RTI con trauma craneoencefálico, 25% de los pacientes se hospitalizaron, de los cuales el 82% en el servicio de cirugía.Conclusión: Estos resultados pueden orientar a las instancias normativas de los hospitales de referencia a mejorar la planificación de los recursos hospitalarios y a priorizar las necesidades de salud pública en relación con el futuro desarrollo urbano. En Adís Abeba se precisa con urgencia un plan de prevención de los RTI a los peatones.