Influence of Small-Scale Irrigation on Livelihoods of Rural Farm Households in the Case of Legehida District, Ethiopia.

Irrigation development, particularly small-scale irrigation, is one of the most important projects for improving agricultural productivity in a country's rural communities. The extent to which small-scale irrigation has improved household livelihoods in Ethiopia's rural areas is not widely recognized. As a result, research on the influence of small-scale irrigation on farmers' livelihoods in the Legehida district will be sought. The study took a "with" and "without" strategy, comparing farmers who used irrigation against those who did not. For analysis, both quantitative and qualitative data were employed. The survey's respondents were chosen using a random sample approach from both irrigation users and nonuser households. Quantitative data for the study were collected from randomly selected 241 farm households, of which 113 were users and 128 were nonusers, using a semistructured questionnaire. Accordingly, the propensity score matching model was employed to examine the impacts of small-scale irrigation on farmers' livelihoods. The logit model result indicates that cultivated land size, off-farm income, education level, family size, dependency ratio, total livestock unit, and distance to the nearest agricultural extension office/FTC are determinant factors in determining whether to practice irrigation when other factors remain constant. The impact of irrigation on a household's income and food security (in terms of daily calorie intake) was evaluated using a propensity score matching model. The result shows that a positive and significant impact on farmers who use small-scale irrigation has increased the daily calorie intake and annual income of households by 244.162 kilocalories and 5234.258 ETB, respectively, as compared to nonirrigation users. This shows that households that participate in small-scale irrigation activities have a higher annual income and food security status than comparable groups. In general, the study recommends that to reduce food insecurity and the socioeconomic problems of rural households, irrigation farming is one of the viable solutions; therefore, the government and nongovernmental organizations should extensively focus on the enhancement of small-scale irrigation infrastructure, policies, strategies, and extension services to increase productivity, income, and livelihood improvement in rural households.

Treatment delay among pulmonary tuberculosis patients in pastoralist communities in Bale Zone, Southeast Ethiopia.

BACKGROUND: Tuberculosis (TB) is a major public health problem in Africa with Ethiopia being the most affected. Treatment delay is an important indicator of access to TB diagnosis and treatment. However, little is known about factors associated with treatment delay of pulmonary TB among pastoralists. Health facility based cross sectional study was conducted on 129 pulmonary TB patients in pastoralist community. The study was conducted in three health centers and a hospital. Time between onset of TB symptoms and first visit to a professional health care provider (patient delay), and the time between first visits to the professional health care provider to the date of diagnosis (provider's delay) were analyzed using SPSS 16.0 statistical software. FINDINGS: A total of 129 new smear positive pulmonary TB patients participated in the study. The median total delay was 97 days. The median patient and health provider delays were 63 and 34 days, respectively. Ninety six percent of the patients were delayed for more than the twenty one days cutoff point. Patient delay was positively associated with first visit to traditional healer/private clinic/drug shop, rural residence, being illiterate, living in more than 10 kilometers from health facility; severity of illness at first presentation to health facility. Provider delay was positively associated with rural residence, being illiterate, patient with good functional status, patients in contact with more than two health providers, and place of first visit being traditional healer/private clinic/drug shop. CONCLUSIONS: This study showed that majority of smear positive patients delayed either for diagnosis or treatment, thus continue to serve as reservoirs of infection. This indicates that there is a need for intervention to decrease patient and provider delays. Effort to reduce delays in pastoralist communities should focus on improving access to services in rural communities, engaging traditional and private health providers and should target illiterate individuals.