As a very low-income country, Ethiopia faces significant development challenges, though there is great aspiration to dramatically improve health care in the country. Family medicine has recently been recognized through national policy as one potential contributor in addressing Ethiopia’s health care challenges. Family medicine is a new specialty in Ethiopia emerging in the context of family medicine development in Sub-Saharan Africa. The Addis Ababa University family medicine residency program started in 2013 and is the first and the only family medicine program in the country as of March 2016. Stakeholders on the ground feel that family medicine is off to a good start and have great enthusiasm and optimism for its success. While the Ministry of Health has a vision for the development of family medicine and a plan for rapid upscaling of family medicine across the country, significant challenges remain. Continuing discussion about the potential roles of family medicine specialists in Ethiopia and policy-level strategic planning to place family medicine at the core of primary health care delivery in the country is needed. In addition, the health care-tier system needs to be restructured to include the family medicine specialists along with appropriately equipped health care facilities for training and practice. Key stakeholders are optimistic that family medicine expansion can be successful in Ethiopia through a coordinated effort by the Ministry of Health and collaboration between institutions within the country, other Sub-Saharan African countries, and international partners supportive of establishing family medicine in Ethiopia.

High loadings of wastewater with phosphors (P) require purification measures, which can be challenging to realize in regions where the technical and financial frame does not allow sophisticated applications. Simple percolation devices employing various kinds of adsorbents might be an alternative. Here, we investigated the application of leftover coal, which was collected from Ethiopian coal mining areas, as an adsorbent for the removal of phosphate from aqueous solutions in a classical slurry batch set-up. The combined effects of operational parameters such as contact time, initial concentration, and solution pH on P retention efficiency was studied employing the Response Surface Methodology (RSM). The maximum phosphate adsorption (79% removal and 198 mg kg−1 leftover coal) was obtained at a contact time of 200 min, an initial phosphate concentration of 5 mg/L, and a solution pH of 2.3. The Freundlich isotherm was fitted to the experimental data. The pseudo second-order equation describes the experimental data well, with a correlation value of R2 = 0.99. The effect of temperature on the adsorption reveals that the process is exothermic. The results demonstrate that leftover coal material could potentially be applied for the removal of phosphate from aqueous media, but additional testing in a flow-through set-up using real wastewater is required to draw definite conclusions.

The contamination of surface and groundwater with phosphate originating from industrial and household wastewater remains a serious environmental issue in low-income countries. Herein, phosphate removal from aqueous solutions was studied using low-cost volcanic rocks such as pumice (VPum) and scoria (VSco), obtained from the Ethiopian Great Rift Valley. Batch adsorption experiments were conducted using phosphate solutions with concentrations of 0.5 to 25 mg·L−1 to examine the adsorption kinetic as well as equilibrium conditions. The experimental adsorption data were tested by employing various equilibrium adsorption models, and the Freundlich and Dubinin-Radushkevich (D-R) isotherms best depicted the observations. The maximum phosphate adsorption capacities of VPum and VSco were calculated and found to be 294 mg·kg−1 and 169 mg·kg−1, respectively. A pseudo-second-order kinetic model best described the experimental data with a coefficient of correlation of R2 > 0.99 for both VPum and VSco; however, VPum showed a slightly better selectivity for phosphate removal than VSco. The presence of competitive anions markedly reduced the removal efficiency of phosphate from the aqueous solution. The adsorptive removal of phosphate was affected by competitive anions in the order: HCO3− >F− > SO4−2 > NO3− > Cl− for VPum and HCO3− > F− > Cl− > SO4−2 > NO3− for VSco. The results indicate that the readily available volcanic rocks have a good adsorptive capacity for phosphate and shall be considered in future studies as test materials for phosphate removal from water in technical-scale experiments.