Visceral Leishmaniasis is becoming a major public health problem both in terms of geographical spread and incidence in Ethiopia although failed to attract the attention it deserves. Magnitude,public health impact and dynamics of the disease in Ethiopia are not well studied. Hence,this study was conducted in Welkait district to determine public awareness about the disease. Wekait is a highly productive area having a conducive environment for the spread of the parasite. A cross sectional study was employed in purposively selected sub-districts in which house to house survey was carried out using a pre-tested semi-structured questionnaire. A total of 288 participants (264 household heads and 24 health professionals) were interviewed to assess their knowledge, attitude and practice towards visceral leishmaniasis. Overall score of the participants showed that 59%, 95% and 53% of them were knowledgeable have positive attitude and good practice on visceral leishmaniasis, respectively. Sex, educational status and history of travel profile showed significant association with the knowledge of participants. The study also revealed a gap in the knowledge and practices of health professionals about the disease. The present study highlighted an overall positive attitude regarding the disease. However, the gap in knowledge and poor practice calls for an intervention to improve the public awareness regarding visceral leishmaniasis in the study area.
Visceral leishmaniasis (VL) is major neglected public health problem in terms of geographical spread and incidence in Ethiopia. Magnitude, public health impact and dynamics of VL were not well studied in Welkait District, Western Tigray, though the area is known for VL. Hence, this study aimed to determine sero-prevalence of human VL and associated risk factors in Welkait as new foci. A cross sectional study design was employed in this study. Two stage stratified random sampling method was used to select study participants. Hence, a total of 329 human study participants were included for serological survey using ITleish and leishmanin skin tests. Semi structured questionnaire was also used to identify VL associated risk factors. Univariate and multivariate logistic regression statistical methods were used to determine the degree of association. The overall sero-prevalence of human VL in the study area was found to be 8.81%. Statistical significant difference in the prevalence of the disease was found among Sub-districts, sex, re-settlement, sleeping outdoor and dog ownership (P < 0.05). Participants who resettled from their original place were found 2 times (AOR = 2.143; 95% CI = 1.02, 14.20) more vulnerable to VL infection. Those who had an experience of sleeping outdoor were found almost 4 times (AOR = 4.29; 95% CI = 1.58, 11.69) more likely to be at risk of acquiring VL infection than those sleep indoor. Furthermore, individuals who owned dogs were 3 times more prone to the VL infection than their counterparts (AOR = 3.37; 95% CI = 1.29, 8.76). Alarming sero-positivity of human VL was recorded from new foci. Hence, it is recommended to improve the VL health services in the study area. The investigation also invites further study on VL dynamics in the study area.
The poultry industry is an infant but fast growing sector in Ethiopia. However, it is largely dependent on local chicken managed under backyard production system. The sector is facing different challenges, mainly emanated from prevalence of infectious diseases such as helminth parasite species. Hence, this study came up with an aim to determine the infection rate and identify helminth parasite species in chickens managed under different production systems, in Mekelle, Ethiopia. A cross-sectional study design was employed, from November 2015 to March 2016. Postmortem (N=138) and fecal (N=410) samples of chicken were considered for necropsy and coproscopic examination to see both adult and eggs of helminth parasites, respectively. Similar gastrointestinal helminth parasites infection rate of chicken was obtained from both examination approaches (necropsy, 90.60%; and coproscopy, 90.97%). The study attested high prevalence (87.7%) of mixed infection with helminth parasites of chicken. Heterakis gallinarum (72.5%) and Ascaridia galli (68.8%) were found as the most dominant species (necropsy). During coproscopic examination cestode (89%) infections showed a relatively higher prevalence than nematodes (84.4%), although no difference was observed during that of necropsy examination results. Chickens of local breed from backyard production system had shown more likelihood of getting helminth infection when compared with their corresponding relatives (coproscopy). However, the variation was not statistically significant during that of necropsy finding. Therefore, the higher prevalence of parasitism and mixed infection observed in the study area would warrant for an urgent intervention with regular deworming scheme, and strict attention should be given towards hygienic measures and other health related management activities.
Community awareness and assessing the trend of suspected rabies cases play a significant role in preventing its fatality. Therefore, a cross-sectional study design was employed (October 2016 -April 2017) to assess community knowledge, attitude and practice (KAP), and Incidence and risk factors to rabies (human and animal) in the study area. A semi-structured questionnaire was employed to collect required information from 1440 study participants. Retrospective data of five-year (2012-2016) from hospitals and health centers (human cases), and veterinary clinics (animal cases) was used. Majority of the study participants (64.3%) were rural residents, 95.2% have heard about rabies and 50.1% were found dog owners. Among the study participants, 72.2%, 66.0%, and 62.4% have a good level of knowledge, attitude, and practices about rabies, respectively. A strong association between knowledge, attitude and practice with sex; educational level; occupation, dog ownership and rural/urban dwellers (p<0.05) was recorded. Furthermore, a total dog bite cases of 398 domestic animals and 4617 humans were found registered on casebooks of both veterinary and human health service centers of the study districts during the five years study period among which the highest percentage (36.4%) was recorded from canines. The highest anti-rabies vaccine coverage recorded was 36.0% in the year 2016, and higher human dog bite cases recorded was 50.1% on individuals aged between 5-15 years (both male and female). Hence, the current findings suggest that there is a need for coordinated and integrated effort of government, professionals (medical and veterinarians), community and other stake holders towards rabies control and prevention.
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