BackgroundMalaria poses a significant public health threat globally, across Africa and in Ethiopia. The use of long-lasting insecticidal nets (LLINs) is currently a proven prevention mechanism. Evidence is building on what happens to LLINs following mass distribution campaigns, with mixed results from different studies, some reporting very low use for intended purposes, others an encouraging level of using for intended purposes. In Ethiopia, between 2005 and 2015, about 64 million LLINs were distributed through periodic mass campaigns with the aims to achieve 100% coverage and 80% utilization. However, studies from rural Ethiopia showed variable LLINs coverage and utilization rate. The MalTrial Project, a collaborative venture between Hawassa University, Ethiopia and NROAID, Norway, has started a trial project in 2014 in Adami Tullu District of central Ethiopia. Quantitative surveys have established evidence on LLINs ownership and utilization, but the behavioural, sociocultural and socioeconomic dynamics of why LLINs’ use for intended purposes is low or why they are employed for other purposes remained elusive. The present qualitative study, building on the quantitative findings and framework, therefore, attempted to fill gaps in these areas using qualitative methods in selected localities of the district.MethodsThe study employed 7 focus groups, 16 individual interviews and observation to undertake data collection in January 2017. The data were analysed using NVivo Version 11 (QSR International) to transcribe, code and identify themes using thematic analysis approach.ResultsThe study found out that certain households were more likely to use nets for intended needs in proper ways; a range of factors, notably socio-cultural and poverty, highly influence users’ ideas about the right ways and decisions to use and care for the nets; knowledge gaps and wrong perception exist regarding the purposes and life cycle of the nets; LLINs are employed for repurposed uses once they are considered non-viable, old, or lose their physical integrity; existence of misuse was acknowledged and understood as wrong; and values about gender roles further shape uses, misuses and repurposed use of the nets.ConclusionsBehavioural, socio-cultural, economic and ecological conditions coupled with deficiencies in perceived bed net design and distribution policies; weak education, communication and social support structures were important in understanding and accounting for why a low level of intended use and a rampant misuse and repurposed use in Adami Tullu community of Ethiopia. A major nexus to address in order to improve intended use of LLINs lies, first and foremost, in economic poverty and socio-cultural factors that underlie much of the misuse and repurposed use of the nets.
There is an inextricable link between biological and cultural diversity, captured in the concept of biocultural diversity, whereby the former (genes, species, and habitats) co-adapt with the latter (knowledge, values, beliefs, practices and institutions). Sacred natural sites are increasingly considered showcases for the conservation of biocultural diversity, because their strong cultural importance derives from, and requires maintenance of, biodiversity. The research described in this paper is concerned with the conservation of the threatened "yellowwood" tree (Afrocarpus falcatus) in sacred natural sites of Sidama, southwest Ethiopia. Mixed methods were used to document types of sacred forests sites and the extent and distribution and dominance of A. falcatus in these, to identify drivers of endangerment of A. falcatus and other native woody species in Sidama, Ethiopia and to understand local explanations for the importance and maintenance of these sites. The results suggest that species such as A. falcatus owe their continued existence to resilience of ancestral tree-based rituals within informal protection areas and at homesteads and communal areas. Thus, the maintenance of an ancestral value
This paper investigated the indigenous environmental knowledge (IEK) of Borana pastoralists in Dhas district of Borana zone in Southern Ethiopia. To select participants for key informant interview and focus group discussion (FGD), snowball sampling was used to pinpoint people who have IEK of Borana pastoralists. Results show that the customary practices of Borana pastoralists that linked to multi-dimensional natural resources management (NRM) include the taxonomy of pastureland and water resources instituted on the season of utility and gazing dimensions, range scouts, herd splitting, cattle mobility, herd diversification, and bush burning. However, currently owing to various factors the IEKs of Borana pastoralists have been facing threatening challenges that question their existence. The study incorporated the capitalization on the customary institutions that advance the IEK and cattle productivity finally improving the livelihoods of the Borana pastoralists. This research intends to help various stakeholders, predominantly pastoralist development office, ecologists and other development partners in a bid to develop Borana pastoralists, to boost their sustainability, and to promote sustainable NRM.
Background: Coordinating outbreak investigations requires effective interagency communication.Important tasks include making the initial notifications, establishing roles and responsibilities for each jurisdiction, providing updates on the progress of the investigations, revising priorities for the investigation, and establishing the next steps. The major goal of surveillance activities is to identify and eliminate preventable causes of morbidity and mortality. Outbreak response basically entails preparedness which helps to establish arrangements in advance to enable timely, effective and appropriate responses to specific potential hazardous events or emerging disaster situations that might threaten society/environment Objective: To review lessons learned from the October 2018 Wolayta Zone yellow fever outbreak management in SNNPR, Ethiopia.Methods: Qualitative research approach, with Thematic Analysis. Purposive sampling method was used. Data were collected through FGDs, in-depth interviews, observation and document reviews Results : Among the main findings of the review is the weakness of the surveillance to detect case; the surveillance system was not that much effective for early detection of viral hemorrhagic fevers and there was knowledge gap to detect in the existing. The Review found out further that preparedness plan was weak, failing to consider the outbreak for VRAM. However, it is worth-noting that the Review showed that despite late detection, a rapid response team was set up and was able to save the lives of many during the outbreak. The findings further showed there was good coordination among various stakeholders at different levels and with satisfying sharing of roles and responsibilities.Conclusion: Based on the major findings, it may be concluded that the surveillance system was weak to detect yellow fever outbreak occurrence in Wolaita Zone. A major gap is therefore the inability to include the case to the IDSR weekly report. Once the case was confirmed, the response to the crisis was fairly commendable. Even though there was a confusion on identifying the first case, after the confirmation of the first case, the case management went as per the standard guideline and SOPs, helping save so many lives through availing the service free of charge 4The importance of experiential learning is highlighted when the situation is getting more multifaceted as in the yellow fever (Carroll, 1995). One method used to establish and promote mindfulness and safety in an organization is the after-action review (Allen et al., 2010). An After-Action Review (AAR), is a discussion of an event that enables health professionals and colleagues with similar or shared interests to discover what happened, why it happened, and how to sustain strengths and improve on weaknesses for future incidents (USAID, 2006).Researchers emphasize the importance of post-incident discussion (i.e., AARs) that highlights strengths, weaknesses, and near failures and describe the findings as a key feature of safety cultures for future actions...
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