От плантаций на востоке Эфиопии до международных рынков: кат под контролем

2021 ◽  
pp. 31-48
Author(s):  
Селина Лезур
Keyword(s):  
Distribution Network ◽  
State Power ◽  
Global Distribution ◽  
Eastern Ethiopia ◽  
Catha Edulis ◽  
Social Transformations ◽  
Evergreen Shrub ◽  
Dire Dawa

Статья основана на полевых исследованиях автора, проводившихся в городах Дыре-Дауа, Аводай и Харар на востоке Эфиопии с ноября 2012 по июнь 2013 г., в феврале 2014 и апреле 2015 гг. Она посвящена тому, каким образом длинные маршруты распространения по миру растения кат (catha edulis) и препятствия на этих путях влияют на сектор его производства и сбыта. В центре нашего анализа – вопрос о социальных трансформациях, порождаемых глобализацией, в ходе которой этот вечнозеленый кустарник оказался связующим звеном между локальным и глобальным уровнями, между плантациями и прилавками. Кроме того, нам важно понять, какое влияние его выращивание и оборот оказывают на осуществление государственной власти на восточных окраинах страны. This article is based on the author’s fieldwork in Dire Dawa, Awaday, and Harar in eastern Ethiopia from November 2012 through June 2013, in February 2014, and April 2015. It focuses on the effects of the extensive global distribution network of the khat (catha edulis) plant and the obstacles encountered along these routes on the sector in which khat is produced and sold. At the center of our analysis is the question of social transformations, generated by globalization, over the course of which this evergreen shrub came to be a link between local and global levels, between plantations and retailers. We must also understand what impact its cultivation and circulation have on the exercise of state power in the eastern margins of the country.

scholarly journals Handwashing effect on diarrheal incidence in children under 5 years old in rural eastern Ethiopia: a cluster randomized controlled trial

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Ephrem Tefera Solomon ◽  
Sirak Robele Gari ◽  
Helmut Kloos ◽  
Bezatu Mengistie Alemu
Keyword(s):  
Randomized Controlled Trial ◽  
Hand Hygiene ◽  
Controlled Trial ◽  
Eastern Ethiopia ◽  
Randomized Controlled ◽  
Dire Dawa ◽  
Cluster Randomized ◽  
Diarrheal Incidence ◽  
Handwashing With Soap ◽  
Children Under 5

Abstract Background Handwashing with soap reduces diarrheal diseases burden considerably. However, the importance of handwashing in homes has received little attention in rural eastern Ethiopia. The effectiveness of handwashing may be reduced by lack of information on when and in what event hands must be washed, the frequency of handwashing, the individual who should wash his/her hands, and the procedure of handwashing. In these areas, indicators of adherence to handwashing are yet to be established. This study aimed at assessing the efficiency of handwashing on reducing diarrheal disease in children under 5 years old in rural kebeles of Dire Dawa, east Ethiopia. Methods Community-based cluster randomized controlled trial was conducted in rural kebeles of Dire Dawa for 4 months starting from October 2018 to January 2019. Selected clusters were randomized in intervention and control arms using draw method and data collectors conducted the baseline survey. Households assigned to the intervention group were given two bars of plain soap on a bi-monthly basis together with information promoting hand hygiene. Control households were allowed to continue their habitual handwashing practices. We compared the diarrheal incidences of the intervention and non-intervention households. Generalized estimation equations using Poisson family and log choice of the link was employed to calculate adjusted incidence rate ratio with its 95% confidence interval. Results We recorded a significant lesser diarrheal incidence in the handwashing arm than in the non-intervention arm (6.9 versus 13.8 episodes per 100 person weeks of observation). In all, there was a 41% reduction in diarrheal incidence in the intervention arm in relation to the non-intervention arm. Conclusion Handwashing with soap complemented with hand hygiene promotion significantly decreased diarrheal episodes in children under 5 years old in rural kebeles of Dire Dawa. We recommend the promotion and adaptation of washing hands using soap at recommended times to be an effective means of reducing childhood diarrhea morbidity in rural populations of Ethiopia towards achieving the Sustainable Development Goal 6. Trial registration PACTR, PACTR201807815961394. Registered 16 July 2018,

scholarly journals Magnitude of Child Sexual Abuse and Its Associated Factors Among High School Female Students in Dire Dawa, Eastern Ethiopia. A Cross-sectional Study

2021 ◽  
Author(s):  
Legesse Abera Natae ◽  
Abdulahi Aliye ◽  
Kalbesse Tadesse ◽  
Alemu Guta
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Associated Factors ◽  
Life Time ◽  
Cross Sectional Study ◽  
Female Students ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Dire Dawa

Abstract Background: Child sexual abuse means any kind of sexual contact with a child under the age of 18 years. It is a common and serious public health problem affecting millions of people each year worldwide. It is the most neglected and least documented form of violence in Ethiopia among school girls. So, this study aimed to assess the magnitude and its associated factors among high school female students in Dire Dawa, Eastern Ethiopia.Methods: An institutional-based, cross-sectional study was conducted, March, 1-23/2021. A stratified multistage sampling technique was used for quantitative data and 794 participants from selected high schools were included. A pre-tested, self-administered questionnaire was used, and data were analyzed using SPSS software version 24. For qualitative data, sixteen in-depth interviews and five focus group discussion were conducted and analyzed thematically. Result: The magnitude of at least one form of sexual abuse were 384 (48.9%), of these, 150 (19.1%) were rape. Students who live alone 4.3 times (AOR=4.30;95 % CI: 1.81-10.24), those who lives with their friends 5 times (AOR=5.02: 95% CI: 2.24-11.24), and those who lives with their single parent 3 times (AOR=3.31: 95% CI: 1.23-8.89) more likely experience life time sexual abuse than those living with their both parents. The odds of experiencing life time sexual abuse among students of rural residence were 2 times higher than their urban counter part (AOR=2.1; 95% CI: 1.79-3.45). Students who don’t drink alcohol were 70% more protective than those who drink alcohol (AOR=0.70: 95% CI: 0.28-0.97).Conclusion: This study revealed that the magnitude of child sexual abuse among female students in Dire Dawa is high. Lack of discussion about sexual issue with parents, living without both parents, drinking alcohol, being rural residence had significant association with child sexual abuse. Unwanted pregnancy, abortion, and STIs were the most common reproductive consequences of sexual abuse. So, community-based comprehensive awareness creation on sexual and reproductive health issues, are recommended especially, at rural area.

scholarly journals A new early warning drought index for Ethiopia

2018 ◽  
Vol 9 (3) ◽  
pp. 624-630
Author(s):  
Yonas Tadesse ◽  
Aklilu Amsalu ◽  
Paolo Billi ◽  
Massimiliano Fazzini
Keyword(s):  
Early Warning ◽  
Drought Index ◽  
Aridity Index ◽  
Precipitation Index ◽  
Z Score ◽  
Standard Precipitation Index ◽  
Eastern Ethiopia ◽  
Rain Gauges ◽  
Dire Dawa ◽  
Seeding Time

Abstract This study investigates the occurrence of droughts in the Dire Dawa area of eastern Ethiopia. A new index based on the rainfall delay (Rd) with respect to the expected onset (and traditional) seeding time and other indices, i.e., the aridity index and the Z-score, alternatives to the Standard Precipitation Index (SPI), are used to test the validity of the new Rd index in identifying severe droughts extending back to 1955. Although only data of rain gauges located in the district of Dire Dawa were used, they proved, albeit with different accuracies, able to identify nation-wide droughts.

scholarly journals Prevalence of psychological distress and associated factors among adult tuberculosis patients attending public health institutions in Dire Dawa and Harar cities, Eastern Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tegegn Mulatu Ayana ◽  
Kedir Teji Roba ◽  
Myrla Obejero Mabalhin
Keyword(s):  
Psychological Distress ◽  
Chronic Disease ◽  
Severe Form ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Tuberculosis Patients ◽  
Dire Dawa ◽  
Related Stigma ◽  
Health Institutions ◽  
The Impact

Abstract Background In developing countries, the prevalence of psychological distress was higher among tuberculosis patients. Patients with tuberculosis infection were more prone to psychological distress than peoples without tuberculosis. However, little studies were conducted on psychological distress among tuberculosis patients in Ethiopia, particularly in the Eastern Ethiopian health institutions. Methods Institution-based cross-sectional study design was conducted. Based on the TB burden, four hospitals and six health centers were selected from Dire Dawa and Harar cities. Socio-demographic factors, psychological distress, TB related stigma experience, and alcohol use data were collected by face to face interview while TB and HIV related variables collected from TB registration book. All TB patients from the first month of TB treatment initiation through 6 were consecutively interviewed by trained data collectors from January to February 2018. The collected data were entered into Epi Data Version 3.1 software and exported into SPSS window version 20 for analysis. Bivariate and multivariate binary logistic regression was carried out. All variables with P-value ≤0.25 were taken into the multivariate model. Crude and adjusted odds ratios with a 95% confidence interval were estimated, and variables with P-value less than 0.05 in the final model were taken as significant predictors of psychological distress. Results The prevalence of psychological distress among tuberculosis in this study population was 63.3% (95% CI: 58.1, 68.1). Being from rural residence (AOR: 1. 98; 95% CI: 1.01,3.86), co-infection TB- HIV (AOR: 2.15; 95% CI:1.02, 4.56), presence of at least one chronic disease (AOR:3.04; 95% CI:1.59,5.79), experience of stigma (AOR: 1.71; 95% CI:1.01, 2.90), Pulmonary and MDR-TB (AOR:2.53; 95% CI:1.50,4.28) and smoking cigarette (AOR:2.53; 95% CI:1.06,6.03) were associated with psychological distress. Conclusions In this study, almost two-thirds of the tuberculosis patients had psychological distress. Chronic disease morbidity, HIV-TB co-infection and experienced TB related stigma were associated with psychological distress. Attention should be given to chronic diseases including HIV/AIDS diagnosis and referring to chronic disease units to prevent the impact on mental health. Consideration should be given for psychological distress and linking moderate to severe form of the disease to the Psychiatric clinics to hinder its effects.

scholarly journals Self- care practices and associated factors among adult diabetic patients in public hospitals of Dire Dawa administration, Eastern Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Asmare Getie ◽  
Biftu Geda ◽  
Tadesse Alemayhu ◽  
Agenehu Bante ◽  
Zeleke Aschalew ◽  
...  
Keyword(s):  
Associated Factors ◽  
Self Care ◽  
Public Hospitals ◽  
Diabetic Patients ◽  
Eastern Ethiopia ◽  
Dire Dawa ◽  
Care Practices

Availability of Adequately Iodized Salt at Household Level and Associated Factors in Dire Dawa, Eastern Ethiopia

2016 ◽  
Vol 5 (4) ◽  
pp. 392
Author(s):  
Anteneh Berhane Yaye ◽  
Negga Baraki ◽  
Birhanu Seyum Endale
Keyword(s):  
Iodine Deficiency ◽  
Associated Factors ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Iodized Salt ◽  
School Age Children ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Household Level ◽  
Dire Dawa

In Ethiopia, Iodine Deficiency Disorder has been recognized as a serious public health problem for the past six decades. In 2011, an estimated <br /> 12 million school-age children were living with inadequate iodine, and <br /> 66 million people were at risk of iodine deficiency. One out of every <br /> 1000 people is a cretin mentally handicapped, due to a congenital thyroid deficiency, and about 50000 prenatal deaths are occurring annually due to iodine deficiency disorders. Only 5.7% of the households were using iodized salt in Dire Dawa city Administration, which is below the legal requirement.This study assessed availability of adequately iodized salt at household level and associated factors in Dire Dawa town, East Ethiopia. Community based cross-sectional study was carried out among households in Dire Dawa town during March 16-26, 2015. Multistage sampling technique was used. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique. Bivariate and multivariate analyses were performed to check associations and control confounding. A total of 694 participants were participated. The availability of adequately iodized salt (≥15 parts per million) in the study area was 7.5% (95% CI; 5.6-9.5). Multivariate result showed that health information about iodized salt (AOR=8.96, 95% CI; 4.68-17.16) (p=0.03), good knowledge about iodized salt (AOR=9.23, 95% CI; 3.34-25.5) (p=0.01) and using packed salt (AOR=3.99, 95% CI; 1.48-10.73) (p=0.006) were associated with availability of adequately iodized salt at household level. Availability of adequately iodized salt at household level was very low.  Hence, households should be sensitized about importance of iodized salt and its proper handling at the household level.

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