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Journal of Mountain Science 2006年第2期3卷 139-146页

作者： solomon habtu Kitamura Yoshinobu Faculty of Agriculture Tottori University 4-101 Koyama-cho Minami Tottori 680-8553 Japan

Traditional irrigation, as part of the ancient agricultural practices in northern Ethiopia （Tigray）, has persisted for long time since 500 B.C., while many newly introduced irrigation projects have usually failed there. The main objective of this study is thus to investigate the peculiarities pertinent to irrigation management and those having contributed for the persistence of traditional irrigation practices for a long period of time. The experience gained from such areas can definitely help make irrigation management system of new irrigation schemes sustainable. Betmera-Hiwane, one of the ancient traditional irrigation areas in Tigray region, was selected for the field study. Direct observations through field visits accompanied by interviews to farmers, local officials, local knowledgeable individuals and higher officials were made. After analyzing the collected primary and secondary information, the main peculiarities that contributed to the persistence of traditional irrigation areas were identified, and they are： constructed local rules, the presence of communally locally designed hydraulic control structures, ownership feeling of the irrigators and accountability of water distributors to the irrigation management, the culture for mobilizing communal resources and the culture of self-initiating local water management strategies.

关键词： Traditional irrigation management water management smailholder irrigation Betmera-Hiwane Tigray Ethiopia

Diagnostic significance of complete blood cell count and hemogramderived markers for neonatal sepsis at Southwest Public Hospitals,Ethiopia

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World Journal of Clinical Pediatrics 2024年第2期13卷 114-126页

作者： Dereje Abebe Regassa Rahel Shumi Nagaash Bisirat Fikadu habtu Woyesa Beyene Haile Department of Medical Laboratory Sciences Wolkite UniversityWolkite 11330Ethiopia Department of Medical Laboratory Sciences Dire Dawa UniversityDire Dawa 3000Ethiopia

BACKGROUND Neonatal sepsis is defined as an infection-related condition characterized by signs and symptoms of bacteremia within the first month of *** is the leading cause of mortality and morbidity among *** several studies have been conducted in other parts of world to assess the usefulness of complete blood count parameters and hemogram-derived markers as early screening tools for neonatal sepsis,the associations between sepsis and its complications with these blood parameters are still being investigated in our setting and are not yet part of routine *** To evaluate the diagnostic significance of complete blood cell count hemogramderived novel markers for neonatal sepsis among neonates attending public hospitals in the southwest region of Oromia,Ethiopia,through a case control *** A case control study was conducted from October 2021 to October 2023 Sociodemographic,clinical history,and laboratory test results data were collected using structured *** collected data were entered into Epi-data 3.1 version and exported to SPSS-25 for ***-square,independent sample ttest,and receiver operator characteristics curve of curve were used for analysis.A P-value of less than 0.05 was considered statistically *** In this study,significant increases were observed in the following values in the case group compared to the control group:In white blood cell(WBC)count,neutrophils,monocyte,mean platelet volume(MPV),neutrophils to lymphocyte ratio,monocyte to lymphocyte ratio(MLR),red blood cell width to platelet count ratio(RPR),red blood width coefficient variation,MPV to RPR,and platelet to lymphocyte *** MLR,a cut-off value of≥0.26 was found,with a sensitivity of 68%,a specificity of 95%,a positive predictive value(PPV)of 93.2%,and a negative predictive value(NPV)of 74.8%.The area under the curve(AUC)was 0.828(P<0.001).For WBC,a cutoff value of≥11.42 was identified,with a sensitivity of 55%,a s

关键词： Complete blood count Hemogram-derived marker Neonate Sepsis Ethiopia

Platelet indices as predictors of poor glucoregulation in type 2 diabetes mellitus adults at Bishoftu General Hospital,Ethiopia

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World Journal of Diabetes 2024年第9期15卷 1889-1902页

作者： Dereje Abebe Regassa Gebeyaw Arega Berihun Bisrat Fikadu habtu Woyesa Beyene Haile Rahel Shumi Nagaash Girum Tesfaye Kiya Department of Medical Laboratory Sciences Wolkite UniversityWolkite 11330Ethiopia School of Medical Laboratory Sciences Jimma UniversityJimma 47Ethiopia Department of Medical Laboratory Sciences Dire Dawa UniversityDire Dawa 3000Ethiopia

BACKGROUND Diabetes is a chronic metabolic syndrome that has become a global public health problem with significant morbidity and *** is a pro-inflammatory and pro-thrombotic condition characterized by increased platelet activation and alterations in platelet ***,the use of platelet indices as predictors of poor glucoregulation has not been fully evaluated in this context,and evidence for their role as predictors of poor glycemic status in diabetic patients is *** To evaluate platelet indices and determine their prognostic significance in relation to inadequate glucoregulation among individuals diagnosed with type 2 diabetes at Bishoftu General Hospital in Ethiopia,from June 15 to August 12,*** A comparative cross-sectional study was conducted in 261 participants including 174 individuals with type 2 diabetes mellitus(T2DM)and 87 non-diabetic *** systematic random sampling technique was used to select *** were collected using structured questionnaires,physical measurements,checklists,and laboratory *** parameters and fasting blood glucose levels were determined from blood samples using Sysmex-XN550 and CobasC311 analyzers,*** hematology analyzer output was checked and participants were also screened for malaria parasites using a prepared blood *** data were entered into Epi-data version 3.1 and exported to SPSS version 25 for ***χ^(2) test,Mann-Whitney U test,Kruskal-Wallis test,post hoc test,Spearman correlation,and receiver operating characteristic curve were used for analysis.A P value<0.05 was considered statistically *** The results of our study indicate that diabetic patients have significantly higher levels of platelet distribution width(PDW),mean platelet volume(MPV),platelet large cell ratio(PLCR),and plateletcrit(PCT)compared to healthy individuals(P<0.001).Furthermore,these indices were found to be significantly elevated in individuals

关键词： Platelet indices Type 2 diabetes mellitus Controls Adult Ethiopia

Water, Sanitation and Hygiene in Lower-Level Health Care Facilities of Dar es Salaam Region in Tanzania: Status towards Achieving the Sustainable Development Goals and Way Forward

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Advances in Infectious Diseases 2024年第1期14卷 279-295页

作者： Mariam Mahamudu Hussein Mohamed Michael habtu Dennis Rweyemamu Anyitike Mwakitalima Amour Seleman Erick Mgina Khalid Massa Grace Saguti Andre Arsene Bita Fouda Zabulon Yoti Ministry of Health Dodoma Tanzania Department of Environmental and Occupational Health Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania Regional Office for Africa World Health Organization Brazzaville Republic of the Congo National Institute for Medical Research Dar es Salaam Tanzania

Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.

关键词： Dispensaries Low Level Health Care Facilities Service Levels Basic WASH Dar es Salaam

Viscosity Approximation Methods for Nonexpansive Multimaps in Banach Spaces

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Acta Mathematica Sinica,English Series 2010年第6期26卷 1165-1176页

作者： habtu ZEGEYE Naseer SHAHZAD Bahir Dar University Department of Mathematics King Abdul Aziz University

We prove strong convergence of the viscosity approximation process for nonexpansive nonself multimaps. Furthermore, an explicit iteration process which converges strongly to a fixed point of multimap T is constructed.... 详细信息

关键词： nonexpansive retract Banach spaces fixed point inwardness nonexpansive multimap

Collaborative Efforts and Strategies for Cholera Outbreak Control in Garissa County, Kenya: Implementation of Water Quality Monitoring Interventions

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Journal of Water Resource and Protection 2024年第2期16卷 123-139页

作者： Michael habtu Mark Nanyingi Ali A. Hassan Abdiwahid M. Noor Joel Mutyandia Muli Alan Mwika Julius Wekesa Ahmed Fidhow Diba Dulacha Landry Kabego Ishata Nannie Conteh Andre Arsene Bita Fouda Sonia Chene Aden H. Ibrahim Ahmed Nadhir Omar Martins C. Livinus Abdourahmane Diallo World Health Organization Nairobi Kenya Department of Health Garissa County Government Garissa Kenya Water Resources Authority Garissa Kenya World Health Organization Regional Office for Africa Brazzaville Congo Regional Agency for Health Dijon France

A multi-faceted Case Area Targeted Intervention (CATI) approach emphasizing the integration of Water, Sanitation and Hygiene (WASH) interventions and Oral Cholera Vaccine (OCV) campaign was employed to respond to the outbreak of cholera in Garissa County. Drinking water sources in areas heavily impacted by cholera were systematically mapped and tested for microbiological quality. The quality assessment was carried out in April 2023 during an ongoing cholera outbreak in the county. A total of 109 samples were collected and tested for thermotolerant coliforms and other in situ parameters. The finding revealed that more than 87% of the samples did not meet the World Health Organization (WHO) standard for thermotolerant coliforms;and 30% had turbidity values above the recommended threshold values. None of the 109 samples had any traceable residual chlorine. Following these findings, the county government implemented the targeted interventions which resulted in a positive impact in the fight against cholera. The WHO supported key interventions which included capacity building in water quality monitoring and prepositioning of critical WASH commodities to the cholera affected areas.

关键词： Cholera Drinking Water Household Water Treatment Kenya

Cord Care Practices and Omphalitis among Neonates Aged 3 - 28 Days at Pumwani Maternity Hospital, Kenya

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Journal of Biosciences and Medicines 2016年第1期4卷 27-36页

作者： Lucy Kinanu Eunice Odhiambo James Mwaura Michael habtu School of Nursing Sciences College of Health Sciences University of Nairobi Nairobi Kenya Institute of Tropical Medicine and Infectious Diseases Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya

Background: Omphalitis (umbilical cord infection) among new-borns is common and a major cause of neonatal deaths in developing countries. Annually about 4 million neonatal deaths occur around the world;of these, more than 30% are caused by infections. Majority of these infections start as umbilical cord infection. Objective: The aim of the present study was to establish cord care practices associated with omphalitis among neonates aged 3-28 days at Pumwani Maternity Hospital, Kenya. Methodology: Cross-sectional descriptive study was employed among 178 mothers with neonates of 3-28 days. Participants were selected systematically and data was collected on new-born cord care practices. Omphalitis was defined as pus discharge, redness with or without pus and swelling of umbilical cord. Pearson’s chi-square test (P < 0.05) was performed to compare the significant discrepancies. Crude and adjusted odds ratios with corresponding 95% confidence interval were also used to determine the strength of association between omphalitis and cord care practices. Results: Among 178 neonates, 67 (37.6%) were diagnosed with omphalitis. In logistic regression analysis, the main predictors of omphalitis were initiation of breastfeeding after one hour of delivery [AOR = 2.47;95%CI = 1.15 - 5.30;P < 0.05] compared to within one hour and application of saliva to the cord [AOR = 6.59;95%CI = 2.02 - 21.46;P < 0.01] compared to dry cord. Conclusion: The prevalence of omphalitis among neonates was high. Health workers need to participate in educating the mothers to initiate breastfeeding within one hour and to avoid application of harmful cord care practices.

关键词： Cord Care Neonates Omphalitis Practices

Prevalence and Factors Associated with Anaemia among Pregnant Women Attending Antenatal Clinic in the Second and Third Trimesters at Pumwani Maternity Hospital, Kenya

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Open Journal of Obstetrics and Gynecology 2016年第1期6卷 16-27页

作者： Okubatsion Tekeste Okube Waithira Mirie Eunice Odhiambo Wakasiaka Sabina Michael habtu School of Nursing Sciences College of Health Sciences University of Nairobi Nairobi Kenya Institute of Tropical Medicine and Infectious Diseases Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya

Background: Anaemia is one of the most common nutritional deficiency diseases observed globally and affects more than a quarter of the world’s population. Globally, 41.8% pregnant women and close to one third of non-pregnant women (30.2%) are anaemic. Anaemia during pregnancy contributes to 20% of all maternal deaths and it increases the risks of foetal, neonatal and overall infant mortality. In Kenya, according to the Ministry of Health, the prevalence of anaemia among pregnant women is 55.1%. Objective: To determine the prevalence and associated factors of anaemia among pregnant women attending antenatal clinic (ANC) at Pumwani Maternity Hospital (PMH). Methodology: A hospital based cross-sectional study design was conducted from 8th June to 18th August, 2015. Systematic random sampling method was used to select 258 pregnant women. Mothers who attended ANC during the study period and who met the inclusion criteria were interviewed and a capillary blood sample was taken. Hemoglobin level was determined by using HemoCue photometer. Data were cleaned, coded and fed into SPSS Version 20.0 for analysis. Descriptive statistics such as frequency, percentage, mean and standard deviation were used to describe selected variables. Pearson’s chi-square test and odds ratio (OR) with corresponding 95% confidence intervals (CI) computed to find association between independent and dependent variables. Multivariate analysis was done to determine factors significantly and independently predicting anaemia during pregnancy. Results: The present study revealed that the prevalence of anaemia among the pregnant women was 57%. Advanced maternal age (>31 years) (AOR = 2.71;95% CI = 1.25 - 5.88;P = 0.012) more than 18 - 24 years, government/private employed women (AOR = 2.94;95% CI = 1.47 - 5.88;P = 0.002) and self-employed women (AOR = 1.91;95% CI = 1.03 - 3.53;P = 0.039) compared to housewives, not taking iron/folic acid supplementation (IFAS) (AOR = 2.04; 95% CI =

关键词： Anaemia Associated Factors Pregnant Women Prevalence

Antimicrobial Susceptibility Profiles among <i>Escherichia coli</i>Strains Isolated from Athi River Water in Machakos County, Kenya

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Advances in Microbiology 2015年第10期5卷 711-719页

作者： Peris Wambugu Michael habtu Phyllis Impwi Viviene Matiru John Kiiru Jomo Kenyatta University of Agriculture and Technology Institute of Tropical Medicine and Infectious Diseases Nairobi Kenya Department of Botany Sub-Department of Medical Microbiology Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya Centre of Microbiology Research Kenya Medical Research Institute Nairobi Kenya

Antimicrobial use in agriculture, livestock and human health has increased over the years leading to the increase in antimicrobial resistance that can also find its way to the aquatic environment. Rivers can act as reservoirs of highly resistant strains and facilitate the dissemination of multidrug resistant (MDR) strains to animals and humans using water. A total of 318 water samples were collected from six different sampling points along Athi River and E. coli isolates were subjected to Kirby-Bauer diffusion method for antimicrobial susceptibility testing. The total mean coliform count of the sampled sites was 2.7 × 104 (cfu/mL). E. coli isolates were most resistant to ampicillin (63.8%) and most susceptible to gentamicin (99.4%). MDR strains (resistance to ≥3 classes of antibiotics) accounted for 65.4% of all the isolates. The site recorded to have human industrial and agricultural zone activities had strains that were significantly more resistant to ampicillin, cefoxitin, amoxicillin/clavulanic acid (P ≤ 0.05) than isolates from the section of the river traversing virgin land and land with minimum human activities. This study indicates that E. coli strains isolated from Athi River were highly MDR and most resistant to some antimicrobial classes (ampicillin and cefoxitin) which constitute a potential risk to human and animal health.

关键词： Antimicrobials Athi River E. coli Multi-Drug Resistance Susceptibility Test

Outcomes of Severely Malnourished Children Aged 6 - 59 Months on Outpatient Management Program in Kitui County Hospital, Kenya

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Open Journal of Pediatrics 2015年第4期5卷 326-333页

作者： Dorothy Mbaya Lucy Kivuti Bitok Anna K. Karani Boniface Osano Michael habtu Chuka District Hospital Chuka Kenya School of Nursing Sciences College of Health Sciences University of Nairobi Nairobi Kenya Department of Pediatrics and Child Health School of Medicine College of Health Sciences University of Nairobi Nairobi Kenya Institute of Tropical Medicine and Infectious Diseases Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya

Severe acute malnutrition is a widely prevalent problem in developing countries and a major cause of morbidity and mortality. Traditionally, children with severe acute malnutrition were rehabilitated within inpatient services. Advent of ready to use therapeutic food made it possible to treat majority of these children in their homes. However, there is limited data about the outcomes of the program. Objectives: To determine the outcomes (recovery, default, mean weight gain and non-response rates) of severely malnourished children aged 6 - 59 months enrolled in outpatient therapeutic program at Kitui County Hospital. Methodology: A prospective longitudinal study design was carried out for one month. Hundred and four (104) children with SAM were recruited in the study. Anthropometric measurements, physical examination and appetite test of the children were conducted on a weekly basis for 28 days. Descriptive analysis was conducted using means, frequency and proportions. Paired t test was computed for mean weight gain and mid-upper arm circumference between admission and subsequent visits. Results: The findings of the study revealed that the recovery rate was 73.3%, weight gain rate of 5.1 g/kg/day, defaulter rate was 2.9% and non-response rate was 13.9% (WHZ = -3SD). Mean weight increased from 6.8 kg on the 1st visit to 7.5 kg in the 4th visit (P = 0.000) and the meanmid-upper arm circumferenceincreased from 11.1 cm at admission to 11.9 cm at 4th visit (P = 0.000). Conclusion: The recovery and weight gain rates were below the global acceptable SPHERE of minimum standards (recovery rate > 75% and weight gain rate > 8 g/kg/day). The defaulter rate was within the acceptable international standards (

关键词： Default Outcomes Recovery Rate Severe Acute Malnutrition Weight Gain