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Farmland, a vital terrestrial environment, has seen significant changes due to intensified agricultural practices and plastic pollution. Assessing plastic pollution in farmed areas remains challenging, and understanding its impacts on agricultural ecosystems is limited. The aim of the was to determine whether plastic pollution in agricultural landscapes depends on the type of crops. We used the Red-backed Shrike (Lanius collurio), an indicator bird species and investigated plastic contamination of 122 of its nests. We found plastic waste in 82.1 % of nests, totalling 6234 items weighing 197.2 g. On average, each nest contained 55.7 waste items, constituting approximately 4.3 % of the nest's mass. Plastic string fibres were predominant, making up 95.6 % of the items and 90.7 % of the mass. This variation may be due to different straw and hay management practices and varying levels of vigilance in removing plastic remnants. Contamination levels varied significantly among farmland types, with cultivated fields showing the highest contamination and meadows the lowest.

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This study was conducted to evaluate morphometric traits of horse ecotypes reared in four districts of the Bale highlands, southeastern Ethiopia. Twenty-seven morphometric traits were measured from 500 horses (294 males and 206 females) of both sexes. Data were analyzed using SAS 2012. This study revealed that certain traits, such as head length, loin length, bi-ischial width, and sternum height of horses were similar. However, significant differences (p < 0.0001, p < 0.01, p < 0.05) were observed in other traits across the districts. All traits were affected by age (p < 0.05) except rump width and canon perimeter. All 27 morphometric traits were subjected to STEPDISC analysis, of which 21 had the best discriminating power. The uppermost distances of 32.2 and, 28.8 were reported between the Agarfa and Dinsho and, Agarfa and Sinana horse populations, respectively. Mean separation distance among districts ranges from -1.75 to 3.57, -2.42 to 2.43, and -1.61 to 0.92 for CAN1, CAN2 and CAN3, respectively. The quadratic discriminate function classified 95.2, 94.4, 96.0, and 96.8 % of the sampled horses into source populations of the Dinsho, Agarfa, Sinana, and Goba districts, respectively. In addition, the cross-validation summary revealed reduced consistency of membership among each districts with 5 % average success rates and 4, 8, 4, and 4 % for the Dinsho, Agarfa, Sinana, and Goba districts, respectively. Therefore, the presence of variation in morphometric traits within the Bale Highland horse ecotypes has the potential for selection and further genetic interventions.

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Introduction: pertussis is a major cause of childhood morbidity and mortality. Globally, an estimated 45 millions cases and 400,000 deaths occur every year. Meda Walebu surveillance office reported a pertussis outbreak among the residents of the Liqimsa-Bokore kebele communities. We investigated to describe the magnitude of the pertussis outbreak in Likimsa-Bokore kebele of Meda-Walebu district, Bale Zone, Southeast Ethiopia. Methods: we conducted a descriptive cross-sectional study in April 2019. We identified pertussis cases recorded on the line list. Suspected cases of pertussis were defined as any resident of Likimsa-Bokore kebele with cough illness and any of the following: paroxysms of coughing, inspiratory whooping, post-tussive vomiting, or apnea. The pentavalent vaccine coverage data were extracted from the Bale zone health management information system department database. Microsoft Excel pivot table and SPSS version 23 software cleaned and analyzed the data. Results: in three months period, a total of 439 suspected cases of pertussis were reported from Likimsa-Bokore kebele of the Meda-Walebu district. Half of the cases 220(50.1%) have occurred in females and the majority of cases 256 (58.3%) occurred in under five years children. The median age of cases was 4 years ranging from 2 months to 30 years (interquartile range= 4 years). The overall Attack Rate (AR) was 55 per 1000 population with a case fatality rate of 0.7% (3 deaths/439). Children less than five years were the most affected age group with an AR of 198 per 1000 population. The administrative pentavalent vaccine coverage of the district was above 100% during the year 2015-2018. Conclusion: the overall attack rate of pertussis outbreak was high. Children under five years were the most affected age group irrespective of high administrative coverage of the pentavalent vaccine. Strengthening routine immunization management and intensified surveillance system is required for early detection, investigation, and response activities.

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BACKGROUND: The desire to conceive and become parents is a fundamental aspect of human life that carries immense personal, emotional, and societal significance. For many couples, achieving pregnancy represents a long-cherished dream, but the journey to parenthood is not always straightforward. The duration it takes to achieve the desired pregnancy can vary significantly among individuals and is influenced by many factors. This study explores the factors that influence the delayed time of pregnancy among women with naturally planned conception. METHODS: An institutional-based cross-sectional study was conducted from May 1 to May 30, 2023, in public health facilities of Bale Zone administrative towns, Southeast Ethiopia. Using systematic random sampling, 388 women participated in the study and a pretested questionnaire was used to collect data. Bivariate logistic regression was done, and variables with p-values < 0.25 were exported to multivariable logistic regression, and a statistically significant association was declared at p-value < 0.05. RESULTS: The study revealed delayed time to pregnancy was 18.6% with 95% (CI = 14.67-22.44%). Women's age ≥ 35, (AOR = 2.61; 95%, CI: 1.17-5.82), menstrual irregularity (AOR = 3.79; 95% CI: 1.98-7.25), and frequency of sexual intercourse/week (AOR = 2.15; 95% CI: 1.05-4.41) and women's sexual dysfunction before conception (AOR = 3.12, 95% CI: 1.62-6.01) were significantly associated factors with delayed time to pregnancy at p-value < 0.05. CONCLUSION: The study revealed a substantial proportion of delayed time to pregnancy. This delayed time to pregnancy was associated with older maternal age, irregular menstrual cycles, coital activity per week, and the women's sexual dysfunction before pregnancy. Consequently, addressing delayed time to pregnancy requires a targeted approach, prioritizing initiatives such as raising awareness, fostering increased frequency of sexual activity per week, exploring interventions for women with irregular menstrual patterns, and challenges related to sexual dysfunction.

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Analysis of land use and land cover (LULC) change and its drivers and impacts in the biodiversity hotspot of Bale Mountain's socio-ecological system is crucial for formulating plausible policies and strategies that can enhance sustainable development. The study aimed to analyze spatio-temporal LULC changes and their trends, extents, drives, and impacts over the last 48 years in the Bale Mountain social-ecological system. Landsat imagery data from the years 1973, 1986, 1996, 2014, and 2021 together with qualitative data were used. LULC classification scheme employed a supervised classification method with the application of the maximum likelihood algorithm technique. In the period between 1973 and 2021, agriculture, bare land, and settlement showed areal increment by 153.13%, 295.57%, and 49.03% with the corresponding increased annual rate of 1.93%, 2.86%, and 0.83%, respectively. On the contrary, forest, wood land, bushland, grass land, and water body decreased by 29.97%, 1.36%, 28.16%, 8.63%, and 84.36% during the study period, respectively. During the period, major LULC change dynamics were also observed; the majority of woodland was converted to agriculture (757.8 km2) and grassland (531.3 km2); and forests were converted to other LULC classes, namely woodland (766.5 km2), agriculture (706.1 km2), grassland (34.6 km2), bushland (31.9 km2), settlement (20.5 km2), and bare land (14.3 km2). LULC changes were caused by the expansion of agriculture, settlement, overgrazing, infrastructure development, and fire that were driven by population growth and climate change, and supplemented by inadequate policy and institutional factors. Social and environmental importance and values of land uses and land covers in the study area necessitate further assessment of potential natural resources' user groups and valuation of ecosystem services in the study area. Hence, we suggest the identification of potential natural resource-based user groups, and assessment of the influence of LULC changes on ecosystem services in Bale Mountains Eco Region (BMER) for the sustainable use and managements of land resources.

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Background: Post-childbirth, woman's health-related quality of life (HRQOL) is significantly impacted, leading to decreased daily activity, reduced self-care, challenges with breastfeeding and baby weaning, and increased medical costs for both mother and newborn.This study aimed to assess the HRQOL and its predictors among postpartum women in Southeast Ethiopia. Methods: A cross-sectional study was conducted in Southeast Ethiopia between March and May 2022, involving randomly selected sample of 794 postpartum women attending immunization services in public health facilities. Data was collected using a validated questionnaire, and descriptive statistics were computed. A bivariable and multivariable logistic regression model was fitted to predict HRQOL, with odds ratios and 95% confidence intervals used to estimate associations. Results: The study revealed that the overall HRQOL, physical component summary, and mental component summary of quality of life had mean scores of 43.80 ± 27.88, 45.39 ± 28.58, and 42.20 ± 28.15(mean ± SD) respectively. Walking to the health facility (AOR = 2.09; 95% CI: (1.31,3.31); using public transport (AOR = 2.58; 95% CI = 1.69-3.93); having the fear of COVID-19 (AOR = 1.46; 95% CI = 1.08-1.99); having health facility admission history during the recent pregnancy (AOR = 1.62; 95% CI = 1.08-2.44); having postpartum depression (PPD) (AOR = 2.13; 95% CI = 1.57-2.89) were predictors of a lower level of overall HRQOL among postpartum women. Conclusion: The study found that nearly half of postpartum women in Ethiopia have lower HRQOL, with factors such as transport use, recent baby's pregnancy admission history, and postpartum depression (PPD) significantly affecting their overall, physical, and mental HRQOL. Fear of COVID-19 was found to be significantly associated with lower overall and physical HRQO. The implementation of appropriate strategies addressing identified factors is crucial for enhancing the HRQOL among postpartum women in Ethiopia.

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The advancement of agricultural mesh technology has contributed to its improved properties. As a result, agricultural nets are widely adopted in large-scale farming applications, for example, in cereal crop farming. However, a consequence of this increased use of agricultural nets is the accumulation of large amounts of waste. The current paper focuses on the recycling of agricultural nets used in wrapping straw bales to develop additives and fillers in cement composites. The research details an analysis of the use of waste agricultural meshes as an ingredient in cement composites. Six test series of different mixtures were conducted. In the first four series, agricultural waste was utilised as an additive in a composite comprising aggregate and cement slurry (the amounts of wasted nets were 20, 40, 60, and 80 kg/m3). In the last test series, the recyclate utilised comprised a mixture of cement slurry and waste only. The composites were subjected to standard tests and thermal resistance tests. The results showcased that that the addition of a net worsened the workability of the concrete mixture, and with increasing amounts of addition, the consistency of the mixture could change from liquid to dense plastic. The flexural strength of the composite decreased with increasing amounts of recyclate. In subsequent test series, the flexural strength value was lower than that of the control (3.93 MPa), from 7.38% (3.64 MPa) for the composite with 20 kg/m3 of recyclate to 37.66% (2.45 MPa) for the composite with of 80 kg/m3 recyclate. The flexural strength value of the net-filled composite without aggregate was very high (10.44 MPa), where the value obtained for the control composite was 62.36% lower. The results of the compressive strength test showed a decrease in this parameter with increasing amounts of additive. The value assessed for the control composite was 27.99 MPa. As expected, the composite that had no aggregate and consisted of only recycled filler had the lowest compressive strength. The value of this parameter was 13.07 MPa, and it was 53.31% lower than that of the control composite. The results of the tests of resistance to temperatures were similar to those recorded for the composites with polypropylene fibres. All composites demonstrated a significant decrease in their compressive and flexural strength after annealing. SEM imaging showed that the net fibres were closely bonded to the cement stone. Finally, it was concluded that recyclates performed best as fillers in lightweight composites with a low density, low absorption, high flexural strength, and satisfactory compressive strength.

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BACKGROUND: Maternal delay in timely seeking health care, inadequate health care and the inability to access health facilities are the main causes of maternal mortality in low and middle income countries. The three-delay approach was used to pinpoint responsible factors for maternal death. There was little data on the delay in decision making to seek institutional delivery service in the study area. Therefore, the aim of this study was to assess the extent of the first maternal delay for institutional delivery and its associated factors among postpartum mothers in the Bale and east Bale zones. METHODS: An institutional-based cross-sectional study was conducted among 407 postpartum mothers from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariate and multivariable analysis was done by using binary logistic regression model to identify factors associated with maternal delay for institutional delivery services. Statistical significance was declared at P-value < 0.05. RESULTS: In this study, the magnitude of the first maternal delay in making the decision to seek institutional delivery service was 29.2% (95% CI: 24.9, 33.9). Previous pregnancy problems (AOR = 1.8; 95% CI: 1.06, 3.08), knowing the danger signs of labor and childbirth (AOR = 1.78; 95% CI: 1.11, 2.85) and decision-making (AOR = 0.42; 95% CI: 0.20, 0.85) were significantly associated with the first maternal delay. CONCLUSION: This study identified a significant number of postnatal mothers experienced delay in making decisions to seek institutional delivery service in the study area. Promoting women's empowerment and building on key danger signs should be emphasized.

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OBJECTIVE: To assess the treatment outcomes of severe acute malnutrition (SAM) and its associated factors in children aged 6-59 months in Bale zone, Southeast Ethiopia. DESIGN: A multi-institutionally-based, retrospective cross-sectional study design was conducted, based on records from September 11, 2014 to September 11, 2017. Simple random sampling was used to select the records. A pretested extraction format was used to collect information from the logbook and patient records. Treatment outcome was dichotomized into recovery and censored. Bivariate and multivariable logistic regression analyses were used to analyze the data. Odds ratios with 95% CIs were calculated to determine the association between each independent variable and treatment outcome. RESULTS: A total of 763 records were completed and reviewed. Of these, 711 (93.2%) were recovered from SAM. Provision of deworming treatment (aOR = 6.5; 95% CI: 2.8-15.1), education given to the mother/caregiver (aOR = 8.8; 95% CI: 4.2-18.4), age range 6-24 months (aOR = 0.37; 95% CI: 0.17-0.81), presence of anemia (aOR = 0.33; 95% CI: 0.14-0.78), and use of nasogastric (NG) tube (aOR = 0.42; 95% CI: (0.21-0.85) were associated with recovery from SAM. CONCLUSIONS: Recovery rate of SAM children in this study was in line with international standards. Deworming, maternal education status, child's age, anemia, and NG tube use were associated with recovery. Attention should be given to deworming all children, disease control, and prevention of anemia and other comorbidities.

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Introduction: Delays in timely seeking care, failure to reach health institutions and receiving ineffective health care cause maternal mortality in developing countries. The three maternal delay was used to identify contributing factors to maternal death. There was limited data on the maternal delay in receiving emergency obstetric care services in the study area. Therefore, the aim of this study was to assess the magnitude of delay in receiving emergency obstetric care and associated factors among postnatal mothers in the Bale and east Bale zones. Methods: A facility-based cross-sectional study was conducted among 407 postnatal women from April 6 to May 6, 2022. A systematic random sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariate and multivariable analyses were done by using a binary logistic regression model to identify factors associated with delay in receiving emergency obstetric care services. Statistical significance was declared at P-value < 0.05. Results: In this study, the magnitude of delay in receiving institutional delivery service utilization was 34.6% with [95% CI (30.0_39.5)]. Delay one was found to be statistically associated with maternal delay in receiving institutional delivery services (AOR = 2.07; 95% CI: 1.21, 3.53). Mothers with low monthly income had shown higher odds of delay (AOR = 1.79; 95% CI: 1.03, 3.10). Moreover, the delay in receiving emergency obstetric care was 89% less likely among mothers who had not been referred multiple times than among those who had been referred many times (AOR = 0.10; 95% CI: 0.06, 0.18). Conclusion: This study showed that the magnitude of the delay in receiving the utilization of emergency obstetric care services in the study area was high. Factors such as delay one, average monthly income and multiple referrals of mothers were found significant factors for delay in receiving care. Therefore, it is important to reduce delay in receiving institutional delivery by working on promoting road accessibility, transport mechanisms and building health education on key danger signs.

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Bale density is one of the main performance indicators to measure the quality of baler operation. In this study, a real-time baler bale density monitoring system was designed for the problem of difficult real-time measurement of bale density on round balers. Firstly, a weighing calculation model for the rolling and sliding stage of the bale was established, and the dynamic characteristics during the contact between the bale and the inclined surface were analyzed based on ADAMS dynamics simulation. Then, a real-time monitoring system for the bale density based on the contact pressure of the inclined surface, attitude angle measurement and hydraulic monitoring of the cylinder was constructed, and the accuracy of the weighing model was confirmed. The system was used to observe and analyze the changes in the pitch angle of the carrier table and the oil pressure in the rod chamber of the backpack cylinder during the operation of the round baler. Finally, the monitoring system was calibrated and the dynamic calibration equations were obtained. The results show that the maximum error between the calculated value of the original weighing model and the actual weight was 3.63%, the maximum error of the calculated value of the weighing model corrected by the calibration equations was 3.40% and the measurement accuracy could be satisfied. The results show that the system was highly accurate and met the practical needs of bale weighing in the field.

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BACKGROUND: Hypertension is a serious threat to public health globally owing to its high prevalence and related complications. It is the main risk factor for cardiovascular disease, kidney disease, eye problems, and death. Self-care practices have been emphasized as a major element in reducing and preventing complications from hypertension. Thus, this study aimed to assess hypertension self-care practices and associated factors in Bale Zone, Southeast Ethiopia. METHODS: A health facility-based cross-sectional study was conducted at three public hospitals from April 1 to May 31, 2021. Data were entered into Epi-Data version 4.6 and exported to Statistical Package for the Social Sciences (SPSS) version 25.0 for analysis. The study participants were characterized using descriptive statistics. The associations between self-care practice and independent variables were modeled using binary logistic regression analysis. Adjusted odds ratios with a 95% confidence interval were used to estimate the association between self-care practice and independent variables. The statistical significance of the association was declared at p < 0.05. RESULTS: This study involved 405 hypertensive patients, with a response rate of 96.7%. The overall level of good self-care practice was 33.1% (95% CI: 28.6, 37.5). The multivariable logistic regression model showed that age under 65 years (AOR = 3.77, 95% CI: 1.60-8.89), good knowledge of hypertension self-care practice (AOR = 6.36, 95% CI: 2.07-19.56), absence of a depression (AOR = 6.08, 95% CI: 1.24-29.73) and good self-efficacy (AOR = 3.33, 95% CI: 1.12-9.87) were independent predictors of good self-care practice. CONCLUSION: The level of good hypertension self-care practice in the study area was low. Hence, it is crucial to expand non-communicable disease control programs and implement public health interventions on self-care for hypertension. Moreover, to enhance hypertension self-care practices, patient-centered interventions are essential.

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BACKGROUND: Animal feed shortage in quality and quantity, and escalating costs of agro-industrial by-products to supplement crop residues and natural pasture hay urged to look for alternative feed supplements. Vernonia amygdalina leaf is one of the potential feed resources to supplement poor quality feeds in ruminant feeding. OBJECTIVES: This experiment was designed to evaluate effects of supplementing dried V. amygdalina leaves (DVL) and wheat bran (WB) mixture on feed intake, digestibility, body weight change and economic feasibility of Arsi-Bale sheep fed with natural pasture hay as basal diet. METHODS: Twenty intact yearling male sheep with an initial body weight (IBW) of 18.85 ± 0.95 kg (mean ± SD) were stratified into five blocks (four animals per block) based on their IBW and kept for 90 days of feeding and 10 days of digestibility trials. Four treatment diets comprised ad libitum hay (control, T1) and ad libitum hay plus daily supplementation of 300 g dry matter (DM) in a ratio of 2DVL:1WB (T2), 1DVL:1WB (T3) and 1DVL:2WB (T4), and the treatment feeds were randomly assigned to each animal within a block. Data were subjected to the analysis of variance using the GLM procedure of SAS (version 9.1). RESULTS: The results showed that the crude protein contents of hay, DVL and WB were 9.4%, 21.5% and 15.5%, respectively. Supplementation improved (p < 0.0001) DM intake (DMI), apparent nutrient digestibility, average daily gain (ADG) and economic return. Sheep supplemented with two parts of DVL and one part of WB resulted significantly (p<0.0001) the highest DMI, DM and nutrient digestibility and a better feed conversion ratio. Consequently, they resulted highest ADG and net return. CONCLUSIONS: Sheep fed with a basal diet of natural pasture hay supplemented with two parts of DVL and one part of WB is economical to improve body weight of Arsi-Bale sheep.

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Purpose: Tuberculosis is a common global public health problem. Ethiopia is among the thirty top Tuberculosis burden countries. Trends of tuberculosis disease in general and at the district level in the Bale Zone have not been assessed and no adequate information existed for informed decision-making. This study was to describe the trends and physical distribution of the tuberculosis disease in the Bale Zone from 2013 to 2018. Methods: We reviewed the reported data of tuberculosis from 2013 to 2018 in March 2019 and extracted data of tuberculosis from the Bale Zone health information system database. Analysis of the six-year data of tuberculosis was conducted after the data was cleaned and checked for completeness. Results: We recruited a total of 11, 268 tuberculosis cases. The proportions of sputum smear-positive tuberculosis (SS+), sputum smear-negative tuberculosis (SS-), and extra-pulmonary tuberculosis (EPTB) cases were 40.4%, 29.6% and 30%, respectively. Of all cases, 81.9% are aged greater than 15 years. Prevalence of all types of tuberculosis was 0.005%, 0.127%, 0.133%, 0.136%, 0.131% and 0.093% in 2013, 2014, 2015, 2016, 2017 and 2018, respectively. The death rate from positive pulmonary tuberculosis was 0%. 2.74, 2.10, 2.06, 1.04, and 2.75 in 2013, 2014, 2015, 2016, 2017 and 2018, respectively. The highest average prevalence rate was 198, 152 and 142 per 100,000 populations in Berbere, Rayitu, and Gura-Dhamole Woreda, respectively. Conclusion: The proportion of sputum smear-positive tuberculosis was high in the Bale Zone. Bale Zone should give more attention to the Tuberculosis program to tackle sputum smear positive. We recommended researchers investigate further research to identify determinants in districts with a high prevalence rate of tuberculosis.

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BACKGROUND: Sharing of space by humans and wildlife at a time may ignite apparent conflict. Populations of many species are declining due to the degradation of wildlife habitats caused by agricultural activities. Additionally, livestock may compete with wild herbivores for grazing and reduce the abundance of wild prey for carnivores. A reduction in populations of prey species of large predators might cause carnivores to be attracted towards livestock, ultimately provoking and aggravating the human-carnivores conflict. This study investigated the current status of the human-predators conflict in and around the Bale Mountains National Park. RESULTS: Most (72.75%) respondents agreed on the presence of livestock predation. Major reported predators were spotted hyena (Crocuta crocuta), olive baboon (Papio anubis), African wolf (Canis lupaster), aardvark (Orycteropus afer), genet (Genetta genetta), Ethiopian wolf (Canis simensis), lion (Panthera leo), and leopard (Panthera pardus). Cattle (54.19%), sheep (70.96%), goat (32.0%), donkey (37.72%) and horse (27.54%) were mentioned as major target of predators. Within the past ten years 1623 sheep, 741 cattle, 639 goats, 193 donkeys, and 124 horses were predated. This study found an increasing trend of livestock predation. The trend was reported to be high within the Park (68%). During the past ten years, households reported killings of 3320 livestock that cost 347,460.53 USD. Loss of 8.66 USD per month constituted 27.45% of their monthly income which is expected to have a great sustenance impact. Human settlement (41%), agricultural practices (38.6%), overgrazing (25.3%), deforestation for charcoal production (25.1%), deliberate fire to free lands for agriculture (17.3%) were noticed as major causes of livestock depredation. CONCLUSIONS: The results of the present study show that there is strong human-livestock predator conflict in the study area. Therefore, the author suggested that conflict mitigation efforts focus on securing the livestock enclosure to protected areas and regular compensation fees for farmers that face great damage from wildlife. The foremost action should be awareness creation about the environmental, social, and economic importance of protected areas. The management staff of the Park is also expected to promote community involvement in the plan of mitigation strategies and practices.

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BACKGROUND: Depression is the most frequent mental health condition among human immune deficiency virus or acquired immune deficiency syndrome (HIV/AIDS) patients. It has been related to negative health outcomes. This could lead to hospitalization and an increase in medical expenses. This study aimed to assess the prevalence of depression and associated factors among HIV/AIDS patients in public hospitals Bale Zone, Southeast Ethiopia. METHODS: A hospital-based cross-sectional study design was randomly employed among 554 study participants. A systematic random sampling technique was used to select the study subjects. A structured Patients Health Questionnaires- 9 was used to measure the depression status of HIV/AIDS patients. Data were collected using a pretested interviewer administered structured questionnaire as well as review of patients medical charts or records. Descriptive statistics were computed. Multivariable logistic regression analyses were conducted identify factors associated with the prevalence of depression. Adjusted odds ratio (AOR), along with a 95% confidence interval (CI), was used to estimate the strength of the association. A p-value of < 0.05 was considered statistically significant. RESULTS: The prevalence of depression among the study participants was found to be 44.9% (95% CI: 40.79%, 49.1%). Perceived HIV related stigma is the single most dominant predictor of depression [(AOR = 8.2, 95% CI: (4.96, 13.68)], low income level [(AOR = 3.1, 95% CI: (1.59, 6.22)] Experiencing any form of a side effect of highly active anti-retroviral therapy (HAART) [(AOR = 1.5, 95% CI: (1.04, 2.56)], having normal BMI [(AOR = 0.49, 95% CI: (0.29, 0.8)] being HIV patients at WHO clinical stage II [(AOR = 0.44, 95% CI: (0.22, 0.9)], were significantly associated with prevalence of depression. CONCLUSION: The study revealed that the prevalence of depression among people living with HIV in the study settings was high, almost two out of every five HIV patients were depressed. Low income level, side effect to HAART, and having HIV related stigma were more likely to suffer from depression.

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Adoption of climate smart agricultural (CSA) practices has been widely recognized as a promising and successful alternative to minimize the adverse impacts of climate change. However, their adoption among smallholder farmers remains low in developing countries, including Ethiopia. This study examines factors that influence adoption and the level of adoption of multiple CSA practices, including improved agronomy, soil and water conservation, drought tolerant high yielding crop variety, small-scale irrigation, integrated disease, pest, and weed management, and integrated soil fertility management, using survey data from 404 farm households in Bale-Eco Region (BER), Ethiopia. The study applied a multivariate probit model for analyzing the simultaneous adoptions of multiple CSA practices, and ordered probit model for examining the factors influencing the level of adoption. The CSA practices are found to be complementary. Moreover, farmers' adoption of multiple CSA practices, as well as their intensity of adoption, is significantly influenced by the age of the household head, education, land size, household total asset value, frequency of extension contacts, farmer awareness of climate change, farmer experience with climatic shocks, parcel fertility, slope, and severity of soil erosion. The study's findings suggest that agricultural policy makers and implementers of CSA should recognize the complementarity among CSA practices in order to intensify their adoption among BER farmers and disseminate CSA practices in other parts of the country. Moreover, policymakers should consider household socio-economic, institutional, and parcel-specific factors that positively influence CSA adoption.

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Objective: The objective of this study was to assess voluntary blood donation practice and associated factors among Bale Robe town civil servants in Oromia, Southeast Ethiopia, 2021. Methods: An institution-based cross-sectional study was conducted among 601 civil servants selected by a stratified systematic random sampling technique. Data were collected using a structured self-administered questionnaire. The questionnaire was pre-tested on 5% of the total sample size before actual data collection. Data were coded and entered into EpiData version 3.1 and analyzed using SPSS version 25. Frequency distribution, descriptive statistics, and diagrams were used to summarize and present data. Binary logistic regression was performed to assess the association between independent variables and voluntary blood donation practice. An adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated to identify factors associated with the outcome variables. And p-value < 0.05 was used to declare significance. Result: Of the total of 630 selected civil servants, 601 give a complete response to the questionnaire yielding a response rate of 95%. The mean age of participants was 34.19 years, and 328 (54.6%) of them were rural residents before they joined the governmental work. The lifetime voluntary blood donation practice among civil servants was 27%; 95% confidence interval = (23%-31%). The major reason for not donating blood was fear related to blood donation 186 (42.4%). From multivariable logistic regression, four variables were found as significant independent variables associated with voluntary blood donation practice. Accordingly, having a family member or relative who previously donate blood (adjusted odds ratio = 2.48; 95% confidence interval = (1.39, 4.39)), previous participation in a blood donation campaign (adjusted odds ratio = 5.84; 95% confidence interval = (3.39, 1.04)), and willingness to donate blood (adjusted odds ratio = 5.04; 95% confidence interval = (2.21, 11.48)) were variables significantly and positively associated with voluntary blood donation practice, respectively. Civil servants who had no opportunity to donate blood previously were less likely to give voluntary blood donation (adjusted odds ratio = 0.15 (95% confidence interval = 0.063, 0.367)). Conclusion: The study identified a low level of voluntary blood donation. Having family members/relatives who donate blood, previous participation in a blood donation campaign, and willingness to donate blood were significantly associated with voluntary blood donation. Therefore, there should be regularly scheduled campaigns encouraging civil servants' voluntary blood donation.

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Adequate nutrition is essential for early childhood to ensure healthy growth, proper organ formation, and function, a strong immune system, neurological and cognitive development. The main aim of the present study was to assess the effect of maternal employment on nutritional status among children aged 6-23 months in the town of Bale Robe, Ethiopia. A community-based comparative cross-sectional study was conducted on about 597 (293 unemployed and 304 employed) having children aged 6-23-month-old children sampled were employed with a multistage sampling technique. A face-to-face interview was conducted using a structured pretested questionnaire. Descriptive statistics, binary and multivariable logistic regression analyses were used for the statistical analysis. The magnitude of stunting (39.9 %), underweight (39⋅9 %) and wasting (22⋅2 %) was greater in 6-23-month-old children born to employed mothers than their counterparts in unemployed ones [stunted (31⋅3 %), underweight (24⋅0 %) and wasted (11⋅8 %)]. Being a girl [AOR 0⋅31; 95 % CI (0⋅17, 0⋅54)] in employed mothers and [AOR 0⋅29; 95 % CI (0⋅16, 0⋅51)] in unemployed people significantly protected stunting. This study demonstrated that the nutritional status of 6-23-month-old children is better among unemployed mothers than among employed mothers. Therefore, concerted efforts may decrease child undernutrition in a study area.

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BACKGROUND: Measles is a highly contagious viral illness and globally, 142,300 people died from measles in 2018. On 25 March 2021, an outbreak of measles was reported from Guradamole district Bale Zone Southeast Ethiopia. Hence, we investigated to determine existence of the outbreak and to identify the associated factors. METHOD: Descriptive and 1:2 unmatched case-control study was done in Guradamole district from March 25 to April 9/2021. For the descriptive study, a total of 98 cases were used. To identify the factor associated with the outbreak, 60 cases were selected by computer-generated simple random method by using line list as a sampling frame and 120 controls were studied. Active cases were identified through home-to-home searching in affected kebeles and controls were selected from neighbors of cases. Five serum samples were taken and an IgM test was done to confirm cases. Cases were any person who developed fever, maculopapular rash and cough, coryza or conjunctivitis while controls were without such diagnosis. We collected data by using a structured questionnaire, cases were described by time, place, and person; logistic regression was used to identify factors associated with measles. In the multivariable analysis P-value <0.05 was declared statistical significance. RESULTS: Overall, 98 cases were identified with an overall attack rate of 12/1000 population and a case fatality rate (CFR) of 7%. The highest attack rate (38/1000 population) and CFR (57%) were among children aged <59 months. Vaccination efficacy was calculated to be 82.6%. Being unvaccinated (adjusted odds ratio/AOR=5.66, 95% confidence interval, CI: 1.24-25.81), contact with patient (AOR=3.24, 95%CI: 1.03-10.17), moderate malnutrition (AOR=4.34, 95%CI: 2.14-8.814), distance from health facility (AOR=4.58, 95%CI: 1.39-15.19) and history of travel to affected area (AOR=3.99, 95%CI: 1.31-12.19) were shown significant associated with measles infection. CONCLUSION: The attack and fatality rate of the investigation were high. Being unvaccinated, distant from the health facility, malnutrition, and history of contact with measles case were associated with the outbreak. We recommend conducting vaccination campaigns, interventions to malnutrition, and strengthening routine immunization programs to reduce future measles outbreaks.