“Determinants of rural household saving participation: A case study of Libokemkem District, North-west Ethiopia”

Uptake of HIV testing is critical to halting the spread of HIV. Our study aimed to examine the coverage of HIV testing and self-testing and the individual-level, household-level and community-level factors associated with HIV testing and self-testing awareness. We analysed data of 12 312 men and women from 2016 SADHS and used multilevel mixed-effects models to examine the factors associated with uptake of HIV testing and self-testing awareness. About 80% of participants had ever tested for HIV, and 64% had tested in the past year. Only 49% of adolescents aged 15-19years had ever tested for HIV compared with over 80% of adults. Self-testing awareness was low (22%), and only 2.9% of respondents had ever self-tested for HIV. The odds of having ever tested for HIV were significantly higher among respondents who were aged 25-29 (AOR: 4.02; 95% CI: 3.27-4.95), had a higher level of education (AOR: 3.18; 95% CI: 2.19-4.61), were married (AOR: 1.63; 95% CI: 1.36-1.94), had high media exposure (AOR: 1.23; 95% CI: 1.06-1.44) and had ever had sex (AOR: 5.57; 95% CI: 4.67-6.64), but lower among men (AOR: 0.39; 95% CI: 0.35-0.44). In conclusion, HIV testing coverage is high in South Africa relative to most countries in sub-Saharan Africa, but falls short of the UNAIDS first 95. We found no evidence of socioeconomic and geographic inequalities in access to HIV testing. However, adolescents had a lower level of HIV testing uptake, suggesting a need for interventions to expand testing in this age group.

This study examined the relationship between individual, household, and community-level factors with obesity-related health behaviors. Households (n = 6110) were enumerated, and participants (>18 years) reported their screen time and how many sugar-sweetened beverages they consumed per day. Individuals from food insecure and higher SES households were more likely to report higher sugar-sweetened beverage consumption. Screen time was negatively associated with age (p < .01), and being female was associated with 35 minutes more screen time per day (p < .01). Community and household factors were independent drivers of behavior that need to be incorporated into individual level interventions, or considered in analyses.

Understanding the role of push and pull factors on agricultural land expansion: A case study of Adaba and Adiyo district, Ethiopia

Most policy and research interest regarding rural credit markets revolves around the perception that poor households in developing countries lack access to credit, which is believed to have negative consequences for household welfare. An important feature of the rural credit market is that access to credit is easier for some groups than for others. The Vietnamese government supplied credit on preferential terms, particularly to rural households, throug state-owned financial intermediaries. The share of the informal sector was thus considerably reduced from 78% (1992/93) of all outstanding loans to 54% (1997/98) in favor of the formal sector. However, there is evidence from other developing countries that credit constraints persist despite the expansion of rural finance. Hulme and Mosley (1996) state that there is increasing evidence that the poorest 20% of the population are excluded from rural credit programs. Thus, even in Vietnam the question remains: did the Vietnamese government succeed in reaching the poor, or do groups of people exist who are still access-constrained? Quantitative (N=260) and qualitative data collection took place between March 2000 and 2001. The quantitative data comprise cross-sectional household-level data from two different districts in Northern Vietnam. The poverty outreach of formal rural lenders was analyzed using Principal Component Analysis, while access to formal credit was investigated using a binary logit analysis. The poverty outreach of the formal lenders is quite satisfactory since about 50% of all predominantly poor rural households have access to formal credit. However, the poorest households are seldom clients of formal lenders. Yet, it is not their extreme general poverty that determines their access to formal credit. The results indicate that only certain aspects of poverty, e.g. low quality of housing, have an important influence on access to formal credit in Vietnam. The poorest households simply have much less demand for formal credit. Offering new credit products would only slightly improve the credit coverage of poorer households. More promising would be a specialized pro-poor extension service to widen the scope of their investment ideas and possibilities, combined with general improvement of the infrastructure. All in all, the most appropriate tool to incorporate poorer households into the formal financial system would be mobilization of savings. Nevertheless, the number of access-constrained households is surprisingly low. One reason for the low number is the weakening or eradication of former access constraints. Some acces barriers do still exist, e.g. towards ethnic minorities or female-led households. To reduce these access barriers, the actions to be taken should be catering to the specific needs and the circumstances of those households that lack access.

This study examines the effect of credit access on both agricultural and off-farm activities based on a household survey of 371 rural farmer respondents in Ethiopia.it was analyzed using a logistic regression model and statistical description. Findings demonstrated that the demographic factors; gender, age, level of education, and family size have a positive and significant effect on credit access. Agricultural credit access is impacted by each of the demographic variables as independent variables. On the other hand, the result indicated that the relationship between credit access and non-farm economic activities has a negative relationship. Credit access has a significant effect on agricultural intensification and specialization rather than diversification. Therefore, a comprehensive policy and strategy needs for credit access in both the agricultural and non-agricultural sectors. The Ethiopian government should follow the integration policy between both sectors and participate in livelihood diversification strategies and achieve sustainable development goals by 2030 at large.

The study examined the food security status and the socio-economic effects of climate change on rural farming households in Delta State, Nigeria. The main objective of the study was to determine the food security status of the rural farming households in the state while the specific objective was to determine the socio-economic effects of climate change on rural farming households in the state. Multistage sampling procedure was used in the random selection of local government, communities and rural households for the research study. The data for the study were obtained with the aids of structured questionnaire survey randomly administered to rural farming households in the state. Food security index was used to determine the level of food insecurity (food security status) among the rural households in communities that have been affected by flood and or other climate hazardswhile descriptive statistics was used to summarize the socio-economic effects and their food security status of the rural farming households in the state. Most respondents (65.10%) were married with low annual income of N54,702 ($353) which is less than the poverty line of less than $1 (one dollar) a day. Most rural farming households witnessed loss of investment on farm lands, lives and income respectively in the state. The study also reveals that rural farming households suffered ill health, such as malaria, water borne diseases and skin infections that were on the increase in the state. The study also revealed that majority of respondents was moderately food insecure. The study also recommends that Government planning agencies and policy makers should put into consideration these food insecurity situations in their planning and policy implementation to prevent future chronic food insecurity situation in the state.

Background: Helicobacter pylori (Hp) is a gastric pathogen associated with development of duodenal or stomach ulcers, stomach cancer, and mucosa associated lymphoid-tissue (MALT) lymphomas. While Hp prevalence is declining in many regions, it remains the leading infectious cause of cancer worldwide. In the United States prevalence varies by geographic location, ethnic background, socioeconomic status, and age. This pilot project seeks to understand the role of Hp infection in the development of stomach cancer among Native Americans of Northern Arizona, where stomach cancer incidence rates are approximately three times higher than the general Arizona population and it is the leading cause of cancer mortality. Methods: A cross-sectional survey based on a random sample of households selected using census block vectors for tribal lands overlaid onto satellite imagery. Potential household structures were marked and randomly sorted with recruitment goals set to be proportional to underlying population size. Houses were ‘ground-truthed’ for eligibility and residents approached for participation. A total of 72 households were recruited between June-August 2018 with 105 self-identified Navajo &amp;gt;18 years old living in three communities in northern Arizona participating. Participants were assessed on household and individual level factors associated with infection. A urea breath test (UBT) was performed to test for active infection. We used logistic regression, adjusted for household clustering, to calculate odds ratios (aOR) and 95% confidence intervals (CI) for associations between UBT results and individual and household factors. Results: Active Hp infection was found in 66 of the 101 participants with valid UBT, crude prevalence of 65.4%. Male participants were more likely to be positive (aOR=2.89, 95% CI, 1.03-8.09). Participants with an unregulated household water source had the highest odds for positive UBT (aOR=8.85, 95% CI, 1.50-53.38). There was no association with age or education and a modest association with history of gallbladder disease. Only 23.8% reported they had ever heard of Hp infections and 12.9% previously tested for the infection. Conclusion: Prevalence of Hp is high among individuals in these Navajo communities. Use of household water that was not regulated, was strongly associated with active Hp infection. Further work is needed to determine if there is geographic variation and what Hp substrains are involved for this population. Attention also needs to focus on developing strategies to reduce the infection and target earlier detection. Citation Format: Robin B Harris, Rachel Begay, Priscilla R Sanderson, Carmenlita Chief, Fernando Monroy, Heidi E Brown, Eyal Oren. Helicobacter pylori infections in Navajo communities of Northern Arizona [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr D109.

Structural Determinants of Adoption of Artificial Insemination among Livestock Farmers in Pakistan

The nutrition security of women is critically important for society’s well-being. Therefore, this study was conducted to determine the determinants of the nutrition security status of rural women in Northwest Ethiopia. Data collected from rural women in 197 randomly selected households were analyzed using a binary logit regression model. The results show that 72.6% of the women are nutritionally insecure. The determinants that significantly affect nutrition security status are family size (a negative effect), women’s daily feed frequency, milk consumption, feeding habits of fruits and vegetables, feeding habits of animal products, and women empowerment (all positive effects). The weight, height, and BMI of nutritionally insecure women were significantly lower than those of nutritionally secure women. These findings reveal the need for government and other stakeholders’ interventions to increase access to nutritious food products and to provide training on feeding culture and dietary diversity to women. The findings of this study can help the Government of Ethiopia to focus on the significant determinants to achieve its National Development Priorities focusing on the Sustainable Development Goals (SDGs) of the UN, particularly Goals 2, 3, and 5.

Household air pollution (HAP) from biomass fuels significantly contributes to cardio-respiratory morbidity and premature mortality globally. Particulate matter (PM), one of the pollutants generated, remains the most accurate indicator of household air pollution. Determining indoor air concentration levels and factors influencing these levels at the household level is of prime importance, as it objectively guides efforts to reduce household air pollution. This paper describes household factors associated with increased PM2.5 levels in Zimbabwean rural household kitchens. Our HAP and lung health in women study enrolled 790 women in rural and urban households in Zimbabwe between March 2018 and December 2019. Here, we report data from 148 rural households using solid fuel as the primary source of fuel for cooking and heating and where indoor air samples were collected. Data on kitchen characteristics and practices were collected cross-sectionally using an indoor walk-through survey and a modified interviewer-administered questionnaire. An Air metrics miniVol Sampler was utilized to collect PM2.5 samples from the 148 kitchens over a 24 h period. To identify the kitchen features and practices that would likely influence PM2.5 concentration levels, we applied a multiple linear regression model. The measured PM2.5 ranged from 1.35 μg/m3 to 1940 μg/m3 (IQR: 52.1-472). The PM2.5 concentration levels in traditional kitchens significantly varied from the townhouse type kitchens, with the median for each kitchen being 291.7 μg/m3 (IQR: 97.2-472.2) and 1.35 μg/m3 (IQR: 1.3-97.2), respectively. The use of wood mixed with other forms of biomass was found to have a statistically significant association (p < 0.001) with increased levels of PM2.5 concentration. In addition, cooking indoors was strongly associated with higher PM2.5 concentrations (p = 0.012). Presence of smoke deposits on walls and roofs of the kitchens was significantly associated with increased PM2.5 concentration levels (p = 0.044). The study found that kitchen type, energy type, cooking place, and smoke deposits were significant predictors of increased PM2.5 concentrations in the rural households. Concentrations of PM2.5 were high as compared to WHO recommended exposure limits for PM2.5. Our findings highlight the importance of addressing kitchen characteristics and practices associated with elevated PM2.5 concentrations in settings where resources are limited and switching to cleaner fuels may not be an immediate feasible option.

Rural human settlement improvement (RHSI) is the basis for enhancing rural households’ life quality and promoting their well-being. Studying the impact of the livelihood capital level and structure on rural households’ payment willingness for RHSI will help to clarify the effective focus for implementing a payment system for rural environmental governance, which is of great significance for improving rural human settlements and promoting comprehensive rural revitalization. This study reveals the influence mechanism of the livelihood capital level and structure on rural households’ willingness to pay (WTP) for RHSI. According to the survey data of rural households in Hubei Province, China, the level and structure of rural households’ livelihood capital and their WTP for RHSI are analyzed using the entropy value method and the contingent valuation method. The effects of the livelihood capital level and structure on rural households’ WTP for RHSI are tested using the Probit and Tobit models. The results show significant differences in the level and structure of rural households’ livelihood capital. More than half of the rural households have a payment inclination for RHSI, but the distribution of the willingness payment amounts shows a clear polarization, with the average payment amount ranging from CNY 14.48 to 28.32 per month. Both the total livelihood capital level and classification levels (natural capital, human capital, financial capital and social capital) significantly positively affect the rural households’ WTP. In the livelihood capital structure, both the natural-capital-dominant type and financial-capital-dominant type significantly positively affect the rural households’ WTP, and the human-capital-dominant type significantly positively affects the rural households’ willingness payment amount. Accordingly, this study proposes policy recommendations for the multi-dimensional improvement of rural households’ livelihood capital and the optimization of the livelihood capital structure allocation.

BACKGROUND: Sunlight has been used for therapeutic purposes for neonatal jaundice. Exposure to sunlight is vital for the synthesis of vitamin D. Lack of exposure to sunlight is the single most important cause of rickets. Rickets is a major public health problem in many countries of the world, especially in Sub-Saharan Africa. Vitamin D deficiency due to low exposure to sunlight, suboptimal exclusive breastfeeding, and low vitamin D intake is one of the health problems in Ethiopia. The implementation of the strategy has remained inconsistent and lacked focus on factors that influence maternal practice, excluding infants from getting adequate sunlight. OBJECTIVE: To assess knowledge, practices, and factors affecting sunlight exposure of infants among women attending Debre Tabor Comprehensive Specialized Hospital, Ethiopia, 2022. METHODS: An institutional-based cross-sectional study was conducted through patient interviews at Debre Tabor Comprehensive Specialized Hospital from May 2022 to July 2022. Study participants were selected using a systematic random sampling method. A pretest was conducted on 5% (18) of participants before the actual data collection began. The data was collected by five BSc midwives. Data was entered into EpiData version 4.6.2 and exported to SPSS Software version 25 for further analysis. Bivariate and multivariate logistic regression analyses were carried out to test the association between each independent variable and the dependent variable. At 95% CI, variables with a p-value &lt; 0.05 in the multivariate logistic regression model were considered as associated factors. RESULTS: About 67.5% and 62.1% of the mothers had good knowledge and good practice about adequate sunlight exposure, respectively. Mother’s age, mother’s educational status, marital status, and family size were the factors associated with sunlight exposure in multinomial logistic regression. CONCLUSION AND RECOMMENDATIONS: According to our study, participants did not have good knowledge and practice regarding sunlight exposure of infants. Therefore, health education focusing on the importance of sunlight exposure is important to improve the knowledge and practice of mothers towards sunlight exposure of their infants.

Wheat is one of the most important cereal crops in Ethiopia. However, low production and productivity of wheat, which is mainly associated with poor adoption of technologies, is persistent in Ethiopia. In this regard, this study was conducted with the aim to find out the adoption level of wheat row planting technology and to identify factors that affect the adoption of wheat row planting in Girar Jarso woreda, North Shew zone, Oromia regional State, Ethiopia. In order to achieve these objectives, 118 rural households were selected by using three stage sampling procedure. Both primary and secondary data were used. The data were analyzed by using descriptive statistics and binary logistic regression model. The study result shows that about 45.76% and 54.24% of sample respondents were found to be adopter and non-adopter of wheat row planting technology respectively. A binary logistic regression model result shows that, age of the household head, education level of household, year of farming experience; total labor availability, total annual income and frequency of extension contact were found to be significant in affecting the adoption of wheat row planting. Therefore, the study recommends, the government, development workers, and policymakers should consider the provision of education and extension services. This study also suggests that, policymakers and development organizations should consider infrastructure development (particularly access to markets), and credit is important.

Despite the nutritional and other advantages of cocoyam over some tuber crops, it remains neglected, underutilised, and non-commercialized in many parts of Nigeria. The study assessed the potentials for the commercialisation of cocoyam. Specifically, it assessed farmers’ awareness of the uses of cocoyam, level of cocoyam cultivation, farmers’ attitude towards its commercialisation, and the constraints to its commercialisation. Two-stage random sampling technique produced 154 respondents and an interview schedule was administered to collect data. Descriptive statistics and the multiple regression analysis were used for data analysis. Results revealed that farmers’ mean age, farming experience and farm size were 53.9 years, 22 years, and 4.3 acres respectively. The level of awarenessof the uses of cocoyam was high (73.52%) and had an averagely positive attitude (mean score = 2.38) towards its commercialisation. Cultivation of cocoyam was mostly on a subsistence level among the farmers (97.3%). High susceptibility to pests and diseases (MS = 3.13) and a higher preference for other tuber crops (MS = 3.09) were the major constraints to the commercialisation of cocoyam. Farmers’ age (β = –0.008), level of education (β = –0.046), household size (β = –0.012), and frequency of extension contact (β = 0.018) determined farmers’ attitude towards its commercialisation. The study concluded that the potentials for the commercialization of cocoyam was appreciable in the study area. Findings underscore the need for research on cocoyam pest and diseases control as well as breeding ofimproved varieties of the plant by National Root Crops Research Institutes.&#x0D; Key words: attitude, commercialization, neglected, under-utilized and cocoyam

IntroductionIodine is a crucial trace element for thyroid hormone synthesis. All age groups are affected by iodine deficiency disorders (IDD), especially pregnant women, young women, and children. Iodine deficiency disorder has been recognized as a serious public health issue in Ethiopia. Therefore, the aim of the current study was to assess the availability of iodized salt and associated factors at the household (HH) level in the Farta district, northwest, Ethiopia.MethodsA community-based cross-sectional study was conducted involving 704 participants in Farta District, Northwest Ethiopia, between February and March 2021. A multi-stage sampling technique was employed to recruit participants. Data were collected using pretested and structured questionnaires administered by face-to-face interviewers. The data were entered into Epi-data version 4.6 software and exported into Stata version 14 for the purpose of analysis. Both bivariable and multivariable logistic regression analyses were used to identify factors associated with the availability of iodized salt. Statistical significance was declared at a p-value ≤ 0.05 with a corresponding 95% confidence interval.ResultsThe availability of adequately iodized salt in the study area was 26.6% (CI = 23.8%, 29.4%) of households. Good knowledge about iodine deficiency disorder (IDD) and iodized salt (AOR = 3.85, 95% CI: 3.65, 6.11); short-term storage of salt at the HH [AOR = 2.76, 95% CI: 1.98, 3.23); and stored in covered containers (AOR = 1.57, 95% CI: 1.11, 1.78) were significantly associated with the outcome variable.ConclusionThe availability of adequate iodized salt at the HH level was far below the WHO target (more than 90%) in the study area. Knowledge about IDD and iodized salt, stored in covered containers, and short-term storage of salt at the HH were significantly associated with the availability of iodized salt. Hence, at the household level, increasing awareness and disseminating information about the benefits of using iodized salt could be effective. Moreover, education about the proper storage and handling of iodized salt, as well as the recommended storage duration of salt in the home, should be provided as part of our community outreach programs.