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Background Many studies have revealed that students’ performance in school, is affected by symptoms of depression, anxiety, and stress, which may impair their academic achievement, and lead to school dropout. However, to date, no studies have evaluated these three disorders among high school students in Africa. Therefore, in this study, we aimed to assess the prevalence of depression, anxiety, stress, and their associated factors among high school students in Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted. A simple random sampling technique was used to select 849 participants from six high schools in Northwest Ethiopia. A self-administered Depression, Anxiety, and Stress Scale (DASS-21) questionnaire was used to collect the data. Data were analyzed using SPSS Version 25.0 software to identify factors associated with DAS, and bi-variable and multi-variable analyses were performed. Results The prevalence of depression, anxiety, and stress was 41.4, 66.7, and 52.2% respectively. Being female (AOR = 1.304, 95% CI = 1.006–1.849), higher risky khat chewers (AOR = 5.595, 95% CI = 2.357–11.132), having social phobia (AOR = 1.416, 95% CI = 1.045–1.919) were associated with depression. Being higher risky cigarette smokers (AOR = 4.777, 95% CI = 1.407–7304), having a history of chronic medical illness (AOR = 2.099, 95% CI = 1.045–4.218), and having a family history of mental illness (AOR = 1.777, 95% CI = 1.028–3.073) associated with anxiety . Stress was associated with high-risk alcohol drinkers (AOR = 1.828, 95% CI = 1.012–3.303), rural residency (AOR = 1.395, 95%CI = 1.010–1.925), and low social support (AOR 1.7391, 95% CI = 1.203–2.515). Conclusion The burden of DAS among high school students was found to be high. Female sex, chewing khat, and having social phobia are associated with depression. Conversely, smoking cigarettes, having a chronic medical illness, and having a family history of mental illness are all linked to anxiety. Being a highly risky alcoholic drinker, having poor social support, and being a rural resident are positively associated with stress. Therefore, extending mental health services to all high schools, and strengthening the existing counseling services, are recommended.

Background. Risk of sexual ill-health occurs with the onset of unsafe sexual activity, mostly among the adolescents, and continues as long as the risky activities are engaged in. Globally, and in Africa, adolescent AIDS-related mortality among adolescents has been increasing. Therefore, a systematic review and meta-analysis of epidemiology of risky sexual behaviors in college and university students in Ethiopia is mandatory. Methods. We conducted extensive search of articles as indicated in the guideline of reporting systematic review and meta-analysis (PRISMA). Databases such as PubMed, Global Health, Africa-wides, Google advance search, Scopus, and EMBASE were accessed for literature search. The pooled estimated effect of epidemiology of risky sexual behaviors and associated factors were analyzed by using the random effects model meta-analysis and 95% CI was also considered. PROSPERO registration number is CRD42018109277. Result. A total of 18 studies with 10,218 participants were encompassed in this meta-analysis. The estimated pooled prevalence of risky sexual behaviors among college and university students was 41.62%. Being male [OR: 2.35, with 95% (CI; 1.20, 4.59)], alcohol use [OR: 2.68, with 95% CI; (1.67, 4.33)] and watching pornography [OR: 4.74, with 95% CI; (3.21, 7.00)] were positively associated with risky sexual behaviors. Conclusion and recommendation. Risky sexual behavior among students was high. Educational institutions should give special attention for male sex, alcohol user, and students who watch pornography.

Suicide ideation and attempt are common among pregnant women, risk factors for completed suicide, and associated adverse maternal and fetal outcomes. It is under-recognized and has not been investigated well in low-income countries like Ethiopia. This study aimed to assess the prevalence and factors associated with suicide ideation and attempt among pregnant women attending antenatal care services at public hospitals in southern Ethiopia. A group of 762 pregnant women who were attending the antenatal service at public hospitals in Hawassa, southern Ethiopia, selected by a systematic random sampling technique, took part in an interview. A Composite International Diagnostic Interview (CIDI) was used to measure suicide ideation and attempt. Chi-square and binary logistic regression analyses were performed to identify the associated factors. An adjusted odds ratio with a 95% confidence interval was used for reporting the result with a -value<0.05 statistical significance level. The prevalence of suicide ideation and attempt among pregnant women was 11.8% and 2.7%, respectively. Unplanned pregnancy (AOR=2.01, 95% CI=1.04-3.88), poor social support (AOR=3.29, 95% CI=1.62-6.68), common mental disorders (AOR=2.77, 95% CI=1.50-5.09), and lifetime suicide ideation (AOR=4.63, 95% CI=2.63-8.16) were factors significantly associated with suicide ideation. Social support was the only correlated factor with suicide attempt among pregnant mothers. The prevalence of suicide ideation and attempt among pregnant women was found to be high. Intervention strategies towards suicidal ideation and attempt should consider improving social support and antenatal related common mental disorders with a primary focus on women with unplanned pregnancy and prior history of suicide ideation.

Globally, post-partum depression is a major public health problem and is associated with a harmful effect on the infant, child, and mothers' mental, physical, and social health. Although a few post-partum depression studies have been published, we still lack an accurate estimated pooled prevalence of national PPD and associated factors. This study aims to show the estimated pooled prevalence of PPD and associated factors in Ethiopia. We conduct the extensive search of articles as indicated in the guideline (PRISMA), reporting systematic review and meta-analysis. Databases like MEDLINE, PubMed, psych INFO, Web of Science, EMBASE, CINAHL, Scopus, and The Cochrane Library. All publications and grey literature were addressed by using MeSH terms and keywords. The pooled estimated effect of post-partum depression and associated factors was analyzed using the random effect model meta-analysis, and 95% CI was also considered. PROSPERO 2020 CRD42020176769 Available from https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020176769. A total of 11 studies with 7,582 participants were included in this meta-analysis. The estimated pooled prevalence of post-partum depression (PPD) was 22.08%, with a 95% CI (17.66%, 26.49). For factors associated with post-partum depression, a random effect size model was used during meta-analysis; unplanned pregnancy [(OR = 2.84; 95% CI (2.04, 3.97)], domestic violence [OR = 3.14; 95% CI (2.59, 3.80)], and poor social support [OR = 3.57;95% CI (2.29,5.54) were positively associated factors with post-partum depression. The estimated pooled prevalence of post-partum depression was high in Ethiopia. Unplanned pregnancy, poor social support, and domestic violence were factors affecting PPD. Therefore, the Ethiopian policymakers and health personnel better give more emphasis to mothers who had a history of unplanned pregnancy, domestic violence, and poor social support.

Integrated nutrient management and crop rotation are important farming practices, which enhance the nutrient use efficiency of crops and reduce the incidence of diseases and insect pests. The study was carried out to address the gap in using integrated nutrient management in crop rotation systems for soil qualities and crop yield improvement. That was done by adjusting the balance ratio of dry bio-slurry and nitrogen fertilizers. The experiment was containing ten levels; Control (0,0), recommended nitrogen, 50% dry-bio slurry, 100% dry-bio slurry, 75% dry-bio slurry, 75% dry-bio slurry+25% recommended nitrogen, 50% dry-bio slurry+50% recommended nitrogen, 25% dry-bio slurry+75% recommended nitrogen, 100% dry-bio slurry + 25% recommended nitrogen and 100% dry-bio slurry + 50% recommended nitrogen that was laid out in randomized complete block design with three replications for three years. The data on soil properties and yield components of potatoes and wheat were collected and analyzed using statistical analysis system software 9.4. An application of dry bio-slurry with nitrogen fertilizer was significantly affected both crop yield and soil properties in the rotation system. The application of 25% dry bio-slurry with 75% recommended nitrogen gave the highest tuber yield of potato (27.6 tha -1 ) as compared to control. Similarly, using 100% and 75% sole dry bio-slurry resulted in the highest grain yield (3.85 tha -1 ) and above-ground biomass (9.59 tha -1 ) of wheat. The combination of 25% dry bio-slurry with 75% recommended nitrogen scored the highest net benefit (2889.2 US$) with an acceptable marginal return (4463.3%) via by improving crops yield in the system. So, an application of 25% dry bio-slurry with 75% recommended nitrogen could be promoted for yield-soil improvement in the study area and similar agroecology.

Depression is a very common psychiatric disorder in worldwide. Globally, Human Immunodeficiency Virus (HIV) is highly prevalent among women, and are disproportionately affected by depression. Antiretroviral Therapy (ART) adherence which could highly be affected by depression is yet to be explored effectively. Depression affects overall poor HIV clinical outcomes, socioeconomic and social interactions. However, it is not well understood specifically how depression affects ART adherence in women living with HIV (WLWHIV). Investigating the effects of depression on ART adherence is critical in order to develop nuanced new evidence to address non-adherence in WLWHIV. To conduct a meta-analysis on the correlation between depression and adherence to antiretroviral therapy among women living with HIV in the globe. Using population, exposed and outcome approach, we searched Scopus, PubMed, EMBASE, Cochrane Library, Psych info, Web of science and google scholar for cohort and cross-sectional studies globally. The search strategy was structured comprising terms associated with antiretroviral therapy and adherence, women living with HIV and depression. We evaluated the paper quality, using the Newcastle-Ottawa Scales (NOS). The fixed effect model was used to analysis the effect of depression on ART adherence. A total of 8 articles comprise 6474 participants were included in this study. There were controversial findings related to the effect of depression to ART adherence. Among three cross-sectional study, one article demonstrating, depression was associated with ART adherence. Of the five cohort studies, four cohort studies reported association. The overall pooled estimated effect of depression on ART adherence was 1.02 [RR = 1.015 with 95% CI (1.004, 1.026)] with a p-value of 0.005. Depression was the risk factor for ART adherence among women living with HIV. It is therefore, necessary for clinician to note this and perform screening for ART adherence. The review protocol was developed with prospero registration: CRD42023415935.

Conventional tillage (CT), which is characterised by intensive soil disturbance and complete residue removal, remains the main farming system in the Ethiopian highlands. However, CT, exacerbated by climate change, has accelerated soil degradation and reduced crop productivity. Conservation agriculture (CA) is promoted as a suitable alternative to counteract these challenges, although evidence of its effectiveness remains limited in the study area. This study evaluated the impacts of CA on runoff, soil loss, infiltration rate, and crop yield by comparing four treatments such as no-tillage + mulching + intercropping (NT + M + In), no-tillage + mulching + crop rotation (NT + M + R), conventional tillage + mulching + crop rotation (CT + M + R), and conventional tillage (CT). Each treatment was implemented at a 10X10 m 2 plot, while years were considered as replications. Analysis of variance (ANOVA) at a 95% confidence level was applied using R software to evaluate the effects of treatments. The results confirmed significant differences among treatments in reducing runoff and soil loss. Compared to CT, CA practices, NT + M + R, NT + M + In, and CT + M + R reduced runoff by 71, 60, and 45% and soil loss by 88, 82, and 60%, respectively. These treatments also improved cumulative infiltration by 137, 161 and 43%, respectively. These practices also increased maize grain yield by 48, 46, and 47% and faba bean yield by 122, 321, and 91%, respectively. Overall, no-tillage combined with mulching maximised the soil and water conservation benefits of CA, thereby enhancing crop production. Therefore, CA practices, primarily, NT + M + R followed by NT + M + In, and CT + M + R are recommended for wider adoption to improve soil and water conservation, and maize and faba bean production in the study area and similar agro-ecological regions of the world.

Soil acidity is a global problem that limits crop production worldwide. It is the major crop yield-limiting factor in Ethiopia. The experiment was conducted in the Guagusa Shikudad district in western Amhara during the 2021 and 2022 cropping seasons to improve the productivity of faba bean through integrated vermicompost and lime applications. The spacing between rows and plants was 40 and 10 cm, respectively and the gross plot size was 8.4 m². The treatments were zero, half and full lime factorially combined with 0, 5, 10, and 15 t ha ⁻ ¹ vermicompost. Vermicompost and lime were applied separately in rows at planting. The experiment was laid out in a randomized complete block design with three replications. Before planting, a composite surface soil sample at 0–20 cm depth and after harvest from each plot was collected for the determination of soil chemical properties. The soil analysis result indicated that vermicompost and lime significantly increased soil pH and decreased exchangeable acidity. The result also revealed vermicompost and lime significantly (p < 0.001) increased faba bean grain and biomass yield. The maximum faba bean grain yield (2.41 t ha ⁻ ¹) was recorded from the applied 10 t ha ⁻ ¹ vermicompost and full dose of lime (5.6 t ha ⁻ ¹), while the maximum faba bean biomass (5.90 t ha ⁻ ¹) was recorded from the treatment of 15 t ha ⁻ ¹ vermicompost and full dose of lime applied. The minimum grain and biomass yield of faba bean was recorded from the control (vermicompost and lime not applied). Application of 5 t ha ⁻ ¹ vermicompost and a full dose of lime gave an optimum and economical faba bean grain yield. Application of integrated organic and inorganic fertilizers with lime is suggested for the improvement of faba bean grain yield by restoring non-responsive, strongly acidic agricultural soils in the study area and similar agroecology.

ObjectiveThis study aimed to assess the psychosocial determinants of psychological distress among people with disabilities in Ethiopia.DesignA cross-sectional study was conducted at an institution from 01 to 30 May 2021, using a census sampling approach.Setting and participantsA total of 269 individuals aged 18 and older with disabilities were present at the University of Gondar in Ethiopia.Main outcomeThe Kessler psychological distress scale (K10), the multidimensional scale of perceived social support, the actual help-seeking behaviour and the stigma scale for chronic illness-8 were used to assess the dependent and independent variables, respectively. Binary logistic regression analyses were performed; a p value less than 0.05 was considered statistically significant at a 95% CI.ResultIn this study, the prevalence of psychological distress was 34.6% with a 95% CI (29.40 to 40.10). Factors, such as older age (adjusted ß=1.09; 95% CI 1.04 to 1.15), low perceived social support (adjusted OR (AOR)=1.83; 95% CI 1.16 to 2.89), experiencing stigma (AOR=2.50; 95% CI 1.12 to 5.61) and cognition problems (adjusted ß=0.73; 95% CI 0.62 to 0.85), were significantly associated with increased psychological distress. Of the participants with psychological distress, professional help-seeking behaviour was 7.5%.ConclusionPsychological distress was notably high among individuals with disabilities, while professional help-seeking remained very low. This underscores the urgent need for targeted mental health interventions to reduce stigma, strengthen social support and improve access to appropriate psychological care.

Background Monotonous and less diversified diets are associated with micronutrient deficiency. Evidence on maternal dietary intakes during pregnancy is essential to achieve the 2025 global nutrition target and reduce maternal and child mortalities. This study assessed pregnant women’s dietary diversity and identified factors associated with inadequate dietary diversity in East Gojjam Zone. Methods We conducted a community-based cross-sectional study between April and June 2016. Eight hundred thirty-four pregnant women were randomly sampled. The Women Dietary Diversity Score tool developed by the Food and Agricultural Organization (FAO) and Food and Nutrition Technical Assistance (FANTA) was used. Data were entered into EpiData with double entry verification, and analysis was done using IBM SPSS version 20. Level of significance was set to P  < 0.05 with 95% confidence interval (CI) to identify the independent factors associated with inadequate dietary diversity. Results The mean (±SD) dietary diversity score was 3.68 (±2.10). Inadequate dietary diversity was prevalent in 55% [95% CI (52.3–59.3%)] of pregnant women, or indirectly micronutrient was inadequate in more than half of the pregnant women. Commonly consumed dietary groups were legumes, nuts, and seeds (85.5%) followed by starchy staples (64.7%). Inadequate dietary diversity was higher among non-educated [Adjusted Odds Ratio (AOR) = 7.30, 95% CI (2.35–22.68)] compared to college and above completed women. Wealth index had significant association with dietary diversity, in which women in the poorest [AOR = 8.83, 95% CI, (1.60–48.61)], poorer [AOR = 6.34, 95% CI (1.16–34.65)], poor [AOR = 8.46, 95% CI (1.56–45.70)], and richer [AOR = 6.57, 95% CI (2.16–20.01)] had higher odds of inadequate dietary diversity. Those who had not received dietary counseling had three folds [AOR = 3.31, 95% CI (1.49–7.35)] of inadequate dietary diversity compared to their counterparts. Less likelihood of inadequate dietary diversity was among women with an increased meal frequency [AOR = 0.53, 95% CI (0.38–0.74)]. Conclusion Consumption of less diversified food during pregnancy is common in the study area. Adequacy of micronutrients is insufficient for more than half of the studied pregnant women. We conclude that being non-educated affects pregnant women to depend on less diversified diet. Providing dietary counseling during pregnancy can improve nutritional practice for pregnant women.