The purpose of this study was to evaluate the effects of retention ponds on the environment and population health by analyzing water samples from various ponds in Mogadishu, to determine the prevalence of waterborne i...The purpose of this study was to evaluate the effects of retention ponds on the environment and population health by analyzing water samples from various ponds in Mogadishu, to determine the prevalence of waterborne illnesses that occur during the rainy season in Mogadishu, and to find out what experts thought about the effects of retention ponds on the environment as well as population health in Mogadishu. Methods: Mixed designs were used in the study. The first design is an exploratory study where samples are taken from different retention ponds in Mogadishu. The second design involves gathering secondary data from the online FSNAU Dashboard regarding the incidence of rainfall and waterborne illnesses including malaria and cholera. Additionally, a cross-sectional survey of expert opinions using questionnaires was the third design. The 10 water samples were taken from retention ponds in Mogadishu as part of the sample size. Data on the fourth month was also gathered using the FNSAU dashboard, and seventy sample sizes were used for the expert self-administered questionnaire for the third design. Excel was used for data analysis in the initial design. While BMI SPSS versions 22 were used to analyze the data from the Self-administered Questionnaire, additional methods were utilized to compute descriptive statistics, such as mean and standard deviation, and to analyze demographic data in a frequency table. Findings: The results show that three samples had unsatisfactory scores (Grade D): Yaqshid (Warshadda Bastada) had a WQI of 80.85, Boondheer (Bondher Pond) had a WQI of 80.64, and Wartanabad (Xamar Jadiid Pond) had a WQI of 80.89. The remaining samples were all rated as fair (grade), which indicates that they ranged from 50 to 75. The months with the largest rainfall already occurred in December, November, and October, when the prevalence of diseases during the rainy season was highest for cholera cases. Although October and December saw a significant number of malaria cases, November did not. Retention ponds’ overall effects on residential environments were evaluated, and the results showed that the standard deviation was 0.802 and the cumulative average mean scores were 4.41 overall. This indicates that the respondents were in agreement that retention ponds in Mogadishu, Somalia, had an effect on residential areas. Recommendation: The study suggested that in order to identify retention pond contamination and create treatment units for its management, the Ministry of Health forms a district-level public health committee. All districts must have a sewer system installed by the local government, and retention ponds must be made easier in order to move waste outside of the city.展开更多
The study took a comprehensive approach to understanding mastitis in lactating camels, a disease that significantly impacts milk quantity and quality. This complex and multifactorial disease poses a significant challe...The study took a comprehensive approach to understanding mastitis in lactating camels, a disease that significantly impacts milk quantity and quality. This complex and multifactorial disease poses a significant challenge to dairy camel farming, particularly in Somalia. The studys objective was to determine the prevalence of mastitis and the risk factors associated with it among lactating camels on dairy farms in Benadir, Somalia. To achieve this, a cross-sectional study was conducted from May to September 2022 in the Benadir region of Somalia. A total of 96 lactating camels underwent examination using the California Mastitis Test (CMT) to identify clinical and subclinical mastitis cases. Additionally, a questionnaire survey was conducted among 20 farm employees/owners to gather information on hygiene practices, parity, lactation stage, tick infestation, and the presence of udder/teat lesions. Data regarding parity and lactation stage were obtained through owner interviews. The data collected on specifically designed forms were recorded and entered into a Microsoft Excel spreadsheet for analysis using SPSS version 20 statistical software, ensuring a comprehensive and reliable analysis of the data. The studys findings revealed a significant prevalence of camel mastitis, with 34.4% (33/96) of lactating camels affected and clinical and subclinical cases constituting 5.2% and 29.2%, respectively. Quarter-level prevalence was 46.3%, with clinical and subclinical mastitis at 4.7% and 41.6%, respectively. The study also identified significant associations (P < 0.05) among risk factors such as stage of lactation, parity, and age, indicating a higher susceptibility to mastitis in older camels during early lactation compared to those in late lactation and younger camels. These findings underscore the crucial role of inadequate hygienic conditions on camel farms and udder tick infestations in driving the elevated prevalence of mastitis, highlighting the need for improved management practices in dairy farming in Benadir, Somalia. Effective interventions, including improved management practices and extension services, are essential to reduce the burden of mastitis in dairy camels.展开更多
Contagious bovine Pleuropneumonia (CBPP) is an infectious and highly contagious respiratory disease of cattle and water buffalo, caused by the Mycoplasma mycoides subspecies mycoides. It induces significant economic l...Contagious bovine Pleuropneumonia (CBPP) is an infectious and highly contagious respiratory disease of cattle and water buffalo, caused by the Mycoplasma mycoides subspecies mycoides. It induces significant economic losses and leads to a severe livestock production problem, negatively influencing people’s livelihoods of affected countries. In Somalia, there is no updated data on the prevalence and distribution of the disease. Hence, a descriptive cross-sectional study was conducted from September 2022 to June 2023 in different villages under the Afgoye District of lower Shabelle region, Somalia. The main purpose of this study is to assess the sero-prevalence and identify the associated risk factors for the occurrence of the disease. In this study, villages, age, sex, breed, and body condition were considered as risk factors. A total of 90 blood samples were collected and tested in the laboratory using the Anti-CBPP Elisa kit test. Out of 90 serum samples from herd cattle, 32 were positive, resulting in an overall prevalence of 35.5%. In addition, we found a statistically significant variation between the prevalence of the disease and factors such as sex, age, body condition and breeds. In summary, the overall prevalence of Contagious bovine pleuropneumonia in this study area is worth to be considered because there is a low quality of health care and less awareness of the Contagious bovine Pleuropneumonia effects on herds, which warrants the official authorities to act and follow appropriate preventive and control measures to reduce the incidence of the disease and generate appropriate controlling and prevention measures in all regions of Somalia.展开更多
Background: In Africa, female genital mutilation (FGM) is a widespread and harmful practice, with Somalia having the highest incidence at 98%. This practice has severe and long-lasting physical and mental health conse...Background: In Africa, female genital mutilation (FGM) is a widespread and harmful practice, with Somalia having the highest incidence at 98%. This practice has severe and long-lasting physical and mental health consequences. The aim of the study was to evaluate the different types of FGM;immediate and long-term complications associated with the practice, and identify factors related to its prevalence. Method: In a one-year cross-sectional hospital-based study, data were collected from females aged 18 - 50 with a history of FGM. Face-to-face semi-structured questionnaires were used for data collection. Data analysis was performed using SPSS version 26, utilizing univariate and bivariate analyses to identify correlations between variables, which were presented in tables. Results: In a study involving 255 female participants, 65.5% were between 18 and 30 years old. The majority (82.7%) were married, while 47.1% were illiterate. FGM cases were more prevalent in rural areas (61.6%). Among the participants, 45.1% were employed. Type 3 FGM was the most common (44.3%), followed by Type 2 (32.2%) and Type 1 (23.9%). In terms of short-term complications experienced by circumcised women, the most common were bleeding, reported by 29.8% of participants, followed by infection (25.1%), and urinary retention (19.2%). Among the long-term complications observed, recurrent vaginal infections were the most prevalent, affecting 29.8% of the surveyed females. This was episiotomy during delivery (22.3%) and genital scarring (10.2%). Conclusion: The study reveals that Type 3 FGM is highly prevalent among the surveyed females, contributing to an increased risk of recurrent vaginal infections, prolonged second stage of labor, higher likelihood of episiotomy during delivery, and genital scarring. These findings emphasize the urgent need for effective preventive strategies and implementation from both international and local organizations to eliminate the harmful practice of FGM.展开更多
AIM To provide a clear understanding of viral hepatitis epidemiology and their clinical burdens in Somalia.METHODS A systematic review and meta-analysis was conducted as Preferred Reporting Items for Systematic Review...AIM To provide a clear understanding of viral hepatitis epidemiology and their clinical burdens in Somalia.METHODS A systematic review and meta-analysis was conducted as Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search of published studies on viral hepatitis was performed from 1977-2016 in Pub Med, Google Scholar, Science Direct, World Health Organization African Index Medicus and the Africa Journals Online databases, as well as on the Ministry of Health website. We also captured unpublished articles that were not available on online systems.RESULTS Twenty-nine studies from Somalia and Somali immigrants(United Kingdom,United States,Italy,Libya)with a combined sample size for each type of viral hepatitis[hepatitis A virus(HAV):1564,hepatitis B virus(HBV):8756,hepatitis C virus(HCV):6257,hepatitis D virus(HDV):375 and hepatitis E virus(HEV):278]were analyzed.The overall pooled prevalence rate of HAV was 90.2%(95%CI:77.8%to 96%).The HAV prevalence among different age groups was as follows:<1 year old,61.54%(95%CI:40.14%to79.24%);1-10 years old,91.91%(95%CI:87.76%to94.73%);11-19 years old,96.31%(95%CI:92.84%to 98.14%);20-39 years old,91.3%(95%CI:83.07%to 95.73%);and>40 years old,86.96%(95%CI:75.68%to 93.47%).The overall pooled prevalence of HBV was 18.9%(95%CI:14%to 29%).The overall pooled prevalence among subgroups of HBV was20.5%(95%CI:5.1%to 55.4%)in pregnant women;5.7%(95%CI:2.7%to 11.5%)in children;39.2%(95%CI:33.4%to 45.4%)in patients with chronic liver disease,including hepatocellular carcinoma(HCC);7.7%(95%CI:4.2%to 13.6%),12.4%(95%CI:6.3%to 23.0%)and 11.8%(95%CI:5.3%to 24.5%)in age groups<20 years old,20-39 years old and>40years old,respectively.The HBV prevalence among risk groups was 20%(95%CI:7.19%to 44.64%)in female prostitutes,21.28%(95%CI:7.15%to48.69%)in hospitalized adults,5.56%(95%CI:0.99%to 25.62%)in hospitalized children,60%(95%CI:31.66%to 82.92%)in patients with acute hepatitis,33.55%(95%CI:14.44%to 60.16%)in patients with ancylostomiasis,12.34%(95%CI:7.24%to 20.26%)in patients with leprosy and 20.19%(95%CI:11.28%to33.49%)in schistosomiasis patients.The overall pooled prevalence of HCV was estimated as 4.84%(95%CI:3.02%to 7.67%).The prevalence rates among blood donors,risk groups,children and patients chronic liver disease(including HCC)was 0.87%(95%CI:0.33%to 2.30%),2.43%(95%CI:1.21%to 4.8%),1.37%(95%CI:0.76%to 2.46%)and 29.82%(95%CI:15.84%to 48.98%),respectively.The prevalence among genotypes of HCV was 21.9%(95%CI:15.36%to 30.23%)in genotype 1,0.87%(95%CI:0.12%to 5.9%)in genotype 2,25.21%(95%CI:18.23%to 33.77%)in genotype 3,46.24%(95%CI:37.48%to 55.25%)in genotype 4,2.52%(95%CI:0.82%to7.53%)in genotype 5,and 1.19%(95%CI:0.07%to16.38%)in genotype 6.The overall pooled prevalence of HDV was 28.99%(95%CI:16.38%to 45.96%).The HDV prevalence rate among patients with chronic liver disease,including HCC,was 43.77%(95%CI:35.09%to 52.84%).The overall pooled prevalence of HEV was46.86%(95%CI:5.31%to 93.28%).CONCLUSION Our study demonstrates a high prevalence of all forms of viral hepatitis in Somalia and it also indicates that chronic HBV was the commonest cause of chronic liver disease.This highlights needs for urgent public health interventions and strategic policy directions to controlling the burden of the disease.展开更多
This review article aims to describe the prevalence of brucellosis in ruminants and humans in Somalia and also guides policy makers to draw sound decisions regarding brucellosis control policies. It is concluded that ...This review article aims to describe the prevalence of brucellosis in ruminants and humans in Somalia and also guides policy makers to draw sound decisions regarding brucellosis control policies. It is concluded that brucellosis is of no public health importance in Somalia. Nevertheless, it is suggested that a stronger inter-sectoral collaboration among veterinary, medical and public health professionals at the federal and country level in terms of one-health approach should be promoted.展开更多
Charcoal is the main cooking source of energy used by millions of households in Somalia and has been described as “black gold” because of the revenue it produces. The objective of this study was to understand the ex...Charcoal is the main cooking source of energy used by millions of households in Somalia and has been described as “black gold” because of the revenue it produces. The objective of this study was to understand the extent of land cover change, given the widely reported charcoal trade in the South of Somalia. Land cover change analysis was done using remotely data from Landsat imagery. Different images covering all districts in Lower Jubba from 1993/95, 2000 and 2014 were analysed and compared. A survey was conducted in Lower Jubba to determine the divers of deforestation and degradation in the region. Results showed a 50% reduction in forest cover and a 17% reduction in woodlands between 1993/95 and 2014. Results from the survey showed charcoal production as a maladaptive response to climate extremes. If business continues as usual with deforestation, the entire area could completely be deforested in the future. Results from this study can be useful in the development of strategies for reforestation, environmental management and sustainable development for this region.展开更多
Somalia has faced severe challenges linked to climate variability, which has been exacerbated by conflict and limited governance that persisted for decades. Today climate extremes such as floods, drought, and coastal ...Somalia has faced severe challenges linked to climate variability, which has been exacerbated by conflict and limited governance that persisted for decades. Today climate extremes such as floods, drought, and coastal marine severe systems among others are always associated with the destruction of property and livelihoods;losses of lives lost, migrations, and resource based conflicts among many other miseries. Intergovernmental Panel on Climate Change (IPCC) has shown that climate change is real and requires sound knowledge of local future climate change scenarios. The study attempted to provide projected rainfall and temperature change scenarios over Lower Jubba, Somalia. This was done using the downscaled Coordinated Regional Downscaling Experiment (CORDEX) RCMs data. The simulated temperature and rainfall data derived from the CORDEX RCMs ensemble were compared with the observed data. The study focused on the IPCC projected periods of 2030, 2050 and 2070 benchmarks. Analysis of the projected rainfall indicated a decreasing trend in rainfall leading up to 2030 followed by an increase in rainfall with the 2050 and 2070 scenarios. In the case of temperature, the projections from all the models showed increase in minimum and maximum temperatures in all seasons and sub periods, like being observed by temperature projection over other parts of the world. The 2030, 2050 and 2070 projected rainfall and temperature change scenarios show that Somalia future development and livelihoods will in future face increased threats of climate extremes unless effective climate smart adaptation systems form integral components of national development strategies.展开更多
Globally, hepatocellular carcinoma is the second amongst all causes of cancer deaths and it is one of the common malignancies in both developing and developed countries. The causes are variety all of the world ranging...Globally, hepatocellular carcinoma is the second amongst all causes of cancer deaths and it is one of the common malignancies in both developing and developed countries. The causes are variety all of the world ranging from geography, life style and advanced medical care that is available in those countries either developing such as Somalia or developed countries. Somali contributes to global burden of hepatitis B which is a known risk factor for HCC and has categorized to the world a part of high prevalence of hepatitis B which is greater than 10%, while there is no more available data of hepatitis C in Somalia that contributes the world. Diagnoses of hepatocellular carcinoma are now forward in many countries of developed world, but reality are different from developing countries such as Somalia which is now out for civil war and has a lack of medical experts in all fields of medicine such as physician, surgeons, pathologists, radiologists and the experts of the laboratory field, even if we have these medical personal who are few or they are elder than above 60 years old plus medical equipment (such as imaging and laboratory equipment). All these challenges, the author of this manuscript has faith in the diagnosis of hepatocellular carcinoma that can be rationally made to consider the clinical presentation of this disorder and to maximize use of offered diagnostic tools and to refer the few medical experts in the country.展开更多
Introduction: Early diagnosis and effective treatment remain critical elements of a malaria control strategy in preventing mortality and reducing the incidence of severe malaria illness in Somalia. In Sub-Saharan Afri...Introduction: Early diagnosis and effective treatment remain critical elements of a malaria control strategy in preventing mortality and reducing the incidence of severe malaria illness in Somalia. In Sub-Saharan African countries showed different levels of adherence to their national malaria guidelines for malaria treatment and prevention in pregnancy, while experiences from many countries indicated several challenges and constraints that may make the implementation of the guidelines difficult. Objective: The study aimed to assess factors affecting adherence to revised national malaria treatment guidelines in the diagnosis, treatment and prevention of malaria in pregnancy among health care workers in public health facilities in Jowhar District, Somalia. Methodology: A cross-sectional health facility-based study conducted in Jowhar district. A structured interview questionnaire was used for data collection from (n = 150). Healthcare workers selected from ten public health facilities using proportional to size sampling and an observational checklist was used to assess patient’s medical prescriptions to review their conformity to the guidelines and the availability of antimalarial drug, malaria diagnostic tests (mRDTs and microscopy) and job aids, such as the national malaria treatment guidelines, clinical algorithm (flow chart), malaria rapid diagnosis tests mRDTs’ use of wall charts, and drug dose wall charts at the facilities. Data was analyzed through the application of descriptive statistical analysis that includes frequency, and percentages by using Statistical Package for Social Sciences (SPSS) Version 25. Results: Healthcare workers interviewed were 89 (59.3%) aware of the existence of the revised national malaria treatment guidelines. However, 61 (40.7%) were not aware of the guidelines and only 46 (30.7%) had been trained for the national malaria guidelines in the treatment and prevention of malaria in pregnancy. Overall, 33 (22%) of the workers reported to adhere to guidelines, with 117 (78.0%) reported non-adherence. A significant difference was observed in the training status among different categories of health workers with (p-value of 0.022). Conclusion and Recommendation: In conclusion, the study showed that adherence to the national malaria guidelines for Malaria diagnosis, treatment and prevention in pregnancy among health care workers are associated with inadequate awareness of the revised national malaria guidelines among healthcare workers, inadequate supply of diagnostic tests (mRDTs and microscopy) at the health facilities and lack of access to revised national guidelines for malaria diagnosis and treatment, a lack of regular supervision and monitoring and lack of in-service training respectively. The national malaria control program should intensify efforts to strengthen the readiness of the public health facilities in the district to handle malaria in pregnancy cases, diagnosis, treatment and prevention, improve the availability of antimalarial drugs and malaria diagnostic tests (mRDTs and microscopy), job-aids at the health facilities and undertake regular monitoring and on job training to ensure the proper use of the guidelines at all levels of health care service delivery points across the country.展开更多
Malaria is generally considered a major public health problem in Somalia. Providing early diagnosis and effective treatment is the key element of malaria control strategies in malaria-endemic countries, including Soma...Malaria is generally considered a major public health problem in Somalia. Providing early diagnosis and effective treatment is the key element of malaria control strategies in malaria-endemic countries, including Somalia. This required to advocate and ensure health worker’s adherence to the national malaria guidelines at all levels of health care service. A well-designed in-service training program may improve the level of health worker’s adherence to national malaria treatment guidelines, although results have been inconsistent. This is an interventional health facility-based pre and post comparative study aimed to assess the effect of an in-service training program on the practice of healthcare workers toward malaria prevention and treatment guidelines, during in pregnancy in health facilities in Jowhar district, Middle Shabelle region of Somalia. The study was implemented in three phases: pre-intervention phase, intervention phase and post-intervention phase. The sample size consisted of (n = 150) health workers who were selected from ten public health facilities using proportional to size sampling;the data collection adopted in this research is composed of a structured interview questionnaire and observational checklist. Data was analyzed through the application of descriptive statistical analysis that includes frequency and percentage and the Chi-square (x<sup>2</sup>) test was used to test the associations among variables using SPSS software version 25. The study showed that the level of health workers’ awareness of the national malaria guidelines in the treatment and prevention of malaria in pregnancy was found to be good before the intervention 89 (59.3%) and this proportion increased to 150 (100%) post-intervention of the training program. A significance difference has been observed between health workers’ awareness and their adherence to the malarial guidelines at pre-test and post-test with a p-value 0.000. The proportion of health workers who attended previous training on national malaria guidelines in the treatment and prevention of malaria in pregnancy increased from 46 (30.7%) at the pre-test to 150 (100%) after the post-test. A significant difference was observed in the training status among different categories of health worker and their adherence to the guidelines during the pre- and post-intervention of the training program, with a p-value of 0.000. The result showed that health workers were adhering to the guidelines at the pre-test 33 (22%), this increased after the post-test to 87 (58%). The knowledge of the need to adhere led to an increase in the adherence rate after the training program intervention. The study reveals that inadequate awareness was most reason for the non-adherence in the majority of the health workers as indicated by 89 (59.3%) at the pre-test and 56 (37.3%) in the post-test. However, difference was not significant between the availability of anti-malaria drugs in the facilities and the health workers’ adherence to the guidelines p-value 0.355 at the pretest and p-value 0.258 at post-test. The study concluded that the in-service training program significantly improved health workers’ knowledge and practice to the national malaria guidelines in the treatment, and prevention of malaria in pregnancy. The researcher recommends that the national malaria control programme (NMCP) of the Federal Ministry of Health should provide continuous regular in-service training to frontline healthcare workers at (facility and Community-based) to upgrade their skills and knowledge towards the malaria guidelines, disseminate job aids to the health facilities and undertake regular monitoring to ensure effective implementation of the national malaria treatment guidelines in the treatment and prevention of malaria in pregnancy in achieving desired proper case-management practices of malaria in pregnancy at all levels of health care service.展开更多
Background: Induction of labor is an artificial termination utilized to decrease both maternal and neonatal morbidity and mortality. The study was aimed to assess the epidemiology of induction of labor among women age...Background: Induction of labor is an artificial termination utilized to decrease both maternal and neonatal morbidity and mortality. The study was aimed to assess the epidemiology of induction of labor among women aged 15 - 49 who delivered at Shaafi Hospital in Hodon District, Mogadishu Somalia 2020. Methodology: A cross-sectional and retrospective hospital-based study was conducted among 30 women aged 15 - 49 who had undergone induction of labor who were delivered at Shaafi Hospital Mogadishu during the period of the study from May-July 2020. Data were collected by interview method using structured questionnaire. Data analyzed was performed using Statistical Package for Social Science version 20. Results: The study showed that the majority of respondents 12 (40%) had undergone induction once time previously, followed by 8 (27%) had undergone induction previously two times, while 6 (20%) had undergone previously three times, 4 (13%) more than four times. 21 (70%) were delivered Spontaneous Vagina delivery (SVD), 6 (20%) were Cesarean section (CS) and 3 (10%) instrumental vaginal delivery. A total of (60%) were delivered in public hospitals, followed by (23%) were delivered in private hospitals and 5 (17%) home delivery. In addition the reasons of induction of labor a total of 27 (90%) were post term, followed by 2 (7%) were Intrauterine fetal death (IUFD), while few proportion of 1 (3%) were Pregnancy induced hypertension (PIH). Finally, the study revealed that the socio-demographic and obstetrical determinants such as age and daily meal intake as well as antenatal care visit and reasons for induction of labor e.g. Post term (Post-mature), Intrauterine fetal death (IUFD) and Pregnancy induced hypertension (PIH) showed significant association with their the induced labor (P Conclusion and Recommendations: The study recommended that ministry of health especially maternal and reproductive health unit should ensure that every pregnant woman has access to skilled maternal counseling and improve quality of antenatal, develop a national guideline of induction labor and continue training health workers at health facilities and monitor its implementations across the country.展开更多
A sero-prevalence survey of Toxoplasmosis in domestic animals (camels, cattle, sheep and goats) was conducted in the Benadir region of Somalia from January to July 2014 to determine the status of the disease. A total ...A sero-prevalence survey of Toxoplasmosis in domestic animals (camels, cattle, sheep and goats) was conducted in the Benadir region of Somalia from January to July 2014 to determine the status of the disease. A total of 151 sera were tested, 64 camels;28 cattle;29 sheep and 30 goats, for the presence of Toxoplasma gondii antibodies using Latex Agglutination Test (LAT). Totally about 15.9% (24/151) of studied animals showed sero-positive. The sero-prevalence was found in 6.3% of 64 camels, 7.1% of 28 cattle, 34.5% of 29 sheep and 26.7% of 30 goats. The antibody titres to T. gondii positive sera were 2 (8.3%), 9 (37.5%), 4 (16.7%), 4 (16.7%), 4 (16.7%), 1 (4.2%) and 0 (0%) by dilution of 1:2, 1:4, 1:8, 1:16, 1:32, 1:64 and 1:128 respectively. Out of 151 domestic animals (45 male and 106 female), 8 (5.3%) males and 16 (10.6%) females were infected with T. gondii. The study recommends the need for further researches in the whole country using different serological tests and to determine the impact of these findings on the human population. It would be important to increase public awareness on zoonotic potential of Toxoplasmosis.展开更多
A cross-sectional study was carried out aimed to estimate sero-prevalence of camel trypanosomiasis and to investigate the related risk factors of the disease in Four Selected Villages of Galkayo, Mudug region from 14t...A cross-sectional study was carried out aimed to estimate sero-prevalence of camel trypanosomiasis and to investigate the related risk factors of the disease in Four Selected Villages of Galkayo, Mudug region from 14th March 2016 up to 20th April 2016. Blood samples were collected from 69 randomly selected camels of the four study villages, and samples were allowed to clot at room temper to detect the sero-prevalence of trypanosome using Card Agglutination Test for Trypanosomiasis (CATT). The results indicated that the overall sero-prevalence of trypanosomiasis in camels that 15.9% (11) samples were positive for trypanosome evansi (T. evansi) was recorded. Higher infection was found in female (19.4) as compared to male (11.1). However, there is no statistically significant difference in sero-prevalence between sex categories (P > 0.05). High Test infection of sero-prevalence was noted 20% in young age (10), and there was statistically significant difference (P < 0.05) in susceptibility among age groups. These results seem to indicate that T. evansi infection is high in the study area. There is need of further control of camel trypanosomiasis through the uses of curative and prophylactic drugs to avoid the various problems.展开更多
Haemoparasites are major-constraints on livestock production in tropical and sub-tropical countries. This study was conducted during 2012-2013 to determine the prevalence of blood parasites in goats of small-holders i...Haemoparasites are major-constraints on livestock production in tropical and sub-tropical countries. This study was conducted during 2012-2013 to determine the prevalence of blood parasites in goats of small-holders in Benadir region, Somalia and update epidemiological data that had already lost during the civil war in the country. A total of 100 blood samples were collected from goat in Wadajir (47 goat) and Dharkeynley (53 goat) districts, using venipuncture of jugular vein. The samples were examined for the presence of blood parasites using light microscopy. Some ticks when presented in the sampled animals—were also collected for tick identification. Analysis of blood smears revealed 100% samples positive for blood parasites. Out of these cases, 22 samples (22%) were harboring single infection of Babesia spp. and 14 samples (14%) were having single infection of Theileria spp. Interestingly the Remaining 64 blood samples (64%) showed mixed infection of Babesia spp. with Theileria spp. Rhipicephalus evertsi (72.84%), Rhipicephalus pulchellus (34.57%), Amblyomma lepidum (3.70%) and Hyalomma rufipes (1.23%) were identified from the investigated goats. In conclusion, the findings of this study indicated that, the prevalence of tick and tick-borne diseases were considered to be high in Benadir region of Somalia. A further area wide in-depth study is recommended in the country.展开更多
This study was conducted in two districts in Mogadishu, particularly smallholders to determine the Common gastrointestinal (GIT) parasites of Somali Goats. During the last two years, researchers meet many cases of goa...This study was conducted in two districts in Mogadishu, particularly smallholders to determine the Common gastrointestinal (GIT) parasites of Somali Goats. During the last two years, researchers meet many cases of goats having diarrhea, anemia and loss of body weight. That is the reason to conduct this study. The methodology of this study is explanation research with using lab technician for studied current prevalence cases of gastro-intestinal parasite of goat in Mogadishu Somalia. Study areas were two districts (Dayniile and Wadajir) located in Mogadishu Benadir region, Somali. Researcher has collected sample of feces from Somali goats in smallholders and transported the fecal containing box to the laboratory Room at University campus. Researchers made examination of fecal using Direct Smear Fecal Exam and then used Light microscope for identification of parasite eggs and oocytes, with 10× or 40× objective magnification. Data analysis was percentage and P value ≤ 0.005. Result: The result of this study revealed an overall prevalence of Gastro-intestinal parasites of Somali goats in the investigated area was 72.1% that means 62 samples were positive, and 24 samples were negative of gastro-intestinal parasites. Haemonchus spp (Nematodes) and Coccidia (Eimeria spp) were the most prevalent parasites recorded in all the 62 positive samples, having Haemonchus 23 (26.74%) and Eimeria spp 38 (44.19%);the second highest groups were all nematode with percentage Strongyloides 22 (25.58%), and Trichostrongylus 17 (19.77%). This study revealed statistically significant difference (P 0.05 that equals to P = 0.235. Recommendation: Researcher recommends making seasonal deworming to Somali goats in small holders which will reduce the prevalence and incidence of gastro-intestinal parasites in Somali goats.展开更多
Opening of the Red Sea started while the core of the lavas of the Ethiopian Large Igneous Province（LIP）was being erupted at;0 Ma（Hughes et al.,1991）and has continued to the Present.In the southern Red Sea,oceanic
The objective of this study is to determine the community perception on drinking water quality in Mogadishu, Somalia. Researchers tried to declare quality of water in Mogadishu, and if they are aware source of polluti...The objective of this study is to determine the community perception on drinking water quality in Mogadishu, Somalia. Researchers tried to declare quality of water in Mogadishu, and if they are aware source of pollution of waters. The study provided a description of a variety of aspects related to perceptions of drinking water in Mogadishu community of Somalia. Method: The study area was people living the capital city of Somalia, Mogadishu, and some academic students irrespective of districts which they live. This study was descriptive research with specifically cross-sectional survey using designed questionnaire added interpretation to local Somali language. The target population was 65 individuals, but researchers made sample size calculation using confidence interval and confidence level. After that, we got sample size 52 individuals. The sample procedure was non-probability purposive sampling. The data analyzed method was descriptive research, with mean and standard deviation, with using software SPSS version 16 applied in this study. Result: The results of Table 10 showed: 71.7% of respondents strongly agreed and agreed (45.3% and 26.4% respectively) that Good water quality is very important issue, with mean score 2.02 out of 5. Also 73.5% of respondents accepted (35.8% strongly greed and 37.7% agreed) they worried about water quality in Benadir region with mean score 2.04 out of 5. The respondents were asked questions related to perception of water quality by rating it. The majority respondents (30.2%) rated the overall water quality of their local wells as “Good”;some of them (28.2%) perceived water quality as “Adequate or Normal”. This questions has mean score (2.70 out of 6) and standard deviation (1.265). Of respondents, they rated the quality of their drinking water. The majority (32.1%) perceived quality of water is “Good” and has not reached excellent;28.2% of them selected “Adequate or Normal”;18.9% believed their drinking water is “Poor”;and last 15.1%, 1.9% and 3.8% of them selected “Very Poor”, “Excellent” and “I Don’t Know” respectively. This question has mean score (2.98 out of 6) and standard deviation (1.248). Recommendation: Researchers recommend transferring all wells from resident area to outside the city to prevent contamination of toilet, and must be announced committee that can make generalized water test of local wells and to count borehole wells.展开更多
Somalia has the largest dromedary (Camelus dromedarius) population in the world. However, scientific research and camel diseases investigation in the country were lacking since 1980s. A total of 167 camels (131 semi-i...Somalia has the largest dromedary (Camelus dromedarius) population in the world. However, scientific research and camel diseases investigation in the country were lacking since 1980s. A total of 167 camels (131 semi-intensive dairy camels system and 36 free grazing systems) were sampled from three districts in Mogadishu citybetween December 2015 and March 2016 to investigate the prevalence rate of gastro-intestinal parasites in camels from Mogadishu city using different coprological techniques. The overall prevalence of camel gastro-intestinal parasites was 50.3%. The prevalence rate were significantly varies between the extensive and semi-intensive production systems (p = 0.000) and between the different districts (p = 0.000). Nematodes revealed higher prevalence rate (47.9%) than Cestodes (6.0%), Trematodes (4.2%) and Coccidia (0.65%). Eggs of eight genera of nematodes, two genera of trematodes and two genera of cestodes as well as Eimeria sp. Oocysts were identified in this study. Dictyocaulus sp. and Trichostrongylus sp. were the most prevalent followed by Parascaris equorum and Strongyloides sp. About 56.0% of the infected camels revealed mix-infection of up to five different parasite species. Moreover, 35.7% of these animals revealed heavy infection. The important role of the camel has inspired investigators and researchers to look for diseases that may threaten camel health and production. However, in Somalia in spite of having the largest counts of camels but in depth scientific data are not available. Therefore, the present paper was to be the first detailed data on camel gastro-intestinal parasites in Mogadishu area and may be in whole Somalia. We came to conclude that gastrointes-tinal parasites were highly prevalent in camels from Mogadishu particularly in nomadic herds of camels. Studies on the effect of gastro-intestinal parasites on camel production and productivity are recommended. Moreover, the intensive system of camel production should be encouraged.展开更多
Somalia Mogadishu-Turkey Training and Research Hospital is only powered by diesel generator currently.In this paper,the energy demand of this hospital is supplied by determining the optimum hybrid power renewable gene...Somalia Mogadishu-Turkey Training and Research Hospital is only powered by diesel generator currently.In this paper,the energy demand of this hospital is supplied by determining the optimum hybrid power renewable generating system.Therefore,numerous hybrid renewable power generating systems including the components like diesel generator,wind turbine,photovoltaic(PV)and battery are considered in different configurations.Eventually,they are technically,environmentally and economically analyzed by using the well-known HOMER software.Furthermore,a sensitivity analysis is also performed considering variations in three important parameters,namely average wind speed,current diesel price and also solar radiation.According to the results,the optimal system is the standalone Wind/Diesel/Battery hybrid renewable energy system(HRES)with the configuration of 1,000 kW wind turbine,350 kW diesel generator,250 kW power converters and 750 batteries.Additionally,this system has the net present cost of$5,056,700 as well as the cost of energy as$0.191/kWh.Lastly,it is clearly occurred that the Wind/Diesel/Battery HRES is eco-friendlier than other HRESs.展开更多
文摘The purpose of this study was to evaluate the effects of retention ponds on the environment and population health by analyzing water samples from various ponds in Mogadishu, to determine the prevalence of waterborne illnesses that occur during the rainy season in Mogadishu, and to find out what experts thought about the effects of retention ponds on the environment as well as population health in Mogadishu. Methods: Mixed designs were used in the study. The first design is an exploratory study where samples are taken from different retention ponds in Mogadishu. The second design involves gathering secondary data from the online FSNAU Dashboard regarding the incidence of rainfall and waterborne illnesses including malaria and cholera. Additionally, a cross-sectional survey of expert opinions using questionnaires was the third design. The 10 water samples were taken from retention ponds in Mogadishu as part of the sample size. Data on the fourth month was also gathered using the FNSAU dashboard, and seventy sample sizes were used for the expert self-administered questionnaire for the third design. Excel was used for data analysis in the initial design. While BMI SPSS versions 22 were used to analyze the data from the Self-administered Questionnaire, additional methods were utilized to compute descriptive statistics, such as mean and standard deviation, and to analyze demographic data in a frequency table. Findings: The results show that three samples had unsatisfactory scores (Grade D): Yaqshid (Warshadda Bastada) had a WQI of 80.85, Boondheer (Bondher Pond) had a WQI of 80.64, and Wartanabad (Xamar Jadiid Pond) had a WQI of 80.89. The remaining samples were all rated as fair (grade), which indicates that they ranged from 50 to 75. The months with the largest rainfall already occurred in December, November, and October, when the prevalence of diseases during the rainy season was highest for cholera cases. Although October and December saw a significant number of malaria cases, November did not. Retention ponds’ overall effects on residential environments were evaluated, and the results showed that the standard deviation was 0.802 and the cumulative average mean scores were 4.41 overall. This indicates that the respondents were in agreement that retention ponds in Mogadishu, Somalia, had an effect on residential areas. Recommendation: The study suggested that in order to identify retention pond contamination and create treatment units for its management, the Ministry of Health forms a district-level public health committee. All districts must have a sewer system installed by the local government, and retention ponds must be made easier in order to move waste outside of the city.
文摘The study took a comprehensive approach to understanding mastitis in lactating camels, a disease that significantly impacts milk quantity and quality. This complex and multifactorial disease poses a significant challenge to dairy camel farming, particularly in Somalia. The studys objective was to determine the prevalence of mastitis and the risk factors associated with it among lactating camels on dairy farms in Benadir, Somalia. To achieve this, a cross-sectional study was conducted from May to September 2022 in the Benadir region of Somalia. A total of 96 lactating camels underwent examination using the California Mastitis Test (CMT) to identify clinical and subclinical mastitis cases. Additionally, a questionnaire survey was conducted among 20 farm employees/owners to gather information on hygiene practices, parity, lactation stage, tick infestation, and the presence of udder/teat lesions. Data regarding parity and lactation stage were obtained through owner interviews. The data collected on specifically designed forms were recorded and entered into a Microsoft Excel spreadsheet for analysis using SPSS version 20 statistical software, ensuring a comprehensive and reliable analysis of the data. The studys findings revealed a significant prevalence of camel mastitis, with 34.4% (33/96) of lactating camels affected and clinical and subclinical cases constituting 5.2% and 29.2%, respectively. Quarter-level prevalence was 46.3%, with clinical and subclinical mastitis at 4.7% and 41.6%, respectively. The study also identified significant associations (P < 0.05) among risk factors such as stage of lactation, parity, and age, indicating a higher susceptibility to mastitis in older camels during early lactation compared to those in late lactation and younger camels. These findings underscore the crucial role of inadequate hygienic conditions on camel farms and udder tick infestations in driving the elevated prevalence of mastitis, highlighting the need for improved management practices in dairy farming in Benadir, Somalia. Effective interventions, including improved management practices and extension services, are essential to reduce the burden of mastitis in dairy camels.
文摘Contagious bovine Pleuropneumonia (CBPP) is an infectious and highly contagious respiratory disease of cattle and water buffalo, caused by the Mycoplasma mycoides subspecies mycoides. It induces significant economic losses and leads to a severe livestock production problem, negatively influencing people’s livelihoods of affected countries. In Somalia, there is no updated data on the prevalence and distribution of the disease. Hence, a descriptive cross-sectional study was conducted from September 2022 to June 2023 in different villages under the Afgoye District of lower Shabelle region, Somalia. The main purpose of this study is to assess the sero-prevalence and identify the associated risk factors for the occurrence of the disease. In this study, villages, age, sex, breed, and body condition were considered as risk factors. A total of 90 blood samples were collected and tested in the laboratory using the Anti-CBPP Elisa kit test. Out of 90 serum samples from herd cattle, 32 were positive, resulting in an overall prevalence of 35.5%. In addition, we found a statistically significant variation between the prevalence of the disease and factors such as sex, age, body condition and breeds. In summary, the overall prevalence of Contagious bovine pleuropneumonia in this study area is worth to be considered because there is a low quality of health care and less awareness of the Contagious bovine Pleuropneumonia effects on herds, which warrants the official authorities to act and follow appropriate preventive and control measures to reduce the incidence of the disease and generate appropriate controlling and prevention measures in all regions of Somalia.
文摘Background: In Africa, female genital mutilation (FGM) is a widespread and harmful practice, with Somalia having the highest incidence at 98%. This practice has severe and long-lasting physical and mental health consequences. The aim of the study was to evaluate the different types of FGM;immediate and long-term complications associated with the practice, and identify factors related to its prevalence. Method: In a one-year cross-sectional hospital-based study, data were collected from females aged 18 - 50 with a history of FGM. Face-to-face semi-structured questionnaires were used for data collection. Data analysis was performed using SPSS version 26, utilizing univariate and bivariate analyses to identify correlations between variables, which were presented in tables. Results: In a study involving 255 female participants, 65.5% were between 18 and 30 years old. The majority (82.7%) were married, while 47.1% were illiterate. FGM cases were more prevalent in rural areas (61.6%). Among the participants, 45.1% were employed. Type 3 FGM was the most common (44.3%), followed by Type 2 (32.2%) and Type 1 (23.9%). In terms of short-term complications experienced by circumcised women, the most common were bleeding, reported by 29.8% of participants, followed by infection (25.1%), and urinary retention (19.2%). Among the long-term complications observed, recurrent vaginal infections were the most prevalent, affecting 29.8% of the surveyed females. This was episiotomy during delivery (22.3%) and genital scarring (10.2%). Conclusion: The study reveals that Type 3 FGM is highly prevalent among the surveyed females, contributing to an increased risk of recurrent vaginal infections, prolonged second stage of labor, higher likelihood of episiotomy during delivery, and genital scarring. These findings emphasize the urgent need for effective preventive strategies and implementation from both international and local organizations to eliminate the harmful practice of FGM.
文摘AIM To provide a clear understanding of viral hepatitis epidemiology and their clinical burdens in Somalia.METHODS A systematic review and meta-analysis was conducted as Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search of published studies on viral hepatitis was performed from 1977-2016 in Pub Med, Google Scholar, Science Direct, World Health Organization African Index Medicus and the Africa Journals Online databases, as well as on the Ministry of Health website. We also captured unpublished articles that were not available on online systems.RESULTS Twenty-nine studies from Somalia and Somali immigrants(United Kingdom,United States,Italy,Libya)with a combined sample size for each type of viral hepatitis[hepatitis A virus(HAV):1564,hepatitis B virus(HBV):8756,hepatitis C virus(HCV):6257,hepatitis D virus(HDV):375 and hepatitis E virus(HEV):278]were analyzed.The overall pooled prevalence rate of HAV was 90.2%(95%CI:77.8%to 96%).The HAV prevalence among different age groups was as follows:<1 year old,61.54%(95%CI:40.14%to79.24%);1-10 years old,91.91%(95%CI:87.76%to94.73%);11-19 years old,96.31%(95%CI:92.84%to 98.14%);20-39 years old,91.3%(95%CI:83.07%to 95.73%);and>40 years old,86.96%(95%CI:75.68%to 93.47%).The overall pooled prevalence of HBV was 18.9%(95%CI:14%to 29%).The overall pooled prevalence among subgroups of HBV was20.5%(95%CI:5.1%to 55.4%)in pregnant women;5.7%(95%CI:2.7%to 11.5%)in children;39.2%(95%CI:33.4%to 45.4%)in patients with chronic liver disease,including hepatocellular carcinoma(HCC);7.7%(95%CI:4.2%to 13.6%),12.4%(95%CI:6.3%to 23.0%)and 11.8%(95%CI:5.3%to 24.5%)in age groups<20 years old,20-39 years old and>40years old,respectively.The HBV prevalence among risk groups was 20%(95%CI:7.19%to 44.64%)in female prostitutes,21.28%(95%CI:7.15%to48.69%)in hospitalized adults,5.56%(95%CI:0.99%to 25.62%)in hospitalized children,60%(95%CI:31.66%to 82.92%)in patients with acute hepatitis,33.55%(95%CI:14.44%to 60.16%)in patients with ancylostomiasis,12.34%(95%CI:7.24%to 20.26%)in patients with leprosy and 20.19%(95%CI:11.28%to33.49%)in schistosomiasis patients.The overall pooled prevalence of HCV was estimated as 4.84%(95%CI:3.02%to 7.67%).The prevalence rates among blood donors,risk groups,children and patients chronic liver disease(including HCC)was 0.87%(95%CI:0.33%to 2.30%),2.43%(95%CI:1.21%to 4.8%),1.37%(95%CI:0.76%to 2.46%)and 29.82%(95%CI:15.84%to 48.98%),respectively.The prevalence among genotypes of HCV was 21.9%(95%CI:15.36%to 30.23%)in genotype 1,0.87%(95%CI:0.12%to 5.9%)in genotype 2,25.21%(95%CI:18.23%to 33.77%)in genotype 3,46.24%(95%CI:37.48%to 55.25%)in genotype 4,2.52%(95%CI:0.82%to7.53%)in genotype 5,and 1.19%(95%CI:0.07%to16.38%)in genotype 6.The overall pooled prevalence of HDV was 28.99%(95%CI:16.38%to 45.96%).The HDV prevalence rate among patients with chronic liver disease,including HCC,was 43.77%(95%CI:35.09%to 52.84%).The overall pooled prevalence of HEV was46.86%(95%CI:5.31%to 93.28%).CONCLUSION Our study demonstrates a high prevalence of all forms of viral hepatitis in Somalia and it also indicates that chronic HBV was the commonest cause of chronic liver disease.This highlights needs for urgent public health interventions and strategic policy directions to controlling the burden of the disease.
文摘This review article aims to describe the prevalence of brucellosis in ruminants and humans in Somalia and also guides policy makers to draw sound decisions regarding brucellosis control policies. It is concluded that brucellosis is of no public health importance in Somalia. Nevertheless, it is suggested that a stronger inter-sectoral collaboration among veterinary, medical and public health professionals at the federal and country level in terms of one-health approach should be promoted.
文摘Charcoal is the main cooking source of energy used by millions of households in Somalia and has been described as “black gold” because of the revenue it produces. The objective of this study was to understand the extent of land cover change, given the widely reported charcoal trade in the South of Somalia. Land cover change analysis was done using remotely data from Landsat imagery. Different images covering all districts in Lower Jubba from 1993/95, 2000 and 2014 were analysed and compared. A survey was conducted in Lower Jubba to determine the divers of deforestation and degradation in the region. Results showed a 50% reduction in forest cover and a 17% reduction in woodlands between 1993/95 and 2014. Results from the survey showed charcoal production as a maladaptive response to climate extremes. If business continues as usual with deforestation, the entire area could completely be deforested in the future. Results from this study can be useful in the development of strategies for reforestation, environmental management and sustainable development for this region.
文摘Somalia has faced severe challenges linked to climate variability, which has been exacerbated by conflict and limited governance that persisted for decades. Today climate extremes such as floods, drought, and coastal marine severe systems among others are always associated with the destruction of property and livelihoods;losses of lives lost, migrations, and resource based conflicts among many other miseries. Intergovernmental Panel on Climate Change (IPCC) has shown that climate change is real and requires sound knowledge of local future climate change scenarios. The study attempted to provide projected rainfall and temperature change scenarios over Lower Jubba, Somalia. This was done using the downscaled Coordinated Regional Downscaling Experiment (CORDEX) RCMs data. The simulated temperature and rainfall data derived from the CORDEX RCMs ensemble were compared with the observed data. The study focused on the IPCC projected periods of 2030, 2050 and 2070 benchmarks. Analysis of the projected rainfall indicated a decreasing trend in rainfall leading up to 2030 followed by an increase in rainfall with the 2050 and 2070 scenarios. In the case of temperature, the projections from all the models showed increase in minimum and maximum temperatures in all seasons and sub periods, like being observed by temperature projection over other parts of the world. The 2030, 2050 and 2070 projected rainfall and temperature change scenarios show that Somalia future development and livelihoods will in future face increased threats of climate extremes unless effective climate smart adaptation systems form integral components of national development strategies.
文摘Globally, hepatocellular carcinoma is the second amongst all causes of cancer deaths and it is one of the common malignancies in both developing and developed countries. The causes are variety all of the world ranging from geography, life style and advanced medical care that is available in those countries either developing such as Somalia or developed countries. Somali contributes to global burden of hepatitis B which is a known risk factor for HCC and has categorized to the world a part of high prevalence of hepatitis B which is greater than 10%, while there is no more available data of hepatitis C in Somalia that contributes the world. Diagnoses of hepatocellular carcinoma are now forward in many countries of developed world, but reality are different from developing countries such as Somalia which is now out for civil war and has a lack of medical experts in all fields of medicine such as physician, surgeons, pathologists, radiologists and the experts of the laboratory field, even if we have these medical personal who are few or they are elder than above 60 years old plus medical equipment (such as imaging and laboratory equipment). All these challenges, the author of this manuscript has faith in the diagnosis of hepatocellular carcinoma that can be rationally made to consider the clinical presentation of this disorder and to maximize use of offered diagnostic tools and to refer the few medical experts in the country.
文摘Introduction: Early diagnosis and effective treatment remain critical elements of a malaria control strategy in preventing mortality and reducing the incidence of severe malaria illness in Somalia. In Sub-Saharan African countries showed different levels of adherence to their national malaria guidelines for malaria treatment and prevention in pregnancy, while experiences from many countries indicated several challenges and constraints that may make the implementation of the guidelines difficult. Objective: The study aimed to assess factors affecting adherence to revised national malaria treatment guidelines in the diagnosis, treatment and prevention of malaria in pregnancy among health care workers in public health facilities in Jowhar District, Somalia. Methodology: A cross-sectional health facility-based study conducted in Jowhar district. A structured interview questionnaire was used for data collection from (n = 150). Healthcare workers selected from ten public health facilities using proportional to size sampling and an observational checklist was used to assess patient’s medical prescriptions to review their conformity to the guidelines and the availability of antimalarial drug, malaria diagnostic tests (mRDTs and microscopy) and job aids, such as the national malaria treatment guidelines, clinical algorithm (flow chart), malaria rapid diagnosis tests mRDTs’ use of wall charts, and drug dose wall charts at the facilities. Data was analyzed through the application of descriptive statistical analysis that includes frequency, and percentages by using Statistical Package for Social Sciences (SPSS) Version 25. Results: Healthcare workers interviewed were 89 (59.3%) aware of the existence of the revised national malaria treatment guidelines. However, 61 (40.7%) were not aware of the guidelines and only 46 (30.7%) had been trained for the national malaria guidelines in the treatment and prevention of malaria in pregnancy. Overall, 33 (22%) of the workers reported to adhere to guidelines, with 117 (78.0%) reported non-adherence. A significant difference was observed in the training status among different categories of health workers with (p-value of 0.022). Conclusion and Recommendation: In conclusion, the study showed that adherence to the national malaria guidelines for Malaria diagnosis, treatment and prevention in pregnancy among health care workers are associated with inadequate awareness of the revised national malaria guidelines among healthcare workers, inadequate supply of diagnostic tests (mRDTs and microscopy) at the health facilities and lack of access to revised national guidelines for malaria diagnosis and treatment, a lack of regular supervision and monitoring and lack of in-service training respectively. The national malaria control program should intensify efforts to strengthen the readiness of the public health facilities in the district to handle malaria in pregnancy cases, diagnosis, treatment and prevention, improve the availability of antimalarial drugs and malaria diagnostic tests (mRDTs and microscopy), job-aids at the health facilities and undertake regular monitoring and on job training to ensure the proper use of the guidelines at all levels of health care service delivery points across the country.
文摘Malaria is generally considered a major public health problem in Somalia. Providing early diagnosis and effective treatment is the key element of malaria control strategies in malaria-endemic countries, including Somalia. This required to advocate and ensure health worker’s adherence to the national malaria guidelines at all levels of health care service. A well-designed in-service training program may improve the level of health worker’s adherence to national malaria treatment guidelines, although results have been inconsistent. This is an interventional health facility-based pre and post comparative study aimed to assess the effect of an in-service training program on the practice of healthcare workers toward malaria prevention and treatment guidelines, during in pregnancy in health facilities in Jowhar district, Middle Shabelle region of Somalia. The study was implemented in three phases: pre-intervention phase, intervention phase and post-intervention phase. The sample size consisted of (n = 150) health workers who were selected from ten public health facilities using proportional to size sampling;the data collection adopted in this research is composed of a structured interview questionnaire and observational checklist. Data was analyzed through the application of descriptive statistical analysis that includes frequency and percentage and the Chi-square (x<sup>2</sup>) test was used to test the associations among variables using SPSS software version 25. The study showed that the level of health workers’ awareness of the national malaria guidelines in the treatment and prevention of malaria in pregnancy was found to be good before the intervention 89 (59.3%) and this proportion increased to 150 (100%) post-intervention of the training program. A significance difference has been observed between health workers’ awareness and their adherence to the malarial guidelines at pre-test and post-test with a p-value 0.000. The proportion of health workers who attended previous training on national malaria guidelines in the treatment and prevention of malaria in pregnancy increased from 46 (30.7%) at the pre-test to 150 (100%) after the post-test. A significant difference was observed in the training status among different categories of health worker and their adherence to the guidelines during the pre- and post-intervention of the training program, with a p-value of 0.000. The result showed that health workers were adhering to the guidelines at the pre-test 33 (22%), this increased after the post-test to 87 (58%). The knowledge of the need to adhere led to an increase in the adherence rate after the training program intervention. The study reveals that inadequate awareness was most reason for the non-adherence in the majority of the health workers as indicated by 89 (59.3%) at the pre-test and 56 (37.3%) in the post-test. However, difference was not significant between the availability of anti-malaria drugs in the facilities and the health workers’ adherence to the guidelines p-value 0.355 at the pretest and p-value 0.258 at post-test. The study concluded that the in-service training program significantly improved health workers’ knowledge and practice to the national malaria guidelines in the treatment, and prevention of malaria in pregnancy. The researcher recommends that the national malaria control programme (NMCP) of the Federal Ministry of Health should provide continuous regular in-service training to frontline healthcare workers at (facility and Community-based) to upgrade their skills and knowledge towards the malaria guidelines, disseminate job aids to the health facilities and undertake regular monitoring to ensure effective implementation of the national malaria treatment guidelines in the treatment and prevention of malaria in pregnancy in achieving desired proper case-management practices of malaria in pregnancy at all levels of health care service.
文摘Background: Induction of labor is an artificial termination utilized to decrease both maternal and neonatal morbidity and mortality. The study was aimed to assess the epidemiology of induction of labor among women aged 15 - 49 who delivered at Shaafi Hospital in Hodon District, Mogadishu Somalia 2020. Methodology: A cross-sectional and retrospective hospital-based study was conducted among 30 women aged 15 - 49 who had undergone induction of labor who were delivered at Shaafi Hospital Mogadishu during the period of the study from May-July 2020. Data were collected by interview method using structured questionnaire. Data analyzed was performed using Statistical Package for Social Science version 20. Results: The study showed that the majority of respondents 12 (40%) had undergone induction once time previously, followed by 8 (27%) had undergone induction previously two times, while 6 (20%) had undergone previously three times, 4 (13%) more than four times. 21 (70%) were delivered Spontaneous Vagina delivery (SVD), 6 (20%) were Cesarean section (CS) and 3 (10%) instrumental vaginal delivery. A total of (60%) were delivered in public hospitals, followed by (23%) were delivered in private hospitals and 5 (17%) home delivery. In addition the reasons of induction of labor a total of 27 (90%) were post term, followed by 2 (7%) were Intrauterine fetal death (IUFD), while few proportion of 1 (3%) were Pregnancy induced hypertension (PIH). Finally, the study revealed that the socio-demographic and obstetrical determinants such as age and daily meal intake as well as antenatal care visit and reasons for induction of labor e.g. Post term (Post-mature), Intrauterine fetal death (IUFD) and Pregnancy induced hypertension (PIH) showed significant association with their the induced labor (P Conclusion and Recommendations: The study recommended that ministry of health especially maternal and reproductive health unit should ensure that every pregnant woman has access to skilled maternal counseling and improve quality of antenatal, develop a national guideline of induction labor and continue training health workers at health facilities and monitor its implementations across the country.
文摘A sero-prevalence survey of Toxoplasmosis in domestic animals (camels, cattle, sheep and goats) was conducted in the Benadir region of Somalia from January to July 2014 to determine the status of the disease. A total of 151 sera were tested, 64 camels;28 cattle;29 sheep and 30 goats, for the presence of Toxoplasma gondii antibodies using Latex Agglutination Test (LAT). Totally about 15.9% (24/151) of studied animals showed sero-positive. The sero-prevalence was found in 6.3% of 64 camels, 7.1% of 28 cattle, 34.5% of 29 sheep and 26.7% of 30 goats. The antibody titres to T. gondii positive sera were 2 (8.3%), 9 (37.5%), 4 (16.7%), 4 (16.7%), 4 (16.7%), 1 (4.2%) and 0 (0%) by dilution of 1:2, 1:4, 1:8, 1:16, 1:32, 1:64 and 1:128 respectively. Out of 151 domestic animals (45 male and 106 female), 8 (5.3%) males and 16 (10.6%) females were infected with T. gondii. The study recommends the need for further researches in the whole country using different serological tests and to determine the impact of these findings on the human population. It would be important to increase public awareness on zoonotic potential of Toxoplasmosis.
文摘A cross-sectional study was carried out aimed to estimate sero-prevalence of camel trypanosomiasis and to investigate the related risk factors of the disease in Four Selected Villages of Galkayo, Mudug region from 14th March 2016 up to 20th April 2016. Blood samples were collected from 69 randomly selected camels of the four study villages, and samples were allowed to clot at room temper to detect the sero-prevalence of trypanosome using Card Agglutination Test for Trypanosomiasis (CATT). The results indicated that the overall sero-prevalence of trypanosomiasis in camels that 15.9% (11) samples were positive for trypanosome evansi (T. evansi) was recorded. Higher infection was found in female (19.4) as compared to male (11.1). However, there is no statistically significant difference in sero-prevalence between sex categories (P > 0.05). High Test infection of sero-prevalence was noted 20% in young age (10), and there was statistically significant difference (P < 0.05) in susceptibility among age groups. These results seem to indicate that T. evansi infection is high in the study area. There is need of further control of camel trypanosomiasis through the uses of curative and prophylactic drugs to avoid the various problems.
文摘Haemoparasites are major-constraints on livestock production in tropical and sub-tropical countries. This study was conducted during 2012-2013 to determine the prevalence of blood parasites in goats of small-holders in Benadir region, Somalia and update epidemiological data that had already lost during the civil war in the country. A total of 100 blood samples were collected from goat in Wadajir (47 goat) and Dharkeynley (53 goat) districts, using venipuncture of jugular vein. The samples were examined for the presence of blood parasites using light microscopy. Some ticks when presented in the sampled animals—were also collected for tick identification. Analysis of blood smears revealed 100% samples positive for blood parasites. Out of these cases, 22 samples (22%) were harboring single infection of Babesia spp. and 14 samples (14%) were having single infection of Theileria spp. Interestingly the Remaining 64 blood samples (64%) showed mixed infection of Babesia spp. with Theileria spp. Rhipicephalus evertsi (72.84%), Rhipicephalus pulchellus (34.57%), Amblyomma lepidum (3.70%) and Hyalomma rufipes (1.23%) were identified from the investigated goats. In conclusion, the findings of this study indicated that, the prevalence of tick and tick-borne diseases were considered to be high in Benadir region of Somalia. A further area wide in-depth study is recommended in the country.
文摘This study was conducted in two districts in Mogadishu, particularly smallholders to determine the Common gastrointestinal (GIT) parasites of Somali Goats. During the last two years, researchers meet many cases of goats having diarrhea, anemia and loss of body weight. That is the reason to conduct this study. The methodology of this study is explanation research with using lab technician for studied current prevalence cases of gastro-intestinal parasite of goat in Mogadishu Somalia. Study areas were two districts (Dayniile and Wadajir) located in Mogadishu Benadir region, Somali. Researcher has collected sample of feces from Somali goats in smallholders and transported the fecal containing box to the laboratory Room at University campus. Researchers made examination of fecal using Direct Smear Fecal Exam and then used Light microscope for identification of parasite eggs and oocytes, with 10× or 40× objective magnification. Data analysis was percentage and P value ≤ 0.005. Result: The result of this study revealed an overall prevalence of Gastro-intestinal parasites of Somali goats in the investigated area was 72.1% that means 62 samples were positive, and 24 samples were negative of gastro-intestinal parasites. Haemonchus spp (Nematodes) and Coccidia (Eimeria spp) were the most prevalent parasites recorded in all the 62 positive samples, having Haemonchus 23 (26.74%) and Eimeria spp 38 (44.19%);the second highest groups were all nematode with percentage Strongyloides 22 (25.58%), and Trichostrongylus 17 (19.77%). This study revealed statistically significant difference (P 0.05 that equals to P = 0.235. Recommendation: Researcher recommends making seasonal deworming to Somali goats in small holders which will reduce the prevalence and incidence of gastro-intestinal parasites in Somali goats.
基金P & R Geological Consultants and the CNRS/INSU/Marges programme for funding this work
文摘Opening of the Red Sea started while the core of the lavas of the Ethiopian Large Igneous Province（LIP）was being erupted at;0 Ma（Hughes et al.,1991）and has continued to the Present.In the southern Red Sea,oceanic
文摘The objective of this study is to determine the community perception on drinking water quality in Mogadishu, Somalia. Researchers tried to declare quality of water in Mogadishu, and if they are aware source of pollution of waters. The study provided a description of a variety of aspects related to perceptions of drinking water in Mogadishu community of Somalia. Method: The study area was people living the capital city of Somalia, Mogadishu, and some academic students irrespective of districts which they live. This study was descriptive research with specifically cross-sectional survey using designed questionnaire added interpretation to local Somali language. The target population was 65 individuals, but researchers made sample size calculation using confidence interval and confidence level. After that, we got sample size 52 individuals. The sample procedure was non-probability purposive sampling. The data analyzed method was descriptive research, with mean and standard deviation, with using software SPSS version 16 applied in this study. Result: The results of Table 10 showed: 71.7% of respondents strongly agreed and agreed (45.3% and 26.4% respectively) that Good water quality is very important issue, with mean score 2.02 out of 5. Also 73.5% of respondents accepted (35.8% strongly greed and 37.7% agreed) they worried about water quality in Benadir region with mean score 2.04 out of 5. The respondents were asked questions related to perception of water quality by rating it. The majority respondents (30.2%) rated the overall water quality of their local wells as “Good”;some of them (28.2%) perceived water quality as “Adequate or Normal”. This questions has mean score (2.70 out of 6) and standard deviation (1.265). Of respondents, they rated the quality of their drinking water. The majority (32.1%) perceived quality of water is “Good” and has not reached excellent;28.2% of them selected “Adequate or Normal”;18.9% believed their drinking water is “Poor”;and last 15.1%, 1.9% and 3.8% of them selected “Very Poor”, “Excellent” and “I Don’t Know” respectively. This question has mean score (2.98 out of 6) and standard deviation (1.248). Recommendation: Researchers recommend transferring all wells from resident area to outside the city to prevent contamination of toilet, and must be announced committee that can make generalized water test of local wells and to count borehole wells.
文摘Somalia has the largest dromedary (Camelus dromedarius) population in the world. However, scientific research and camel diseases investigation in the country were lacking since 1980s. A total of 167 camels (131 semi-intensive dairy camels system and 36 free grazing systems) were sampled from three districts in Mogadishu citybetween December 2015 and March 2016 to investigate the prevalence rate of gastro-intestinal parasites in camels from Mogadishu city using different coprological techniques. The overall prevalence of camel gastro-intestinal parasites was 50.3%. The prevalence rate were significantly varies between the extensive and semi-intensive production systems (p = 0.000) and between the different districts (p = 0.000). Nematodes revealed higher prevalence rate (47.9%) than Cestodes (6.0%), Trematodes (4.2%) and Coccidia (0.65%). Eggs of eight genera of nematodes, two genera of trematodes and two genera of cestodes as well as Eimeria sp. Oocysts were identified in this study. Dictyocaulus sp. and Trichostrongylus sp. were the most prevalent followed by Parascaris equorum and Strongyloides sp. About 56.0% of the infected camels revealed mix-infection of up to five different parasite species. Moreover, 35.7% of these animals revealed heavy infection. The important role of the camel has inspired investigators and researchers to look for diseases that may threaten camel health and production. However, in Somalia in spite of having the largest counts of camels but in depth scientific data are not available. Therefore, the present paper was to be the first detailed data on camel gastro-intestinal parasites in Mogadishu area and may be in whole Somalia. We came to conclude that gastrointes-tinal parasites were highly prevalent in camels from Mogadishu particularly in nomadic herds of camels. Studies on the effect of gastro-intestinal parasites on camel production and productivity are recommended. Moreover, the intensive system of camel production should be encouraged.
文摘Somalia Mogadishu-Turkey Training and Research Hospital is only powered by diesel generator currently.In this paper,the energy demand of this hospital is supplied by determining the optimum hybrid power renewable generating system.Therefore,numerous hybrid renewable power generating systems including the components like diesel generator,wind turbine,photovoltaic(PV)and battery are considered in different configurations.Eventually,they are technically,environmentally and economically analyzed by using the well-known HOMER software.Furthermore,a sensitivity analysis is also performed considering variations in three important parameters,namely average wind speed,current diesel price and also solar radiation.According to the results,the optimal system is the standalone Wind/Diesel/Battery hybrid renewable energy system(HRES)with the configuration of 1,000 kW wind turbine,350 kW diesel generator,250 kW power converters and 750 batteries.Additionally,this system has the net present cost of$5,056,700 as well as the cost of energy as$0.191/kWh.Lastly,it is clearly occurred that the Wind/Diesel/Battery HRES is eco-friendlier than other HRESs.
