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Northern Ethiopia (northern + ethiopia)
Selected AbstractsDynamics of soil erosion rates and controlling factors in the Northern Ethiopian Highlands , towards a sediment budgetEARTH SURFACE PROCESSES AND LANDFORMS, Issue 5 2008Jan Nyssen Abstract This paper analyses the factors that control rates and extent of soil erosion processes in the 199 ha May Zegzeg catchment near Hagere Selam in the Tigray Highlands (Northern Ethiopia). This catchment, characterized by high elevations (2100,2650 m a.s.l.) and a subhorizontal structural relief, is typical for the Northern Ethiopian Highlands. Soil loss rates due to various erosion processes, as well as sediment yield rates and rates of sediment deposition within the catchment (essentially induced by recent soil conservation activities), were measured using a range of geomorphological methods. The area-weighted average rate of soil erosion by water in the catchment, measured over four years (1998,2001), is 14·8 t ha,1 y,1, which accounts for 98% of the change in potential energy of the landscape. Considering these soil loss rates by water, 28% is due to gully erosion. Other geomorphic processes, such as tillage erosion and rock fragment displacement by gravity and livestock trampling, are also important, either within certain land units, or for their impact on agricultural productivity. Estimated mean sediment deposition rate within the catchment equals 9·2 t ha,1 y,1. Calculated sediment yield (5·6 t ha,1 y,1) is similar to sediment yield measured in nearby catchments. Seventy-four percent of total soil loss by sheet and rill erosion is trapped in exclosures and behind stone bunds. The anthropogenic factor is dominant in controlling present-day erosion processes in the Northern Ethiopian Highlands. Human activities have led to an overall increase in erosion process intensities, but, through targeted interventions, rural society is now well on the way to control and reverse the degradation processes, as can be demonstrated through the sediment budget. Copyright © 2007 John Wiley & Sons, Ltd. [source] Impact of the fish Garra on the ecology of reservoirs and the occurrence of Microcystis blooms in semi-arid tropical highlands: an experimental assessment using enclosuresFRESHWATER BIOLOGY, Issue 8 2009TADESSE DEJENIE Summary 1.,Many man-made reservoirs in the semi-arid highlands of Northern Ethiopia (Tigray) are characterised by the occurrence of intensive blooms of cyanobacteria and a dominance of small riverine fishes belonging to the genus Garra. 2.,We carried out enclosure experiments to test for the effect of these small fish on abiotic characteristics, phytoplankton biomass and zooplankton community structure in the pelagic of two reservoirs (Gereb Awso and Tsinkanet). Two experiments were carried out in each of the reservoirs, one at the end of the rainy season (highest water level) and one at the end of the dry season (lowest water level). 3.,The presence of Garra in general increased the amount of suspended matter, nutrient concentrations (total nitrogen and total phosphorus), phytoplankton and Microcystis biomass (including the proportion of Microcystis in the phytoplankton community), and reduced water transparency. The positive effect of the presence of Garra on nutrient concentrations and phytoplankton productivity indicate that Garra has the potential to affect food web functioning indirectly through bottom-up effects, by enhancing nutrient concentrations through sediment resuspension and excretion of nutrients. Indeed, population densities of the cladoceran zooplankton taxa Ceriodaphnia and Diaphanosoma also showed an overall increase in enclosures with Garra. 4.,However, our data also provide some evidence for a potential of Garra to exert top-down control on large bodied daphnids (Daphnia carinata, D. barbata), although such effect varied among experiments. The limited capability of Garra to control zooplankton communities mainly reflects the low efficiency of these small, riverine and benthos-oriented fish in foraging on zooplankton and suggests the existence of an unoccupied niche for zooplanktivorous fish in the majority of the reservoirs. 5.,Although the main effects of Garra on the pelagic food web seemed to be mediated by bottom-up mechanisms, our results also indicate that one of the key variables, the relative abundance of Microcystis, was impacted by Daphnia -mediated trophic cascade effects. [source] The rock-hewn churches of Tigrai, Northern Ethiopia: A geological perspectiveGEOARCHAEOLOGY: AN INTERNATIONAL JOURNAL, Issue 7 2002Asfawossen Asrat Ethiopia is endowed with many rock-hewn churches, with the largest group in central and eastern Tigrai. These churches can be divided into four zones: the Atsbi, Hawzen-Ger'alta, Sinkata-Adigrat, and Tembien, with more than 100 rock-hewn churches of different ages, sizes, and histories. However, they have one thing in common: All are carved into sandstone. The Enticho, Adigrat, and Ambaradam sandstones (Permo-Carboniferous, Triassic,Middle Jurassic, and Early Cretaceous, respectively) are extensively exposed in these areas and are characterized by thick and massive beds of coarse- to fine-grained and well-sorted successions. These sandstones are easily carved, yet compact enough to withstand pressure. Although limestone, basalt, and crystalline rocks are exposed in the same area, few rock-hewn churches have been carved into them. The rock type is, therefore, the most important factor in the location of these rock-hewn churches. © 2002 Wiley Periodicals, Inc. [source] Intercropping for the Improvement of Sorghum Yield, Soil Fertility and Striga Control in the Subsistence Agriculture Region of Tigray (Northern Ethiopia)JOURNAL OF AGRONOMY AND CROP SCIENCE, Issue 1 2005F. Reda Abstract Striga hermonthica is a major biotic constraint in the dry and less fertile areas of northern Ethiopia. Emphasis is being placed on improved cropping systems to address the interrelated problems of Striga and soil fertility decline. The potential benefits of intercropping were investigated at two sites representing different environments for crop yield improvement, soil fertility maintenance and Striga control. Ten food legume and oilseed crop species were compared in inter-row arrangement with sorghum under non-fertilized conditions. In most cases, there was no significant negative impact of intercropping on sorghum growth and development. Among the intercrops, two cowpea varieties , cv. TVU 1977 OD and cv. Blackeye bean , produced the highest supplemental yield of up to 329 and 623 kg ha,1 grain and 608 and 1173 kg ha,1 biomass at Adibakel and Sheraro respectively. Treatment differences on Striga infestation and measured soil fertility indicators were not significant. Nevertheless, valuable grain and biomass obtained from the legume intercrops, without seriously compromising sorghum yield, could offer multiple benefits as a source of protein, additional income, feeds for animals and manure in the subsistence agriculture regions of northern Ethiopia. [source] Relay Cropping of Sorghum and Legume Shrubs for Crop Yield Improvement and Striga Control in the Subsistence Agriculture Region of Tigray (Northern Ethiopia)JOURNAL OF AGRONOMY AND CROP SCIENCE, Issue 1 2005F. Reda Abstract Striga hermonthica is a major constraint in the subsistence agriculture regions of northern Ethiopia. Low soil fertility and overall environmental degradation has contributed to the build up of the parasitic weed infestation. Improved cropping systems have to be introduced to address the interrelated problems of Striga and soil fertility decline. Thus, relay cropping of sorghum with legume shrubs was investigated at two locations representing different environments. Results showed that the output of the improved cropping system was dependent on ecological endowments. Relay cropping led to significant improvement in yield at Sheraro, at the site with relatively better weather and soil conditions. The legume shrubs resulted in significantly lower sorghum yield in a dryland location (Adibakel). Overall Striga infestation declined over the 3-year period; however, treatment differences were not apparent. Among the two legume shrubs, Sesbania sesban was better adapted to the dryland areas. Relay cropping could provide a viable option for farmers in both types of environments that are characterized by accelerated decline in natural resource base. However, it could mean compromising the yield of non-fertilized sorghum in the interest of long-term benefits of low incidence of Striga and more rewarding crop enterprise in dry areas. [source] Effects of Fertilizer Phosphorus on Yield Traits of Dekoko (Pisum sativum var. abyssinicum) Under Field ConditionsJOURNAL OF AGRONOMY AND CROP SCIENCE, Issue 1 2003A. Yemane Abstract Cool-season food legumes (CSFLs) are important supplementary protein sources and soil fertility restorers for subsistence farmers in Ethiopia. Yields of CSFLs, however, are limited by low soil fertility, as they are grown in poor soils, often without fertilizer. Dekoko (Pisum sativum var. abyssinicum) is one of the CSFLs cultivated in Tigray, Northern Ethiopia. It is highly appreciated by the local people for its taste. This paper reports on the effect of phosphorus (P) on the yield and nutrition value of Dekoko under field conditions, and compares the results with those obtained for Ater (Pisum sativum var. sativum). The experiment was conducted in the 1998 and 1999 growing seasons. Three rates of P equivalent to zero, 30, and 60 kg ha,1 P2O5 were tested. Biomass, leaf area index, branches/plant, pods/m2 and yield responded positively while seeds/pod and seed weight were not significantly affected by P. Tissue P contents in shoots and roots increased with an increase in P application rate, while P in the nodules was not affected. Crude protein (CP) content increased from 24.9 % of dry matter (DM) at P0 to 26.2 % at P2, and from 24.3 % at P0 to 25.2 % at P2, in Dekoko and Ater seeds, respectively, while total sugars decreased with an increase in P application rate. Cysteine in Dekoko and asparagine and threonine in both varieties decreased, while lysine and other amino acids were not significantly affected by P. P improved seed yield and CP content without greatly affecting the amino acid profile of Dekoko, when compared with that of the FAO/WHO (1991, Protein Quality Evaluation. Food and Nutrition, Paper 51. FAO/WHO, Rome) standard pattern of amino acid for children 2,5 years of age. Thus, improving yield through fertilization may help to improve nutritional quality and household food security for subsistence farmers. [source] Postdispersal seed predation and seed viability in forest soils: implications for the regeneration of tree species in Ethiopian church forestsAFRICAN JOURNAL OF ECOLOGY, Issue 2 2010Alemayehu Wassie Abstract Almost all dry Afromontane forests of Northern Ethiopia have been converted to agricultural, grazing or scrub lands except for small fragments left around churches (,Church forests'). Species regeneration in these forests is limited. We investigated (i) how intense postdispersal seed predation was in church forest, and if this seed predation varied with species and/or habitat, and (ii) for how long tree seeds maintained their viability while buried in forest soil. In the seed predation experiment, we monitored seeds of six tree species in four habitats for a period of 14 weeks (the peak seeding season). In the seed viability experiment, we assessed seed viability of five species in four habitats after being buried 6, 12, or 18 months. Ninety-two percent of the tree seeds were predated within 3.5 months. Predation was mainly dependent on species whereas habitat had a weaker effect. Seed viability decreased sharply with burial time in soil for all species except for Juniperus. To minimize seed availability limitation for regeneration of such species in the forest, the standing vegetation needs to be persistently managed and conserved for a continuous seed rain supply. Additional seed sowing, and seed and seedling protection (by e.g. animal exclosures) may increase successful regeneration of important species in these forests. Résumé Presque toutes les forêts afromontagnardes sèches du nord de l'Ethiopie ont été converties en terres agricoles, pâturages ou broussailles, à l'exception de petits fragments laissés autour des églises (« Forêts d'églises »). La régénération des espèces dans ces fragments reste limitée. Nous avons étudié (1) l'intensité de la prédation sur les semences après leur dispersion dans ces forêts et si cette prédation variait selon les espèces et/ou les habitats, (2) combien de temps les semences d'arbres gardaient leur viabilité lorsqu'elles étaient enterrées dans le sol d'une forêt. Dans l'expérience sur la prédation des semences, nous avons suivi des semences de six espèces d'arbres dans quatre habitats pendant 14 semaines (le pic de la saison des semences). Dans l'expérience sur la viabilité des semences, nous avons évalué la viabilité de semences de cinq espèces dans quatre habitats après avoir été enterrées depuis 6, 12 ou 18 mois. 92% des semences avaient été consommées en 3,5 mois. La prédation dépendait principalement de l'espèce, et l'habitat avait un effet moins important. La viabilité des semences diminuait fortement avec l'allongement de la durée d'enfouissement pour toutes les espèces sauf Juniperus. Pour diminuer autant que possible la limitation de la disponibilité des semences destinées à la régénération de telles espèces dans la forêt, il faut gérer continuellement la végétation présente et la conserver pour une production continue de semences. Un ensemencement supplémentaire ainsi que la protection des semences et des jeunes plants (par exemple en les clôturants pour écarter les animaux) pourraient améliorer la régénération des espèces importantes de ces forêts. [source] Species and structural diversity of church forests in a fragmented Ethiopian Highland landscapeJOURNAL OF VEGETATION SCIENCE, Issue 5 2010Alemayehu Wassie Abstract Question: Thousands of small isolated forest fragments remain around churches ("church forests") in the almost completely deforested Ethiopian Highlands. We questioned how the forest structure and composition varied with altitude, forest area and human influence. Location: South Gondar, Amhara National Regional State, Northern Ethiopia. Methods: The structure and species composition was assessed for 810 plots in 28 church forests. All woody plants were inventoried, identified and measured (stem diameter) in seven to 56 10 m x 10-m plots per forest. Results: In total, 168 woody species were recorded, of which 160 were indigeneous. The basal area decreased with tree harvest intensity; understorey and middle-storey density (<5 cm DBH trees) decreased with grazing; overstorey density (>5 cm DBH trees) increased with altitude. The dominance of a small set of species increased with altitude and grazing intensity. Species richness decreased with altitude, mainly due to variation in the richness of the overstorey community. Moreover, species richness in the understorey decreased with grazing intensity. Conclusions: We show how tree harvesting intensity, grazing intensity and altitude contribute to observed variations in forest structure, composition and species richness. Species richness was, however, not related to forest area. Our study emphasizes the significant role played by the remaining church forests for conservation of woody plant species in North Ethiopian Highlands, and the need to protect these forests for plant species conservation purposes. [source] Soils and land use in the Tigray highlands (Northern Ethiopia)LAND DEGRADATION AND DEVELOPMENT, Issue 3 2008J. Nyssen Abstract Land use in a 208,ha representative catchment in the Tigray Highlands, Dogu'a Tembien district in Northern Ethiopia was studied in relation to soil geography. Typical soils are Vertisols, Vertic Cambisols, Cumulic Regosols, Calcaric Regosols and Phaeozems. Patterns of land use vary greatly within the catchment and results from ,2 -tests showed strong associations (p,<,0·001) between soil type and land use and crop production system. There is a strong association between cropland and colluvium high in basaltic content because the most fertile soils, such as Vertisols and Vertic Cambisols, have developed on this material. Preference is for autochthonous soils on in situ parent material, irrespective of the rock type, to be put under rangeland. Land use by smallholders in Dogu'a Tembien appears to be the result primarily of the interaction between environmental and social factors. Copyright © 2007 John Wiley & Sons, Ltd. [source] Sediment-bound nutrient export from micro-dam catchments in Northern EthiopiaLAND DEGRADATION AND DEVELOPMENT, Issue 2 2008N. Haregeweyn Abstract The losses in soil nutrients (nitrogen (N), available phosphorus (Pav), organic carbon (OC), potassium (K), calcium (Ca) and magnesium (Mg)) in the catchment and the storage in the reservoir as a result of sediment delivery were assessed in 13 catchments/reservoirs in Tigray, Northern Ethiopia. This specifically dealt with factors controlling the losses, the fertility status of the deposited sediment, the nutrient export (NE) rates and associated costs. Enrichment ratio (ER) values >1 were observed for the plant nutrients and the finer soil fractions. The high ER is associated with the preferential transport of nutrients bound to finer soil fractions and the parent material dissolution and its transport via runoff. However, the fertility status of the deposited sediment is not sufficient by itself to support a sustainable crop growth and hence external addition is necessary, mainly for N and Pav fertilizer. Generally, rates of NE were high. The high OC export on the other hand dictates the potential of reservoir sediments for OC sequestration. The cost price of loss of only N and Pav, eroded from the catchment slopes, was estimated at ,34·2 million (Euros) in March 2006 for the Tigray. Pity enough, policy makers and beneficiaries do not realize the magnitude of the problem, which forms a major threat for the crop production in the country. Therefore, it is important not only to make the public aware of the problem but also of implementing integrated soil fertility management practices. Copyright © 2007 John Wiley & Sons, Ltd. [source] Reservoir siltation in the semi-arid highlands of northern Ethiopia: sediment yield,catchment area relationship and a semi-quantitative approach for predicting sediment yieldEARTH SURFACE PROCESSES AND LANDFORMS, Issue 11 2006L. Tamene Abstract Due to shortage of rainfall and its increasing variability, moisture stress is identified to be one of the most critical factors affecting agricultural productivity in the drylands of Ethiopia. To circumvent this problem, a strategy of supplemental irrigation through surface water harvesting was adopted by the government and several micro-dams have been built in the semi-arid parts of the country. However, the benefits from the water harvesting schemes are not sustainable because of rapid water storage loss due to siltation. There is, therefore, an urgent need for improved catchment-based erosion control and sediment management strategies. The design and implementation of such strategies require data on the rate and magnitude of sediment deposition. To this end, reservoir surveys were conducted to estimate sediment deposition rate for 11 reservoirs identified to be representative of catchments in the Tigray region of northern Ethiopia. Two approaches were employed during the survey: one was based on measurement of sediment thickness in reservoirs while the other was based on comparing the original and existing topography of the reservoir-beds. The average annual sediment yield estimated for the study sites was about 19 t ha,1 y,1. An equation of the type SSY = 3á36A0á67 (with SSY = area specific sediment yield in t ha,1 y,1 and A = catchment area in km2) was also established for the study region, which is opposite to the ,universal' SSY,A relationship. In order to improve the sediment yield predictive capability of A, it was integrated with a factorial index that assesses the catchment's propensity to erosion and potential sediment yield. The effect of accelerated sediment deposition on water storage loss of reservoirs and possible controlling factors of the SSY,A relationship are outlined. The potential semi-quantitative scoring approach to characterize catchments in terms of erosion sensitivity and the significance of the A -index approach to predict SSY of similar catchments are also highlighted. Copyright © 2006 John Wiley & Sons, Ltd. [source] Rainfall-discharge relationships for a monsoonal climate in the Ethiopian highlandsHYDROLOGICAL PROCESSES, Issue 7 2008Ben M. Liu Abstract This study presents a simple rainfall-discharge analysis for the Andit Tid, Anjeni, and Maybar watersheds of northern Ethiopia. The Soil Conservation Research Programme (SCRP) established monitoring stations in each of these sites during the 1980s, with climate and stream flow measurements being recorded up to the present. To show how these data could be used to provide insight into catchment-level runoff mechanisms, simple linear relationships between effective precipitation and runoff are developed for each watershed, with the conclusion that all three watersheds exhibit consistent hydrologic behaviour after approximately 500 mm of cumulative effective seasonal rainfall has fallen since the beginning of season. After the 500 mm rainfall threshold is reached, approximately 50% of any further precipitation on these watersheds will directly contribute to catchment runoff. Copyright © 2008 John Wiley & Sons, Ltd. [source] Intercropping for the Improvement of Sorghum Yield, Soil Fertility and Striga Control in the Subsistence Agriculture Region of Tigray (Northern Ethiopia)JOURNAL OF AGRONOMY AND CROP SCIENCE, Issue 1 2005F. Reda Abstract Striga hermonthica is a major biotic constraint in the dry and less fertile areas of northern Ethiopia. Emphasis is being placed on improved cropping systems to address the interrelated problems of Striga and soil fertility decline. The potential benefits of intercropping were investigated at two sites representing different environments for crop yield improvement, soil fertility maintenance and Striga control. Ten food legume and oilseed crop species were compared in inter-row arrangement with sorghum under non-fertilized conditions. In most cases, there was no significant negative impact of intercropping on sorghum growth and development. Among the intercrops, two cowpea varieties , cv. TVU 1977 OD and cv. Blackeye bean , produced the highest supplemental yield of up to 329 and 623 kg ha,1 grain and 608 and 1173 kg ha,1 biomass at Adibakel and Sheraro respectively. Treatment differences on Striga infestation and measured soil fertility indicators were not significant. Nevertheless, valuable grain and biomass obtained from the legume intercrops, without seriously compromising sorghum yield, could offer multiple benefits as a source of protein, additional income, feeds for animals and manure in the subsistence agriculture regions of northern Ethiopia. [source] Relay Cropping of Sorghum and Legume Shrubs for Crop Yield Improvement and Striga Control in the Subsistence Agriculture Region of Tigray (Northern Ethiopia)JOURNAL OF AGRONOMY AND CROP SCIENCE, Issue 1 2005F. Reda Abstract Striga hermonthica is a major constraint in the subsistence agriculture regions of northern Ethiopia. Low soil fertility and overall environmental degradation has contributed to the build up of the parasitic weed infestation. Improved cropping systems have to be introduced to address the interrelated problems of Striga and soil fertility decline. Thus, relay cropping of sorghum with legume shrubs was investigated at two locations representing different environments. Results showed that the output of the improved cropping system was dependent on ecological endowments. Relay cropping led to significant improvement in yield at Sheraro, at the site with relatively better weather and soil conditions. The legume shrubs resulted in significantly lower sorghum yield in a dryland location (Adibakel). Overall Striga infestation declined over the 3-year period; however, treatment differences were not apparent. Among the two legume shrubs, Sesbania sesban was better adapted to the dryland areas. Relay cropping could provide a viable option for farmers in both types of environments that are characterized by accelerated decline in natural resource base. However, it could mean compromising the yield of non-fertilized sorghum in the interest of long-term benefits of low incidence of Striga and more rewarding crop enterprise in dry areas. [source] Occurrence of the diamondback moth (Plutella xylostella L.) and its parasitoids in Ethiopia: influence of geographical region and agronomic traitsJOURNAL OF APPLIED ENTOMOLOGY, Issue 6-7 2006G. Ayalew Abstract:, Surveys were carried out in 2001 in brassica-producing areas of Ethiopia to determine the geographic distribution and severity of diamondback moth (DBM) and occurrence of indigenous parasitoids. Principal component analysis was used to analyse the importance of nine parameters , DBM density, parasitism by different parasitoid species (Oomyzus sokolowskii, Diadegma spp., Apanteles sp. and overall parasitism), cropping systems, pesticide use, frequency of pesticide application and altitude. A total of 194 brassica fields in 13 different areas were visited. Principal component analysis showed that the first two of the nine principal components (largely DBM density and pesticide use) accounted for 70% of the variation in the data set. Higher DBM numbers were associated with pesticide usage and higher overall parasitism with intercropping. Eight parasitoid species were recorded of which three species were important both in distribution and level of parasitism. These include Oomyzus sokolowskii (Hym., Eulophidae), Diadegma spp. (Hym., Ichneumonidae) and Apanteles sp. (Hym., Braconidae). Overall parasitism ranged from 3.6% to 79.5% with big differences between areas. Apanteles sp. and Diadegma spp. were largely confined to the south-western part of Ethiopia where insecticide use is minimal. Oomyzus sokolowskii is mainly distributed in areas of the Rift Valley and northern Ethiopia with relatively heavy insecticide use. This study indicated a huge impact of repeated insecticide treatment and agronomic practices on DBM severity and its parasitoids. [source] Effects of pioneer shrubs on the recruitment of the fleshy-fruited tree Olea europaea ssp. cuspidata in Afromontane savannaAPPLIED VEGETATION SCIENCE, Issue 1 2006Raf Aerts Abstract Question: Is seedling recruitment of a fleshy-fruited tree in degraded Afromontane savanna dependent on shelter from pioneer shrubs, and is shelter availability related to shrub traits? Location: Degraded montane savanna in northern Ethiopia (13°36,N, 39°21,E). Method: Nurse plants of Olea europaea ssp. cuspidata seedlings were recorded using T-square plotless sampling and clustered according to shrub traits, using Ward's method after Principal Components Analysis. Facilitation was further examined through experimental planting and Kaplan-Meier survival analysis. Results: Both in grazed and protected areas, Olea recruits were found exclusively under shrubs, primarily under Euclea racemosa although Acacia etbaica was more abundant. Olea recruitment is distributed randomly at landscape scale, but depends on shelter at patch scale. Shelter ability is related to shrub shape and species identity. Dense multi-stemmed shrubs with a wide base and crown on a mulch-rich mound are key recruitment foci. Euclea shrubs have these favoured traits and probably act as preferential perching sites for avian seed dispersers. Soil and organic matter accumulation under Euclea shrubs may also create favourable conditions for Olea germination and survival. Experimentally planted seedlings had a better chance for survival under Euclea. Conclusions:Olea regeneration is probably subject to both passive (disperser-mediated) and active facilitation. Small changes of shrub traits can alter the suitability of a patch for Olea recruitment. Protection of shrubs can increase facilitation for seedlings, while pruning may reduce competition for saplings and thus enhance forest succession. Planting of raised Olea seedlings under Euclea shrubs in years with a good rainy season may further assist forest restoration. [source] Women with obstetric fistula in Ethiopia: a 6-month follow up after surgical treatmentBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 12 2008A Browning Objective, To quantify surgical and quality of life outcomes 6 months after obstetric fistula repair. Design, A prospective study. Women were examined and questioned at discharge and at follow-up appointment. Setting, The Barhirdar Hamlin Fistula Centre, a dedicated unit treating women with obstetric fistula in northern Ethiopia. Population, All women admitted to the Barhirdar Hamlin Fistula Centre suffering from vesicovaginal (WF) and rectovaginal fistulae (RVF). Methods, All women were asked to return for a follow-up appointment 6 months after surgical treatment. A standardised questionnaire and examination were used and information entered into a database. Main outcomes measures, Urinary and anal continence status; extent of return to previous family situation, employment, social activities and reproductive capabilities. Results, Continence status at discharge was largely maintained at 6 months and quality of life was improved. Many of those incontinent on discharge improved; a small number apparently cured at discharge had later recurrence of incontinence. Conclusions, Surgical treatment for obstetric fistula is successful in maintaining continence and improving quality of life of women at 6-months follow up. [source] | ||||||||||||||||