BackgroundIn Ethiopia, most women do not make the minimum number of antenatal care (ANC) visits recommended by WHO. This study modeled predisposing, enabling, need, and external environmental factors in the utilization of decentralized health facilities for ANC services in rural western Ethiopian communities.
MethodsA community-based, cross-sectional study was conducted in Gida Ayana Woreda (District) among 454 women. Data were collected through structured questionnaires. Multinomial logistic regression was used to model the association between the explanatory variables and the use of recommended and fewer than recommended visits for ANC with reference to the base model, no ANC visits.
ResultsOnly 15.2% of women made the recommended minimum number of ANC visits. Women with fewer than 2 children (AOR 10.7; 95% CI 3.0-8.4) were 10.7 times more likely received ANC service as recommended. Women with a delivery of 2 or more (AOR 9.7; 95% CI 3.7-5.2) home visits by health extension workers (HEWS) were 9.7 times more likely receiving minimum ANC services. Involvement in gainful activities had 4 times higher log odds of seeking recommended ANC (AOR 4.0; 95% CI 1.4-11.7). Women who experienced high fever were more likely to obtain the recommended ANC services (AOR 7.1; 95% CI 2.9-7.5). Residents of Ayana Kebele decentralization entity were 60% more likely to make the recommended number of visits to ANC (AOR 24.6; 95% CI 4.8-15.2).
Background:The spatiotemporal analysis of urban land use/land cover change (LULCC) helps to understand the dynamics of the changing environment of green infrastructure (GI) on the basis of sustainable city development. There are important links between spatiotemporal land use/land cover and GI change in urban areas. Therefore, the main objective of this study was to examine the spatiotemporal trends of urban land use/land cover and GI changes in Bahir Dar and Hawassa cities for the last four decades . Three different sets of Landsat satellite data were procured from EMA for Bahir Dar and Hawassa from 1973, 2000 and 2015 using Landsat 4 MSS, 7 TM and 8 OLI respectively. Based on this, using ERDAS Imagine (ver. 9.2) and Arc GIS (Ver.10.3) five LULCC classes were identified for analysis purpose.
Result:The results show that vegetation decreased by 30 and 14% in Bahir Dar and Hawassa respectively for the period 1973-2015, while built-up areas expanded by 10 and 24% respectively in the two cities. These land use changes have significant impacts on spatiotemporal trends of GI in urban areas. GI has increased in Bahir Dar and Hawassa in association with built-up area expansion and deliberate activity of city administrations with effective implementation of spatial plans of corresponding cities.
Conclusions:There is a growing concern about GI in cities. Policy makers and stakeholders should also decide on how to use the land at present and in the future. LULCC policymaking processes should aim to balance GI and other types of land use/land cover for sustainable urban development. Urban LULCC has important effects on the urban GI system.
The footwear sector in Ethiopia is dominated by cheap imports from Asia, particularly from China. This has inflicted heavy impacts on the sector, and threatened its competitiveness in the domestic market. This study examines the impact of imports and coping strategies of firms to withstand the competition. Firm level data were gathered from micro, small and medium footwear enterprises. The findings revealed that Chinese shoes are superior in design, price and quality, with the result that they have taken over the domestic market. The impact of Chinese imports on local producers varied from downsizing, bankruptcy, loss of assets and property, to downgrading activities and informalising operations. Firms have pursued coping strategies that focused on improving design and quality, as well as lowering prices and profit margins. Coping strategies appear to be differentiated by size of firms, and have some association with the performance of firms. The ways forward for local producers should focus on collaborative engagements of stakeholders and government to overcome the competitive disadvantages of firms. Training, technology, quality control, benchmarking and reorganization of production should be designed as a package of intervention. In addition, strengthening local producers to engage in collective actions and promoting exports should also be given proper attention.
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