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Among ocular infections, trachoma is the main cause of blindness. Repeated conjunctival Chlamydia trachomatis infections lead to trichiasis, corneal opacification, and visual impairment. Surgery is often needed to relieve discomfort and preserve vision; however, a high postoperative trachomatous trichiasis (PTT) rate has been observed in various settings. We wanted to know why, whether PTT rates could be reduced, and how to manage the PTT that occurs. We performed a search of the literature. Of 217 papers screened, 59 studies were identified for inclusion as potentially relevant, the majority having been excluded for not directly concerning PTT in humans. Preventing PTT is a major challenge. Only one published trial, the STAR trial in Ethiopia, has reported a cumulative PTT rate <10% one year after surgery. The literature on the management of PTT is sparse. Though no PTT management guidelines are available, high-quality surgery with a low rate of unfavorable outcomes for PTT patients is likely to require enhanced training of a smaller group of highly-skilled surgeons. Based on the surgical complexity and the authors' own experience, the pathway for patients suffering from PTT should be studied further for improvement. [ABSTRACT FROM AUTHOR]

Language acquisition and learning literatures favour mother-tongue education policies, particularly in the early years of schooling. However, English Medium Instruction (EMI) remains a popular language policy position in multilingual contexts. This paper studies EMI transition policies using a longitudinal dataset from Ethiopia, by leveraging regional variation in education language policy reforms for causal identification. Employing a dynamic value-added model, this paper shows that students in schools using English as a medium of instruction have lower mathematics test scores (−0.25 standard deviations) compared to students in mother tongue education schools. Furthermore, English medium learners do not perform any better in their English test scores compared to mother tongue learners. These findings are in line with the international education literature on skill development, learning and second language acquisition. The main results support the prolonged utilisation of mother tongue instruction in primary education. These results are particularly relevant for policy makers in linguistically diverse contexts. • This paper studies the impact of English medium instruction policies on children's learning outcomes in the context of Ethiopia. • A value-added model of student attainment is used to estimate the impact of English medium instruction on student learning outcomes. • The main results show that mother tongue instruction has a positive impact on student learning. • Social and political contexts matter. As such, there is not one optimal language policy for all multilingual contexts. [ABSTRACT FROM AUTHOR]

• Ethiopia implemented widespread agricultural inteventions in the past decades. • We estimate the yields and food security impacts of the interventions implemented by the Ethiopian Agricultural Transformation Agency (ATA) between 2011 and 2016. • We combine project and remote-sensing data with a nationally representative household panel survey. • Our identification strategy exploits the temporal and geographic variation in the roll-out of the ATA interventions. • Results show that large-scale agricultural interventions are associated with higher agricultural yields and better food security outcomes. In the past decades, the Government of Ethiopia implemented widespread interventions with the objective of modernizing the agricultural sector and stimulating transformative growth. This paper assesses the agricultural yields and food security impacts of those interventions. Combining project and remote-sensing data with a nationally representative household panel survey, we identify impacts by exploiting the temporal and geographic variation in the roll-out of the interventions implemented by the Ethiopian Agricultural Transformation Agency from 2011 to 2016. Results show that large-scale agricultural interventions are associated with higher agricultural yields and better food security outcomes. These outcomes underscore the linkages that persist between agricultural development and food security for rural households living in mostly agrarian economies and the potential for systems-wide interventions to catalyze agricultural transformation. [ABSTRACT FROM AUTHOR]

• Ethiopia's food system sustainability was estimated at 0.46 on a 0–1 scale in 2020. • Ethiopia's sustainability falls short of the 0.75 satisfactory benchmark. • Social and Environmental dimensions exceed a discrete sustainability level of 0.5. • Economic, and food and nutrition security dimensions receive low scores, below 0.5. In the face of continuous population growth, environmental degradation, climate extremes and enduring abject poverty, ensuring sustainability of the food system is of crucial importance. As such, developing a comprehensive measure of sustainability has been of a great interest for both researchers and policy makers so as to measure progresses and evaluate the outcomes overtime. This paper attempts to assess the food system sustainability (FSSI) in Ethiopia over the past two decades from 2001 to 2020. A composite index was constructed by aggregating 24 selected food system indicators in the four food system dimensions: environmental, economic, social, and food and nutrition security. 'Distance to a Reference' method was employed for data normalization, whereas equal weighting and linear aggregation methods were used for aggregating the indicators in each dimension. The result showed that in a scale from 0 to 1, better score was achieved in the social dimension (0.66), followed by environmental dimension (0.52), and food and nutrition dimension (0.43), with the least recorded in the economic dimension (0.31) in 2020. The overall Food System Sustainability Index for the most recent year (2020) was estimated to be 0.46 which is far below a satisfactory level of food system sustainability (0.75) as per OECD Classification of Sustainability Indices. The result calls for policy interventions aimed at improving the overall food system sustainability in light of the four food system dimensions, in general, and the weak dimensions, in particular. Given the predictable need for more food production in the face of growing populace, interventions that enhance synergies and limit the potential trade-off among the food system outcomes, as well as striking the right balance should be the policy direction for Ethiopia. [ABSTRACT FROM AUTHOR]

Biomass remains the most important energy carrier of rural households in low- and middle-income countries, but its indoor combustion has grave impacts on human health and its extraction is associated with negative effects on ecosystems. Currently, robust and comprehensive data are lacking to trace biomass flows from ecosystems to consumption in households and quantify the related services. This impedes analyses of the social and environmental impacts of biomass use. By developing a source-to-service approach, this paper analyses the provision of domestic energy services in three villages in rural Ethiopia using a socio-metabolic perspective. We combine quantitative and qualitative methods to study the dynamics of domestic biomass use for energy and examine social and environmental implications. We find that the average household consumes 84 GJ/year of biomass (15 GJ per capita/year). Space heating, food and drinking water preparation combined require 86% of domestic energy. Improved cookstoves can reduce domestic energy use by 12%. Our results open new avenues for advancing the scientific understanding of rural energy systems dependent on biomass. These insights are essential to enhance research on sustainable energy systems in rural, bioenergy-dependent areas and may also prove useful in designing policies and innovations to improve provisioning of energy services. [Display omitted] • On average rural households in 3 studied villages in Ethiopia consume 84 GJ/yr of bioenergy • Space heating, food and drinking water preparation consume almost nine tenth of the total domestic energy • Family size, land and livestock assets are all significantly related with energy consumption • Adoption of improved cookstoves can be linked to a reduction in energy consumption of 12% • Combining MEFA and HANPP offers an avenue to analyse bioenergy systems from source to service [ABSTRACT FROM AUTHOR]

The scale and pace of land tenure change for agricultural development, often known as 'land grabbing' or 'global land rush,' are historically unprecedented. Control over millions of hectares of land has shifted over the past decade for the production of food, fiber, and biofuel. However, the rapidly growing body of research on land tenure change provides few rigorous assessments of deforestation across multiple countries with distinct biophyisical and socioeconomic characteristics. In this paper, based on spatial boundaries of land transactions (LTs) in Cambodia, Ethiopia, Liberia, and Peru, we investigate their association with deforestation using a pixel-based matching approach. Our findings suggest that the context, size, and distribution of LTs and the associated deforestation patterns vary substantially across the four countries. Land tenure change significantly accelerates deforestation in Cambodia and Liberia, but such acceleration is insignificant in Ethiopia. In Peru, we observe the opposite trend, where areas adjacent to LTs experience higher deforestation than areas within. Our analysis reveals how patterns and outcomes of LTs are linked to country characteristics and contexts, and suggests that sweeping generalizations about positive or negative consequences of LTs on deforestation and possibly other socioenvironmental outcomes need to attend more closely to specific patterns and drivers of LTs. [ABSTRACT FROM AUTHOR]