Background: Ethiopia is one of the world’s oldest countries, with a fascinating history of herbal medicine. However, there is a lack of evidence for the regulatory framework for herbal medicines and its implementation. Thus, the aim of this study was to evaluate the policy governing herbal medicines regulation and its implementation in Ethiopia. Methods and Materials: An archival review, a semi-structured interview with key informants, a cross-sectional study involving traditional healers, and an institution-based cross-sectional survey were conducted from June 15, 2020 to December 25, 2020. The qualitative data was transcribed using Microsoft Word 10, whereas the quantitative data was recorded and analyzed using SPSS 20 computer statistical software. The study’s findings are summarized using descriptive statistics. In addition, multiple logistic regressions were performed to identify factors affecting regulation of herbal medicine (HM) in Ethiopia. Variables with p< 0.05 were considered potential predictors. Results: According to all key informants, Ethiopia has yet to adopt distinct policies and laws on herbal medicine that may provide an independent regulatory framework. Similarly, the majority of respondents in an institution-based survey indicated that there were no defined policies (n=52, 57.3%), laws (n=53, 59.6%), or registration systems (n=67, 75.3%) for herbal medicine. However, traditional healers claimed that they are licensed by either the Woreda Health Bureau (n=21, 95.5%) or the Regional Health Bureau (n=1, 4.5%) to legally practise traditional herbal medicine. Besides, no traditional healer is licensed by Ethiopian Food and Drug Administration (EFDA) or Ministry of Health. Conclusion: Ethiopia has yet to adopt distinctive herbal medicine policies and laws to provide an independent herbal regulatory system. Despite the fact that the EFDA has a mandate for herbal medicine regulation, traditional healers are licensed by the woreda and regional health bureaus, thus more investigation is needed.

Background: The demand for traditional herbal medicine is increasing and about 85% of the world population use herbal medicines for the prevention and treatment of diseases. More than 62.5% of the forest areas in Ethiopia are found in the southwest region, which have been used as a source of traditional medicine to treat different human and livestock ailments. The aim of this study was the investigation of the ethnobotanical and physicochemical properties of commonly used medicinal plants in Jimma zone, southwest Ethiopia. Materials and Methods: A cross-sectional study was conducted in the district of Jimma zone from June 1 to 30, 2017. The ethnobotanical data were collected from traditional healers through semi-structured questionnaires. Specimens collected from various habitats were taken into Jimma University, Herbarium laboratory, dried, and prepared using standard herbarium specimen techniques for identification. Physicochemical analysis was done for selected medicinal plants. Results: A total of 72 medicinal plants categorized under 61 genera and 39 families were stated by the respondents for the treatment of different human and livestock ailments. Herbs constitute the largest category (28 species, 38.89%) followed by shrubs (21 species, 29.17%), trees (20 species, 27.78%) and climbers (3 species, 4.17%). Leaves (39.19%) were the most commonly used plant parts followed by roots (27%) and seeds (10.81%). Traditional healers reported processing remedies mainly through crushing (46.91%), powdering (18.52%), pounding (11.11%), and pressing (9.88%). The water-soluble extractive value of the selected medicinal plants were between 1.825 to 18.507%w/w and the alcohol-soluble extractive value were between 0.143 to 1.107%w/w. The moisture content (%LOD) of Barleria argentea Balf. f. was higher than the recommended standard which consisted of 21.063%w/w and followed by high %LOD of Crateva adansonii D.C. Prodr (8.143%w/w) and Euphorbia abbyssinica J.F. Gmel. (16.347%w/w). The highest total ash value was registered in Dioscorea quartiniana A.Rich. species which consisted of 18.563%w/w and followed by Crateva adansonii D.C. Prodr (16.033%w/w) and Barleria argentea Balf. f. (15.648%w/w). High acid-insoluble ash value (7.227%w/w) and water-soluble ash (6.731%w/w) was recorded in Euphorbia abbyssinica J.F. Gmel. Conclusion: The study revealed that the water-soluble extractive value of the selected medicinal plants indicates the presence of water-soluble components such as sugar, acids, and inorganic compounds. In the future, these characters can be used to check the genuine nature of the crude drug; thus, it plays an important role in preventing the possible steps of adulteration.

Pesticides are risk factors in human life causing chronic human health effects. They are commonly used across the globe to enhance human endeavors. In Ethiopia, pesticides are widely used by local farmers and governmental organizations for pest control purpose. Pesticide residues in food items have been a concern to the consumers and environment they live in. Therefore, this study was aimed at determining the amount of organochlorine and organophosphate pesticide residues in cereal crops in Bench‐Sheko Zone, Ethiopia. A cross‐sectional laboratory‐based study design was employed to determine the amount of pesticide residues. The samples were extracted using a Quick, Easy, Cheap, Effective, Rugged and Safe (QuEChERS) extraction and clean up method. Finally, the extracted samples were injected into gas chromatography tandem mass spectrometer and the types and concentrations of pesticide residues were analyzed. The highest concentration of endosulfan sulfate (0.076 mgkg^-1) was detected in rice, followed by dimethoate (0.068 mgkg^-1) and p,p ^′‐DDE (0.087 mgkg^-1) in sorghum and common millet, respectively, in the samples obtained from the Gurafarda site.The highest concentration of p,p ^′‐DDT (0.133 mgkg^-1) was detected in common millet, followed by aldrin (0.082 mgkg^-1) and dimethoate (0.077 mgkg^-1) in sorghum and common millet, respectively, in the samples obtained from the North Bench site. In addition, aldrin detected in rice, sorghum, and common millet obtained from the three sites was a residue of above the maximum residual limits set by Codex Alimentarius regulations and European Union. The finding shows that an indication of the widespread use of pesticides in cereal crops.

Tea is the most frequently consumed drink in the sphere; next to the water. However, tea can be contaminated by different pesticides particularly those outdated pesticides which have been familiar as one of the main difficulties in Ethiopia and contaminate the food commodities. From a study done in south west of Ethiopia, Dichlorodiphenyltrichloroethane (DDT) and endosulfan were detected in commonly consumed food items. Therefore, the main aim of this study was to analyze the residue of organochlorine pesticides (OCPs) in tea collected from the market and assessing their risks to consumers. 19 different tea samples were randomly collected from supermarkets in Jimma town and Addis Ababa city. In the analytical procedure, QuEChERS (Quick, Easy, Cheap, Rugged, and Safe) method was applied for the extraction of tea samples. The finding of the study revealed that, five OCPs (aldrin, γ-chlordane, DDT, endrin, and dibutylchlorepoxide) were detected at a concentration of 0.1465, 0.167, 0.2044, 0.3067 and 0.4089 mg kg−1 in domestic tea, respectively, while endosulfan sulfate, methoxychlor, and heptachlor epoxide were detected at a concentration of 0.258, 0.458 and 1.427 mg kg-1 in imported tea samples respectively. From the pesticides detected, the mean concentration of DDT (0.292–0.825 mg kg−1) is above the Maximum Residue Limits (MRLs) established by China (0.2 mg kg−1). The estimated daily intake (EDI) of γ-chlordane and endrin were above the acceptable daily intakes (ADIs), this indicates that there is a health risk for tea consumers. The detection of pesticide residues in tea reveals that there is the widespread use of OCPs in the study area for agricultural purposes or as vector control. Therefore, strict regulation of pesticides during production, importing, sale, and application in the field is important for Ethiopia.

Introduction: A number of medications have been demonstrated to lower blood glucose. However, current-day management has failed to achieve and maintain the optimal glycemic level for diabetic patients. Patients’ non-adherence is among the most contributing factors. Therefore, the aim of this study was to explore the prevalence of non-adherence to anti-diabetic medications and associated factors. Methods: A hospital based cross-sectional study was conducted from November 2020 to January 2021. A systematic random sampling technique was used. Data were collected by structured questionnaire adapted from different literatures. Then, data were entered into SPSS version 25 and analyzed. To determine the association of dependent and independent variables, multiple logistic regression was done. P-value <.05 was considered statistically significant. Results: A total of 275 study participants were interviewed with a response rate of 100%. From this 53.8% were females, 59.3% were in the age group of 41-60 years, 35.3% were college/university graduates and 79.3% were not using social drugs. One hundred eighty-seven (68%) of them were adherent to their anti-diabetic medication. Factors found to be significantly associated with anti-diabetic medication adherence were age >60 years (AOR = .276, 95% CI = .124-.611) attending higher education (AOR = 6.203, 95% CI = 1.775-21.93), retired (AOR = 7.771, 95% CI = 1.458-41.427), housewife (AOR = 7.023, 95% CI = 1.485-33.215), average monthly income 1001birr-2000 birr (AOR = .246, 95% CI = .067-.911) and social drug use (AOR = 3.695, 95% CI = 1.599-8.542). Forgetfulness, not affording, side effects, misunderstanding of instructions, and poly-pharmacy were identified reasons for non-adherence. Conclusions and Recommendations: Patients’ adherence to anti-diabetic medications in the current study is sub-optimal. Age, monthly income, level of education, occupational status, and social drug use were associated with adherence. Forgetfulness, not affording, and side effects were reasons identified to contribute to non-adherence. Therefore, adherence counseling, use of alarms, and the way to mitigate non-affordability, including anti-diabetic medications into a program drug should be considered.

Uncontrolled use of pesticides could result in contamination of air, water, food, and ecosystems. This study aimed to determine pesticide residues in fruits and vegetables collected from selected farmlands of southwest Ethiopia from the end of April 2019 until mid of May 2019. The samples were extracted using a quick, easy, cheap, effective, rugged, and safe (QuEChERS) extraction and clean-up method. Quantitative analysis of four organophosphorus pesticides (OPPs) and seven organochlorine pesticides (OCPs) were conducted using gas chromatography-mass spectrometry. All the fruit and vegetable samples obtained from all sampling sites were contaminated with one or more pesticide residues. Chloroflurenol-methyl was the most predominantly detected OPPs residue in all crop samples obtained from different sampling sites, with a maximum concentration of 0.402 mg kg⁻¹ in potato samples obtained from the Gurafarda site and a minimum value of 0.049 mg kg⁻¹ in onion samples obtained from the South Bench site. Dibutyl chlorendate was the predominant OCPs in all samples, with the minimum value of 0.498 mg kg⁻¹, which was detected in tomato samples collected from the Jamo site, and the maximum concentration of 1.003 mg kg⁻¹ detected in pineapple samples obtained from the North Bench site. Dimethoate concentrations in tomato samples (0.045–0.084 mg kg⁻¹) were above the maximum residue limits (MRLs) established by the European Union (EU) guidelines (0.01 mg kg⁻¹) but were below the MRLs established by Codex Alimentarius Commission (CAC) guidelines (0.5 mg kg⁻¹). Relatively high residue concentrations of dibutyl chlorendate and chloroflurenol-methyl were detected in all the samples obtained from all sampling sites. There is widespread use of pesticides for agriculture by the producers in the study area and there is a need for the regular monitoring of pesticide residues.