This study aimed to screen the antibacterial activity of essential oils from different parts (leave and stem) of Salvia officinalis against some Gram positive and Gram negative bacteria using agar disc diffusion test, then the extracts were prepared by hydro distillation to extract the essential oils. Maceration and hexane extraction by Soxhlet were used to obtain crude extracts from the leave and stem. Essential oils from the leaves and the ethyl acetate extract of the leaves showed higher antimicrobial activity, while hexane extract of leaves and stems showed moderate antibacterial activity. In contrast the essential oil from the stems showed very low antibacterial activity. It was observed that the results gram positive bacteria (staphylococcus aureus) was more sensitive than Gram negative (Echerichia coli).

Abstract: In this study the essential oils of Salvia officinalis growing in Sudan, were obtained by hydrodistillation and analyzed by Gas chromatography mass spectrometer, forty tow compounds were identified. The essential oil composition of S.officinalis found that it had many important compounds. The detected main compounds were oxygenated monoterpenes followed monohydrocarbone, squiterpenes and other compounds. The main essential oil constituents were α-terpineol (33.07%), camphor (11.57%), α-pinene (8.96%) camphene (5.09%) β-cymen (5.40 %) caryphyllene (3.76%) β-myrcene (3.65%) β-menth1-en-b-ol (3.45%) bomeol (3.38%) β-pinene (2.74%) Epiglobulol (2.59%) 1,8 Cineol (2.24%) and trans-β- terpinyl butanone(2.00% ).

The access to agricultural information in Sudan continues to be challenging to farmers due to use of inadequate sources and traditional extension approaches. The rapid growth of smart-mobile phones usage in developing countries resulted in several advantages compared to other alternatives in term of costs, geographic coverage and ease of use. This research was conducted in North Kordofan Sate to explore the role of smart-mobile phone in accessing agricultural information. Primary data were obtained by structured questionnaires and focus group discussion through participatory rural appraisal and observation while secondary data were collected from scientific journals, books and authenticated web sources. A number of 230 respondents (10% from total farmers) were interviewed and five focus group discussions were done. Statistical Packages for Social Science (SPSS) version 22 was used to analyze the data with aid of descriptive statistics and Chi-squire Test. The result indicated that most of the respondents fall in age group between 21-40 years, and they depend on farm activity. There was 90% of farmers processed mobile phone since more than three years ago, 90.8%continuedto use smart mobile phone to access agricultural information and showed positive contribution towards income generation. The results also revealed that there was positive perception towards using mobile phones which showed more efficient in use than radio and TVs. The results showed great advantages of using smart mobile phone where 75.2 % of respondents preferred to get agricultural information, logistics and other needs through successful communication in the mid of agricultural season. Results of Chi-squire test showed significant differences between the parameters tested. The study recommended that farmers should be connected with mobile phones to admit ease communication with agricultural extension offices and quick access to their needs and logistics.

Background: World Health Organization (WHO) estimates that there were 558000 new cases with resistance to Rifampicin, of which 82% had multidrug-resistant tuberculosis (MDR-TB). Objectives: We aimed to identify the prevalence of MDR-TB in River Nile state, Sudan, and the risk factors contributing to its occurrence. Methods: This was a descriptive cross-sectional hospital-based study involved 200 specimens taken from patients suspected of having MDR-TB tested using an automated GeneXpert assay. Results: Results of GeneXpert assay showed that the presence of Mycobacterium tuberculosis in 81 (40.5%), and out of 81 positive test results there were 13 (16%) had MDR-TB. Additionally, 7 cases of MDR-TB were previously treated which represented about (53%) of MDR patients, the remaining 6 MDR-TB patients were new cases and represented (47%) of MDR-TB patients. Moreover, there were 4 MDR-TB patients who had a history of contact with MDR-TB patients. Conclusion: Prevalence of MDR-TB in River Nile State, Sudan was 16%, which is greater than WHO estimation for Sudan (10.1%). The results revealed that the main risk factor to develop MDR-TB was a history of contact with MDR-TB, so adherence to treatment and social awareness about the spread of MDR-TB are crucial preventive measures.

This paper provides a comprehensive analysis of food security in Sudan by adopting a unique approach of Hesitant Fuzzy Entropy (HFE) analysis to discern the key determinants influencing food security levels and aligning the findings with the Integrated Food Security Phase Classification (IPC) framework. The research utilized a dataset comprising 32 crucial variables related to food security assessment. Employing entropy values, weight coefficients, heatmaps, and scatterplots, the analysis aimed to unravel the intricate distribution of food security levels among Sudanese individuals in our study area. The study reveals that approximately 26% of the Sudanese population in our study region is poised to experience food security, with an additional 24% categorized as marginally food secure. Moreover, an estimated 35% are expected to confront moderate food insecurity, while 15% are projected to face severe food insecurity between January and June 2024. Anticipations for the period from January 2024 to June 2024 project more than 15 million individuals to encounter IPC Phase 3 and fall under moderately or severely food insecure levels. These findings emphasize the urgent need for both short-term humanitarian aid and long-term strategies to address Sudan's deepening food insecurity crisis.

Tetanus toxoid (TT) vaccination during pregnancy has been proven as an effective preven-tive measure to reduce the incidence of maternal and neonatal morbidity and mortality worldwide. This study aimed to assess the determinants of TT vaccine uptake among pregnant women in two public maternity specialized hospitals in Sudan. A hospi-tal-based cross-sectional study was conducted in two public hospitals, Omdurman Ma-ternity and AL-Saudi hospitals in Omdurman, Khartoum State in Sudan, from February to April 2020. Logistic regression analysis was carried out to identify factors associated with receiving three or more doses of TT vaccine among pregnant women (protected against tetanus), presented as Odds ratios, with p-values <0.05 considered significant (at 95% confidence interval). The study recruited 350 pregnant women, with 313 participants in-cluded in the analysis. This study found that only 40% of the pregnant women received 3 doses or more (protected) of TT vaccine during their current pregnancy. Pregnant women who attended Al Saudi hospital were less likely to be protected against Tetanus (received ≥ 3 doses) compared to those who attended Omdurman hospital [OR= 0.49 (95%C.I 0.29-0.82), p-value <0.05]. Furthermore, the number of children at home was a significant predictor of mothers’ immunization status as those with five children or more were ten times more to be protected against tetanus [OR= 10.54 (95% C.I 4.30-25.86), p-value <0.05]. We conclude that this low rate of TT vaccine uptake found in this study among pregnant women increases the number of newborn babies susceptible to contracting neonatal tetanus. This study provides useful information that can inform the will increase in the probabilities of morbidities and mortalities that result from maternal and neonatal tetanus. The findings of this study should be considered in development of communication strategies targeting and prioritizing at-risk groups to increase TT vaccine uptake among pregnant women in Sudan.

Vaccine uptake is one of the indicators that has been used to guide immunization programs. This study aimed to evaluate whether the measles vaccine uptake is predicted by measles vaccine hesitancy. A community-based cross-sectional study was conducted in urban districts in Khartoum state in February 2019. Measles vaccine uptake among children was measured as either fully vaccinated or partially/not vaccinated. The Parents Attitude about Childhood Vaccination (PACV) scale was used to measure measles vaccine hesitancy. Multivariate logistic regression was run to identify the predictors of measles vaccination uptake controlling for sociodemographic variables and the adjusted odds ratios (aORs) with 95% CI were calculated. The receiver operator characteristic (ROC) curve was performed, besides area under the curve (AUC) for the PACV was computed. Data was collected from 495 participants. We found that measles vaccine hesitancy (PACV scores) predicted the uptake of measles vaccine after controlling other potential social confounders such as mother’s age and the number of children (aOR 1.055, 95% CI 1.028-1.028). Additionally, the ROC for the PACV yielded area under the curve (AUC 0.686 (95% CI 0.620-0.751, P <0.001). Our findings show that measles vaccine hesitancy in Sudan directly influences the uptake of the measles vaccine. Addressing the determinants of vaccine hesitancy through communication strategies will improve vaccine uptake.

Attack on health has become a significant concern for non-belligerents of war, including healthcare personnel and facilities as witnessed in the ongoing Sudan conflict. About 1.5 billion people living in fragile and conflict-affected settings (FCAS) have a heightened need for essential health services. Conflicts often lead to the disruption of building blocks of health systems, lack of access to health facilities, failure of essential medical supply chains, the collapse of political, social and economic systems, migration of health care workers, and upsurges in illness. While health indicators often decline in conflict, health can also bring peace and harmony among communities. Investment in health systems and health diplomacy is a neutral starting point for bringing peace and mitigating conflicts. The international commitment towards Sustainable Development Goals (SDGs) provides the impetus to emphasize the relationship between health and peace with the amalgamation of SDG 3, SDG 16, and SDG 17. The inspection of how health should be used as a ‘tool for peace’ and not as leverage during the war must be reiterated by international institutions.

Accurate rainfall measurement is vital when investigating spatial and temporal precipitation variability at different scales. However, there are many regions around the world, such as North Darfur State in Sudan, where ground-based observations are few. Satellite-based precipitation products can fill such regions' spatial and temporal rainfall data gaps. Six satellite rainfall prod-ucts, namely the Tropical Rainfall Measuring Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA), African Rainfall Climatology Version 2 (ARC2.0), Climate Hazards Group In-frared Precipitation with Station Data (CHIRPS2.0), the Integrated Multi-satellitE Retrievals for Global Precipitation Measurements (GPM) Final Run v 6 (GPM IMERG6), Precipitation Estima-tion from Remote Sensing Information using Artificial Neural Networks-Climate Data Record (PERSIANN-CDR), and the Tropical Applications of Meteorology using SATellite and ground-based observations (TAMSAT) v3.1 were evaluated to assess their accuracy in estimating rainfall amounts variability trends in the study area. The global-based satellite rainfall products were assessed at monthly and annual time scales by applying a point-to-pixel comparison with ground-based rain gauge data for the period 2000–2019. Based on the overall statistical results at monthly and temporal yearly scales, five satellite precipitation products (TMPA, CHIRPS, GPM IMERG6, PERSIANN-CDR, and TAMSATv3.1) overestimated rainfall amounts by values ranging from 1.49% to 82.69%. In contrast, the ARC2 product underestimated rainfall amounts by values ranging from-16.9% to-20.25%. The TAMSATv3.1, CHIRPS, and TMPA performed relatively better, showing stronger correlations and higher values of Nash-Sutcliffe efficiency. This study showed that the TAMSATv3.1 and CHIRPS products could reasonably estimate rainfall amounts in the North Darfur State.