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East Africa Evaluation Hub - Institute of Rural Reconstruction (IIRR ...
International Development Research Centre (IDRC) Digital Library (Canada)
Outcome Mapping is a planning, monitoring and evaluation methodology developed by IDRC and its partners. There is an active global community of Outcome Mapping users, but few of them are in East Africa. A survey of evaluation experts and development organizations in East Africa showed some familiarity with and ...
East Africa Evaluation Hub - Institute of Rural Reconstruction (IIRR ...
International Development Research Centre (IDRC) Digital Library (Canada)
Outcome Mapping is a planning, monitoring and evaluation methodology developed by IDRC and its partners. There is an active ... This project will adapt training resources to the East African context and build the capacity of IIRR to become a regional centre of Outcome Mapping training and support. It will also promote the ...
The challenges of a prostatectomy in rural Africa | Gaido | East ...
African Journals Online (AJOL)
prostatectomy can occur in rural settings, where different factors can influence the outcome, beyond appropriate indication for surgery and technical skills of surgeons. Here we present a case that was per se surgically unremarkable, however a number of delayed omplications appeared in the post operative period, ...
Practice makes perfect: participatory innovation in soil fertility management to improve rural livelihoods in East Africa
Jager, de A.
Keywords: soil nutrient balances, soil fertility degradation, East Africa , participatory innovation, experiential learning, farmer field schools, smallholder agriculture
Maintaining and improving soil fertility is crucial for Africa to attain the Millennium Development Goals. Fertile
Practice makes perfect: participatory innovation in soil fertility management to improve rural livelihoods in East Africa
Jager, de, A.
Keywords: soil nutrient balances, soil fertility degradation, East Africa , participatory innovation, experiential learning, farmer field schools, smallholder agriculture Maintaining and improving soil fertility is crucial for Africa to attain the Millennium Development Goals. Fertile soil and balanced soil nutrient management are major foundations for sustainable food production, contribute to a sound management of natural resources and assist in controlling environmental degradation such ...
Microgrid Utilities for Rural Electrification in East Africa: Challenges and Opportunities
Williams, Nathaniel J.
Expanding access to electricity is central to development in East Africa but massive increases in investment are required to achieve universal access. Private sector participation in electrification is essential to meeting electricity access targets. Policy makers have acknowledged that grid extension in many remote rural areas is not as cost effective as decentralized alternatives such as microgrids. Microgrid companies have been unable to scale beyond pilot projects due in part to challenges in raising capital for a business model that is perceived to be risky. This thesis aims to identify and quantify the primary sources of investment risk in microgrid utilities and study ways to mitigate these risks to make these businesses more viable. Two modeling tools have been developed to this end. The Stochastic Techno-Economic Microgrid Model (STEMM) models the technical and financial performance of microgrid utilities using uncertain and dynamic inputs to permit explicit modeling of financial risk. This model is applied in an investment risk assessment and case study in Rwanda. Key findings suggest that the most important drivers of risk are fuel prices, foreign exchange rates, demand for electricity, and price elasticity of demand for electricity. The relative importance of these factors is technology dependent with demand uncertainty figuring stronger for solar and high solar penetration hybrid systems and fuel prices driving risk in diesel power and low solar penetration hybrid systems. Considering uncertainty in system sizing presents a tradeoff whereby a decrease in expected equity return decreases downside risk. High solar penetration systems are also found to be more attractive to lenders. The second modeling tool leverages electricity consumption and demographic data from four microgrids in Tanzania to forecast demand for electricity in newly electrified communities. Using statistical learning techniques, improvements in prediction performance was achieved over
The effects of HIV/AIDS on rural communities in East Africa: a 20-year perspective.
Seeley, Janet; Dercon, Stefan; Barnett, Tony
Much of the research on implications of the HIV epidemic for individual households and broader rural economies in the 1980s and early 1990s predicted progressive declines in agricultural production, with dire consequences for rural livelihoods. Restudies in Tanzania and Uganda show that from 1986 to the present, HIV and AIDS have sometimes thrown households into disarray and poverty, but more often have reduced development. The progressive and systematic decline predicted in earlier work has not come to pass. However, poverty remains, as does endemic HIV disease.
Conservation as a Core Asset for Livelihood Security in East Africa ...
International Development Research Centre (IDRC) Digital Library (Canada)
This project aims to help rural households and decision-makers better understand conservation and biodiversity as key components of rural livelihood improvement strategies and security in East Africa and the Horn of Africa. It will do so by documenting lessons learned by rural communities on the linkages between ...
Deconstructing the concept of renewable energy-based mini-grids for rural electrification in East Africa
DEFF Research Database (Denmark)
Pedersen, Mathilde Brix
The goal of providing universal energy access to all by 2030 under the UN-led SE4ALL initiative calls for new and innovative solutions to rural electrification and is fuelling the recent interest in mini-grids. Mini-grid solutions are emerging as a third alternative to rural electrification, coming...... between the option of large-scale grid extension and pico-scale stand-alone solutions like solar home systems or solar lanterns. International expectations of mini-grids are high, with the International Energy Agency suggesting that they will play a significant role in reaching the goal of universal...... electrification and the challenges identified in the literature, the study concludes by proposing three avenues for further research. For further resources related to this article, please visit the WIREs website....
Optical, microphysical and radiative properties of aerosols over a tropical rural site in Kenya, East Africa: Source identification, modification and aerosol type discrimination
Boiyo, Richard; Kumar, K. Raghavendra; Zhao, Tianliang
A better understanding of aerosol optical, microphysical and radiative properties is a crucial challenge for climate change studies. In the present study, column-integrated aerosol optical and radiative properties observed at a rural site, Mbita (0.42°S, 34.20 °E, and 1125 m above sea level) located in Kenya, East Africa (EA) are investigated using ground-based Aerosol Robotic Network (AERONET) data retrieved during January, 2007 to December, 2015. The annual mean aerosol optical depth (AOD500 nm), Ångström exponent (AE440-870 nm), fine mode fraction of AOD500 nm (FMF500 nm), and columnar water vapor (CWV, cm) were found to be 0.23 ± 0.08, 1.01 ± 0.16, 0.60 ± 0.07, and 2.72 ± 0.20, respectively. The aerosol optical properties exhibited a unimodal distribution with substantial seasonal heterogeneity in their peak values being low (high) during the local wet (dry) seasons. The observed data showed that Mbita and its environs are significantly influenced by various types of aerosols, with biomass burning and/or urban-industrial (BUI), mixed (MXD), and desert dust (DDT) aerosol types contributing to 37.72%, 32.81%, and 1.40%, respectively during the local dry season (JJA). The aerosol volume size distribution (VSD) exhibited bimodal lognormal structure with a geometric mean radius of 0.15 μm and 3.86-5.06 μm for fine- and coarse-mode aerosols, respectively. Further, analysis of single scattering albedo (SSA), asymmetry parameter (ASY) and refractive index (RI) revealed dominance of fine-mode absorbing aerosols during JJA. The averaged aerosol direct radiative forcing (ARF) retrieved from the AERONET showed a strong cooling effect at the bottom of the atmosphere (BOA) and significant warming within the atmosphere (ATM), representing the important role of aerosols played in this rural site of Kenya. Finally, the Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model revealed that aerosols from distinct sources resulted in enhanced loading
Biogas - Bioenergy potential in East Africa
International Nuclear Information System (INIS)
The workshop is part of the project: 'Energy production from Sisal Waste in East Africa' sponsored by the Danish Energy Agency, an agency under the Danish Ministry of Environment and Energy. This project has been carried out in close cooperation between the Danish Technological Institute and University of Dar es Salaam, Applied Microbiology Unit, who has also taken care of the practical arrangement. The main objectives of the workshop was: To present the ongoing research in East Africa on biogas production from organic residues; To get an overview of political and administrative issues related to promotion and implementation of renewable energy facilities in East Africa; To discuss appropriate set-ups for bioenergy facilities in East Africa. (au)
Biogas - Bioenergy potential in East Africa
Energy Technology Data Exchange (ETDEWEB)
The workshop is part of the project: `Energy production from Sisal Waste in East Africa` sponsored by the Danish Energy Agency, an agency under the Danish Ministry of Environment and Energy. This project has been carried out in close cooperation between the Danish Technological Institute and University of Dar es Salaam, Applied Microbiology Unit, who has also taken care of the practical arrangement. The main objectives of the workshop was: To present the ongoing research in East Africa on biogas production from organic residues; To get an overview of political and administrative issues related to promotion and implementation of renewable energy facilities in East Africa; To discuss appropriate set-ups for bioenergy facilities in East Africa. (au)
Biogas - Bioenergy potential in East Africa
Energy Technology Data Exchange (ETDEWEB)
The workshop is part of the project: `Energy production from Sisal Waste in East Africa` sponsored by the Danish Energy Agency, an agency under the Danish Ministry of Environment and Energy. This project has been carried out in close cooperation between the Danish Technological Institute and University of Dar es Salaam, Applied Microbiology Unit, who has also taken care of the practical arrangement. The main objectives of the workshop was: To present the ongoing research in East Africa on biogas production from organic residues; To get an overview of political and administrative issues related to promotion and implementation of renewable energy facilities in East Africa; To discuss appropriate set-ups for bioenergy facilities in East Africa. (au)
Measuring rural welfare in colonial Africa
Haas, De Michiel
Recent scholarship on historical welfare development in Sub-Saharan Africa has uncovered long-term trends in standards of living. How the majority of rural dwellers fared, however, remains largely elusive. This study develops a new approach to reconstruct rural living standards in a historical
Eastern Africa Journal of Rural Development
African Journals Online (AJOL)
The Eastern Africa Journal of Rural Development (EAJRD) is now going to be jointly published by the Ugandan Agricultural Economics Association - a professional body for Agricultural Economists and those interested in agricultural economics and rural development issues - and the Department of Agricultural Economics ...
Timely relations in rural Africa
CSIR Research Space (South Africa)
Bidwell, NJ
Full Text Available Nicola J Bidwell University of Pretoria and CSIR-Meraka Institute, South Africa Email: email@example.com Thomas Reitmaier University of Cape Town, , South Africa. Email: firstname.lastname@example.com Carlos Rey-Moreno and Zukile Roro University... of the Western Cape, South Africa Email: email@example.com, firstname.lastname@example.com Masbulele Jay Siya Mankosi, 5140, South Africa Email: firstname.lastname@example.com Bongiwe Dlutu Rhodes University, South Africa Email:firstname.lastname@example.com Abstract...
Rural development update for South Africa
Energy Technology Data Exchange (ETDEWEB)
Arent, D. [National Renewable Energy Lab., Golden, CO (United States)
This paper describes renewable energy programs implemented in South Africa as part of a collaborative program for rural development. Different facets of this program include: Renewable Energy for South Africa (REFSA); hybrid collaborative R&D; electricity sector restructuring; provincial level initiation of renewable energy applications; renewable energy for African development (REFAD); and Suncorp photovoltaic manufacturing company. Limited detailed information is provided on the activities of each of these different program facets over the past year in particular.
Brief communication: Drought likelihood for East Africa
Yang, Hui; Huntingford, Chris
The East Africa drought in autumn of year 2016 caused malnutrition, illness and death. Close to 16 million people across Somalia, Ethiopia and Kenya needed food, water and medical assistance. Many factors influence drought stress and response. However, inevitably the following question is asked: are elevated greenhouse gas concentrations altering extreme rainfall deficit frequency? We investigate this with general circulation models (GCMs). After GCM bias correction to match the climatological mean of the CHIRPS data-based rainfall product, climate models project small decreases in probability of drought with the same (or worse) severity as 2016 ASO (August to October) East African event. This is by the end of the 21st century compared to the probabilities for present day. However, when further adjusting the climatological variability of GCMs to also match CHIRPS data, by additionally bias-correcting for variance, then the probability of drought occurrence will increase slightly over the same period.
Brief communication: Drought likelihood for East Africa
Directory of Open Access Journals (Sweden)
H. Yang
Full Text Available The East Africa drought in autumn of year 2016 caused malnutrition, illness and death. Close to 16 million people across Somalia, Ethiopia and Kenya needed food, water and medical assistance. Many factors influence drought stress and response. However, inevitably the following question is asked: are elevated greenhouse gas concentrations altering extreme rainfall deficit frequency? We investigate this with general circulation models (GCMs. After GCM bias correction to match the climatological mean of the CHIRPS data-based rainfall product, climate models project small decreases in probability of drought with the same (or worse severity as 2016 ASO (August to October East African event. This is by the end of the 21st century compared to the probabilities for present day. However, when further adjusting the climatological variability of GCMs to also match CHIRPS data, by additionally bias-correcting for variance, then the probability of drought occurrence will increase slightly over the same period.
Situating asynchronous voice in rural Africa
CSIR Research Space (South Africa)
Bidwell, NJ
Full Text Available to be oriented by theory that contrasts the mental functions of oral and literate users, rather than by local practices in social situations. We describe designing an Audio Repository (AR) based on practices, priorities and phone-use in rural Africa. The AR...
Management of Water Demand in Africa and the Middle East ...
International Development Research Centre (IDRC) Digital Library (Canada)
Management of Water Demand in Africa and the Middle East : Current Practices and Future Needs. Couverture du livre Management of Water Demand in Africa and the Middle East : Current Practices. Directeur(s) : David B. Brooks, Eglal Rached et Maurice Saade. Maison(s) d'édition : CRDI. 1 janvier 1997. ISBN : Épuisé.
Management of Water Demand in Africa and the Middle East ...
International Development Research Centre (IDRC) Digital Library (Canada)
Management of Water Demand in Africa and the Middle East : Current Practices and Future Needs. Couverture du livre Management of Water Demand in Africa and the Middle East : Current Practices. Editor(s):. David B. Brooks, Eglal Rached et Maurice Saade. Publisher(s):. CRDI. January 1, 1997. ISBN: Épuisé. 78 pages.
Neonatal mortality in East Africa and West Africa: a geographic analysis of district-level demographic and health survey data
Directory of Open Access Journals (Sweden)
Sue C. Grady
Full Text Available Under-five child mortality declined 47% since 2000 following the implementation of the United Nation's (UN Millennium Development Goals. To further reduce under-five child mortality, the UN's Sustainable Development Goals (SDGs will focus on interventions to address neonatal mortality, a major contributor of under-five mortality. The African region has the highest neonatal mortality rate (28.0 per 1000 live births, followed by that of the Eastern Mediterranean (26.6 and South-East Asia (24.3. This study used the Demographic and Health Survey Birth Recode data (http://dhsprogram.com/data/File-Types-and-Names.cfm to identify high-risk districts and countries for neonatal mortality in two sub-regions of Africa – East Africa and West Africa. Geographically weighted Poisson regression models were estimated to capture the spatially varying relationships between neonatal mortality and dimensions of potential need i care around the time of delivery, ii maternal education, and iii women's empowerment. In East Africa, neonatal mortality was significantly associated with home births, mothers without an education and mothers whose husbands decided on contraceptive practices, controlling for rural residency. In West Africa, neonatal mortality was also significantly associated with home births, mothers with a primary education and mothers who did not want or plan their last child. Importantly, neonatal mortality associated with home deliveries were explained by maternal exposure to unprotected water sources in East Africa and older maternal age and female sex of infants in West Africa. Future SDG-interventions may target these dimensions of need in priority high-risk districts and countries, to further reduce the burden of neonatal mortality in Africa.
Economic analysis of milk production and consumption in the Middle East and North Africa
Directory of Open Access Journals (Sweden)
Mansoor Maitah
Full Text Available Milk products are considered as the essential food commodities for humans. Milk products contain essential elements for the human body such as protein, glucose, minerals and vitamins. Moreover, milk is considered the cheapest source of animal protein, an important resource for some related transformation industries and provides employment opportunities for a large number of small producers in both rural and urban areas. The aim of this paper is to analyze the factors which determine the supply and demand for liquid milk (henceforth milk in the Middle East and North Africa in order to point out the main problems and constraints obstructing the milk production in this region. The research also attempts to understand the drivers for the development in milk production in the Middle East and North Africa.Total milk production in the Middle East and North Africa increased from about 12.57 million tons in 1990 to about 25.18 millions tons in 2008. This paper attempts to identify the factors which influence the effectiveness of production, consumption and foreign trade of milk in the Middle East and North Africa. The most important factors affecting consumption is the population, per capita income and produced quantity where a 1% increase in all of them results in increasing the quantity consumed by 1.3%, 2.86% and 0.611%, respectively. Milk sector provides employment opportunities for more than 25% of the working force in some Middle East and North Africa countries.
Soccer: Moulding the Middle East and North Africa
Dorsey, J.M.
Nowhere in the world has sports in general and soccer in particular played such a key role in the development of a region than in the Middle East and North Africa. Yet, the nexus of sports, politics and society is one area that Middle East studies with few exceptions have ignored. Similarly, sports studies have focused on all parts of the world with one exception: the Middle East and North Africa. Nonetheless, sports and particularly soccer has been in various parts of the Middle East key to ...
Water Management in Africa and the Middle East: Challenges and ...
International Development Research Centre (IDRC) Digital Library (Canada)
Book cover Water Management in Africa and the Middle East: Challenges and ... key issues and trends, and map out strategies for further research and action. ... and adaptive water management: Innovative solutions from the Global South".
Decision enhancement for poultry farmers in East Africa
Tumwebaze, Rebecca Pearl
Increased attention to economic viability towards agriculture has seen commercial poultry farms in East Africa evolve from the previously common small holder/backyard poultry production operations. These poultry farms have however been faced with numerous challenges including high disease
Protected Areas: Mixed Success in Conserving East Africa's Evergreen Forests
Pfeifer, Marion; Burgess, Neil D.; Swetnam, Ruth D.; Platts, Philip J.; Willcock, Simon; Marchant, Robert
In East Africa, human population growth and demands for natural resources cause forest loss contributing to increased carbon emissions and reduced biodiversity. Protected Areas (PAs) are intended to conserve habitats and species. Variability in PA effectiveness and 'leakage' (here defined as displacement of deforestation) may lead to different trends in forest loss within, and adjacent to, existing PAs. Here, we quantify spatial variation in trends of evergreen forest coverage in East Africa ...
Firm Productivity and Infrastructure Costs in East Africa
Iimi, Atsushi; Humphrey, Richard Martin; Melibaeva, Sevara
Infrastructure is an important driving force for economic growth. It reduces trade and transaction costs and stimulates the productivity of the economy. Africa has been lagging behind in the global manufacturing market. Among others, infrastructure is an important constraint in many African countries. Using firm-level data for East Africa, the paper reexamines the relationship between firm ...
Management of Water Demand in Africa and the Middle East ...
International Development Research Centre (IDRC) Digital Library (Canada)
Throughout Africa and the Middle East, supplies of fresh water for growing and ... As well, additional sources of supply are becoming scarce and more expensive to ... This publication documents WDM research activities in North Africa and the ... Adaptation strategies for two Colombian cities were discussed at ADAPTO's ...
Plasmodium falciparum parasite prevalence in East Africa: A Review ...
African Journals Online (AJOL)
Objectives: Empirical data on malaria endemicity are rarely available for public domain use to guide effective malaria control. This paper describes the work carried in East Africa since 1997 as part of a pan-African collaboration to map the risk of malaria, Mapping Malaria Risk in Africa (MARA) aimed at redressing deficiency ...
Soccer: Moulding the Middle East and North Africa
Dorsey, J.M.
Nowhere in the world has sports in general and soccer in particular played such a key role in the development of a region than in the Middle East and North Africa. Yet, the nexus of sports, politics and society is one area that Middle East studies with few exceptions have ignored. Similarly, sports
Menstruation in Rural Igbo Women of South East Nigeria: Attitudes ...
African Journals Online (AJOL)
Menstruation in Rural Igbo Women of South East Nigeria: Attitudes, Beliefs and Practices. ... African Journal of Reproductive Health ... Some respondents observed self-imposed restrictions on exercises, food items, visits and sex in order to ...
Portulacaria afra in East AFrica | Newton | Journal of East African ...
African Journals Online (AJOL)
No Abstract. East African Journal of Natural History Vol. 96 (1) 2007: pp. 107-108. http://dx.doi.org/10.2982/0012-8317(2007)96[107:PAIEA]2.0.CO;2 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and Conditions of Use ...
Hantavirus strains in East Africa related to Western African hantaviruses
Czech Academy of Sciences Publication Activity Database
Těšíková, Jana; Bryjová, Anna; Bryja, Josef; Lavrenchenko, L. A.; Goüy de Bellocq, Joëlle
Roč. 17, č. 4 (2017), s. 278-280 ISSN 1530-3667 R&D Projects: GA ČR GCP502/11/J070 Institutional support: RVO:68081766 Keywords : bats * East Africa * hantavirus * phylogeny * rodents Subject RIV: EE - Microbiology, Virology OBOR OECD: Infectious Diseases Impact factor: 2.045, year: 2016
Middle East and North Africa Data Book, September 2014
Devarajan, Shanta; Mottaghi, Lili
The Middle East and North Africa (MENA) data book serves as a quick reference and a reliable dataset for monitoring economic and social developments in the region. The data are drawn from the 2014 World Bank's World Development Indicators (WDI) and International Monetary Fund's (IMF's) direction of trade statistics. It contains macroeconomic, sectoral, and social indicators for 19 countrie...
Seed trichome variation in Hibiscus section Furcaria in East Africa ...
African Journals Online (AJOL)
The micromorphology of the seed trichomes in Hibiscus section Furcaria in Tropical East Africa was surveyed. The structure of the trichomes was found to be unique for each species examined, where such trichomes are present. Seed trichomes of specimens of H. altissimus Horny from the Kenya and Tanzania coasts were ...
Piracy around Africa's west and east coasts: a comparative political ...
African Journals Online (AJOL)
The study of politics, or political science, focuses on both the abstract theories and practical operation of government and politics. The phenomenon of piracy on the east and west coasts of Africa brings an important scholarly issue to the fore, namely the significant roles of non-state actors in national, regional and global ...
Reducing the Burden of Cancer in East Africa
The mission of CGH is to advance global cancer research, build expertise, and leverage resources across nations to reduce cancer deaths worldwide. To carry out that mission, we facilitate the sharing of knowledge and expertise. CGH's latest effort, the East Africa Cancer Control Leadership Forum, carried out this mission by helping African partners develop their own individual cancer control programs.
Commercial collaborations in East Africa - a partnership perspective
DEFF Research Database (Denmark)
Butler, Ivan Harry; Jørgensen, Birgitte Hvingel
This paper is based on the accumulation of knowledge gathered by researching in an Action Research perspective, a context specific situation where UCN International Marketing and Trade students interact with commercial businesses with the intention of identifying market opportunities in East Africa...
Middle East and North Africa | IDRC - International Development ...
International Development Research Centre (IDRC) Digital Library (Canada)
Across the Middle East and North Africa, local economies are under strain, often relying too heavily on the oil industry. ... Our programming is designed to bring together the right partners for the most impact, in areas such as social and economic policy, the environment, politics and governance, information and ...
Consolidating Science Journalism in Africa and the Middle East ...
International Development Research Centre (IDRC) Digital Library (Canada)
This project aims to promote health and sustainable development in Africa and the Middle East by building the capacity of the media to inform public opinion and promote evidence-based policymaking. The project will involve training 60 journalists in science reporting and 15 experienced science journalists as trainers in ...
East Africa's diminishing bird habitats and bird species
African Journals Online (AJOL)
foreign exchange earnings for each national exchequer. However, recent national census records have .... Dar-es-. Salaam: Wildlife Conservation Society of Tanzania. Bennun, L & Njoroge, P. 1999. Important Bird Areas in Kenya, Nairobi: East Africa Natural. History Society. Byaruhanga, A, Kasoma, P. & Pomeroy, D. 2001.
Social Protection and Vulnerable Communities in East Africa ...
International Development Research Centre (IDRC) Digital Library (Canada)
Social protection mechanisms can reduce poverty and vulnerability, increase work and educational achievement, and promote economic growth. Formal social protection initiatives cover only a small proportion of the population in East Africa - those working in the formal sector. Vulnerable groups - such as the poor and ...
Towards Integrated Pest Management in East Africa : a feasibility study
Dijkxhoorn, Y.; Bremmer, J.; Kerklaan, E.
Pesticide risk reduction through registration of less hazardous pesticides and the promotion of nonchemical pest and disease control approaches such as Integrated Pest Management (IPM) is essential for a more sustainable plant production in East Africa in order to enhance both export market access
Research for Development in the Middle East and North Africa ...
International Development Research Centre (IDRC) Digital Library (Canada)
This book explores the current challenges and opportunities of research for development in the Arab countries of the Middle East and North Africa. Experts from the region and ... HarassMap et Uber Égypte nouent un partenariat pour sensibiliser la population à la question du harcèlement sexuel. L'organisation HarassMap ...
Water Management in Africa and the Middle East: Challenges and ...
International Development Research Centre (IDRC) Digital Library (Canada)
Book cover Water Management in Africa and the Middle East: Challenges and Opportunities. Directeur(s) : Eglal Rached, Eva Rathgeber, and David B. ... HarassMap et Uber Égypte nouent un partenariat pour sensibiliser la population à la question du harcèlement sexuel. L'organisation HarassMap, soutenue par le CRDI, ...
Multiscale perspectives of species richness in East Africa
Said, M.
This dissertation describes and analyses animal species richness in East Africa from a multi-scale perspective. We studied diversity patterns at sub-continental, national and sub-national level. The study demonstrated that species diversity patterns were scale-dependent. Diversity patterns varied
Geographical imagination and technological connectivity in East Africa
DEFF Research Database (Denmark)
Graham, Mark; Andersen, Casper; Mann, Laura
The paper analyses and compares two transformative moments of technologically-mediated change in East Africa, the construction of the Uganda railway between Mombasa and Lake Victoria (1896-1903) and the introduction of fibre-optic cables that landed into the ports of Dar Es Salaam and Mombasa...
Women of the World: Near East and North Africa.
Chamie, Mary
The third in a series of five handbooks designed to present and analyze statistical data on women in various regions of the world, this handbook focuses on women in 14 countries in the Near East and North Africa. Beginning with an overview of population distribution and changes in the region, the analysis continues with a description of women's…
Perceptions and Misperceptions: The Middle East and South Africa.
Moore, Michael; Tyson, G. A.
Reports findings of a study examining the opinions and awareness level of South African, Israeli, and United States undergraduates about conflicts in either the Middle East or South Africa. Finds religious and racial characteristics determining differences in knowledge level and political support. Reveals South African Blacks and U.S. students…
Zoogeography and biodiversity of syrphidae (Diptera) in East Africa ...
African Journals Online (AJOL)
This paper reports on the occurrence of Syrphidae in East Africa (Kenya, Tanzania, Uganda), based on 5,600 specimen records incorporated in the biodiversity database of the National Museums of Kenya. In total, 219 species are reported from the region with 171 in Kenya, 123 in Tanzania and 127 in Uganda.
Botanical aspects of aloes of north East Africa | Demissew | Bulletin ...
African Journals Online (AJOL)
Bulletin of the Chemical Society of Ethiopia. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 10, No 1 (1996) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Botanical aspects of aloes of north East Africa.
Analyzing sanitation characteristics in the urban slums of East Africa
Szanto, G.L.; Letema, S.C.; Tukahirwa, J.; Mgana, S.; Oosterveer, P.J.M.; Buuren, van J.C.L.
Urban slums in East Africa exhibit deplorable sanitary conditions. Despite (inter)national efforts, slum sanitation provision remains inadequate and the projected population growth forecasts a worsening of this crisis. The core of the problem is that available knowledge about the local feasibility
Monitoring inequities in East and Southern Africa | CRDI - Centre de ...
International Development Research Centre (IDRC) Digital Library (Canada)
10 juin 2016 ... While sub-Saharan Africa struggles to improve the health of its women and children, there are great differences within and among countries. The EQUINET research ... And while overall fertility rates are falling, they remain higher among teenage girls from poor and rural areas. Besides tracking these trends, ...
Schoolchildren affected by HIV in rural South Africa: Schools as ...
African Journals Online (AJOL)
This article explores how schoolchildren made vulnerable due to HIV and AIDS might cope and even thrive in a rural school environment in South Africa. I argue that ... Keywords: appreciative inquiry, assets, coping, PhotoVoice, psychosocial aspects, research methods, rural settings, visual participatory methods
Ethnic entrepreneurship and internationalisation in East Africa
Leendert de Bell; Hein Roelfsema; Khalidi Swabiri
Using the World Bank Enterprise Surveys panel data for the East African Community, this paper analyses the influence of ethnic origin of entrepreneurs on internationalisation and firm performance. Using traditional probit and OLS estimation techniques in combination with matching strategies to
Analytic Hierarchy Process, Tourism Attractions, Rural Tourism, East Azarbaijan
Directory of Open Access Journals (Sweden)
fatemeh kazemiyeh
Full Text Available Rural non-farm economy is seriously considered for using the full capacity of rural economy in developing countries. Rural tourism is a part of the tourism industry; it can play an important role in rural development, diversification of the national economy and national development through the potential identification. The main purpose of this study was investigation and evaluation of rural tourism attractions. In order to prevent from generalization as well as to achieve exact and applicable results, villages with tourist attractions in East Azarbaijan has been chosen as the area of study. The Analytic Hierarchy Process is used to prioritize the rural areas. This technique is based on a comparison of test and reviews the various options to managers and planners. The population of the study was experts who have knowledge and experience in the field of rural tourism. The findings of this study indicated that studied villages are three levels of development priorities, the levels can be considered as a basis for planning and decision-making of managers in East Azarbaijan Province.
Women at work - experiences and identity in rural East Germany
van Hoven, B
The economic restructuring since German unification has produced gender-differentiated patterns in the rural workplace. Most studies of East German labour market changes have illustrated the nature of such patterns in quantitative terms whilst neglecting their impact on everyday life. The
Book Review: Flora of Tropical East Africa | Bytebier | Journal of East ...
African Journals Online (AJOL)
Flora of Tropical East Africa Edited by H.J. Beentje & S.A. Ghazanfar. Polygalaceae by J. Paiva. Kew Publishing, Royal Botanic Gardens, Kew, UK, 2007. ISBN- 978 1 84246 191 4 (softbound). 61 pages. Dryopteridaceae by J.P. Roux, M. Shaffer-Fehre & B. Verdcourt. Kew Publishing, Royal Botanic Gardens, Kew, UK, 2007.
Danish Interests in Regional Security Institutions in East Africa
DEFF Research Database (Denmark)
Nordby, Johannes Riber; Jacobsen, Katja
For the past decade, peace and security in East Africa have gained increasing focus internationally. The region has experienced armed conflicts, civil wars, rebellion, drought and famine. Yet, at the same time, there is an emerging ambition among a number of African states to handle security issues...... on the continent independently. Such ambitions have fostered a variety of military capacity building programmes supported by external donors. The present report explores how up until now Denmark has sought to contribute to strengthening political and military security in East Africa. This has mainly been done...... through capacity building projects anchored in different regional security institutions. The report illuminates some of the risks that such capacity building projects might confront. Furthermore the report points out some of the challenges that exist in the cooperation between the Ministry of Foreign...
Protected areas: mixed success in conserving East Africa's evergreen forests.
Pfeifer, Marion; Burgess, Neil D; Swetnam, Ruth D; Platts, Philip J; Willcock, Simon; Marchant, Robert
In East Africa, human population growth and demands for natural resources cause forest loss contributing to increased carbon emissions and reduced biodiversity. Protected Areas (PAs) are intended to conserve habitats and species. Variability in PA effectiveness and 'leakage' (here defined as displacement of deforestation) may lead to different trends in forest loss within, and adjacent to, existing PAs. Here, we quantify spatial variation in trends of evergreen forest coverage in East Africa between 2001 and 2009, and test for correlations with forest accessibility and environmental drivers. We investigate PA effectiveness at local, landscape and national scales, comparing rates of deforestation within park boundaries with those detected in park buffer zones and in unprotected land more generally. Background forest loss (BFL) was estimated at -9.3% (17,167 km(2)), but varied between countries (range: -0.9% to -85.7%; note: no BFL in South Sudan). We document high variability in PA effectiveness within and between PA categories. The most successful PAs were National Parks, although only 26 out of 48 parks increased or maintained their forest area (i.e. Effective parks). Forest Reserves (Ineffective parks, i.e. parks that lose forest from within boundaries: 204 out of 337), Nature Reserves (six out of 12) and Game Parks (24 out of 26) were more likely to lose forest cover. Forest loss in buffer zones around PAs exceeded background forest loss, in some areas indicating leakage driven by Effective National Parks. Human pressure, forest accessibility, protection status, distance to fires and long-term annual rainfall were highly significant drivers of forest loss in East Africa. Some of these factors can be addressed by adjusting park management. However, addressing close links between livelihoods, natural capital and poverty remains a fundamental challenge in East Africa's forest conservation efforts.
Protected areas: mixed success in conserving East Africa's evergreen forests.
Directory of Open Access Journals (Sweden)
Marion Pfeifer
Full Text Available In East Africa, human population growth and demands for natural resources cause forest loss contributing to increased carbon emissions and reduced biodiversity. Protected Areas (PAs are intended to conserve habitats and species. Variability in PA effectiveness and 'leakage' (here defined as displacement of deforestation may lead to different trends in forest loss within, and adjacent to, existing PAs. Here, we quantify spatial variation in trends of evergreen forest coverage in East Africa between 2001 and 2009, and test for correlations with forest accessibility and environmental drivers. We investigate PA effectiveness at local, landscape and national scales, comparing rates of deforestation within park boundaries with those detected in park buffer zones and in unprotected land more generally. Background forest loss (BFL was estimated at -9.3% (17,167 km(2, but varied between countries (range: -0.9% to -85.7%; note: no BFL in South Sudan. We document high variability in PA effectiveness within and between PA categories. The most successful PAs were National Parks, although only 26 out of 48 parks increased or maintained their forest area (i.e. Effective parks. Forest Reserves (Ineffective parks, i.e. parks that lose forest from within boundaries: 204 out of 337, Nature Reserves (six out of 12 and Game Parks (24 out of 26 were more likely to lose forest cover. Forest loss in buffer zones around PAs exceeded background forest loss, in some areas indicating leakage driven by Effective National Parks. Human pressure, forest accessibility, protection status, distance to fires and long-term annual rainfall were highly significant drivers of forest loss in East Africa. Some of these factors can be addressed by adjusting park management. However, addressing close links between livelihoods, natural capital and poverty remains a fundamental challenge in East Africa's forest conservation efforts.
Great Power Concert: Competition, Cooperation, and Stability in East Africa
Sudan's southern areas, prices of white sorghum and wheat flour , a main staple in the country, saw an 80 percent increase from 2011 to 2012, because of...States Agency for International Development, "conflict, constrained access to humanitarian assistance, rising food and non-food prices and an upsurge...world/east.africa.drought_1_food-shortages-al-shabab-food- prices ?_s=PM:WORLD (accessed 18 February 2013). 22 United States Agency for International
At the Crossroads : ICT Policy Making in East Africa | CRDI - Centre ...
International Development Research Centre (IDRC) Digital Library (Canada)
At the Crossroads : ICT Policy Making in East Africa. Couverture du livre At the Crossroads : ICT Policymaking in East Africa. Directeur(s) : Florence Etta et Laurent Elder. Maison(s) d'édition : East African Educational Publishers, CRDI. 1 janvier 2005. ISBN : 9966254390. 336 pages. e-ISBN : 1552502198. Téléchargez le ...
Water Poverty and Rural Development: Evidence from South Africa
Matshe, Innocent; Moyo-Maposa, Sibonginkosi; Zikhali, Precious
Using household data from the 2009 General Household Survey, this paper examines the role of natural resource scarcity in rural development in South Africa, with a particular focus on water scarcity. It seeks to examine whether there is a direct link between household water and economic poverty of rural households, with households' total monthly income used as an indicator of economic poverty. An adaptation of a comprehensive water poverty index, which considers water access, quality, use, ...
The increasing burden of tuberculosis in rural South Africa - impact ...
African Journals Online (AJOL)
Objective. To determine the impact of the HIV epidemic on tuberculosis caseload in rural South Africa. Setting. Hlabisa health district, Kwazulu-Natal. Methods. Demographic and clinical data were extracted from the tuberculosis database for the period, May 1991 June 1995. The attributable fraction of HIV-infected ...
Attitudes towards disability in rural area in South Africa
de Reus, A.; Mostert, L.; Moonen, X.; Vermeer, A.; Magyarszeky, Z.
The purpose of the present study is to gain insight into the attitudes of people living in a rural area of South Africa towards persons with a disability and the extent to which these attitudes are related to people's characteristics. A total of 105 residents of a township in the Gauteng province
DEFF Research Database (Denmark)
Jones, Edward Samuel; Schipper, Youdi
The extent to which differences in family background characteristics explain differences in learning outcomes between children captures the extent of equality in educational opportunities. This study uses large-scale data on literacy and numeracy outcomes for children of school age across East....... Even so, family background does not fully explain why children of school starting age display large differences in learning between countries....... Africa (Kenya, Tanzania and Uganda) to investigate the contribution of family background to learning differences. We find that learning differences between children from less-advantaged households and those from more-advantaged households equals around one year or more of effective learning on average...
Plio-Pleistocene aardvarks (Mammalia, Tubulidentata from East Africa
Directory of Open Access Journals (Sweden)
T. Lehmann
Full Text Available The Tubulidentata are unique among mammals for being the only order represented nowadays by a single living species, Orycteropus afer: the aardvark. Nevertheless, it is one of the least studied mammalian orders. Aardvarks are currently distributed all over sub-Saharan Africa, but the fossil record extends their spatial range to Europe and Asia. The earliest known Tubulidentata are ca. 20 million years old. About 14 species and three to four genera have been recognised so far, but since the late Pliocene, aardvarks have only been represented by a single genus and are restricted to Africa. The extant aardvark is the only species of Tubulidentata with a large distribution area, i.e. the African continent. There are three known Plio-Pleistocene African species of aardvark: Orycteropus afer (Pallas, 1766, O. crassidens MacInnes, 1956, and O. djourabensis Lehmann et al., 2004. Fossils of these species have been discovered in North-Africa, Kenya, and Chad respectively. The present study is focused on the aardvark material found in the Plio-Pleistocene of East Africa (Ethiopia, Kenya. New specimens from Asa Issie (Ethiopia and East Turkana (Kenya are described, and published ones are re-examined in the light of the latest discoveries. This study demonstrates that Kenyan specimens identified as O. crassidens are in fact representatives of the Chadian O. djourabensis. Moreover, additional material from Ethiopia and Kenya shows a close relationship with the latter species too. The presence of specimens of O. djourabensis in Chad and in Kenya during the Plio-Pleistocene implies that this taxon is the oldest-known species of aardvark to have experienced a continental dispersal. It also shows that Tubulidentates were able to cross Africa from east-west during Plio-Pleistocene times, despite the presence of the Rift Valley. It is however not possible to infer the centre of origin of O. djourabensis. Finally, this study suggests that two species of aardvark
Mineral facilities of Africa and the Middle East
Eros, J.M.; Candelario-Quintana, Luissette
This map displays over 1,500 mineral facilities in Africa and the Middle East. The mineral facilities include mines, plants, mills, or refineries of aluminum, cement, coal, copper, diamond, gold, iron and steel, nickel, platinum-group metals, salt, and silver, among others. The data used in this poster were compiled from multiple sources, including the 2004 USGS Minerals Yearbook (Africa and Middle East volume), Minerals Statistics and Information from the USGS Web site (http://minerals.usgs.gov/minerals/), and data collected by USGS minerals information country specialists. Data reflect the most recent published table of industry structure for each country. Other sources include statistical publications of individual countries, annual reports and press releases of operating companies, and trade journals. Due to the sensitivity of some energy commodity data, the quality of these data should be evaluated on a country-by-country basis. Additional information and explanation is available from the country specialists. See Table 1 for general information about each mineral facility site including country, location and facility name, facility type, latitude, longitude, mineral commodity, mining method, main operating company, status, capacity, and units.
Evaluating Downscaling Methods for Seasonal Climate Forecasts over East Africa
Roberts, J. Brent; Robertson, Franklin R.; Bosilovich, Michael; Lyon, Bradfield; Funk, Chris
The U.S. National Multi-Model Ensemble seasonal forecasting system is providing hindcast and real-time data streams to be used in assessing and improving seasonal predictive capacity. The NASA / USAID SERVIR project, which leverages satellite and modeling-based resources for environmental decision making in developing nations, is focusing on the evaluation of NMME forecasts specifically for use in impact modeling within hub regions including East Africa, the Hindu Kush-Himalayan (HKH) region and Mesoamerica. One of the participating models in NMME is the NASA Goddard Earth Observing System (GEOS5). This work will present an intercomparison of downscaling methods using the GEOS5 seasonal forecasts of temperature and precipitation over East Africa. The current seasonal forecasting system provides monthly averaged forecast anomalies. These anomalies must be spatially downscaled and temporally disaggregated for use in application modeling (e.g. hydrology, agriculture). There are several available downscaling methodologies that can be implemented to accomplish this goal. Selected methods include both a non-homogenous hidden Markov model and an analogue based approach. A particular emphasis will be placed on quantifying the ability of different methods to capture the intermittency of precipitation within both the short and long rain seasons. Further, the ability to capture spatial covariances will be assessed. Both probabilistic and deterministic skill measures will be evaluated over the hindcast period
Hepatitis B epidemiology in Asia, the Middle East and Africa.
André, F
Asia and Africa have previously been classified as areas of high endemicity for hepatitis B virus (HBV), but in some countries highly effective vaccination programmes have shifted this pattern towards intermediate or low endemicity. Thus, China is now the only country in Asia where HBV endemicity is high. Countries with intermediate endemicity include India, Korea, the Philippines, Taiwan and Thailand, and those with low endemicity include Japan, Pakistan, Bangladesh, Singapore, Sri Lanka and Malaysia. Most countries in Africa have high HBV endemicity, with the exceptions of Tunisia and Morocco, which have intermediate endemicity. Zambia has borderline intermediate/high endemicity. In the Middle East, Bahrain, Iran, Israel and Kuwait are areas of low endemicity, Cyprus, Iraq and the United Arab Emirates have intermediate endemicity, and Egypt, Jordan, Oman, Palestine, Yemen and Saudi Arabia have high endemicity. All of these Middle East countries reach a large proportion of their population with hepatitis B vaccination, which is reducing the infection rate, particularly in Saudi Arabia. The vaccination programme in Taiwan has also greatly reduced the HBV infection rate. Future vaccination programmes must take into account the mode of transmission of HBV, the healthcare infrastructure to deliver vaccination, and the socioeconomic and political factors in each individual country, to determine the most cost-effective way of infection control.
Towards an integrated soil moisture drought monitor for East Africa
Directory of Open Access Journals (Sweden)
W. B. Anderson
Full Text Available Drought in East Africa is a recurring phenomenon with significant humanitarian impacts. Given the steep climatic gradients, topographic contrasts, general data scarcity, and, in places, political instability that characterize the region, there is a need for spatially distributed, remotely derived monitoring systems to inform national and international drought response. At the same time, the very diversity and data scarcity that necessitate remote monitoring also make it difficult to evaluate the reliability of these systems. Here we apply a suite of remote monitoring techniques to characterize the temporal and spatial evolution of the 2010–2011 Horn of Africa drought. Diverse satellite observations allow for evaluation of meteorological, agricultural, and hydrological aspects of drought, each of which is of interest to different stakeholders. Focusing on soil moisture, we apply triple collocation analysis (TCA to three independent methods for estimating soil moisture anomalies to characterize relative error between products and to provide a basis for objective data merging. The three soil moisture methods evaluated include microwave remote sensing using the Advanced Microwave Scanning Radiometer – Earth Observing System (AMSR-E sensor, thermal remote sensing using the Atmosphere-Land Exchange Inverse (ALEXI surface energy balance algorithm, and physically based land surface modeling using the Noah land surface model. It was found that the three soil moisture monitoring methods yield similar drought anomaly estimates in areas characterized by extremely low or by moderate vegetation cover, particularly during the below-average 2011 long rainy season. Systematic discrepancies were found, however, in regions of moderately low vegetation cover and high vegetation cover, especially during the failed 2010 short rains. The merged, TCA-weighted soil moisture composite product takes advantage of the relative strengths of each method, as judged by the
The springboks in East Africa: the role of 1 SA Survey Company ...
African Journals Online (AJOL)
The springboks in East Africa: the role of 1 SA Survey Company (SAEC) in the East African campaign of World War II, 1940–1941. ... Scientia Militaria: South African Journal of Military Studies ... As a member of the British Commonwealth, South Africa was part of Britain's war effort from September 1939 onward. When Italy ...
Design and field testing of Savonius wind pump in East Africa
International Nuclear Information System (INIS)
Rabah, K.V.O.; Osawa, B.M.
We present here improvements in the wind-scoop geometry and efficiency of a double-stack Savonius rotor, developed through a series of wind tunnel and field testing in East Africa. On an aerodynamic performance basis, the Savonius rotor cannot generally compete with other types of wind turbines. This is entirely due to its mode of operation. Unlike its counter-parts that operate by rotating around a horizontal axis, it rotates around a vertical axis. This has the unfortunate effect of lowering its efficiency, but it has several compensating factors. Its main advantages are that it has better starting torque performance with operating characteristics independent of the wind direction. In addition, it is simple in structure and the fabrication technology required is less sophisticated when compared to similar types of windmills. This makes it a suitable system for small scale applications in wind energy conversion; especially in remote rural regions in developing countries. (author). 8 refs, 5 figs
Repositioning Educational Research on Rurality and Rural Education in South Africa: Beyond Deficit Paradigms
Moletsane, Relebohile
Almost two decades after the demise of apartheid, rural communities in South Africa are still plagued by seemingly insurmountable challenges, with no change in sight for those who need it most. In spite of the many interventions that have been implemented, real transformation remains elusive. This position paper is premised on the notion that this…
Crustal evolution in north-east and east Africa from model Nd ages
International Nuclear Information System (INIS)
Harris, N.B.W.; Hawkesworth, C.J.; Ries, A.C.
The authors present the results of an Nd isotope study on the major rock units of the Pan-African (1,100-500 Myr BP) terrane. Charnockites from Jabel Uweinat, a basement inlier at the junction of Egypt, Libya and the Sudan, yield middle Archaean model Nd ages, whilst model ages of < 1,200 Myr have been obtained in a belt from the Eastern Desert of Egypt to north-west Kenya. Overall, the Pan-African rocks from north-east and east Africa and those from the Damara of Namibia exhibit a wide range of epsilonsub(Nd)(T) from +7.5 to -18.0 which reflects regional changes in tectonic style and is not readily reconciled with simple models for the evolution of average continental crust. (author)
Coronary artery disease in Africa and the Middle East
Directory of Open Access Journals (Sweden)
Kurdi MI
Full Text Available Wael Almahmeed1, Mohamad Samir Arnaout2, Rafik Chettaoui3, Mohsen Ibrahim4, Mohamed Ibrahim Kurdi5, Mohamed Awad Taher6, Giuseppe Mancia71Heart and Vascular Institute, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates; 2American University of Beirut Medical Center, Beirut, Lebanon; 3General and Cardiovascular Clinic of Tunis, Tunisia; 4Cairo University, Cairo, Egypt; 5King Khalid University Hospital and The Kingdom Hospital, Saudi Arabia; 6Ain Shams University School of Medicine, Cairo, Egypt; 7University of Milan, Bicocca, Milan, ItalyAbstract: Countries in Africa and the Middle East bear a heavy burden from cardiovascular disease. The prevalence of coronary heart disease is promoted in turn by a high prevalence of cardiovascular risk factors, particularly smoking, hypertension, dyslipidemia, diabetes, and sedentary lifestyles. Patients in Africa and the Middle East present with myocardial infarction at a younger age, on average, compared with patients elsewhere. The projected future burden of mortality from coronary heart disease in Africa and the Middle East is set to outstrip that observed in other geographical regions. Recent detailed nationally representative epidemiological data are lacking for many countries, and high proportions of transient expatriate workers in countries such as Saudi Arabia and the United Arab Emirates complicate the construction of such datasets. However, the development of national registries in some countries is beginning to reveal the nature of coronary heart disease. Improving lifestyles (reducing calorie intake and increasing physical activity in patients in the region will be essential, although cultural and environmental barriers will render this difficult. Appropriate prescribing of pharmacologic treatments is essential in the prevention and management of cardiovascular disease. In particular, recent controversies relating to the therapeutic profile of beta-blockers may have reduced their use. The
Predictability of rainy season onset and cessation in east Africa
Joseph, B.-M.
PREDICTABILITY OF RAINY SEASONS ONSET AND CESSATION IN EAST AFRICA Boyard-Micheau Joseph, firstname.lastname@example.com Camberlin Pierre, Kenya and northern Tanzania mainly display bimodal rainfall regimes, which are controlled by the annual migration of the Intertropical Convergence Zone on both sides of the equator. In the low-income, semi-arid areas, food security is highly dependent on cereal yields (maize, millet and sorghum). Vulnerability is aggravated by the fact that these crops are mostly rainfed, and rely on the performance of the two, relatively brief rainy seasons. This performance depends on a combination of several rainy season characteristics, or rainfall descriptors, such as the onset and cessation dates of the rains, the frequency of rainy days, their intensity and the occurrence of wet/dry spells. The prediction of these descriptors some time (>15 days) before the real onset of the rainy season can be seen as a useful tool to help in the establishment of agricultural adaptation strategies. The main objective consists to understand linkages between regional variability of these rainfall descriptors and global modes of the climate system, in order to set up efficient predictive tools based on Model Output Statistics (MOS). The rainfall descriptors are computed from daily rainfall data collected for the period 1961-2001 from the Kenya Meteorological Department, the IGAD Climate Prediction and Application Center and the Tanzania Meteorological Agency. An initial spatial coherence analysis assesses the potential predictability of each descriptor, permitting eventually to eliminate those which are not spatially coherent, on the assumption that low spatial coherence denotes low potential predictability. Rainfall in East Africa simulated by a 24-ensemble member of the ECHAM 4.5 atmospheric general circulation model is compared with observations, to test the reproducibility of the rainfall descriptors. Canonical Correlation Analysis is next used to
Astronomy in the Middle East and North Africa
Athem Alsabti, Abdul
Recent turbulent events in the Middle East and North Africa have influenced all aspects of life. Education in general, including astronomy, teaching and research has all been greatly affected. In this presentation, the current situation regarding astronomy in this region is reviewed in detail. This is based on visits made to Tunisia and Algeria recently on behalf of the IAU and other visits to Iraq, Qatar, Egypt and Jordan in recent years, as well as on discussions and communications with astronomers, officials and astronomical and educational institutes in the region. Discussions have also been established with astronomers from Iran, Oman and Morocco. Ideas and proposals will be presented on the best ways for the IAU and the international academic community to help under these circumstances.
Natural gas survey, middle east and North Africa, 2005
International Nuclear Information System (INIS)
This book provides an exhaustive, unrivaled and quarterly updated analysis of the gas industry in the Arab countries and Iran. In addition to the country-by-country reports, it includes a regional overview section on the objectives and priorities of the national companies: ADNOC, EGAS, NIGC, NOC, PDO, QATARGAS, RASGAS, SAUDI ARAMCO, SONATRACH, etc... It includes: 18 country reports, 51 maps illustrating gas fields and facilities, as well as 62 tables and 87 graphs, and 2420 addresses of oil and gas companies operating in the Middle East and North Africa, with contact names, e-mail, phone and fax numbers. Each country report outlines the government policy, reserves, production, field development, foreign companies involved, export schemes, domestic consumption, etc
Seasonal Forecast Skill And Teleconnections Over East Africa
MacLeod, D.; Palmer, T.
Many people living in East Africa are significantly exposed to risks arising from climate variability. The region experiences two rainy seasons and poor performance of either or both of these (such as seen recently in 2016/17) reduces agricultural productivity and threatens food security. In combination with other factors this can lead to famine. By utilizing seasonal climate forecasts, preparatory actions can be taken in order to mitigate the risks arising from such climate variability. As part of the project ForPAc: "Towards forecast-based preparedness action", we are working with humanitarian agencies in Kenya to build such early warning systems on subseasonal-to-seasonal timescales. Here, the seasonal predictability and forecast skill of the two East African rainy seasons will be presented. Results from the new ECMWF operational forecasting system SEAS5 will be shown and compared to the previous System 4. Analysis of a new 110 year long atmosphere-only simulation will also be discussed, demonstrating impacts of atmosphere-ocean coupling as well as putting operational forecast skill in a long-term context. Particular focus will be given to the model representation of teleconnections of seasonal climate with global sea surface temperatures; highlighting sources of forecast error and informing future model development.
A spring forward for hominin evolution in East Africa.
Cuthbert, Mark O; Ashley, Gail M
Groundwater is essential to modern human survival during drought periods. There is also growing geological evidence of springs associated with stone tools and hominin fossils in the East African Rift System (EARS) during a critical period for hominin evolution (from 1.8 Ma). However it is not known how vulnerable these springs may have been to climate variability and whether groundwater availability may have played a part in human evolution. Recent interdisciplinary research at Olduvai Gorge, Tanzania, has documented climate fluctuations attributable to astronomic forcing and the presence of paleosprings directly associated with archaeological sites. Using palaeogeological reconstruction and groundwater modelling of the Olduvai Gorge paleo-catchment, we show how spring discharge was likely linked to East African climate variability of annual to Milankovitch cycle timescales. Under decadal to centennial timescales, spring flow would have been relatively invariant providing good water resource resilience through long droughts. For multi-millennial periods, modelled spring flows lag groundwater recharge by 100 s to 1000 years. The lag creates long buffer periods allowing hominins to adapt to new habitats as potable surface water from rivers or lakes became increasingly scarce. Localised groundwater systems are likely to have been widespread within the EARS providing refugia and intense competition during dry periods, thus being an important factor in natural selection and evolution, as well as a vital resource during hominin dispersal within and out of Africa.
Failure of rural schemes in South Africa to provide potable water
CSIR Research Space (South Africa)
Mackintosh, G
Full Text Available rural areas is substandard. This paper describes the results of sampling drinking water supplies in rural communities in the Western and Eastern Cape, South Africa. The majority of samples collected failed microbial drinking water quality standards...
Labor market reforms, growth, and unemployment in labor-exporting countries in the Middle East and North Africa
DEFF Research Database (Denmark)
Agénor, Pierre-Richard; Nabli, Mustapha K.; Yousef, Tarik
A general equilibrium model is used to study the impact of labor market policies on growth, employment, urban inequality, and rural welfare in labor-exporting countries in the Middle East and North Africa. Various experiments are conducted, such as a reduction in payroll taxation, cuts in public......-enhancing job creation in the region, labor market reforms must take account of general equilibrium effects, including crowding-in effects on private investment and variations in income remittances and international migration patterns. Finally, we argue that labor market reforms should be viewed as a component...... of a more comprehensive program of structural reforms aimed at spurring growth and employment...
Real-world innovation in rural South Africa
CSIR Research Space (South Africa)
Mulder, I
Full Text Available stream_source_info Mulder_2008.pdf.txt stream_content_type text/plain stream_size 46126 Content-Encoding UTF-8 stream_name Mulder_2008.pdf.txt Content-Type text/plain; charset=UTF-8 The Electronic Journal for Virtual... Organizations and Networks Volume 10, "Special Issue on Living Labs", August 2008 REAL-WORLD INNOVATION IN RURAL SOUTH AFRICA Ingrid Mulder1,2, Walter Bohle3, Shela Boshomane4, Chris Morris4, Hugo Tempelman5, & Daan Velthausz1,6 1Telematica Instituut...
Distribution of Blue Gum Chalcid, Leptocybe invasa and it's Damage on Eucalyptus in East Africa
International Nuclear Information System (INIS)
Mutitu, K.E; Otieno, B.O; Oeba, V.O; Nyeko, P.; Day, R.K
Blue Gum chalcid is a gall-forming wasp, which causes an extensive damage to Eucalyptus. It attacks mostly seedlings and field saplings. It causes damage on it's host by forming massive typical bump-shaped galls on trees canopy, specifically on the leaf midribs, petioles and stems of new growths. The pest was first reported in Kenya and Uganda in 2002 attacking the three major commercially grown Eucalyptus species; Eucalyptus grandis, E. camaldulennsis, E. saligna in East Africa. Eucalyptus is fast growing and widely planted in both plantations and farmers' woodlots. It is important for both industrial and domestic use. It is a major source of income generation for rural poor families. The objective of this study was to determine the spatial distribution, incidence and severity patterns of L. invasa and possible relationship to environment and biophysical factors in East Africa. Over 312 randomly selected stands were assessed for BGC incidence to it's distribution. In each identified stand 60 trees were selected from 3 randomly established plots of 20 trees each and BGC damage/incidence assessed on a 4-point scale. This was to determine the incidence and severity patterns. ANOVA using generalized linear procedures, regression analysis and correlation were done to determine the relationship between the percentage incidence of L. invasa infestation against altitude, age interval, agro-ecological zones and topography. There was widespread of pest in all the districts sampled. There was significant difference (p 0.05) on L. invasa incidence among the three species. The study recommends that. further studies on damage and L. invasa population dynamics relationship to environment and biophysical factors should be conducted
CASE STUDY: North Africa and Middle East — Breeding better barley
International Development Research Centre (IDRC) Digital Library (Canada)
Jan 6, 2011 ... CASE STUDY: North Africa and Middle East — Breeding better barley — together ... In Syria, for example, "host farmers" in nine communities were ... and Yemen, the same approach is being applied to research on lentils.
Water: The Hydraulic Parameter of Conflict in the Middle East and North Africa
National Research Council Canada - National Science Library
Kiser, Stephen D
...). Water is a primary concern of most governments in the Middle East and North Africa. A myriad of synergistic variables are exponentially increasing demands for water, while simultaneously decreasing the region's ability to supply...
Mobility and the spread of human immunodeficiency virus into rural areas of West Africa
Lagarde, E.; Schim van der Loeff, M.; Enel, C.; Holmgren, B.; Dray-Spira, R.; Pison, G.; Piau, J. P.; Delaunay, V.; M'Boup, S.; Ndoye, I.; Coeuret-Pellicer, M.; Whittle, H.; Aaby, P.
In eastern and southern Africa, the human immunodeficiency virus (HIV) epidemic appeared first in urban centres and then spread to rural areas. Its overall prevalence is lower in West Africa, with the highest levels still found in cities. Rural areas are also threatened, however, because of the
Evaluating ESA CCI Soil Moisture in East Africa
McNally, Amy; Shukla, Shraddhanand; Arsenault, Kristi R.; Wang, Shugong; Peters-Lidard, Christa D.; Verdin, James P.
To assess growing season conditions where ground based observations are limited or unavailable, food security and agricultural drought monitoring analysts rely on publicly available remotely sensed rainfall and vegetation greenness. There are also remotely sensed soil moisture observations from missions like the European Space Agency (ESA) Soil Moisture and Ocean Salinity (SMOS) and NASAs Soil Moisture Active Passive (SMAP), however these time series are still too short to conduct studies that demonstrate the utility of these data for operational applications, or to provide historical context for extreme wet or dry events. To promote the use of remotely sensed soil moisture in agricultural drought and food security monitoring, we use East Africa as a case study to evaluate the quality of a 30+ year time series of merged active-passive microwave soil moisture from the ESA Climate Change Initiative (CCI-SM). Compared to the Normalized Difference Vegetation index (NDVI) and modeled soil moisture products, we found substantial spatial and temporal gaps in the early part of the CCI-SM record, with adequate data coverage beginning in 1992. From this point forward, growing season CCI-SM anomalies were well correlated (R greater than 0.5) with modeled, seasonal soil moisture, and in some regions, NDVI. We use correlation analysis and qualitative comparisons at seasonal time scales to show that remotely sensed soil moisture can add information to a convergence of evidence framework that traditionally relies on rainfall and NDVI in moderately vegetated regions.
Natural gas in the Middle East and North Africa
International Nuclear Information System (INIS)
Enay, P.
Natural Gas in the Middle East and North Africa gives an in-depth country-by-country survey of both the region's ambitious gas development plans and the problems it faces. It provides details of production costs, the extent and accessibility of gas reserves and the degree of host government support. The report addresses all the essential questions surrounding investment opportunities in this area and guides you through gas demand in the region. It also includes a detailed study of 11 major gas producing and consuming countries in the area, covering: Algeria; Egypt; Iran; Kuwait; Libya; Oman; Qatar; Saudia Arabia; Syria; UAE; Yemen. The report is divided into two sections for ease of use. The first section examines the demand factors for the region's gas exports, the second provides details of gas exploitation programmes in individual countries. The report also provides you with details of: gas reserves, production and use - a country-by-country review; maps of major pipelines - internal networks and export routes; growth in international gas trade; political and fiscal analysis - key to measuring investment risk and short- to medium-term political stability; and major limitations to the region's gas development - geography, political instability and US geopolitical influence in the region. (author)
Participatory Aspirations of Environmental Governance in East Africa - Comment
Directory of Open Access Journals (Sweden)
Nicholas N. Kimani
Full Text Available New ways of thinking about governance are challenging our basic understandings about how we organise ourselves in a world that is increasingly characterised by uncertainty, ambiguity and unpredictability, and about how we should organise ourselves (emphasis added. Through consideration of developments in East Africa under the auspices of a United Nations Environment Programme (UNEP-administered project, the Partnership for Development of Environmental Laws and Institutions (PADELIA, two important considerations clearly stand out. First, in regional approaches to environmental governance law-makers and policy-makers need to go beyond a formalist understanding of governance which lays sole emphasis upon respective countries' institutions and legal frameworks. An appreciation of the extent to which shared understandings and common approaches to problem-solving may be tempered by contingent social, cultural and political circumstances is also necessary. Secondly, given the present trend in environmental governance where governmental authority is increasingly shifting away from state institutions towards civil actors, ever-increasing opportunities are presented to civil actors to shape and reshape their environmental laws and policy. As a result, what is left is for these actors is to be proactive and to take more initiative in safeguarding their own environment.
African Postal Heritage : Tanzania 1885-1920s : part I : German East Africa, 1885-1914
Dietz, A.J.
An earlier version of this African Postal Heritage Paper was published as African Studies Centre Leiden Working Paper 119 / 2015: "A postal history of the First World War in Africa and its aftermath - German colonies; III Deutsch Ostafrika / German East Africa", written by Ton Dietz.
Climate change in Africa and the Middle East in light of health ubuntu and Islam
Directory of Open Access Journals (Sweden)
Thaddeus Metz
Full Text Available This article principally addresses the likely effects of global warming on health in developing countries in sub-Saharan Africa, northern Africa and the Middle East as well as how medical professionals, such as doctors, nurses, bioethicists and public health researchers, should respond to them in light of ubuntu and Islam, values characteristically held in those regions.
Climate change in Africa and the Middle East in light of health ...
African Journals Online (AJOL)
This article principally addresses the likely effects of global warming on health in developing countries in sub-Saharan Africa, northern Africa and the Middle East as well as how medical professionals, such as doctors, nurses, bioethicists and public health researchers, should respond to them in light of ubuntu and Islam, ...
Climate change in Africa and the Middle East in light of health, ubuntu and Islam
Directory of Open Access Journals (Sweden)
Thaddeus Metz
Full Text Available This article principally addresses the likely effects of global warming on health in developing countries in sub-Saharan Africa, northern Africa and the Middle East as well as how medical professionals, such as doctors, nurses, bioethicists and public health researchers, should respond to them in light of ubuntu and Islam, values characteristically held in those regions.
Natural hybrids in the genus of Aloe (Aloeaceae) in East Africa ...
African Journals Online (AJOL)
Natural hybrids can arise in the genus Aloe because their chief pollinators, sunbirds, are not species-specific when feeding on nectar. From literature and the observations of the writer and others, 16 cases of known or suspected natural interspecific hybrids in East Africa are recorded. Journal of East African Natural History ...
The important role of springs in South Africa's rural water supply: The case study of two rural communities in South Africa
CSIR Research Space (South Africa)
Nkuna, Z
Full Text Available rural communities are geographically located in hard to reach areas due to their dispersed nature and bad terrain. In South Africa, these conditions have made it particularly expensive and difficult for water service providers to effect services to rural...
Building a Future without Gender Violence: Rural Teachers and Youth in Rural Kwazulu-Natal, South Africa, Leading Community Dialogue
de Lange, Naydene; Mitchell, Claudia
This article advances the idea that rural youth and teachers are the key in leading community dialogue towards addressing gender-based violence (GBV) in their community through their film making. The youth voices on the realities of GBV in their school and community, in rural KwaZulu-Natal, South Africa, captured through the process of…
Case Studies on Africa and the Middle East | IDRC - International ...
International Development Research Centre (IDRC) Digital Library (Canada)
21 avr. 2016 ... Participatory GIS for resource management in Africa: Taking stock. This ICT4D article series features results from innovative research on participatory geographic information systems (P-GIS) in Africa. View moreParticipatory GIS for resource management in Africa: Taking stock ...
Rethinking health sector procurement as developmental linkages in East Africa.
Mackintosh, Maureen; Tibandebage, Paula; Karimi Njeru, Mercy; Kariuki Kungu, Joan; Israel, Caroline; Mujinja, Phares G M
Health care forms a large economic sector in all countries, and procurement of medicines and other essential commodities necessarily creates economic linkages between a country's health sector and local and international industrial development. These procurement processes may be positive or negative in their effects on populations' access to appropriate treatment and on local industrial development, yet procurement in low and middle income countries (LMICs) remains under-studied: generally analysed, when addressed at all, as a public sector technical and organisational challenge rather than a social and economic element of health system governance shaping its links to the wider economy. This article uses fieldwork in Tanzania and Kenya in 2012-15 to analyse procurement of essential medicines and supplies as a governance process for the health system and its industrial links, drawing on aspects of global value chain theory. We describe procurement work processes as experienced by front line staff in public, faith-based and private sectors, linking these experiences to wholesale funding sources and purchasing practices, and examining their implications for medicines access and for local industrial development within these East African countries. We show that in a context of poor access to reliable medicines, extensive reliance on private medicines purchase, and increasing globalisation of procurement systems, domestic linkages between health and industrial sectors have been weakened, especially in Tanzania. We argue in consequence for a more developmental perspective on health sector procurement design, including closer policy attention to strengthening vertical and horizontal relational working within local health-industry value chains, in the interests of both wider access to treatment and improved industrial development in Africa. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.
Immunity to tetanus and diphtheria in rural Africa
DEFF Research Database (Denmark)
Kurtzhals, J A; Kjeldsen, K; Hey, A S
To assess the effect of the Expanded Program on Immunization (EPI) in rural Africa, blood samples were collected in two Kenyan sublocations. Serum antibodies against tetanus toxoid were measured in 155 individuals 1-70 years of age. Titers greater than the protective level of 0.01 IU/ml were found...... in 47% of the population. Protection was significantly higher in children born after the launching of the EPI (68%) and in women who had been at childbearing age since then (69%). Significantly lower protection was demonstrated in other age and sex-groups. The level of protection in children was equal...... in the two populations, whereas protection in fertile women was significantly lower in the population living a long distance from a health center. Diphtheria anti-toxin was measured in the samples from one sublocation, and 70 of 84 individuals (83%) had antibody levels greater than the protective level...
A long-standing Pleistocene refugium in southern Africa and a mosaic of refugia in East Africa
DEFF Research Database (Denmark)
Lorenzen, Eline; Masembe, Charles; Arctander, Peter
Aim Previous genetic studies of African savanna ungulates have indicated Pleistocene refugial areas in East and southern Africa, and recent palynological, palaeovegetation and fossil studies have suggested the presence of a long-standing refugium in the south and a mosaic of refugia in the east....... Phylogeographic analysis of the common eland antelope, Taurotragus oryx (Bovidae), was used to assess these hypotheses and the existence of genetic signatures of Pleistocene climate change. Location The sub-Saharan savanna biome of East and southern Africa. Methods Mitochondrial DNA control-region fragments (414...... bp) from 122 individuals of common eland were analysed to elucidate the phylogeography, genetic diversity, spatial population structuring, historical migration and demographic history of the species. The phylogeographic split among major genetic lineages was dated using Bayesian coalescent...
The influence of European pollution on ozone in the Near East and northern Africa
Directory of Open Access Journals (Sweden)
B. N. Duncan
Full Text Available We present a modeling study of the long-range transport of pollution from Europe, showing that European emissions regularly elevate surface ozone by as much as 20 ppbv in summer in northern Africa and the Near East. European emissions cause 50–150 additional violations per year (i.e. above those that would occur without European pollution of the European health standard for ozone (8-h average >120 μg/m3 or ~60 ppbv in northern Africa and the Near East. We estimate that European ozone pollution is responsible for 50 000 premature mortalities globally each year, of which the majority occurs outside of Europe itself, including 37% (19 000 in northern Africa and the Near East. Much of the pollution from Europe is exported southward at low altitudes in summer to the Mediterranean Sea, northern Africa and the Near East, regions with favorable photochemical environments for ozone production. Our results suggest that assessments of the human health benefits of reducing ozone precursor emissions in Europe should include effects outside of Europe, and that comprehensive planning to improve air quality in northern Africa and the Near East likely needs to address European emissions.
The Influence of European Pollution on Ozone in the Near East and Northern Africa
Duncan, B. N.; West, J. J.; Yoshida, Y.; Fiore, A. M.; Ziemke, J. R.
We present a modeling study of the long-range transport of pollution from Europe, showing that European emissions regularly elevate surface ozone by as much as 20 ppbv in summer in northern Africa and the Near East. European emissions cause 50-150 additional violations per year (i.e. above those that would occur without European pollution) of the European health standard for ozone (8-h average greater than 120 micrograms per cubic meters or approximately 60 ppbv) in northern Africa and the Near East. We estimate that European ozone pollution is responsible for 50 000 premature mortalities globally each year, of which the majority occurs outside of Europe itself, including 37% (19 000) in northern Africa and the Near East. Much of the pollution from Europe is exported southward at low altitudes in summer to the Mediterranean Sea, northern Africa and the Near East, regions with favorable photochemical environments for ozone production. Our results suggest that assessments of the human health benefits of reducing ozone precursor emissions in Europe should include effects outside of Europe, and that comprehensive planning to improve air quality in northern Africa and the Near East likely needs to address European emissions.
The Late Quaternary history of climate and vegetation in East and southern Africa
Directory of Open Access Journals (Sweden)
E. M. van Zinderen Bakker Sr
Full Text Available In the vast region of East and southern Africa the alternating glacial and interglacial periods of the Quaternarv were characterized by considerable changes in temperature and precipitation. During the last glacial maximum the influence of the ITCZ was limited, while the circulation systems were strengthened. The ocean surface waters were cooler and the Benguela Current was activated. In the montane areas of East Africa and also in southern Africa the temperature dropped by about 6°C. During this hypothermal period, rainfall on the east African plateau and mountains diminished. Summer precipitation could still penetrate the eastern half of southern Africa from the Indian Ocean, while the western half was arid to semi-arid. Cyclonic winter rain migrated further north beyond the latitude of the Orange River. The consequences of these climatic changes during the last glacial maximum were that the woodlands of East Africa opened up. On the plateau of South Africa austro-afroalpine vegetation dominated. The south coastal plain was very windy and cold to temperate, while the Namib and Kalahari were respectively hyper-arid and semi-humid. During hyperthermals the vegetation pattern resembled present-day conditions more closely.
Childhood psychological problems in school settings in rural Southern Africa.
Directory of Open Access Journals (Sweden)
Melissa A Cortina
Full Text Available BACKGROUND: Many children can be exposed to multiple adversities in low and middle-income countries (LMICs placing them at potential risk of psychological problems. However, there is a paucity of research using large representative cohorts examining the psychological adjustment of children in school settings in these countries. Children's psychological adjustment has been shown to affect educational progress which is critical for their future. This study, based in a rural, socio-economically disadvantaged area of South Africa, aimed to examine the prevalence of children's psychological problems as well as possible risk and protective factors. METHODS: Rates of psychological problems in 10-12 year olds were examined using teacher- and child-report questionnaires. Data on children from 10 rural primary schools, selected by stratified random sampling, were linked to individual and household data from the Agincourt health and socio-demographic surveillance system collected from households over 15 years. RESULTS: A total of 1,025 children were assessed. Teachers identified high levels of behavioural and emotional problems (41%. Children reported lower, but substantial rates of anxiety/depression (14%, and significant post-traumatic stress symptoms (24%; almost a quarter felt unsafe in school. Risk factors included being a second-generation former refugee and being from a large household. Protective factors highlight the importance of maternal factors, such as being more educated and in a stable partnership. CONCLUSION: The high levels of psychological problems identified by teachers are a serious public health concern, as they are likely to impact negatively on children's education, particularly given the large class sizes and limited resources in rural LMIC settings. Despite the high levels of risk, a proportion of children were managing well and research to understand resilience could inform interventions.
The gravity field of the Red Sea and East Africa
Makris, Jannis; Henke, Christian H.; Egloff, Frank; Akamaluk, Thomas
Reevaluation of all gravity data from the Red Sea, the Gulf of Aden and East Africa permitted the compilation of a new Bouguer anomaly map. The intensity of the gravity field and its regional pattern correlate closely with the topographic features of the region. The maximum Bouguer values (> + 100 mGal) are located over the median troughs of the Red Sea and Gulf of Aden. Dense juvenile oceanic crust in these rifts and intruding magmas in stretched continental areas produce excess mass responsible for the anomaly highs. In the Red Sea the orientation of the gravity highs is NW-SE in the south, turning to NE-SW in the north, almost parallel to the Aqaba-Dead Sea strike. This pattern reveals that the present basin axis is not identical with that which formed the Tertiary coastal margins and the pre-Red Sea zones of crustal weakness. In the Gulf of Aden, new oceanic crust along the Tadjura Trench and its eastward extension is also expressed in the Bouguer anomaly map by gravity highs and a sharp bending of the isolines. A maximum of approx. +150 mGal is located over the central section of the Sheba Ridge. Bouguer gravity values over the East African and Yemen Plateaus are of the order of -180 to -240 mGal, indicating significant crustal thickening. On the Somali Plateau, the Marda Fault also has a strong gravity signature that can be traced towards Somalia. By constraining crustal thickness and structure with seismic data and density values from the velocity distribution by means of the Nafe-Drake and Birch relationships, we computed density models for the crust and upper mantle. The crustal thickness is of the order of 40 km beneath the plateaus and only 5 to 6 km at the oceanized parts in the central and southern portions of the Red Sea median trough. The flanks of the southern Red Sea and the corresponding Arabian side are underlain by 12 to 16 km thick stretched continental type crust. Oceanization offshore Sudan and Egypt is asymmetrical. The continental crust
Foreign Direct Investment and Energy Supply in the Middle East and North Africa: A Correlational Study
Elghali, Siddig
Middle East and North Africa countries have been criticized for failing to utilize foreign direct investment energy resources efficiently. The changing of energy resources environment of the past decades with its growing emphasis on the importance of imminent energy supply challenges require strategists to consider different types of energy resources investment to improve energy supply. One type of energy investment will show effectiveness and efficiency in utilizing foreign direct investment in exposing RE, fossil fuels, natural gas, and reducing CO2 emissions. The purpose of this quantitative correlational study was to utilize foreign direct investment to predict total primary energy supply in the Middle East and North Africa region between 1971 and 2013. The study was conducted using a sample size of 43 years of energy supply resources and foreign direct investment from 1971 to 2013, which includes all of the years for which FDI is available. RE potential may equip Middle East and North Africa countries with sustainable and clean electricity for centuries to come, as non-renewable energy resources may not meet the demands globally and domestically or environmentally. As demands for fossil fuels grow, carbon emissions will increase. RE may be a better option of CO 2 emissions sequestration and will increase electricity to rural areas without government subsidies and complex decision-making policies. RE infrastructure will reduce water desalinization costs, cooling systems, and be useful in heating. Establishing concentrated solar power may be useful for the region cooperation, negotiations, and integration to share this energy. The alternative sought to fossil fuels was nuclear power. However, nuclear power depends on depleting, non-renewable uranium resources. The cost of uranium will increase if widely used and the presence of a nuclear plant in an unstable region is unsafe. Thus, renewable energy as a long-term option is efficient. A nonlinear regression
Telemedicine and advances in urban and rural healthcare delivery in Africa.
Mars, Maurice
Telecardiology holds great promise for Africa, from tele-echocardiography and tele-ECG s, to home monitoring and text messaging for medication adherence monitoring. The burden of disease is great and there is an extreme shortage of health professionals. Telemedicine can provide access to scarce specialist care, improve the quality of care in rural areas and reduce the need for rural patients to travel to seek medical attention. International cross border service can alleviate the shortage of doctors. But telecardiology, and telemedicine uptake in general, has been poor in Africa. Legal and ethical issues around local and cross border telemedicine have not been resolved. The literature was reviewed and obstacles to telemedicine in Africa and current telemedicine activities in Africa, are described. There are few sustained telemedicine services in Africa with the exception of tele-education. There is an expectation that mobile phones will facilitate a range of telemedicine activities in Africa. Africa needs telemedicine. © 2013.
Transforming rural health systems through clinical academic leadership: lessons from South Africa.
Doherty, J E; Couper, I D; Campbell, D; Walker, J
Under-resourced and poorly managed rural health systems challenge the achievement of universal health coverage, and require innovative strategies worldwide to attract healthcare staff to rural areas. One such strategy is rural health training programs for health professionals. In addition, clinical leadership (for all categories of health professional) is a recognised prerequisite for substantial improvements in the quality of care in rural settings. Rural health training programs have been slow to develop in low- and middle-income countries (LMICs); and the impact of clinical leadership is under-researched in such settings. A 2012 conference in South Africa, with expert input from South Africa, Canada and Australia, discussed these issues and produced recommendations for change that will also be relevant in other LMICs. The two underpinning principles were that: rural clinical leadership (both academic and non-academic) is essential to developing and expanding rural training programs and improving care in LMICs; and leadership can be learned and should be taught. The three main sets of recommendations focused on supporting local rural clinical academic leaders; training health professionals for leadership roles in rural settings; and advancing the clinical academic leadership agenda through advocacy and research. By adopting the detailed recommendations, South Africa and other LMICs could energise management strategies, improve quality of care in rural settings and impact positively on rural health outcomes.
Measuring Entrepreneurial Activity in the Middle East and North Africa
International Development Research Centre (IDRC) Digital Library (Canada)
Total funding. CA$ 678,500. Country(s). Middle East, North of Sahara, South of Sahara, Central Asia, Far East Asia, South Asia. Project Leader. Dr. Mohamed Derrabi. Institution. Al Akhawayn University. Institution Country. Morocco. Institution Website. http://www.aui.ma. Project Leader. Abedou Abderrahamne. Institution.
Potential applications of the Internet of Things in sustainable rural development in South Africa
CSIR Research Space (South Africa)
Dlodlo, N
Full Text Available Conference of Information Science and Computer Applications (ICISCA), Bali, Indonesia, 19-20 November 2012 Potential applications of the Internet of Things in sustainable rural development in South Africa Nomusa Dlodlo and Mofolo Mofolo CSIR...
Small hydropower for rural electrification in South Africa - using experiences from other African countries
CSIR Research Space (South Africa)
Jonker Klunne, WE
Full Text Available Local hydropower sources can play an important role in the electrification of rural areas in South Africa remote from the national electricity grid. To ensure the sustainability of hydropower developments it is essential that lessons learned...
Maternal mortality in rural South Africa: the impact of case definition on levels and trends
Directory of Open Access Journals (Sweden)
Garenne M
Full Text Available Michel Garenne,1–3 Kathleen Kahn,1,4,5 Mark A Collinson,1,4,5 F Xavier Gómez-Olivé,1,5 Stephen Tollman1,4,51MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; 2Institut Pasteur, Epidémiologie des Maladies Emergentes, Paris, France; 3Institut de Recherche pour le Développement, UMI Résiliences, Centre Ile de France, Bondy, France; 4Centre for Global Health Research, Umeå University, Umeå, Sweden; 5INDEPTH Network, East Legon, Accra, GhanaBackground: Uncertainty in the levels of global maternal mortality reflects data deficiencies, as well as differences in methods and definitions. This study presents levels and trends in maternal mortality in Agincourt, a rural subdistrict of South Africa, under long-term health and sociodemographic surveillance.Methods: All deaths of women aged 15 years–49 years occurring in the study area between 1992 and 2010 were investigated, and causes of death were assessed by verbal autopsy. Two case definitions were used: "obstetrical" (direct causes, defined as deaths caused by conditions listed under O00-O95 in International Classification of Diseases-10; and "pregnancy-related deaths", defined as any death occurring during the maternal risk period (pregnancy, delivery, 6 weeks postpartum, irrespective of cause.Results: The case definition had a major impact on levels and trends in maternal mortality. The obstetric mortality ratio averaged 185 per 100,000 live births over the period (60 deaths, whereas the pregnancy-related mortality ratio averaged 423 per 100,000 live births (137 deaths. Results from both calculations increased over the period, with a peak around 2006, followed by a decline coincident with the national roll-out of Prevention of Mother-to-Child Transmission of HIV and antiretroviral treatment programs. Mortality increase from direct causes was
Using Satellite Data to Build Climate Resilience: A Novel East Africa Drought Monitor
Slinski, K.; Hogue, T. S.; McCray, J. E.
East Africa is affected by recurrent drought. The 2015-2016 El Niño triggered a severe drought across East Africa causing serious impacts to regional water security, health, and livelihoods. Ethiopia was the hardest hit, with the United Nations Office for the Coordination of Humanitarian Affairs calling the recent drought the worst in 50 years. Resources to monitor the severity and progression of droughts are a critical component to disaster risk reduction, but are challenging to implement in regions with sparse data collection networks such as East Africa. Satellite data is used by the United Nations Food and Agriculture Organization Global Information and Early Warning System, the USAID Famine Early Warning System, and the Africa Drought and Flood Monitor. These systems use remotely sensed vegetation, soil moisture, and meteorological data to develop drought indices. However, they do not directly monitor impacts to water resources, which is necessary to appropriately target drought mitigation efforts. The current study combines new radar data from the European Space Agency's Sentinel-1 mission with satellite imagery to perform a retrospective analysis of the impact of the 2015-2016 drought in East Africa on regional surface water. Inland water body extents during the drought are compared to historical trends to identify the most severely impacted areas. The developed tool has the potential to support on-the-ground humanitarian relief efforts and to refine predictions of water scarcity and crop impacts from existing hydrologic models and famine early warning systems.
International trends in health science librarianship part 14: East Africa (Kenya, Uganda, Rwanda).
Gathoni, Nasra; Kamau, Nancy; Nannozi, Judith; Singirankabo, Marcel
This is the 14th in a series of articles exploring international trends in health science librarianship in the 21st century. This is the second of four articles pertaining to different regions in the African continent. The present issue focuses on countries in East Africa (Kenya, Uganda and Rwanda). The next feature column will investigate trends in West Africa. JM. © 2015 Health Libraries Group.
European Workshop on Renewable Rural Energy Applications in North-East Europe
Energy Technology Data Exchange (ETDEWEB)
This workshop is a part of the E.C. Thermie B project `Dissemination of Promising Renewable Rural Energy Applications in North-Eastern Europe`. The presentations held in the workshop are collected in this publication. The subjects are: TEKES (Technology Development Centre) Boost Technology; Renewable Energy in Latvia; Rural Renewable energy (Prospects) in Estonia; Renewable energy from Rural Electrification; Techno-Economic Analysis published as a summary; Practical Experiences of Small-Scale Heat Generation from Fuelwood in Finland; Solar systems for Domestic Hot Water and Space Heating; Biomass for Energy: Small-Scale Technologies; Photovoltaic Applications for Rural Areas in the North-East Europe
European Workshop on Renewable Rural Energy Applications in North-East Europe
Energy Technology Data Exchange (ETDEWEB)
This workshop is a part of the E.C. Thermie B project `Dissemination of Promising Renewable Rural Energy Applications in North-Eastern Europe`. The presentations held in the workshop are collected in this publication. The subjects are: TEKES (Technology Development Centre) Boost Technology; Renewable Energy in Latvia; Rural Renewable energy (Prospects) in Estonia; Renewable energy from Rural Electrification; Techno-Economic Analysis published as a summary; Practical Experiences of Small-Scale Heat Generation from Fuelwood in Finland; Solar systems for Domestic Hot Water and Space Heating; Biomass for Energy: Small-Scale Technologies; Photovoltaic Applications for Rural Areas in the North-East Europe
Water Management: in Africa and the Middle East
International Development Research Centre (IDRC) Digital Library (Canada)
There too, despite this availability, numerous water-related problems exist. ... The analogy may be particularly useful for Africa, where a relatively high proportion of ...... The water could then be sold by the pail or other conventional container.
At the Crossroads: ICT Policy Making in East Africa | IDRC ...
International Development Research Centre (IDRC) Digital Library (Canada)
) policymaking, e-strategies, or indeed e-government implementations have a recent history in Africa, not many countries have fully developed working policies ... Birth registration is the basis for advancing gender equality and children's rights.
Spatial Metadata in Africa and the Middle East
CSIR Research Space (South Africa)
Cooper, Antony K
Full Text Available , Israel, Jordan, Madagas- car, Morocco, Nigeria, Qatar, South Africa, Sudan, Tanzania, Tunisia, Uganda, Yemen). We have also used the best practices studies of the Environmental Information System Programme for Sub-Saharan Africa (EIS) [EIS 1999..., the governmental authorities responsible for the management and distribution of digital spatial data (from remote sensing sources), on behalf of the public sector, are: • ASECNA: for data with low resolution (e.g.: NOAA and METEOSAT); and • CENATEL: for data...
Creating opportunities for youth in East Africa | IDRC - International ...
International Development Research Centre (IDRC) Digital Library (Canada)
Jun 30, 2016 ... Youth employment is crucial to the development of the East African ... Even those with university degrees and college diplomas often fall ... However, the study shows that there is limited awareness of the benefits of career ...
Improving access to antiretrovirals in rural South Africa – a call to ...
African Journals Online (AJOL)
Improving access to antiretrovirals in rural South Africa – a call to action. South Africa (SA) already has the world's biggest antiretroviral (ARV) programme. With the introduction of extended criteria for initiating ARVs, the National Department of Health (NDoH) wishes to increase the number of people on ARVs by around.
Videos Bridging Asia and Africa: Overcoming Cultural and Institutional Barriers in Technology-Mediated Rural Learning
Van Mele, Paul; Wanvoeke, Jonas; Akakpo, Cyriaque; Dacko, Rosaline Maiga; Ceesay, Mustapha; Beavogui, Louis; Soumah, Malick; Anyang, Robert
Will African farmers watch and learn from videos featuring farmers in Bangladesh? Learning videos on rice seed management were made with rural women in Bangladesh. By using a new approach, called zooming-in, zooming-out, the videos were of regional relevance and locally appropriate. When the Africa Rice Center (AfricaRice) introduced them to…
Understanding Air Quality in East Africa: Estimating Biomass Burning and Anthropogenic Influence with Long-Term Measurements
DeWitt, L.; Gasore, J.; Rupakheti, M.; Potter, K. E.; Prinn, R. G.
Air pollution is largely unstudied in sub-Saharan Africa, resulting in a large gap in scientific understanding of emissions, atmospheric processes and impacts of air pollutants in this region. The Rwanda Climate Observatory, a joint partnership between MIT and the government of Rwanda, has been measuring ambient concentrations of key long-lived greenhouse gases and short-lived climate-forcing pollutants (CO2, CO, CH4, BC, O3) on the summit of Mt. Mugogo (1.586°S, 29.566°E, 2500 m above sea level) since May 2015. Rwanda is a small, mountainous, and densely populated country in equatorial East Africa currently undergoing rapid development. The location and meteorology of Rwanda is such that emissions transported from both the northern and southern African biomass burning seasons affect BC, CO, and O3 concentrations in Rwanda. Black carbon concentrations during Rwanda's two dry seasons are higher at Mt. Mugogo, a rural site, than in major European cities. Higher BC baseline concentrations at Mugogo are correlated with fire radiative power data for the region acquired with MODIS satellite instrument. Spectral absorption of aerosol measured with a dual-spot aethalometer also varies seasonally, likely due to change in fuel burned and direction of pollution transport to the site. Ozone concentration was found to be higher in air masses from southern Africa than from northern Africa during their respective biomass burning seasons. The higher ozone concentration in air masses from the south could be indicative of more anthropogenic influence as Rwanda is downwind of major East African capitals in this season. During the rainy seasons, local emitting activities (e.g., cooking, driving, trash burning) remain steady, regional biomass burning is low, and transport distances are shorter as rainout of pollution occurs regularly, which allows estimation of local pollution during this time period. Urban PM2.5 measurements in the capital city of Kigali and from the neighboring
Rural-Urban Disparities in Health and Health Care in Africa: Cultural ...
African Journals Online (AJOL)
Rural-Urban Disparities in Health and Health Care in Africa: Cultural Competence, Lay-beliefs in Narratives of Diabetes among the Rural Poor in the Eastern Cape ... to exist in the utilization of cardiac diagnostic and therapeutic procedures, prescription of analgesia for pains, treatment of diabetes (e.g. gym exercise).
The management of diabetes among the rural poor in South Africa ...
African Journals Online (AJOL)
The management of diabetes among the rural poor in South Africa. ... have been found to lead to a diet that has very high carbohydrate, high in saturated fatty acids, ... to facilitate good self-management of diabetes among the rural people.
2nd East Africa Regional Workshop Report: Conservation Agriculture in AFRICA - Analysing and Foreseeing its Impact - Comprehending its Adoption
Apina, T.; Mkomwa, S.; Mutai, W.; Njeri, A.
This resource provides a summary of the 2nd East Africa Sub-regional workshop held in Nanyuki, Kenya, on 28-30 March 2011. Attendees included the African Conservation Tillage Network (ACT), Tropical Soil Biology and Fertility Institute (TSBF/AFNET), Agricultural Research for Development (CIRAD), LEIBNIZ-Centre for Agricultural Landscape Research (ZALF), Agricultural Research Institute (ARI) UYOLE, SELIAN Agricultural Research Institute (SARI-MAFC), Conservation Agriculture for Sustainable Agr...
Women and family poultry production in rural Africa.
Gueye, E H
Poultry production has existed for many generations in Africa, and almost every village household keeps chickens. The rural family poultry (RFP) are generally raised in free-range and/or backyard systems, which are traditional extensive husbandry systems. The development of an intensive poultry production has been the goal of the African government over the years. Despite efforts aiming for such goal, RFP is still very important in African countries that are both poor and net importers of food. It is a valuable asset because it can contribute significantly in alleviating poverty, securing food supply, and promoting gender equality. In view of this, interventions to improve RFP production systems should take into account the sociocultural issues, specifically gender-based aspects. It is noted that such interventions might, in addition to food security and poverty alleviation, also serve to promote gender equality. RFP development programs should be more women-friendly in order to facilitate women's participation, as RFP production in the region is generally a woman's business. Moreover, efforts to empower village women has to be envisaged cautiously as there is a serious risk of men taking over once the poultry sector becomes more profitable.
Investigating Students' Behavioural Intention to Adopt and Use Mobile Learning in Higher Education in East Africa
Mtebe, Joel S.; Raisamo, Roope
Recent penetration of mobile technologies and its services in East Africa has provided a new platform for institutions to widen access to education through mobile learning. Mobile technologies provide learners with flexibility and ubiquity to learn anytime and anywhere via wireless Internet. However, far too little research has been conducted to…
Urban Waste and Sanitation Services for Sustainable Development: Harnessing social and technical diversity in East Africa
Vliet, van B.J.M.; Buuren, van J.C.L.; Mgana, S.
Urban sanitation and solid waste sectors are under significant pressure in East Africa due to the lack of competent institutional capacity and the growth of the region's urban population. This book presents and applies an original analytical approach to assess the existing socio-technical mixtures
Can Your Child Read and Count? Measuring Learning Outcomes in East Africa
DEFF Research Database (Denmark)
Jones, Edward Samuel; Schipper, Youdi; Ruto, Sara
The last 15 years have seen major changes to education systems in East Africa. Superficially, there is much to commend. Net primary enrolment rates have risen to over 90% alongside significant improvements in gender equity. Nonetheless, there are growing concerns that better access is not adding ...
Beyond the desertification narrative: a framework for agricultural drought in semi-arid East Africa
Slegers, M.F.W.; Stroosnijder, L.
In the 20th century, much research was done on desertification. Desertification developed into a complex and vague construct that means land degradation under specific conditions. Projects focusing on land degradation in semiarid East Africa have met with limited success because farmers prioritize
Coffee Certification in East Africa: Impact on Farmers, Families and Cooperatives
Directory of Open Access Journals (Sweden)
Jason Donovan
Full Text Available Reviewed: Coffee Certification in East Africa: Impact on Farmers, Families and Cooperatives. Edited by Ruerd Ruben and Paul Hoebink. Wageningen, the Netherlands: Wageningen Academic Publishers, 2015. 262 pp. US $ 62.00, € 45.00. ISBN 978-90-8686-255-9.
Complete sequence and diversity of a maize-associated Polerovirus in East Africa
Since 2011-2012, Maize lethal necrosis (MLN) has emerged in East Africa, causing massive yield loss and propelling research to identify viruses and virus populations present in maize. As expected, next generation sequencing (NGS) has revealed diverse and abundant viruses from the family Potyviridae,...
A Developmental Assets Approach in East Africa: Can Swahili Measures Capture Adolescent Strengths and Supports?
Drescher, Christopher F.; Johnson, Laura R.; Kurz, A. Solomon; Scales, Peter C.; Kiliho, Ray P.
Background: Assets-based approaches are well-suited to youth living in majority world contexts, such as East Africa. However, positive psychology research with African adolescents is rare. One hindering factor is the lack of translated measures for conducting research. Objective: This study builds capacity for positive youth development research…
Agroforestry, livestock, fodder production and climate change adaptation and mitigation in East Africa: issues and options
DEFF Research Database (Denmark)
Dawson, Ian K; Carsan, Sammy; Franzel, Steve
Agroforestry and livestock-keeping both have the potential to promote anthropogenic climate changeresilience, and understanding how they can support each other in this context is crucial. Here, we discuss relevant issues in East Africa, where recent agroforestry interventions to support...
Dietary trends in the Middle East and North Africa: an ecological study (1961 to 2007).
Golzarand, Mahdieh; Mirmiran, Parvin; Jessri, Mahsa; Toolabi, Karamollah; Mojarrad, Mehdi; Azizi, Fereidoun
Middle Eastern and North African countries are undergoing nutrition transition, a transition which is associated with an increased burden of non-communicable diseases. This necessitates the evaluation of dietary patterns in these regions. The present study aimed to assess changes in dietary patterns in Middle Eastern and North African countries between 1961 and 2007. Availability of energy and fifteen main food items during 1961-2007 was examined using FAO food balance sheets from the FAOSTAT database. Fifteen countries including nine in the Middle East and six in North Africa were selected and the average availability of total energy and different food items in these regions were compared. Over the 47 years studied, energy and food availability (apart from animal fats and alcoholic beverages) has increased in the Middle East and North Africa. In both regions the proportion of energy derived from meat and vegetable oils has increased significantly while that from cereals decreased significantly. In addition, the proportion of energy from milk and dairy products and vegetables has shown an ascending trend in North Africa while the proportion of energy from fruits has shown a descending trend in the Middle East. The study results reveal an unfavourable trend towards a Westernized diet in the Middle East and, to a certain extent, in North Africa. Tailored nutritional education encouraging healthy eating for prevention of the burden of chronic diseases in these countries seems essential.
Water Hyacinth in Africa and the Middle East: A Survey of Problems ...
International Development Research Centre (IDRC) Digital Library (Canada)
Jan 1, 2001 ... Freshwater infestation by the water hyacinth weed has reached crisis proportions in many areas of Africa and the Middle East. Accumulated environmental, economic, and social damages to date are estimated in the billions of dollars. Most severely affected are riparian communities and those people who ...
Direct Radiative Effect of Mineral Dust on the Middle East and North Africa Climate
Bangalath, Hamza Kunhu
Dust-climate interaction over the Middle East and North Africa (MENA) has long been studied, as it is the "dustiest" region on earth. However, the quantitative and qualitative understanding of the role of dust direct radiative effect on MENA climate
Smallholder farmers' attitudes and determinants of adaptation to climate risks in East Africa
Shikuku, Kelvin M.; Winowiecki, Leigh; Twyman, Jennifer; Eitzinger, Anton; Perez, Juan G.; Mwongera, Caroline; Läderach, Peter
Adapting to climate risks is central to the goal of increasing food security and enhancing resilience of farming systems in East Africa. We examined farmers' attitudes and assessed determinants of adaptation using data from a random sample of 500 households in Borana, Ethiopia; Nyando, Kenya;
Nile perch fish processing waste along Lake Victoria in East Africa ...
African Journals Online (AJOL)
In East Africa, Nile perch fish processing into chilled fish fillet for export along Lake Victoria generate large proportions of both solid and liquid wastes. However, no thorough auditing and characterization of the waste has been done that would guide potential value addition through bioconversions and waste management.
An Assessment of Satellite-Derived Rainfall Products Relative to Ground Observations over East Africa
Kimani, M.W.; Hoedjes, Johannes Cornelis Bernardus; Su, Z.
Accurate and consistent rainfall observations are vital for climatological studies in support of better agricultural and water management decision-making and planning. In East Africa, accurate rainfall estimation with an adequate spatial distribution is limited due to sparse rain gauge networks.
Sensors, empowerment, and accountability: a Digital Earth view from East Africa
Georgiadou, P.Y.; Bana, Benson; Becht, Robert; Hoppe, Robertus; Ikingura, Justinian; Kraak, M.J.; Lance, Kate; Lemmens, R.; Lungo, Juma Hemed; McCall, M.K.; Miscione, Gianluca; Verplanke, J.J.
Several innovative 'participatory sensing' initiatives are under way in East Africa. They can be seen as local manifestations of the global notion of Digital Earth. The initiatives aim to amplify the voice of ordinary citizens, improve citizens' capacity to directly influence public service delivery
Water resources trends in Middle East and North Africa towards 2050
Droogers, P.; Immerzeel, W.W.; Terink, W.; Hoogeveen, J.; Bierkens, M.F.P.; Beek, L.P.H. van; Debele, B.
Changes in water resources availability can be expected as consequences of climate change, population growth, economic development and environmental considerations. A two-stage modeling approach is used to explore the impact of these changes in the Middle East and North Africa (MENA) region. An
Water as a Human Right for the Middle East and North Africa | IDRC ...
International Development Research Centre (IDRC) Digital Library (Canada)
Jul 11, 2008 ... Water as a Human Right for the Middle East and North Africa ... Asit K. Biswas is President of the Third World Centre for Water Management, Atizapan, Mexico. ... the International Centre for Water, Zaragoza, Spain and President, International Water Resources Association. ... Careers · Contact Us · Site map.
Nile perch fish processing waste along Lake Victoria in East Africa ...
African Journals Online (AJOL)
Nile perch fish processing waste along Lake Victoria in East Africa: Auditing and characterization. ... African Journal of Environmental Science and Technology ... If you would like more information about how to print, save, and work with PDFs, Highwire Press provides a helpful Frequently Asked Questions about PDFs.
The determinants of Foreign Direct Investment in the Middle East North Africa region
Rogmans, T.J.; Ebbers, H.A.
Although, there has been increasing interest in the determinants of Foreign Direct Investment in emerging markets, FDI into the Middle East North Africa (MENA) region has so far received little attention among academics. The MENA region provides a useful ground for the testing of traditional
Resenha de: Sidney Webb and East Africa: Lavour's Experiment with the doctrine of Native Paramountoy.
Directory of Open Access Journals (Sweden)
Antônia Fernanda de Almeida Wright
Full Text Available GREGORY (Robert G.. — Sidney Webb and East Africa. Lavour's' Experiment with the doctrine of Native Paramountoy. University of California Publications in History. Vol. 72, University of California Press, Berkeley and Los Angeles, 1962. Publicação simultânea da Cambridge University Press, London, 1962.
Risk scores for diabetes and impaired glycaemia in the Middle East and North Africa
DEFF Research Database (Denmark)
Handlos, Line Neerup; Witte, Daniel Rinse; Almdal, Thomas Peter
AIMS: To develop risk scores for diabetes and diabetes or impaired glycaemia for individuals living in the Middle East and North Africa region. In addition, to derive national risk scores for Algeria, Saudi Arabia and the United Arab Emirates and to compare the performance of the regional risk...
Dengue in the Middle East and North Africa: A Systematic Review
Humphrey, J.M. (John M.); N.B. Cleton (Natalie); C.B.E.M. Reusken (Chantal); Glesby, M.J. (Marshall J.); M.P.G. Koopmans D.V.M. (Marion); L.J. Abu-Raddad (Laith J)
textabstractBackground: Dengue virus (DENV) infection is widespread and its disease burden has increased in past decades. However, little is known about the epidemiology of dengue in the Middle East and North Africa (MENA). Methodology / Principal Findings: Following Cochrane Collaboration
Mass Taxation and State-Society Relations in East Africa
Fjeldstad, Odd-Helge; Therkildsen, Ole
Poll ('head'''') tax has been the most common form of direct mass taxation in many sub-Saharan African countries since colonial times. Until very recently it was a dominant source of revenue for local governments. It has been a source of tension and conflict between state authorities and rural people from the colonial period until today, and a major catalyst for many rural rebellions. By tracing the history of poll taxes in Tanzania and Uganda, the chapter examines how these taxes have impact...
International Terrorism in East Africa: The Case of Kenya 1 ...
African Journals Online (AJOL)
International terrorism is a significant threat to world peace and security, and as such remains high on the agenda within policy and intelligence circles. In Africa, the notion of terrorism itself can be traced back to anti-colonial struggles whilst the more recent terrorist attacks in Kenya and Tanzania give some indication of the ...
Traditional Music of East Africa: Experiencing "Ngoma" in Tanzania
Howard, Karen
The concept of ngoma is present throughout Eastern and Southern Africa. Ngoma refers to the tradition of expression via music, drumming, dance, and storytelling. History, values, education, and even identity can be transmitted between generations. This article traces the experiences of a music teacher from the United States traveling and studying…
Further remarks concerning the Little Egret complex in East Africa
African Journals Online (AJOL)
Little Egret-like birds that occur in Africa have been the subject of debate for decades, and remain ... morph birds are always present. ii) Bill shape and colour: Little Egret has a long, narrow, straight, black bill compared ... appeared identical with the all-white garzetta, led Hancock & Kushlan (1984) to the hypothesis that they ...
Gender, Land, and Livelihoods in East Africa: Through Farmers' Eyes
International Development Research Centre (IDRC) Digital Library (Canada)
... a professional engineer who has worked on international development projects in both Asia and sub-Saharan Africa. From 1997 to 1999, she worked as a researcher and intern for the International Development Research Centre, in cooperation with the Tropical Soil Biology and Fertility Programme (UNESCO) in Nairobi, ...
Water Hyacinth in Africa and the Middle East
International Development Research Centre (IDRC) Digital Library (Canada)
Mats of floating plants may become stranded on banks and shorelines when the ... fish production and resulting in unemployment and diminished incomes and food for ...... South Africa now hosts the headquarters of the Aquatic Weeds Sector of the ...... Dr A.I. Mograby, Hydrobiological Research Unit, Faculty of Science.
Monitoring inequities in East and Southern Africa | IDRC ...
International Development Research Centre (IDRC) Digital Library (Canada)
Jun 10, 2016 ... While sub-Saharan Africa struggles to improve the health of its women and ... Wealth matters of course – children from the poorest homes are three times ... for its efforts to improve health service provision and the monitoring of ...
Electricity in the Middle East and North Africa
International Nuclear Information System (INIS)
MacKie, Alan
Contains Executive Summary and Chapters on: The Market Private; Power politics: the role of the private sector; Resource base and power options; Finance: Putting together the deal; Regional integration private; Iran; Israel; Jordan; Lebanon; Syria; Turkey Private North Africa; Algeria; Egypt Private; Libya; Morocco; Tunisia GCC and Yemen; Bahrain; Kuwait; Oman; Qatar; Saudi Arabia; United Emirates; Yemen Private. (Author)
Adaptation is.... Predicting malaria's changing course in East Africa
International Development Research Centre (IDRC) Digital Library (Canada)
Health experts say controlling malaria is crucial if the three East African nations are to achieve the UN Millennium. Development Goal of halving the incidence of infectious diseases such as malaria, tuberculosis, and HIV/AIDS by 2015. Looking ahead:Prevention and treatment. Improved malaria prediction will be an.
Supporting business opportunities for rural women in east and ...
International Development Research Centre (IDRC) Digital Library (Canada)
The research will identify factors and policy instruments influencing rural women's ... more rewarding, and determine the types of entrepreneurship that are likely to ... Using quantitative and qualitative methods, this research project will provide ...
Mortality in women of reproductive age in rural South Africa
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Dorean Nabukalu
Full Text Available Objective: To determine causes of death and associated risk factors in women of reproductive age in rural South Africa. Methods: Deaths and person-years of observation (pyo were determined for females (aged 15–49 years resident in 15,526 households in a rural South African Demographic and Health Surveillance site from 2000 to 2009. Cause of death was ascertained by verbal autopsy and ICD-10 coded; causes were categorized as HIV/TB, non-communicable, communicable/maternal/perinatal/nutrition, injuries, and undetermined (unknown. Characteristics of women were obtained from regularly updated household visits, while HIV and self-reported health status was obtained from the annual HIV surveillance. Overall and cause-specific mortality rates (MRs with 95% confidence intervals (CI were calculated. The Weibull regression model (HR, 95%CI was used to determine risk factors associated with mortality. Results: A total of 42,703 eligible women were included; 3,098 deaths were reported for 212,607 pyo. Overall MRwas 14.6 deaths/1,000 pyo (95% CI: 14.1–15.1, peaking in 2003 (MR 18.2/1,000 pyo, 95% CI: 16.4–20.1 and declining thereafter (2009: MR 9.6/1,000 pyo, 95% CI: 8.410.9. Mortality was highest for HIV/TB (MR 10.6/1,000 pyo, 95% CI: 10.211.1, accounting for 73.1% of all deaths, ranging from 61.2% in 2009 to 82.7% in 2002. Adjusting for education level, marital status, age, employment status, area of residence, and migration, all-cause mortality was associated with external migration (adjusted hazard ratio, or aHR, 1.70, 95% CI: 1.41–2.05, self-reported poor health status (aHR 8.26, 95% CI: 2.94–23.15, and HIV-infection (aHR 7.84, 95% CI: 6.26–9.82; external migration and HIV infection were also associated with causes of mortality other than HIV/TB (aHR 1.62 CI: 1.12–2.34 and aHR 2.59, CI: 1.79–3.75. Conclusion: HIV/TB was the leading cause of death among women of reproductive age, although rates declined with the rollout of HIV treatment
Cost-effectiveness of dog rabies vaccination programs in East Africa
Borse, Rebekah H.; Atkins, Charisma Y.; Gambhir, Manoj; Undurraga, Eduardo A.; Blanton, Jesse D.; Kahn, Emily B.; Dyer, Jessie L.; Rupprecht, Charles E.
Background Dog rabies annually causes 24,000–70,000 deaths globally. We built a spreadsheet tool, RabiesEcon, to aid public health officials to estimate the cost-effectiveness of dog rabies vaccination programs in East Africa. Methods RabiesEcon uses a mathematical model of dog-dog and dog-human rabies transmission to estimate dog rabies cases averted, the cost per human rabies death averted and cost per year of life gained (YLG) due to dog vaccination programs (US 2015 dollars). We used an East African human population of 1 million (approximately 2/3 living in urban setting, 1/3 rural). We considered, using data from the literature, three vaccination options; no vaccination, annual vaccination of 50% of dogs and 20% of dogs vaccinated semi-annually. We assessed 2 transmission scenarios: low (1.2 dogs infected per infectious dog) and high (1.7 dogs infected). We also examined the impact of annually vaccinating 70% of all dogs (World Health Organization recommendation for dog rabies elimination). Results Without dog vaccination, over 10 years there would a total of be approximately 44,000–65,000 rabid dogs and 2,100–2,900 human deaths. Annually vaccinating 50% of dogs results in 10-year reductions of 97% and 75% in rabid dogs (low and high transmissions scenarios, respectively), approximately 2,000–1,600 human deaths averted, and an undiscounted cost-effectiveness of $451-$385 per life saved. Semi-annual vaccination of 20% of dogs results in in 10-year reductions of 94% and 78% in rabid dogs, and approximately 2,000–1,900 human deaths averted, and cost $404-$305 per life saved. In the low transmission scenario, vaccinating either 50% or 70% of dogs eliminated dog rabies. Results were most sensitive to dog birth rate and the initial rate of dog-to-dog transmission (Ro). Conclusions Dog rabies vaccination programs can control, and potentially eliminate, dog rabies. The frequency and coverage of vaccination programs, along with the level of dog rabies
Study of the genetic heterogeneity of SAT-2 foot-and-mouth disease virus in sub-Saharan Africa with specific focus on East Africa
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M. Sahle
Full Text Available The epidemiology of serotype SAT-2 foot-and-mouth disease was investigated in sub-Saharan Africa by phylogenetic analysis using the 1D gene encoding the major antigenic determinant. Fourteen genotypes were identified of which three are novel and belong to East Africa, bringing the total number of genotypes for that region to eight. The genotypes clustered into three lineages that demonstrated surprising links between East, southern and south-western Africa. One lineage was unique to West Africa. These results established numerous incursions across country borders in East Africa and long term conservation of sequences for periods up to 41 years. Ethiopia, Kenya and Uganda have all experienced outbreaks from more than one unrelated strain, demonstrating the potential for new introductions. The amount of variation observed within this serotype nearly equalled that which was found between serotypes; this has severe implications for disease control using vaccination.
Near East/North Africa Report, Number 2603
Electricity Stations 118 Gum Arabic Belt 118 Popular Development 118 Foreign Exchange Regulating Measures 118 Tombura on HEC Policy 119...Middle East and that this underlines the need for a just solution to the Palestinian problem—a solution that guar - antees the legitimate rights of the...last months of 1360. It must be noted that prices of a number of goods & services, such as cold drinks, washing powder , some cigarettes and telephone
Farmer-managed natural regeneration enhances rural livelihoods in dryland west Africa.
Weston, Peter; Hong, Reaksmey; Kaboré, Carolyn; Kull, Christian A
Declining agricultural productivity, land clearance and climate change are compounding the vulnerability of already marginal rural populations in West Africa. 'Farmer-Managed Natural Regeneration' (FMNR) is an approach to arable land restoration and reforestation that seeks to reconcile sustained food production, conservation of soils, and protection of biodiversity. It involves selecting and protecting the most vigorous stems regrowing from live stumps of felled trees, pruning off all other stems, and pollarding the chosen stems to grow into straight trunks. Despite widespread enthusiasm and application of FMNR by environmental management and development projects, to date, no research has provided a measure of the aggregate livelihood impact of community adoption of FMNR. This paper places FMNR in the context of other agroforestry initiatives, then seeks to quantify the value of livelihood outcomes of FMNR. We review published and unpublished evidence about the impacts of FMNR, and present a new case study that addresses gaps in the evidence-base. The case study focuses on a FMNR project in the district of Talensi in the semi-arid Upper East Region in Ghana. The case study employs a social return on investment analysis, which identifies proxy financial values for non-economic as well as economic benefits. The results demonstrate income and agricultural benefits, but also show that asset creation, increased consumption of wild resources, health improvements, and psycho-social benefits created more value in FMNR-adopting households during the period of the study than increases in income and agricultural yields.
Directory of Open Access Journals (Sweden)
Abdul Mongid
Full Text Available Abstract: Rural Bank (BPR was an important part of financial service industry in Indonesia.Their pivotal role on lending to SMEs in the rural area made their existence very strategic torural development. However, due to its operational scale, rural bank charged higher interestrate than commercial bank. The study estimated the cost efficiency of rural banks usingparametric approach. The result found that rural bank efficiency was very high. The two yearcost efficiency estimated using frontier 4.1 was 95% and median was 100%. The lowest of costefficiency level was 32%. It meant cost inefficiency of the banks under investigated was around10%. The cost efficiency level in 2006 was on average 95% and the median was 100%. It meantthat 50% or more of the observation enjoyed 100% cost efficiency. The minimum was only67%. It meant they operated at very efficient level, leaving only 5% inefficiency. In 2007, adramatic change on efficiency level was going on. The average efficiency was dropped from11% to 89.9% due to increase on interest rate and price level.
Precipitation Characteristics in West and East Africa from Satellite and in Situ Observations
Dezfuli, Amin K.; Ichoku, Charles M.; Mohr, Karen I.; Huffman, George J.
Using in situ data, three precipitation classes are identified for rainy seasons of West and East Africa: weak convective rainfall (WCR), strong convective rainfall (SCR), and mesoscale convective systems (MCSs).Nearly 75% of the total seasonal precipitation is produced by the SCR and MCSs, even though they represent only 8% of the rain events. Rain events in East Africa tend to have a longer duration and lower intensity than in West Africa, reflecting different characteristics of the SCR and MCS events in these two regions. Surface heating seems to be the primary convection trigger for the SCR, particularly in East Africa, whereas the WCR requires a dynamical trigger such as low-level convergence. The data are used to evaluate the performance of the recently launched Integrated Multi-satellite Retrievals for Global Precipitation Measurement (IMERG)project. The IMERG-based precipitation shows significant improvement over its predecessor, the Tropical Rainfall Measuring Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA), particularly in capturing the MCSs, due to its improved temporal resolution.
Toka Boot/The Big Jam: Making Music in Rural East Timor
Howell, Gillian; Dunphy, Kim
This article discusses a community music project in rural East Timor. Australian musician Gillian Howell lived for three months in the isolated town of Lospalos as an Asialink artist-in-residence, where she worked with local community members and visiting Australian musicians to share music and ideas, and to communicate across cultures. Three…
Evaluation of wildlife pests on rural farms in Guma and Gwer-East ...
African Journals Online (AJOL)
The study evaluated the challenges confronting farmers as a result of wildlife attack on rural farms in Guma and Gwer – East Local Government Areas of Benue State. Two villages (Igbor and Abinsi) were purposively selected for the study because of their high rate of farming activities. Data was collected with the aid ...
Building consensus on key priorities for rural health care in South Africa using the Delphi technique
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Marije Versteeg
Full Text Available Background: South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. Methods: The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Results: Response rates ranged from 83% in the first round (n=44 to 64% in the final round (n=34. The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH, governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Conclusion: Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.
Building consensus on key priorities for rural health care in South Africa using the Delphi technique.
Versteeg, Marije; du Toit, Lilo; Couper, Ian
South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Response rates ranged from 83% in the first round (n=44) to 64% in the final round (n=34). The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH), governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.
Security Threats Emerging from the Middle East and North Africa
Çınar, Bekir
The main security threats affecting the Middle East and North African (MENA) region arise from energy insecurity, immigration and terrorism. These threats would remain if authorities and other stake holders do not address the root causes of the problems, which are artificial national borders, authoritarian regimes and lack of pluralist education. This paper suggests that lifting state borders and setting up regional economic communities such as the EU may ease conflicts in the region which ca...
Acute appendicitis in a Kenya rural hospital | Willmore | East African ...
African Journals Online (AJOL)
East African Medical Journal. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 78, No 7 (2001) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Download this PDF file. The PDF file you selected should ...
Acute appendicitis in a Kenya rural hospital | Willmore | East African ...
African Journals Online (AJOL)
East African Medical Journal: 2001 78(7): 355-357). Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/eamj.v78i7.9007 · AJOL African Journals Online.
Perinatal mortality in a rural community | Ewah | East African Medical ...
African Journals Online (AJOL)
Objective: To determine the peri-natal mortality rate (PMR), still birth rate (SBR) and early neonatal death rate (ENDR) in Igueben Local Government Area (LGA) of Edo State. Design: A descriptive cross-sectional study. Setting: Igueben LGA is a rural governmental unit in mid-western Nigeria. Subjects: All women of ...
Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors
Havenaar, J.M.; Geerlings, M.I.; Vivian, L.; Collinson, M.; Robertson, B.
This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were used
Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors
Havenaar, Juhan; Geerlings, Mirjan; Vivian, Lauraine; Collinson, Marh; Robertson, Brian
This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were
Common mental health problems in historically disadvantaged urban and rural communities in South Africa : prevalence and risk factors
Havenaar, Juhan M.; Geerlings, Mirjan I.; Vivian, Lauraine; Collinson, Marh; Robertson, Brian
This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were used
An approach to rural distribution network design for sub-Saharan Africa
International Nuclear Information System (INIS)
Sebitosi, A.B.; Pillay, P.; Khan, M.A.
The bulk of rural populations in sub-Saharan Africa have no access to electricity and are under-served by any other form of modern infrastructure. The cost of infrastructure to mainly scattered communities has been perennially cited as largely to blame. Quite often rural networks are overdesigned, resulting in under utilization and, therefore, costly overheads. One reason often cited for the overspecification is anticipation of load growth. In most sub-Sahara African rural areas, however, economic growth rates are low, and a designer has no justification in specifying an infrastructure capacity exceeding more than a few percent of existing consumer requirements. This paper proposes methods that critically look at the geometry of small grid network designs to address the construction challenges in rural sub-Saharan Africa
Toward an Ethnoarchaeomalacology of Achatina in East Africa
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Jonathan Walz
Full Text Available Land snail shell is a material commonly identified in the Late Holocene archaeological record of eastern Africa. Typically, archaeologists designate land snail shell as a natural occurrence or as debris produced from human subsistence. Ethnographic observations in lowland northeastern Tanzania show that contemporary communities employ the soft parts and shells of land snails, particularly Achatina fulica, for a range of everyday and special purposes. The array of land snail uses by mixed subsistence farmers and agropastoralists in the area documents the significance of A. fulica and other robust land snail species. Present uses of land snails observed in Tanzania offer a set of analogies that, when critically applied, can enrich archaeologists' interpretations of land snail debris in antiquity.
Thermal sensitivity of the crab Neosarmatium africanum in tropical and temperate mangroves on the east coast of Africa
Fusi, Marco; Babbini, Simone; Giomi, Folco; Fratini, Sara; Dahdouh-Guebas, Farid; Daffonchio, Daniele; McQuaid, Christopher David; Porri, Francesca; Cannicci, Stefano
Mangrove forests are amongst the tropical marine ecosystems most severely affected by rapid environmental change, and the activities of key associated macrobenthic species contribute to their ecological resilience. Along the east coast of Africa
Groundwater Exploration for Rural Communities in Ghana, West Africa
McKay, W. A.
Exploration for potable water in developing countries continues to be a major activity, as there are more than one billion people without access to safe drinking water. Exploration for groundwater becomes more critical in regions where groundwater movement and occurrence is controlled by secondary features such as fractures and faults. Drilling success rates in such geological settings are generally very low, but can be improved by integrating geological, hydrogeological, aerial photo interpretation with land-based geophysical technology in the selection of drilling sites. To help alleviate water supply problems in West Africa, the Conrad N. Hilton Foundation and other donors, since 1990, have funded the World Vision Ghana Rural Water Project (GRWP) to drill wells for potable water supplies in the Greater Afram Plains (GAP) of Ghana. During the first two years of the program, drilling success rates using traditional methods ranged from 35 to 80 percent, depending on the area. The average drilling success rate for the program was approximately 50 percent. In an effort to increase the efficiency of drilling operations, the Desert Research Institute evaluated and developed techniques for application to well-siting strategies in the GAP area of Ghana. A critical project element was developing technical capabilities of in-country staff to independently implement the new strategies. Simple cost-benefit relationships were then used to evaluate the economic advantages of developing water resources using advanced siting methods. The application of advanced methods in the GAP area reveal an increase of 10 to 15 percent in the success rate over traditional methods. Aerial photography has been found to be the most useful of the imagery products covering the GAP area. An effective approach to geophysical exploration for groundwater has been the combined use of EM and resistivity methods. Economic analyses showed that the use of advanced methods is cost-effective when success
a Heritage Inventory for Documenting Endangered Archaeology in the Middle East and North Africa
Sheldrick, N.; Zerbini, A.
The heritage of the Middle East and North Africa is under growing threat from a variety of factors, including agricultural expansion, urban development, looting, and conflict. Recording and documenting this heritage is therefore a key priority to aid heritage practitioners tasked with protecting sites and evaluating their condition on the ground. The Endangered Archaeology in the Middle East and North Africa (EAMENA) project has developed a methodology for the identification, documentation, analysis, and monitoring of sites across the region to aid heritage professionals in these efforts. The project uses remote sensing techniques along with traditional archaeological research and prospection methods to collect data, which are stored and managed in a custom-designed database adapted from open-source Arches v.3 software, using CIDOC CRM standards and controlled vocabularies. In addition to these activities, the EAMENA project has initiated an international conference series and training workshops to support and establish partnerships with heritage professionals and institutions across the region.
Directory of Open Access Journals (Sweden)
N. Sheldrick
Full Text Available The heritage of the Middle East and North Africa is under growing threat from a variety of factors, including agricultural expansion, urban development, looting, and conflict. Recording and documenting this heritage is therefore a key priority to aid heritage practitioners tasked with protecting sites and evaluating their condition on the ground. The Endangered Archaeology in the Middle East and North Africa (EAMENA project has developed a methodology for the identification, documentation, analysis, and monitoring of sites across the region to aid heritage professionals in these efforts. The project uses remote sensing techniques along with traditional archaeological research and prospection methods to collect data, which are stored and managed in a custom-designed database adapted from open-source Arches v.3 software, using CIDOC CRM standards and controlled vocabularies. In addition to these activities, the EAMENA project has initiated an international conference series and training workshops to support and establish partnerships with heritage professionals and institutions across the region.
Panorama 2012 - The oil and gas producing countries of North Africa and the Middle East
International Nuclear Information System (INIS)
Cueille, Jean-Philippe
Despite the extent of their reserves, oil production in most countries of the Middle East and North Africa is not likely to increase significantly in the years ahead. Exports from the Middle East, 75% of which are to Asia, and those from North Africa, most of which are focused on Europe, should remain stable overall. The increase in gas production will contribute more to meeting fast-growing domestic demand than to boosting exports. Indeed, many Middle Eastern countries are paradoxically experiencing strains on domestic energy supplies due to energy demand stimulated by energy prices that are generally - and artificially - very low, and the adoption of economic development models based on energy-intensive industries. (author)
East Africa, an oil geopolitics at high risk
International Nuclear Information System (INIS)
Auge, Benjamin
As the Sub-Saharan African oil production has been concentrated in the Guinea Gulf countries since the 1950's, as this region remains the main African oil producer (Maghreb excluded), and as new discoveries has been made in Uganda in 2006 and exploration has been extended to neighbouring countries (Ethiopia, Kenya, Tanzania, Mozambique), this report first questions the situation of the exploration of the Albert Lake by proposing an overview of intervening actors, by commenting the political use of the debate about oil, by commenting the situation on the Congolese side of the lake, and by commenting how the lake is shared between Uganda and the Republic of Congo. In the next part, the author discusses the use and future of the Ugandan oil by outlining the role of the Essar company in the regional refining, and by evoking projects of regional pipelines. The last part addresses the status of exploration in other East African countries (Kenya, Ethiopia, South Sudan, Tanzania, Mozambique)
Oil and natural gas prospects: Middle East and North Africa
International Nuclear Information System (INIS)
Khatib, Hisham
The MENA region is endowed with enormous resources of oil and gas, rendering it the world′s richest region in this regard. Endowment differs from one country to another with few countries are almost dry; however the economic benefits proliferated to almost every country in the region. In spite of some doubts being cast about the amount of proven oil reserves, these with improved technology and new discoveries are increasing year after another. With no long term feasible alternatives to oil for transport and the increasing trade in LNG, the region′s importance as a world′s leading supplier of fossil fuels will continue for decades to come. However, these favourable prospects hide many challenges facing the MENA region, among them is the difficulty in mobilizing investment funds for sustaining and increasing output to feed growing global demand. Growing local demand, due to the proliferation of subsides, is another worrying aspect that already caused few countries with modest resources to become oil importers instead of exporters, with larger exporters decreasing their surplus output. The region is also still mainly dependant on foreign technologies and skilled manpower. Regional cooperation in oil and gas networks and electricity interconnections is still modest. The region has a long history of conflict; correspondingly it is a major importer of armaments which is increasingly eating a lot of its surplus income. With the political and social changes presently taking place in many MENA countries, due to the Arab spring and continuation of local conflicts, the sustainability of supplies from the region are increasingly a source of worry to MENA exporters and its many importers. It is also causing increasing involvement of the super powers in regional affairs. - Highlights: • Global oil and gas reserves and prices. • Energy sustainability and the Middle East. • Energy economics and investments in the Middle East
Water governance challenges for rural supply: A case study of two local municipalities in South Africa
CSIR Research Space (South Africa)
Nkuna, ZW
Full Text Available . W Nkuna Student Number: 10544403 Supervisor: Prof. C J dew. Rautenbach Department: Geography, Geo-informatics and Meteorology, University of Pretoria ABSTRACT In South Africa water is regarded as constitutional right and government has therefore... the water needs of rural communities. Issues such as poverty, water resources challenges and lack of capacity and skills at municipalities create problems which leave rural communities with no alternative but to rely on unsafe water sources for their water...
Jobs for Shared Prosperity : Time for Action in the Middle East and North Africa
Gatti, Roberta; Morgandi, Matteo; Grun, Rebekka; Brodmann, Stefanie; Angel-Urdinola, Diego; Moreno, Juan Manuel; Marotta, Daniela; Schiffbauer, Marc; Mata Lorenzo, Elizabeth
In the aftermath of the Arab Spring, when thousands of young women and men fought for the opportunity to realize their aspirations and potential, the question of jobs continues to be crucial in the Middle East and North Africa region. This report uses jobs as a lens to weave together the complex dynamics of employment creation, skills supply, and the institutional environment of labor markets. Consistent with the framework of the 2013 World Development Report on jobs, of which this report is...
Initial impact of integrated agricultural research for development in East and Central Africa
Nkonya, Ephraim; Kato, Edward; Oduol, Judith; Pali, Pamela; Farrow, Andrew
Conventional agricultural research approaches have generated research results with limited adoption rates in sub-Saharan Africa (SSA). Recently, a new research approach – integrated agricultural research for development (IAR4D) was introduced in SSA. The IAR4D approach goes beyond the conventional research focus on agricultural production technologies, as it includes marketing and development activities. This paper analyses the impact of IAR4D in the East and Central African region using pa...
Humans and Seagrasses in East Africa : A social-ecological systems approach
de la Torre-Castro, Maricela
The present study is one of the first attempts to analyze the societal importance of seagrasses (marine flowering plants) from a Natural Resource Management perspective, using a social-ecological systems (SES) approach. The interdisciplinary study takes place in East Africa (Western Indian Ocean, WIO) and includes in-depth studies in Chwaka Bay, Zanzibar, Tanzania. Natural and social sciences methods were used. The results are presented in six articles, showing that seagrass ecosystems are ri...
Low cost carriers in the Middle East and North Africa: Prospects and strategies
Morrison, W.G.; Mason, Keith J.
We examine socio-economic indicators relevant to 'low cost carriers' (LCCs) in the Middle East and North Africa (MENA) and review the evolution of air transport liberalization and air service agreements in the region. We analyse the business strategies of MENA-based LCCs and using a benchmarking methodology, we compare the business strategy of Air Arabia Group with those of dominant European LCCs EasyJet and Ryanair. Our economic development indicators suggest future potential for...
An Assessment of Satellite-Derived Rainfall Products Relative to Ground Observations over East Africa
Kimani, M.W.; Hoedjes, Johannes Cornelis Bernardus; Su, Z.
Accurate and consistent rainfall observations are vital for climatological studies in support of better agricultural and water management decision-making and planning. In East Africa, accurate rainfall estimation with an adequate spatial distribution is limited due to sparse rain gauge networks. Satellite rainfall products can potentially play a role in increasing the spatial coverage of rainfall estimates; however, their performance needs to be understood across space–time scales and factors...
Evolutionary analysis of foot-and-mouth disease virus serotype SAT 1 isolates from east africa suggests two independent introductions from southern africa
DEFF Research Database (Denmark)
Sangula, Abraham K.; Belsham, Graham; Muwanika, Vincent B.
Background: In East Africa, foot-and-mouth disease virus serotype SAT 1 is responsible for occasional severe outbreaks in livestock and is known to be maintained within the buffalo populations. Little is known about the evolutionary forces underlying its epidemiology in the region. To enhance our...... 1 FMD viruses from East Africa has been determined and compared with known sequences derived from other SAT 1 viruses from sub-Saharan Africa. Purifying (negative) selection and low substitution rates characterized the SAT 1 virus isolates in East Africa. Two virus groups with probable independent...... appreciation of the epidemiological status of serotype SAT 1 virus in the region, we inferred its evolutionary and phylogeographic history by means of genealogy-based coalescent methods using 53 VP1 coding sequences covering a sampling period from 1948-2007. Results: The VP1 coding sequence of 11 serotype SAT...
Developing High-resolution Soil Database for Regional Crop Modeling in East Africa
Han, E.; Ines, A. V. M.
The most readily available soil data for regional crop modeling in Africa is the World Inventory of Soil Emission potentials (WISE) dataset, which has 1125 soil profiles for the world, but does not extensively cover countries Ethiopia, Kenya, Uganda and Tanzania in East Africa. Another dataset available is the HC27 (Harvest Choice by IFPRI) in a gridded format (10km) but composed of generic soil profiles based on only three criteria (texture, rooting depth, and organic carbon content). In this paper, we present a development and application of a high-resolution (1km), gridded soil database for regional crop modeling in East Africa. Basic soil information is extracted from Africa Soil Information Service (AfSIS), which provides essential soil properties (bulk density, soil organic carbon, soil PH and percentages of sand, silt and clay) for 6 different standardized soil layers (5, 15, 30, 60, 100 and 200 cm) in 1km resolution. Soil hydraulic properties (e.g., field capacity and wilting point) are derived from the AfSIS soil dataset using well-proven pedo-transfer functions and are customized for DSSAT-CSM soil data requirements. The crop model is used to evaluate crop yield forecasts using the new high resolution soil database and compared with WISE and HC27. In this paper we will present also the results of DSSAT loosely coupled with a hydrologic model (VIC) to assimilate root-zone soil moisture. Creating a grid-based soil database, which provides a consistent soil input for two different models (DSSAT and VIC) is a critical part of this work. The created soil database is expected to contribute to future applications of DSSAT crop simulation in East Africa where food security is highly vulnerable.
Examining the impact of climate change and variability on sweet potatoes in East Africa
Ddumba, S. D.; Andresen, J.; Moore, N. J.; Olson, J.; Snapp, S.; Winkler, J. A.
Climate change is one of the biggest challenges to food security for the rapidly increasing population of East Africa. Rainfall is becoming more variable and temperatures are rising, consequently leading to increased occurrence of droughts and floods, and, changes in the timing and length of growing seasons. These changes have serious implications on crop production with the greatest impact likely to be on C4 crops such as cereals compared to C3 crops such as root tubers. Sweet potatoes is one the four most important food crops in East Africa owing to its high nutrition and calorie content, and, high tolerance to heat and drought, but little is known about how the crop will be affected by climate change. This study identifies the major climatic constraints to sweet potato production and examines the impact of projected future climates on sweet potato production in East Africa during the next 10 to 30 years. A process-based Sweet POTato COMputer Simulation (SPOTCOMS) model is used to assess four sweet potato cultivars; Naspot 1, Naspot 10, Naspot 11 and SPK 004-Ejumula. This is work in progress but preliminary results from the crop modeling experiments and the strength and weakness of the crop model will be presented.
Changing rural urban linkages in Africa in a globalizing economy ...
African Journals Online (AJOL)
The role of rural-urban linkages is critically vital for Africa"s development in this era of rapid socio-economic transformation. A better understanding of cities and how they relate both to the rural and urban development is needed in view of the continuous changes in development. This paper argues that many of Africa"s ...
Human–Bat Interactions in Rural West Africa
Anti, Priscilla; Owusu, Michael; Agbenyega, Olivia; Annan, Augustina; Badu, Ebenezer Kofi; Nkrumah, Evans Ewald; Tschapka, Marco; Oppong, Samuel; Adu-Sarkodie, Yaw
Because some bats host viruses with zoonotic potential, we investigated human–bat interactions in rural Ghana during 2011–2012. Nearly half (46.6%) of respondents regularly visited bat caves; 37.4% had been bitten, scratched, or exposed to bat urine; and 45.6% ate bat meat. Human–bat interactions in rural Ghana are frequent and diverse. PMID:26177344
Human-Bat Interactions in Rural West Africa.
Anti, Priscilla; Owusu, Michael; Agbenyega, Olivia; Annan, Augustina; Badu, Ebenezer Kofi; Nkrumah, Evans Ewald; Tschapka, Marco; Oppong, Samuel; Adu-Sarkodie, Yaw; Drosten, Christian
Because some bats host viruses with zoonotic potential, we investigated human-bat interactions in rural Ghana during 2011-2012. Nearly half (46.6%) of respondents regularly visited bat caves; 37.4% had been bitten, scratched, or exposed to bat urine; and 45.6% ate bat meat. Human-bat interactions in rural Ghana are frequent and diverse.
Qualitative exploration of the career aspirations of rural origin health science students in South Africa.
Diab, Paula N; Flack, Penny S; Mabuza, Langalibalele H; Reid, Stephen J Y
There is evidence in the literature that rural background significantly encourages eventual rural practice. Given the shortage of healthcare providers in rural areas, we need to explore ways of ensuring throughput and success of rural-origin students in health sciences. It is therefore important to understand who these students are, what motivates them and the factors involved in the formation of their career choices. The aim of this study is to understand the aspirations of undergraduate health science students of rural origin with regard to their future career plans. The objectives of the study include to explore and identify the key issues facing rural-origin students with regard to their future career plans. Individual interviews were conducted with 15 health science students from two South African universities. Transcriptions were analyzed with the aid of Nvivo v8 (www.qsrinternational.com). The findings suggest health science students of rural origin studying at universities in the South African context face specific challenges related to the nature of the contrast between rural and urban life, in addition to the more generic adaptations that confront all students on entering tertiary education. In order to support rural students in their studies, academic, financial, emotional and social stressors need to be addressed. Universities should strengthen existing support structures as well as aid the development of further support that may be required.Key words: career plan, health science, rural background, South Africa.
Early diagnosis and treatment of ankylosing spondylitis in Africa and the Middle East.
Rachid, Bahiri; El Zorkany, Bassel; Youseif, Ehab; Tikly, Mohammed
Ankylosing spondylitis (AS) is the prototype for spondyloarthritis primarily affecting young men. Geographic and ethnic variations exist in the prevalence and severity of AS and relate to the wide disparity in the frequency of human leukocyte antigen (HLA)-B27, a major genetic risk factor. The strength of the disease association with HLA-B27 is lower in most Arab populations (25-75 %) than in Western European populations (>90 %), and there is no association in sub-Saharan Africa, where the prevalence of HLA-B27 is Africa, and the high rate of spondyloarthropathies associated with human immunodeficiency virus infection. Diagnosis of AS is often delayed 8-10 years; potential reasons for the delay in Africa and the Middle East include low awareness among physicians and patients, the requirement for radiographic evidence of sacroiliitis for diagnosis, and limited access to magnetic resonance imaging in some countries. Treatment should be initiated early to prevent or reduce skeletal deformity and physical disability. Nonsteroidal anti-inflammatory drugs are effective first-line treatment and anti-tumor necrosis factor-α drugs are indicated for patients who have an inadequate response to first-line therapy. In Africa and the Middle East, such treatments may be precluded either by cost or contraindicated because of the high prevalence of latent tuberculosis infection. Research is sorely needed to develop cost-effective tools to diagnose AS early as well as effective, inexpensive, and safe treatments for these developing regions.
Dollarization in East Africa: Causes, Consequences, and Future Forecasts
Directory of Open Access Journals (Sweden)
Osman Sayid Hassan Musse
Full Text Available The dollarization phenomenon has been widespread among the East African countries for many decades. This trend results in several consequences that might be either beneficial or harmful to these countries and their likes.The objective of this research was to empirically examine the causes, consequences and the future scenarios of dollarization in one of the leading regional countries such as Somalia. The research used a survey of over 100respondents and applied descriptive statistics and t-tests to achieve the above objectives. The findings show that the main causes of Dollarization in Somalia are the implementation of the Hawallah (money transfer system,the remarkable absence of the central bank and other monitoring financial authorities, the increasing exports and imports of the Somalian economy, the loss of confidence in the local Somalian Shilling, and the relative ease atwhich the Somalian Shilling can be printed and manipulated by selected market players. These causes are found to be mainly triggered by the revenue from exports, the policies and regulations implemented by the Somali government, the Somali Diaspora, and the international aid organizations. This has resulted in the foreign traders buying Somali goods at a relatively lower price and taking advantage of the depreciated Somali Shilling against most international currencies.
An analysis of off grid electrical systems in rural Sub-Saharan Africa
International Nuclear Information System (INIS)
Sebitosi, A.B.; Pillay, P.; Khan, M.A.
The decade leading up to the end of the last millennium saw systematic unbundling and privatisation of power utility companies in Sub-Saharan Africa. The new profit driven entrepreneurs have swiftly moved to consolidate in urban enclaves and put paid to any remote hope for future rural electrification. Consequently, rural communities have resorted to fending for themselves by adapting to off grid electrification. Most of these emerging installations are individual isolated units. This paper looks at various off gird electric system configurations in rural Kenya and suggests ways in which they could be reconfigured to be more energy efficient
Infrastructure Development: Public Private Partnership Path for Developing Rural Telecommunications in Africa
Directory of Open Access Journals (Sweden)
Idongesit William Williams
Full Text Available It is the quest of every government to achieve universal Access and service of telecommunication services and ICTs. Unfortunately due to the high cost of deploying infrastructure in rural areas of developing countries due to non-significant or no economic activity, this dream of achieving Universal access and service of telecommunications/ICTs have been stalled. This paper throws light on a possible Public Private Partnership framework as a development path that will enable affordable network technologies to be deployed in rural areas at a cost that will translate to what the rural dweller in a developing country in Africa can afford. The paper is a conceptual paper
Directory of Open Access Journals (Sweden)
Г А Ханнанова
Full Text Available The article is devoted to an analysis of the main factors, determining German policy in the Middle East and North Africa (MENA. More active German military-technical engagement in the settlement of the crises in the region on the modern stage determines relevance of this article's topic. Based on historical method, author considers the development of German foreign policy in the Arab world, examining the main aspects of the colonial policy of German empire on the threshold of the First and Second World Wars, as well as the prerequisites of the intensification of German-Arabic contacts in the period of Cold War. In accordance with the principals of system analysis Germany's Middle East policy was investigated in complex, given geopolitical, economic and military aspects. Special emphasis is put on the problem of transformation of Middle East regional order as a factor of political instability. Notwithstanding the rea-sonableness of Germany's standing for stable and predictable regional order, these goals were challenged owing to the fact that Germany benefits from the regional disorder in terms of increase of its influence. In reliance on the German goals in the Middle East and North Africa, mentioned in the Coalition Agreement of 2013, the author points out the priority of crisis management. At the same time the ethno-confessional conflict potential of the region meets the interests of German military-industrial complex. Increase of Germany's export of weapons to the Arab states as well as neglecting the restrictions on export go to prove that Germany backs the armaments race in the Middle East. In this regard, German policy is characterized by "double standards" and inconsistency. These specifics can be explained by the ongoing process of Middle East policy shift and searching for new priorities on a long-term horizon. In the conclusion, the author analyzes the specifics and prospects of German policy in MENA region.
East Africa-India Security Relations/China-Africa Partnership: the ...
African Journals Online (AJOL)
Kenyan media as well as international media such as VOX Africa continue to report that Uhuru Kenyatta returned this week with an investment package totaling 425 billion shillings (5 billion dollars) from China. The target domains are railroad from Mombasa to Kisumu and energy generation. The move is interpreted as the ...
Water Uses and Children's Lives in East Africa. Water in Africa.
Maher, Robert
The Water in Africa Project was realized over a 2-year period by a team of Peace Corps volunteers, World Wise Schools (WWS) classroom teachers, and WWS staff members. As part of an expanded, detailed design, resources were collected from over 90 volunteers serving in African countries, photos and stories were prepared, and standards-based learning…
PV power and profit? Electrifying rural South Africa
International Nuclear Information System (INIS)
Karottki, R.; Banks, D.
This article traces the background to the implementation of a programme of sustainable off-grid energy services delivered to rural areas through private-public partnership. The implementation of the school photovoltaic (PV) electrification programme, electrification of rural clinics, the solar electrification of rural households on a large scale through a joint venture between Shell Renewables and the national utility ESKOM, and the electrification of widely scattered homesteads are discussed. Details are given of the financial support from the government and the National Electricity Regulator, the development of a national standard for Solar Home Systems, identification of target regions, the regulatory framework, and the opportunities for business and for real improvement. (UK)
The epidemiology of noncommunicable respiratory disease in sub-Saharan Africa, the Middle East, and North Africa.
Ahmed, Rana; Robinson, Ryan; Mortimer, Kevin
Noncommunicable diseases (NCDs) are a major and increasing global health issue. The World Health Organization (WHO) estimates that NCDs represent 63% of all global deaths of which 3.9 million are due to chronic respiratory diseases (CRDs) and Chronic Obstructive Pulmonary Disease (COPD) in particular. COPD is now the third most common cause of death globally; 90% of these deaths occur in Low and Middle Income Countries (LMICs). COPD affects 329 million people, almost 5% of the world's population. In addition, asthma affects 334 million people, again representing almost 5% of the world's population. There is limited literature published on the epidemiology of COPD and Asthma from Sub-Saharan Africa (SSA) and Middle East and North Africa (MENA). Both diseases are under-diagnosed and underestimated in both SSA and MENA regions. The burden of COPD in sub-Saharan Africa is disputed and reports offer variable prevalence estimates, ranging from 4.1% to almost 22.2%. SSA and MENA countries report similar mortality rates from COPD of 18 per 100,000 population (2001 data). Asthma is a less common cause of death than COPD but is a major cause of morbidity; WHO estimates that there are 250,000 deaths per year from asthma, mainly in LMICs and it remains in the top twenty causes of disability in children globally. Risk factors for CRD are genetic and environmental; the latter dominated by air pollution exposures including tobacco smoke, household air pollution, outdoor air pollution and occupational exposures.
The East Asian Development Experience: Policy Lessons, Implications, and Recommendations for Sub-Saharan Africa (SSA) Global Competitiveness
Ashford C. Chea
The paper looks at the development experience of East Asia and draws lessons for Sub-Saharan Africa in building global competitiveness. It starts with a historical perspective of both regions' developmental trajectories. This is followed by an analysis of the causes of East Asia's superior economic performance and development and SSA underdevelopment. The article also draws policy lessons from East Asia development strategies for SSA global competitiveness. The paper ends with a presentation ...
Treatment outcomes in a rural HIV clinic in South Africa: Implications ...
African Journals Online (AJOL)
Objective: To assess the treatment outcomes of an HIV clinic in rural Limpopo province, South Africa. Methods: A retrospective cohort study involving medical records review of HIV-positive patients initiated on antiretroviral treatment (ART) was conducted from December 2007 to November 2008 at Letaba Hospital. Data on ...
Effectiveness of highly active antiretroviral therapy administered by general practitioners in rural South Africa
Barth, R. E.; van der Meer, J. T. M.; Hoepelman, A. I. M.; Schrooders, P. A.; van de Vijver, D. A.; Geelen, S. P. M.; Tempelman, H. A.
The purpose of this study was to assess the one-year efficacy of highly active antiretroviral therapy (HAART) administered by general practitioners in a primary care community clinic in rural South Africa. We performed an observational cohort study of 675 treatment-naive human immunodeficiency virus
Rural development and the role of game farming in the Eastern Cape, South Africa
Pasmans, Thijs; Hebinck, Paul
The analysis of game farming is set in the Eastern Cape, South Africa. Game farming reorders the use, meaning and value of land and animal species. However, what it means for rural development processes in the immediate region and beyond is not well accounted for. We perceive game farming as an
Migration from rural to urban habitat in Tropical Africa (1970-2000).
Ankerl, G G
Problems associated with rural-urban migration in Tropical Africa are examined, with particular reference to the experience of Ghana, Kenya, Nigeria, Tanzania, and Zaire. The problems examined include overurbanization, maldistribution of population, poor urban living conditions, population density, and traditional methods of construction.
Socio-economic status by rapid appraisal is highly correlated with mortality risks in rural Africa
van Bodegom, D.; May, L.; Kuningas, M.; Kaptijn, R.; Thomese, G.C.F.; Meij, H.J.; Amankwa, J.; Westendorp, R.G.J.
Socio-economic status is an important determinant of health and survival in rural Africa and necessitates a practical and valid instrument to implement in health studies. Our objective was to investigate the validity of the rapid appraisal method to assess socio-economic status and its ability to
Improving Internet coverage in rural Africa by using passive repeaters in the home
DEFF Research Database (Denmark)
Lynggaard, Per
Providing last-mile Internet access to rural areas in Africa is a very challenging task, i.e. many more or less successful attempts have been made over the years. One solution that seems to offer a sustainable business case is based on WiFi base stations with access points placed in the centers...
Teachers' Attitudes towards Adolescent Sexuality and Life Skills Education in Rural South Africa
Smith, Kelley Alison; Harrison, Abigail
This study investigated the attitudes of 43 teachers and school administrators towards sex education, young people's sexuality and their communities in 19 secondary schools in rural KwaZulu-Natal, South Africa, and how these attitudes affect school-based HIV prevention and sex education. In interviews, teachers expressed judgemental attitudes…
African Journals Online (AJOL)
cerebrovascular accident (CVA) in a rural South African population. Design. ... part of a community-based prospective study examining the burden of disease, in ... to support district health development. .... Community-based work looking at ...
Water poverty and rural development: Evidence from South Africa
CSIR Research Space (South Africa)
Matshe, I
Full Text Available link between household water and economic poverty of rural households, with households' total monthly income used as an indicator of economic poverty. An adaptation of a comprehensive water poverty index, which considers water access, quality, use...
Using the integrated rural mobility and access (IRMA) approach in prospering rural South Africa
CSIR Research Space (South Africa)
Chakwizira, J
Full Text Available settlements implications of current rural development approaches are outlined. The potential and impact of the integrated rural mobility and access approach (IRMA) in unlocking socio-economic and spatial livelihood opportunities are discussed. In this regard...
Rural Finance and Microfinance Development in Transition Countries in Southeast and East Asia
Llanto, Gilberto M.; Fukui, Ryu
Microfinance is an emerging important financial subsector in Asian transition countries. Its role is to improve financial access of the poor and small economic players and thus help them to build assets, thereby contribute to poverty alleviation. This paper provides an overview of rural finance and microfinance development in transition countries in Southeast and East Asia—Cambodia, Lao PDR, Myanmar, Vietnam, and Mongolia—focusing on the institutional evolution and the inter-relation between ...
Harnessing the sun. The economics of solar photovoltaic electricity in East Africa
International Nuclear Information System (INIS)
Ondraczek, Janosch
In this thesis, I address four distinct - yet closely linked - research questions related to the adoption of solar energy technologies in East Africa, which will be summarized in the following section. Chapter 2 starts with an analysis of the history, status and prospects of solar energy markets in Kenya and Tanzania, and a comparison of both countries. Chapter 3 investigates the main determinants of solar home system (SHS) adoption in Kenya, and lighting fuel choices among Kenyan households. Chapter 4 examines the cost of (and potential for) large-scale, grid-connected solar PV adoption in Kenya, and Chapter 5 looks at the influence of financing costs on the economics of solar PV on a global level. With my research I therefore contribute to the policy debate surrounding the African energy challenge by looking at two countries in particular, namely Kenya and Tanzania. I have chosen this geographic focus deliberately, as both countries - while well-endowed with sunshine - at present use only very little solar energy. Thus, while the practical focus on East Africa in three of the four chapters implies that the wider African energy challenge is not tackled head on, many of the findings and conclusions from the study of Kenya and Tanzania are in my view transferable to other countries in Africa, and probably even beyond that continent. In conducting research on the solar energy markets of East Africa over the past five years (2009-2014) I have certainly learnt that this continent does not offer the easiest research environment, and a clear focus on a small set of countries and only one renewable energy technology has been very important. Rigorous, high-quality research requires good information, such as data and statistics, as well as appropriate methods; and while the latter are in good supply, the former are painfully lacking for many aspects of life in East Africa. This poses a major challenge for (quantitative) research and has greatly impacted what I could and
Harnessing the sun. The economics of solar photovoltaic electricity in East Africa
Energy Technology Data Exchange (ETDEWEB)
Ondraczek, Janosch
In this thesis, I address four distinct - yet closely linked - research questions related to the adoption of solar energy technologies in East Africa, which will be summarized in the following section. Chapter 2 starts with an analysis of the history, status and prospects of solar energy markets in Kenya and Tanzania, and a comparison of both countries. Chapter 3 investigates the main determinants of solar home system (SHS) adoption in Kenya, and lighting fuel choices among Kenyan households. Chapter 4 examines the cost of (and potential for) large-scale, grid-connected solar PV adoption in Kenya, and Chapter 5 looks at the influence of financing costs on the economics of solar PV on a global level. With my research I therefore contribute to the policy debate surrounding the African energy challenge by looking at two countries in particular, namely Kenya and Tanzania. I have chosen this geographic focus deliberately, as both countries - while well-endowed with sunshine - at present use only very little solar energy. Thus, while the practical focus on East Africa in three of the four chapters implies that the wider African energy challenge is not tackled head on, many of the findings and conclusions from the study of Kenya and Tanzania are in my view transferable to other countries in Africa, and probably even beyond that continent. In conducting research on the solar energy markets of East Africa over the past five years (2009-2014) I have certainly learnt that this continent does not offer the easiest research environment, and a clear focus on a small set of countries and only one renewable energy technology has been very important. Rigorous, high-quality research requires good information, such as data and statistics, as well as appropriate methods; and while the latter are in good supply, the former are painfully lacking for many aspects of life in East Africa. This poses a major challenge for (quantitative) research and has greatly impacted what I could and
Simultaneous Inversion of Receiver Functions, Multi-Mode Dispersion, and Travel-Time Tomography for Lithospheric Structure Beneath the Middle East and North Africa
National Research Council Canada - National Science Library
Ammon, Charles J; Kosarian, Minoo; Hermann, Robert B
.... Towards this goal, we perform receiver function analysis using teleseismic waveforms recorded at permanent and temporary broadband seismic stations located in Middle East, Europe, Asia, and North Africa...
Rural-urban migration in a developing country: Botswana, Africa.
Tarver, J D; Miller, H M
Trends in internal migration in Botswana are analyzed, with a focus on rural-urban migration. Data are from the 1981 census and from a survey carried out in 1979. The authors note that even though the predominance of subsistence agriculture acts as a deterrent to rural-urban migration, it is probable that the total and percentage of people living in urban areas will increase. However, the magnitude and pattern of future migration will fluctuate over time as social and economic conditions change.
Mosaic maternal ancestry in the Great Lakes region of East Africa.
Gomes, Verónica; Pala, Maria; Salas, Antonio; Álvarez-Iglesias, Vanesa; Amorim, António; Gómez-Carballa, Alberto; Carracedo, Ángel; Clarke, Douglas J; Hill, Catherine; Mormina, Maru; Shaw, Marie-Anne; Dunne, David W; Pereira, Rui; Pereira, Vânia; Prata, Maria João; Sánchez-Diz, Paula; Rito, Teresa; Soares, Pedro; Gusmão, Leonor; Richards, Martin B
The Great Lakes lie within a region of East Africa with very high human genetic diversity, home of many ethno-linguistic groups usually assumed to be the product of a small number of major dispersals. However, our knowledge of these dispersals relies primarily on the inferences of historical, linguistics and oral traditions, with attempts to match up the archaeological evidence where possible. This is an obvious area to which archaeogenetics can contribute, yet Uganda, at the heart of these developments, has not been studied for mitochondrial DNA (mtDNA) variation. Here, we compare mtDNA lineages at this putative genetic crossroads across 409 representatives of the major language groups: Bantu speakers and Eastern and Western Nilotic speakers. We show that Uganda harbours one of the highest mtDNA diversities within and between linguistic groups, with the various groups significantly differentiated from each other. Despite an inferred linguistic origin in South Sudan, the data from the two Nilotic-speaking groups point to a much more complex history, involving not only possible dispersals from Sudan and the Horn but also large-scale assimilation of autochthonous lineages within East Africa and even Uganda itself. The Eastern Nilotic group also carries signals characteristic of West-Central Africa, primarily due to Bantu influence, whereas a much stronger signal in the Western Nilotic group suggests direct West-Central African ancestry. Bantu speakers share lineages with both Nilotic groups, and also harbour East African lineages not found in Western Nilotic speakers, likely due to assimilating indigenous populations since arriving in the region ~3000 years ago.
Rural electrification in Sub Saharan Africa in a context of fluctuating oil-prices
DEFF Research Database (Denmark)
Nygaard, Ivan; Bindner, Henrik W.; Katic, Ivan
matured and markets have gradually developed, PV for rural electrification has often been perceived with scepticism from potential users, donors, government officials and researchers, and solar PV has in many camps been labelled as donor driven, expensive and fragile technology mainly serving the richest......Solar PV is one among other low carbon technologies for rural electrification in Sub Saharan Africa (SSA). Solar PV systems have for almost 30 years been disseminated in SSA, resulting in more than half a million installations concentrated in a few countries. While PV systems have technically...... grid rural electrification schemes based on hybrid solar PVdiesel generators. This may bring PV systems in line with fossil fuel based systems in terms of consumer cost and options for productive use and it changes the market for PV from mainly donor supported schemes into mainstream rural...
Community-based carbon sequestration in East Africa: Linking science and sustainability
Hultman, N. E.
International agreements on climate change have set the stage for an expanding market for greenhouse gas emissions reduction credits. Projects that can generate credits for trading are diverse, but one of the more controversial types involve biological carbon sequestration. For several reasons, most of the activity on these "sinks" projects has been in Latin America and Southeast Asia. Yet people in sub-saharan Africa could benefit from properly implemented projects. This poster will discuss estimates of the potential and risks of such projects in East Africa, and will describe in detail a case study located in central Tanzania and now part of the World Bank's BioCarbon Fund portfolio. Understanding climate variability and risk can effectively link international agreements on climate change, local realities of individual projects, and the characteristics of targeted ecosystems.
How boys become dogs: stigmatization and marginalization of uninitiated xhosa males in East London, South Africa.
Mavundla, Thandisizwe R; Netswera, Fulufhelo G; Toth, Ferenc; Bottoman, Brian; Tenge, Stembele
Male circumcision is practiced in South Africa among the Xhosa people as a rite of passage from boyhood to manhood. The manhood status achieved after the ritual accords men power and authority in the community over women and uncircumcised men. Therefore, uninitiated men experience great pressures to get circumcised. We describe the experience of newly initiated Xhosa men in East London, South Africa. Interpretive phenomenology was used as the inquiry of choice. Data were collected through focus group discussions in which 14 men participated. The theme of marginalization of uninitiated Xhosa males emerged with two categories: (a) rejection, and (b) lack of respect. The participants revealed that uninitiated men are rejected by the community, their own families, friends, and women. We frame the discussion around the concept of stigma. Acknowledging that uninitiated males are stigmatized can help mitigate stigma, and in turn, the incidence of medical complications from botched circumcisions.
A Narrative Inquiry into Rural School Leadership in South Africa
Smit, Brigitte
This article attends to rural school leadership in two South African schools through the lens of the concepts of relational leadership and emotional labour. The inquiry draws on five years of guided conversations and observations that speak to leadership experiences of hope and anticipation as well as despair and disillusionment. I worked with one…
Energy saving scheme for internet provision in rural africa: LESS
CSIR Research Space (South Africa)
Masonta, MT
Full Text Available dream. In today's digital age, the lack of internet access to the rural communities will disadvantage poor communities to keep up with the global developments. It has been reported that lack of sustainable and reliable electricity coupled with poverty...
Social justice and rural education in South Africa | Hlalele ...
African Journals Online (AJOL)
This paper, grounded in a distributive paradigm that views social justice as a proper distribution of social benefits and burdens among members of society, traverses the positive and negative features of rural education related to social justice. It concedes that difference is an inherent, inevitable and indispensable feature of ...
Agricultural nematology in East and Southern Africa: problems, management strategies and stakeholder linkages.
Talwana, Herbert; Sibanda, Zibusiso; Wanjohi, Waceke; Kimenju, Wangai; Luambano-Nyoni, Nessie; Massawe, Cornel; Manzanilla-López, Rosa H; Davies, Keith G; Hunt, David J; Sikora, Richard A; Coyne, Danny L; Gowen, Simon R; Kerry, Brian R
By 2050, Africa's population is projected to exceed 2 billion. Africa will have to increase food production more than 50% in the coming 50 years to meet the nutritional requirements of its growing population. Nowhere is the need to increase agricultural productivity more pertinent than in much of Sub-Saharan Africa, where it is currently static or declining. Optimal pest management will be essential, because intensification of any system creates heightened selection pressures for pests. Plant-parasitic nematodes and their damage potential are intertwined with intensified systems and can be an indicator of unsustainable practices. As soil pests, nematodes are commonly overlooked or misdiagnosed, particularly where appropriate expertise and knowledge transfer systems are meager or inadequately funded. Nematode damage to roots results in less efficient root systems that are less able to access nutrients and water, which can produce symptoms typical of water or nutrient deficiency, leading to misdiagnosis of the underlying cause. Damage in subsistence agriculture is exacerbated by growing crops on degraded soils and in areas of low water retention where strong root growth is vital. This review focuses on the current knowledge of economically important nematode pests affecting key crops, nematode control methods and the research and development needs for sustainable management, stakeholder involvement and capacity building in the context of crop security in East and Southern Africa, especially Kenya, Tanzania, Uganda and Zimbabwe. © 2015 Society of Chemical Industry.
Challenges of Agro-Food Standards Conformity: Lessons from East Africa and Policy Implications
DEFF Research Database (Denmark)
Bolwig, Simon; Riisgaard, Lone; Gibbon, Peter
Standards are used to govern an increasing share of global food trade, and have been interpreted by academics both as market access barriers and opportunities for low-income country producers, exporters and workers. Donors have mostly chosen to treat them as opportunities and today finance...... of a research programme on standards conformity in East Africa. These demonstrate that most interventions underestimate the nature of the challenges faced and that significant impacts are achieved only under rather restricted conditions. The solutions lay not only in more selective support to standard...... development and better-informed interventions, but also to focus more squarely on supply capacity and welfare outcomes in project planning....
Technology, Political Economy, and Economic Development in the Middle East and North Africa
DEFF Research Database (Denmark)
Brach, Juliane
Comparing the pace and extent of economic development across the developing regions yields that Arab countries have displaced a weak economic performance over the past 20 years, despite their favorable geo-strategic location and a high density of national and international structural adjustment...... efforts. Using cross-country regressions, this paper identifies two binding constraints to economic development in the Arab countries of the Middle East and North Africa (MENA): 1) Most countries are not able to apply or adopt existing technologies efficiently and 2) The economically inefficient...
Physical, psychological, sexual, and systemic abuse of children with disabilities in East Africa: Mapping the evidence.
Winters, Niall; Langer, Laurenz; Geniets, Anne
Children with disabilities (CWDs) are at a higher risk of being maltreated than are typical children. The evidence base on the abuse of children with disabilities living in low- and middle-income countries is extremely limited but the problem is particularly acute in East Africa. We don't know the types of evidence that exist on this topic. This problem is compounded by the fact that key indicators of disability, such as reliable prevalence rates, are not available currently. This paper addresses this serious problem by mapping the existing evidence-base to document the coverage, patterns, and gaps in existing research on the abuse of children with disabilities in East Africa. An evidence map, following systematic review guidelines, was conducted and included a systematic search, transparent and structured data extraction, and critical appraisal. Health and social science databases (Medline, EMBASE, PsychInfo, Taylor&Francis, Web of Science, and SAGE) were systematically searched for relevant studies. A substantive grey literature search was also conducted. All empirical research on the abuse of CWDs in East Africa was eligible for inclusion: Data on abuse was systematically extracted and the research evidence, following critical appraisal, mapped according to the type of abuse and disability condition, highlighting gaps and patterns in the evidence-base. 6005 studies were identified and screened, of which 177 received a full-text assessment. Of these, 41 studies matched the inclusion criteria. By mapping the available data and reports and systematically assessing their trustworthiness and relevance, we highlight significant gaps in the available evidence base. Clear patterns emerge that show a major data gap and lack of research on sexual abuse of children with disabilities and an identifiable lack of methodological quality in many relevant studies. These make the development of a concerted and targeted research effort to tackle the abuse of children with
Physical, psychological, sexual, and systemic abuse of children with disabilities in East Africa: Mapping the evidence.
Directory of Open Access Journals (Sweden)
Niall Winters
Full Text Available Children with disabilities (CWDs are at a higher risk of being maltreated than are typical children. The evidence base on the abuse of children with disabilities living in low- and middle-income countries is extremely limited but the problem is particularly acute in East Africa. We don't know the types of evidence that exist on this topic. This problem is compounded by the fact that key indicators of disability, such as reliable prevalence rates, are not available currently. This paper addresses this serious problem by mapping the existing evidence-base to document the coverage, patterns, and gaps in existing research on the abuse of children with disabilities in East Africa. An evidence map, following systematic review guidelines, was conducted and included a systematic search, transparent and structured data extraction, and critical appraisal. Health and social science databases (Medline, EMBASE, PsychInfo, Taylor&Francis, Web of Science, and SAGE were systematically searched for relevant studies. A substantive grey literature search was also conducted. All empirical research on the abuse of CWDs in East Africa was eligible for inclusion: Data on abuse was systematically extracted and the research evidence, following critical appraisal, mapped according to the type of abuse and disability condition, highlighting gaps and patterns in the evidence-base. 6005 studies were identified and screened, of which 177 received a full-text assessment. Of these, 41 studies matched the inclusion criteria. By mapping the available data and reports and systematically assessing their trustworthiness and relevance, we highlight significant gaps in the available evidence base. Clear patterns emerge that show a major data gap and lack of research on sexual abuse of children with disabilities and an identifiable lack of methodological quality in many relevant studies. These make the development of a concerted and targeted research effort to tackle the abuse of
The role of computers in developing countries with reference to East Africa
International Nuclear Information System (INIS)
Shayo, L.K.
The role of computers in economic and technological development is examined with particular reference to developing countries. It is stressed that these countries must exploit the potential of computers in their strive to catch-up in the development race. The shortage of qualified EDP personnel is singled out as one of the most critical factors in any unsatisfactory state of computer applications. A computerization policy based on the demands for information by the sophistication of the development process, and supported by a sufficient core of qualified local manpower, is recommended. The situation in East Africa is discussed and recommendations for training and production of telematics equipment are made. (author)
Honor killings in the Middle East and North Africa: a systematic review of the literature.
Kulczycki, Andrzej; Windle, Sarah
A systematic review of the research literature on honor killings in the Middle East and North Africa (MENA) indicates a paucity of studies relative to the presumed magnitude of the problem. Forty articles were reviewed and critically appraised, of which only 9 contained primary data and 11 presented original secondary analyses. Despite a recent increase in published studies, persistent methodological limitations restrict the generalizability of findings. Most studies focus on legal aspects, determinants, and characteristics of victims and perpetrators. Victims are mostly young females murdered by their male kin. Unambiguous evidence of a decline in tolerance of honor killings remains elusive.
A biocultural framework for examining maternal cravings and aversions among pastoral women in east Africa.
Young, Alyson G; Pike, Ivy L
Food preferences during pregnancy result from a complex set of biocultural interactions with important implications for maternal and child health. This article explores the social context of maternal food choice in marginal environments of East Africa. Biocultural data collected among Turkana and Datoga women living in Kenya and Tanzania indicate there is a significant social context to food choice that influences the types of food that women report craving and the food that is consumed. Our framework argues for a deeper understanding of how culture shapes food preferences and how marginalization can constrain access to favored and healthy foods.
Integrating indigenous knowledge systems (IKS) in improving rural accessibility and mobility (in support of the comprehensive rural development programme in South Africa)
CSIR Research Space (South Africa)
Nhemachena, C
Full Text Available INDIGENOUS KNOWLEDGE SYSTEMS (IKS) IN IMPROVING RURAL ACCESSIBILITY AND MOBILITY (IN SUPPORT OF THE COMPREHENSIVE RURAL DEVELOPMENT PROGRAMME IN SOUTH AFRICA) CHARLES NHEMACHENA1, JAMES CHAKWIZIRA2, SIPHO DUBE1, GOODHOPE MAPONYA1, REMINA RASHOPOLA3... of Environmental Sciences, Private Bag X5050, Thohoyandou, 0950 3 Department of Rural Development and Land Reform, PO Box X833, Pretoria 0001 ABSTRACT This study discusses opportunities and challenges for integrating local knowledge in improving...
Cervical cancer screening in rural South Africa among HIV-infected migrant farm workers and sex workers
Directory of Open Access Journals (Sweden)
Omara Afzal
We demonstrate successful integration of cervical cancer screening using VIA for HIV+ farm workers and sex workers into an existing HIV treatment and prevention clinic in rural South Africa, addressing and treating abnormal results promptly.
Research on Employment in the Rural Nonfarm Sector in Africa. African Rural Employment Paper No. 5.
Liedholm, Carl
Within the context of the role of rural employment in overall economic development, the objectives were to summarize existing knowledge of the rural African nonfarm sector and to develop an analytical framework for examing utilization of labor in this sector, using a descriptive profile, a theoretical model, and a research approach to rural…
Seeds of revolt. Intergenerational relationships in rural KwaZulu, South Africa
Directory of Open Access Journals (Sweden)
Alex Vailati
Full Text Available AbstractThe social role of youth, in the last twenty years, has become a key point of the political agenda of many African nations. In South Africa, the consequences of segregationist politics, market economy and migrations have profoundly shaped the social and cultural role of youth, both in urban and rural contexts. Moreover, the end of apartheid has opened a new period of wide transformation. Based on my ethnographic research in KwaMashabane, a rural region of South Africa, this article analyses how the social role of male youth is shaped by national state policy and by local dynamics. I will focus on the relationship between models of adulthood, and the strategies that youth adopt to cope with conflicts and continuities. This analysis will show how post-apartheid freedom and the constraints of the local social structure are negotiated, and how society is coping with the complex relationships between cultural reproduction and social change.
What keeps health professionals working in rural district hospitals in South Africa?
Directory of Open Access Journals (Sweden)
Louis S. Jenkins
Full Text Available Background: The theme of the 2014 Southern African Rural Health Conference was 'Building resilience in facing rural realities'. Retaining health professionals in South Africa is critical for sustainable health services. Only 12% of doctors and 19% of nurses have been retained in the rural areas. The aim of the workshop was to understand from health practitioners why they continued working in their rural settings. Conference workshop: The workshop consisted of 29 doctors, managers, academic family physicians, nurses and clinical associates from Southern Africa, with work experience from three weeks to 13 years, often in deep rural districts. Using the nominal group technique, the following question was explored, 'What is it that keeps you going to work every day?' Participants reflected on their work situation and listed and rated the important reasons for continuing to work. Results: Five main themes emerged. A shared purpose, emanating from a deep sense of meaning, was the strongest reason for staying and working in a rural setting. Working in a team was second most important, with teamwork being related to attitudes and relationships, support from visiting specialists and opportunities to implement individual clinical skills. A culture of support was third, followed by opportunities for growth and continuing professional development, including teaching by outreaching specialists. The fifth theme was a healthy work-life balance. Conclusion: Health practitioners continue to work in rural settings for often deeper reasons relating to a sense of meaning, being part of a team that closely relate to each other and feeling supported.
Summary of the East Africa Training Consortium Biorisk Management Practices and Training Needs Survey
Energy Technology Data Exchange (ETDEWEB)
Wilder, Julie; Mancini, Giulio M.; Wakabi, Timothy; Boggs, Susan E.
A survey was designed to query former Biorisk management (BRM) trainees in the East Africa region about their practices post-training and their perceived future training needs. A subset of those surveyed had been trained as BRM trainers. The survey was conducted to obtain a baseline of BRM practices that can serve as a benchmark for performance monitoring, to identify priorities for future BRM training and to gauge local BRM trainers' abilities to deliver effective training. The survey revealed that less than 50% of the respondents could identify evidence of a BRM system in their institute. Coaching and mentoring by BRM experts was identified as being of highest benefit to enable success as BRM practitioners. Local trainers reached 1538 trainees in the previous year and reported that trainings positively correlated with desired BRM behavior. Acknowledgements The authors wish to sincerely thank all of the former biorisk management trainees in East Africa who agreed to participate in this survey. Their candid and honest input was extremely insightful. We also thank Lora Grainger (06826) and Ben Brodsky (Manager, 06824) for careful and critical review of the report. We are grateful for the financial support of the Defense Threat Reduction Agency, Cooperative Biological Engagement Program.
Cases of human brucellosis in Sweden linked to Middle East and Africa.
Garofolo, Giuliano; Fasanella, Antonio; Di Giannatale, Elisabetta; Platone, Ilenia; Sacchini, Lorena; Persiani, Tiziana; Boskani, Talar; Rizzardi, Kristina; Wahab, Tara
Human brucellosis cases are still reported each year in Sweden despite eradication of the disease in animals. Epidemiological investigation has never been conducted to trace back the source of human infection in the country. The purpose of the study was to identify the source of infection for 16 human brucellosis cases that occurred in Sweden, during the period 2008-2012. The isolates were identified as Brucella melitensis and MLVA-16 genotyping revealed 14 different genotypes of East Mediterranean and Africa lineages. We also reported one case of laboratory-acquired brucellosis (LAB) that was shown to be epidemiological linked to one of the cases in the current study. Brucella melitensis was the only species diagnosed, confirming its highest zoonotic potential in the genus Brucella, and MLVA-16 results demonstrated that the cases of brucellosis in Sweden herein investigated, are imported and linked to travel in the Middle East and Africa. Due to its zoonotic concerns, any acute febrile illness linked to recent travel within those regions should be investigated for brucellosis and samples should be processed according to biosafety level 3 regulations.
Urban-Rural Literacy Gaps in Sub-Saharan Africa: The Roles of Socioeconomic Status and School Quality
Zhang, Yanhong
In this article, the author documents the learning disadvantage of rural primary school students in sub-Saharan Africa and attempts to identify the factors underlying such disadvantages. Analyzing data from 14 school systems participating in the second study of the Southern and Western Africa Consortium for Monitoring Educational Quality (SACMEQ…
A qualitative study of the challenges of providing pre-prosthetic rehabilitation in rural South Africa.
Ennion, Liezel; Johannesson, Anton
There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. To explore therapists' experiences with providing pre-prosthetic rehabilitation in a rural setting. A qualitative descriptive approach was used to collect and analyse data. Data were collected from 17 purposively sampled therapists in five district hospitals in a rural community in South Africa. Data were collected in two rounds of focus groups to explore the challenges of providing pre-prosthetic rehabilitation in rural South Africa. The main themes identified in the study were (1) a lack of government health system support, (2) poor socioeconomic circumstances of patients and (3) cultural factors that influence rehabilitation. These themes all negatively influence the therapists' ability to follow up patients for pre-prosthetic rehabilitation after discharge from hospital. A lack of adequate pre-prosthetic rehabilitation is a substantial barrier to prosthetic fitting in rural South Africa. Patients who do not receive pre-prosthetic rehabilitation have a poorly shaped residuum or other complications such as knee or hip joint contractures which disqualifies them from being referred to prosthetic services. Therapists involved in this study identified the most important barriers to patients having access to prosthetic services. Clinical relevance Pre-prosthetic rehabilitation provides care of the residuum; maintenance or improvement of physical strength, joint range of motion and referral to a prosthetist. By exploring the challenges known to exist in this service, we can identify potential ways to reduce these barriers and improve the lives of those who use it.
Vibrio Pathogens: A Public Health Concern in Rural Water Resources in Sub-Saharan Africa
Directory of Open Access Journals (Sweden)
Charles A. Osunla
Full Text Available Members of the Vibrio genus are autochthonous inhabitants of aquatic environments and play vital roles in sustaining the aquatic milieu. The genus comprises about 100 species, which are mostly of marine or freshwater origin, and their classification is frequently updated due to the continuous discovery of novel species. The main route of transmission of Vibrio pathogens to man is through drinking of contaminated water and consumption inadequately cooked aquatic food products. In sub-Saharan Africa and much of the developing world, some rural dwellers use freshwater resources such as rivers for domestic activities, bathing, and cultural and religious purposes. This review describes the impact of inadequately treated sewage effluents on the receiving freshwater resources and the associated risk to the rural dwellers that depends on the water. Vibrio infections remain a threat to public health. In the last decade, Vibrio disease outbreaks have created alertness on the personal, economic, and public health uncertainties associated with the impact of contaminated water in the aquatic environment of sub-Saharan Africa. In this review, we carried out an overview of Vibrio pathogens in rural water resources in Sub-Saharan Africa and the implication of Vibrio pathogens on public health. Continuous monitoring of Vibrio pathogens among environmental freshwater and treated effluents is expected to help reduce the risk associated with the early detection of sources of infection, and also aid our understanding of the natural ecology and evolution of Vibrio pathogens.
Vibrio Pathogens: A Public Health Concern in Rural Water Resources in Sub-Saharan Africa.
Osunla, Charles A; Okoh, Anthony I
Members of the Vibrio genus are autochthonous inhabitants of aquatic environments and play vital roles in sustaining the aquatic milieu. The genus comprises about 100 species, which are mostly of marine or freshwater origin, and their classification is frequently updated due to the continuous discovery of novel species. The main route of transmission of Vibrio pathogens to man is through drinking of contaminated water and consumption inadequately cooked aquatic food products. In sub-Saharan Africa and much of the developing world, some rural dwellers use freshwater resources such as rivers for domestic activities, bathing, and cultural and religious purposes. This review describes the impact of inadequately treated sewage effluents on the receiving freshwater resources and the associated risk to the rural dwellers that depends on the water. Vibrio infections remain a threat to public health. In the last decade, Vibrio disease outbreaks have created alertness on the personal, economic, and public health uncertainties associated with the impact of contaminated water in the aquatic environment of sub-Saharan Africa. In this review, we carried out an overview of Vibrio pathogens in rural water resources in Sub-Saharan Africa and the implication of Vibrio pathogens on public health. Continuous monitoring of Vibrio pathogens among environmental freshwater and treated effluents is expected to help reduce the risk associated with the early detection of sources of infection, and also aid our understanding of the natural ecology and evolution of Vibrio pathogens.
Vibrio Pathogens: A Public Health Concern in Rural Water Resources in Sub-Saharan Africa
Osunla, Charles A.
Members of the Vibrio genus are autochthonous inhabitants of aquatic environments and play vital roles in sustaining the aquatic milieu. The genus comprises about 100 species, which are mostly of marine or freshwater origin, and their classification is frequently updated due to the continuous discovery of novel species. The main route of transmission of Vibrio pathogens to man is through drinking of contaminated water and consumption inadequately cooked aquatic food products. In sub-Saharan Africa and much of the developing world, some rural dwellers use freshwater resources such as rivers for domestic activities, bathing, and cultural and religious purposes. This review describes the impact of inadequately treated sewage effluents on the receiving freshwater resources and the associated risk to the rural dwellers that depends on the water. Vibrio infections remain a threat to public health. In the last decade, Vibrio disease outbreaks have created alertness on the personal, economic, and public health uncertainties associated with the impact of contaminated water in the aquatic environment of sub-Saharan Africa. In this review, we carried out an overview of Vibrio pathogens in rural water resources in Sub-Saharan Africa and the implication of Vibrio pathogens on public health. Continuous monitoring of Vibrio pathogens among environmental freshwater and treated effluents is expected to help reduce the risk associated with the early detection of sources of infection, and also aid our understanding of the natural ecology and evolution of Vibrio pathogens. PMID:28991153
Oral Health Inequalities between Rural and Urban Populations of the African and Middle East Region.
Ogunbodede, E O; Kida, I A; Madjapa, H S; Amedari, M; Ehizele, A; Mutave, R; Sodipo, B; Temilola, S; Okoye, L
Although there have been major improvements in oral health, with remarkable advances in the prevention and management of oral diseases, globally, inequalities persist between urban and rural communities. These inequalities exist in the distribution of oral health services, accessibility, utilization, treatment outcomes, oral health knowledge and practices, health insurance coverage, oral health-related quality of life, and prevalence of oral diseases, among others. People living in rural areas are likely to be poorer, be less health literate, have more caries, have fewer teeth, have no health insurance coverage, and have less money to spend on dental care than persons living in urban areas. Rural areas are often associated with lower education levels, which in turn have been found to be related to lower levels of health literacy and poor use of health care services. These factors have an impact on oral health care, service delivery, and research. Hence, unmet dental care remains one of the most urgent health care needs in these communities. We highlight some of the conceptual issues relating to urban-rural inequalities in oral health, especially in the African and Middle East Region (AMER). Actions to reduce oral health inequalities and ameliorate rural-urban disparity are necessary both within the health sector and the wider policy environment. Recommended actions include population-specific oral health promotion programs, measures aimed at increasing access to oral health services in rural areas, integration of oral health into existing primary health care services, and support for research aimed at informing policy on the social determinants of health. Concerted efforts must be made by all stakeholders (governments, health care workforce, organizations, and communities) to reduce disparities and improve oral health outcomes in underserved populations. © International & American Associations for Dental Research 2015.
Human myiasis in rural South Africa is under-reported.
Kuria, Simon Kamande; Kingu, H J C; Villet, M H; Dhaffala, A
Myiasis is the infestation of live tissue of humans and other vertebrates by larvae of flies. Worldwide, myiasis of humans is seldom reported, although the trend is gradually changing in some countries. Reports of human myiasis in Africa are few. Several cases of myiasis were recently seen at the Mthatha Hospital Complex, Mthatha, Eastern Cape Province, South Africa (SA). Because of a paucity of literature on myiasis from this region, surgeons and scientists from Walter Sisulu University, Mthatha, decided to document myiasis cases presenting either at Nelson Mandela Academic Hospital or Umtata General Hospital from May 2009 to April 2013. The objective was to determine the incidence, epidemiology, patient age group and gender, and fly species involved. The effect of season on incidence was also investigated. Twenty-five cases (14 men and 11 women) were recorded in the 4-year study period. The fly species involved were Lucilia sericata, L. cuprina, Chrysomya megacephala, C. chloropyga and Sarcophaga (Liosarcophaga) nodosa, the latter being confirmed as an agent for human myiasis for the first time. The patients were 3 - 78 years old (median 56). Cases were most numerous during spring and summer, and were associated with underlying pathologies typical of ageing. Myiasis is a more common medical condition than expected in the Mthatha region. The study shows that human myiasis is still frequently encountered in SA, and there is a need to understand its epidemiology better.
Prevalence and Severity of Oral Diseases in the Africa and Middle East Region.
Abid, A; Maatouk, F; Berrezouga, L; Azodo, C; Uti, O; El-Shamy, H; Oginni, A
This review aims to determine the prevalence and severity of oral health diseases in the Africa and Middle East region (AMER). The profile of oral diseases is not homogeneous across the AMER. There are large disparities between groups. Reliable data are scarce. The prevalence and severity of oral diseases appear to be increasing in the African region, as does associated morbidity. There are substantial differences in inequalities in oral health. Dental caries prevalence is less severe in most African countries than in developed countries, but the high rate of untreated caries reflects the limited resources available and difficulties of access and affordability to essential oral health care services. The prevalence of gingival inflammation is very high in all age groups in several African countries. The prevalence of maxillofacial trauma has increased in many countries, with a wide variation of the incidence and high prevalence of traumatic dental injuries in primary and permanent teeth. Orofacial clefts are among the most common birth defects. Annual incidence of oral cancer is estimated as 25 cases per 100,000 people in Africa. Noma is a major public health problem for the Middle East and North African (MENA) region. Data about human immunodeficiency virus/AIDS are limited, particularly in the MENA region. According to the World Health Organization Regional Committee for Africa report, some fundamental key basic knowledge gaps need to be underlined. They include inequalities in oral health, low priority for oral health, lack of adequate funding, inadequate dental student training, obstacles to medical and dental research, and poor databases. There are very few effective public prevention and oral health promotion programs in the AMER. Universal health coverage is not achievable without scientific research on the effectiveness of health promotion interventions. © International & American Associations for Dental Research 2015.
Reconstructing the origin and dispersal patterns of village chickens across East Africa: insights from autosomal markers.
Mwacharo, J M; Nomura, K; Hanada, H; Han, J L; Amano, T; Hanotte, O
Unravelling the genetic history of any livestock species is central to understanding the origin, development and expansion of agricultural societies and economies. Domestic village chickens are widespread in Africa. Their close association with, and reliance on, humans for long-range dispersal makes the species an important biological marker in tracking cultural and trading contacts between human societies and civilizations across time. Archaezoological and linguistic evidence suggest a complex history of arrival and dispersion of the species on the continent, with mitochondrial DNA (mtDNA) D-loop analysis revealing the presence of five distinct haplogroups in East African village chickens. It supports the importance of the region in understanding the history of the species and indirectly of human interactions. Here, through a detailed analysis of 30 autosomal microsatellite markers genotyped in 657 village chickens from four East African countries (Kenya, Uganda, Ethiopia and Sudan), we identify three distinct autosomal gene pools (I, II and III). Gene pool I is predominantly found in Ethiopia and Sudan, while II and III occur in both Kenya and Uganda. A gradient of admixture for gene pools II and III between the Kenyan coast and Uganda's hinterland (P = 0.001) is observed, while gene pool I is clearly separated from the other two. We propose that these three gene pools represent genetic signatures of separate events in the history of the continent that relate to the arrival and dispersal of village chickens and humans across the region. Our results provide new insights on the history of chicken husbandry which has been shaped by terrestrial and maritime contacts between ancient and modern civilizations in Asia and East Africa. © 2013 Blackwell Publishing Ltd.
Measurement and evaluation of digital cervicography programs in two cervical cancer screening camps in East Africa
Peterson, Curtis W.; Mink, Jonah; Levitz, David
Cervical cancer disproportionately affects women living in low- and middle-income countries. To address this global crisis, many governments and NGOs have implemented community-based screening and treatment programs at outreach camps. Here, high volumes of patients are able to access care: screening and diagnosis followed by immediate treatment of precancerous lesions onsite. However, monitoring and evaluation (M&E) of these efforts presents challenges, since each event typically relies on a different health workforce, and refers patients to different facilities for follow up and advanced care. To address these challenges, a digital imaging intervention was deployed at several screening camps in East Africa. Trained nurses screened women using a connected low-cost mobile colposcope built around a smartphone. A decision support job aid was integrated into the app controlling the device, guiding nurses and recording their diagnosis and treatment decisions. Aggregating the data from the job aid allowed M&E of the screening camp in real-time. In this paper, the M&E data from 2 different screening camps in East Africa are compared. Additionally, screening camps are compared to stationary clinics. Differences in the patient screening times, treatment rates, and individual nurse statistics were all documented through the job aid allowing for much improved epidemiological information following outreach events thus enabling targeted program improvements and provider training. Reporting data from screening camps were also shared online via public web pages, facilitating broader dissemination of health needs in specific East African communities, and sparking conversations with regional stakeholders about local disease burden.
Complete sequence and diversity of a maize-associated Polerovirus in East Africa.
Massawe, Deogracious P; Stewart, Lucy R; Kamatenesi, Jovia; Asiimwe, Theodore; Redinbaugh, Margaret G
Since 2011-2012, Maize lethal necrosis (MLN) has emerged in East Africa, causing massive yield loss and propelling research to identify viruses and virus populations present in maize. As expected, next generation sequencing (NGS) has revealed diverse and abundant viruses from the family Potyviridae, primarily sugarcane mosaic virus (SCMV), and maize chlorotic mottle virus (MCMV) (Tombusviridae), which are known to cause MLN by synergistic co-infection. In addition to these expected viruses, we identified a virus in the genus Polerovirus (family Luteoviridae) in 104/172 samples selected for MLN or other potential virus symptoms from Kenya, Uganda, Rwanda, and Tanzania. This polerovirus (MF974579) nucleotide sequence is 97% identical to maize-associated viruses recently reported in China, termed 'maize yellow mosaic virus' (MaYMV) and maize yellow dwarf virus (MaYMV; KU291101, KU291107, MYDV-RMV2; KT992824); and 99% identical to MaYMV (KY684356) infecting sugarcane and itch grass in Nigeria; 83% identical to a barley-associated polerovirus recently identified in Korea (BVG; KT962089); and 79% identical to the U.S. maize-infecting polerovirus maize yellow dwarf virus (MYDV-RMV; KT992824). Nucleotide sequences from ORF0 of 20 individual East African isolates collected from Kenya, Uganda, Rwanda, and Tanzania shared 98% or higher identity, and were detected in 104/172 (60.5%) of samples collected for virus-like symptoms, indicating extensive prevalence but limited diversity of this virus in East Africa. We refer to this virus as "MYDV-like polerovirus" until symptoms of the virus in maize are known.
Implementation of the principles of primary health care in a rural area of South Africa.
Visagie, Surona; Schneider, Marguerite
The philosophy of primary healthcare forms the basis of South Africa's health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas. The aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa. A descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis. Findings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, health worker attitudes, referral services and the management of complex conditions. The principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcare services and increasing the doctors' hours.
The economics of renewable energy expansion in rural Sub-Saharan Africa
International Nuclear Information System (INIS)
Deichmann, Uwe; Meisner, Craig; Murray, Siobhan; Wheeler, David
Accelerating development in Sub-Saharan Africa will require massive expansion of access to electricity-currently reaching only about one third of households. This paper explores how essential economic development might be reconciled with the need to keep carbon emissions in check. We develop a geographically explicit framework and use spatial modeling and cost estimates from recent engineering studies to determine where stand-alone renewable energy generation is a cost effective alternative to centralized grid supply. Our results suggest that decentralized renewable energy will likely play an important role in expanding rural energy access. However, it will be the lowest cost option for a minority of households in Africa, even when likely cost reductions over the next 20 years are considered. Decentralized renewables are competitive mostly in remote and rural areas, while grid connected supply dominates denser areas where the majority of households reside. These findings underscore the need to decarbonize the fuel mix for centralized power generation as it expands in Africa. - Research highlights: → Expansion of electricity access in Sub-Saharan Africa remains a development priority. → Low carbon options are important to reduce GHG emissions growth and avoid lock-ins. → Spatially explicit cost modeling guides choice of supply options. → Decentralized renewables are lowest cost for a significant minority of households. → Grid supply remains attractive, suggesting focus on decarbonizing centralized supply.
Assessing the Impacts of Rural Electrification in Sub-Saharan Africa: The Case of Ethiopia
Aragaw, Mekonnen Lulie
opportunities created through rural electrification. Though necessary for development, rural electrification alone is insufficient, and requires strong government commitment and political will to invest in public services and infrastructure, and encourage private sector participation. Keywords: rural electrification, modern energy services, Sub-Saharan Africa, Ethiopia, energy transition, Poverty Reduction, Rural Development.
Factors associated with mortality in HIV-infected people in rural and urban South Africa
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Kennedy N. Otwombe
Full Text Available Background: Factors associated with mortality in HIV-infected people in sub-Saharan Africa are widely reported. However rural–urban disparities and their association with all-cause mortality remain unclear. Furthermore, commonly used classical Cox regression ignores unmeasured variables and frailty. Objective: To incorporate frailty in assessing factors associated with mortality in HIV-infected people in rural and urban South Africa. Design: Using data from a prospective cohort following 6,690 HIV-infected participants from Soweto (urban and Mpumalanga (rural enrolled from 2003 to 2010; covariates of mortality were assessed by the integrated nested Laplace approximation method. Results: We enrolled 2,221 (33% rural and 4,469 (67% urban participants of whom 1,555 (70% and 3,480 (78% were females respectively. Median age (IQR was 36.4 (31.0–44.1 in rural and 32.7 (28.2–38.1 in the urban participants. The mortality rate per 100 person-years was 11 (9.7–12.5 and 4 (3.6–4.5 in the rural and urban participants, respectively. Compared to those not on HAART, rural participants had a reduced risk of mortality if on HAART for 6–12 (HR: 0.20, 95% CI: 0.10–0.39 and >12 months (HR: 0.10, 95% CI: 0.05–0.18. Relative to those not on HAART, urban participants had a lower risk if on HAART >12 months (HR: 0.35, 95% CI: 0.27–0.46.The frailty variance was significant and >1 in rural participants indicating more heterogeneity. Similarly it was significant but <1 in the urban participants indicating less heterogeneity. Conclusion: The frailty model findings suggest an elevated risk of mortality in rural participants relative to the urban participants potentially due to unmeasured variables that could be biological, socio–economic, or healthcare related. Use of robust methods that optimise data and account for unmeasured variables could be helpful in assessing the effect of unknown risk factors thus improving patient management and care in South
Rural education: Reimagining the role of the church in transforming poverty in South Africa
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Christo Thesnaar
Full Text Available The desire to remember the plight of the poor in South Africa has reduced in the last 20 years after the transition from apartheid to freedom. To a large extent, Faith Based Organizations (FBOs and the religious society at large have lost their 'dangerous memory' which keeps us mindful of those who suffered and whose plight is usually forgotten or suppressed. In this contribution the conditions of poor farm school children in multigrade rural education will be scrutinised by unpacking the contextual factors that cause us to forget their plight. This article will seek to reimagine the role of the church in poverty-stricken South Africa by engaging with the work of Talcott Parsons, the practical theologian Johannes A. Van der Ven, as well as the work of the political theologian Johann Baptist Metz in order to affirm the focus of Practical Theology to transform society and to contribute to the quest for justice and liberation for the poor in rural education. This reimagining discourse has a fundamental responsibility to challenge the social, political and economic realities that shape the lives of human beings within rural education, remembering the plight of the poor, and participating on their journey towards liberation and healing. It is proposed that if the church can activate its 'dangerous memory' it will be able to reimagine its role by transforming our poverty-stricken South African society, open new avenues for breaking the cycle of poverty and contribute to rural education.
The financial and economic feasibility of rural household biodigesters for poor communities in South Africa.
Smith, Michael T; Goebel, Jessica Schroenn; Blignaut, James N
Given the persistence of systemic poverty in, most notably, the rural parts of South Africa, the question is whether the use of biodigesters as a source of energy offers potential solutions to some of the difficulties and development needs faced by people in these areas. At the core, this translates into whether this technology would be financially and economically feasible for installation and use by rural households. Here we conduct both a financial and an economic cost-benefit analysis in one such community based on survey data from 120 households. Analysis of these data and supporting literature reveals that a biodigester is not a financially feasible investment for a rural household. Substantial economic benefits are, however, found to make a biodigester a worthwhile investment from a broader societal perspective. This is a compelling argument for further study and the consideration of government support in the light of broader economy-wide benefits. Copyright © 2013 Elsevier Ltd. All rights reserved.
Impact analysis of rural electrification projects in sub-Saharan Africa
International Nuclear Information System (INIS)
Bernard, Tanguy
The author reviews trends in rural electrification over the past 30 years in Sub-Saharan Africa. In particular, it is shown that motivations for rural electrification programs have evolved significantly over the years, following changes in development paradigms. The author finds, however, that knowledge of the impact of this has only marginally improved: low connection rates and weak productive utilization identified in the 1980's remain true today, and impacts on such dimensions as health, education, or income, though often used to justify projects, are largely undocumented. Indeed impact evaluations are methodologically challenging in the field of infrastructures and have been limited thus far. Nevertheless examples of recent or ongoing impact evaluations of rural electrification programs offer promising avenues for identifying both the effect of electricity per se and the relative effectiveness of approaches to promoting it
Deployment of community health workers across rural sub-Saharan Africa: financial considerations and operational assumptions.
McCord, Gordon C; Liu, Anne; Singh, Prabhjot
To provide cost guidance for developing a locally adaptable and nationally scalable community health worker (CHW) system within primary-health-care systems in sub-Saharan Africa. The yearly costs of training, equipping and deploying CHWs throughout rural sub-Saharan Africa were calculated using data from the literature and from the Millennium Villages Project. Model assumptions were such as to allow national governments to adapt the CHW subsystem to national needs and to deploy an average of 1 CHW per 650 rural inhabitants by 2015. The CHW subsystem described was costed by employing geographic information system (GIS) data on population, urban extents, national and subnational disease prevalence, and unit costs (from the field for wages and commodities). The model is easily replicable and configurable. Countries can adapt it to local prices, wages, population density and disease burdens in different geographic areas. The average annual cost of deploying CHWs to service the entire sub-Saharan African rural population by 2015 would be approximately 2.6 billion (i.e. 2600 million) United States dollars (US$). This sum, to be covered both by national governments and by donor partners, translates into US$ 6.86 per year per inhabitant covered by the CHW subsystem and into US$ 2.72 per year per inhabitant. Alternatively, it would take an annual average of US$ 3750 to train, equip and support each CHW. Comprehensive CHW subsystems can be deployed across sub-Saharan Africa at cost that is modest compared with the projected costs of the primary-health-care system. Given their documented successes, they offer a strong complement to facility-based care in rural African settings.
Mapping and quantification of organic agro-industrial residues in East Africa
Energy Technology Data Exchange (ETDEWEB)
Jungersen, G. [Dansk Teknologisk Inst. (Denmark); Kivaisi, A.; Rubindamayugi, M. [Univ. of Dar es Salaam (Tanzania, United Republic of)
The East-African agro-industries generate very large quantities of organic residues from production and processing of different crops. These residues form a major contribution to the pollution of air, soil and water ways, but, at the same time they constitute a large potential for production of bioenergy through anaerobic digestion as well as potential substrate for other biological fermentation processes. The utilization of these resources for production of valuable products would contribute significantly to: Improvement of the local energy supply, through production of bio-energy; Improvement of the economy of the East African agro-industry; Reduction of the environmental impact from the agro-industrial sector. Except for production of cane sugar, most agro-industrial residues are generated from cash crops, which are produced and processed in the developing countries and where the final products mainly are used for export. In the East-African Region the most important of these crops are: Sisal, coffee, Cashew nuts and Pineapple. In addition significant quantities of organic residues are generated from other food processing activities like breweries, consumption of bananas etc. The total potential methane production of the residues available for use in biomethanization systems in East Africa is 189.61 million m{sup 3} of methane per year. Converted to diesel oil equivalents and including the residues only feasible for combustion systems, the total bioenergy potential of agro-industrial residues in Eastern Africa is 279,176 TOE. If this potential was fully utilized for production of electricity, it would correspond to installed effects of 37,68 and 31 MW in Tanzania, Kenya and Uganda, respectively, equivalent to 10%, 11% and 18% of the currently installed effect is these countries. Residues from sisal and coffee processing constitute the main part of the bioenergy potential, on average approximately 75%, while the remaining 25% of the potential are formed by the
Preclinical antivenom-efficacy testing reveals potentially disturbing deficiencies of snakebite treatment capability in East Africa.
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Robert A Harrison
Full Text Available Antivenom is the treatment of choice for snakebite, which annually kills an estimated 32,000 people in sub-Saharan Africa and leaves approximately 100,000 survivors with permanent physical disabilities that exert a considerable socioeconomic burden. Over the past two decades, the high costs of the most polyspecifically-effective antivenoms have sequentially reduced demand, commercial manufacturing incentives and production volumes that have combined to create a continent-wide vacuum of effective snakebite therapy. This was quickly filled with new, less expensive antivenoms, many of which are of untested efficacy. Some of these successfully marketed antivenoms for Africa are inappropriately manufactured with venoms from non-African snakes and are dangerously ineffective. The uncertain efficacy of available antivenoms exacerbates the complexity of designing intervention measures to reduce the burden of snakebite in sub-Saharan Africa. The objective of this study was to preclinically determine the ability of antivenoms available in Kenya to neutralise the lethal effects of venoms from the most medically important snakes in East Africa.We collected venom samples from the most medically important snakes in East Africa and determined their toxicity in a mouse model. Using a 'gold standard' comparison protocol, we preclinically tested the comparative venom-neutralising efficacy of four antivenoms available in Kenya with two antivenoms of clinically-proven efficacy. To explain the variant efficacies of these antivenoms we tested the IgG-venom binding characteristics of each antivenom using in vitro IgG titre, avidity and venom-protein specificity assays. We also measured the IgG concentration of each antivenom.None of the six antivenoms are preclinically effective, at the doses tested, against all of the most medically important snakes of the region. The very limited snake polyspecific efficacy of two locally available antivenoms is of concern. In vitro
Disabled people in rural South Africa talk about sexuality.
McKenzie, Judith Anne
Disability is emerging as a human rights issue of public concern, rather than an individual tragedy requiring medical attention. The issue of sexuality remains relatively neglected in this agenda, particularly as regards the exploration of the complexities of sexuality encountered by disabled people themselves. This paper focuses on the experiences of sexuality of disabled people and parents of disabled children in settings of poverty in the Eastern Cape Province of South Africa. Three individual interviews and two focus groups were conducted with disabled adults and parents of disabled children. Thematic analysis of the interviews identified three principal themes (1) sexuality development in the family of origin, (2) sexuality in the community and (3) adult sexuality and creating families. Each of these larger themes encompasses various sub-themes that are discussed in the findings. The paper concludes that while sexuality is a very difficult aspect of life for a disabled person due to myths and discrimination against disabled people, it is also an important arena for affirmation and establishing self-worth. It is therefore critical to consider the development of a healthy sexuality amongst disabled people and the promotion of their sexual rights.
Molecular records of climate variability and vegetation response since the Late Pleistocene in the Lake Victoria basin, East Africa
Berke, M.A.; Johnson, T.C.; Werne, J.P.; Grice, K.; Schouten, S.; Sinninghe Damsté, J.S.
New molecular proxies of temperature and hydrology are helping to constrain tropical climate change and elucidate possible forcing mechanisms during the Holocene. Here, we examine a similar to 14,000 year record of climate variability from Lake Victoria, East Africa, the world's second largest
Trust and tolerance across the Middle East and North Africa: A comparative perspective on the impact of the Arab uprisings
Spierings, N.
The protests that swept the Arab Middle East and North Africa (MENA) are expected to have influenced two key civic attitudes fundamental to well-functioning democracies: trust and tolerance. However, systematic comparative assessments of the general patterns and particularities in this region are
A Human Economy: A "Third Way" for the Future of Young People in the Middle East and North Africa
Zaalouk, Malak
This paper looks at the vulnerability of today's youth worldwide, with a particular focus on the Middle East and North Africa (MENA), where the proportion of citizens aged 12-24 is particularly high at one-third of the total population. Cursed with poor education and few work opportunities, the youth unemployment rate has risen to 50 per cent in…
Exploring the strategies for households to adapt to climate-change in arid and semiarid East Africa
Ng'ang'a, Stanley K.
In this thesis I set out to investigate how households cope and adapt to climate change in the context of arid and semi-arid areas of East Africa. This research fits well in the wider literature on the relationship between climate change and variability and household responses in term of coping
Climate change impacts in the Middle East and Northern Africa (MENA) region and their implications for vulnerable population groups
Waha, Katharina; Krummenauer, Linda; Adams, Sophie; Aich, Valentin; Baarsch, Florent; Coumou, Dim; Fader, Marianela; Hoff, Holger; Jobbins, Guy; Marcus, Rachel; Mengel, Matthias; Otto, Ilona M.; Perrette, Mahé; Rocha, Marcia; Robinson, Alexander; Schleussner, Carl Friedrich
The Middle East and North Africa (MENA) region emerges as one of the hot spots for worsening extreme heat, drought and aridity conditions under climate change. A synthesis of peer-reviewed literature from 2010 to date and own modeling work on biophysical impacts of climate change on selected sectors
Gender and Transport in the Middle East and North Africa Region : Case Studies from the West Bank and Yemen
World Bank
Mobility is a major factor of access to economic resources, education, health, and other key elements influencing women's empowerment. In the Middle East and North Africa's countries, like in many other developing economies, women's mobility is constrained not only by the limited, sometimes unaffordable transport supply but also by social and cultural factors that frame women's access to t...
The internet and business process outsourcing in East Africa : value chains and connectivity-based enterprises in Kenya and Rwanda
Mann, L.E.; Graham, M.; Friederici, N.
Internet connectivity is widely considered to be a game changer for knowledge economies of developing countries. The arrival of submarine fibre-optic underwater cables in East Africa in 2009 and 2010 is seen by many as a strong case in point. The fast evolution of the information and communication
Climate change projections of precipitation and reference evapotranspiration for the Middle East and Northern Africa until 2050
Terink, W.; Immerzeel, W.W.; Droogers, P.
The Middle East and North Africa (MENA) region can be considered as the most water-scarce region of the world. The Intergovernmental Panel on Climate Change projects strong changes in climate across MENA, further exacerbating pressure on available water resources. The objective of this study is to
Africanity and research: A case study in rural South Africa
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Christina Landman
Full Text Available In the first part of this article, Africanity as a concept within research methodology is exploredin the dialogical spaces between the binaries of racial identity and group identity, indigenousand traditional values, post-colonialism and post-racialism, blackness and African, as well aseliminativist and conservationalist. In the second part, the research carried out in twotownships in the eMakhazeni Local Municipality in Mpumalanga, South Africa's most easternprovince, is described in terms of parameters and process. The townships involved areSakhelwe in Dullstroom-Emnotweni and Emthonjeni in Machadodorp-eNktokozweni. Theresearch focuses on interviews with young people between the ages of 18 and 24 on thepotential of faith-based organisations to assist them in moving from the 'margins' of society topositions of social cohesion. The third and main part of the article, is dedicated to lessonslearnt and experience acquired when research is carried out in a rural area from an Africanityperspective. This entails, inter alia (1 to be sensitive towards power relations in research; (2respecting indigenous values within group identities; (3 not predefining the youth, usingindigenous (and not European definitions of 'agency' and 'marginalisation'; (4 to engage inobservation rather than interpretation; and (5 to decolonise the research process whenregarding interpretation as an act of colonisation.
Reproductive Health of Women in Rural Areas of East Azerbaijan – Iran, before and after Implementation of rural Family Physician Program: an Ecologic Study
Alizadeh, Mahasti; Jabbari Birami, Hossein; Moradi, Siavash
Introduction: Implementation of rural family physician program in Iran in 2005 has been evaluated and shown that this program has been led to some improvements in health indicators. In this study, some reproductive health (RH) indicators were compared before and after implementation of this program in rural areas of East Azerbaijan, Iran. Methods: In this ecologic- time trend study, the data of 191075 births of rural women of East Azerbaijan from 2001 to 2010 was extracted from vital horoscope (ZIJ) and used for calculation of 20 important RH indicators. The paired t-test and correlation analysis wear used for data analysis. Results: Some indicators such as adolescent marriage rate, adolescent birth and over 35 year olds birth rate were increased after rural family physician program implementation in 2005. Also stillbirth rate and unsafe delivery were decreased during this period. There was a significant correlation between increasing adolescent birth rate and increasing low birth weight deliveries (r= 0.911, P= 0.031) and also between increasing over 35 year olds birth rate and increasing neonatal mortality rate in term of prematurity and congenital malformations (r= 0.912, P= 0.031) after program implementation. Conclusion: Perinatal care and safe delivery even for pregnancies outside the typical child-bearing ages are promoting after implementation of rural family physician program in East Azerbaijan. Also decreasing unsafe delivery and stillbirth rate can be considered as achievements of running this program in this province. PMID:26744731
Reproductive Health of Women in Rural Areas of East Azerbaijan – Iran, before and after Implementation of rural Family Physician Program: an Ecologic Study
Directory of Open Access Journals (Sweden)
Mahasti Alizadeh
Full Text Available Introduction: Implementation of rural family physician program in Iran in 2005 has been evaluated and shown that this program has been led to some improvements in health indicators. In this study, some reproductive health (RH indicators were compared before and after implementation of this program in rural areas of East Azerbaijan, Iran. Methods: In this ecologic- time trend study, the data of 191075 births of rural women of East Azerbaijan from 2001 to 2010 was extracted from vital horoscope (ZIJ and used for calculation of 20 important RH indicators. The paired t-test and correlation analysis wear used for data analysis. Results: Some indicators such as adolescent marriage rate, adolescent birth and over 35 year olds birth rate were increased after rural family physician program implementation in 2005. Also stillbirth rate and unsafe delivery were decreased during this period. There was a significant correlation between increasing adolescent birth rate and increasing low birth weight deliveries (r= 0.911, P= 0.031 and also between increasing over 35 year olds birth rate and increasing neonatal mortality rate in term of prematurity and congenital malformations (r= 0.912, P= 0.031 after program implementation. Conclusion: Perinatal care and safe delivery even for pregnancies outside the typical child-bearing ages are promoting after implementation of rural family physician program in East Azerbaijan. Also decreasing unsafe delivery and stillbirth rate can be considered as achievements of running this program in this province.
Europe, Middle East and North Africa Conference on Technology and Security to Support Learning 2016
Serrhini, Mohammed; Felgueiras, Carlos
This book contains a selection of articles from The Europe, Middle East and North Africa Conference on Technology and Security to Support Learning 2016 (EMENA-TSSL'16), held between the 3th and 5th of October at Saidia, Oujda, Morocco. EMENA-TSSL'16 is a global forum for researchers and practitioners to present and discuss recent results and innovations, current trends, professional experiences and challenges in Information & Communication Technologies, and Security to support Learning. The main topics covered are: A) Online Education; B) Emerging Technologies in Education; C) Artificial Intelligence in Education; D) Gamification and Serious games; E) Network & Web Technologies Applications; F) Online experimentation and Virtual Laboratories; G) Multimedia Systems and Applications; H) Security and Privacy; I) Multimedia, Computer Vision and Image Processing; J) Cloud, Big Data Analytics and Applications; K) Human-Computer Interaction; L) Software Systems, Architectures, Applications and Tools; M) Onli...
Comparative SWOT analysis of strategic environmental assessment systems in the Middle East and North Africa region.
Rachid, G; El Fadel, M
This paper presents a SWOT analysis of SEA systems in the Middle East North Africa region through a comparative examination of the status, application and structure of existing systems based on country-specific legal, institutional and procedural frameworks. The analysis is coupled with the multi-attribute decision making method (MADM) within an analytical framework that involves both performance analysis based on predefined evaluation criteria and countries' self-assessment of their SEA system through open-ended surveys. The results show heterogenous status with a general delayed progress characterized by varied levels of weaknesses embedded in the legal and administrative frameworks and poor integration with the decision making process. Capitalizing on available opportunities, the paper highlights measures to enhance the development and enactment of SEA in the region. Copyright © 2013 Elsevier Ltd. All rights reserved.
Climatic changes and water resources in the Middle East and North Africa
Energy Technology Data Exchange (ETDEWEB)
Zereini, Fathi [Frankfurt Univ. (Germany). Inst. for Atmospheric and Environmental Sciences; Hoetzl, Heinz (eds.) [Karlsruhe Univ. (Germany). Inst. Geologie
''Climatic Change and Water Resources in the Middle East and North Africa'' is dedicated to high-priority topics related to the impact of climate change on water resources in a water scarce region. The subject is described and discussed in three main chapters and different case studies. The three main chapters are (1) Climatic changes - sources and effects on the water cycle, (2) Impact of climate change on water resources, (3) Water resources and water management. These chapters are split up into further 26 sections. A total of 64 individuals from many countries have made contributions to this book. All topics in this book are complimentary and contribute to a comprehensive understanding of the interactions between global climate change, world water cycle and water resources. A valuable and meaningful interdisciplinary mixture of topics is combined in this book which will be of great interest to many scientists. (orig.)
Energy infrastructure in the Middle East and North Africa to 2010
Energy Technology Data Exchange (ETDEWEB)
Enav, Peter
Between 1998 and 2010, the 19 countries of the Middle East and North Africa will need to spend approximately $500bn on new energy infrastructure to meet their declared needs and priorities. Private sector involvement will be inevitable with many countries operating under strict budgetary limitations. The opportunities this represents for foreign investment cannot be ignored. This report assesses both power generation and hydrocarbon financing needs on a country-by-country basis. It also identifies the likely financing modalities for each country with a detailed appraisal of country credit-worthiness, highlighting risks and opportunities for outside investors. For each country, the report examines: macro-economic profiles; political risk profiles; prospects for hydrocarbon; and electricity infrastructure development. (author)
Modification and implementation of NCCN guidelines on lymphomas in the Middle East and North Africa region.
Bazarbachi, Ali; Azim, Hamdy A; Alizadeh, Hussain; Aljurf, Mahmoud; Barista, Ibrahim; Chaudhri, Naeem A; Fahed, Zahira; Fahmy, Omar A; Ghavamzadeh, Ardeshir; Khalaf, Mohamed H; Khatib, Sami; Kutoubi, Aghiad; Paydas, Semra; Elayoubi, Hanadi Rafii; Zaatari, Ghazi; Zawam, Hamdy M; Zelenetz, Andrew D
In the Middle East and North Africa (MENA) region, cancer has many epidemiologic and clinical features that are different from those in the rest of the world. Additionally, the region has a relatively young population and large disparities in the availability of resources at diagnostic and treatment levels. A critical need exists for regional guidelines on cancer care, including those for lymphoid malignancies. A panel of lymphoma experts from MENA reviewed the 2009 version of the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) on Non-Hodgkin's Lymphoma and Hodgkin Lymphoma and suggested modifications for the region that were discussed with the United States NCCN Lymphoma Panels. This article presents the consensus recommendations.
Molecular phylogeny of the tribe Torini Karaman, 1971 (Actinopterygii: Cypriniformes) from the Middle East and North Africa.
Borkenhagen, Kai
Freshwater fishes of the cyprinid tribe Torini are widespread in Africa the Middle East and Indomalaya. The relationships of Middle-Eastern Torini are analysed based on mitochondrial markers (Cyt b, ND4) of the majority of relevant species. I present a larely well resolved phylogeny, which confirms the validity of the morphologically defined genera Arabibarbus, Carasobarbus, Mesopotamichthys and Pterocapoeta. The Torini originated in Indomalaya and colonised Africa via the Middle East. Morocco was colonised two times independently, first from sub-Saharan Africa and secondly along the southern margin of the Mediterranean Sea. The Tigris-Euphrates system is an important crossroad for the colonisation of the Jordan River, the Orontes River and the watercourses of the Arabian Peninsula by freshwater fishes. The Jordan lost its connection to the Euphrates earlier than the Orontes. The Arabian Peninsula was colonised from the Tigris-Euphrates system in at least two independent events.
Regulating the for-profit private health sector: lessons from East and Southern Africa.
Doherty, Jane E
International evidence shows that, if poorly regulated, the private health sector may lead to distortions in the type, quantity, distribution, quality and price of health services, as well as anti-competitive behaviour. This article provides an overview of legislation governing the for-profit private health sector in East and Southern Africa. It identifies major implementation problems and suggests strategies Ministries of Health could adopt to regulate the private sector more effectively and in line with key public health objectives. This qualitative study was based on a document review of existing legislation in the region, and seven semi-structured interviews with individuals selected purposively on the basis of their experience in policymaking and legislation. Legislation was categorized according to its objectives and the level at which it operates. A thematic content analysis was conducted on interview transcripts. Most legislation focuses on controlling the entry of health professionals and organizations into the market. Most countries have not developed adequate legislation around behaviour following entry. Generally the type and quality of services provided by private practitioners and facilities are not well-regulated or monitored. Even where there is specific health insurance regulation, provisions seldom address open enrolment, community rating and comprehensive benefit packages (except in South Africa). There is minimal control of prices. Several countries are updating and improving legislation although, in most cases, this is without the benefit of an overarching policy on the private sector, or reference to wider public health objectives. Policymakers in the East and Southern African region need to embark on a programme of action to strengthen regulatory frameworks and instruments in relation to private health care provision and insurance. They should not underestimate the power of the private health sector to undermine efforts for increased
Climate risk management information, sources and responses in a pastoral region in East Africa
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Anthony Egeru
Full Text Available Pastoralists in East Africa face a range of stressors, climate variability and change being one of them. Effective climate risk management involves managing the full range of variability and balancing hazard management with efforts to capitalise on opportunity; climate risk management information is central in this process. In this study, pastoralists' perceptions of climate change, climate risk management information types, sources and attendant responses in a pastoral region in East Africa are examined. Through a multi-stage sampling process, a total of 198 heads of households in three districts were selected and interviewed using a semi-structured questionnaire. In addition, 29 focus group discussions and 10 key informant interviews were conducted to generate qualitative information to supplement survey data. Descriptive and thematic analysis were utilised in summarizing the data. Ninety-nine percent of the pastoralists noted that the climate had changed evidenced by high but erratic rainfall, occurrence of floods and variation in rainfall onset and cessation among other indicators. This change in climate had led to emergence of 'new' livestock and crop diseases, crop failure and low yields leading to frequent food shortages, water shortages, poor market access, and variation in pasture availability among other effects. Climate risk management information was received from multiple sources including; radio, diviners, community meetings, shrine elders, humanitarian agencies, and Uganda People's defence forces (UPDF. Community meetings were however perceived as most accessible, reliable and dependable sources of information. Shifting livestock to dry season grazing and watering areas, selling firewood and charcoal, seeking for military escorts to grazing areas, purchasing veterinary drugs, shifting livestock to disease 'free' areas, and performing rituals (depending on the perceived risk constituted a set of responses undertaken in
Differences in health care seeking behaviour between rural and urban communities in South Africa
Objective The aim of this study was to explore possible differences in health care seeking behaviour among a rural and urban African population. Design A cross sectional design was followed using the infrastructure of the PURE-SA study. Four rural and urban Setswana communities which represented different strata of urbanisation in the North West Province, South Africa, were selected. Structured interviews were held with 206 participants. Data on general demographic and socio-economic characteristics, health status, beliefs about health and (access to) health care was collected. Results The results clearly illustrated differences in socio-economic characteristics, health status, beliefs about health, and health care utilisation. In general, inhabitants of urban communities rated their health significantly better than rural participants. Although most urban and rural participants consider their access to health care as sufficient, they still experienced difficulties in receiving the requested care. The difference in employment rate between urban and rural communities in this study indicated that participants of urban communities were more likely to be employed. Consequently, participants from rural communities had a significantly lower available weekly budget, not only for health care itself, but also for transport to the health care facility. Urban participants were more than 5 times more likely to prefer a medical doctor in private practice (OR:5.29, 95% CI 2.83-988). Conclusion Recommendations are formulated for infrastructure investments in rural communities, quality of health care and its perception, improvement of household socio-economical status and further research on the consequences of delay in health care seeking behaviour. PMID:22691443
Reproductive biology knowledge, and behaviour of teenagers in East, Central and Southern Africa: the Zimbabwe case study.
Mbizvo, M T; Kasule, J; Gupta, V; Rusakaniko, S; Gumbo, J; Kinoti, S N; Mpanju-Shumbusho, W; Sebina-Zziwa; Mwateba, R; Padayachy, J
Sexuality in the teenager is often complicated by unplanned/unwanted pregnancy, abortion and the risks of STDs including AIDS. There is therefore a need for improved understanding of factors affecting adolescent sexuality and the implementation of programmes designed to improve their knowledge, risk awareness and subsequent behavioural outcomes. A multicentre study of reproductive health knowledge and behaviour followed by a health education intervention was undertaken amongst teenagers in selected countries of East, Central and Southern Africa. Reported here are findings at baseline derived from the Zimbabwe component on reproductive biology knowledge and behavior. A self-administered questionnaire was used among 1 689 adolescent pupils drawn from rural, urban, co-education, single sex, boarding and day secondary schools in Zimbabwe. Correct knowledge on reproductive biology as measured by the meaning and interpretation of menstruation and wet dreams varied by school from 68 pc to 86 pc, with a significant trend (p < 0,01) based on level of education at baseline. The reported mean age at which menarche took place was 13,5 years +/- 1,3 (mean +/- SD). First coitus was reported to have taken place at the mean age of 12 years for boys and 13,6 years for girls. Seventeen pc of the adolescent pupils reported that they were sexually experienced and 33,2 had relationships. There were misconceptions reported on menstruation with 23 pc reporting that it was an illness. Peers, followed by magazines were the first sources of information on various aspects of reproductive biology, both of which might not provide the correct first information. Among pupils reporting that they were sexually experienced, the largest proportion (56 pc) had unprotected sex. The findings point to the need for targeting the adolescent pupils for information on reproductive biology and increased awareness on the risks of pregnancy, STDs and HIV.
Neglected tropical diseases of the Middle East and North Africa: review of their prevalence, distribution, and opportunities for control.
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Peter J Hotez
Full Text Available The neglected tropical diseases (NTDs are highly endemic but patchily distributed among the 20 countries and almost 400 million people of the Middle East and North Africa (MENA region, and disproportionately affect an estimated 65 million people living on less than US$2 per day. Egypt has the largest number of people living in poverty of any MENA nation, while Yemen has the highest prevalence of people living in poverty. These two nations stand out for having suffered the highest rates of many NTDs, including the soil-transmitted nematode infections, filarial infections, schistosomiasis, fascioliasis, leprosy, and trachoma, although they should be recognized for recent measures aimed at NTD control. Leishmaniasis, especially cutaneous leishmaniasis, is endemic in Syria, Iran, Iraq, Libya, Morocco, and elsewhere in the region. Both zoonotic (Leishmania major and anthroponotic (Leishmania tropica forms are endemic in MENA in rural arid regions and urban regions, respectively. Other endemic zoonotic NTDs include cystic echinococcosis, fascioliasis, and brucellosis. Dengue is endemic in Saudi Arabia, where Rift Valley fever and Alkhurma hemorrhagic fever have also emerged. Great strides have been made towards elimination of several endemic NTDs, including lymphatic filariasis in Egypt and Yemen; schistosomiasis in Iran, Morocco, and Oman; and trachoma in Morocco, Algeria, Iran, Libya, Oman, Saudi Arabia, Tunisia, and the United Arab Emirates. A particularly noteworthy achievement is the long battle waged against schistosomiasis in Egypt, where prevalence has been brought down by regular praziquantel treatment. Conflict and human and animal migrations are key social determinants in preventing the control or elimination of NTDs in the MENA, while local political will, strengthened international and intersectoral cooperative efforts for surveillance, mass drug administration, and vaccination are essential for elimination.
Implementation of the principles of primary health care in a rural area of South Africa
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Surona Visagie
Full Text Available Background: The philosophy of primary healthcare forms the basis of South Africa's health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas. Objectives: The aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa. Method: A descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis. Results: Findings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, healthworker attitudes, referral services and the management of complex conditions. Conclusion: The principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcareservices and increasing the doctors' hours.
The experience of living with stroke in low urban and rural socioeconomic areas of South Africa
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M. Maleka
Full Text Available The effects of stroke on stroke survivors are profound and affecttheir quality of life. The aim of this study was to establish the experience of peopleliving with stroke in low socioeconomic urban and rural areas of South Africa.A qualitative study using semi-structured interviews was used to collect data.Participants were identified from stroke registers and recruited from PHC clinicsin Soweto, Gauteng and Limpopo provinces. Participants had to have had a stroke,be above the age of 18 and had lived in the community six months to a year followingtheir stroke. The researcher or research assistant conducted the interviews ofparticipants who had had strokes as well as their caregivers in the home language of the participants. The interviewswere audio taped, transcribed and translated into English. A thematic content analysis was done.Thirty two participants were interviewed, 13 from Soweto, Gauteng, and 19 from rural Limpopo provinces. Theresults suggest that the sudden, overwhelming transformation as a result of a stroke forms a background for loss ofcommunity mobility, social isolation, role reversal within the family and community, loss of role within the family andcommunity, loss of meaningful activities of daily living, loss of hope and threat to livelihood amongst stroke survivorsliving in low socioeconomic areas of South Africa.An overwhelming picture of despondency was found, with few positive stories told in both settings. The themesidentified from the interviews reflected the experience and issues that a patient with stroke has to deal with in lowsocioeconomic areas of South Africa.
Job satisfaction and turnover intent of primary healthcare nurses in rural South Africa: a questionnaire survey.
Delobelle, Peter; Rawlinson, Jakes L; Ntuli, Sam; Malatsi, Inah; Decock, Rika; Depoorter, Anne Marie
This paper is a report of a correlational study of the relationships between demographic variables, job satisfaction, and turnover intent among primary healthcare nurses in a rural area of South Africa. Health systems in Southern Africa face a nursing shortage fuelled by migration, but research on job satisfaction and turnover intent of primary healthcare nurses remains poorly described. A cross-sectional study with survey design was conducted in 2005 in all local primary healthcare clinics, including nurses on duty at the time of visit (n = 143). Scale development, anova, Spearman's rank correlation, and logistic regression were applied. Nurses reported satisfaction with work content and coworker relationships and dissatisfaction with pay and work conditions. Half of all nurses considered turnover within two years, of whom three in ten considered moving overseas. Job satisfaction was statistically significantly associated with unit tenure (P job satisfaction, age and education (P Satisfaction with supervision was the only facet significantly explaining turnover intent when controlling for age, education, years of nursing and unit tenure (P job satisfaction and retention of primary healthcare nurses in rural South Africa should rely not only on financial rewards and improved work conditions but also on adequate human resource management. © 2010 Blackwell Publishing Ltd.
Affordability of comprehensive community health worker programmes in rural sub-Saharan Africa.
Taylor, Celia; Griffiths, Frances; Lilford, Richard
Community health worker (CHW) programmes have low costs per person served and are central to achieving universal healthcare. However, their total cost is high and the target of one million CHWs for sub-Saharan Africa by 2015 was not met. We consider the affordability of rural CHW programmes by estimating total programme costs relative to national healthcare expenditure at different CHW salaries and resources available for healthcare. We combine an existing source of rural CHW programme costs with World Bank data to estimate relative CHW programme costs in 37 countries. We consider three 'salaries' (CHWs as volunteers, paid the local equivalent of US$80 per month and paid the national minimum wage) and four potential healthcare budgets (both actual and Abuja declaration allocations alone and increased by external funding received and potential foreign aid, respectively). Costs are shown in 2012 nominal US$. With CHWs paid the local equivalent of US$80 per month and financed from existing central government healthcare budgets, the median relative cost of a CHW programme would be 27% of the healthcare budget. While less than 2.5% in five countries (Botswana, Equatorial Guinea, Gabon, Namibia and South Africa), this relative cost would exceed 100% in three (Chad, Eritrea and Niger). There is a strong negative linear relationship (R 2 =0.83, psub-Saharan Africa. In many countries, such programmes are not yet affordable unless significant foreign aid is received.
Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming
Ndinda, Catherine; Ndhlovu, Tidings; Khalema, Nene Ernest
Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal. PMID:28350334
Community health workers as cultural producers in addressing gender-based violence in rural South Africa.
de Lange, Naydene; Mitchell, Claudia
South Africa has been experiencing an epidemic of gender-based violence (GBV) for a long time and in some rural communities health workers, who are trained to care for those infected with HIV, are positioned at the forefront of addressing this problem, often without the necessary support. In this article, we pose the question: How might cultural production through media making with community health workers (CHWs) contribute to taking action to address GBV and contribute to social change in a rural community? This qualitative participatory arts-based study with five female CHWs working from a clinic in a rural district of South Africa is positioned as critical research, using photographs in the production of media posters. We offer a close reading of the data and its production and discuss three data moments: CHWs drawing on insider cultural knowledge; CHWs constructing messages; and CHWs taking action. In our discussion, we take up the issue of cultural production and then offer concluding thoughts on 'beyond engagement' when the researchers leave the community.
Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming.
Ndinda, Catherine; Ndhlovu, Tidings; Khalema, Nene Ernest
Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal.
The Intertropical Convergence Zone over the Middle East and North Africa: Detection and Trends
Scott, Anna A.
This thesis provides an overview of identifying the Intertropical Convergence Zone (ITCZ) in the Middle East and North Africa (MENA) region. The ITCZ is a zone of wind convergence around the equator that coincides with an area of intense precipitation that is commonly termed a tropical rainbelt. In Africa, these two concepts are frequently confounded. This work studies the correlation between precipitation and commonly used ITCZ indicators. A further attempt is made to detect movement in the African ITCZ, based on earlier paleontological studies showing historical changes in precipitation. Zonally averaged wind convergence is found to be the most reliable indicator of the African ITCZ, one having a low correlation with zonally averaged precipitation. Precipitation is found only to be a reliable indicator for the African ITCZ in zones near the wind convergence, which reaches as far north as 20_N in the summer. No secular change in location of the African ITCZ is found for the time of available data. Finally, historical data shows that any increase in precipitation in the Sahel, a region where precipitation is driven by the ITCZ, is mildly negatively correlated with precipitation in the rainbelt area, suggesting that shifts in the ITCZ result in a widening of the precipitation profile as well as a shift of the entire zone.
The Intertropical Convergence Zone over the Middle East and North Africa: Detection and Trends
Scott, Anna A.
This thesis provides an overview of identifying the Intertropical Convergence Zone (ITCZ) in the Middle East and North Africa (MENA) region. The ITCZ is a zone of wind convergence around the equator that coincides with an area of intense precipitation that is commonly termed a tropical rainbelt. In Africa, these two concepts are frequently confounded. This work studies the correlation between precipitation and commonly used ITCZ indicators. A further attempt is made to detect movement in the African ITCZ, based on earlier paleontological studies showing historical changes in precipitation. Zonally averaged wind convergence is found to be the most reliable indicator of the African ITCZ, one having a low correlation with zonally averaged precipitation. Precipitation is found only to be a reliable indicator for the African ITCZ in zones near the wind convergence, which reaches as far north as 20_N in the summer. No secular change in location of the African ITCZ is found for the time of available data. Finally, historical data shows that any increase in precipitation in the Sahel, a region where precipitation is driven by the ITCZ, is mildly negatively correlated with precipitation in the rainbelt area, suggesting that shifts in the ITCZ result in a widening of the precipitation profile as well as a shift of the entire zone.
The importance of context in delivering effective EIA: Case studies from East Africa
International Nuclear Information System (INIS)
Marara, Madeleine; Okello, Nick; Kuhanwa, Zainab; Douven, Wim; Beevers, Lindsay; Leentvaar, Jan
This paper reviews and compares the condition of the environmental impact assessment (EIA) system in three countries in the East Africa region: Kenya, Rwanda and Tanzania. The criteria used for the evaluation and the comparison of each system are based on the elements of the legal, administrative and procedural frameworks, as well as the context in which they operate. These criteria are adapted from the evaluation and quality control criteria derived from a number of literature sources. The study reveals that the EIA systems of Kenya and Tanzania are at a similar stage in their development. The two countries, the first to introduce the EIA concept into their jurisdiction in this part of Africa, therefore have more experience than Rwanda in the practice of environmental impact assessment, where the legislation and process requires more time to mature both from the governmental and societal perspective. The analysis of the administrative and procedural frameworks highlights the weakness in the autonomy of the competent authority, in all three countries. Finally a major finding of this study is that the contextual set up i.e. the socio-economic and political situation plays an important role in the performance of an EIA system. The context in developing countries is very different from developed countries where the EIA concept originates. Interpreting EIA conditions in countries like Kenya, Rwanda and Tanzania requires that the analysis for determining the effectiveness of their systems should be undertaken within a relevant framework, taking into account the specific requirements of those countries.
Breastfeeding knowledge among health workers in rural South Africa.
Shah, Sonal; Rollins, Nigel C; Bland, Ruth
The aim of the study was to conduct a rapid assessment of breastfeeding knowledge amongst health workers in an area of high HIV prevalence. A cross-sectional survey using semi-structured questionnaires and problem-based scenarios was carried out. Responses were compared to those recommended in the World Health Organization (WHO) Breastfeeding Counselling Course. The setting was a rural area of KwaZulu Natal, with a population of 220 000 people. At the time of the study approximately 36 per cent of pregnant women were HIV-infected and no programme to prevent mother-to-child transmission was in place. A convenient sample of 71 healthcare workers (14 doctors, 25 professional nurses, 16 staff nurses, and 16 community health workers) were included in the study. Over 50% of respondents had given breastfeeding advice to clients over the previous month. However, there were significant discrepancies in breastfeeding knowledge compared to WHO recommendations. Ninety-three per cent (n = 13) of doctors knew that breastfeeding should be initiated within 30 min of delivery, but 71 per cent (n = 10) would recommend water, and 50 per cent (n = 7) solids to breastfed infants under 6 months of age. Fifty-seven per cent (n = 8) considered glucose water necessary for neonatal jaundice, constipation, and for infants immediately after delivery. Only 44 per cent (n = 7) of staff nurses and 56 per cent (n = 14) of professional nurses knew that breastfeeding should be on demand. The majority would recommend water, formula milk, and solids to breastfed infants under 6 months of age, and glucose water for neonatal jaundice and immediately after delivery. Knowledge of community health workers differed most from WHO recommendations: only 37 per cent (n = 6) knew that breastfeeding should be initiated within 30 min of delivery, 68 per cent (n = 11) thought breastfeeding should be on schedule and not on demand, and the majority would recommend supplements to infants under 6 months of age. Few
What factors influence the production of orthopaedic research in East Africa? A qualitative analysis of interviews.
Elliott, Iain S; Sonshine, Daniel B; Akhavan, Sina; Slade Shantz, Angelique; Caldwell, Amber; Slade Shantz, Jesse; Gosselin, Richard A; Coughlin, R Richard
Research addressing the burden of musculoskeletal disease in low- and middle-income countries does not reflect the magnitude of the epidemic in these countries as only 9% of the world's biomedical resources are devoted to addressing problems that affect the health of 90% of the world's population. Little is known regarding the barriers to and drivers of orthopaedic surgery research in such resource-poor settings, the knowledge of which would help direct specific interventions for increasing research capacity and help surgeons from high-income countries support the efforts of our colleagues in low- and middle-income countries. We sought to identify through surveying academic orthopaedic surgeons in East Africa: (1) barriers impeding research, (2) factors that support or drive research, and (3) factors that were identified by some surgeons as barriers and others as drivers (what we term barrier-driver overlap) as they considered the production of clinical research in resource-poor environments. Semistructured interviews were conducted with 21 orthopaedic surgeon faculty members at four academic medical centers in Ethiopia, Kenya, Tanzania, and Uganda. Qualitative content analysis of the interviews was conducted using methods based in grounded theory. Grounded theory begins with qualitative data, such as interview transcripts, and analyzes the data for repeated ideas or concepts which then are coded and grouped into categories which allow for identification of subjects or problems that may not have been apparent previously to the interviewer. We identified and quantified 19 barriers to and 21 drivers of orthopaedic surgery research (mentioned n = 1688 and n = 1729, respectively). Resource, research process, and institutional domains were identified to categorize the barriers (n = 7, n = 5, n = 7, respectively) and drivers (n = 7, n = 8, n = 6, respectively). Resource barriers (46%) were discussed more often by interview subjects compared with the
Where every drop counts: tackling rural Africa's water crisis
Energy Technology Data Exchange (ETDEWEB)
Skinner, Jamie
In rural Africa, 'water poverty' can destroy lives and livelihoods. Children under five are highly vulnerable to waterborne diseases. While a broken waterpipe in London may be a temporary inconvenience, a failed well in sub-Saharan Africa is potentially catastrophic. And this is a catastrophe that is spreading across the continent, where an estimated 50,000 water supply points have effectively died. The root cause is the water community's failure to plan for maintenance of the infrastructure in a systematic way, creating a massive drag on meeting the Millennium Development Goal target on water and sanitation. Yet blueprints for building and financing wells of all types are available, and long-term provision of safe water is not rocket science. To be sustainable, direct investment in water supply infrastructure also needs to address the issue of who will maintain it, and where the money and skills to do so will come from.
Agrarian Reform Policies and Development in the Arab Middle East.
Baali, Fuad
The purpose of this paper is to analyze and evaluate the nature, scope, and implications of the rural development in the Arab countries of the Middle East and North Africa. The first section of the paper deals with the forces that have caused changes in agrarian reform policies as they affected rural development in these countries. Specifically…
Big Sugar in southern Africa: rural development and the perverted potential of sugar/ethanol exports.
Richardson, Ben
This paper asks how investment in large-scale sugar cane production has contributed, and will contribute, to rural development in southern Africa. Taking a case study of the South African company Illovo in Zambia, the argument is made that the potential for greater tax revenue, domestic competition, access to resources and wealth distribution from sugar/ethanol production have all been perverted and with relatively little payoff in wage labour opportunities in return. If the benefits of agro-exports cannot be so easily assumed, then the prospective 'balance sheet' of biofuels needs to be re-examined. In this light, the paper advocates smaller-scale agrarian initiatives.
Co-infection with Schistosoma haematobium and soil-transmitted helminths in rural South Africa
DEFF Research Database (Denmark)
Molvik, Mari; Helland, Elin; Zulu, Siphosenkosi Gift
trichiura in schoolgirls in the rural areas of KwaZulu-Natal, South Africa. We also explored if S. haematobium can serve as a predictor for soil-transmitted helminths in this area. From 15 selected schools, 726 primary schoolgirls aged 10–12 years provided both urine and stool samples. The samples were...... interval =1.58–2.93; pwater contact and haematuria) were significantly associated with A. lumbricoides and T. trichiura infection. We have demonstrated a highly significant correlation and overall association between urogenital...
A Public Management Framework for wireless broadband development in rural Sub-Saharan Africa
DEFF Research Database (Denmark)
Williams, Idongesit; Falch, Morten; Tadayoni, Reza
attempted to develop Wi-Fi networks. Few have succeeded and some have failed. A public Private-Private Partnership framework that can be customized to deliver and provide sustenance to this initiative may hold the answer to curb the failure of such initiatives. This study adopts the Stakeholder theory...... agencies in Africa to help rural communities develop sustainable Wi-Fi networks. The paper concludes that a triangular relationship between the community, the public sector agency, with attractive incentives to each stakeholder, can serve as the basis for organizing such the stakeholders to aid...
Sociotechnical Narratives in Rural, High-Poverty Elementary Schools: Comparative Findings from East Texas and South India
Byker, Erik J.
The article's purpose is to compare case studies of computer technology use at two rural elementary schools across two international settings. This study uses the Social Construction of Technology (SCOT) theory to guide this comparative investigation of how elementary school teachers and students in East Texas and South India construct meaning for…
A comparative life cycle analysis of low power PV lighting products for rural areas in South East Asia
Durlinger, Bart; Durlinger, B.P.J.; Reinders, Angelina H.M.E.; Toxopeus, Marten E.
This paper evaluates the environmental effects of low power PV lighting products, which are increasingly used in rural areas in South East Asia, by means of a life cycle analysis (LCA). The main goals of the project are to determine (1) the environmental impacts, (2) which parts are contributing to
Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population
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Michael G Kawooya
Full Text Available The objectives of this review are to outline the needs, challenges, and training interventions for rural radiology (RR training in Sub-Saharan Africa (SSA. Rural radiology may be defined as imaging requirements of the rural communities. In SSA, over 80% of the population is rural. The literature was reviewed to determine the need for imaging in rural Africa, the challenges, and training interventions. Up to 50% of the patients in the rural health facilities in Uganda may require imaging, largely ultrasound and plain radiography. In Uganda, imaging is performed, on an average, in 50% of the deserving patients in the urban areas, compared to 10-13 % in the rural areas. Imaging has been shown to increase the utilization of facility-based rural health services and to impact management decisions. The challenges in the rural areas are different from those in the urban areas. These are related to disease spectrum, human resource, and socio-economic, socio-cultural, infrastructural, and academic disparities. Countries in Sub-Saharan Africa, for which information on training intervention was available, included: Uganda, Kenya, Tanzania, Rwanda, Zambia, Ghana, Malawi, and Sudan. Favorable national policies had been instrumental in implementing these interventions. The interventions had been made by public, private-for-profit (PFP, private-not-for profit (PNFP, local, and international academic institutions, personal initiatives, and professional societies. Ultrasound and plain radiography were the main focus. Despite these efforts, there were still gross disparities in the RR services for SSA. In conclusion, there have been training interventions targeted toward RR in Africa. However, gross disparities in RR provision persist, requiring an effective policy, plus a more organized, focused, and sustainable approach, by the stakeholders.
Ancient glaciations and hydrocarbon accumulations in North Africa and the Middle East
Le Heron, Daniel Paul; Craig, Jonathan; Etienne, James L.
At least six glaciations are purported to have affected North Africa and the Middle East region over the last one billion years, including two in the Cryogenian (Neoproterozoic), Hirnantian (Late Ordovician), Silurian, Carboniferous and Early Permian events. The sedimentary record associated with these glaciations, together with the intensity to which each has been investigated, is highly variable. As hydrocarbon exploration proceeds aggressively across the North Africa and Middle East regions, we review the relationship between glaciation and hydrocarbon accumulations. With the exception of Oman, and locally Egypt, which were tectonically active both during the Neoproterozoic and Early Palaeozoic all glaciations took place along an essentially stable passive continental margin. During the Neoproterozoic, two glaciations are recognised, referred to as older and younger Cryogenian glaciations respectively. Both of these Cryogenian events are preserved in Oman; only the younger Cryogenian has been reported in North Africa in Mauritania and Mali at the flanks of the Taoudenni Basin. The process of initial deglaciation in younger Cryogenian glaciations resulted in incision, at least locally producing large-bedrock palaeovalleys in Oman, and the deposition of glacial diamictites, gravels, sandstones and mudstones. As deglaciation progressed "cap carbonates" were deposited, passing vertically into shale with evidence for deposition in an anoxic environment. Hence, younger Cryogenian deglaciation may be associated with hydrocarbon source rock deposits. Hirnantian (Late Ordovician) glaciation was short lived (economic significance across central North Africa. Therefore, an appreciation of the processes of ice sheet growth and decay provides significant insights into the controls on large-scale heterogeneities within these sediments, and in analogue deposits produced by glaciations of different ages. Deglacial, Early Silurian black shale represents the most important
Meta-analysis of proportion estimates of Extended-Spectrum-Beta-Lactamase-producing Enterobacteriaceae in East Africa hospitals
DEFF Research Database (Denmark)
Sonda, Tolbert; Kumburu, Happiness; van Zwetselaar, Marco
Background: A high proportion of Extended-Spectrum-Beta-Lactamase (ESBL) producing Enterobacteriaceae is causing common infections in all regions of the world. The burden of antibiotic resistance due to ESBL in East Africa is large but information is scarce and thus it is unclear how big the prob......Background: A high proportion of Extended-Spectrum-Beta-Lactamase (ESBL) producing Enterobacteriaceae is causing common infections in all regions of the world. The burden of antibiotic resistance due to ESBL in East Africa is large but information is scarce and thus it is unclear how big...... the problem really is. To gain insight into the magnitude and molecular epidemiology of ESBL-producing Enterobacteriaceae in East Africa a literature search was performed in PubMed on 31 July 2015 to retrieve articles with relevant information on ESBL. Methods and results: Meta-analysis was performed...... to determine overall proportion estimate of ESBL-producing Enterobacteriaceae. A total of 4076 bacterial isolates were included in the analysis. The overall pooled proportion of ESBL-producing Enterobacteriaceae among included surveys done in East African hospitals was found to be 0. 42 (95 % CI: 0...
The relationship between BMI and dietary intake of primary school children from a rural area of South Africa: The Ellisras longitudinal study
Van Den Ende, C.; Twisk, J.W.R.; Monyeki, K.D.
Objectives: To investigate the relationship between dietary intake and BMI of primary school children from a rural area of South Africa cross-sectionally. Both under and over nutrition remain major health problems in South Africa. In rural areas, where especially undernutrition leads to child
Correlates of sexual faithfulness among low-literate rural males in ...
African Journals Online (AJOL)
efficacy and social norms pertaining to faithfulness, sexual abstinence and condom use are needed to halt the spread of HIV among low-literate males in rural Amhara. Keywords: attitudes, behaviour, East Africa, HIV prevention, men, ...
Managing Water in the Rural-Urban Interface : the Key to Climate ...
International Development Research Centre (IDRC) Digital Library (Canada)
Managing Water in the Rural-Urban Interface : the Key to Climate Change Resilient Cities ... cities - one in East and the other in West Africa - through better management ... Sustaining water use : stakeholders' strategies under different climate ...
An Assessment of Satellite-Derived Rainfall Products Relative to Ground Observations over East Africa
Directory of Open Access Journals (Sweden)
Margaret Wambui Kimani
Full Text Available Accurate and consistent rainfall observations are vital for climatological studies in support of better agricultural and water management decision-making and planning. In East Africa, accurate rainfall estimation with an adequate spatial distribution is limited due to sparse rain gauge networks. Satellite rainfall products can potentially play a role in increasing the spatial coverage of rainfall estimates; however, their performance needs to be understood across space–time scales and factors relating to their errors. This study assesses the performance of seven satellite products: Tropical Applications of Meteorology using Satellite and ground-based observations (TAMSAT, African Rainfall Climatology And Time series (TARCAT, Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS, Tropical Rainfall Measuring Mission (TRMM-3B43, Climate Prediction Centre (CPC Morphing technique (CMORPH, Precipitation Estimation from Remotely Sensed Information using Artificial Neural Networks Climate Data Record (PERSIANN-CDR, CPC Merged Analysis of Precipitation (CMAP, and Global Precipitation Climatology Project (GPCP, using locally developed gridded (0.05° rainfall data for 15 years (1998–2012 over East Africa. The products' assessments were done at monthly and yearly timescales and were remapped to the gridded rain gauge data spatial scale during the March to May (MAM and October to December (OND rainy seasons. A grid-based statistical comparison between the two datasets was used, but only pixel values located at the rainfall stations were considered for validation. Additionally, the impact of topography on the performance of the products was assessed by analyzing the pixels in areas of highest negative bias. All the products could substantially replicate rainfall patterns, but their differences are mainly based on retrieving high rainfall amounts, especially of localized orographic types. The products exhibited systematic errors, which
The Rovuma Transform Margin: the enigmatic continent-ocean boundary of East Africa
Phethean, Jordan; Kalnins, Lara; van Hunen, Jeroen; McCaffrey, Ken; Davies, Richard
The N-S trending Davie Fracture Zone (DFZ) is often assumed to form the continent-ocean transform margin (COTM) of the Western Somali Basin. However, multiple plate tectonic reconstructions favour a pre-breakup location for Madagascar that crosses the DFZ, incompatible with its interpretation as the COTM (e.g., Lottes & Rowley, 1990; Reeves, 2014; Phethean et al., 2016). For the first time, we have identified classic COTM features in seismic reflection data from the Southern Rovuma Basin, to the west and inboard of the DFZ. These suggest a NNW trend to the margin, consistent with the tectonic reconstructions. 2D gravity models, with the seabed and top basement constrained by seismic data, are used to investigate the Moho structure across the Rovuma margin and are best fit using steep 'transform style' geometries, confirming the nature of the margin. We thus model generic COTM geometries elsewhere along the East African and Madagascan transform margins to locate best-fitting positions for these conjugate COTMs. This analysis confirms that the COTMs follow a NNW trend along the Rovuma Basin and Southern Madagascar, respectively, and allows a restoration of the conjugate COTMs. This restoration is used alongside geological maps and satellite imagery from Madagascar and East Africa to refine early plate motions and further constrain the precise origin of Madagascar within Gondwana. Our refined plate tectonic model independently predicts major observations made from seismic reflection and gravity data across the basin, including: regions of major transpression/transtension along the DFZ, merging of fracture zones to form the DFZ, oceanic crust on either side of the DFZ and within the Tanzania coastal basin, and the location of an abandoned MOR within the Tanzania coastal basin. We believe that this study finally provides conclusive evidence that Madagascar originated from within the Tanzania Coastal Basin, inboard of the DFZ, after some 30 years of debate regarding this
A seasonal agricultural drought forecast system for food-insecure regions of East Africa
Shukla, Shraddhanand; McNally, Amy; Husak, Gregory; Funk, Christopher C.
The increasing food and water demands of East Africa's growing population are stressing the region's inconsistent water resources and rain-fed agriculture. More accurate seasonal agricultural drought forecasts for this region can inform better water and agricultural management decisions, support optimal allocation of the region's water resources, and mitigate socio-economic losses incurred by droughts and floods. Here we describe the development and implementation of a seasonal agricultural drought forecast system for East Africa (EA) that provides decision support for the Famine Early Warning Systems Network's science team. We evaluate this forecast system for a region of equatorial EA (2° S to 8° N, and 36° to 46° E) for the March-April-May growing season. This domain encompasses one of the most food insecure, climatically variable and socio-economically vulnerable regions in EA, and potentially the world: this region has experienced famine as recently as 2011. To assess the agricultural outlook for the upcoming season our forecast system simulates soil moisture (SM) scenarios using the Variable Infiltration Capacity (VIC) hydrologic model forced with climate scenarios for the upcoming season. First, to show that the VIC model is appropriate for this application we forced the model with high quality atmospheric observations and found that the resulting SM values were consistent with the Food and Agriculture Organization's (FAO's) Water Requirement Satisfaction Index (WRSI), an index used by FEWS NET to estimate crop yields. Next we tested our forecasting system with hindcast runs (1993–2012). We found that initializing SM forecasts with start-of-season (5 March) SM conditions resulted in useful SM forecast skill (> 0.5 correlation) at 1-month, and in some cases at 3 month lead times. Similarly, when the forecast was initialized with mid-season (i.e. 5 April) SM conditions the skill until the end-of-season improved. This shows that early-season rainfall
The Origins of the Acheulean at Olduvai Gorge (Tanzania: A New Paleoanthropological Project in East Africa
Directory of Open Access Journals (Sweden)
Ignacio de la Torre
Full Text Available The disappearance of the earliest human culture, the Oldowan, and its substitution by a new technology, the Acheulean, is one of the main topics in modern Paleoanthropology. Recent research has established that the Acheulean emerged originally in East Africa around 1.7–1.6 million years ago, and from that area expanded across the rest of Africa, Europe and parts of Asia. Despite the great relevance of the Oldowan-Acheulean transition, little is known about the biological and cultural evolutionary mechanisms underlying this process. Traditionally, it has been assumed that this major cultural change was ignited by the emergence of a new human species, Homo ergaster/erectus, and that there was a steady technological evolution during the Oldowan that eventually led to the emergence of the Acheulean handaxes. However, these assumptions are not grounded in the current available evidence, but rooted in cultural-history paradigms that should now be superseded. Olduvai Gorge (Tanzania is the site where the traditional view of the Oldowan-Acheulean transition was established. The aim of the recently launched Olduvai Geochronology and Archaeology Project is to tackle this question by conducting a comprehensive research program at Olduvai, based on the retrieval of fresh data derived from new laboratory and fieldwork research. The multidisciplinary character of this ongoing study is providing an integrative perspective to the analysis of the paleoecology, archaeology, geology and geochronology of the transition to the Acheulean at Olduvai. Using an innovative theoretical perspective that combines interests in cultural change, ecological adaptations, and biological evolution, and state-of-the-art methods in archaeology, geology and taphonomy, this project aims to make Olduvai one of the world's best references for the understanding of the evolutionary processes that led to the emergence of the Acheulean, the longest lasting culture in the history of
A quantitative assessment of groundwater resources in the Middle East and North Africa region
Lezzaik, Khalil; Milewski, Adam
The Middle East and North Africa (MENA) region is the world's most water-stressed region, with its countries constituting 12 of the 15 most water-stressed countries globally. Because of data paucity, comprehensive regional-scale assessments of groundwater resources in the MENA region have been lacking. The presented study addresses this issue by using a distributed ArcGIS model, parametrized with gridded data sets, to estimate groundwater storage reserves in the region based on generated aquifer saturated thickness and effective porosity estimates. Furthermore, monthly gravimetric datasets (GRACE) and land surface parameters (GLDAS) were used to quantify changes in groundwater storage between 2003 and 2014. Total groundwater reserves in the region were estimated at 1.28 × 106 cubic kilometers (km3) with an uncertainty range between 816,000 and 1.93 × 106 km3. Most of the reserves are located within large sedimentary basins in North Africa and the Arabian Peninsula, with Algeria, Libya, Egypt, and Saudi Arabia accounting for approximately 75% of the region's total freshwater reserves. Alternatively, small groundwater reserves were found in fractured Precambrian basement exposures. As for groundwater changes between 2003 and 2014, all MENA countries except for Morocco exhibited declines in groundwater storage. However, given the region's large groundwater reserves, groundwater changes between 2003 and 2014 are minimal and represent no immediate short-term threat to the MENA region, with some exceptions. Notwithstanding this, the study recommends the development of sustainable and efficient groundwater management policies to optimally utilize the region's groundwater resources, especially in the face of climate change, demographic expansion, and socio-economic development.
Double jeopardy: The dichotomy of fuelwood use in rural South Africa
International Nuclear Information System (INIS)
Matsika, R.; Erasmus, B.F.N.; Twine, W.C.
Energy security is central to achieving sustainable development and reducing poverty worldwide. Over 70% of the population of Sub-Saharan Africa, mostly in the rural areas, depend on wood fuel, as firewood or charcoal, to meet their primary domestic energy requirements. This dependence is projected to increase with population growth in the intermediate future, regardless of the implementation of rural electrification programmes.. Fuelwood shortages occur at the localised village level and are a chronic landscape syndrome, becoming more severe over time, with increasing population pressures and competing land-uses. In the South African context, the provision of electricity to rural households at subsidised rates would be expected to provide a viable alternative to fuelwood under conditions of scarcity. This paper compares the fuelwood consumption strategies of households in a fuelwood-scarce environment against those in fuelwood-abundant environment in order to illustrate the inelastic nature of the demand for fuelwood in rural communities, even in the face of severely depleted wood stocks. We seek to understand the mechanisms that households implement to ensure household fuelwood/energy security and how these responses aggregate at the landscape level to shape landscape dynamics. This will aid better planning of intervention policies in the future. - Highlights: ► Rural household demand for fuelwood is inelastic inspite of fuelwood scarcity. ► Electricity is incorporated into household energy mix but is rarely used exclusively. ► Opportunity-cost of wood collection is discounted by the lack of viable alternatives. ► Potential for land-use conflicts once communal woodland resources are depleted.
Capacity Building in NASA Remote Sensing Data for Meteorological and Agricultural Communities in East Africa
Granger, S. L.; Andreadis, K.; Das, N. N.; Macharia, D.
Across the globe, planners and decision makers are hampered by a lack of historic data and scant in situ observations on which to base policy and action plans. Data is often sorely lacking in poorly developed regions such as East Africa where people are vulnerable to a changing climate, extreme weather events, and economies and food security are tied directly to rain fed agriculture or pastoral cultures. NASA global remote sensing observations and research are promising in this regard, as they have great potential to inform policy- and decision-making at global, regional and even local scales the world over, However that potential is not realized as often as it should for a variety of reasons: the data stores are often impenetrable requiring special expertise to "crack the code", sustainability of observations remains a concern, and research and data are not focused on applications, thus results don't "fit" in existing tools or are developed for a short-term science objective without long-term use in mind. Although there are good examples of the use of NASA Earth Science research and observations for applications, capacity is lacking and must be built to advance the use of remote sensing for applications and to ease transition of research to the stakeholder. Capacity building is a critical component to transition Earth science research results to stakeholder communities, and is more than traditional training,, it has been described as…."the process of developing and strengthening the skills, instincts, abilities, processes and resources that organizations and communities need to survive, adapt, and thrive in the fast-changing world. Best practices and lessons learned from recent capacity building efforts for Agricultural and Environmental Ministires in East African in support of a NASA-SERVIR Applied Science Project to provide estimates of hydrologic extremes tied to crop yield are described.
Household structure, maternal characteristics and childhood mortality in rural sub-Saharan Africa.
Akinyemi, Joshua O; Chisumpa, Vesper H; Odimegwu, Clifford O
The household dynamics of childhood mortality in rural areas of sub-Saharan Africa is less researched despite the fact that mortality rates are almost two times that of urban settings. This study aimed to investigate the influence of household structure on childhood mortality while controlling for household and maternal characteristics in rural sub-Saharan Africa. Eight countries with recent demographic and health survey data not earlier than the year 2010 were selected, two from each sub-region of sub-Saharan Africa. The outcome variables were risk of infant and child death while the main independent variables included sex of household head and household structure. Descriptive statistics were generated for all variables. Mortality rates disaggregated by sex of household head and household structure were estimated using the Kaplan-Meier method. Cox proportional hazard regression models were fitted to investigate the relationship between the outcome and explanatory variables in each country. The percentage of children living in female-headed households (FHHs) ranged from 5.2% in Burkina Faso to 49.1% in Namibia while those living in extended family households ranged from 27.4% in Rwanda to 59.9% in Namibia. Multivariate hazard regression showed that, in the majority of the countries, there was no significant relationship between living in FHHs and childhood mortality, but the direction and magnitude of effect varied across countries. A significant negative effect of FHHs on infant mortality was observed in Burkina Faso (HR=1.64, 95% confidence interval (CI): 1.09-2.48) and Zambia (HR=1.49, 95%CI: 1.02-2.17). Likewise, children in extended family households had a higher risk of child mortality in Burkina Faso (HR=1.33, 95%CI: 1.04-1.69) and Zambia (HR=1.59, 95%CI: 1.02-2.49). There was not much difference in the effect of FHHs between infancy (0-11 months) and childhood (12-59 months) in the other countries. The pooled adjusted hazard ratio (HR) showed that the risk
Simulation of synoptic and sub-synoptic phenomena over East Africa and Arabian Peninsula for current and future climate using a high resolution AGCM
Raj, Jerry; Bangalath, Hamza Kunhu; Stenchikov, Georgiy L.
between regional and global scale processes. Our initial results show that HiRAM simulations for historic period well reproduce the regional climate in East Africa and the Arabian Peninsula with their complex interplay of regional and global processes. Our
Entrepreneurs' gender, age and education affecting their networks in private and public spheres: Denmark, Middle East and North Africa
DEFF Research Database (Denmark)
Ashourizadeh, Shayegheh; Schøtt, Thomas
The purpose is to account for entrepreneurs' networking in private and public spheres, as influenced by gender, age and education in the context of culture. The Global Entrepreneurship Monitor has surveyed 17,742 entrepreneurs' networking for advice in Denmark and 14 countries representative of t....... Education influences networking in the way that networking in the public sphere is especially extensive among educated entrepreneurs.......The purpose is to account for entrepreneurs' networking in private and public spheres, as influenced by gender, age and education in the context of culture. The Global Entrepreneurship Monitor has surveyed 17,742 entrepreneurs' networking for advice in Denmark and 14 countries representative...... of the Middle East and North Africa. Analyses show that entrepreneurs are networking in the private sphere of family and friends, especially in traditional culture in Middle East and North Africa, and are networking in public spheres, especially in secular-rational culture in Denmark. Male entrepreneurs network...
Exploring Evidence of Land Surface Dynamics of River Basin Development in East Africa
Eluwa, C.; Brown, C.
Improving the productivity of agricultural lands in Africa in the face of climate variability and change is vital to achieving food security. A variety of possible approaches exist, many of which focus on the development and expansion of irrigation - at times associated with dam construction to provide co-benefits of hydropower and water supply. Optimal development of river basin infrastructure such as this has long been a topic of interest in water resources systems analysis. Recent advances have focused on addressing the uncertainty associated with climate change in the development of river basin plans. However, such studies rarely consider either the uncertainty from changing local surface-atmosphere interactions via basin development or the attendant effects on local ecosystems, precipitation, evapotranspiration and consequently the availability of water for the proposed projects. Some numerical experiments have described and reproduced the mechanisms via which river basin infrastructure influences local climatology in Sahelian Africa. However, no studies have explored available data for evidence of land-atmosphere interactions associated with actual development projects. This study explores the correlation of seasonal soil moisture and latent heat flux over currently dammed/irrigated areas on downwind precipitation in the East Africa region (bounded by 0N, -15N, 25E, 40E) at the mesoscale (30km - 100km) to unearth evidence of local climatological effects of river basin development (irrigation schemes). The adopted process is (1) use reanalysis data to derive mean wind directions at 800hPa for selected regions (2) use mean wind directions (and orthogonal directions) to locate high (and low) impact areas 30 -100km downwind (3) extract precipitation time series for downwind locations from three different gridded products (CRU, GCPC, PRINCETON) (4) compare precipitation time series across datasets in high/low impact areas and correlate with upwind latent heat flux
Incidence, Remission and Mortality of Convulsive Epilepsy in Rural Northeast South Africa
Wagner, Ryan G.; Bottomley, Christian; Ngugi, Anthony K.; Ibinda, Fredrick; Gómez-Olivé, F. Xavier; Kahn, Kathleen; Tollman, Stephen; Newton, Charles R.
Background Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs). Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease. Methods A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS) in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package. Results The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0). Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5), with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR) 2.6 (95%CI: 1.2-5.4)), and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4)). Conclusions The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa. PMID:26053071
Incidence, Remission and Mortality of Convulsive Epilepsy in Rural Northeast South Africa.
Wagner, Ryan G; Bottomley, Christian; Ngugi, Anthony K; Ibinda, Fredrick; Gómez-Olivé, F Xavier; Kahn, Kathleen; Tollman, Stephen; Newton, Charles R; Wagner, Ryan; Twine, Rhian; Connor, Myles; Collinson, Mark; Masanja, Honratio; Mathew, Alexander; Kakooza, Angelina; Pariyo, George; Peterson, Stefan; Ndyo-mughenyi, Donald; Odhiambo, Rachael; Chengo, Eddie; Chabi, Martin; Bauni, Evasius; Kamuyu, Gathoni; Odera, Victor Mung'ala; Mageto, James O; Ae-Ngibise, Ken; Akpalu, Bright; Akpalu, Albert; Agbokey, Francis; Adjei, Patrick; Owusu-Agyei, Seth; Kleinschmidt, Immo; Doku, Victor C K; Odermatt, Peter; Neville, Brian; Sander, Josemir W; White, Steve; Nutman, Thomas; Wilkins, Patricia; Noh, John
Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs). Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease. A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS) in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package. The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0). Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5), with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR) 2.6 (95%CI: 1.2-5.4)), and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4)). The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa.
Incidence, Remission and Mortality of Convulsive Epilepsy in Rural Northeast South Africa.
Directory of Open Access Journals (Sweden)
Ryan G Wagner
Full Text Available Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs. Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease.A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package.The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0. Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5, with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR 2.6 (95%CI: 1.2-5.4, and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4.The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa.
Modelling a sustainability yardstick in modern energisation of rural sub-Saharan Africa
International Nuclear Information System (INIS)
Sebitosi, A.B.; Pillay, P.
The bulk of rural Africa (as well as much of the third world) remains un-electrified and is underserved or poorly served by any other form of modern energy infrastructure. In case of a deep sub-Sahara African country like Kenya it is often dismissively argued that lack of finance and appropriate technology are the obvious causes. This argument would however not hold when applied to the more technologically advanced South Africa where a whopping 50% of rural households still suffer a similar fate. The common perception is that in the presence of modern technology the desired social change process will automatically commence. Unfortunately (and possibly due to pressure from donors) typical post project reports from the third world often contain deliberate commissions or omissions that essentially belie the grim reality on the ground. What seems to lack is a well-defined yardstick or standard check-off list as to the essential attributes of a sustainable energy dissemination project. Problems in modern society are now largely tackled using a wide range of software applications. However even with all the well-tested skills in computer coding endless consumer complaints abound. 'Usability Engineering' is an example a state-of-the-art scientific tool that has been extensively used in recent times by the software design industry to tackle such problems as enhancement of the human/computer interface. This paper proposes that these modern scientific tools could be adopted to create a yardstick and break the intangible technological barrier to African rural modernization to better the lot of our communities
Qualitative study exploring healthy eating practices and physical activity among adolescent girls in rural South Africa.
Sedibe, Heather M; Kahn, Kathleen; Edin, Kerstin; Gitau, Tabitha; Ivarsson, Anneli; Norris, Shane A
Dietary behaviours and physical activity are modifiable risk factors to address increasing levels of obesity among children and adolescents, and consequently to reduce later cardiovascular and metabolic disease. This paper explores perceptions, attitudes, barriers, and facilitators related to healthy eating and physical activity among adolescent girls in rural South Africa. A qualitative study was conducted in the rural Agincourt subdistrict, covered by a health and sociodemographic surveillance system, in Mpumalanga province, South Africa. Semistructured "duo-interviews" were carried out with 11 pairs of adolescent female friends aged 16 to 19 years. Thematic content analysis was used. The majority of participants considered locally grown and traditional foods, especially fruits and vegetables, to be healthy. Their consumption was limited by availability, and these foods were often sourced from family or neighbourhood gardens. Female caregivers and school meal programmes facilitated healthy eating practices. Most participants believed in the importance of breakfast, even though for the majority, limited food within the household was a barrier to eating breakfast before going to school. The majority cited limited accessibility as a major barrier to healthy eating, and noted the increasing intake of "convenient and less healthy foods". Girls were aware of the benefits of physical activity and engaged in various physical activities within the home, community, and schools, including household chores, walking long distances to school, traditional dancing, and extramural activities such as netball and soccer. The findings show widespread knowledge about healthy eating and the benefits of consuming locally grown and traditional food items in a population that is undergoing nutrition transition. Limited access and food availability are strong barriers to healthy eating practices. School meal programmes are an important facilitator of healthy eating, and breakfast
Sexual behaviour of women in rural South Africa: a descriptive study
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Jan Henk Dubbink
Full Text Available Abstract Background Sexual behaviour is a core determinant of the HIV and sexually transmitted infection (STI epidemics in women living in rural South Africa. Knowledge of sexual behaviour in these areas is limited, but constitutes essential information for a combination prevention approach of behavioural change and biomedical interventions. Methods This descriptive study was conducted in rural Mopani District, South Africa, as part of a larger study on STI. Women of reproductive age (18–49 years who reported sexual activity were included regardless of the reason for visiting the facility. Questionnaires were administered to 570 women. We report sexual behaviour by age group, ethnic group and self-reported HIV status. Results Young women (34 years; there was no difference for condom use during last sex act (36 % overall. Sotho women were more likely to report concurrent sexual partners whereas Shangaan women reported more frequent intravaginal cleansing and vaginal scarring practice in our analysis. HIV-infected women were older, had a higher number of lifetime sexual partners, reported more frequent condom use during the last sex act and were more likely to have a known HIV-infected partner than women without HIV infection; hormonal contraceptive use, fellatio, and a circumcised partner were less often reported. Conclusions This study provides insight into women's sexual behaviour in a rural South African region. There are important differences in sexual behaviour by age group and ethnicity and HIV status; these should be taken into account when designing tailor-made prevention packages.
Population uptake of antiretroviral treatment through primary care in rural South Africa
Directory of Open Access Journals (Sweden)
Bärnighausen Till W
Full Text Available Abstract Background KwaZulu-Natal is the South African province worst affected by HIV and the focus of early modeling studies investigating strategies of antiretroviral treatment (ART delivery. The reality of antiretroviral roll-out through primary care has differed from that anticipated and real world data are needed to inform the planning of further scaling up of services. We investigated the factors associated with uptake of antiretroviral treatment through a primary healthcare system in rural South Africa. Methods Detailed demographic, HIV surveillance and geographic information system (GIS data were used to estimate the proportion of HIV positive adults accessing antiretroviral treatment within northern KwaZulu-Natal, South Africa in the period from initiation of antiretroviral roll-out until the end of 2008. Demographic, spatial and socioeconomic factors influencing the likelihood of individuals accessing antiretroviral treatment were explored using multivariable analysis. Results Mean uptake of ART among HIV positive resident adults was 21.0% (95%CI 20.1-21.9. Uptake among HIV positive men (19.2% was slightly lower than women (21.8%, P = 0.011. An individual's likelihood of accessing ART was not associated with level of education, household assets or urban/rural locale. ART uptake was strongly negatively associated with distance from the nearest primary healthcare facility (aOR = 0.728 per square-root transformed km, 95%CI 0.658-0.963, P = 0.002. Conclusions Despite concerns about the equitable nature of antiretroviral treatment rollout, we find very few differences in ART uptake across a range of socio-demographic variables in a rural South African population. However, even when socio-demographic factors were taken into account, individuals living further away from primary healthcare clinics were still significantly less likely to be accessing ART
Effects of cattle and manure management on the nutrient economy of mixed farms in East Africa: A scenario study
Snijders, P.J.M.; Meer, van der, H.G.; Onduru, D.D.; Ebanyat, P.; Ergano, K.; Zake, J.Y.K.; Wouters, A.P.; Gachimbi, L.N.; Keulen, van, H.
This paper explores effects of animal and manure management in a dairy unit on the nutrient economy of crop-livestock farms in East Africa. For this purpose, 8 cattle management scenarios have been developed based on farming systems in Mbeere, Kenya (extensive), Wakiso, Uganda (semi-intensive) and Kibichoi, Kenya (intensive). Three baseline scenarios represent present-day cattle management; five improved scenarios use the same dairy breeds but have improved nutrition, using younger grass, mor...
International cooperation workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa
International Nuclear Information System (INIS)
In pursuant to its 2002 programme of work, the Provisional Technical Secretariat (PTS) of the Preparatory Commission of the Comprehensive Nuclear-Test-Ban Treaty Organization organized a workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa in Nairobi, Kenya, from 18 to 20 June 2002. The summary report on the workshop has been provided, covering ways and means of promoting regional cooperation. The list of participants and the programme outline are annexed thereto
Opportunities and constraints in the subsistence production and marketing of indigenous vegetables in East and Central Africa
Schippers, Rudy; Fereday, Nicholas
This report summarises the results of market and production surveys carried out in both the dry and wet seasons in Cameroon and Uganda during 1997/98 as part of the DFID fimded project "Opportunities and constraints in the subsistence production and marketing of indigenous vegetables in East and Central Africa (A0699)". The main objective of the study was to establish the socio-economic significance of indigenous vegetables compared to exotic ones. This project is a follow up to the strategy ...
International cooperation workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa
Energy Technology Data Exchange (ETDEWEB)
In pursuant to its 2002 programme of work, the Provisional Technical Secretariat (PTS) of the Preparatory Commission of the Comprehensive Nuclear-Test-Ban Treaty Organization organized a workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa in Nairobi, Kenya, from 18 to 20 June 2002. The summary report on the workshop has been provided, covering ways and means of promoting regional cooperation. The list of participants and the programme outline are annexed thereto.
Transnational terrorism in East Africa: a qualitative and quantitative analysis of the recent rise in Kenyan violence
Muhwezi, Andrew M.
Approved for public release; distribution is unlimited This thesis analyzes recent trends of transnational terrorism in East Africa. It assesses the background of domestic and international terrorist attacks in the region from 1998 to 2012. The study then quantitatively analyzes regional trends, using data drawn from the Global Terrorism Database (GTD) showing dramatic increases in levels of terrorist violence from terrorist organizations like Al-Shabaab. Based on Al-Shabaab's propaganda, ...
From age-sets to friendship networks in contemporary sociology : The continuity of soda among the Boorana of East Africa
Aguilar, Mario I
This paper re-assesses a comparative sociology of kinship and friendship in East Africa with a particular focus on the Boorana Oromo of Kenya. It argues that the study of kinship dominated the developments of a comparative sociology during colonial times and that the post-colonial influences of war, the market and globalization have increased the role of the individual. As a result a comparative sociology of African kinship needs to be understood in relation to comparative sociological studie...
Mobile Phones as a Citizen-Controlled Anti-corruption Tool in East Africa - A Literature Review
Strand , Cecilia; Hatakka , Mathias
Part 14: Current Issues; International audience; Despite agreement amongst donors, business and political leaders concerning the negative effects of corruption, levels have not fallen in East Africa. The continued high levels of corruption, reassert the need for a better understanding if mobile phones, if prolific enough, can be an effective tool against corruption. Through a literature review of ten years M4D and ICT4D research on mobiles as a citizens-controlled tool for (a) accessing gover...
Snowpack Variation and Hydrologic Impacts across the Middle East and North Africa
Robinson, D. A.; Ward, M. N.
The Middle East is a region historically sensitive to climate variability and change, and contains snowpacks that have been shown to be important inputs to key regional water resources, including the Tigris-Euphrates river system. Focusing on the Middle East (and the smaller snowpacks of northwestern Africa), this presentation aims to (i) quantify each year's snowpack development and recession over recent decades, highlighting interannual to decadal variability, and (ii) advance understanding on the connection between the snowpack variations and aspects of regional hydrology. The presentation draws on satellite-based products, station data, and model reanalyses. Variation is summarized using space-time statistical techniques, as well as simpler regional indices: Northwestern Iran / Southern Caucasus (NWIC, includes Zagros Mountains); Eastern Turkey (ETKY, includes Taurus Mountains); and smaller scale indices for Lebanon and the Atlas Mountains. The Interactive Multisensor Snow and Ice Mapping System archives daily snow cover extent at 24 km resolution for 1999-present (primarily from visible satellite imagery). These data show that for both NWIC and ETKY, the mean snow extent peaks in late January with substantial coverage ( 300,000 km2 in each region), contracting to near zero by late June. A very large mid-winter interannual variance is also shown, implying substantial variation in hydrologic impacts during spring melt. Variability and decadal trends are compared with station snow depth reports (Global Historical Climatology Network - Daily). Strong agreement gives confidence in data quality, as well as, indicating high covariation of depth and extent. The connection with hydrologic impacts is investigated using reanalysis products, including the Global Land Data Assimilation System V2, which for the Middle East, shows broad agreement with observed maximum snow extent and spring retreat. The connections internal to the reanalysis between snow cover, melt and
Genetic and antigenic characterization of serotype O FMD viruses from East Africa for the selection of suitable vaccine strain.
Lloyd-Jones, Katie; Mahapatra, Mana; Upadhyaya, Sasmita; Paton, David J; Babu, Aravindh; Hutchings, Geoff; Parida, Satya
Foot-and-mouth disease (FMD) is endemic in Eastern Africa with circulation of multiple serotypes of the virus in the region. Most of the outbreaks are caused by serotype O followed by serotype A. The lack of concerted FMD control programmes in Africa has provided little incentive for vaccine producers to select vaccines that are tailored to circulating regional isolates creating further negative feedback to deter the introduction of vaccine-based control schemes. In this study a total of 80 serotype O FMD viruses (FMDV) isolated from 1993 to 2012 from East and North Africa were characterized by virus neutralisation tests using bovine antisera to three existing (O/KEN/77/78, O/Manisa and O/PanAsia-2) and three putative (O/EA/2002, O/EA/2009 and O/EA/2010) vaccine strains and by capsid sequencing. Genetically, these viruses were grouped as either of East African origin with subdivision into four topotypes (EA-1, 2, 3 and 4) or of Middle-East South Asian (ME-SA) topotype. The ME-SA topotype viruses were mainly detected in Egypt and Libya reflecting the trade links with the Middle East countries. There was good serological cross-reactivity between the vaccine strains and most of the field isolates analysed, indicating that vaccine selection should not be a major constraint for control of serotype O FMD by vaccination, and that both local and internationally available commercial vaccines could be used. The O/KEN/77/78 vaccine, commonly used in the region, exhibited comparatively lower percent in vitro match against the predominant topotypes (EA-2 and EA-3) circulating in the region whereas O/PanAsia-2 and O/Manisa vaccines revealed broader protection against East African serotype O viruses, even though they genetically belong to the ME-SA topotype. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Cost of illness due to typhoid Fever in pemba, zanzibar, East Africa.
Riewpaiboon, Arthorn; Piatti, Moritz; Ley, Benedikt; Deen, Jacqueline; Thriemer, Kamala; von Seidlein, Lorenz; Salehjiddawi, Mohammad; Busch, Clara Jana-Lui; Schmied, Wolfgang H; Ali, Said Mohammed; The Typhoid Economic Study Group GiDeok Pak Leon R Ochiai Mahesh K Puri Na Yoon Chang Thomas F Wierzba And John D Clemens
The aim of this study was to estimate the economic burden of typhoid fever in Pemba, Zanzibar, East Africa. This study was an incidence-based cost-of-illness analysis from a societal perspective. It covered new episodes of blood culture-confirmed typhoid fever in patients presenting at the outpatient or inpatient departments of three district hospitals between May 2010 and December 2010. Cost of illness was the sum of direct costs and costs for productivity loss. Direct costs covered treatment, travel, and meals. Productivity costs were loss of income by patients and caregivers. The analysis included 17 episodes. The mean age of the patients, was 23 years (range=5-65, median=22). Thirty-five percent were inpatients, with a mean of 4.75 days of hospital stay (range=3-7, median=4.50). The mean cost for treatment alone during hospital care was US$ 21.97 at 2010 prices (US$ 1=1,430.50 Tanzanian Shilling─TSH). The average societal cost was US$ 154.47 per typhoid episode. The major expenditure was productivity cost due to lost wages of US$ 128.02 (83%). Our results contribute to the further economic evaluation of typhoid fever vaccination in Zanzibar and other sub-Saharan African countries.
Socially Inclusive Development: The Foundations for Decent Societies in East and Southern Africa.
Abbott, Pamela; Wallace, Claire; Sapsford, Roger
This article is concerned with how social processes and social provision are conceptualised and measured in societies in order to offer guidance on how to improve developmental progress. Significant advances have been made in developing multidimensional measures of development, but they provide little guidance to governments on how to build sustainable societies. We argue for the need to develop a theoretically informed social and policy framework that permits the foundations for building decent societies to be put in place by governments. In our view the recently developed Decent Society Model provides such a framework. Our example is the assessment of government provision, by function, within fourteen countries of East and Southern Africa. The context is the current debates about socially inclusive development, but we argue that it is necessary to range more widely, as social processes of different kinds are multiply interrelated. Social inclusion is recognised by governments as well as international agencies, including the World Bank and the United Nations, as not only an ethical imperative but smart economics; socially inclusive societies are more stable and have greater potential for economic growth. Societies that can develop sustainably need not only to be inclusive, however, but to provide economic security for all, to be socially cohesive and to empower citizens so that as individuals and communities they can take control over their own lives.
Geology and Nonfuel Mineral Deposits of Africa and the Middle East
Taylor, Cliff D.; Schulz, Klaus J.; Doebrich, Jeff L.; Orris, Greta; Denning, Paul; Kirschbaum, Michael J.
A nation's endowment of nonfuel mineral resources, relative to the world's endowment, is a fundamental consideration in decisions related to a nation's economic and environmental well being and security. Knowledge of the worldwide abundance, distribution, and general geologic setting of mineral commodities provides a framework within which a nation can make decisions about economic development of its own resources, and the economic and environmental consequences of those decisions, in a global perspective. The information in this report is part of a U.S. Geological Survey (USGS) endeavor to evaluate the global endowment of both identified and undiscovered nonfuel mineral resources. The results will delineate areas of the world that are geologically permissive for the occurrence of undiscovered selected nonfuel mineral resources together with estimates of the quantity and quality of the resources. The results will be published as a series of regional reports; this one provides basic data on the identified resources and geologic setting, together with a brief appraisal of the potential for undiscovered mineral resources in Africa and the Middle East. Additional information, such as production statistics, economic factors that affect the mineral industries of the region, and historical information, is available in U.S. Geological Survey publications such as the Minerals Yearbook and the annual Mineral Commodity Summaries (available at http://minerals.usgs.gov/minerals).
A review and assessment of energy policy in the Middle East and North Africa region
International Nuclear Information System (INIS)
Griffiths, Steven
The energy landscape of the Middle East and North Africa (MENA) region has undergone a significant transformation in recent years as a result of intersecting technological, economic and political trends, both regional and international. The evolving dynamics of international energy markets, increased diversification of energy sources, global concerns for climate change, and regional conflict are among the leading factors impacting the evolution of MENA energy policy. This paper provides an assessment and outlook for energy policy in the MENA region within the context of the myriad factors impacting policy design and implementation. A review and analysis of the social, political and economic factors that are impacting regional energy policy is provided and followed by analysis of regional energy policy with consideration of hydrocarbon exploration and production, regional energy trade, demand management and clean energy production. The findings show that the MENA region is in the midst of an energy transition that has uncertain outcomes but will undoubtedly have long lasting impacts on the global energy system. - Highlights: • The MENA region is undergoing an energy transition shaped by political, social and economic dynamics. • Political, economic and social turmoil will constrain energy systems developments in many MENA countries. • MENA countries that can evolve their energy systems are prioritizing energy security and energy cost minimization. • Energy demand management, sustainable energy supply and regional cooperation are essential to achieving energy priorities.
Vascular flora of Kenya, based on the Flora of Tropical East Africa
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Yadong Zhou
Full Text Available Kenya, an African country with major higher plant diversity, has a corresponding diversity of plant associations, because of the wide geographic distribution, diverse climatic conditions and soil types. In this article, all vascular plants of Kenya were counted based on the completed "Flora of Tropical East Africa (FTEA", and all families and genera were revised using recent molecular systematics research, forming a "Synoptic List of Families and Genera of Kenyan Vascular Plants (SLFGKVP". In total, there are 225 families, 1538 genera and 6293 indigenous species and and 62 families, 302 genera and 588 exotic species in Kenya. The Fabaceae with 98 genera and 576 Species is the largest family. Two of the seven plant distribution regions of Kenya, K4 and K7 are the most species-richest areas with regard to both total and endemic species, with 3375 and 3191 total species and 174 and 185 endemic species in K4 and K7 respectively. While, K3 and K5 have the highest density of both total and endemic species. K1 has the lowest density of total species, and K2 has the lowest density of endemic species.
Sensitivity of the Regional Climate in the Middle East and North Africa to Volcanic Perturbations
Dogar, Muhammad Mubashar; Stenchikov, Georgiy L.; Osipov, Sergey; Wyman, Bruce; Zhao, Ming
The Middle East and North Africa (MENA) regional climate appears to be extremely sensitive to volcanic eruptions. Winter cooling after the 1991 Pinatubo eruption far exceeded the mean hemispheric temperature anomaly, even causing snowfall in Israel. To better understand MENA climate variability, the climate responses to the El Chichón and Pinatubo volcanic eruptions are analyzed using observations, NOAA/NCEP Climate Forecast System Reanalysis, and output from the Geophysical Fluid Dynamics Laboratory's High-Resolution Atmospheric Model (HiRAM). A multiple regression analysis both for the observations and the model output is performed on seasonal summer and winter composites to separate out the contributions from climate trends, El Niño Southern Oscillation (ENSO), North Atlantic Oscillation (NAO), Indian summer monsoon and volcanic aerosols. Strong regional temperature and precipitation responses over the MENA region are found in both winter and summer. The model and the observations both show that a positive NAO amplifies the MENA volcanic winter cooling. In boreal summer, the patterns of changing temperature and precipitation suggest a weakening and southward shift of the Intertropical Convergence Zone, caused by volcanic surface cooling and weakening of the Indian and West African monsoons. The model captures the main features of the climate response; however, it underestimates the total cooling, especially in winter, and exhibits a different spatial pattern of the NAO climate response in MENA compared to the observations. The conducted analysis sheds light on the internal mechanisms of MENA climate variability and helps to selectively diagnose the model deficiencies.
Sexual and bodily rights as human rights in the Middle East and North Africa.
Ercevik Amado, Liz
A regional workshop on sexual and bodily rights as human rights in the Middle East and North Africa was held in Malta in 2003, attended by 22 NGO representatives from Jordan, Egypt, Lebanon, Palestine, Tunisia, Morocco, Algeria, Turkey, Pakistan and USA. The meeting aimed to develop strategies for overcoming human rights violations in the region with reference to law and social and political practices. Session topics included sexuality and gender identity; sexuality and sexual health; sexuality and comparative penal law; sexual rights in international documents; advocacy and lobbying. Sexual rights, sexual health and education, sexual violence and adolescent sexuality were explored in depth, including taboos and emerging trends. Specific areas of concern included marital rape, early marriages, temporary marriages, sexual orientation, premarital and extramarital sexuality, honour crimes, female genital mutilation, unmarried mothers, adolescent sexuality, unwanted pregnancies and safe abortion, sexuality in education and health services. An analysis of civil codes, penal codes and personal status codes indicated a clear imperative for legal reform. Participants heard about efforts to promote the right to sexual orientation which have already been initiated in Lebanon, Turkey and Tunisia. Networking within the region and with counterparts in other regions in comparable situations and conditions was deemed essential.
Polyphase Neoproterozoic orogenesis within the east Africa- Antarctica orogenic belt in central and northern Madagascar
Key, R.M.; Pitfield, P.E.J.; Thomas, Ronald J.; Goodenough, K.M.; Waele, D.; Schofield, D.I.; Bauer, W.; Horstwood, M.S.A.; Styles, M.T.; Conrad, J.; Encarnacion, J.; Lidke, D.J.; O'connor, E. A.; Potter, C.; Smith, R.A.; Walsh, G.J.; Ralison, A.V.; Randriamananjara, T.; Rafahatelo, J.-M.; Rabarimanana, M.
Our recent geological survey of the basement of central and northern Madagascar allowed us to re-evaluate the evolution of this part of the East Africa-Antarctica Orogen (EAAO). Five crustal domains are recognized, characterized by distinctive lithologies and histories of sedimentation, magmatism, deformation and metamorphism, and separated by tectonic and/or unconformable contacts. Four consist largely of Archaean metamorphic rocks (Antongil, Masora and Antananarivo Cratons, Tsaratanana Complex). The fifth (Bemarivo Belt) comprises Proterozoic meta-igneous rocks. The older rocks were intruded by plutonic suites at c. 1000 Ma, 820-760 Ma, 630-595 Ma and 560-520 Ma. The evolution of the four Archaean domains and their boundaries remains contentious, with two end-member interpretations evaluated: (1) all five crustal domains are separate tectonic elements, juxtaposed along Neoproterozoic sutures and (2) the four Archaean domains are segments of an older Archaean craton, which was sutured against the Bemarivo Belt in the Neoproterozoic. Rodinia fragmented during the early Neoproterozoic with intracratonic rifts that sometimes developed into oceanic basins. Subsequent Mid- Neoproterozoic collision of smaller cratonic blocks was followed by renewed extension and magmatism. The global 'Terminal Pan-African' event (560-490 Ma) finally stitched together the Mid-Neoproterozoic cratons to form Gondwana. ?? The Geological Society of London 2011.
Abortion and Islam: policies and practice in the Middle East and North Africa.
Hessini, Leila
This paper provides an overview of legal, religious, medical and social factors that serve to support or hinder women's access to safe abortion services in the 21 predominantly Muslim countries of the Middle East and North Africa (MENA) region, where one in ten pregnancies ends in abortion. Reform efforts, including progressive interpretations of Islam, have resulted in laws allowing for early abortion on request in two countries; six others permit abortion on health grounds and three more also allow abortion in cases of rape or fetal impairment. However, medical and social factors limit access to safe abortion services in all but Turkey and Tunisia. To address this situation, efforts are increasing in a few countries to introduce post-abortion care, document the magnitude of unsafe abortion and understand women's experience of unplanned pregnancy. Religious fatāwa have been issued allowing abortions in certain circumstances. An understanding of variations in Muslim beliefs and practices, and the interplay between politics, religion, history and reproductive rights is key to understanding abortion in different Muslim societies. More needs to be done to build on efforts to increase women's rights, engage community leaders, support progressive religious leaders and government officials and promote advocacy among health professionals.
Realizing Universal Health Coverage in East Africa: the relevance of human rights.
Yamin, Alicia Ely; Maleche, Allan
Applying a robust human rights framework would change thinking and decision-making in efforts to achieve Universal Health Coverage (UHC), and advance efforts to promote women's, children's, and adolescents' health in East Africa, which is a priority under the Sustainable Development Agenda. Nevertheless, there is a gap between global rhetoric of human rights and ongoing health reform efforts. This debate article seeks to fill part of that gap by setting out principles of human rights-based approaches (HRBAs), and then applying those principles to questions that countries undertaking efforts toward UHC and promoting women's, children's and adolescents' health, will need to face, focusing in particular on ensuring enabling legal and policy frameworks, establishing fair financing; priority-setting processes, and meaningful oversight and accountability mechanisms. In a region where democratic institutions are notoriously weak, we argue that the explicit application of a meaningful human rights framework could enhance equity, participation and accountability, and in turn the democratic legitimacy of health reform initiatives being undertaken in the region.
Water resources trends in Middle East and North Africa towards 2050
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P. Droogers
Full Text Available Changes in water resources availability can be expected as consequences of climate change, population growth, economic development and environmental considerations. A two-stage modeling approach is used to explore the impact of these changes in the Middle East and North Africa (MENA region. An advanced, physically based, distributed, hydrological model is applied to determine the internal and external renewable water resources for the current situation and under future changes. Subsequently, a water allocation model is used to combine the renewable water resources with sectoral water demands. Results show that total demand in the region will increase to 393 km3 yr−1 in 2050, while total water shortage will grow to 199 km3 yr−1 in 2050 for the average climate change projection, an increase of 157 km3 yr−1. This increase in shortage is the combined impact of an increase in water demand by 50% with a decrease in water supply by 12%. Uncertainty, based on the output of the nine GCMs applied, reveals that expected water shortage ranges from 85 km3 yr−1 to 283 km3 yr−1~in 2050. The analysis shows that 22% of the water shortage can be attributed to climate change and 78% to changes in socio-economic factors.
Urban Chikungunya in the Middle East and North Africa: A systematic review.
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John M Humphrey
Full Text Available The epidemiology of Chikungunya virus (CHIKV in the Middle East and North Africa (MENA is not well characterized despite increasing recognition of its expanding infection and disease burden in recent years.Following Cochrane Collaboration guidelines and reporting our findings following PRISMA guidelines, we systematically reviewed records describing the human prevalence and incidence, CHIKV prevalence/infection rates in vectors, outbreaks, and reported cases for CHIKV across the MENA region. We identified 29 human seroprevalence measures, one human incidence study, one study reporting CHIKV infection rates in Aedes, and nine outbreaks and case reports/series reported in the MENA from 1970-2015. Overall, anti-CHIKV antibody or reports of autochthonous transmission were identified from 10 of 23 countries in the MENA region (Djibouti, Egypt, Iraq, Iran, Kuwait, Pakistan, Saudi Arabia, Somalia, Sudan, and Yemen, with seroprevalence measures among general populations (median 1.0%, range 0-43% and acute febrile illness populations (median 9.8%, range 0-30%. Sudan reported the highest number of studies (n = 11 and the highest seroprevalence among general populations (median 12%, range 0-43% and undifferentiated acute febrile illness populations (median 18%, range 10-23%. CHIKV outbreaks were reported from Djibouti, Pakistan, Sudan, and Yemen.Seroprevalence studies and outbreak reports suggest endemic transmission of urban cycle CHIKV in at least the Red Sea region and Pakistan. However, indications of seroprevalence despite a low quantity of CHIKV epidemiologic research from the region suggests that CHIKV transmission is currently underrecognized.
Decadal trends in beach morphology on the east coast of South Africa and likely causative factors
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S. Corbella
Full Text Available Sandy shorelines are dynamic with constant changes that can cause hazards in developed areas. The causes of change may be either natural or anthropogenic. This paper evaluates evidence for shoreline changes and their causative factors using a case study on the east coast of South Africa. Beach morphology trends were found to be location-specific, but overall the beaches show a receding trend. It was hypothesized that wave, tide, sea level and wind trends as well as anthropogenic influences are causative factors, and their contributions to shoreline changes were evaluated. Maximum significant wave heights, average wave direction, peak period and storm event frequencies all show weak increasing trends, but only the increases in peak period and wave direction are statistically significant. The chronic beach erosion cannot be attributed to wave climate changes since they are still too small to explain the observations. Instead, the impacts of sea level rise and reductions in the supply of beach sediments are suggested as the main causative factors. The analysis also identifies a trend in the frequency of severe erosion events due to storms that coincide with a 4.5-yr extreme tide cycle, which demonstrates the potential impact of future sea level rise.
Climate variability and conflict risk in East Africa, 1990-2009.
O'Loughlin, John; Witmer, Frank D W; Linke, Andrew M; Laing, Arlene; Gettelman, Andrew; Dudhia, Jimy
Recent studies concerning the possible relationship between climate trends and the risks of violent conflict have yielded contradictory results, partly because of choices of conflict measures and modeling design. In this study, we examine climate-conflict relationships using a geographically disaggregated approach. We consider the effects of climate change to be both local and national in character, and we use a conflict database that contains 16,359 individual geolocated violent events for East Africa from 1990 to 2009. Unlike previous studies that relied exclusively on political and economic controls, we analyze the many geographical factors that have been shown to be important in understanding the distribution and causes of violence while also considering yearly and country fixed effects. For our main climate indicators at gridded 1° resolution (~100 km), wetter deviations from the precipitation norms decrease the risk of violence, whereas drier and normal periods show no effects. The relationship between temperature and conflict shows that much warmer than normal temperatures raise the risk of violence, whereas average and cooler temperatures have no effect. These precipitation and temperature effects are statistically significant but have modest influence in terms of predictive power in a model with political, economic, and physical geographic predictors. Large variations in the climate-conflict relationships are evident between the nine countries of the study region and across time periods.
Cardiovascular risk factors burden in Saudi Arabia: The Africa Middle East Cardiovascular Epidemiological (ACE) study.
Ahmed, Amjad M; Hersi, Ahmad; Mashhoud, Walid; Arafah, Mohammed R; Abreu, Paula C; Al Rowaily, Mohammed Abdullah; Al-Mallah, Mouaz H
Limited data exist on the epidemiology of cardiovascular risk factors in Saudi Arabia, particularly in relation to the differences between Saudi nationals and expatriates in Saudi Arabia. The aim of this analysis was to describe the current prevalence of cardiovascular risk factors among patients attending general practice clinics across Saudi Arabia. In this cross-sectional epidemiological analysis of the Africa Middle East Cardiovascular Epidemiological (ACE) study, the prevalence of cardiovascular risk factors (hypertension, diabetes, dyslipidemia, obesity, smoking, abdominal obesity) was evaluated in adults attending primary care clinics in Saudi Arabia. Group comparisons were made between patients of Saudi ethnicity (SA nationals) and patients who were not of Saudi ethnicity (expatriates). A total of 550 participants were enrolled from different clinics across Saudi Arabia [aged (mean ± standard deviation) 43 ± 11 years; 71% male]. Nearly half of the study cohort (49.8%) had more than three cardiovascular risk factors. Dyslipidemia was the most prevalent risk factor (68.6%). The prevalence of hypertension (47.5%) and dyslipidemia (75.5%) was higher among expatriates when compared with SA nationals (31.4% vs. 55.1%, p = 0.0003 vs. p Saudi Arabia. Improving primary care services to focus on risk factor control may ultimately decrease the incidence of coronary artery disease and improve overall quality of life. The ACE trial is registered under NCT01243138.
Shoreline recovery from storms on the east coast of Southern Africa
Corbella, S.; Stretch, D. D.
Episodic extreme waves due to sea storms can cause severe coastal erosion. The recovery times of such events are important for the analysis of risk and coastal vulnerability. The recovery period of a storm damaged coastline represents a time when the coastline is most vulnerable and nearby infrastructure is at the greatest risk. We propose that identification of the beach recovery period can be used as a coastal management tool when determining beach usage. As a case study, we analyse 37 yr of beach profile data on the east coast of South Africa. Considering beach length and cross-sectional area, we establish a global recovery period and rate and identify the physical characteristics of the coastlines that either accelerate or retard recovery. The beaches in the case study were found to take an average of two years to recover at a rate of approximately 90 m3 m-1 yr-1. Beach profiles with vegetated dunes recovered faster than urbanized beaches. Perpendicular beach structures have both positive and negative effects on beach recovery. Coastlines with rock outcrops in the surf zone tend to recover slowly and long-term sediment loss was identified in cases where storm damaged beaches have not recovered to pre-erosion levels.
Shoreline recovery from storms on the east coast of Southern Africa
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S. Corbella
Full Text Available Episodic extreme waves due to sea storms can cause severe coastal erosion. The recovery times of such events are important for the analysis of risk and coastal vulnerability. The recovery period of a storm damaged coastline represents a time when the coastline is most vulnerable and nearby infrastructure is at the greatest risk. We propose that identification of the beach recovery period can be used as a coastal management tool when determining beach usage. As a case study, we analyse 37 yr of beach profile data on the east coast of South Africa. Considering beach length and cross-sectional area, we establish a global recovery period and rate and identify the physical characteristics of the coastlines that either accelerate or retard recovery. The beaches in the case study were found to take an average of two years to recover at a rate of approximately 90 m3 m−1 yr−1. Beach profiles with vegetated dunes recovered faster than urbanized beaches. Perpendicular beach structures have both positive and negative effects on beach recovery. Coastlines with rock outcrops in the surf zone tend to recover slowly and long-term sediment loss was identified in cases where storm damaged beaches have not recovered to pre-erosion levels.
Sensitivity of the regional climate in the Middle East and North Africa to volcanic perturbations
Dogar, Muhammad Mubashar; Stenchikov, Georgiy; Osipov, Sergey; Wyman, Bruce; Zhao, Ming
The Middle East and North Africa (MENA) regional climate appears to be extremely sensitive to volcanic eruptions. Winter cooling after the 1991 Pinatubo eruption far exceeded the mean hemispheric temperature anomaly, even causing snowfall in Israel. To better understand MENA climate variability, the climate responses to the El Chichón and Pinatubo volcanic eruptions are analyzed using observations, NOAA/National Centers for Environmental Prediction Climate Forecast System Reanalysis, and output from the Geophysical Fluid Dynamics Laboratory's High-Resolution Atmospheric Model. A multiple regression analysis both for the observations and the model output is performed on seasonal summer and winter composites to separate out the contributions from climate trends, El Niño-Southern Oscillation (ENSO), North Atlantic Oscillation (NAO), Indian summer monsoon, and volcanic aerosols. Strong regional temperature and precipitation responses over the MENA region are found in both winter and summer. The model and the observations both show that a positive NAO amplifies the MENA volcanic winter cooling. In boreal summer, the patterns of changing temperature and precipitation suggest a weakening and southward shift of the Intertropical Convergence Zone, caused by volcanic surface cooling and weakening of the Indian and West African monsoons. The model captures the main features of the climate response; however, it underestimates the total cooling, especially in winter, and exhibits a different spatial pattern of the NAO climate response in MENA compared to the observations. The conducted analysis sheds light on the internal mechanisms of MENA climate variability and helps to selectively diagnose the model deficiencies.
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Syed Mahbubur Rahman
Full Text Available All Parties to the United Nations Framework Convention on Climate Change (UNFCCC were requested to communicate intended nationally determined contributions (INDCs in a clear, transparent and understandable way before the Conference of the Parties (known as COP21 held in Paris in 2015. The Contributions were supposed to be balanced and comprehensive to ensure sustainable development and expected to include finance, technology requires, technology transfer and capacity building aiming at mitigation and adaptation. This research focuses on investigating the INDCs prepared by countries from the Middle East and North Africa (MENA, one of the most water-scarce and dry regions in the world. Following a content analysis, this research has found that INDCs from the region have not been able to reflect the desired output. Submissions were also not timely and not sufficiently ahead of time. Many countries were not able to disclose the current status. INDCs can play a significant role by providing objective, timely, and reliable information, which is missing at present in the countries from MENA.
Regional nitrogen budget of the Lake Victoria Basin, East Africa: syntheses, uncertainties and perspectives
Zhou, Minghua; Brandt, Patric; Pelster, David; Rufino, Mariana C.; Robinson, Timothy; Butterbach-Bahl, Klaus
Using the net anthropogenic nitrogen input (NANI) approach we estimated the N budget for the Lake Victoria Basin in East Africa. The NANI of the basin ranged from 887 to 3008 kg N km-2 yr-1 (mean: 1827 kg N km-2 yr-1) for the period 1995-2000. The net nitrogen release at basin level is due primarily to livestock and human consumption of feed and foods, contributing between 69% and 85%. Atmospheric oxidized N deposition contributed approximately 14% to the NANI of the Lake Victoria Basin, while either synthetic N fertilizer imports or biological N fixations only contributed less than 6% to the regional NANI. Due to the low N imports of feed and food products (export to Lake Victoria accounted for 16%, which is much lower than for watersheds located in Europe and USA (25%). A significant reduction of the uncertainty of our N budget estimate for Lake Victoria Basin would be possible if better data on livestock systems and riverine N export were available. Our study indicates that at present soil N mining is the main source of nitrogen in the Lake Victoria Basin. Thus, sustainable N management requires increasing agricultural N inputs to guarantee food security and rehabilitation and protection of soils to minimize environmental costs. Moreover, to reduce N pollution of the lake, improving management of human and animal wastes needs to be carefully considered in future.
Neoproterozoic collision tectonics in the Mozambique Belt of East Africa: evidence from the Uluguru mountains, Tanzania
Muhongo, Sospeter
The fault-bounded Proterozoic metamorphic terranes lying to the E of the Tanzanian craton make up the Usagara tectonic domain and are a part of the transcontinental Mozambique Orogenic Belt (MB). The lithotectonic units in the MB of the East Africa consist of comparable rock assembles which underwent the same complex deformational history and are thought to represent large thrust sheets or nappes. Their shelf- and fore-deep terranes border the Tanzanian craton and make up the foreland terranes of the Pan-African Mozambique Belt. Granulite-gneiss nappes are ubiquitous in the orogen. Granulite-facies metamorphism, associated with recumbent folds, was due to crustal thickening, which took place during the collision between Gondwana fragments. Isotope data suggest a collision (and concomitant granulite-facies metamorphism) age of between 700 and 550 Ma. The orientations of planar and linear fabrics in the granulite-facies rocks of the Uluguru mountains are used to infer the relative crustal block motions during this collisional event. This Pan-African collisional event was characterized by NW-directed movements, oblique to the N-S trend of the orogen, and involved SE-directed backthrusting. The Ubendian Belt of Tanzania and the Aswa Shear Zone in Uganda and Kenya, which both bifurcate around the Tanzania craton, accommodated the tectonically thickened crust, created by the collisional event, through NW-SE sinistral strike-slip movements.
A Framework for Revitalisation of Rural Education and Training Systems in Sub-Saharan Africa: Strengthening the Human Resource Base for Food Security and Sustainable Livelihoods
Wallace, Ian
Recent studies of the current state of rural education and training (RET) systems in sub-Saharan Africa have assessed their ability to provide for the learning needs essential for more knowledgeable and productive small-scale rural households. These are most necessary if the endemic causes of rural poverty (poor nutrition, lack of sustainable…
Blood pressure patterns in rural, semi-urban and urban children in the Ashanti region of Ghana, West Africa
Agyemang, Charles; Redekop, William K.; Owusu-Dabo, Ellis; Bruijnzeels, Marc A.
High blood pressure, once rare, is rapidly becoming a major public health burden in sub-Saharan/Africa. It is unclear whether this is reflected in children. The main purpose of this study was to assess blood pressure patterns among rural, semi-urban, and urban children and to determine the
Innovative landfill bioreactor systems for municipal solid waste treatment in East Africa aimed at optimal energy recovery and minimal greenhouse gas emissions
Salukele, F.M.
Landfilling is currently the dominant disposal method for municipal solid waste (MSW) in developing countries. Approximately 50% of the MSW generated in East Africa is disposed in landfills. Low costs and availability of land have made landfilling the most common waste management option in East
Multi criteria analysis for sustainability assessments of electricity generation systems in a rural community in South Africa
Energy Technology Data Exchange (ETDEWEB)
Amigun, B.; Mehlwana, M. [Council for Scientific and Industrial Research, Pretoria (South Africa). Sustainable Energy Futures, Natural Resources and the Environment; Musango, J.K. [Department of Energy (DoE), Pretoria (South Africa); Brent, A.C. [Stellenbosch Univ. (South Africa). Centre for Renewable and Sustainable Energy Studies
One of the key challenges of the energy policy in South Africa is to ensure that rural areas have access to electricity. This is reflected in the key energy policy documents (the 1998 Energy White Paper and the 2002 Renewable Energy White Paper). Both these documents identified renewable energy resources as immediate alternatives to grid electricity in especially remote rural communities that are characterised by low population densities. Centralised energy generation and transmission is very costly and inefficient in these areas due to greater transmission and distribution losses. While the cost of electricity in South Africa is relatively cheaper, it is not accessible for many rural households. There are still over two million households in rural areas without access to electricity. This paper presents a multi-criteria decision analysis (MCDA) using the Analytical Hierarchy Process (AHP) technique to compare various electricity technologies (mainly renewables) in a specific rural community of South Africa using social, economic, environment and technical indicators. These technologies were than ranked against each indicator assuming that the high-level criteria have equal importance for sustainable development. It is demonstrated that energy from wind is the most sustainable, followed by photovoltaic, anaerobic digestion (biogas) and then gasification. A sensitivity analysis was also performed to verify the stability of the priority ranking. The outcome of this study will specifically assist energy planners and decision-makers to choose the best alternative from a range of technology alternatives in a milieu of conflicting and competing criteria. (orig.)
Ende Diabetes Study: diabetes and its characteristics in rural area of East Nusa Tenggara
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Sarwono Waspadji
Full Text Available Background: There are only few studies about diabetes in rural area in Indonesia. Epidemiological study are needed to formulate health policy of disease management in specific area. The aim of this study was to find the prevalence of diabetes and knowledge of diabetes among the community in Nangapanda Village, Ende District, East Nusa Tenggara.Methods: A cross-sectional study "Ende Diabetes Study" was conducted in Nangapanda Village. This study use cluster random sampling method to a total number of 19756 residents in Nangapanda village. From the sampling frame of 1800 adult subjects who underwent screening with glucometer in 2008 and 2009, 125 subjects have been diagnosed as diabetes or impaired fasting glucose (IFG. All of the subjects who were diagnosed as diabetes or IFG from the previous screening and 218 subjects from control (normal subjects in the 2008 and 2009 screening were included in the present study. Each subject underwent general anamnesis, nutritional interview, complete physical examinations, and laboratory test (blood and urine. The data were analyzed using SPSS 13.0.Ressult: There were 343 subjects in this study. The prevalence of diabetes in Nangapanda using blood glucose criteria (using fasting and post-glucose load values was 2%; using post glucose load criteria, the prevalence of DM was 1.56%; while with HbA1c criteria, the prevalence was 2.83%. The prevalence of impaired glucose tolerance (IGT was 2.2%, and IFG was 6.2%. A number of 71.1% Nangapanda residents have sufficient knowledge about diabetes.Conclusion: Prevalence of diabetes in Nangapanda (using fasting and post-glucose load criteria was 2% and 1.56% (using post-glucose load values. As much as 71.1% of Nangapanda residents have sufficient knowledge about diabetes. (Med J Indones. 2013;22:30-8Keywords: Diabetes mellitus, Ende Diabetes Study, prevalence, rural Indonesia
A Survey of the Literature on Local Content Policies in the Oil and Gas Industry in East Africa
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Chilenye Nwapi
Full Text Available Although oil and gas exploration has been going on in East Africa for decades, until recently exploration activities grew more slowly compared to other regions in Africa. Today, there has been a series of oil and gas discoveries in several East African countries, including Kenya, Madagascar, Mozambique, Tanzania and Uganda. Debate is however mounting over what effect the new oil and gas discoveries would have on East Africa, given the trajectory of older oil-producing countries in Africa, particularly Angola, Nigeria and Sudan. The challenge for East Africa is, therefore, how to maximize the potential benefits from the resources to avoid the under-developmental path that these other countries followed. There is general consensus that lack of specialized skills is a major obstacle to Africa's realization of its resource potentials. One instrument currently being adopted by most oil and gas resource-rich countries (both in and outside Africa to deal with the skills problem and to enhance linkages between the oil and gas sector and other sectors of the economy is the formulation of local content policies (LCPs. Typically, LCPs require companies to give preferential treatment to nationals of the country in which they operate in matters of employment and in the procurement of goods and services. It is believed that this would result in technology transfer and facilitate the ability of the country to take charge of its own development. But LCPs come with certain tradeoffs: Their potential incompatibility with international trade agreements threatens their sustenance; they can create unrealistic expectations capable of discouraging investment; and they are easily prone to corruption. However, there is a strong case for emerging oil and gas-producing East African countries to consider adopting the LCP. The nascent nature of the oil and gas industry in the region means that these countries would not have the technical and even managerial expertise to
A systematic review of essential obstetric and newborn care capacity building in rural sub-Saharan Africa.
Ni Bhuinneain, G M; McCarthy, F P
Progress in maternal survival in sub-Saharan Africa has been poor since the Millennium Declaration. This systematic review aims to investigate the presence and rigour of evidence for effective capacity building for Essential Obstetric and Newborn Care (EONC) to reduce maternal mortality in rural, sub-Saharan Africa, where maternal mortality ratios are highest globally. MEDLINE (1990-January 2014), EMBASE (1990-January 2014), and the Cochrane Library were included in our search. Key developing world issues of The Lancet and the British Journal of Obstetrics and Gynaecology, African Ministry of Health websites, and the WHO reproductive health library were searched by hand. Studies investigating essential obstetric and newborn care packages in basic and comprehensive care facilities, at community and institutional level, in rural sub-Saharan Africa were included. Studies were included if they reported on healthcare worker performance, access to care, community behavioural change, and emergency obstetric and newborn care. Data were extracted and all relevant studies independently appraised using structured abstraction and appraisal tools. There is moderate evidence to support the training of healthcare workers of differing cadres in the provision of emergency obstetric and newborn services to reduce institutional maternal mortality and case-fatality rates in rural sub-Saharan Africa. Community schemes that sensitise and enable access to maternal health services result in a modest rise in facility birth and skilled birth attendance in this rural setting. Essential Obstetric and Newborn Care has merit as an intervention package to reduce maternal mortality in rural sub-Saharan Africa. © 2014 Royal College of Obstetricians and Gynaecologists.
An updated atlas of human helminth infections: the example of East Africa
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Karanja Peris
Full Text Available Abstract Background Reliable and updated maps of helminth (worm infection distributions are essential to target control strategies to those populations in greatest need. Although many surveys have been conducted in endemic countries, the data are rarely available in a form that is accessible to policy makers and the managers of public health programmes. This is especially true in sub-Saharan Africa, where empirical data are seldom in the public domain. In an attempt to address the paucity of geographical information on helminth risk, this article describes the development of an updated global atlas of human helminth infection, showing the example of East Africa. Methods Empirical, cross-sectional estimates of infection prevalence conducted since 1980 were identified using electronic and manual search strategies of published and unpublished sources. A number of inclusion criteria were imposed for identified information, which was extracted into a standardized database. Details of survey population, diagnostic methods, sample size and numbers infected with schistosomes and soil-transmitted helminths were recorded. A unique identifier linked each record to an electronic copy of the source document, in portable document format. An attempt was made to identify the geographical location of each record using standardized geolocation procedures and the assembled data were incorporated into a geographical information system. Results At the time of writing, over 2,748 prevalence surveys were identified through multiple search strategies. Of these, 2,612 were able to be geolocated and mapped. More than half (58% of included surveys were from grey literature or unpublished sources, underlining the importance of reviewing in-country sources. 66% of all surveys were conducted since 2000. Comprehensive, countrywide data are available for Burundi, Rwanda and Uganda. In contrast, information for Kenya and Tanzania is typically clustered in specific regions of
Designing a Frost Forecasting Service for Small Scale Tea Farmers in East Africa
Adams, E. C.; Nyaga, J. W.; Ellenburg, W. L.; Limaye, A. S.; Mugo, R. M.; Flores Cordova, A. I.; Irwin, D.; Case, J.; Malaso, S.; Sedah, A.
our partner network developed at the stakeholder engagement meeting. This presentation will illustrate the efficacy of our frost forecasting algorithm, and a way forward for incorporating these forecasts in a meaningful way to the key decision makers - the small-scale farmers of East Africa.
Supervised oral HIV self-testing is accurate in rural KwaZulu-Natal, South Africa.
Martínez Pérez, Guillermo; Steele, Sarah J; Govender, Indira; Arellano, Gemma; Mkwamba, Alec; Hadebe, Menzi; van Cutsem, Gilles
To achieve UNAIDS 90-90-90 targets, alternatives to conventional HIV testing models are necessary in South Africa to increase population awareness of their HIV status. One of the alternatives is oral mucosal transudates-based HIV self-testing (OralST). This study describes implementation of counsellor-introduced supervised OralST in a high HIV prevalent rural area. Cross-sectional study conducted in two government-run primary healthcare clinics and three Médecins Sans Frontières-run fixed-testing sites in uMlalazi municipality, KwaZulu-Natal. Lay counsellors sampled and recruited eligible participants, sought informed consent and demonstrated the use of the OraQuick(™) OralST. The participants used the OraQuick(™) in front of the counsellor and underwent a blood-based Determine(™) and a Unigold(™) rapid diagnostic test as gold standard for comparison. Primary outcomes were user error rates, inter-rater agreement, sensitivity, specificity and predictive values. A total of 2198 participants used the OraQuick(™) , of which 1005 were recruited at the primary healthcare clinics. Of the total, 1457 (66.3%) were women. Only two participants had to repeat their OraQuick(™) . Inter-rater agreement was 99.8% (Kappa 0.9925). Sensitivity for the OralST was 98.7% (95% CI 96.8-99.6), and specificity was 100% (95% CI 99.8-100). This study demonstrates high inter-rater agreement, and high accuracy of supervised OralST. OralST has the potential to increase uptake of HIV testing and could be offered at clinics and community testing sites in rural South Africa. Further research is necessary on the potential of unsupervised OralST to increase HIV status awareness and linkage to care. © 2016 John Wiley & Sons Ltd.
Fertility trends and net reproduction in Agincourt, rural South Africa, 1992-2004.
Garenne, Michel L; Tollman, Stephen M; Collinson, Mark A; Kahn, Kathleen
To analyse trends in fertility rates and net reproduction rates in Agincourt, a rural area of South Africa located in the former homeland of Gazankulu near the Mozambican border. Trends are analysed in the context of widely available modern contraceptive methods and increasing HIV/AIDS. A health and demographic surveillance system has been in place since 1992, covering a population of approximately 70,000 persons, with an annual census update and comprehensive recording of births and deaths. It was complemented by a retrospective study of fertility at baseline. Retrospective and prospective data were used to calculate trends in fertility, survival, and net reproduction. When possible, they were compared with data from other censuses and surveys in the same ethnic group. The fertility transition has almost ended over a course of 25 years in Agincourt. The total fertility rate (TFR) averaged 6.0 in 1979 and 2.3 in 2004. Fertility declined in proportionate fashion in all age groups including adolescents in the recent period. The net reproduction rate (NRR) declined from 1.8 to 1.0 during the prospective period (1992-2004). At current rates of change in fertility and mortality, the NRR can be expected to reach 0.63 by the year 2010. The situation of a below-replacement fertility level is new for rural Africa, and is likely to have many demographic, economic and social implications. The population could decline in the country as a whole, and is nearly static in Agincourt because of negative migration flows balancing the small excess from natural increase.
Sensitivity of the Regional Climate in the Middle East and North Africa to Volcanic Perturbations
Dogar, Muhammad Mubashar
The Middle East and North Africa (MENA) regional climate appears to be extremely sensitive to volcanic eruptions. Winter cooling after the 1991 Pinatubo eruption far exceeded the mean hemispheric temperature anomaly, even causing snowfall in Israel. To better understand MENA climate variability, the climate responses to the El Chichón and Pinatubo volcanic eruptions are analyzed using observations, NOAA/NCEP Climate Forecast System Reanalysis, and output from the Geophysical Fluid Dynamics Laboratory\\'s High-Resolution Atmospheric Model (HiRAM). A multiple regression analysis both for the observations and the model output is performed on seasonal summer and winter composites to separate out the contributions from climate trends, El Niño Southern Oscillation (ENSO), North Atlantic Oscillation (NAO), Indian summer monsoon and volcanic aerosols. Strong regional temperature and precipitation responses over the MENA region are found in both winter and summer. The model and the observations both show that a positive NAO amplifies the MENA volcanic winter cooling. In boreal summer, the patterns of changing temperature and precipitation suggest a weakening and southward shift of the Intertropical Convergence Zone, caused by volcanic surface cooling and weakening of the Indian and West African monsoons. The model captures the main features of the climate response; however, it underestimates the total cooling, especially in winter, and exhibits a different spatial pattern of the NAO climate response in MENA compared to the observations. The conducted analysis sheds light on the internal mechanisms of MENA climate variability and helps to selectively diagnose the model deficiencies.
Smallholder farmers' attitudes and determinants of adaptation to climate risks in East Africa
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Kelvin M. Shikuku
Full Text Available Adapting to climate risks is central to the goal of increasing food security and enhancing resilience of farming systems in East Africa. We examined farmers' attitudes and assessed determinants of adaptation using data from a random sample of 500 households in Borana, Ethiopia; Nyando, Kenya; Hoima, Uganda; and Lushoto, Tanzania. Adaptation was measured using a livelihood-based index that assigned weights to different individual strategies based on their marginal contributions to a household's livelihood. Results showed that farmers' attitudes across the four sites strongly favored introduction of new crops, changes in crop varieties, and changes in planting times. Farmers disfavored soil, land, and water management practices. At lower levels of adaptation (25% quantile, adaptation index correlated positively with membership to farmers' groups, household size, sex of the household head, and number of months of food shortage. Farmer group membership enhanced adaptation at intermediate (50% quantile level whereas access to credit increased adaptation at high (75% quantile level. Food insecurity, however, correlated negatively with the likelihood to choose individual adaptation strategies suggesting that although households adapted to improve food security status of their households, hunger was a barrier to adaptation. Our findings suggest that providing climate information to inform timely planting, promoting crop diversification, and encouraging adoption of adapted varieties of crops might be successful to enhancing resilience of farming systems in the short-term. In the long-term, increased investment in reducing hunger, encouraging groups formation, and easing liquidity constraints will be required to promote adaptation through implementation of soil, water, and land management strategies.
Sustainable Management of Climate Change: The Case of the Middle East and North Africa Region
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Adel M. Al Taweel
Full Text Available Climate change is one of the major environmental challenges facing the world. Particularly vulnerable are arid and low-laying coastal areas, conditions that prevail through most of the Middle East and North Africa [MENA]. This region is an economically diverse one, including both the oil-rich economies in the Gulf and countries that are resource-scarce in relation to their population. However, with about 23 percent of MENA's population living on less than $2 a day, it is imperative that the climate change management strategies adopted be cost-effective and emphasize economic, social and human development while addressing the concerns arising from anthropogenic climate change.Over the past decades several national and international mechanisms were developed in an attempt to reduce the emissions considered to be mainly responsible for climate change, and to assist in coping with the adverse effects that are beginning to occur as a result of climate change. Unfortunately, many of these approaches are presently associated with economic penalties that often adversely affect the socio-economic welfare of the populace, particularly in low-, and medium-income countries. In this regard, it is informative to note the experience recently gained by Trinidad and Tobago [T&T] in its attempt to reduce GHG emissions without affecting the competitiveness of the industrial and agricultural sectors. Using appropriate decision making tools and a policy environment based on a combination of regulations and incentives, the environmental challenges can be turned into a vehicle for sustainable development.This paper discusses the factors that need to be considered while developing a sustainable climate change management approach for the MENA region and develops some recommendations that may be essential for achieving the desired climate change mitigation/adaptation actions while minimizing social disruption.
Evaluation of CMIP5 twentieth century rainfall simulation over the equatorial East Africa
Ongoma, Victor; Chen, Haishan; Gao, Chujie
This study assesses the performance of 22 Coupled Model Intercomparison Project Phase 5 (CMIP5) historical simulations of rainfall over East Africa (EA) against reanalyzed datasets during 1951-2005. The datasets were sourced from Global Precipitation Climatology Centre (GPCC) and Climate Research Unit (CRU). The metrics used to rank CMIP5 Global Circulation Models (GCMs) based on their performance in reproducing the observed rainfall include correlation coefficient, standard deviation, bias, percentage bias, root mean square error, and trend. Performances of individual models vary widely. The overall performance of the models over EA is generally low. The models reproduce the observed bimodal rainfall over EA. However, majority of them overestimate and underestimate the October-December (OND) and March-May (MAM) rainfall, respectively. The monthly (inter-annual) correlation between model and reanalyzed is high (low). More than a third of the models show a positive bias of the annual rainfall. High standard deviation in rainfall is recorded in the Lake Victoria Basin, central Kenya, and eastern Tanzania. A number of models reproduce the spatial standard deviation of rainfall during MAM season as compared to OND. The top eight models that produce rainfall over EA relatively well are as follows: CanESM2, CESM1-CAM5, CMCC-CESM, CNRM-CM5, CSIRO-Mk3-6-0, EC-EARTH, INMCM4, and MICROC5. Although these results form a fairly good basis for selection of GCMs for carrying out climate projections and downscaling over EA, it is evident that there is still need for critical improvement in rainfall-related processes in the models assessed. Therefore, climate users are advised to use the projections of rainfall from CMIP5 models over EA cautiously when making decisions on adaptation to or mitigation of climate change.
How critical are wetlands for provisioning ecosystem services in East Africa?
Gettel, G. M.; van Dam, A. A.; Hes, E.; Irvine, K.
East Africa is rapidly losing wetlands as the region intensifies agricultural development in rice, sugarcane, and aquaculture production. However, these wetlands are critically important to the livelihoods of region's most vulnerable smallholders, who depend on them for fisheries, water abstraction, and dry-season subsistence agriculture, including livestock grazing. At the same time, wetlands are used for their regulating services, including for water purification of waste-water in some of the region's largest capital cities (e.g. Kampala and Kigali). They also store an enormous, but poorly quantified amount of below-ground carbon and prevent excess nitrogen inputs to sensitive downstream ecosystems. Our research in papyrus wetlands in the Lake Victoria Basin aims to quantify trade-offs in provisioning and regulating services and link these services to socio-economic conditions of the smallholders. We present a framework for evaluating these trade-offs, which can ultimately be used for more informed management decisions for sustainable wetland management and for evaluating impacts on livelihoods. Specifically, we have found that papyrus wetlands can maintain many of their regulating functions, including high plant productivity and denitrification rates when native vegetation is allowed to grow back during wet-seasons, while during dry seasons they can be developed for economically important agricultural activities, including livestock grazing and crop production. This shows the possibility to include wetlands in management plans aimed to increase agricultural production without jeopardizing their ability to maintain other important regulating services. These patterns highlight the need to evaluate the regional importance of these wetlands for both food production and regulating services.
Early initiation of antiretroviral treatment: Challenges in the Middle East and North Africa.
Sardashti, Sara; Samaei, Mehrnoosh; Firouzeh, Mona Mohammadi; Mirshahvalad, Seyed Ali; Pahlaviani, Fatemeh Golsoorat; SeyedAlinaghi, SeyedAhmad
New World Health Organization guidelines recommend the initiation of antiretroviral treatment (ART) for asymptomatic patients with CD4+ T-cell counts of ≤ 500 cells/mm(3). Substantial reduction of human immunodeficiency virus (HIV) transmission is addressed as a major public health outcome of this new approach. Middle East and North Africa (MENA), known as the area of controversies in terms of availability of comprehensive data, has shown concentrated epidemics among most of it's at risk population groups. Serious challenges impede the applicability of new guidelines in the MENA Region. Insufficient resources restrict ART coverage to less than 14%, while only one fourth of the countries had reportable data on patients' CD4 counts at the time of diagnosis. Clinical guidelines need to be significantly modified to reach practical utility, and surveillance systems have not yet been developed in many countries of MENA. Based on available evidence in several countries people who inject drugs and men who have sex with men are increasingly vulnerable to HIV and viral hepatitis, while their sexual partners - either female sex workers or women in monogamous relationships with high-risk men - are potential bridging populations that are not appropriately addressed by regional programs. Research to monitor the response to ART among the mentioned groups are seriously lacking, while drug resistant HIV strains and limited information on adherence patterns to treatment regimens require urgent recognition by health policymakers. Commitment to defined goals in the fight against HIV, development of innovative methods to improve registration and reporting systems, monitoring and evaluation of current programs followed by cost-effective modifications are proposed as effective steps to be acknowledged by National AIDS Programs of the countries of MENA Region.
Kanda fault: A major seismogenic element west of the Rukwa Rift (Tanzania, East Africa)
Vittori, Eutizio; Delvaux, Damien; Kervyn, François
The NW-SE trending Rukwa Rift, part of the East African Rift System, links the approximately N-S oriented Tanganyika and Nyassa (Malawi) depressions. The rift has a complex half-graben structure, generally interpreted as the result of normal and strike-slip faulting. Morphological and structural data (e.g. fault scarps, faceted spurs, tilting of Quaternary continental deposits, volcanism, seismicity) indicate Late Quaternary activity within the rift. In 1910 an earthquake of M = 7.4 (historically the largest felt in Africa) struck the Rukwa region. The epicentre was located near the Kanda fault, which affects the Ufipa plateau, separating the Rukwa depression from the south-Tanganyika basin. The geomorphic expression of the Kanda fault is a prominent fresh-looking scarp more than 180 km long, from Tunduma to north of Sumbawanga, that strikes roughly NW-SE, and dips constantly northeast. No evidence for horizontal slip was observed. Generally, the active faulting affects a very narrow zone, and is only locally distributed over several subparallel scarps. The height of the scarp progressively decreases towards the northwest, from about 40-50 m to a few metres north of Sumbawanga. Faulted lacustrine deposits exposed in a road cut near Kaengesa were dated as 8340 ± 700 and 13 600 ± 1240 radiocarbon years. These low-energy deposits now hang more than 15 m above the present-day valley floor, suggesting rapid uplift during the Holocene. Due to its high rate of activity in very recent times, the Kanda Fault could have produced the 1910 earthquake. Detailed paleoseismological studies are used to characterize its recent history. In addition, the seismic hazard posed by this fault, which crosses the fast growing town of Sumbawanga, must be seriously considered in urban planning.
The competitiveness of domestic rice production in East Africa: A domestic resource cost approach in Uganda
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Masao Kikuchi
Full Text Available The rapid increase of rice imports in sub-Saharan Africa under the unstable situation in the world rice market during the 2000s has made it an important policy target for the countries in the region to increase self-sufficiency in rice in order to enhance food security. Whether domestic rice production can be competitive with imported rice is a serious question in East African countries that lie close, just across the Arabian Sea, to major rice exporting countries in South Asia. This study investigates the international competitiveness of domestic rice production in Uganda in terms of the domestic resource cost ratio. The results show that rainfed rice cultivation, which accounts for 95% of domestic rice production, does not have a comparative advantage with respect to rice imported from Pakistan, the largest supplier of imported rice to Uganda. However, the degree of non-competitiveness is not serious, and a high possibility exists for Uganda's rainfed rice cultivation to become internationally competitive by improving yield levels by applying more modern inputs and enhancing labour productivity. Irrigated rice cultivation, though very limited in area, is competitive even under the present input-output structure when the cost of irrigation infrastructure is treated as a sunk cost. If the cost of installing irrigation infrastructure and its operation and maintenance is taken into account, the types of irrigation development that are economically feasible are not large-scale irrigation projects, but are small- and microscale projects for lowland rice cultivation and rain-water harvesting for upland rice cultivation.
Monitoring Water Resources in Pastoral Areas of East Africa Using Satellite Data and Hydrologic Modeling
Alemu, H.; Senay, G. B.; Velpuri, N.; Asante, K. O.
The nomadic pastoral communities in East Africa heavily depend on small water bodies and artificial lakes for domestic and livestock uses. The shortage of water in the region has made these water resources of great importance to them and sometimes even the reason for conflicts amongst rival communities in the region. Satellite-based data has significantly transformed the way we track and estimate hydrological processes such as precipitation and evapotranspiration. This approach has been particularly useful in remote places where conventional station-based weather networks are scarce. Tropical Rainfall Measuring Mission (TRMM) satellite data were extracted for the study region. National Oceanic and Atmospheric Administration's (NOAA) Global Data Assimilation System (GDAS) data were used to extract the climatic parameters needed to calculate reference evapotranspiration. The elevation data needed to delineate the watersheds were extracted from the Shuttle Radar Topography Mission (SRTM) with spatial resolution of 90m. The waterholes (most of which have average surface area less than a hectare) were identified using Advanced Space-borne Thermal Emission and Reflection Radiometer (ASTER) images with a spatial resolution of 15 m. As part of National Aeronautics and Space Administration's (NASA) funded enhancement to a livestock early warning decision support system, a simple hydrologic water balance model was developed to estimate daily waterhole depth variations. The model was run for over 10 years from 1998 till 2008 for 10 representative waterholes in the region. Although there were no independent datasets to validate the results, the temporal patterns captured both the seasonal and inter-annual variations, depicting known drought and flood years. Future research includes the installation of staff-gauges for model calibration and validation. The simple modeling approach demonstrated the effectiveness of integrating dynamic coarse resolution datasets such as TRMM with
Floral and Seed Variability Patterns among Ethiopian Mustard (B. carinata A. Braun of East Africa
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Adeniji, OT.
Full Text Available In East Africa, Ethiopian mustard (Brassica carinata A. Braun is cultivated primarily for its leaves, but in Ethiopia preference is high for oil in the seed. Dual purpose importance of the seeds for planting and for oil suggests the need to improve seed production efficiency through understanding variation pattern for floral morphology and seed characters. We investigated genetic diversity and correlations for floral and seed characteristics among 14 accessions of Ethiopian mustard to improve seed set and yield. Field trials were conducted during 2008 and 2009; flowers were examined for short stamen height, long stamen height, pistil height, and silliqua for seed weight, seeds/silliqua and silliqua/plant. Results were largely consistent between years, indicating that the variation measured was mainly controlled by genetic factors. High genetic variation for seed characters and reproductive phenology among the accessions was noted. The number of days to appearance of flowers showed high discriminatory ability among the accessions. A wide continuous variation was observed among accessions for anther-stigma separation. Accessions 1, 3 and 14 were identified as early flowering. A significant and positive correlation coefficient between short stamen height and seed weight indicated a substantial complementation among these characters for seed yield improvement. The short stamen height is a good indicator for selection in favour of seed commercialization and indices for selection of pollen parent for seed yield improvement. Accessions 5, 7, 14, 16 and 22 are best for multiple characters and are recommended for seed production for any of the seasons in Arusha, Tanzania.
The epidemiology of Norovirus in the Middle East and North Africa (MENA) region: a systematic review.
Kreidieh, Khalil; Charide, Rana; Dbaibo, Ghassan; Melhem, Nada M
Norovirus (NoV) is considered the second leading cause of viral acute gastroenteritis (AGE). To our knowledge, there are no systematic reviews assessing the role of NoV in AGE in the Middle East and North Africa (MENA) region. Consequently, we conducted an extensive systematic literature review on articles studying NoV in the 24 countries of the MENA region during the past 15 years (2000-2015). The methods and reporting were set according to the 2015 PRISMA-P and based on the elements from the international prospective register of systematic reviews (PROSPERO). We retrieved 38 studies meeting our predefined inclusion criteria and were used to extract full data. Studies reporting on NoV were conducted in 15 out of the 24 countries of the region. The reported NoV infection rates in MENA countries ranged between 0.82% and 36.84%. The majority of studies were clinical observational studies assessing NoV rates mainly among children. Participants were recruited from in- and outpatient clinics. NoV infection was reported all year round with with peaks observed mainly during cold months. GII.4 was the predominant genotype detected in stool of participants as reported by 16 out of 25 studies (64%). Overall, there is an increasing recognition of NoV as an important causative agent of AGE across all age groups in the MENA region. Further studies are needed to assess the national and the regional burden of NoV among different age groups, its molecular diversity and seasonal variability.
Financing concentrating solar power in the Middle East and North Africa-Subsidy or investment?
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Trieb, Franz; Mueller-Steinhagen, Hans; Kern, Juergen
The paper presents a strategy for the market introduction of concentrating solar power (CSP) plants in the Middle East and North Africa (MENA) that will not require considerable subsidization and will not constitute a significant burden for electricity consumers in the region. In the first section, the paper explains the need of MENA countries for sustainable supply of electricity and calculates the cost of electricity for a model case country. In the second part, the cost development of concentrating solar power plants is calculated on the basis of expectations for the expansion of CSP on a global level. After that, the challenges for the market introduction of CSP in MENA are explained. Finally, we present a strategy for the market introduction of CSP in MENA, removing the main barriers for financing and starting market introduction in the peak load and the medium load segment of power supply. The paper explains why long-term power purchase agreements (PPA) for CSP should be calculated on the basis of avoided costs, starting in the peak load segment. Such PPA are not yet available, the paper aims to convince policy makers to introduce them. - Research Highlights: → Concentrating Solar Power in the Mediterranean Region (MED-CSP 2005) (www.dlr.de/tt/med-csp). → Trans-Mediterranean Interconnection for Concentrating Solar Power (TRANS-CSP 2006) (www.dlr.de/tt/trans-csp). → Concentrating Solar Power for Seawater Desalination (AQUA-CSP 2007) (www.dlr.de/tt/aqua-csp). → Risk of Energy Availability: Common Corridors for Europe Supply Security (REACCESS 2009) (http://reaccess.epu.ntua.gr/). → Combined Solar Power and Desalination in the Mediterranean (MED-CSD 2010) (www.med-csd-ec.eu).
Awareness, treatment, and control of dyslipidemia in rural South Africa: The HAALSI (Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa) study.
Reiger, Sheridan; Jardim, Thiago Veiga; Abrahams-Gessel, Shafika; Crowther, Nigel J; Wade, Alisha; Gomez-Olive, F Xavier; Salomon, Joshua; Tollman, Stephen; Gaziano, Thomas A
Dyslipidemia is a primary driver for chronic cardiovascular conditions and there is no comprehensive literature about its management in South Africa. The objective of this study was to assess the prevalence, awareness, treatment, and control of dyslipidemia in rural South Africa and how they are impacted by different behaviors and non-modifiable factors. To fulfill this objective we recruited for this cohort study adults aged ≥40 years residing in the Agincourt sub-district of Mpumalanga Province. Data collection included socioeconomic and clinical data, anthropometric measures, blood pressure (BP), HIV-status, point-of-care glucose and lipid levels. Framingham CVD Risk Score was ascribed to patients based upon categories for 10 year cardiovascular risk of low (dyslipidemia and awareness of dyslipidemia From 5,059 respondents a total of 4247 subjects (83.9%) had their cholesterol levels measured and were included in our analysis. Overall, 67.3% (2860) of these met criteria for dyslipidemia, only 30 (1.05%) were aware of their condition, and only 21 subjects (0.73%) were on treatment. The majority have abnormalities in triglycerides (59.3%). As cardiovascular risk increased the rates of lipid control according to LDL level dropped. Multivariate logistic regression analyses showed that being overweight was predictive of dyslipidemia (OR 1.76; 95%CI 1.51-2.05, pdyslipidemia awareness (OR 2.58; 95%CI 1.19-5.58; p = 0.017). In conclusion, the very low awareness and treatment of dyslipidemia in this cohort indicate a greater need for systematic screening and education within the population and demonstrate that there are multiple opportunities to allay this burden.
Trauma and posttraumatic stress disorder in a rural primary care population in South Africa.
Peltzer, K; Seakamela, M J; Manganye, L; Mamiane, K G; Motsei, M S; Mathebula, T T M
The aim of this study was to assess trauma events experienced and PTSD among 250 consecutive rural primary clinic patients (all Black Africans, 24% male and 76% female; M age 31.1 yr., SD = 11.8; range 18-65 years) in South Africa using the Trauma History Questionnaire and the PTSD Checklist-Civilian Version, interview administered. Results indicated that the mean number of traumatic events reported was 3.5 (SD = 2.9, range = 0-19) and was significantly higher among men (M= 4.9, SD = 3.5) than women (M = 3.0, SD = 2.6). Among the most frequently endorsed traumas among men were seeing someone seriously injured or killed (60%), serious accident (43.3%), and seeing dead bodies (43.3%), and among women natural disaster (mostly floods) (51.6%), news of a serious injury, life-threatening illness or unexpected death of someone close (31.1%), and seeing someone seriously injured or killed (30%). A current diagnosis of PTSD was found in 12.4% of the sample. Trauma incidence figures were high (M = 3.5) and were comparable with an urban Xhosa primary care population in South Africa (M = 3.8). A current indicative diagnosis of PTSD of 12.4% also compares with other studies; 19.9% among urban Xhosa primary care patients and 11.8% among American primary care patients.
Coping with change: Household structure and composition in rural South Africa, 1992 – 20031
Aim To describe household change over a 10-year period of tremendous social, political, economic and health transformation in South Africa using data from the Agincourt health and demographic surveillance system in the rural northeast of South Africa. Methods Examination of household structure and composition at three points: 1992, 1997, and 2003. These three years loosely represent conditions immediately before the elections (1992), short term post-elections (1997), and longer term (2003), and span a period of notable increase in HIV prevalence. Results Average household size decreased and the proportion headed by females increased. The within-household dependency ratios for children and elders both decreased, as did the proportion of households containing foster children. The proportion with at least one maternal orphan doubled, but was still relatively small at 5.5%. Conclusions This analysis is a starting point for future investigations aimed at explaining how HIV/AIDS and other sociocultural changes post-apartheid have impacted on household organization. The analysis shows both consistency and change in measures of household structure and composition between 1992 and 2003. The changes do not include an increase in various types of "fragile families", such as child-headed or skipped-generation households that might be expected due to HIV/AIDS. PMID:17676508
Religiously Motivated Travel and Rural Tourism in Vhembe District of South Africa
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Gyekye Agyapong
Full Text Available The study investigated the socio-economic impact of religious tourism (UAAC gathering on the local tourism industry and on surrounding rural communities in Vhembe District Municipality (VDM of South Africa. Questionnaires were used to collect data on pilgrims (visitors, businesses, and residents during, and immediately after the event. Statistical techniques were used to analyse the data to gain insight into the data as basis for answering the research questions posed in this study. The results revealed that majority of the pilgrims to the UAAC gathering were from the host province of Limpopo. Also, most pilgrims travel to the pilgrimage site solely for religious reasons. Another significant finding is that the average spending per pilgrim by pilgrims from the rest of South Africa is larger than their Limpopo and foreign pilgrim counterparts. Furthermore, the results showed that while businesses were positive about the pilgrimage's contribution to increased sales from their businesses, they at the same time opined that the event does not generate any additional employment. This could be because out of every R100 of pilgrims spending only R2.16 remains in the local economy through leakages. Finally an important finding of the study is overall consensus among residents that the annual pilgrimage gathering promotes morality, improved socialization as well as a sense of feeling good and proud of their community.
Computer usage among nurses in rural health-care facilities in South Africa: obstacles and challenges.
Asah, Flora
This study discusses factors inhibiting computer usage for work-related tasks among computer-literate professional nurses within rural healthcare facilities in South Africa. In the past two decades computer literacy courses have not been part of the nursing curricula. Computer courses are offered by the State Information Technology Agency. Despite this, there seems to be limited use of computers by professional nurses in the rural context. Focus group interviews held with 40 professional nurses from three government hospitals in northern KwaZulu-Natal. Contributing factors were found to be lack of information technology infrastructure, restricted access to computers and deficits in regard to the technical and nursing management support. The physical location of computers within the health-care facilities and lack of relevant software emerged as specific obstacles to usage. Provision of continuous and active support from nursing management could positively influence computer usage among professional nurses. A closer integration of information technology and computer literacy skills into existing nursing curricula would foster a positive attitude towards computer usage through early exposure. Responses indicated that change of mindset may be needed on the part of nursing management so that they begin to actively promote ready access to computers as a means of creating greater professionalism and collegiality. © 2011 Blackwell Publishing Ltd.
Changing energy profiles and consumption patterns following electrification in five rural villages, South Africa
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Madubansi, M.; Shackleton, C.M.
Following the democratic transition in South Africa in the early 1990s the government has implemented a widespread electrification programme, as well as introduced a free basic electricity allowance as a means of poverty alleviation. Yet there are limited longitudinal studies on the impacts of the introduction of electricity on the patterns of household energy use, and even more so in the neglected rural sector. This study reports on the patterns of household energy use in five rural settlements in 1991 and again in 2002. Results indicate a changing pattern of energy use for lighting and powering entertainment appliances, more specifically from dry-cell batteries and paraffin to electricity. Yet for thermal needs, most notably cooking, fuelwood has remained the most widespread fuel, and the amount used per month has not changed, despite increasing scarcity of wood in the local environment. There has been an increase in the proportion of households purchasing fuelwood as opposed to collecting their own. Overall, the mean total number of fuel types used per household has increased, indicating that electricity is simply viewed as an additional energy, rather than an alternative. Yet, electricity accounted for approximately 60% of expenditure on energy sources in 2002, despite the government's policy of a free basic allowance of 5-6 kWh per month. This has implications for energy supply costing, as well as the poverty alleviation dimensions of the whole programme
The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?
Schatz, Enid; Gómez-Olivé, Xavier; Ralston, Margaret; Menken, Jane; Tollman, Stephen
Unique to Africa, a means-tested non-contributory pension is available to South Africans. In 2006, women over 60 and men over 65 were pension-eligible. To explore the effect of the pension for health and wellbeing indicators of rural South African men and women, we analyze data from the WHO-INDEPTH Study of Global Ageing and Adult Health Survey, carried out in the Agincourt sub-district by the MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) in 2006. Because pension receipt was not measured directly, our findings represent intent-to-treat (ITT) rather than treatment-on-the-treated (TOT) effects using age as an indicator for intent-to-treat. Overall, women report poorer wellbeing compared to men. However, women have a "honeymoon" period at ages 60–64, the first years of pension-eligibility, in which they report lower levels of worry and sadness, and higher overall happiness, life satisfaction, and quality of life as compared to younger and older women. For men, in contrast, reports of wellbeing worsen in the pre-pension years, followed by a similar but not as prominent pattern of favorable reports in the five years following pension-eligibility, and a decline in the next five-year period. Thus, while pensions continue to enhance financial wellbeing, our results suggest that their effect on social wellbeing may be gendered and transitory. Further research is needed to improve understanding of these dynamics. PMID:22884944
Solid waste characterization in Ketao, a rural town in Togo, West Africa.
Edjabou, Maklawe Essonanawe; Møller, Jacob; Christensen, Thomas H
In Africa the majority of solid waste data is for big cities. Small and rural towns are generally neglected and waste data from these areas are often unavailable, which makes planning a proper solid waste management difficult. This paper presents the results from two waste characterization projects conducted in Kétao, a rural town in Togo during the rainy season and the dry season in 2010. The seasonal variation has a significant impact on the waste stream. The household waste generation rate was estimated at 0.22 kg person(-1) day(-1) in the dry season and 0.42 in the rainy season. Likewise, the waste moisture content was 4% in the dry season while it was 33-63% in the rainy season. The waste consisted mainly of soil and dirt characterized as 'other' (41%), vegetables and putrescibles (38%) and plastic (11%). In addition to these fractions, considerable amounts of material are either recycled or reused locally and do not enter the waste stream. The study suggests that additional recycling is not feasible, but further examination of the degradability of the organic fraction is needed in order to assess whether the residual waste should be composed or landfilled.
Domestic rainwater harvesting to improve water supply in rural South Africa
Mwenge Kahinda, Jean-marc; Taigbenu, Akpofure E.; Boroto, Jean R.
Halving the proportion of people without sustainable access to safe drinking water and basic sanitation, is one of the targets of the 7th Millennium Development Goals (MDGs). In South Africa, with its mix of developed and developing regions, 9.7 million (20%) of the people do not have access to adequate water supply and 16 million (33%) lack proper sanitation services. Domestic Rainwater Harvesting (DRWH), which provides water directly to households enables a number of small-scale productive activities, has the potential to supply water even in rural and peri-urban areas that conventional technologies cannot supply. As part of the effort to achieve the MDGs, the South African government has committed itself to provide financial assistance to poor households for the capital cost of rainwater storage tanks and related works in the rural areas. Despite this financial assistance, the legal status of DRWH remains unclear and DRWH is in fact illegal by strict application of the water legislations. Beyond the cost of installation, maintenance and proper use of the DRWH system to ensure its sustainability, there is risk of waterborne diseases. This paper explores challenges to sustainable implementation of DRWH and proposes some interventions which the South African government could implement to overcome them.
Household structure vs. composition: Understanding gendered effects on educational progress in rural South Africa.
Madhavan, Sangeetha; Myroniuk, Tyler W; Kuhn, Randall; Collinson, Mark A
Demographers have long been interested in the relationship between living arrangements and gendered outcomes for children in sub-Saharan Africa. Most extant research conflates household structure with composition and has revealed little about the pathways that link these components to gendered outcomes. First, we offer a conceptual approach that differentiates structure from composition with a focus on gendered processes that operate in the household; and second, we demonstrate the value of this approach through an analysis of educational progress for boys and girls in rural South Africa. We use data from the 2002 round of the Agincourt Health and Demographic Surveillance System. Our analytical sample includes 22,997 children aged 6-18 who were neither parents themselves nor lived with a partner or partner's family. We employ ordinary least squares regression models to examine the effects of structure and composition on educational progress of girls and boys. The results suggest that non-nuclear structures are associated with similar negative effects for both boys and girls compared to children growing up in nuclear households. However, the presence of other kin in the absence of one or both parents results in gendered effects favouring boys. The absence of any gendered effects when using a household structure typology suggests that secular changes to attitudes about gender equity trump any specific gendered processes stemming from particular configurations. On the other hand, gendered effects that appear when one or both parents are absent show that traditional gender norms and/or resource constraints continue to favour boys. Despite the wealth of literature on household structure and children's educational outcomes in sub-Saharan Africa, the conceptual basis of these effects has not been well articulated. We have shown the value of unpacking household structure to better understand how gender norms and gendered resource allocations impact education.
Risk factors for incident HIV infection among antenatal mothers in rural Eastern Cape, South Africa
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Charles Bitamazire Businge
Full Text Available Background: The prevalence of HIV among antenatal clients in South Africa has remained at a very high rate of about 29% despite substantial decline in several sub-Saharan countries. There is a paucity of data on risk factors for incident HIV infection among antenatal mothers and women within the reproductive age bracket in local settings in the Eastern Cape, South Africa. Objective: To establish the risk factors for incident HIV infection among antenatal clients aged 18–49 years attending public antenatal clinics in rural Eastern Cape, South Africa. Design: This was an unmatched case–control study carried out in public health antenatal clinics of King Sabata District Municipality between January and March 2014. The cases comprised 100 clients with recent HIV infection; the controls were 200 HIV-negative antenatal clients. Socio-demographic, sexual, and behavioral data were collected using interviewer-administered questionnaires adapted from the standard DHS5 women's questionnaire. Multivariate logistic regression models were used to identify the independent risk factors for HIV infection. A p<0.05 was considered statistically significant. Results: The independent risk factors for incident HIV infection were economic dependence on the partner, having older male partners especially among women aged ≤20 years, and sex under the influence of alcohol. Conclusions: Therefore, effective prevention of HIV among antenatal mothers in KSDM must target the improvement of the economic status of women, thereby reducing economic dependence on their sexual partners; address the prevalent phenomenon of cross-generation sex among women aged <20 years; and regulate the brewing, marketing, and consumption of alcohol.
Household structure vs. composition: Understanding gendered effects on educational progress in rural South Africa
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Sangeetha Madhavan
Full Text Available Background: Demographers have long been interested in the relationship between living arrangements and gendered outcomes for children in sub-Saharan Africa. Most research conflates household structure with composition and has revealed little about the pathways that link these components to gendered outcomes. Objective: We offer a conceptual approach that differentiates structure from composition with a focus on gendered processes that operate in the household in rural South Africa. Methods: We use data from the 2002 round of the Agincourt Health and Socio-Demographic Surveillance System. Our analytical sample includes 22,997 children aged 6‒18 who were neither parents themselves nor lived with a partner or partner's family. We employ ordinary least squares regression models to examine the effects of structure and composition on educational progress of girls and boys. Results: Non-nuclear structures are associated with similar negative effects for both boys and girls compared to children growing up in nuclear households. However, the presence of other kin in the absence of one or both parents results in gendered effects favouring boys. Conclusions: The absence of any gendered effects when using a household structure typology suggests that secular changes to attitudes about gender equity trump any specific gendered processes stemming from particular configurations. On the other hand, gendered effects that appear when one or both parents are absent show that traditional gender norms and/or resource constraints continue to favour boys. Contribution: We have shown the value of unpacking household structure to better understand how gender norms and gendered resource allocations are linked to an important outcome for children in sub-Saharan Africa.
Patterns of genetic diversity and differentiation in the tsetse fly Glossina morsitans morsitans Westwood populations in East and southern Africa
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Ouma, J.O.; Marquez, J.G.; Krafsur, E.S
Genetic diversity and differentiation within and among nine G. morsitans morsitans populations from East and southern Africa was assessed by examining variation at seven microsatellite loci and a mitochondrial locus, cytochrome oxidase (COI). Mean COI diversity within populations was 0.63 ± 0.33 and 0.81 taken over all populations. Diversities averaged over microsatellite loci were high (mean number of alleles/locus ≥7.4; mean HE ≥ 65%) in all populations. Diversities averaged across populations were greater in East Africa (mean number of alleles = 22 ± 2.6; mean he = 0.773 ± 0.033) than in southern Africa (mean number of alleles = 18.7 ± 4.0; mean he = 0.713 ± 0.072). Differentiation among all populations was highly significant (RST = 0.25, FST = 0.132). Nei's Gij statistics were 0.09 and 0.19 within regions for microsatellites and mitochondria, respectively; between regions, Gij was 0.14 for microsatellites and 0.23 for mitochondria. GST among populations was 0.23 for microsatellite loci and 0.40 for mitochondria. The F, G and R statistics indicate highly restricted gene flow among G. m. morsitans populations separated over geographic scales of 12–917 km. (author)
Assessing health and well-being among older people in rural South Africa
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F. Xavier Gómez-Olivé
Full Text Available Background: The population in developing countries is ageing, which is likely to increase the burden of non-communicable diseases and disability. Objective: To describe factors associated with self-reported health, disability and quality of life (QoL of older people in the rural northeast of South Africa. Design: Cross-sectional survey of 6,206 individuals aged 50 and over. We used multivariate analysis to examine relationships between demographic variables and measures of self-reported health (Health Status, functional ability (WHODASi and quality of life (WHOQoL. Results: About 4,085 of 6,206 people eligible (65.8% completed the interview. Women (Odds Ratio (OR=1.30, 95% CI 1.09, 1.55, older age (OR=2.59, 95% CI 1.97, 3.40, lower education (OR=1.62, 95% CI 1.31, 2.00, single status (OR=1.18, 95% CI 1.01, 1.37 and not working at present (OR=1.29, 95% CI 1.06, 1.59 were associated with a low health status. Women were also more likely to report a higher level of disability (OR=1.38, 95% CI 1.14, 1.66, as were older people (OR=2.92, 95% CI 2.25, 3.78, those with no education (OR=1.57, 95% CI 1.26, 1.97, with single status (OR=1.25, 95% CI 1.06, 1.46 and not working at present (OR=1.33, 95% CI 1.06, 1.66. Older age (OR=1.35, 95% CI 1.06, 1.74, no education (OR=1.39, 95% CI 1.11, 1.73, single status (OR=1.28, 95% CI 1.10, 1.49, a low household asset score (OR=1.52, 95% CI 1.19, 1.94 and not working at present (OR=1.32; 95% CI 1.07, 1.64 were all associated with lower quality of life. Conclusions: This study presents the first population-based data from South Africa on health status, functional ability and quality of life among older people. Health and social services will need to be restructured to provide effective care for older people living in rural South Africa with impaired functionality and other health problems.
Transactional sex among young women in rural South Africa: prevalence, mediators and association with HIV infection
Ranganathan, Meghna; Heise, Lori; Pettifor, Audrey; Silverwood, Richard J; Selin, Amanda; MacPhail, Catherine; Delany-Moretlwe, Sinead; Kahn, Kathleen; Gómez-Olivé, F Xavier; Hughes, James P; Piwowar-Manning, Estelle; Laeyendecker, Oliver; Watts, Charlotte
Introduction Young adolescent women in sub-Saharan Africa are three to four times more likely to be HIV-positive than boys or men. One of the relationship dynamics that is likely to be associated with young women's increased vulnerability to HIV is transactional sex. There are a range of HIV-related risk behaviours that may drive this vulnerability. However, to date, limited epidemiological data exist on the role of transactional sex in increasing HIV acquisition, especially among young women in sub-Saharan Africa. Our paper presents data on the prevalence of self-reported engagement in transactional sex and explores whether transactional sex is associated with increased risk of HIV infection among a cohort of young, rural, sexually active South African women. We also explore whether this relationship is mediated through certain HIV-related risk behaviours. Methods We analyzed baseline data from a phase III trial of conditional cash transfers for HIV prevention of 693 sexually active, school-going young women aged 13–20 years in rural South Africa. We examined the association between young women's engagement in transactional sex and HIV infection. Transactional sex is defined as a non-commercial, non-marital sexual relationship whereby sex is exchanged for money and/or gifts. We explored whether this relationship is mediated by certain HIV-related risk behaviours. We used logistic and multinomial regression and report unadjusted and adjusted odds ratios with 95% CI. Results Overall, 14% (n=97) of sexually active young women reported engaging in transactional sex. Engagement in transactional sex was associated with an increased risk of being HIV-positive (aOR: 2.5, CI: 95% 1.19–5.25, p=0.01). The effect size of this association remained nearly unchanged when adjusted for certain other dimensions of HIV risk that might help explain the underlying pathways for this relationship. Conclusions This study provides quantitative support demonstrating that transactional
The associations between interpersonal violence and psychological distress among rural and urban young women in South Africa.
Manyema, M; Norris, S A; Said-Mohamed, R; Tollman, S T; Twine, R; Kahn, K; Richter, L M
Approximately 25% of the world's population consists of young people. The experience of violence peaks during adolescence and the early adult years. A link between personal experience of violence and mental health among young people has been demonstrated but rural-urban differences in these associations are less well known in low to middle income countries. The aim of this study was to investigate the associations between interpersonal violence and psychological distress among rural and urban young women. Data on experiences of violence and psychological distress were collected from a total of 926 non-pregnant young women aged between 18 and 22 years of age in rural and urban sites in South Africa. The General Health Questionnaire-28 was used to assess psychological distress as an indicator of mental health. Generalised structural equation models were employed to assess potential pathways of association between interpersonal violence and psychological distress. Thirty-four percent of the urban young women (n = 161) reported psychological distress compared to 18% of rural young women (n = 81). In unadjusted analysis, exposure to interpersonal violence doubled the odds of psychological distress in the urban adolescents and increased the odds 1.6 times in the rural adolescents. In adjusted models, the relationship remained significant in the urban area only (OR 1.84, 95% CI 1.13-3.00). Rural residence seemed protective against psychological distress (OR 0.41, 95% CI 0.24-0.69). Structural equation modelling did not reveal any direct association between exposure to interpersonal violence and psychological distress among rural young women. Stressful household events were indirectly associated with psychological distress, mediated by violence among young women in the urban area. The relationship between violence and psychological distress differs between urban and rural-residing young women in South Africa, and is influenced by individual, household and community
Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut
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Angela A. Morris-Paxton
Conclusion: In this rural area of the Eastern Cape, South Africa, the follow-up of patients with hypertension or diabetes as well as those individuals at-risk adds value to hypertension and glucose control.
Estimating the contribution of rural land uses to greenhouse gas emissions: A case study of North East Scotland
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Feliciano, Diana; Slee, Bill; Hunter, Colin; Smith, Pete
Challenging greenhouse gas (GHG) emission reduction targets were set in Scotland by the Climate Change (Scotland) Act in June 2009. The national objective is to reduce GHG emissions by 42% by 2020 and 80% by 2050 compared to 1990 levels. The GHG emission reduction targets apply both to the traded and non-traded sectors, thus including the rural land use sector. In North East Scotland, rural land uses cover the majority of the land area, with agriculture and forestry representing about 86% and sporting land about 10% of the total area. The objectives of this study were to provide guidance for the development of a regional GHG inventory to estimate methane (CH 4 ), nitrous oxide (N 2 O) and carbon dioxide (CO 2 ) emissions from rural land uses in North East of Scotland, to compare with that of the United Kingdom (UK), and discuss the advantages of regional GHG inventories for rural land uses. The study mainly followed the guidance of the IPCC (Intergovernmental Panel on Climate Change) Revised Guidelines for National Greenhouse Gas Inventories and adapts these to the region level. Data available for North East Scotland allowed an assessment of annual GHG emissions from livestock and grassland, cropland management and sporting land, as well as carbon sequestered by forests, between 1999 and 2010. Estimated GHG emissions of 1420 ktCO 2 e from livestock, grassland and cropland management obtained in this study for 2009 compare well with estimates for the same region from larger-scale inventories. The methodology described, including the steps undertaken for data collection, the shortcomings found and strategies to overcome these, could be applied to other UK or European regions.
Is There an Enabling Environment for Nutrition-Sensitive Agriculture in East Africa? Stakeholder Perspectives From Ethiopia, Kenya, and Uganda.
Hodge, Judith; Herforth, Anna; Gillespie, Stuart; Beyero, Mesfin; Wagah, Margaret; Semakula, Richard
There is growing recognition that "nutrition-sensitive" development is necessary to ensure nutrition security and reduce malnutrition. While agriculture has the potential to be a strong driver of malnutrition reduction and serves as the main source of livelihood for approximately two-thirds of East Africa's population, its potential to reduce malnutrition is currently not being realized. Leveraging Agriculture for Nutrition in East Africa is a research study based in Ethiopia, Kenya, and Uganda that seeks to understand the enabling environment necessary for optimizing the contribution of the food and agriculture sector to nutrition outcomes. Its objectives were to explore stakeholder perceptions of nutrition-agriculture linkages, of political and institutional challenges and opportunities, of evidence that is available and influential for policy making, and of key issues with regard to capacity. Open-ended and semistructured interviews were conducted with 53 stakeholders from government, civil society, donors, United Nations organizations, private sector, and research/academic institutions in Ethiopia, Kenya, and Uganda in 2014. Although policy opportunities and contexts are different between the 3 countries, stakeholders identified similar barriers to greater action, including a narrow focus on solely market-oriented and staple crop production, a lack of clarity and incentives within the agriculture sector about improving nutrition and how to translate policy into action, and lack of capacity in human and financial resources. Many actions to improve the nutrition sensitivity of agriculture were mentioned, including crop diversification, value chain activities and improved market access, nutrition education, and reduction in time and labor costs to women. Many opportunities exist to strengthen the impact of agriculture on nutrition in East Africa, but stronger formulation and implementation of policies will require adequate human resources, funds, timely data on
Diversity and transboundary mobility of serotype O foot-and-mouth disease virus in East Africa: Implications for vaccination policies
DEFF Research Database (Denmark)
Balinda, Sheila; Sangula, Abraham; Heller, Rasmus
Foot-and-mouth disease (FMD) virus serotype O has been responsible for most reported outbreaks of the disease in East Africa. A sustained campaign for the past 40 years to control FMD mainly by vaccination, combined with quarantine and zoosanitary measures has been undertaken with limited success....... We investigated the genetic relationships among serotype O strains in eastern Africa using complete VP1 coding region sequences obtained from 46 FMD virus isolates collected in Kenya in the years 1964–2008 and 8 Ugandan isolates collected between 1999 and 2006. In addition, 21 selected FMDV sequences...... the dominant evolutionary force. Cross-border disease transmission within the region has been suggested with probable incursions of topotypes EA-3 and EA-4 into Kenya and Uganda from neighboring Ethiopia and Sudan. We conclude that the vaccines have probably been effective in controlling EA-1, but less so...
Middle East and North Africa Region Assessment of the Local Manufacturing Potential for Concentrated Solar Power (CSP) Projects
Energy Technology Data Exchange (ETDEWEB)
Gazzo, A.; Gousseland, P.; Verdier, J. [Ernst and Young et Associes, Neuilly-Sur-Seine (France); Kost, C.; Morin, G.; Engelken, M.; Schrof, J.; Nitz, P.; Selt, J.; Platzer, W. [Fraunhofer Institute for Solar Energy Systems ISE, Freiburg (Germany); Ragwitz, M.; Boie, I.; Hauptstock, D.; Eichhammer, W. [Fraunhofer Institute for Systems and Innovation Research ISI, Karlsruhe (Germany)
The MENA CSP (Middle East and North Africa - Concentrated Solar Power) plan is an ambitious scheme with an appeal to anyone concerned about climate change and convinced by the need for clean, renewable power. But what does it really mean for the average citizen of say Morocco or Tunisia? The World Bank sees potential for significant job and wealth creation in solar energy producing countries. If the CSP market grows rapidly over the next few years, equipment manufacturing will be essential to supply this new sector. This study proposes roadmaps and an action plan to help develop the potential of locally manufactured CSP components in the existing industry and for new market entrants.
Hypertension in sub-Saharan Africa: cross-sectional surveys in four rural and urban communities.
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Marleen E Hendriks
Full Text Available BACKGROUND: Cardiovascular disease (CVD is the leading cause of adult mortality in low-income countries but data on the prevalence of cardiovascular risk factors such as hypertension are scarce, especially in sub-Saharan Africa (SSA. This study aims to assess the prevalence of hypertension and determinants of blood pressure in four SSA populations in rural Nigeria and Kenya, and urban Namibia and Tanzania. METHODS AND FINDINGS: We performed four cross-sectional household surveys in Kwara State, Nigeria; Nandi district, Kenya; Dar es Salaam, Tanzania and Greater Windhoek, Namibia, between 2009-2011. Representative population-based samples were drawn in Nigeria and Namibia. The Kenya and Tanzania study populations consisted of specific target groups. Within a final sample size of 5,500 households, 9,857 non-pregnant adults were eligible for analysis on hypertension. Of those, 7,568 respondents ≥ 18 years were included. The primary outcome measure was the prevalence of hypertension in each of the populations under study. The age-standardized prevalence of hypertension was 19.3% (95%CI:17.3-21.3 in rural Nigeria, 21.4% (19.8-23.0 in rural Kenya, 23.7% (21.3-26.2 in urban Tanzania, and 38.0% (35.9-40.1 in urban Namibia. In individuals with hypertension, the proportion of grade 2 (≥ 160/100 mmHg or grade 3 hypertension (≥ 180/110 mmHg ranged from 29.2% (Namibia to 43.3% (Nigeria. Control of hypertension ranged from 2.6% in Kenya to 17.8% in Namibia. Obesity prevalence (BMI ≥ 30 ranged from 6.1% (Nigeria to 17.4% (Tanzania and together with age and gender, BMI independently predicted blood pressure level in all study populations. Diabetes prevalence ranged from 2.1% (Namibia to 3.7% (Tanzania. CONCLUSION: Hypertension was the most frequently observed risk factor for CVD in both urban and rural communities in SSA and will contribute to the growing burden of CVD in SSA. Low levels of control of hypertension are alarming. Strengthening of health
Assessment of primary health care in a rural health centre in Enugu South east Nigeria.
M Chinawa, Josephat; T Chinawa, Awoere
Primary health care (PHC) is a vital in any community. Any health centre with a well implemented PHC program can stand the test of time in curbing under five mortality and morbidity. This study was therefore aimed at assessing the activities in a health centre located in a rural area in Enugu state and to determine the pattern and presentation of various diseases in the health centre. This is retrospective study undertaken in a primary health care centre in Abakpa Nike in Enugu east LGA of Enugu State of Nigeria from December 2011 to December 31(st) 2013. Data retrieved were collected with the aid of a structured study proforma and analyzed using SPSS Version 18. Total number of children that attended immunization program in the health centre over 20 months period was 25,438 (12,348 males and 13090 females), however only 17745 children (7998 males and 9747 females) were actually registered in the hospital records. None of the children was immunized for DPT2 and OPV(0) and HBV(1) in the course of this study. The dropout rate using DPT1, 2 and 3 (DPT1-DPT2/DPT3) was very high (494%). The mean immunization coverage rate was 8.3%. Family planning activities, integrated management of childhood illnesses program were also carried out in the health centre but at very low level. The major fulcrum of events in the health centre which include immunization coverage, IMCI, and management of common illnesses were simply non operational. However the health centre had a well knitted referral system.
Alcohol use and depression: link with adherence and viral suppression in adult patients on antiretroviral therapy in rural Lesotho, Southern Africa: a cross-sectional study
Cerutti, Bernard; Broers, Barbara; Masetsibi, Motlomelo; Faturiyele, Olatunbosun; Toti-Mokoteli, Likabelo; Motlatsi, Mokete; Bader, Joelle; Klimkait, Thomas; Labhardt, Niklaus D
Abstract Background Depression and alcohol use disorder have been shown to be associated with poor adherence to antiretroviral therapy (ART). Studies examining their association with viral suppression in rural Africa are, however, scarce. Methods This study reports prevalence of depressive symptoms and alcohol use disorder, and their potential association with adherence and viral suppression in adult patients on ART in ten clinics in rural Lesotho, Southern Africa. Results Among 1,388 adult p...
Sustainable Electricity and Water for Europe, Middle East and North Africa
Müller-Steinhagen, H.; Trieb, F.
Sufficient supply of energy and water are among the key requirements for a sustainable development of nations. Both depend strongly on energy carriers such as oil, gas, coal and uranium which have limited availability and a negative impact on the environment during their use. Within the framework of a series of detailed studies, conventional and renewable energy sources available for electricity production and desalination in Europe, North Africa and the Middle East (EU-MENA) have been analysed. Scenarios have been developed for a sustainable electricity supply based on increased plant and user efficiency, and an accelerated introduction of renewable energy sources. Even if all potential exclusion criteria are applied and only those technologies are considered which will become economically competitive within the next decades, a potential has been identified which exceeds the present electricity demand by orders of magnitude. Solar energy is, in this context, the by far largest resource which will most economically be exploited in centralised solar thermal power plants. In combination with heat storage, these power plants can provide bulk and peak electricity, and can be combined with thermal or reverse osmosis desalination plants. At present, solar thermal power plants with a total capacity exceeding 10 GW are in operation or under construction in Abu Dhabi, Algeria, Egypt, Iran, Israel, Italy, Morocco, Spain and the USA. Ultimately, the increasing electricity demand of EU-MENA can only be secured in conjunction with the required climate and resource protection targets, if all renewable energy sources are exploited where appropriate, and conversion and user efficiency are increased. To utilise the enormous energy resources of the Mediterranean countries, high voltage direct current power lines will have to be built, linking the most abundant and economic resources with the load centres in the North. With electricity losses below 10% over a distance of 3000 km
Holocene Millennial Time Scale Hydrological Changes In Central-east Africa
Jolly, D.; Bonnefille, R.; Beaufort, L.
The Holocene hydrological changes of a tropical swamp is reconstructed using a high resolution pollen record (ca 50 yrs) from the Kuruyange valley (Burundi, Africa, 3°35'S, 29°41'E), at 2000 m elevation. The sequence was dated by 10 radiocarbon dates, allowing reconstruction between ca 12 500 and 1000 cal yr B.P. In the Kuruyange swamp, peat accumulated rapidly at a sedimentation rate varying from 0.73 (prior to 6200 cal yr B.P.) to 1.51 mm/yr (during the late Holocene). A pollen index of water table, based on a ratio of aquatic versus non-aquatic plants has been used in order to test the hypothesis of hydrological constraints on the swampy ecosystem. Eight arid phases are evidenced by the index minima at 12 200, 11 200, 9900, 8600, 6500, 5000, 3400, 1600 cal yr B.P. The good agreement existing between this index and independent data such as (i) low-resolution East-African lake level reconstruct ions (Gillespie et al., 1983) and (ii) ?18O analyses from Arabian Sea (Sirocko et al., 1993) suggests the water table level responds to the monsoon dynamic. The Index varies periodically with a combination of 1/1515, 1/880 and 1/431 years-1 frequencies, revealed by time series analyses (Blackman-Tukey and Maximum Entropy). The extrapolation of the composite curve based on these 3 periodicities show that two major climatic events defined in the high latitudes between 1000 and 660 cal yr B.P. (Medieval Warm Period) and between 500 and 100 cal yr B.P. (Little Ice Age) are recorded in our data and show respectively high and low stands of the water table. Our results support some previous pollen-derived climate estimates in Ethiopia done by Bonnefille and Umer (1994). Moreover, the "1500 year" cycle registered in our data from the tropics, already evidenced in higher latitudes (Wijmstra et al., 1984; Bondet al., 1997; Schulz et al., 1999; Bond et al., 2001) support the hypothesis of strong teleconnections between tropical/subtropical and polar climates during the deglaciation
Direct Radiative Effect of Mineral Dust on the Middle East and North Africa Climate
Bangalath, Hamza Kunhu
Dust-climate interaction over the Middle East and North Africa (MENA) has long been studied, as it is the "dustiest" region on earth. However, the quantitative and qualitative understanding of the role of dust direct radiative effect on MENA climate is still rudimentary. The present dissertation investigates dust direct radiative effect on MENA climate during summer with a special emphasis on the sensitivity of climate response to dust shortwave absorption, which is one of the most uncertain components of dust direct radiative effect. Simulations are conducted with and without dust radiative effect, to differentiate the effect of dust on climate. To elucidate the sensitivity of climate response to dust shortwave absorption, simulations with dust assume three different cases of dust shortwave absorption, representing dust as a very efficient, standard and inefficient shortwave absorber. The non-uniformly distributed dust perturb circulations at various scales. Therefore, the present study takes advantage of the high spatial resolution capabilities of an Atmospheric General Circulation Model (AGCM), High Resolution Atmospheric Model (HiRAM), which incorporates global and regional circulations. AMIP-style global high-resolution simulations are conducted at a spatial resolution of 25 km. A significant response in the strength and position of the local Hadley circulation is predicted in response to meridionally asymmetric distribution of dust and the corresponding radiative effects. Significant responses are also found in regional circulation features such as African Easterly Jet and West African Monsoon circulation. Consistent with these dynamic responses at various scales, the tropical rainbelt across MENA strengthens and shifts northward. Similarly, the temperature under rainbelt cools and that over subtropical deserts warms. Inter-comparison of various dust shortwave absorption cases shows that the response of the MENA tropical rainbelt is extremely sensitive to the
Scientific Wealth in Middle East and North Africa: Productivity, Indigeneity, and Specialty in 1981-2013.
Siddiqi, Afreen; Stoppani, Jonathan; Anadon, Laura Diaz; Narayanamurti, Venkatesh
Several developing countries seek to build knowledge-based economies by attempting to expand scientific research capabilities. Characterizing the state and direction of progress in this arena is challenging but important. Here, we employ three metrics: a classical metric of productivity (publications per person), an adapted metric which we denote as Revealed Scientific Advantage (developed from work used to compare publications in scientific fields among countries) to characterize disciplinary specialty, and a new metric, scientific indigeneity (defined as the ratio of publications with domestic corresponding authors) to characterize the locus of scientific activity that also serves as a partial proxy for local absorptive capacity. These metrics-using population and publications data that are available for most countries-allow the characterization of some key features of national scientific enterprise. The trends in productivity and indigeneity when compared across other countries and regions can serve as indicators of strength or fragility in the national research ecosystems, and the trends in specialty can allow regional policy makers to assess the extent to which the areas of focus of research align (or not align) with regional priorities. We apply the metrics to study the Middle East and North Africa (MENA)-a region where science and technology capacity will play a key role in national economic diversification. We analyze 9.8 million publication records between 1981-2013 in 17 countries of MENA from Morocco to Iraq and compare it to selected countries throughout the world. The results show that international collaborators increasingly drove the scientific activity in MENA. The median indigeneity reached 52% in 2013 (indicating that almost half of the corresponding authors were located in foreign countries). Additionally, the regional disciplinary focus in chemical and petroleum engineering is waning with modest growth in the life sciences. We find repeated
A review of mercury in Lake Victoria, East Africa: implications for human and ecosystem health.
Campbell, Linda; Dixon, D G; Hecky, R E
Lake Victoria, East Africa, has been the site of many recent studies measuring mercury (Hg) concentrations in water, fish, sediment, soil, and humans. Most of these studies were motivated by concerns about Hg contamination from processing of gold ore on the southern shores. Total Hg (THg) concentrations in fish were usually below permissible World Health Organization (WHO) concentrations and international marketing limits and do not threaten the lucrative export industry. Nile perch 3-10 kg and most >10 kg had THg concentrations above the WHO threshold concentrations for at-risk groups (200 ng/g). Elevated THg concentrations in large Nile perch are not of major concern because Nile perch are rarely consumed by the people living on Lake Victoria and very large Nile perch are becoming increasingly rare in catches. Water THg concentrations were below Canadian drinking water guidelines but were elevated relative to those in the northern Great Lakes. Sediment and soil THg concentrations were within inter-national guidelines and are comparable to those in northern latitudes but are lower than those in the Amazon basin. Biomass burning and soil erosion are estimated to be the major sources of THg for the lake and probably constitute a larger source of THg than gold mining in Tanzania.THg concentrations in urine and hair from human volunteers indicate that while gold miners and frequent skin-bleaching cream users are at risk of inorganic mercury poisoning, the rest of the population, including fishermen, is not. Human exposure assessments demonstrated that fish consumption and soil geophagy constitute major sources of THg for humans, but the total estimated daily intake of THg was below the Health Canada tolerable daily intake (TDI) limits. The use of beauty creams containing high inorganic Hg concentrations, however, caused the estimated THg exposure to exceed the TDI. The high THg content in the hair of regular cream users supports this assessment. The nutritional
Organic sedimentation in modern lacustrine systems: A case study from Lake Malawi, East Africa
Ellis, Geoffrey S.; Barry J. Katz,; Christopher A. Scholz,; Peter K. Swart,
This study examines the relationship between depositional environment and sedimentary organic geochemistry in Lake Malawi, East Africa, and evaluates the relative significance of the various processes that control sedimentary organic matter (OM) in lacustrine systems. Total organic carbon (TOC) concentrations in recent sediments from Lake Malawi range from 0.01 to 8.80 wt% and average 2.83 wt% for surface sediments and 2.35 wt% for shallow core sediments. Hydrogen index (HI) values as determined by Rock-Eval pyrolysis range from 0 to 756 mg HC g−1 TOC and average 205 mg HC g−1 TOC for surface sediments and 228 mg HC g−1 TOC for shallow core samples. On average, variations in primary productivity throughout the lake may account for ~33% of the TOC content in Lake Malawi sediments (as much as 1 wt% TOC), and have little or no impact on sedimentary HI values. Similarly, ~33% to 66% of the variation in TOC content in Lake Malawi sediments appears to be controlled by anoxic preservation of OM (~1–2 wt% TOC), although some component of the water depth–TOC relationship may be due to physical sediment transport processes. Furthermore, anoxic preservation has a minimal effect on HI values in Lake Malawi sediments. Dilution of OM by inorganic sediment may account for ~16% of variability in TOC content in Lake Malawi sediments (~0.5 wt% TOC). The effect of inputs of terrestrial sediment on the organic character of surface sediments in these lakes is highly variable, and appears to be more closely related to the local depositional environment than the regional flux of terrestrial OM. Total nitrogen and TOC content in surface sediments collected throughout the lake are found to be highly correlated (r2 = 0.95), indicating a well-homogenized source of OM to the lake bottom. The recurring suspension and deposition of terrestrial sediment may account for significant amounts of OM deposited in offshore regions of the lake. This process effectively separates denser
Modeling Spatial Soil Water Dynamics in a Tropical Floodplain, East Africa
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Geofrey Gabiri
Full Text Available Analyzing the spatial and temporal distribution of soil moisture is critical for ecohydrological processes and for sustainable water management studies in wetlands. The characterization of soil moisture dynamics and its influencing factors in agriculturally used wetlands pose a challenge in data-scarce regions such as East Africa. High resolution and good-quality time series soil moisture data are rarely available and gaps are frequent due to measurement constraints and device malfunctioning. Soil water models that integrate meteorological conditions and soil water storage may significantly overcome limitations due to data gaps at a point scale. The purpose of this study was to evaluate if the Hydrus-1D model would adequately simulate soil water dynamics at different hydrological zones of a tropical floodplain in Tanzania, to determine controlling factors for wet and dry periods and to assess soil water availability. The zones of the Kilombero floodplain were segmented as riparian, middle, and fringe along a defined transect. The model was satisfactorily calibrated (coefficient of determination; R2 = 0.54–0.92, root mean square error; RMSE = 0.02–0.11 on a plot scale using measured soil moisture content at soil depths of 10, 20, 30, and 40 cm. Satisfying statistical measures (R2 = 0.36–0.89, RMSE = 0.03–0.13 were obtained when calibrations for one plot were validated with measured soil moisture for another plot within the same hydrological zone. Results show the transferability of the calibrated Hydrus-1D model to predict soil moisture for other plots with similar hydrological conditions. Soil water storage increased towards the riparian zone, at 262.8 mm/a while actual evapotranspiration was highest (1043.9 mm/a at the fringe. Overbank flow, precipitation, and groundwater control soil moisture dynamics at the riparian and middle zone, while at the fringe zone, rainfall and lateral flow from mountains control soil moisture during the
Solar electricity imports from the Middle East and North Africa to Europe
International Nuclear Information System (INIS)
Trieb, Franz; Schillings, Christoph; Pregger, Thomas; O'Sullivan, Marlene
The huge solar resources in the MENA countries (Middle East and North Africa), significant improvements in concentrating solar power (CSP) technology and in power transmission technologies, and the urgent need to remove carbon emissions from the European (EU) energy system lead to an increased interest in an EU-MENA electricity grid interconnection. As contribution to the current discussions about DESERTEC, MedGrid and other initiatives this article describes the approach and results of an analysis of possible solar electricity import corridors from MENA to Europe including Turkey. The study is based on solar energy potentials of the MENA countries identified by remote sensing, reviewed performance and cost data of generation and transmission technologies, and geographic data and information systems (GIS) for the spatial analysis. CSP plants combined with high temperature heat storage and high voltage direct current (HVDC) overhead lines and sea cables represent the key technologies for implementing this promising option for renewable energy import/export. The total technical solar power generation potential from remote sensing analysis in the seven MENA countries considered was calculated to about 538,000 TWh/yr. This huge potential implies that less than 0.2% of the land suitable for CSP plants would be enough to supply 15% of the electricity demand expected in Europe in the year 2050. A GIS analysis of potential future HVDC corridors led to the description and characterization of 33 possible import routes to main European centers of demand. - Highlights: ► Concentrating Solar Power in the Mediterranean Region (MED-CSP 2005) (www.dlr.de/tt/med-csp). ► Trans-Mediterranean Interconnection for Concentrating Solar Power (TRANS-CSP 2006) (www.dlr.de/tt/trans-csp). ► Concentrating Solar Power for Seawater Desalination (AQUA-CSP 2007) (www.dlr.de/tt/aqua-csp). ► Risk of Energy Availability: Common Corridors for Europe Supply Security (REACCESS 2009) (http
Renewable energy for the Middle East and North Africa. Policies for a successful transition
Energy Technology Data Exchange (ETDEWEB)
Jalilvand, David Ramin [Freie Univ. Berlin (DE). Berlin Centre for Caspian Region Studies (BC CARE)
This study was commissioned by the FES Sustainable Energy Programme in the MENA region. The programme supports the search for suitable policies to promote energy savings and energy efficiency. Moreover, it encourages a transition towards an energy supply based on renewable energy sources. While the Middle East and North Africa hold a greater potential for the use of renewable energy than any other region on the planet, it is at the same time the region with the smallest share of renewable energy in its primary energy supply. Many analysts see the way energy policies are structured in most MENA countries as the main reason for the lack of renewable energy utilities and the above-average per capita energy consumption. It is only through political will and smart policies that countries can succeed in transforming their energy sectors towards sustainability. The German Renewable Energy Act, which was introduced by a coalition government of Social Democrats and Greens in 2000, has enabled Germany to rapidly increase its sustainable energy sector. It has also created more than 370,000 new green jobs in the renewable energy industry. While many different players are already active in the wider field of renewable energy in the MENA region, their efforts have mainly focussed on facilitating business- to-business conferences, technical research, and energy financing issues. So far, little has been done in the fields of policy research, policy consulting, and public awareness to promote a sustainable use of energy in the region. The FES is ready to share some successful policy experiences by providing German and international expertise, analysis, and policy advice to interested policymakers, activists, and researchers. The Arab Spring has strengthened our belief that public opinion can change politics everywhere. Since energy questions often relate to public interest (pollution, nuclear power, pricing), it is time to use the momentum of change for introducing ideas about
Awareness, knowledge and attitudes towards epilepsy among rural populations in East Coast Peninsular Malaysia: a preliminary exploration.
Neni, Selamat Widiasmoro; Latif, Ahmad Zubaidi Abdul; Wong, Sok Yee; Lua, Pei Lin
This study was carried out to gauge the preliminary insight regarding epilepsy among the rural society. The purposes of this study were: (1) to determine general level of awareness, knowledge and attitudes (AKA) towards epilepsy among rural communities, (2) to compare the AKA level based on socio-demographic characteristics and (3) to investigate rural cohort's perception of the best epilepsy treatment, preference for epilepsy information delivery and preference for mode of transportation to seek medical treatment. This prospective, cross sectional study included a sample of 615 rural residents enrolled via cluster sampling in East Coast region of Peninsular Malaysia (mean age=41.6+/-18.02, female=56.6%, married=65.5%, Malay=94.0%, monthly income 0.05). However, respondents with higher education significantly possessed better attitudes and higher Total AKA level compared to those with lower education level (p<0.001). Employed respondents reported significantly more favourable attitudes than unemployed respondents (p=0.011). Additionally, higher income rural cohorts possessed both significantly better attitudes and better AKA. These rural communities perceived modern medicine as the best epilepsy treatment (56.60%), preferred to obtain direct epilepsy-related information from health personnel (60.4%) and chose to use their own car to seek medical treatment in hospital (76.30%). The outcomes of this preliminary study signified the need to devise a dedicated epilepsy education program for implementation among rural residents. Increased AKA level in the society could enhance the people's acceptance, reduce stigmatisation and improve health-related quality of life (HRQoL) for epilepsy patients and their family. Copyright 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
Cassava and soil fertility in intensifying smallholder farming systems of East Africa
Fermont, van A.M.
Keywords: Cost-benefits, Crop management, Farming systems, Fertilizer, Food security, Generalizations, Income, Labour, Land pressure, Niche, Rainfall, Sub-Saharan Africa, System analysis, Yield gap.
Cassava is an important crop in Africa. This thesis focuses on cassava production in the mid
Water value and demand for multiple uses in the rural areas of South Africa: The case of Ga-Sekororo
Kanyoka, P.
The provision of free basic water for domestic uses and a more equal distribution of water for productive uses are seen as important instruments to redress inequities from the past and eradicate poverty in South Africa (SA). Although the government committed itself to providing free basic water for all, this result is still far to be reached, particularly in rural areas. Financing of multiple use water services was identified as an important ingredient to insure improved access to water for r...
High blood pressure and associated risk factors as indicator of preclinical hypertension in rural West Africa
Jobe, Modou; Agbla, Schadrac C.; Prentice, Andrew M.; Hennig, Branwen J.
Abstract Hypertension is fast becoming a major public health problem across sub-Saharan Africa. We sought to determine the prevalence of high blood pressure (BP) and associated risk factors as indicator of preclinical hypertension in a rural Gambian population. We analyzed data on 6160 healthy Gambians cross-sectionally. Attention was given to 5 to <18-year olds (N = 3637), as data from sub-Saharan Africa on this young age group are scarce. High BP was defined as systolic blood pressure (SBP) above the 95th percentile for age-sex specific height z scores in <18-year olds employing population-specific reference values. Standard high BP categories were applied to ≥18-year olds. In <18-year olds, the multivariable analysis gave an adjusted high BP prevalence ratio of 0.95 (95% confidence interval [CI] 0.92–0.98; P = 0.002) for age and 1.13 (95% CI 1.06–1.19; P < 0.0001) for weight-for-height z score (zWT-HT); sex and hemoglobin were not shown to affect high BP. In adults age 1.05 (95% CI 1.04–1.05; P < 0.0001), body mass index z score 1.28 (95% CI 1.16–1.40; P < 0.0001), hemoglobin 0.90 (95% CI 0.85–0.96; P < 0.0001) and high fasting glucose 2.60 (95% CI 2.02–3.36; P < 0.0001, though the number was very low) were confirmed as risk factors for high BP prevalence; sex was not associated. The reported high BP prevalence and associated risk factors in adults are comparable to other studies conducted in the region. The observed high BP prevalence of 8.2% (95% CI 7.4–9.2) in our generally lean young Gambians (<18 years) is alarming, given that high BP tracks from childhood to adulthood. Hence there is an urgent need for further investigation into risk factors of pediatric high BP/hypertension even in rural African settings. PMID:28353557
Hypertension and obesity in adults living in a high HIV prevalence rural area in South Africa.
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Abraham Malaza
Full Text Available Hypertension and excess body weight are major risk factors of cardiovascular morbidity and mortality in developing countries. In countries with a high HIV prevalence, it is unknown how increased antiretroviral treatment and care (ART coverage has affected the prevalence of overweight, obesity, and hypertension. We conducted a health survey in 2010 based on the WHO STEPwise approach in 14,198 adult resident participants of a demographic surveillance area in rural South Africa to investigate factors associated with hypertension and excess weight including HIV infection and ART status. Women had a significantly higher median body mass index (BMI than men (26.4 vs. 21.2 kg/m(2, p<0.001. The prevalence of obesity (BMI ≥ 30 kg/m(2 in women (31.3%, 95% confidence interval (CI 30.2-32.4 was 6.5 times higher than in men (4.9%, 95% CI 4.1-5.7, whereas prevalence of hypertension (systolic or diastolic blood pressure ≥ 140 or 90 mm Hg, respectively was 1.4 times higher in women than in men (28.5% vs 20.8%, p<0.001. In multivariable regression analysis, both hypertension and obesity were significantly associated with sex, age, HIV and ART status. The BMI of women and men on ART was on average 3.8 (95% CI 3.2-3.8 and 1.7 (95% CI 0.9-2.5 kg/m(2 lower than of HIV-negative women and men, respectively. The BMI of HIV-infected women and men not on ART was on average 1.2 (95% CI 0.8-1.6 and 0.4 (95% CI -0.1-0.9 kg/m(2 lower than of HIV-negative women and men, respectively. Obesity was a bigger risk factor for hypertension in men (adjusted odds ratio (aOR 2.99, 95% CI 2.00-4.48 than in women (aOR 1.64, 95% CI 1.39-1.92 and overweight (25 ≤ BMI<30 was a significant risk factor for men only (aOR 1.53 95% CI 1.14-2.06. Our study suggests that, cardiovascular risk factors of hypertension and obesity differ substantially between women and men in rural South Africa.
Reproductive decision-making among postpartum HIV-infected women in rural South Africa.
Jones, Deborah L; Rodriguez, Violeta J; Babayigit, Suat; Chahine, Antonio; Weiss, Stephen M; Peltzer, Karl
Despite pregnancy spacing recommendations to optimize health outcomes among mothers and neonates, unplanned pregnancy in sub-Saharan Africa is common among women living with human immunodeficiency virus (HIV) (WLHIV). This study examined factors associated with reproductive decision-making among WLHIV to inform pregnancy-planning interventions. WLHIV in rural South Africa (n = 165) were assessed at 12 months postpartum. The relative importance of factors associated with reproductive decision-making was estimated. Women were a mean of 28 years old (SD = 5.71). Risk of mother-to-child transmission (MTCT) of HIV (Mean = 0.43; SD = 0.33) had the greatest impact on decision-making, followed by partners' desires (M = 0.22; SD = 0.18), family preferences (M = 0.18; SD = 0.13), and community opinion (M = 0.17; SD = 0.13). MTCT was most important to women with greater HIV knowledge. However, WLHIV who had been diagnosed with HIV for a longer time placed more emphasis on partner preference and community opinion, and less importance on MTCT risk. Prevention of mother-to-child transmission (PMTCT) was less important to women experiencing intimate partner violence and those with depression. Findings highlight the need for tailored, focused interventions to support the unique circumstances of WLHIV and support the inclusion of families and/or partners in the counseling process. Results underscore the need for perinatal preconception counseling for women during routine HIV care.
Involvement of stakeholders in determining health priorities of adolescents in rural South Africa.
Twine, Rhian; Kahn, Kathleen; Scholtz, Alexandra; Norris, Shane A
When developing intervention research, it is important to explore issues from the community perspective. Interventions that promote adolescent health in South Africa are urgently needed, and Project Ntshembo ('hope') aims to improve the health of young women and their offspring in the Agincourt sub-district of rural northeast South Africa, actively using stakeholder involvement throughout the research process. This study aimed to determine adolescent health priorities according to key stakeholders, to align stakeholder and researcher priorities, and to form a stakeholder forum, which would be active throughout the intervention. Thirty-two stakeholders were purposefully identified as community members interested in the health of adolescents. An adapted Delphi incorporating face-to-face discussions, as well as participatory visualisation, was used in a series of three workshops. Consensus was determined through non-parametric analysis. Stakeholders and researchers agreed that peer pressure and lack of information, or having information but not acting on it, were the root causes of adolescent health problems. Pregnancy, HIV, school dropout, alcohol and drug abuse, not accessing health services, and unhealthy lifestyle (leading to obesity) were identified as priority adolescent health issues. A diagram was developed showing how these eight priorities relate to one another, which was useful in the development of the intervention. A stakeholder forum was founded, comprising 12 of the stakeholders involved in the stakeholder involvement process. The process brought researchers and stakeholders to consensus on the most important health issues facing adolescents, and a stakeholder forum was developed within which to address the issues. Stakeholder involvement as part of a research engagement strategy can be of mutual benefit to the researchers and the community in which the research is taking place.
Price and availability of healthy food: a study in rural South Africa.
Temple, Norman J; Steyn, Nelia P; Fourie, Jean; De Villiers, Anniza
We investigated the availability of healthier food choices and whether a healthier diet costs more than a diet commonly eaten by low-income families in South Africa. We visited 21 food stores in 14 rural towns of the Western Cape province of South Africa. We recorded the price and availability of 66 food items, including both commonly consumed foods as well as healthy options. Healthier food choices are available in supermarkets. However, many towns only have small food stores with a limited selection of healthy foods. We compared the prices of six commonly consumed foods with healthier versions of those foods (e.g., whole-wheat bread in place of white bread). Healthier foods typically cost between 10% and 60% more when compared on a weight basis (Rand per 100 g), and between 30% and 110% more when compared based on the cost of food energy (Rand per 100 kJ). Next, we compared the extra cost of a healthier diet compared to a typical South African menu. On average, for an adult male, the healthier diet costs Rand 10.2 (US$1.22) per day more (69% more). For a household with five occupants, the increased expenditure on food by eating a healthier diet is approximately Rand 1090 per month (US$140); this represents a high proportion (>30%) of the total household income for most of the population. Healthier food choices are, in general, considerably more expensive than commonly consumed foods. As a result, a healthy diet is unaffordable for the large majority of the population. Copyright © 2011 Elsevier Inc. All rights reserved.
Hypertension management in a population of older adults in rural South Africa.
Jardim, Thiago Veiga; Reiger, Sheridan; Abrahams-Gessel, Shafika; Gomez-Olive, F Xavier; Wagner, Ryan G; Wade, Alisha; Bärnighausen, Till W; Salomon, Joshua; Tollman, Stephen; Gaziano, Thomas A
Assess awareness, treatment, and control of hypertension, as an indication of its management, in rural South Africa, especially regarding modifiers of these variables. A population-representative sample of adults aged at least 40 years residing in the rural Agincourt subdistrict (Mpumalanga Province) covered by a long-term health and sociodemographic surveillance system was recruited. In-person interviews, physical exams, and dried blood spots were collected. Hypertension awareness, treatment, and control rates were assessed. A regression model was built to identify predictors of those outcomes. The mean age of the 2884 hypertensive participants was 64.1 ± 12.7 years. Hypertension awareness rate was 64.4%, treatment among those aware was 89.3 and 45.8% of those treated were controlled. Considering aware and unaware hypertensives, treatment rate was 49.7% and control 22.8%. In the multivariable regression model, awareness was predicted by female sex, age at least 60 years, higher social economic status, prior cardiovascular disease (CVD), nonimmigrant status, literacy, and physical limitation. Improved control among those treated was predicted by age at least 60 years. Blood pressure control among all hypertensive study participants was predicted by female sex, being HIV-negative, age at least 60 years, nonimmigrant status, and prior CVD. High rates of awareness and treatment of hypertension as well as good levels of control were found in this population, probably explained by the long-term surveillance program conducted in the area. Considering the predictors of hypertension management, particular attention should be given to men, residents younger than 60 years, immigrants, and study participants without CVD as these characteristics were predictors of poor outcome.
Need for timely paediatric HIV treatment within primary health care in rural South Africa.
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Graham S Cooke
Full Text Available In areas where adult HIV prevalence has reached hyperendemic levels, many infants remain at risk of acquiring HIV infection. Timely access to care and treatment for HIV-infected infants and young children remains an important challenge. We explore the extent to which public sector roll-out has met the estimated need for paediatric treatment in a rural South African setting.Local facility and population-based data were used to compare the number of HIV infected children accessing HAART before 2008, with estimates of those in need of treatment from a deterministic modeling approach. The impact of programmatic improvements on estimated numbers of children in need of treatment was assessed in sensitivity analyses.In the primary health care programme of HIV treatment 346 children <16 years of age initiated HAART by 2008; 245(70.8% were aged 10 years or younger, and only 2(<1% under one year of age. Deterministic modeling predicted 2,561 HIV infected children aged 10 or younger to be alive within the area, of whom at least 521(20.3% would have required immediate treatment. Were extended PMTCT uptake to reach 100% coverage, the annual number of infected infants could be reduced by 49.2%.Despite progress in delivering decentralized HIV services to a rural sub-district in South Africa, substantial unmet need for treatment remains. In a local setting, very few children were initiated on treatment under 1 year of age and steps have now been taken to successfully improve early diagnosis and referral of infected infants.
Children with intellectual disability in rural South Africa: prevalence and associated disability.
Christianson, A L; Zwane, M E; Manga, P; Rosen, E; Venter, A; Downs, D; Kromberg, J G R
The objective of the present study was to determine the prevalence of intellectual disability (ID) and its associated disabilities in rural South African children aged 2-9 years. It was undertaken in eight villages in the district of Bushbuckridge, Northern Province, South Africa. A two-phase design was utilized. The first phase involved screening children on a house-to-house basis by interviewing mothers or caregivers using an internationally validated questionnaire for detecting childhood disability in developing countries. The second phase consisted of a paediatric/neurodevelopmental assessment of the children who screened positive. A total of 6692 children were screened; 722 (10.8%) had a paediatric evaluation and 238 children were diagnosed with ID, giving a minimum observed prevalence of 35.6 per 1000 children in this population. The prevalence of severe and mild ID was 0.64 per 1000 and 29.1 per 1000 children, respectively. The male:female ratio of children with ID was 3:2. In the affected children, a congenital aetiology for the ID was determined in 49 subjects (20.6%), an acquired aetiology in 15 (6.3%) and the aetiology was undetermined in 174 children (73.1%). Epilepsy (15.5%) and cerebral palsy (8.4%) were the commonest associated disabilities. The present study represents the first data on the prevalence of ID and associated disabilities in rural South African children. The prevalence of ID was comparable with results from a study performed in one other African country (Zambia) as well as those from other developing countries. The data provide an initial factual insight into ID and its associated disabilities for healthcare, social service and educational policy planners. This study provides a basis for the initiation and development of appropriate and integrated services for the best possible care of individuals affected with these disabilities, and for their possible prevention.
Assessing rural small community water supply in Limpopo, South Africa: water service benchmarks and reliability.
Majuru, Batsirai; Jagals, Paul; Hunter, Paul R
Although a number of studies have reported on water supply improvements, few have simultaneously taken into account the reliability of the water services. The study aimed to assess whether upgrading water supply systems in small rural communities improved access, availability and potability of water by assessing the water services against selected benchmarks from the World Health Organisation and South African Department of Water Affairs, and to determine the impact of unreliability on the services. These benchmarks were applied in three rural communities in Limpopo, South Africa where rudimentary water supply services were being upgraded to basic services. Data were collected through structured interviews, observations and measurement, and multi-level linear regression models were used to assess the impact of water service upgrades on key outcome measures of distance to source, daily per capita water quantity and Escherichia coli count. When the basic system was operational, 72% of households met the minimum benchmarks for distance and water quantity, but only 8% met both enhanced benchmarks. During non-operational periods of the basic service, daily per capita water consumption decreased by 5.19l (pwater sources were 639 m further (p ≤ 0.001, 95% CI 560-718). Although both rudimentary and basic systems delivered water that met potability criteria at the sources, the quality of stored water sampled in the home was still unacceptable throughout the various service levels. These results show that basic water services can make substantial improvements to water access, availability, potability, but only if such services are reliable. Copyright © 2012 Elsevier B.V. All rights reserved.
Tuberculosis mortality and the male survival deficit in rural South Africa: An observational community cohort study.
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Georges Reniers
Full Text Available Women live on average five years longer than men, and the sex difference in longevity is typically lower in populations with high mortality. South Africa-a high mortality population with a large sex disparity-is an exception, but the causes of death that contribute to this difference are not well understood.Using data from a demographic surveillance system in rural KwaZulu-Natal (2000-2014, we estimate differences between male and female adult life expectancy by HIV status. The contribution of causes of death to these life expectancy differences are computed with demographic decomposition techniques. Cause of death information comes from verbal autopsy interviews that are interpreted with the InSilicoVA tool.Adult women lived an average of 10.4 years (95% confidence Interval 9.0-11.6 longer than men. Sex differences in adult life expectancy were even larger when disaggregated by HIV status: 13.1 (95% confidence interval 10.7-15.3 and 11.2 (95% confidence interval 7.5-14.8 years among known HIV negatives and positives, respectively. Elevated male mortality from pulmonary tuberculosis (TB and external injuries were responsible for 43% and 31% of the sex difference in life expectancy among the HIV negative population, and 81% and 16% of the difference among people living with HIV.The sex differences in adult life expectancy in rural KwaZulu-Natal are exceptionally large, atypical for an African population, and largely driven by high male mortality from pulmonary TB and injuries. This is the case for both HIV positive and HIV negative men and women, signalling a need to improve the engagement of men with health services, irrespective of their HIV status.
A roaring trade? The legal trade in Panthera leo bones from Africa to East-Southeast Asia.
Williams, Vivienne L; Loveridge, Andrew J; Newton, David J; Macdonald, David W
The African lion is the only big cat listed on CITES Appendix II, and the only one for which international commercial trade is legal under CITES. The trade in lion body parts, and especially the contentious trade in bones from South Africa to Asia, has raised concerns spanning continents and cultures. Debates were amplified at the 2016 CITES Conference of the Parties (CoP17) when a proposal to up-list lions to Appendix I was not supported and a compromise to keep them on Appendix II, with a bone trade quota for South Africa, was reached instead. CoP17 underscored a need for further information on the lion bone trade and the consequences for lions across the continent. Legal international trade in bones to Asia, allegedly to supply the substitute 'tiger bone' market, began in South Africa in February 2008 when the first CITES permits were issued. It was initially unclear the degree to which bones were sourced from captive-origin lions, and whether trade was a threat to wild lion populations. Our original assessment of the legal CITES-permitted lion bone trade from South Africa to East-Southeast Asia was for the period 2008-2011 (published 2015). In this paper, we consolidate new information that has become available for 2012-2016, including CITES reports from other African countries, and data on actual exports for three years to 2016 supplied by a freight forwarding company. Thus, we update the figures on the legal trade in lion bones from Africa to East-Southeast Asia in the period 2008-2016. We also contextualise the basis for global concerns by reviewing the history of the trade and its relation to tigers, poaching and wildlife trafficking. CITES permits issued to export bones escalated from ±314y-1 skeletons from 2008-2011, to ±1312y-1 skeletons from 2013-2015. South Africa was the only legal exporter of bones to Asia until 2013 when Namibia issued permits to export skeletons to Vietnam. While CITES permits to export ±5363 skeletons from Africa to Asia from
A roaring trade? The legal trade in Panthera leo bones from Africa to East-Southeast Asia.
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Vivienne L Williams
Full Text Available The African lion is the only big cat listed on CITES Appendix II, and the only one for which international commercial trade is legal under CITES. The trade in lion body parts, and especially the contentious trade in bones from South Africa to Asia, has raised concerns spanning continents and cultures. Debates were amplified at the 2016 CITES Conference of the Parties (CoP17 when a proposal to up-list lions to Appendix I was not supported and a compromise to keep them on Appendix II, with a bone trade quota for South Africa, was reached instead. CoP17 underscored a need for further information on the lion bone trade and the consequences for lions across the continent. Legal international trade in bones to Asia, allegedly to supply the substitute 'tiger bone' market, began in South Africa in February 2008 when the first CITES permits were issued. It was initially unclear the degree to which bones were sourced from captive-origin lions, and whether trade was a threat to wild lion populations. Our original assessment of the legal CITES-permitted lion bone trade from South Africa to East-Southeast Asia was for the period 2008-2011 (published 2015. In this paper, we consolidate new information that has become available for 2012-2016, including CITES reports from other African countries, and data on actual exports for three years to 2016 supplied by a freight forwarding company. Thus, we update the figures on the legal trade in lion bones from Africa to East-Southeast Asia in the period 2008-2016. We also contextualise the basis for global concerns by reviewing the history of the trade and its relation to tigers, poaching and wildlife trafficking. CITES permits issued to export bones escalated from ±314y-1 skeletons from 2008-2011, to ±1312y-1 skeletons from 2013-2015. South Africa was the only legal exporter of bones to Asia until 2013 when Namibia issued permits to export skeletons to Vietnam. While CITES permits to export ±5363 skeletons from
A roaring trade? The legal trade in Panthera leo bones from Africa to East-Southeast Asia
Loveridge, Andrew J.; Newton, David J.; Macdonald, David W.
The African lion is the only big cat listed on CITES Appendix II, and the only one for which international commercial trade is legal under CITES. The trade in lion body parts, and especially the contentious trade in bones from South Africa to Asia, has raised concerns spanning continents and cultures. Debates were amplified at the 2016 CITES Conference of the Parties (CoP17) when a proposal to up-list lions to Appendix I was not supported and a compromise to keep them on Appendix II, with a bone trade quota for South Africa, was reached instead. CoP17 underscored a need for further information on the lion bone trade and the consequences for lions across the continent. Legal international trade in bones to Asia, allegedly to supply the substitute 'tiger bone' market, began in South Africa in February 2008 when the first CITES permits were issued. It was initially unclear the degree to which bones were sourced from captive-origin lions, and whether trade was a threat to wild lion populations. Our original assessment of the legal CITES-permitted lion bone trade from South Africa to East-Southeast Asia was for the period 2008–2011 (published 2015). In this paper, we consolidate new information that has become available for 2012–2016, including CITES reports from other African countries, and data on actual exports for three years to 2016 supplied by a freight forwarding company. Thus, we update the figures on the legal trade in lion bones from Africa to East-Southeast Asia in the period 2008–2016. We also contextualise the basis for global concerns by reviewing the history of the trade and its relation to tigers, poaching and wildlife trafficking. CITES permits issued to export bones escalated from ±314y-1 skeletons from 2008–2011, to ±1312y-1 skeletons from 2013–2015. South Africa was the only legal exporter of bones to Asia until 2013 when Namibia issued permits to export skeletons to Vietnam. While CITES permits to export ±5363 skeletons from Africa
The environmental and social influences of HIV/AIDS in sub-Saharan Africa: a focus on rural communities.
Oramasionwu, Christine U; Daniels, Kelly R; Labreche, Matthew J; Frei, Christopher R
The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) pandemic has caused far-reaching effects in sub-Saharan Africa. The pandemic has effectively diminished the workforce, increased poverty rates, reduced agricultural productivity, and transformed the structure of many rural households. HIV/AIDS further strains the already fragile relationship between livelihood and the natural and social environments of these regions. Therefore, the objective of this review is to characterize the impact of HIV/AIDS on the environment and the social infrastructure of rural sub-Saharan Africa. There are many aspects of rural life that contribute to disease transmission of HIV/AIDS and that pose unique challenges to the population dynamics in sub-Saharan Africa. Widespread AIDS-related mortality has caused a decrease in population growth for many African countries. In turn, these alterations in population dynamics have resulted in a decrease in the percentage of prime-age working adults, as well as a gender disparity, whereby, females carry a growing burden of household responsibilities. There is a rising proportion of older adults, often females, who assume the role of provider and caretaker for other dependent family members. These changing dynamics have caused many to exploit their natural surroundings, adopting less sustainable land use practices and utilizing protected resources as a primary means of generating revenue.
The Environmental and Social Influences of HIV/AIDS in Sub-Saharan Africa: A Focus on Rural Communities
Oramasionwu, Christine U.; Daniels, Kelly R.; Labreche, Matthew J.; Frei, Christopher R.
The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) pandemic has caused far-reaching effects in sub-Saharan Africa. The pandemic has effectively diminished the workforce, increased poverty rates, reduced agricultural productivity, and transformed the structure of many rural households. HIV/AIDS further strains the already fragile relationship between livelihood and the natural and social environments of these regions. Therefore, the objective of this review is to characterize the impact of HIV/AIDS on the environment and the social infrastructure of rural sub-Saharan Africa. There are many aspects of rural life that contribute to disease transmission of HIV/AIDS and that pose unique challenges to the population dynamics in sub-Saharan Africa. Widespread AIDS-related mortality has caused a decrease in population growth for many African countries. In turn, these alterations in population dynamics have resulted in a decrease in the percentage of prime-age working adults, as well as a gender disparity, whereby, females carry a growing burden of household responsibilities. There is a rising proportion of older adults, often females, who assume the role of provider and caretaker for other dependent family members. These changing dynamics have caused many to exploit their natural surroundings, adopting less sustainable land use practices and utilizing protected resources as a primary means of generating revenue. PMID:21845169
Profiling lifetime episodes of upper gastrointestinal bleeding among patients from rural Sub-Saharan Africa where schistosoma mansoni is endemic.
Opio, Christopher Kenneth; Kazibwe, Francis; Ocama, Ponsiano; Rejani, Lalitha; Belousova, Elena Nikolaevna; Ajal, Paul
Severe chronic hepatic schistosomiasis is a common cause of episodes upper gastrointestinal bleeding (UGIB) in sub-Saharan Africa (SSA). However, there is paucity of data on clinical epidemiology of episodes of UGIB from rural Africa despite on going public health interventions to control and eliminate schistosomiasis. Through a cross sectional study we profiled lifetime episodes of upper gastrointestinal bleeding and associated factors at a rural primary health facility in sub-Saharan Africa were schistosomiasis is endemic. The main outcome was number of lifetime episodes of UGIB analyzed as count data. From 107 enrolled participants, 323 lifetime episodes of UGIB were reported. Fifty-seven percent experienced ≥ 2 lifetime episodes of UGIB. Ninety-four percent had severe chronic hepatic schistosomiasis and 80% esophageal varices. Alcohol use and viral hepatitis was infrequent. Eighty-eight percent were previously treated with praziquantel and 70% had a history of blood transfusion. No patient had ever had an endoscopy or treatment for prevention of recurrent variceal bleeding. Multivariable analysis identified a cluster of eight clinical factor variables (age ≥ 40, female sex, history of blood transfusion, abdominal collaterals, esophageal varices, pattern x periportal fibrosis, anemia, and thrombocytopenia) significantly associated (P-value Upper gastrointestinal bleeding is a common health problem in this part of rural SSA where schistosomiasis is endemic. The clinical profile described is unique and is important for improved case management, and for future research.
The Environmental and Social Influences of HIV/AIDS in Sub-Saharan Africa: A Focus on Rural Communities
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Christopher R. Frei
Full Text Available The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS pandemic has caused far-reaching effects in sub-Saharan Africa. The pandemic has effectively diminished the workforce, increased poverty rates, reduced agricultural productivity, and transformed the structure of many rural households. HIV/AIDS further strains the already fragile relationship between livelihood and the natural and social environments of these regions. Therefore, the objective of this review is to characterize the impact of HIV/AIDS on the environment and the social infrastructure of rural sub-Saharan Africa. There are many aspects of rural life that contribute to disease transmission of HIV/AIDS and that pose unique challenges to the population dynamics in sub-Saharan Africa. Widespread AIDS-related mortality has caused a decrease in population growth for many African countries. In turn, these alterations in population dynamics have resulted in a decrease in the percentage of prime-age working adults, as well as a gender disparity, whereby, females carry a growing burden of household responsibilities. There is a rising proportion of older adults, often females, who assume the role of provider and caretaker for other dependent family members. These changing dynamics have caused many to exploit their natural surroundings, adopting less sustainable land use practices and utilizing protected resources as a primary means of generating revenue.
Psychology and modern life challenges: the 2nd Middle East and North Africa Regional Conference of Psychology, Amman, Jordan, 2007.
Knowles, Michael; Sabourin, Michel
The Second Middle East and North Africa Regional Conference of Psychology was held in Amman from 27 April - 1 May 2007 under the Royal Patronage of Her Majesty Queen Rania Al-Abdullah and the auspices of the International Union of Psychological Science, the International Association of Applied Psychology, and the International Association of Cross-Cultural Psychology. It was hosted by the Jordanian Psychological Association whose President was Dr. Asaad Zuby. The President of the Conference and the Local Organizing Committee was Dr. Adnan Farah, the Chair of the Scientific Program Committee was Dr. Mohammad Rimawi, and the Chair of the Regional Advisory Committee was Dr. Marwan Dwairy. The Conference succeeded in attracting participants from 28 countries, including 15 from the Middle East and North Africa region. The Scientific Program explored ways and means to promote the role of psychology in meeting life challenges at regional and international levels. The Conference concluded with the signing of a formal Declaration which called upon governments, academic and professional institutions and organizations, non-governmental organization and other civil society groups, and the United Nations, to work together and to make every possible effort individually and collectively to achieve these goals.
What was tropical about tropical neurasthenia? The utility of the diagnosis in the management of British East Africa.
Crozier, Anna
During the first quarter of the twentieth century, tropical neurasthenia was a popular diagnosis for a nervous condition experienced by Europeans in the topics. Tropical neurasthenia was not psychosis or madness, but was rather an ennui or loss of "edge" brought about by the strains of tropical life, especially the unfamiliar, hot climate. A catch-all for a wide range of symptoms, many missionaries, colonial staff, and settlers throughout Empire were repatriated because of it, although this article concentrates on Colonial Service employees working in British East Africa. While histories of tropical neurasthenia have usefully (and correctly) explained this diagnosis as an expression of the anxieties of the colonial regime, this article adds a new dimension to the historiography by arguing that tropical neurasthenia can only be properly understood as a hybrid form, dependent not only upon the peculiarities of the colonial situation, but also descended from British and American clinical understandings of neurasthenia. Moreover, once tropical neurasthenia is properly acknowledged as being typical of clinical understandings of the time, other reasons for its comparatively long endurance in the colonial situation emerge. This article shows that tropical neurasthenia remained a popular diagnosis in East Africa not only because (as historians have argued previously) it dovetailed with prevalent ideas of colonial acclimatization, but also because it was a practically useful tool in the management and regulation of colonial personnel.
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Amer Al-Jokhadar
Full Text Available In the age of globalisation and continuous urbanisation, architects have a greater responsibility to design residential buildings with comfortable and sustainable environments. However, sustainable solutions should not concern themselves only with utilising technology, but also with creating synergies amongst a community's social, cultural, historical, and environmental aspects. This research focuses on the implications of this wider definition of sustainability within the hot-arid climates of the Middle East and North Africa. Most of the current high-rise residential buildings in these regions do not promote social cohesion as they have been constructed without consideration for local identity and lifestyle. In contrast, vernacular courtyard dwellings and neighbourhoods offer good examples of socially cohesive and healthy environments. Yet, vernacular houses might not be compatible with pressures of modern construction. The question then becomes how to maintain the relationship between the spatial, social and environmental aspects while employing the latest technologies and materials. This paper presents the different qualities of vernacular houses and neighbourhoods in the different regions of the Middle East and North Africa. Social and spatial relationships of different cases are assessed, through a typological analysis approach using a developed syntactic-geometric model, to trace the lifestyle and the cultural values of the society. The aim is a parametric exploration of appropriate sustainable solutions that facilitate the synergy of socio-climatic requirements, the well-being qualities of the residents, and the specifics of culture, time and people while designing sustainable high-rise developments.
Quality of integrated chronic disease care in rural South Africa: user and provider perspectives.
Ameh, Soter; Klipstein-Grobusch, Kerstin; D'ambruoso, Lucia; Kahn, Kathleen; Tollman, Stephen M; Gómez-Olivé, Francesc Xavier
The integrated chronic disease management (ICDM) model was introduced as a response to the dual burden of HIV/AIDS and non-communicable diseases (NCDs) in South Africa, one of the first of such efforts by an African Ministry of Health. The aim of the ICDM model is to leverage HIV programme innovations to improve the quality of chronic disease care. There is a dearth of literature on the perspectives of healthcare providers and users on the quality of care in the novel ICDM model. This paper describes the viewpoints of operational managers and patients regarding quality of care in the ICDM model. In 2013, we conducted a case study of the seven PHC facilities in the rural Agincourt sub-district in northeast South Africa. Focus group discussions (n = 8) were used to obtain data from 56 purposively selected patients ≥18 years. In-depth interviews were conducted with operational managers of each facility and the sub-district health manager. Donabedian's structure, process and outcome theory for service quality evaluation underpinned the conceptual framework in this study. Qualitative data were analysed, with MAXQDA 2 software, to identify 17 a priori dimensions of care and unanticipated themes that emerged during the analysis. The manager and patient narratives showed the inadequacies in structure (malfunctioning blood pressure machines and staff shortage); process (irregular prepacking of drugs); and outcome (long waiting times). There was discordance between managers and patients regarding reasons for long patient waiting time which managers attributed to staff shortage and missed appointments, while patients ascribed it to late arrival of managers to the clinics. Patients reported anti-hypertension drug stock-outs (structure); sub-optimal defaulter-tracing (process); rigid clinic appointment system (process). Emerging themes showed that patients reported HIV stigmatisation in the community due to defaulter-tracing activities of home-based carers, while
Implementation of Point-of-Care Diagnostics in Rural Primary Healthcare Clinics in South Africa: Perspectives of Key Stakeholders.
Mashamba-Thompson, Tivani P; Jama, Ngcwalisa A; Sartorius, Benn; Drain, Paul K; Thompson, Rowan M
Key stakeholders' involvement is crucial to the sustainability of quality point-of-care (POC) diagnostics services in low-and-middle income countries. The aim of this study was to explore key stakeholder perceptions on the implementation of POC diagnostics in rural primary healthcare (PHC) clinics in South Africa. We conducted a qualitative study encompassing in-depth interviews with multiple key stakeholders of POC diagnostic services for rural and resource-limited PHC clinics. Interviews were digitally recorded and transcribed verbatim prior to thematic content analysis. Thematic content analysis was conducted using themes guided by the World Health Organisation (WHO) quality-ASSURED (Affordable, Sensitive, Specific, User friendly, Rapid and to enable treatment at first visit and Robust, Equipment free and Delivered to those who need it) criteria for POC diagnostic services in resource-limited settings. 11 key stakeholders participated in the study. All stakeholders perceived the main advantage of POC diagnostics as enabling access to healthcare for rural patients. Stakeholders perceived the current POC diagnostic services to have an ability to meet patients' needs, but recommended further improvement of the following areas: research on cost-effectiveness; improved quality management systems; development of affordable POC diagnostic and clinic-based monitoring and evaluation. Key stakeholders of POC diagnostics in rural PHC clinics in South Africa highlighted the need to assess affordability and ensure quality assurance of current services before adopting new POC diagnostics and scaling up current POC diagnostics.
Implementation of Point-of-Care Diagnostics in Rural Primary Healthcare Clinics in South Africa: Perspectives of Key Stakeholders
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Tivani P. Mashamba-Thompson
Full Text Available Introduction: Key stakeholders' involvement is crucial to the sustainability of quality point-of-care (POC diagnostics services in low-and-middle income countries. The aim of this study was to explore key stakeholder perceptions on the implementation of POC diagnostics in rural primary healthcare (PHC clinics in South Africa. Method: We conducted a qualitative study encompassing in-depth interviews with multiple key stakeholders of POC diagnostic services for rural and resource-limited PHC clinics. Interviews were digitally recorded and transcribed verbatim prior to thematic content analysis. Thematic content analysis was conducted using themes guided by the World Health Organisation (WHO quality-ASSURED (Affordable, Sensitive, Specific, User friendly, Rapid and to enable treatment at first visit and Robust, Equipment free and Delivered to those who need it criteria for POC diagnostic services in resource-limited settings. Results: 11 key stakeholders participated in the study. All stakeholders perceived the main advantage of POC diagnostics as enabling access to healthcare for rural patients. Stakeholders perceived the current POC diagnostic services to have an ability to meet patients' needs, but recommended further improvement of the following areas: research on cost-effectiveness; improved quality management systems; development of affordable POC diagnostic and clinic-based monitoring and evaluation. Conclusions: Key stakeholders of POC diagnostics in rural PHC clinics in South Africa highlighted the need to assess affordability and ensure quality assurance of current services before adopting new POC diagnostics and scaling up current POC diagnostics.
Prevalence and determinants of airflow limitation in urban and rural children exposed to cooking fuels in South-East Nigeria.
Oguonu, Tagbo; Obumneme-Anyim, Ijeoma N; Eze, Joy N; Ayuk, Adaeze C; Okoli, Chinyere V; Ndu, Ikenna K
Background Biofuels and other cooking fuels are used in households in low- and middle-income countries. Aim To investigate the impact of cooking fuels on lung function in children in urban and rural households in South-East Nigeria. Methods The multi-stage sampling method was used to enroll children exposed to cooking fuel in the communities. Lung function values FEV1, FVC and the FEV1/FVC ratio, were measured with ndd EasyOne R spirometer. Airflow limitation was determined with FEV1/FVC Z-score values at -1.64 as the lower limit of normal (LLN5). The Global Lung Function Initiative 2012 software was used to calculate the lung function indices. Results The median age (range) of the 912 children enrolled was 10.6 years (6-18). Altogether, 468 (51.6%) children lived in rural areas. Seven hundred and thirty-seven (80.7%) were directly exposed to cooking fuels (418/737, 56.5% in rural areas). Wood and kerosene were the dominant fuels in rural and urban households. The respective mean Z-scores of the exposed children in rural and urban were zFEV1 -0.62, FVC -0.21, FEV1/FVC -0.83 and zFEV1 -0.57, zFVC -0.14, FEV1/FVC -0.75. Few (5.2%, 38/737) of the children had airflow limitation. Most of them (60.5%, 25/38) lived in the rural community; the lowest FEV1/FVC Z-scores were those of exposed to a combination of fuels. Conclusion Exposure to cooking fuels affects lung function in children with airway limitation in a small proportion, Control measures are advocated to reduce the morbidity related to cooking fuels exposure.
One Size Fits All? The Validity of a Composite Poverty Index Across Urban and Rural Households in South Africa.
Steinert, Janina Isabel; Cluver, Lucie Dale; Melendez-Torres, G J; Vollmer, Sebastian
Composite indices have been prominently used in poverty research. However, validity of these indices remains subject to debate. This paper examines the validity of a common type of composite poverty indices using data from a cross-sectional survey of 2477 households in urban and rural KwaZulu-Natal, South Africa. Multiple-group comparisons in structural equation modelling were employed for testing differences in the measurement model across urban and rural groups. The analysis revealed substantial variations between urban and rural respondents both in the conceptualisation of poverty as well as in the weights and importance assigned to individual poverty indicators. The validity of a 'one size fits all' measurement model can therefore not be confirmed. In consequence, it becomes virtually impossible to determine a household's poverty level relative to the full sample. Findings from our analysis have important practical implications in nuancing how we can sensitively use composite poverty indices to identify poor people.
Application of the Eating Attitudes Test (EAT-26) in a rural, Zulu speaking, adolescent population in South Africa
Szabo, Christopher P; Allwood, Clifford W
This study was undertaken as part of an exploration of the potential risk for future eating disorders in the black female population of South Africa. Previous research has documented eating attitudes suggesting that such a risk exists in urban populations. A translated version of the Eating Attitudes Test (EAT-26) was applied in a Zulu speaking, rural population (n=361). A prevalence of 3% for abnormal eating attitudes was established. In keeping with the hypothesis, the findings suggest that the risk for developing an eating disorder in a rural population is somewhat lower. In this regard, there does appear to be an urban-rural divide, which may have implications for the prevention of the emergence of eating disorders in black, South African adolescents. However, the validity of the EAT-26 in this population is a consideration in interpreting the data. PMID:16633489
Gender inequality and the use of maternal healthcare services in rural sub-Saharan Africa.
Adjiwanou, Vissého; LeGrand, Thomas
In this study, we measure gender inequality both at individual level by women׳s household decision-making and at contextual level by permissive gender norms associated with tolerance of violence against women and assess their impact on maternal healthcare services utilisation in rural Africa. We apply multilevel structural equation modelling to Demographic and Health Survey (DHS) data from Ghana, Kenya, Tanzania and Uganda to gain better measure and effect of the gender norms construct. The results show that women in Ghana and Uganda, who live in areas where gender norms are relatively tolerant of violence against women, are less likely to use skilled birth attendants and timely antenatal care. In Tanzania, women who live in this type of environment are less likely to attend four or more antenatal visits. In contrast, the effects of a woman׳s decision-making authority on maternal health service use are less pronounced in the same countries. Copyright © 2014 Elsevier Ltd. All rights reserved.
The social dynamics of consent and refusal in HIV surveillance in rural South Africa.
Reynolds, Lindsey; Cousins, Thomas; Newell, Marie-Louise; Imrie, John
In the context of low rates of participation in a prospective, population-based HIV surveillance programme, researchers at a surveillance site in rural KwaZulu-Natal, South Africa, conducted an operational study from January 2009 to February 2010, with the aim of improving participation rates, particularly in the provision of dried blood spots for the surveillance. Findings suggest, firstly, that consent to participation in the HIV surveillance is informed by the dynamics of relationality in the HIV surveillance "consent encounter." Secondly, it emerged that both fieldworkers and participants found it difficult to differentiate between HIV surveillance and HIV testing in the surveillance procedure, and tended to understand and explain giving blood under the aegis of the surveillance as an HIV test. The conflation of surveillance and testing, we argue, is not merely a semantic confusion, but reveals an important tension inherent to global health research between individual risks and benefits and collective good, or between private morality and public good. Because of these structural tensions, we suggest, the HIV surveillance consent encounter activates multiple gift economies in the collection of blood samples. Thinking beyond the complex ethical dimensions provoked by new forms of long-term surveillance and health research, we therefore suggest that deepening relations between scientists, fieldworkers, and study participants in locality deserve more careful methodological consideration and descriptive attention. Copyright © 2012 Elsevier Ltd. All rights reserved.
Men's moralising discourses on gender and HIV risk in rural KwaZulu-Natal, South Africa.
Mindry, Deborah L; Knight, Lucia; van Rooyen, Heidi
Various interventions have resulted in increased rates of HIV testing. However, encouraging men to acknowledge their risk for HIV, to test and link to treatment remains a challenge. In this study, we examine men's perspectives on navigating HIV risk in rural KwaZulu-Natal, South Africa. Qualitative interviews were conducted at four intervals over a three-year time period with a baseline cohort of 126 men and women. We found that men navigated HIV risk in their sexual relationships mainly by monitoring their partner's behaviour. Men expressed concerns about female respectability, invoking discourses on hlonipha rooted in Zulu cultural ideals and Christian ideals about women staying close to home. In the post-apartheid era, these concerns were inflected by anxieties over changing gender norms and the high rates and risks of infection in the region. HIV prevention discourses on behaviour intersected with men's efforts to assert their masculinity through the monitoring and controlling of women's behaviour. The potential negative impacts of this should be addressed. Prevention efforts need to focus on men's vulnerability to infection in terms of their own behaviour as well as the contexts in which they live.
Characterizing Degradation Gradients through Land Cover Change Analysis in Rural Eastern Cape, South Africa
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Zahn Münch
Full Text Available Land cover change analysis was performed for three catchments in the rural Eastern Cape, South Africa, for two time steps (2000 and 2014, to characterize landscape conversion trajectories for sustained landscape health. Land cover maps were derived: (1 from existing data (2000; and (2 through object-based image analysis (2014 of Landsat 8 imagery. Land cover change analysis was facilitated using land cover labels developed to identify landscape change trajectories. Land cover labels assigned to each intersection of the land cover maps at the two time steps provide a thematic representation of the spatial distribution of change. While land use patterns are characterized by high persistence (77%, the expansion of urban areas and agriculture has occurred predominantly at the expense of grassland. The persistence and intensification of natural or invaded wooded areas were identified as a degradation gradient within the landscape, which amounted to almost 10% of the study area. The challenge remains to determine significant signals in the landscape that are not artefacts of error in the underlying input data or scale of analysis. Systematic change analysis and accurate uncertainty reporting can potentially address these issues to produce authentic output for further modelling.
Changing Livelihoods and Landscapes in the Rural Eastern Cape, South Africa: Past Influences and Future Trajectories
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Sheona Shackleton
Full Text Available This paper seeks to understand the drivers and pathways of local livelihood change and the prospects for transformation towards a more sustainable future. Data are used from several studies, and a participatory social learning process, which formed part of a larger project in two sites in the Eastern Cape, South Africa. Secondary information from a wealth of related work is used to place our results within the historic context and more general trends in the country. Findings indicate that livelihoods in the rural Eastern Cape are on new trajectories. Agricultural production has declined markedly, at a time when the need for diversification of livelihoods and food security seems to be at a premium. This decline is driven by a suite of drivers that interact with, and are influenced by, other changes and stresses affecting local livelihoods. We distil out the factors, ranging from historical processes to national policies and local dynamics, that hamper peoples' motivation and ability to respond to locally identified vulnerabilities and, which, when taken together, could drive households into a trap. We end by considering the transformations required to help local people evade traps and progress towards a more promising future in a context of increasing uncertainty.
Trends in HIV Prevalence in Pregnant Women in Rural South Africa.
Kharsany, Ayesha B M; Frohlich, Janet A; Yende-Zuma, Nonhlanhla; Mahlase, Gethwana; Samsunder, Natasha; Dellar, Rachael C; Zuma-Mkhonza, May; Abdool Karim, Salim S; Abdool Karim, Quarraisha
Despite substantial progress in the delivery of HIV prevention programs, some communities continue to experience high rates of HIV infection. We report on temporal trends in HIV prevalence in pregnant women in a community in rural KwaZulu-Natal in South Africa. Annual, anonymous cross-sectional HIV sero-prevalence surveys were conducted between 2001 and 2013 among first visit prenatal clinic attendees. The time periods 2001 to 2003 were defined as pre-antiretroviral therapy (ART), 2004 to 2008 as early ART, and 2009 to 2013 as contemporary ART roll-out, to correspond with the substantial scale-up of ART program. Overall, HIV prevalence rose from 35.3% [95% confidence interval (CI): 32.3 to 38.3] pre-ART (2001-2003) to 39.0% (95% CI: 36.8 to 41.1) in the early ART (2004-2008) to 39.3% (95% CI: 37.2 to 41.4) in the contemporary ART (2009-2013) roll-out periods. In teenage women (age 20-24 and ≥ 25 years had a 1.7-fold (95% CI: 1.3-2.4; P = 0.001) and 3-fold (95% CI: 2.1 to 4.3; P age-disparate relationships, are needed to impact this HIV epidemic trajectory.
Can social capital be intentionally generated? a randomized trial from rural South Africa.
Pronyk, Paul M; Harpham, Trudy; Busza, Joanna; Phetla, Godfrey; Morison, Linda A; Hargreaves, James R; Kim, Julia C; Watts, Charlotte H; Porter, John D
While much descriptive research has documented positive associations between social capital and a range of economic, social and health outcomes, there have been few intervention studies to assess whether social capital can be intentionally generated. We conducted an intervention in rural South Africa that combined group-based microfinance with participatory gender and HIV training in an attempt to catalyze changes in solidarity, reciprocity and social group membership as a means to reduce women's vulnerability to intimate partner violence and HIV. A cluster randomized trial was used to assess intervention effects among eight study villages. In this paper, we examined effects on structural and cognitive social capital among 845 participants and age and wealth matched women from households in comparison villages. This was supported by a diverse portfolio of qualitative research. After two years, adjusted effect estimates indicated higher levels of structural and cognitive social capital in the intervention group than the comparison group, although confidence intervals were wide. Qualitative research illustrated the ways in which economic and social gains enhanced participation in social groups, and the positive and negative dynamics that emerged within the program. There were numerous instances where individuals and village loan centres worked to address community concerns, both working through existing social networks, and through the establishment of new partnerships with local leadership structures, police, the health sector and NGOs. This is among the first experimental trials suggesting that social capital can be exogenously strengthened. The implications for community interventions in public health are further explored.
Coping or Struggling? A journey into the impact of HIV/AIDS in Southern Africa
Rugalema, G.
Analysis of the effects of AIDS-induced morbidity and mortality on rural livelihoods, particularly in east and southern Africa, has gathered pace in the last two decades. An understanding of the interaction between ill health and rural livelihoods is essential both at policy and theoretical levels.
New Evidence for the Expansion of an Upper Pleistocene Population out of East Africa, from the Site of Station One, Northern Sudan
Rose, Jeffrey I.
Evidence for a hunter-gatherer range-expansion is indicated by the site of Station One in the northern Sudan, a surface scatter of chipped stone debris systematically collected almost 40 years ago, though not studied until present. Based on technological and typological correlates in East Africa, the predominant use of quartz pebbles for raw material, and the production of small bifacial tools, the site can be classified as Middle Stone Age. While often appearing in East African assemblages, ...
Early childhood obesity: a survey of knowledge and practices of physicians from the Middle East and North Africa.
Gies, Inge; AlSaleem, Bader; Olang, Beheshteh; Karima, Berkouk; Samy, Gamal; Husain, Khaled; Elhalik, Mahmoud; Miqdady, Mohamad; Rawashdeh, Mohamad; Salah, Mohamed; Mouane, Nezha; Rohani, Pejman; Singhal, Atul; Vandenplas, Yvan
Childhood obesity is one of the most serious public health issues of the twenty-first century affecting even low- and middle-income countries. Overweight and obese children are more likely to stay obese into adulthood. Due to the paucity of data on local practices, our study aimed to assess the knowledge and practices of physicians from the Middle East and North Africa region with respect to early-onset obesity. A specific questionnaire investigating the perception and knowledge on early-onset obesity was circulated to healthcare providers (general physicians, pediatricians, pediatric gastroenterologist, neonatologists) practicing in 17 Middle East and North African countries. A total of 999/1051 completed forms (95% response) were evaluated. Of all respondents, 28.9% did not consistently use growth charts to monitor growth during every visit and only 25.2% and 46.6% of respondents were aware of the correct cut-off criterion for overweight and obesity, respectively. Of those surveyed, 22.3, 14.0, 36.1, 48.2, and 49.1% of respondents did not consider hypertension, type 2 diabetes, coronary heart disease, fatty liver disease, and decreased life span, respectively, to be a long-term complication of early childhood obesity. Furthermore, only 0.7% of respondents correctly answered all survey questions pertaining to knowledge of early childhood overweight and obesity. The survey highlights the low use of growth charts in the evaluation of early childhood growth in Middle East and North Africa region, and demonstrated poor knowledge of healthcare providers on the short- and long-term complications of early-onset obesity. This suggests a need for both continued professional education and development, and implementation of guidelines for the prevention and management of early childhood overweight and obesity.
Power, slavery, and spirit possession in East Africa: A few reflections
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Beatrice Nicolini
Full Text Available Spirit possession and its relationship with power aims to offer here a better understanding not only of East African societies, but, most of all, of their historical role in numerous political and military conflicts and also within peace-building processes that represent a continuation of a topic of longstanding concern in East African history. The relationships between religions, local cultures and institutional powers throughout contemporary East African history will be re-read through regional and transnational, as well as international dynamics.
Mass HIV Treatment and Sex Disparities in Life Expectancy: Demographic Surveillance in Rural South Africa.
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Jacob Bor
Full Text Available Women have better patient outcomes in HIV care and treatment than men in sub-Saharan Africa. We assessed--at the population level--whether and to what extent mass HIV treatment is associated with changes in sex disparities in adult life expectancy, a summary metric of survival capturing mortality across the full cascade of HIV care. We also determined sex-specific trends in HIV mortality and the distribution of HIV-related deaths in men and women prior to and at each stage of the clinical cascade.Data were collected on all deaths occurring from 2001 to 2011 in a large population-based surveillance cohort (52,964 women and 45,688 men, ages 15 y and older in rural KwaZulu-Natal, South Africa. Cause of death was ascertained by verbal autopsy (93% response rate. Demographic data were linked at the individual level to clinical records from the public sector HIV treatment and care program that serves the region. Annual rates of HIV-related mortality were assessed for men and women separately, and female-to-male rate ratios were estimated in exponential hazard models. Sex-specific trends in adult life expectancy and HIV-cause-deleted adult life expectancy were calculated. The proportions of HIV deaths that accrued to men and women at different stages in the HIV cascade of care were estimated annually. Following the beginning of HIV treatment scale-up in 2004, HIV mortality declined among both men and women. Female adult life expectancy increased from 51.3 y (95% CI 49.7, 52.8 in 2003 to 64.5 y (95% CI 62.7, 66.4 in 2011, a gain of 13.2 y. Male adult life expectancy increased from 46.9 y (95% CI 45.6, 48.2 in 2003 to 55.9 y (95% CI 54.3, 57.5 in 2011, a gain of 9.0 y. The gap between female and male adult life expectancy doubled, from 4.4 y in 2003 to 8.6 y in 2011, a difference of 4.3 y (95% CI 0.9, 7.6. For women, HIV mortality declined from 1.60 deaths per 100 person-years (95% CI 1.46, 1.75 in 2003 to 0.56 per 100 person-years (95% CI 0.48, 0.65 in
Zeitoun, O; Shemesh, N
In South Africa breast and cervical cancer are the most predominant cancers amongst women, with mortality rates reaching surprising proportions. As a result of the continued rise of these conditions it is vital to determine these women's awareness of both, so as to determine the exact factors contributing to this rise. Whilst both urban and rural areas are afflicted, this study focused primarily on women in a rural area. This was a descriptive cross-sectional study conducted in a shopping mall located in the rural area of Bushbuckridge, Mpumalanga, South Africa. A total of 300 women of reproductive age were randomly identified and requested to fill out a study questionnaire assessing their level of breast and cervical cancer awareness. A total of 300 women participated in the study. The mean age of participants was 35.66 with a range of 13.53. Overall levels of knowledge about breast and cervical cancer in rural Bushbuckridge were found to be reduced with 66.89% and 74.49% of women who rated themselves with a poor understanding of breast and cervical cancer knowledge respectively. Among the participating women, those over the age of 40, with higher level of education were found to be more cognizant in terms of breast and cervical cancer awareness with a 30% (p = 0.0923) and 52% (p < 0.001) respectively. Their younger and less educated counterparts had a 21% (p = 0.078) and 32% (p = 0.034) awareness of breast and cervical cancer, respectively. The leading source of information for both breast and cervical cancer was healthcare facilities with a 67.11% and 63.5% respectively. This study highlights the lack of awareness and knowledge of breast and cervical cancer in women living in the rural area of Bushbuckridge, South Africa. There is also evidence showing that the older and more educated women have better knowledge than their younger and less educated counterparts, therefore there is a need for increased breast and cervical cancer education and awareness campaigns
The genus Atheris (Serpentes: Viperidae) in East Africa: phylogeny and the role of rifting and climate in shaping the current pattern of species diversity.
Menegon, M; Loader, S P; Marsden, S J; Branch, W R; Davenport, T R B; Ursenbacher, S
Past climatic and tectonic events are believed to have strongly influenced species diversity in the Eastern Afromontane Biodiversity Hotspot. We investigated the phylogenetic relationships and historical biogeography of the East African genus Atheris (Serpentes: Viperidae), and explored temporal and spatial relationships between Atheris species across Africa, and the impact of palaeoclimatic fluctuations and tectonic movements on cladogenesis of the genus. Using mitochondrial sequence data, the phylogeny of East African species of Atheris shows congruent temporal patterns that link diversification to major tectonic and aridification events within East Africa over the last 15million years (my). Our results are consistent with a scenario of a delayed direct west-east colonisation of the Eastern Arc Mountains of Atheris by the formation of the western rift. Based on the phylogenetic patterns, this terrestrial, forest-associated genus has dispersed into East Africa across a divided route, on both west-southeasterly and west-northeasterly directions (a C-shaped route). Cladogenesis in the Eastern Arc Mountains and Southern Highlands of Tanzania corresponds to late Miocene and Plio-Pleistocene climatic shifts. Taxonomically, our data confirmed the monophyly of Atheris as currently defined, and reveal four major East African clades, three of which occur in discrete mountain ranges. Possible cryptic taxa are identified in the Atheris rungweensis and A. ceratophora clades. Copyright © 2014 Elsevier Inc. All rights reserved.
The episode of genetic drift defining the migration of humans out of Africa is derived from a large east African population size.
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Nuha Elhassan
Full Text Available Human genetic variation particularly in Africa is still poorly understood. This is despite a consensus on the large African effective population size compared to populations from other continents. Based on sequencing of the mitochondrial Cytochrome C Oxidase subunit II (MT-CO2, and genome wide microsatellite data we observe evidence suggesting the effective size (Ne of humans to be larger than the current estimates, with a foci of increased genetic diversity in east Africa, and a population size of east Africans being at least 2-6 fold larger than other populations. Both phylogenetic and network analysis indicate that east Africans possess more ancestral lineages in comparison to various continental populations placing them at the root of the human evolutionary tree. Our results also affirm east Africa as the likely spot from which migration towards Asia has taken place. The study reflects the spectacular level of sequence variation within east Africans in comparison to the global sample, and appeals for further studies that may contribute towards filling the existing gaps in the database. The implication of these data to current genomic research, as well as the need to carry out defined studies of human genetic variation that includes more African populations; particularly east Africans is paramount.
Potential of Gdgts as Temperature Proxies Along Altitudinal Transects in East Africa
Coffinet, Sarah; Huguet, Arnaud; Omuombo, Christine; Williamson, David; Fosse, Céline; Anquetil, Christine; Derenne, Sylvie
Glycerol dialkyl glycerol tetraethers (GDGTs) are lipids of high molecular weight and include the isoprenoid GDGTs (iGDGTs) produced by Archaea and the branched GDGTs (brGDGTs) produced by unknown bacteria. Several indices were developed to describe the relationship between GDGT distribution and environmental parameters: the TEX86 (tetraether index of tetraethers consisting of 86 carbons), based on the relative abundances of iGDGTs in sediments, and the MBT (methylation index of branched tetraethers) and CBT (cyclisation ratio of branched tetraethers), based on the relative abundance of brGDGTs in soils. The TEX86 was shown to correlate well with water surface temperature, and the MBT and CBT with mean annual air temperature (MAAT) and soil pH. The GDGTs are increasingly used as temperature proxies. In this study, 41 surface soils were sampled along two altitudinal transects, from 500 to 2800 meters in Mount Rungwe (South western, Tanzania) and from 1897 to 3268 meters in Mount Kenya (Central Kenya). MAAT was reconstructed along the two transects using the MBT/CBT proxies. A linear correlation between the MBT/CBT-derived temperatures and the altitude (R2=0.83) was obtained by combining results of the two transects. The reconstructed temperature lapse rate (0.5 ° C/100 m) was consistent with the one determined from temperature measurements at six altitudes. These results show that the MBT/CBT is a suitable and robust temperature proxy in East Africa. In Mt. Rungwe soil samples, the TEX86 index, which was mainly used to reconstruct water surface temperatures until now, was found to vary linearly with altitude (R2=0.50). Such a relationship between TEX86 and altitude in organic soils has also been recently noticed in Mt. Xiangpi, China (Liu et al., 2013; R2=0.68). The adiabatic cooling of air with altitude could explain the TEX86 variation with altitude. If such a relationship is confirmed, the use of the TEX86 as a temperature proxy could be extended to soil
Africa and electricity: To electrify Africa - necessary financial and human investments; The development of hydroelectricity in sub-Saharan Africa; A major challenge: to improve distribution efficiency; Smart grids in Africa?; Rural electrification in Africa; The development of renewable energies in Ethiopia - an example of empowerment of a local structure
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Horvilleur, Jacques; Favennec, Jean-Pierre; Cerdan, Jean-Pierre; Bauley, Jacky; Caumon, Pauline; Guerin, Andre-Jean; Beaussant, Henri; Louis, Frederic; Sall, Ousmane; Ledoux, Thierry; Boye, Henri; Bagayoko, Moussa
This publication proposes a set of six articles which address various aspects related to the issue of Africa electrification. More precisely, the authors propose a general presentation of the present situation and an assessment of necessary financial, organisational, governance and training investments or needs (To electrify Africa: necessary financial and human investment), illustrate these issues in the case of hydroelectricity-rich Republic of Congo, discuss the issue of financing hydroelectricity development in Africa and of the need of operation and maintenance policies to meet needs associated with sustainable installations (The development of hydroelectricity in sub-Saharan Africa), address issues related to distribution through an improvement of existing distribution networks (A major challenge: to improve distribution efficiency) and through a possible development of smart grids (Smart grids in Africa?), comment issues related to rural electrification as a major challenge for these sometimes very poor areas with almost none financial resources, and evoke the possibilities associated with decentralised photovoltaic production (Rural electrification in Africa), and report interventions of an NGO in Ethiopia based on solar installations and actions of empowerment of local structures (The development of renewable energies in Ethiopia - an example of empowerment of a local structure)
Healthy dietary practices among rural and semi-urban Blacks in the Northern Province of South Africa
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K. Peltzer
Full Text Available The aim of the study was to investigate five healthy dietary behaviours in a sample of rural and semi-urban South Africans. The sample consisted of 200 adults, 100 from an semi-urban area (Mankweng and 100 from a rural area (Tiberius in the central region of the Northern Province of South Africa. The two geographically different communities were chosen by convenience and the participants in the two communities were choosen by cluster sampling. Results indicate that about a third (30% in semi-urban and 34% in rural of the study sample are overweight and 18% are obese. A moderately high prevalence of six simple healthy dietary practices was found. However, there was a very low prevalence rate of eating fruits daily among both semi-urban (10% and rural dwellers (9%. Semi-urban dwellers showed significantly higher healthy diet behaviour than rural dwellers in regard to avoiding fat, trying to eat fiber, limiting red meat, and limiting salt. Men reported more than women that they tried to eat fiber and they had more often breakfast everyday. Being semi-urban and female were significantly associated with the healthy dietary index, whereas age, BMI, educational level and marital status were not. The results give insight into dietary health behaviour practices and the factors that influence them, which have practical implications for dietary health promotion.
Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa
Gómez-Olivé, Francesc X.; Rohr, Julia K.; Houle, Brian C.; Kabudula, Chodziwadziwa W.; Wagner, Ryan G.; Salomon, Joshua A.; Kahn, Kathleen; Berkman, Lisa F.; Tollman, Stephen M.; Bärnighausen, Till
Objective: To identify the unmet needs for HIV prevention among older adults in rural South Africa. Methods: We analyzed data from a population-based sample of 5059 men and women aged 40 years and older from the study Health and Aging in Africa: Longitudinal Studies of INDEPTH Communities (HAALSI), which was carried out in the Agincourt health and sociodemographic surveillance system in the Mpumalanga province of South Africa. We estimated the prevalence of HIV (laboratory-confirmed and self-reported) and key sexual behaviors by age and sex. We compared sexual behavior profiles across HIV status categories with and without age–sex standardization. Results: HIV prevalence was very high among HAALSI participants (23%, 95% confidence interval [CI]: 21 to 24), with no sex differences. Recent sexual activity was common (56%, 95% CI: 55 to 58) across all HIV status categories. Condom use was low among HIV-negative adults (15%, 95% CI: 14 to 17), higher among HIV-positive adults who were unaware of their HIV status (27%, 95% CI: 22 to 33), and dramatically higher among HIV-positive adults who were aware of their status (75%, 95% CI: 70 to 80). Casual sex and multiple partnerships were reported at moderate levels, with slightly higher estimates among HIV-positive compared to HIV-negative adults. Differences by HIV status remained after age–sex standardization. Conclusions: Older HIV-positive adults in an HIV hyperendemic community of rural South Africa report sexual behaviors consistent with high HIV transmission risk. Older HIV-negative adults report sexual behaviors consistent with high HIV acquisition risk. Prevention initiatives tailored to the particular prevention needs of older adults are urgently needed to reduce HIV risk in this and similar communities in sub-Saharan Africa. PMID:27926667
Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa.
Rosenberg, Molly S; Gómez-Olivé, Francesc X; Rohr, Julia K; Houle, Brian C; Kabudula, Chodziwadziwa W; Wagner, Ryan G; Salomon, Joshua A; Kahn, Kathleen; Berkman, Lisa F; Tollman, Stephen M; Bärnighausen, Till
To identify the unmet needs for HIV prevention among older adults in rural South Africa. We analyzed data from a population-based sample of 5059 men and women aged 40 years and older from the study Health and Aging in Africa: Longitudinal Studies of INDEPTH Communities (HAALSI), which was carried out in the Agincourt health and sociodemographic surveillance system in the Mpumalanga province of South Africa. We estimated the prevalence of HIV (laboratory-confirmed and self-reported) and key sexual behaviors by age and sex. We compared sexual behavior profiles across HIV status categories with and without age-sex standardization. HIV prevalence was very high among HAALSI participants (23%, 95% confidence interval [CI]: 21 to 24), with no sex differences. Recent sexual activity was common (56%, 95% CI: 55 to 58) across all HIV status categories. Condom use was low among HIV-negative adults (15%, 95% CI: 14 to 17), higher among HIV-positive adults who were unaware of their HIV status (27%, 95% CI: 22 to 33), and dramatically higher among HIV-positive adults who were aware of their status (75%, 95% CI: 70 to 80). Casual sex and multiple partnerships were reported at moderate levels, with slightly higher estimates among HIV-positive compared to HIV-negative adults. Differences by HIV status remained after age-sex standardization. Older HIV-positive adults in an HIV hyperendemic community of rural South Africa report sexual behaviors consistent with high HIV transmission risk. Older HIV-negative adults report sexual behaviors consistent with high HIV acquisition risk. Prevention initiatives tailored to the particular prevention needs of older adults are urgently needed to reduce HIV risk in this and similar communities in sub-Saharan Africa.
Exploring the paradox: double burden of malnutrition in rural South Africa
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Elizabeth W. Kimani-Murage
Full Text Available Background: This article is a review of the PhD thesis by Elizabeth Kimani-Murage that explores the double burden of malnutrition in rural South Africa. This is in the context of a worryingly rapid increase in obesity and obesity-related diseases in low- and middle-income countries (LMICs including South Africa, and in the wake of on-going nutrition transition and lifestyle changes in these countries. Objective: To understand the profiles of malnutrition among children and adolescents in a poor, high HIV prevalent, transitional society in a middle-income country. Methods: A cross-sectional growth survey was conducted in 2007 targeting 4,000 children and adolescents aged 1–20 years. In addition, HIV testing was carried out on children aged 1–5 years and Tanner pubertal assessment among adolescents aged 9–20 years. Results: The study shows stunting at an early age and adolescent obesity, particularly among girls, that co-exists in the same socio-geographic population. The study also shows that HIV is an independent modifiable risk factor for poor nutritional outcomes in children and makes a significant contribution to nutritional outcomes at the individual level. Significant predictors of undernutrition at an early age, documented at individual, household, and community levels, include child's HIV status, age and birth weight, maternal age, age of household head, and area of residence. Significant predictors of overweight/obesity and risk for metabolic disease during adolescence, documented at individual and household levels include child's age, sex, and pubertal development, household-level food security, socio-economic status, and household head's highest education level. Conclusions: The combination of early stunting and adolescent obesity raises critical concerns in the wake of the rising public health importance of metabolic diseases in LMICs. This is because, both paediatric obesity and adult short stature are risk factors for
Is production intensification likely to make farm households food-adequate? A simple food availability analysis across smallholder farming systems from East and West Africa
Ritzema, R.S.; Frelat, R.; Douxchamps, S.; Silvestri, S.; Rufino, M.C.; Herrero, M.; Giller, K.E.; López-ridaura, S.; Teufel, N.; Paul, B.K.; Wijk, Van M.T.
Despite considerable development investment, food insecurity remains prevalent throughout East and West Africa. The concept of 'sustainable intensification' of agricultural production has been promoted as a means to meet growing food needs in these regions. However, inadequate attention has been
The unfolding counter-transition in rural South Africa: mortality and cause of death, 1994-2009.
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Brian Houle
Full Text Available The HIV pandemic has led to dramatic increases and inequalities in adult mortality, and the diffusion of antiretroviral treatment, together with demographic and socioeconomic shifts in sub-Saharan Africa, has further changed mortality patterns. We describe all-cause and cause-specific mortality patterns in rural South Africa, analyzing data from the Agincourt health and socio-demographic surveillance system from 1994 to 2009 for those aged 5 years and older. Mortality increased during that period, particularly after 2002 for ages 30-69. HIV/AIDS and TB deaths increased and recently plateaued at high levels in people under age 60. Noncommunicable disease deaths increased among those under 60, and recently also increased among those over 60. There was an inverse gradient between mortality and household SES, particularly for deaths due to HIV/AIDS and TB and noncommunicable diseases. A smaller and less consistent gradient emerged for deaths due to other communicable diseases. Deaths due to injuries remained an important mortality risk for males but did not vary by SES. Rural South Africa continues to have a high burden of HIV/AIDS and TB mortality while deaths from noncommunicable diseases have increased, and both of these cause-categories show social inequalities in mortality.
Potential Predictability of the Sea-Surface Temperature Forced Equatorial East Africa Short Rains Interannual Variability in the 20th Century
Bahaga, T. K.; Gizaw, G.; Kucharski, F.; Diro, G. T.
In this article, the predictability of the 20th century sea-surface temperature (SST) forced East African short rains variability is analyzed using observational data and ensembles of long atmospheric general circulation model (AGCM) simulations. To our knowledge, such an analysis for the whole 20th century using a series of AGCM ensemble simulations is carried out here for the first time. The physical mechanisms that govern the influence of SST on East African short rains in the model are also investigated. It is found that there is substantial skill in reproducing the East African short rains variability, given that the SSTs are known. Consistent with previous recent studies, it is found that the Indian Ocean and in particular the western pole of the Indian Ocean dipole (IOD) play a dominant role for the prediction skill, whereas SSTs outside the Indian Ocean play a minor role. The physical mechanism for the influence of the western Indian Ocean on East African rainfall in the model is consistent with previous findings and consists of a gill-type response to a warm (cold) anomaly that induces a westerly(easterly) low-level flow anomaly over equatorial Africa and leads to moisture flux convergence (divergence) over East Africa. On the other hand, a positive El Nino-Southern Oscillation (ENSO) anomaly leads to a spatially non-coherent reducing effect over parts of East Africa, but the relationship is not strong enough to provide any predictive skill in our model. The East African short rains prediction skill is also analyzed within a model-derived potential predictability framework and it is shown that the actual prediction skill is broadly consistent with the model potential prediction skill. Low-frequency variations of the prediction skill are mostly related to SSTs outside the Indian Ocean region and are likely due to an increased interference of ENSO with the Indian Ocean influence on East African short rains after the mid-1970s climate shift.
Community care workers, poor referral networks and consumption of personal resources in rural South Africa.
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Ilona Sips
Full Text Available Although home-based care (HBC programs are widely implemented throughout Africa, their success depends on the existence of an enabling environment, including a referral system and supply of essential commodities. The objective of this study was to explore the current state of client referral patterns and practices by community care workers (CCWs, in an evolving environment of one rural South African sub-district. Using a participant triangulation approach, in-depth qualitative interviews were conducted with 17 CCWs, 32 HBC clients and 32 primary caregivers (PCGs. An open-ended interview guide was used for data collection. Participants were selected from comprehensive lists of CCWs and their clients, using a diversified criterion-based sampling method. Three independent researchers coded three sets of data - CCWs, Clients and PCGs, for referral patterns and practices of CCWs. Referrals from clinics and hospitals to HBC occurred infrequently, as only eight (25% of the 32 clients interviewed were formally referred. Community care workers showed high levels of commitment and personal investment in supporting their clients to use the formal health care system. They went to the extent of using their own personal resources. Seven CCWs used their own money to ensure client access to clinics, and eight gave their own food to ensure treatment adherence. Community care workers are essential in linking clients to clinics and hospitals and to promote the appropriate use of medical services, although this effort frequently necessitated consumption of their own personal resources. Therefore, risk protection strategies are urgently needed so as to ensure sustainability of the current work performed by HBC organizations and the CCW volunteers.
Community care workers, poor referral networks and consumption of personal resources in rural South Africa.
Sips, Ilona; Haeri Mazanderani, Ahmad; Schneider, Helen; Greeff, Minrie; Barten, Francoise; Moshabela, Mosa
Although home-based care (HBC) programs are widely implemented throughout Africa, their success depends on the existence of an enabling environment, including a referral system and supply of essential commodities. The objective of this study was to explore the current state of client referral patterns and practices by community care workers (CCWs), in an evolving environment of one rural South African sub-district. Using a participant triangulation approach, in-depth qualitative interviews were conducted with 17 CCWs, 32 HBC clients and 32 primary caregivers (PCGs). An open-ended interview guide was used for data collection. Participants were selected from comprehensive lists of CCWs and their clients, using a diversified criterion-based sampling method. Three independent researchers coded three sets of data - CCWs, Clients and PCGs, for referral patterns and practices of CCWs. Referrals from clinics and hospitals to HBC occurred infrequently, as only eight (25%) of the 32 clients interviewed were formally referred. Community care workers showed high levels of commitment and personal investment in supporting their clients to use the formal health care system. They went to the extent of using their own personal resources. Seven CCWs used their own money to ensure client access to clinics, and eight gave their own food to ensure treatment adherence. Community care workers are essential in linking clients to clinics and hospitals and to promote the appropriate use of medical services, although this effort frequently necessitated consumption of their own personal resources. Therefore, risk protection strategies are urgently needed so as to ensure sustainability of the current work performed by HBC organizations and the CCW volunteers.
Cost of childhood diarrhoea in rural South Africa: exploring cost-effectiveness of universal zinc supplementation.
Chhagan, Meera K; Van den Broeck, Jan; Luabeya, Kany-Kany Angelique; Mpontshane, Nontobeko; Bennish, Michael L
To describe the cost of diarrhoeal illness in children aged 6-24 months in a rural South African community and to determine the threshold prevalence of stunting at which universal Zn plus vitamin A supplementation (VAZ) would be more cost-effective than vitamin A alone (VA) in preventing diarrhoea. We conducted a cost analysis using primary and secondary data sources. Using simulations we examined incremental costs of VAZ relative to VA while varying stunting prevalence. Data on efficacy and societal costs were largely from a South African trial. Secondary data were from local and international published sources. The trial included children aged 6-24 months. The secondary data sources were a South African health economics survey and the WHO-CHOICE (CHOosing Interventions that are Cost Effective) database. In the trial, stunted children supplemented with VAZ had 2·04 episodes (95 % CI 1·37, 3·05) of diarrhoea per child-year compared with 3·92 episodes (95 % CI 3·02, 5·09) in the VA arm. Average cost of illness was $Int 7·80 per episode (10th, 90th centile: $Int 0·28, $Int 15·63), assuming a minimum standard of care (oral rehydration and 14 d of therapeutic Zn). In simulation scenarios universal VAZ had low incremental costs or became cost-saving relative to VA when the prevalence of stunting was close to 20 %. Incremental cost-effectiveness ratios were sensitive to the cost of intervention and coverage levels. This simulation suggests that universal VAZ would be cost-effective at current levels of stunting in parts of South Africa. This requires further validation under actual programmatic conditions.
Assessing the effectiveness of a longitudinal knowledge dissemination intervention: Sharing research findings in rural South Africa
Directory of Open Access Journals (Sweden)
Rhian Twine
Full Text Available Knowledge dissemination interventions (KDIs are integral to knowledge brokerage activities in research as part of the ethics of practice, but are seldom evaluated. In this case study, we critically reflect on an annual KDI as part of knowledge brokerage activities in the MRC/Wits-Agincourt Unit health and demographic surveillance system (HDSS in rural South Africa from 2001 to 2015. The HDSS findings on births, deaths and migrations, as well as nested research project results, were shared with villagers, village leaders and service providers. The data used for this case study comprised secondary analysis of 13 reports and 762 evaluation forms of annual village-based meetings; records of requests for data from stakeholders; and qualitative analysis of 15 individual and five focus group interviews with local leaders and service providers involving 60 people. Over time, the KDI evolved from taking place over one week a year to being extended over six months, and to include briefings with service providers and local leaders. Attendance at village-level meetings remained low at an average of 3 per cent of the total adult population. Since 2011, the KDI village-based meetings have developed into an embedded community forum for discussion of topical village issues. There has been a decrease in requests for health-care and other services from the research unit, with a concurrent increase in research-related questions and requests for data from service providers, village leaders and political representatives. We conclude that, in this setting, the dissemination of research findings is not a linear exchange of information from the researchers to village residents and their leadership, but is increasingly multi-directional. KDIs are a key component of knowledge brokerage activities and involve, influence and are influenced by other aspects of knowledge brokerage, such as identifying, engaging and connecting with stakeholders and supporting sustainability.
The state of harm reduction in the Middle East and North Africa: A focus on Iran and Morocco.
Himmich, Hakima; Madani, Navid
HIV/AIDS and hepatitis C among people who inject drugs are on the rise in the Middle East and North Africa (MENA) region. But the regional response to the epidemic falls short both in terms of the quality and scale of response. From the threat of the death sentence for drug offenses to the burden of refugees fleeing conflict, there are many legal, political and social barriers that hinder the introduction and expansion of harm reduction in the region. However Iran and Morocco are two pioneering countries and over the last decade they have been providing evidence that harm reduction is feasible and acceptable in MENA. Using different approaches, these two countries have overcome various obstacles and encouraged discussion and collaboration among stakeholders, including government, health professionals, civil society and community-based organizations. In so doing they have created an enabling environment to endorse a national harm strategy. Copyright © 2016 Elsevier B.V. All rights reserved.
Improving the Quality and Quantity of HIV Data in the Middle East and North Africa: Key Challenges and Ways Forward
Directory of Open Access Journals (Sweden)
Mohammad Karamouzian
Full Text Available Although the HIV pandemic is witnessing a decline in the number of new infections in most regions of the world, the Middle East and North Africa (MENA has a rapidly growing HIV problem. While generating HIV data has been consistently increasing since 2005, MENA's contribution to the global HIV literature is just over 1% and the existing evidence often falls behind the academic standards. Several factors could be at play that contribute to the limited quantity and quality of HIV data in MENA. This editorial tries to explore and explain the barriers to collecting high-quality HIV data and generating precise estimates in MENA. These barriers include a number of logistic and socio-political challenges faced by researchers, public health officials, and policy-makers. Looking at successful regional HIV programs, we explore examples were policies have shifted and lessons could be learned in developing appropriate responses to HIV across the region.
Teachers' Perceptions on the Use of African Languages in the Curriculum: A Case Study of Schools in Kenya, East Africa
Directory of Open Access Journals (Sweden)
Martin C. Njoroge
Full Text Available In order to revitalize African languages and advocate for their use as media of instruction in Kenyan schools, it is important to investigate and document the teachers' attitude towards the use of these languages in teaching. The research on which this paper is based set forth to explore teachers' perceptions on the use of the mother tongue as the language of instruction in Kenya, East Africa. Six schools out of 54 public schools in the Gatundu district were randomly sampled. 32 teachers of Grades 1-3 were interviewed to find out the actual practices in their classrooms, the challenges they faced, and the perceptions they held in relation to the use of the mother tongue in their teaching. The data were qualitatively analyzed and the emergent findings support the claim that the use of learners' mother tongue is beneficial to learners. In addition, the paper discusses the findings and proposes recommendations for pedagogy.
Impediments to media communication of social change in family planning and reproductive health: experiences from East Africa.
Kagurusi, Patrick T
The media has been employed to increase uptake of Family Planning through behaviour change communication (BCC). Understanding the barriers encountered in effectively undertaking this function would increase the strategy's effectiveness. Sixty journalists from East Africa participated in trainings to enhance their BCC skills for Family Planning in which a qualitative study was nested to identify barriers to effective Family Planning BCC in the region's media. The barriers were observed to be insufficient BCC skills, journalists' conflict of interest, interests of media houses, inaccessible sources of family planning information, editorial ideologies and absence of commercially beneficial demand. Coupled with the historical ideologies of the media in the region, the observed barriers have precipitated ineffective family planning BCC in the regions media. Effective BCC for family planning in the regions media requires capacity building among practitioners and alignment of the concept to the media's and consumers' aspirations.
Pushing personhood into place: situating media in rural knowledge in Africa
CSIR Research Space (South Africa)
Bidwell, NJ
Full Text Available Designing interactions with technologies that are compatible with rural wisdom and skills can help to digitally enfranchise rural people and, thus, contribute to community cohesion in the face of Africa's urbanization. Oral information has been...
Improving Early-Grade Literacy in East Africa: Experimental Evidence from Kenya and Uganda
Lucas, Adrienne M.; McEwan, Patrick J.; Ngware, Moses; Oketch, Moses
Primary school enrollments have increased rapidly in sub-Saharan Africa, spurring concerns about low levels of learning. We analyze field experiments in Kenya and Uganda that assessed whether the Reading to Learn intervention, implemented by the Aga Khan Foundation in both countries, improved early-grade literacy as measured by common assessments.…
A progressively wetter climate in Southern East Africa over the past 1.3 million years
Johnson, T.C.; Werne, J.P.; Brown, E.T.; Abbott, A; Berke, M.; Steinman, B.A.; Halbur, J.; Contreras, S.; Grosshuesch, S.; Deino, C.A.; Scholz, C.A.; Lyons, R.P.; Schouten, S.; Sinninghe Damsté, J.S.
African climate is generally considered to have evolved towards progressively drier conditions over the past few million years, with increased variability as glacial–interglacial change intensified worldwide1, 2, 3. Palaeoclimate records derived mainly from northern Africa exhibit a 100,000-year
A progressively wetter climate in southern East Africa over the past 1.3 million years
Johnson, T.C.; Werne, J.P.; Brown, E.T.; Abbott, A.; Berke, M.; Steinman, B.E.; Halbur, J.; Contreras, S.; Grosshuesch, S.; Deino, A.; Lyons, R.P.; Scholz, C.A.; Schouten, S.; Sinninghe Damsté, J.S.
African climate is generally considered to have evolved towardsprogressively drier conditions over the past few million years,with increased variability as glacial–interglacial change intensifiedworldwide1–3. Palaeoclimate records derived mainly from northernAfrica exhibit a 100,000-year
Theatre Safari in East Africa: An Exploration of Theatre in Kenya.
Hutchinson, P. William
Six months of observation--at two universities, at a drama festival, and with several independent theatre companies--form the basis for this evaluation of theatre in Kenya, Africa. While Kenyan dramas deal with a variety of themes, the majority are topical rather than universal in their treatment of issues. In many, the emphasis is on the…
Impact of climate change on human-wildlife conflicts in East Africa ...
African Journals Online (AJOL)
Climate change is a phenomenon that is already happening and in some areas of Africa it is taking place at an alarming rate. Climate change is expected to cause an increase in weather-related disasters and extreme weather events, such as droughts, heat waves, floods, desertification, and vector-borne infestations.
Natural control of Helicoverpa armigera in smallholder crops in East Africa
Berg, van den H.
The African bollworm, Helicoverpa (=Heliothis) armigera , is one of the worst agricultural pests in Africa, attacking a variety of food and cash crops. For development of sustainable pest management, it is essential to study the ecology and natural
Translations on Near East and North Africa. Number 1593, New Valley Development Projects.
People's Demo- cratic Republic of Yemen _Persian Gulf Area Qatar _Saudi Arabia _Spanish North Africa Sudan _Sultanate of Oman _Syria...and organizing the drainage situation. We have acquired the use of the highest-quality pipe materials used in wells and a knowledge of aquifers . We
The south-east coast of South Africa is characterized by its high ...
African Journals Online (AJOL)
fisheries management in South Africa has been ex- tended to include shellfish obtained for subsistence purposes. Because human resources for law enforce- ment are limited, and in keeping with international trends, authorities are promoting partnerships with local communities and seeking sustainable harvesting practices ...
76 FR 55456 - The Trade and Investment Partnership for the Middle East and North Africa
... Africa (MENA) region, the President called for a Trade and Investment Partnership Initiative to explore ways to further strengthen economic ties both between the United States and MENA countries and among the MENA countries themselves. Over the coming months, the United States, partnering where possible...
Affordable house designs to improve health in rural Africa: a field study from northeastern Tanzania.
von Seidlein, Lorenz; Ikonomidis, Konstantin; Mshamu, Salum; Nkya, Theresia E; Mukaka, Mavuto; Pell, Christopher; Lindsay, Steven W; Deen, Jacqueline L; Kisinza, William N; Knudsen, Jakob B
The population of sub-Saharan Africa is currently estimated to be 1245 million and is expected to quadruple by the end of the century, necessitating the building of millions of homes. Malaria remains a substantial problem in this region and efforts to minimise transmission should be considered in future house planning. We studied how building elements, which have been successfully employed in southeast Asia to prevent mosquitos from entering and cooling the house, could be integrated in a more sustainable house design in rural northeastern Tanzania, Africa, to decrease mosquito density and regulate indoor climate. In this field study, six prototype houses of southeast Asian design were built in in the village of Magoda in Muheza District, Tanga Region, Tanzania, and compared with modified and unmodified, traditional, sub-Saharan African houses. Prototype houses were built with walls made of lightweight permeable materials (bamboo, shade net, or timber) with bedrooms elevated from the ground and with screened windows. Modified and unmodified traditional African houses, wattle-daub or mud-block constructions, built on the ground with poor ventilation served as controls. In the modified houses, major structural problems such as leaking roofs were repaired, windows screened, open eaves blocked with bricks and mortar, cement floors repaired or constructed, and rain gutters and a tank for water storage added. Prototype houses were randomly allocated to village households through a free, fair, and transparent lottery. The lottery tickets were deposited in a bucket made of transparent plastic. Each participant could draw one ticket. Hourly measurements of indoor temperature and humidity were recorded in all study houses with data loggers and mosquitoes were collected indoors and outdoors using Furvela tent traps and were identified with standard taxonomic keys. Mosquitoes of the Anopheles gambiae complex were identified to species using PCR. Attitudes towards the new house
Carbonaceous components, levoglucosan and inorganic ions in tropical aerosols from Tanzania, East Africa: implication for biomass burning contribution to organic aerosols
Mkoma, S. L.; Kawamura, K.; Fu, P.
Atmospheric aerosol samples of PM2.5 and PM10 were collected at a rural site in Tanzania in 2011 during wet and dry seasons and they were analysed for carbonaceous components, levoglucosan and water-soluble inorganic ions. The mean mass concentrations of PM2.5 and PM10 were 28.2±6.4 μg m-3 and 47±8.2 μg m-3 in wet season, and 39.1±9.8 μg m-3 and 61.4±19.2 μg m-3 in dry season, respectively. Total carbon (TC) accounted for 16-19% of the PM2.5 mass and 13-15% of the PM10 mass. On average, 85.9 to 88.7% of TC in PM2.5 and 87.2 to 90.1% in PM10 was organic carbon (OC), of which 67-72% and 63% was found to be water-soluble organic carbon (WSOC) in PM2.5 and PM10, respectively. Water-soluble potassium (K+) and sulphate (SO42-) in PM2.5 and, sodium (Na+) and SO42- in PM10 were the dominant ionic species. We found, that concentrations of biomass burning tracers (levoglucosan and mannosan) well correlated with non-sea-salt-K+, WSOC and OC in the aerosols from Tanzania, East Africa. Mean contributions of levoglucosan to OC ranged between 3.9-4.2% for PM2.5 and 3.5-3.8% for PM10. This study demonstrates that emissions from biomass- and biofuel-burning activities followed by atmospheric photochemical processes mainly control the air quality in Tanzania.
Access to Risk Mitigating Weather Forecasts and Changes in Farming Operations in East and West Africa: Evidence from a Baseline Survey
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Abayomi Samuel Oyekale
Full Text Available Unfavorable weather currently ranks among the major challenges facing agricultural development in many African countries. Impact mitigation through access to reliable and timely weather forecasts and other adaptive mechanisms are foremost in Africa's policy dialogues and socio-economic development agendas. This paper analyzed the factors influencing access to forecasts on incidence of pests/diseases (PD and start of rainfall (SR. The data were collected by Climate Change Agriculture and Food Security (CCAFS and analyzed with Probit regression separately for East Africa, West Africa and the combined dataset. The results show that 62.7% and 56.4% of the farmers from East and West Africa had access to forecasts on start of rainfall, respectively. In addition, 39.3% and 49.4% of the farmers from East Africa indicated that forecasts on outbreak of pests/diseases and start of rainfall were respectively accompanied with advice as against 18.2% and 41.9% for West Africa. Having received forecasts on start of rainfall, 24.0% and 17.6% of the farmers from East and West Africa made decisions on timing of farming activities respectively. Probabilities of having access to forecasts on PD significantly increased with access to formal education, farm income and previous exposure to climatic shocks. Furthermore, probabilities of having access to forecasts on SR significantly increased (p < 0.05 with access to business income, radio and perception of more erratic rainfall, among others. It was recommended that promotion of informal education among illiterate farmers would enhance their climatic resilience, among others.
Maritime vessels carry more than half of growing U.S.-East Africa trade
Trade between the United States and East African countries (defined in this special report as Burundi, Kenya, Rwanda, Tanzania, and Uganda) has grown substantially in recent years, reaching $1.3 billion in value in 2007. Between 1997 and 2007, U.S. e...
Managing scalp defects in sub-Saharan Africa | Legbo | East African ...
African Journals Online (AJOL)
Conclusions: Management of scalp defects remains a major challenge in our environment. The importance of continuing education of colleagues and other health workers in peripheral health units on the importance of proper initial wound debridement and early referral cannot be overemphasised. East African Medical ...