Siwila, J.; Phiri, I. G. K.; Enemark, Heidi L.; Nchito, M.; Olsen, A.
prevalent in children enrolled in pre-schools in Zambia. Future studies should explore local factors associated with transmission of these infections, and consequently provide the necessary health education to parents and teachers. Crown Copyright (C) 2009 Published by Elsevier Ltd on behalf of Royal...... helminths in children attending pre-school or day-care centres in Kafue District, Zambia. Single stool samples were collected from 403 children from 10 pre-schools and Were subjected to duplicate Kato-Katz thick smears to identify and quantify helminths. A commercial immunofluorescence kit was used to......Intestinal parasitic infections are among the most widespread of human infections in developing countries, and children are the most vulnerable. The aim of this study was to determine the prevalence of the protozoa Cryptosporidium and Giardia, as well as prevalence and intensity of intestinal...
Siwila, J.; Phiri, I. G. K.; Enemark, Heidi L.; Nchito, M.; Olsen, A.
Cryptosporidium spp. and Giardia duodenalis are important parasites infecting a wide range of domestic animals worldwide. The aim of the present study was to determine the occurrence of Cryptosporidium spp. and Giardia parasites in different domestic animals living in close contact with humans...... within rural/semiurban communities in Kafue district in Zambia. A single faecal sample per animal was collected from pigs, goats, dogs, ducks, chickens and pigeons and analysed by Merifluor Cryptosporidium/Giardia immunofluorescence antibody assay for the simultaneous detection of these parasites. The...... faecal consistency was noted and scored as non-diarrhoeic or diarrhoeic. A total of 236 samples were collected. Cryptosporidium spp. oocysts were detected in pigs (11.5%, 17/148), goats (5.9%; 1/17), ducks (10.0%; 3/30) and chickens (14.3%; 2/14) while Giardia cysts were detected in pigs (8.1%; 12...
Mischler, J. A.; Abdalati, W.; Hussein, K.; Townsend, A. R.
The Kafue River is the longest river in Zambia and is a major tributary of the Zambezi River. It is a vital source of fish, transportation, drinking water, and hydropower for much of Zambia's population, over half of whom live in the Kafue River basin. Like many important water bodies in developing countries the Kafue and its ecosystems face pollution from industrial, mining, agricultural, and domestic/sewage discharge. The Kafue River forms a wide and shallow wetland (the Kafue Flats) during the rainy season (Nov. - Apr.) which serves as habitat for diverse groups of birds and mammals. In recent years the unprecedented emergence of invasive aquatic vegetation such as the water hyacinth (Eichhornia crassipes) and Salvinia molesta have choked the river, degrading its ability to provide adequate habitat to promote biodiversity, ecosystem services, and hydropower. In addition, these plants provide additional habitat for mosquitoes (vectors for malaria) and aquatic snails (vectors of schistosomiasis). Nutrient-rich effluents are widely believed to contribute to the proliferation and explosive growth of this floating aquatic vegetation. The general methods for managing these aquatic weeds have included mechanical and physical removal, herbicides, and bio-control agents which have had very little impact. However, as in neighboring Lake Victoria, total weed coverage has fluctuated dramatically from year to year making evaluation of the efficacy of management programs difficult. The objectives of this study were to (1) generate the first record of aquatic plant coverage for a section of the Kafue River which is immediately downstream of a sugar plantation (a major source of nitrogen and phosphorus to the river) and (2) determine if plant coverage is correlated with any major climatic (ENSO, temperature, rainfall) or management (introduction of bio-control agents) indices. We utilized remote sensing techniques in conjunction with Landsat 4-5 TM and Landsat 7 ETM imagery for the time range 1990 to 2013 to identify the extent of aquatic vegetation in the dry season for all years available within the time range using spectral data. We derived rainfall for the time period from TRMM data and temperature from MODIS LST data. Overall weed coverage tended to increase from 1990 to 2013. There was no significant correlation between rainfall (as measured by TRMM) and water hyacinth coverage. However there was a significant positive correlation between minimum October temperatures (the warmest month of the year) and weed coverage (exponential fit, R2 = 0.81). There was no indication that the release of bio-control agents reduced weed coverage. Water hyacinth is known to be sensitive to temperature, with cooler temperatures retarding growth. In the Kafue River, aquatic plant coverage varies mainly with October low temperatures indicating an overall control of temperature on weed coverage. Increasing low temperatures in the region would be expected to exacerbate problems associated with aquatic weeds.
Norrgren, L; Pettersson, U; Orn, S; Bergqvist, P
Zambia is a country with an extensive mining industry with the majority of mines located in the Copperbelt province. Through this region of the country, the Kafue River drains and receives effluent water from mining activities as well as from other industrial point sources. In addition, production of agricultural products and pest control requires use of different pesticides in the area. Information on industrial and agricultural pollution has not been clearly identified in Zambia, and little attention has been paid to pollution control and possible impact of metals, pesticides, and other persistent compounds in the environment. The objective of this study was to introduce and to evaluate a few methodologies based on in situ bioassays for environmental assessment to promote sustainable and environmentally sound water resource management of the Kafue River. The results show that caged threespot tilapia exposed downstream of industrial points sources rapidly bioaccumulate several trace elements, i.e., Cd, Co, Cu, Cr, Ni. These elements also occurred in much higher concentrations in water samples downstream of the industrial area compared with a locality upstream. Furthermore, the use of a semipermeable membrane device (SPMD) for passive absorption of lipophilic pollutants in the water showed relatively high concentration of several pesticides, i.e., DDT with major metabolites, PCB, and dieldrin. The present study shows that only 2 weeks of in situ studies in waters contaminated by pollutants affects in situ exposed fish and that the correlation between water and tissue concentrations was relatively good. Both trace elements and persistent organic pollutants occurred in such high concentrations that they must be considered from ecotoxicological aspects and may affect aquatic animal health. PMID:10667931
Maximizing the production of ecosystem services is a necessity for resource management particularly when increasing the provision of one service decreases the provision of another. In these instances, it is important to estimate the value of ecosystem services to efficiently distribute resources. We estimate two major ecosystem services provided by the Kafue River, Zambia -hydroelectricity and fisheries- and discuss management implications of the relationship between hydropower controlled wat...
Hepatic and renal concentrations of the elements arsenic, cadmium, cobalt, copper, lead, manganese, mercury, molybdenum, selenium and zinc were determined in samples collected from four crocodiles from the Kafue River, Kafue National Park and five crocodiles from the Luangwa River, Luangwa National Park, Zambia. The concentrations of the essential elements were similar to those reported in other vertebrates. Arsenic and cadmium concentrations were low (medians below 0.05 ?g As/g and below 0.16 ?g Cd/g, wet wt.). Mercury and lead concentrations were several orders of magnitude higher (medians up to 3.7 ?g Hg/g, and up to 8.7 ?g Pb/g, all wet wt.) than in hippopotami from the same rivers, probably as a result of food-chain biomagnification. Judging by the results obtained in this study, pollution from the mining activity around the Kafue River drainage area in the Copperbelt region has not significantly influenced the trace element concentrations in tissues of the crocodiles in the Kafue National Park. The trace element concentrations measured may serve as reference values in future studies on crocodilians
Harry Nixon Chabwela; Tobias Haller
ABSTRACT Fisheries, wildlife and pastures are under massive pressure in the Kafue Flats, a wetland, which is one of the largest floodplains in Southern and Central Africa. This ecosystem which once harboured abundant common-pool resources and which was managed by local common property regimes is now being threatened with overexploitation. The last 30 years however, have witnessed severe pressure and overuse of these commons. A historical and institutional analysis of the situation of common-p...
Harry Nixon Chabwela
Full Text Available Fisheries, wildlife and pastures are under massive pressure in the Kafue Flats, a wetland, which is one of the largest floodplains in Southern and Central Africa. This ecosystem which once harboured abundant common-pool resources and which was managed by local common property regimes is now being threatened with overexploitation. The last 30 years however, have witnessed severe pressure and overuse of these commons. A historical and institutional analysis of the situation of common-pool resources indicates that overuse of fisheries and the mismanagement of wildlife goes back to the erosion of traditional institutions by state governance. Institutional weakness resulting from economic decline in the country is of major concern as the institutions can no longer effectively enforce regulations in the area, a situation which has led to a de facto open access constellation for common-pool resources. The paper discusses three cases. The first is the WWF-Wetland Project and the Administrative Management Design (ADMADE initiative which was designed to deal with management of Lochinvar and Blue Lagoon National Parks and the adjacent Game Management Area through the involvement of local chiefs and local communities. The second case refers to the Partners for Wetlands Project, which included local people via their chiefs as well as the public and private sectors from large agricultural enterprises to the eastern side of the Kafue Flats (Mwanachinwala Conservation Area project in Mazabuka. However, both attempts yielded poor results due to misconceptions of traditional representation of local communities and misinterpretation of local economic and political incentives. Although the ADMADE programme appears to be a scaling up case, its implementation continues to receive considerable resistance from opposition leaders of chiefs and later by the chiefs themselves. In the third case, the paper examines the fishery constitutional process which had started in 2004 for creating by-laws based on initiatives of local staff of the Department of Fisheries, local interest groups and researchers. A broad local debate on how to manage the fisheries in a sustainable way and develop locally based by-laws for joint management of fisheries gives good potential for success and appears promising for the future of fisheries in Kafue Flats. Despite many difficulties it is an example of local collective action in order to scale up governance of common-pool resources.
Siwila, J.; Phiri, I.G.K.; Enemark, Heidi L.; Nchito, M.; Olsen, A.
Prevalence, incidence and seasonal variation of Cryptosporidium and Giardia duodenalis were studied over a 12-month period in 100 children from four pre-schools in Kafue, Zambia. Questionnaire data and a single stool sample were collected monthly from each child. Samples were processed using a...... = 0.26). We conclude that gastro-intestinal protozoal infections are highly prevalent among children attending pre-school in peri-urban Zambia highlighting the need for further studies of risk factors....... cryptosporidiosis while 75% had giardiasis. Cumulative incidence per 100 children was 75.4 for Cryptosporidium and 49.0 for G. duodenalis. Both infections were significantly more common in the wet compared to the dry season (34.8%, 162/466 vs. 24.7%, 79/320, P = 0.003 and 35.2%, 164/466 vs. 20.0%, 64/320, P <0...
Sinkala, Thomson; Mwase, Enala T.; Mwala, Mick
The aquatic weed situation in the Kafue River in Zambia continues to be a major challenge to the sustainable utilization of the water resources of the river. The general methods for managing the weeds, especially the water hyacinth, include use of bio-agents, chemicals, mechanical and physical approaches. These have had very little impact. This paper reports on a project that is investigating weed management strategies which involve use of cleaner production (CP) approach and the utilization of the weed for economic purposes. In addition, the ecological implications of these methods are being assessed. Effluent assessments indicated that apart from nitrates and phosphates, other effluent parameters met the Environmental Council of Zambia standards. Results further show that all the 24 areas surveyed for CP have uncontrolled socio-economic activities which generate both point and non-point sources of pollution that enter the water bodies. To minimize pollution, efforts include devising policy and technical strategies with the involvement of the affected riparian community. Production of mushroom by the communities using the water hyacinth substrate has been demonstrated. Up to 2.1 kg of mushroom was harvested from a single flush over a period of 4-5 weeks. Vegetables grown on soils treated with water hyacinth manure performed better than those grown using commercial fertiliser. The economics of the production are however, yet to be confirmed. If weed usage is proven economically and ecologically viable, the riverine community is envisaged to play a big role in aquatic weed management. High numbers of invertebrates known to be sensitive to pollution have been recorded in the weed-infested Kafue River implying that the water is of good quality for these aquatic invertebrates. This observed quality of water may be due to water hyacinth playing a role by sieving pollutants from the river.
Kambole, Michael Sankwe
Most vital surface water bodies in developing countries are under serious threat of degradation resulting from constant discharge of polluted effluents stemming from industrial, agricultural, mining and domestic/sewage activities. The most affected river systems are those traversing cities and towns in urban areas. The Kafue River in Zambia is one such river system that is threatened with serious degradation and probable loss of biodiversity. Kafue River cuts across the country in a North-South direction, stretches for about 1576 km before draining into the Zambezi River. It covers an area of 152,000 km 2 and generates a mean annual runoff of 350 m 3/s which represents about 12% of the Zambezis mean annual runoff at the confluence [Water Resources Development and Vector-borne Diseases in Zambia: Report of a National Seminar held at Kafue Gorge, Zambia, WHO, Geneva, 1995]. The area coverage of the Kafue River Basin (KRB) is approximately 20% of Zambias land area (743,000 km 2) and approximately 17% of the Zambezi Basin [Water Resources Use in the Zambezi Basin: Proceedings of a Workshop held at Kasane, Botswana, IUCN, 1993]. More than half of Zambias population live in the KRB, of which about 65% are in urban while 35% are in rural areas. Over the years, however, the Kafue River has been receiving all sorts of pollutant and effluents from all sectors of economical development in Zambia that include mining, industrial and agricultural. The continuous discharge of pollutants into the Kafue river has led to the deterioration of the river water quality. The consequences have been heightened eutrophic conditions, increased heavy metal concentration in the river sediments and aquatic life, increased suspended solids, etc. leading to proliferation of Salvinia molesta in some sections of the river, decreased fish catch and fish size and objectionable taste of the Kafue River water. Fishermen along the Chanyanya-Kafue Gorge stretch of the Kafue River have complained about the alleged loss of taste and the decrease in both the fish catch and size in these areas of the Kafue River. The communities along the same stretch have also complained about the objectionable taste of the river water [Report of the Proceedings of the First Multi-sectoral Workshop on the Effects of Environmental Pollution and Degradation on the Kafue River Basin (KRB) on the Community in the Kafue Town Area, AREZ, 2001]. This paper reviews the water quality of the Kafue River resulting from anthropogenic activities and proposes the framework for the sustainable management of river water quality.
Nambota Andrew M
Full Text Available Abstract Background The Kafue lechwe (Kobus leche Kafuensis, a medium-sized semi-aquatic antelope, is endemic to the Kafue basin of Zambia. The population of the Kafue lechwe has significantly dropped in the last decades leading to its subsequent inclusion on the red list of endangered species. In order to save the remaining population from extinction, it has become increasingly important that the impact of parasite infection and infestation on the Kafue lechwe is investigated. Findings Endoparasites accounted for the majority of parasites observed from a study of 40 Kafue lechwe occurring in the the Kafue basin. Amphistoma spp. were present in all animals examined, while Fasciola gigantica had a prevalence rate of 0.525 (95% CI: 0.36 to 0.69 and species of Schistosoma 0.3 (95% CI: 0.15 to 0.45. Among the ectoparasites, Strobiloestrous vanzyli, had a prevalence rate of 0.15 (95% CI: 0.03 to 0.27, while Rhipicephalus appendiculatus had a prevalence of 0.075 (3/40. Our findings indicate that body condition was not influenced by the parasitic infestation in Kafue lechwe. There was no association between sex and parasitic burden (odds ratio = 0.3, 95% CI: 0.8-1.3. However, an association between age and parasitic burden was observed as older animals above 15 years were more likely to get parasite infections than those aged between 1-5 years (odds ratio = 1.5, 95% CI: 1.1-2.4. Conclusion Overall, there was no evidence that parasitic infections and infestations adversely affected the lechwe population on the Kafue basin. These findings indicate that ecto- and endo-parasite infestation might not play a significant role in reducing the Kafue lechwe population on the Kafue basin.
J.B. Muma; M. Syakalima; Munyeme, M.; V. C. Zulu; Simuunza, M.; Kurata, M.
A study was performed in 2008 to estimate the prevalence of tuberculosis and brucellosis in traditionally reared cattle of Southern Province in Zambia in four districts. The single comparative intradermal tuberculin test (SCITT) was used to identify TB reactors, and the Rose Bengal test (RBT), followed by confirmation with competitive enzyme-linked immunosorbent assay (c-ELISA), was used to test for brucellosis. A total of 459 animals were tested for tuberculosis and 395 for brucellosis. The ...
Phiri, Selia Ng'anjo; Kiserud, Torvid; KvÃ¥le, Gunnar; Byskov, Jens; Evjen-Olsen, BjÃ¸rg; Michelo, Charles; Echoka, Elizabeth; Fylkesnes, Knut
of delivery and factors that might influence health care seeking behaviour. A total of 1800 women who had childbirth in the previous five years were analysed. The distal and proximate conceptual framework for analysing determinants of maternal mortality was modified for studying factors associated...... areas of three districts in Kenya, Tanzania and Zambia. METHODS: A population-based survey was conducted in 2007 as part of the 'REsponse to ACcountable priority setting for Trust in health systems' (REACT) project. Stratified random cluster sampling was used and the data included information on place...
Bwalya, Eugene C; Nalubamba, King S; Hankanga, C; Namangala, B
Faecal samples were collected from January 2010 through September 2010 to determine the prevalence of gastrointestinal (GI) helminths infestation in dogs in urban Lusaka and rural Katete Districts of Zambia. A total of 452 faecal samples (n=160 Katete, n=292 Lusaka) were examined by faecal flotation for the presence of helminth eggs and 82.5% of dogs were positive for GI helminths in Katete compared to 76% for Lusaka. Positive results with the presence of at least one parasite corresponded to 72.9% Ancylostoma caninum, 11% Toxocara canis, 4.8% Toxascaris leonina, 2.4% Dipylidium caninum, 0.7% Taeniidae and 0.3% T. vulpis, species for Lusaka while Katete recorded 70.6% A. caninum, 18.1% T. vulpis, 11.1% T. canis, 13.1% D. caninum, 3.8% T. leonina, and 0.6% Taeniidae. Except for T. vulpis and D. caninum (pcaninum showed significant difference in prevalence by age category. The study also showed the presence of zoonotic intestinal helminths A. caninum, T. canis and D. caninum. The study highlights that there was no significant difference in spectrum and prevalence of GI helminths between urban and rural areas in Zambia. It further brings to light the importance of educating owners of dogs on the importance of regular deworming of dogs and control of ectoparasites in order to minimise the risk that these dogs pose to them and the public. PMID:21612833
Full Text Available This paper encapsulates the outputs of a Swiss Agency for Development Cooperation (SDC funded project that aimed to improve the levels of HIV governance at the district level in Malawi and Zambia by encouraging public participation in an effort to more effective use of local resources. The methodology for this project, developed by the Institute for Democracy in Africa (Idasa and SDC, included a barometer which assessed perceptions of district HIV governance among key stakeholders. Perceptions were gathered on governance principles of effectiveness, efficiency, rule of law, accountability, participation and equity. The stakeholders ranged from administrators, political representatives, community-based organisations and the private sector on the supply side and citizens on the demand or beneficiary side. The findings of the research indicate specific sector governance issues that may be generalised to governance. Communication and transparency appear to be major issues underpinning the bottlenecks and shortcomings in the HIV sector governance at the district level. Information gaps have given rise to accountability deficits and coordination deficiencies. Addressing these matters would make more effective use of resources and lessen dependence on external funding sources.
Kakandelwa, Cliff; Siwila, Joyce; Nalubamba, King S; Muma, John B; Phiri, Isaac G K
Giardia is an intestinal protozoan parasite of mammals including humans. A cross-sectional study was conducted to estimate prevalence of Giardia infections in smallholder and commercial dairy herds in Chilanga and Lusaka districts of Zambia. A total of 377 calves aged from 1 to 365 days were sampled on 34 farms. All faecal samples were analyzed for Giardia antigen using a commercially available ELISA kit. Overall prevalence of Giardia was 34.5% (95% CI=29.7-39.3). Among smallholder farms, animal level prevalence ranged from 0 to 100% (mean=44.6±36.9 standard deviations) and 12.5 to 60.9% (mean=33.5±16.7 standard deviations) within commercial herds. Prevalence was highest in calves less than three months old (p=0.010), and there was no significant difference in the prevalence between smallholder and commercial farms (p=0.300). Giardia prevalence was not associated with occurrence of diarrhoea in the calves (p=0.205). The study demonstrates that Giardia infections are common in dairy herds in the study areas, especially in calves less than three months of age. PMID:26790746
Full Text Available Abstract Background The increasing resources available for and number of partners providing health sector aid have stimulated innovations, notably, the Paris Declaration on Aid Effectiveness, which aim to improve aid coordination. In this, one of the first studies to analyse implementation of aid coordination below national level, the aim was to investigate the effect of the Paris Declaration on coordination of health sector aid at the district level in Zambia. Methods The study was carried out in three districts of Zambia. Data were collected via interviews with health centre staff, district managers and officials from the Ministry of Health, and from district action plans, financial reports and accounts, and health centre ledger cards. Four indicators of coordination related to external-partner activity, common arrangements used by external partners and predictability of funding were analysed and assessed in relation to the 2010 targets set by the Paris Declaration. Findings While the activity of external partners at the district level has increased, funding and activities provided by these partners are often not included in local plans. HIV/AIDS support show better integration in planning and implementation at the district level than other support. Regarding common arrangements used for fund disbursement, the share of resources provided as programme-based support is not increasing. The predictability of funds coming from outside the government financing mechanism is low. Conclusion Greater efforts to integrate partners in district level planning and implementation are needed. External partners must improve the predictability of their support and be more proactive in informing the districts about their intended contributions. With the deadline for achieving the targets set by the Paris Declaration fast approaching, it is time for the signatories to accelerate its implementation.
Muyobela, Jackson; Nkunika, Philip Obed Yobe; Mwase, Enala Tembo
This study was designed to obtain data on the farmer's approach to tick control and to determine whether Rhipicephalus appendiculatus Neuman, Amblyomma variegatum (Fabricius), and Rhipicephalus (Boophilus) microplus (Canestrini) were resistant to amitraz and cypermethrin acaricides, in Isoka District, Zambia. Prevailing tick control practices were documented by administering a semi-structured questionnaire to 80 randomly selected smallholder livestock farmers from four agricultural camps (Longwe, Kantenshya, Kapililonga, and Ndeke) in Isoka District. Modified larval packet test (LPT) bioassay experiments were used to determine the resistance status of the common tick species against amitraz and cypermethrin acaricides. Fifty percent of respondents practiced chemical tick control with amitraz (27Â %) and cypermethrin (23Â %) being the acaricides in use, and were applied with knapsack sprayers. Less than 3Â l of spray wash per animal was used which was considerably lower than the recommended delivery rate of 10Â l of spray wash per animal. No significant susceptibility change to amitraz at 95Â % confidence level was observed in R. appendiculatus and A. variegatum against amitraz. However, a significant change in the susceptibility of R. (Bo.) microplus tested with amitraz was detected at 95Â % confidence. The test population had a lower susceptibility (LD50 0.014Â %; LD90 0.023Â %) than the reference population (LD50 0.013Â %; LD90 0.020Â %). The results indicated that resistance to amitraz was developing in R. (Bo.) microplus. For cypermethrin, no significant susceptibility change at 95Â % confidence was observed in any of the three species and thus resistance to this chemical was not observed. PMID:26310511
Musso Munyeme; Hetron Mweemba Munang'andu
The Kafue basin ecosystem is the only remaining natural habitat for the endangered Kafue lechwe antelope (Kobus leche Kafuensis). However, hydroelectricity power production, large-scale sugar plantations, commercial fishing and increasing livestock production are threatening its natural existence and sustainability. Further, increasing human settlements within and around the Kafue basin have resulted in decreased grazing grounds for the Kafue lechwe antelopes despite a corresponding increase ...
Full Text Available PROBLEM: Despite the Government's effort to expand services to district level, it is still hard for people living with HIV to access antiretroviral treatment (ART in rural Zambia. Strong demands for expanding ART services at the rural health centre level face challenges of resource shortages. APPROACH: The Mumbwa district health management team introduced mobile ART services using human resources and technical support from district hospitals, and community involvement at four rural health centres in the first quarter of 2007. This paper discusses the uptake of the mobile ART services in rural Mumbwa. LOCAL SETTING: Mumbwa is a rural district with an area of 23 000 kmÂ² and a population of 167 000. Before the introduction of mobile services, ART services were provided only at Mumbwa District Hospital. RELEVANT CHANGES: The mobile services improved accessibility to ART, especially for clients in better functional status, i.e. still able to work. In addition, these mobile services may reduce the number of cases "lost to follow-up". This might be due to the closer involvement of the community and the better support offered by these services to rural clients. LESSONS LEARNT: These mobile ART services helped expand services to rural health facilities where resources are limited, bringing them as close as possible to where clients live.
Evaristo Mwaba Kapungwe
Studies on peri urban farming in Zambia have not adequately tackled the issues pertaining to heavy metal contaminated wastewater irrigation farming. The study investigated heavy metal contamination of water, soils and crops at two peri urban areas in Zambia. Two study sites were New Farm Extension in Mufulira Town in the Copperbelt Province and Chilumba Gardens in Kafue Town in Lusaka Province. The heavy metals investigated were lead, copper, cobalt, nickel and chromium. These heavy metals we...
Taking cognisance of the fact that SSFs the major producers of maize in Zambia were most affected by the 1991 agricultural policy reforms, from 2005 onward, the state became very active in the maize market and production systems in order to mitigate their problems. The main objective of this study is to investigate to what extent the maize policy changes have contributed to the SSFsâ vulnerability to exploitation. This information will be of use in the policy formulation process to ensure tha...
Full Text Available Abstract Background A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences by socioeconomic background. The aim of this study was to assess equity aspects of condom availability and uptake in three African districts to evaluate whether condom programmes are given sufficient priority. Methods Data on condom availability and use was examined in one district in Kenya, one in Tanzania and one in Zambia. The study was based on a triangulation of data collection methods in the three study districts: surveys in venues where people meet new sexual partners, population-based surveys and focus group discussions. The data was collected within an overall study on priority setting in health systems. Results At the time of the survey, condoms were observed in less than half of the high risk venues in two of the three districts and in 60% in the third district. Rural respondents in the population-based surveys perceived condoms to be less available and tended to be less likely to report condom use than urban respondents. Although focus group participants reported that condoms were largely available in their district, they expressed concerns related to the accessibility of free condoms. Conclusion As late as thirty years into the HIV epidemic there are still important gaps in the availability of condoms in places where people meet new sexual partners in these three African districts. Considering that previous studies have found that improved condom availability and accessibility in high risk places have a potential to increase condom use among people with multiple partners, the present study findings indicate that substantial further efforts should be made to secure that condoms are easily accessible in places where sexual relationships are initiated. Although condom distribution in drinking places has been pinpointed in the HIV/AIDS prevention strategies of all the three countries, its priority relative to other HIV/AIDS measures must be reassessed locally, nationally and regionally. In practical terms very clear supply chains of condoms to both formal and informal drinking places could make condom provision better and more reliable.
Songe, Mwansa M; Hang'ombe, Mudenda B; Phiri, Harris; Mwase, Maxwell; Choongo, Kennedy; Van der Waal, Ben; Kanchanakhan, Somkiat; Reantaso, Melba B; Subasinghe, Rohana P
A field investigation was conducted in the Sesheke District of Zambia along the Zambezi River to determine the fish species susceptible to epizootic ulcerative syndrome (EUS), a newly confirmed disease in Southern Africa. A total of 2,132 fishes were inspected for gross EUS-like lesions, of which 188 (8.82%; 95% CI=7.67-10.1%) were found with typical characteristic lesions of EUS. Of these 188 samples, 156 were found to have mycotic granulomas on histopathological analysis, representing 83.0% (95% CI=76.7-87.9%) of the initially identified in the laboratory through gross examination. The following 16 species of fish were examined and found with EUS lesions; Clarias ngamensis, Clarias gariepinus, Barbus poechii, Tilapia sparrmanii, Serranochromis angusticeps, Brycinus lateralis, Micralestes acutidens, Sargochromis carlottae, Hydrocynus vittatus, Phryngochromis acuticeps, Schilbe intermedius, Hepsetus odoe, Labeo lunatus, Oreochromis andersonii, Barbus unitaeniatus, and Barbus paludinosus. T. sparrmanii did not show any lesions, while the Clarias species were found to be the most afflicted with EUS. These results could be useful to fish farmers and organizations interested in improving aquaculture in the area. PMID:21647772
Pinchoff, Jessie; Chaponda, Mike; Shields, Timothy; Lupiya, James; Kobayashi, Tamaki; Mulenga, Modest; Moss, William J; Curriero, Frank C
Malaria risk maps may be used to guide policy decisions on whether vector control interventions should be targeted and, if so, where. Active surveillance for malaria was conducted through household surveys in Nchelenge District, Zambia from April 2012 through December 2014. Households were enumerated based on satellite imagery and randomly selected for study enrollment. At each visit, participants were administered a questionnaire and a malaria rapid diagnostic test (RDT). Logistic regression models were used to construct spatial prediction risk maps and maps of risk uncertainty. A total of 461 households were visited, comprising 1,725 participants, of whom 48% were RDT positive. Several environmental features were associated with increased household malaria risk in a multivariable logistic regression model adjusting for seasonal variation. The model was validated using both internal and external evaluation measures to generate and assess root mean square error, as well as sensitivity and specificity for predicted risk. The final, validated model was used to predict and map malaria risk including a measure of risk uncertainty. Malaria risk in a high, perennial transmission setting is widespread but heterogeneous at a local scale, with seasonal variation. Targeting malaria control interventions may not be appropriate in this epidemiological setting. PMID:26416106
A case application of data-driven estimation of evidential belief functions (EBFs) is demonstrated to prospectivity mapping in Lundazi district (eastern Zambia). Spatial data used to represent recognition criteria of prospectivity for aquamarine-bearing pegmatites include mapped granites, mapped faults/fractures, mapped shear zones, and radioelement concentration ratios derived from gridded airborne radiometric data. Data-driven estimates EBFs take into account not only (a) spatial association between an evidential map layer and target deposits but also (b) spatial relationships between classes of evidences in an evidential map layer. Data-driven estimates of EBFs can indicate which spatial data provide positive or negative evidence of prospectivity. Data-driven estimates of EBFs of only spatial data providing positive evidence of prospectivity were integrated according to Dempster's rule of combination. Map of integrated degrees of belief was used to delineate zones of relative degress of prospectivity for aquamarine-bearing pegmatites. The predictive map has at least 85% prediction rate and at least 79% success rate of delineating training and validation deposits, respectively. The results illustrate usefulness of data-driven estimation of EBFs in GIS-based predictive mapping of mineral prospectivity. The results also show usefulness of EBFs in managing uncertainties associated with evidential maps
Eisele, Thomas P.; Miller, John M.; Moonga, Hawela B.; Hamainza, Busiku; Hutchinson, Paul; Keating, Joseph
We examined the relationship between insecticide-treated mosquito nets (ITNs), malaria parasite infection, and severe anemia prevalence in children in Luangwa District, Zambia, an area with near-universal ITN coverage, at the end of the 2008 and 2010 malaria transmission seasons. Malaria parasite infection prevalence among children < 5 years old was 9.7% (95% confidence interval [CI] = 8.0â11.4%) over both survey years. Prevalence of severe anemia among children 6â59 months old was 6.9% (95% ...
Van 1997 tot 2001 werkte de auteur in het Zambiaanse gezondheidszorgsysteem en wel in het Kalabo District Hospital. In die tijd rezen bij hem vele vragen. Een aantal daarvan wordt in dit proefschrift behandeld en beantwoord. Het centrale thema is de tegenstelling tussen enerzijds de grote ziektelast en de hoge mortaliteit en anderzijds het lage gebruik van de beschikbare gezondheidszorgvoorzieningen. De belangrijkste vragen zijn: Hoe vindt de interactie tussen gebruikers en aanbieders van ...
Van 1997 tot 2001 werkte de auteur in het Zambiaanse gezondheidszorgsysteem en wel in het Kalabo District Hospital. In die tijd rezen bij hem vele vragen. Een aantal daarvan wordt in dit proefschrift behandeld en beantwoord. Het centrale thema is de tegenstelling tussen enerzijds de grote ziektelast en de hoge mortaliteit en anderzijds het lage gebruik van de beschikbare gezondheidszorgvoorzieningen. De belangrijkste vragen zijn: Hoe vindt de interactie tussen gebruikers en aanbieders van gez...
Full Text Available Abstract Background While sustainability of health programmes has been the subject of empirical studies, there is little evidence specifically on the sustainability of Community Based Organisations (CBOs for HIV/AIDS. Debates around optimal approaches in community health have centred on utilitarian versus empowerment approaches. This paper, using the World Bank Multi-Country AIDS Program (MAP in Zambia as a case study, seeks to evaluate whether or not this global programme contributed to the sustainability of CBOs working in the area of HIV/AIDS in Zambia. Lessons for optimising sustainability of CBOs in lower income countries are drawn. Methods In-depth interviews with representatives of all CBOs that received CRAIDS funding (n = 18 and district stakeholders (n= 10 in Mumbwa rural district in Zambia, in 2010; and national stakeholders (n=6 in 2011. Results Funding: All eighteen CBOs in Mumbwa that received MAP funding between 2003 and 2008 had existed prior to receiving MAP grants, some from as early as 1992. This was contrary to national level perceptions that CBOs were established to access funds rather than from the needs of communities. Funding opportunities for CBOs in Mumbwa in 2010 were scarce. Health services: While all CBOs were functioning in 2010, most reported reductions in service provision. Home visits had reduced due to a shortage of food to bring to people living with HIV/AIDS and scarcity of funding for transport, which reduced antiretroviral treatment adherence support and transport of patients to clinics. Organisational capacity and viability: Sustainability had been promoted during MAP through funding Income Generating Activities. However, there was a lack of infrastructure and training to make these sustainable. Links between health facilities and communities improved over time, however volunteersâ skills levels had reduced. Conclusions Whilst the World Bank espoused the idea of sustainability in their plans, it remained on the periphery of their Zambia strategy. Assessments of need on the ground and accurate costings for sustainable service delivery, building on existing community strengths, are needed before projects commence. This study highlights the importance of enabling and building the capacity of existing CBOs and community structures, rather than creating new mechanisms.
Munyeme, Musso; Munang'andu, Hetron Mweemba
The Kafue basin ecosystem is the only remaining natural habitat for the endangered Kafue lechwe antelope (Kobus leche Kafuensis). However, hydroelectricity power production, large-scale sugar plantations, commercial fishing and increasing livestock production are threatening its natural existence and sustainability. Further, increasing human settlements within and around the Kafue basin have resulted in decreased grazing grounds for the Kafue lechwe antelopes despite a corresponding increase in cattle population sharing the same pasture. Baseline epidemiological data have persistently reported findings of bovine tuberculosis (BTB) in both wild and domestic animals, although these have been deficient in terms of describing direct evidence in the role of either lechwe antelopes or cattle in the reported observations. Despite the current literature being deficient in establishing the casual role and transmission patterns of BTB, a bimodal route of infection at the livestock/wildlife interface has been postulated. Likewise, it is not known how much of (BTB) has the potential of causing disease in humans. This paper, seeks to underline those aspects that need further research and update available data on BTB in the Kafue basin with regards to the prevalence, distribution, risk factors, threats on wildlife conservation, livestock production, public health implications, and possible mitigatory measures. PMID:21547232
Munang'andu, Hetron Mweemba; Chembensofu, Mweelwa; Victor M. Siamudaala; Munyeme, Musso; Matandiko, Wigganson
We report 2 cases of Thelazia rhodesii infection in the African buffaloes, Syncerus caffer, in Zambia. African buffalo calves were captured from the livestock and wildlife interface area of the Kafue basin in the dry season of August 2005 for the purpose to translocate to game ranches. At capture, calves (n=48) were examined for the presence of eye infections by gently manipulating the orbital membranes to check for eye-worms in the conjunctival sacs and corneal surfaces. Two (4.3%) were infe...
Munang'andu, Hetron Mweemba; Chembensofu, Mweelwa; Siamudaala, Victor M; Munyeme, Musso; Matandiko, Wigganson
We report 2 cases of Thelazia rhodesii infection in the African buffaloes, Syncerus caffer, in Zambia. African buffalo calves were captured from the livestock and wildlife interface area of the Kafue basin in the dry season of August 2005 for the purpose to translocate to game ranches. At capture, calves (n=48) were examined for the presence of eye infections by gently manipulating the orbital membranes to check for eye-worms in the conjunctival sacs and corneal surfaces. Two (4.3%) were infected and the mean infection burden per infected eye was 5.3 worms (n=3). The mean length of the worms was 16.4 mm (95% CI; 14.7-18.2 mm) and the diameter 0.41 mm (95% CI; 0.38-0.45 mm). The surface cuticle was made of transverse striations which gave the worms a characteristic serrated appearance. Although the calves showed signs of kerato-conjunctivitis, the major pathological change observed was corneal opacity. The calves were kept in quarantine and were examined thrice at 30 days interval. At each interval, they were treated with 200 Âµg/kg ivermectin, and then translocated to game ranches. Given that the disease has been reported in cattle and Kafue lechwe (Kobus lechwe kafuensis) in the area, there is a need for a comprehensive study which aims at determining the disease dynamics and transmission patterns of thelaziasis between wildlife and livestock in the Kafue basin. PMID:21461276
Full Text Available Abstract Background Understanding the impact of malaria rapid diagnostic test (RDT use on management of acute febrile disease at a community level, and on the consumption of anti-malarial medicines, is critical to the planning and success of scale-up to universal parasite-based diagnosis by health systems in malaria-endemic countries. Methods A retrospective study of district-wide community-level RDT introduction was conducted in Livingstone District, Zambia, to assess the impact of this programmed on malaria reporting, incidence of mortality and on district anti-malarial consumption. Results Reported malaria declined from 12,186 cases in the quarter prior to RDT introduction in 2007 to an average of 12.25 confirmed and 294 unconfirmed malaria cases per quarter over the year to September 2009. Reported malaria-like fever also declined, with only 4,381 RDTs being consumed per quarter over the same year. Reported malaria mortality declined to zero in the year to September 2009, and all-cause mortality declined. Consumption of artemisinin-based combination therapy (ACT dropped dramatically, but remained above reported malaria, declining from 12,550 courses dispensed by the district office in the quarter prior to RDT implementation to an average of 822 per quarter over the last year. Quinine consumption in health centres also declined, with the district office ceasing to supply due to low usage, but requests for sulphadoxine-pyrimethamine (SP rose to well above previous levels, suggesting substitution of ACT with this drug in RDT-negative cases. Conclusions RDT introduction led to a large decline in reported malaria cases and in ACT consumption in Livingstone district. Reported malaria mortality declined to zero, indicating safety of the new diagnostic regime, although adherence and/or use of RDTs was still incomplete. However, a deficiency is apparent in management of non-malarial fever, with inappropriate use of a low-cost single dose drug, SP, replacing ACT. While large gains have been achieved, the full potential of RDTs will only be realized when strategies can be put in place to better manage RDT-negative cases.
Full Text Available Effective animal disease control and prevention should be based on accurate information from the field. Part of this field information can be obtained from the cattle owners. In order to assess their disease knowledge, a survey focusing on East Coast Fever (ECF and Foot and Mouth Disease (FMD was organised among 302 cattle owners from the Kazungula and Livingstone Districts of the Southern Province of Zambia. The cattle owners' level of knowledge of ECF was low (34% with most of those able to describe the disease belonging to the endemic zone where ECF caused high death rates in cattle. A larger proportion of the cattle owners (46% were able to give an adequate description of FMD symptoms. It reached up to 61% in the FMD high-risk zone. Reporting to the animal health service providers appeared to be low. The results of the survey showed that attempts should be made to improve the cattle owners' knowledge and response to important diseases by carrying out more extension and sensitization activities. This is especially so in areas of low infection or where the disease was experienced long time ago.
Full Text Available Forest products, wood and non-wood, remain vital among smallholder households in Zambia with charcoal being the most sought after product. This has led to increased exploitation of forest trees to meet the needs for fuel wood, among others. However, Jatropha curcas plant has been identified as a potential fuel source. In the early 2000s, profit-making organizations encouraged smallholder households to grow Jatropha for use as an alternative fuel source. This paper reports on a study conducted in Solwezi between 2011 and 2014 to evaluate the impact of Jatropha cultivation for biofuel production. A sample of 100 small-scale farmers involved in Jatropha cultivation and key informants were interviewed to evaluate the impact of growing Jatropha at the small-scale level. Results show that farmers lost out on time; income from sale of edible non-wood forest products; and experienced reduction in maize (Zea mays and bean (Phaseolus vulgaris production, worsening household economic conditions. Farmers attributed this loss to unclear policy alignment on biofuel production by government. We therefore recommend that project implementation should involve interactions of all legislative bodies and any other concerned stakeholders. There is also a need to promote the value chain, from production to marketing, which focuses on minimizing detrimental effects on the livelihood of small-scale farmers.
Sandøy Ingvild; Blystad Astrid; Shayo Elizabeth H; Makundi Emmanuel; Michelo Charles; Zulu Joseph; Byskov Jens
Background A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences by socioeconomic background. The aim of this study was to assess equity aspects of condom availability and uptake in three African districts to evaluate whether condom programmes are given sufficient priorit...
Full Text Available In line with the aims of the âNational Bilharzia Control Programmeâ and the âSchool Health and Nutrition Programmeâ in Zambia, a study on urinary schistosomiasis was conducted in 20 primary schools of Lusaka province to further our understanding of the epidemiology of the infection, and to enhance spatial targeting of control. We investigated risk factors associated with urinary schistosomiasis, and examined small-scale spatial heterogeneity in prevalence, using data collected from 1,912 schoolchildren, 6 to 15-year-old, recruited from 20 schools in Kafue and Luangwa districts. The risk factors identified included geographical location, altitude, normalized difference vegetation index (NDVI, maximum temperature, age, sex of the child and intermediate host snail abundance. Three logistic regression models were fitted assuming different random effects to allow for spatial structuring. The mean prevalence rate was 9.6%, with significance difference between young and older children (odds ratio (OR = 0.71; 95% confidence interval (CI = 0.51-0.96. The risk of infection was related to intermediate host snail abundance (OR = 1.03; 95% CI = 1.00-1.05 and vegetation cover (OR = 1.04; 95% CI = 1.00-1.07. Schools located either on the plateau and the valley also differed in prevalence and intensity of infection for moderate infection to none (OR = 1.64; 95% CI = 1.36- 1.96. The overall predictive performance of the spatial random effects model was higher than the ordinary logistic regression. In addition, evidence of heterogeneity of the infection risk was found at the micro-geographical level. A sound understanding of small-scale heterogeneity, caused by spatial aggregation of schoolchildren, is important to inform health planners for implementing control schistosomiasis interventions.
These MISR images of Zambia and Botswana, Africa were acquired on August 25, 2000 during Terra orbit 3655. The left image is a 'true' color view from the vertical-viewing (nadir) camera. True color means that the images acquired through MISR's red, green, and blue filters, respectively, are displayed as red, green, and blue when creating the digital image. The middle image combines data from the green, red, and near-infrared bands. The right image contains red band data only, but is a composite of imagery from the nadir (An), 70.5-degrees forward (Df), and 70.5-degrees aftward (Da) cameras. The color variations in the multi-angle composite arise not from how the different parts of the scene reflect light at different wavelengths, but rather, at different angles.The distinctive fan-like feature on the left of each image is the highly vegetated Okavango Delta, a mosaiced network of grasslands and water channels, observed here during the dry season. The town of Maunis at its southeastern edge. Note how the plant life, which is highly reflective in the near-infrared, shows up as bright red in the middle image. Vegetation also preferentially reflects light back toward the source of illumination, so in the right image, the Df camera image, which is displayed in green, is brighter in this region.The body of water in the upper right is the Itezhi-Tezhi Dam, fed by the Kafue River in Zambia. At the lower left, south of the Okavango Delta, is Lake Ngami. A smoke plume is present at the southern edge of the lake. This plume and others show up in shades of blue and purple in the multi-angle composite as a result of the manner in which the smoke particles scatter sunlight.Other landmarks include the Ntwetwe Pan, whose western edge is visible as the bright area in the lower right. The Zambezi River enters from the upper left and wends its way southeast, passing the Caprivi Strip, a narrow panhandle in northeast Namibia. The greater abundance of vegetation here testifies to the high rainfall that occurs during the wet season. Near the right-hand edge of the images is the location where the Zambezi plunges into Victoria Falls, considered to be among the most spectacular waterfalls in the world.MISR was built and is managed by NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Office of Earth Science, Washington, DC. The Terra satellite is managed by NASA's Goddard Space Flight Center, Greenbelt, MD. JPL is a division of the California Institute of Technology.
Full Text Available Abstract Mining in Chingola Zambia started underground in 1931 and was catastrophically flooded and closed. The present Nchanga Underground Mine NUG started in 1937. The Nchanga Open Pit NOP mine started in 1955 situated to the west of NUG and partially overlying it. Open pit water control safety operations in the Nchanga-Chingola area have successfully enabled the safe extraction of millions of tonnes of copper ore annually over the past 60 years from NUG mining as well as the NOP. At the start Nchanga mining license surface already had NUG and many watershed divides with the Nchanga and Chingola streams being the main streams feeding into Zambias second largest river Kafue river and 42 of the year was characterised by heavy rains ranging between 800mm to 1300mm per annum. In this paper the presence of very significant amounts of seasonal rain and subsurface water in the mining area was identified as both a curse and a blessing. An excess in seasonal rain and subsurface water would disrupt both open pit and underground mining operations. In order for NOP to be operated successfully stable and free from flooding coping water management tactics were adopted from 1955 to 2015 including 1. Underground mine pump chamber pumping system 2. Piezometer instrumented boreholes 3. Underground mine 1500-ft sub-haulage east borehole dewatering beneath the open pit 4. Nchanga and Chingola stream diversionary tunnel and open drains 5. Nchanga stream causeway and embankment dam in the Matero School Golf Club area 6. Pit perimeter borehole pumping 7. Outer and inner pit perimeter drains and bund walls 8. In-pit ramp side drains 9. In-pit sub-horizontal borehole geo-drains and water and 10. Pit bottom sump pumps. Application of grout curtains along the Vistula River Poland was noted as a possibility in the right circumstances although it had never been used at Nchanga Open Pit. An additional conclusion was that forward health safety and environmental end-of-life planning was required for the extensive district-wide infrastructure of the open pit water control system for public safety after life of mine.
In rural Zambia refugees and host communities are working together to move from relief dependence to self reliance. Could UNHCRs Zambia Initiative (ZI) be a model for other countries struggling to cope with the protracted presence of refugees?
Full Text Available In rural Zambia refugees and host communities are working together to move from relief dependence to self reliance. Could UNHCRs Zambia Initiative (ZI be a model for other countries struggling to cope with the protracted presence of refugees?
Coast, Ernestina; Freeman, Emily
The poster, based on 112 in-depth interviews conducted in 2014 with women in Zambia who had recently had an abortion, shows the complex pathways that some women take despite safe abortion being legal under a wide range of circumstances in Zambia.
In Mansa District, Zambia, people are unaware of the risk factors of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). To remedy this, the District HIV Prevention and Care Team invited a member of the Positive and Living Squad (PALS), John Luonde, to speak at educational sessions for various target audiences. Goals included providing information, dissipating misinformation, alleviating community fears, and mobilizing people through specific activities that addressed identified needs. The sessions began with the testimony of John Luonde and a simple question and answer period, which were followed by focus groups, often with a video, for more difficult or sensitive topics. Information materials were distributed and a condom demonstration was conducted. Although some institutions initially refused permission because of the holiday season or the possible impact on staff, Luonde returned to cover the missed groups. More than 105 people from 9 sectors of the community participated. Groups that were represented included the Mansa Sports Club, the Mutende Deaf Branch, a factory, the local army and police, and physicians from the Mansa Hospital Board. Questions from the different groups were similar. Participants saw that, although anyone could contract AIDS (the central theme of the project), they could still hope for productive years with proper treatment, self-care, and diet. Most participants wanted to change their sexual behavior and Luonde was asked to return. Women and people with physical disabilities need to be targeted. Although condoms were previously seen as promoting promiscuity, institutions are now requesting their distribution. The team is collaborating with a social marketing organization on condom use promotion. Distribution sites include bars, restaurants, filling stations, supermarkets, and hair dressers. At the request of the community, a meeting was held with the director of the Mansa Hospital Board to develop policy guidelines and to plan sessions on hospital care of persons with HIV and staff attitude toward them. PMID:12288110
Full Text Available Abstract Background In Zambia, translocation of wildlife from National Parks to private owned game ranches demands that only animals free of infectious diseases that could adversely affect the expansion of the wildlife industry should be translocated to game ranches. Sarcoptes mange (Sarcoptes scarbiei has been involved in the reduction of wildlife populations in some species. Results Sarcoptes mange (Sarcoptes scarbiei was detected and eradicated from two herds of African buffalo (Syncerus caffer calves captured in the Kafue GMA in July 2004 and August 2005. The overall prevalence was estimated at 89.5% (77/86. Sex had no influence on the occurrence and severity of the disease. Of the 86 calves used in the study, 72.1% had good body condition scores, 20.9% were fair and 7.0% were poor. Of the 77 infected calves, 53.2% were mildly infected, 28.6% were moderately and 18.2% were severely infected. Body condition score was correlated to the severity of the infection (r = 0.72, p n = 86 at capture. Eradication of Sarcoptes mites from the entire herd using ivermetcin was dependant on the severity of the infection. The overall ability of ivermectin to clear the infection after the first treatment was estimated at 81.8% (n = 77. It increased to 94.8% and 100% after the second and third treatments respectively. Conclusion This is the first report on the epidemiology and treatment of Sarcoptes mange in African buffaloes in Zambia. This study improves our understanding about Sarcoptes scabiei epidemiology and treatment which will have further applications for the safe animal translocation.
Hampwaye, Godfrey; Jeppesen, SÃ¸ren; Kragelund, Peter
This paper provides background data and general information for the Zambia studies focusing on local food processing subÂâsector; and the local suppliers to the mines as part of the SAFIC project (Successful African Firms and Institutional Change).......This paper provides background data and general information for the Zambia studies focusing on local food processing subÂâsector; and the local suppliers to the mines as part of the SAFIC project (Successful African Firms and Institutional Change)....
Cancel, Robert; Turin, Mark
Storytelling plays an important part in the vibrant cultural life of Zambia and in many other communities across Africa. This innovative book provides a collection and analysis of oral narrative traditions as practiced by five Bembaspeaking ethnic groups in Zambia. The integration of newly digitalised audio and video recordings into the text enables the reader to encounter the storytellers themselves and hear their narratives. Robert Cancel's thorough critical interpretation, combined with t...
The Zambia Country Study, which was part of the Danida-funded project Climate Change Mitigation in Southern Africa: Phase 2, aimed at methodological development, national mitigation analysis and institutional capacity building in Zambia. The study comprised the following five elements: Comprehensive evaluation of national social and economic development framework for climate change; Baseline scenario(s) projection(s); Mitigation scenario(s) projection(s); Macro-economic assessment; Implementation Issues. (au) 17 refs.
The paper deals with the development of nuclear science and techniques in Zambia. The program was initiated by the University of Zambia after its establishment in 1966. At present, investigations using radioisotopes are under way in medicine, crop production and veterinary sciences. Technical assistance from IAEA will greatly expand such activities. It is hoped to start a personal radiation monitoring service in the country. The problems of professional and technical personnel are discussed and their solution outlined. (author)
Muuka, Geoffrey Munkombwe; Songolo, Nadi; Kabilika, Swithine; Fandamu, Paul; Buonavoglia, Domenico; Scacchia, Massimo
Contagious bovine pleuropneumonia (CBPP) is a disease of economic importance that is widely distributed in sub-Saharan African and contributes significantly to cattle morbidity and mortality. Lack of resources to implement eradication measures has led to the disease becoming endemic in most areas in sub-Saharan Africa where governments have little resources and the majority of the people are poor. Usually, control and eradication of such diseases as CBPP is treated as a public good by governments and to achieve this, governments are usually assisted by nongovernment organisations, bilateral government programmes and international donors. The private sector, which usually is companies that run businesses to make profit, although not very well established in sub-Saharan Africa could play a big role in the eradication of CBPP in the region. This could play a dual role of promoting investment and also eradicate livestock diseases which have proved a menace in the livestock sector. This paper highlights the role played by the private sector in the control of CBPP in Zambia. PMID:23334379
This report focuses on the potential and opportunities for smallholder commercialization in Zambia. The paper discusses the framework for Zambia's smallholder commercialization strategy, the current state of smallholder agriculture in Zambia, key issues, support from agribusiness to smallholders, and development of potential and opportunities for smallholder commercialization. The paper co...
Colson, Katherine Ellicott; Dwyer-Lindgren, Laura; Achoki, Tom; Fullman, Nancy; Schneider, Matthew; Mulenga, Peter; Hangoma, Peter; Ng, Marie; Masiye, Felix; Gakidou, Emmanuela
Background Achieving universal health coverage and reducing health inequalities are primary goals for an increasing number of health systems worldwide. Timely and accurate measurements of levels and trends in key health indicators at local levels are crucial to assess progress and identify drivers of success and areas that may be lagging behind. Methods We generated estimates of 17 key maternal and child health indicators for Zambiaâs 72 districts from 1990 to 2010 using surveys, censuses, an...
Dr. Dale Lewis, a co-PI on the grant and the originator of the COMACO model, points out recent illegal deforestation in one of Zambia's National Forests to Dr. Alfonso Torres, another co-PI on the grant (from Cornell).
Full Text Available Rift Valley fever (RVF in Zambia was first reported in 1974 during an epizootic of cattle and sheep that occurred in parts of Central, Southern and Copperbelt Provinces. In 1990, the disease was documented in nine districts of the provinces of Zambia. In the last two decades, there have been no reports of RVF. This long period without reported clinical disease raises questions as to whether RVF is a current or just a perceived threat. To address this question, World Organisation for Animal Health (OIE disease occurrence data on RVF for the period 2005?2010 in the Southern Africa Development Community (SADC was analysed. From the analysis, it was evident that most countries that share a common border with Zambia had reported at least one occurrence of the disease during the period under review. Due to the absence of natural physical barriers between Zambia and most of her neighbours, informal livestock trade and movements is a ubiquitous reality. Analysis of the rainfall patterns also showed that Zambia received rains sufficient to support a mosquito population large enough for high risk of RVF transmission. The evidence of disease occurrence in nearby countries coupled with animal movement, and environmental risk suggests that RVF is a serious threat to Zambia. In conclusion, the current occurrence of RVF in Zambia is unclear, but there are sufficient indications that the magnitude of the circulating infection is such that capacity building in disease surveillance and courses on recognition of the disease for field staff is recommended. Given the zoonotic potential of RVF, these measures are also a prerequisite for accurate assessment of the disease burden in humans.
George, Dautu; Calvin, Sindato; Aaron S., Mweene; Kenny L., Samui; Polly, Roy; Robert, Noad; Janusz, Paweska; Phelix A.O., Majiwa; Antony J., Musoke.
Full Text Available Rift Valley fever (RVF) in Zambia was first reported in 1974 during an epizootic of cattle and sheep that occurred in parts of Central, Southern and Copperbelt Provinces. In 1990, the disease was documented in nine districts of the provinces of Zambia. In the last two decades, there have been no rep [...] orts of RVF. This long period without reported clinical disease raises questions as to whether RVF is a current or just a perceived threat. To address this question, World Organisation for Animal Health (OIE) disease occurrence data on RVF for the period 2005-2010 in the Southern Africa Development Community (SADC) was analysed. From the analysis, it was evident that most countries that share a common border with Zambia had reported at least one occurrence of the disease during the period under review. Due to the absence of natural physical barriers between Zambia and most of her neighbours, informal livestock trade and movements is a ubiquitous reality. Analysis of the rainfall patterns also showed that Zambia received rains sufficient to support a mosquito population large enough for high risk of RVF transmission. The evidence of disease occurrence in nearby countries coupled with animal movement, and environmental risk suggests that RVF is a serious threat to Zambia. In conclusion, the current occurrence of RVF in Zambia is unclear, but there are sufficient indications that the magnitude of the circulating infection is such that capacity building in disease surveillance and courses on recognition of the disease for field staff is recommended. Given the zoonotic potential of RVF, these measures are also a prerequisite for accurate assessment of the disease burden in humans.
Full Text Available Rift Valley fever (RVF in Zambia was first reported in 1974 during an epizootic of cattle and sheep that occurred in parts of Central, Southern and Copperbelt Provinces. In 1990, the disease was documented in nine districts of the provinces of Zambia. In the last two decades, there have been no reports of RVF. This long period without reported clinical disease raises questions as to whether RVF is a current or just a perceived threat. To address this question, World Organisation for Animal Health (OIE disease occurrence data on RVF for the period 2005â2010 in the Southern Africa Development Community (SADC was analysed. From the analysis, it was evident that most countries that share a common border with Zambia had reported at least one occurrence of the disease during the period under review. Due to the absence of natural physical barriers between Zambia and most of her neighbours, informal livestock trade and movements is a ubiquitous reality. Analysis of the rainfall patterns also showed that Zambia received rains sufficient to support a mosquito population large enough for high risk of RVF transmission. The evidence of disease occurrence in nearby countries coupled with animal movement, and environmental risk suggests that RVF is a serious threat to Zambia. In conclusion, the current occurrence of RVF in Zambia is unclear, but there are sufficient indications that the magnitude of the circulating infection is such that capacity building in disease surveillance and courses on recognition of the disease for field staff is recommended. Given the zoonotic potential of RVF, these measures are also a prerequisite for accurate assessment of the disease burden in humans.
Yabe, J.; I.K. Phiri; Phiri, A. M.; Chembensofu, M.; Dorny, P.; Vercruysse, J.
This study investigated interactions among Fasciola gigantica, Schistosoma spp. and Amphistomum spp. concurrent natural infections in Zambian cattle, based on egg and worm counts. In the abattoir 315 cattle were screened for worms of F. gigantica in the liver, Schistosoma spp. in mesenteric veins and/or Amphistomum spp. in the rumen. One hundred and thirty-three (42.2%) of the abattoir-examined cattle harboured one, two or all three trematodes. Of 133 cattle, 50 were randomly selected for wor...
Yabe, J; Phiri, I K; Phiri, A M; Chembensofu, M; Dorny, P; Vercruysse, J
This study investigated interactions among Fasciola gigantica, Schistosoma spp. and Amphistomum spp. concurrent natural infections in Zambian cattle, based on egg and worm counts. In the abattoir 315 cattle were screened for worms of F. gigantica in the liver, Schistosoma spp. in mesenteric veins and/or Amphistomum spp. in the rumen. One hundred and thirty-three (42.2%) of the abattoir-examined cattle harboured one, two or all three trematodes. Of 133 cattle, 50 were randomly selected for worm and egg counts. The mean numbers (+/- SD) of Amphistomum, Schistosoma and Fasciola were 622.08 (+/- 97.87), 33.68 (+/- 7.44) and 19.46 (+/- 4.58), respectively. A total of 32% harboured all the three trematodes, 66% had F. gigantica and Amphistomum spp. infections, 52% had Schistosoma spp. and Amphistomum spp. infections while 32% had F. gigantica and Schistosoma infections. A positive correlation (P = 0.014) was found between F. gigantica and Amphistomum worm burdens. There were no correlations between Amphistomum and Schistosoma worm burdens and between F. gigantica and Schistosoma worm burdens. It may be concluded that there is no significant cross-protection among these trematodes in cattle in endemic areas. PMID:18854056
Full Text Available Zambia has been experiencing low livestock productivity as well as trade restrictions owing toÂ the occurrence of foot and mouth disease (FMD, but little is known about the epidemiology ofÂ the disease in these endemic settings. The fundamental questions relate to the spatio-temporalÂ distribution of FMD cases and what determines their occurrence. A retrospective reviewÂ of FMD cases in Zambia from 1981 to 2012 was conducted using geographical informationÂ systems and the SaTScan software package. Information was collected from peer-reviewedÂ journal articles, conference proceedings, laboratory reports, unpublished scientific reports andÂ grey literature. A spaceâtime permutation probability model using a varying time windowÂ of one year was used to scan for areas with high infection rates. The spatial scan statisticÂ detected a significant purely spatial cluster around the MbalaâIsoka area between 2009 andÂ 2012, with secondary clusters in SeshekeâKazungula in 2007 and 2008, the Kafue flats in 2004Â and 2005 and Livingstone in 2012. This study provides evidence of the existence of statisticallyÂ significant FMD clusters and an increase in occurrence in Zambia between 2004 and 2012.Â The identified clusters agree with areas known to be at high risk of FMD. The FMD virusÂ transmission dynamics and the heterogeneous variability in risk within these locations mayÂ need further investigation.
Full Text Available Zambia has been experiencing low livestock productivity as well as trade restrictions owing to the occurrence of foot and mouth disease (FMD, but little is known about the epidemiology of the disease in these endemic settings. The fundamental questions relate to the spatio-temporal distribution of FMD cases and what determines their occurrence. A retrospective review of FMD cases in Zambia from 1981 to 2012 was conducted using geographical information systems and the SaTScan software package. Information was collected from peer-reviewed journal articles, conference proceedings, laboratory reports, unpublished scientific reports and grey literature. A spacetime permutation probability model using a varying time window of one year was used to scan for areas with high infection rates. The spatial scan statistic detected a significant purely spatial cluster around the MbalaIsoka area between 2009 and 2012, with secondary clusters in SeshekeKazungula in 2007 and 2008, the Kafue flats in 2004 and 2005 and Livingstone in 2012. This study provides evidence of the existence of statistically significant FMD clusters and an increase in occurrence in Zambia between 2004 and 2012. The identified clusters agree with areas known to be at high risk of FMD. The FMD virus transmission dynamics and the heterogeneous variability in risk within these locations may need further investigation.
Zambia has for many years been heavily dependent upon the mining of copper which, combined with cobalt production, represents over 98% of mineral sales and 75% of export earnings (1997 figures). The industrial minerals industry within Zambia has therefore been inevitably tied to the fortunes of these two metals. The recent privatization, and break up, of ZCCM (Zambia Consolidated Copper Mines) has led to a resurgence in investment in the mining sector. Many analysts have predicted that there ...
Sebastiaan Rothmann; Lukondo Hamukang'andu
Our aim in this study was to investigate the relationships among a calling orientation, work role fit, psychological meaningfulness and work engagement of teachers in Zambia. A quantitative approach was followed and a cross-sectional survey was used. The sample (n = 150) included 75 basic and 75 secondary school teachers in the Choma district of Zambia. The Work Role Fit Scale, Work-Life Questionnaire, Psychological Meaningfulness Scale, and Work Engagement Scale were administered. Structural...
Bloch Paul; Sandoy Ingvild F; Tuba Mary; Byskov Jens
Abstract Background Malaria is the leading cause of morbidity and the second leading cause of mortality in Zambia. Perceptions of fairness and legitimacy of decisions relating to treatment of malaria cases within public health facilities and distribution of ITNs were assessed in a district in Zambia. The study was conducted within the framework of REsponse to ACcountable priority setting for Trust in health systems (REACT), a north-south collaborative action research study, which evaluates th...
The paper discusses uranium in drinking water in three towns located in the uraniferous Copperbelt region of Zambia. The mining towns of Kitwe, Chambeshi and Chingola in the Copperbelt region have two main sources of drinking water: underground mine water and surface water from the Kafue River system. Chambeshi abstracts its water from underground while Chingola abstracts water from both underground and surface water sources. Kitwe abstracts water from the Kafue River which drains the entire Copperbelt region. In Zambia, World Health Organization (WHO) guidelines for drinking water are followed, although routine monitoring for radioactivity is not mandatory. The overall objective of this study was to gather baseline data on uranium contamination in drinking water and compare with the WHO guidelines and also to establish the source with the highest levels of uranium. An alpha spectrometer was used to analyse the samples and the results from this survey indicate that the average total uranium activity concentrations were in the range of 78.50 mBq/L in Kitwe to 600.78 mBq/L in Chambeshi. The committed effective doses for adults were in the range of 3.58 Î¼Sv/a in Kitwe to 20.28 Î¼Sv/a in Chambeshi. From both water sources, the committed effective doses were below the WHO guideline reference dose level of 100 Î¼Sv/a. The uranium activity concentration for Chambeshi was above the recommended screening level for alpha emitters in drinking water of 500 mBq/L. The average 235U:238U ratio was 0.046, the natural abundance ratio for uranium. (author)
Mustarde Paul; Mupela Evans N; Jones Huw LC
Abstract This paper is a commentary on a project application of telemedicine to alleviate primary health care problems in Lundazi district in the Eastern province of Zambia. The project dubbed 'The Virtual Doctor Project' will use hard body vehicles fitted with satellite communication devices and modern medical equipment to deliver primary health care services to some of the neediest areas of the country. The relevance and importance of the project lies in the fact that these areas are hard-t...
Koni, Phillip; Chishinga, Nathaniel; Nyirenda, Lameck; Kasonde, Prisca; Nsakanya, Richard; Welsh, Michael
Introduction The FHI360-led Zambia Prevention Care and Treatment partnership II (ZPCT II) with funding from United States Agency for International Development, supports the Zambian Ministry of Health in scaling up HIV/AIDS services. To improve the quality of HIV/AIDS services, ZPCT II provides technical assistance until desired standards are met and districts are weaned-off intensive technical support, a process referred to as district graduation. This study describes the graduation process a...
Geary, Cynthia Waszak; Gebreselassie, Hailemichael; Awah, Paschal; Pearson, Erin
Despite Zambia's relatively progressive abortion law, women continue to seek unsafe, illegal abortions. Four domains of abortion attitudes - support for legalization, immorality, rights, and access to services - were measured in 4 communities. A total of 668 people were interviewed. Associations among the 4 domains were inconsistent with expectations. The belief that abortion is immoral was widespread, but was not associated with lack of support for legalization. Instead, it was associated with belief that women need access to safe services. These findings suggest that increasing awareness about abortion law in Zambia may be important for encouraging more favorable attitudes. PMID:22920619
Conzelmann, G.; Koritarov, V.; Buehring, W.; Veselka, T.; Decision and Information Sciences
The objective of this study is to analyze possible long-term development options of the Zambian electric power system in the period up to 2015. The analysis involved the hydro operations studies of the Zambezi river basin and the systems planning studies for the least-cost generation expansion planning. Two well-known and widely accepted computer models were used in the analysis: PC-VALORAGUA model for the hydro operations and optimization studies and the WASP-III Plus model for the optimization of long-term system development. The WASP-III Plus model is a part of the Argonne National Laboratory's Energy and Power Evaluation Model (ENPEP). The analysis was conducted in close collaboration with the Zambia Electricity Supply Corporation (ZESCO). On the initiative from The World Bank, the sponsor of the study, ZESCO formed a team of experts that participated in the analysis and were trained in the use of computer models. Both models were transferred to ZESCO free of charge and installed on several computers in the ZESCO corporate offices in Lusaka. In September-October 1995, two members of the ZESCO National Team participated in a 4-week training course at Argonne National Laboratory near Chicago, U.S.A., focusing on the long-term system expansion planning using the WASP and VALORAGUA models. The hydropower operations studies were performed for the whole Zambezi river basin, including the full installation of the Kariba power station, and the Cahora Bassa hydro power station in Mozambique. The analysis also included possible future projects such as Itezhi-Tezhi, Kafue Gorge Lower, and Batoka Gorge power stations. As hydropower operations studies served to determine the operational characteristics of the existing and future hydro power plants, it was necessary to simulate the whole Zambezi river basin in order to take into account all interactions and mutual influences between the hydro power plants. In addition, it allowed for the optimization of reservoir management and optimization of hydro cascades, resulting in the better utilization of available hydro potential. Numerous analyses were performed for different stages of system development. These include system configurations that correspond to years 1997, 2001, 2015 and 2020. Additional simulations were performed in order to determine the operational parameters of the three existing hydro power stations Victoria Falls, Kariba, and Kafue Gorge Upper, that correspond to the situation before and after their rehabilitation. The rehabilitation works for these three major power stations, that would bring their operational parameters and availability back to the design level, are planned to be carried out in the period until 2000. The main results of the hydro operations studies are presented in Table ES-1. These results correspond to VALORAGUA simulations of system configurations in the years 2001 and 2015. The minimum, average, and maximum electricity generation is based on the simulation of monthly water inflows that correspond to the chronological series of unregulated water inflows at each hydro profile in the period from April 1961 to March 1990. The recommended hydrology dataset provided in the Hydrology Report of the SADC Energy Project AAA 3.8 was used for this study.
Mayeya, John; Chazulwa, Roy; Mayeya, Petronella Ntambo; Mbewe, Edward; Magolo, Lonia Mwape; Kasisi, Friday; Bowa, Annel Chishimba
This country profile for Zambia was compiled between 1998 and 2002. The objectives of the exercise were to first of all avail policymakers, other key decision makers and leaders in Zambia, information about mental health in Zambia in order to assist policy and services development. Secondly, to facilitate comparative analyses of mental health services between countries. The work involved formation of a core group of experts who coordinated the collection of information from the various organizations in Zambia. The information was later shared to a broad spectrum of stakeholders for consensus. A series of focus group discussions (FGDs) supplemented the information collected. There are various factors that contribute to mental health in Zambia. It is clear from the Zambian perspective that social, demographic, economic, political, environmental, cultural and religious influences affect the mental health of the people. With a population of 10.3 million and annual growth rate of 2.9%, Zambia is one of the most urbanized countries in sub-Saharan Africa. Poverty levels stood at 72.9% in 1998. In terms of unemployment, the most urbanized provinces, Lusaka (the capital city), and the copper-belt are the most affected. The gross domestic product (GDP) is US$3.09 billion dollars while per capita income is US$300. The total budget allocation for health in the year 2002 was 15% while the proportion of the GDP per capita expenditure for health was 5.6%. The HIV/AIDS prevalence rates stand at 20% among the reproductive age group 15-49 years. Political instability and wars in neighbouring states has resulted in an influx of refugees. Environmental factors affecting the country include natural and man-made disasters such as floods and drought, mine accidents, and deforestation. To a large extent in Zambia, people who are mentally ill are stigmatized, feared, scorned at, humiliated and condemned. However, caring for mental ill health in old age is positively perceived. It is traditionally the duty and responsibility of the extended family to look after the aged. Gender based violence (GBV) is another issue. Women, who are totally dependent on their spouses economically, are forced by circumstances to continue living in abusive relationships to the detriment of their mental well-being. In Zambia, the family is considered sacrosanct and the affairs of the family members, private. It is within this context that GBV is regarded as a family affair and therefore a private affair, yet spouse beating has led to depression and in some cases death. In terms of psychiatric services, there are close to 560 beds for psychiatric patients across the country. Common mental disorders found in Zambia are acute psychotic episodes, schizophrenia, affective disorders, alcohol related problems and organic brain syndromes. About 70-80% of people with mental health problems consult traditional health practitioners before they seek help from conventional health practitioners. Over time the number of frontline mental health workers and professional staff has been declining. This is due to the 'brain drain', retirement, death and low output from training institutions. For practicing psychiatrists, only one is available for the whole country. Other key mental health workers such as psychologists, social workers and occupational therapists are also in short supply. All in all, the mental health services situation in Zambia could be described as critical, requiring urgent attention. PMID:15276939
Full Text Available Zambia has been experiencing low livestock productivity as well as trade restrictions owing to the occurrence of foot-and-mouth disease (FMD and contagious bovine pleura pneumonia (CBPP. Foot-and-mouth disease was first recorded in Zambia in 1933 in the Western Province and since then the country has experienced repeated outbreaks. Bearing in mind the pressure that may be existing on the many risk factors for FMD including climate change, there is need to review our knowledge on FMD control. We present the spatial distribution of the FMD outbreaks that have been recorded in Zambia in the last twenty years, and the effect of the vaccinations and movement control that have been applied. We propose further strain characterisation of previous FMD outbreaks, including full sequence of VP1 gene and the 5âUTR site. The data will be geo-coded and populated with risk factor attributes. We also present preliminary findings of the buffalo and cattle probang sampling that was conducted in Lochnivar and Kafue National Park. We further probang sampled 25 buffalo at each interface area in Sioma Ngwezi, Lukusuzi and Lower Zambezi national parks. Villages in close proximity to the buffalo populations as well as those not in close proximity will be multistage cluster sampled for comparison. The data will be geo-coded and populated with risk factor and foot-and-mouth disease virus (FMDV characterisation attributes. Data collected using a pre-tested structured questionnaire will be geo-coded and populated with identified risk factors and stored in a database and will be spatially modelled to determine their effect on FMD occurrence and control measures. New outbreaks of FMD that may occur will be investigated to find out if there are new strains involved, species affected and predisposing risk factors.The authors conclude that impacts of FMD on livelihoods if appropriate control measures are not put in place are far more devastating especially at community level. Presented with the current poverty levels failure to institute result oriented control measures will exacerbate the already life-threatening situation.
Full Text Available Abstract Background Shortages of health workers are obstacles to utilising global health initiative (GHI funds effectively in Africa. This paper reports and analyses two countries' health workforce responses during a period of large increases in GHI funds. Methods Health facility record reviews were conducted in 52 facilities in Malawi and 39 facilities in Zambia in 2006/07 and 2008; quarterly totals from the last quarter of 2005 to the first quarter of 2008 inclusive in Malawi; and annual totals for 2004 to 2007 inclusive in Zambia. Topic-guided interviews were conducted with facility and district managers in both countries, and with health workers in Malawi. Results Facility data confirm significant scale-up in HIV/AIDS service delivery in both countries. In Malawi, this was supported by a large increase in lower trained cadres and only a modest increase in clinical staff numbers. Routine outpatient workload fell in urban facilities, in rural health centres and in facilities not providing antiretroviral treatment (ART, while it increased at district hospitals and in facilities providing ART. In Zambia, total staff and clinical staff numbers stagnated between 2004 and 2007. In rural areas, outpatient workload, which was higher than at urban facilities, increased further. Key informants described the effects of increased workloads in both countries and attributed staff migration from public health facilities to non-government facilities in Zambia to PEPFAR. Conclusions Malawi, which received large levels of GHI funding from only the Global Fund, managed to increase facility staff across all levels of the health system: urban, district and rural health facilities, supported by task-shifting to lower trained staff. The more complex GHI arena in Zambia, where both Global Fund and PEPFAR provided large levels of support, may have undermined a coordinated national workforce response to addressing health worker shortages, leading to a less effective response in rural areas.
Coast, Ernestina; Murray, Susan
Unsafe abortion is a significant, but preventable cause of maternal mortality in Zambia. We compared the trajectories of women seeking safe abortion with those receiving care following unsafe abortion. We interviewed women (n=112) accessing care in a large government hospital about their experiences. The study captured a third termination trajectory in which women received medical abortion outside the study hospital from qualified (legal) and unqualified providers. The advice of others, perce...
Brugha, R; Simbaya, J.; Walsh, A.; Dicker, P.; Ndubani, P.
Background Much of the debate as to whether or not the scaling up of HIV service delivery in Africa benefits non-HIV priority services has focused on the use of nationally aggregated data. This paper analyses and presents routine health facility record data to show trend correlations across priority services. Methods Review of district office and health facility client records for 39 health facilities in three districts of Zambia, covering four consecutive years (2004-07). Intra-facility anal...
Sacks, Emma; Moss, William J; Winch, Peter J.; Thuma, Philip; van Dijk, Janneke H; MULLANY, LUKE C.
Background In Choma District, southern Zambia, the neonatal mortality rate is approximately 40 per 1000 live births and, although the rate is decreasing, many deliveries take place outside of formal facilities. Understanding local practices during the postnatal period is essential for optimizing newborn care programs. Methods We conducted 36 in-depth interviews, five focus groups and eight observational sessions with recently-delivered women, traditional birth attendants, and clinic and hospi...
Daniel Sikawa; Kenny L. Samui; William Mfitilodze; Albert Nsonga
Objective: An epidemiological investigation on the fish disease Epizootic Ulcerative Syndrome (EUS) was conducted from Januaryto December 2011 in the Zambezi River System (ZRS) of Sesheke District in the Western Province of Zambia. The study aimed at determining:factors associated with outbreaks of EUS, infection rate and distribution of the disease. EUS is a newly confirmed disease in Southern Africacaused by a fungal pathogen, Aphanomyces invadans. Material and Methods: Active surveillance ...
Ngongondo, C.; Li, L.; Gong, L.; Xu, C.-Y.
Climate change impact projections in southern Africa suggest significant declines in flows in the major river basins. However, impacts of climate change on hydrological extremes (floods) in the region remain a grey area despite the threat they pose to human life and property. In this study, the impacts of climate change on extreme flows in the upper Kafue River basin, a major tributary of the Zambezi River, were investigated. Catchment hydrography was determined using the Hydro1k at a spatial resolution of 1 km resulting in an approximate registered area of 23,000 km2. The daily global WASMOD-M model was calibrated and validated during 1971 to 2001 with the WATCH Forcing Data (WFD) against observed discharge at Machiya gauging station from the Gridded River Discharge Data Centre(GRDC). Future climate change scenarios for extreme flows were derived by forcing the model with outputs from three GCM's (ECHAM, CMCC3 and IPSL) under the IPCC's SRES A2 and B1 scenarios from 2020 to 2100 at daily timescale. During calibration and validation, the NS coefficient value was above 0.80 and the Pearson correlation coefficient between observed and simulated flows of 0.9, suggesting acceptable model performance. Current and future extremes for each scenario were analyzed using the Peak Over Threshold (POT) analysis fitted to the Generalised Pareto Distribution (GPA), which provided less RMSE values as compared to Annual Maximum Series (AMS) fitted to the Generalized Extreme Value (GEV) distribution. The results show considerable departures from the reference period extremes for most of GCM scenarios considered, with both the A2 and B1 scenarios of the IPSL resulting in higher projected flows as compared to the other two models. On average, floods with return periods T=5,10,50,100,1000 years increased from Q (m3 s-1) = 626.6, 673.9, 767.1, 802.3, 903.7 during the reference period to Q (m3s-1) = 793.5, 873.4, 1046.2, 1119.2, 1364.8 respectively. The approach in our study has a strong potential for similar assessments in other parts of this data scarce region.
Mupela, Evans N; Mustarde, Paul; Jones, Huw L C
This paper is a commentary on a project application of telemedicine to alleviate primary health care problems in Lundazi district in the Eastern province of Zambia. The project dubbed 'The Virtual Doctor Project' will use hard body vehicles fitted with satellite communication devices and modern medical equipment to deliver primary health care services to some of the neediest areas of the country. The relevance and importance of the project lies in the fact that these areas are hard-to-reach due to rugged natural terrain and have very limited telecommunications infrastructure. The lack of these and other basic services makes it difficult for medical personnel to settle in these areas, which leads to an acute shortage of medical personnel. We comment on this problem and how it is addressed by 'The Virtual Doctor Project', emphasizing that while the telemedicine concept is not new in sub-Saharan Africa, the combination of mobility and connectivity to service a number of villages 'on the go' is an important variation in the shift back to the 1978 Alma Ata principles of the United Nations World Health Organization [WHO]. This overview of the Virtual Doctor Project in Zambia provides insight into both the potential for ICT, and the problems and limitations that any "real-world" articulation of this technology must confront. PMID:21569490
Full Text Available Abstract This paper is a commentary on a project application of telemedicine to alleviate primary health care problems in Lundazi district in the Eastern province of Zambia. The project dubbed 'The Virtual Doctor Project' will use hard body vehicles fitted with satellite communication devices and modern medical equipment to deliver primary health care services to some of the neediest areas of the country. The relevance and importance of the project lies in the fact that these areas are hard-to-reach due to rugged natural terrain and have very limited telecommunications infrastructure. The lack of these and other basic services makes it difficult for medical personnel to settle in these areas, which leads to an acute shortage of medical personnel. We comment on this problem and how it is addressed by 'The Virtual Doctor Project', emphasizing that while the telemedicine concept is not new in sub-Saharan Africa, the combination of mobility and connectivity to service a number of villages 'on the go' is an important variation in the shift back to the 1978 Alma Ata principles of the United Nations World Health Organization [WHO]. This overview of the Virtual Doctor Project in Zambia provides insight into both the potential for ICT, and the problems and limitations that any "real-world" articulation of this technology must confront.
Zambia shares its robust economic growth and capital inflows in the past few years with other Sub-Saharan countries, growth supported by high commodity prices that while declining are still at historical high levels. High commodity prices have induced large foreign direct investment (FDI) flows, mainly in extractive industries but also in services sector, supporting growth. Zambia's mining...
Full text: Trypanosomosis is one of the major constraints to sustainable agricultural development particularly in the traditional sector, which accounts for about 80% of the national livestock (cattle) in Zambia. The remaining 20% commercially managed herds are located in tsetse free areas. More than five-eighths of Zambia is tsetse infested, and the boundaries of tsetse infestation are not constantly monitored, indicated boundaries are only estimates. In the late 1980's it was reported by Chizyuka and colleagues, that two thirds of the country was infested with tsetse flies and 25% of the traditional herd was at risk of trypanosomosis. Currently Zambia accounts some 2.8 million cattle, a million goats, a marginal number of sheep and 0.5 million pigs. The 1999-2003 Health Statistics Report by the Ministry of Health indicated 83 cases of reported human trypanosomosis, of which 31 were children under five years and 52 were above five years of age. Between January 2003 and 25th August 2003, seven cases of human trypanosomosis have been documented from Nyimba, Luangwa, Mpika, Serenje and Mambwe districts. During the last 15 years Zambia had achieved a lot in terms of tsetse control in the country. Tsetse densities and the disease prevalence were brought down from fly densities as high as 7 fly/trap/day to as low as 0.05 fly/trap/day and trypanosomosis prevalence from as high as 20% to as low as 0% in the tsetse controlled areas. Tsetse have been controlled in approximately 50,000 km2 under projects funded by different donors in separate areas in Western, Southern, Lusaka and Eastern provinces. In recent years the country has been experiencing re-invasion of the areas that where once cleared. The main specific problems experienced from past control operations under the support of donors (EU, Belgium, the Netherlands) include among others: - Re-invasion of tsetse flies in controlled areas when maintenance activities were relaxed due to insufficient funding and inconsistent release of funds. - High costs of keeping controlled areas free of tsetse indefinitely. Small areas are difficulty to maintain free of tsetse. Management of trypanosomosis in the past decade or so has mainly been by tsetse control using bait technology (targets and treated cattle) and chemotherapy at the farmer level. These activities have been restricted to portions of the western and eastern fly belts and were under the support of donor contributions to improved livestock production in the country. Despite the considerable achievements realised from these vector control interventions, the areas of concern got re-infested with flies from neighboring areas that are not under control. Repeated control of tsetse flies in the same areas has cost Zambia huge amount of money. For example in Western Province the Government is spending about USD175,306 per year over the last 7 years to service a target barrier of 200 km in length (with approximately 6,000 targets), USD13,000 on monitoring and regulation, USD20,000 on tsetse and trypanosomosis surveys and USD 55,466 on salaries and other allowances. Local farmers are using approximately USD20,000 on trypanocides in Senanga and Shangombo districts. Altogether the total expenses per year comes up to approximately USD283,772. - Minimal regional cooperation and collaboration due to varying priorities along border areas Other problems include: - Shortage of trained and specialized manpower after donor withdraws. - Loss of manpower to HIV/AIDS. - Unclearly defined objectives of projects (objectives subject to change). It is against this background that Zambia is advocating for area-wide control of tsetse flies in the country and the region. One of the areas where this concept is being applied is the Kwando-Zambezi region where Namibia, Botswana, Angola and Zambia have common boundaries. All the four countries have agreed to eradicate tsetse in this region starting from May 2005 integrating methods (e.g. odoured baited targets, aerial spray, and SIT). The Pan African Tsetse and Trypanosomosis Eradication Campaign (PATTEC) has also ear-marked this area as a starting point for tsetse eradication in the Southern African Region and is encouraging member countries to use the concept of area-wide control of tsetse flies in a coordinated manner. Zambia has already started procurement of materials to clear tsetse from invaded areas and possible re-invasion sources, holding sensitisation and consultative meetings with national stakeholders and member countries. (author)
Nonaka, N.; Nakamura, S.; Inoue, T.; Y. Oku; Katakura, K; Matsumoto, J.; Mathis, A; Chembesofu, M; Phiri, I G K
Faecal samples were collected from the rectum of 540 domestic dogs from four districts (Lusaka, Katete, Petauke and Luangwa) in Zambia between 2005 and 2006 and prevalences of canine alimentary tract parasites were determined by coprological examination. Thirteen different ova and parasites including strongyle (43.3%), Spirocerca lupi (18.7%), taeniid (13.1%), Toxocara canis (7.6%), Sarcocystis sp.* (7.5%), Isospora sp.* (5.7%), Physaloptera sp.* (4.6%), Capillaria sp.* (2.8%), Dipylidium can...
Malama, Sydney; Muma, John Bwalya; Godfroid, Jacques
Zambiaâs estimated incidence of all forms of human tuberculosis (TB) is 707/100,000. High prevalence of bovine tuberculosis (BTB) â infection with Mycobacterium bovis â in cattle and the Kafue lechwe antelopes (Kobus leche Kafuensis) has been reported in the Kafue basin. Consumption of unpasteurised milk and meat products from infected animals poses a risk of transmitting zoonotic tuberculosis to people living at the human-animal interface. Despite the reported high prevalence of BTB in both ...
Full Text Available Maize is an important crop in the livelihood of Zambiaâs most vulnerable populations. A huge challenge facing most of Sub-Saharan Africa (SSA countries like Zambia is to increase maize productivity of smallholder farmers, which has remained very low over the past decades. Through various breeding programmes, more than 50 new maize hybrids and open-pollinated varieties have been developed and provided to the farmers through seed companies and Non-Governmental Organizations (NGOs. However, the extent to which such varieties have been adopted remains unknown. The purpose of this study was to characterize the maize producing households and to assess adoption of improved maize varieties. Data were collected from randomly selected households in the maize-producing areas of Monze and Kalomo Districts in southern Zambia. Principal Components Analysis (PCA on asset ownership was used to generate a wealth index used to rank the survey households. The results confirm that poorly endowed households, most of whom are female-headed, are far less likely to adopt improved varieties than their well-off counterparts. Important maize variety attributes sought by farmers include early maturity (85% of households, tolerance to water stress (83%, yield potential (79%, pest/disease resistance (56%, better processing quality (56% and cob/grain size (50%. A larger proportion of well endowed households planted improved varieties, compared with their poorly endowed counterparts. These findings suggest that moving the poor households and female-headed households up the wealth ladder poses a considerable challenge and calls for targeting the key factors that could potentially improve their welfare.
Carasso Barbara S
Full Text Available Abstract Background User fees for primary care services were removed in rural districts in Zambia in 2006. Experience from other countries has suggested that health workers play a key role in determining the success of a fee removal policy, but also find the implementation of such a policy challenging. The policy was introduced against a backdrop of a major shortage in qualified health staff. Methods As part of a larger study on the experience and effect of user fee removal in Zambia, a number of case studies at the facility level were conducted. As part of these, quantitative and qualitative data were collected to evaluate health workersâ satisfaction and experiences in charging and non-charging facilities. Results Our findings show that health-care workers have mixed feelings about the policy change and its consequences. We found some evidence that personnel motivation was higher in non-charging facilities compared to facilities still charging. Yet it is unclear whether this effect was due to differences in the user fee policy or to the fact that a lot of staff interviewed in non-charging facilities were working in mission facilities, where we found a significantly higher motivation. Health workers expressed satisfaction with an apparent increase in the number of patients visiting the facilities and the removal of a deterring factor for many needy patients, but also complained about an increased workload. Furthermore, working conditions were said to have worsened, which staff felt was linked to the absence of additional resources to deal with the increased demand or replace the loss of revenue generated by fees. Conclusion These findings highlight the need to pay attention to supply-side measures when removing demand-side barriers such as user fees and in particular to be concerned about the burden that increased demand can place on already over-stretched health workers.
Full Text Available High oil prices, recent commitments by industrialized countries to enhance the use of renewable energy, and efforts by developing countries to stimulate foreign investment as a pathway to development have fueled high levels of interest in the biofuel sector throughout much of sub-Saharan Africa. Zambia is no exception. A large, land-locked country with high pump prices and vast tracts of land considered by many to be âdegradedâ or âunderutilized,â investor interest in the sector has remained high despite uncertainties associated with unproven feedstocks and market fluctuations. While investment in multiple feedstock and production models may be observed, one of the primary investments has been in jatropha outgrower schemes in which small-scale farmers grow feedstock on contract with domestic and foreign investors. We assess the history and evolution of the largest such scheme in Zambia, as well as the social and environmental impacts in two districts with large numbers of outgrowers. Findings suggest that, although such a production model may hold promise for enhancing rural livelihood benefits from the emerging biofuel sector, to date, small-scale farmers have borne the brunt of the risk and uncertainty that are the trademarks of this emerging industry. We conclude with a discussion of options to minimize forest conversion and protect farmers against high-risk investments, while harnessing the potential of this business model for enhancing rural livelihoods in Zambia and elsewhere.
Instances of economic benefits which are likely to be considered when introducing food irradiation as an industrial and commercial food processing method in Zambia are discussed from a point of view of increasing both the local and external marketing potential of various local food commodities. The present status of the food irradiation programme is also briefly discussed. (author)
Zambia is endowed with a vast feed resource base for animal production purposes. However, the feed resource base is not fully utilised and this is manifested by low livestock productivity. The quality and production levels of animal products depend largely on the quality and quantity of feed, which is fed to the livestock. Among the constraints limiting livestock productivity in Zambia, insufficient and low quality of veld grass, particularly during the long dry season (March-November) is responsible for low production levels and poor reproductive performance in ruminants. The problem of inadequate veld grass can be overcome by feeding crop residues which are in abundance during the dry season. Zambia produces large quantities of sugarcane tops, bagasse and straws from maize, sorghum, wheat, millet and rice. These could sustain livestock productivity if supplemented with protein sources or treated with urea. Despite the production of large quantities of crop residues, these are wasted by burning or get destroyed by termites. There is a need, therefore, to develop feeding systems based on crop residues which are compatible with the farming systems in Zambia and to promote such feeding systems. (author)
40 species of Pteridophyta occur at the Kundalila Falls, near Serenje in the Central Province of Zambia. Many of them have disjunct geographical distributions. Hygrophilous plant communities of wet rocks and evergreen fringing forests, in which these species grow, seem to represent a relict vegetation type.
Full Text Available 40 species of Pteridophyta occur at the Kundalila Falls, near Serenje in the Central Province of Zambia. Many of them have disjunct geographical distributions. Hygrophilous plant communities of wet rocks and evergreen fringing forests, in which these species grow, seem to represent a relict vegetation type.
The study education and training of accountants in Anglophone Africa examines the problems facing the accounting profession and identifies examples of best practice. One such example is the Zambia Centre for Accountancy Studies (ZCAS). The objective of this study is to address the problem of an acute shortage of qualified accountants. ZCAS was established in 1988 with support from the Euro...
Full Text Available Abstract Background Malaria is the leading cause of morbidity and the second leading cause of mortality in Zambia. Perceptions of fairness and legitimacy of decisions relating to treatment of malaria cases within public health facilities and distribution of ITNs were assessed in a district in Zambia. The study was conducted within the framework of REsponse to ACcountable priority setting for Trust in health systems (REACT, a north-south collaborative action research study, which evaluates the Accountability for Reasonableness (AFR approach to priority setting in Zambia, Tanzania and Kenya. Methods This paper is based on baseline in-depth interviews (IDIs conducted with 38 decision-makers, who were involved in prioritization of malaria services and ITN distribution at district, facility and community levels in Zambia, one Focus Group Discussion (FGD with District Health Management Team managers and eight FGDs with outpatients' attendees. Perceptions and attitudes of providers and users and practices of providers were systematized according to the four AFR conditions relevance, publicity, appeals and leadership. Results Conflicting criteria for judging fairness were used by decision-makers and patients. Decision-makers argued that there was fairness in delivery of malaria treatment and distribution of ITNs based on alleged excessive supply of free malaria medicines, subsidized ITNs, and presence of a qualified health-provider in every facility. Patients argued that there was unfairness due to differences in waiting time, distances to health facilities, erratic supply of ITNs, no responsive appeal mechanisms, inadequate access to malaria medicines, ITNs and health providers, and uncaring providers. Decision-makers only perceived government bodies and donors/NGOs to be legitimate stakeholders to involve during delivery. Patients found government bodies, patients, indigenous healers, chiefs and politicians to be legitimate stakeholders during both planning and delivery. Conclusion Poor status of the AFR conditions of relevance, publicity, appeals and leadership corresponds well to the differing perceptions of fairness and unfairness among outpatient attendees and decision-makers. This may have been re-enforced by existing disagreements between the two groups regarding who the legitimate stakeholders to involve during service delivery were. Conflicts identified in this study could be resolved by promoting application of approaches such as AFR during priority setting in the district.
Thurlow, James; Wobst, Peter
"Zambia is one of the poorest countries in Sub-Saharan Africa. Almost three-quarters of the population were considered poor at the start of the 1990s, with a vast majority of these people concentrated in rural and remote areas. This extreme poverty arose in spite of Zambia's seemingly promising prospects following independence. To better understand the failure of growth and poverty-reduction this paper first considers the relationship between the structure of growth and Zambia's evolving poli...
Shawa, Sheila Tamara; Mwase, Enala T.; Pedersen, Erling MÃ¸ller; Simonsen, Paul Erik
individuals aged â¥ 1 year were registered. The CFA prevalence increased with age from 1.2% in age group 1-14 years to 20.6% in age group 50+ years (overall 8.6%). Wuchereria bancrofti mf were identified in 10.9% of CFA positive individuals (corresponding to a community prevalence of 0.9%). Prevalence and...... intensity of Bm14 antibodies were much higher in individuals â¥ 30 years than in younger individuals (57.2 vs. 19.3%; 0.594 vs. 0.241 OD-values). Elephantiasis and hydrocele were well known clinical manifestations in the area, but only one case of hydrocele was detected in the study population. Identified...... adult worm infection) and antibodies to Bm14 antigen (marker of exposure to transmission), were carried out during the daytime. Blood from CFA positive individuals was examined for microfilariae (mf) at night. Vector surveys were carried out in selected households, using light traps. Results: 985...
National Aeronautics and Space Administration In conjunction with the AERONET (AErosol RObotic NETwork) participation in SAFARI 2000, the USDA Forest Service deployed handheld hazemeters in western Zambia from...
Abstract Background Considerable attention has been given by policy makers and researchers to the human resources for health crisis in Africa. However, little attention has been paid to quantifying health facility-level trends in health worker numbers, distribution and workload, despite growing demands on health workers due to the availability of new funds for HIV\\/AIDS control scale-up. This study analyses and reports trends in HIV and non-HIV ambulatory service workloads on clinical staff in urban and rural district level facilities. Methods Structured surveys of health facility managers, and health services covering 2005-07 were conducted in three districts of Zambia in 2008 (two urban and one rural), to fill this evidence gap. Intra-facility analyses were conducted, comparing trends in HIV and non-HIV service utilisation with staff trends. Results Clinical staff (doctors, nurses and nurse-midwives, and clinical officers) numbers and staff population densities fell slightly, with lower ratios of staff to population in the rural district. The ratios of antenatal care and family planning registrants to nurses\\/nurse-midwives were highest at baseline and increased further at the rural facilities over the three years, while daily outpatient department (OPD) workload in urban facilities fell below that in rural facilities. HIV workload, as measured by numbers of clients receiving antiretroviral treatment (ART) and prevention of mother to child transmission (PMTCT) per facility staff member, was highest in the capital city, but increased rapidly in all three districts. The analysis suggests evidence of task sharing, in that staff designated by managers as ART and PMTCT workers made up a higher proportion of frontline service providers by 2007. Conclusions This analysis of workforce patterns across 30 facilities in three districts of Zambia illustrates that the remarkable achievements in scaling-up HIV\\/AIDS service delivery has been on the back of sustained non-HIV workload levels, increasing HIV workload and stagnant health worker numbers. The findings are based on an analysis of routine data that are available to district and national managers. Mixed methods research is needed, combining quantitative analyses of routine health information with follow-up qualitative interviews, to explore and explain workload changes, and to identify and measure where problems are most acute, so that decision makers can respond appropriately. This study provides quantitative evidence of a human resource crisis in health facilities in Zambia, which may be more acute in rural areas.
Full Text Available Abstract Background Considerable attention has been given by policy makers and researchers to the human resources for health crisis in Africa. However, little attention has been paid to quantifying health facility-level trends in health worker numbers, distribution and workload, despite growing demands on health workers due to the availability of new funds for HIV/AIDS control scale-up. This study analyses and reports trends in HIV and non-HIV ambulatory service workloads on clinical staff in urban and rural district level facilities. Methods Structured surveys of health facility managers, and health services covering 2005-07 were conducted in three districts of Zambia in 2008 (two urban and one rural, to fill this evidence gap. Intra-facility analyses were conducted, comparing trends in HIV and non-HIV service utilisation with staff trends. Results Clinical staff (doctors, nurses and nurse-midwives, and clinical officers numbers and staff population densities fell slightly, with lower ratios of staff to population in the rural district. The ratios of antenatal care and family planning registrants to nurses/nurse-midwives were highest at baseline and increased further at the rural facilities over the three years, while daily outpatient department (OPD workload in urban facilities fell below that in rural facilities. HIV workload, as measured by numbers of clients receiving antiretroviral treatment (ART and prevention of mother to child transmission (PMTCT per facility staff member, was highest in the capital city, but increased rapidly in all three districts. The analysis suggests evidence of task sharing, in that staff designated by managers as ART and PMTCT workers made up a higher proportion of frontline service providers by 2007. Conclusions This analysis of workforce patterns across 30 facilities in three districts of Zambia illustrates that the remarkable achievements in scaling-up HIV/AIDS service delivery has been on the back of sustained non-HIV workload levels, increasing HIV workload and stagnant health worker numbers. The findings are based on an analysis of routine data that are available to district and national managers. Mixed methods research is needed, combining quantitative analyses of routine health information with follow-up qualitative interviews, to explore and explain workload changes, and to identify and measure where problems are most acute, so that decision makers can respond appropriately. This study provides quantitative evidence of a human resource crisis in health facilities in Zambia, which may be more acute in rural areas.
Descriptive models, grade-tonnage relations, and databases for the assessment of sediment-hosted copper deposits: with emphasis on deposits in the Central Africa Copperbelt, Democratic Republic of the Congo and Zambia: Chapter J in Global mineral resource assessment
Taylor, Cliff D.; Causey, J. Douglas; Denning, Paul D.; Hammarstrom, Jane M.; Hayes, Timothy S.; Horton, John D.; Kirschbaum, Michael J.; Parks, Heather L.; Wilson, Anna B.; Wintzer, Niki E.; Zientek, Michael L.
The Central African Copperbelt (CACB) is one of the most important copper-producing regions of the world. The majority of copper produced in Africa comes from this region defined by the Neoproterozoic Katanga sedimentary basin of the southern Democratic Republic of the Congo (DRC) and northern Zambia. Copper in the CACB is mined from sediment-hosted stratabound copper deposits associated with red beds and includes the giant deposits in the Kolwezi and Tenge-Fungurume districts in the DRC and the Konkola-Musoshi and Nchanga-Chingola districts in Zambia. In recent years, sediment-hosted structurally controlled replacement and vein (SCRV) copper deposits, such as the giant Kansanshi deposit in Zambia have become important exploration targets in the CACB region.
While drought is not uncommon in Zambia, the country is now facing the worst drought in history. The monetary and social costs will be enormous. Although it is too early to measure the economic and social costs of the drought on Zambia, it is obvious that the impact is catastrophic on a country whose economy is under pressure. The drought will affect the structural adjustment programme (SAP) unveiled by the new government which has embraced the market economy. The country has imported, and will continue to import, large quantities of maize and other foodstuffs, a situation likely to strain the balance of payments. Earlier targets with regard to export earnings, reductions in the budget deficit, and GDP growth as contained in the Policy Framework Paper (PFP) are no longer attainable due to the effects of the drought. PMID:7600062
World Bank; International Finance Corporation
The country profile for Zambia is based on data from the enterprise surveys conducted by the World Bank in 2013. The enterprise surveys focus on the many factors that shape the decisions of firms to invest. These factors can be accommodating or constraining and play an important role in whether a country will prosper or not. An accommodating business environment is one that encourages firm...
Zambia being part of the world community clearly understands that careless handling of radioactive waste would cause problems - worldwide - for human health, for the environment and natural resources management. It is for this reason that the Radiation Protection Board has initiated a Radioactive Waste Management Programme covering the following areas: (i) Legislation of Radioactive Waste Management; (ii) Immobilization of spent sealed radioactive sources; and (iii) Siting and construction of an interim storage facility. (author)
The paper discusses the results of Uranium content analyses of samples collected on a country wide survey using fluorimetry.The analysis of the survey samples and based on the threshold of 3.0 ppm U established three possible Uranium provinces in Zambia,namely: the Bangweulu; the Kabwe-Mkushi; and in scattered pockets in the Petauke,Chipata,Lundazi,Kasempa,Mwinilunga,Mumbwa and Mpika areas.13 refs.,fig.,3 maps
Mapoma, Christopher C.; Masaiti, Gift
This paper reflects part of the wider outlook on ageing in general in Zambia and was intended to investigate perceptions of and attitudes towards the aged and ageing in Zambia by members of the community who, by definition and chronologically are not classified as aged i.e. not yet 60 years and over. Focus Group Discussions (FGD) were used to
Full Text Available Abstract Background Theileriosis, caused by Theileria parva, is an economically important disease in Africa. It is a major constraint to the development of the livestock industry in some parts of eastern, central and southern Africa. In Zambia, theileriosis causes losses of up to 10,000 cattle annually. Methods Cattle blood samples were collected for genetic analysis of Theileria parva from Isoka and Petauke districts in Zambia. Microsatellite analysis was then performed on all Theileria parva positive samples for PCR using a panel of 9 microsatellite markers. Microsatellite data was analyzed using microsatellite toolkit, GenAlEx ver. 6, Fstat ver. 22.214.171.124, and LIAN computer softwares. Results The combined percentage of positive samples in both districts determined by PCR using the p104 gene primers was 54.9% (95% CI: 46.7 63.1%, 78/142, while in each district, it was 44.8% (95% CI: 34.8 54.8% and 76.1% (95% CI = 63.9 88.4% for Isoka and Petauke districts, respectively. We analyzed the population genetic structure of Theileria parva from a total of 61 samples (33 from Isoka and 28 from Petauke using a panel of 9 microsatellite markers encompassing the 4 chromosomes of Theileria parva. Wrights F index (FST = 0.178 showed significant differentiation between the Isoka and Petauke populations. Linkage disequilibrium was observed when populations from both districts were treated as a single population. When analyzed separately, linkage disequilibrium was observed in Kanyelele and Kalembe areas in Isoka district, Isoka district overall and in Petauke district. Petauke district had a higher multiplicity of infection than Isoka district. Conclusion Population genetic analyses of Theileria parva from Isoka and Petauke districts showed a low level of genotype exchange between the districts, but a high level of genetic diversity within each district population, implying genetic and geographic sub-structuring between the districts. The sub-structuring observed, along with the lack of panmixia in the populations, could have been due to low transmission levels at the time of sampling. However, the Isoka population was less diverse than the Petauke population.
Bennett, Adam; Yukich, Joshua; John M Miller; Vounatsou, Penelope; Hamainza, Busiku; Ingwe, Mercy M; Moonga, Hawela B.; Kamuliwo, Mulakwo; Keating, Joseph; Smith, Thomas A.; Steketee, Richard W; Eisele, Thomas P.
Background Due to challenges in laboratory confirmation, reporting completeness, timeliness, and health access, routine incidence data from health management information systems (HMIS) have rarely been used for the rigorous evaluation of malaria control program scale-up in Africa. Methods We used data from the Zambia HMIS for 2009â2011, a period of rapid diagnostic and reporting scale-up, to evaluate the association between insecticide-treated net (ITN) program intensity and district-level mo...
Dansereau, Emily; Masiye, Felix; Gakidou, Emmanuela; Masters, Samuel H.; Burstein, Roy; Kumar, Santosh
Objective To examine the associations between perceived quality of care and patient satisfaction among HIV and non-HIV patients in Zambia. Setting Patient exit survey conducted at 104 primary, secondary and tertiary health clinics across 16 Zambian districts. Participants 2789 exiting patients. Primary independent variables Five dimensions of perceived quality of care (health personnel practice and conduct, adequacy of resources and services, healthcare delivery, accessibility of care, and co...
Full Text Available Filoviral haemorrhagic fevers (FVHF are caused by agents belonging to Filoviridae family, Ebola and Marburg viruses. They are amongst the most lethal pathogens known to infect humans. Incidence of FVHF outbreaks are increasing, with affected number of patients on the rise. Whilst there has been no report yet of FVHF in Zambia, its proximity to Angola and Democratic Republic of Congo, which have recorded major outbreaks, as well as the open borders, increased trade and annual migration of bats between these countries, puts Zambia at present and increased risk. Previous studies have indicated bats as potential reservoir hosts for filoviruses. An increasing population with an increasing demand for resources has forced incursion into previously uninhabited land, potentially bringing them into contact with unknown pathogens, reservoir hosts and/or amplifying hosts. The recent discovery of a novel arenavirus, Lujo, highlights the potential that every region, including Zambia, has for being the epicentre or primary focus for emerging and re-emerging infections. It is therefore imperative that surveillance for potential emerging infections, such as viral haemorrhagic fevers be instituted. In order to accomplish this surveillance, rapid detection, identification and monitoring of agents in patients and potential reservoirs is needed. International co-operation is the strategy of choice for the surveillance and fight against emerging infections. Due to the extensive area in which filoviral infections can occur, a regional approach to surveillance activities is required, with regional referral centres. There is a need to adopt shared policies for the prevention and control of infectious diseases. There is also need for optimisation of currently available tests and development of new diagnostic tests, in order to have robust, highly sensitive and specific diagnostic tests that can be used even where there are inadequate laboratories and diagnostic services.
Somwe Wa Somwe
Full Text Available Abstract Problem In 2008, the prevalence of paediatric asthma in Zambia was unknown and the national treatment guideline was outdated. Approach We created an international partnership between Zambian clinicians, the Zambian Government and a pharmaceutical company to address shortcomings in asthma treatment. We did two studies, one to estimate prevalence in the capital of Lusaka and one to assess attitudes and practices of patients. Based on the information obtained, we educated health workers and the public. The information from the studies was also used to modernize government policy for paediatric asthma management. Local setting The health-care system in Zambia is primarily focused on acute care delivery with a focus on infectious diseases. Comprehensive services for noncommunicable diseases are lacking. Asthma management relies on treatment of acute exacerbations instead of disease control. Relevant changes Seven percent of children surveyed had asthma (255/3911. Of the 120 patients interviewed, most (82/120, 68% used oral short-acting Î²2-agonists for symptom control; almost half (59/120, 49% did not think the symptoms were preventable and 43% (52/120 thought inhalers were addictive. These misconceptions informed broad-based educational programmes. We used a train-the-trainer model to educate health-care workers and ran public awareness campaigns. Access to inhalers was increased and the Zambian standard treatment guideline for paediatric asthma was revised to include steroid inhalers as a control treatment. Lessons learnt Joint activities were required to change paediatric asthma care in Zambia. Success will depend on local sustainability, and it may be necessary to shift resources to mirror the disease burden.
TimÃ¦us, Ian M; Banda, Richard; Thankian, Kusanthan; Banda, Andrew; Lemba, Musonda; Stringer, Jeffrey S A; Chi, Benjamin H
Objectives To measure the sex-specific and community-specific mortality rates for adults in Lusaka, Zambia, and to identify potential individual-level, household-level and community-level correlates of premature mortality. We conducted 12 survey rounds of a population-based cross-sectional study between 2004 and 2011, and collected data via a structured interview with a household head. Setting Households in Lusaka District, Zambia, 2004â2011. Participants 43â 064 household heads (88% female) who enumerated 123â 807 adult household members aged between 15 and 60â years. Primary outcome Premature adult mortality. Results The overall mortality rate was 16.2/1000 person-years for men and 12.3/1000 person-years for women. The conditional probability of dying between age 15 and 60 (45q15) was 0.626 for men and 0.537 for women. The top three causes of death for men and women were infectious in origin (ie, tuberculosis, HIV and malaria). We observed an over twofold variation of mortality rates between communities. The mortality rate was 1.98 times higher (95% CI 1.57 to 2.51) in households where a family member required nursing care, 1.44 times higher (95% CI 1.22 to 1.71) during the cool dry season, and 1.28 times higher (95% CI 1.06 to 1.54) in communities with low-cost housing. Conclusions To meet Zambia's development goals, further investigation is needed into the factors associated with adult mortality. Mortality can potentially be reduced through focus on high-need households and communities, and improved infectious disease prevention and treatment services. PMID:26940113
Radioactive materials have been in use in Zambia for a long time and its applications are non-military and mostly are used in medicine, research, teaching and industry. Radioactive waste management practices have been confined mainly to collection and storage of radioactive wastes in temporal storage facilities or strong rooms. With the proposed establishment of the Radiotherapy Centre, the increase of radioactive materials in the country's hospitals, research centres and industries, the volume and types of radioactive wastes on the whole is expected to increase requiring a well defined radiation infrastructure. (author)
Lawrence, J Joseph; Yeboah-Antwi, Kojo; Biemba, Godfrey; Ram, Pavani K; Osbert, Nicolas; Sabin, Lora L; Hamer, Davidson H
Inadequate hygiene and sanitation remain leading global contributors to morbidity and mortality in children and adults. One strategy for improving sanitation access is community-led total sanitation (CLTS), in which participants are guided into self-realization of the importance of sanitation through activities called "triggering." This qualitative study explored community members' and stakeholders' sanitation, knowledge, perceptions, and behaviors during early CLTS implementation in Zambia. We conducted 67 in-depth interviews and 24 focus group discussions in six districts in Zambia 12-18 months after CLTS implementation. Triggering activities elicited strong emotions, including shame, disgust, and peer pressure, which persuaded individuals and families to build and use latrines and handwashing stations. New sanitation behaviors were also encouraged by the hierarchical influences of traditional leaders and sanitation action groups and by children's opinions. Poor soil conditions were identified as barriers to latrine construction. Taboos, including prohibition of different generations of family members, in-laws, and opposite genders from using the same toilet, were barriers for using sanitation facilities. CLTS, through community empowerment and ownership, produced powerful responses that encouraged construction and use of latrines and handwashing practices. These qualitative data suggest that CLTS is effective for improving sanitation beliefs and behaviors in Zambia. PMID:26787149
Kruk, Margaret E; Vail, Daniel; Austin-Evelyn, Katherine; Atuyambe, Lynn; Greeson, Dana; GrÃ©pin, Karen Ann; Kibira, Simon P S; Macwan'gi, Mubiana; Masvawure, Tsitsi B; Rabkin, Miriam; Sacks, Emma; Simbaya, Joseph; Galea, Sandro
Saving Mothers, Giving Life is a multidonor program designed to reduce maternal mortality in Uganda and Zambia. We used a quasi-random research design to evaluate its effects on provider obstetric knowledge, clinical confidence, and job satisfaction, and on patients' receipt of services, perceived quality, and satisfaction. Study participants were 1,267 health workers and 2,488 female patients. Providers' knowledge was significantly higher in Ugandan and Zambian intervention districts than in comparison districts, and in Uganda there were similar positive differences for providers' clinical confidence and job satisfaction. Patients in Ugandan intervention facilities were more likely to give high ratings for equipment availability, providers' knowledge and communication skills, and care quality, among other factors, than patients in comparison facilities. There were fewer differences between Zambian intervention and comparison facilities. Country differences likely reflect differing intensity of program implementation and the more favorable geography of intervention districts in Uganda than in Zambia. National investments in the health system and provider training and the identification of intervention components most associated with improved performance will be required for scaling up and sustaining the program. PMID:26953307
Sacks, Emma; Vail, Daniel; Austin-Evelyn, Katherine; Greeson, Dana; Atuyambe, Lynn M; Macwan'gi, Mubiana; Kruk, Margaret E; GrÃ©pin, Karen A
Transportation is an important barrier to accessing obstetric care for many pregnant and postpartum women in low-resource settings, particularly in rural areas. However, little is known about how pregnant women travel to health facilities in these settings. We conducted 1633 exit surveys with women who had a recent facility delivery and 48 focus group discussions with women who had either a home or a facility birth in the past year in eight districts in Uganda and Zambia. Quantitative data were analysed using univariate statistics, and qualitative data were analysed using thematic content analysis techniques. On average, women spent 62-68âmin travelling to a clinic for delivery. Very different patterns in modes of transport were observed in the two countries: 91% of Ugandan women employed motorized forms of transportation, while only 57% of women in Zambia did. Motorcycle taxis were the most commonly used in Uganda, while cars, trucks and taxis were the most commonly used mode of transportation in Zambia. Lower-income women were less likely to use motorized modes of transportation: in Zambia, women in the poorest quintile took 94âmin to travel to a health facility, compared with 34 for the wealthiest quintile; this difference between quintiles was â¼50âmin in Uganda. Focus group discussions confirmed that transport is a major challenge due to a number of factors we categorized as the 'three A's:' affordability, accessibility and adequacy of transport options. Women reported that all of these factors had influenced their decision not to deliver in a health facility. The two countries had markedly different patterns of transportation for obstetric care, and modes of transport and travel times varied dramatically by wealth quintile, which policymakers need to take into account when designing obstetric transport interventions. PMID:26135364
Full Text Available Participatory breeding and variety selection has been proposed as an effective way of disseminating improved technologies to farmers for social-economic benefits. As a result the Sorghum and Millets Improvement Programme (SMIP, of the Zambia Agriculture Research Institution (ZARI, in collaboration with the farming systems scientists at Mansa Research Station, in Luapula Province tested the effectiveness of this methodology. The effectiveness of this method was evaluated based on the number of farmers rating new improved agriculture technologies favourably and willing to adopt the improved technologies after being exposed to participatory breeding. An on-farm participatory sorghum variety demonstration trial was conducted during the 2011/2012 rainy season in Zambia, Milenge district, of the Luapula province. The trial consisted of 12 improved sorghum germplasm lines of which six were hybrids and six were varieties developed by SMIP. The germplasm was evaluated by the farmers, extension and research staff on farm. The germplasm was evaluated for its value for cultivation and use. The methodology that was used is called participatory breeding which is part of the broader concept of participatory rural extension and the Innovative Platform for Technology Adoption (IPTA advocated by the Forum for Agriculture Research in Africa. The results of the methodology indicated that this methodology is effective if farmers are committed and good agriculture policies are in place. When farmers feel part of the developmental process, it is easier for them to adopt improved technologies.
The papers presented at this meeting dealt with an international comparison of district heating, the Swiss district heating network, political aspects of nuclear district heating, nuclear and non-nuclear sources for district heating. 17 figs., 6 tabs
National Aeronautics and Space Administration â In conjunction with the AERONET (AErosol RObotic NETwork) participation in SAFARI 2000, the USDA Forest Service deployed handheld hazemeters in western Zambia from...
National Aeronautics and Space Administration â This data set contains tree ring data from three sites located about 25 km of the meteorological station at Mongu, Zambia. Data from about 50 individual trees are...
National Aeronautics and Space Administration â ABSTRACT: This data set contains tree ring data from three sites located about 25 km of the meteorological station at Mongu, Zambia. Data from about 50 individual...
National Aeronautics and Space Administration This data set contains tree ring data from three sites located about 25 km of the meteorological station at Mongu, Zambia. Data from about 50 individual trees are...
Simatele, Munacinga C H
ABSTRACT The dissertation comprises four chapters focusing on issues concerning policy re-forms and monetary policy in Zambia. Chapter 1 briefly outlines the theoretical foundations for the reforms undertaken in Zambia since the mid 1980s and the process thereof. The main issues addressed were the removal of interest rate and credit controls, exchange rate devaluation and the use of indirect instruments in implementing monetary policy. Monetary policy also began to focus more on stabili...
Ek, Maiken Patricia
Abstract The concerns of areas such as democracy, corruption, rule of law, and governance are common among most countries. Confronted with such common problems, policymakers can learn from how other nations have responded through a policy transfer process. The Office of Auditor General of Zambia (OAGZ) has the ambition to promote good governance, transparency, and accountability in Zambia, partly through performance auditing. OAGZ was inexperienced in the craft of performance auditing; theref...
Elizabeth M Stringer
Full Text Available OBJECTIVE: HIV prevention has been ongoing in Lusaka for many years. Recent reports suggest a possible decline in HIV sero-incidence in Zambia and some neighbouring countries. This study aimed to examine trends in HIV seroprevalence among pregnant and parturient women between 2002 and 2006. METHODS: We analysed HIV seroprevalence trends from two Lusaka sources: (i antenatal data from a city-wide programme to prevent mother-to-child HIV transmission, and (ii delivery data from two anonymous unlinked cord-blood surveillances performed in 2003 and again in 2005-2006, where specimens from > 97% of public-sector births in each period were obtained and analysed. FINDINGS: Between July 2002 and December 2006, the Lusaka district tested 243 302 antenatal women for HIV; 54 853 (22.5% were HIV infected. Over this period, the HIV seroprevalence among antenatal attendees who were tested declined steadily from 24.5% in the third quarter of 2002 to 21.4% in the last quarter of 2006 (P < 0.001. The cord-blood surveillances were conducted between June and August 2003 and again between October 2005 and January 2006. Overall HIV seroprevalence declined from 25.7% in 2003 to 21.8% in 2005-2006 (P = 0.001. Among women < 17 years of age, seroprevalence declined from 12.1% to 7.7% (P = 0.015. CONCLUSION: HIV seroprevalence appears to be declining among antenatal and parturient women in Lusaka. The decline is most dramatic among women < " 17 years of age, suggesting a reduction in sero-incidence in this important age group.
Binsbergen, van, PRM
Aim of this volume, which brings together seven studies of religious change in Zambia, is to describe the processes of religious change in this country during the last few centuries. These studies are: 1) Towards a theory of religious change in Central Africa. 2) Possession and mediumship in Zambia: towards a comparative approach. 3) Explorations in the history and sociology of territorial cults in Zambia. 4) Religious change and the problem of evil in Western Zambia. 5) Regional and non-regi...
Full Text Available Objective: An epidemiological investigation on the fish disease Epizootic Ulcerative Syndrome (EUS was conducted from Januaryto December 2011 in the Zambezi River System (ZRS of Sesheke District in the Western Province of Zambia. The study aimed at determining:factors associated with outbreaks of EUS, infection rate and distribution of the disease. EUS is a newly confirmed disease in Southern Africacaused by a fungal pathogen, Aphanomyces invadans. Material and Methods: Active surveillance was conducted where a total of 4,800 fish wereinspected in February, June and October for gross EUS-like lesions and disease confirmed using histopathology. Environmental cues were alsoassessed monthly for one year to determine their association with disease outbreaks. A questionaire was adminstered to assess spread of EUSwhile Geographic Information System helped map disease distribution. Results of the study implicate several predisposing environmental factors;heavy rains preceded outbreaks resulting in excess flooding which caused water levels to rise 2m higher than normal; predominantly gleysoland arenosol soils of the ZRS resulted in low water pH (4.53 to 6.5. Other factors significantly (p<0.05 associated with EUS outbreaks were:low total alkalinity (45.13Â±SE 0.0418, water temperature (20.94Â±SE 0.2173, ambient temperature (25.85Â±SE 0.3058, month (June and site(lagoons of sampling. Infection rate was 3% (144 of the 4,800 fishes sampled. Of these, 58 (40.2% had mycotic granulomas after histopathologicalanalysis, representing 1.2% of the total sample. Eighty six (86 of the 144 fishes were diagnosed with healing wounds representing 1.8 %of the total fish sampled. Some of them, 4,656 (97% more exactly, had no gross lesions. Conclusion: There is indication that EUS has affectedfish in ZRS from Kazungula to Chavuma Districts of Zambia with sub optimal environmental factors being associated with disease outbreaks.
... International Trade Administration Executive-Led Trade Mission to South Africa and Zambia AGENCY: International... notice for the Executive-Led Trade Mission to South Africa and Zambia scheduled for November 26-30, 2012... of the Executive- Led Trade Mission to South Africa and Zambia are amended to read as follows:...
Full Text Available Abstract Background Malaria vector control using long-lasting insecticidal nets (LLINs and indoor residual spraying (IRS, with pyrethroids and DDT, to reduce malaria transmission has been expansively implemented in Zambia. The impact of these interventions on malaria morbidity and mortality has not previously been formally assessed at the population level in Zambia. Methods The impact of IRS (15 urban districts and LLINs (15 rural districts implementation on severe malaria cases, deaths and case fatality rates in children below the age of five years were compared. Zambian national Health Management Information System data from 2007 to 2008 were retrospectively analysed to assess the epidemiological impact of the two interventions using odds ratios to compare the pre-scaling up year 2007 with the scaling-up year 2008. Results Overall there were marked reductions in morbidity and mortality, with cases, deaths and case fatality rates (CFR of severe malaria decreasing by 31%, 63% and 62%, respectively between 2007 and 2008. In urban districts with IRS introduction there was a significant reduction in mortality (Odds Ratio [OR] = 0.37, 95% CI = 0.31-0.43, P = 0.015, while the reduction in mortality in rural districts with LLINs implementation was not significant (OR = 0.83, 95% CI = 0.67-1.04, P = 0.666. A similar pattern was observed for case fatality rates with a significant reduction in urban districts implementing IRS (OR = 0.34, 95% CI = 0.33-0.36, P = 0.005, but not in rural districts implementing LLINs (OR = 0.96, 95% CI = 0.91-1.00, P = 0.913. No substantial difference was detected in overall reduction of malaria cases between districts implementing IRS and LLINs (P = 0.933. Conclusion Routine surveillance data proved valuable for determining the temporal effects of malaria control with two strategies, IRS and LLINs on severe malaria disease in different types of Zambian districts. However, this analysis did not take into account the effect of artemisinin-based combination therapy (ACT, which were being scaled up countrywide in both rural and urban districts.
NSGIC GIS Inventory (aka Ramona) â This layer represents the Arkansas State Senate district boundaries adopted by the Arkansas Board of Apportionment on July 29, 2011. The Board of Apportionment,...
NSGIC GIS Inventory (aka Ramona) â This layer represents the Arkansas State House of Representatives district boundaries adopted by the Arkansas Board of Apportionment on July 29, 2011. The Board of...
Hang'ombe, B M; Isogai, E; Lungu, J; Mubita, C; Nambota, A; Kirisawa, R; Kimura, K; Isogai, H
In the retrospective study of soil-borne diseases of cattle in Zambia, malignant edema and blackquarter were widespread. One hundred and sixty-five cases with malignant edema and 103 cases with blackquarter were reported between 1985 and 1997. It was found that specific soil-conditions associate the emergence of the soil-borne diseases. Soil samples from five areas in Zambia were examined for the presence of genus Clostridium. Direct immunofluorescent assay (IFA) examination showed that C. septicum, C. novyi and C. chauvoei were detected in the soil of specific areas in Zambia, respectively. Causal organisms such as C. perfringens were isolated from the soil samples. The information of area-specific distribution of Clositridium species may give an efficient program in protecting cattle and man. PMID:11038129
Merten, Sonja; Haller, Tobias
Discussions about the cultural dimensions of the spread of HIV/AIDS in Africa persist. Drawing on data on fish-for-sex deals between local Ila or Tonga women and immigrant fishermen in the Zambian Kafue Flats, we argue against the notion that traditional institutions governing extra-marital sexual relationships are responsible for the spread of HIV/AIDS. We argue that fish-for-sex exchanges are based not on tradition, but on the economic opportunities provided by the fish trade in conditions of poverty and changing livelihoods. Stigmatization of women involved in fish-for-sex deals is, however, on the increase, since they are accused of spreading the disease in their community. Women's inability to follow the sexual prescriptions conveyed by HIV prevention programmes produces shame and moral distress, associated with the fear of social exclusion. In this situation, lubambo, a former customary regulation of extramarital sexual relations among the Ila, may provide women with legitimacy for sexual transactions. Additionally, customary marriage arrangements institutionally secure their access to fish. PMID:17364715
Kragelund, Peter; Hampwaye, Godfrey
In the past decade, China has intensified its engagement in the internationalisation of higher education in Africa via the establishment of Confucius Institutes. The aim of this chapter is to shed light on the differences between Chinese support for higher education and âtraditionalâ partnerships......, and what the implications of these differences are for the chances of producing locally relevant knowledge in Africa. This is done through a case study of the newly established Confucius Institute at the University of Zambia in Lusaka, Zambia. This case enables us to further our understanding of how...
Rasmussen, Jon B; Thomsen, JakÃºp A; Rossing, Peter; Parkinson, Shelagh; Christensen, Dirk Lund; Bygbjerg, Ib C
OBJECTIVE: To assess albuminuria in rural Zambia among patients with diabetes mellitus only (DM group), hypertension only (HTN group) and patients with combined DM and HTN (DM/HTN group). METHODS: A cross-sectional survey was conducted at St. Francis Hospital in the Eastern province of Zambia...... of DM or HTN. RESULTS: A total of 193 participants were included (DM group: n = 33; HTN group: n = 92; DM/HTN group: n = 68). The participants in the DM group used insulin more frequently as diabetes medication than the DM/HTN group (P < 0.05). Furthermore, the DM group was younger and had lower BMI...
Full Text Available Abstract Background Malaria remains a leading cause of morbidity, mortality and non-fatal disability in Zambia, especially among children, pregnant women and the poor. Data gathered by the National Malaria Control Centre has shown that recently observed widespread treatment failure of SP and chloroquine precipitated a surge in malaria-related morbidity and mortality. As a result, the Government has recently replaced chloroquine and SP with combination therapy as first-line treatment for malaria. Despite the acclaimed therapeutic advantages of ACTs over monotherapies with SP and CQ, the cost of ACTs is much greater, raising concerns about affordability in many poor countries such as Zambia. This study evaluates the cost-effectiveness analysis of artemether-lumefantrine, a version of ACTs adopted in Zambia in mid 2004. Methods Using data gathered from patients presenting at public health facilities with suspected malaria, the costs and effects of using ACTs versus SP as first-line treatment for malaria were estimated. The study was conducted in six district sites. Treatment success and reduction in demand for second line treatment constituted the main effectiveness outcomes. The study gathered data on the efficacy of, and compliance to, AL and SP treatment from a random sample of patients. Costs are based on estimated drug, labour, operational and capital inputs. Drug costs were based on dosages and unit prices provided by the Ministry of Health and the manufacturer (Norvatis. Findings The results suggest that AL produces successful treatment at less cost than SP, implying that AL is more cost-effective. While it is acknowledged that implementing national ACT program will require considerable resources, the study demonstrates that the health gains (treatment success from every dollar spent are significantly greater if AL is used rather than SP. The incremental cost-effectiveness ratio is estimated to be US$4.10. When the costs of second line treatment are considered the ICER of AL becomes negative, indicating that there are greater resource savings associated with AL in terms of reduction of costs of complicated malaria treatment. Conclusion This study suggests the decision to adopt AL is justifiable on both economic and public health grounds.
Full Text Available Abstract Background This paper describes the task-shifting taking place in health centres and district hospitals in Mozambique and Zambia. The objectives of this study were to identify the perceived causes and factors facilitating or impeding task-shifting, and to determine both the positive and negative consequences of task-shifting for the service users, for the services and for health workers. Methods Data collection involved individual and group interviews and focus group discussions with health workers from the civil service. Results In both the Republic of Mozambique and the Republic of Zambia, health workers have to practice beyond the traditional scope of their professional practice to cope with their daily tasks. They do so to ensure that their patients receive the level of care that they, the health workers, deem due to them, even in the absence of written instructions. The âout of professional scopeâ activities consume a significant amount of working time. On occasions, health workers are given on-the-job training to assume new roles, but job titles and rewards do not change, and career progression is unheard of. Ancillary staff and nurses are the two cadres assuming a greater diversity of functions as a result of improvised task-shifting. Conclusions Our observations show that the consequences of staff deficits and poor conditions of work include heavier workloads for those on duty, the closure of some services, the inability to release staff for continuing education, loss of quality, conflicts with patients, risks for patients, unsatisfied staff (with the exception of ancillary staff and hazards for health workers and managers. Task-shifting is openly acknowledged and widespread, informal and carries risks for patients, staff and management.
Snow Robert W
Full Text Available Abstract Background Following the recognition that morbidity and mortality due to malaria had dramatically increased in the last three decades, in 2002 the government of Zambia reviewed its efforts to prevent and treat malaria. Convincing evidence of the failing efficacy of chloroquine resulted in the initiation of a process that eventually led to the development and implementation of a new national drug policy based on artemisinin-based combination therapy (ACT. Methods All published and unpublished documented evidence dealing with the antimalarial drug policy change was reviewed. These data were supplemented by the authors' observations of the policy change process. The information has been structured to capture the timing of events, the challenges encountered, and the resolutions reached in order to achieve implementation of the new treatment policy. Results A decision was made to change national drug policy to artemether-lumefantrine (AL in the first quarter of 2002, with a formal announcement made in October 2002. During this period, efforts were undertaken to identify funding for the procurement of AL and to develop new malaria treatment guidelines, training materials, and plans for implementation of the policy. In order to avoid a delay in implementation, the policy change decision required a formal adoption within existing legislation. Starting with donated drug, a phased deployment of AL began in January 2003 with initial use in seven districts followed by scaling up to 28 districts in the second half of 2003 and then to all 72 districts countrywide in early 2004. Conclusion Drug policy changes are not without difficulties and demand a sustained international financing strategy for them to succeed. The Zambian experience demonstrates the need for a harmonized national consensus among many stakeholders and a political commitment to ensure that new policies are translated into practice quickly. To guarantee effective policies requires more effort and recognition that this becomes a health system and not a drug issue. This case study attempts to document the successful experience of change to ACT in Zambia and provides a realistic overview of some of the painful experiences and important lessons learnt.
Full Text Available Abstract Background Zambia is facing a double crisis of increasing malaria burden and dwindling capacity to deal with the endemic malaria burden. The pursuit of sustainable but equity mechanisms for financing malaria programmes is a subject of crucial policy discussion. This requires that comprehensive accounting of the economic impact of the various malaria programmes. Information on the economic value of programmes is essential in soliciting appropriate funding allocations for malaria control. Aims and objectives This paper specifically seeks to elicit a measure of the economic benefits of an improved malaria treatment programme in Zambia. The paper also studies the equity implications in malaria treatment given that demand or malaria treatment is determined by household socio-economic status. Methods A contingent valuation survey of about 300 Zambian households was conducted in four districts. Willingness-to-pay (WTP was elicited for an improved treatment programme for malaria in order to generate a measure of the economic benefits of the programme. The payment card method was used in eliciting WTP bids. Findings The study reports that malaria treatment has significant economic benefits to society. The total economic benefits of an improved treatment programme were estimated at an equivalent of US$ 77 million per annum, representing about 1.8% of Zambia's GDP. The study also reports the theoretically anticipated association between WTP and several socio-economic factors. Our income elasticity of demand is positive and similar in magnitude to estimates reported in similar studies. Finally, from an equity standpoint, the constraints imposed by income and socio-economic status are discussed.
Chansa, Collins; Sundewall, Jesper; McIntyre, Di; Tomson, GÃ¶ran; Forsberg, Birger C
Zambia introduced a sector-wide approach (SWAp) in the health sector in 1993. The goal was to improve efficiency in the use of domestic funds and externally sourced development assistance by integrating these into a joint sectoral framework. Over a decade into its existence, however, the SWAp remains largely unevaluated. This study explores whether the envisaged improvements have been achieved by studying developments in administrative, technical and allocative efficiency in the Zambian health sector from 1990-2006. A case study was conducted using interviews and analysis of secondary data. Respondents represented a cross-section of stakeholders in the Zambian health sector. Secondary data from 1990-2006 were collected for six indicators related to administrative, technical and allocative efficiency. The results showed small improvements in administrative efficiency. Transaction costs still appeared to be high despite the introduction of the SWAp. Indicators for technical efficiency showed a drop in hospital bed utilization rates and government share of funding for drugs. As for allocative efficiency, budget execution did not improve with the SWAp, although there were large variations between both donors and year. Funding levels had apparently improved at district level but declined for hospitals. Finally, the SWAp had not succeeded in bringing all external assistance together under a common framework. Despite strong commitment to implement the SWAp in Zambia, the envisaged efficiency improvements do not seem to have been attained. Possible explanations could be that the SWAp has not been fully developed or that not all parties have completely embraced it. SWAp is not ruled out as a coordination model, but the current setup in Zambia has not proved to be fully effective. PMID:18562459
Gatere, Lydiah; Delve, R.; Hobbs, P.; DeGloria, S.; Lehmann, J.
This presentation discusses conservation farming methods in Zambia. The research highlights how conservation farming methods may help to negate environmental variables that hinder crop production, such as lack of rainfall and poor soil quality. The study compares conservation farming practices with variable amendments, including cow manure, gliricidia leaves, biochar, and fertilizer applications.
Masaiti, Gift; Shen, Hong
This research paper explores the concept of "cost sharing" which became more prominent in Zambia education with the advent of democratic form of governance in 1991. As a way of responding to the ever diminishing tax revenues, government through the education policy of 1996, allowed higher education institutions including publicâ¦
This short country report, a result of larger Information for Development Program (infoDev)-supported survey of the Information and Communication Technologies (ICT) in education in Africa, provides a general overview of current activities and issues related to ICT use in education in the country. The penetration levels of ICTs in Zambia's education institutions remains low, with those scho...
Siwila, Joyce; Mwase, Enala T.; Nejsum, Peter; Simonsen, Paul Erik
Filariae are common parasites of dogs in many parts of the world, but little is known about the status of these infections in sub-Saharan Africa. A study was carried out to determine the occurrence and species of filariae among 272 dogs in Lusaka, Zambia. Giemsa stained blood smear and Knott...
Hill Suzanne R
Full Text Available Abstract Background Pre-eclampsia and eclampsia are serious complications of pregnancy and major causes of maternal mortality and morbidity worldwide. According to systematic reviews and WHO guidelines magnesium sulphate injection (MgSO4 should be the first -line treatment for severe pre-eclampsia and eclampsia. Studies have shown that this safe and effective medicine is unavailable and underutilized in many resource poor countries. The objective of this study was to identify barriers to the availability and use of MgSO4 in the Zambian Public Health System. Methods A 'fishbone' (Ishikawa diagram listing probable facilitators to the availability and use of MgSO4 identified from the literature was used to develop an assessment tool. Barriers to availability and use of MgSO4 were assessed at the regulatory/government, supply, procurement, distribution, health facility and health professional levels. The assessment was completed during August 2008 using archival data, and observations at a pragmatic sample of health facilities providing obstetric services in Lusaka District, Zambia. Results The major barrier to the availability of MgSO4 within the public health system in Zambia was lack of procurement by the Ministry of Health. Other barriers identified included a lack of demand by health professionals at the health centre level and a lack of in-service training in the use of MgSO4. Where there was demand by obstetricians, magnesium sulphate injection was being procured from the private sector by the hospital pharmacy despite not being registered and licensed for use for the treatment of severe pre-eclampsia and eclampsia by the national Pharmaceutical Regulatory Authority. Conclusions The case study in Zambia highlights the complexities that underlie making essential medicines available and used appropriately. The fishbone diagram is a useful theoretical framework for illustrating the complexity of translating research findings into clinical practice. A better understanding of the supply system and of the pattern of demand for MgSO4 in Zambia should enable policy makers and stakeholders to develop and implement appropriate interventions to improve the availability and use of MgSO4.
Copper Mining in Zambia since its establishment in 1930 has remained central to Zambias economical, social and political development, providing about 50-80% of annual export income. However, mining is considered the largest source of environmental pollution. Due to the dramatic fall in copper prices from the early 1980?, Zambia was forced to borrow money from the International Monetary fund (IMF) and the European investment Bank (EIB). Unable to pay the IMF and the EIB under developmental...
White, Paula A.; Belant, Jerrold L.
Sport hunting has reportedly multiple benefits to economies and local communities; however, few of these benefits have been quantified. As part of their lease agreements with the Zambia Wildlife Authority, sport hunting operators in Zambia are required to provide annually to local communities free of charge i.e., provision a percentage of the meat obtained through sport hunting. We characterized provisioning of game meat to rural communities by the sport hunting industry in Zambia for three g...
Full Text Available Abstract Background Much of the debate as to whether or not the scaling up of HIV service delivery in Africa benefits non-HIV priority services has focused on the use of nationally aggregated data. This paper analyses and presents routine health facility record data to show trend correlations across priority services. Methods Review of district office and health facility client records for 39 health facilities in three districts of Zambia, covering four consecutive years (2004-07. Intra-facility analyses were conducted, service and coverage trends assessed and rank correlations between services measured to compare service trends within facilities. Results VCT, ART and PMTCT client numbers and coverage levels increased rapidly. There were some strong positive correlations in trends within facilities between reproductive health services (family planning and antenatal care and ART and PMTCT, with Spearman rank correlations ranging from 0.33 to 0.83. Childhood immunisation coverage also increased. Stock-outs of important drugs for non-HIV priority services were significantly more frequent than were stock-outs of antiretroviral drugs. Conclusions The analysis shows scale-up in reproductive health service numbers in the same facilities where HIV services were scaling up. While district childhood immunisations increased overall, this did not necessarily occur in facility catchment areas where HIV service scale-up occurred. The paper demonstrates an approach for comparing correlation trends across different services, using routine health facility information. Larger samples and explanatory studies are needed to understand the client, facility and health systems factors that contribute to positive and negative synergies between priority services.
Siaciwena, Richard; Lubinda, Foster
As a member of the United Nations, Zambia is committed to the observance of human rights enshrined in the Universal Declaration of Human Rights of 1948. This is evidenced, among others, by the fact that Zambia is a signatory to the Convention on the Rights of the Child and the African Charter on the Rights and Welfare of the Child. Zambia has aâ¦
Mwase, Enala T; Stensgaard, Anna-Sofie; Nsakashalo-Senkwe, Mutale; Mubila, Likezo; Mwansa, James; Songolo, Peter; Shawa, Sheila T.; Simonsen, Paul Erik
volunteers from 108 geo-referenced survey sites across Zambia were examined for circulating filarial antigens (CFA) with rapid format ICT cards, and a map indicating the distribution of CFA prevalences in Zambia was prepared. 78% of survey sites had CFA positive cases, with prevalences ranging between 1% and...... country-wide mapping survey was undertaken between 2003 and 2011. Here the mapping activities are outlined, the findings across the numerous survey sites are presented, and the ecological requirements of the LF distribution are explored. METHODOLOGY/PRINCIPAL FINDINGS: Approximately 10,000 adult...... 54%. Most positive survey sites had low prevalence, but six foci with more than 15% prevalence were identified. The observed geographical variation in prevalence pattern was examined in more detail using a species distribution modeling approach to explore environmental requirements for parasite...
Pagni, Fabio; Bono, Francesca; Di Bella, Camillo; Faravelli, Agostino; Cappellini, Anna
Only 1 surgical pathology laboratory is available in Zambia, a country with a population of 12 million people. Since 2004 the Italian association of pathologists Patologi Oltre Frontiera has been working to create a virtual laboratory through the use of telemedicine. The project has involved staining histologic preparations on site, with the interpretation of imaged slides performed abroad through telepathology. Starting in April 2007, all surgical specimens obtained in Mtendere Mission Hospital, Chirundu, Zambia, were submitted for microscopic examination through whole-slide scans. Two independent Italian pathologists evaluated the cases by means of satellite connection and the final diagnoses were sent to Zambian clinicians via the internet. This article describes the spectrum of diagnoses made via telepathology for the Zambian population. Also, we analyze the concordant and discordant data between this telepathology method and traditional microscopy in a developing country. Moreover, we provide possible solutions for providing pathology services in other underdeveloped countries. PMID:21284441
At the request of the Government of the Republic of Zambia, the International Atomic Energy Agency set up a technical assistance project to supply an expert plus some equipment, commencing 1 October 1971 and of one year's duration. The project was to expand Zambia's radiation protection service through monitoring of radiation doses, radiation sources, and premises, and provide advise related to the safe handling of sources of ionizing radiation. Upon arrival the expert found that some of these activities had been initiated. The key measures therefore were to establish channels of communication and authority, survey the state of radiation safety and protective measures, and coordination of protective and control measures. On these lines the Ionising Radiation Act is stated to show how its establishment and organizational structure could assist in the implementation of radiation protection measures. maps
During 1967-1976 five airborne geophysical surveys, covering almost the whole country, were carried out in Zambia. In every case magnetic total field and gamma-ray spectrometer measurements were made. In the Western Province the spectrometer measurements do not cover the Kalahari area. Four of these surveys have been made on behalf of the Government of Zambia. They were done in order to speed up mineral prospecting and also to diversify mining activities from the Copperbelt to other parts of the country. A summary of the airborne gamma-ray spectrometer surveys with short comments on the results and outlines of the analysis of survey data as well as the follow-up work are given. (author)
Mbagaya, Catherine Vuhya
Child maltreatment is a global phenomenon affecting a significant number of the worldâs children. The purpose of this study was to compare the prevalence of self-reported childhood maltreatment among university students in Kenya, Zambia, and The Netherlands. We also sought to compare the psychopathological sequelae of child maltreatment in the three samples. In addition, we sought to find out whether PTSS mediated the association between child maltreatment and the psychopathological symptoms....
Lunze, Karsten; Yeboah-Antwi, Kojo; Marsh, David R.; Kafwanda, Sarah Ngolofwana; Musso, Austen; Semrau, Katherine; Waltensperger, Karen Z; Hamer, Davidson H.
Background Neonatal hypothermia is increasingly recognized as a risk factor for newborn survival. The World Health Organization recommends maintaining a warm chain and skin-to-skin care for thermoprotection of newborn children. Since little is known about practices related to newborn hypothermia in rural Africa, this study's goal was to characterize relevant practices, attitudes, and beliefs in rural Zambia. Methods and Findings We conducted 14 focus group discussions with mothers and grandmo...
Thomson Kalinda; Gelson Tembo; Elias Kuntashula
Maize is the principal agricultural crop produced by Zambian smallholder farmers for household consumption and sale. Their production strategy is therefore important in meeting food security and income needs. This study uses data collected from a survey of a random sample of farm households in southern Zambia to develop a Tobit regression model. The model identifies farm and farmer characteristics important for adoption of improved maize seed varieties as well as to determine the role of farm...
Independent Evaluation Group
From 2004 to 2012, Zambia experienced a combination of good economic policies and high rates of growth not seen since the early years after its independence. While growth was mainly driven by rising copper prices, other factors contributed to Zambiaâs ability to take advantage of this growth. The international debt relief programs in 2004-2005 almost eliminated public debt and provided the...
This paper examines the effects of antiretroviral therapy (ART) on demand for HIV testing and of ART-induced testing on demand for risky sexual behavior. I provide a model of sexual behavior decision-making under uncertainty and estimate the structural parameters of the model using nationally representative survey data from Zambia on HIV testing decisions before and after the introduction of ART. The empirical results indicate that although the introduction of ART increased demand for HIV tes...
Maimbolwa, Margaret C
The Zambian woman starts childbearing early and gives birth to an average of 5.9 children during her reproductive period. The already high levels of maternal deaths are increasing in Zambia. Only 43 per cent of the women deliver with the assistance of a skilled attendant. Maternity care is in focus in this thesis because of the crucial impact it may have on childbearing women and their newborns' health. The aim of this thesis is to describe prevalent maternity care routines...
Bwalya, Edgar; Rakner, Lise; Svåsand, Lars; Tostensen, Arne; Tsoka, Maxton
Malawi and Zambia are poor and heavily indebted countries whose dependence on foreign aid is pronounced. They both qualify for debt relief in terms of the Heavily Indebted Poor Country (HIPC) initiative under the auspices of the Bretton Woods institutions, provided they formulate a Poverty Reduction Strategy Paper (PRSP) that satisfies the new process conditionality which emphasises broad participation. In grappling with the PRSP process the stakeholders (the state, non-state actors, and do...
Christopher J. Kasanga
Full Text Available Nucleotide sequences of the VP2 hypervariable region (VP2-HVR of 10 infectious bursal disease viruses detected in indigenous and exotic chickens in Zambia from 2004 to 2005 were determined. Phylogenetic analysis showed that the viruses diverged into two genotypes and belonged to the African very virulent types (VV1 and VV2. In the phylogenetic tree, strains in one genotype clustered in a distinct group and were closely related to some strains isolated in western Africa (VV1, with nucleotide similarities of 95.7% 96.5%. Strains in the other genotype were clustered within the eastern African VV type (VV2, with nucleotide similarities of 97.3% 98.5%. Both genotypes were distributed in the southern parts of Zambia and had a unique conserved amino acid substitution at 300 (E?A in addition to the putative virulence marker at positions 222(A, 242(I, 256(I, 294(I and 299(S. These findings represent the first documentation of the existence of the African VV-IBDV variants in both indigenous and exotic chickens in Zambia.
Christopher J. Kasanga
Full Text Available Nucleotide sequences of the VP2 hypervariable region (VP2-HVR of 10 infectious bursal disease viruses detected in indigenous and exotic chickens in Zambia from 2004 to 2005 were determined. Phylogenetic analysis showed that the viruses diverged into two genotypes and belonged to the African very virulent types (VV1 and VV2. In the phylogenetic tree, strains in one genotype clustered in a distinct group and were closely related to some strains isolated in western Africa (VV1, with nucleotide similarities of 95.7%â 96.5%. Strains in the other genotype were clustered within the eastern African VV type (VV2, with nucleotide similarities of 97.3%â 98.5%. Both genotypes were distributed in the southern parts of Zambia and had a unique conserved amino acid substitution at 300 (EâA in addition to the putative virulence marker at positions 222(A, 242(I, 256(I, 294(I and 299(S. These findings represent the first documentation of the existence of the African VV-IBDV variants in both indigenous and exotic chickens in Zambia.
... Sectors sections of the Notice of the Executive- Led Mission to Zambia and South Africa, 77 FR 31574, May... International Trade Administration Executive-Led Trade Mission to South Africa and Zambia AGENCY: International....Spector@trade.gov ; or Larry Farris, Senior Commercial Officer, U.S. Consulate, Johannesburg, South...
... published at 77 FR 31574, May 29, 2012, regarding the Executive- Led Trade Mission to South Africa and... International Trade Administration Executive-Led Trade Mission to South Africa and Zambia AGENCY: International... Executive-Led Trade Mission to South Africa and Zambia. Recruitment for this mission will conclude no...
Discusses problems associated with the implementation of mother tongue education in Zambia. Focus is on the sociolinguistic situation, language policy after independence, sociolinguistic implications, language use in different domains, language use and ethnic identity in Zambia, Kenya, and Tanzania, prospects for mother tongue education; bilingualâ¦
... 7 Agriculture 5 2010-01-01 2010-01-01 false Baby corn and baby carrots from Zambia. 319.56-43... § 319.56-43 Baby corn and baby carrots from Zambia. (a) Immature, dehusked baby sweet corn (Zea mays L..., which is a field, where the corn has been grown must have been inspected at least once during...
Jones, Deborah; Zulu, Isaac; Mumbi, Miriam; Chitalu, Ndashi; Vamos, Szonja; Gomez, Jacqueline; Weiss, Stephen M.
This study sought to identify strategies for living with the challenges of HIV and antiretroviral (ARV) use among new medication users in urban Zambia. Participants (n = 160) were recruited from urban Lusaka, Zambia. Qualitative Data was drawn from monthly ARV treatment education intervention groups addressing HIV and antiretroviral use. Themes
Full Text Available Objective To determine whether a complex community intervention in rural Zambia improved understanding of maternal health and increased use of maternal health-care services. Methods The intervention took place in six rural districts selected by the Zambian Ministry of Health. It involved community discussions on safe pregnancy and delivery led by trained volunteers and the provision of emergency transport. Volunteers worked through existing government-established Safe Motherhood Action Groups. Maternal health indicators at baseline were obtained from women in intervention (n?=?1775 and control districts (n?=?1630. The intervention's effect on these indicators was assessed using a quasi-experimental difference-in-difference approach that involved propensity score matching and adjustment for confounders such as education, wealth, parity, age and distance to a health-care facility. Findings The difference-in-difference comparison showed the intervention to be associated with significant increases in maternal health indicators: 1416% in the number of women who knew when to seek antenatal care; 1015% in the number who knew three obstetric danger signs; 1219% in those who used emergency transport; 2224% in deliveries involving a skilled birth attendant; and 1621% in deliveries in a health-care facility. The volunteer drop-out rate was low. The estimated incremental cost per additional delivery involving a skilled birth attendant was around 54 United States dollars, comparable to that of other demand-side interventions in developing countries. Conclusion The community intervention was associated with significant improvements in women's knowledge of antenatal care and obstetric danger signs, use of emergency transport and deliveries involving skilled birth attendants.
Full Text Available Abstract Introduction Current health policy directions in Zambia are formulated in the National Health Strategic Plan. The Plan focuses on national health priorities, which include the human resources (HR crisis. In this paper we describe the way the HRH establishment is distributed in the different provinces of Zambia, with a view to assess the dimension of shortages and of imbalances in the distribution of health workers by province and by level of care. Population and methods We used secondary data from the "March 2008 payroll data base", which lists all the public servants on the payroll of the Ministry of Health and of the National Health Service facilities. We computed rates and ratios and compared them. Results The highest relative concentration of all categories of workers was observed in Northern, Eastern, Lusaka, Western and Luapula provinces (in decreasing order of number of health workers. The ratio of clinical officers (mid-level clinical practitioners to general medical officer (doctors with university training varied from 3.77 in the Lusaka to 19.33 in the Northwestern provinces. For registered nurses (3 to 4 years of mid-level training, the ratio went from 3.54 in the Western to 15.00 in Eastern provinces and for enrolled nurses (two years of basic training from 4.91 in the Luapula to 36.18 in the Southern provinces. This unequal distribution was reflected in the ratio of population per cadre. The provincial distribution of personnel showed a skewed staff distribution in favour of urbanized provinces, e.g. in Lusaka's doctor: population ratio was 1: 6,247 compared to Northern Province's ratio of 1: 65,763. In the whole country, the data set showed only 109 staff in health posts: 1 clinical officer, 3 environmental health technologists, 2 registered nurses, 12 enrolled midwives, 32 enrolled nurses, and 59 other. The vacancy rates for level 3 facilities(central hospitals, national level varied from 5% in Lusaka to 38% in Copperbelt Province; for level 2 facilities (provincial level hospitals, from 30% for Western to 70% for Copperbelt Province; for level 1 facilities (district level hospitals, from 54% for the Southern to 80% for the Western provinces; for rural health centres, vacancies varied from 15% to 63% (for Lusaka and Luapula provinces respectively; for urban health centres the observed vacancy rates varied from 13% for the Lusaka to 96% for the Western provinces. We observed significant shortages in most staff categories, except for support staff, which had a significant surplus. Discussion and Conclusions This case study documents how a peaceful, politically stable African country with a longstanding tradition of strategic management of the health sector and with a track record of innovative approaches dealt with its HRH problems, but still remains with a major absolute and relative shortage of health workers. The case of Zambia reinforces the idea that training more staff is necessary to address the human resources crisis, but it is not sufficient and has to be completed with measures to mitigate attrition and to increase productivity.
Nonaka, N; Nakamura, S; Inoue, T; Oku, Y; Katakura, K; Matsumoto, J; Mathis, A; Chembesofu, M; Phiri, I G K
Faecal samples were collected from the rectum of 540 domestic dogs from four districts (Lusaka, Katete, Petauke and Luangwa) in Zambia between 2005 and 2006 and prevalences of canine alimentary tract parasites were determined by coprological examination. Thirteen different ova and parasites including strongyle (43.3%), Spirocerca lupi (18.7%), taeniid (13.1%), Toxocara canis (7.6%), Sarcocystis sp.* (7.5%), Isospora sp.* (5.7%), Physaloptera sp.* (4.6%), Capillaria sp.* (2.8%), Dipylidium caninum (2.2%), Mesocestoides sp.* (2.0%), Ascaris sp.* (1.7%), Trichuris vulpis* (0.4%) and Schistosoma mansoni* (0.4%) were detected, Ascaris and Schistosoma probably originating from coprophagy. The species with asterisks and later-described Taenia multiceps are for the first time reported from dogs in Zambia. A coproantigen enzyme-linked immunosorbent assay (CoproAg-ELISA) developed for Echinococcus spp. revealed 43 positive dogs and 37 of these harboured taeniid eggs. From 63 of the 71 taeniid egg-positive samples, eggs and DNA thereof were isolated and subjected to a multiplex polymerase chain reaction for differentiating E. granulosus sensu lato, E. multilocularis and Taenia spp. Amplicons indicative for Taenia spp. were obtained from 60 samples. Sequencing of amplicons spanning part of the mitochondrial cytochrome c oxidase subunit 1 gene, which was possible with 38 samples, revealed 35 infections with T. hydatigena and 3 with T. multiceps. Therefore, the CoproAg-ELISA showed some positives, but concrete evidence for the existence of canine E. granulosus infection could not be established. Comparison of the results of the CoproAg-ELISA and Taenia species identification indicated that the CoproAg-ELISA cross-reacts with patent infections of T. hydatigena (57%) and T. multiceps (33%). PMID:22185947
Fink, GÃ¼nther; Jack, Kelsey; Masiye, Felix
Small-scale farming remains the primary source of income for a majority of the population in developing countries. While most farmers primarily work on their own fields, off-farm labor is common among small-scale farmers. A growing literature suggests that off-farm labor is not the result of optimal labor allocation, but is instead driven by households' inability to cover short-term consumption needs with savings or credit. We conduct a field experiment in rural Zambia to investigate the rela...
Mweemba, P.; Haruzivishe, C.; Siziya, Seter; Chipimo, Peter Jay; Cristenson, K.; Johansson, E.
More than 1.5 million TB cases occur in sub-Saharan Africa every year. Lack of compliance to TB treatment has contributed to the steady rise of TB incidence in Zambia. The prevalence of TB was 511 per 100,000 population in 2000. Much of the increase in incidence has been attributed to co-infection with HIV, there are HIV rates of 70-80% in TB patients Objectives: To determine knowledge, attitude and compliance with TB treatment by PTB patients attending chest clinic at a tertiary hospital. De...
Hoorik, P. van; Mweetwa, F.
Access to information and, more importantly, the internet is not evenly distributed in this world. But if they had it, would people in rural Africa want to use the internet? How would they use it and benefit from it? Will internet influence culture and how can communities prepare themselves when the internet comes in their village? To support the rollout of internet in more rural areas in Zambia and to improve the effectiveness of ICT in rural environments, a clear view on the adoption and us...
Mweemba, P.; Haruzivishe, C.; Siziya, Seter; Chipimo, Peter Jay; Cristenson, K.; Johansson, E
More than 1.5 million TB cases occur in sub-Saharan Africa every year. Lack of compliance to TB treatment has contributed to the steady rise of TB incidence in Zambia. The prevalence of TB was 511 per 100,000 population in 2000. Much of the increase in incidence has been attributed to co-infection with HIV, there are HIV rates of 70-80% in TB patients Objectives: To determine knowledge, attitude and compliance with TB treatment by PTB patients attending chest clinic at a tertiary hospital....
Jensen, Peter; Nielsen, Helena Skyt
In this paper, we investigate what affects school attendance and child labour in an LDC, using data for Zambia. Since the data come from a household survey with information on all household members, it allows us to take account of unobserved household effects by introducing household specific...... effects in a logit model. The empirical analysis suggests that both economic and sociological variables are important determinants for the choice between school attendance and child labour. In particular, we find some support for the hypothesis that poverty forces households to keep their children away...
Munang'andu, H M; Muyoyeta, P M; Mweene, A S; Kida, H
Retrospective surveillance study of clostridial infections of cattle in Zambia, for the period 1985 to 1994, showed that out of the 318 cases observed, 62.8% and 24.2% were from Western and Southern provinces, respectively. Of the 6 clostridia species identified, Clostridium septicum (38.1%) followed by C. chauvoei (36.2%) and C. perfringens (13.2%) were dominant. Although the highest incidence for clostridial infections was in 1989 (75 cases) and 1990 (77 cases), the number of C. perfringens cases seemed to increase. More cases were found in the dry season until the onset of the rains, that is, the period August to December. PMID:8997878
Simutanyi, Neo; Fraser, Alastair; Milapo, Nalukui
The PiMA Working Papers are a series of peer-reviewed working papers that present findings and insights from Centre of Governance and Human Rights? (CGHR) Politics and Interactive Media in Africa (PiMA) research project (2012-14). The project, jointly funded by the ESRC and DFID (ES/J018945/1), focuses on expressions of ?public opinion? in broadcast media via new information and communication technologies (ICT) such as mobile phones in Kenya and Zambia. PiMA examines the political implication...
This brief presentation gives some of the highlights of the activities that the government of the Republic of Zambia undertook from 1972 to date in its effort to ensure the development of a national radiation protection infrastructure. The paper also discusses some of the challenges that have to be addressed. The final section discusses some of the policy options and recommendations that should be undertaken in order to ensure that the Zambian government has a clear direction for the development of radiation safety infrastructure. The issue of national emergency plan and response in the event of a radiological accident is also discussed. (author)
National Oceanic and Atmospheric Administration, Department of Commerce â This layer depicts the 114th Congressional Districts for the United States. Found within this layer is the listing of the 114th House of Representatives. Elected to...
Nachiyunde, Kabunga; Ikeda, Hideo; Tetsuji OKUDA; Wataru NISHIJIMA
Zambias economy is hinged on mining activities with Cu being the main metal. Zn and Pb were mined at one point in Kabwe town. There are also known deposits of Co and Mn. The study focused on comparing heavy metal pollution from different regions across Zambia with a view of determining the impact of the stage of social development and economic activities on the environment. The water analysed was obtained near dump sites,farmlands, pit latrines, water reservoirs or dams, major rivers and sma...
ZurbrÃ¼gg, R.; Suter, S; Lehmann, M. F.; Wehrli, B.; Senn, D. B.
Tropical floodplains play an important role in organic matter transport, storage, and transformation between headwaters and oceans. However, the fluxes and quality of organic carbon (OC) and organic nitrogen (ON) in tropical river-floodplain systems are not well constrained. We explored the quantity and characteristics of dissolved and particulate organic matter (DOM and POM) in the Kafue River flowing through the Kafue Flats (Zambia). The Kafue Flats are a tropical dam-impacted river-floodpl...
Mavhungu Abel Mafukata
Full Text Available The main objective of this paper is to explore the factors having the most significance on the probability of the adopters of microfinance moving out of poverty in Zambia. Ninety nine (n=99 respondents were randomly and purposively selected from amongst 340 microfinance adopters of the so-called Micro Bankers Trust programme operating a microfinance business in the Makululu Compound of Kabwe, Zambia. Primary data were collected through face-to-face interviews based on a semi-structured questionnaire. The data were entered into an excel spreadsheet for analysis. The descriptive data were thereafter exported and fitted to an empirical model. The descriptive results revealed that the majority of the respondents were married, unemployed, fairly educated younger women from larger-sized poor households who drew their household income mainly from microfinance activities. The majority of the respondents thought microfinance had improved their well-being in some crucial areas. The results of the empirical model found that some respondents indeed had improved their probabilities to move out of poverty. Conclusion drawn in this paper is that microfinance does alleviate poverty of the poor.Â
Mavhungu Abel Mafukata
Full Text Available The main objective of this paper is to investigate the factors having the most influence on the alleviation of poverty amongst the households adopting microfinance in Zambia. Ninety nine (n=99 respondents were randomly and purposively selected from amongst 340 microfinance adopters of the so-called Micro Bankers Trust programme operating a microfinance business in the Makululu Compound of Kabwe, Zambia. Socio-demographic primary data were collected through face-to-face interviews based on a semi-structured questionnaire instrument. The data were entered into an excel spreadsheet for analysis. The descriptive data were thereafter exported and fitted to an empirical model. The descriptive results revealed that the majority of the respondents were married, unemployed, fairly educated younger women from larger-sized poor households who drew their household income mainly from microfinance activities. The majority of the respondents thought microfinance had improved their well-being in some crucial areas. The results of the empirical model found that some respondents were indeed alleviated from poverty through microfinance. Conclusion drawn in this paper is that microfinance does alleviate poverty of the poor.
Joseph, Bwalya Kelvin
In most parts of the world, political systems which utilize authoritative rule and mostly employ top-down decision-making processes are slowly transcending towards democratic norms. Information Technology Systems have been identified and adopted as one of the most efficient vehicles for appropriate, transparent and inclusive / participatory decision making. Zambia has shown a higher propensity to indigenous knowledge systems which are full of inefficiencies, a lot of red tape in public service delivery, and prone to corrupt practices. Despite that being the case, it is slowly trying to implement e-government. The adoption of e-government promises a sharp paradigm shift where public institutions will be more responsive and transparent, promote efficient PPP (Public Private Partnerships), and empower citizens by making knowledge and other resources more directly accessible. This paper examines three cases from Zambia where ICT in support of e-government has been implemented for Development Information Exchange (DIE) - knowledge-based decision making. The paper also assesses the challenges, opportunities, and issues together with e-government adoption criteria regarding successful encapsulation of e-government into the Zambian contextual environment. I propose a conceptual model which offers balanced e-government adoption criteria involving a combination of electronic and participatory services. This conceptual e-government adoption model can later be replicated to be used at the Southern African Development Community (SADC) level given the similarity in the contextual environment.
Kutsch, W.; Merbold, L.; Scholes, B.; Mukelabai, M.
Miombo woodlands cover the transition zone between dry open savannas and moist forests in Southern Africa. They cover about 2.7 million km2 in southern Africa and provide many ecosystem services that support rural life, including medical products, wild foods, construction timber and fuel. In Zambia, as in many of its neighbouring countries, miombo woodlands are currently experiencing accelerating degradation and clearing, mostly with charcoal production as the initial driver. Domestic energy needs in the growing urban areas are largely satisfied by charcoal, which is less energy-efficient fuel on a tree-to-table basis than the firewood that is used in rural areas, but has a higher energy density and is thus cheaper to transport. This study uses data from inventories and from eddy covariance measurements of carbon exchange to characterize the impact of charcoal production on miombo woodlands. We address the following questions: (i) how much carbon is lost at local as well as at national scale and (ii) does forest degradation result in the loss of a carbon sink? On the basis of our data we (iii) estimate the per capita emissions through deforestation and forest degradation in Zambia and relate it to fossil fuel emissions. Furthermore, (iv) a rough estimate of the energy that is provided by charcoal production to private households at a national level is calculated and (v) options for alternative energy supply to private households are discussed.
The persistence of lindane and endosulfan was studied under field conditions in Zambia in 1992 to 1994. Both pesticides dissipated rapidly under field conditions. About 29% and 73% of initial concentration was lost during the first 30 and 60 days after treatment, respectively in 1992. After 180 days, about 11% of the initial concentration was recovered from the soil. In 1993, 40% of initial residues were lost during the first 30 days. At 180 days after spraying, slightly more residues (25% of the initial values) were recovered at this time than in 1992. This indicated a change in the longer term behaviour of lindane in the soil since the calculated half-lives of lindane, covering the shorter term behaviour, were 55-80 days in 1992 and â¼ 17 days in 1993. In 1994, losses of Î±-Endosulfan and Î²-Endosulfan were 40% and 37% respectively during the initial 30 days after treatment. A further 25% of Î±-Endosulfan and 33% of Î²-Endosulfan were lost during the following 30 days. These data allow estimates of the half-lives of Î±- and Î²-Endosulfan (40 and 38 days) under the field conditions pertaining in Zambia at the time of the trials showing that this compound has only moderate persistence and unlikely to cause long term environmental problems. (author). 7 refs, 8 tabs
Full text: The Barotse and Tonga are among the known indigenous cattle of Zambia they belong to the Sanga cattle. Barotse cattle are long horned found predominantly in Western Province while Tonga cattle are small framed, medium to short horns with a rudimentary hump found in Southern Province of Zambia. A total of 271 mature Barotse cattle and 268 mature Tonga cattle were included in the morphological characterization study. The aim of the study was to create an understanding of the physical characteristics of the two types of cattle. The comparisons of least - square means on the dimensional measurements between the male and female mature Barotse cattle revealed that males are bigger than females. There were very high significant differences (P < 0.001) in favour of males for withers height, body length, heart girth, head length, head width and horn circumference. In Tonga cattle wither height was highly correlated to rump height, body length, heart girth, and barrel size. Body length was highly correlated to heart girth and barrel size. Barrel size was also very highly correlated (0.834) to the heart girth. The phenotypic characterization of the two cattle groups shows variations in measurements. Preliminary findings on genetic characterization using RAPD markers showed remarkable differences in the two breeds of cattle. A more comprehensive study including the production parameters and genetic variation is ongoing. (author)
National Aeronautics and Space Administration This data set contains daily rainfall totals (mm) from Mongu, in the Western Province of Zambia. The data were collected with a British standard 5 inch diameter...
National Aeronautics and Space Administration ABSTRACT: This data set contains daily rainfall totals (mm) from Mongu, in the Western Province of Zambia. The data were collected with a British standard 5 inch...
The need to enhance environmental sustainability, sustainable development and growth that takes into account the well-being of the people and nature because of the increased production and consumption of goods and services is the major driver to the introduction of green economy in Zambia and countries in southern Africa. This article examines the extent to which local government in Zambia has embraced green growth and green economy and critically analyses the concept of green economy and gre...
Meekers Dominique; Van Rossem Ronan
Abstract Background Like many sub-Saharan African countries, Zambia is dealing with major health issues, including HIV/AIDS, family planning, and reproductive health. To address reproductive health problems and the HIV/AIDS epidemic in Zambia, several social marketing and health communication programs focusing on reproductive and HIV/AIDS prevention programs are being implemented. This paper describes the reach of these programs and assesses their impact on condom use. Methods This paper asse...
Roma Chilengi; Cheryl Rudd; Carolyn Bolton; Bradford Guffey; Penelope Kalesha Masumbu; Jeffrey Stringer
Introduction: Under five mortality in Zambia is unacceptably high and diarrhoea is the third leading contributor. The Programme for Awareness and Elimination of Diarrhoea (PAED) sought to support the government to accelerate the introduction of new vaccines, including the pneumococcal, second dose measles and rotavirus vaccines in Zambia. Here we present our approach, progress and lessons learned in two years of the programme. Stakeholder Engagement: Definite commitment and buy-in and sign of...
Lilias Makashini; Austine Ng'ombe; Henry Abanda; Albert Malama; Priscilla Mudenda
Southern Africa is noted for not only constant power shortages but also poor access to electricity. In Zambia, for example, 75% of the population does not have access to electricity. This is partly because although Zambia has one of the lowest energy tariffs in Southern Africa, when compared with household monthly income, the resource is still reasonably unaffordable. Therefore, there is need to find innovative ways of reducing energy cost. Recent studies have indicated that there are pattern...
Chanda Pascalina; Castillo-Riquelme Marianela; Masiye Felix
Abstract Background Malaria in Zambia accounts for about 4 million clinical cases and 8 000 deaths annually. Artemether-lumefantrine (ACT), a relatively expensive drug, is being used as first line treatment of uncomplicated malaria. However, diagnostic capacity in Zambia is low, leading to potentially avoidable wastage of drugs due to unnecessary anti malarial treatment. Methods A cost-effectiveness evaluation of the three current alternatives to malaria diagnosis (clinical, microscopy and Ra...
The southern African nation of Zambia is confronted by numerous environmental problems whilst constrained by limited fiscal resources. This study examines the current environmental and educational situation in Zambia and how the Ministry of Education through a revision of its curriculum might inculcate hands-on interactive solutions to local environmental problems and enhance student learning. The current Zambian educational curriculum has integrated environmental issues across grade levels a...
Queisser, Monika; Bailey, Clive; Woodall, John
All of Zambia's pension schemes are deficient in design, financing, and administration. This report urges that Zambia restructure its social protection system to complement its new economic strategy. That restructuring must address such basic problems as macroeconomic fluctuations and an unstable financial sector; high inflation rates and politically-motivated low-yield investments and loans; income ceilings irregularly adjusted for inflation; overgenerous public sector pension benefits; and ...
Mwape, K. E.; Phiri, I. K.; Praet, N; Muma, J. B.; Zulu, G; Van den Bossche, P.; De Deken, R.; Speybroeck, N.; Dorny, P.; Gabriël, S.
Background: Taenia solium taeniosis/cysticercosis is a parasitic infection occurring in many developing countries. Data on the status of human infections in Zambia is largely lacking. We conducted a community-based study in Eastern Zambia to determine the prevalence of human taeniosis and cysticercosis in a rural community. Methods and Findings: Stool and serum samples were collected from willing participants. Geographical references of the participants' households were determined and hous...
Ferrinho Paulo; Siziya Seter; Goma Fastone; Dussault Gilles
Abstract Introduction Current health policy directions in Zambia are formulated in the National Health Strategic Plan. The Plan focuses on national health priorities, which include the human resources (HR) crisis. In this paper we describe the way the HRH establishment is distributed in the different provinces of Zambia, with a view to assess the dimension of shortages and of imbalances in the distribution of health workers by province and by level of care. Population and methods We used seco...
Simuyemba, Moses; Talib, Zohray; Michelo, Charles; Mutale, Wilbroad; Zulu, Joseph; Andrews, Ben; Katubulushi, Max; Njelesani, Evariste; Bowa, Kasonde; Maimbolwa, Margaret; Mudenda, John; Mulla, Yakub
Zambia is facing a crisis in its human resources for health (HRH), with deficits in the number and skill mix of health workers. The University of Zambia School of Medicine (UNZA SOM) was the only medical school in the country for decades, but recently it was joined by three new medical schoolstwo private and one public. In addition to expanding medical education, the government has also approved several allied health programs, including pharmacy, physiotherapy, biomedical sciences, and envir...
Crucitti, T; Jespers, V.; Mulenga, C.; Khondowe, S.; Vandepitte, J.; BuvÃ©, A
OBJECTIVES: To identify risk factors for trichomoniasis among young women in Ndola, Zambia. METHOD: The study was a cross-sectional study among adolescent girls aged 13-16 years in Ndola, Zambia. Study participants were recruited from schools in selected administrative areas that represented the different socio-economic strata in town. Consenting participants were interviewed about their socio-demographic characteristics; sexual behaviour; and hygiene practices. Self-administered vaginal swab...
Fiedler, John L; Mubanga, Freddie; Siamusantu, Ward; Musonda, Mofu; Kabwe, Kabaso F; Zulu, Charles
Child Health Weeks (CHWs) are semi-annual, campaign-style, facility- and outreach-based events that provide a package of high-impact nutrition and health services to under-five children. Since 1999, 30% of the 85 countries that regularly implement campaign-style vitamin A supplementation programmes have transformed their programmes into CHW. Using data drawn from districts' budget, expenditures and salary documents, UNICEF's CHW planning and budgeting tool and a special purposive survey, an economic analysis of the June 2010 CHW's provision of measles, vitamin A and deworming was conducted using activity-based costing combined with an ingredients approach. Total CHW costs were estimated to be US$5.7 million per round. Measles accounted for 57%, deworming 22% and vitamin A 21% of total costs. The cost per child was US$0.46. The additional supplies and personnel required to include measles increased total costs by 42%, but reduced the average costs of providing vitamin A and deworming alone, manifesting economies of scope. The average costs of covering larger, more urban populations was less than the cost of covering smaller, more dispersed populations. Provincial-level costs per child served were determined primarily by the number of service sites, not the number of children treated. Reliance on volunteers to provide 60% of CHW manpower enables expanding coverage, shortening the duration of CHWs and reduces costs by one-third. With costs of $1093 per life saved and $45 per disability-adjusted life-year saved, WHO criteria classify Zambia's CHWs as 'very cost-effective'. The continued need for CHWs is discussed. PMID:23242696
Richard Siaciwena; Foster Lubinda
As a member of the United Nations, Zambia is committed to the observance of human rights enshrined in the Universal Declaration of Human Rights of 1948. This is evidenced, among others, by the fact that Zambia is a signatory to the Convention on the Rights of the Child and the African Charter on the Rights and Welfare of the Child. Zambia has a permanent Human Rights Commission that includes a subcommittee on child rights whose focus is on child abuse and education. Zambia also has a National...
Mutale, W.; Ayles, H.; Bond, V; Mwanamwenge, MT; Balabanova, D.
INTRODUCTION Health worker motivation can potentially affect the provision of health services. Low morale among the workforce can undermine the quality of service provision and drive workers away from the profession. While the presence of high-quality, motivated staff is a key aspect of health system performance, it is also one of the most difficult factors to measure. METHODS We assessed health worker motivation as part of the baseline assessment for a health system strengthening interv...
Uranium mineralization related to the fluviatile continental sandstone of the Escarpment Grit Formation of Upper Karroo System has been studied in detail in the Bungua area. Airborne and ground gamma-radiation surveys resulted in the discovery of mineralized bodies containing secondary minerals such as meta-autunite, phosphuranylite, uranocircite, abernythite, boltwoodite, etc. disseminated in various ways. Geological, radiometric, stratigraphic, sedimentological and petrological studies coupled with exploration pitting, trenching and drilling were employed to assess the nature, distribution and sub-surface continuation of mineralized bodies. Drilling, logging and XRF analysis revealed that the uranium mineralized bodies are mainly lenses at different levels, which may be concordant or discordant with bedding. The thickness and grade of ore horizons differ considerably. Mineral distribution and controls are complex and that the main deposit is controlled by reducing lithologies, organic matter, clay traps, micas, iron cementing and permeable channels. Although no definite mode of origin can be attributed to the presently seen uranium mineralized bodies, they appear to be from a pre-existing ore deposit which is mobilized and redistributed during oxidation by supergene processes. It is suggested that the original uranium was in solution as uranylion and came from the same source area as the host rocks and the uranium-bearing groundwater and streams moved in the same direction as the associated Escarpment Grit sediments. Uranium was precipitated wherever favourable conditions prevailed in the Escarpment Grit Formation. (author)
Zambia is well endowed with hydropower and other energy resources, which could facilitate production of electricity for both urban and rural areas of the country. The country has an installed electricity generation capacity of 1786 MW and undeveloped hydropower potential of over 6000 MW. In the last few years, demand has been growing and it is anticipated to outstrip supply in 2008. The load growth is attributed to increased mining activities and development of the industrial base. The country is also endowed with abundant natural resources such as arable land, water, minerals and wildlife. With the available resource base, electricity along with other social and economic infrastructure such as roads and telecommunications could facilitate increased economic activities. In rural areas, electricity could be used for crop irrigation, agro-processing, small-scale mining and to facilitate tourism. However, rural electrification (RE) faces many challenges such as long distances from existing power stations to targeted rural areas, low population densities, high poverty levels and low skills availability. These and other factors have contributed to continued low levels of access to electricity in rural areas of the country. Measures so far undertaken to facilitate access to electricity in rural areas of Zambia include the adoption of a new National Energy Policy (NEP) in 1994. With regard to the electricity sector and RE in particular, the NEP was aimed at facilitating increased access by liberalising and restructuring the electricity market and promoting the use of low-cost technologies and decentralised renewable energies. To facilitate implementation of the new policy, the government established a legal and institutional framework by enacting new legislation, namely, the Electricity Act and the Energy Regulation Act in 1995. The Electricity Act provided for liberalisation and regulation of the electricity sector, while the Energy Regulation Act provided for the establishment of an independent regulator so as to stimulate private sector participation and efficiency. In addition, a Rural Electrification Fund (REF) and associated administration mechanism was established in 1995. However, RE continued to experience many challenges. In 2003, the government enacted the Rural Electrification Act leading to the establishment of an agency dedicated to RE. This paper analyses the policy, legal and institutional measures implemented in Zambia and assesses their potential or effectiveness to tackle some of the challenges facing RE in the country so as to increase access and affordability
Zambia is well endowed with hydropower and other energy resources, which could facilitate production of electricity for both urban and rural areas of the country. The country has an installed electricity generation capacity of 1786 MW and undeveloped hydropower potential of over 6000 MW. In the last few years, demand has been growing and it is anticipated to outstrip supply in 2008. The load growth is attributed to increased mining activities and development of the industrial base. The country is also endowed with abundant natural resources such as arable land, water, minerals and wildlife. With the available resource base, electricity along with other social and economic infrastructure such as roads and telecommunications could facilitate increased economic activities. In rural areas, electricity could be used for crop irrigation, agro-processing, small-scale mining and to facilitate tourism. However, rural electrification (RE) faces many challenges such as long distances from existing power stations to targeted rural areas, low population densities, high poverty levels and low skills availability. These and other factors have contributed to continued low levels of access to electricity in rural areas of the country. Measures so far undertaken to facilitate access to electricity in rural areas of Zambia include the adoption of a new National Energy Policy (NEP) in 1994. With regard to the electricity sector and RE in particular, the NEP was aimed at facilitating increased access by liberalising and restructuring the electricity market and promoting the use of low-cost technologies and decentralised renewable energies. To facilitate implementation of the new policy, the government established a legal and institutional framework by enacting new legislation, namely, the Electricity Act and the Energy Regulation Act in 1995. The Electricity Act provided for liberalisation and regulation of the electricity sector, while the Energy Regulation Act provided for the establishment of an independent regulator so as to stimulate private sector participation and efficiency. In addition, a Rural Electrification Fund (REF) and associated administration mechanism was established in 1995. However, RE continued to experience many challenges. In 2003, the government enacted the Rural Electrification Act leading to the establishment of an agency dedicated to RE. This paper analyses the policy, legal and institutional measures implemented in Zambia and assesses their potential or effectiveness to tackle some of the challenges facing RE in the country so as to increase access and affordability. (author)
This study investigated the amount of and impact of fertiliser loading into the upper Kaleya river of Mazabuka district in Southern Province of Zambia. It provides an opportunity to evaluate water quality associated with nutrient and pesticide use, due to prominence of intensive agriculture in the area. Storm water runoff of fertilizers and pesticides applied on farmlands have appeared to be the predominant source of nutrients and contaminants affecting surface water quality in upper Kaleya River, a factor very much dependent on land use in the catchment.The study concluded that upper Kaleya River is polluted from the application of fertilizers and pesticides used by farmers and that more long term studies are required to evaluate environmental effects of fertilizers and pesticide use in order to provide assessments of pollution and and for developing cost effective pollution control and monitoring programmes
De Waele Jo
Full Text Available Lusaka, the capital of Zambia with over 2,000,000 inhabitants, is built on an extensive plateau composed mainly of schists and dolomitic marbles, constituting a very important aquifer that provides the city with almost half of its drinking water needs. Recent demographic growth, leading to uncontrolled urban expansion, and mismanagement of the water resource and of urban waste has lead, in the past 20 years, to an overexploitation of the aquifer and to a generalised water quality depletion, putting in serious danger the future social and economical development of the capital. This third world city has, for these reasons, become a terrifying example of human impact on a vulnerable karst environment, and if no measures will be taken in the very near future, quality of life in the city will be at serious risk.
In 1989 the first activities concerning wind energy started in Zambia, resulting in a wind energy project of the Department of Energy. The first phase of this project was the set up of an appropriate technology test site. It included the fabrication of a CWD 2740 wind pump, adapted to local circumstances. The total costs of the manufacture of the complete system was approximately US$ 8,000 (of which 60% are labor cost), while an imported system would cost between US$ 2,000 and US$ 4,000. The second phase will focus on possible commercialization of wind energy. The major constraints for implementation of wind energy are: 1. inadequate provision of funds, caused by short sighted policy makers having not a clear policy regarding the utilization of wind energy; 2. high costs of windmills, especially when these are manufactured locally; 3. lack of trained and skilled manpower to provide backup and effective maintenance service of windmills in the field
Brems, D.; Muchez, Ph.; Sikazwe, O.; Mukumba, W.
The Central African Copperbelt is one of the largest and richest metallogenic provinces in the world. Despite the many studies, the genesis of the stratiform Cu-Co-mineralization remains a subject of intense discussion. A diagenetic, pre-folding origin is proposed for most ore deposits both in Zambia and the Democratic Republic of Congo. However, later mineralization and/or remobilization seem to be important in the enrichment of the ores. The geological mapping of the South Orebody mine at Nkana (Zambia) indicates a relation between the mineralization and the host rock but also with compressional deformation. The location of the rich ore bodies generally corresponds with the hinge zones of tight to isoclinal folds and with the contact between the sandstones and conglomerates of the Footwall Sandstone Formation and the overlying organic-rich shales of the Ore Formation. The circulation of the mineralizing/remobilizing fluids through the rocks was facilitated by fracturing, especially in the hinge zones of the folds resulting in a structural permeability. A petrographical study demonstrated that, in addition to disseminated sulphides, three successive vein generations occur at Nkana South Orebody, i.e. layer parallel veins, irregular, crosscutting veins and massive veins. These vein generations respectively formed during the initial phase of basin inversion, the main phase of deformation and a late phase of orogenesis or later extensional tensions. Early diagenetic disseminated framboidal pyrites were replaced by Cu-sulphides. The timing of this replacement could not be constrained. Silicification, K-feldspar alteration, albitization, carbonatization and replacement by anhydrite are the main alteration phases.
Vijayan K Pillai
Full Text Available Vijayan K Pillai1, Rashmi Gupta21School of Social Work, University of Texas at Arlington, Arlington, TX, USA; 2Department of Social Work, San Francisco State University, San Francisco, CA, USAAbstract: For decades, family planning programs have targeted women in developing countries. These programs bestow a great deal of autonomy on women with respect to fertility decision making. It is well known that a number of close relatives in multigenerational and extended family systems influence womenâs fertility decisions with respect to child spacing and contraceptive use. One approach toward a systematic study of fertility decision making is to explicitly consider the husbandâs influences on fertility decision making. This study examines the effects of a selected number of factors on the desired birth interval lengths. We interviewed husbands and wives separately from 165 randomly selected households from two poor neighborhoods in the city of Kitwe, Zambia. Three ordinal birth interval groups were obtained for both husbands and wives separately. The effect of selected factors on the likelihood of influencing the three groups was examined using ordinal logistic regression methods. Data from husbands and wives were analyzed separately. Qualitative methods such as semistructured interviews were used to gather extensive information on the various factors that husbands and wives perceive to influence their child spacing decisions. We found differences in accounts with respect to child spacing between husbands and wives, likely due to a lack of communication. A gender-sensitive approach is necessary to promote spacing methods among poor couples in Zambia.Keywords: child spacing, contraceptive use, correspondence analysis, couple decision making
Munyeme Musso; Matandiko Wigganson; Siamudaala Victor M; Munang'andu Hetron M; Chembensofu Mwelwa; Mwase Enala
Abstract Background In Zambia, translocation of wildlife from National Parks to private owned game ranches demands that only animals free of infectious diseases that could adversely affect the expansion of the wildlife industry should be translocated to game ranches. Sarcoptes mange (Sarcoptes scarbiei) has been involved in the reduction of wildlife populations in some species. Results Sarcoptes mange (Sarcoptes scarbiei) was detected and eradicated from two herds of African buffalo (Syncerus...
Trinies, Victoria; Chard, Anna N.; Mateo, Tommy; Freeman, Matthew C.
There is a well-established link between hydration and improved cognitive performance among adults, with evidence of similar findings among children. No trials have investigated the impact of water provision on cognitive performance among schoolchildren in hot and arid low-resource settings. We conducted a randomized-controlled trial in five schools with limited water access in Chipata district in Eastern province, Zambia, to assess the efficacy of water provision on cognition. Pupils in grades 3â6 were randomly assigned to either receive a bottle of drinking water that they could refill throughout the day (water group, n = 149) or only have access to drinking water that was normally available at the school (control group, n = 143). Hydration was assessed in the morning before provision of water and in the afternoon through urine specific gravity (Usg) measured with a portable refractometer. In the afternoon we administered six cognitive tests to assess short-term memory, concentration, visual attention, and visual motor skills. Morning prevalence of dehydration, defined as Usgâ¥1.020, was 42%. Afternoon dehydration increased to 67% among the control arm and dropped to 10% among the intervention arm. We did not find that provision of water or hydration impacted cognitive test scores, although there were suggestive relationships between both water provision and hydration and increased scores on tests measuring visual attention. We identified key improvements to the study design that are warranted to further investigate this relationship. Trial Registration: ClinicalTrials.gov NCT01924546 PMID:26950696
Simpemba, Prospery C.
Indigenous astronomy in the context of Zambia is the oral astronomy knowledge, culture and beliefs which relate to celestial bodies, astronomy events and related behaviour that are held by the elderly persons and passed on to younger generations. Much is not written down and with the passing away of the custodians, this knowledge is threatened to be extinct. A mini study of the astronomical beliefs and culture of the ancient Zambian community during the International Year of Astronomy (IYA) 2009 revealed that such knowledge existed. A comprehensive study assesses cultural and traditional knowledge on astronomy and to ascertain how much of this knowledge has been passed on to the younger generations. Open-ended interviews were conducted using questionnaires and focus group discussions. Respondents were identified by snowball sampling of the elderly people and random sampling of the middle aged and young. Nine randomly sampled districts of the Copperbelt Province were considered. The collected data has been analysed using MAXQDA software. Knowledge of traditional astronomy is high among the elderly people and declining with age hence the need for documenting and introducing it in the school curriculum and regular public discourse.
Nalubamba, King S; Mudenda, Ntombi B
There has been an increase in the number of wild ungulates kept in captivity for ecotourism and conservation in Zambia and these animals are susceptible to a number of diseases including gastrointestinal helminth infections. Surveys to determine anthelmintic efficacy to gastrointestinal nematodes in captive-wildlife are not common and there have been no reports of anthelmintic resistance in captive-wildlife in Zambia. This study was carried out to determine the efficacy of the benzimidazole anthelmintic fenbendazole in captive wild impala (Aepyceros melampus) in Zambia. During the month of April 2011, at the end of the rainy season, the faecal egg count reduction test was performed at a private game facility for assessing anthelmintic efficacy of oral fenbendazole and the anthelmintic treatment showed an efficacy of 90%. Haemonchus spp. and Trichostrongylus spp. were the predominant genera present before treatment, but Haemonchus spp. larvae were the only genus recovered from the faecal cultures after anthelmintic treatment. This represents the first documentation of anthelmintic treatment failure in captive wild-antelopes in Zambia. It also demonstrated the ineffectiveness of the common traditional practice of deworming captive-wild antelopes at the end of the rainy season due to the rapid re-infection of impala that occurs due to high pasture infectivity. Suggestions on changes to current anthelmintic use/practices that will make them more efficacious and reduce the possibility of development of anthelmintic resistance in captive wild game in Zambia are also made. PMID:22115945
Full text: Zambia is involved in the peaceful application in Nuclear Science and Technology which cover the agriculture, human health, industry, research and education sectors. In the execution of the projects various radioactive sources and radioisotopes are used. The data from the Radiation Protection Board show that there are 136 organizations and 971 Radiation workers benefit from the regulatory control and personnel Dosimetry service that is provided by the Board. The radiation user institutions are broken down as follows: medical (106), industrial (18), research (10) and (2) in teaching. The radioactive waste generated and spent sources are managed, in several ways depending on the type . In addition to radioactive waste generated by various application there are new developments concerning the management of spent sources mainly brought into control by the detection of illicit trade or trafficking activities by the Police, Drug Enforcement Commission, and the vigilant people of the community. The challenge for Zambia is to set-up a Radioactive Waste Management Facility preferably under the National Institute for Scientific and Industrial Research (NISIR). The RPB should legally designate NISIR for this function and assist to have the Government provide support that is required to have an operation and effective facility. One Radioactive Waste Interim Storage Shed at Kalulushi. This shed was put up by a copper mining conglomerate which now has been privatized. It is hoped that this facility can be licensed by Radiation Protection Board to be run by private enterprise for storage of prescribed spent radioactive sources and materials. This shed should be technically competent persons and should have good equipment for the purpose. The application in industry (NDT, mining, radiation sterilization, pipeline and construction, human health (nuclear medicine, radioimmunoassay and radiotherapy practices) and agriculture (use of P-32) required that a National Strategy for the management of the spent radioactive materials and the waste materials from the practices be developed with Radiation Protection Board playing a leading role. The International Atomic Energy Agency will continue to be a major cooperating partner in the development of this capacity through die technical expertise, equipment, technical literature and training fellowships that can be provided through the Technical Cooperation Programme. (author)
Mbewe, Njelembo J; Sitali, Lungowe; Namangala, Boniface; Michelo, Charles
Trypanocides will continue to play an important role in the control of tsetse fly transmitted trypanosomosis now and in the near future. The drugs are mostly administered by farmers without any veterinary supervision leading to misuse and under dosing of medication, and these could be factors that promote trypanocidal drug resistance (TDR) development. In order to delay or prevent TDR, the Food and Agriculture Organization (FAO) recommended guidelines on trypanocide use. It is not known if these recommended guidelines are adhered to in Itezhi tezhi district of Zambia. A survey was undertaken to examine how socio-economic and environmental factors were associated with adherence to the recommended guidelines on trypanocide use in Itezhi tezhi, Central Zambia. Ninety farmers who use trypanocides were interviewed using a questionnaire to collect their socio-economic characteristics (age, education in years, cattle herd size, competence on trypanocide use and their access to extension on trypanocide use) and trypanocide usage practices while crush pens which they use were stratified according to location, whether in the Game Management Area (GMA) (Mutenda, Itumbi, Kapulwe and Banachoongo) or non-GMA (Iyanda, New Ngoma and Shinampamba) as an environmental factor. Associations and measures of associations to adherence of FAO guidelines were determined. The results showed that 25.6% of the farmers adhered to guidelines by FAO on trypanocide use and that none of the socio-economic factors under investigation were significantly associated with it. Further the farmers that used crush pens that were in the GMA had an 80% reduction in the likelihood of adhering to the FAO guidelines on trypanocide use than those that used crush pens in the non-GMA (AOR 0.20, 95% CI: 0.05-0.81, P=0.02). There was low adherence to the recommended FAO guidelines on trypanocide use and it was associated with the location of the crush pen whether in the GMA or not, as an environmental factor. With farmers in the GMA less likely to adhere to FAO guidelines than those in the non-GMA, we recommend an integrated approach of measures to control trypanosomosis in the GMA of Itezhi tezhi to lessen overuse of trypanocides by the farmers. PMID:25740569
Full Text Available The main objective of this study was to identify the major actors in Zambias sugar value chain and to assess the growth opportunities and constraints faced by the sub-sector. The study results show that the sugar sub-sector accounts for about 4% of the Gross Domestic Product and 6% of total national exports in Zambia. The sugar industry in Zambia is a monopolistic market structure dominated by one firm, Zambia Sugar Plc., which contributes over 90% of the total national sugar production. Zambia is one of the lowest cost producers of sugar globally. Growth in the sugar industry therefore holds great prospects for economic diversification and employment creation. Despite being a low cost sugar producer, growth of the sub-sector is constrained by high transaction costs. These include high fuel, electricity, transportation and distribution costs. Legislation on Vitamin A fortification of sugar also increases production costs and is a significant barrier to entry for potential entrants. Moreover, water rights and insecurity associated with customary land tenure have also emerged as major issues requiring attention to enhance investments into the sector. The situation is aggravated by lack of an articulate sugar sector policy to provide strategic guidance for sector development. In order to attract private sector investment and enhance growth; government policy should assure water rights and land tenure security for establishment of sugar plantations. There is also need to clarify government policy on bio-fuels as well as to review the export strategy to reduce dependence on EU markets and explore alternative regional markets.
Increasing demand for coal in Asia is stimulating interest in the potentially large coal resources in Southern African countries such as Botswana, Mozambique, Zambia, Zimbabwe and Namibia. These countries have been slow to utilise their coal as local demand has been limited and the means to export coal has been inadequate. The governments in these regions are now recognising coal as a strategically important commodity, capable of earning foreign revenue but also adding value to the economy by generating much needed electricity. This report looks in turn at the role of coal in the energy economies of each of these countries. As in most emerging economies, the provision of a reliable and cost-effective supply of electricity to industries and people is essential for economic growth and the welfare of communities. Demand for Africa's mineral commodities such as diamonds and copper is driving a massive need for electricity and coal will play a major role. Not only does the mining industry need power, but with these growing industries come communities and commerce which are also in need of energy.
Full Text Available Maize is the principal agricultural crop produced by Zambian smallholder farmers for household consumption and sale. Their production strategy is therefore important in meeting food security and income needs. This study uses data collected from a survey of a random sample of farm households in southern Zambia to develop a Tobit regression model. The model identifies farm and farmer characteristics important for adoption of improved maize seed varieties as well as to determine the role of farmer perceptions of technology attributes in maize varietal adoption. The results indicate that expectations about output price and yield are important determinants of adoption. Other factors directly correlated with the probability of adoption include the status of being male-headed, farm size and membership to farmer organizations. Households with more wealth and educated heads were also significantly more likely to adopt improved varieties. Some of the policy implications of these findings are that intervention strategies should be designed and implemented to encourage poor households and those with low levels of formal education to participate in local farmer organizations. The positive interaction between membership to organizations and the adoption of technologies also suggests that group based extension approaches should be encouraged not only for their role in collective action but also for their positive impact on information diffusion and technology adoption.
Hjortsberg, C A; Mwikisa, C N
Equity is an important policy objective in the health care field. The importance of equity in health care provision can be argued from various points of view. As a result governments in all countries attempt to provide health care systems that enable equal access for everyone. Zambia is no exception. In the health care reforms the objective of the national health strategy is to provide Zambians with equity of access to health care. We focus on access defined as the costs (both monetary and time) an individual incurs when visiting a health care facility. Using a survey of 900 households, this article explores equality of access to health care among Zambians. Four areas are compared: urban high cost, urban low cost, townships and rural areas. The results of the analysis indicate that there are inequalities among residential areas, especially between rural and urban areas. In particular these differences exist because of differing distances to the nearest health facility. Large distances make it very costly for rural dwellers to seek medical care, especially during the high season for farming. The analysis suggests that obtaining equality of access to health care poses a challenge for the Zambian Government. PMID:11861588
The Katanga System, host to uranium and copper mineralisation, is several thousands of metres thick and rests unconformably on an older complex of crystalline rocks and metasediments and is locally covered by Karoo sandstones or Kalahari sands. The deposition of the Katanga System took place during the Late Proterozoic in a wide complex basin extending from Shaba province in Zaire through a large part of Zambia and into eastern Angola. The sediments were affected by different grades of metamorphism, tectonic events, and by thermal events associated with post-tectonic metamorphism. At the base of Katanga system there are 84 known copper deposits and 42 uranium occurrences. It is suggested that all the known uranium and copper occurrences are of an essentially syngenetic sedimentary origin. The mineralisation is found in the Lower Roan Formation near the base of the Katanga System occurring in rocks produced in similar environmental conditions and thus being stratigraphic controlled, however, their areal distribution is localised producing a regional metal zonation. Many of the uranium occurrences have a typical vein aspect. These transgressive relationships are not inconsistent with a syngenetic origin as evidenced by the vein morphology. (author)
Kenneth C Kapembwa
Full Text Available Objectives : Epidemiologic data of HIV and viral hepatitis coinfection are needed in sub-Saharan Africa to guide health policy for hepatitis screening and optimized antiretroviral therapy (ART. Materials and Methods: We screened 323 HIV-infected, ART-eligible adults for hepatitis B surface antigen (HBsAg and hepatitis C antibody (HCV Ab at a tertiary hospital in Lusaka, Zambia. We collected basic demographic, medical, and laboratory data to determine predictors for coinfection. Results: Of 323 enrolled patients, 32 (9.9%; 95% CI=6.7-13.2% were HBsAg positive, while 4 (1.2%; 95% CI=0.03-2.4% were HCV Ab positive. Patients with hepatitis B coinfection were more likely to be 200 IU/L was uncommon and did not differ between the two groups (3.4% vs. 2.3%; P=0.5. We were unable to determine predictors of hepatitis C infection due to the low prevalence of disease. Conclusions: HIV and hepatitis B coinfection was common among patients initiating ART at this tertiary care facility. Routine screening for hepatitis B should be considered for HIV-infected persons in southern Africa.
The Karroo geology of Zambia with respect to uranium mineralization is outlined and compared with the sandstone deposits of western United States of America. Whereas numerous uranium anomalies are known in the Karroo System, those of the Escarpment Grit Formation in the mid-Zambezi Valley would appear to be significant. Airborne radiometric survey did not always reflect the mineralization recorded on the ground. Several other Karroo anomalies are still to be traversed. Porosity, permeability, clay traps, micas and reducing lithologies are the major factors controlling mineralization. The present loci of mineralization are a function of the remobilization brought about by fluctuating water table, dip of strata and structure. While most of the deposits contain secondary uranium minerals, pitchblende has been recorded in two areas, and probably reflects the 'primary' ore. The deposits are primarily sheet-like, concordant to discordant units. The source for uranium would appear to be the Katanga and basement rocks to the north-north east and north-west. The results of the last three years of investigation support further work and already a number of low to medium scale deposits have been outlined, thus warranting further intensive large-scale investigation. (author)
From July 1995 to January 2005, five cases of attempted illicit trafficking of spent radioactive materials have been reported and investigated in Zambia. In all five cases, monetary gain was the motivation. The paper describes factors contributing to the vulnerability of Zambia to illicit trafficking of nuclear material, including the consequences of an unstable economy, the involvement of international institutions in Government funding policies, inadequate training or remuneration of personnel and inadequate equipment. To raise awareness among policy makers and the public, a six-pronged strategy is suggested. (author)
Babaniyi, Olusegun A.; Peter Mwaba; David Mulenga; Mwaka Monze; Peter Songolo; Mazaba-Liwewe, Mazyanga L.; Idah Mweene-Ndumba; Freddie Masaninga; Elizabeth Chizema; Messeret Eshetu-Shibeshi; Costantine Malama; Emmanuel Rudatsikira; Seter Siziya
Background: North-Western and Western provinces of Zambia were reclassified as low-risk areas for yellow fever (YF). However, the current potential for YF transmission in these areas is unclear. Aims: To determine the current potential risk of YF infection. Setting and Design: A cross sectional study was conducted in North-Western and Western provinces of Zambia. Materials and Methods: Samples were tested for both YF virus-specific IgG and IgM antibodies by the ELISA and YF virus confirmation...
Leone, T.; Coast, E.; Parmar, D.; Vwalika, B
Zambia has one of the most liberal abortion laws in sub-Saharan Africa. However, rates of unsafe abortion remain high with negative health and economic consequences. Little is known about the economic burden on women of abortion care-seeking in low income countries. The majority of studies focus on direct costs (e.g.: hospital fees). This paper estimates the individual-level economic burden of safe and unsafe abortion care-seeking in Zambia, incorporating all indirect and direct costs. It use...
Backens, Jonathan; Mweemba, Gregory; van Stam, Gertjan
In spite of increasing international and academic attention, there remains many challenges facing real world implementations of developing technologies. There has been considerable hype behind Wireless Mesh Networking as the ubiquitous solution for rural ICT in the developing world. In this paper, we present the real world rural mesh network implementation in the village of Macha, Zambia and draw both performance conclusions as well as overall experiential conclusions. The purpose of this paper is to introduce and analyze our low cost solution and extrapolate future trends for rural ICT implementations in Zambia.
Women poverty debate has been part of the global poverty debates since the 1970s. Many research reports and publication on poverty reveals that women are disproportionary poorer than men (Jazairy et al 1992, World Bank 2000c, Momsen 2004). The incidences of poverty are high among rural women farmers than in urban area. The women poverty differential between rural and urban areas is attributed to the economic activities the said poor are involved in. Women farmers are said to be poor because t...
The environmental risks and uncertainties of a high-energy future are disturbing and give rise to several reservations concerning the use of fossil fuels. A number of technologies will help to reduce atmospheric pollution. In Denmark special importance is attached to the following: Energy conservation. Efficient energy conversion. Renewable energy sources. District heating, combined production of heat and power. Many agree that district heating (DH), produced by the traditional heat-only plant, and combined heat and power (CHP) have enormous potential when considering thermal efficiency and lowered environmental impacts: The basic technology of each is proven, it would be relatively simple to satisfy a substantial part of the energy demand, and their high efficiencies mean reduced pollution including greenhouse gas emissions. This is especially important in high population density areas - the obviously preferred sites for such energy generation. Compared with individual heating DH can provide a community with an operationally efficient and most often also an economically competitive heat supply. This is particularly true under the circumstances where the DH system is supplied from CHP plants. Their use results in very substantial improvements in overall efficiency. Further environmental improvements arise from the reduced air pollution obtainable in reasonably large CHP plants equipped with flue gas cleaning to remove particles, sulphur dioxide, and nitrogen acids. As a consequence of these considerations, DH plays an important role in fulfilling the space and water heating demand in many countries. This is especially the case in Denmark where this technology is utilised to a very great extent. Indeed, DH is one of the reasons why Denmark has relatively good air quality in the cities. (au)
... Development District; The Dune District; The Seashore District. 28.3 Section 28.3 Parks, Forests, and Public... General Provisions § 28.3 Boundaries: The Community Development District; The Dune District; The Seashore... Community Development District, the Seashore District, and the Dune District. (b) The Community...
This article explores an attempt to disrupt gender inequality in a unique, low-cost private school in Ndola, Zambia. It examines deliberate school policies aimed at "undoing gender" or fostering greater gender equity. These include efforts to maintain gender parity at all levels of the school and the requirement that both young men and women carryâ¦
A report has recently been published which describes the findings of the International Uranium Resources Evaluation Project (IUREP) mission to Zambia. The IUREP Orientation Phase mission to Zambia estimates that the Speculative Resources of that country fall within the range of 33 000 and 100 000 tonnes uranium. The majority of these resources are believed to exist in the Karoo sediments. Other potentially favourable geological environments are the Precambrian Katanga sediments, as well as intrusive rocks of different chemical compositions and surficial duricrusts. Previous unofficial estimates of Zambia's Reasonably Assured Resources (RAR) and Estimated Additional Resources (EAR) are considered to be still valid: the total RAR amount to 6 000 tonnes uranium, located in Karoo (4 000 tonnes) and Katanga (2 000 tonnes) sediments, while the EAR are believed to total 4 000 tonnes being found only in Karoo sediments. The mission recommends that approximately US$ 40 million be spent on uranium exploration in Zambia over 10 years. The largest part of this expenditure would be for drilling, while the remainder should be spent on airborne and ground surveys, as well as on interpretative work on previous airborne data, Landsat imageries, etc. (author)
Chabalengula, Vivien M.; Mumba, Frackson
This paper is aimed at elucidating the current state of inquiry-based science education (IBSE) in Zambia's high school science curriculum. Therefore, we investigated Zambian teachers' conceptions of inquiry; determined inquiry levels in the national high school science curriculum materials, which include syllabi, textbooks and practical exams; andâ¦
Uhde, Zuzana; ToÅ¾iÄka, T.
RoÄ. 16, Ä. 2 (2015), s. 53-59. ISSN 1213-0028 Institutional support: RVO:68378025 Keywords : development * Zambia * gender equality Subject RIV: AO - Sociology, Demography http://dx.doi.org/10.13060/12130028.2015.16.2.220
This article explores an attempt to disrupt gender inequality in a unique, low-cost private school in Ndola, Zambia. It examines deliberate school policies aimed at "undoing gender" or fostering greater gender equity. These include efforts to maintain gender parity at all levels of the school and the requirement that both young men and women carry
Mbulo, Lazarous; Newman, Ian M.; Shell, Duane F.
This study explored factors that may predict condom use among college and high school students in Zambia. Using the Social Cognitive Theory, this study examined the relationship of drinking behaviors, alcohol-sexual expectations, education level, and religion to condom use among 961 students. The results of the study show that condom use was low
Seidenfeld, David; Prencipe, Leah; Handa, Sudhanshu; Hawkinson, Laura
Little research has been conducted on unconditional cash transfers (UCTs) despite their growing prevalence in Africa, including South Africa, Zambia, Zimbabwe, Kenya, Malawi, Lesotho, and Uganda. In this study, researchers implemented a randomized control trial with over 2,500 households to investigate the impact of Africa's child grant program onâ¦
Attitudes toward intimate partner violence (IPV) were compared between Zambian and Kenyan men on sociodemographic, attitudinal, and structural predictors of such attitudes. Data were retrieved from the latest Demographic and Health Surveys in each country. The results showed that many men in Zambia (71%) and Kenya (68%) justified IPV to punish a
Mulenga, Lloyd; MUSONDA, Patrick; Mwango, Albert; Vinikoor, Michael J; Davies, Mary-Ann; Mweemba, Aggrey; Calmy, Alexandra; Stringer, Jeffrey S; Keiser, Olivia; CHI, Benjamin H; Wandeler, Gilles
Although tenofovir disoproxil fumarate (TDF) use has increased as part of first-line antiretroviral therapy (ART) across sub-Saharan Africa, renal outcomes among patients receiving TDF remain poorly understood. We assessed changes in renal function and mortality in patients starting TDF- or non-TDF-containing ART in Lusaka, Zambia.
Nielsen, Helena Skyt; WestergÃ¥rd-Nielsen, Niels Chr.
In our analysis of returns to schooling in Zambia, we look at the rural and urban population separately, and estimate the returns to schooling in each region based on a selection model in two stages. For urban areas we find that the returns to primary schooling are nil whereas the returns to...
The National Radiation Infrastructure includes legislation, human resource, technical capacity to execute responsibilities of the regulatory (1). In cases of developing countries like Zambia, special challenges arise in view of the constraints both in terms of human resource and funding. This paper will highlight same measures that may be undertaken to improve the operations of nation radiation protection infrastructure. The measures include collaboration with Science and Technology organisations that have technical capacity, delegation of responsible to key institutions that may have competence and generation of funds through training and provision of reliable quality service. (2). In Zambia, some achievements in this line have been registered by Radiation Protection Board working with the University of Zambia and National Institute for Scientific and Industrial Research (3). Some measures of generation of funds have been done though utilization of the generated remains to be the limiting factor to exploit fully benefits that may arise from the use of the monies generated from services. Partnerships with private sector may be used as regulatory authorities for support to its programme in particular the public awareness campaign. Sponsorship by a Private Cellar Phone Company (Telecel Zambia) and Rotary Club of Lusaka for Radiation Week to Radiation Protection Service under Theme 'Safe Radiation Use' is one such an example. The other opportunity is the technical cooperation with regional and international organisations such as SADC, IAEA, WHO, Interpol, EU and WCO for technical capacity building, human resource development and information access. (author)
Hendriksen, Rene S.; Joensen, Katrine Grimstrup; Lukwesa-Musyani, Chileshe; Kalondaa, Annie; Leekitcharoenphon, Pimlapas; Nakazwe, Ruth; Aarestrup, Frank MÃ¸ller; Hasman, Henrik; Mwansa, James C L
Two cases of extremely drug-resistant Salmonella enterica serovar Senftenberg isolated from patients in Zambia were investigated by utilizing MIC determinations and whole-genome sequencing. The isolates were resistant to, and harbored genes toward, nine drug classes, including fluoroquinolones and...
This presentation gives an overview of the situation in Zambia with respect to the management of chemicals. A summary description of key pieces of legislation that deal with the protection of human beings and the environment and their objectives are discussed briefly. The paper gives also a summary description of key approaches and procedures for the management of chemicals. (author)
Full Text Available Abstract Background Tuberculosis (TB is one of the major public health problems in Zambia. However, information about lineages of M. tuberculosis complex (MTBC isolates useful for epidemiology investigations is unknown. In this study, we investigated the diversity of MTBC isolates from Ndola, a typical Zambian urbanized city with a documented high HIV prevalence. Methods This was part of a prospective cohort study in subjects with sputum smear-positive pulmonary TB. Spoligotyping was used to genotype the MTBC isolates and establish the circulating lineages. The 15-locus Mycobacterial Interspersed Repetitive Units - Variable Number Tandem Repeats (MIRU-VNTR typing was used to study recent transmission. Results A total of 98 different spoligotypes were identified among 273 MTBC isolates. The majority (64.8% of the isolates belonged to 9 known families, while 96 (35.2% of the isolates were orphans. While LAM (41.8% was the largest spoligotype family observed, most of the isolates (87.7% belonging to the SAF1 family, with a significant portion coming from the T (13.6%, and X (5.9% families. A few isolates (3.6% belonged to the CAS, EAI, H, S, X1-LAM9 or U families. MIRU-VNTR typing was highly discriminatory (h = 0.988 among the 156 isolates tested in our sample, and increased the discrimination among 82 SAF1 isolates from 6 to 46 distinct patterns. In addition, 3.2% (5/156 of cases with available MIRU-VNTR results harbored more than one MTBC strain. Conclusions Our findings show a limited diversity of MTBC in Ndola with a high clustering rate (37.7%, which indicates that recent transmission plays an appreciable role in the dynamics of TB disease in this setting. This conclusion emphasizes the importance of early diagnosis and timely treatment. The results also confirm that MIRU-VNTR typing is suitable for studying the molecular epidemiology of TB in Ndola.
Van Rossem, Ronan; Meekers, Dominique
Background Like many sub-Saharan African countries, Zambia is dealing with major health issues, including HIV/AIDS, family planning, and reproductive health. To address reproductive health problems and the HIV/AIDS epidemic in Zambia, several social marketing and health communication programs focusing on reproductive and HIV/AIDS prevention programs are being implemented. This paper describes the reach of these programs and assesses their impact on condom use. Methods This paper assesses the reach of selected radio and television programs about family planning and HIV/AIDS and of communications about the socially marketed Maximum condoms in Zambia, as well as their impact on condom use, using data from the 20012002 Zambia Demographic and Health Survey. To control for self-selection and endogeneity, we use a two-stage regression model to estimate the effect of program exposure on the behavioural outcomes. Results Those who were exposed to radio and television programs about family planning and HIV/AIDS were more likely to have ever used a condom (OR = 1.16 for men and 1.06 for women). Men highly exposed to Maximum condoms social marketing communication were more likely than those with low exposure to the program to have ever used a condom (OR = 1.48), and to have used a condom at their last sexual intercourse (OR = 1.23). Conclusion Findings suggest that the reproductive health and social marketing campaigns in Zambia reached a large portion of the population and had a significant impact on condom use. The results suggest that future reproductive health communication campaigns that invest in radio programming may be more effective than those investing in television programming, and that future campaigns should seek to increase their impact among women, perhaps by focusing on the specific constrains that prevent females from using condoms. PMID:18088437
Full Text Available Abstract Background Like many sub-Saharan African countries, Zambia is dealing with major health issues, including HIV/AIDS, family planning, and reproductive health. To address reproductive health problems and the HIV/AIDS epidemic in Zambia, several social marketing and health communication programs focusing on reproductive and HIV/AIDS prevention programs are being implemented. This paper describes the reach of these programs and assesses their impact on condom use. Methods This paper assesses the reach of selected radio and television programs about family planning and HIV/AIDS and of communications about the socially marketed Maximum condoms in Zambia, as well as their impact on condom use, using data from the 2001â2002 Zambia Demographic and Health Survey. To control for self-selection and endogeneity, we use a two-stage regression model to estimate the effect of program exposure on the behavioural outcomes. Results Those who were exposed to radio and television programs about family planning and HIV/AIDS were more likely to have ever used a condom (OR = 1.16 for men and 1.06 for women. Men highly exposed to Maximum condoms social marketing communication were more likely than those with low exposure to the program to have ever used a condom (OR = 1.48, and to have used a condom at their last sexual intercourse (OR = 1.23. Conclusion Findings suggest that the reproductive health and social marketing campaigns in Zambia reached a large portion of the population and had a significant impact on condom use. The results suggest that future reproductive health communication campaigns that invest in radio programming may be more effective than those investing in television programming, and that future campaigns should seek to increase their impact among women, perhaps by focusing on the specific constrains that prevent females from using condoms.
This presentation briefly describes the Zambian Seisimic Network (ZSN), Zambia's participation in past CTBTO activities and upgrading of AS119 and N192. It goes on to describe various experiences encountered and makes some suggestions for future considerations
Tate, Jackie; Singh, Kavita; Ndubani, Phillimon; Kamwanga, Jolly; Buckner, Bates
Reaching populations at greatest risk for acquiring HIV is essential for efforts to combat the epidemic. This paper presents, the Priorities for Local AIDS Control Efforts (PLACE) method which focuses on understanding the venues where people are meeting new sexual partners and behaviors which put people at risk. A comparison of data from two PLACE studies in Zambia with a national household survey, the Zambia Sexual Behavior Survey (ZSBS) 2005, indicated that the PLACE population was at great...
Kabwe Harnadih Mubanga; Bridget Bwalya Umar
The study conducted in Southern Zambia investigated smallholder farmersâ use of indigenous knowledge to respond to rainfall variations and soil fertility problems. Farmer and key informant interviews and observations were employed to collect data. A total of 60 smallholder farmers and 6 key informants were interviewed. Chipepo lies in the low rainfall region of Zambia. Its upland area faces moisture stress and soil fertility problems compared to its valley areas located along tributaries of t...
Full Text Available Abstract Background Client-initiated HIV counselling and testing has been scaled up in many African countries, in the form of voluntary counselling and testing (VCT. Test rates have remained low, with HIV-related stigma being an important barrier to HIV testing. This study explored HIV testing decisions in one rural and one urban district in Zambia with high HIV prevalence and available antiretroviral treatment. Methods Data were collected through 17 in-depth interviews and two focus group discussions with individuals and 10 in-depth interviews with counsellors. Interpretive description methodology was employed to analyse the data. Results 'To know your status' was found to be a highly charged concept yielding strong barriers against HIV testing. VCT was perceived as a diagnostic device and a gateway to treatment for the severely ill. Known benefits of prevention and early treatment were outweighed by a perceived burden of knowing your HIV status related to stigma and fear. The manner in which the VCT services were organised added to this burden. Conclusions This study draws on social stigma theory to enhance the understanding of the continuity of HIV related stigma in the presence of ART, and argues that the burden of knowing an HIV status and the related reluctance to get HIV tested can be understood both as a form of label-avoidance and as strong expressions of the still powerful embodied memories of suffering and death among non-curable AIDS patients over the last decades. Hope lies in the emerging signs of a reduction in HIV related stigma experienced by those who had been tested for HIV. Further research into innovative HIV testing service designs that do not add to the burden of knowing is needed.
Full Text Available Introduction: As adolescents living with HIV gain autonomy over their self-care and begin to engage in sexual relationships, their experiences of being informed about their HIV status and of telling others about their HIV status may affect their ability to cope with having the disease. Methods: In 2010, we conducted a qualitative study among adolescents aged 10â19 living with HIV in Zambia, and with their parents and health care providers. Through interviews and focus group discussions, we explored the disclosure of HIV status to adolescents living with HIV; adolescentsâ disclosure of their status to others; and the impact of both forms of disclosure on adolescents. Results: Our study identified three main barriers to disclosure of HIV status: local norms that deter parents from communicating with their children about sexuality; fear of HIV stigma; and an underlying presumption that adolescents would not understand the consequences of a HIV diagnosis on their lives and relationships. With regard to adolescentsâ disclosure of their HIV status to their sexual partners, our study identified fear of rejection as a common barrier. In rare cases, open family conversations about HIV helped adolescents come to terms with a HIV diagnosis. Findings indicated that disclosure had various outcomes at the individual and interpersonal levels. At the individual level, some adolescents described being anxious, depressed and blaming themselves after being told they had HIV. At the interpersonal level, disclosure created opportunities for adolescents to access adherence support and other forms of psychosocial support from family members and peers. At the same time, it occasionally strained adolescentsâ sexual relationships, although it did not always lead to rejection. Conclusions: There is a need for public health interventions that guide adolescents living with HIV, their parents and families through the disclosure process. Such interventions should help parents to assess and understand the evolving cognitive capacity and maturity of their adolescents in order to determine the appropriate time to inform them of their HIV-positive status. Such interventions should also mitigate the risk of HIV stigma, as well as local norms that may prevent discussions of sexuality within families. Adolescents who have been informed of their HIV status should be provided with on-going support to prevent disclosure from negatively affecting their psychological and sexual wellbeing. Further research is needed to explore the potential role of trusted family members in contributing to the disclosure process.
Early in 1987, it became clear to this individual that children were a high priority group for Acquired Immune Deficiency Syndrome (AIDS) education. Preparation for providing AIDS education in Zambia included reading as much as possible about AIDS and AIDS education in schools, contacting the Health Education Unit at the Ministry of Health for their permission and advice, and making posters and preparing a list of 10 basic questions about AIDS. The 1st talks were at a boys' technical school and a large girls' day school. Following an introduction of the subject, the format included: a 10-minute quiz with students writing down their answers; a 35-40 minute talk, using posters as visual aids; a 20-30 minute open question time; and a repeat of the same quiz as a form of "posttest." The students responded positively, and there was a substantial increase in the percentage of correct answers after each talk. Subsequently, talks were given in other Lusaka secondary schools. After the 1st few talks, the pretest and posttest was discontinued as it was considered preferable to spend more time answering the students' questions. The talks varied depending on the audience, but posters were always included as visual aids. Initially, this AIDS education effort was voluntary and unfunded. Subsequently, and as the work grew, NORAD funded the project, paying for duplicating and printing as well as a salary on an hourly basis. A booklet on AIDS for secondary schools has been written and duplicated and accepted by the Intersectorial Committee on AIDS Health Education with minor changes. Late in 1987, the booklet was rewritten totally and expanded, with numerous illustrations. Throughout the booklet, human immunodeficiency virus (HIV) is carefully differentiated from AIDS disease. Talks also have been initiated at the Upper Primary School level. The format has been altered somewhat for these younger children as they tend to be noisy and excited. The primary project planned for 1988 is to talk to teachers and health educators, individually and in groups, informally and formally. Thus far, 58 talks have been given in 22 secondary schools and 11 primary schools along with 29 talks to nonschool groups. Culturally, it is much easier as a medically trained non-Zambian to talk about AIDS and AIDS-related concerns, but the message needs to be given more than once. It must be discussed both in the classroom and at home until it becomes a part of life. PMID:3169780
California Department of Resources â State Water Project District boundaries are areas where state contracts provide water to the district in California. This database is designed as a regions polygon...
District heating has been used in Switzerland for more than 50 years. Its share of the heat market is less than 3% today. An analysis of the use of district heating in various European countries shows that a high share of district heating in the heat market is always dependent on ideal conditions for its use. Market prospects and possible future developments in the use of district heating in Switzerland are described in this paper. The main Swiss producers and distributors of district heating are members of the Association of District Heating Producers and Distributors. This association supports the installation of district heating facilities where ecological, energetical and economic aspects indicate that district heating would be a good solution. (author) 2 tabs., 6 refs
Iowa State University GIS Support and Research Facility The National Register Historic District layer is a shape file showing the boundaries of Historic Districts that are listed on the National Register of Historic...
California Department of Resources â Private Water District boundaries are areas where private contracts provide water to the district in California. This database is designed as a regions polygon...
California Department of Resources â This is a series of district layers pertaining to California'spolitical districts, that are derived from the California State Senateand State Assembly information....
U.S. Environmental Protection Agency â The Region 9 Air Districts layer is a compilation of polygons representing the California Air Pollution Control and Air Quality Management Districts, Arizona Air...
Kansas Data Access and Support Center â Each coverage contains a COVER-ID field that defines the House or Senate district number. Kansas House and Senate districts were created by the Legislative Research...
U.S. Environmental Protection Agency â A polygon shapefile of the 24 Disaster Districts in Texas. Disaster districts are emergency operation areas created by Executive Order from the Governor's Office....
Elliott, Arnold; Freeling, Paul; Owen, John, 1560-1622
Training for district nursing is being reviewed. By 1981 district nurses will have a new administrative structure, a new curriculum, and a new examination. Training for nursing, like that for general practice, is to become mandatory. The history of the development of district nurse training is briefly described.
Describes the use of data-driven decision-making in four school districts: Plainfield Public Schools, Plainfield, New Jersey; Palo Alto Unified School District, Palo Alto, California; Francis Howell School District in eastern Missouri, northwest of St. Louis; and Rio Rancho Public Schools, near Albuquerque, New Mexico. Includes interviews with the
Full Text Available Culture plays a significant role in peopleâs lives in Zambia and in Africa as a whole. Consequently, there is a need to take Zambian or African culture seriously in order to look at the salient elements of cultural practices in rites of passage that influence the spread of HIV and AIDS. This article analyses four rites of passage associated with birth, puberty, marriage and death. There are numerous rites of passage in Zambian culture. Some of these rites help to curb the spread of HIV and AIDS, whilst others exacerbate the spread of the virus. Using the Reformed Church in Zambia Bible Study Method of Subgroups, discussions were held that allowed victims of cultural practices to tell their stories using the narrative model. This article sought to shed light on cultural practices that exacerbate HIV and AIDS and more importantly, provide culturally sensitive alternatives to these harmful practices.
Mitchell, C J; Briggs, D.A.; Bloodworth, A.J.
Four samples of kaolinite from Central Zambia were collected in April 1990 by D.A. Briggs (Mineralogy and Petrology Report WG/90/15R) in order to characterise them mineralogically and assess their suitability as industrial raw materials, possibly in the manufacture of paper. Other applications such as use in ceramics, as fillers in paint, plastic and rubber, or in agriculture were also to be considered.
Zhu, T.; Thurlow, J.; Diao, X.
Zambia is a landlocked country in Southern Africa, with a total population of about 11 million and a total area of about 752 thousand square kilometers. Agriculture in the country depends heavily on rainfall as the majority of cultivated land is rain-fed. Significant rainfall variability has been a huge challenge for the country to keep a sustainable agricultural growth, which is an important condition for the country to meet the United Nations Millennium Development Goals. The situation is expected to become even more complex as climate change would impose additional impacts on rainwater availability and crop water requirements, among other changes. To understand the impacts of climate variability and change on agricultural production and national economy, a soil hydrology model and a crop water production model are developed to simulate actual crop water uses and yield losses under water stress which provide annual shocks for a recursive dynamic computational general equilibrium (CGE) model developed for Zambia. Observed meteorological data of the past three decades are used in the integrated hydro-economic model for climate variability impact analysis, and as baseline climatology for climate change impact assessment together with several GCM-based climate change scenarios that cover a broad range of climate projections. We found that climate variability can explain a significant portion of the annual variations of agricultural production and GDP of Zambia in the past. Hidden beneath climate variability, climate change is found to have modest impacts on agriculture and national economy of Zambia around 2025 but the impacts would be pronounced in the far future if appropriate adaptations are not implemented. Policy recommendations are provided based on scenario analysis.
All African countries, where there are functioning states, express a strong desire to curb corruption. The African Union has a convention to prevent and combat corruption. Zambia, under President Levy Mwanawasa, has positioned itself as a leader in Africa's fight against corruption. Last year, former Zambian President Frederick Chiluba was found guilty of grand corruption by a London court in a case brought against him by the Zambian government. There is general agreement that the media plays...
World Bank Group
The Public Expenditure Tracking Survey (PETS) and Quality Service Delivery Survey (QSDS) report is a product of a microscopic analysis of the performance of the Zambian Government in the education and skills sector. The report brings out independent viewpoints on the status of the education sector in Zambia; that is, it sheds light on the achievements that the sector has made in implementing the strategies and interventions intended to provide quality education serv...
Zambia is a country whose food security largely depends on maize. In the light of expected structural maize deficits and the likely occurrence of shock events, the aim of this thesis is to test the resilience of the Zambian maize value chain towards production shocks in terms of food supply security, and to find policy recommendations on how to increase this resilience. To that end, I devised and applied a new framework for measuring resilience properties using System Dyn...
This study estimated an error correction model of the impact of real effective exchange rate volatility on the performance of non-traditional exports for Zambia between 1965 and 1999. Using a generalized autoregressive conditional heteroscedasticity (GARCH) measure of real exchange rate volatility, the findings show that exchange rate volatility depresses exports in both the short run and the long run. The results also suggest that supportive macroeconomic factors are important in enhancing n...
Awad, Susanne F; Sgaier, Sema K; Tambatamba, Bushimbwa C.; Mohamoud, Yousra A; Lau, Fiona K.; Reed, Jason B.; Njeuhmeli, Emmanuel; Laith J. Abu-Raddad
Background Countries in sub-Saharan Africa are scaling-up voluntary male medical circumcision (VMMC) as an HIV intervention. Emerging challenges in these programs call for increased focus on program efficiency (optimizing program impact while minimizing cost). A novel analytic approach was developed to determine how subpopulation prioritization can increase program efficiency using an illustrative application for Zambia. Methods and Findings A population-level mathematical model was construct...
Rudatsikira Emmanuel; Muula Adamson S; Siziya Seter
Abstract Background Dental health is a neglected aspect of adolescent health globally but more so in low-income countries. Secondary analysis using the 2004 Zambia Global School-Based Health Survey (GSHS) was conducted in which we estimated frequencies of relevant socio-demographic variables and explored associations between selected explanatory variables and self-reported poor oral hygiene (not cleaning or brushing teeth) within the last 30 days of the completion of questionnaire. Findings M...
Hyvärinen, O.; L. Mtilatila; K. Pilli-Sihvola; A. Venäläinen; Gregow, H.
We assess the probabilistic seasonal precipitation forecasts issued by Regional Climate Outlook Forum (RCOF) for the area of two southern African countries, Malawi and Zambia from 2002 to 2013. The forecasts, issued in August, are of rainy season rainfall accumulations in three categories (above normal, normal, and below normal), for early season (OctoberDecember) and late season (JanuaryMarch). As observations we used in-situ observations and interpolated precipitation products...
The focus of this study is the livelihoods of men and women involved in fishery related activities in the Lake Kariba and in the Zambezi River, Southern Province of Zambia. The main questions concerns how norms and rules for gender roles and relations affect livelihood strategies and to which extent occupational diversification and geographical mobility is important as mechanisms to achieve livelihood security. It was found that the majority of the households both apply occupat...
Bagnol, Brigitte; Clarke, Elizabeth; Li, Mu; Maulaga, Wende; Lumbwe, Hilda; McConchie, Robyn; de Bruyn, Julia; Alders, Robyn Gwen
The project Strengthening food and nutrition security through family poultry and crop integration in Tanzania and Zambia brings together animal, crop, and human health specialists, economists, ecologists, social scientists, and practitioners to work with participating communities. It aims to increase poultry value chain, crop farming systems efficiency, and household food and nutrition security and thus requires understanding of, and ability to work effectively within, complex systems. In t...
Judith T Fullerton; Frick, Kevin D.; Fogarty, Linda A.; Fishel, Joy D.; Vivio, Donna M.
This study calculated the net benefit of using active management of the third stage of labour (AMTSL) rather than expectant management of the third stage of labour (EMTSL) for mothers in Guatemala and Zambia. Probabilities of events were derived from opinions of experts, publicly available data, and published literature. Costs of clinical events were calculated based on national price lists, observation of resources used in AMTSL and EMTSL, and expert estimates of resources used in managing p...
World Bank, (WB)
As in many countries throughout Sub-Saharan Africa and around the developing world, poverty in Zambia is overwhelmingly a rural phenomenon. In 2010 the moderate poverty rate in rural areas was 74 percent, more than double the urban poverty rate of 35 percent. The economic growth continued throughout the decade, reaching an impressive annual average of 5.7 percent, and by 2011 the World Ban...
Issues of housing are becoming very important as the urban population grows at a very rapid rate, particularly in developing countries. The number of people who are homeless and those living in substandard housing in Zambia is enormous. A home ownership programme through the sale of public rental housing to sitting tenants was seen as one of the strategies under the 1996
National Housing Policy aimed at solving the housing crisis in the country especially among t...
Coast, Ernestina; Murray, Susan
Unsafe abortion is a significant but preventable cause of global maternal mortality and morbidity. Zambia has among the most liberal abortion laws in sub-Saharan Africa, however this alone does not guarantee access to safe abortion, and 30% of maternal mortality is attributable to unsafe procedures. Too little is known about the pathways women take to reach abortion services in such resource-poor settings, or what informs care-seeking behaviours, barriers and delays. In-depth qualitative inte...
Musangeya, Elaya E
This thesis reports on an investigation into the sport experiences and views of a sample of young women in two High Schools in Lusaka, Zambia. The purpose of the study was to gain an understanding of the sports played by young women, their reasons for playing the sports, the benefits they gained, and how they navigated and negotiated the barriers they faced. The study was framed by looking at the intersections and interactions of four key ideas sport, education, gender, and development. Sig...
Cresswell, Jenny A; Schroeder, Rosalyn; Dennis, Mardieh; Owolabi, Onikepe; Vwalika, Bellington; Musheke, Maurice; Campbell, Oona; Filippi, Veronique
Objectives In Zambia, despite a relatively liberal legal framework, there remains a substantial burden of unsafe abortion. Many women do not use skilled providers in a well-equipped setting, even where these are available. The aim of this study was to describe women's knowledge of the law relating to abortion and attitudes towards abortion in Zambia. Setting Community-based survey in Central, Copperbelt and Lusaka provinces. Participants 1484 women of reproductive age (15â44â years). Primary and secondary outcome measures Correct knowledge of the legal grounds for abortion, attitudes towards abortion services and the previous abortions of friends, family or other confidants. Descriptive statistics and multivariable logistic regression were used to analyse how knowledge and attitudes varied according to sociodemographic characteristics. Results Overall, just 16% (95% CI 11% to 21%) of women of reproductive age correctly identified the grounds for which abortion is legal. Only 40% (95% CI 32% to 45% of women of reproductive age knew that abortion was legally permitted in the extreme situation where the pregnancy threatens the life of the mother. Even in urban areas of Lusaka province, only 55% (95% CI 41% to 67%) of women knew that an abortion could legally take place to save the mother's life. Attitudes remain conservative. Women with correct knowledge of abortion law in Zambia tended to have more liberal attitudes towards abortion and access to safe abortion services. Neither correct knowledge of the law nor attitudes towards abortion were associated with knowing someone who previously had an induced abortion. Conclusions Poor knowledge and conservative attitudes are important obstacles to accessing safe abortion services. Changing knowledge and attitudes can be challenging for policymakers and public health practitioners alike. Zambia could draw on its previous experience in dealing with its large HIV epidemic to learn cross-cutting lessons in effective mass communication on what is a difficult and sensitive issue. PMID:27000784
Full Text Available Southern Africa is noted for not only constant power shortages but also poor access to electricity. In Zambia, for example, 75% of the population does not have access to electricity. This is partly because although Zambia has one of the lowest energy tariffs in Southern Africa, when compared with household monthly income, the resource is still reasonably unaffordable. Therefore, there is need to find innovative ways of reducing energy cost. Recent studies have indicated that there are patterns that show that there is a relationship between households' lifestyles and energy consumption. This means that understanding household lifestyles and how that impacts on energy use would be crucial in helping occupants to change their behaviours. This would result in the minimisation of energy consumption and thus a reduction in energy bills. However, there is a dearth of scholarly literature about households' lifestyles and their impacts on energy consumption in most developing countries including Zambia. This study investigates the perceptions of different lifestyles on household energy consumption and knowledge about energy efficiency in the city of Kitwe, the second largest city in Zambia. Motivation and barriers to energy efficiency have also been investigated. To achieve this, a mixed research approach was adopted. Firstly, a quantitative closed structured questionnaire instrument was used to collect data from 59 households in Kitwe. Secondly, mini-focus group discussions (average size of 5 â brought about by the curiosity of residents and hence the contribution as families per household â were undertaken in the informal settlement. The major findings are that households are generally motivated to implement energy saving strategies like covering pots when cooking, switching off lights in rooms that are not in use and that more information is needed as lack of knowledge and âlandlord control' were identified as some of the barriers to energy efficiency.
Tesliuc, Cornelia; Smith, W James; Sunkutu, Musonda Rosemary
Despite robust annual growth of 5.7 percent in the recent past, poverty in Zambia remains stubbornly high. The poverty headcount rate is 60 percent (as of 2010), and 39 percent of the population live in extreme poverty, with insufficient consumption to meet their daily minimum food requirements. Chronic malnutrition remains very high, with 47 percent of children under the age of 5 being st...
Vamos, Szonja; Mumbi, Miriam; Cook, Ryan; Chitalu, Ndashi; Weiss, Stephen Marshall; Jones, Deborah Lynne
The scale-up of HIV treatment programs in sub-Saharan Africa necessitates creative solutions that do not further burden the health system to meet global initiatives in prevention and care. This study assessed the work environment and impact of providing a behavioral risk reduction intervention in six community health centers (CHCs) in Lusaka, Zambia; opportunities and challenges to long-term program sustainability were identified. CHC staff participants (nâ=â82) were assessed on perceived cli...
Chongo, Mkhuzo; Bauer-Gottwein, Peter; Vest Christiansen, Anders; A. Nyambe, Imasiku; Larsen, Flemming
Vigtigheden af et kendskab forekomsten af grundvandsressourcens kan ikke overvurderes i landomrÃ¥der i den tredje verden med begrÃ¦nset vandressourcer. I forbindelse med beskrivelse forekomsten af vandressourcer, er anvendelsen af nye, hurtige og effektive geofysiske metoder et vigtigt element. I denne PhD afhandling prÃ¦senteres anvendelse af geoelektriske og elektromagnetiske metoder til undersÃ¸gelse saltforekomster i grundvandet i Machile-Zambezi bassinet i Zambia, i det sydlige Afrika. Den r...
Funder, Mikkel; Mweemba, Carol Emma; Nyambe, Imasiku
In the past ten years a significant number of policies and projects have been implemented in African countries in order to address climate change. At the same time, African countries have become more vocal in the global climate change negotiations. And yet there has been little analysis of domestic climate change agendas in African countries. This working paper is a modest first step in understanding the climate change agenda in one particular country, namely Zambia. The paper focuses on thre...
146 species of pteridophytes occurring in Zambia were classified into Raunkiaer's life-form classes. The hemicryptophytes are dominant and include the most widely distributed species. The phanerophytes (tree-ferns and lianas) and the epiphytes are rather scarce and limited to or concentrated in the higher-rainfall areas in the northern part of the country. Simplified diagrams of periodicity were constructed for all Zambian pteridophyte species. Three major types of seasonal pattern of growth ...
Klink, van der, J.
In sub-Saharan Africa, traditionally managed livestock is important because of the provision of draught power and manure, the provision of security and investment possibilities, for the provision of meat and milk, and for social purposes (eg. brideprice, gifts). In the Western Province of Zambia, cattle are the only livestock of significance. The soils of the province virtually entirely consist of Kalahari sands, that are not very suitable for crop production, but with a good suitability for ...
Hang'ombe Bernard M; Nakamura Ichiro; Samui Kenny L; Kaile Davy; Mweene Aaron S; Kilonzo Bukheti S; Sawa Hirofumi; Sugimoto Chihiro; Wren Brendan W
Abstract Background Yersinia pestis is a bacterium that causes plague which infects a variety of mammals throughout the world. The disease is usually transmitted among wild rodents through a flea vector. The sources and routes of transmission of plague are poorly researched in Africa, yet remains a concern in several sub-Saharan countries. In Zambia, the disease has been reported on annual basis with up to 20 cases per year, without investigating animal reservoirs or vectors that may be respo...
Kabemba E. Mwape; Phiri, Isaac K; Praet, Nicolas; Speybroeck, Niko; Muma, John B; Dorny, Pierre; Gabriel, Sarah
A community-based longitudinal study was performed in the Eastern Province of Zambia, in which repeated serological samplings were done to determine the incidence of human cysticercosis. Three sampling rounds were carried out at six months intervals. A total of 867 participants presented for all three samplings. All samples were tested for the presence of cysticercus antigens using a monoclonal antibody-based enzyme-linked immunosorbent assay (sero-Ag-ELISA), while a randomly selected sub-sam...
A land evaluation for extensive grazing was conducted to determine the potential carrying capacity (CC) of the Western Province of Zambia. A hierarchical land classification resulted in Land Regions (9), Land Systems (32), Land Units (124) and Land Facets (415). The vegetation was surveyed, resulting in a 1: 500,000 map of landscapes and grasslands.Mid dry season grazing capacities were assessed for the delineated Land Units. Grazing management systems were surveyed. Two transhumance and two ...
The objective of the thesis was to find out the best practices to succeed in an ecological sanitation development project and to achieve sustainable results. The principle of ecological sanitation is saving of water, the nutrient cycle, and the well-being of people and the environment. The thesis was done for Global Dry Toilet Association of Finland which is a nongovernmental organization that promotes ecological sanitation. It has a development project Zambia Sanitation Project, ZASP, one ai...
Barbieri, Chiara; Butthof, Anne; Bostoen, Koen; Pakendorf, Brigitte
Some Bantu languages spoken in southwestern Zambia and neighboring regions of Botswana, Namibia, and Angola are characterized by the presence of click consonants, whereas their closest linguistic relatives lack such clicks. As clicks are a typical feature not of the Bantu language family, but of Khoisan languages, it is highly probable that the Bantu languages in question borrowed the clicks from Khoisan languages. In this paper, we combine complete mitochondrial genome sequences from a representative sample of populations from the Western Province of Zambia speaking Bantu languages with and without clicks, with fine-scaled analyses of Y-chromosomal single nucleotide polymorphisms and short tandem repeats to investigate the prehistoric contact that led to this borrowing of click consonants. Our results reveal complex population-specific histories, with female-biased admixture from Khoisan-speaking groups associated with the incorporation of click sounds in one Bantu-speaking population, while concomitant levels of potential Khoisan admixture did not result in sound change in another. Furthermore, the lack of sequence sharing between the Bantu-speaking groups from southwestern Zambia investigated here and extant Khoisan populations provides an indication that there must have been genetic substructure in the Khoisan-speaking indigenous groups of southern Africa that did not survive until the present or has been substantially reduced. PMID:22929022
Hang'ombe Bernard M
Full Text Available Abstract Background Yersinia pestis is a bacterium that causes plague which infects a variety of mammals throughout the world. The disease is usually transmitted among wild rodents through a flea vector. The sources and routes of transmission of plague are poorly researched in Africa, yet remains a concern in several sub-Saharan countries. In Zambia, the disease has been reported on annual basis with up to 20 cases per year, without investigating animal reservoirs or vectors that may be responsible in the maintenance and propagation of the bacterium. In this study, we undertook plague surveillance by using PCR amplification of the plasminogen activator gene in fleas. Findings Xenopsylla species of fleas were collected from 83 rodents trapped in a plague endemic area of Zambia. Of these rodents 5 had fleas positive (6.02% for Y. pestis plasminogen activator gene. All the Y. pestis positive rodents were gerbils. Conclusions We conclude that fleas may be responsible in the transmission of Y. pestis and that PCR may provide means of plague surveillance in the endemic areas of Zambia.
The present study is the outcome of the Zambia Charcoal Utilization Programme, which is based on cooperation that started in 1989 between the Department of Energy, Ministry of Energy and Water Development (then Ministry of Power, Transport and Communications) and the Stockholm Environmental Institute (SEI). The programme, which is funded by the Swedish International Development Authority (SIDA), consists of a number of studies focusing on different aspects of the wood and charcoal industry in Zambia. Selection of this energy system for detailed study was based on the fact that wood provides the largest contribution to total energy supply in Zambia, and the fact that wood is a renewable resource that could be exploited on a sustainable basis if properly managed. The studies therefore range from those that look at sustainability of the natural forests exploited for charcoal, to those that deal with transportation and health aspects of charcoal production and use. The present report focuses on the environmental and socio-economic effects of charcoal production and use. 72 refs., 20 figs., 38 tabs
Pinchoff, Jessie; Hamapumbu, Harry; Kobayashi, Tamaki; Simubali, Limonty; Stevenson, Jennifer C; Norris, Douglas E; Colantuoni, Elizabeth; Thuma, Philip E; Moss, William J
Understanding factors influencing sustained use of long-lasting insecticide-treated nets (LLIN) in areas of declining malaria transmission is critical to sustaining control and may facilitate elimination. From 2008 to 2013, 655 households in Choma District, Zambia, were randomly selected and residents were administered a questionnaire and malaria rapid diagnostic test. Mosquitoes were collected concurrently by light trap. In a multilevel model, children and adolescents of 5-17 years of age were 55% less likely to sleep under LLIN than adults (odds ratio [OR] = 0.45; 95% confidence interval [CI] = 0.35, 0.58). LLIN use was 80% higher during the rainy season (OR = 1.8; CI = 1.5, 2.2) and residents of households with three or more nets were over twice as likely to use a LLIN (OR = 2.1; CI = 1.4, 3.1). For every increase in 0.5 km from the nearest health center, the odds of LLIN use decreased 9% (OR = 0.9; CI = 0.88, 0.98). In a second multilevel model, the odds of LLIN use were more than twice high if more than five mosquitoes (anopheline and culicine) were captured in the house compared with households with no mosquitoes captured (OR = 2.1; CI = 1.1, 3.9). LLIN use can be sustained in low-transmission settings with continued education and distributions, and may be partially driven by the presence of nuisance mosquitoes. PMID:26324729
Lindsey, Peter A.; Nyirenda, Vincent R.; Barnes, Jonathan I.; Becker, Matthew S.; McRobb, Rachel; Tambling, Craig J.; Taylor, W. Andrew; Watson, Frederick G.; tSas-Rolfes, Michael
Many African protected areas (PAs) are not functioning effectively. We reviewed the performance of Zambias PA network and provide insights into how their effectiveness might be improved. Zambias PAs are under-performing in ecological, economic and social terms. Reasons include: a) rapidly expanding human populations, poverty and open-access systems in Game Management Areas (GMAs) resulting in widespread bushmeat poaching and habitat encroachment; b) underfunding of the Zambia Wildlife Authority (ZAWA) resulting in inadequate law enforcement; c) reliance of ZAWA on extracting revenues from GMAs to cover operational costs which has prevented proper devolution of user-rights over wildlife to communities; d) on-going marginalization of communities from legal benefits from wildlife; e) under-development of the photo-tourism industry with the effect that earnings are limited to a fraction of the PA network; f) unfavourable terms and corruption which discourage good practice and adequate investment by hunting operators in GMAs; g) blurred responsibilities regarding anti-poaching in GMAs resulting in under-investment by all stakeholders. The combined effect of these challenges has been a major reduction in wildlife densities in most PAs and the loss of habitat in GMAs. Wildlife fares better in areas with investment from the private and/or NGO sector and where human settlement is absent. There is a need for: elevated government funding for ZAWA; greater international donor investment in protected area management; a shift in the role of ZAWA such that they focus primarily on national parks while facilitating the development of wildlife-based land uses by other stakeholders elsewhere; and new models for the functioning of GMAs based on joint-ventures between communities and the private and/or NGO sector. Such joint-ventures should provide defined communities with ownership of land, user-rights over wildlife and aim to attract long-term private/donor investment. These recommendations are relevant for many of the under-funded PAs occurring in other African countries. PMID:24847712
ZurbrÃ¼gg, R.; Suter, S; Lehmann, M. F.; Wehrli, B.; Senn, D. B.
Tropical floodplains play an important role in organic matter transport, storage, and transformation between headwaters and oceans. However, the fluxes and quality of organic carbon (OC) and organic nitrogen (ON) in tropical river-floodplain systems are not well constrained. We explored the quantity and characteristics of dissolved and particulate organic matter (DOM and POM, respectively) in the Kafue River flowing through the Kafue Flats (Zambia), a tropical river-floodpla...
The legislative act establishing the electric monopoly virtually shut out the district heating associated with electricity cogeneration, while other laws, issued to counteract the effects of oil shocks, allowed municipal utilities to do so. Thus, district heating has experienced some development, though well below its possibilities. The article analyses the reasons for this lagging, reports district heating data and projects its forecasts against the Kyoto Protocol objectives
Mobilizing communities to improve maternal health: results of an intervention in rural Zambia / : / Mobiliser les communautes pour ameliorer la sante maternelle: resultats d'une intervention dans les zones rurales de la Zambie / : / : / Movilizacion de las comunidades para mejorar la salud materna: resultados de una intervencion en las zonas rurales de Zambia
Tim, Ensor; Cathy, Green; Paula, Quigley; Abdul Razak, Badru; Dynes, Kaluba; Tendayi, Kureya.
Full Text Available Resumen Objetivo Verificar si una intervención comunitaria compleja en las zonas rurales de Zambia mejoró la comprensión sobre salud materna e incrementó el uso de los servicios de salud maternos. Métodos La intervención, dirigida por voluntarios capacitados y la provisión de transporte de emerge [...] ncia, tuvo lugar en seis distritos rurales seleccionados por el Ministerio de Salud de Zambia y consistió en debates comunitarios sobre un embarazo y parto seguros. Los voluntarios trabajaron a través de grupos de acción para una maternidad sin riesgo existentes establecidos por el gobierno. Los indicadores de salud materna en la base de referencia se obtuvieron de las mujeres de los distritos de intervención (n = 1775) y control (n = 1630). Se evaluó el efecto de la intervención en estos indicadores mediante un enfoque de diferencias en diferencias cuasi-experimental que incluyó un emparejamiento por puntaje de propensión y el ajuste por factores de confusión como la educación, la riqueza, la paridad, la edad y la distancia a un centro de atención de salud. Resultados La comparación de diferencias en diferencias mostró que la intervención se asocia a un aumento significativo en los indicadores de salud materna: 14-16 % en el número de mujeres que sabían cuándo debían buscar atención prenatal; 10-15 % en las mujeres que conocían tres señales de peligro obstétricas; 12-19 % en las que utilizaron el transporte de emergencia; 22-24 % en los partos que necesitaron un matrón capacitado, y 16-21 % en los partos en un centro de atención de salud. La tasa de abandono voluntario fue baja. El coste incremental estimado por parto adicional con un matrón capacitado fue de unos 54 dólares de los Estados Unidos, similar al de otras intervenciones relativas a la demanda en los países en desarrollo. Conclusión La intervención comunitaria se asocia con mejoras significativas en el conocimiento de las mujeres sobre la atención prenatal y las señales de peligro obstétricas, el uso del transporte de emergencia y los partos con matrones capacitados. Abstract in english Objective To determine whether a complex community intervention in rural Zambia improved understanding of maternal health and increased use of maternal health-care services. Methods The intervention took place in six rural districts selected by the Zambian Ministry of Health. It involved communit [...] y discussions on safe pregnancy and delivery led by trained volunteers and the provision of emergency transport. Volunteers worked through existing government-established Safe Motherhood Action Groups. Maternal health indicators at baseline were obtained from women in intervention (n?=?1775) and control districts (n?=?1630). The intervention's effect on these indicators was assessed using a quasi-experimental difference-in-difference approach that involved propensity score matching and adjustment for confounders such as education, wealth, parity, age and distance to a health-care facility. Findings The difference-in-difference comparison showed the intervention to be associated with significant increases in maternal health indicators: 1416% in the number of women who knew when to seek antenatal care; 1015% in the number who knew three obstetric danger signs; 1219% in those who used emergency transport; 2224% in deliveries involving a skilled birth attendant; and 1621% in deliveries in a health-care facility. The volunteer drop-out rate was low. The estimated incremental cost per additional delivery involving a skilled birth attendant was around 54 United States dollars, comparable to that of other demand-side interventions in developing countries. Conclusion The community intervention was associated with significant improvements in women's knowledge of antenatal care and obstetric danger signs, use of emergency transport and deliveries involving skilled birth attendants.
Full Text Available Abstract Background The Zambia Malaria Indicator Survey (ZMIS of 2006 was the first nation-wide malaria survey, which combined parasitological data with other malaria indicators such as net use, indoor residual spraying and household related aspects. The survey was carried out by the Zambian Ministry of Health and partners with the objective of estimating the coverage of interventions and malaria related burden in children less than five years. In this study, the ZMIS data were analysed in order (i to estimate an empirical high-resolution parasitological risk map in the country and (ii to assess the relation between malaria interventions and parasitaemia risk after adjusting for environmental and socio-economic confounders. Methods The parasitological risk was predicted from Bayesian geostatistical and spatially independent models relating parasitaemia risk and environmental/climatic predictors of malaria. A number of models were fitted to capture the (potential non-linearity in the malaria-environment relation and to identify the elapsing time between environmental effects and parasitaemia risk. These models included covariates (a in categorical scales and (b in penalized and basis splines terms. Different model validation methods were used to identify the best fitting model. Model-based risk predictions at unobserved locations were obtained via Bayesian predictive distributions for the best fitting model. Results Model validation indicated that linear environmental predictors were able to fit the data as well as or even better than more complex non-linear terms and that the data do not support spatial dependence. Overall the averaged population-adjusted parasitaemia risk was 20.0% in children less than five years with the highest risk predicted in the northern (38.3% province. The odds of parasitaemia in children living in a household with at least one bed net decreases by 40% (CI: 12%, 61% compared to those without bed nets. Conclusions The map of parasitaemia risk together with the prediction error and the population at risk give an important overview of the malaria situation in Zambia. These maps can assist to achieve better resource allocation, health management and to target additional interventions to reduce the burden of malaria in Zambia significantly. Repeated surveys will enable the evaluation of the effectiveness of on-going interventions.
Mweemba, Carol Emma; Nyambe, Imasiku; Funder, Mikkel; Van Koppen, Barbara
Recent years have witnessed an increasing focus on water as a source of conflict. So far, much of the focus has been on the risk for transboundary water conflicts. Our current knowledge on local water conflicts is however more limited, and trends to be based on sporadic accounts of local water conflicts rather than on systematic empirical evidence. At the same time, the extent and nature of local water cooperation is often overlooked, just as we know little about the particular role of the po...
Berling, Ludvig; Palm, Alexander; Sahlin, Linnea
Denna studie utfÃ¶rdes som ett kandidatexamensarbete vid Kungliga Tekniska HÃ¶gskolan i Stockholm, Sverige, under vÃ¥ren 2012. Projektet genomfÃ¶rdes som en fÃ¤ltstudie i Lusaka, Zambia, i samarbete med Obert Mambwe pÃ¥ Petrec Zambia Limited. Den lokala avfallshanteringen i Lusaka lider av kraftig Ã¶verbelastning pÃ¥ grund av otillrÃ¤ckliga resurser och snabb befolkningstillvÃ¤xt. Endast 50% av den totala mÃ¤ngden producerat avfall samlas in. Med samma procentsats motsvarar detta att 2,9 ton PET-flaskor...
Tupa, Megan; McFadden, Ledyard
Finalists for the Broad Prize for Urban Education demonstrate that identifying strategies that fit the local context is essential in creating success for students. Long Beach Unified School District in California and Broward County Public Schools in Florida demonstrate how districts can use different strategies to achieve the same goals.
Coast, Ernestina; Murray, Susan F
Unsafe abortion is a significant but preventable cause of global maternal mortality and morbidity. Zambia has among the most liberal abortion laws in sub-Saharan Africa, however this alone does not guarantee access to safe abortion, and 30% of maternal mortality is attributable to unsafe procedures. Too little is known about the pathways women take to reach abortion services in such resource-poor settings, or what informs care-seeking behaviours, barriers and delays. In-depth qualitative interviews were conducted in 2013 with 112 women who accessed abortion-related care in a Lusaka tertiary government hospital at some point in their pathway. The sample included women seeking safe abortion and also those receiving hospital care following unsafe abortion. We identified a typology of three care-seeking trajectories that ended in the use of hospital services: clinical abortion induced in hospital; clinical abortion initiated elsewhere, with post-abortion care in hospital; and non-clinical abortion initiated elsewhere, with post-abortion care in hospital. Framework analyses of 70 transcripts showed that trajectories to a termination of an unwanted pregnancy can be complex and iterative. Individuals may navigate private and public formal healthcare systems and consult unqualified providers, often trying multiple strategies. We found four major influences on which trajectory a woman followed, as well as the complexity and timing of her trajectory: i) the advice of trusted others ii) perceptions of risk iii) delays in care-seeking and receipt of services and iv) economic cost. Even though abortion is legal in Zambia, girls and women still take significant risks to terminate unwanted pregnancies. Levels of awareness about the legality of abortion and its provision remain low even in urban Zambia, especially among adolescents. Unofficial payments required by some providers can be a major barrier to safe care. Timely access to safe abortion services depends on chance rather than informed exercise of entitlement. PMID:26921835
Ndashe, Kunda; Simulundu, Edgar; Hang'ombe, Bernard M; Moonga, Ladslav; Ogawa, Hirohito; Takada, Ayato; Mweene, Aaron S
Infectious bursal disease (IBD) is an acute, highly contagious, and immunosuppressive viral disease of young chickens and remains one of the economically most important diseases threatening the poultry industry worldwide. In this study, 16 and 11 nucleotide sequences of the VP2 hypervariable region (VP2-HVR) and part of VP1, respectively, of IBD virus (IBDV) detected in vaccinated broiler chickens in Lusaka in 2012 were determined. Phylogenetic analysis revealed that these Zambian IBDVs separated into three genotypes of very virulent (VV) IBDVs. Although the majority of these viruses belonged to the African VV type (VV1), which consisted of viruses from West Africa, South Africa and Zambia, one virus belonged to the East African VV type (VV2). Interestingly, a Zambian IBDV belonging to the VV3 genotype (composed of viruses from several continents) clustered with attenuated vaccine strains. Although sequence analysis of VP2-HVR showed that all detected Zambian IBDVs had conserved putative virulence marker amino acids (i.e., 222A, 242I, 256I, 294I and 299S), one virus had two unique amino acid substitutions, N280S and E300A. This study demonstrates the diversity of Zambian IBDVs and documents for the first time the possible involvement of attenuated vaccine strains in the epidemiology of IBD in Zambia. Strict biosecurity of poultry farms, monitoring of live vaccine use in the field, surveillance and characterization of IBDV in poultry and development of a vaccine from local or regional IBDV field strains are recommended for improved IBD control in Zambia. PMID:26597187
Full Text Available Background: The study investigated the perspective of people with mobility limitations (PWML in Zambia, firstly of their accessibility to public buildings and spaces, and secondly of how their capacity to participate in a preferred lifestyle has been affected.Objectives: Firstly to provide insight into the participation experiences of PWML in the social, cultural, economic, political and civic life areas and the relationship of these with disability in Zambia. Secondly to establish how the Zambian disability context shape the experiences of participation by PWML.Method: A qualitative design was used to gather data from 75 PWML in five of the nine provinces of Zambia. Focus group discussions and personal interviews were used to examine the accessibility of the built environment and how this impacted on the whole familyâs participation experiences. The nominal group technique was utilised to rank inaccessible buildings and facilities which posed barriers to opportunities in life areas and how this interfered with the whole familyâs lifestyle.Results: Inaccessibility of education institutions, workplaces and spaces have contributed to reduced participation with negative implications for personal, family, social and economic aspects of the lives of participants. Government buildings, service buildings, and transportation were universally identified as most important but least accessible.Conclusion: Zambians with mobility limitations have been disadvantaged in accessing services and facilities provided to the public, depriving them and their dependants of full and equitable life participation because of reduced economic capacity. This study will assist in informing government of the need to improve environmental access to enable equal rights for all citizens.
Full Text Available This article is descriptive in nature and a practical theological assessment of the schisms that took place in the Reformed Church in Zambia (RCZ between 1996 and 2001. It analyses empirical evidence to find an answer to the question why it happened. Pentecostal or charismatic tendencies have challenged the long inherited tradition of mainline churches. Subsequently, Pentecostal or charismatic movements have caused intense conflict in the church between the pro-conservatives and pro-Pentecostals. In the RCZ this led to the formation of the Christian Reformed Church (CRC in 1999 and the Bible Gospel Church in Africa (BIGOCA in 2001.
Full Text Available Biochar addition to agricultural soils can improve soil fertility, with the added bonus of climate change mitigation through carbon sequestration. Conservation farming (CF is precision farming, often combining minimum tillage, crop rotation and residue retention. In the present farmer-led field trials carried out in Zambia, the use of a low dosage biochar combined with CF minimum tillage was tested as a way to increase crop yields. Using CF minimum tillage allows the biochar to be applied to the area where most of the plant roots are present and mirrors the fertilizer application in CF practices. The CF practice used comprised manually hoe-dug planting 10-L sized basins, where 10%â12% of the land was tilled. Pilot trials were performed with maize cob biochar and wood biochar on five soils with variable physical/chemical characteristics. At a dosage as low as 4 tons/ha, both biochars had a strong positive effect on maize yields in the coarse white aeolian sand of Kaoma, West-Zambia, with yields of 444% Â± 114% (p = 0.06 and 352% Â± 139% (p = 0.1 of the fertilized reference plots for maize and wood biochar, respectively. Thus for sandy acidic soils, CF and biochar amendment can be a promising combination for increasing harvest yield. Moderate but non-significant effects on yields were observed for maize and wood biochar in a red sandy clay loam ultisol east of Lusaka, central Zambia (University of Zambia, UNZA, site with growth of 142% Â± 42% (p > 0.2 and 131% Â± 62% (p > 0.2 of fertilized reference plots, respectively. For three other soils (acidic and neutral clay loams and silty clay with variable cation exchange capacity, CEC, no significant effects on maize yields were observed (p > 0.2. In laboratory trials, 5% of the two biochars were added to the soil samples in order to study the effect of the biochar on physical and chemical soil characteristics. The large increase in crop yield in Kaoma soil was tentatively explained by a combination of an increased base saturation (from <50% to 60%â100% and cation exchange capacity (CEC; from 2â3 to 5â9 cmol/kg and increased plant-available water (from 17% to 21% as well as water vapor uptake (70 mg/g on maize cob biochar at 50% relative humidity.
Silwamba C; Chileshe P R K
Abstract Mining in Chingola Zambia started underground in 1931 and was catastrophically flooded and closed. The present Nchanga Underground Mine NUG started in 1937. The Nchanga Open Pit NOP mine started in 1955 situated to the west of NUG and partially overlying it. Open pit water control safety operations in the Nchanga-Chingola area have successfully enabled the safe extraction of millions of tonnes of copper ore annually over the past 60 years from NUG mining as well as the NOP. At the st...
M. Funder; Bustamante Zenteno, R.R.; Cossio Rojas, V.; Huong, P.T.M.; Koppen, van, K.; Mweemba, C; Nyambe, L.; L.T.T. Phuong; T. Skielboe
Media stories often speak of a future dominated by large-scale water wars. Rather less attention has been paid to the way water conflicts already play out at local levels and form part of peopleâs everyday lives. Based on case study studies from Vietnam, Bolivia and Zambia, this paper examines the strategies of poor households in local water conflicts. It is shown how such households may not only engage actively in collaborative water management but may also apply risk aversion strategies whe...
The effect of endosulfan on non-target fauna in a maize agro-ecosystem was studied in Zambia in 1994 and 1995. Endosulfan was well tolerated by a number of beneficial arthropods such as spiders, coccinelids, carabids and ants. Springtails were significantly reduced. However the effect was only transient and lasted for at most eight weeks. While endosulfan was effective against the target pest (stalk borers) it appeared to have no real effect on the soil inhabiting microorganisms. (author). 6 refs, 6 tabs
Full Text Available BACKGROUND: Among school- attending adolescents, victimization from bullying is associated with anxiety, depression and poor academic performance. There are limited reports on victimization from bullying in Zambia; we therefore conducted this study to determine the prevalence and correlates for victimization from bullying among adolescents in grades 7 to 10 in the country in order to add information on the body of knowledge on victimization from bullying. METHODS: The 2004 Zambia Global School-based Health Survey (GSHS data among adolescents in grades 7 to 10 were obtained from the World Health Organization. We estimated the prevalence of victimization from bullying. We also conducted weighted multivariate logistic regression analysis to determine independent factors associated with victimization from bullying, and report adjusted odds ratios (AOR and their 95% confidence intervals (CI. RESULTS: Of 2136 students who participated in the 2004 Zambia GSHS, 1559 had information on whether they were bullied or not. Of these, 1559 students, 62.8% (60.0% of male and 65.0% of female participants reported having been bullied in the previous 30 days to the survey. We found that respondents of age less than 14 years were 7% (AOR=0.93; 95%CI [0.91, 0.95] less likely to have been bullied compared to those aged 16 years or older. Being a male (AOR=1.07; 95%CI [1.06, 1.09], lonely (AOR=1.24; 95%CI [1.22, 1.26], worried (AOR=1.12; 95%CI [1.11, 1.14], consuming alcohol (AOR=2.59; 95%CI [2.55, 2.64], missing classes (AOR=1.30; 95%CI [1.28, 1.32], and considering attempting suicide (AOR=1.20; 95%CI [1.18, 1.22] were significantly associated with bullying victimization. CONCLUSIONS: Victimization from bullying is prevalent among in-school adolescents in grades 7 to 10 in Zambia, and interventions to curtail it should consider the factors that have been identified in this study.
This dissertation is informed by the need for adequate ethical consciousness in view of the perceived need for public responsibility, cooperation and participation in ensuring sound environmental management. It investigates and critiques the extent to which an adequate range of ethical principles has been incorporated in Zambia's attempts to address environmental issues.The investigation focused on the role of government policy, education system and the mass media in promoting responsible environmental management and practices by raising environmental ethical consciousness. The study confirmed the preponderance of economic utilitarianism with regard to environmental issues. (author)
Strobbe, Francesco; Olivetti, Claudia; Jacobson, Mireille
Drawing on original fieldwork in the slums of Ndola in Northern Zambia we isolate those features of a child's nuclear and extended family that put him most at risk of ending up on the streets. We find that older, male children and particularly orphaned children are more likely to wind up on the street. Families with a male household head who is in poor health are more likely to originate street-connected children. In contrast, households with surviving maternal grandparents or with a male hea...
Generation of radioactive waste in Zambia is limited by application of radioisotopes in medicine and research, and by use of sealed radioactive sources in industry, agriculture and at health care facilities. Use of radioactive materials and management of associated wastes are governed by National Ionising Radiation Act. Totally more then 100 institutions in the country are using different radioactive materials and consequently are dealing with radioactive waste. Responsibility for managing these wastes rested with organisations and institutions producing radioactive waste, with the supervision of this activity by National Radiation Service (RPS). (author)
A survey of heavy element levels in top soils collected around four industrial plants and along four highway stretches demonstrated that there was significant pollution only around an abandoned Pb/Zn mine. Sample collection in a rectangular grid encompassing each source sought to depict the spatial extent of pollution. Ascertaining levels of heavy elements in potentially polluted soils in urban areas of Zambia and along major highways was deemed desirable because it is common practice to grow maize and vegetables in lots adjacent to accessible industrial sites and highways. Pb is a heavy element of interest for all sampled sites whose distribution at the abandoned mine ranged from 13 to 2028 ppm
Fwe is a Bantu language classified as K.402 (Maho 2009) spoken in the Zambezi region (formerly known as the Caprivi strip) in Namibia and the Imusho and Sinjembela regions of the Western Province of Zambia. Although the language has only about 20.000 speakers (Sakuhuka et al. 2011), it exhibits a fair degree of dialectal variation. Speakers tend to distinguish between âNamibian Fweâ and âZambian Fweâ, though empirical data show that the dialectal border is not identical to the national border...
The aim of this paper is to examine and analyse the political role and strategies of the women"s movement in Zambia. In particular, the aim is through two specific case studies - the Oasis Forum and the co-operation with the traditional leadership - to understand and identify factors, which both enable and constrain women"s political agency and shape its particular nature. The topic is approached from the perspective of gendered social movement theory, as one finds, it is attentive to the spe...
Abreu Lopes, Claudia; Mudhai, Okoth Fred; Mitullah, Winnie V.; Simutanyi, Neo; Balongo, Sam; Diepeveen, Stephanie; Fraser, Alastair; Milapo, Nalukui; Mwangi, Sammy; Tembo, Emmanuel; (PI) Srinivasan, Sharath
The PiMA Working Papers are a series of peer-reviewed working papers that present findings and insights from Centre of Governance and Human Rights? (CGHR) Politics and Interactive Media in Africa (PiMA) research project (2012-14). The project, jointly funded by the ESRC and DFID (ES/J018945/1), focuses on expressions of ?public opinion? in broadcast media via new information and communication technologies (ICT) such as mobile phones in Kenya and Zambia. PiMA examines the political implication...
The main source of geothermal energy is the heat flow from the mantle beneath the Earthâs surface, generated by the gradual decay of radioactive isotopes in the Earthâs crust. A hot spring is produced by the emergence of geothermally heated groundwater flowing out to the Earthâs surface. The Chinyunyu hot spring is located about 90km east of Lusaka, Zambia. Water from the spring has been artificially channeled into a large excavated pool which is used as a bathing place. Since the undiluted s...
Henning, Margaret; Chi, Chunheui; Khanna, Sunil K.
Objective: The purpose of this study was to evaluate the socio-cultural variables that may influence teachers' adoption of classroom-based HIV/AIDS education within the school setting and among school types in Zambia's Lusaka Province. Method: Mixed methods were used to collect original data. Using semi-structured interviews (n=11) and a surveyâ¦
Chongo, Mkhuzo; Vest Christiansen, Anders; Tembo, Alice; Banda, Kawawa Eddy; A. Nyambe, Imasiku; Larsen, Flemming; Bauer-Gottwein, Peter
efficient tool for mapping groundwater quality variations and has been used extensively to explore the Kalahari sediments, e.g., in Botswana and Namibia. Recently, airborne and groundbased mapping of groundwater salinity was conducted in the MachileâZambezi Basin, southwestern Zambia, using the versatile...
Banda-Chalwe, Martha; Nitz, Jennifer C.; de Jonge, Desleigh
This paper explores the accessibility situation in a developing country such as Zambia. The global view of accessibility for disabled people is provided to examine the accessibility situation in developed and developing countries, highlighting the role of the environment in achieving rights for disabled people. Recognition of disability rights
Mwanahamuntu, Mulindi H; Sahasrabuddhe, Vikrant V; Kapambwe, Sharon; Pfaendler, Krista S; Chibwesha, Carla; Mkumba, Gracilia; Mudenda, Victor; Hicks, Michael L; Vermund, Sten H; Stringer, Jeffrey S A; Parham, Groesbeck P
Groesbeck Parham and colleagues describe their Cervical Cancer Prevention Program in Zambia, which has provided services to over 58,000 women over the past five years, and share lessons learned from the program's implementation and integration with existing HIV/AIDS programs. PMID:21610859
Mulindi H Mwanahamuntu; Sahasrabuddhe, Vikrant V; Kapambwe, Sharon; Pfaendler, Krista S.; Chibwesha, Carla; Mkumba, Gracilia; Mudenda, Victor; Hicks, Michael L.; VERMUND, STEN H.; STRINGER, Jeffrey S A; Parham, Groesbeck P.
Groesbeck Parham and colleagues describe their Cervical Cancer Prevention Program in Zambia, which has provided services to over 58,000 women over the past five years, and share lessons learned from the program's implementation and integration with existing HIV/AIDS programs.
van Breugel, Paulo; Kindt, Roeland; LillesÃ¸, Jens-Peter Barnekow; Bingham, Michael; Demissew, Sebsebe; Dudley, Cornell; Friis, Ib; Gachathi, Francis; Kalema, James; Mbago, Frank; Moshi, Heriel N.; Mulumba, John W.; Namaganda, Mary; Ndangalasi, Henry J.; Ruffo, C.K.; Minani, Vedaste; Jamnadass, Ramni; Graudal, Lars
The potential natural vegetation (PNV) map of eastern and southern Africa covers the countries Burundi, Ethiopia, Kenya, Uganda, Rwanda, Tanzania, and Zambia. The first version of the map was developed by various partners in East Africa and Europe in 2010 and has now reached version 2. The map is...
Peacock-Villada, Paola; DeCelles, Jeff; Banda, Peter S.
Grassroot Soccer (GRS), a U.S.-based nonprofit organization, designed a curriculum and sport-based teaching model to build resiliency, targeting boys and girls in Lusaka, Zambia, and Johannesburg, South Africa, where most children are reminded daily of the devastation caused by AIDS and where many face chronic and acute hardship. Collaboratingâ¦
Crane, Thera Marie
This dissertation aims to characterize the relationship between the temporal and information-structuring functions of tense and aspect marking in Totela, an endangered Bantu language of Zambia and Namibia. To that end, I investigate and describe in detail the semantics and pragmatics of selected tense and aspect markers, showing for each that a
Banda-Chalwe, Martha; Nitz, Jennifer C.; de Jonge, Desleigh
This paper explores the accessibility situation in a developing country such as Zambia. The global view of accessibility for disabled people is provided to examine the accessibility situation in developed and developing countries, highlighting the role of the environment in achieving rights for disabled people. Recognition of disability rightsâ¦
Heard, Jason P; Latenser, Barbara A; Liao, Junlin
The aim of this study was to assess both burn prevention knowledge and the effectiveness of educational intervention in alleviating the current knowledge deficit in Zambian youth. In one rural Zambian district, a burn prevention program was implemented in June 2011. Children at two elementary schools completed a 10-question survey that aimed to assess knowledge regarding burn injuries. After completing the survey, children received a burn and fire safety presentation and a burn prevention coloring book. Children were reassessed in May 2012 using the same survey to determine program efficacy and knowledge retention. Burn knowledge assessments were also completed for children at other schools who did not receive the burn prevention program in 2011. Logistic regression analysis was used for statistical adjustment for confounding variables. Between June 2011 and May 2012, 2747 children from six schools were assessed for their burn knowledge, with 312 of them resurveyed after educational intervention since initial survey. Reassessed children performed significantly better on three questions after controlling for confounders. They did better on five questions but their performance on these failed to achieve statistical significance. Children performed significantly worse on one concept about first aid treatment of a burn. A majority of the children demonstrated knowledge deficit in three concepts, even after educational intervention. There is a large variation in first burn knowledge survey performance of children from different schools, with inconsistency between concepts. With half the questions, knowledge deficit did not improve with advancement in school grade. Low- and moderate-income countries (LMICs) face the largest burns burden. With the lack of adequate burn care facing LMICs, burn injury prevention is of particular importance in those countries. This study shows that burn educational intervention could be effective in reducing burn knowledge deficit; however, the residual deficit posteducation could still be large and potentially contributing to heightened burn injury incidence. Customized and integrated educational programs may be proposed regarding the epidemiological profile of burn knowledge deficit from various schools. This study represents one of the few reports on the effectiveness of a burn prevention program in an LMIC. Future epidemiological data will be needed from nearby healthcare facilities to determine whether this program decreased burn morbidity and mortality at the hospital level. PMID:24043246
In Zambia, which is current (1998) classified as a Least Developed Country has applications of nuclear science and technology that cover the medical, industrial, education and research. However, the application is mainly in medical and industry. Through the responsibility of radiation source is within the mandate of the Radiation Protection Board. The aspects involving security fall on different stake holders some that have no technical knowledge on what radiation is about. The stake holders in this category include customs clearing and forwarding agents, state security/defence agencies and the operators. Such a situation demands a national system that should be instituted to meet the safety and security requirements but takes into account the involvement of the diverse stake holders. In addition such system should avoid unnecessary exposure, ensure safety of radioactive materials and sources, detect illicit trade and maintain integrity of such materials or sources. This paper will provide the status on issue in Zambia and the challenges that exist to ensure further development in application of Nuclear Science and Technology (S and T) in the country takes into account the safety and security requirements that avoid deliberate and accidental loss of radiation sources and radioactive materials. The Government has a responsibility to ensure that effective system is established and operated to protect radiation sources and radioactive materials from theft, sabotage and ensure safety. (author)
Full Text Available The need to enhance environmental sustainability, sustainable development and growth that takes into account the well-being of the people and nature because of the increased production and consumption of goods and services is the major driver to the introduction of green economy in Zambia and countries in southern Africa. This article examines the extent to which local government in Zambia has embraced green growth and green economy and critically analyses the concept of green economy and green growth. This study is based on a review of planning and policy documents, a household questionnaire survey and interviews with various institutions, planners and rural development organisations. A number of policies implemented at the local government level were analysed and reflected upon irrespective of whether they contain the components of green growth and green economy and the extent to which they contribute to attaining green economy. The article argues that the need for economic diversification is important as far as green economy is concerned. The article recommends the need to invest in research and development in order to find more carbon-free economic activities. The conclusion is that local government is key to achieving green growth and green economy, because it is involved at all levels, from policy formulation to implementation.
Full Text Available Sub-Saharan Africa is home to more than 70% of the global HIV-positive population. In Zambia, as well as in other parts of Africa, deaths from AIDS and associated infections have created a generation of households headed by children, a situation that negatively affects the chances for economic and health improvements in the region. In contemplating possible public health interventions around HIV prevention, we found that a growing body of research advocates for school-based HIV programs as an effective strategy to stop the spread of the disease. This work is critical because it explores schoolteachersâ perspectives on their potential roles as HIV prevention educators. Semi-structured interviews (n = 12 were conducted among schoolteachers in the Lusaka province of Zambia to collect qualitative data. Analysis of qualitative data revealed three broad and interconnected themes related to the roles and concerns of the participating teachers: 1 the role of overburden; 2 fear of stigma; and 3 perceived lack of agency. These themes are further discussed in the context of the results that focused on the teachers and the adoption of HIV education. Little is known about teachersâ perceptions of themselves as HIV educators. Our study suggests that understanding teachersâ perceptions and the contextual factors is crucial to the adoption of school-based HIV programs.
Steketee, Richard W; Sipilanyambe, Naawa; Chimumbwa, John; Banda, James J; Mohamed, Abdirahman; Miller, John; Basu, Suprotik; Miti, Simon K; Campbell, Carlos C
With its 2006-2011 National Malaria Strategic Plan, Zambia committed to control malaria at a national scale. This scale-up for impact approach was facilitated by sound business planning and financing in 2006 of approximately US$35 million. Compared with surveys in 2001 and 2004, a 2006 national survey of 14,681 persons in 2,999 households at the end of the transmission season showed substantial coverage increases for preventive interventions. Ownership and use rates of insecticide-treated mosquito nets (ITNs) among vulnerable groups doubled, with 44% of households owning ITNs and 23% of children less than five years of age and 24% of pregnant women using them. Roll Back Malaria Abuja targets for intermittent preventive treatment in pregnancy (IPTp) were exceeded, with 62% of pregnant women receiving at least two doses of IPTp. As of 2006, Zambia is demonstrating substantial progress toward the national targets (80% population coverage rates for the interventions) and aspires to show that malaria need not be its leading health problem, and that malaria control is a sound national investment. PMID:18606763
Why would many Zambians be reluctant to access lifesaving antiretroviral treatment? Does the process of accessing an HIV test in Zambia promote an identity that can change individuals' livelihood strategies? What happens to individuals when people access treatment? Voluntary testing and treatment centres and the HIV-prevention programmes that support them have come to embody explicit messages about 'health,' 'progress,' 'civilisation' and 'modernity,' and through this they compel individuals to take on a particular identity. In Zambia the pursuit of HIV testing and biomedical treatment forces individuals to locate themselves somewhat differently in relation to community support structures, placing their faith in the future on an uneasy foundation of a 'modern' identity. This is embodied in the deep-rooted suspicion that many Zambians have toward the international HIV/AIDS-response sector from which HIV and AIDS treatment programmes are derived. Drawing upon the notion of 'therapeutic citizenship' I examine why the 'AIDS industry' continues to symbolise such tension. I explore how individuals believe their identity will shift through participation in HIV testing and treatment options and how that might impact long-term and short-term livelihood strategies. PMID:25875714
Zupin, Luisa; Polesello, Vania; Segat, Ludovica; Kuhn, Louise; Crovella, Sergio
Since antiretroviral drugs have been introduced to prevent mother-to-child transmission, the risk of HIV-1 infection in infants has decreased considerably worldwide. Nevertheless, many factors are involved in viral transmission and host susceptibility to infection. The immune system and its components, including mannose binding protein C (encoding by MBL2 gene), are already known to play an important role in this scenario. In the present study, 313 children and 98 of their mothers from Zambia were genotyped for the MBL2 promoter HL (rs11003125) and XY (rs7096206) polymorphisms and exon 1 D (rs5030737, at codon 52) B (rs1800450, at codon 54) and C (rs1800451, at codon 57) polymorphisms in order to investigate the potential role of these genetic variants in HIV-1 mother-to-child transmission. No statistical significant association was observed comparing transmitter and non-transmitter mothers and also confronting HIV-positive and HIV-negative children. The findings of the current study obtained on mother and children from Zambia evidence lack of association between MBL2 functional polymorphisms and HIV-1 mother-to-child transmission. PMID:26740328
Guney, M. (Univ. of Tripoli, Libya); Bell, A.R.
This article is based on a detailed heat investigation conducted at the Rokana Division of Nchanga Consolidated Copper Mines Limited in Zambia. Mindola Mine is one of the three underground mines comprising the Rokana Division on the Copperbelt of Zambia, producing about 270,000 tons of ore per month at 1.9% Cu and 0.14% Co. The total volume of air being circulated by means of five primary fan installations slightly exceeds 1,000 m/sup 3//sec at standard density. Sectional bulk cooling is practised where air cooling coils are installed at primary splits some considerable distance from the stoping opeations. Total capacity of the refrigeration complex is 10,500 kw (3,500 R. tons), of which about 7,000 kw is available as effective cooling power after losses, but the heat removed from the coils is about 3,500 kw with 61% over-all plant performance. An extension program is planned for a further five production levels with the re-deepening of a sub-vertical shaft. Thermal heat will become a major problem at increased depth associated with higher rock temperature, higher thermal conductivity of the rock groups encountered and fissure water flowing into working areas through the strata with increased rock temperature.
Full Text Available This study uses the model of Patzelt and Shepherd (2011 to examine the factors influencing the identification of sustainable opportunities among SMEs in a developing country, Zambia. The factors under investigation include knowledge of the natural/social environment, perception of threats to the natural/social environment, altruism towards others and entrepreneurial knowledge. We interviewed 220 owner-managers in the trading and service sector who supply goods and services to the mining industry in Zambia. We found that altruism towards others was partially supported by our empirical results while the positive effects of knowledge of the natural/social environment and perception of threats to the natural/social environment on the identification of sustainable opportunities were not supported. Contrary to our expectations, entrepreneurial knowledge does not positively moderate the relationship between explanatory variables and the identification of sustainable opportunities. In sum, we found only limited empirical support for the model of Patzelt and Shepherd (2011 concerning the identification of sustainable opportunities. Our findings contribute to literature on entrepreneurship and sustainable opportunity identification by showing what factors influence the identification of sustainable opportunities. This can help us to create awareness among entrepreneurs regarding the effects of entrepreneurial activities on the environment and society; consequently, stimulating entrepreneurs to identify sustainable opportunities.
Kavanaugh, Megan L; Moore, Ann M; Akinyemi, Odunayo; Adewole, Isaac; Dzekedzeke, Kumbutso; Awolude, Olutosin; Arulogun, Oyedunni
Although stigma towards HIV-positive women for both continuing and terminating a pregnancy has been documented, to date few studies have examined relative stigma towards one outcome versus the other. This study seeks to describe community attitudes towards each of two possible elective outcomes of an HIV-positive woman's pregnancy - induced abortion or birth - to determine which garners more stigma and document characteristics of community members associated with stigmatising attitudes towards each outcome. Data come from community-based interviews with reproductive-aged men and women, 2401 in Zambia and 2452 in Nigeria. Bivariate and multivariate analyses revealed that respondents from both countries overwhelmingly favoured continued childbearing for HIV-positive pregnant women, but support for induced abortion was slightly higher in scenarios in which anti-retroviral therapy (ART) was unavailable. Zambian respondents held more stigmatising attitudes towards abortion for HIV-positive women than did Nigerian respondents. Women held more stigmatising attitudes towards abortion for HIV-positive women than men, particularly in Zambia. From a sexual and reproductive health and rights perspective, efforts to assist HIV-positive women in preventing unintended pregnancy and to support them in their pregnancy decisions when they do become pregnant should be encouraged in order to combat the social stigma documented in this paper. PMID:23173695
Until recently occurrences of uranium in the Katanga System were known only in the Shaba Province of Zaire and on the Copperbelt, but a survey by AGIP has shown the existence of uranium mineralization in north-western Zambia. In each area, syngenetic copper and uranium mineralization are found near the base of the Katanga System. As a result of tectonism during the Lufilian orogeny and metamorphism related to and subsequent to the tectonism, epigenetic vein-type uranium deposits were formed by the repeated mobilization and depositing of the original mineralization. Supergene alteration and thermal events resulted in further redistribution and concentration. In the Domes area of north-western Zambia, the mineralization occurs mainly in mica schists underlying a quartzite horizon near the base of the Lower Roan Group at the margins of the Kabompo, Mwombezhi and Solwezi Domes. The mineralization occurs as thorium-free pitchblende, disseminated or in veins, and as secondary uranium minerals. Several occurrences have been investigated by drilling. (author)
In short-term and long-term considerations of economy planning of long-lived infrastructure investments, situations of conflict may occur which are illustrated by examples and whose causes are stated. The paper then deals with some points of emphasis in the findings of the 'District Heating', study. The approach from industry's point of view is mentioned. The topics discussed are a) the costs of economical district heat supply from combined heat and power generation under realistic conditions of energy economy, b) determination of the technically suitable and economically realistic district heat potential, and c) accompanying measures of regional authorities for a faster development of district heating. Finally, the productive lives of a number of energy carriers are compared. (GG)
Earth Data Analysis Center, University of New Mexico â This layer represents boundaries for New Mexico tax district "OUT" categories and incorporated/municipal "IN" categories as identified on the "Certificate of Tax...
Earth Data Analysis Center, University of New Mexico â The dataset represents the boundaries of all public school districts in the state of New Mexico. The source for the data layer is the New Mexico Public Education...
Kansas Data Access and Support Center â This dataset outlines the location of the five Groundwater Management Districts in Kansas. GMDs are locally formed and elected boards for regional groundwater...
Muula Adamson S; Rudatsikira Emmanuel; Babaniyi Olusegun; Songolo Peter; Siziya Seter
Abstract Background There are limited data on the prevalence and associated factors of truancy in southern Africa. Yet truancy should attract the attention of public health professionals, educators and policy makers as it may be associated with adolescent problem behaviours. The objectives of the study were to estimate the prevalence and determine correlates of school truancy among pupils in Zambia. Findings We used data collected in 2004 in the Zambia Global School-based Health Survey. Logis...
Musakula, Franklins Mwansa
Western music and African music as a form of indigenous knowledge constitute music education taught in colleges of education in Zambia. Nevertheless, soon after the countryâs independence from British rule in 1964, Zambia embarked on curriculum reforms to ensure inclusion of the African indigenous cultures. This was in an effort to transform the colonial school curriculum which was dominated Eurocentric values, beliefs and practices in order to make the education relevant to the Zambian child...
Mine tailings in African countries Zambia and Namibia have been investigated with an objective to determine the role of secondary hematite in immobilization of contaminants. Two sites, Chambishi and Mindolo, are located in the Copperbelt in Zambia with relatively humid climates and two sites, Berg Aukas and Kombat, are in Namibia, where the climate is semiarid. At the Chambishi site which is about 40 years old, a hardpan composed of hematite and gypsum has formed at a depth of about 60 cm and...
van Dijk, Janneke H.; Moss, William J; Hamangaba, Francis; Munsanje, Bornface; Sutcliffe, Catherine G.
Background Travel time and distance are barriers to care for HIV-infected children in rural sub-Saharan Africa. Decentralization of care is one strategy to scale-up access to antiretroviral therapy (ART), but few programs have been evaluated. We compared outcomes for children receiving care in mobile and hospital-affiliated HIV clinics in rural Zambia. Methods Outcomes were measured within an ongoing cohort study of HIV-infected children seeking care at Macha Hospital, Zambia from 2007 to 201...
Thys, Séverine; Mwape, Kabemba E; Lefèvre, Pierre; Dorny, Pierre; Marcotty, Tanguy; Phiri, Andrew M; Phiri, Isaak K; Gabriël, Sarah
Taenia solium cysticercosis is a neglected parasitic zoonosis occurring in many developing countries. Socio-cultural determinants related to its control remain unclear. Studies in Africa have shown that the underuse of sanitary facilities and the widespread occurrence of free-roaming pigs are the major risk factors for porcine cysticercosis. The study objective was to assess the communities' perceptions, practices and knowledge regarding latrines in a T. solium endemic rural area in Eastern Zambia inhabited by the Nsenga ethno-linguistic group, and to identify possible barriers to their construction and use. A total of 21 focus group discussions on latrine use were organized separately with men, women and children, in seven villages of the Petauke district. The themes covered were related to perceived latrine availability (absence-presence, building obstacles) and perceived latrine use (defecation practices, latrine management, socio-cultural constraints).The findings reveal that latrines were not constructed in every household because of the convenient use of existing latrines in the neighborhood. Latrines were perceived to contribute to good hygiene mainly because they prevent pigs from eating human feces. Men expressed reluctance to abandon the open-air defecation practice mainly because of toilet-associated taboos with in-laws and grown-up children of the opposite gender. When reviewing conceptual frameworks of people's approach to sanitation, we found that seeking privacy and taboos hindering latrine use and construction were mainly explained in our study area by the fact that the Nsenga observe a traditionally matrilineal descent. These findings indicate that in this local context latrine promotion messages should not only focus on health benefits in general. Since only men were responsible for building latrines and mostly men preferred open defecation, sanitation programs should also be directed to men and address related sanitary taboos in order to be effective. PMID:25739017
Lindsey, Peter A; Nyirenda, Vincent R; Barnes, Jonathan I; Becker, Matthew S; McRobb, Rachel; Tambling, Craig J; Taylor, W Andrew; Watson, Frederick G; t'Sas-Rolfes, Michael
Many African protected areas (PAs) are not functioning effectively. We reviewed the performance of Zambia's PA network and provide insights into how their effectiveness might be improved. Zambia's PAs are under-performing in ecological, economic and social terms. Reasons include: a) rapidly expanding human populations, poverty and open-access systems in Game Management Areas (GMAs) resulting in widespread bushmeat poaching and habitat encroachment; b) underfunding of the Zambia Wildlife Authority (ZAWA) resulting in inadequate law enforcement; c) reliance of ZAWA on extracting revenues from GMAs to cover operational costs which has prevented proper devolution of user-rights over wildlife to communities; d) on-going marginalization of communities from legal benefits from wildlife; e) under-development of the photo-tourism industry with the effect that earnings are limited to a fraction of the PA network; f) unfavourable terms and corruption which discourage good practice and adequate investment by hunting operators in GMAs; g) blurred responsibilities regarding anti-poaching in GMAs resulting in under-investment by all stakeholders. The combined effect of these challenges has been a major reduction in wildlife densities in most PAs and the loss of habitat in GMAs. Wildlife fares better in areas with investment from the private and/or NGO sector and where human settlement is absent. There is a need for: elevated government funding for ZAWA; greater international donor investment in protected area management; a shift in the role of ZAWA such that they focus primarily on national parks while facilitating the development of wildlife-based land uses by other stakeholders elsewhere; and new models for the functioning of GMAs based on joint-ventures between communities and the private and/or NGO sector. Such joint-ventures should provide defined communities with ownership of land, user-rights over wildlife and aim to attract long-term private/donor investment. These recommendations are relevant for many of the under-funded PAs occurring in other African countries. PMID:24847712
Full Text Available To establish satisfaction level of persons with disabilitiesregarding health services at primary health care centres in Ndola, Zambia.Key stakeholders views on satisfaction of services is an important componentof service rendering thus obtaining information is important in assistingwith the evaluation of health care service delivery. This will assist in improvingeffectiveness and availability of health care services to persons with physicaldisabilities.All persons with disabilities attending both rehabilitation centres andprimary health care centres in Ndola, Zambia, were targeted for this study. Willing participants were convenientlyselected to take part in the study.A cross sectional, descriptive study design using quantitative methods of data collection was used. The GeneralPractice Assessment Questionnaire was adjusted, piloted for Ndola population and used in this study to establishsatisfaction of participants. The study was ethically cleared at the University of the Western Cape and Zambia.Information and consent forms were signed by participants.Quantitative data was analysed descriptively and was reported in percentages.In the current study there were 191 participants of whom 56% were male and 44% were female with age rangefrom 18-65 years. Fifty-two percent of the participants presented with learning disabilities and 38% of persons withphysical disabilities. Majority of clients (54% were dissatisfied with availability of services and health care servicesat the health care centres. Areas that clients were dissatisfied with were accessibility, consultation with health professionals,waiting times and opening hours of the health care centres.Clients with disabilities who accessed health care services from selected health centres in Ndola were dissatisfiedwith aspects of health services. Accessibility, consultation with health professionals, waiting times and opening hoursof the health care centres were the origin of client dissatisfaction. Other clients were satisfied with thoroughness ofhealth care providers regarding symptoms, feelings, reception and treatment received at the primary health care centre.Understanding the views of the clients is essential in improving health delivery services and could impact on thecompliance of people attending primary health care services.
NSGIC GIS Inventory (aka Ramona) â Community Development Districts (CDDs) are special taxing districts or local units of special-purpose government. A CDD may charge separate non-ad valorem special...
Nuclear district heating - a relatively new direction of nuclear power development is considered. Three methods how to organize the centralized district heating from nuclear power sources are discussed. The application of nuclear central heating- and-power plants (NCHPP), the combined generation of heat and electric power by reactors of condensation NPP and the application of nuclear boilers. The first method is the most economic but the most complicated, the third one - the creation of nuclear district heating plants (NDHP) without generation of electricity has a number of design advantages though it lends to a less economic utilization of primary energy. The second method occupies the intermediate position. Main requirements on NDHP (nuclear boiler) safety operation are stated, its flowsheet and a brief description of its reactor plant are given. It is emphasized that the combined generation of heat and electric power by NCHPP is less effective than by fossil fuel CHPP
The majority of our population, but also of our authorities, are still skeptical or even disapproving towards district heating. The reasons of this negative attitude are partly psychological - e.g. the individualism of the Swiss and their dislike for too centralised structures and ''forced connections'' - but also the existence of finished gas supply networks and the fear of considerable pre-investments and torn streets over years. The following article - held as a speech on the information meeting ''District heating and the possible contribution of nuclear energy'' organised by the Swiss Association for Atomic Energy in Bern shows a practical problem solving at the example of the district heating in Flensburg and deals with these questions.
Full Text Available Abstract Background Introduction of artemisinin combination therapy (ACT has boosted interest in parasite-based malaria diagnosis, leading to increased use of rapid diagnostic tests (RDTs, particularly in rural settings where microscopy is limited. With donor support, national malaria control programmes are now procuring large quantities of RDTs. The scarcity of health facilities and trained personnel in many sub-Saharan African countries means that limiting RDT use to such facilities would exclude a significant proportion of febrile cases. RDT use by volunteer community health workers (CHWs is one alternative, but most sub-Saharan African countries prohibit CHWs from handling blood, and little is known about CHW ability to use RDTs safely and effectively. This Zambia-based study was designed to determine: (i whether Zambian CHWs could prepare and interpret RDTs accurately and safely using manufacturer's instructions alone; (ii whether simple, mostly pictorial instructions (a "job aid" could raise performance to adequate levels; and (iii whether a brief training programme would produce further improvement. Methods The job aid and training programme were based on formative research with 32 CHWs in Luangwa District. The study team then recruited three groups of CHWs in Chongwe and Chibombo districts. All had experience treating malaria based on clinical diagnosis, but only six had prior RDT experience. Trained observers used structured observation checklists to score each participant's preparation of three RDTs. Each also read 10 photographs showing different test results. The first group (n = 32 was guided only by manufacturer's instructions. The second (n = 21 used only the job aid. The last (n = 26 used the job aid after receiving a three-hour training. Results Mean scores, adjusted for education, age, gender and experience, were 57% of 16 RDT steps correctly completed for group 1, 80% for group 2, and 92% for group 3. Mean percentage of test results interpreted correctly were 54% (group 1, 80% (group 2, and 93% (group 3. All differences were statistically significant (p Conclusion Manufacturer's instructions like those provided with the RDTs used in this study are insufficient to ensure safe and accurate use by CHWs. However, well-designed instructions plus training can ensure high performance. More study is underway to determine how well this performance holds up over time.
H. Jurgens Hendriks
Full Text Available This article is descriptive in nature and a practical theological assessment of the
schisms that took place in the Reformed Church in Zambia (RCZ between 1996 and
2001. It analyzes the available documents to find an answer to the question why it
happened. Pentecostal/charismatic tendencies have challenged the long inherited
tradition of mainline churches in general and the RCZ in particular. Subsequently,
Pentecostal/charismatic movements have caused intense conflict in the church
between the pro-conservatives and pro-Pentecostals. In the RCZ this led to the
formation of the Christian Reformed Church (CRC in 1999 and the Bible Gospel
Church in Africa (BIGOCA in 2001.
Full Text Available The purpose of this study was to investigate how knowledge retention may be enhanced at the University of Zambia (UNZA. A quantitative case study design employing a triangulation of data collection methods was used. Data were collected using interviews and questionnaires. Purposive sampling was used to determine participants for the interviews whilst stratified random sampling was employed to select the respondents for the questionnaire. The quantitative and qualitative data that was analysed using SPSSÂ® indicates that UNZA lacked certain knowledge retention practices that might enable it to retain operational relevant knowledge. In view of the findings, the study recommends the adoption of a knowledge retention framework that could be embedded in UNZAâs knowledge management policy.
Sherman, Jane; Muehlhoff, Ellen
School-based health and nutrition interventions in developing countries aim at improving children's nutrition and learning ability. In addition to the food and health inputs, children need access to education that is relevant to their lives, of good quality, and effective in its approach. Based on evidence from the Zambia Nutrition Education in Basic Schools (NEBS) project, this article examines whether and to what extent school-based health and nutrition education can contribute directly to improving the health and nutrition behaviors of school children. Initial results suggest that gains in awareness, knowledge and behavior can be achieved among children and their families with an actively implemented classroom program backed by teacher training and parent involvement, even in the absence of school-based nutrition and health services. PMID:17996629
Chongo, Mkhuzo; A. Nyambe, Imasiku; Larsen, Flemming
resources worldwide. This thesis presents the application of geo-electrical and electromagnetic methods for the investigation of groundwater salinity in the Machile-Zambezi Basin in south western Zambia, southern central Africa. Aerial and ground based transient electromagnetic measurenments were used to...... map the spatial distribution of apparent electrical resistivity on a regional scale in order to obtain a regional overview of groundwater salinization based on electrical resistivity correlation. Furthermore, ground based transient electromagnetic soundings and direct current and induced polarization...... use of direct current and transient electromagnetic data in one optimization. The result from the regional mapping with transient electromagnetic measurenments showed a spatial distribution of electrical resistivity that indicated block faulting in the Machile-Zambezi Basin. Saline groundwater was...
Vamos, Szonja; Mumbi, Miriam; Cook, Ryan; Chitalu, Ndashi; Weiss, Stephen Marshall; Jones, Deborah Lynne
The scale-up of HIV treatment programs in sub-Saharan Africa necessitates creative solutions that do not further burden the health system to meet global initiatives in prevention and care. This study assessed the work environment and impact of providing a behavioral risk reduction intervention in six community health centers (CHCs) in Lusaka, Zambia; opportunities and challenges to long-term program sustainability were identified. CHC staff participants (nâ=â82) were assessed on perceived clinic burden, job satisfaction, and burnout before and after implementation of the intervention. High levels of clinic burden were identified; however, no increase in perceived clinic burden or staff burnout was associated with providing the intervention. The intervention was sustained at the majority of CHCs and also adopted at additional clinics. Behavioral interventions can be successfully implemented and maintained in resource-poor settings. Creative strategies to overcome structural and economic challenges should be applied to enhance translation research. PMID:24904697
Bagnol, Brigitte; Clarke, Elizabeth; Li, Mu; Maulaga, Wende; Lumbwe, Hilda; McConchie, Robyn; de Bruyn, Julia; Alders, Robyn Gwen
The project "Strengthening food and nutrition security through family poultry and crop integration in Tanzania and Zambia" brings together animal, crop, and human health specialists, economists, ecologists, social scientists, and practitioners to work with participating communities. It aims to increase poultry value chain, crop farming systems efficiency, and household food and nutrition security and thus requires understanding of, and ability to work effectively within, complex systems. In this context, communication knowledge sharing and synthesis between stakeholders from diverse backgrounds and a range of experiences, perspectives, agendas, and knowledge is a challenge. To address this situation, communication is conceived as a dialog and a participatory process bringing together all stakeholders. This process results in unanticipated and unexpected results that require a high degree of flexibility and adaptability from team members. The paper analyses the approach and aim of the communication strategy developed for the project and the challenges faced. PMID:26904532
The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With $5.5 million of Agency support received, Zambia ranks 33rd among all recipients of technical assistance in the period 1958 through 1991. More than half of the assistance during the past ten years has been provided in the form of equipment (61%), followed by expert services (25%) and training (14%). Almost all of the resources made available came from the Technical Assistance and Co-operation Fund (93%), with only very small shares provided through extrabudgetary contributions (4%) and assistance in kind (3%). With regard to project disbursements during the past ten years, by sector, the largest areas have been agriculture (33%) and general atomic energy development (23%), followed by industry and hydrology (19%), nuclear raw materials (13%) and nuclear safety (6%)
Kristensen, SÃ¸ren Bech Pilgaard; Birch-Thomsen, Torben
This paper discusses the employment strategies of young people in selected rural areas of Zambia and Uganda, with a focus on the opportunities and constraints that they face. It investigates mobility patterns to determine what motivates some youth to stay, while others choose to migrate to urban...... areas. Quantitative and qualitative data are drawn on to analyse the role of exogenous and endogenous support for young entrepreneurs. The findings indicate that agriculture plays a major role as a source of livelihood for rural youth and, in combination with other economic activities, provides a more...... resilient livelihood than a single enterprise strategy. The importance of an enabling environment, personal skills and favourable market conditions are also highlighted. The question of whether young people remain in or leave rural areas is shown to vary between the Ugandan and Zambian contexts. In Uganda...
Full Text Available OBJECTIVE: To see if, in the diagnosis of infant infection with human immunodeficiency virus (HIV in Zambia, turnaround times could be reduced by using an automated notification system based on mobile phone texting. METHODS: In Zambia's Southern province, dried samples of blood from infants are sent to regional laboratories to be tested for HIV with polymerase chain reaction (PCR. Turnaround times for the postal notification of the results of such tests to 10 health facilities over 19 months were evaluated by retrospective data collection. These baseline data were used to determine how turnaround times were affected by customized software built to deliver the test results automatically and directly from the processing laboratory to the health facility of sample origin via short message service (SMS texts. SMS system data were collected over a 7.5-month period for all infant dried blood samples used for HIV testing in the 10 study facilities. FINDINGS: Mean turnaround time for result notification to a health facility fell from 44.2 days pre-implementation to 26.7 days post-implementation. The reduction in turnaround time was statistically significant in nine (90% facilities. The mean time to notification of a caregiver also fell significantly, from 66.8 days pre-implementation to 35.0 days post-implementation. Only 0.5% of the texted reports investigated differed from the corresponding paper reports. CONCLUSION: The texting of the results of infant HIV tests significantly shortened the times between sample collection and results notification to the relevant health facilities and caregivers.
Full Text Available This study was conducted to appraise or assess the status of forests and woodland resources in Zambia based on an analysis of data from the Integrated Land Use Assessment (ILUA survey. An attempt was made to provide fresh estimates of the forest biomass and growing stock and other indicators which have the potential to inform policy and decision-making on forest resources and land use in Zambia. The findings show that approximately 49,968,170 ha or about 66% of the land is under forest cover. Over two thirds of the forests are located on customary land. The total above ground and below ground forest biomass over all land uses is estimated at 5.5 billion metric tonnes. The findings indicate that with the current wood stocking estimated at 2.95 billion cubic metres and with proper management, this is sufficient to meet the countrys current and future demand for forest products. The findings also indicate that most of the countrys forests are in good condition and the rates of deforestation are quite modest. Only 5% of the total forests are severely degraded and over 63% of the forests are in good condition. Given that more than two-thirds of all forests are located in customary land and are not formally managed, it is recommended that government should bring more forests under formal management and more importantly devolve and share some forest rights and responsibilities over public forests with local communities, user-groups and the private sector.
Shea, Ronald W.; Shea, Barbara W.; Kauffman, J. Boone; Ward, Darold E.; Haskins, Craig I.; Scholes, Mary C.
Fires are dominant factors in shaping the structure and composition of vegetation in African savanna ecosystems. Emissions such as CO2, NOx, CH4, and other compounds originating from these fires are suspected to contribute substantially to changes in global biogeochemical processes. Limited quantitative data exist detailing characteristics of biomass, burning conditions, and the postfire environment in African savannas. Fourteen test sites, differentiated by distinct burn frequency histories and land-use patterns, were established and burned during August and September 1992 in savanna parklands of South Africa and savanna woodlands of Zambia. Vegetation physiognomy, available fuel loads, the levels of biomass consumed by fire, environmental conditions, and fire behavior are described. In the South African sites, total aboveground fuel loads ranged from 2218 to 5492 kg ha-1 where fire return intervals were 1-4 years and exceeded 7000 kg ha-1 at a site subjected to 38 years of fire exclusion. However, fireline intensity was only 1419 kW m-1 at the fire exclusion site, while ranging from 480 to 6130 kW m-1 among the frequent fire sites. In Zambia, total aboveground fuel loads ranged from 3164 kg ha-1 in a hydromorphic grassland to 7343 kg ha-1 in a fallow shifting cultivation site. Dormant grass and litter constituted 70-98% of the total fuel load among all sites. Although downed woody debris was a relatively minor fuel component at most sites, it constituted 43-57% of the total fuel load in the fire exclusion and shifting cultivation sites. Fire line intensity ranged between 1734 and 4061 kW m-1 among all Zambian sites. Mean grass consumption generally exceeded 95%, while downed woody debris consumption ranged from 3 to 73% at all sites. In tropical savannas and savanna woodlands of southern Africa, differences in environmental conditions, land- use patterns, and fire regimes influence vegetation characteristics and thus influence fire behavior and biomass consumption.
Cremers, Anne Lia; de Laat, Myrthe Manon; Kapata, Nathan; Gerrets, Rene; Klipstein-Grobusch, Kerstin; Grobusch, Martin Peter
Background Stigma is one of the many factors hindering tuberculosis (TB) control by negatively affecting hospital delay and treatment compliance. In Zambia, the morbidity and mortality due to TB remains high, despite extended public health attempts to control the epidemic and to diminish stigma. Study Aim To enhance understanding of TB-related stigmatizing perceptions and to describe TB patientsâ experiences of stigma in order to point out recommendations to improve TB policy. Methods We conducted a mixed method study at Kanyama clinic and surrounding areas, in Lusaka, Zambia; structured interviews with 300 TB patients, multiple in-depth interviews with 30 TB patients and 10 biomedical health workers, 3 focus group discussions with TB patients and treatment supporters, complemented by participant observation and policy analysis of the TB control program. Predictors of stigma were identified by use of multivariate regression analyses; qualitative analysis of the in-depth interviews, focus group discussions and participant observation was used for triangulation of the study findings. Results We focused on the 138/300 patients that described TB-related perceptions and attitudes, of whom 113 (82%) reported stigma. Stigma provoking TB conceptions were associated with human immunodeficiency virus (HIV)-infection, alleged immoral behaviour, (perceived) incurability, and (traditional) myths about TB aetiology. Consequences of stigma prevailed both among children and adults and included low self-esteem, insults, ridicule, discrimination, social exclusion, and isolation leading to a decreased quality of life and social status, non-disclosure, and/or difficulties with treatment compliance and adherence. Women had significantly more stigma-related problems than men. Conclusions The findings illustrate that many TB patients faced stigma-related issues, often hindering effective TB control and suggesting that current efforts to reduce stigma are not yet optimal. The content and implementation of sensitization programs should be improved and more emphasis needs to be placed on women and children. PMID:25806955
Olusegun A Babaniyi
Full Text Available Background: North-Western and Western provinces of Zambia were reclassified as low-risk areas for yellow fever (YF. However, the current potential for YF transmission in these areas is unclear. Aims: To determine the current potential risk of YF infection. Setting and Design: A cross sectional study was conducted in North-Western and Western provinces of Zambia. Materials and Methods: Samples were tested for both YF virus-specific IgG and IgM antibodies by the ELISA and YF virus confirmation was done using Plaque Reduction Neutralization Test. The samples were also tested for IgG and IgM antibodies against other flaviviruses. Results: Out of the 3625 respondents who participated in the survey, 46.7% were males and 9.4% were aged less than 5 years. Overall, 58.1% of the participants slept under an impregnated insecticide-treated net and 20.6% reported indoor residual spraying of insecticides. A total of 616 (17.0% samples were presumptive YF positive. The prevalence for YF was 0.3% for long-term infection and 0.2% for recent YF infection. None of the YF confirmed cases had received YF vaccine. Prevalence rates for other flaviviruses were 149 (4.1% for Dengue, 370 (10.2% for West Nile and 217 (6.0% for Zika. Conclusion: There is evidence of past and recent infection of YF in both provinces. Hence, they are at a low risk for YF infection. Yellow fever vaccination should be included in the EPI program in the two provinces and strengthen surveillance with laboratory confirmation.
Full Text Available Background: Evidence from three randomised control trials in South Africa, Uganda and Kenya showing that male circumcision can reduce heterosexual transmission of human immunodeficiency virus (HIV infection from infected females to their male partners by up to 60% has led to an increase in circumcisions in most African countries. This has created anxieties around possible deleterious effects of circumcision on erectile function (EF.Aim: To compare EF in circumcised and uncircumcised men aged 18 years and older.Setting: Four primary healthcare facilities in Lusaka, Zambia.Methods: Using a cross-sectional survey 478 participants (242 circumcised and 236 uncircumcised from four primary healthcare facilities in Lusaka, Zambia were asked to complete the IIEF-5 questionnaire. EF scores were calculated for the two groups, where normal EF constituted an IIEF-5 score â¥ 22 (out of 25.Results: Circumcised men had higher average EF scores compared to their uncircumcised counterparts, (p < 0.001. The prevalence of erectile dysfunction was lower in circumcisedmen (56% compared to uncircumcised men (68% (p < 0.05. EF scores were similar in thosecircumcised in childhood and those who had the procedure in adulthood, (p = 0.59. The groups did not differ significantly in terms of age, relationship status, smoking, alcohol and medication use. A statistically significant difference was observed in education levels, with the circumcision group having higher levels of education (p < 0.005.Conclusion: The higher EF scores in circumcised men show that circumcision does not confer adverse EF effects in men. These results suggest that circumcision can be considered safe interms of EF. A definitive prospective study is needed to confirm these findings.
Bernard M. Hangombe
Full Text Available Yersinia pestis, the bacterial agent of plague, is primarily a parasite of wild rodents that persists in permanent, discrete enzootic foci throughout the world. The disease is transmitted in humans by bites from fleas of wildlife rodent species. Therefore surveillance is the ultimate public health solution through plague detection in domestic dogs, other carnivores and wild rodents. The investigations of die-offs amongst plague-susceptible colonial rodents are also significant to determine the presence of Y. pestis in a susceptible population.This study details the identification of the plague reservoir in a suspected endemic area of Zambia. The study was undertaken through rodent investigation for the presence of Y. pestis. A total of 105 rodents were sampled routinely and during a suspected plague period. On dissection 4 (3.81%, 95% CI: 1.23?10.0 rodents sampled during an outbreak showed signs of spleen enlargement. The blood, liver, lymph nodes and spleen of each rodent were subjected to culture on 6% sheep blood agar and MaCconkey agar. Colonies obtained were identified as Y. pestis by colony morphologic features, biochemical profiles, mouse inoculation assay and polymerase chain reaction (PCR. The PCR primers used targeted the Y. pestis plasminogen activator gene, chromosomal ferric iron uptake regulation gene and the outer membrane protein B gene.The isolates were also subjected to antibiotic sensitivity tests using the disk diffusion method on Mueller-Hinton agar with sensitivity being observed with ampicillin, amoxicillin, chloramphenicol, gentamycin, streptomycin, tetracycline and trimethoprim-sulfamethoxazole. The findings, identifies a natural reservoir of Y. pestis in Zambia providing the public health officials with a definite host for the control strategy.
Full Text Available Abstract Background Despite the 1991 reforms of the health system in Zambia, mental health is still given low priority. This is evident from the fragmented manner in which mental health services are provided in the country and the limited budget allocations, with mental health services receiving 0.4% of the total health budget. Most of the mental health services provided are curative in nature and based in tertiary health institutions. At primary health care level, there is either absence of, or fragmented health services. Aims The aim of this paper was to explore health providers' views about mental health integration into primary health care. Methods A mixed methods, structured survey was conducted of 111 health service providers in primary health care centres, drawn from one urban setting (Lusaka and one rural setting (Mumbwa. Results There is strong support for integrating mental health into primary health care from care providers, as a way of facilitating early detection and intervention for mental health problems. Participants believed that this would contribute to the reduction of stigma and the promotion of human rights for people with mental health problems. However, health providers felt they require basic training in order to enhance their knowledge and skills in providing health care to people with mental health problems. Recommendations It is recommended that health care providers should be provided with basic training in mental health in order to enhance their knowledge and skills to enable them provide mental health care to patients seeking help at primary health care level. Conclusion Integrating mental health services into primary health care is critical to improving and promoting the mental health of the population in Zambia.
Full Text Available Abstract Background Mental illnesses are increasingly recognised as a leading cause of disability worldwide, yet many countries lack a mental health policy or have an outdated, inappropriate policy. This paper explores the development of appropriate mental health policies and their effective implementation. It reports comparative findings on the processes for developing and implementing mental health policies in Ghana, South Africa, Uganda and Zambia as part of the Mental Health and Poverty Project. Methods The study countries and respondents were purposively selected to represent different levels of mental health policy and system development to allow comparative analysis of the factors underlying the different forms of mental health policy development and implementation. Data were collected using semi-structured interviews and document analysis. Data analysis was guided by conceptual framework that was developed for this purpose. A framework approach to analysis was used, incorporating themes that emerged from the data and from the conceptual framework. Results Mental health policies in Ghana, South Africa, Uganda and Zambia are weak, in draft form or non-existent. Mental health remained low on the policy agenda due to stigma and a lack of information, as well as low prioritisation by donors, low political priority and grassroots demand. Progress with mental health policy development varied and respondents noted a lack of consultation and insufficient evidence to inform policy development. Furthermore, policies were poorly implemented, due to factors including insufficient dissemination and operationalisation of policies and a lack of resources. Conclusions Mental health policy processes in all four countries were inadequate, leading to either weak or non-existent policies, with an impact on mental health services. Recommendations are provided to strengthen mental health policy processes in these and other African countries.
Full Text Available Abstract Background The human resource shortage in Zambia is placing a heavy burden on the few health care workers available at health facilities. The Zambia Prevention, Care and Treatment Partnership began training and placing community volunteers as lay counsellors in order to complement the efforts of the health care workers in providing HIV counselling and testing services. These volunteers are trained using the standard national counselling and testing curriculum. This study was conducted to review the effectiveness of lay counsellors in addressing staff shortages and the provision of HIV counselling and testing services. Methods Quantitative and qualitative data were collected by means of semistructured interviews from all active lay counsellors in each of the facilities and a facility manager or counselling supervisor overseeing counseling and testing services and clients. At each of the 10 selected facilities, all counselling and testing record books for the month of May 2007 were examined and any recordkeeping errors were tallied by cadre. Qualitative data were collected through focus group discussions with health care workers at each facility. Results Lay counsellors provide counselling and testing services of quality and relieve the workload of overstretched health care workers. Facility managers recognize and appreciate the services provided by lay counsellors. Lay counsellors provide up to 70% of counselling and testing services at health facilities. The data review revealed lower error rates for lay counsellors, compared to health care workers, in completing the counselling and testing registers. Conclusion Community volunteers, with approved training and ongoing supervision, can play a major role at health facilities to provide counselling and testing services of quality, and relieve the burden on already overstretched health care workers.
In view of the development in the market for crude energy, district heating has earnt a special position in the discussion of the fuel economy. Its wide extension requires decisions in a multi-dimensional area of basic community well-being. After the analysis of relevant partial factors and the solutions which are found, the question remains open of how the inherent economic efficiency of district heating, within the framework of the energy supply through lines, can be protected from the danger of dumping, which can be mobilised at any time, from crude oil producers. To close this gap must be treated as an urgent problem for today's energy policy. (orig.)
Earth Data Analysis Center, University of New Mexico â This data represents the NM Department of Transportation District boundaries as legislatively defined (i.e. these are not maintenance defined districts).
Earth Data Analysis Center, University of New Mexico â The New Mexico 2000 Unified School Districts layer was derived from the TIGER Line files from the US Census Bureau. The districts are clipped to the state...
Based on a close examination of European travelogues and the evidence produced in the wake of the formulation of colonial gun policies, this article contends that the significance of firearms in Central Africa in the nineteenth and early twentieth centuries has been unduly played down in the existing literature. The first substantive section of the article charts the movement of the gun frontier in nineteenth-century north-western Zambia. It foregrounds the new technologyâs economic and milit...
Mushibwe, Christine P.
This study is an investigation of how cultural traditions can militate against the education of women in Zambia with a focus on the Tumbuka tribe. Ethnographic methods were employed over a period of three months in a village in the Eastern Province of the country. Data were collected through participant observation, focus group and in-depth interviews, narratives, and documents. A total of 47 participants comprised the sample. This research cuts through multidisciplinary fields such as social...
Manyando Christine; Mkandawire Rhoda; Puma Lwipa; Sinkala Moses; Mpabalwani Evans; Njunju Eric; Gomes Melba; Ribeiro Isabela; Walter Verena; Virtanen Mailis; Schlienger Raymond; Cousin Marc; Chipimo Miriam; Sullivan Frank M
Abstract Background Safety data regarding exposure to artemisinin-based combination therapy in pregnancy are limited. This prospective cohort study conducted in Zambia evaluated the safety of artemether-lumefantrine (AL) in pregnant women with malaria. Methods Pregnant women attending antenatal clinics were assigned to groups based on the drug used to treat their most recent malaria episode (AL vs. sulphadoxine-pyrimethamine, SP). Safety was assessed using standard and pregnancy-specific para...
Sabine Gabrysch; McMahon, Shannon A.; Katja Siling; Kenward, Michael G.; Campbell, Oona M R
It is widely held that decisions whether or when to attend health facilities for childbirth are not only influenced by risk awareness and household wealth, but also by factors such as autonomy or a woman's ability to act upon her own preferences. How autonomy should be constructed and measured - namely, as an individual or cluster-level variable - has been less examined. We drew on household survey data from Zambia to study the effect of several autonomy dimensions (financial, relationship, f...
Torremans, K.; Gauquie, J.; Boyce, A. J.; Barrie, C.D.; Sikazwe, O.; Muchez, P.H.
The Konkola deposit is a high grade stratiform CuâCo ore deposit in the Central African Copperbelt in Zambia. Economic mineralisation is confined to the Ore Shale formation, part of the Neoproterozoic metasedimentary rocks of the Katanga Supergroup. Petrographic study reveals that the copperâcobalt ore minerals are disseminated within the host rock, sometimes concentrated along bedding planes, often associated with dolomitic bands or clustered in cemented lenses and in layer-parallel and irre...
Stephanie A. Nixon; Cathy Cameron; Jill Hanass-Hancock; Phillimon Simwaba; Solomon, Patricia E; Bond, Virginia A; Anitha Menon; Emma Richardson; Marianne Stevens; Elisse Zack
Introduction: Despite the emerging body of literature on increased vulnerability to HIV among people with disabilities (PWDs), there is a dearth of evidence related to experiences of PWDs who have become HIV-positive. This priority was identified by a disability advocacy organization in Lusaka, Zambia, where the prevalence of HIV and of disability is each approximately 15%. The purpose of this study was to explore perceptions and experiences of HIV-related health services for PWDs who are als...
Chinsembu, Kazhila C
Faced with critical shortages of staff, long queues, and stigma at public health facilities in Livingstone, Zambia, persons who suffer from HIV/AIDS-related diseases use medicinal plants to manage skin infections, diarrhoea, sexually transmitted infections, tuberculosis, cough, malaria, and oral infections. In all, 94 medicinal plant species were used to manage HIV/AIDS-related diseases. Most remedies are prepared from plants of various families such as Combretaceae, Euphorbiaceae, Fabaceae, ...
Nygren, David; Stoyanov, Cristina; Lewold, Clemens; Månsson, Fredrik; Miller, John; Kamanga, Aniset; Shiff, Clive J
Background: Plasmodium falciparum transmission has decreased significantly in Zambia in the last decade. The malaria transmission is influenced by environmental variables. Incorporation of environmental variables in models of malaria transmission likely improves model fit and predicts probable trends in malaria disease. This work is based on the hypothesis that remotely-sensed environmental factors, including nocturnal dew point, are associated with malaria transmission and sustain foci of tr...
Turnbull, Eleanor R.; Kaunda, Kaunda; Harris, Jennifer B; Kapata, Nathan; Muvwimi, Mweemba W.; Kruuner, Annika; Henostroza, German; Stewart E. Reid
The World Health Organization recommends the roll-out of light-emitting diode (LED) fluorescent microscopes (FM) as an alternative to light microscopes in resource-limited settings. We evaluated the acceptability and performance of three LED FMs after a short orientation among laboratory technicians from government health centers in Zambia. Sixteen technicians with varied light microscopy experience were oriented to FMs and divided into groups; each group read a different set of 40 slides on ...
Erik Thorbecke; Hong-Sang Jung
The impact of public education expenditure on human capital, the supply of different labor skills, and its macroeconomic and distributional consequences is appraised within a multisector CGE model. The model is applied to and calibrated for two Heavily Indebted Poor Countries (HIPCs), Tanzania and Zambia. The simulation results suggest that education expenditure can raise economic growth. However, to maximize benefits from education expenditure, a sufficiently high level of physical investmen...
Hunleth, Jean; Jacob, Rebekah R; Cole, Steven M; Bond , Virginia; James, Aimee S.
This article discusses a practice of child residential mobility in Zambia that is frequently overlooked in migration studies and difficult to capture through standard survey methods: the practice of âgoing on holidayâ to the homes of relatives during breaks in the school term. Drawing on child-centered and quantitative research, this article examines the multiple dimensions of âgoing on holidayâ for children living in a low-income urban settlement in Lusaka. Findings suggest that the practice...
Towela Sambo, Pamela
The Abstract of thesis submitted to the School of Law of The University of Manchester by Pamela Towela Sambo 7160514 for the Degree of Doctor of Philosophy (Ph.D.) in April 2012 is entitled âA Conceptual Analysis of Environmental Justice Approaches: Procedural Environmental Justice in the EIA Process in South Africa and Zambia.âThis study argues that the basis of all environmental justice variations is the consideration of fairness, equity and justice in the environmental processes that resol...
Kiru Sichoongwe; Lawrence Mapemba; Gelson Tembo; Davies Ngâongâola
Agriculture is vital to Zambiaâs economic development and is a mainstay for the livelihoods of a large proportion of the population. Agricultural production is mainly dependent on rain-fed hoe cultivation with maize as the principal staple food crop. About 18 percent of national maize production comes from Zambiaâs Southern province. In order to improve food security and minimize risks associated with heavy dependence on maize, the government of Zambia has been promoting crop diversification....
Porter, Gina; Lyon, Fergus; Potts, Deborah; Bowyer-Bower, Tanya
This study examines the systems which govern the marketing opportunities for informal urban and peri-urban cultivators, and for rural producers, in our two study countries, Nigeria and Zambia and it explores the mechanisms of marketing food in urban areas. Our literature review illustrates how little is known about how these formal and informal regulatory systems currently operate. For example, the positive contribution of both urban-based and rural-based traders in providing an essential ser...
Christoplos, Ian; Aben, Charles; Bashaasha, Bernard; Dhungana, Hari; Friis-Hansen, Esbern; Funder, Mikkel; Nguyen Thi Thanh Huong; Dil Bahadur Khatri; Lindegaard, Lily; Mweemba, Carol; Le Duc Ngoan; Nyambe, Imasiku; Pain, Adam; Le Thi Hoa Sen
This report compares and contrasts how disaster risk management is being conceptualised in relation to emerging climate change adaptation efforts and how these two agendas are influenced by different governance systems, accountabilities and social contracts in Zambia, Uganda, Viet Nam and Nepal. Particular attention is paid to how this relates to different forms of state legitimacy and the changing role of local government in connection with a range of decentralisation processes, increasing p...
Hartman, William T.
This book is devoted exclusively to the budgeting process in school districts, unlike the more common generic budgeting texts. As such, it allows an in-depth treatment of both conceptual and practical aspects of budgeting in a single volume. By default, school business officials have had to rely on the state education accounting manual as theirâ¦
Draconian cuts have become the order of business for many school districts since the economic recession hit in 2008. But for the coming school year, "draconian" has taken on an even harsher meaning, as states from California and Texas to Illinois and New York wrestle with deficits in the tens of billions of dollars and make multi-billion-dollarâ¦
Minnesota State Office of the Legislative Auditor, St. Paul. Program Evaluation Div.
Minnesota spends more for education than most states and has increased its financial commitment steadily over the past 15 years. Because of the state's dominant role in education funding, legislators have enacted measures requiring all local school districts to follow uniform financial accounting and reporting standards (UFARS). Since 1980, theâ¦
School districts have resorted to hiring debt collectors, employing constables, and swapping out standard meals for scaled-back versions to try to coerce parents to pay off school lunch debt that, in recent years, appears to have surged as the result of a faltering economy and better record-keeping. While the average school lunch costs just about
District consolidation is a highly emotional process. One key to success is sticking to the facts. In Iowa, school districts facing financial difficulties or enrollment concerns do not have to move directly to consolidation. In many cases, districts begin by developing sharing agreements. These sharing agreements may start with simple sharing ofâ¦
Metal (Cr, Co, Cu, Zn, Cd, Pb, Ni) and metalloid (As) accumulation was studied in roadside soil and wild rat (Rattus sp.) samples from near a Pb-Zn mine (Kabwe, Zambia) and the capital city of Zambia (Lusaka). The concentrations of the seven metals and As in the soil samples and Pb in the rat tissue samples were quantified using atomic absorption spectroscopy. The concentrations of Pb, Zn, Cu, Cd, and As in Kabwe soil were much higher than benchmark values. Geographic Information System analysis indicated the source of metal pollution was mining and smelting activity. Interestingly, the area south of the mine was more highly contaminated even though the prevailing wind flow was westward. Wild rats from Kabwe had much higher tissue concentrations of Pb than those from Lusaka. Their body weight and renal Pb levels were negatively correlated, which suggests that mining activity might affect terrestrial animals in Kabwe. - The area around Kabwe, Zambia is highly polluted with metals and As. Wild rats from this area had high tissue concentrations of Pb and decreased body weight.
US Fish and Wildlife Service, Department of the Interior â This Comprehensive Conservation Plan CCP was written to guide management on Huron Wetland Management District, Madison Wetland Management District, and Sand Lake...
The proceedings of the 7th International District Heating Conference contain the full texts of the 89 presented papers of which 11 fall under the INIS Subject Scope. The conference met in seven sessions and dealt with the following problem areas: design and optimization of systems of district heating, integration of the power system and the district heating systems, cooperation of nuclear and fossil burning sources in district heating systems, the use of specific nuclear power plants for heating purposes, questions of the control of systems of district heating, the development of components of heating networks, the reliability and design of heat supply pipes. (Z.M.)
The model presented here analyzes solar district heating systems on the basis of the power supplied at the grid feeding point. Consumption patterns are taken into account only in the form of different preset load curves. Processes are selected in consideration of the following aspects: (1) The design of a solar district heating system (collector surface, storage volume) depends on the expected contribution of solar power to electricity supply. For each of the key years 1989, 2005 and 2020, a low, average and high contribution were investigated, from which design concepts for other supply rates can be derived. (2) Yields and economic efficiency of solar systems also depend on collector sites and consumption patterns. 10 variants each with low and very high contributions of solar power were calculated for the key year 2020. (orig.)
Full Text Available Purpose of the study: To determine factors associated with suppressed or unsuppressed HIV in adults receiving combination antiretroviral therapy (cART in Zambia. Methods: This was a cross-sectional study conducted between August 2008 and October 2009 in 16 Zambian communities nested within the ZAMSTAR trial . Adult TB cases identified at a TB clinic of each community and their adult household members were invited to participate in the study. A structured interview was used to obtain information on the participantsâ social, demographic and clinical characteristics. Socio-economic position (SEP was measured using household wealth indices used in demographic health surveys. Principal component analysis was used to determine the cut-off for high (wealthy and low (poor SEP. Depression symptoms were measured using the Center for Epidemiological Studies Depression scale (CES-D. A cut-off ofâ¥22 on the CES-D was used to define current depression . Participants were included in this analysis if they were found to be receiving cART for>90 days at the time of the interview. The outcome was HIV suppression (viral loadâ¤300 copies/ml. In both univariable and multivariable analyses, log Poisson regression models with robust standard errors adjusted for the 16 communities were used to calculate the risk ratios (RR, 95% confidence intervals (CI and p-values of factors associated with HIV suppression. In multivariable analysis, each variable was independently assessed for its association with HIV suppression while minimally adjusting for a priori confounders (age, gender and education level. Summary of results: There were 520 patients receiving cART for>90 days. The median age was 35 years (inter-quartile range: 31â41 and 328/520 (63.1% were married (Table.Of the 520 patients, 442 (85.0% had HIV suppression while 78 (15.0% did not. At univariable analysis, having high SEP was negatively associated with HIV suppression while receiving ZDV+3TC+EFV was positively associated with HIV suppression. At multivariable analysis, patients with high SEP were less likely to have HIV suppression than those with low SEP. Conclusions: Patients with high SEP were found to be at risk of having unsuppressed HIV. There is need for targeted interventions that can improve HIV outcomes in this group of patients receiving cART in Zambia.
Robinson, Peter B.
In southern Africa, gross disparities in access to water are symptomatic of the overall uneven pattern of development. Despite post-independence egalitarian rhetoric, in countries such as Zambia and Zimbabwe inappropriate models (piped house connections in the urban areas, high technology irrigation schemes in the agricultural sector), combined with weak macro-economies and poorly formulated sectoral policies have actually exacerbated the disparities. Zero or very low tariffs have played a major role in this. Although justified as being consistent with waterâs special status, inadequate tariffs in fact serve to undermine any programme of making water accessible to all. This has led to a narrowing of development options, resulting in exclusivist rather than inclusivist development, and stagnation rather than dynamism. A major part of the explanation for perpetuation of such unsatisfactory outcomes is the existence of political interest groups who benefit from the status quo. The first case study in the paper involves urban water consumers in Zambia, where those with piped water connections seek to continue the culture of low tariffs which is by now deeply embedded. The result is that the water supply authorities (in this case the newly formed, but still politically constrained âcommercialised utilitiesâ) are unable even to maintain adequate supplies to the piped customers, let alone extend service to the peri-urban dwellers, 56% of whom do not have access to safe water. The paper outlines some modest, workable principles to achieve universal, affordable access to water in the urban areas, albeit through a mix of service delivery mechanisms. In a second case study of rural productive water in Zimbabwe, the reasons for only 2% of the rural subsistence farming households being involved in formal small-scale irrigation schemes 20 years after independence are explored. Again, a major part of the explanation lies in government pursuing a water delivery model which is not affordable or sustainable on a wide scale. Its provision, via substantial capital and recurrent subsidies, for a small group has a large opportunity cost for society as a whole. The small-scale irrigators have a vested interest in ensuring that the subsidies are maintained, but in the process continue to absorb a disproportionate amount of resources which could be used for development elsewhere. By choosing simpler, cheaper water technologies, and assisting farmers with growing and marketing high value crops, the resources could instead be used to benefit a much larger proportion of households. With well designed programmes aimed at achieving equity, large numbers of subsistence farmers could improve their incomes and start working their way out of poverty.
Mbewe, Njelembo J; Mweempwa, Cornelius; Guya, Samuel; Wamwiri, Florence N
Tsetse flies (Diptera: Glossinidae) are considered primary cyclical vectors that transmit pathogenic trypanosomes in Africa. They harbour a variety of microbes including Wolbachia, Sodalis and the salivary gland hypertrophy virus (SGHV) which are all vertically transmitted. Knowledge on tsetse microbiome and their interactions may identify novel strategies for tsetse fly and trypanosomiasis control. Area-wide application of such strategies requires an understanding of the natural microbiome frequency in the different species and subspecies of Glossina in their geographical populations. Consequently, this study determined the prevalence of Sodalis, Wolbachia, SGHV and trypanosome infections in Glossina morsitanscentralis from two sites of Western Zambia. We also explored possible associations of the microbes with trypanosome infections. Male G. morsitanscentralis samples were collected from two sites (Lyoni and Lusinina) in Western Zambia. The age structure of the flies at each site was determined using the wing fray method. DNA was extracted from the samples and analyzed for Wolbachia, Sodalis, SGHV and trypanosome presence using PCR. Associations and measures of associations between trypanosome infection and microbes in the fly were determined. The flies from the two locations (Lusinina, n=45 and Lyoni, n=24) had a similar age structure with their median fray category not being significantly different (p=0.698). The overall prevalence of Wolbachia was 72.5% (95% CI: 61.6-83.3%), Sodalis was 15.9% (95% CI: 7.1-24.8%), SGHV was 31.9% (95% CI: 20.6-43.2%) and Trypanosoma species was 23.2% (95% CI: 13-33.4%). The prevalence of Wolbachia was significantly higher in Lusinina than Lyoni (p=0.000). However this was not the case for Sodalis, SGHV and Trypanosoma species. Despite the low number of flies that were positive for both trypanosome and Sodalis (6; 8.7%), a statistically significant association (p=0.013; AOR 6.2; 95% CI: 1.5-25.8) was observed in G. morsitanscentralis. The study showed that the prevalence of microbiota may vary within the same species of the tsetse depending on the geographical location as was the case of Wolbachia. Further it showed that infection with Sodalis could affect vector competence. The study concludes that Sodalis could be an ideal candidate for symbiont-mediated trypanosomiasis control interventions in G. morsitanscentralis. PMID:25983231
A. I. Khan; Bawane S. N.; Mhaslekar I.D
The tourism sector is increasing day to day and it has great potential of getting many, employments and also supporting for local merchants, therefore it is called as fourth dimension of modern economy. An impact of tourism has become is an important part of economy especially in India, here in the country number of natural tourist places as well as historical tourist places. Aurangabad district is leading district in Marathwada region in tourism it has 9 Tahsils and district ...
Paul L. Robertson; Jacobson, David; Langlois, Richard N.
In this survey, we examine the operations of innovation processes within industrial districts by exploring the ways in which differentiation, specialization, and integration affect the generation, diffusion, and use of new knowledge in such districts. We begin with an analysis of the importance of the division of labour and then investigate the effects of social embeddedness on innovation. We also consider the effect of forms of organization within industrial districts at various stages of...
Hyvärinen, O.; Mtilatila, L.; Pilli-Sihvola, K.; Venäläinen, A.; Gregow, H.
We assess the probabilistic seasonal precipitation forecasts issued by Regional Climate Outlook Forum (RCOF) for the area of two southern African countries, Malawi and Zambia from 2002 to 2013. The forecasts, issued in August, are of rainy season rainfall accumulations in three categories (above normal, normal, and below normal), for early season (October-December) and late season (January-March). As observations we used in-situ observations and interpolated precipitation products from Global Precipitation Climatology Project (GPCP), Global Precipitation Climatology Centre (GPCC), and Climate Prediction Centre (CPC) Merged Analysis of Precipitation (CMAP). Differences between results from different data products are smaller than confidence intervals calculated by bootstrap. We focus on below normal forecasts as they were deemed to be the most important for society. The well-known decomposition of Brier score into three terms (Reliability, Resolution, and Uncertainty) shows that the forecasts are rather reliable or well-calibrated, but have a very low resolution; that is, they are not able to discriminate different events. The forecasts also lack sharpness as forecasts for one category are rarely higher than 40 % or less than 25 %. However, these results might be unnecessarily pessimistic, because seasonal forecasts have gone through much development during the period when the forecasts verified in this paper were issued, and forecasts using current methodology might have performed better.
Full Text Available Zambia has been implementing water sector reforms for the past two decades. These reforms initiated major changes in the organisation and management of water supply services starting from the 1990s culminating in the full-scale commercialisation of water services in major cities and towns. This paper reviews the outcomes of implementing these reforms, focusing on the results of the commercialisation of water services in the last 10 years. Data presented in this paper show that there have been positive developments, but many serious challenges as well. Evidence from the review of the past 10 years suggests that much progress has been made in areas related to management and operation performance, while little success has been recorded in core areas such as expanding the network, service coverage, hours of service, and reducing the affordability burden, especially among lower-income households. The key challenge for the water services sector is to find a workable infrastructural development funding formula that will make it possible to sustain and build on the foundation laid over the past decade.
Handa, Sudhanshu; Peterman, Amber; Seidenfeld, David; Tembo, Gelson
There is promising recent evidence that poverty-targeted social cash transfers have potential to improve maternal health outcomes; however, questions remain surrounding design features responsible for impacts. In addition, virtually no evidence exists from the African region. This study explores the impact of Zambia's Child Grant Program on a range of maternal health utilization outcomes using a randomized design and difference-in-differences multivariate regression from data collected over 24Â months from 2010 to 2012. Results indicate that while there are no measurable program impacts among the main sample, there are heterogeneous impacts on skilled attendance at birth among a sample of women residing in households having better access to maternal health services. The latter result is particularly interesting because of the overall low level of health care availability in program areas suggesting that dedicated program design or matching supply-side interventions may be necessary to leverage unconditional cash transfers in similar settings to impact maternal health. Copyright Â© 2015 John Wiley & Sons, Ltd. PMID:25581062
Full Text Available Maize (Zea mays L is the most important food grain in sub-Saharan Africa and is mostly grown by small-scale farmers under rainfed conditions. Aluminum toxicity caused by low pH is one of the abiotic factors limiting maize production among smallholder farmers. Therefore, breeding maize hybrids that are tolerant to aluminum toxicity will sustain and increase maize production in these areas. Hence this study was undertaken to assess the genotypic variation for aluminum toxicity in maize inbred lines. Fourteen maize inbred lines of historical importance that are used in maize hybrid breeding in Zambia were studied for seedling root variation under different aluminum concentrations using hydroponic conditions. The aluminum tolerance membership index based on three traits (actual root length, relative root length and root length response classified genotypes L3233 and L1214 as highly tolerant, L5527 and ZM421 as tolerant, and L12, L3234, and ZM521 as intermediate. The high PCV, GCV, and heritability observed for the root traits indicate that opportunities for selection and breeding for aluminum tolerance among Zambian inbred lines exist. Furthermore, the study indicated that a higher genetic gain would be expected from net root growth followed by shoot length response as selection traits, thus supporting the use of root traits for aluminum tolerance screening.
Alcaide, Maria L; Cook, Ryan; Chisembele, Maureen; Malupande, Emeria; Jones, Deborah L
Intravaginal practices (IVPs) are associated with an increased risk of bacterial vaginosis and may play a role in HIV transmission. The objective of this study was to identify the importance of factors underlying the decision to engage in IVP using conjoint analysis; a novel statistical technique used to quantify health-related decisions. This study was a cross-sectional study. HIV-infected women in Zambia completed audio computer-administered self-interview questionnaires assessing demographic, risk factors and IVPs. Reasons for engaging in IVPs were explored using conjoint questionnaires. Conjoint analysis was used to identify the relative importance of factors for engaging in IVPs. Results of the conjoint analysis demonstrated that hygiene was the most important reason for engaging in IVPs (mean importance scoreâ=â61, SDâ=â24.3) followed by partner's preference (mean importance scoreâ=â20, SDâ=â14.4) and health (mean importance scoreâ=â17, SDâ=â13.5). When making the decision to engage in IVPs, women rank the importance of hygiene, partner preference and health differently, according to their personal characteristics. The use of conjoint analysis to define the characteristics of women more likely to engage in specific practices should be used to develop tailored rather than standardised IVP interventions, and such interventions should be incorporated into clinical practice and women's health programmes. PMID:25957322
Aletta H. Janse van Rensburg
Full Text Available For the first time since democracy in the classical Greek sense became practically impossible, the Internetâs networking possibilities are creating opportunities for all citizens to be active engaging participants in democracy. Open communication channels to government and fellow citizens can now be a reality that allows people at all levels of society to form part of a vibrant public sphere by exchanging ideas, sharing experiences, spreading ideologies and news, and comparing agendas. For African countries dealing with unique and increasingly complicated political and socio-economic issues, the Internet provides a platform from which citizens can now address these issues themselves and, in doing so, contribute to a public sphere that strengthens the democratic fibre of their countries. This research posits that the Internet has significant potential to stimulate democratic culture through public discourse and citizen participation. The focus of this study is on finding evidence-based information about the current influence of information and communication technology (ICT usage in South Africa, Kenya and Zambia as representatives of sub-Saharan Africa, and with specific focus on Internet usage through computers and mobile phones. The research also investigates the capacity and opportunity citizens have to successfully integrate ICTs into the accomplishment of self and mutually identified political goals in order to strengthen a broader democratic culture.
Namakau C. M'soka
Full Text Available Background: Health beliefs related to pregnancy and childbirth exist in various cultures globally. Healthcare practitioners need to be aware of these beliefs so as to contextualise theirpractice in their communities.Objectives: To explore the health beliefs regarding pregnancy and childbirth of womenattending the antenatal clinic at Chawama Health Center in Lusaka Zambia.Method: This was a descriptive, cross-sectional survey of women attending antenatal care(n = 294 who were selected by systematic sampling. A researcher-administered questionnairewas used for data collection.Results: Results indicated that women attending antenatal care at Chawama Clinic held certain beliefs relating to diet, behaviour and the use of medicinal herbs during pregnancy and post-delivery. The main beliefs on diet related to a balanced diet, eating of eggs, okra, bones, offal, sugar cane, alcohol consumption and salt intake. The main beliefs on behaviour related to commencement of antenatal care, daily activities, quarrels, bad rituals, infidelity and the use of condoms during pregnancy. The main beliefs on the use of medicinal herbs were on their use to expedite the delivery process, to assist in difficult deliveries and for body cleansing following a miscarriage.Conclusion: Women attending antenatal care at the Chawama Clinic hold a number of beliefs regarding pregnancy and childbirth. Those beliefs that are of benefit to the patients should be encouraged with scientific explanations, whilst those posing a health risk should be discouraged respectfully.
Murray Susan F
Full Text Available Abstract Background Information on the extent of postpartum maternal morbidity in developing countries is extremely limited. In many settings, data from hospital-based studies is hard to interpret because of the small proportion of women that have access to medical care. However, in those areas with good uptake of health care, the measurement of the type and incidence of complications severe enough to require hospitalisation may provide useful baseline information on the acute and severe morbidity that women experience in the early weeks following childbirth. An analysis of health services data from Lusaka, Zambia, is presented. Methods Six-month retrospective review of hospital registers and 4-week cross-sectional study with prospective identification of postpartum admissions. Results Both parts of the study identified puerperal sepsis and malaria as, respectively, the leading direct and indirect causes of postpartum morbidity requiring hospital admission. Puerperal sepsis accounted for 34.8% of 365 postpartum admissions in the 6-month period. Malaria and pneumonia together accounted for one-fifth of all postpartum admissions (14.5% & 6% respectively. At least 1.7% of the postpartum population in Lusaka will require hospital-level care for a maternal morbidity. Conclusions In developing country urban settings with high public health care usage, meticulous review of hospital registers can provide baseline information on the burden of moderate-to-severe postpartum morbidity.
Vallely, Lisa; Ahmed, Yusuf; Murray, Susan F
BACKGROUND: Information on the extent of postpartum maternal morbidity in developing countries is extremely limited. In many settings, data from hospital-based studies is hard to interpret because of the small proportion of women that have access to medical care. However, in those areas with good uptake of health care, the measurement of the type and incidence of complications severe enough to require hospitalisation may provide useful baseline information on the acute and severe morbidity that women experience in the early weeks following childbirth. An analysis of health services data from Lusaka, Zambia, is presented. METHODS: Six-month retrospective review of hospital registers and 4-week cross-sectional study with prospective identification of postpartum admissions. RESULTS: Both parts of the study identified puerperal sepsis and malaria as, respectively, the leading direct and indirect causes of postpartum morbidity requiring hospital admission. Puerperal sepsis accounted for 34.8% of 365 postpartum admissions in the 6-month period. Malaria and pneumonia together accounted for one-fifth of all postpartum admissions (14.5% & 6% respectively). At least 1.7% of the postpartum population in Lusaka will require hospital-level care for a maternal morbidity. CONCLUSIONS: In developing country urban settings with high public health care usage, meticulous review of hospital registers can provide baseline information on the burden of moderate-to-severe postpartum morbidity. PMID:15686592
Full Text Available BACKGROUND: Health beliefs related to pregnancy and childbirth exist in various cultures globally. Healthcare practitioners need to be aware of these beliefs so as to contextualise their practice in their communities OBJECTIVES: To explore the health beliefs regarding pregnancy and childbirth of wom [...] en attending the antenatal clinic at Chawama Health Center in Lusaka Zambia METHOD: This was a descriptive, cross-sectional survey of women attending antenatal care (n = 294) who were selected by systematic sampling. A researcher-administered questionnaire was used for data collection RESULTS: Results indicated that women attending antenatal care at Chawama Clinic held certain beliefs relating to diet, behaviour and the use of medicinal herbs during pregnancy and post-delivery. The main beliefs on diet related to a balanced diet, eating of eggs, okra, bones, offal, sugar cane, alcohol consumption and salt intake. The main beliefs on behaviour related to commencement of antenatal care, daily activities, quarrels, bad rituals, infidelity and the use of condoms during pregnancy. The main beliefs on the use of medicinal herbs were on their use to expedite the delivery process, to assist in difficult deliveries and for body cleansing following a miscarriage CONCLUSION: Women attending antenatal care at the Chawama Clinic hold a number of beliefs regarding pregnancy and childbirth. Those beliefs that are of benefit to the patients should be encouraged with scientific explanations, whilst those posing a health risk should be discouraged respectfully
Full Text Available The main aim of the study was to determine knowledge and use of modem contractive methods among reproductive age group rural women in Zambia. The study is a descriptive cross-sectional study of 105 randomly selected rural women. Data was collected using semi-structured interview schedule and analyzed using EPI Info version 6 statistical packages. The findings revealed that 63% of the respondents were within the age group 21-35 years, 65% were married and 64% were peasant farmers. 90% of the respondents had heard about modem contraceptives and their main source of information was the Health worker (62%. 76% of the respondents stated that modem contraceptive methods could be obtained from public health facilities. 56% of the respondents were currently using modem contraceptive methods and 46% were not using modem contraceptive methods. Reasons for non use of contraceptive methods were religious beliefs (50%, partner disapproval (30% and side effects (20%. The results showed a relationship between educational level and use of contraceptives (Chi-square 7.83, df = 3, P < 0.05 and spouse approval or support of contractive methods and use of contraceptive (Chisquare 5.9, df = 2, P < 0.05. Therefore, efforts to promote modem contraceptive use among the rural women should be intensified to overcome barriers to contraceptive use and should involve men.
Full Text Available Abstract Background Dental health is a neglected aspect of adolescent health globally but more so in low-income countries. Secondary analysis using the 2004 Zambia Global School-Based Health Survey (GSHS was conducted in which we estimated frequencies of relevant socio-demographic variables and explored associations between selected explanatory variables and self-reported poor oral hygiene (not cleaning or brushing teeth within the last 30 days of the completion of questionnaire. Findings Most of the 2257 respondents were males (53.9% and went hungry (82.5%. More than 4 in 10 respondents drank alcohol (42.2% while 37.2% smoked cannabis. Overall 10.0% of the respondents reported to have poor oral hygiene. Male respondents were 7% less likely to report to have poor oral hygiene compared to females. Compared to respondents who never drank alcohol, those who drank alcohol were 27% more likely to report to have poor oral hygiene. Respondents who smoked cannabis were 4% more likely to report to have poor oral hygiene compared to those who did not smoke cannabis. Finally, respondents who went hungry were 35% more likely to report to have poor oral hygiene compared to those who did not go hungry. Conclusions Results from this study indicate that female gender, alcohol drinking, cannabis smoking, and going hungry were associated with self-reported poor oral hygiene. The identification of these factors should guide the design and implementation of programs aimed to improve oral health among adolescents.
Liver scanning using the radio-isotope indium-113m, can now be routinely perfomed at the University Teaching Hospital, Lusaka, Zambia. The dose used is 1 - 4 mCi. Liver scans have been performed on 48 subjects, including 10 healthy individuals 16 patients with histologically proven hepatocellular carcinoma, 11 with clinical and laboratory evidence of portal hypertension and 11 with miscellaneous illnesses. Seven representative scans are illustrated. The procedure is easy, and gives a fairly accurate functional estimate of Kupffer cell mass. In hepatoma the scan may be either larger than or smaller than normal and reflects more accurately the residual function of the Kupffer cells. In cirrhosis of the liver with portal hypertention, residual Kupffer cell mass is small. Consequently, most of the indium-113m is taken up by the splenic reticulo-endothelial system, resulting in a large spleen scan. This technique, although fraught with major limitations, is a useful additional diagnostic tool in the management of chronic liver disease
The central bank of Zambia called Bank of Zambia (BOZ) has, like many other central banks in both developing and developed economies, been from time to time intervening in the foreign exchange market by either purchasing or selling foreign exchange (mainly United States of America Dollars) to the market. Central banks have given a myriad of reasons for this particular behaviour. Chief among these and which is the focus of this paper is to smooth volatility or reverse a trend of the domestic c...
The purpose of the thesis was to find out and analyse the key factors in Zambian culture and business culture that influence choice of business entry method for dry toilet market in Zambia. The other aim was to find the most suitable entry mode for a developing country, in this case Zambia. The thesis is a case study and it was commissioned by The Global Dry Toilet As-sociation of Finland who is seeking business possibilities with Biolan Group in the region. The research method appli...
Bateman, Allen C; Katundu, Katundu; Polepole, Pascal; Shibemba, Aaron; Mwanahamuntu, Mulindi; Dittmer, Dirk P.; Groesbeck P Parham; Carla J. Chibwesha
Background The most common human papillomavirus (HPV) genotypes isolated from cervical cancer in select African countries are HPV-16, HPV-18, HPV-35, and HPV-45, but the most common genotypes in Zambia are unknown. The overall objective of this study was to assess the potential impact of current HPV vaccines in preventing cervical cancer in Zambia, by determining the combined prevalence of HPV-16 and/or HPV-18 in invasive cervical cancer (ICC) and high-grade pre-cancer [cervical intraepitheli...
JÃ¼rgensen, Marte; SandÃ¸y, Ingvild Fossgard; Michelo, Charles; Fylkesnes, Knut
HIV-related stigma continues to be a prominent barrier to testing, treatment and care. However, few studies have investigated changes in stigma over time and the factors contributing to these changes, and there is no evidence of the impact of HIV testing and counselling on stigma. This study was nested within a pair-matched cluster-randomized trial on the acceptance of home-based voluntary HIV counselling and testing conducted in a rural district in Zambia between 2009 and 2011, and investigated changes in stigma over time and the impact of HIV testing and counselling on stigma. Data from a baseline survey (nÂ =Â 1500) and a follow-up survey (nÂ =Â 1107) were used to evaluate changes in stigma. There was an overall reduction of seven per cent in stigma from baseline to follow-up. This was mainly due to a reduction in individual stigmatizing attitudes but not in perceived stigma. The reduction did not differ between the trial arms (Î²Â =Â -0.22, pÂ =Â 0.423). Being tested for HIV was associated with a reduction in stigma (Î²Â =Â -0.57, pÂ =Â 0.030), and there was a trend towards home-based Voluntary Counselling and Testing having a larger impact on stigma than other testing approaches (Î²Â =Â -0.78, pÂ =Â 0.080 vs. Î²Â =Â -0.37, pÂ =Â 0.551), possibly explained by a strong focus on counselling and the safe environment of the home. The reduction observed in both arms may give reason to be optimistic as it may have consequences for disclosure, treatment access and adherence. Yet, the change in stigma may have been affected by social desirability bias, as extensive community mobilization was carried out in both arms. The study underscores the challenges in measuring and monitoring HIV-related stigma. Adjustment for social desirability bias and inclusion of qualitative methods are recommended for further studies on the impact of HIV testing on stigma. PMID:23422056
The district heating system of Greater Stockholm must be based on other energy sources than oil. Two alternatives are assessed, namely heat from Forsmark or a coal fueled plant in the region of Stockholm. Forsmark 3 can produce both electricity and heat from the year 1988 on. The capacity can be increased by coal fueled blocks. For low electricity use, 115 TWh in the year 1990, the Forsmark alternative will be profitable. The alternative will be profitable. The alternative with a fossile fuelled plant will be profitable when planning for high consumption of electricity, 125 TWh. The Forsmark alternative means high investments and the introduction of new techniques. (G.B.)
The energy requirement for heat generation by far exceeds the electricity requirement. For these reasons, and because of environmental pollution the possibility of supplying heat to households and to industry through a district heating network is now under intensive study. Preliminary results indicate that the central supply of heat from heating power plants is capable in the long run of greatly reducing the burden on our energy balance by utilizing the losses accompanying the generation of electricity. In addition, it would permit most of the energy requirement to be met from coal and, in particular, from nuclear power instead of oil. (orig./GG)
Shellenberg, Kristen M; Hessini, Leila; Levandowski, Brooke A
The objective of this research was to explore the context of abortion stigma in Ghana and Zambia through qualitative research, and develop a quantitative instrument to measure stigmatizing attitudes and beliefs about abortion. Ultimately, we aimed to develop a scale to measure abortion stigma at the individual and community level that can also be used in the evaluation of stigma reduction interventions. Focus group discussions were conducted in both countries to provide information around attitudes and beliefs about abortion. A 57-item instrument was created from these data, pre-tested, and then administered to 531 individuals (n = 250 in Ghana and n = 281 in Zambia). Exploratory factor analyses were conducted on 33 of the original 57 items to identify a statistically and conceptually relevant scale. Items with factor loadings > 0.39 were retained. All analyses were completed using Stata IC/11.2. Exploratory factor analysis resulted in a three-factor solution that explained 53% of the variance in an 18-item instrument. The three identified subscales are: (i) negative stereotypes (eight items), (ii) discrimination and exclusion (seven items), and (iii) potential contagion (three items). Coefficient alphas of 0.85, 0.80, and 0.80 for the three subscales, and 0.90 for the full 18-item instrument provide evidence of internal consistency reliability. Our Stigmatizing Attitudes, Beliefs, and Actions scale captures three important dimensions of abortion stigma: negative stereotypes about men and women who are associated with abortion, discrimination/exclusion of women who have abortions, and fear of contagion as a result of coming in contact with a woman who has had an abortion. The development of this scale provides a validated tool for measuring stigmatizing attitudes and beliefs about abortion in Ghana and Zambia. Additionally, the scale has the potential to be applicable in other country settings. It represents an important contribution to the fields of reproductive health, abortion, and stigma. PMID:25074064
Livestock production activities among small-scale farmers of semi-arid (Agro-ecological zone 1) and sub-humid (Agro-ecological zone 2) areas of Zambia are integrated with crop production activities in what is termed as crop/livestock farming system. This is a closed system in which production of one enterprise depends on the other. In Zambia, crop production depends on draught animals for tillage of cropping area, animal manure for fertilisation of crops while livestock depend on crop residues for dry season feeding. Good quality grass is generally available in adequate amounts to support reasonable level of livestock productivity during the rainy season. But livestock rely on low quantity and poor quality, highly fibrous perennial grass from veld and fibrous crop residues during the dry season. These resources are inadequate to support optimum livestock productivity activities. Poor nutrition results in low rates of reproduction and production as well as increased susceptibility to diseases. With the increasing human population cropping land is expanding, leading to increased production of crop residues. This has however, reduced the grazing land available for ruminant production. In Zambia large quantities of crop residues (stovers, husks and straws, legume tops and hulls, sugar cane tops, cassava leaves, potato vines, etc.) are left in the field where they are wasted each year because small-scale farmers lack the knowledge on how best to use them. There is a need to find ways to reverse this situation by adapting known and workable technologies to local conditions and by introducing new approaches for improving the use of crop residues and poor quality fibrous feeds. Efforts should also be made to enlarge feed resource base. The technologies should be simple and effective. In the presence of a dynamic market system, livestock production in a crop/livestock system could be intensified and made profitable for small-scale farmers. (author)
Nielsen, Helena Skyt; Rosholm, Michael
We investigate the determinants of wages in Zambia and based on the quantile regression approach, we analyze how their effects differ at different points in the wage distribution and over time. We use three cross-sections of Zambian household data from the early nineties, which was a period of...... economic transition, because items as privatization and deregulation were on the political agenda. The focus is placed on the public-private sector wage gap, and the results show that this gap was relatively favorable for the low-skilled and less favorable for the high-skilled. This picture was further...
This study explores eight young peopleâs perception of the gender roles in Zambia, Lusaka. In this study I have asked the informants to define the genders and the result were that the genders are defined based on the biological sexes. The genders therefore become homogenous based on the male and female sex. The regulations of the genders were traditionally also based on assumed âbiologically natural characteristicsâ. As I argue in this study that gender roles are social constructed I also pre...
M. Funder; Bustamante, R.; V. Cossio; Huong, P.T.M.; van Koppen, B.; Mweemba, C; Nyambe, I.; L.T.T. Phuong; T. Skielboe
Media stories often speak of a future dominated by large-scale water wars. Rather less attention has been paid to the way water conflicts already play out at local levels and form part of peopleâs everyday lives. Based on case study studies from Vietnam, Bolivia and Zambia, this paper examines the strategies of poor households in local water conflicts. It is shown how such households may not only engage actively in collaborative water management but may also apply risk aversion strategies whe...
The effect of lindane on non-target fauna in a maize agro-ecosystem was studied in Zambia in 1992 and 1993. While lindane was effective against the stalk borers, a target pest, it also affected other non-target fauna. Ants, spiders and springtails were significantly reduced. However the effect was only transient and lasted for approximately two months. Lindane appeared to have no real effect on aerial non-target fauna or on soil inhabiting microorganisms. (author). 8 refs, 6 tabs
Haselip, James Arthur; Desgain, Denis DR; Mackenzie, Gordon A.
This report presents the findings of research into the main outcomes of government and donor-backed efforts to promote small and medium-sized energy businesses (energy SMEs) in sub-Saharan Africa. The research follows an outcome analysis methodology. The focus is on four countries: Ghana, Senegal, Tanzania and Zambia and primarily on UNEPâs AREED programme (2002-2012). This research focuses on the âcontributing factorsâ â a deliberately broader term that incorporates the internal âsuccess fac...
Chomba, Elwyn; Haworth, Alan; Atadzhanov, Masharip; Mbewe, Edward; Birbeck, Gretchen L
Epilepsy is a highly stigmatized disorder in Zambia. Adult studies indicated that adults with epilepsy in many regions have significantly lower socioeconomic status (SES) than their peers. We conducted a case-control study of Zambian children with epilepsy (CWE) to assess the SES of CWE. 98 child pairs were recruited (n=196), mean age 10.8 yrs, 59.7% male. The comparison groupâs medical conditions included asthma (54.0%), rheumatic heart disease (26.6%), type 1 diabetes (14.2%), and hypertens...
Full Text Available Abstract Background The Ministry of Health (MOH in Zambia is currently operating with fewer than half of the health workers required to deliver basic health services. The MOH has developed a human resources for health (HRH strategic plan to address the crisis through improved training, hiring, and retention. However, the projected success of each strategy or combination of strategies is unclear. Methods We developed a model to forecast the size of the public sector health workforce in Zambia over the next ten years to identify a combination of interventions that would expand the workforce to meet staffing targets. The key forecasting variables are training enrolment, graduation rates, public sector entry rates for graduates, and attrition of workforce staff. We model, using Excel (Office, Microsoft; 2007, the effects of changes in these variables on the projected number of doctors, clinical officers, nurses and midwives in the public sector workforce in 2018. Results With no changes to current training, hiring, and attrition conditions, the total number of doctors, clinical officers, nurses, and midwives will increase from 44% to 59% of the minimum necessary staff by 2018. No combination of changes in staff retention, graduation rates, and public sector entry rates of graduates by 2010, without including training expansion, is sufficient to meet staffing targets by 2018 for any cadre except midwives. Training enrolment needs to increase by a factor of between three and thirteen for doctors, three and four for clinical officers, two and three for nurses, and one and two for midwives by 2010 to reach staffing targets by 2018. Necessary enrolment increases can be held to a minimum if the rates of retention, graduation, and public sector entry increase to 100% by 2010, but will need to increase if these rates remain at 2008 levels. Conclusions Meeting the minimum need for health workers in Zambia this decade will require an increase in health training school enrolment. Supplemental interventions targeting attrition, graduation and public sector entry rates can help close the gap. HRH modelling can help MOH policy makers determine the relative priority and level of investment needed to expand Zambia's workforce to target staffing levels.
Coesel, P.F.M.; Geest, van, A.
Background and aims - As for desmids, the Bangweulu wetlands in Zambia have turned out to belong to the most species-rich areas in Africa. Because of the scarce desmid literature dealing with those wetlands the present authors visited the region in question intending to increase our knowledge of African endemic species. Methods - Samples were collected from Lake Bangweulu and adjacent swamps as well as from Lake WakaWaka, a small isolated lake c. 150 km south-east of it. Collection was by squ...
A few reports given on the occasion of the Unichal congress in Paris on the subject 'system problems' are evaluated which deal partly with the whole field of district heating, partly with particular problems of heat production, heat distribution and the application of district heating. (GG/LH)
In this paper, we look at the inner workings of a school district through the lens of the "district operating system (DOS)," a set of interlocking mutually-reinforcing modules that includes functions like procurement, contracting, data and IT policy, the general counsel's office, human resources, and the systems for employee and familyâ¦
Nitrogen is the major nutrient limiting maize production in Zambia and Southern Africa. Removal of subsidies on manufactured fertilizers made them very expensive and most farmers cannot afford them. Short duration planted fallows using a wide range of leguminous trees have been found to replenish soil fertility and increase subsequent maize yields. Species such as Sesbania sesban, Tephrosia vogelii and Cajanus cajan have been found to be well suited for planted fallow technology. These improved fallow crop rotations are being adopted by small-scale farmers in Eastern Zambia. Since the seminal paper of Kwesiga and Coe, research has been carried out to understand how the planted tree fallows replenish soil fertility and improve maize yields. A wide range of species has been screened as alternatives to Sesbania fallows to overcome limitations of Sesbania such as susceptibility to nematodes and insect pests. Species such as Gliricidia sepium and Leucaena leucocephala have maintained maize yields of 3 t ha1 over 10 years of cropping when Sesbania fallow yields declined to 1.1 t ha1 after 3 years of cropping. The selection criteria for good fallow species are high biomass production and litterfall. Maize yields after fallows were highly correlated to biomass and litterfall yields. High quality biomass, which is low in lignin and polyphenols and high in N, is needed for higher maize yields. Mixing of Gliricidia and Sesbania fallows resulted in higher maize yields compared with single species fallows (3.0 vs. 1.8 t ha1). Mechanisms contributing to the efficacy of mixed fallows will be discussed. Pre-season inorganic-N (NO3- + NH4+) was highly correlated with maize yield (r2 = 0.62) and this could be used to select fallow species and management practices. Nutrient budgets of N, P and K over 8 years showed that a positive balance of N and P was maintained for coppicing fallows, while a negative balance of K started from the fourth year onwards on fertilized maize, Gliricidia, Leucaena and Sesbania fallows, emphasising the need to use P and K fertilizers to supplement the N supply from leguminous fallows. Improved fallows increased infiltration, reduced runoff, increased water storage, and reduced soil loss. The biophysical limits of most fallow species and other emerging issues such as pests and diseases, the need to inoculate with rhizobium, the amount of N fixed by different species and provenances and soil acidification under improved fallows are the subjects of further research. Biomass transfer technology using biomass from leguminous trees was evaluated on maize and vegetable production in the dambos (wetlands). Maize and vegetable yields were significantly increased by application of high quality biomass from Gliricidia and Leucaena. However, financial analysis showed that it is not viable to apply biomass on a low value crop like maize, but biomass transfer was economically viable on high value crops such a vegetables. (author)
Smith, Christopher J.
In 1998, as part of what was then Zambia's Department of Technical Education and Vocational Training's (DTEVT) human resources capacity building initiative, under the Ministry of Science, Technology and Vocational Training (MSTVT), donor funding was secured to provide degree-level training for key teachers and managers within the technicalâ¦
Morgan, Julia; Sengedorj, Tumendelger
This paper draws on data from a project undertaken with children (N?=?72) in Mongolia and Zambia. The research is distinctive in bringing together diverse children, ranging from those living on the street to those in mainstream education and involving them in discussions about educational research. Being conscious of critiques of adult-initiatedâ¦
Herbst, Christopher H.; Vledder, Monique; Campbell, Karen,; SjÃ¶blom, Mirja; Soucat, Agnes
This report compiles recent evidence on the Zambian health labor market and provides some baseline information on human resources for health (HRH) to help the government address its HRH challenges. Rather than focusing on making policy recommendations, the report is designed to be a source book to benefit and fuel discussions related to HRH in Zambia. Most of the data presented in the report ...
Full Text Available Recently, the world has witnessed emergence of novel diseases such as avian influenza, HIV and AIDS, West Nile Virus and Ebola. The evolution of these pathogens has been facilitated mainly by a constantly evolving animal-human interface. Whilst infectious disease control was previously conceptualised as either public health or animal health related issues, the distinction between disciplinary foci have been blurred by multiple causal factors that clearly traverse traditional disciplinary divides. These multiple evolutionary pressures have included changes in land use, ecosystems, human-livestock-wildlife interactions and antibiotic use, representing novel routes for pathogen emergence. With the growing realisation that pathogens do not respect traditional epistemological divides, the âOne Healthâ initiative has emerged to advocate for closer collaboration across the health disciplines and has provided a new agenda for health education. Against this background, the One Health Analytical Epidemiology course was developed under the auspices of the Southern African Centre for Infectious Diseases Surveillance by staff from the University of Zambia with collaborators from the London School of Hygiene and Tropical Medicine and the Royal Veterinary College in London. The course is aimed at equipping scientists with multidisciplinary skill sets to match the contemporary challenges of human, animal and zoonotic disease prevention and control. Epidemiology is an important discipline for both public and animal health. Therefore, this two-year programme has been developed to generate a cadre of epidemiologists with a broad understanding of disease control and prevention and will be able to conceptualise and design holistic programs for informing health and disease control policy decisions.
J.B., Muma; Martin, Simuunza; K., Mwachalimba; M., Munyeme; B., Namangala; C., Hankanga; G., Sijumbila; R. Likwa, Ndonyo; Yona, Sinkala; A., Mwanza; A. Simanyengwe, Mweene.
Full Text Available Recently, the world has witnessed emergence of novel diseases such as avian influenza, HIV and AIDS, West Nile Virus and Ebola. The evolution of these pathogens has been facilitated mainly by a constantly evolving animal-human interface. Whilst infectious disease control was previously conceptualise [...] d as either public health or animal health related issues, the distinction between disciplinary foci have been blurred by multiple causal factors that clearly traverse traditional disciplinary divides. These multiple evolutionary pressures have included changes in land use, ecosystems, human-livestock-wildlife interactions and antibiotic use, representing novel routes for pathogen emergence. With the growing realisation that pathogens do not respect traditional epistemological divides, the 'One Health' initiative has emerged to advocate for closer collaboration across the health disciplines and has provided a new agenda for health education. Against this background, the One Health Analytical Epidemiology course was developed under the auspices of the Southern African Centre for Infectious Diseases Surveillance by staff from the University of Zambia with collaborators from the London School of Hygiene and Tropical Medicine and the Royal Veterinary College in London. The course is aimed at equipping scientists with multidisciplinary skill sets to match the contemporary challenges of human, animal and zoonotic disease prevention and control. Epidemiology is an important discipline for both public and animal health. Therefore, this two-year programme has been developed to generate a cadre of epidemiologists with a broad understanding of disease control and prevention and will be able to conceptualise and design holistic programs for informing health and disease control policy decisions.
Barham, Lawrence; Phillips, William M; Maher, Barbara A; Karloukovski, Vassil; Duller, Geoff A T; Jain, Mayank; Wintle, Ann G
Flake based assemblages (Mode 1) comprise the earliest stone technologies known, with well-dated Oldowan sites occurring in eastern Africa between ~2.6-1.7 Ma, and in less securely dated contexts in central, southern and northern Africa. Our understanding of the spread and local development of this technology outside East Africa remains hampered by the lack of reliable numerical dating techniques applicable to non-volcanic deposits. This study applied the still relatively new technique of cosmogenic nuclide burial dating ((10)Be/(26)Al) to calculate burial ages for fluvial gravels containing Mode 1 artefacts in the Luangwa Valley, Zambia. The Manzi River, a tributary of the Luangwa River, has exposed a 4.7 m deep section of fluvial sands with discontinuous but stratified gravel layers bearing Mode 1, possibly Oldowan, artefacts in the basal layers. An unconformity divides the Manzi section, separating Mode 1 deposits from overlying gravels containing Mode 3 (Middle Stone Age) artefacts. No diagnostic Mode 2 (Acheulean) artefacts were found. Cosmogenic nuclide burial dating was attempted for the basal gravels as well as exposure ages for the upper Mode 3 gravels, but was unsuccessful. The complex depositional history of the site prevented the calculation of reliable age models. A relative chronology for the full Manzi sequence was constructed, however, from the magnetostratigraphy of the deposit (N>R>N sequence). Isothermal thermoluminescence (ITL) dating of the upper Mode 3 layers also provided consistent results (~78 ka). A coarse but chronologically coherent sequence now exists for the Manzi section with the unconformity separating probable mid- or early Pleistocene deposits below from late Pleistocene deposits above. The results suggest Mode 1 technology in the Luangwa Valley may post-date the Oldowan in eastern and southern Africa. The dating programme has contributed to a clearer understanding of the geomorphological processes that have shaped the valley and structured its archaeological record. PMID:21411121
Wiefek, Jasmin; Schmidt, Kathie; Dorny, Pierre; Praet, Nicolas; Chiluba, Clarance; Schmidt, Holger; Phiri, Isaac K.; Winkler, Andrea S.; GabriÃ«l, Sarah
Zambia is endemic for Taenia solium taeniosis and cysticercosis. In this single-centered, cross-sectional, community-based study, the role of neurocysticercosis (NCC) as a cause of epilepsy was examined. People with epilepsy (PWE, n = 56) were identified in an endemic area using a screening questionnaire followed by in-depth interviews and neurological examination. Computed tomography (CT) was performed on 49 people with active epilepsy (PWAE) and their sera (specific antibody and antigen detection, n = 56) and stools (copro-antigen detection, n = 54) were analyzed. The CT scan findings were compared to a group of 40 CT scan controls. Of the PWE, 39.3% and 23.2% were positive for cysticercal antibodies and antigens, respectively, and 14.8% for coproantigens (taeniosis). Lesions highly suggestive of NCC were detected in 24.5% and definite NCC lesions in 4.1% of CT scans of PWAE. This compares to 2.5% and 0%, respectively, in the control CT scans. Using the Del Brutto diagnostic criteria, 51.8% of the PWAE were diagnosed with probable or definitive NCC and this rose to 57.1% when the adapted criteria, as proposed by GabriÃ«l et al. (adding the sero-antigen ELISA test as a major criterion), were used. There was no statistically significant relationship between NCC, current age, age at first seizure and gender. This study suggests that NCC is the single most important cause of epilepsy in the study area. Additional large-scale studies, combining a community based prevalence study for epilepsy with neuroimaging and serological analysis in different areas are needed to estimate the true impact of neurocysticercosis in endemic regions and efforts should be instituted to the control of T. solium. PMID:26285031
Manandhar, Mary; Maimbolwa, Margaret; Muulu, Elson; Mulenga, Mary Mwange; O'Donovan, Diarmuid
The Health Promotion Research Centre of the National University of Ireland, Galway and the University of Zambia's School of Medicine conducted operational research to understand and address the socio-cultural and gender contexts of maternal survival. Together with an analytical policy and programming review and qualitative research, the project process also involved the convening of 'Interest Group' meetings involving intersectoral stakeholders at Central (Lusaka) and Provincial (Kasama) levels. These meetings aimed to catalyse debate and stimulate advocacy on the project theme by using discussion of qualitative research as entry point. Participants came from government departments, civil society groups, the indigenous health system, academia, technical provider associations, and media, advocacy and human rights organisations. We found that engagement in Interest Groups was successful at Provincial level with lively participation from civil society, media and advocacy stakeholders and strong engagement by the health system. The process was welcomed as an opportunity to fill gaps in understanding about underlying social determinants of health and jointly explore intervention approaches. Overburdened government staff at central level faced with disease-focused interventions rather than underlying contextual determinants, and a weak culture of health sector engagement with civil society, academics and activists, contributed to less successful functioning in Lusaka. Final Dissemination and Discussion Events incorporated material from Interest Group Meetings to stimulate wider discussion and make recommendations. This project highlights the potential value of intersectoral stakeholder discussions from the inception stage of research to stimulate intersectoral exchange and alliance building, inform advocacy, and catalyse the process of research into action. PMID:19008243
Full Text Available Recently, the world has witnessed emergence of novel diseases such as avian influenza, HIV and AIDS, West Nile Virus and Ebola. The evolution of these pathogens has been facilitated mainly by a constantly evolving animal-human interface. Whilst infectious disease control was previously conceptualised as either public health or animal health related issues, the distinction between disciplinary foci have been blurred by multiple causal factors that clearly traverse traditional disciplinary divides. These multiple evolutionary pressures have included changes in land use, ecosystems, human-livestock-wildlife interactions and antibiotic use, representing novel routes for pathogen emergence. With the growing realisation that pathogens do not respect traditional epistemological divides, the One Health initiative has emerged to advocate for closer collaboration across the health disciplines and has provided a new agenda for health education. Against this background, the One Health Analytical Epidemiology course was developed under the auspices of the Southern African Centre for Infectious Diseases Surveillance by staff from the University of Zambia with collaborators from the London School of Hygiene and Tropical Medicine and the Royal Veterinary College in London. The course is aimed at equipping scientists with multidisciplinary skill sets to match the contemporary challenges of human, animal and zoonotic disease prevention and control. Epidemiology is an important discipline for both public and animal health. Therefore, this two-year programme has been developed to generate a cadre of epidemiologists with a broad understanding of disease control and prevention and will be able to conceptualise and design holistic programs for informing health and disease control policy decisions.
Mwape, Kabemba E; Blocher, Joachim; Wiefek, Jasmin; Schmidt, Kathie; Dorny, Pierre; Praet, Nicolas; Chiluba, Clarance; Schmidt, Holger; Phiri, Isaac K; Winkler, Andrea S; Gabriël, Sarah
Zambia is endemic for Taenia solium taeniosis and cysticercosis. In this single-centered, cross-sectional, community-based study, the role of neurocysticercosis (NCC) as a cause of epilepsy was examined. People with epilepsy (PWE, n = 56) were identified in an endemic area using a screening questionnaire followed by in-depth interviews and neurological examination. Computed tomography (CT) was performed on 49 people with active epilepsy (PWAE) and their sera (specific antibody and antigen detection, n = 56) and stools (copro-antigen detection, n = 54) were analyzed. The CT scan findings were compared to a group of 40 CT scan controls. Of the PWE, 39.3% and 23.2% were positive for cysticercal antibodies and antigens, respectively, and 14.8% for coproantigens (taeniosis). Lesions highly suggestive of NCC were detected in 24.5% and definite NCC lesions in 4.1% of CT scans of PWAE. This compares to 2.5% and 0%, respectively, in the control CT scans. Using the Del Brutto diagnostic criteria, 51.8% of the PWAE were diagnosed with probable or definitive NCC and this rose to 57.1% when the adapted criteria, as proposed by Gabriël et al. (adding the sero-antigen ELISA test as a major criterion), were used. There was no statistically significant relationship between NCC, current age, age at first seizure and gender. This study suggests that NCC is the single most important cause of epilepsy in the study area. Additional large-scale studies, combining a community based prevalence study for epilepsy with neuroimaging and serological analysis in different areas are needed to estimate the true impact of neurocysticercosis in endemic regions and efforts should be instituted to the control of T. solium. PMID:26285031
Duller, Geoff A T; Tooth, Stephen; Barham, Lawrence; Tsukamoto, Sumiko
Fluvial deposits can provide excellent archives of early hominin activity but may be complex to interpret, especially without extensive geochronology. The Stone Age site of Kalambo Falls, northern Zambia, has yielded a rich artefact record from dominantly fluvial deposits, but its significance has been restricted by uncertainties over site formation processes and a limited chronology. Our new investigations in the centre of the Kalambo Basin have used luminescence to provide a chronology and have provided key insights into the geomorphological and sedimentological processes involved in site formation. Excavations reveal a complex assemblage of channel and floodplain deposits. Single grain quartz optically stimulated luminescence (OSL) measurements provide the most accurate age estimates for the youngest sediments, but in older deposits the OSL signal from some grains is saturated. A different luminescence signal from quartz, thermally transferred OSL (TT-OSL), can date these older deposits. OSL and TT-OSL results are combined to provide a chronology for the site. Ages indicate four phases of punctuated deposition by the dominantly laterally migrating and vertically aggrading Kalambo River (?500-300 ka, ?300-50 ka, ?50-30 ka, ?1.5-0.49 ka), followed by deep incision and renewed lateral migration at a lower topographic level. A conceptual model for site formation provides the basis for improved interpretation of the generation, preservation, and visibility of the Kalambo archaeological record. This model highlights the important role of intrinsic meander dynamics in site formation and does not necessarily require complex interpretations that invoke periodic blocking of the Kalambo River, as has previously been suggested. The oldest luminescence ages place the Mode 2/3 transition between ?500 and 300 ka, consistent with other African and Asian sites where a similar transition can be found. The study approach adopted here can potentially be applied to other fluvial Stone Age sites throughout Africa and beyond. PMID:26073072
Kasonde, Joseph M; Campbell, Sandy
The concept of the Knowledge Translation Platform (KTP) provides cohesion and leadership for national-level knowledge translation efforts. In this review, we discuss nine key lessons documenting the experience of the Zambia Forum for Health Research, primarily to inform and exchange experience with the growing community of African KTPs. Lessons from ZAMFOHR's organizational development include the necessity of selecting a multi-stakeholder and -sectoral Board of Directors; performing comprehensive situation analyses to understand not only the prevailing research-and-policy dynamics but a precise operational niche; and selecting a leader that bridges the worlds of research and policy. Programmatic lessons include focusing on building the capacity of both policy-makers and researchers; building a database of local evidence and national-level actors involved in research and policy; and catalyzing work in particular issue areas by identifying leaders from the research community, creating policy-maker demand for research evidence, and fostering the next generation by mentoring both up-and-coming researchers and policy-makers. Ultimately, ZAMFOHR's experience shows that an African KTP must pay significant attention to its organizational details. A KTP must also invest in the skill base of the wider community and, more importantly, of its own staff. Given the very real deficit of research-support skills in most low-income countries - in synthesis, in communications, in brokering, in training - a KTP must spend significant time and resources in building these types of in-house expertise. And lastly, the role of networking cannot be underestimated. As a fully-networked KTP, ZAMFOHR has benefited from the innovations of other KTPs, from funding opportunities and partnerships, and from invaluable technical support from both African and northern colleagues. PMID:23034056
Cailteux, J.; Binda, P. L.; Katekesha, W. M.; Kampunzu, A. B.; Intiomale, M. M.; Kapenda, D.; Kaunda, C.; Ngongo, K.; Tshiauka, T.; Wendorff, M.
New data on the lower Katangan sequences in Shaba (Zaire) and Zambia, collected during the 1989 and 1990 UNESCO-sponsored Geotraverses, reveal an important development on friction breccias throughout the Zambian Copperbelt, which still remains poorly documented, and shows that the Zairean and Zambian facies of the Roan Supergroup can be correlated in detail. As in Zaire, the deformation of Katangan terranes during the Lufilian orogeny produced important friction breccias in Zambia. Such breccias occur mostly between the upper part of the Lower Roan Supergroup and the Mwashya Group (R-4): above the shale with grit (RL3) at Konkola and Mindola, or within the Upper Roan Dolomite at Chambishi South, Muliashi and Nchanga. At Mufulira, a typical fragment of Shaba Mines Group was observed within a major heterogeneous tectonic breccia. This situation is similar to that reported at Kipapila (Kimpe) and Lubembe in Zaire, both located on the same tectonic trend as Mufulira. However, a continuous stratigraphical succession can be observed in Zambia from the basal unconformity to the Mwashya Group. Strong lithological similarities were found, formation by formation, between the Roan sequences of Zambia and Zaire. In particular, the complete Mines Group of Zaire (R-2) and the units from the RL6 to the RL4 in Zambia were deposited under comparable conditions of sedimentation and show a similar and correlatable evolution of lithologies. Furthermore, the overlying Dipeta Group (R-3) of Zaire and the RL3, RU2/RU1 of Zambia, are equally comparable. Above the Upper Roan Dolomite, Lower Mwashya dolomitic rocks, identical with the ones of Shaba, have been noted to occur in Zambia in stratigraphical continuity with the typical black shales of the Upper Mwashya. The correlation between the coarse clastics of the Zambian footwall (RL7) and the red dolomitic argillites and sandstones of the Zairean R.A.T. (Roches Argillo Talqueuses: R-1) remains uncertain. However these two sequences show some similarities suggesting a lateral facies change from high-energy siliciclastic sedimentation in Zambia, to quieter, less clastic and more carbonate rich sedimentation in Zaire. In agreement with the proposed lithostratigraphical correlation, volcanic and pyroclastic rocks, occurring both in Zaire and Zambia in the Lower Mwashya, testify to a major period of igneous activity in the region. Intrusive rocks found in the Zambian Roan Group and in the Zairean Dipeta Group can probably be attributed to the same episode of magmatism. Finally it can be shown that several copper-cobalt orebodies are found at the same lithostratigraphical position in Zambia and Zaire: the Zambian ore shale corresponds to the classical Shaba orebodies at the base of the Mines Group (R-2), the Nchanga upper orebody to the lower R-2.3 mineralization and the Zambian RL3 anomalous copper occurrences to those of the R-3.1.2 Dipeta unit.
Full Text Available This study evaluated the long-term implications of a Public-Private Partnership (PPP on livelihoods and natural resource (NR dynamics under a market-oriented approach to conservation. Drawing examples from the Luangwa Valley in eastern Zambia, the study sought to answer questions on two closely interrelated aspects. These included the contribution of PPP to sustainable livelihoods in and around Protected Areas (PAs and its impacts on natural resources in Game Management Areas (GMAs. Quantitative data were collected from PPP participating and non-PPP households using standardized structured interviews, while qualitative data were obtained from three chiefdoms using semi-structured interviews and focus group discussions. Taking the case of Community Markets for Conservation (COMACO in eastern Zambia, results of this study showed that PPP contributed to sustainable livelihoods and overall natural resources management through varied ways. These include promotion of conservation farming, agroforestry, poacher transformation (individuals who have given up poaching due to PPP interventions and provision of markets for the produce of participating households. Further, impacts of PPP on soil fertility, crop, and honey yields were statistically significant (p Ë 0.05. A combination of increased crop productivity and household incomes has seen a 40-fold increase in poacher transformation. The results of this study suggest that PPPs, if well-structured, have the potential to address both livelihoods and enterprise needs with an ultimate benefit of promoting both sustainable livelihoods and natural resources management around PAs in tropical Africa.
Stephanie M Topp
Full Text Available OBJECTIVE: To increase case-finding of infection with human immunodeficiency virus (HIV in Zambia and their referral to HIV care and treatment by supplementing existing client-initiated voluntary counselling and testing (VCT, the dominant mode of HIV testing in the country. METHODS: Lay counsellors offered provider-initiated HIV testing and counselling (PITC to all outpatients who attended primary clinics and did not know their HIV serostatus. Data on counselling and testing were collected in registers. Outcomes of interest included HIV testing coverage, the acceptability of testing, the proportion testing HIV-positive (HIV+, the proportion enrolling in HIV care and treatment and the time between testing and enrolment. FINDINGS: After the addition of PITC to VCT, the number tested for HIV infection in the nine clinics was twice the number undergoing VCT alone. Over 30 months, 44 420 patients were counselled under PITC and 31 197 patients, 44% of them men, accepted testing. Of those tested, 21% (6572 were HIV+; 38% of these HIV+ patients (2515 enrolled in HIV care and treatment. The median time between testing and enrolment was 6 days. The acceptability of testing rose over time. CONCLUSION: The introduction of routine PITC using lay counsellors into health-care clinics in Lusaka, Zambia, dramatically increased the uptake and acceptability of HIV testing. Moreover, PITC was incorporated rapidly into primary care outpatient departments. Maximizing the number of patients who proceed to HIV care and treatment remains a challenge and warrants further research.
Chishimba, K.; Hang'ombe, B. M.; Muzandu, K.; Mshana, S. E.; Matee, M. I.; Nakajima, C.; Suzuki, Y.
The frequent administering of antibiotics in the treatment of poultry diseases may contribute to emergence of antimicrobial-resistant strains. The objective of this study was to detect the presence of extended-spectrum Î²-lactamase- (ESBL-) producing Escherichia coli in poultry in Zambia. A total of 384 poultry samples were collected and analyzed for ESBL-producing Escherichia coli. The cultured E. coli isolates were subjected to antimicrobial susceptibility tests and the polymerase chain reaction for detection of blaCTX-M, blaSHV, and blaTEM genes. Overall 20.1%, 77/384, (95% CI; 43.2â65.5%) of total samples analyzed contained ESBL-producing Escherichia coli. The antimicrobial sensitivity test revealed that 85.7% (66/77; CI: 75.7â92) of ESBL-producing E. coli isolates conferred resistance to beta-lactam and other antimicrobial agents. These results indicate that poultry is a potential reservoir for ESBL-producing Escherichia coli. The presence of ESBL-producing Escherichia coli in poultry destined for human consumption requires strengthening of the antibiotic administering policy. This is important as antibiotic administration in food animals is gaining momentum for improved animal productivity in developing countries such as Zambia.
Mendenhall, E; Muzizi, L; Stephenson, R; Chomba, E; Ahmed, Y; Haworth, A; Allen, S
High rates of HIV and poverty place women in a precarious economic situation in Lusaka, Zambia. Mortality from HIV infection is high, leaving many households single headed and creating almost a half a million orphans. One of the most prevalent forms of gender violence that creates poverty in women is when the male's family claims the property of the deceased from the widow and the children. The Zambia-Emory HIV Research Project collected 184 wills from individuals in monogamous unions where one or both of the individuals were HIV-positive. Despite the fact that many wills specifically stated that their extended family was not allowed to tamper with their possessions in the event of death, property grabbing proved to be a prevalent and difficult issue in Lusaka. In order to improve the lives of widowed women in Lusaka, the government and other civic and non-governmental organisations must inform women of their rights to own and protect their land and other assets in the event of their husbands' death, an issue of increasing importance in the area of HIV/AIDS. PMID:17453571
This article reviews the papers presented at the first of a series of conferences on the topic of district heating that was held in Zurich, Switzerland at the beginning of 2002. The article summarises the contributions presented at the conference, which was dedicated to district heating strategies. The role of the Swiss Federal Office of Energy is discussed and the extent of district heating use in Switzerland is compared with the situation in other countries, e.g. Denmark. Sociological and economical aspects of district heating projects are discussed and the important role played by district heating in the reduction of CO2 emissions is looked at. The various district heating networks to be found in the city of Zurich are briefly described and future heat-generation options, including biomass and fuel-cell-based combined heat and power installations are discussed. A wood-fired system in Porrentruy, Switzerland, is presented as an example of a biomass-based district heating system
Bupe Bwalya Bwalya
Full Text Available Background: Although people of any age are susceptible to HIV, youths aged 15 â 24 face disproportionate risk of contracting it because of challenges that they face with regard to correct HIV and AIDS related knowledge, attitudes and practices. This study was aimed at determining whether HIV and AIDS can be fought by targeting interventions at youths aged 15 â 24 years by assessing their current knowledge, attitudes and sexual behaviours in Zambia. Â Methods: The study utilised secondary data from a self-weighting nationally representative sample of the 2009 Zambia Sexual Behaviour Survey. Results: Generally correct comprehensive knowledge is very low among youths (43 percent. This is in spite having good command of general and full general knowledge and the ABCs of HIV and AIDS prevention. Attitudes towards PLHIV, Condom use and HIV counselling and testing were negative. About one third (58 percent of youths in Zambia have a history of early sexual debut (sex before age 15 with more females (64 percent than males (51 percent having hard sex. Male youths were more likely to have used a condom with most recent sexual partner as compared to females (AOR=0.265, 95%CI: 0.160, 0.438; p<0.001. Youths in rural areas had reduced odds of using a condom during their first sexual intercourse compared with those in urban areas (AOR=0.530, 95%CI: 0.387, 0.726; p<0.001. Conclusions: Therefore, it can be seen lack of comprehensive correct knowledge, gender disparities, poor educational levels, youthâs age and place of residence are some of the contributing factors that may hinder the fight against HIV/AIDS among youths in Zambia.Key words: Youths; HIV/AIDS; Knowledge; Attitudes; Behaviour, Zambia
National Oceanic and Atmospheric Administration, Department of Commerce â This data set is one component of a digital terrain model (DTM) for the Southwest Florida Water Management District's FY2006 Digital Orthophoto (B089) and LiDAR...
National Oceanic and Atmospheric Administration, Department of Commerce This data set is one component of a digital terrain model (DTM) for the Southwest Florida Water Management District's FY2006 Digital Orthophoto (B089) and LiDAR...
Hannele Ahvenniemi; Krzysztof Klobut
The underlying assumption of this study is that in order to retain the competitiveness while reaching for the EU targets regarding low-energy construction, district heating companies need to develop new business and service models. How district heating companies could broaden their perspective and switch to a more service-oriented way of thinking is a key interest of our research. The used methods in our study are house builder interviews and a questionnaire. With the help of these methods we...
This article reviews the District Heating Forum that was held on the 21st of January 2010 in Biel, Switzerland. Under the title 'From a Vision to Practice', the development of district heating systems for the period 2010 - 2030 was discussed. The conclusion reached at the conference is quoted as being that waste heat is a usable form of residual energy and that this energy should not simply be ejected into the environment. State promotion of renewable energy sources is discussed and, in particular, the high interest shown in projects for long and short-distance district heating systems. Developments in Europe and Switzerland and the political general frameworks for the realisation of district heating networks are discussed. Specific examples of such systems that have been implemented are examined. The use of waste heat from nuclear power stations is also discussed
This document describes the Boise geothermal district heating project from preliminary feasibility studies completed in 1979 to a fully operational system by 1983. The report includes information about the two local governments that participated in the project - the City of Boise, Idaho and the Boise Warm Springs Water District. It also discusses the federal funding sources; the financial studies; the feasibility studies conducted; the general system planning and design; design of detailed system components; the legal issues involved in production; geological analysis of the resource area; distribution and disposal; the program to market system services; and the methods of retrofitting buildings to use geothermal hot water for space heating. Technically this report describes the Boise City district heating system based on 170/sup 0/F water, a 4000 gpm production system, a 41,000 foot pipeline system, and system economies. Comparable data are also provided for the Boise Warm Springs Water District. 62 figs., 31 tabs.
Earth Data Analysis Center, University of New Mexico â This layer represents boundaries for New Mexico tax district "OUT" categories and incorporated/municipal "IN" categories as identified on the "Certificate of Tax...
U.S. Environmental Protection Agency â This dataset represents Oklahoma Corporation Commission Oil and Gas Division district boundaries. U.S. Environmental Protection Agency, Region 6 Emergency Response...
U.S. Geological Survey, Department of the Interior â This is a polygon coverage of 104th Congressional District boundaries obtained from the U.S. Bureau of the Census. The 103rd Congress was the first Congress that...
Reza MOHAMMADY GARFAMY
This paper provides a comparison study of industrial districts in two European countries, Spain and Sweden, using the conceptual framework of corporation. The relevance of this approach is based on the specific qualities that the industrial districts have, including the preexisting conditions, local traditions, products and production characteristics, marketing strategies, local policies and present challenges. The findings indicate the ways in which different patterns of inter-firm relations...
Full Text Available Cutaneous leishmaniasis is a disease with a wide geographical distribution in a range of climate and with different epidemiological patterns. In Rajasthan a new endemic zone of the disease has been found at Jodhpur district. The clincial features of 21 smear positive cases of oriental sore from Jodhpur district studied during a period of 1 year have been described. Also the importance of intralesional berberine sulphate in the treatment of oriental sore has been highlighted.
Major trends in the development of nuclear district heating in the USSR are outlined. The nuclear power sources considered are as follows: nuclear thermoelectric plants (NTP), nuclear distric heating plants (NDH) and nuclear process heat plants (NPH). The NTP are designed for both electric and heat supply of large cities, the NPH-for industrial process heat supply, the steam pressure ranging from 0.12 to 10 MPa, and the NDH-for hot water supply. The NTP, NDH and NPH projects developed nowadays are based on the WWER-500 (1000) reac.tors. Some data on the reduced costs and overall efficiency of the plants in comparison with corresponding fossil-fueled plants are presented. In the European part of the USSR the NTP are economical when constructed in cities with the heat rates above 1700 MJ/s; the NDH and NPH can be competitive against fossil-fueled boilers at the heat rates of populated areas and industrial complexes of 900-1700 MJ/s. If the problems in the development of prestressed reinforced concrete reactor vessels are solved, the competitiveness of the NTP, NDH and NPH might be even higher
Piccolo, Vincenzo; Baroni, Adone; Russo, Teresa; Schwartz, Robert A
The concept of 'locus minoris resistentiae' (lmr) is an old but still effective way of thinking in Medicine. In Dermatology, there are many reports of privileged localization of cutaneous diseases on injured skin, which therefore represents a typical condition of lmr. Lately the innovative concept of immunocompromised cutaneous district (ICD) has been introduced to explain why a previously injured cutaneous site may become in time a privileged location for the outbreak of opportunistic infections, tumors, and immune reactions. An ample documentation of multifarious disorders (infectious, neoplastic, immune) appearing in ICDs was delineated by Ruocco et al. in 2009. These cases were grouped according to the clinical settings responsible for the local immune imbalance: regional chronic lymphedema; herpes-infected sites, which feature the well-known Wolf's isotopic response; and otherwise damaged areas, comprising sites of vaccination, ionizing or UV radiation, thermal burns, and traumas. In the following five years, what was a "novel" pathogenic concept has been extended to an enlarging variety of clinical conditions. This paper focuses on ICD and the expanding spectrum of this now established pathogenic concept. PMID:26475059
The actual growth of the district heating market is mainly due to new (smaller) networks and extension of existing older ones. A more dramatic increase could be achieved if the planned inter-regional networks (Transwaal, Warheno and Fola), fed with waste heat from the existing nuclear plants were taken into operation. These networks with a total installed power of over 1 GW are though contested as they would mean an increase of the dependency on nuclear energy. Additionally, fossil fuel prices are today so low, that the economic considerations are making district heating less appealing. However the criteria for district heating as defined in a special study of the Swiss Ministery of Energy. The role of nuclear energy in district heating could increase substantially from actually ca. 8% to an expected share of 30% of the total district heat market if the inter-regional networks already mentioned would go into operation. A more important increase would be possible if new nuclear power plants, nuclear co-generation plants and dedicated district heating reactors could be installed in Switzerland. In order to achieve this, governmental interventions are necessary. (orig./GL)
Grooten, J.; van Bemmelen, J.H.A.
Financial and economic aspects play a large role in the decision-making process about the feasibility of district heating projects. Factors to consider include the relationship of district heating and gas and electricity supplies, annual cost per unit of energy conserved, fuel type, gas price for district heating, cost/benefit ratio for district heating, side effects of district heating, and the relative tariff situation.
It is argued in this discussion that women's ability to produce and supply food has been deteriorating over time. Although this may have begun in precolonial times, particularly with the advent of merchant capital, 20th century economic and political developments have accelerated the process. This situation applies to peasant production as a whole, but discussion is limited to food production and supply. The discussion attempts to understand and discuss the position of women as food producers and suppliers within the framework of the social relations of production, distribution, and surplus appropriation. Land and labor issues have affected women's food production capabilities adversely, and their ability to supply food has been deteriorating. In those countries where their husbands are wage laborers, women have both fed themselves and their children and have supplemented their husbands' wages through food gifts and by maintaining them during their stay at home before the cycle begins again. Despite the fact that they could not adequately do so, men were obligated to start partially maintaining their families "back home" through cash remittances, but cash came at irregular intervals, or it was insufficient, mainly because of small wages. Some women have tried to increase their food supply capacities by going into seasonal wage labor, but often the wages are too low and the prices of food too high for this strategy to work. The time spent in wage labor could be better spent in their own production, provided the factors of production are favorable to them. The intensification of cash crop production has drawn land and labor away from food crops resulting in local food shortages. This process was realized earlier in West Africa when the colonial government started to import rice from China. Gradually, this became an acceptable food crop, but attempts to grow it in sufficient quantities have benefited only men. With the growing urban population rice became a viable marketable crop, to the disadvantage of sufficient food supplies for the producers themselves. The case of Zambia is presented, and it is concluded that the situation of women producers and of food production worsened at a pace responding to the nature of capitalist appropriation of land and labor and the intensification of cash crop production. Thus the phenomenon became more marked after 1945 when colonial states intensified cash crop production. The situation persisted after formal independence. Another Development must tackle the problem areas of land, labor, the sexual division of labor, the state, and men. PMID:12279571
Bernau, Robin; Roberts, Stephen; Richards, Mike; Nisbet, Bruce; Boyce, Adrian; Nowecki, James
The Lumwana Cu (Â± Co Â± U) deposits of NW Zambia are large, tabular, disseminated ore bodies, hosted within the Mwombezhi Dome of the Lufilian Arc. The host rocks to the Lumwana deposits are two mineralogically similar but texturally distinct gneisses, a granitic to pegmatitic gneiss and a banded to augen gneiss which both comprise quartz-feldspar Â± biotite Â± muscovite Â± haematite Â± amphibole and intervening quartz-feldspar Â± biotite schist. The sulphide ore horizons are typically developed within a biotite-muscovite-quartz-kyanite schist, although mineralization locally occurs within internal gneiss units. Contacts between the ore and host rocks are transitional and characterized by a loss of feldspar. Kinematic indicators, such as S-C fabrics and pressure shadows on porphyroblasts, suggest a top to the north shear sense. The sulphides are deformed by a strong shear fabric, enclosed within kyanite or concentrated into low strain zones and pressure shadows around kyanite porphyroblasts. This suggests that the copper mineralization was introduced either syn- or pre-peak metamorphism. In addition to Cu and Co, the ores are also characterized by enrichments in U, V, Ni, Ba and S and small, discrete zones of uranium mineralization, occur adjacent to the hanging wall and footwall of the copper ore bodies or in the immediate footwall to the copper mineralization. Unlike typical Copperbelt mineralization, unmineralized units show very low background copper values. Whole rock geochemical analyses of the interlayered schist and ore schist, compared to the gneiss, show depletions in Ca, Na and Sr and enrichments in Mg and K, consistent with replacement of feldspar by biotite. The mineral chemistry of muscovite, biotite and chlorite reflect changes in the bulk rock chemistry and show consistent increases in X Mg as the schists develop. Î´34S for copper sulphides range from +2.3 â° to +18.5 â°, with pyrite typically restricted to values between +3.9 â° and +6.2 â°. These values are atypical of sulphides precipitated by bacteriogenic sulphate reduction. Î´34S data for Chimiwungo (Cu + Co) show a broader range and increased Î´34S values compared to the Malundwe (Cu) mineralization. The Lumwana deposits show many characteristics which distinguish them from classical Copperbelt mineralization and which suggests that they are formed by metasomatic alteration, mineralization and shearing of pre-Katangan basement. Although this style of mineralization is reported elsewhere in the Copperbelt, sometimes associated with the more widely reported stratiform ores of the Lower Roan, none of the previously reported occurrences have so far developed the tonnages of ore reported at Lumwana.
Uranium is an incompatible and lithophile element, and thus more concentrated in silicate melt produced by the partial melting of the mantle related to continental crust formation. Uranium can be used as a geochemical tracer to discuss the generation and the evolution of continental crust. This thesis, focused on the Pan-African Lufilian belt in Zambia, combines structural geology, metamorphic petrology and thermos-barometry, fluid inclusions, geochemistry and geochronology in order to characterize the uranium cycle for this crustal segment. Silici-clastic and evaporitic sediments have been deposited within an intra-continental rift during the dislocation of the Rodinia super-continent during the early Neo-proterozoic. U-Pb ages on detrital zircon grains in these units indicate a dominant Paleo-proterozoic provenance. The same zircon grains show sub-chondritic ÎµHf (between 0 and -15) and yield Hf model ages between â¼2.9 and 2.5 Ga. These data suggest that the continental crust was generated before the end of the Archean (< 2.5 Ga) associated with uranium extraction from the mantle. This old crust has been reworked by deformation and metamorphism during the Proterozoic. Uranium has been re-mobilized and reconcentrated during several orogenic cycles until the Pan-African orogeny. During this Pan-African cycle, U-Pb and REY (REE and Yttrium) signatures of uranium oxides indicate a first mineralizing event at ca. 650 Ma during the continental rifting. This event is related to late diagenesis hydrothermal processes at the basement/cover interface with the circulation of basinal brines linked to evaporites of the Roan. The second stage, dated at 530 Ma, is connected to metamorphic highly saline fluid circulations, synchronous to the metamorphic peak of the Lufilian orogeny (P=9Â±3 kbar; T=610Â±30 deg. C). These fluids are derived from the Roan evaporite dissolution. Some late uranium re-mobilizations are described during exhumation of metamorphic rocks and their tectonic accretion in the internal zone of the Lufilian orogenic belt. During these syn-metamorphic fluid-rock interactions, uranium has been leached from U-bearing minerals such as allanite or monazite hosted by the reworked and partially molten gneissic basement. (author)
Awad, Susanne F.; Sgaier, Sema K.; Tambatamba, Bushimbwa C.; Mohamoud, Yousra A.; Lau, Fiona K.; Reed, Jason B.; Njeuhmeli, Emmanuel; Abu-Raddad, Laith J.
Background Countries in sub-Saharan Africa are scaling-up voluntary male medical circumcision (VMMC) as an HIV intervention. Emerging challenges in these programs call for increased focus on program efficiency (optimizing program impact while minimizing cost). A novel analytic approach was developed to determine how subpopulation prioritization can increase program efficiency using an illustrative application for Zambia. Methods and Findings A population-level mathematical model was constructed describing the heterosexual HIV epidemic and impact of VMMC programs (age-structured mathematical (ASM) model). The model stratified the population according to sex, circumcision status, age group, sexual-risk behavior, HIV status, and stage of infection. A three-level conceptual framework was also developed to determine maximum epidemic impact and program efficiency through subpopulation prioritization, based on age, geography, and risk profile. In the baseline scenario, achieving 80% VMMC coverage by 2017 among males 1549 year old, 12 VMMCs were needed per HIV infection averted (effectiveness). The cost per infection averted (cost-effectiveness) was USD $1,089 and 306,000 infections were averted. Through age-group prioritization, effectiveness ranged from 11 (2024 age-group) to 36 (4549 age-group); cost-effectiveness ranged from $888 (2024 age-group) to $3,300 (4549 age-group). Circumcising 1014, 1519, or 2024 year old achieved the largest incidence rate reduction; prioritizing 1524, 1529, or 1534 year old achieved the greatest program efficiency. Through geographic prioritization, effectiveness ranged from 912. Prioritizing Lusaka achieved the highest effectiveness. Through risk-group prioritization, prioritizing the highest risk group achieved the highest effectiveness, with only one VMMC needed per infection averted; the lowest risk group required 80 times more VMMCs. Conclusion Epidemic impact and efficiency of VMMC programs can be improved by prioritizing young males (sexually active or just before sexual debut), geographic areas with higher HIV prevalence than the national, and high sexual-risk groups. PMID:26716442
Cohen Judith A
Full Text Available Abstract Background Sexual violence against children is a major global health and human rights problem. In order to address this issue there needs to be a better understanding of the issue and the consequences. One major challenge in accomplishing this goal has been a lack of validated child mental health assessments in low-resource countries where the prevalence of sexual violence is high. This paper presents results from a validation study of a trauma-focused mental health assessment tool - the UCLA Post-traumatic Stress Disorder - Reaction Index (PTSD-RI in Zambia. Methods The PTSD-RI was adapted through the addition of locally relevant items and validated using local responses to three cross-cultural criterion validity questions. Reliability of the symptoms scale was assessed using Cronbach alpha analyses. Discriminant validity was assessed comparing mean scale scores of cases and non-cases. Concurrent validity was assessed comparing mean scale scores to a traumatic experience index. Sensitivity and specificity analyses were run using receiver operating curves. Results Analysis of data from 352 youth attending a clinic specializing in sexual abuse showed that this adapted PTSD-RI demonstrated good reliability, with Cronbach alpha scores greater than .90 on all the evaluated scales. The symptom scales were able to statistically significantly discriminate between locally identified cases and non-cases, and higher symptom scale scores were associated with increased numbers of trauma exposures which is an indication of concurrent validity. Sensitivity and specificity analyses resulted in an adequate area under the curve, indicating that this tool was appropriate for case definition. Conclusions This study has shown that validating mental health assessment tools in a low-resource country is feasible, and that by taking the time to adapt a measure to the local context, a useful and valid Zambian version of the PTSD-RI was developed to detect traumatic stress among youth. This valid tool can now be used to appropriately measure treatment effectiveness, and more effectively and efficiently triage youth to appropriate services.
Many breeders have observed that induced mutation increases genetic variability, and the expose to mutagenic agents increases mutation frequency. Studies have indicated the effect in height reduction, increased yield components,disease resistance, in crop like rice and wheat. A study was conducted in finger millet in thr Northern part of Zambia (Region III), a high rainfall area, aiming at improving finger length, number of fingers till ring capacity in order to increase the yield. the seed of Nyika variety, popular to farmers due to its medium maturity, palm shaped fingers (six fingers on average), and light brown grain. Three quantities of seed were irradiated at 15Kr, 20Kr and 30Kr doses. A dose of 15Kr of gamma rays irradiation continued to create good genetic change in the exposed material. These observations clearly suggest that 15Kr dose of gamma rays is the optimum one to expose/irradiate finger millet to create desired genetic changes. The results of 2000/2001 were not significantly different. However, FMM 165 had better yields (3193 Kg) than FMM 175 in Misamfu, while FMM 175 yielded better (3272 Kg) in Chinsali. During 2001/2002 both FMMs performed well in the national finger number of 10 per head. There were also highly significant differences among finger lengths.FMM 165 had finger length of 10.3 cm. Concerning grain yield FMM 165 and FMM 175 had 3802 and 3864 Kg/ha, respectively, which were above the overall mean 3864 Kg/ha. Grain yield correlated positively with finger number with an r-value of 0.19 and finger length r-value of 0.22 although it was not significant at 1% or 5%. Meanwhile in the advance trial there were significant differences among genotypes in finger number. Both FMMs had 9 fingers above the overall mean of 8.8. In the finger length there were highly significant differences. FMM 175 had a length of 11.5 cm while FMM 165 had 10.4 cm. There were highly significant differences among the genotypes in yield. FMM 165 (4636 Kg) and FMM 175 (4104 Kg/ha) yielded more than the checks (Nyika and Local) 3104 Kg/ha and 2854 Kg/ha respectively. There was some correlation between finger length and finger number with r-value of 0.688, finger number and grain yield with an r-value of 0.187, and finger length and yield r-value of -ve 0.016 but there were not significant at 1% or 5%
Kapata, Nathan; Chanda-Kapata, Pascalina; Ngosa, William; Metitiri, Mine; Klinkenberg, Eveline; Kalisvaart, Nico; Sunkutu, Veronica; Shibemba, Aaron; Chabala, Chishala; Chongwe, Gershom; Tembo, Mathias; Mulenga, Lutinala; Mbulo, Grace; Katemangwe, Patrick; Sakala, Sandra; Chizema-Kawesha, Elizabeth; Masiye, Felix; Sinyangwe, George; Onozaki, Ikushi; Mwaba, Peter; Chikamata, Davy; Zumla, Alimuddin; Grobusch, Martin P.
Background Tuberculosis in Zambia is a major public health problem, however the country does not have reliable baseline data on the TB prevalence for impact measurement; therefore it was among the priority countries identified by the World Health Organization to conduct a national TB prevalence survey Objective To estimate the prevalence of tuberculosis among the adult Zambian population aged 15 years and above, in 2013â2014. Methods A cross-sectional population-based survey was conducted in 66 clusters across all the 10 provinces of Zambia. Eligible participants aged 15 years and above were screened for TB symptoms, had a chest x-ray (CXR) performed and were offered an HIV test. Participants with TB symptoms and/or CXR abnormality underwent an in-depth interview and submitted one spot- and one morning sputum sample for smear microscopy and liquid culture. Digital data collection methods were used throughout the process. Results Of the 98,458 individuals who were enumerated, 54,830 (55.7%) were eligible to participate, and 46,099 (84.1%) participated. Of those who participated, 45,633/46,099 (99%) were screened by both symptom assessment and chest x-ray, while 466/46,099 (1.01%) were screened by interview only. 6,708 (14.6%) were eligible to submit sputum and 6,154/6,708 (91.7%) of them submitted at least one specimen for examination. MTB cases identified were 265/6,123 (4.3%). The estimated national adult prevalence of smear, culture and bacteriologically confirmed TB was 319/100,000 (232-406/100,000); 568/100,000 (440-697/100,000); and 638/100,000 (502-774/100,000) population, respectively. The risk of having TB was five times higher in the HIV positive than HIV negative individuals. The TB prevalence for all forms was estimated to be 455 /100,000 population for all age groups. Conclusion The prevalence of tuberculosis in Zambia was higher than previously estimated. Innovative approaches are required to accelerate the control of TB. PMID:26771588
Stephanie A Nixon
Full Text Available Introduction: Despite the emerging body of literature on increased vulnerability to HIV among people with disabilities (PWDs, there is a dearth of evidence related to experiences of PWDs who have become HIV-positive. This priority was identified by a disability advocacy organization in Lusaka, Zambia, where the prevalence of HIV and of disability is each approximately 15%. The purpose of this study was to explore perceptions and experiences of HIV-related health services for PWDs who are also living with HIV in Lusaka, Zambia. Methods: This qualitative, interpretive study involved in-depth, semi-structured, one-on-one interviews with two groups of participants in Lusaka, Zambia: 21 PWDs who had become HIV-positive, and 11 people working in HIV and/or disability. PWDs had physical, hearing, visual and/or intellectual impairments. Interviews were conducted in English, Nyanja, Bemba or Zambian sign language. Descriptive and thematic analyses were conducted by a multidisciplinary, international research team. Results: Participants described their experiences with HIV-related health services in terms of the challenges they faced. In particular, they encountered three main challenges while seeking care and treatment: (1 disability-related discrimination heightened when seeking HIV services, (2 communication barriers and related concerns with confidentiality, and (3 movement and mobility challenges related to seeking care and collecting antiretroviral therapy. These experiences were further shaped by participantsâ profound concerns about poverty and unmet basic needs. Discussion: This study demonstrates how PWDs who are HIV-positive have the same HIV care, treatment and support needs as able-bodied counterparts, but face avoidable barriers to care. Many challenges mirror concerns identified with HIV prevention, suggesting that efforts to promote inclusion and reduce stigma could have widespread benefits. Conclusions: Despite the growing body of literature on increased risk of exposure to HIV among HIV-negative PWDs, this is the first published study to examine perceptions of testing, treatment and other HIV services for PWDs who have become HIV-positive. Findings reveal far-reaching opportunities for improving the quality of care for this population.
These Technical Regulations, F:103-6, have been produced and published by the Swedish District Heating Association in conjunction with manufacturers. Approved testing is part of the process of obtaining certification for a district heating substation. In addition, the process includes a review of documentation and of the manufacturer's production inspection procedures. A certified unit fulfils the requirements set out in the Association's document F:101, General Technical Requirements. Until further notice, the Association has selected SP Technical Research Institute of Sweden for certification of district heating substations. Certification means that the quality and function/performance of a prefabricated district heating substation have been examined and approved. Certification test method F:103-6 includes both static and dynamic tests and inspections. Detailed information on the district heating substation and its properties is given in the certification test reports. The unique feature of this certification is that the test reports are in the public domain. This is possible because the Association has full right of insight into the certification process, and because testing is performed in accordance with test programmes and procedures decided by the Association. In this document (F: 103-6), the Association specifies what is to be reported when SP carries out inspections at the manufacturer's premises. This can include details of claims lodged with the manufacturer and/or non-compliances with the required specification of the district heating substation. Such cases will be considered by a Certification Panel. Test reports and certificates provide information on the district heating substation's properties and performance, which can be used when assessing the substations. The technical tests do not address the long-term properties of substations, but SP's inspection specifically includes visual examination and application of its experience of such equipment, to identify potential technical weaknesses that could present an increased risk of leakage or malfunctions during the unit's life
Lisulo, Malimba; Sugimoto, Chihiro; Kajino, Kiichi; Hayashida, Kyouko; Mudenda, Macarthy; Moonga, Ladslav; Ndebe, Joseph; Nzala, Selestine; Namangala, Boniface
Background Dogs have been implicated to serve as links for parasite exchange between livestock and humans and remain an important source of emerging and re-emerging diseases including trypanosome infections. Yet, canine African trypanosomosis (CAT), particularly in indigenous dogs (mongrel breed) remains under- reported in literature. This study evaluated the performance of loop-mediated isothermal amplification (LAMP) in detecting trypanosomes in blood from indigenous dogs of tsetse-infested...
Full Text Available Lost in the debates about the appropriate scale of production to promote agricultural growth in Africa is the rapid expansion of medium-scale farmers. Using Zambia as a case study, this article explores the causes and consequences of this middle-tier transformation on the future of small-scale agriculture. Combining political economic analysis with household survey data, this article examines the relationships between the growth in medium-scale farmers and changing conditions of land access, inequality, and alienation for small-scale farmers. Growth of medium-scale farmers is associated with high land inequality and rapid land alienation in high potential agricultural areas. This growth is shown to be partially driven by wage earner investment in land acquisition and is leading to substantial under-utilization of agricultural land. These processes are both limiting agricultural growth potential and foreclosing future options for an inclusive agricultural development strategy.
Chitalu, Ndashi; Mumbi, Mirriam; Cook, Ryan; Weiss, Stephen M; Jones, Deborah
Behavioral interventions have utilized a variety of strategies and components to reduce HIV risk. This article describes the partner intervention, a couple-based group HIV risk reduction intervention implemented in 6 urban community health clinics in Lusaka, Zambia, and examines the components of the intervention and their relationship with condom use. Couple members completed assessments on condom use, acceptability, willingness to use condoms, communication, intimate partner violence (IPV), self-efficacy, and HIV information at baseline and 6 months' follow-up. This study examined the relative impact of elements of the intervention as predictors of condom use. Changes in acceptability had the greatest overall influence on condom use, followed by social support, relationship consensus, and willingness to use condoms. Changes in self-efficacy, IPV, negotiation, and information had no influence. Results support the use of multidimensional approaches in behavioral interventions and highlight the importance of identifying critical elements of interventions to maximize risk reduction outcomes. PMID:24482105
Simatele, Danny; Simatele, Munacinga
There is increasing consensus that the effects of extreme weather conditions in the form of drought, flooding and extreme temperature will have increasingly devastating impacts on those who depend on climate-sensitive resources and ecosystems for their livelihoods. The most affected will be the poor in developing countries who have a low adaptive capacity to climate change due to high poverty levels. Despite these projections, there are, to date, insufficient empirical studies linking the relationship between climate change and migration, particularly in the context of southern Africa. Using field-based data collected from two study locations in Zambia, this paper examines the complex relationship between extreme weather events and population movement. It is envisaged that the findings presented in this paper will contribute to current discussions on the complex relationship between extreme weather conditions and population movement specifically in the context of sub-Saharan Africa and other developing countries. PMID:25754466
Haselip, J.A.; Desgain, D.; Mackenzie, G.A.
This report presents the findings of research into the main outcomes of government and donor-backed efforts to promote small and medium-sized energy businesses (energy SMEs) in sub-Saharan Africa. The research follows an outcome analysis methodology. The focus is on four countries: Ghana, Senegal, Tanzania and Zambia and primarily on UNEP's AREED programme (2002-2012). This research focuses on the 'contributing factors' - a deliberately broader term that incorporates the internal 'success factors' - for energy SMEs, about which much has already been written. Indeed, the research findings presented in this report reaffirm most of what has been concluded in previous studies. These studies identified the lack of access to affordable finance as being the predominant, persistent, barrier to establishing and scaling up a commercially viable energy SME sector, emphasising the lack of strong policy support from governments, poor business skills capacity and the high cost of many RETs as related cause-and-effect barriers. While these issues continue to characterise, to a greater or lesser extent, the energy SMEs sectors in the countries studied for this research, it is more relevant to revisit the main assumption behind AREED and other donor-backed programmes designed to promote energy SMEs. The assumption is that the solution to the aforementioned barriers would be overcome by a 'demonstration effect' whereby successful energy SMEs, supported by donor-backed programmes, influence the commercial financial sector to invest in energy SMEs, thus triggering a virtuous circle of growth and profitability. Experiences drawn from a decade of AREED support across four of the project countries reveal both the presence (Ghana, Senegal) and absence, or weak presence, of this demonstration effect (Tanzania, Zambia). This is a central question, and one which was not the focus of previous research, presumably because the answer was not fully apparent prior to 2006 when the last substantial work was conducted. (LN)
US Fish and Wildlife Service, Department of the Interior â This Comprehensive Conservation Plan CCP will guide management on Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland...
Reza MOHAMMADY GARFAMY
Full Text Available This paper provides a comparison study of industrial districts in two European countries, Spain and Sweden, using the conceptual framework of corporation. The relevance of this approach is based on the specific qualities that the industrial districts have, including the preexisting conditions, local traditions, products and production characteristics, marketing strategies, local policies and present challenges. The findings indicate the ways in which different patterns of inter-firm relationships, organization of production and dynamics of local alliances have shaped divergent regional responses to the industrial construction.
The district heating modernisation project currently under way in Kiev, the capital of the Ukraine, is the largest project of its type financed by the World Bank. The budget for the five-year project is some USD 250 million of which USD 200 million is financed by the World Bank loan. The target of the project is to improve the city's district heating system, which is owned and operated by Kyivenergo. Consultancy services for the Project Implementation Unit are being provided by Electrowatt-Ekono and financed by the Finnish government
King Shimumbo Nalubamba; Musso Munyeme; Hetron Mweemba Munangâandu; Victor Siamudaala
Trypanosomiasis has been endemic in wildlife in Zambia for more than a century. The disease has been associated with neurological disorders in humans. Current conservation strategies by the Zambian government of turning all game reserves into state-protected National Parks (NPs) and game management areas (GMAs) have led to the expansion of the wildlife and tsetse population in the Luangwa and Zambezi valley ecosystem. This ecological niche lies in the common tsetse fly belt that harbors the h...
King Shimumbo Nalubamba; Musso Munyeme; Hetron Mweemba Munang'andu; Siamudaala, Victor M
Ex-situ conservancies are expanding alternatives to livestock production in Zambia albeit the lack of information on circulating infectious parasites from wildlife. Therefore, 12 wildlife species were examined on a game ranch were all species were found to be infected by Rhipecephalus spp. Haemoparasite infections were estimated at 7.37% (n = 95) with Babesia spp. detected in bushbuck (Tragelaphus scriptus); Anaplasma marginale in impala (Aepyceros melampus) and puku (Kobus vardonii) for the ...
Parsons, JA; Bond, VA; Nixon, SA
Background The advent of anti-retroviral therapy (ART) in Southern Africa holds the promise of shifting the experience of HIV toward that of a manageable chronic condition. However, this potential can only be realized when persons living with HIV are able to access services without barriers, which can include stigma. Our qualitative study explored experiences of persons living with disabilities (PWD) in Lusaka, Zambia who became HIV-positive (PWD/HIV+). Methods and Findings We conducted inter...
Kenneth K. Muzata; Annie Penda
This was a study of pedagogical experiences of students on school teaching practice conducted on two teacher training institutions on the Copper belt and Central provinces of Zambia. For ethical reasons, we gave the colleges pseudonyms. The Copper belt Based College of Education Copper belt Based College of Education (Pseudonym) (CBCE) trains teachers at Diploma level while the Central Province Based College of Education Kabwe Based College of Education (Pseudonym) (KBCE) trains teachers at ...
Coast, Ernestina; Vwalika, Bellington; Leone, Tiziana; Murray, Susan; Freeman, Emily
Objectives: Induced abortion has been legal in Zambia since 1972. Levels of unsafe abortion remain high and it is estimated that 30% of maternal deaths are attributed to unsafe abortion. This study seeks to understand why the investment in safe abortion services is not being fully realised and meets this objective by answering three research questions: â¢ How do the characteristics of women seeking safe abortion differ from women seeking care following an unsafe abortion? ...
Full Text Available The concentration of organochlorines (OCs such as organochlorine pesticides and polychlorinated biphenyls were measured in adipose tissue collected from 14 male hippopotami at Mfuwe in the southern part of the Luangwa National Park, Zambia. The samples contained low levels of OCs, and the concentrations of OCs were comparable to or lower than reported for wild herbivores studied in other parts of the world.
FORNADEL, CHRISTEN M.; Norris, Laura C; Glass, Gregory E; Norris, Douglas E.
Anopheles arabiensis mosquitoes are the primary vector responsible for Plasmodium falciparum transmission in Macha, Zambia. Because insecticide-treated bed nets (ITNs) have the potential to alter host feeding behavior, the extent of the zoophilic and exophagic tendencies of the vector was evaluated during the two rainy seasons after ITN introduction. Centers for Disease Control light traps, paired indoor/outdoor human landing catches, and outdoor cattle-baited collections were used to assess ...
Yeboah-Antwi, Kojo; Hamer, Davidson H; Semrau, Katherine; Waltensperger, Karen Z.; Snetro-Plewman, Gail; Kambikambi, Chilobe; Sakala, Amon; Filumba, Stephen; Sichamba, Bias; Marsh, David R.
Background Teaming is an accepted approach in health care settings but rarely practiced at the community level in developing countries. Save the Children trained and deployed teams of volunteer community health workers (CHWs) and trained traditional birth attendants (TBAs) to provide essential newborn and curative care for children aged 0â59 months in rural Zambia. This paper assessed whether CHWs and trained TBAs can work as teams to deliver interventions and ensure a continuum of care for a...
Kafle, Kashi R.
This study evaluates the impact of Heifer Internationalâs livestock donation program in the Copperbelt Province in Zambia. Using a panel data of 300 households and 4 survey rounds, this analysis assesses the impact of dairy cow, meat goat, and draft cattle donation programs on poverty and food security measures. The impact on consumption expenditures and livestock revenue are estimated with a difference-in-difference method, and the impact on dairy/meat consumption frequency is estimated with...
Boni, Maria; Terracciano, Rosario; Balassone, Giuseppina; Gleeson, Sarah A.; Matthews, Alexander
Zambian willemite (Zn2SiO4) deposits occur in the metasedimentary carbonate rocks of the Proterozoic Katangan Supergroup. The most important orebodies are located around Kabwe and contain both sulphides and willemite in dolomites of low metamorphic grade. The Star Zinc and Excelsior prospects (Lusaka area), discovered in the early 1920s, occur in the metamorphic lithotypes of the late Proterozoic Zambezi Supracrustal sequence, which were deposited in a transtensional basin formed during the oblique collision of the Kalahari and Congo cratons. The deposits are hosted by the limestone and dolomitic marbles of the Cheta and Lusaka Formations. Structural analysis indicates that several fracture sets host the deposits, which may be genetically related to the Pan-African Mwembeshi dislocation zone (a major geotectonic boundary between the Lufilian Arc and the Zambezi Belt). In both prospects, willemite replaces the marbles and is found along joints and fissures with open-space filling textures and locally may develop colloform and vuggy fabrics as well. Silver as well as traces of germanium and cadmium have been detected within the willemite ore, and lead or zinc sulphides are scarce or absent. Calcite locally replaces willemite. Willemite is associated with specular hematite and franklinite and post-dates the Zn-spinel gahnite in the paragenesis. Genthelvite [Zn4Be3(SiO4)3S] occurs as a minor phase in irregular aggregates. The willemites from the Lusaka area, though Mn-poor, show green cathodoluminescence colours and bright green fluorescence in short-wave UV (as the high-temperature willemites in USA). Thermometric analyses of primary fluid inclusions in willemite yield homogenization temperatures that range from 160°C to 240°C and salinities of 8-16 wt.% equiv. NaCl. The homogenization temperatures suggest a hypogene-hydrothermal origin for the willemite concentrations. The geochemistry of fluid inclusion leachates suggests that the hydrothermal fluids were brines derived from highly evaporated seawater. Precise age constraints are currently lacking for the Lusaka area deposits, though the deposits are not deformed, indicating that they post-date the Lufilian orogeny (~520 Ma). The possibility of precursor ores exists; the gahnite-franklinite-willemite deposits could have been derived from a metamorphosed primary sulphide (or even nonsulphide) concentration that has subsequently been completely destroyed. However, there is no real evidence of such a primary source for the willemite mineral association. The Lusaka zinc ores may have been produced by an extensive hydrothermal system, with fluids discharging along basinal fracture zones controlled by the pre-Pan-African rifting stage. A paragenesis similar to that of the Lusaka prospects has been proposed to be a vector towards massive sulphide ores in several parts of the world; therefore, it is possible that these small willemite showings in Zambia may be part of a much bigger, and still unexplored, zinc province.
This statistics of the VDEW AGFW (Arbeitsgemeinschaft fuer Waerme- und Heizkraftwirtschaft - e.V.) dates back to 1973. It is based on typical, preset consumption types of domestic and nondomestic buildings. The prices provide an outline of the annual energy cost of district heating in Germany. Price trends are followed by a comparison with the year before. (orig.)
Full Text Available The underlying assumption of this study is that in order to retain the competitiveness while reaching for the EU targets regarding low-energy construction, district heating companies need to develop new business and service models. How district heating companies could broaden their perspective and switch to a more service-oriented way of thinking is a key interest of our research. The used methods in our study are house builder interviews and a questionnaire. With the help of these methods we discussed the potential interest in heating related services acquiring a comprehensive understanding of the customer needs. The results indicate the importance of certain criteria when choosing the heating system in households: easiness, comfort and affordability seem to dominate the house buildersâ preferences. Also environmental awareness seems to be for many an important factor when making a decision about the heating of the house. Altogether, based on the results of this study, we suggest that the prospects of district heating could benefit from highlighting certain aspects and strengths in the future. District heating companies need to increase flexibility, readiness to adopt new services, to invest in new marketing strategies and improving the communication skills.
NSGIC GIS Inventory (aka Ramona) This Government Districts, Other dataset, published at Not Applicable scale, was produced all or in part from Published Reports/Deeds information as of 2014. It is...
US Fish and Wildlife Service, Department of the Interior â This annual narrative report for Upper Mississippi River National Wildlife and Fish Refuge summarizes activities for Winona District, La Crosse District, McGregor...
US Fish and Wildlife Service, Department of the Interior â This annual narrative report for Upper Mississippi River National Wildlife and Fish Refuge summarizes activities for Winona District, La Crosse District, McGregor...