The important role of springs in South Africa's rural water supply: The case study of two rural communities in South Africa

CSIR Research Space (South Africa)

Nkuna, Z

2014-12-01

Full Text Available rural communities are geographically located in hard to reach areas due to their dispersed nature and bad terrain. In South Africa, these conditions have made it particularly expensive and difficult for water service providers to effect services to rural...

Rural development update for South Africa

Energy Technology Data Exchange (ETDEWEB)

Arent, D. [National Renewable Energy Lab., Golden, CO (United States)

1997-12-01

This paper describes renewable energy programs implemented in South Africa as part of a collaborative program for rural development. Different facets of this program include: Renewable Energy for South Africa (REFSA); hybrid collaborative R&D; electricity sector restructuring; provincial level initiation of renewable energy applications; renewable energy for African development (REFAD); and Suncorp photovoltaic manufacturing company. Limited detailed information is provided on the activities of each of these different program facets over the past year in particular.

The Late Quaternary history of climate and vegetation in East and southern Africa

Directory of Open Access Journals (Sweden)

E. M. van Zinderen Bakker Sr

1983-11-01

Full Text Available In the vast region of East and southern Africa the alternating glacial and interglacial periods of the Quaternarv were characterized by considerable changes in temperature and precipitation. During the last glacial maximum the influence of the ITCZ was limited, while the circulation systems were strengthened. The ocean surface waters were cooler and the Benguela Current was activated. In the montane areas of East Africa and also in southern Africa the temperature dropped by about 6°C. During this hypothermal period, rainfall on the east African plateau and mountains diminished. Summer precipitation could still penetrate the eastern half of southern Africa from the Indian Ocean, while the western half was arid to semi-arid. Cyclonic winter rain migrated further north beyond the latitude of the Orange River. The consequences of these climatic changes during the last glacial maximum were that the woodlands of East Africa opened up. On the plateau of South Africa austro-afroalpine vegetation dominated. The south coastal plain was very windy and cold to temperate, while the Namib and Kalahari were respectively hyper-arid and semi-humid. During hyperthermals the vegetation pattern resembled present-day conditions more closely.

The springboks in East Africa: the role of 1 SA Survey Company ...

African Journals Online (AJOL)

The springboks in East Africa: the role of 1 SA Survey Company (SAEC) in the East African campaign of World War II, 1940–1941. ... Scientia Militaria: South African Journal of Military Studies ... As a member of the British Commonwealth, South Africa was part of Britain's war effort from September 1939 onward. When Italy ...

Plasmodium falciparum parasite prevalence in East Africa: A Review ...

African Journals Online (AJOL)

Objectives: Empirical data on malaria endemicity are rarely available for public domain use to guide effective malaria control. This paper describes the work carried in East Africa since 1997 as part of a pan-African collaboration to map the risk of malaria, Mapping Malaria Risk in Africa (MARA) aimed at redressing deficiency ...

Situating asynchronous voice in rural Africa

CSIR Research Space (South Africa)

Bidwell, NJ

2013-09-01

Full Text Available to be oriented by theory that contrasts the mental functions of oral and literate users, rather than by local practices in social situations. We describe designing an Audio Repository (AR) based on practices, priorities and phone-use in rural Africa. The AR...

The influence of European pollution on ozone in the Near East and northern Africa

Directory of Open Access Journals (Sweden)

B. N. Duncan

2008-04-01

Full Text Available We present a modeling study of the long-range transport of pollution from Europe, showing that European emissions regularly elevate surface ozone by as much as 20 ppbv in summer in northern Africa and the Near East. European emissions cause 50–150 additional violations per year (i.e. above those that would occur without European pollution of the European health standard for ozone (8-h average >120 μg/m³ or ~60 ppbv in northern Africa and the Near East. We estimate that European ozone pollution is responsible for 50 000 premature mortalities globally each year, of which the majority occurs outside of Europe itself, including 37% (19 000 in northern Africa and the Near East. Much of the pollution from Europe is exported southward at low altitudes in summer to the Mediterranean Sea, northern Africa and the Near East, regions with favorable photochemical environments for ozone production. Our results suggest that assessments of the human health benefits of reducing ozone precursor emissions in Europe should include effects outside of Europe, and that comprehensive planning to improve air quality in northern Africa and the Near East likely needs to address European emissions.

The Influence of European Pollution on Ozone in the Near East and Northern Africa

Science.gov (United States)

Duncan, B. N.; West, J. J.; Yoshida, Y.; Fiore, A. M.; Ziemke, J. R.

2008-01-01

We present a modeling study of the long-range transport of pollution from Europe, showing that European emissions regularly elevate surface ozone by as much as 20 ppbv in summer in northern Africa and the Near East. European emissions cause 50-150 additional violations per year (i.e. above those that would occur without European pollution) of the European health standard for ozone (8-h average greater than 120 micrograms per cubic meters or approximately 60 ppbv) in northern Africa and the Near East. We estimate that European ozone pollution is responsible for 50 000 premature mortalities globally each year, of which the majority occurs outside of Europe itself, including 37% (19 000) in northern Africa and the Near East. Much of the pollution from Europe is exported southward at low altitudes in summer to the Mediterranean Sea, northern Africa and the Near East, regions with favorable photochemical environments for ozone production. Our results suggest that assessments of the human health benefits of reducing ozone precursor emissions in Europe should include effects outside of Europe, and that comprehensive planning to improve air quality in northern Africa and the Near East likely needs to address European emissions.

Book Review: Flora of Tropical East Africa | Bytebier | Journal of East ...

African Journals Online (AJOL)

Flora of Tropical East Africa Edited by H.J. Beentje & S.A. Ghazanfar. Polygalaceae by J. Paiva. Kew Publishing, Royal Botanic Gardens, Kew, UK, 2007. ISBN- 978 1 84246 191 4 (softbound). 61 pages. Dryopteridaceae by J.P. Roux, M. Shaffer-Fehre & B. Verdcourt. Kew Publishing, Royal Botanic Gardens, Kew, UK, 2007.

Transforming rural health systems through clinical academic leadership: lessons from South Africa.

Science.gov (United States)

Doherty, J E; Couper, I D; Campbell, D; Walker, J

2013-01-01

Under-resourced and poorly managed rural health systems challenge the achievement of universal health coverage, and require innovative strategies worldwide to attract healthcare staff to rural areas. One such strategy is rural health training programs for health professionals. In addition, clinical leadership (for all categories of health professional) is a recognised prerequisite for substantial improvements in the quality of care in rural settings. Rural health training programs have been slow to develop in low- and middle-income countries (LMICs); and the impact of clinical leadership is under-researched in such settings. A 2012 conference in South Africa, with expert input from South Africa, Canada and Australia, discussed these issues and produced recommendations for change that will also be relevant in other LMICs. The two underpinning principles were that: rural clinical leadership (both academic and non-academic) is essential to developing and expanding rural training programs and improving care in LMICs; and leadership can be learned and should be taught. The three main sets of recommendations focused on supporting local rural clinical academic leaders; training health professionals for leadership roles in rural settings; and advancing the clinical academic leadership agenda through advocacy and research. By adopting the detailed recommendations, South Africa and other LMICs could energise management strategies, improve quality of care in rural settings and impact positively on rural health outcomes.

Management of Water Demand in Africa and the Middle East ...

International Development Research Centre (IDRC) Digital Library (Canada)

Throughout Africa and the Middle East, supplies of fresh water for growing and ... As well, additional sources of supply are becoming scarce and more expensive to ... This publication documents WDM research activities in North Africa and the ... Adaptation strategies for two Colombian cities were discussed at ADAPTO's ...

Telemedicine and advances in urban and rural healthcare delivery in Africa.

Science.gov (United States)

Mars, Maurice

2013-01-01

Telecardiology holds great promise for Africa, from tele-echocardiography and tele-ECG s, to home monitoring and text messaging for medication adherence monitoring. The burden of disease is great and there is an extreme shortage of health professionals. Telemedicine can provide access to scarce specialist care, improve the quality of care in rural areas and reduce the need for rural patients to travel to seek medical attention. International cross border service can alleviate the shortage of doctors. But telecardiology, and telemedicine uptake in general, has been poor in Africa. Legal and ethical issues around local and cross border telemedicine have not been resolved. The literature was reviewed and obstacles to telemedicine in Africa and current telemedicine activities in Africa, are described. There are few sustained telemedicine services in Africa with the exception of tele-education. There is an expectation that mobile phones will facilitate a range of telemedicine activities in Africa. Africa needs telemedicine. © 2013.

A long-standing Pleistocene refugium in southern Africa and a mosaic of refugia in East Africa

DEFF Research Database (Denmark)

Lorenzen, Eline; Masembe, Charles; Arctander, Peter

2010-01-01

Aim Previous genetic studies of African savanna ungulates have indicated Pleistocene refugial areas in East and southern Africa, and recent palynological, palaeovegetation and fossil studies have suggested the presence of a long-standing refugium in the south and a mosaic of refugia in the east....... Phylogeographic analysis of the common eland antelope, Taurotragus oryx (Bovidae), was used to assess these hypotheses and the existence of genetic signatures of Pleistocene climate change. Location The sub-Saharan savanna biome of East and southern Africa. Methods Mitochondrial DNA control-region fragments (414...... bp) from 122 individuals of common eland were analysed to elucidate the phylogeography, genetic diversity, spatial population structuring, historical migration and demographic history of the species. The phylogeographic split among major genetic lineages was dated using Bayesian coalescent...

Plio-Pleistocene aardvarks (Mammalia, Tubulidentata from East Africa

Directory of Open Access Journals (Sweden)

T. Lehmann

2008-08-01

Full Text Available The Tubulidentata are unique among mammals for being the only order represented nowadays by a single living species, Orycteropus afer: the aardvark. Nevertheless, it is one of the least studied mammalian orders. Aardvarks are currently distributed all over sub-Saharan Africa, but the fossil record extends their spatial range to Europe and Asia. The earliest known Tubulidentata are ca. 20 million years old. About 14 species and three to four genera have been recognised so far, but since the late Pliocene, aardvarks have only been represented by a single genus and are restricted to Africa. The extant aardvark is the only species of Tubulidentata with a large distribution area, i.e. the African continent. There are three known Plio-Pleistocene African species of aardvark: Orycteropus afer (Pallas, 1766, O. crassidens MacInnes, 1956, and O. djourabensis Lehmann et al., 2004. Fossils of these species have been discovered in North-Africa, Kenya, and Chad respectively. The present study is focused on the aardvark material found in the Plio-Pleistocene of East Africa (Ethiopia, Kenya. New specimens from Asa Issie (Ethiopia and East Turkana (Kenya are described, and published ones are re-examined in the light of the latest discoveries. This study demonstrates that Kenyan specimens identified as O. crassidens are in fact representatives of the Chadian O. djourabensis. Moreover, additional material from Ethiopia and Kenya shows a close relationship with the latter species too. The presence of specimens of O. djourabensis in Chad and in Kenya during the Plio-Pleistocene implies that this taxon is the oldest-known species of aardvark to have experienced a continental dispersal. It also shows that Tubulidentates were able to cross Africa from east-west during Plio-Pleistocene times, despite the presence of the Rift Valley. It is however not possible to infer the centre of origin of O. djourabensis. Finally, this study suggests that two species of aardvark

Decision enhancement for poultry farmers in East Africa

NARCIS (Netherlands)

Tumwebaze, Rebecca Pearl

2016-01-01

Increased attention to economic viability towards agriculture has seen commercial poultry farms in East Africa evolve from the previously common small holder/backyard poultry production operations. These poultry farms have however been faced with numerous challenges including high disease

Multiscale perspectives of species richness in East Africa

NARCIS (Netherlands)

Said, M.

2003-01-01

This dissertation describes and analyses animal species richness in East Africa from a multi-scale perspective. We studied diversity patterns at sub-continental, national and sub-national level. The study demonstrated that species diversity patterns were scale-dependent. Diversity patterns varied

Understanding Air Quality in East Africa: Estimating Biomass Burning and Anthropogenic Influence with Long-Term Measurements

Science.gov (United States)

DeWitt, L.; Gasore, J.; Rupakheti, M.; Potter, K. E.; Prinn, R. G.

2017-12-01

Air pollution is largely unstudied in sub-Saharan Africa, resulting in a large gap in scientific understanding of emissions, atmospheric processes and impacts of air pollutants in this region. The Rwanda Climate Observatory, a joint partnership between MIT and the government of Rwanda, has been measuring ambient concentrations of key long-lived greenhouse gases and short-lived climate-forcing pollutants (CO2, CO, CH4, BC, O3) on the summit of Mt. Mugogo (1.586°S, 29.566°E, 2500 m above sea level) since May 2015. Rwanda is a small, mountainous, and densely populated country in equatorial East Africa currently undergoing rapid development. The location and meteorology of Rwanda is such that emissions transported from both the northern and southern African biomass burning seasons affect BC, CO, and O3 concentrations in Rwanda. Black carbon concentrations during Rwanda's two dry seasons are higher at Mt. Mugogo, a rural site, than in major European cities. Higher BC baseline concentrations at Mugogo are correlated with fire radiative power data for the region acquired with MODIS satellite instrument. Spectral absorption of aerosol measured with a dual-spot aethalometer also varies seasonally, likely due to change in fuel burned and direction of pollution transport to the site. Ozone concentration was found to be higher in air masses from southern Africa than from northern Africa during their respective biomass burning seasons. The higher ozone concentration in air masses from the south could be indicative of more anthropogenic influence as Rwanda is downwind of major East African capitals in this season. During the rainy seasons, local emitting activities (e.g., cooking, driving, trash burning) remain steady, regional biomass burning is low, and transport distances are shorter as rainout of pollution occurs regularly, which allows estimation of local pollution during this time period. Urban PM2.5 measurements in the capital city of Kigali and from the neighboring

An approach to rural distribution network design for sub-Saharan Africa

International Nuclear Information System (INIS)

Sebitosi, A.B.; Pillay, P.; Khan, M.A.

2006-01-01

The bulk of rural populations in sub-Saharan Africa have no access to electricity and are under-served by any other form of modern infrastructure. The cost of infrastructure to mainly scattered communities has been perennially cited as largely to blame. Quite often rural networks are overdesigned, resulting in under utilization and, therefore, costly overheads. One reason often cited for the overspecification is anticipation of load growth. In most sub-Sahara African rural areas, however, economic growth rates are low, and a designer has no justification in specifying an infrastructure capacity exceeding more than a few percent of existing consumer requirements. This paper proposes methods that critically look at the geometry of small grid network designs to address the construction challenges in rural sub-Saharan Africa

Commercial collaborations in East Africa - a partnership perspective

DEFF Research Database (Denmark)

Butler, Ivan Harry; Jørgensen, Birgitte Hvingel

2016-01-01

This paper is based on the accumulation of knowledge gathered by researching in an Action Research perspective, a context specific situation where UCN International Marketing and Trade students interact with commercial businesses with the intention of identifying market opportunities in East Africa...

Precipitation Characteristics in West and East Africa from Satellite and in Situ Observations

Science.gov (United States)

Dezfuli, Amin K.; Ichoku, Charles M.; Mohr, Karen I.; Huffman, George J.

2017-01-01

Using in situ data, three precipitation classes are identified for rainy seasons of West and East Africa: weak convective rainfall (WCR), strong convective rainfall (SCR), and mesoscale convective systems (MCSs).Nearly 75% of the total seasonal precipitation is produced by the SCR and MCSs, even though they represent only 8% of the rain events. Rain events in East Africa tend to have a longer duration and lower intensity than in West Africa, reflecting different characteristics of the SCR and MCS events in these two regions. Surface heating seems to be the primary convection trigger for the SCR, particularly in East Africa, whereas the WCR requires a dynamical trigger such as low-level convergence. The data are used to evaluate the performance of the recently launched Integrated Multi-satellite Retrievals for Global Precipitation Measurement (IMERG)project. The IMERG-based precipitation shows significant improvement over its predecessor, the Tropical Rainfall Measuring Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA), particularly in capturing the MCSs, due to its improved temporal resolution.

East Africa's diminishing bird habitats and bird species

African Journals Online (AJOL)

foreign exchange earnings for each national exchequer. However, recent national census records have .... Dar-es-. Salaam: Wildlife Conservation Society of Tanzania. Bennun, L & Njoroge, P. 1999. Important Bird Areas in Kenya, Nairobi: East Africa Natural. History Society. Byaruhanga, A, Kasoma, P. & Pomeroy, D. 2001.

Design and field testing of Savonius wind pump in East Africa

International Nuclear Information System (INIS)

Rabah, K.V.O.; Osawa, B.M.

1995-04-01

We present here improvements in the wind-scoop geometry and efficiency of a double-stack Savonius rotor, developed through a series of wind tunnel and field testing in East Africa. On an aerodynamic performance basis, the Savonius rotor cannot generally compete with other types of wind turbines. This is entirely due to its mode of operation. Unlike its counter-parts that operate by rotating around a horizontal axis, it rotates around a vertical axis. This has the unfortunate effect of lowering its efficiency, but it has several compensating factors. Its main advantages are that it has better starting torque performance with operating characteristics independent of the wind direction. In addition, it is simple in structure and the fabrication technology required is less sophisticated when compared to similar types of windmills. This makes it a suitable system for small scale applications in wind energy conversion; especially in remote rural regions in developing countries. (author). 8 refs, 5 figs

Schoolchildren affected by HIV in rural South Africa: Schools as ...

African Journals Online (AJOL)

This article explores how schoolchildren made vulnerable due to HIV and AIDS might cope and even thrive in a rural school environment in South Africa. I argue that ... Keywords: appreciative inquiry, assets, coping, PhotoVoice, psychosocial aspects, research methods, rural settings, visual participatory methods

Protected areas: mixed success in conserving East Africa's evergreen forests.

Science.gov (United States)

Pfeifer, Marion; Burgess, Neil D; Swetnam, Ruth D; Platts, Philip J; Willcock, Simon; Marchant, Robert

2012-01-01

In East Africa, human population growth and demands for natural resources cause forest loss contributing to increased carbon emissions and reduced biodiversity. Protected Areas (PAs) are intended to conserve habitats and species. Variability in PA effectiveness and 'leakage' (here defined as displacement of deforestation) may lead to different trends in forest loss within, and adjacent to, existing PAs. Here, we quantify spatial variation in trends of evergreen forest coverage in East Africa between 2001 and 2009, and test for correlations with forest accessibility and environmental drivers. We investigate PA effectiveness at local, landscape and national scales, comparing rates of deforestation within park boundaries with those detected in park buffer zones and in unprotected land more generally. Background forest loss (BFL) was estimated at -9.3% (17,167 km(2)), but varied between countries (range: -0.9% to -85.7%; note: no BFL in South Sudan). We document high variability in PA effectiveness within and between PA categories. The most successful PAs were National Parks, although only 26 out of 48 parks increased or maintained their forest area (i.e. Effective parks). Forest Reserves (Ineffective parks, i.e. parks that lose forest from within boundaries: 204 out of 337), Nature Reserves (six out of 12) and Game Parks (24 out of 26) were more likely to lose forest cover. Forest loss in buffer zones around PAs exceeded background forest loss, in some areas indicating leakage driven by Effective National Parks. Human pressure, forest accessibility, protection status, distance to fires and long-term annual rainfall were highly significant drivers of forest loss in East Africa. Some of these factors can be addressed by adjusting park management. However, addressing close links between livelihoods, natural capital and poverty remains a fundamental challenge in East Africa's forest conservation efforts.

Protected areas: mixed success in conserving East Africa's evergreen forests.

Directory of Open Access Journals (Sweden)

Marion Pfeifer

Full Text Available In East Africa, human population growth and demands for natural resources cause forest loss contributing to increased carbon emissions and reduced biodiversity. Protected Areas (PAs are intended to conserve habitats and species. Variability in PA effectiveness and 'leakage' (here defined as displacement of deforestation may lead to different trends in forest loss within, and adjacent to, existing PAs. Here, we quantify spatial variation in trends of evergreen forest coverage in East Africa between 2001 and 2009, and test for correlations with forest accessibility and environmental drivers. We investigate PA effectiveness at local, landscape and national scales, comparing rates of deforestation within park boundaries with those detected in park buffer zones and in unprotected land more generally. Background forest loss (BFL was estimated at -9.3% (17,167 km(2, but varied between countries (range: -0.9% to -85.7%; note: no BFL in South Sudan. We document high variability in PA effectiveness within and between PA categories. The most successful PAs were National Parks, although only 26 out of 48 parks increased or maintained their forest area (i.e. Effective parks. Forest Reserves (Ineffective parks, i.e. parks that lose forest from within boundaries: 204 out of 337, Nature Reserves (six out of 12 and Game Parks (24 out of 26 were more likely to lose forest cover. Forest loss in buffer zones around PAs exceeded background forest loss, in some areas indicating leakage driven by Effective National Parks. Human pressure, forest accessibility, protection status, distance to fires and long-term annual rainfall were highly significant drivers of forest loss in East Africa. Some of these factors can be addressed by adjusting park management. However, addressing close links between livelihoods, natural capital and poverty remains a fundamental challenge in East Africa's forest conservation efforts.

Agrarian Reform Policies and Development in the Arab Middle East.

Science.gov (United States)

Baali, Fuad

The purpose of this paper is to analyze and evaluate the nature, scope, and implications of the rural development in the Arab countries of the Middle East and North Africa. The first section of the paper deals with the forces that have caused changes in agrarian reform policies as they affected rural development in these countries. Specifically…

Evolutionary analysis of foot-and-mouth disease virus serotype SAT 1 isolates from east africa suggests two independent introductions from southern africa

DEFF Research Database (Denmark)

Sangula, Abraham K.; Belsham, Graham; Muwanika, Vincent B.

2010-01-01

Background: In East Africa, foot-and-mouth disease virus serotype SAT 1 is responsible for occasional severe outbreaks in livestock and is known to be maintained within the buffalo populations. Little is known about the evolutionary forces underlying its epidemiology in the region. To enhance our...... 1 FMD viruses from East Africa has been determined and compared with known sequences derived from other SAT 1 viruses from sub-Saharan Africa. Purifying (negative) selection and low substitution rates characterized the SAT 1 virus isolates in East Africa. Two virus groups with probable independent...... appreciation of the epidemiological status of serotype SAT 1 virus in the region, we inferred its evolutionary and phylogeographic history by means of genealogy-based coalescent methods using 53 VP1 coding sequences covering a sampling period from 1948-2007. Results: The VP1 coding sequence of 11 serotype SAT...

Study of the genetic heterogeneity of SAT-2 foot-and-mouth disease virus in sub-Saharan Africa with specific focus on East Africa

Directory of Open Access Journals (Sweden)

M. Sahle

2007-09-01

Full Text Available The epidemiology of serotype SAT-2 foot-and-mouth disease was investigated in sub-Saharan Africa by phylogenetic analysis using the 1D gene encoding the major antigenic determinant. Fourteen genotypes were identified of which three are novel and belong to East Africa, bringing the total number of genotypes for that region to eight. The genotypes clustered into three lineages that demonstrated surprising links between East, southern and south-western Africa. One lineage was unique to West Africa. These results established numerous incursions across country borders in East Africa and long term conservation of sequences for periods up to 41 years. Ethiopia, Kenya and Uganda have all experienced outbreaks from more than one unrelated strain, demonstrating the potential for new introductions. The amount of variation observed within this serotype nearly equalled that which was found between serotypes; this has severe implications for disease control using vaccination.

Labor market reforms, growth, and unemployment in labor-exporting countries in the Middle East and North Africa

DEFF Research Database (Denmark)

Agénor, Pierre-Richard; Nabli, Mustapha K.; Yousef, Tarik

2007-01-01

A general equilibrium model is used to study the impact of labor market policies on growth, employment, urban inequality, and rural welfare in labor-exporting countries in the Middle East and North Africa. Various experiments are conducted, such as a reduction in payroll taxation, cuts in public......-enhancing job creation in the region, labor market reforms must take account of general equilibrium effects, including crowding-in effects on private investment and variations in income remittances and international migration patterns. Finally, we argue that labor market reforms should be viewed as a component...... of a more comprehensive program of structural reforms aimed at spurring growth and employment...

Social Protection and Vulnerable Communities in East Africa ...

International Development Research Centre (IDRC) Digital Library (Canada)

Social protection mechanisms can reduce poverty and vulnerability, increase work and educational achievement, and promote economic growth. Formal social protection initiatives cover only a small proportion of the population in East Africa - those working in the formal sector. Vulnerable groups - such as the poor and ...

Geographical imagination and technological connectivity in East Africa

DEFF Research Database (Denmark)

Graham, Mark; Andersen, Casper; Mann, Laura

2015-01-01

The paper analyses and compares two transformative moments of technologically-mediated change in East Africa, the construction of the Uganda railway between Mombasa and Lake Victoria (1896-1903) and the introduction of fibre-optic cables that landed into the ports of Dar Es Salaam and Mombasa...

Mobility and the spread of human immunodeficiency virus into rural areas of West Africa

NARCIS (Netherlands)

Lagarde, E.; Schim van der Loeff, M.; Enel, C.; Holmgren, B.; Dray-Spira, R.; Pison, G.; Piau, J. P.; Delaunay, V.; M'Boup, S.; Ndoye, I.; Coeuret-Pellicer, M.; Whittle, H.; Aaby, P.

2003-01-01

In eastern and southern Africa, the human immunodeficiency virus (HIV) epidemic appeared first in urban centres and then spread to rural areas. Its overall prevalence is lower in West Africa, with the highest levels still found in cities. Rural areas are also threatened, however, because of the

Using Satellite Data to Build Climate Resilience: A Novel East Africa Drought Monitor

Science.gov (United States)

Slinski, K.; Hogue, T. S.; McCray, J. E.

2016-12-01

East Africa is affected by recurrent drought. The 2015-2016 El Niño triggered a severe drought across East Africa causing serious impacts to regional water security, health, and livelihoods. Ethiopia was the hardest hit, with the United Nations Office for the Coordination of Humanitarian Affairs calling the recent drought the worst in 50 years. Resources to monitor the severity and progression of droughts are a critical component to disaster risk reduction, but are challenging to implement in regions with sparse data collection networks such as East Africa. Satellite data is used by the United Nations Food and Agriculture Organization Global Information and Early Warning System, the USAID Famine Early Warning System, and the Africa Drought and Flood Monitor. These systems use remotely sensed vegetation, soil moisture, and meteorological data to develop drought indices. However, they do not directly monitor impacts to water resources, which is necessary to appropriately target drought mitigation efforts. The current study combines new radar data from the European Space Agency's Sentinel-1 mission with satellite imagery to perform a retrospective analysis of the impact of the 2015-2016 drought in East Africa on regional surface water. Inland water body extents during the drought are compared to historical trends to identify the most severely impacted areas. The developed tool has the potential to support on-the-ground humanitarian relief efforts and to refine predictions of water scarcity and crop impacts from existing hydrologic models and famine early warning systems.

Danish Interests in Regional Security Institutions in East Africa

DEFF Research Database (Denmark)

Nordby, Johannes Riber; Jacobsen, Katja

2013-01-01

For the past decade, peace and security in East Africa have gained increasing focus internationally. The region has experienced armed conflicts, civil wars, rebellion, drought and famine. Yet, at the same time, there is an emerging ambition among a number of African states to handle security issues...... on the continent independently. Such ambitions have fostered a variety of military capacity building programmes supported by external donors. The present report explores how up until now Denmark has sought to contribute to strengthening political and military security in East Africa. This has mainly been done...... through capacity building projects anchored in different regional security institutions. The report illuminates some of the risks that such capacity building projects might confront. Furthermore the report points out some of the challenges that exist in the cooperation between the Ministry of Foreign...

Failure of rural schemes in South Africa to provide potable water

CSIR Research Space (South Africa)

Mackintosh, G

2003-05-01

Full Text Available rural areas is substandard. This paper describes the results of sampling drinking water supplies in rural communities in the Western and Eastern Cape, South Africa. The majority of samples collected failed microbial drinking water quality standards...

Middle East and North Africa | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Across the Middle East and North Africa, local economies are under strain, often relying too heavily on the oil industry. ... Our programming is designed to bring together the right partners for the most impact, in areas such as social and economic policy, the environment, politics and governance, information and ...

The management of diabetes among the rural poor in South Africa ...

African Journals Online (AJOL)

The management of diabetes among the rural poor in South Africa. ... have been found to lead to a diet that has very high carbohydrate, high in saturated fatty acids, ... to facilitate good self-management of diabetes among the rural people.

Natural hybrids in the genus of Aloe (Aloeaceae) in East Africa ...

African Journals Online (AJOL)

Natural hybrids can arise in the genus Aloe because their chief pollinators, sunbirds, are not species-specific when feeding on nectar. From literature and the observations of the writer and others, 16 cases of known or suspected natural interspecific hybrids in East Africa are recorded. Journal of East African Natural History ...

Water Management in Africa and the Middle East: Challenges and ...

International Development Research Centre (IDRC) Digital Library (Canada)

Book cover Water Management in Africa and the Middle East: Challenges and ... key issues and trends, and map out strategies for further research and action. ... and adaptive water management: Innovative solutions from the Global South”.

Coping or Struggling? A journey into the impact of HIV/AIDS in Southern Africa

NARCIS (Netherlands)

Rugalema, G.

2000-01-01

Analysis of the effects of AIDS-induced morbidity and mortality on rural livelihoods, particularly in east and southern Africa, has gathered pace in the last two decades. An understanding of the interaction between ill health and rural livelihoods is essential both at policy and theoretical levels.

Climate change in Africa and the Middle East in light of health ...

African Journals Online (AJOL)

This article principally addresses the likely effects of global warming on health in developing countries in sub-Saharan Africa, northern Africa and the Middle East as well as how medical professionals, such as doctors, nurses, bioethicists and public health researchers, should respond to them in light of ubuntu and Islam, ...

Call for Proposals in Eastern, Southern and Central Africa

International Development Research Centre (IDRC) Digital Library (Canada)

IDRC CRDI

2011-12-01

Dec 1, 2011 ... Knowledge management in the Middle East and North Africa ... one (or more) thematic priorities of the KariaNet project: food security, rural enterprise ... What are the place and the role of women in business creation and how ...

Rural-Urban Disparities in Health and Health Care in Africa: Cultural ...

African Journals Online (AJOL)

Rural-Urban Disparities in Health and Health Care in Africa: Cultural Competence, Lay-beliefs in Narratives of Diabetes among the Rural Poor in the Eastern Cape ... to exist in the utilization of cardiac diagnostic and therapeutic procedures, prescription of analgesia for pains, treatment of diabetes (e.g. gym exercise).

Crustal evolution in north-east and east Africa from model Nd ages

International Nuclear Information System (INIS)

Harris, N.B.W.; Hawkesworth, C.J.; Ries, A.C.

1984-01-01

The authors present the results of an Nd isotope study on the major rock units of the Pan-African (1,100-500 Myr BP) terrane. Charnockites from Jabel Uweinat, a basement inlier at the junction of Egypt, Libya and the Sudan, yield middle Archaean model Nd ages, whilst model ages of < 1,200 Myr have been obtained in a belt from the Eastern Desert of Egypt to north-west Kenya. Overall, the Pan-African rocks from north-east and east Africa and those from the Damara of Namibia exhibit a wide range of epsilonsub(Nd)(T) from +7.5 to -18.0 which reflects regional changes in tectonic style and is not readily reconciled with simple models for the evolution of average continental crust. (author)

Correlates of sexual faithfulness among low-literate rural males in ...

African Journals Online (AJOL)

efficacy and social norms pertaining to faithfulness, sexual abstinence and condom use are needed to halt the spread of HIV among low-literate males in rural Amhara. Keywords: attitudes, behaviour, East Africa, HIV prevention, men, ...

Reducing the Burden of Cancer in East Africa

Science.gov (United States)

The mission of CGH is to advance global cancer research, build expertise, and leverage resources across nations to reduce cancer deaths worldwide. To carry out that mission, we facilitate the sharing of knowledge and expertise. CGH's latest effort, the East Africa Cancer Control Leadership Forum, carried out this mission by helping African partners develop their own individual cancer control programs.

Water Poverty and Rural Development: Evidence from South Africa

OpenAIRE

Matshe, Innocent; Moyo-Maposa, Sibonginkosi; Zikhali, Precious

2013-01-01

Using household data from the 2009 General Household Survey, this paper examines the role of natural resource scarcity in rural development in South Africa, with a particular focus on water scarcity. It seeks to examine whether there is a direct link between household water and economic poverty of rural households, with households’ total monthly income used as an indicator of economic poverty. An adaptation of a comprehensive water poverty index, which considers water access, quality, use, ...

Consolidating Science Journalism in Africa and the Middle East ...

International Development Research Centre (IDRC) Digital Library (Canada)

This project aims to promote health and sustainable development in Africa and the Middle East by building the capacity of the media to inform public opinion and promote evidence-based policymaking. The project will involve training 60 journalists in science reporting and 15 experienced science journalists as trainers in ...

Perceptions and Misperceptions: The Middle East and South Africa.

Science.gov (United States)

Moore, Michael; Tyson, G. A.

1990-01-01

Reports findings of a study examining the opinions and awareness level of South African, Israeli, and United States undergraduates about conflicts in either the Middle East or South Africa. Finds religious and racial characteristics determining differences in knowledge level and political support. Reveals South African Blacks and U.S. students…

Zoogeography and biodiversity of syrphidae (Diptera) in East Africa ...

African Journals Online (AJOL)

This paper reports on the occurrence of Syrphidae in East Africa (Kenya, Tanzania, Uganda), based on 5,600 specimen records incorporated in the biodiversity database of the National Museums of Kenya. In total, 219 species are reported from the region with 171 in Kenya, 123 in Tanzania and 127 in Uganda.

Mineral facilities of Africa and the Middle East

Science.gov (United States)

Eros, J.M.; Candelario-Quintana, Luissette

2006-01-01

This map displays over 1,500 mineral facilities in Africa and the Middle East. The mineral facilities include mines, plants, mills, or refineries of aluminum, cement, coal, copper, diamond, gold, iron and steel, nickel, platinum-group metals, salt, and silver, among others. The data used in this poster were compiled from multiple sources, including the 2004 USGS Minerals Yearbook (Africa and Middle East volume), Minerals Statistics and Information from the USGS Web site (http://minerals.usgs.gov/minerals/), and data collected by USGS minerals information country specialists. Data reflect the most recent published table of industry structure for each country. Other sources include statistical publications of individual countries, annual reports and press releases of operating companies, and trade journals. Due to the sensitivity of some energy commodity data, the quality of these data should be evaluated on a country-by-country basis. Additional information and explanation is available from the country specialists. See Table 1 for general information about each mineral facility site including country, location and facility name, facility type, latitude, longitude, mineral commodity, mining method, main operating company, status, capacity, and units.

European Workshop on Renewable Rural Energy Applications in North-East Europe

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-12-31

This workshop is a part of the E.C. Thermie B project `Dissemination of Promising Renewable Rural Energy Applications in North-Eastern Europe`. The presentations held in the workshop are collected in this publication. The subjects are: TEKES (Technology Development Centre) Boost Technology; Renewable Energy in Latvia; Rural Renewable energy (Prospects) in Estonia; Renewable energy from Rural Electrification; Techno-Economic Analysis published as a summary; Practical Experiences of Small-Scale Heat Generation from Fuelwood in Finland; Solar systems for Domestic Hot Water and Space Heating; Biomass for Energy: Small-Scale Technologies; Photovoltaic Applications for Rural Areas in the North-East Europe

European Workshop on Renewable Rural Energy Applications in North-East Europe

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-12-31

This workshop is a part of the E.C. Thermie B project `Dissemination of Promising Renewable Rural Energy Applications in North-Eastern Europe`. The presentations held in the workshop are collected in this publication. The subjects are: TEKES (Technology Development Centre) Boost Technology; Renewable Energy in Latvia; Rural Renewable energy (Prospects) in Estonia; Renewable energy from Rural Electrification; Techno-Economic Analysis published as a summary; Practical Experiences of Small-Scale Heat Generation from Fuelwood in Finland; Solar systems for Domestic Hot Water and Space Heating; Biomass for Energy: Small-Scale Technologies; Photovoltaic Applications for Rural Areas in the North-East Europe

Menstruation in Rural Igbo Women of South East Nigeria: Attitudes ...

African Journals Online (AJOL)

Menstruation in Rural Igbo Women of South East Nigeria: Attitudes, Beliefs and Practices. ... African Journal of Reproductive Health ... Some respondents observed self-imposed restrictions on exercises, food items, visits and sex in order to ...

Analyzing sanitation characteristics in the urban slums of East Africa

NARCIS (Netherlands)

Szanto, G.L.; Letema, S.C.; Tukahirwa, J.; Mgana, S.; Oosterveer, P.J.M.; Buuren, van J.C.L.

2012-01-01

Urban slums in East Africa exhibit deplorable sanitary conditions. Despite (inter)national efforts, slum sanitation provision remains inadequate and the projected population growth forecasts a worsening of this crisis. The core of the problem is that available knowledge about the local feasibility

Managing Water in the Rural-Urban Interface : the Key to Climate ...

International Development Research Centre (IDRC) Digital Library (Canada)

Managing Water in the Rural-Urban Interface : the Key to Climate Change Resilient Cities ... cities - one in East and the other in West Africa - through better management ... Sustaining water use : stakeholders' strategies under different climate ...

East Africa Evaluation Hub - Institute of Rural Reconstruction (IIRR ...

International Development Research Centre (IDRC) Digital Library (Canada)

Outcome Mapping is a planning, monitoring and evaluation methodology developed by IDRC and its partners. There is an active ... This project will adapt training resources to the East African context and build the capacity of IIRR to become a regional centre of Outcome Mapping training and support. It will also promote the ...

Towards Integrated Pest Management in East Africa : a feasibility study

NARCIS (Netherlands)

Dijkxhoorn, Y.; Bremmer, J.; Kerklaan, E.

2013-01-01

Pesticide risk reduction through registration of less hazardous pesticides and the promotion of nonchemical pest and disease control approaches such as Integrated Pest Management (IPM) is essential for a more sustainable plant production in East Africa in order to enhance both export market access

Middle East and North Africa Data Book, September 2014

OpenAIRE

Devarajan, Shanta; Mottaghi, Lili

2014-01-01

The Middle East and North Africa (MENA) data book serves as a quick reference and a reliable dataset for monitoring economic and social developments in the region. The data are drawn from the 2014 World Bank's World Development Indicators (WDI) and International Monetary Fund's (IMF's) direction of trade statistics. It contains macroeconomic, sectoral, and social indicators for 19 countrie...

Women of the World: Near East and North Africa.

Science.gov (United States)

Chamie, Mary

The third in a series of five handbooks designed to present and analyze statistical data on women in various regions of the world, this handbook focuses on women in 14 countries in the Near East and North Africa. Beginning with an overview of population distribution and changes in the region, the analysis continues with a description of women's…

Improving access to antiretrovirals in rural South Africa – a call to ...

African Journals Online (AJOL)

Improving access to antiretrovirals in rural South Africa – a call to action. South Africa (SA) already has the world's biggest antiretroviral (ARV) programme. With the introduction of extended criteria for initiating ARVs, the National Department of Health (NDoH) wishes to increase the number of people on ARVs by around.

Women at work - experiences and identity in rural East Germany

NARCIS (Netherlands)

van Hoven, B

The economic restructuring since German unification has produced gender-differentiated patterns in the rural workplace. Most studies of East German labour market changes have illustrated the nature of such patterns in quantitative terms whilst neglecting their impact on everyday life. The

Developing High-resolution Soil Database for Regional Crop Modeling in East Africa

Science.gov (United States)

Han, E.; Ines, A. V. M.

2014-12-01

The most readily available soil data for regional crop modeling in Africa is the World Inventory of Soil Emission potentials (WISE) dataset, which has 1125 soil profiles for the world, but does not extensively cover countries Ethiopia, Kenya, Uganda and Tanzania in East Africa. Another dataset available is the HC27 (Harvest Choice by IFPRI) in a gridded format (10km) but composed of generic soil profiles based on only three criteria (texture, rooting depth, and organic carbon content). In this paper, we present a development and application of a high-resolution (1km), gridded soil database for regional crop modeling in East Africa. Basic soil information is extracted from Africa Soil Information Service (AfSIS), which provides essential soil properties (bulk density, soil organic carbon, soil PH and percentages of sand, silt and clay) for 6 different standardized soil layers (5, 15, 30, 60, 100 and 200 cm) in 1km resolution. Soil hydraulic properties (e.g., field capacity and wilting point) are derived from the AfSIS soil dataset using well-proven pedo-transfer functions and are customized for DSSAT-CSM soil data requirements. The crop model is used to evaluate crop yield forecasts using the new high resolution soil database and compared with WISE and HC27. In this paper we will present also the results of DSSAT loosely coupled with a hydrologic model (VIC) to assimilate root-zone soil moisture. Creating a grid-based soil database, which provides a consistent soil input for two different models (DSSAT and VIC) is a critical part of this work. The created soil database is expected to contribute to future applications of DSSAT crop simulation in East Africa where food security is highly vulnerable.

African Postal Heritage : Tanzania 1885-1920s : part I : German East Africa, 1885-1914

NARCIS (Netherlands)

Dietz, A.J.

2016-01-01

An earlier version of this African Postal Heritage Paper was published as African Studies Centre Leiden Working Paper 119 / 2015: "A postal history of the First World War in Africa and its aftermath - German colonies; III Deutsch Ostafrika / German East Africa", written by Ton Dietz.

CASE STUDY: North Africa and Middle East — Breeding better barley

International Development Research Centre (IDRC) Digital Library (Canada)

2011-01-06

Jan 6, 2011 ... CASE STUDY: North Africa and Middle East — Breeding better barley — together ... In Syria, for example, "host farmers" in nine communities were ... and Yemen, the same approach is being applied to research on lentils.

Hantavirus strains in East Africa related to Western African hantaviruses

Czech Academy of Sciences Publication Activity Database

Těšíková, Jana; Bryjová, Anna; Bryja, Josef; Lavrenchenko, L. A.; Goüy de Bellocq, Joëlle

2017-01-01

Roč. 17, č. 4 (2017), s. 278-280 ISSN 1530-3667 R&D Projects: GA ČR GCP502/11/J070 Institutional support: RVO:68081766 Keywords : bats * East Africa * hantavirus * phylogeny * rodents Subject RIV: EE - Microbiology, Virology OBOR OECD: Infectious Diseases Impact factor: 2.045, year: 2016

Distribution of Blue Gum Chalcid, Leptocybe invasa and it's Damage on Eucalyptus in East Africa

International Nuclear Information System (INIS)

Mutitu, K.E; Otieno, B.O; Oeba, V.O; Nyeko, P.; Day, R.K

2007-01-01

Blue Gum chalcid is a gall-forming wasp, which causes an extensive damage to Eucalyptus. It attacks mostly seedlings and field saplings. It causes damage on it's host by forming massive typical bump-shaped galls on trees canopy, specifically on the leaf midribs, petioles and stems of new growths. The pest was first reported in Kenya and Uganda in 2002 attacking the three major commercially grown Eucalyptus species; Eucalyptus grandis, E. camaldulennsis, E. saligna in East Africa. Eucalyptus is fast growing and widely planted in both plantations and farmers' woodlots. It is important for both industrial and domestic use. It is a major source of income generation for rural poor families. The objective of this study was to determine the spatial distribution, incidence and severity patterns of L. invasa and possible relationship to environment and biophysical factors in East Africa. Over 312 randomly selected stands were assessed for BGC incidence to it's distribution. In each identified stand 60 trees were selected from 3 randomly established plots of 20 trees each and BGC damage/incidence assessed on a 4-point scale. This was to determine the incidence and severity patterns. ANOVA using generalized linear procedures, regression analysis and correlation were done to determine the relationship between the percentage incidence of L. invasa infestation against altitude, age interval, agro-ecological zones and topography. There was widespread of pest in all the districts sampled. There was significant difference (p 0.05) on L. invasa incidence among the three species. The study recommends that. further studies on damage and L. invasa population dynamics relationship to environment and biophysical factors should be conducted

Dengue in the Middle East and North Africa: A Systematic Review

NARCIS (Netherlands)

Humphrey, J.M. (John M.); N.B. Cleton (Natalie); C.B.E.M. Reusken (Chantal); Glesby, M.J. (Marshall J.); M.P.G. Koopmans D.V.M. (Marion); L.J. Abu-Raddad (Laith J)

2016-01-01

textabstractBackground: Dengue virus (DENV) infection is widespread and its disease burden has increased in past decades. However, little is known about the epidemiology of dengue in the Middle East and North Africa (MENA). Methodology / Principal Findings: Following Cochrane Collaboration

Seed trichome variation in Hibiscus section Furcaria in East Africa ...

African Journals Online (AJOL)

The micromorphology of the seed trichomes in Hibiscus section Furcaria in Tropical East Africa was surveyed. The structure of the trichomes was found to be unique for each species examined, where such trichomes are present. Seed trichomes of specimens of H. altissimus Horny from the Kenya and Tanzania coasts were ...

Monitoring inequities in East and Southern Africa | CRDI - Centre de ...

International Development Research Centre (IDRC) Digital Library (Canada)

10 juin 2016 ... While sub-Saharan Africa struggles to improve the health of its women and children, there are great differences within and among countries. The EQUINET research ... And while overall fertility rates are falling, they remain higher among teenage girls from poor and rural areas. Besides tracking these trends, ...

Building a Future without Gender Violence: Rural Teachers and Youth in Rural Kwazulu-Natal, South Africa, Leading Community Dialogue

Science.gov (United States)

de Lange, Naydene; Mitchell, Claudia

2014-01-01

This article advances the idea that rural youth and teachers are the key in leading community dialogue towards addressing gender-based violence (GBV) in their community through their film making. The youth voices on the realities of GBV in their school and community, in rural KwaZulu-Natal, South Africa, captured through the process of…

Repositioning Educational Research on Rurality and Rural Education in South Africa: Beyond Deficit Paradigms

Science.gov (United States)

Moletsane, Relebohile

2012-01-01

Almost two decades after the demise of apartheid, rural communities in South Africa are still plagued by seemingly insurmountable challenges, with no change in sight for those who need it most. In spite of the many interventions that have been implemented, real transformation remains elusive. This position paper is premised on the notion that this…

Coffee Certification in East Africa: Impact on Farmers, Families and Cooperatives

Directory of Open Access Journals (Sweden)

Jason Donovan

2015-08-01

Full Text Available Reviewed: Coffee Certification in East Africa: Impact on Farmers, Families and Cooperatives. Edited by Ruerd Ruben and Paul Hoebink. Wageningen, the Netherlands: Wageningen Academic Publishers, 2015. 262 pp. US $ 62.00, € 45.00. ISBN 978-90-8686-255-9.

Water Management in Africa and the Middle East: Challenges and ...

International Development Research Centre (IDRC) Digital Library (Canada)

Book cover Water Management in Africa and the Middle East: Challenges and Opportunities. Directeur(s) : Eglal Rached, Eva Rathgeber, and David B. ... HarassMap et Uber Égypte nouent un partenariat pour sensibiliser la population à la question du harcèlement sexuel. L'organisation HarassMap, soutenue par le CRDI, ...

Dietary trends in the Middle East and North Africa: an ecological study (1961 to 2007).

Science.gov (United States)

Golzarand, Mahdieh; Mirmiran, Parvin; Jessri, Mahsa; Toolabi, Karamollah; Mojarrad, Mehdi; Azizi, Fereidoun

2012-10-01

Middle Eastern and North African countries are undergoing nutrition transition, a transition which is associated with an increased burden of non-communicable diseases. This necessitates the evaluation of dietary patterns in these regions. The present study aimed to assess changes in dietary patterns in Middle Eastern and North African countries between 1961 and 2007. Availability of energy and fifteen main food items during 1961-2007 was examined using FAO food balance sheets from the FAOSTAT database. Fifteen countries including nine in the Middle East and six in North Africa were selected and the average availability of total energy and different food items in these regions were compared. Over the 47 years studied, energy and food availability (apart from animal fats and alcoholic beverages) has increased in the Middle East and North Africa. In both regions the proportion of energy derived from meat and vegetable oils has increased significantly while that from cereals decreased significantly. In addition, the proportion of energy from milk and dairy products and vegetables has shown an ascending trend in North Africa while the proportion of energy from fruits has shown a descending trend in the Middle East. The study results reveal an unfavourable trend towards a Westernized diet in the Middle East and, to a certain extent, in North Africa. Tailored nutritional education encouraging healthy eating for prevention of the burden of chronic diseases in these countries seems essential.

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

Directory of Open Access Journals (Sweden)

Michael G Kawooya

2012-01-01

Full Text Available The objectives of this review are to outline the needs, challenges, and training interventions for rural radiology (RR training in Sub-Saharan Africa (SSA. Rural radiology may be defined as imaging requirements of the rural communities. In SSA, over 80% of the population is rural. The literature was reviewed to determine the need for imaging in rural Africa, the challenges, and training interventions. Up to 50% of the patients in the rural health facilities in Uganda may require imaging, largely ultrasound and plain radiography. In Uganda, imaging is performed, on an average, in 50% of the deserving patients in the urban areas, compared to 10-13 % in the rural areas. Imaging has been shown to increase the utilization of facility-based rural health services and to impact management decisions. The challenges in the rural areas are different from those in the urban areas. These are related to disease spectrum, human resource, and socio-economic, socio-cultural, infrastructural, and academic disparities. Countries in Sub-Saharan Africa, for which information on training intervention was available, included: Uganda, Kenya, Tanzania, Rwanda, Zambia, Ghana, Malawi, and Sudan. Favorable national policies had been instrumental in implementing these interventions. The interventions had been made by public, private-for-profit (PFP, private-not-for profit (PNFP, local, and international academic institutions, personal initiatives, and professional societies. Ultrasound and plain radiography were the main focus. Despite these efforts, there were still gross disparities in the RR services for SSA. In conclusion, there have been training interventions targeted toward RR in Africa. However, gross disparities in RR provision persist, requiring an effective policy, plus a more organized, focused, and sustainable approach, by the stakeholders.

Mosaic maternal ancestry in the Great Lakes region of East Africa.

Science.gov (United States)

Gomes, Verónica; Pala, Maria; Salas, Antonio; Álvarez-Iglesias, Vanesa; Amorim, António; Gómez-Carballa, Alberto; Carracedo, Ángel; Clarke, Douglas J; Hill, Catherine; Mormina, Maru; Shaw, Marie-Anne; Dunne, David W; Pereira, Rui; Pereira, Vânia; Prata, Maria João; Sánchez-Diz, Paula; Rito, Teresa; Soares, Pedro; Gusmão, Leonor; Richards, Martin B

2015-09-01

The Great Lakes lie within a region of East Africa with very high human genetic diversity, home of many ethno-linguistic groups usually assumed to be the product of a small number of major dispersals. However, our knowledge of these dispersals relies primarily on the inferences of historical, linguistics and oral traditions, with attempts to match up the archaeological evidence where possible. This is an obvious area to which archaeogenetics can contribute, yet Uganda, at the heart of these developments, has not been studied for mitochondrial DNA (mtDNA) variation. Here, we compare mtDNA lineages at this putative genetic crossroads across 409 representatives of the major language groups: Bantu speakers and Eastern and Western Nilotic speakers. We show that Uganda harbours one of the highest mtDNA diversities within and between linguistic groups, with the various groups significantly differentiated from each other. Despite an inferred linguistic origin in South Sudan, the data from the two Nilotic-speaking groups point to a much more complex history, involving not only possible dispersals from Sudan and the Horn but also large-scale assimilation of autochthonous lineages within East Africa and even Uganda itself. The Eastern Nilotic group also carries signals characteristic of West-Central Africa, primarily due to Bantu influence, whereas a much stronger signal in the Western Nilotic group suggests direct West-Central African ancestry. Bantu speakers share lineages with both Nilotic groups, and also harbour East African lineages not found in Western Nilotic speakers, likely due to assimilating indigenous populations since arriving in the region ~3000 years ago.

Software libero per lo sviluppo in Africa orientale

Directory of Open Access Journals (Sweden)

Andrea Mandrici

2010-03-01

Full Text Available Free Software for development in East Africa Since 1999 Istituto Oikos (Italian NGO in partnership with Oikos East Africa (Tanzanian NGO are carrying out integrated development projects in collaboration with local Government Authorities at Regional, District, and Village level. With the aim to ensure sustainability to the interventions addressed to strengthen the governance capacities and the use of IT technologies in the rural areas, the projects have promoted the use of Free Software tools such as Ubuntu and Debian Linux as OS; Qgis and GRASS as G.I.S.; SQLite/Spatialite and PostgreSQL/PostGIS as Spatial-enabled DBRMS, OpenOffice as productivity suite.

Software libero per lo sviluppo in Africa orientale

Directory of Open Access Journals (Sweden)

Andrea Mandrici

2010-03-01

Full Text Available Free Software for development in East Africa  Since 1999 Istituto Oikos (Italian NGO in partnership with Oikos East Africa (Tanzanian NGO are carrying out integrated development projects in collaboration with local Government Authorities at Regional, District, and Village level. With the aim to ensure sustainability to the interventions addressed to strengthen the governance capacities and the use of IT technologies in the rural areas, the projects have promoted the use of Free Software tools such as Ubuntu and Debian Linux as OS; Qgis and GRASS as G.I.S.; SQLite/Spatialite and PostgreSQL/PostGIS as Spatial-enabled DBRMS, OpenOffice as productivity suite.

Attitudes towards disability in rural area in South Africa

NARCIS (Netherlands)

de Reus, A.; Mostert, L.; Moonen, X.; Vermeer, A.; Magyarszeky, Z.

2014-01-01

The purpose of the present study is to gain insight into the attitudes of people living in a rural area of South Africa towards persons with a disability and the extent to which these attitudes are related to people's characteristics. A total of 105 residents of a township in the Gauteng province

A systematic review of essential obstetric and newborn care capacity building in rural sub-Saharan Africa.

Science.gov (United States)

Ni Bhuinneain, G M; McCarthy, F P

2015-01-01

Progress in maternal survival in sub-Saharan Africa has been poor since the Millennium Declaration. This systematic review aims to investigate the presence and rigour of evidence for effective capacity building for Essential Obstetric and Newborn Care (EONC) to reduce maternal mortality in rural, sub-Saharan Africa, where maternal mortality ratios are highest globally. MEDLINE (1990-January 2014), EMBASE (1990-January 2014), and the Cochrane Library were included in our search. Key developing world issues of The Lancet and the British Journal of Obstetrics and Gynaecology, African Ministry of Health websites, and the WHO reproductive health library were searched by hand. Studies investigating essential obstetric and newborn care packages in basic and comprehensive care facilities, at community and institutional level, in rural sub-Saharan Africa were included. Studies were included if they reported on healthcare worker performance, access to care, community behavioural change, and emergency obstetric and newborn care. Data were extracted and all relevant studies independently appraised using structured abstraction and appraisal tools. There is moderate evidence to support the training of healthcare workers of differing cadres in the provision of emergency obstetric and newborn services to reduce institutional maternal mortality and case-fatality rates in rural sub-Saharan Africa. Community schemes that sensitise and enable access to maternal health services result in a modest rise in facility birth and skilled birth attendance in this rural setting. Essential Obstetric and Newborn Care has merit as an intervention package to reduce maternal mortality in rural sub-Saharan Africa. © 2014 Royal College of Obstetricians and Gynaecologists.

Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors

NARCIS (Netherlands)

Havenaar, Juhan; Geerlings, Mirjan; Vivian, Lauraine; Collinson, Marh; Robertson, Brian

2007-01-01

This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were

Brief communication: Drought likelihood for East Africa

Directory of Open Access Journals (Sweden)

H. Yang

2018-02-01

Full Text Available The East Africa drought in autumn of year 2016 caused malnutrition, illness and death. Close to 16 million people across Somalia, Ethiopia and Kenya needed food, water and medical assistance. Many factors influence drought stress and response. However, inevitably the following question is asked: are elevated greenhouse gas concentrations altering extreme rainfall deficit frequency? We investigate this with general circulation models (GCMs. After GCM bias correction to match the climatological mean of the CHIRPS data-based rainfall product, climate models project small decreases in probability of drought with the same (or worse severity as 2016 ASO (August to October East African event. This is by the end of the 21st century compared to the probabilities for present day. However, when further adjusting the climatological variability of GCMs to also match CHIRPS data, by additionally bias-correcting for variance, then the probability of drought occurrence will increase slightly over the same period.

Brief communication: Drought likelihood for East Africa

Science.gov (United States)

Yang, Hui; Huntingford, Chris

2018-02-01

The East Africa drought in autumn of year 2016 caused malnutrition, illness and death. Close to 16 million people across Somalia, Ethiopia and Kenya needed food, water and medical assistance. Many factors influence drought stress and response. However, inevitably the following question is asked: are elevated greenhouse gas concentrations altering extreme rainfall deficit frequency? We investigate this with general circulation models (GCMs). After GCM bias correction to match the climatological mean of the CHIRPS data-based rainfall product, climate models project small decreases in probability of drought with the same (or worse) severity as 2016 ASO (August to October) East African event. This is by the end of the 21st century compared to the probabilities for present day. However, when further adjusting the climatological variability of GCMs to also match CHIRPS data, by additionally bias-correcting for variance, then the probability of drought occurrence will increase slightly over the same period.

Coronary artery disease in Africa and the Middle East

Directory of Open Access Journals (Sweden)

Kurdi MI

2012-02-01

Full Text Available Wael Almahmeed1, Mohamad Samir Arnaout2, Rafik Chettaoui3, Mohsen Ibrahim4, Mohamed Ibrahim Kurdi5, Mohamed Awad Taher6, Giuseppe Mancia71Heart and Vascular Institute, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates; 2American University of Beirut Medical Center, Beirut, Lebanon; 3General and Cardiovascular Clinic of Tunis, Tunisia; 4Cairo University, Cairo, Egypt; 5King Khalid University Hospital and The Kingdom Hospital, Saudi Arabia; 6Ain Shams University School of Medicine, Cairo, Egypt; 7University of Milan, Bicocca, Milan, ItalyAbstract: Countries in Africa and the Middle East bear a heavy burden from cardiovascular disease. The prevalence of coronary heart disease is promoted in turn by a high prevalence of cardiovascular risk factors, particularly smoking, hypertension, dyslipidemia, diabetes, and sedentary lifestyles. Patients in Africa and the Middle East present with myocardial infarction at a younger age, on average, compared with patients elsewhere. The projected future burden of mortality from coronary heart disease in Africa and the Middle East is set to outstrip that observed in other geographical regions. Recent detailed nationally representative epidemiological data are lacking for many countries, and high proportions of transient expatriate workers in countries such as Saudi Arabia and the United Arab Emirates complicate the construction of such datasets. However, the development of national registries in some countries is beginning to reveal the nature of coronary heart disease. Improving lifestyles (reducing calorie intake and increasing physical activity in patients in the region will be essential, although cultural and environmental barriers will render this difficult. Appropriate prescribing of pharmacologic treatments is essential in the prevention and management of cardiovascular disease. In particular, recent controversies relating to the therapeutic profile of beta-blockers may have reduced their use. The

Sensors, empowerment, and accountability: a Digital Earth view from East Africa

NARCIS (Netherlands)

Georgiadou, P.Y.; Bana, Benson; Becht, Robert; Hoppe, Robertus; Ikingura, Justinian; Kraak, M.J.; Lance, Kate; Lemmens, R.; Lungo, Juma Hemed; McCall, M.K.; Miscione, Gianluca; Verplanke, J.J.

2011-01-01

Several innovative ‘participatory sensing’ initiatives are under way in East Africa. They can be seen as local manifestations of the global notion of Digital Earth. The initiatives aim to amplify the voice of ordinary citizens, improve citizens' capacity to directly influence public service delivery

Water resources trends in Middle East and North Africa towards 2050

NARCIS (Netherlands)

Droogers, P.; Immerzeel, W.W.; Terink, W.; Hoogeveen, J.; Bierkens, M.F.P.; Beek, L.P.H. van; Debele, B.

Changes in water resources availability can be expected as consequences of climate change, population growth, economic development and environmental considerations. A two-stage modeling approach is used to explore the impact of these changes in the Middle East and North Africa (MENA) region. An

Harnessing the sun. The economics of solar photovoltaic electricity in East Africa

Energy Technology Data Exchange (ETDEWEB)

Ondraczek, Janosch

2014-08-29

In this thesis, I address four distinct - yet closely linked - research questions related to the adoption of solar energy technologies in East Africa, which will be summarized in the following section. Chapter 2 starts with an analysis of the history, status and prospects of solar energy markets in Kenya and Tanzania, and a comparison of both countries. Chapter 3 investigates the main determinants of solar home system (SHS) adoption in Kenya, and lighting fuel choices among Kenyan households. Chapter 4 examines the cost of (and potential for) large-scale, grid-connected solar PV adoption in Kenya, and Chapter 5 looks at the influence of financing costs on the economics of solar PV on a global level. With my research I therefore contribute to the policy debate surrounding the African energy challenge by looking at two countries in particular, namely Kenya and Tanzania. I have chosen this geographic focus deliberately, as both countries - while well-endowed with sunshine - at present use only very little solar energy. Thus, while the practical focus on East Africa in three of the four chapters implies that the wider African energy challenge is not tackled head on, many of the findings and conclusions from the study of Kenya and Tanzania are in my view transferable to other countries in Africa, and probably even beyond that continent. In conducting research on the solar energy markets of East Africa over the past five years (2009-2014) I have certainly learnt that this continent does not offer the easiest research environment, and a clear focus on a small set of countries and only one renewable energy technology has been very important. Rigorous, high-quality research requires good information, such as data and statistics, as well as appropriate methods; and while the latter are in good supply, the former are painfully lacking for many aspects of life in East Africa. This poses a major challenge for (quantitative) research and has greatly impacted what I could and

Harnessing the sun. The economics of solar photovoltaic electricity in East Africa

International Nuclear Information System (INIS)

Ondraczek, Janosch

2014-01-01

In this thesis, I address four distinct - yet closely linked - research questions related to the adoption of solar energy technologies in East Africa, which will be summarized in the following section. Chapter 2 starts with an analysis of the history, status and prospects of solar energy markets in Kenya and Tanzania, and a comparison of both countries. Chapter 3 investigates the main determinants of solar home system (SHS) adoption in Kenya, and lighting fuel choices among Kenyan households. Chapter 4 examines the cost of (and potential for) large-scale, grid-connected solar PV adoption in Kenya, and Chapter 5 looks at the influence of financing costs on the economics of solar PV on a global level. With my research I therefore contribute to the policy debate surrounding the African energy challenge by looking at two countries in particular, namely Kenya and Tanzania. I have chosen this geographic focus deliberately, as both countries - while well-endowed with sunshine - at present use only very little solar energy. Thus, while the practical focus on East Africa in three of the four chapters implies that the wider African energy challenge is not tackled head on, many of the findings and conclusions from the study of Kenya and Tanzania are in my view transferable to other countries in Africa, and probably even beyond that continent. In conducting research on the solar energy markets of East Africa over the past five years (2009-2014) I have certainly learnt that this continent does not offer the easiest research environment, and a clear focus on a small set of countries and only one renewable energy technology has been very important. Rigorous, high-quality research requires good information, such as data and statistics, as well as appropriate methods; and while the latter are in good supply, the former are painfully lacking for many aspects of life in East Africa. This poses a major challenge for (quantitative) research and has greatly impacted what I could and

Piracy around Africa's west and east coasts: a comparative political ...

African Journals Online (AJOL)

The study of politics, or political science, focuses on both the abstract theories and practical operation of government and politics. The phenomenon of piracy on the east and west coasts of Africa brings an important scholarly issue to the fore, namely the significant roles of non-state actors in national, regional and global ...

Research for Development in the Middle East and North Africa ...

International Development Research Centre (IDRC) Digital Library (Canada)

This book explores the current challenges and opportunities of research for development in the Arab countries of the Middle East and North Africa. Experts from the region and ... HarassMap et Uber Égypte nouent un partenariat pour sensibiliser la population à la question du harcèlement sexuel. L'organisation HarassMap ...

Botanical aspects of aloes of north East Africa | Demissew | Bulletin ...

African Journals Online (AJOL)

Bulletin of the Chemical Society of Ethiopia. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 10, No 1 (1996) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Botanical aspects of aloes of north East Africa.

Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors

NARCIS (Netherlands)

Havenaar, J.M.; Geerlings, M.I.; Vivian, L.; Collinson, M.; Robertson, B.

2008-01-01

This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were used

Common mental health problems in historically disadvantaged urban and rural communities in South Africa : prevalence and risk factors

NARCIS (Netherlands)

Havenaar, Juhan M.; Geerlings, Mirjan I.; Vivian, Lauraine; Collinson, Marh; Robertson, Brian

This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were used

Building consensus on key priorities for rural health care in South Africa using the Delphi technique.

Science.gov (United States)

Versteeg, Marije; du Toit, Lilo; Couper, Ian

2013-01-24

South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Response rates ranged from 83% in the first round (n=44) to 64% in the final round (n=34). The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH), governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.

International trends in health science librarianship part 14: East Africa (Kenya, Uganda, Rwanda).

Science.gov (United States)

Gathoni, Nasra; Kamau, Nancy; Nannozi, Judith; Singirankabo, Marcel

2015-06-01

This is the 14th in a series of articles exploring international trends in health science librarianship in the 21st century. This is the second of four articles pertaining to different regions in the African continent. The present issue focuses on countries in East Africa (Kenya, Uganda and Rwanda). The next feature column will investigate trends in West Africa. JM. © 2015 Health Libraries Group.

Nile perch fish processing waste along Lake Victoria in East Africa ...

African Journals Online (AJOL)

Nile perch fish processing waste along Lake Victoria in East Africa: Auditing and characterization. ... African Journal of Environmental Science and Technology ... If you would like more information about how to print, save, and work with PDFs, Highwire Press provides a helpful Frequently Asked Questions about PDFs.

Real-world innovation in rural South Africa

CSIR Research Space (South Africa)

Mulder, I

2008-08-01

Full Text Available stream_source_info Mulder_2008.pdf.txt stream_content_type text/plain stream_size 46126 Content-Encoding UTF-8 stream_name Mulder_2008.pdf.txt Content-Type text/plain; charset=UTF-8 The Electronic Journal for Virtual... Organizations and Networks Volume 10, “Special Issue on Living Labs”, August 2008 REAL-WORLD INNOVATION IN RURAL SOUTH AFRICA Ingrid Mulder1,2, Walter Bohle3, Shela Boshomane4, Chris Morris4, Hugo Tempelman5, & Daan Velthausz1,6 1Telematica Instituut...

The challenges of a prostatectomy in rural Africa | Gaido | East ...

African Journals Online (AJOL)

prostatectomy can occur in rural settings, where different factors can influence the outcome, beyond appropriate indication for surgery and technical skills of surgeons. Here we present a case that was per se surgically unremarkable, however a number of delayed omplications appeared in the post operative period, ...

Meta-analysis of proportion estimates of Extended-Spectrum-Beta-Lactamase-producing Enterobacteriaceae in East Africa hospitals

DEFF Research Database (Denmark)

Sonda, Tolbert; Kumburu, Happiness; van Zwetselaar, Marco

2016-01-01

Background: A high proportion of Extended-Spectrum-Beta-Lactamase (ESBL) producing Enterobacteriaceae is causing common infections in all regions of the world. The burden of antibiotic resistance due to ESBL in East Africa is large but information is scarce and thus it is unclear how big the prob......Background: A high proportion of Extended-Spectrum-Beta-Lactamase (ESBL) producing Enterobacteriaceae is causing common infections in all regions of the world. The burden of antibiotic resistance due to ESBL in East Africa is large but information is scarce and thus it is unclear how big...... the problem really is. To gain insight into the magnitude and molecular epidemiology of ESBL-producing Enterobacteriaceae in East Africa a literature search was performed in PubMed on 31 July 2015 to retrieve articles with relevant information on ESBL. Methods and results: Meta-analysis was performed...... to determine overall proportion estimate of ESBL-producing Enterobacteriaceae. A total of 4076 bacterial isolates were included in the analysis. The overall pooled proportion of ESBL-producing Enterobacteriaceae among included surveys done in East African hospitals was found to be 0. 42 (95 % CI: 0...

The increasing burden of tuberculosis in rural South Africa - impact ...

African Journals Online (AJOL)

Objective. To determine the impact of the HIV epidemic on tuberculosis caseload in rural South Africa. Setting. Hlabisa health district, Kwazulu-Natal. Methods. Demographic and clinical data were extracted from the tuberculosis database for the period, May 1991 June 1995. The attributable fraction of HIV-infected ...

What keeps health professionals working in rural district hospitals in South Africa?

Directory of Open Access Journals (Sweden)

Louis S. Jenkins

2015-06-01

Full Text Available Background: The theme of the 2014 Southern African Rural Health Conference was ‘Building resilience in facing rural realities’. Retaining health professionals in South Africa is critical for sustainable health services. Only 12% of doctors and 19% of nurses have been retained in the rural areas. The aim of the workshop was to understand from health practitioners why they continued working in their rural settings. Conference workshop: The workshop consisted of 29 doctors, managers, academic family physicians, nurses and clinical associates from Southern Africa, with work experience from three weeks to 13 years, often in deep rural districts. Using the nominal group technique, the following question was explored, ‘What is it that keeps you going to work every day?’ Participants reflected on their work situation and listed and rated the important reasons for continuing to work. Results: Five main themes emerged. A shared purpose, emanating from a deep sense of meaning, was the strongest reason for staying and working in a rural setting. Working in a team was second most important, with teamwork being related to attitudes and relationships, support from visiting specialists and opportunities to implement individual clinical skills. A culture of support was third, followed by opportunities for growth and continuing professional development, including teaching by outreaching specialists. The fifth theme was a healthy work-life balance. Conclusion: Health practitioners continue to work in rural settings for often deeper reasons relating to a sense of meaning, being part of a team that closely relate to each other and feeling supported.

Nile perch fish processing waste along Lake Victoria in East Africa ...

African Journals Online (AJOL)

In East Africa, Nile perch fish processing into chilled fish fillet for export along Lake Victoria generate large proportions of both solid and liquid wastes. However, no thorough auditing and characterization of the waste has been done that would guide potential value addition through bioconversions and waste management.

Optical, microphysical and radiative properties of aerosols over a tropical rural site in Kenya, East Africa: Source identification, modification and aerosol type discrimination

Science.gov (United States)

Boiyo, Richard; Kumar, K. Raghavendra; Zhao, Tianliang

2018-03-01

A better understanding of aerosol optical, microphysical and radiative properties is a crucial challenge for climate change studies. In the present study, column-integrated aerosol optical and radiative properties observed at a rural site, Mbita (0.42°S, 34.20 °E, and 1125 m above sea level) located in Kenya, East Africa (EA) are investigated using ground-based Aerosol Robotic Network (AERONET) data retrieved during January, 2007 to December, 2015. The annual mean aerosol optical depth (AOD500 nm), Ångström exponent (AE440-870 nm), fine mode fraction of AOD500 nm (FMF500 nm), and columnar water vapor (CWV, cm) were found to be 0.23 ± 0.08, 1.01 ± 0.16, 0.60 ± 0.07, and 2.72 ± 0.20, respectively. The aerosol optical properties exhibited a unimodal distribution with substantial seasonal heterogeneity in their peak values being low (high) during the local wet (dry) seasons. The observed data showed that Mbita and its environs are significantly influenced by various types of aerosols, with biomass burning and/or urban-industrial (BUI), mixed (MXD), and desert dust (DDT) aerosol types contributing to 37.72%, 32.81%, and 1.40%, respectively during the local dry season (JJA). The aerosol volume size distribution (VSD) exhibited bimodal lognormal structure with a geometric mean radius of 0.15 μm and 3.86-5.06 μm for fine- and coarse-mode aerosols, respectively. Further, analysis of single scattering albedo (SSA), asymmetry parameter (ASY) and refractive index (RI) revealed dominance of fine-mode absorbing aerosols during JJA. The averaged aerosol direct radiative forcing (ARF) retrieved from the AERONET showed a strong cooling effect at the bottom of the atmosphere (BOA) and significant warming within the atmosphere (ATM), representing the important role of aerosols played in this rural site of Kenya. Finally, the Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model revealed that aerosols from distinct sources resulted in enhanced loading

Building consensus on key priorities for rural health care in South Africa using the Delphi technique

Directory of Open Access Journals (Sweden)

Marije Versteeg

2013-01-01

Full Text Available Background: South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. Methods: The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Results: Response rates ranged from 83% in the first round (n=44 to 64% in the final round (n=34. The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH, governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Conclusion: Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.

The economics of renewable energy expansion in rural Sub-Saharan Africa

International Nuclear Information System (INIS)

Deichmann, Uwe; Meisner, Craig; Murray, Siobhan; Wheeler, David

2011-01-01

Accelerating development in Sub-Saharan Africa will require massive expansion of access to electricity-currently reaching only about one third of households. This paper explores how essential economic development might be reconciled with the need to keep carbon emissions in check. We develop a geographically explicit framework and use spatial modeling and cost estimates from recent engineering studies to determine where stand-alone renewable energy generation is a cost effective alternative to centralized grid supply. Our results suggest that decentralized renewable energy will likely play an important role in expanding rural energy access. However, it will be the lowest cost option for a minority of households in Africa, even when likely cost reductions over the next 20 years are considered. Decentralized renewables are competitive mostly in remote and rural areas, while grid connected supply dominates denser areas where the majority of households reside. These findings underscore the need to decarbonize the fuel mix for centralized power generation as it expands in Africa. - Research highlights: → Expansion of electricity access in Sub-Saharan Africa remains a development priority. → Low carbon options are important to reduce GHG emissions growth and avoid lock-ins. → Spatially explicit cost modeling guides choice of supply options. → Decentralized renewables are lowest cost for a significant minority of households. → Grid supply remains attractive, suggesting focus on decarbonizing centralized supply.

Water: The Hydraulic Parameter of Conflict in the Middle East and North Africa

National Research Council Canada - National Science Library

Kiser, Stephen D

2000-01-01

...). Water is a primary concern of most governments in the Middle East and North Africa. A myriad of synergistic variables are exponentially increasing demands for water, while simultaneously decreasing the region's ability to supply...

Examining the impact of climate change and variability on sweet potatoes in East Africa

Science.gov (United States)

Ddumba, S. D.; Andresen, J.; Moore, N. J.; Olson, J.; Snapp, S.; Winkler, J. A.

2013-12-01

Climate change is one of the biggest challenges to food security for the rapidly increasing population of East Africa. Rainfall is becoming more variable and temperatures are rising, consequently leading to increased occurrence of droughts and floods, and, changes in the timing and length of growing seasons. These changes have serious implications on crop production with the greatest impact likely to be on C4 crops such as cereals compared to C3 crops such as root tubers. Sweet potatoes is one the four most important food crops in East Africa owing to its high nutrition and calorie content, and, high tolerance to heat and drought, but little is known about how the crop will be affected by climate change. This study identifies the major climatic constraints to sweet potato production and examines the impact of projected future climates on sweet potato production in East Africa during the next 10 to 30 years. A process-based Sweet POTato COMputer Simulation (SPOTCOMS) model is used to assess four sweet potato cultivars; Naspot 1, Naspot 10, Naspot 11 and SPK 004-Ejumula. This is work in progress but preliminary results from the crop modeling experiments and the strength and weakness of the crop model will be presented.

Migration from rural to urban habitat in Tropical Africa (1970-2000).

Science.gov (United States)

Ankerl, G G

1982-01-01

Problems associated with rural-urban migration in Tropical Africa are examined, with particular reference to the experience of Ghana, Kenya, Nigeria, Tanzania, and Zaire. The problems examined include overurbanization, maldistribution of population, poor urban living conditions, population density, and traditional methods of construction.

Complete sequence and diversity of a maize-associated Polerovirus in East Africa

Science.gov (United States)

Since 2011-2012, Maize lethal necrosis (MLN) has emerged in East Africa, causing massive yield loss and propelling research to identify viruses and virus populations present in maize. As expected, next generation sequencing (NGS) has revealed diverse and abundant viruses from the family Potyviridae,...

Factors associated with mortality in HIV-infected people in rural and urban South Africa

Directory of Open Access Journals (Sweden)

Kennedy N. Otwombe

2014-09-01

Full Text Available Background: Factors associated with mortality in HIV-infected people in sub-Saharan Africa are widely reported. However rural–urban disparities and their association with all-cause mortality remain unclear. Furthermore, commonly used classical Cox regression ignores unmeasured variables and frailty. Objective: To incorporate frailty in assessing factors associated with mortality in HIV-infected people in rural and urban South Africa. Design: Using data from a prospective cohort following 6,690 HIV-infected participants from Soweto (urban and Mpumalanga (rural enrolled from 2003 to 2010; covariates of mortality were assessed by the integrated nested Laplace approximation method. Results: We enrolled 2,221 (33% rural and 4,469 (67% urban participants of whom 1,555 (70% and 3,480 (78% were females respectively. Median age (IQR was 36.4 (31.0–44.1 in rural and 32.7 (28.2–38.1 in the urban participants. The mortality rate per 100 person-years was 11 (9.7–12.5 and 4 (3.6–4.5 in the rural and urban participants, respectively. Compared to those not on HAART, rural participants had a reduced risk of mortality if on HAART for 6–12 (HR: 0.20, 95% CI: 0.10–0.39 and >12 months (HR: 0.10, 95% CI: 0.05–0.18. Relative to those not on HAART, urban participants had a lower risk if on HAART >12 months (HR: 0.35, 95% CI: 0.27–0.46.The frailty variance was significant and >1 in rural participants indicating more heterogeneity. Similarly it was significant but <1 in the urban participants indicating less heterogeneity. Conclusion: The frailty model findings suggest an elevated risk of mortality in rural participants relative to the urban participants potentially due to unmeasured variables that could be biological, socio–economic, or healthcare related. Use of robust methods that optimise data and account for unmeasured variables could be helpful in assessing the effect of unknown risk factors thus improving patient management and care in South

An analysis of off grid electrical systems in rural Sub-Saharan Africa

International Nuclear Information System (INIS)

Sebitosi, A.B.; Pillay, P.; Khan, M.A.

2006-01-01

The decade leading up to the end of the last millennium saw systematic unbundling and privatisation of power utility companies in Sub-Saharan Africa. The new profit driven entrepreneurs have swiftly moved to consolidate in urban enclaves and put paid to any remote hope for future rural electrification. Consequently, rural communities have resorted to fending for themselves by adapting to off grid electrification. Most of these emerging installations are individual isolated units. This paper looks at various off gird electric system configurations in rural Kenya and suggests ways in which they could be reconfigured to be more energy efficient

Can Your Child Read and Count? Measuring Learning Outcomes in East Africa

DEFF Research Database (Denmark)

Jones, Edward Samuel; Schipper, Youdi; Ruto, Sara

2014-01-01

The last 15 years have seen major changes to education systems in East Africa. Superficially, there is much to commend. Net primary enrolment rates have risen to over 90% alongside significant improvements in gender equity. Nonetheless, there are growing concerns that better access is not adding ...

Climate change in Africa and the Middle East in light of health ubuntu and Islam

Directory of Open Access Journals (Sweden)

Thaddeus Metz

2016-12-01

Full Text Available This article principally addresses the likely effects of global warming on health in developing countries in sub-Saharan Africa, northern Africa and the Middle East as well as how medical professionals, such as doctors, nurses, bioethicists and public health researchers, should respond to them in light of ubuntu and Islam, values characteristically held in those regions.

Climate change in Africa and the Middle East in light of health, ubuntu and Islam

Directory of Open Access Journals (Sweden)

Thaddeus Metz

2017-02-01

Full Text Available This article principally addresses the likely effects of global warming on health in developing countries in sub-Saharan Africa, northern Africa and the Middle East as well as how medical professionals, such as doctors, nurses, bioethicists and public health researchers, should respond to them in light of ubuntu and Islam, values characteristically held in those regions.

Integrating indigenous knowledge systems (IKS) in improving rural accessibility and mobility (in support of the comprehensive rural development programme in South Africa)

CSIR Research Space (South Africa)

Nhemachena, C

2011-07-01

Full Text Available INDIGENOUS KNOWLEDGE SYSTEMS (IKS) IN IMPROVING RURAL ACCESSIBILITY AND MOBILITY (IN SUPPORT OF THE COMPREHENSIVE RURAL DEVELOPMENT PROGRAMME IN SOUTH AFRICA) CHARLES NHEMACHENA1, JAMES CHAKWIZIRA2, SIPHO DUBE1, GOODHOPE MAPONYA1, REMINA RASHOPOLA3... of Environmental Sciences, Private Bag X5050, Thohoyandou, 0950 3 Department of Rural Development and Land Reform, PO Box X833, Pretoria 0001 ABSTRACT This study discusses opportunities and challenges for integrating local knowledge in improving...

Seeds of revolt. Intergenerational relationships in rural KwaZulu, South Africa

Directory of Open Access Journals (Sweden)

Alex Vailati

2015-06-01

Full Text Available AbstractThe social role of youth, in the last twenty years, has become a key point of the political agenda of many African nations. In South Africa, the consequences of segregationist politics, market economy and migrations have profoundly shaped the social and cultural role of youth, both in urban and rural contexts. Moreover, the end of apartheid has opened a new period of wide transformation. Based on my ethnographic research in KwaMashabane, a rural region of South Africa, this article analyses how the social role of male youth is shaped by national state policy and by local dynamics. I will focus on the relationship between models of adulthood, and the strategies that youth adopt to cope with conflicts and continuities. This analysis will show how post-apartheid freedom and the constraints of the local social structure are negotiated, and how society is coping with the complex relationships between cultural reproduction and social change.

Water Hyacinth in Africa and the Middle East: A Survey of Problems ...

International Development Research Centre (IDRC) Digital Library (Canada)

2001-01-01

Jan 1, 2001 ... Freshwater infestation by the water hyacinth weed has reached crisis proportions in many areas of Africa and the Middle East. Accumulated environmental, economic, and social damages to date are estimated in the billions of dollars. Most severely affected are riparian communities and those people who ...

Population distribution, settlement patterns and accessibility across Africa in 2010.

Directory of Open Access Journals (Sweden)

Catherine Linard

Full Text Available The spatial distribution of populations and settlements across a country and their interconnectivity and accessibility from urban areas are important for delivering healthcare, distributing resources and economic development. However, existing spatially explicit population data across Africa are generally based on outdated, low resolution input demographic data, and provide insufficient detail to quantify rural settlement patterns and, thus, accurately measure population concentration and accessibility. Here we outline approaches to developing a new high resolution population distribution dataset for Africa and analyse rural accessibility to population centers. Contemporary population count data were combined with detailed satellite-derived settlement extents to map population distributions across Africa at a finer spatial resolution than ever before. Substantial heterogeneity in settlement patterns, population concentration and spatial accessibility to major population centres is exhibited across the continent. In Africa, 90% of the population is concentrated in less than 21% of the land surface and the average per-person travel time to settlements of more than 50,000 inhabitants is around 3.5 hours, with Central and East Africa displaying the longest average travel times. The analyses highlight large inequities in access, the isolation of many rural populations and the challenges that exist between countries and regions in providing access to services. The datasets presented are freely available as part of the AfriPop project, providing an evidence base for guiding strategic decisions.

Reproductive Health of Women in Rural Areas of East Azerbaijan – Iran, before and after Implementation of rural Family Physician Program: an Ecologic Study

Science.gov (United States)

Alizadeh, Mahasti; Jabbari Birami, Hossein; Moradi, Siavash

2015-01-01

Introduction: Implementation of rural family physician program in Iran in 2005 has been evaluated and shown that this program has been led to some improvements in health indicators. In this study, some reproductive health (RH) indicators were compared before and after implementation of this program in rural areas of East Azerbaijan, Iran. Methods: In this ecologic- time trend study, the data of 191075 births of rural women of East Azerbaijan from 2001 to 2010 was extracted from vital horoscope (ZIJ) and used for calculation of 20 important RH indicators. The paired t-test and correlation analysis wear used for data analysis. Results: Some indicators such as adolescent marriage rate, adolescent birth and over 35 year olds birth rate were increased after rural family physician program implementation in 2005. Also stillbirth rate and unsafe delivery were decreased during this period. There was a significant correlation between increasing adolescent birth rate and increasing low birth weight deliveries (r= 0.911, P= 0.031) and also between increasing over 35 year olds birth rate and increasing neonatal mortality rate in term of prematurity and congenital malformations (r= 0.912, P= 0.031) after program implementation. Conclusion: Perinatal care and safe delivery even for pregnancies outside the typical child-bearing ages are promoting after implementation of rural family physician program in East Azerbaijan. Also decreasing unsafe delivery and stillbirth rate can be considered as achievements of running this program in this province. PMID:26744731

Reproductive Health of Women in Rural Areas of East Azerbaijan – Iran, before and after Implementation of rural Family Physician Program: an Ecologic Study

Directory of Open Access Journals (Sweden)

Mahasti Alizadeh

2015-12-01

Full Text Available Introduction: Implementation of rural family physician program in Iran in 2005 has been evaluated and shown that this program has been led to some improvements in health indicators. In this study, some reproductive health (RH indicators were compared before and after implementation of this program in rural areas of East Azerbaijan, Iran. Methods: In this ecologic- time trend study, the data of 191075 births of rural women of East Azerbaijan from 2001 to 2010 was extracted from vital horoscope (ZIJ and used for calculation of 20 important RH indicators. The paired t-test and correlation analysis wear used for data analysis. Results: Some indicators such as adolescent marriage rate, adolescent birth and over 35 year olds birth rate were increased after rural family physician program implementation in 2005. Also stillbirth rate and unsafe delivery were decreased during this period. There was a significant correlation between increasing adolescent birth rate and increasing low birth weight deliveries (r= 0.911, P= 0.031 and also between increasing over 35 year olds birth rate and increasing neonatal mortality rate in term of prematurity and congenital malformations (r= 0.912, P= 0.031 after program implementation. Conclusion: Perinatal care and safe delivery even for pregnancies outside the typical child-bearing ages are promoting after implementation of rural family physician program in East Azerbaijan. Also decreasing unsafe delivery and stillbirth rate can be considered as achievements of running this program in this province.

Panorama 2012 - The oil and gas producing countries of North Africa and the Middle East

International Nuclear Information System (INIS)

Cueille, Jean-Philippe

2011-11-01

Despite the extent of their reserves, oil production in most countries of the Middle East and North Africa is not likely to increase significantly in the years ahead. Exports from the Middle East, 75% of which are to Asia, and those from North Africa, most of which are focused on Europe, should remain stable overall. The increase in gas production will contribute more to meeting fast-growing domestic demand than to boosting exports. Indeed, many Middle Eastern countries are paradoxically experiencing strains on domestic energy supplies due to energy demand stimulated by energy prices that are generally - and artificially - very low, and the adoption of economic development models based on energy-intensive industries. (author)

Toka Boot/The Big Jam: Making Music in Rural East Timor

Science.gov (United States)

Howell, Gillian; Dunphy, Kim

2012-01-01

This article discusses a community music project in rural East Timor. Australian musician Gillian Howell lived for three months in the isolated town of Lospalos as an Asialink artist-in-residence, where she worked with local community members and visiting Australian musicians to share music and ideas, and to communicate across cultures. Three…

Treatment outcomes in a rural HIV clinic in South Africa: Implications ...

African Journals Online (AJOL)

Objective: To assess the treatment outcomes of an HIV clinic in rural Limpopo province, South Africa. Methods: A retrospective cohort study involving medical records review of HIV-positive patients initiated on antiretroviral treatment (ART) was conducted from December 2007 to November 2008 at Letaba Hospital. Data on ...

Hepatitis B epidemiology in Asia, the Middle East and Africa.

Science.gov (United States)

André, F

2000-02-18

Asia and Africa have previously been classified as areas of high endemicity for hepatitis B virus (HBV), but in some countries highly effective vaccination programmes have shifted this pattern towards intermediate or low endemicity. Thus, China is now the only country in Asia where HBV endemicity is high. Countries with intermediate endemicity include India, Korea, the Philippines, Taiwan and Thailand, and those with low endemicity include Japan, Pakistan, Bangladesh, Singapore, Sri Lanka and Malaysia. Most countries in Africa have high HBV endemicity, with the exceptions of Tunisia and Morocco, which have intermediate endemicity. Zambia has borderline intermediate/high endemicity. In the Middle East, Bahrain, Iran, Israel and Kuwait are areas of low endemicity, Cyprus, Iraq and the United Arab Emirates have intermediate endemicity, and Egypt, Jordan, Oman, Palestine, Yemen and Saudi Arabia have high endemicity. All of these Middle East countries reach a large proportion of their population with hepatitis B vaccination, which is reducing the infection rate, particularly in Saudi Arabia. The vaccination programme in Taiwan has also greatly reduced the HBV infection rate. Future vaccination programmes must take into account the mode of transmission of HBV, the healthcare infrastructure to deliver vaccination, and the socioeconomic and political factors in each individual country, to determine the most cost-effective way of infection control.

Impact analysis of rural electrification projects in sub-Saharan Africa

International Nuclear Information System (INIS)

Bernard, Tanguy

2010-01-01

The author reviews trends in rural electrification over the past 30 years in Sub-Saharan Africa. In particular, it is shown that motivations for rural electrification programs have evolved significantly over the years, following changes in development paradigms. The author finds, however, that knowledge of the impact of this has only marginally improved: low connection rates and weak productive utilization identified in the 1980's remain true today, and impacts on such dimensions as health, education, or income, though often used to justify projects, are largely undocumented. Indeed impact evaluations are methodologically challenging in the field of infrastructures and have been limited thus far. Nevertheless examples of recent or ongoing impact evaluations of rural electrification programs offer promising avenues for identifying both the effect of electricity per se and the relative effectiveness of approaches to promoting it

Infrastructure Development: Public Private Partnership Path for Developing Rural Telecommunications in Africa

Directory of Open Access Journals (Sweden)

Idongesit William Williams

2012-06-01

Full Text Available It is the quest of every government to achieve universal Access and service of telecommunication services and ICTs. Unfortunately due to the high cost of deploying infrastructure in rural areas of developing countries due to non-significant or no economic activity, this dream of achieving Universal access and service of telecommunications/ICTs have been stalled. This paper throws light on a possible Public Private Partnership framework as a development path that will enable affordable network technologies to be deployed in rural areas at a cost that will translate to what the rural dweller in a developing country in Africa can afford. The paper is a conceptual paper

Great Power Concert: Competition, Cooperation, and Stability in East Africa

Science.gov (United States)

2013-06-01

Sudan’s southern areas, prices of white sorghum and wheat flour , a main staple in the country, saw an 80 percent increase from 2011 to 2012, because of...States Agency for International Development, “conflict, constrained access to humanitarian assistance, rising food and non-food prices and an upsurge...world/east.africa.drought_1_food-shortages-al-shabab-food- prices ?_s=PM:WORLD (accessed 18 February 2013). 22 United States Agency for International

The determinants of Foreign Direct Investment in the Middle East North Africa region

NARCIS (Netherlands)

Rogmans, T.J.; Ebbers, H.A.

2006-01-01

Although, there has been increasing interest in the determinants of Foreign Direct Investment in emerging markets, FDI into the Middle East North Africa (MENA) region has so far received little attention among academics. The MENA region provides a useful ground for the testing of traditional

SPECIFICS OF GERMAN FOREIGN POLICY IN THE MIDDLE EAST AND NORTH AFRICA

Directory of Open Access Journals (Sweden)

Г А Ханнанова

2017-12-01

Full Text Available The article is devoted to an analysis of the main factors, determining German policy in the Middle East and North Africa (MENA. More active German military-technical engagement in the settlement of the crises in the region on the modern stage determines relevance of this article’s topic. Based on historical method, author considers the development of German foreign policy in the Arab world, examining the main aspects of the colonial policy of German empire on the threshold of the First and Second World Wars, as well as the prerequisites of the intensification of German-Arabic contacts in the period of Cold War. In accordance with the principals of system analysis Germany’s Middle East policy was investigated in complex, given geopolitical, economic and military aspects. Special emphasis is put on the problem of transformation of Middle East regional order as a factor of political instability. Notwithstanding the rea-sonableness of Germany’s standing for stable and predictable regional order, these goals were challenged owing to the fact that Germany benefits from the regional disorder in terms of increase of its influence. In reliance on the German goals in the Middle East and North Africa, mentioned in the Coalition Agreement of 2013, the author points out the priority of crisis management. At the same time the ethno-confessional conflict potential of the region meets the interests of German military-industrial complex. Increase of Germany’s export of weapons to the Arab states as well as neglecting the restrictions on export go to prove that Germany backs the armaments race in the Middle East. In this regard, German policy is characterized by “double standards” and inconsistency. These specifics can be explained by the ongoing process of Middle East policy shift and searching for new priorities on a long-term horizon. In the conclusion, the author analyzes the specifics and prospects of German policy in MENA region.

Videos Bridging Asia and Africa: Overcoming Cultural and Institutional Barriers in Technology-Mediated Rural Learning

Science.gov (United States)

Van Mele, Paul; Wanvoeke, Jonas; Akakpo, Cyriaque; Dacko, Rosaline Maiga; Ceesay, Mustapha; Beavogui, Louis; Soumah, Malick; Anyang, Robert

2010-01-01

Will African farmers watch and learn from videos featuring farmers in Bangladesh? Learning videos on rice seed management were made with rural women in Bangladesh. By using a new approach, called zooming-in, zooming-out, the videos were of regional relevance and locally appropriate. When the Africa Rice Center (AfricaRice) introduced them to…

Early diagnosis and treatment of ankylosing spondylitis in Africa and the Middle East.

Science.gov (United States)

Rachid, Bahiri; El Zorkany, Bassel; Youseif, Ehab; Tikly, Mohammed

2012-11-01

Ankylosing spondylitis (AS) is the prototype for spondyloarthritis primarily affecting young men. Geographic and ethnic variations exist in the prevalence and severity of AS and relate to the wide disparity in the frequency of human leukocyte antigen (HLA)-B27, a major genetic risk factor. The strength of the disease association with HLA-B27 is lower in most Arab populations (25-75 %) than in Western European populations (>90 %), and there is no association in sub-Saharan Africa, where the prevalence of HLA-B27 is Africa, and the high rate of spondyloarthropathies associated with human immunodeficiency virus infection. Diagnosis of AS is often delayed 8-10 years; potential reasons for the delay in Africa and the Middle East include low awareness among physicians and patients, the requirement for radiographic evidence of sacroiliitis for diagnosis, and limited access to magnetic resonance imaging in some countries. Treatment should be initiated early to prevent or reduce skeletal deformity and physical disability. Nonsteroidal anti-inflammatory drugs are effective first-line treatment and anti-tumor necrosis factor-α drugs are indicated for patients who have an inadequate response to first-line therapy. In Africa and the Middle East, such treatments may be precluded either by cost or contraindicated because of the high prevalence of latent tuberculosis infection. Research is sorely needed to develop cost-effective tools to diagnose AS early as well as effective, inexpensive, and safe treatments for these developing regions.

Cases of human brucellosis in Sweden linked to Middle East and Africa.

Science.gov (United States)

Garofolo, Giuliano; Fasanella, Antonio; Di Giannatale, Elisabetta; Platone, Ilenia; Sacchini, Lorena; Persiani, Tiziana; Boskani, Talar; Rizzardi, Kristina; Wahab, Tara

2016-05-17

Human brucellosis cases are still reported each year in Sweden despite eradication of the disease in animals. Epidemiological investigation has never been conducted to trace back the source of human infection in the country. The purpose of the study was to identify the source of infection for 16 human brucellosis cases that occurred in Sweden, during the period 2008-2012. The isolates were identified as Brucella melitensis and MLVA-16 genotyping revealed 14 different genotypes of East Mediterranean and Africa lineages. We also reported one case of laboratory-acquired brucellosis (LAB) that was shown to be epidemiological linked to one of the cases in the current study. Brucella melitensis was the only species diagnosed, confirming its highest zoonotic potential in the genus Brucella, and MLVA-16 results demonstrated that the cases of brucellosis in Sweden herein investigated, are imported and linked to travel in the Middle East and Africa. Due to its zoonotic concerns, any acute febrile illness linked to recent travel within those regions should be investigated for brucellosis and samples should be processed according to biosafety level 3 regulations.

Predictability of rainy season onset and cessation in east Africa

Science.gov (United States)

Joseph, B.-M.

2012-04-01

PREDICTABILITY OF RAINY SEASONS ONSET AND CESSATION IN EAST AFRICA Boyard-Micheau Joseph, joseph.boyard-micheau@u-bourgogne.fr Camberlin Pierre, Kenya and northern Tanzania mainly display bimodal rainfall regimes, which are controlled by the annual migration of the Intertropical Convergence Zone on both sides of the equator. In the low-income, semi-arid areas, food security is highly dependent on cereal yields (maize, millet and sorghum). Vulnerability is aggravated by the fact that these crops are mostly rainfed, and rely on the performance of the two, relatively brief rainy seasons. This performance depends on a combination of several rainy season characteristics, or rainfall descriptors, such as the onset and cessation dates of the rains, the frequency of rainy days, their intensity and the occurrence of wet/dry spells. The prediction of these descriptors some time (>15 days) before the real onset of the rainy season can be seen as a useful tool to help in the establishment of agricultural adaptation strategies. The main objective consists to understand linkages between regional variability of these rainfall descriptors and global modes of the climate system, in order to set up efficient predictive tools based on Model Output Statistics (MOS). The rainfall descriptors are computed from daily rainfall data collected for the period 1961-2001 from the Kenya Meteorological Department, the IGAD Climate Prediction and Application Center and the Tanzania Meteorological Agency. An initial spatial coherence analysis assesses the potential predictability of each descriptor, permitting eventually to eliminate those which are not spatially coherent, on the assumption that low spatial coherence denotes low potential predictability. Rainfall in East Africa simulated by a 24-ensemble member of the ECHAM 4.5 atmospheric general circulation model is compared with observations, to test the reproducibility of the rainfall descriptors. Canonical Correlation Analysis is next used to

Smallholder farmers’ attitudes and determinants of adaptation to climate risks in East Africa

NARCIS (Netherlands)

Shikuku, Kelvin M.; Winowiecki, Leigh; Twyman, Jennifer; Eitzinger, Anton; Perez, Juan G.; Mwongera, Caroline; Läderach, Peter

2017-01-01

Adapting to climate risks is central to the goal of increasing food security and enhancing resilience of farming systems in East Africa. We examined farmers’ attitudes and assessed determinants of adaptation using data from a random sample of 500 households in Borana, Ethiopia; Nyando, Kenya;

The relationship between BMI and dietary intake of primary school children from a rural area of South Africa: The Ellisras longitudinal study

NARCIS (Netherlands)

Van Den Ende, C.; Twisk, J.W.R.; Monyeki, K.D.

2014-01-01

Objectives: To investigate the relationship between dietary intake and BMI of primary school children from a rural area of South Africa cross-sectionally. Both under and over nutrition remain major health problems in South Africa. In rural areas, where especially undernutrition leads to child

Direct Radiative Effect of Mineral Dust on the Middle East and North Africa Climate

KAUST Repository

Bangalath, Hamza Kunhu

2016-01-01

Dust-climate interaction over the Middle East and North Africa (MENA) has long been studied, as it is the "dustiest" region on earth. However, the quantitative and qualitative understanding of the role of dust direct radiative effect on MENA climate

An Assessment of Satellite-Derived Rainfall Products Relative to Ground Observations over East Africa

NARCIS (Netherlands)

Kimani, M.W.; Hoedjes, Johannes Cornelis Bernardus; Su, Z.

2017-01-01

Accurate and consistent rainfall observations are vital for climatological studies in support of better agricultural and water management decision-making and planning. In East Africa, accurate rainfall estimation with an adequate spatial distribution is limited due to sparse rain gauge networks.

Foreign Direct Investment and Energy Supply in the Middle East and North Africa: A Correlational Study

Science.gov (United States)

Elghali, Siddig

Middle East and North Africa countries have been criticized for failing to utilize foreign direct investment energy resources efficiently. The changing of energy resources environment of the past decades with its growing emphasis on the importance of imminent energy supply challenges require strategists to consider different types of energy resources investment to improve energy supply. One type of energy investment will show effectiveness and efficiency in utilizing foreign direct investment in exposing RE, fossil fuels, natural gas, and reducing CO2 emissions. The purpose of this quantitative correlational study was to utilize foreign direct investment to predict total primary energy supply in the Middle East and North Africa region between 1971 and 2013. The study was conducted using a sample size of 43 years of energy supply resources and foreign direct investment from 1971 to 2013, which includes all of the years for which FDI is available. RE potential may equip Middle East and North Africa countries with sustainable and clean electricity for centuries to come, as non-renewable energy resources may not meet the demands globally and domestically or environmentally. As demands for fossil fuels grow, carbon emissions will increase. RE may be a better option of CO 2 emissions sequestration and will increase electricity to rural areas without government subsidies and complex decision-making policies. RE infrastructure will reduce water desalinization costs, cooling systems, and be useful in heating. Establishing concentrated solar power may be useful for the region cooperation, negotiations, and integration to share this energy. The alternative sought to fossil fuels was nuclear power. However, nuclear power depends on depleting, non-renewable uranium resources. The cost of uranium will increase if widely used and the presence of a nuclear plant in an unstable region is unsafe. Thus, renewable energy as a long-term option is efficient. A nonlinear regression

Evaluating Downscaling Methods for Seasonal Climate Forecasts over East Africa

Science.gov (United States)

Roberts, J. Brent; Robertson, Franklin R.; Bosilovich, Michael; Lyon, Bradfield; Funk, Chris

2013-01-01

The U.S. National Multi-Model Ensemble seasonal forecasting system is providing hindcast and real-time data streams to be used in assessing and improving seasonal predictive capacity. The NASA / USAID SERVIR project, which leverages satellite and modeling-based resources for environmental decision making in developing nations, is focusing on the evaluation of NMME forecasts specifically for use in impact modeling within hub regions including East Africa, the Hindu Kush-Himalayan (HKH) region and Mesoamerica. One of the participating models in NMME is the NASA Goddard Earth Observing System (GEOS5). This work will present an intercomparison of downscaling methods using the GEOS5 seasonal forecasts of temperature and precipitation over East Africa. The current seasonal forecasting system provides monthly averaged forecast anomalies. These anomalies must be spatially downscaled and temporally disaggregated for use in application modeling (e.g. hydrology, agriculture). There are several available downscaling methodologies that can be implemented to accomplish this goal. Selected methods include both a non-homogenous hidden Markov model and an analogue based approach. A particular emphasis will be placed on quantifying the ability of different methods to capture the intermittency of precipitation within both the short and long rain seasons. Further, the ability to capture spatial covariances will be assessed. Both probabilistic and deterministic skill measures will be evaluated over the hindcast period

Urban-Rural Literacy Gaps in Sub-Saharan Africa: The Roles of Socioeconomic Status and School Quality

Science.gov (United States)

Zhang, Yanhong

2006-01-01

In this article, the author documents the learning disadvantage of rural primary school students in sub-Saharan Africa and attempts to identify the factors underlying such disadvantages. Analyzing data from 14 school systems participating in the second study of the Southern and Western Africa Consortium for Monitoring Educational Quality (SACMEQ…

Health service provision for people with epilepsy in sub-Saharan Africa: A situational review.

Science.gov (United States)

Watila, Musa M; Keezer, Mark R; Angwafor, Samuel A; Winkler, Andrea S; Sander, Josemir W

2017-05-01

Epilepsy is a public health issue in sub-Saharan Africa (SSA) where many people with the condition receive no treatment. Health-care services for epilepsy in this region have not been comprehensively assessed. We examined key features of epilepsy health services provided in SSA. This was a scoping review conducted using pre-specified protocols. We implemented an electronic search strategy to identify relevant citations using PUBMED, EMBASE, Web of Science, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), African Index Medicus (AIM), Open Grey, Cochrane database, and Google Scholar. Articles eligible for full-text review were screened and data of interest were reported. The search identified 81 eligible articles, forty-nine from East Africa, 19 from West Africa, 8 from South Africa, and 5 from Central Africa. A variety of care services were identified, with reporting of rural epilepsy care in 75% of retrieved articles mainly from East and South African countries. The majority of the rural epilepsy clinics were health worker- or nurse-led, reporting good seizure control in about two-thirds of patients using phenobarbital as the most commonly prescribed antiepileptic drug. Funding for rural epilepsy care came mainly from external donor agencies. We attempted to provide a 'snapshot' of epilepsy care services in SSA. The successes achieved in some of the centers are due to the use of existing primary health-care systems and employing non-physician health-care personnel. The true picture of epilepsy care coverage is not apparent due to the lack of data and proper health system structure in most parts of SSA. As more individuals begin to receive care, the long-term funding for epilepsy care in African countries will depend on the commitment of their respective governments. Copyright © 2017 Elsevier Inc. All rights reserved.

The East Asian Development Experience: Policy Lessons, Implications, and Recommendations for Sub-Saharan Africa (SSA) Global Competitiveness

OpenAIRE

Ashford C. Chea

2012-01-01

The paper looks at the development experience of East Asia and draws lessons for Sub-Saharan Africa in building global competitiveness. It starts with a historical perspective of both regions’ developmental trajectories. This is followed by an analysis of the causes of East Asia’s superior economic performance and development and SSA underdevelopment. The article also draws policy lessons from East Asia development strategies for SSA global competitiveness. The paper ends with a presentation ...

Beyond the desertification narrative: a framework for agricultural drought in semi-arid East Africa

NARCIS (Netherlands)

Slegers, M.F.W.; Stroosnijder, L.

2008-01-01

In the 20th century, much research was done on desertification. Desertification developed into a complex and vague construct that means land degradation under specific conditions. Projects focusing on land degradation in semiarid East Africa have met with limited success because farmers prioritize

Access to Risk Mitigating Weather Forecasts and Changes in Farming Operations in East and West Africa: Evidence from a Baseline Survey

Directory of Open Access Journals (Sweden)

Abayomi Samuel Oyekale

2015-10-01

Full Text Available Unfavorable weather currently ranks among the major challenges facing agricultural development in many African countries. Impact mitigation through access to reliable and timely weather forecasts and other adaptive mechanisms are foremost in Africa’s policy dialogues and socio-economic development agendas. This paper analyzed the factors influencing access to forecasts on incidence of pests/diseases (PD and start of rainfall (SR. The data were collected by Climate Change Agriculture and Food Security (CCAFS and analyzed with Probit regression separately for East Africa, West Africa and the combined dataset. The results show that 62.7% and 56.4% of the farmers from East and West Africa had access to forecasts on start of rainfall, respectively. In addition, 39.3% and 49.4% of the farmers from East Africa indicated that forecasts on outbreak of pests/diseases and start of rainfall were respectively accompanied with advice as against 18.2% and 41.9% for West Africa. Having received forecasts on start of rainfall, 24.0% and 17.6% of the farmers from East and West Africa made decisions on timing of farming activities respectively. Probabilities of having access to forecasts on PD significantly increased with access to formal education, farm income and previous exposure to climatic shocks. Furthermore, probabilities of having access to forecasts on SR significantly increased (p < 0.05 with access to business income, radio and perception of more erratic rainfall, among others. It was recommended that promotion of informal education among illiterate farmers would enhance their climatic resilience, among others.

Water as a Human Right for the Middle East and North Africa | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

2008-07-11

Jul 11, 2008 ... Water as a Human Right for the Middle East and North Africa ... Asit K. Biswas is President of the Third World Centre for Water Management, Atizapan, Mexico. ... the International Centre for Water, Zaragoza, Spain and President, International Water Resources Association. ... Careers · Contact Us · Site map.

Evaluation of wildlife pests on rural farms in Guma and Gwer-East ...

African Journals Online (AJOL)

The study evaluated the challenges confronting farmers as a result of wildlife attack on rural farms in Guma and Gwer – East Local Government Areas of Benue State. Two villages (Igbor and Abinsi) were purposively selected for the study because of their high rate of farming activities. Data was collected with the aid ...

Molecular phylogeny of the tribe Torini Karaman, 1971 (Actinopterygii: Cypriniformes) from the Middle East and North Africa.

Science.gov (United States)

Borkenhagen, Kai

2017-02-22

Freshwater fishes of the cyprinid tribe Torini are widespread in Africa the Middle East and Indomalaya. The relationships of Middle-Eastern Torini are analysed based on mitochondrial markers (Cyt b, ND4) of the majority of relevant species. I present a larely well resolved phylogeny, which confirms the validity of the morphologically defined genera Arabibarbus, Carasobarbus, Mesopotamichthys and Pterocapoeta. The Torini originated in Indomalaya and colonised Africa via the Middle East. Morocco was colonised two times independently, first from sub-Saharan Africa and secondly along the southern margin of the Mediterranean Sea. The Tigris-Euphrates system is an important crossroad for the colonisation of the Jordan River, the Orontes River and the watercourses of the Arabian Peninsula by freshwater fishes. The Jordan lost its connection to the Euphrates earlier than the Orontes. The Arabian Peninsula was colonised from the Tigris-Euphrates system in at least two independent events.

Africa and electricity: To electrify Africa - necessary financial and human investments; The development of hydroelectricity in sub-Saharan Africa; A major challenge: to improve distribution efficiency; Smart grids in Africa?; Rural electrification in Africa; The development of renewable energies in Ethiopia - an example of empowerment of a local structure

International Nuclear Information System (INIS)

Horvilleur, Jacques; Favennec, Jean-Pierre; Cerdan, Jean-Pierre; Bauley, Jacky; Caumon, Pauline; Guerin, Andre-Jean; Beaussant, Henri; Louis, Frederic; Sall, Ousmane; Ledoux, Thierry; Boye, Henri; Bagayoko, Moussa

2016-01-01

This publication proposes a set of six articles which address various aspects related to the issue of Africa electrification. More precisely, the authors propose a general presentation of the present situation and an assessment of necessary financial, organisational, governance and training investments or needs (To electrify Africa: necessary financial and human investment), illustrate these issues in the case of hydroelectricity-rich Republic of Congo, discuss the issue of financing hydroelectricity development in Africa and of the need of operation and maintenance policies to meet needs associated with sustainable installations (The development of hydroelectricity in sub-Saharan Africa), address issues related to distribution through an improvement of existing distribution networks (A major challenge: to improve distribution efficiency) and through a possible development of smart grids (Smart grids in Africa?), comment issues related to rural electrification as a major challenge for these sometimes very poor areas with almost none financial resources, and evoke the possibilities associated with decentralised photovoltaic production (Rural electrification in Africa), and report interventions of an NGO in Ethiopia based on solar installations and actions of empowerment of local structures (The development of renewable energies in Ethiopia - an example of empowerment of a local structure)

Multi criteria analysis for sustainability assessments of electricity generation systems in a rural community in South Africa

Energy Technology Data Exchange (ETDEWEB)

Amigun, B.; Mehlwana, M. [Council for Scientific and Industrial Research, Pretoria (South Africa). Sustainable Energy Futures, Natural Resources and the Environment; Musango, J.K. [Department of Energy (DoE), Pretoria (South Africa); Brent, A.C. [Stellenbosch Univ. (South Africa). Centre for Renewable and Sustainable Energy Studies

2011-07-01

One of the key challenges of the energy policy in South Africa is to ensure that rural areas have access to electricity. This is reflected in the key energy policy documents (the 1998 Energy White Paper and the 2002 Renewable Energy White Paper). Both these documents identified renewable energy resources as immediate alternatives to grid electricity in especially remote rural communities that are characterised by low population densities. Centralised energy generation and transmission is very costly and inefficient in these areas due to greater transmission and distribution losses. While the cost of electricity in South Africa is relatively cheaper, it is not accessible for many rural households. There are still over two million households in rural areas without access to electricity. This paper presents a multi-criteria decision analysis (MCDA) using the Analytical Hierarchy Process (AHP) technique to compare various electricity technologies (mainly renewables) in a specific rural community of South Africa using social, economic, environment and technical indicators. These technologies were than ranked against each indicator assuming that the high-level criteria have equal importance for sustainable development. It is demonstrated that energy from wind is the most sustainable, followed by photovoltaic, anaerobic digestion (biogas) and then gasification. A sensitivity analysis was also performed to verify the stability of the priority ranking. The outcome of this study will specifically assist energy planners and decision-makers to choose the best alternative from a range of technology alternatives in a milieu of conflicting and competing criteria. (orig.)

Maternal mortality in rural South Africa: the impact of case definition on levels and trends

Directory of Open Access Journals (Sweden)

Garenne M

2013-08-01

Full Text Available Michel Garenne,1–3 Kathleen Kahn,1,4,5 Mark A Collinson,1,4,5 F Xavier Gómez-Olivé,1,5 Stephen Tollman1,4,51MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; 2Institut Pasteur, Epidémiologie des Maladies Emergentes, Paris, France; 3Institut de Recherche pour le Développement, UMI Résiliences, Centre Ile de France, Bondy, France; 4Centre for Global Health Research, Umeå University, Umeå, Sweden; 5INDEPTH Network, East Legon, Accra, GhanaBackground: Uncertainty in the levels of global maternal mortality reflects data deficiencies, as well as differences in methods and definitions. This study presents levels and trends in maternal mortality in Agincourt, a rural subdistrict of South Africa, under long-term health and sociodemographic surveillance.Methods: All deaths of women aged 15 years–49 years occurring in the study area between 1992 and 2010 were investigated, and causes of death were assessed by verbal autopsy. Two case definitions were used: “obstetrical” (direct causes, defined as deaths caused by conditions listed under O00-O95 in International Classification of Diseases-10; and “pregnancy-related deaths”, defined as any death occurring during the maternal risk period (pregnancy, delivery, 6 weeks postpartum, irrespective of cause.Results: The case definition had a major impact on levels and trends in maternal mortality. The obstetric mortality ratio averaged 185 per 100,000 live births over the period (60 deaths, whereas the pregnancy-related mortality ratio averaged 423 per 100,000 live births (137 deaths. Results from both calculations increased over the period, with a peak around 2006, followed by a decline coincident with the national roll-out of Prevention of Mother-to-Child Transmission of HIV and antiretroviral treatment programs. Mortality increase from direct causes was

Humans and Seagrasses in East Africa : A social-ecological systems approach

OpenAIRE

de la Torre-Castro, Maricela

2006-01-01

The present study is one of the first attempts to analyze the societal importance of seagrasses (marine flowering plants) from a Natural Resource Management perspective, using a social-ecological systems (SES) approach. The interdisciplinary study takes place in East Africa (Western Indian Ocean, WIO) and includes in-depth studies in Chwaka Bay, Zanzibar, Tanzania. Natural and social sciences methods were used. The results are presented in six articles, showing that seagrass ecosystems are ri...

A qualitative study of the challenges of providing pre-prosthetic rehabilitation in rural South Africa.

Science.gov (United States)

Ennion, Liezel; Johannesson, Anton

2018-04-01

There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. To explore therapists' experiences with providing pre-prosthetic rehabilitation in a rural setting. A qualitative descriptive approach was used to collect and analyse data. Data were collected from 17 purposively sampled therapists in five district hospitals in a rural community in South Africa. Data were collected in two rounds of focus groups to explore the challenges of providing pre-prosthetic rehabilitation in rural South Africa. The main themes identified in the study were (1) a lack of government health system support, (2) poor socioeconomic circumstances of patients and (3) cultural factors that influence rehabilitation. These themes all negatively influence the therapists' ability to follow up patients for pre-prosthetic rehabilitation after discharge from hospital. A lack of adequate pre-prosthetic rehabilitation is a substantial barrier to prosthetic fitting in rural South Africa. Patients who do not receive pre-prosthetic rehabilitation have a poorly shaped residuum or other complications such as knee or hip joint contractures which disqualifies them from being referred to prosthetic services. Therapists involved in this study identified the most important barriers to patients having access to prosthetic services. Clinical relevance Pre-prosthetic rehabilitation provides care of the residuum; maintenance or improvement of physical strength, joint range of motion and referral to a prosthetist. By exploring the challenges known to exist in this service, we can identify potential ways to reduce these barriers and improve the lives of those who use it.

Potential applications of the Internet of Things in sustainable rural development in South Africa

CSIR Research Space (South Africa)

Dlodlo, N

2012-05-01

Full Text Available Conference of Information Science and Computer Applications (ICISCA), Bali, Indonesia, 19-20 November 2012 Potential applications of the Internet of Things in sustainable rural development in South Africa Nomusa Dlodlo and Mofolo Mofolo CSIR...

a Heritage Inventory for Documenting Endangered Archaeology in the Middle East and North Africa

Science.gov (United States)

Sheldrick, N.; Zerbini, A.

2017-08-01

The heritage of the Middle East and North Africa is under growing threat from a variety of factors, including agricultural expansion, urban development, looting, and conflict. Recording and documenting this heritage is therefore a key priority to aid heritage practitioners tasked with protecting sites and evaluating their condition on the ground. The Endangered Archaeology in the Middle East and North Africa (EAMENA) project has developed a methodology for the identification, documentation, analysis, and monitoring of sites across the region to aid heritage professionals in these efforts. The project uses remote sensing techniques along with traditional archaeological research and prospection methods to collect data, which are stored and managed in a custom-designed database adapted from open-source Arches v.3 software, using CIDOC CRM standards and controlled vocabularies. In addition to these activities, the EAMENA project has initiated an international conference series and training workshops to support and establish partnerships with heritage professionals and institutions across the region.

A HERITAGE INVENTORY FOR DOCUMENTING ENDANGERED ARCHAEOLOGY IN THE MIDDLE EAST AND NORTH AFRICA

Directory of Open Access Journals (Sweden)

N. Sheldrick

2017-08-01

Full Text Available The heritage of the Middle East and North Africa is under growing threat from a variety of factors, including agricultural expansion, urban development, looting, and conflict. Recording and documenting this heritage is therefore a key priority to aid heritage practitioners tasked with protecting sites and evaluating their condition on the ground. The Endangered Archaeology in the Middle East and North Africa (EAMENA project has developed a methodology for the identification, documentation, analysis, and monitoring of sites across the region to aid heritage professionals in these efforts. The project uses remote sensing techniques along with traditional archaeological research and prospection methods to collect data, which are stored and managed in a custom-designed database adapted from open-source Arches v.3 software, using CIDOC CRM standards and controlled vocabularies. In addition to these activities, the EAMENA project has initiated an international conference series and training workshops to support and establish partnerships with heritage professionals and institutions across the region.

Mapping and quantification of organic agro-industrial residues in East Africa

Energy Technology Data Exchange (ETDEWEB)

Jungersen, G. [Dansk Teknologisk Inst. (Denmark); Kivaisi, A.; Rubindamayugi, M. [Univ. of Dar es Salaam (Tanzania, United Republic of)

1998-05-01

The East-African agro-industries generate very large quantities of organic residues from production and processing of different crops. These residues form a major contribution to the pollution of air, soil and water ways, but, at the same time they constitute a large potential for production of bioenergy through anaerobic digestion as well as potential substrate for other biological fermentation processes. The utilization of these resources for production of valuable products would contribute significantly to: Improvement of the local energy supply, through production of bio-energy; Improvement of the economy of the East African agro-industry; Reduction of the environmental impact from the agro-industrial sector. Except for production of cane sugar, most agro-industrial residues are generated from cash crops, which are produced and processed in the developing countries and where the final products mainly are used for export. In the East-African Region the most important of these crops are: Sisal, coffee, Cashew nuts and Pineapple. In addition significant quantities of organic residues are generated from other food processing activities like breweries, consumption of bananas etc. The total potential methane production of the residues available for use in biomethanization systems in East Africa is 189.61 million m{sup 3} of methane per year. Converted to diesel oil equivalents and including the residues only feasible for combustion systems, the total bioenergy potential of agro-industrial residues in Eastern Africa is 279,176 TOE. If this potential was fully utilized for production of electricity, it would correspond to installed effects of 37,68 and 31 MW in Tanzania, Kenya and Uganda, respectively, equivalent to 10%, 11% and 18% of the currently installed effect is these countries. Residues from sisal and coffee processing constitute the main part of the bioenergy potential, on average approximately 75%, while the remaining 25% of the potential are formed by the

Community-based carbon sequestration in East Africa: Linking science and sustainability

Science.gov (United States)

Hultman, N. E.

2004-12-01

International agreements on climate change have set the stage for an expanding market for greenhouse gas emissions reduction credits. Projects that can generate credits for trading are diverse, but one of the more controversial types involve biological carbon sequestration. For several reasons, most of the activity on these "sinks" projects has been in Latin America and Southeast Asia. Yet people in sub-saharan Africa could benefit from properly implemented projects. This poster will discuss estimates of the potential and risks of such projects in East Africa, and will describe in detail a case study located in central Tanzania and now part of the World Bank's BioCarbon Fund portfolio. Understanding climate variability and risk can effectively link international agreements on climate change, local realities of individual projects, and the characteristics of targeted ecosystems.

Vibrio Pathogens: A Public Health Concern in Rural Water Resources in Sub-Saharan Africa

Directory of Open Access Journals (Sweden)

Charles A. Osunla

2017-10-01

Full Text Available Members of the Vibrio genus are autochthonous inhabitants of aquatic environments and play vital roles in sustaining the aquatic milieu. The genus comprises about 100 species, which are mostly of marine or freshwater origin, and their classification is frequently updated due to the continuous discovery of novel species. The main route of transmission of Vibrio pathogens to man is through drinking of contaminated water and consumption inadequately cooked aquatic food products. In sub-Saharan Africa and much of the developing world, some rural dwellers use freshwater resources such as rivers for domestic activities, bathing, and cultural and religious purposes. This review describes the impact of inadequately treated sewage effluents on the receiving freshwater resources and the associated risk to the rural dwellers that depends on the water. Vibrio infections remain a threat to public health. In the last decade, Vibrio disease outbreaks have created alertness on the personal, economic, and public health uncertainties associated with the impact of contaminated water in the aquatic environment of sub-Saharan Africa. In this review, we carried out an overview of Vibrio pathogens in rural water resources in Sub-Saharan Africa and the implication of Vibrio pathogens on public health. Continuous monitoring of Vibrio pathogens among environmental freshwater and treated effluents is expected to help reduce the risk associated with the early detection of sources of infection, and also aid our understanding of the natural ecology and evolution of Vibrio pathogens.

Vibrio Pathogens: A Public Health Concern in Rural Water Resources in Sub-Saharan Africa.

Science.gov (United States)

Osunla, Charles A; Okoh, Anthony I

2017-10-07

Members of the Vibrio genus are autochthonous inhabitants of aquatic environments and play vital roles in sustaining the aquatic milieu. The genus comprises about 100 species, which are mostly of marine or freshwater origin, and their classification is frequently updated due to the continuous discovery of novel species. The main route of transmission of Vibrio pathogens to man is through drinking of contaminated water and consumption inadequately cooked aquatic food products. In sub-Saharan Africa and much of the developing world, some rural dwellers use freshwater resources such as rivers for domestic activities, bathing, and cultural and religious purposes. This review describes the impact of inadequately treated sewage effluents on the receiving freshwater resources and the associated risk to the rural dwellers that depends on the water. Vibrio infections remain a threat to public health. In the last decade, Vibrio disease outbreaks have created alertness on the personal, economic, and public health uncertainties associated with the impact of contaminated water in the aquatic environment of sub-Saharan Africa. In this review, we carried out an overview of Vibrio pathogens in rural water resources in Sub-Saharan Africa and the implication of Vibrio pathogens on public health. Continuous monitoring of Vibrio pathogens among environmental freshwater and treated effluents is expected to help reduce the risk associated with the early detection of sources of infection, and also aid our understanding of the natural ecology and evolution of Vibrio pathogens.

Vibrio Pathogens: A Public Health Concern in Rural Water Resources in Sub-Saharan Africa

Science.gov (United States)

Osunla, Charles A.

2017-01-01

Members of the Vibrio genus are autochthonous inhabitants of aquatic environments and play vital roles in sustaining the aquatic milieu. The genus comprises about 100 species, which are mostly of marine or freshwater origin, and their classification is frequently updated due to the continuous discovery of novel species. The main route of transmission of Vibrio pathogens to man is through drinking of contaminated water and consumption inadequately cooked aquatic food products. In sub-Saharan Africa and much of the developing world, some rural dwellers use freshwater resources such as rivers for domestic activities, bathing, and cultural and religious purposes. This review describes the impact of inadequately treated sewage effluents on the receiving freshwater resources and the associated risk to the rural dwellers that depends on the water. Vibrio infections remain a threat to public health. In the last decade, Vibrio disease outbreaks have created alertness on the personal, economic, and public health uncertainties associated with the impact of contaminated water in the aquatic environment of sub-Saharan Africa. In this review, we carried out an overview of Vibrio pathogens in rural water resources in Sub-Saharan Africa and the implication of Vibrio pathogens on public health. Continuous monitoring of Vibrio pathogens among environmental freshwater and treated effluents is expected to help reduce the risk associated with the early detection of sources of infection, and also aid our understanding of the natural ecology and evolution of Vibrio pathogens. PMID:28991153

The episode of genetic drift defining the migration of humans out of Africa is derived from a large east African population size.

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Nuha Elhassan

Full Text Available Human genetic variation particularly in Africa is still poorly understood. This is despite a consensus on the large African effective population size compared to populations from other continents. Based on sequencing of the mitochondrial Cytochrome C Oxidase subunit II (MT-CO2, and genome wide microsatellite data we observe evidence suggesting the effective size (Ne of humans to be larger than the current estimates, with a foci of increased genetic diversity in east Africa, and a population size of east Africans being at least 2-6 fold larger than other populations. Both phylogenetic and network analysis indicate that east Africans possess more ancestral lineages in comparison to various continental populations placing them at the root of the human evolutionary tree. Our results also affirm east Africa as the likely spot from which migration towards Asia has taken place. The study reflects the spectacular level of sequence variation within east Africans in comparison to the global sample, and appeals for further studies that may contribute towards filling the existing gaps in the database. The implication of these data to current genomic research, as well as the need to carry out defined studies of human genetic variation that includes more African populations; particularly east Africans is paramount.

Physical, psychological, sexual, and systemic abuse of children with disabilities in East Africa: Mapping the evidence.

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Winters, Niall; Langer, Laurenz; Geniets, Anne

2017-01-01

Children with disabilities (CWDs) are at a higher risk of being maltreated than are typical children. The evidence base on the abuse of children with disabilities living in low- and middle-income countries is extremely limited but the problem is particularly acute in East Africa. We don't know the types of evidence that exist on this topic. This problem is compounded by the fact that key indicators of disability, such as reliable prevalence rates, are not available currently. This paper addresses this serious problem by mapping the existing evidence-base to document the coverage, patterns, and gaps in existing research on the abuse of children with disabilities in East Africa. An evidence map, following systematic review guidelines, was conducted and included a systematic search, transparent and structured data extraction, and critical appraisal. Health and social science databases (Medline, EMBASE, PsychInfo, Taylor&Francis, Web of Science, and SAGE) were systematically searched for relevant studies. A substantive grey literature search was also conducted. All empirical research on the abuse of CWDs in East Africa was eligible for inclusion: Data on abuse was systematically extracted and the research evidence, following critical appraisal, mapped according to the type of abuse and disability condition, highlighting gaps and patterns in the evidence-base. 6005 studies were identified and screened, of which 177 received a full-text assessment. Of these, 41 studies matched the inclusion criteria. By mapping the available data and reports and systematically assessing their trustworthiness and relevance, we highlight significant gaps in the available evidence base. Clear patterns emerge that show a major data gap and lack of research on sexual abuse of children with disabilities and an identifiable lack of methodological quality in many relevant studies. These make the development of a concerted and targeted research effort to tackle the abuse of children with

Physical, psychological, sexual, and systemic abuse of children with disabilities in East Africa: Mapping the evidence.

Directory of Open Access Journals (Sweden)

Niall Winters

Full Text Available Children with disabilities (CWDs are at a higher risk of being maltreated than are typical children. The evidence base on the abuse of children with disabilities living in low- and middle-income countries is extremely limited but the problem is particularly acute in East Africa. We don't know the types of evidence that exist on this topic. This problem is compounded by the fact that key indicators of disability, such as reliable prevalence rates, are not available currently. This paper addresses this serious problem by mapping the existing evidence-base to document the coverage, patterns, and gaps in existing research on the abuse of children with disabilities in East Africa. An evidence map, following systematic review guidelines, was conducted and included a systematic search, transparent and structured data extraction, and critical appraisal. Health and social science databases (Medline, EMBASE, PsychInfo, Taylor&Francis, Web of Science, and SAGE were systematically searched for relevant studies. A substantive grey literature search was also conducted. All empirical research on the abuse of CWDs in East Africa was eligible for inclusion: Data on abuse was systematically extracted and the research evidence, following critical appraisal, mapped according to the type of abuse and disability condition, highlighting gaps and patterns in the evidence-base. 6005 studies were identified and screened, of which 177 received a full-text assessment. Of these, 41 studies matched the inclusion criteria. By mapping the available data and reports and systematically assessing their trustworthiness and relevance, we highlight significant gaps in the available evidence base. Clear patterns emerge that show a major data gap and lack of research on sexual abuse of children with disabilities and an identifiable lack of methodological quality in many relevant studies. These make the development of a concerted and targeted research effort to tackle the abuse of

Cost-effectiveness of dog rabies vaccination programs in East Africa

Science.gov (United States)

Borse, Rebekah H.; Atkins, Charisma Y.; Gambhir, Manoj; Undurraga, Eduardo A.; Blanton, Jesse D.; Kahn, Emily B.; Dyer, Jessie L.; Rupprecht, Charles E.

2018-01-01

Background Dog rabies annually causes 24,000–70,000 deaths globally. We built a spreadsheet tool, RabiesEcon, to aid public health officials to estimate the cost-effectiveness of dog rabies vaccination programs in East Africa. Methods RabiesEcon uses a mathematical model of dog-dog and dog-human rabies transmission to estimate dog rabies cases averted, the cost per human rabies death averted and cost per year of life gained (YLG) due to dog vaccination programs (US 2015 dollars). We used an East African human population of 1 million (approximately 2/3 living in urban setting, 1/3 rural). We considered, using data from the literature, three vaccination options; no vaccination, annual vaccination of 50% of dogs and 20% of dogs vaccinated semi-annually. We assessed 2 transmission scenarios: low (1.2 dogs infected per infectious dog) and high (1.7 dogs infected). We also examined the impact of annually vaccinating 70% of all dogs (World Health Organization recommendation for dog rabies elimination). Results Without dog vaccination, over 10 years there would a total of be approximately 44,000–65,000 rabid dogs and 2,100–2,900 human deaths. Annually vaccinating 50% of dogs results in 10-year reductions of 97% and 75% in rabid dogs (low and high transmissions scenarios, respectively), approximately 2,000–1,600 human deaths averted, and an undiscounted cost-effectiveness of $451-$385 per life saved. Semi-annual vaccination of 20% of dogs results in in 10-year reductions of 94% and 78% in rabid dogs, and approximately 2,000–1,900 human deaths averted, and cost $404-$305 per life saved. In the low transmission scenario, vaccinating either 50% or 70% of dogs eliminated dog rabies. Results were most sensitive to dog birth rate and the initial rate of dog-to-dog transmission (Ro). Conclusions Dog rabies vaccination programs can control, and potentially eliminate, dog rabies. The frequency and coverage of vaccination programs, along with the level of dog rabies

Risk scores for diabetes and impaired glycaemia in the Middle East and North Africa

DEFF Research Database (Denmark)

Handlos, Line Neerup; Witte, Daniel Rinse; Almdal, Thomas Peter

2013-01-01

AIMS: To develop risk scores for diabetes and diabetes or impaired glycaemia for individuals living in the Middle East and North Africa region. In addition, to derive national risk scores for Algeria, Saudi Arabia and the United Arab Emirates and to compare the performance of the regional risk...

2nd East Africa Regional Workshop Report: Conservation Agriculture in AFRICA - Analysing and Foreseeing its Impact - Comprehending its Adoption

OpenAIRE

Apina, T.; Mkomwa, S.; Mutai, W.; Njeri, A.

2011-01-01

This resource provides a summary of the 2nd East Africa Sub-regional workshop held in Nanyuki, Kenya, on 28-30 March 2011. Attendees included the African Conservation Tillage Network (ACT), Tropical Soil Biology and Fertility Institute (TSBF/AFNET), Agricultural Research for Development (CIRAD), LEIBNIZ-Centre for Agricultural Landscape Research (ZALF), Agricultural Research Institute (ARI) UYOLE, SELIAN Agricultural Research Institute (SARI-MAFC), Conservation Agriculture for Sustainable Agr...

Small hydropower for rural electrification in South Africa - using experiences from other African countries

CSIR Research Space (South Africa)

Jonker Klunne, WE

2009-10-01

Full Text Available Local hydropower sources can play an important role in the electrification of rural areas in South Africa remote from the national electricity grid. To ensure the sustainability of hydropower developments it is essential that lessons learned...

Rural electrification in Sub Saharan Africa in a context of fluctuating oil-prices

DEFF Research Database (Denmark)

Nygaard, Ivan; Bindner, Henrik W.; Katic, Ivan

2009-01-01

matured and markets have gradually developed, PV for rural electrification has often been perceived with scepticism from potential users, donors, government officials and researchers, and solar PV has in many camps been labelled as donor driven, expensive and fragile technology mainly serving the richest......Solar PV is one among other low carbon technologies for rural electrification in Sub Saharan Africa (SSA). Solar PV systems have for almost 30 years been disseminated in SSA, resulting in more than half a million installations concentrated in a few countries. While PV systems have technically...... grid rural electrification schemes based on hybrid solar PVdiesel generators. This may bring PV systems in line with fossil fuel based systems in terms of consumer cost and options for productive use and it changes the market for PV from mainly donor supported schemes into mainstream rural...

Complete sequence and diversity of a maize-associated Polerovirus in East Africa.

Science.gov (United States)

Massawe, Deogracious P; Stewart, Lucy R; Kamatenesi, Jovia; Asiimwe, Theodore; Redinbaugh, Margaret G

2018-06-01

Since 2011-2012, Maize lethal necrosis (MLN) has emerged in East Africa, causing massive yield loss and propelling research to identify viruses and virus populations present in maize. As expected, next generation sequencing (NGS) has revealed diverse and abundant viruses from the family Potyviridae, primarily sugarcane mosaic virus (SCMV), and maize chlorotic mottle virus (MCMV) (Tombusviridae), which are known to cause MLN by synergistic co-infection. In addition to these expected viruses, we identified a virus in the genus Polerovirus (family Luteoviridae) in 104/172 samples selected for MLN or other potential virus symptoms from Kenya, Uganda, Rwanda, and Tanzania. This polerovirus (MF974579) nucleotide sequence is 97% identical to maize-associated viruses recently reported in China, termed 'maize yellow mosaic virus' (MaYMV) and maize yellow dwarf virus (MaYMV; KU291101, KU291107, MYDV-RMV2; KT992824); and 99% identical to MaYMV (KY684356) infecting sugarcane and itch grass in Nigeria; 83% identical to a barley-associated polerovirus recently identified in Korea (BVG; KT962089); and 79% identical to the U.S. maize-infecting polerovirus maize yellow dwarf virus (MYDV-RMV; KT992824). Nucleotide sequences from ORF0 of 20 individual East African isolates collected from Kenya, Uganda, Rwanda, and Tanzania shared 98% or higher identity, and were detected in 104/172 (60.5%) of samples collected for virus-like symptoms, indicating extensive prevalence but limited diversity of this virus in East Africa. We refer to this virus as "MYDV-like polerovirus" until symptoms of the virus in maize are known.

Astronomy in the Middle East and North Africa

Science.gov (United States)

Athem Alsabti, Abdul

2015-08-01

Recent turbulent events in the Middle East and North Africa have influenced all aspects of life. Education in general, including astronomy, teaching and research has all been greatly affected. In this presentation, the current situation regarding astronomy in this region is reviewed in detail. This is based on visits made to Tunisia and Algeria recently on behalf of the IAU and other visits to Iraq, Qatar, Egypt and Jordan in recent years, as well as on discussions and communications with astronomers, officials and astronomical and educational institutes in the region. Discussions have also been established with astronomers from Iran, Oman and Morocco. Ideas and proposals will be presented on the best ways for the IAU and the international academic community to help under these circumstances.

Teachers' Attitudes towards Adolescent Sexuality and Life Skills Education in Rural South Africa

Science.gov (United States)

Smith, Kelley Alison; Harrison, Abigail

2013-01-01

This study investigated the attitudes of 43 teachers and school administrators towards sex education, young people's sexuality and their communities in 19 secondary schools in rural KwaZulu-Natal, South Africa, and how these attitudes affect school-based HIV prevention and sex education. In interviews, teachers expressed judgemental attitudes…

DOES FAMILY BACKGROUND MATTER FOR LEARNING IN EAST AFRICA?

DEFF Research Database (Denmark)

Jones, Edward Samuel; Schipper, Youdi

2015-01-01

The extent to which differences in family background characteristics explain differences in learning outcomes between children captures the extent of equality in educational opportunities. This study uses large-scale data on literacy and numeracy outcomes for children of school age across East....... Even so, family background does not fully explain why children of school starting age display large differences in learning between countries....... Africa (Kenya, Tanzania and Uganda) to investigate the contribution of family background to learning differences. We find that learning differences between children from less-advantaged households and those from more-advantaged households equals around one year or more of effective learning on average...

Factors influencing students' choices in considering rural radiography careers at Makerere University, Uganda

International Nuclear Information System (INIS)

Gonzaga, Mubuuke Aloysius; Kiguli-Malwadde, E.; Francis, Businge; Rosemary, Byanyima K.

2010-01-01

Introduction: The Faculty of Medicine, Makerere University is the oldest health professions training institution in East Africa having started in 1924. The radiography degree course started in 2001 and Makerere remains the only institution in the East African region offering this degree course. The faculty adopted a Problem based Learning/Community based education curriculum in order to stimulate students' interests to consider working in rural areas. Attracting and retaining radiographers and other health professionals in rural areas is a recognized problem in Uganda and overseas and strategic actions to enhance the rural health workforce and its ability to deliver the required services are paramount. A range of factors in different domains can be associated with recruitment and retention. By consulting students, some of these factors can be identified and addressed. Methodology: It was a descriptive exploratory study involving 31 students. Data was collected through a questionnaire and focus group discussions. Results: 58% of the students reported that they would consider rural radiography practice while 42% would not. Key motivational factors cited to work in rural areas were; attractive salaries/incentives, community based training curricular, opportunities for further training and well equipped rural health facilities. Conclusion: This study has shown that students would consider working in rural areas provided the working conditions are improved upon.

Community health workers as cultural producers in addressing gender-based violence in rural South Africa.

Science.gov (United States)

de Lange, Naydene; Mitchell, Claudia

2016-01-01

South Africa has been experiencing an epidemic of gender-based violence (GBV) for a long time and in some rural communities health workers, who are trained to care for those infected with HIV, are positioned at the forefront of addressing this problem, often without the necessary support. In this article, we pose the question: How might cultural production through media making with community health workers (CHWs) contribute to taking action to address GBV and contribute to social change in a rural community? This qualitative participatory arts-based study with five female CHWs working from a clinic in a rural district of South Africa is positioned as critical research, using photographs in the production of media posters. We offer a close reading of the data and its production and discuss three data moments: CHWs drawing on insider cultural knowledge; CHWs constructing messages; and CHWs taking action. In our discussion, we take up the issue of cultural production and then offer concluding thoughts on 'beyond engagement' when the researchers leave the community.

Deployment of community health workers across rural sub-Saharan Africa: financial considerations and operational assumptions.

Science.gov (United States)

McCord, Gordon C; Liu, Anne; Singh, Prabhjot

2013-04-01

To provide cost guidance for developing a locally adaptable and nationally scalable community health worker (CHW) system within primary-health-care systems in sub-Saharan Africa. The yearly costs of training, equipping and deploying CHWs throughout rural sub-Saharan Africa were calculated using data from the literature and from the Millennium Villages Project. Model assumptions were such as to allow national governments to adapt the CHW subsystem to national needs and to deploy an average of 1 CHW per 650 rural inhabitants by 2015. The CHW subsystem described was costed by employing geographic information system (GIS) data on population, urban extents, national and subnational disease prevalence, and unit costs (from the field for wages and commodities). The model is easily replicable and configurable. Countries can adapt it to local prices, wages, population density and disease burdens in different geographic areas. The average annual cost of deploying CHWs to service the entire sub-Saharan African rural population by 2015 would be approximately 2.6 billion (i.e. 2600 million) United States dollars (US$). This sum, to be covered both by national governments and by donor partners, translates into US$ 6.86 per year per inhabitant covered by the CHW subsystem and into US$ 2.72 per year per inhabitant. Alternatively, it would take an annual average of US$ 3750 to train, equip and support each CHW. Comprehensive CHW subsystems can be deployed across sub-Saharan Africa at cost that is modest compared with the projected costs of the primary-health-care system. Given their documented successes, they offer a strong complement to facility-based care in rural African settings.

Sexual behaviour of women in rural South Africa: a descriptive study

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Jan Henk Dubbink

2016-07-01

Full Text Available Abstract Background Sexual behaviour is a core determinant of the HIV and sexually transmitted infection (STI epidemics in women living in rural South Africa. Knowledge of sexual behaviour in these areas is limited, but constitutes essential information for a combination prevention approach of behavioural change and biomedical interventions. Methods This descriptive study was conducted in rural Mopani District, South Africa, as part of a larger study on STI. Women of reproductive age (18–49 years who reported sexual activity were included regardless of the reason for visiting the facility. Questionnaires were administered to 570 women. We report sexual behaviour by age group, ethnic group and self-reported HIV status. Results Young women (34 years; there was no difference for condom use during last sex act (36 % overall. Sotho women were more likely to report concurrent sexual partners whereas Shangaan women reported more frequent intravaginal cleansing and vaginal scarring practice in our analysis. HIV-infected women were older, had a higher number of lifetime sexual partners, reported more frequent condom use during the last sex act and were more likely to have a known HIV-infected partner than women without HIV infection; hormonal contraceptive use, fellatio, and a circumcised partner were less often reported. Conclusions This study provides insight into women’s sexual behaviour in a rural South African region. There are important differences in sexual behaviour by age group and ethnicity and HIV status; these should be taken into account when designing tailor-made prevention packages.

No visible means of subsistence : rural livelihoods, gender and social change in Mooiplaas, Eastern Cape 1950-1998

NARCIS (Netherlands)

Bank, Leslie; Qambata, Linda

1999-01-01

Based on fieldwork in Ngxingxolo in 1997-1998, this study highlights some of the key changes that have taken place in the way rural livelihoods have been made in Mooiplaas location, situated 45 km outside the city of East London in the Eastern Cape Province (South Africa). In line with developments

Towards an integrated soil moisture drought monitor for East Africa

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W. B. Anderson

2012-08-01

Full Text Available Drought in East Africa is a recurring phenomenon with significant humanitarian impacts. Given the steep climatic gradients, topographic contrasts, general data scarcity, and, in places, political instability that characterize the region, there is a need for spatially distributed, remotely derived monitoring systems to inform national and international drought response. At the same time, the very diversity and data scarcity that necessitate remote monitoring also make it difficult to evaluate the reliability of these systems. Here we apply a suite of remote monitoring techniques to characterize the temporal and spatial evolution of the 2010–2011 Horn of Africa drought. Diverse satellite observations allow for evaluation of meteorological, agricultural, and hydrological aspects of drought, each of which is of interest to different stakeholders. Focusing on soil moisture, we apply triple collocation analysis (TCA to three independent methods for estimating soil moisture anomalies to characterize relative error between products and to provide a basis for objective data merging. The three soil moisture methods evaluated include microwave remote sensing using the Advanced Microwave Scanning Radiometer – Earth Observing System (AMSR-E sensor, thermal remote sensing using the Atmosphere-Land Exchange Inverse (ALEXI surface energy balance algorithm, and physically based land surface modeling using the Noah land surface model. It was found that the three soil moisture monitoring methods yield similar drought anomaly estimates in areas characterized by extremely low or by moderate vegetation cover, particularly during the below-average 2011 long rainy season. Systematic discrepancies were found, however, in regions of moderately low vegetation cover and high vegetation cover, especially during the failed 2010 short rains. The merged, TCA-weighted soil moisture composite product takes advantage of the relative strengths of each method, as judged by the

A Survey of the Literature on Local Content Policies in the Oil and Gas Industry in East Africa

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Chilenye Nwapi

2016-04-01

Full Text Available Although oil and gas exploration has been going on in East Africa for decades, until recently exploration activities grew more slowly compared to other regions in Africa. Today, there has been a series of oil and gas discoveries in several East African countries, including Kenya, Madagascar, Mozambique, Tanzania and Uganda. Debate is however mounting over what effect the new oil and gas discoveries would have on East Africa, given the trajectory of older oil-producing countries in Africa, particularly Angola, Nigeria and Sudan. The challenge for East Africa is, therefore, how to maximize the potential benefits from the resources to avoid the under-developmental path that these other countries followed. There is general consensus that lack of specialized skills is a major obstacle to Africa’s realization of its resource potentials. One instrument currently being adopted by most oil and gas resource-rich countries (both in and outside Africa to deal with the skills problem and to enhance linkages between the oil and gas sector and other sectors of the economy is the formulation of local content policies (LCPs. Typically, LCPs require companies to give preferential treatment to nationals of the country in which they operate in matters of employment and in the procurement of goods and services. It is believed that this would result in technology transfer and facilitate the ability of the country to take charge of its own development. But LCPs come with certain tradeoffs: Their potential incompatibility with international trade agreements threatens their sustenance; they can create unrealistic expectations capable of discouraging investment; and they are easily prone to corruption. However, there is a strong case for emerging oil and gas-producing East African countries to consider adopting the LCP. The nascent nature of the oil and gas industry in the region means that these countries would not have the technical and even managerial expertise to

THE LEVEL OF BREAST AND CERVICAL CANCER AWARENESS AMONG WOMEN IN A RURAL AREA OF SOUTH AFRICA.

Science.gov (United States)

Zeitoun, O; Shemesh, N

2017-06-01

In South Africa breast and cervical cancer are the most predominant cancers amongst women, with mortality rates reaching surprising proportions. As a result of the continued rise of these conditions it is vital to determine these women's awareness of both, so as to determine the exact factors contributing to this rise. Whilst both urban and rural areas are afflicted, this study focused primarily on women in a rural area. This was a descriptive cross-sectional study conducted in a shopping mall located in the rural area of Bushbuckridge, Mpumalanga, South Africa. A total of 300 women of reproductive age were randomly identified and requested to fill out a study questionnaire assessing their level of breast and cervical cancer awareness. A total of 300 women participated in the study. The mean age of participants was 35.66 with a range of 13.53. Overall levels of knowledge about breast and cervical cancer in rural Bushbuckridge were found to be reduced with 66.89% and 74.49% of women who rated themselves with a poor understanding of breast and cervical cancer knowledge respectively. Among the participating women, those over the age of 40, with higher level of education were found to be more cognizant in terms of breast and cervical cancer awareness with a 30% (p = 0.0923) and 52% (p < 0.001) respectively. Their younger and less educated counterparts had a 21% (p = 0.078) and 32% (p = 0.034) awareness of breast and cervical cancer, respectively. The leading source of information for both breast and cervical cancer was healthcare facilities with a 67.11% and 63.5% respectively. This study highlights the lack of awareness and knowledge of breast and cervical cancer in women living in the rural area of Bushbuckridge, South Africa. There is also evidence showing that the older and more educated women have better knowledge than their younger and less educated counterparts, therefore there is a need for increased breast and cervical cancer education and awareness campaigns

Solarising tropical Africa’s rural homes to sustainably overcome energy poverty

Science.gov (United States)

Kanyarusoke, K. E.

2017-11-01

At less than 30% electrification, Tropical Africa is the most energy-poor electrified region of the world. At home level, the annual per-capita electric energy consumption ranges between 0 and 150 kWh in rural areas, where 83% of the population reside. This is well below the 250 kWh recommended by the International Energy Agency (IEA) as the threshold for exiting rural ‘Energy Poverty’. Some governments have tried to extend the grid to such areas but these efforts have not yielded much. The approaches of rural electrification - as is being done now have therefore failed - and they may not be able to electrify every home in the countries concerned. An alternative approach promoting stand-alone photovoltaic (PV) and other solar powered heat and mass transfer systems at home level is proposed. An example of the approach in a village home in rural Uganda, East Africa is given. It is estimated that the combined unit energy cost over the systems’ lifespan would be just about US 3 cents. Health, Education, and Sustainability in all its forms would be greatly improved. The main recommendation is for policy makers to adopt this approach for rural homes while sparing grid supply only for commercial and industrial activities.

Seasonal Forecast Skill And Teleconnections Over East Africa

Science.gov (United States)

MacLeod, D.; Palmer, T.

2017-12-01

Many people living in East Africa are significantly exposed to risks arising from climate variability. The region experiences two rainy seasons and poor performance of either or both of these (such as seen recently in 2016/17) reduces agricultural productivity and threatens food security. In combination with other factors this can lead to famine. By utilizing seasonal climate forecasts, preparatory actions can be taken in order to mitigate the risks arising from such climate variability. As part of the project ForPAc: "Towards forecast-based preparedness action", we are working with humanitarian agencies in Kenya to build such early warning systems on subseasonal-to-seasonal timescales. Here, the seasonal predictability and forecast skill of the two East African rainy seasons will be presented. Results from the new ECMWF operational forecasting system SEAS5 will be shown and compared to the previous System 4. Analysis of a new 110 year long atmosphere-only simulation will also be discussed, demonstrating impacts of atmosphere-ocean coupling as well as putting operational forecast skill in a long-term context. Particular focus will be given to the model representation of teleconnections of seasonal climate with global sea surface temperatures; highlighting sources of forecast error and informing future model development.

Affordability of comprehensive community health worker programmes in rural sub-Saharan Africa.

Science.gov (United States)

Taylor, Celia; Griffiths, Frances; Lilford, Richard

2017-01-01

Community health worker (CHW) programmes have low costs per person served and are central to achieving universal healthcare. However, their total cost is high and the target of one million CHWs for sub-Saharan Africa by 2015 was not met. We consider the affordability of rural CHW programmes by estimating total programme costs relative to national healthcare expenditure at different CHW salaries and resources available for healthcare. We combine an existing source of rural CHW programme costs with World Bank data to estimate relative CHW programme costs in 37 countries. We consider three 'salaries' (CHWs as volunteers, paid the local equivalent of US$80 per month and paid the national minimum wage) and four potential healthcare budgets (both actual and Abuja declaration allocations alone and increased by external funding received and potential foreign aid, respectively). Costs are shown in 2012 nominal US$. With CHWs paid the local equivalent of US$80 per month and financed from existing central government healthcare budgets, the median relative cost of a CHW programme would be 27% of the healthcare budget. While less than 2.5% in five countries (Botswana, Equatorial Guinea, Gabon, Namibia and South Africa), this relative cost would exceed 100% in three (Chad, Eritrea and Niger). There is a strong negative linear relationship (R 2 =0.83, psub-Saharan Africa. In many countries, such programmes are not yet affordable unless significant foreign aid is received.

Effectiveness of highly active antiretroviral therapy administered by general practitioners in rural South Africa

NARCIS (Netherlands)

Barth, R. E.; van der Meer, J. T. M.; Hoepelman, A. I. M.; Schrooders, P. A.; van de Vijver, D. A.; Geelen, S. P. M.; Tempelman, H. A.

2008-01-01

The purpose of this study was to assess the one-year efficacy of highly active antiretroviral therapy (HAART) administered by general practitioners in a primary care community clinic in rural South Africa. We performed an observational cohort study of 675 treatment-naive human immunodeficiency virus

Farmer-managed natural regeneration enhances rural livelihoods in dryland west Africa.

Science.gov (United States)

Weston, Peter; Hong, Reaksmey; Kaboré, Carolyn; Kull, Christian A

2015-06-01

Declining agricultural productivity, land clearance and climate change are compounding the vulnerability of already marginal rural populations in West Africa. 'Farmer-Managed Natural Regeneration' (FMNR) is an approach to arable land restoration and reforestation that seeks to reconcile sustained food production, conservation of soils, and protection of biodiversity. It involves selecting and protecting the most vigorous stems regrowing from live stumps of felled trees, pruning off all other stems, and pollarding the chosen stems to grow into straight trunks. Despite widespread enthusiasm and application of FMNR by environmental management and development projects, to date, no research has provided a measure of the aggregate livelihood impact of community adoption of FMNR. This paper places FMNR in the context of other agroforestry initiatives, then seeks to quantify the value of livelihood outcomes of FMNR. We review published and unpublished evidence about the impacts of FMNR, and present a new case study that addresses gaps in the evidence-base. The case study focuses on a FMNR project in the district of Talensi in the semi-arid Upper East Region in Ghana. The case study employs a social return on investment analysis, which identifies proxy financial values for non-economic as well as economic benefits. The results demonstrate income and agricultural benefits, but also show that asset creation, increased consumption of wild resources, health improvements, and psycho-social benefits created more value in FMNR-adopting households during the period of the study than increases in income and agricultural yields.

Comparison of plant diversity in protected and communal lands in the Bushbuckridge lowveld savanna, South Africa

CSIR Research Space (South Africa)

Shackleton, CM

2000-07-01

Full Text Available Association through the Association for Water and Rural Development. References Acocks, J.P.H., 1988. Veld types of southern Africa (3rd Edition). Memoirs of the Botanical Survey of South Africa 57, 1?146. Adger, N., Brown, K., Cervigni, R., Moran, D., 1994..., 485?496. Alvarez-Buylla Roces, M.A., Lazos Chavero, E., Garcia-Barrios, J.R., 1989. Homegardens of a humid tropical region in south east Mex- ico: an example of an agroforestry cropping system in a recently established community. Agroforestry Systems 8...

Improving Internet coverage in rural Africa by using passive repeaters in the home

DEFF Research Database (Denmark)

Lynggaard, Per

2016-01-01

Providing last-mile Internet access to rural areas in Africa is a very challenging task, i.e. many more or less successful attempts have been made over the years. One solution that seems to offer a sustainable business case is based on WiFi base stations with access points placed in the centers...

Factors influencing students' choices in considering rural radiography careers at Makerere University, Uganda

Energy Technology Data Exchange (ETDEWEB)

Gonzaga, Mubuuke Aloysius [Makerere University, Faculty of Medicine, Department of Radiology, Kampala (Uganda)], E-mail: mubuukeroy@yahoo.co.uk; Kiguli-Malwadde, E.; Francis, Businge [Makerere University, Faculty of Medicine, Department of Radiology, Kampala (Uganda); Rosemary, Byanyima K. [Mulago Hospital, Department of Radiology, Kampala (Uganda)

2010-02-15

Introduction: The Faculty of Medicine, Makerere University is the oldest health professions training institution in East Africa having started in 1924. The radiography degree course started in 2001 and Makerere remains the only institution in the East African region offering this degree course. The faculty adopted a Problem based Learning/Community based education curriculum in order to stimulate students' interests to consider working in rural areas. Attracting and retaining radiographers and other health professionals in rural areas is a recognized problem in Uganda and overseas and strategic actions to enhance the rural health workforce and its ability to deliver the required services are paramount. A range of factors in different domains can be associated with recruitment and retention. By consulting students, some of these factors can be identified and addressed. Methodology: It was a descriptive exploratory study involving 31 students. Data was collected through a questionnaire and focus group discussions. Results: 58% of the students reported that they would consider rural radiography practice while 42% would not. Key motivational factors cited to work in rural areas were; attractive salaries/incentives, community based training curricular, opportunities for further training and well equipped rural health facilities. Conclusion: This study has shown that students would consider working in rural areas provided the working conditions are improved upon.

Agroforestry, livestock, fodder production and climate change adaptation and mitigation in East Africa: issues and options

DEFF Research Database (Denmark)

Dawson, Ian K; Carsan, Sammy; Franzel, Steve

Agroforestry and livestock-keeping both have the potential to promote anthropogenic climate changeresilience, and understanding how they can support each other in this context is crucial. Here, we discuss relevant issues in East Africa, where recent agroforestry interventions to support...

Natural gas survey, middle east and North Africa, 2005

International Nuclear Information System (INIS)

2005-01-01

This book provides an exhaustive, unrivaled and quarterly updated analysis of the gas industry in the Arab countries and Iran. In addition to the country-by-country reports, it includes a regional overview section on the objectives and priorities of the national companies: ADNOC, EGAS, NIGC, NOC, PDO, QATARGAS, RASGAS, SAUDI ARAMCO, SONATRACH, etc... It includes: 18 country reports, 51 maps illustrating gas fields and facilities, as well as 62 tables and 87 graphs, and 2420 addresses of oil and gas companies operating in the Middle East and North Africa, with contact names, e-mail, phone and fax numbers. Each country report outlines the government policy, reserves, production, field development, foreign companies involved, export schemes, domestic consumption, etc

A Developmental Assets Approach in East Africa: Can Swahili Measures Capture Adolescent Strengths and Supports?

Science.gov (United States)

Drescher, Christopher F.; Johnson, Laura R.; Kurz, A. Solomon; Scales, Peter C.; Kiliho, Ray P.

2018-01-01

Background: Assets-based approaches are well-suited to youth living in majority world contexts, such as East Africa. However, positive psychology research with African adolescents is rare. One hindering factor is the lack of translated measures for conducting research. Objective: This study builds capacity for positive youth development research…

The environmental and social influences of HIV/AIDS in sub-Saharan Africa: a focus on rural communities.

Science.gov (United States)

Oramasionwu, Christine U; Daniels, Kelly R; Labreche, Matthew J; Frei, Christopher R

2011-07-01

The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) pandemic has caused far-reaching effects in sub-Saharan Africa. The pandemic has effectively diminished the workforce, increased poverty rates, reduced agricultural productivity, and transformed the structure of many rural households. HIV/AIDS further strains the already fragile relationship between livelihood and the natural and social environments of these regions. Therefore, the objective of this review is to characterize the impact of HIV/AIDS on the environment and the social infrastructure of rural sub-Saharan Africa. There are many aspects of rural life that contribute to disease transmission of HIV/AIDS and that pose unique challenges to the population dynamics in sub-Saharan Africa. Widespread AIDS-related mortality has caused a decrease in population growth for many African countries. In turn, these alterations in population dynamics have resulted in a decrease in the percentage of prime-age working adults, as well as a gender disparity, whereby, females carry a growing burden of household responsibilities. There is a rising proportion of older adults, often females, who assume the role of provider and caretaker for other dependent family members. These changing dynamics have caused many to exploit their natural surroundings, adopting less sustainable land use practices and utilizing protected resources as a primary means of generating revenue.

Resenha de: Sidney Webb and East Africa: Lavour's Experiment with the doctrine of Native Paramountoy.

Directory of Open Access Journals (Sweden)

Antônia Fernanda de Almeida Wright

1965-03-01

Full Text Available GREGORY (Robert G.. — Sidney Webb and East Africa. Lavour's' Experiment with the doctrine of Native Paramountoy. University of California Publications in History. Vol. 72, University of California Press, Berkeley and Los Angeles, 1962. Publicação simultânea da Cambridge University Press, London, 1962.

Potential Predictability of the Sea-Surface Temperature Forced Equatorial East Africa Short Rains Interannual Variability in the 20th Century

Science.gov (United States)

Bahaga, T. K.; Gizaw, G.; Kucharski, F.; Diro, G. T.

2014-12-01

In this article, the predictability of the 20th century sea-surface temperature (SST) forced East African short rains variability is analyzed using observational data and ensembles of long atmospheric general circulation model (AGCM) simulations. To our knowledge, such an analysis for the whole 20th century using a series of AGCM ensemble simulations is carried out here for the first time. The physical mechanisms that govern the influence of SST on East African short rains in the model are also investigated. It is found that there is substantial skill in reproducing the East African short rains variability, given that the SSTs are known. Consistent with previous recent studies, it is found that the Indian Ocean and in particular the western pole of the Indian Ocean dipole (IOD) play a dominant role for the prediction skill, whereas SSTs outside the Indian Ocean play a minor role. The physical mechanism for the influence of the western Indian Ocean on East African rainfall in the model is consistent with previous findings and consists of a gill-type response to a warm (cold) anomaly that induces a westerly(easterly) low-level flow anomaly over equatorial Africa and leads to moisture flux convergence (divergence) over East Africa. On the other hand, a positive El Nino-Southern Oscillation (ENSO) anomaly leads to a spatially non-coherent reducing effect over parts of East Africa, but the relationship is not strong enough to provide any predictive skill in our model. The East African short rains prediction skill is also analyzed within a model-derived potential predictability framework and it is shown that the actual prediction skill is broadly consistent with the model potential prediction skill. Low-frequency variations of the prediction skill are mostly related to SSTs outside the Indian Ocean region and are likely due to an increased interference of ENSO with the Indian Ocean influence on East African short rains after the mid-1970s climate shift.

Cervical cancer screening in rural South Africa among HIV-infected migrant farm workers and sex workers

Directory of Open Access Journals (Sweden)

Omara Afzal

2017-05-01

We demonstrate successful integration of cervical cancer screening using VIA for HIV+ farm workers and sex workers into an existing HIV treatment and prevention clinic in rural South Africa, addressing and treating abnormal results promptly.

Household structure, maternal characteristics and childhood mortality in rural sub-Saharan Africa.

Science.gov (United States)

Akinyemi, Joshua O; Chisumpa, Vesper H; Odimegwu, Clifford O

2016-01-01

The household dynamics of childhood mortality in rural areas of sub-Saharan Africa is less researched despite the fact that mortality rates are almost two times that of urban settings. This study aimed to investigate the influence of household structure on childhood mortality while controlling for household and maternal characteristics in rural sub-Saharan Africa. Eight countries with recent demographic and health survey data not earlier than the year 2010 were selected, two from each sub-region of sub-Saharan Africa. The outcome variables were risk of infant and child death while the main independent variables included sex of household head and household structure. Descriptive statistics were generated for all variables. Mortality rates disaggregated by sex of household head and household structure were estimated using the Kaplan-Meier method. Cox proportional hazard regression models were fitted to investigate the relationship between the outcome and explanatory variables in each country. The percentage of children living in female-headed households (FHHs) ranged from 5.2% in Burkina Faso to 49.1% in Namibia while those living in extended family households ranged from 27.4% in Rwanda to 59.9% in Namibia. Multivariate hazard regression showed that, in the majority of the countries, there was no significant relationship between living in FHHs and childhood mortality, but the direction and magnitude of effect varied across countries. A significant negative effect of FHHs on infant mortality was observed in Burkina Faso (HR=1.64, 95% confidence interval (CI): 1.09-2.48) and Zambia (HR=1.49, 95%CI: 1.02-2.17). Likewise, children in extended family households had a higher risk of child mortality in Burkina Faso (HR=1.33, 95%CI: 1.04-1.69) and Zambia (HR=1.59, 95%CI: 1.02-2.49). There was not much difference in the effect of FHHs between infancy (0-11 months) and childhood (12-59 months) in the other countries. The pooled adjusted hazard ratio (HR) showed that the risk

Modelling a sustainability yardstick in modern energisation of rural sub-Saharan Africa

International Nuclear Information System (INIS)

Sebitosi, A.B.; Pillay, P.

2007-01-01

The bulk of rural Africa (as well as much of the third world) remains un-electrified and is underserved or poorly served by any other form of modern energy infrastructure. In case of a deep sub-Sahara African country like Kenya it is often dismissively argued that lack of finance and appropriate technology are the obvious causes. This argument would however not hold when applied to the more technologically advanced South Africa where a whopping 50% of rural households still suffer a similar fate. The common perception is that in the presence of modern technology the desired social change process will automatically commence. Unfortunately (and possibly due to pressure from donors) typical post project reports from the third world often contain deliberate commissions or omissions that essentially belie the grim reality on the ground. What seems to lack is a well-defined yardstick or standard check-off list as to the essential attributes of a sustainable energy dissemination project. Problems in modern society are now largely tackled using a wide range of software applications. However even with all the well-tested skills in computer coding endless consumer complaints abound. 'Usability Engineering' is an example a state-of-the-art scientific tool that has been extensively used in recent times by the software design industry to tackle such problems as enhancement of the human/computer interface. This paper proposes that these modern scientific tools could be adopted to create a yardstick and break the intangible technological barrier to African rural modernization to better the lot of our communities

Urban Waste and Sanitation Services for Sustainable Development: Harnessing social and technical diversity in East Africa

NARCIS (Netherlands)

Vliet, van B.J.M.; Buuren, van J.C.L.; Mgana, S.

2014-01-01

Urban sanitation and solid waste sectors are under significant pressure in East Africa due to the lack of competent institutional capacity and the growth of the region’s urban population. This book presents and applies an original analytical approach to assess the existing socio-technical mixtures

Rural education: Reimagining the role of the church in transforming poverty in South Africa

Directory of Open Access Journals (Sweden)

Christo Thesnaar

2014-10-01

Full Text Available The desire to remember the plight of the poor in South Africa has reduced in the last 20 years after the transition from apartheid to freedom. To a large extent, Faith Based Organizations (FBOs and the religious society at large have lost their ‘dangerous memory’ which keeps us mindful of those who suffered and whose plight is usually forgotten or suppressed. In this contribution the conditions of poor farm school children in multigrade rural education will be scrutinised by unpacking the contextual factors that cause us to forget their plight. This article will seek to reimagine the role of the church in poverty-stricken South Africa by engaging with the work of Talcott Parsons, the practical theologian Johannes A. Van der Ven, as well as the work of the political theologian Johann Baptist Metz in order to affirm the focus of Practical Theology to transform society and to contribute to the quest for justice and liberation for the poor in rural education. This reimagining discourse has a fundamental responsibility to challenge the social, political and economic realities that shape the lives of human beings within rural education, remembering the plight of the poor, and participating on their journey towards liberation and healing. It is proposed that if the church can activate its ‘dangerous memory’ it will be able to reimagine its role by transforming our poverty-stricken South African society, open new avenues for breaking the cycle of poverty and contribute to rural education.

Thermal sensitivity of the crab Neosarmatium africanum in tropical and temperate mangroves on the east coast of Africa

KAUST Repository

Fusi, Marco; Babbini, Simone; Giomi, Folco; Fratini, Sara; Dahdouh-Guebas, Farid; Daffonchio, Daniele; McQuaid, Christopher David; Porri, Francesca; Cannicci, Stefano

2017-01-01

Mangrove forests are amongst the tropical marine ecosystems most severely affected by rapid environmental change, and the activities of key associated macrobenthic species contribute to their ecological resilience. Along the east coast of Africa

Rural development and the role of game farming in the Eastern Cape, South Africa

NARCIS (Netherlands)

Pasmans, Thijs; Hebinck, Paul

2017-01-01

The analysis of game farming is set in the Eastern Cape, South Africa. Game farming reorders the use, meaning and value of land and animal species. However, what it means for rural development processes in the immediate region and beyond is not well accounted for. We perceive game farming as an

Timely relations in rural Africa

CSIR Research Space (South Africa)

Bidwell, NJ

2013-07-01

Full Text Available Nicola J Bidwell University of Pretoria and CSIR-Meraka Institute, South Africa Email: nic.bidwell@gmail.com Thomas Reitmaier University of Cape Town, , South Africa. Email: treitmaier@gmail.com Carlos Rey-Moreno and Zukile Roro University... of the Western Cape, South Africa Email: carlos.reymoreno@gmail.com, zukileroro@gmail.com Masbulele Jay Siya Mankosi, 5140, South Africa Email: jaysiya26@gmail.com Bongiwe Dlutu Rhodes University, South Africa Email:bongiwe.dlutu@gmail.com Abstract...

The Environmental and Social Influences of HIV/AIDS in Sub-Saharan Africa: A Focus on Rural Communities

Science.gov (United States)

Oramasionwu, Christine U.; Daniels, Kelly R.; Labreche, Matthew J.; Frei, Christopher R.

2011-01-01

The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) pandemic has caused far-reaching effects in sub-Saharan Africa. The pandemic has effectively diminished the workforce, increased poverty rates, reduced agricultural productivity, and transformed the structure of many rural households. HIV/AIDS further strains the already fragile relationship between livelihood and the natural and social environments of these regions. Therefore, the objective of this review is to characterize the impact of HIV/AIDS on the environment and the social infrastructure of rural sub-Saharan Africa. There are many aspects of rural life that contribute to disease transmission of HIV/AIDS and that pose unique challenges to the population dynamics in sub-Saharan Africa. Widespread AIDS-related mortality has caused a decrease in population growth for many African countries. In turn, these alterations in population dynamics have resulted in a decrease in the percentage of prime-age working adults, as well as a gender disparity, whereby, females carry a growing burden of household responsibilities. There is a rising proportion of older adults, often females, who assume the role of provider and caretaker for other dependent family members. These changing dynamics have caused many to exploit their natural surroundings, adopting less sustainable land use practices and utilizing protected resources as a primary means of generating revenue. PMID:21845169

The Environmental and Social Influences of HIV/AIDS in Sub-Saharan Africa: A Focus on Rural Communities

Directory of Open Access Journals (Sweden)

Christopher R. Frei

2011-07-01

Full Text Available The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS pandemic has caused far-reaching effects in sub-Saharan Africa. The pandemic has effectively diminished the workforce, increased poverty rates, reduced agricultural productivity, and transformed the structure of many rural households. HIV/AIDS further strains the already fragile relationship between livelihood and the natural and social environments of these regions. Therefore, the objective of this review is to characterize the impact of HIV/AIDS on the environment and the social infrastructure of rural sub-Saharan Africa. There are many aspects of rural life that contribute to disease transmission of HIV/AIDS and that pose unique challenges to the population dynamics in sub-Saharan Africa. Widespread AIDS-related mortality has caused a decrease in population growth for many African countries. In turn, these alterations in population dynamics have resulted in a decrease in the percentage of prime-age working adults, as well as a gender disparity, whereby, females carry a growing burden of household responsibilities. There is a rising proportion of older adults, often females, who assume the role of provider and caretaker for other dependent family members. These changing dynamics have caused many to exploit their natural surroundings, adopting less sustainable land use practices and utilizing protected resources as a primary means of generating revenue.

Implementation of the principles of primary health care in a rural area of South Africa.

Science.gov (United States)

Visagie, Surona; Schneider, Marguerite

2014-02-18

The philosophy of primary healthcare forms the basis of South Africa's health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas. The aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa. A descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis. Findings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, health worker attitudes, referral services and the management of complex conditions. The principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcare services and increasing the doctors' hours.

The genus Atheris (Serpentes: Viperidae) in East Africa: phylogeny and the role of rifting and climate in shaping the current pattern of species diversity.

Science.gov (United States)

Menegon, M; Loader, S P; Marsden, S J; Branch, W R; Davenport, T R B; Ursenbacher, S

2014-10-01

Past climatic and tectonic events are believed to have strongly influenced species diversity in the Eastern Afromontane Biodiversity Hotspot. We investigated the phylogenetic relationships and historical biogeography of the East African genus Atheris (Serpentes: Viperidae), and explored temporal and spatial relationships between Atheris species across Africa, and the impact of palaeoclimatic fluctuations and tectonic movements on cladogenesis of the genus. Using mitochondrial sequence data, the phylogeny of East African species of Atheris shows congruent temporal patterns that link diversification to major tectonic and aridification events within East Africa over the last 15million years (my). Our results are consistent with a scenario of a delayed direct west-east colonisation of the Eastern Arc Mountains of Atheris by the formation of the western rift. Based on the phylogenetic patterns, this terrestrial, forest-associated genus has dispersed into East Africa across a divided route, on both west-southeasterly and west-northeasterly directions (a C-shaped route). Cladogenesis in the Eastern Arc Mountains and Southern Highlands of Tanzania corresponds to late Miocene and Plio-Pleistocene climatic shifts. Taxonomically, our data confirmed the monophyly of Atheris as currently defined, and reveal four major East African clades, three of which occur in discrete mountain ranges. Possible cryptic taxa are identified in the Atheris rungweensis and A. ceratophora clades. Copyright © 2014 Elsevier Inc. All rights reserved.

Water governance challenges for rural supply: A case study of two local municipalities in South Africa

CSIR Research Space (South Africa)

Nkuna, ZW

2012-05-01

Full Text Available . W Nkuna Student Number: 10544403 Supervisor: Prof. C J dew. Rautenbach Department: Geography, Geo-informatics and Meteorology, University of Pretoria ABSTRACT In South Africa water is regarded as constitutional right and government has therefore... the water needs of rural communities. Issues such as poverty, water resources challenges and lack of capacity and skills at municipalities create problems which leave rural communities with no alternative but to rely on unsafe water sources for their water...

Genetic and antigenic characterization of serotype O FMD viruses from East Africa for the selection of suitable vaccine strain.

Science.gov (United States)

Lloyd-Jones, Katie; Mahapatra, Mana; Upadhyaya, Sasmita; Paton, David J; Babu, Aravindh; Hutchings, Geoff; Parida, Satya

2017-12-14

Foot-and-mouth disease (FMD) is endemic in Eastern Africa with circulation of multiple serotypes of the virus in the region. Most of the outbreaks are caused by serotype O followed by serotype A. The lack of concerted FMD control programmes in Africa has provided little incentive for vaccine producers to select vaccines that are tailored to circulating regional isolates creating further negative feedback to deter the introduction of vaccine-based control schemes. In this study a total of 80 serotype O FMD viruses (FMDV) isolated from 1993 to 2012 from East and North Africa were characterized by virus neutralisation tests using bovine antisera to three existing (O/KEN/77/78, O/Manisa and O/PanAsia-2) and three putative (O/EA/2002, O/EA/2009 and O/EA/2010) vaccine strains and by capsid sequencing. Genetically, these viruses were grouped as either of East African origin with subdivision into four topotypes (EA-1, 2, 3 and 4) or of Middle-East South Asian (ME-SA) topotype. The ME-SA topotype viruses were mainly detected in Egypt and Libya reflecting the trade links with the Middle East countries. There was good serological cross-reactivity between the vaccine strains and most of the field isolates analysed, indicating that vaccine selection should not be a major constraint for control of serotype O FMD by vaccination, and that both local and internationally available commercial vaccines could be used. The O/KEN/77/78 vaccine, commonly used in the region, exhibited comparatively lower percent in vitro match against the predominant topotypes (EA-2 and EA-3) circulating in the region whereas O/PanAsia-2 and O/Manisa vaccines revealed broader protection against East African serotype O viruses, even though they genetically belong to the ME-SA topotype. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Socio-economic status by rapid appraisal is highly correlated with mortality risks in rural Africa

NARCIS (Netherlands)

van Bodegom, D.; May, L.; Kuningas, M.; Kaptijn, R.; Thomese, G.C.F.; Meij, H.J.; Amankwa, J.; Westendorp, R.G.J.

2009-01-01

Socio-economic status is an important determinant of health and survival in rural Africa and necessitates a practical and valid instrument to implement in health studies. Our objective was to investigate the validity of the rapid appraisal method to assess socio-economic status and its ability to

Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming

Science.gov (United States)

Ndinda, Catherine; Ndhlovu, Tidings; Khalema, Nene Ernest

2017-01-01

Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal. PMID:28350334

Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming.

Science.gov (United States)

Ndinda, Catherine; Ndhlovu, Tidings; Khalema, Nene Ernest

2017-03-28

Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal.

The unfolding counter-transition in rural South Africa: mortality and cause of death, 1994-2009.

Directory of Open Access Journals (Sweden)

Brian Houle

Full Text Available The HIV pandemic has led to dramatic increases and inequalities in adult mortality, and the diffusion of antiretroviral treatment, together with demographic and socioeconomic shifts in sub-Saharan Africa, has further changed mortality patterns. We describe all-cause and cause-specific mortality patterns in rural South Africa, analyzing data from the Agincourt health and socio-demographic surveillance system from 1994 to 2009 for those aged 5 years and older. Mortality increased during that period, particularly after 2002 for ages 30-69. HIV/AIDS and TB deaths increased and recently plateaued at high levels in people under age 60. Noncommunicable disease deaths increased among those under 60, and recently also increased among those over 60. There was an inverse gradient between mortality and household SES, particularly for deaths due to HIV/AIDS and TB and noncommunicable diseases. A smaller and less consistent gradient emerged for deaths due to other communicable diseases. Deaths due to injuries remained an important mortality risk for males but did not vary by SES. Rural South Africa continues to have a high burden of HIV/AIDS and TB mortality while deaths from noncommunicable diseases have increased, and both of these cause-categories show social inequalities in mortality.

Innovative landfill bioreactor systems for municipal solid waste treatment in East Africa aimed at optimal energy recovery and minimal greenhouse gas emissions

NARCIS (Netherlands)

Salukele, F.M.

2013-01-01

Landfilling is currently the dominant disposal method for municipal solid waste (MSW) in developing countries. Approximately 50% of the MSW generated in East Africa is disposed in landfills. Low costs and availability of land have made landfilling the most common waste management option in East

Investigating Students' Behavioural Intention to Adopt and Use Mobile Learning in Higher Education in East Africa

Science.gov (United States)

Mtebe, Joel S.; Raisamo, Roope

2014-01-01

Recent penetration of mobile technologies and its services in East Africa has provided a new platform for institutions to widen access to education through mobile learning. Mobile technologies provide learners with flexibility and ubiquity to learn anytime and anywhere via wireless Internet. However, far too little research has been conducted to…

The epidemiology of noncommunicable respiratory disease in sub-Saharan Africa, the Middle East, and North Africa.

Science.gov (United States)

Ahmed, Rana; Robinson, Ryan; Mortimer, Kevin

2017-06-01

Noncommunicable diseases (NCDs) are a major and increasing global health issue. The World Health Organization (WHO) estimates that NCDs represent 63% of all global deaths of which 3.9 million are due to chronic respiratory diseases (CRDs) and Chronic Obstructive Pulmonary Disease (COPD) in particular. COPD is now the third most common cause of death globally; 90% of these deaths occur in Low and Middle Income Countries (LMICs). COPD affects 329 million people, almost 5% of the world's population. In addition, asthma affects 334 million people, again representing almost 5% of the world's population. There is limited literature published on the epidemiology of COPD and Asthma from Sub-Saharan Africa (SSA) and Middle East and North Africa (MENA). Both diseases are under-diagnosed and underestimated in both SSA and MENA regions. The burden of COPD in sub-Saharan Africa is disputed and reports offer variable prevalence estimates, ranging from 4.1% to almost 22.2%. SSA and MENA countries report similar mortality rates from COPD of 18 per 100,000 population (2001 data). Asthma is a less common cause of death than COPD but is a major cause of morbidity; WHO estimates that there are 250,000 deaths per year from asthma, mainly in LMICs and it remains in the top twenty causes of disability in children globally. Risk factors for CRD are genetic and environmental; the latter dominated by air pollution exposures including tobacco smoke, household air pollution, outdoor air pollution and occupational exposures.

Initial impact of integrated agricultural research for development in East and Central Africa

OpenAIRE

Nkonya, Ephraim; Kato, Edward; Oduol, Judith; Pali, Pamela; Farrow, Andrew

2013-01-01

Conventional agricultural research approaches have generated research results with limited adoption rates in sub-Saharan Africa (SSA). Recently, a new research approach – integrated agricultural research for development (IAR4D) was introduced in SSA. The IAR4D approach goes beyond the conventional research focus on agricultural production technologies, as it includes marketing and development activities. This paper analyses the impact of IAR4D in the East and Central African region using pa...

Low cost carriers in the Middle East and North Africa: Prospects and strategies

OpenAIRE

Morrison, W.G.; Mason, Keith J.

2016-01-01

We examine socio-economic indicators relevant to ‘low cost carriers’ (LCCs) in the Middle East and North Africa (MENA) and review the evolution of air transport liberalization and air service agreements in the region. We analyse the business strategies of MENA-based LCCs and using a benchmarking methodology, we compare the business strategy of Air Arabia Group with those of dominant European LCCs EasyJet and Ryanair. Our economic development indicators suggest future potential for...

The effects of HIV/AIDS on rural communities in East Africa: a 20-year perspective.

Science.gov (United States)

Seeley, Janet; Dercon, Stefan; Barnett, Tony

2010-03-01

Much of the research on implications of the HIV epidemic for individual households and broader rural economies in the 1980s and early 1990s predicted progressive declines in agricultural production, with dire consequences for rural livelihoods. Restudies in Tanzania and Uganda show that from 1986 to the present, HIV and AIDS have sometimes thrown households into disarray and poverty, but more often have reduced development. The progressive and systematic decline predicted in earlier work has not come to pass. However, poverty remains, as does endemic HIV disease.

Exploring the strategies for households to adapt to climate-change in arid and semiarid East Africa

NARCIS (Netherlands)

Ng'ang'a, Stanley K.

2018-01-01

In this thesis I set out to investigate how households cope and adapt to climate change in the context of arid and semi-arid areas of East Africa. This research fits well in the wider literature on the relationship between climate change and variability and household responses in term of coping

An Assessment of Satellite-Derived Rainfall Products Relative to Ground Observations over East Africa

OpenAIRE

Kimani, M.W.; Hoedjes, Johannes Cornelis Bernardus; Su, Z.

2017-01-01

Accurate and consistent rainfall observations are vital for climatological studies in support of better agricultural and water management decision-making and planning. In East Africa, accurate rainfall estimation with an adequate spatial distribution is limited due to sparse rain gauge networks. Satellite rainfall products can potentially play a role in increasing the spatial coverage of rainfall estimates; however, their performance needs to be understood across space–time scales and factors...

A roaring trade? The legal trade in Panthera leo bones from Africa to East-Southeast Asia.

Science.gov (United States)

Williams, Vivienne L; Loveridge, Andrew J; Newton, David J; Macdonald, David W

2017-01-01

The African lion is the only big cat listed on CITES Appendix II, and the only one for which international commercial trade is legal under CITES. The trade in lion body parts, and especially the contentious trade in bones from South Africa to Asia, has raised concerns spanning continents and cultures. Debates were amplified at the 2016 CITES Conference of the Parties (CoP17) when a proposal to up-list lions to Appendix I was not supported and a compromise to keep them on Appendix II, with a bone trade quota for South Africa, was reached instead. CoP17 underscored a need for further information on the lion bone trade and the consequences for lions across the continent. Legal international trade in bones to Asia, allegedly to supply the substitute 'tiger bone' market, began in South Africa in February 2008 when the first CITES permits were issued. It was initially unclear the degree to which bones were sourced from captive-origin lions, and whether trade was a threat to wild lion populations. Our original assessment of the legal CITES-permitted lion bone trade from South Africa to East-Southeast Asia was for the period 2008-2011 (published 2015). In this paper, we consolidate new information that has become available for 2012-2016, including CITES reports from other African countries, and data on actual exports for three years to 2016 supplied by a freight forwarding company. Thus, we update the figures on the legal trade in lion bones from Africa to East-Southeast Asia in the period 2008-2016. We also contextualise the basis for global concerns by reviewing the history of the trade and its relation to tigers, poaching and wildlife trafficking. CITES permits issued to export bones escalated from ±314y-1 skeletons from 2008-2011, to ±1312y-1 skeletons from 2013-2015. South Africa was the only legal exporter of bones to Asia until 2013 when Namibia issued permits to export skeletons to Vietnam. While CITES permits to export ±5363 skeletons from Africa to Asia from

A roaring trade? The legal trade in Panthera leo bones from Africa to East-Southeast Asia.

Directory of Open Access Journals (Sweden)

Vivienne L Williams

Full Text Available The African lion is the only big cat listed on CITES Appendix II, and the only one for which international commercial trade is legal under CITES. The trade in lion body parts, and especially the contentious trade in bones from South Africa to Asia, has raised concerns spanning continents and cultures. Debates were amplified at the 2016 CITES Conference of the Parties (CoP17 when a proposal to up-list lions to Appendix I was not supported and a compromise to keep them on Appendix II, with a bone trade quota for South Africa, was reached instead. CoP17 underscored a need for further information on the lion bone trade and the consequences for lions across the continent. Legal international trade in bones to Asia, allegedly to supply the substitute 'tiger bone' market, began in South Africa in February 2008 when the first CITES permits were issued. It was initially unclear the degree to which bones were sourced from captive-origin lions, and whether trade was a threat to wild lion populations. Our original assessment of the legal CITES-permitted lion bone trade from South Africa to East-Southeast Asia was for the period 2008-2011 (published 2015. In this paper, we consolidate new information that has become available for 2012-2016, including CITES reports from other African countries, and data on actual exports for three years to 2016 supplied by a freight forwarding company. Thus, we update the figures on the legal trade in lion bones from Africa to East-Southeast Asia in the period 2008-2016. We also contextualise the basis for global concerns by reviewing the history of the trade and its relation to tigers, poaching and wildlife trafficking. CITES permits issued to export bones escalated from ±314y-1 skeletons from 2008-2011, to ±1312y-1 skeletons from 2013-2015. South Africa was the only legal exporter of bones to Asia until 2013 when Namibia issued permits to export skeletons to Vietnam. While CITES permits to export ±5363 skeletons from

A roaring trade? The legal trade in Panthera leo bones from Africa to East-Southeast Asia

Science.gov (United States)

Loveridge, Andrew J.; Newton, David J.; Macdonald, David W.

2017-01-01

The African lion is the only big cat listed on CITES Appendix II, and the only one for which international commercial trade is legal under CITES. The trade in lion body parts, and especially the contentious trade in bones from South Africa to Asia, has raised concerns spanning continents and cultures. Debates were amplified at the 2016 CITES Conference of the Parties (CoP17) when a proposal to up-list lions to Appendix I was not supported and a compromise to keep them on Appendix II, with a bone trade quota for South Africa, was reached instead. CoP17 underscored a need for further information on the lion bone trade and the consequences for lions across the continent. Legal international trade in bones to Asia, allegedly to supply the substitute ‘tiger bone’ market, began in South Africa in February 2008 when the first CITES permits were issued. It was initially unclear the degree to which bones were sourced from captive-origin lions, and whether trade was a threat to wild lion populations. Our original assessment of the legal CITES-permitted lion bone trade from South Africa to East-Southeast Asia was for the period 2008–2011 (published 2015). In this paper, we consolidate new information that has become available for 2012–2016, including CITES reports from other African countries, and data on actual exports for three years to 2016 supplied by a freight forwarding company. Thus, we update the figures on the legal trade in lion bones from Africa to East-Southeast Asia in the period 2008–2016. We also contextualise the basis for global concerns by reviewing the history of the trade and its relation to tigers, poaching and wildlife trafficking. CITES permits issued to export bones escalated from ±314y-1 skeletons from 2008–2011, to ±1312y-1 skeletons from 2013–2015. South Africa was the only legal exporter of bones to Asia until 2013 when Namibia issued permits to export skeletons to Vietnam. While CITES permits to export ±5363 skeletons from Africa

Double jeopardy: The dichotomy of fuelwood use in rural South Africa

International Nuclear Information System (INIS)

Matsika, R.; Erasmus, B.F.N.; Twine, W.C.

2013-01-01

Energy security is central to achieving sustainable development and reducing poverty worldwide. Over 70% of the population of Sub-Saharan Africa, mostly in the rural areas, depend on wood fuel, as firewood or charcoal, to meet their primary domestic energy requirements. This dependence is projected to increase with population growth in the intermediate future, regardless of the implementation of rural electrification programmes.. Fuelwood shortages occur at the localised village level and are a chronic landscape syndrome, becoming more severe over time, with increasing population pressures and competing land-uses. In the South African context, the provision of electricity to rural households at subsidised rates would be expected to provide a viable alternative to fuelwood under conditions of scarcity. This paper compares the fuelwood consumption strategies of households in a fuelwood-scarce environment against those in fuelwood-abundant environment in order to illustrate the inelastic nature of the demand for fuelwood in rural communities, even in the face of severely depleted wood stocks. We seek to understand the mechanisms that households implement to ensure household fuelwood/energy security and how these responses aggregate at the landscape level to shape landscape dynamics. This will aid better planning of intervention policies in the future. - Highlights: ► Rural household demand for fuelwood is inelastic inspite of fuelwood scarcity. ► Electricity is incorporated into household energy mix but is rarely used exclusively. ► Opportunity-cost of wood collection is discounted by the lack of viable alternatives. ► Potential for land-use conflicts once communal woodland resources are depleted.

Climate change projections of precipitation and reference evapotranspiration for the Middle East and Northern Africa until 2050

NARCIS (Netherlands)

Terink, W.; Immerzeel, W.W.; Droogers, P.

2013-01-01

The Middle East and North Africa (MENA) region can be considered as the most water-scarce region of the world. The Intergovernmental Panel on Climate Change projects strong changes in climate across MENA, further exacerbating pressure on available water resources. The objective of this study is to

Estimating the contribution of rural land uses to greenhouse gas emissions: A case study of North East Scotland

International Nuclear Information System (INIS)

Feliciano, Diana; Slee, Bill; Hunter, Colin; Smith, Pete

2013-01-01

Challenging greenhouse gas (GHG) emission reduction targets were set in Scotland by the Climate Change (Scotland) Act in June 2009. The national objective is to reduce GHG emissions by 42% by 2020 and 80% by 2050 compared to 1990 levels. The GHG emission reduction targets apply both to the traded and non-traded sectors, thus including the rural land use sector. In North East Scotland, rural land uses cover the majority of the land area, with agriculture and forestry representing about 86% and sporting land about 10% of the total area. The objectives of this study were to provide guidance for the development of a regional GHG inventory to estimate methane (CH 4 ), nitrous oxide (N 2 O) and carbon dioxide (CO 2 ) emissions from rural land uses in North East of Scotland, to compare with that of the United Kingdom (UK), and discuss the advantages of regional GHG inventories for rural land uses. The study mainly followed the guidance of the IPCC (Intergovernmental Panel on Climate Change) Revised Guidelines for National Greenhouse Gas Inventories and adapts these to the region level. Data available for North East Scotland allowed an assessment of annual GHG emissions from livestock and grassland, cropland management and sporting land, as well as carbon sequestered by forests, between 1999 and 2010. Estimated GHG emissions of 1420 ktCO 2 e from livestock, grassland and cropland management obtained in this study for 2009 compare well with estimates for the same region from larger-scale inventories. The methodology described, including the steps undertaken for data collection, the shortcomings found and strategies to overcome these, could be applied to other UK or European regions.

Rural Finance and Microfinance Development in Transition Countries in Southeast and East Asia

OpenAIRE

Llanto, Gilberto M.; Fukui, Ryu

2006-01-01

Microfinance is an emerging important financial subsector in Asian transition countries. Its role is to improve financial access of the poor and small economic players and thus help them to build assets, thereby contribute to poverty alleviation. This paper provides an overview of rural finance and microfinance development in transition countries in Southeast and East Asia—Cambodia, Lao PDR, Myanmar, Vietnam, and Mongolia—focusing on the institutional evolution and the inter-relation between ...

Prevalence and Severity of Oral Diseases in the Africa and Middle East Region.

Science.gov (United States)

Abid, A; Maatouk, F; Berrezouga, L; Azodo, C; Uti, O; El-Shamy, H; Oginni, A

2015-07-01

This review aims to determine the prevalence and severity of oral health diseases in the Africa and Middle East region (AMER). The profile of oral diseases is not homogeneous across the AMER. There are large disparities between groups. Reliable data are scarce. The prevalence and severity of oral diseases appear to be increasing in the African region, as does associated morbidity. There are substantial differences in inequalities in oral health. Dental caries prevalence is less severe in most African countries than in developed countries, but the high rate of untreated caries reflects the limited resources available and difficulties of access and affordability to essential oral health care services. The prevalence of gingival inflammation is very high in all age groups in several African countries. The prevalence of maxillofacial trauma has increased in many countries, with a wide variation of the incidence and high prevalence of traumatic dental injuries in primary and permanent teeth. Orofacial clefts are among the most common birth defects. Annual incidence of oral cancer is estimated as 25 cases per 100,000 people in Africa. Noma is a major public health problem for the Middle East and North African (MENA) region. Data about human immunodeficiency virus/AIDS are limited, particularly in the MENA region. According to the World Health Organization Regional Committee for Africa report, some fundamental key basic knowledge gaps need to be underlined. They include inequalities in oral health, low priority for oral health, lack of adequate funding, inadequate dental student training, obstacles to medical and dental research, and poor databases. There are very few effective public prevention and oral health promotion programs in the AMER. Universal health coverage is not achievable without scientific research on the effectiveness of health promotion interventions. © International & American Associations for Dental Research 2015.

Summary of the East Africa Training Consortium Biorisk Management Practices and Training Needs Survey

Energy Technology Data Exchange (ETDEWEB)

Wilder, Julie; Mancini, Giulio M.; Wakabi, Timothy; Boggs, Susan E.

2017-03-01

A survey was designed to query former Biorisk management (BRM) trainees in the East Africa region about their practices post-training and their perceived future training needs. A subset of those surveyed had been trained as BRM trainers. The survey was conducted to obtain a baseline of BRM practices that can serve as a benchmark for performance monitoring, to identify priorities for future BRM training and to gauge local BRM trainers' abilities to deliver effective training. The survey revealed that less than 50% of the respondents could identify evidence of a BRM system in their institute. Coaching and mentoring by BRM experts was identified as being of highest benefit to enable success as BRM practitioners. Local trainers reached 1538 trainees in the previous year and reported that trainings positively correlated with desired BRM behavior. Acknowledgements The authors wish to sincerely thank all of the former biorisk management trainees in East Africa who agreed to participate in this survey. Their candid and honest input was extremely insightful. We also thank Lora Grainger (06826) and Ben Brodsky (Manager, 06824) for careful and critical review of the report. We are grateful for the financial support of the Defense Threat Reduction Agency, Cooperative Biological Engagement Program.

Incidence, Remission and Mortality of Convulsive Epilepsy in Rural Northeast South Africa.

Science.gov (United States)

Wagner, Ryan G; Bottomley, Christian; Ngugi, Anthony K; Ibinda, Fredrick; Gómez-Olivé, F Xavier; Kahn, Kathleen; Tollman, Stephen; Newton, Charles R; Wagner, Ryan; Twine, Rhian; Connor, Myles; Collinson, Mark; Masanja, Honratio; Mathew, Alexander; Kakooza, Angelina; Pariyo, George; Peterson, Stefan; Ndyo-mughenyi, Donald; Odhiambo, Rachael; Chengo, Eddie; Chabi, Martin; Bauni, Evasius; Kamuyu, Gathoni; Odera, Victor Mung'ala; Mageto, James O; Ae-Ngibise, Ken; Akpalu, Bright; Akpalu, Albert; Agbokey, Francis; Adjei, Patrick; Owusu-Agyei, Seth; Kleinschmidt, Immo; Doku, Victor C K; Odermatt, Peter; Neville, Brian; Sander, Josemir W; White, Steve; Nutman, Thomas; Wilkins, Patricia; Noh, John

2015-01-01

Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs). Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease. A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS) in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package. The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0). Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5), with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR) 2.6 (95%CI: 1.2-5.4)), and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4)). The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa.

Incidence, Remission and Mortality of Convulsive Epilepsy in Rural Northeast South Africa.

Directory of Open Access Journals (Sweden)

Ryan G Wagner

Full Text Available Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs. Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease.A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package.The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0. Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5, with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR 2.6 (95%CI: 1.2-5.4, and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4.The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa.

Where every drop counts: tackling rural Africa's water crisis

Energy Technology Data Exchange (ETDEWEB)

Skinner, Jamie

2009-03-15

In rural Africa, 'water poverty' can destroy lives and livelihoods. Children under five are highly vulnerable to waterborne diseases. While a broken waterpipe in London may be a temporary inconvenience, a failed well in sub-Saharan Africa is potentially catastrophic. And this is a catastrophe that is spreading across the continent, where an estimated 50,000 water supply points have effectively died. The root cause is the water community's failure to plan for maintenance of the infrastructure in a systematic way, creating a massive drag on meeting the Millennium Development Goal target on water and sanitation. Yet blueprints for building and financing wells of all types are available, and long-term provision of safe water is not rocket science. To be sustainable, direct investment in water supply infrastructure also needs to address the issue of who will maintain it, and where the money and skills to do so will come from.

Population uptake of antiretroviral treatment through primary care in rural South Africa

Directory of Open Access Journals (Sweden)

Bärnighausen Till W

2010-09-01

Full Text Available Abstract Background KwaZulu-Natal is the South African province worst affected by HIV and the focus of early modeling studies investigating strategies of antiretroviral treatment (ART delivery. The reality of antiretroviral roll-out through primary care has differed from that anticipated and real world data are needed to inform the planning of further scaling up of services. We investigated the factors associated with uptake of antiretroviral treatment through a primary healthcare system in rural South Africa. Methods Detailed demographic, HIV surveillance and geographic information system (GIS data were used to estimate the proportion of HIV positive adults accessing antiretroviral treatment within northern KwaZulu-Natal, South Africa in the period from initiation of antiretroviral roll-out until the end of 2008. Demographic, spatial and socioeconomic factors influencing the likelihood of individuals accessing antiretroviral treatment were explored using multivariable analysis. Results Mean uptake of ART among HIV positive resident adults was 21.0% (95%CI 20.1-21.9. Uptake among HIV positive men (19.2% was slightly lower than women (21.8%, P = 0.011. An individual's likelihood of accessing ART was not associated with level of education, household assets or urban/rural locale. ART uptake was strongly negatively associated with distance from the nearest primary healthcare facility (aOR = 0.728 per square-root transformed km, 95%CI 0.658-0.963, P = 0.002. Conclusions Despite concerns about the equitable nature of antiretroviral treatment rollout, we find very few differences in ART uptake across a range of socio-demographic variables in a rural South African population. However, even when socio-demographic factors were taken into account, individuals living further away from primary healthcare clinics were still significantly less likely to be accessing ART

Job satisfaction and turnover intent of primary healthcare nurses in rural South Africa: a questionnaire survey.

Science.gov (United States)

Delobelle, Peter; Rawlinson, Jakes L; Ntuli, Sam; Malatsi, Inah; Decock, Rika; Depoorter, Anne Marie

2011-02-01

This paper is a report of a correlational study of the relationships between demographic variables, job satisfaction, and turnover intent among primary healthcare nurses in a rural area of South Africa. Health systems in Southern Africa face a nursing shortage fuelled by migration, but research on job satisfaction and turnover intent of primary healthcare nurses remains poorly described. A cross-sectional study with survey design was conducted in 2005 in all local primary healthcare clinics, including nurses on duty at the time of visit (n = 143). Scale development, anova, Spearman's rank correlation, and logistic regression were applied. Nurses reported satisfaction with work content and coworker relationships and dissatisfaction with pay and work conditions. Half of all nurses considered turnover within two years, of whom three in ten considered moving overseas. Job satisfaction was statistically significantly associated with unit tenure (P job satisfaction, age and education (P Satisfaction with supervision was the only facet significantly explaining turnover intent when controlling for age, education, years of nursing and unit tenure (P job satisfaction and retention of primary healthcare nurses in rural South Africa should rely not only on financial rewards and improved work conditions but also on adequate human resource management. © 2010 Blackwell Publishing Ltd.

Qualitative exploration of the career aspirations of rural origin health science students in South Africa.

Science.gov (United States)

Diab, Paula N; Flack, Penny S; Mabuza, Langalibalele H; Reid, Stephen J Y

2012-01-01

There is evidence in the literature that rural background significantly encourages eventual rural practice. Given the shortage of healthcare providers in rural areas, we need to explore ways of ensuring throughput and success of rural-origin students in health sciences. It is therefore important to understand who these students are, what motivates them and the factors involved in the formation of their career choices. The aim of this study is to understand the aspirations of undergraduate health science students of rural origin with regard to their future career plans. The objectives of the study include to explore and identify the key issues facing rural-origin students with regard to their future career plans. Individual interviews were conducted with 15 health science students from two South African universities. Transcriptions were analyzed with the aid of Nvivo v8 (www.qsrinternational.com). The findings suggest health science students of rural origin studying at universities in the South African context face specific challenges related to the nature of the contrast between rural and urban life, in addition to the more generic adaptations that confront all students on entering tertiary education. In order to support rural students in their studies, academic, financial, emotional and social stressors need to be addressed. Universities should strengthen existing support structures as well as aid the development of further support that may be required.Key words: career plan, health science, rural background, South Africa.

A spring forward for hominin evolution in East Africa.

Science.gov (United States)

Cuthbert, Mark O; Ashley, Gail M

2014-01-01

Groundwater is essential to modern human survival during drought periods. There is also growing geological evidence of springs associated with stone tools and hominin fossils in the East African Rift System (EARS) during a critical period for hominin evolution (from 1.8 Ma). However it is not known how vulnerable these springs may have been to climate variability and whether groundwater availability may have played a part in human evolution. Recent interdisciplinary research at Olduvai Gorge, Tanzania, has documented climate fluctuations attributable to astronomic forcing and the presence of paleosprings directly associated with archaeological sites. Using palaeogeological reconstruction and groundwater modelling of the Olduvai Gorge paleo-catchment, we show how spring discharge was likely linked to East African climate variability of annual to Milankovitch cycle timescales. Under decadal to centennial timescales, spring flow would have been relatively invariant providing good water resource resilience through long droughts. For multi-millennial periods, modelled spring flows lag groundwater recharge by 100 s to 1000 years. The lag creates long buffer periods allowing hominins to adapt to new habitats as potable surface water from rivers or lakes became increasingly scarce. Localised groundwater systems are likely to have been widespread within the EARS providing refugia and intense competition during dry periods, thus being an important factor in natural selection and evolution, as well as a vital resource during hominin dispersal within and out of Africa.

Alcohol use and depression: link with adherence and viral suppression in adult patients on antiretroviral therapy in rural Lesotho, Southern Africa: a cross-sectional study

OpenAIRE

Cerutti, Bernard; Broers, Barbara; Masetsibi, Motlomelo; Faturiyele, Olatunbosun; Toti-Mokoteli, Likabelo; Motlatsi, Mokete; Bader, Joelle; Klimkait, Thomas; Labhardt, Niklaus D

2016-01-01

Abstract Background Depression and alcohol use disorder have been shown to be associated with poor adherence to antiretroviral therapy (ART). Studies examining their association with viral suppression in rural Africa are, however, scarce. Methods This study reports prevalence of depressive symptoms and alcohol use disorder, and their potential association with adherence and viral suppression in adult patients on ART in ten clinics in rural Lesotho, Southern Africa. Results Among 1,388 adult p...

The associations between interpersonal violence and psychological distress among rural and urban young women in South Africa.

Science.gov (United States)

Manyema, M; Norris, S A; Said-Mohamed, R; Tollman, S T; Twine, R; Kahn, K; Richter, L M

2018-03-23

Approximately 25% of the world's population consists of young people. The experience of violence peaks during adolescence and the early adult years. A link between personal experience of violence and mental health among young people has been demonstrated but rural-urban differences in these associations are less well known in low to middle income countries. The aim of this study was to investigate the associations between interpersonal violence and psychological distress among rural and urban young women. Data on experiences of violence and psychological distress were collected from a total of 926 non-pregnant young women aged between 18 and 22 years of age in rural and urban sites in South Africa. The General Health Questionnaire-28 was used to assess psychological distress as an indicator of mental health. Generalised structural equation models were employed to assess potential pathways of association between interpersonal violence and psychological distress. Thirty-four percent of the urban young women (n = 161) reported psychological distress compared to 18% of rural young women (n = 81). In unadjusted analysis, exposure to interpersonal violence doubled the odds of psychological distress in the urban adolescents and increased the odds 1.6 times in the rural adolescents. In adjusted models, the relationship remained significant in the urban area only (OR 1.84, 95% CI 1.13-3.00). Rural residence seemed protective against psychological distress (OR 0.41, 95% CI 0.24-0.69). Structural equation modelling did not reveal any direct association between exposure to interpersonal violence and psychological distress among rural young women. Stressful household events were indirectly associated with psychological distress, mediated by violence among young women in the urban area. The relationship between violence and psychological distress differs between urban and rural-residing young women in South Africa, and is influenced by individual, household and community

Technology, Political Economy, and Economic Development in the Middle East and North Africa

DEFF Research Database (Denmark)

Brach, Juliane

2009-01-01

Comparing the pace and extent of economic development across the developing regions yields that Arab countries have displaced a weak economic performance over the past 20 years, despite their favorable geo-strategic location and a high density of national and international structural adjustment...... efforts. Using cross-country regressions, this paper identifies two binding constraints to economic development in the Arab countries of the Middle East and North Africa (MENA): 1) Most countries are not able to apply or adopt existing technologies efficiently and 2) The economically inefficient...

Sociotechnical Narratives in Rural, High-Poverty Elementary Schools: Comparative Findings from East Texas and South India

Science.gov (United States)

Byker, Erik J.

2014-01-01

The article's purpose is to compare case studies of computer technology use at two rural elementary schools across two international settings. This study uses the Social Construction of Technology (SCOT) theory to guide this comparative investigation of how elementary school teachers and students in East Texas and South India construct meaning for…

Regional Integration: A Political Federation of the East African ...

African Journals Online (AJOL)

The aim of this paper is to explore the possibility and viability of an East African political federation project. Since the late 1800s under the then British East Africa, the countries of East Africa have been searching for ways to integrate. The search led to the establishment of the East African Community (EAC) in December ...

Profiling lifetime episodes of upper gastrointestinal bleeding among patients from rural Sub-Saharan Africa where schistosoma mansoni is endemic.

Science.gov (United States)

Opio, Christopher Kenneth; Kazibwe, Francis; Ocama, Ponsiano; Rejani, Lalitha; Belousova, Elena Nikolaevna; Ajal, Paul

2016-01-01

Severe chronic hepatic schistosomiasis is a common cause of episodes upper gastrointestinal bleeding (UGIB) in sub-Saharan Africa (SSA). However, there is paucity of data on clinical epidemiology of episodes of UGIB from rural Africa despite on going public health interventions to control and eliminate schistosomiasis. Through a cross sectional study we profiled lifetime episodes of upper gastrointestinal bleeding and associated factors at a rural primary health facility in sub-Saharan Africa were schistosomiasis is endemic. The main outcome was number of lifetime episodes of UGIB analyzed as count data. From 107 enrolled participants, 323 lifetime episodes of UGIB were reported. Fifty-seven percent experienced ≥ 2 lifetime episodes of UGIB. Ninety-four percent had severe chronic hepatic schistosomiasis and 80% esophageal varices. Alcohol use and viral hepatitis was infrequent. Eighty-eight percent were previously treated with praziquantel and 70% had a history of blood transfusion. No patient had ever had an endoscopy or treatment for prevention of recurrent variceal bleeding. Multivariable analysis identified a cluster of eight clinical factor variables (age ≥ 40, female sex, history of blood transfusion, abdominal collaterals, esophageal varices, pattern x periportal fibrosis, anemia, and thrombocytopenia) significantly associated (P-value Upper gastrointestinal bleeding is a common health problem in this part of rural SSA where schistosomiasis is endemic. The clinical profile described is unique and is important for improved case management, and for future research.

Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa

Science.gov (United States)

Gómez-Olivé, Francesc X.; Rohr, Julia K.; Houle, Brian C.; Kabudula, Chodziwadziwa W.; Wagner, Ryan G.; Salomon, Joshua A.; Kahn, Kathleen; Berkman, Lisa F.; Tollman, Stephen M.; Bärnighausen, Till

2017-01-01

Objective: To identify the unmet needs for HIV prevention among older adults in rural South Africa. Methods: We analyzed data from a population-based sample of 5059 men and women aged 40 years and older from the study Health and Aging in Africa: Longitudinal Studies of INDEPTH Communities (HAALSI), which was carried out in the Agincourt health and sociodemographic surveillance system in the Mpumalanga province of South Africa. We estimated the prevalence of HIV (laboratory-confirmed and self-reported) and key sexual behaviors by age and sex. We compared sexual behavior profiles across HIV status categories with and without age–sex standardization. Results: HIV prevalence was very high among HAALSI participants (23%, 95% confidence interval [CI]: 21 to 24), with no sex differences. Recent sexual activity was common (56%, 95% CI: 55 to 58) across all HIV status categories. Condom use was low among HIV-negative adults (15%, 95% CI: 14 to 17), higher among HIV-positive adults who were unaware of their HIV status (27%, 95% CI: 22 to 33), and dramatically higher among HIV-positive adults who were aware of their status (75%, 95% CI: 70 to 80). Casual sex and multiple partnerships were reported at moderate levels, with slightly higher estimates among HIV-positive compared to HIV-negative adults. Differences by HIV status remained after age–sex standardization. Conclusions: Older HIV-positive adults in an HIV hyperendemic community of rural South Africa report sexual behaviors consistent with high HIV transmission risk. Older HIV-negative adults report sexual behaviors consistent with high HIV acquisition risk. Prevention initiatives tailored to the particular prevention needs of older adults are urgently needed to reduce HIV risk in this and similar communities in sub-Saharan Africa. PMID:27926667

Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa.

Science.gov (United States)

Rosenberg, Molly S; Gómez-Olivé, Francesc X; Rohr, Julia K; Houle, Brian C; Kabudula, Chodziwadziwa W; Wagner, Ryan G; Salomon, Joshua A; Kahn, Kathleen; Berkman, Lisa F; Tollman, Stephen M; Bärnighausen, Till

2017-01-01

To identify the unmet needs for HIV prevention among older adults in rural South Africa. We analyzed data from a population-based sample of 5059 men and women aged 40 years and older from the study Health and Aging in Africa: Longitudinal Studies of INDEPTH Communities (HAALSI), which was carried out in the Agincourt health and sociodemographic surveillance system in the Mpumalanga province of South Africa. We estimated the prevalence of HIV (laboratory-confirmed and self-reported) and key sexual behaviors by age and sex. We compared sexual behavior profiles across HIV status categories with and without age-sex standardization. HIV prevalence was very high among HAALSI participants (23%, 95% confidence interval [CI]: 21 to 24), with no sex differences. Recent sexual activity was common (56%, 95% CI: 55 to 58) across all HIV status categories. Condom use was low among HIV-negative adults (15%, 95% CI: 14 to 17), higher among HIV-positive adults who were unaware of their HIV status (27%, 95% CI: 22 to 33), and dramatically higher among HIV-positive adults who were aware of their status (75%, 95% CI: 70 to 80). Casual sex and multiple partnerships were reported at moderate levels, with slightly higher estimates among HIV-positive compared to HIV-negative adults. Differences by HIV status remained after age-sex standardization. Older HIV-positive adults in an HIV hyperendemic community of rural South Africa report sexual behaviors consistent with high HIV transmission risk. Older HIV-negative adults report sexual behaviors consistent with high HIV acquisition risk. Prevention initiatives tailored to the particular prevention needs of older adults are urgently needed to reduce HIV risk in this and similar communities in sub-Saharan Africa.

Analysis of the summertime buildup of tropospheric ozone abundances over the Middle East and North Africa as observed by the Tropospheric Emission Spectrometer instrument

Science.gov (United States)

Liu, Jane J.; Jones, Dylan B. A.; Worden, John R.; Noone, David; Parrington, Mark; Kar, Jay

2009-03-01

We use the GEOS-Chem chemical transport model to interpret observations of tropospheric ozone from the Tropospheric Emission Spectrometer (TES) satellite instrument in summer 2005. Observations from TES reveal elevated ozone in the middle troposphere (500-400 hPa) across North Africa and the Middle East. Observed ozone abundances in the middle troposphere are at a maximum in summer and a minimum in winter, consistent with the previously predicted summertime "Middle East ozone maximum." This summertime enhancement in ozone is associated with the Arabian and Sahara anticyclones, centered over the Zagros and Atlas Mountains, respectively. These anticyclones isolate the middle troposphere over northeast Africa and the Middle East, with westerlies to the north and easterlies to the south, facilitating the buildup of ozone. Over the Middle East, we find that in situ production and transport from Asia provides comparable contributions of 30-35% to the ozone buildup. Over North Africa, in situ production is dominant (at about 20%), with transport from Asia, North America, and equatorial Africa each contributing about 10-15% to the total ozone. We find that although the eastern Mediterranean is characterized by strong descent in the middle and upper troposphere in summer, transport from the boundary layer accounts for about 25% of the local Middle Eastern contribution to the ozone enhancement in the middle troposphere. This upward transport of boundary layer air is associated with orographic lifting along the Zagros Mountains in Iran and the Asir and Hijaz Mountain ranges in Saudi Arabia, and is consistent with TES observations of deuterated water.

Energy infrastructure in the Middle East and North Africa to 2010

Energy Technology Data Exchange (ETDEWEB)

Enav, Peter

1998-01-01

Between 1998 and 2010, the 19 countries of the Middle East and North Africa will need to spend approximately $500bn on new energy infrastructure to meet their declared needs and priorities. Private sector involvement will be inevitable with many countries operating under strict budgetary limitations. The opportunities this represents for foreign investment cannot be ignored. This report assesses both power generation and hydrocarbon financing needs on a country-by-country basis. It also identifies the likely financing modalities for each country with a detailed appraisal of country credit-worthiness, highlighting risks and opportunities for outside investors. For each country, the report examines: macro-economic profiles; political risk profiles; prospects for hydrocarbon; and electricity infrastructure development. (author)

Deconstructing the concept of renewable energy-based mini-grids for rural electrification in East Africa

DEFF Research Database (Denmark)

Pedersen, Mathilde Brix

2016-01-01

The goal of providing universal energy access to all by 2030 under the UN-led SE4ALL initiative calls for new and innovative solutions to rural electrification and is fuelling the recent interest in mini-grids. Mini-grid solutions are emerging as a third alternative to rural electrification, coming...... between the option of large-scale grid extension and pico-scale stand-alone solutions like solar home systems or solar lanterns. International expectations of mini-grids are high, with the International Energy Agency suggesting that they will play a significant role in reaching the goal of universal...... electrification and the challenges identified in the literature, the study concludes by proposing three avenues for further research. For further resources related to this article, please visit the WIREs website....

Community leaders’ perspectives on facilitators and inhibitors of health promotion among the youth in rural South Africa

Directory of Open Access Journals (Sweden)

Lydia Aziato

Full Text Available Introduction: There are a number of factors that influence health promotion activities among the youth. This study sought to gain a comprehensive understanding of the facilitators and inhibitors of health promotion among the youth from the perspectives of community leaders in a rural setting in South Africa. Methods: The study adopted an exploratory, descriptive and contextual qualitative approach involving community leaders in rural South Africa. Data saturation occurred after individual interviews with 21 participants. Data analysis employed the principles of content analysis. Results: We found that facilitators of health promotion were access to education on the benefits of health promotion activities, efforts of organizations and community leaders/teachers, access to health care services and engaging in physical activities, and youth motivation and positive role modelling. The themes that described the inhibitors of health promotion were inadequate recreational and health facilities and health personnel, the impact of stringent religious doctrines, unemployment, social vices and poor parenting. Conclusion: We concluded that there is the need to implement more engaging activities and opportunities for the youth and parents in rural communities to enhance health promotion. Keywords: Health promotion, Young adults, Qualitative research, Rural community

Immunity to tetanus and diphtheria in rural Africa

DEFF Research Database (Denmark)

Kurtzhals, J A; Kjeldsen, K; Hey, A S

1997-01-01

To assess the effect of the Expanded Program on Immunization (EPI) in rural Africa, blood samples were collected in two Kenyan sublocations. Serum antibodies against tetanus toxoid were measured in 155 individuals 1-70 years of age. Titers greater than the protective level of 0.01 IU/ml were found...... in 47% of the population. Protection was significantly higher in children born after the launching of the EPI (68%) and in women who had been at childbearing age since then (69%). Significantly lower protection was demonstrated in other age and sex-groups. The level of protection in children was equal...... in the two populations, whereas protection in fertile women was significantly lower in the population living a long distance from a health center. Diphtheria anti-toxin was measured in the samples from one sublocation, and 70 of 84 individuals (83%) had antibody levels greater than the protective level...

What we do | Page 169 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Cost of Conflicts in the Common Market for Eastern and Southern Africa ... impact of HIV/AIDS on agriculture and food production in rural sub-Saharan Africa. ... Middle East, Central Asia, Far East Asia, South Asia, Peru, South Africa. PROJECT ...

What we do | Page 175 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Cost of Conflicts in the Common Market for Eastern and Southern Africa ... impact of HIV/AIDS on agriculture and food production in rural sub-Saharan Africa. ... Middle East, Central Asia, Far East Asia, South Asia, Peru, South Africa. PROJECT ...

Assessing the Impacts of Rural Electrification in Sub-Saharan Africa: The Case of Ethiopia

Science.gov (United States)

Aragaw, Mekonnen Lulie

opportunities created through rural electrification. Though necessary for development, rural electrification alone is insufficient, and requires strong government commitment and political will to invest in public services and infrastructure, and encourage private sector participation. Keywords: rural electrification, modern energy services, Sub-Saharan Africa, Ethiopia, energy transition, Poverty Reduction, Rural Development.

Jobs for Shared Prosperity : Time for Action in the Middle East and North Africa

OpenAIRE

Gatti, Roberta; Morgandi, Matteo; Grun, Rebekka; Brodmann, Stefanie; Angel-Urdinola, Diego; Moreno, Juan Manuel; Marotta, Daniela; Schiffbauer, Marc; Mata Lorenzo, Elizabeth

2013-01-01

In the aftermath of the Arab Spring, when thousands of young women and men fought for the opportunity to realize their aspirations and potential, the question of jobs continues to be crucial in the Middle East and North Africa region. This report uses jobs as a lens to weave together the complex dynamics of employment creation, skills supply, and the institutional environment of labor markets. Consistent with the framework of the 2013 World Development Report on jobs, of which this report is...

A Framework for Revitalisation of Rural Education and Training Systems in Sub-Saharan Africa: Strengthening the Human Resource Base for Food Security and Sustainable Livelihoods

Science.gov (United States)

Wallace, Ian

2007-01-01

Recent studies of the current state of rural education and training (RET) systems in sub-Saharan Africa have assessed their ability to provide for the learning needs essential for more knowledgeable and productive small-scale rural households. These are most necessary if the endemic causes of rural poverty (poor nutrition, lack of sustainable…

The dominant Anopheles vectors of human malaria in Africa, Europe and the Middle East: occurrence data, distribution maps and bionomic précis

Directory of Open Access Journals (Sweden)

Okara Robi M

2010-12-01

Full Text Available Abstract Background This is the second in a series of three articles documenting the geographical distribution of 41 dominant vector species (DVS of human malaria. The first paper addressed the DVS of the Americas and the third will consider those of the Asian Pacific Region. Here, the DVS of Africa, Europe and the Middle East are discussed. The continent of Africa experiences the bulk of the global malaria burden due in part to the presence of the An. gambiae complex. Anopheles gambiae is one of four DVS within the An. gambiae complex, the others being An. arabiensis and the coastal An. merus and An. melas. There are a further three, highly anthropophilic DVS in Africa, An. funestus, An. moucheti and An. nili. Conversely, across Europe and the Middle East, malaria transmission is low and frequently absent, despite the presence of six DVS. To help control malaria in Africa and the Middle East, or to identify the risk of its re-emergence in Europe, the contemporary distribution and bionomics of the relevant DVS are needed. Results A contemporary database of occurrence data, compiled from the formal literature and other relevant resources, resulted in the collation of information for seven DVS from 44 countries in Africa containing 4234 geo-referenced, independent sites. In Europe and the Middle East, six DVS were identified from 2784 geo-referenced sites across 49 countries. These occurrence data were combined with expert opinion ranges and a suite of environmental and climatic variables of relevance to anopheline ecology to produce predictive distribution maps using the Boosted Regression Tree (BRT method. Conclusions The predicted geographic extent for the following DVS (or species/suspected species complex* is provided for Africa: Anopheles (Cellia arabiensis, An. (Cel. funestus*, An. (Cel. gambiae, An. (Cel. melas, An. (Cel. merus, An. (Cel. moucheti and An. (Cel. nili*, and in the European and Middle Eastern Region: An. (Anopheles atroparvus

Simultaneous Inversion of Receiver Functions, Multi-Mode Dispersion, and Travel-Time Tomography for Lithospheric Structure Beneath the Middle East and North Africa

National Research Council Canada - National Science Library

Ammon, Charles J; Kosarian, Minoo; Hermann, Robert B

2006-01-01

.... Towards this goal, we perform receiver function analysis using teleseismic waveforms recorded at permanent and temporary broadband seismic stations located in Middle East, Europe, Asia, and North Africa...

Agricultural nematology in East and Southern Africa: problems, management strategies and stakeholder linkages.

Science.gov (United States)

Talwana, Herbert; Sibanda, Zibusiso; Wanjohi, Waceke; Kimenju, Wangai; Luambano-Nyoni, Nessie; Massawe, Cornel; Manzanilla-López, Rosa H; Davies, Keith G; Hunt, David J; Sikora, Richard A; Coyne, Danny L; Gowen, Simon R; Kerry, Brian R

2016-02-01

By 2050, Africa's population is projected to exceed 2 billion. Africa will have to increase food production more than 50% in the coming 50 years to meet the nutritional requirements of its growing population. Nowhere is the need to increase agricultural productivity more pertinent than in much of Sub-Saharan Africa, where it is currently static or declining. Optimal pest management will be essential, because intensification of any system creates heightened selection pressures for pests. Plant-parasitic nematodes and their damage potential are intertwined with intensified systems and can be an indicator of unsustainable practices. As soil pests, nematodes are commonly overlooked or misdiagnosed, particularly where appropriate expertise and knowledge transfer systems are meager or inadequately funded. Nematode damage to roots results in less efficient root systems that are less able to access nutrients and water, which can produce symptoms typical of water or nutrient deficiency, leading to misdiagnosis of the underlying cause. Damage in subsistence agriculture is exacerbated by growing crops on degraded soils and in areas of low water retention where strong root growth is vital. This review focuses on the current knowledge of economically important nematode pests affecting key crops, nematode control methods and the research and development needs for sustainable management, stakeholder involvement and capacity building in the context of crop security in East and Southern Africa, especially Kenya, Tanzania, Uganda and Zimbabwe. © 2015 Society of Chemical Industry.

Molecular records of climate variability and vegetation response since the Late Pleistocene in the Lake Victoria basin, East Africa

NARCIS (Netherlands)

Berke, M.A.; Johnson, T.C.; Werne, J.P.; Grice, K.; Schouten, S.; Sinninghe Damsté, J.S.

2012-01-01

New molecular proxies of temperature and hydrology are helping to constrain tropical climate change and elucidate possible forcing mechanisms during the Holocene. Here, we examine a similar to 14,000 year record of climate variability from Lake Victoria, East Africa, the world's second largest

Impacts of Climate Change on Malaria Transmission in Africa

Science.gov (United States)

Eltahir, E. A. B.; Endo, N.; Yamana, T. K.

2017-12-01

Malaria is a major vector-borne parasitic disease transmitted to humans by Anopheles spp mosquitoes. Africa is the hotspot for malaria transmission where more than 90% of malaria deaths occur every year. Malaria transmission is an intricate function of climatic factors, which non-linearly affect the development of vectors and parasites. We project that the risk of malaria will increase towards the end of the 21st century in east Africa, but decrease in west Africa. We combine a novel malaria transmission simulator, HYDREMATS, that has been developed based on comprehensive multi-year field surveys both in East Africa and West Africa, and the most reliable climate projections through regional dynamical downscaling and rigorous selection of GCMs from among CMIP5 models. We define a bell-shaped relation between malaria intensity and temperature, centered around a temperature of 30°C. Future risks of malaria are projected for two highly populated regions in Africa: the highlands in East Africa and the fringes of the desert in West Africa. In the highlands of East Africa, temperature is substantially colder than this optimal temperature; warmer future climate exacerbate malaria conditions. In the Sahel fringes in West Africa, temperature is around this optimal temperature; warming is not likely to exacerbate and might even reduce malaria burden. Unlike the highlands of East Africa, which receive significant amounts of annual rainfall, dry conditions also limit malaria transmission in the Sahel fringes in West Africa. This disproportionate risk of malaria due to climate change should guide strategies for climate adaptation over Africa.

The role of computers in developing countries with reference to East Africa

International Nuclear Information System (INIS)

Shayo, L.K.

1984-01-01

The role of computers in economic and technological development is examined with particular reference to developing countries. It is stressed that these countries must exploit the potential of computers in their strive to catch-up in the development race. The shortage of qualified EDP personnel is singled out as one of the most critical factors in any unsatisfactory state of computer applications. A computerization policy based on the demands for information by the sophistication of the development process, and supported by a sufficient core of qualified local manpower, is recommended. The situation in East Africa is discussed and recommendations for training and production of telematics equipment are made. (author)

Differences in health care seeking behaviour between rural and urban communities in South Africa

Science.gov (United States)

2012-01-01

Objective The aim of this study was to explore possible differences in health care seeking behaviour among a rural and urban African population. Design A cross sectional design was followed using the infrastructure of the PURE-SA study. Four rural and urban Setswana communities which represented different strata of urbanisation in the North West Province, South Africa, were selected. Structured interviews were held with 206 participants. Data on general demographic and socio-economic characteristics, health status, beliefs about health and (access to) health care was collected. Results The results clearly illustrated differences in socio-economic characteristics, health status, beliefs about health, and health care utilisation. In general, inhabitants of urban communities rated their health significantly better than rural participants. Although most urban and rural participants consider their access to health care as sufficient, they still experienced difficulties in receiving the requested care. The difference in employment rate between urban and rural communities in this study indicated that participants of urban communities were more likely to be employed. Consequently, participants from rural communities had a significantly lower available weekly budget, not only for health care itself, but also for transport to the health care facility. Urban participants were more than 5 times more likely to prefer a medical doctor in private practice (OR:5.29, 95% CI 2.83-988). Conclusion Recommendations are formulated for infrastructure investments in rural communities, quality of health care and its perception, improvement of household socio-economical status and further research on the consequences of delay in health care seeking behaviour. PMID:22691443

Simulation of synoptic and sub-synoptic phenomena over East Africa and Arabian Peninsula for current and future climate using a high resolution AGCM

KAUST Repository

Raj, Jerry

2015-04-01

Climate regimes of East Africa and Arabia are complex and are poorly understood. East Africa has large-scale tropical controls like major convergence zones and air streams. The region is in the proximity of two monsoons, north-east and south-west, and the humid and thermally unstable Congo air stream. The domain comprises regions with one, two, and three rainfall maxima, and the rainfall pattern over this region has high spatial variability. To explore the synoptic and sub-synoptic phenomena that drive the climate of the region we conducted climate simulations using a high resolution Atmospheric General Circulation Model (AGCM), GFDL\\'s High Resolution Atmospheric Model (HiRAM). Historic simulations (1975-2004) and future projections (2007-2050), with both RCP 4.5 and RCP 8.5 pathways, were performed according to CORDEX standard. The sea surface temperature (SST) was prescribed from the 2°x2.5° latitude-longitude resolution GFDL Earth System Model runs of IPCC AR5, as bottom boundary condition over the ocean. Our simulations were conducted at a horizontal grid spacing of 25 km, which is an ample resolution for regional climate simulation. In comparison with the regional models, global HiRAM has the advantage of accounting for two-way interaction between regional and global scale processes. Our initial results show that HiRAM simulations for historic period well reproduce the regional climate in East Africa and the Arabian Peninsula with their complex interplay of regional and global processes. Our future projections indicate warming and increased precipitation over the Ethiopian highlands and the Greater Horn of Africa. We found significant regional differences between RCP 4.5 and RCP 8.5 projections, e.g., west coast of the Arabian Peninsula, show anomalies of opposite signs in these two simulations.

Incidence, Remission and Mortality of Convulsive Epilepsy in Rural Northeast South Africa

Science.gov (United States)

Wagner, Ryan G.; Bottomley, Christian; Ngugi, Anthony K.; Ibinda, Fredrick; Gómez-Olivé, F. Xavier; Kahn, Kathleen; Tollman, Stephen; Newton, Charles R.

2015-01-01

Background Epilepsy is one of the most common neurological conditions globally, estimated to constitute 0.75% of the global burden of disease, with the majority of this burden found in low- and middle- income countries (LMICs). Few studies from LMICs, including much of sub-Saharan Africa, have described the incidence, remission or mortality rates due to epilepsy, which are needed to quantify the burden and inform policy. This study investigates the epidemiological parameters of convulsive epilepsy within a context of high HIV prevalence and an emerging burden of cardiovascular disease. Methods A cross-sectional population survey of 82,818 individuals, in the Agincourt Health and Socio-demographic Surveillance Site (HDSS) in rural northeast South Africa was conducted in 2008, from which 296 people were identified with active convulsive epilepsy. A follow-up survey was conducted in 2012. Incidence and mortality rates were estimated, with duration and remission rates calculated using the DISMOD II software package. Results The crude incidence for convulsive epilepsy was 17.4/100,000 per year (95%CI: 13.1-23.0). Remission was 4.6% and 3.9% per year for males and females, respectively. The standardized mortality ratio was 2.6 (95%CI: 1.7-3.5), with 33.3% of deaths directly related to epilepsy. Mortality was higher in men than women (adjusted rate ratio (aRR) 2.6 (95%CI: 1.2-5.4)), and was significantly associated with older ages (50+ years versus those 0-5 years old (RR 4.8 (95%CI: 0.6-36.4)). Conclusions The crude incidence was lower whilst mortality rates were similar to other African studies; however, this study found higher mortality amongst older males. Efforts aimed at further understanding what causes epilepsy in older people and developing interventions to reduce prolonged seizures are likely to reduce the overall burden of ACE in rural South Africa. PMID:26053071

Entrepreneurs’ gender, age and education affecting their networks in private and public spheres: Denmark, Middle East and North Africa

DEFF Research Database (Denmark)

Ashourizadeh, Shayegheh; Schøtt, Thomas

2013-01-01

The purpose is to account for entrepreneurs’ networking in private and public spheres, as influenced by gender, age and education in the context of culture. The Global Entrepreneurship Monitor has surveyed 17,742 entrepreneurs’ networking for advice in Denmark and 14 countries representative of t....... Education influences networking in the way that networking in the public sphere is especially extensive among educated entrepreneurs.......The purpose is to account for entrepreneurs’ networking in private and public spheres, as influenced by gender, age and education in the context of culture. The Global Entrepreneurship Monitor has surveyed 17,742 entrepreneurs’ networking for advice in Denmark and 14 countries representative...... of the Middle East and North Africa. Analyses show that entrepreneurs are networking in the private sphere of family and friends, especially in traditional culture in Middle East and North Africa, and are networking in public spheres, especially in secular-rational culture in Denmark. Male entrepreneurs network...

Measurement and evaluation of digital cervicography programs in two cervical cancer screening camps in East Africa

Science.gov (United States)

Peterson, Curtis W.; Mink, Jonah; Levitz, David

2017-03-01

Cervical cancer disproportionately affects women living in low- and middle-income countries. To address this global crisis, many governments and NGOs have implemented community-based screening and treatment programs at outreach camps. Here, high volumes of patients are able to access care: screening and diagnosis followed by immediate treatment of precancerous lesions onsite. However, monitoring and evaluation (M&E) of these efforts presents challenges, since each event typically relies on a different health workforce, and refers patients to different facilities for follow up and advanced care. To address these challenges, a digital imaging intervention was deployed at several screening camps in East Africa. Trained nurses screened women using a connected low-cost mobile colposcope built around a smartphone. A decision support job aid was integrated into the app controlling the device, guiding nurses and recording their diagnosis and treatment decisions. Aggregating the data from the job aid allowed M&E of the screening camp in real-time. In this paper, the M&E data from 2 different screening camps in East Africa are compared. Additionally, screening camps are compared to stationary clinics. Differences in the patient screening times, treatment rates, and individual nurse statistics were all documented through the job aid allowing for much improved epidemiological information following outreach events thus enabling targeted program improvements and provider training. Reporting data from screening camps were also shared online via public web pages, facilitating broader dissemination of health needs in specific East African communities, and sparking conversations with regional stakeholders about local disease burden.

Sub Saharan Africa Food Value Chains

DEFF Research Database (Denmark)

Butler, Ivan Harry

2016-01-01

Study of food value chains in East Africa as a preliminary study. The paper wishes to underline a few under-researched assumptions about esepcially protein deficiencies, allergies etc. to establish what enablers and constraints exist when trying to supply food from e.g. Europe to e.g. East Africa....

Mobile Phones as a Citizen-Controlled Anti-corruption Tool in East Africa - A Literature Review

OpenAIRE

Strand , Cecilia; Hatakka , Mathias

2017-01-01

Part 14: Current Issues; International audience; Despite agreement amongst donors, business and political leaders concerning the negative effects of corruption, levels have not fallen in East Africa. The continued high levels of corruption, reassert the need for a better understanding if mobile phones, if prolific enough, can be an effective tool against corruption. Through a literature review of ten years M4D and ICT4D research on mobiles as a citizens-controlled tool for (a) accessing gover...

Trust and tolerance across the Middle East and North Africa: A comparative perspective on the impact of the Arab uprisings

NARCIS (Netherlands)

Spierings, N.

2017-01-01

The protests that swept the Arab Middle East and North Africa (MENA) are expected to have influenced two key civic attitudes fundamental to well-functioning democracies: trust and tolerance. However, systematic comparative assessments of the general patterns and particularities in this region are

Fertility trends and net reproduction in Agincourt, rural South Africa, 1992-2004.

Science.gov (United States)

Garenne, Michel L; Tollman, Stephen M; Collinson, Mark A; Kahn, Kathleen

2007-08-01

To analyse trends in fertility rates and net reproduction rates in Agincourt, a rural area of South Africa located in the former homeland of Gazankulu near the Mozambican border. Trends are analysed in the context of widely available modern contraceptive methods and increasing HIV/AIDS. A health and demographic surveillance system has been in place since 1992, covering a population of approximately 70,000 persons, with an annual census update and comprehensive recording of births and deaths. It was complemented by a retrospective study of fertility at baseline. Retrospective and prospective data were used to calculate trends in fertility, survival, and net reproduction. When possible, they were compared with data from other censuses and surveys in the same ethnic group. The fertility transition has almost ended over a course of 25 years in Agincourt. The total fertility rate (TFR) averaged 6.0 in 1979 and 2.3 in 2004. Fertility declined in proportionate fashion in all age groups including adolescents in the recent period. The net reproduction rate (NRR) declined from 1.8 to 1.0 during the prospective period (1992-2004). At current rates of change in fertility and mortality, the NRR can be expected to reach 0.63 by the year 2010. The situation of a below-replacement fertility level is new for rural Africa, and is likely to have many demographic, economic and social implications. The population could decline in the country as a whole, and is nearly static in Agincourt because of negative migration flows balancing the small excess from natural increase.

Co-infection with Schistosoma haematobium and soil-transmitted helminths in rural South Africa

DEFF Research Database (Denmark)

Molvik, Mari; Helland, Elin; Zulu, Siphosenkosi Gift

2017-01-01

trichiura in schoolgirls in the rural areas of KwaZulu-Natal, South Africa. We also explored if S. haematobium can serve as a predictor for soil-transmitted helminths in this area. From 15 selected schools, 726 primary schoolgirls aged 10–12 years provided both urine and stool samples. The samples were...... interval =1.58–2.93; pwater contact and haematuria) were significantly associated with A. lumbricoides and T. trichiura infection. We have demonstrated a highly significant correlation and overall association between urogenital...

Climate change impacts in the Middle East and Northern Africa (MENA) region and their implications for vulnerable population groups

NARCIS (Netherlands)

Waha, Katharina; Krummenauer, Linda; Adams, Sophie; Aich, Valentin; Baarsch, Florent; Coumou, Dim; Fader, Marianela; Hoff, Holger; Jobbins, Guy; Marcus, Rachel; Mengel, Matthias; Otto, Ilona M.; Perrette, Mahé; Rocha, Marcia; Robinson, Alexander; Schleussner, Carl Friedrich

2017-01-01

The Middle East and North Africa (MENA) region emerges as one of the hot spots for worsening extreme heat, drought and aridity conditions under climate change. A synthesis of peer-reviewed literature from 2010 to date and own modeling work on biophysical impacts of climate change on selected sectors

The internet and business process outsourcing in East Africa : value chains and connectivity-based enterprises in Kenya and Rwanda

NARCIS (Netherlands)

Mann, L.E.; Graham, M.; Friederici, N.

2014-01-01

Internet connectivity is widely considered to be a game changer for knowledge economies of developing countries. The arrival of submarine fibre-optic underwater cables in East Africa in 2009 and 2010 is seen by many as a strong case in point. The fast evolution of the information and communication

Implementation of the principles of primary health care in a rural area of South Africa

Directory of Open Access Journals (Sweden)

Surona Visagie

2014-02-01

Full Text Available Background: The philosophy of primary healthcare forms the basis of South Africa’s health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas. Objectives: The aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa. Method: A descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis. Results: Findings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, healthworker attitudes, referral services and the management of complex conditions. Conclusion: The principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcareservices and increasing the doctors’ hours.

Implementation of Point-of-Care Diagnostics in Rural Primary Healthcare Clinics in South Africa: Perspectives of Key Stakeholders.

Science.gov (United States)

Mashamba-Thompson, Tivani P; Jama, Ngcwalisa A; Sartorius, Benn; Drain, Paul K; Thompson, Rowan M

2017-01-08

Key stakeholders' involvement is crucial to the sustainability of quality point-of-care (POC) diagnostics services in low-and-middle income countries. The aim of this study was to explore key stakeholder perceptions on the implementation of POC diagnostics in rural primary healthcare (PHC) clinics in South Africa. We conducted a qualitative study encompassing in-depth interviews with multiple key stakeholders of POC diagnostic services for rural and resource-limited PHC clinics. Interviews were digitally recorded and transcribed verbatim prior to thematic content analysis. Thematic content analysis was conducted using themes guided by the World Health Organisation (WHO) quality-ASSURED (Affordable, Sensitive, Specific, User friendly, Rapid and to enable treatment at first visit and Robust, Equipment free and Delivered to those who need it) criteria for POC diagnostic services in resource-limited settings. 11 key stakeholders participated in the study. All stakeholders perceived the main advantage of POC diagnostics as enabling access to healthcare for rural patients. Stakeholders perceived the current POC diagnostic services to have an ability to meet patients' needs, but recommended further improvement of the following areas: research on cost-effectiveness; improved quality management systems; development of affordable POC diagnostic and clinic-based monitoring and evaluation. Key stakeholders of POC diagnostics in rural PHC clinics in South Africa highlighted the need to assess affordability and ensure quality assurance of current services before adopting new POC diagnostics and scaling up current POC diagnostics.

Implementation of Point-of-Care Diagnostics in Rural Primary Healthcare Clinics in South Africa: Perspectives of Key Stakeholders

Directory of Open Access Journals (Sweden)

Tivani P. Mashamba-Thompson

2017-01-01

Full Text Available Introduction: Key stakeholders’ involvement is crucial to the sustainability of quality point-of-care (POC diagnostics services in low-and-middle income countries. The aim of this study was to explore key stakeholder perceptions on the implementation of POC diagnostics in rural primary healthcare (PHC clinics in South Africa. Method: We conducted a qualitative study encompassing in-depth interviews with multiple key stakeholders of POC diagnostic services for rural and resource-limited PHC clinics. Interviews were digitally recorded and transcribed verbatim prior to thematic content analysis. Thematic content analysis was conducted using themes guided by the World Health Organisation (WHO quality-ASSURED (Affordable, Sensitive, Specific, User friendly, Rapid and to enable treatment at first visit and Robust, Equipment free and Delivered to those who need it criteria for POC diagnostic services in resource-limited settings. Results: 11 key stakeholders participated in the study. All stakeholders perceived the main advantage of POC diagnostics as enabling access to healthcare for rural patients. Stakeholders perceived the current POC diagnostic services to have an ability to meet patients’ needs, but recommended further improvement of the following areas: research on cost-effectiveness; improved quality management systems; development of affordable POC diagnostic and clinic-based monitoring and evaluation. Conclusions: Key stakeholders of POC diagnostics in rural PHC clinics in South Africa highlighted the need to assess affordability and ensure quality assurance of current services before adopting new POC diagnostics and scaling up current POC diagnostics.

Preclinical antivenom-efficacy testing reveals potentially disturbing deficiencies of snakebite treatment capability in East Africa.

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Robert A Harrison

2017-10-01

Full Text Available Antivenom is the treatment of choice for snakebite, which annually kills an estimated 32,000 people in sub-Saharan Africa and leaves approximately 100,000 survivors with permanent physical disabilities that exert a considerable socioeconomic burden. Over the past two decades, the high costs of the most polyspecifically-effective antivenoms have sequentially reduced demand, commercial manufacturing incentives and production volumes that have combined to create a continent-wide vacuum of effective snakebite therapy. This was quickly filled with new, less expensive antivenoms, many of which are of untested efficacy. Some of these successfully marketed antivenoms for Africa are inappropriately manufactured with venoms from non-African snakes and are dangerously ineffective. The uncertain efficacy of available antivenoms exacerbates the complexity of designing intervention measures to reduce the burden of snakebite in sub-Saharan Africa. The objective of this study was to preclinically determine the ability of antivenoms available in Kenya to neutralise the lethal effects of venoms from the most medically important snakes in East Africa.We collected venom samples from the most medically important snakes in East Africa and determined their toxicity in a mouse model. Using a 'gold standard' comparison protocol, we preclinically tested the comparative venom-neutralising efficacy of four antivenoms available in Kenya with two antivenoms of clinically-proven efficacy. To explain the variant efficacies of these antivenoms we tested the IgG-venom binding characteristics of each antivenom using in vitro IgG titre, avidity and venom-protein specificity assays. We also measured the IgG concentration of each antivenom.None of the six antivenoms are preclinically effective, at the doses tested, against all of the most medically important snakes of the region. The very limited snake polyspecific efficacy of two locally available antivenoms is of concern. In vitro

The financial and economic feasibility of rural household biodigesters for poor communities in South Africa.

Science.gov (United States)

Smith, Michael T; Goebel, Jessica Schroenn; Blignaut, James N

2014-02-01

Given the persistence of systemic poverty in, most notably, the rural parts of South Africa, the question is whether the use of biodigesters as a source of energy offers potential solutions to some of the difficulties and development needs faced by people in these areas. At the core, this translates into whether this technology would be financially and economically feasible for installation and use by rural households. Here we conduct both a financial and an economic cost-benefit analysis in one such community based on survey data from 120 households. Analysis of these data and supporting literature reveals that a biodigester is not a financially feasible investment for a rural household. Substantial economic benefits are, however, found to make a biodigester a worthwhile investment from a broader societal perspective. This is a compelling argument for further study and the consideration of government support in the light of broader economy-wide benefits. Copyright © 2013 Elsevier Ltd. All rights reserved.

A comparative life cycle analysis of low power PV lighting products for rural areas in South East Asia

NARCIS (Netherlands)

Durlinger, Bart; Durlinger, B.P.J.; Reinders, Angelina H.M.E.; Toxopeus, Marten E.

2012-01-01

This paper evaluates the environmental effects of low power PV lighting products, which are increasingly used in rural areas in South East Asia, by means of a life cycle analysis (LCA). The main goals of the project are to determine (1) the environmental impacts, (2) which parts are contributing to

Unlocking the potential of tropical root crop biotechnology in east Africa by establishing a genetic transformation platform for local farmer-preferred cassava cultivars.

Science.gov (United States)

Nyaboga, Evans; Njiru, Joshua; Nguu, Edward; Gruissem, Wilhelm; Vanderschuren, Herve; Tripathi, Leena

2013-01-01

Cassava genetic transformation capacity is still mostly restricted to advanced laboratories in the USA, Europe and China; and its implementation and maintenance in African laboratories has remained scarce. The impact of transgenic technologies for genetic improvement of cassava will depend largely on the transfer of such capabilities to researchers in Africa, where cassava has an important socioeconomic niche. A major constraint to the development of genetic transformation technologies for cassava improvement has been the lack of an efficient and robust transformation and regeneration system. Despite the success achieved in genetic modification of few cassava cultivars, including the model cultivar 60444, transgenic cassava production remains difficult for farmer-preferred cultivars. In this study, a protocol for cultivar 60444 developed at ETH Zurich was successfully implemented and optimized to establish transformation of farmer-preferred cassava cultivars popular in east Africa. The conditions for production and proliferation of friable embryogenic calli (FEC) and Agrobacterium-mediated transformation were optimized for three east African farmer-preferred cultivars (Ebwanatereka, Kibandameno and Serere). Our results demonstrated transformation efficiencies of about 14-22 independent transgenic lines per 100 mg of FEC for farmer-preferred cultivars in comparison to 28 lines per 100 mg of the model cultivar 60444. The presence, integration and expression of the transgenes were confirmed by PCR, Southern blot analysis and histochemical GUS assay. This study reports the establishment of a cassava transformation platform at International Institute of Tropical Agriculture (IITA) hosted by Biosciences eastern and central Africa (BecA) hub in Kenya and provides the basis for transferring important traits such as virus resistance and prolonged shelf-life to farmer-preferred cultivars in east Africa. We anticipate that such platform will also be instrumental to transfer

East African Medical Journal

African Journals Online (AJOL)

The East African Medical Journal is intended for publication of papers on ... research on problems relevant to East Africa and other African countries will receive special ... Analysis of survival patterns of TB‐HIV co‐infected patients in relation to ...

Blood pressure patterns in rural, semi-urban and urban children in the Ashanti region of Ghana, West Africa

NARCIS (Netherlands)

Agyemang, Charles; Redekop, William K.; Owusu-Dabo, Ellis; Bruijnzeels, Marc A.

2005-01-01

High blood pressure, once rare, is rapidly becoming a major public health burden in sub-Saharan/Africa. It is unclear whether this is reflected in children. The main purpose of this study was to assess blood pressure patterns among rural, semi-urban, and urban children and to determine the

Prevalence and associated risk factors of hypertension amongst adults in a rural community of Limpopo Province, South Africa

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Samuel T. Ntuli

2015-10-01

Full Text Available Background: Hypertension is problem already faced by urban populations of South Africa, but little is known about its prevalence and risk factors in rural areas. Aim: To assess the prevalence of and risk factors associated with hypertension amongst adults in a rural community in South Africa. Setting: Dikgale Health and Demographic Surveillance Site, Limpopo Province, South Africa. Methods: A community-based cross-sectional survey was carried out at this site where individuals aged 15 years and older were screened using a locally adapted version of the World Health Organization STEPwise questionnaire. Demographics, anthropometry and three independent blood pressure (BP readings were taken. The average of the three BP measurements was used in analysis, and hypertension taken as systolic and diastolic BP of ≥ 140 or ≥ 90 mmHg respectively, or at least a two-week history of antihypertensive treatment. Analysis included the Chi-square test and statistical significance was set at p ≤ 0.05. Results: A total of 1407 individuals were interviewed, of whom 1281 had complete BP, weight and height measurements taken. The mean age of participants was 44.2 ± 2 0.9 years (range 15–98 years, 63% were female, 55% were single and 90% were unemployed, whilst 13% were tobacco smokers and 20% reported drinking alcohol. Overall prevalence of hypertension was 41% and this was significantly associated with age and marital status. Conclusion: The prevalence of hypertension was found to be high. Prevention strategies are urgently needed to address this life-threatening and important risk factor for cardiovascular disease in rural Limpopo Province.

A Public Management Framework for wireless broadband development in rural Sub-Saharan Africa

DEFF Research Database (Denmark)

Williams, Idongesit; Falch, Morten; Tadayoni, Reza

2018-01-01

attempted to develop Wi-Fi networks. Few have succeeded and some have failed. A public Private-Private Partnership framework that can be customized to deliver and provide sustenance to this initiative may hold the answer to curb the failure of such initiatives. This study adopts the Stakeholder theory...... agencies in Africa to help rural communities develop sustainable Wi-Fi networks. The paper concludes that a triangular relationship between the community, the public sector agency, with attractive incentives to each stakeholder, can serve as the basis for organizing such the stakeholders to aid...

Who Benefits-Or Does not-From South Africa's Old Age Pension? : evidence from Characteristics of Rural Pensioners and Non-Pensioners

OpenAIRE

Ralston, Margaret; Schatz, Enid; Menken, Jane; Gomez-Olive, Francesc Xavier; Tollman, Stephen

2016-01-01

Social protection grants play a critical role in survival and livelihoods of elderly individuals in South Africa. Rarely is it possible to assess how well a social program reaches its target population. Using a 2010 survey and Agincourt Health Demographic Surveillance System census data we conduct multivariate logistic regression to predict pension receipt in rural South Africa. We find only 80% of age-eligible individuals report pension receipt. Pension non-recipients tend to be male, have p...

Reconstructing the origin and dispersal patterns of village chickens across East Africa: insights from autosomal markers.

Science.gov (United States)

Mwacharo, J M; Nomura, K; Hanada, H; Han, J L; Amano, T; Hanotte, O

2013-05-01

Unravelling the genetic history of any livestock species is central to understanding the origin, development and expansion of agricultural societies and economies. Domestic village chickens are widespread in Africa. Their close association with, and reliance on, humans for long-range dispersal makes the species an important biological marker in tracking cultural and trading contacts between human societies and civilizations across time. Archaezoological and linguistic evidence suggest a complex history of arrival and dispersion of the species on the continent, with mitochondrial DNA (mtDNA) D-loop analysis revealing the presence of five distinct haplogroups in East African village chickens. It supports the importance of the region in understanding the history of the species and indirectly of human interactions. Here, through a detailed analysis of 30 autosomal microsatellite markers genotyped in 657 village chickens from four East African countries (Kenya, Uganda, Ethiopia and Sudan), we identify three distinct autosomal gene pools (I, II and III). Gene pool I is predominantly found in Ethiopia and Sudan, while II and III occur in both Kenya and Uganda. A gradient of admixture for gene pools II and III between the Kenyan coast and Uganda's hinterland (P = 0.001) is observed, while gene pool I is clearly separated from the other two. We propose that these three gene pools represent genetic signatures of separate events in the history of the continent that relate to the arrival and dispersal of village chickens and humans across the region. Our results provide new insights on the history of chicken husbandry which has been shaped by terrestrial and maritime contacts between ancient and modern civilizations in Asia and East Africa. © 2013 Blackwell Publishing Ltd.

Evaluating quality management systems for HIV rapid testing services in primary healthcare clinics in rural KwaZulu-Natal, South Africa

OpenAIRE

Jaya, Ziningi; Drain, Paul K.; Mashamba-Thompson, Tivani P.

2017-01-01

Introduction Rapid HIV tests have improved access to HIV diagnosis and treatment by providing quick and convenient testing in rural clinics and resource-limited settings. In this study, we evaluated the quality management system for voluntary and provider-initiated point-of-care HIV testing in primary healthcare (PHC) clinics in rural KwaZulu-Natal (KZN), South Africa. Material and methods We conducted a quality assessment audit in eleven PHC clinics that offer voluntary HIV testing and couns...

Patterns of genetic diversity and differentiation in the tsetse fly Glossina morsitans morsitans Westwood populations in East and southern Africa

International Nuclear Information System (INIS)

Ouma, J.O.; Marquez, J.G.; Krafsur, E.S

2007-01-01

Genetic diversity and differentiation within and among nine G. morsitans morsitans populations from East and southern Africa was assessed by examining variation at seven microsatellite loci and a mitochondrial locus, cytochrome oxidase (COI). Mean COI diversity within populations was 0.63 ± 0.33 and 0.81 taken over all populations. Diversities averaged over microsatellite loci were high (mean number of alleles/locus ≥7.4; mean HE ≥ 65%) in all populations. Diversities averaged across populations were greater in East Africa (mean number of alleles = 22 ± 2.6; mean he = 0.773 ± 0.033) than in southern Africa (mean number of alleles = 18.7 ± 4.0; mean he = 0.713 ± 0.072). Differentiation among all populations was highly significant (RST = 0.25, FST = 0.132). Nei’s Gij statistics were 0.09 and 0.19 within regions for microsatellites and mitochondria, respectively; between regions, Gij was 0.14 for microsatellites and 0.23 for mitochondria. GST among populations was 0.23 for microsatellite loci and 0.40 for mitochondria. The F, G and R statistics indicate highly restricted gene flow among G. m. morsitans populations separated over geographic scales of 12–917 km. (author)

Challenges of Agro-Food Standards Conformity: Lessons from East Africa and Policy Implications

DEFF Research Database (Denmark)

Bolwig, Simon; Riisgaard, Lone; Gibbon, Peter

2013-01-01

Standards are used to govern an increasing share of global food trade, and have been interpreted by academics both as market access barriers and opportunities for low-income country producers, exporters and workers. Donors have mostly chosen to treat them as opportunities and today finance...... of a research programme on standards conformity in East Africa. These demonstrate that most interventions underestimate the nature of the challenges faced and that significant impacts are achieved only under rather restricted conditions. The solutions lay not only in more selective support to standard...... development and better-informed interventions, but also to focus more squarely on supply capacity and welfare outcomes in project planning....

Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut

Directory of Open Access Journals (Sweden)

Angela A. Morris-Paxton

2018-04-01

Conclusion: In this rural area of the Eastern Cape, South Africa, the follow-up of patients with hypertension or diabetes as well as those individuals at-risk adds value to hypertension and glucose control.

Is There an Enabling Environment for Nutrition-Sensitive Agriculture in East Africa? Stakeholder Perspectives From Ethiopia, Kenya, and Uganda.

Science.gov (United States)

Hodge, Judith; Herforth, Anna; Gillespie, Stuart; Beyero, Mesfin; Wagah, Margaret; Semakula, Richard

2015-12-01

There is growing recognition that "nutrition-sensitive" development is necessary to ensure nutrition security and reduce malnutrition. While agriculture has the potential to be a strong driver of malnutrition reduction and serves as the main source of livelihood for approximately two-thirds of East Africa's population, its potential to reduce malnutrition is currently not being realized. Leveraging Agriculture for Nutrition in East Africa is a research study based in Ethiopia, Kenya, and Uganda that seeks to understand the enabling environment necessary for optimizing the contribution of the food and agriculture sector to nutrition outcomes. Its objectives were to explore stakeholder perceptions of nutrition-agriculture linkages, of political and institutional challenges and opportunities, of evidence that is available and influential for policy making, and of key issues with regard to capacity. Open-ended and semistructured interviews were conducted with 53 stakeholders from government, civil society, donors, United Nations organizations, private sector, and research/academic institutions in Ethiopia, Kenya, and Uganda in 2014. Although policy opportunities and contexts are different between the 3 countries, stakeholders identified similar barriers to greater action, including a narrow focus on solely market-oriented and staple crop production, a lack of clarity and incentives within the agriculture sector about improving nutrition and how to translate policy into action, and lack of capacity in human and financial resources. Many actions to improve the nutrition sensitivity of agriculture were mentioned, including crop diversification, value chain activities and improved market access, nutrition education, and reduction in time and labor costs to women. Many opportunities exist to strengthen the impact of agriculture on nutrition in East Africa, but stronger formulation and implementation of policies will require adequate human resources, funds, timely data on

Transnational terrorism in East Africa: a qualitative and quantitative analysis of the recent rise in Kenyan violence

OpenAIRE

Muhwezi, Andrew M.

2014-01-01

Approved for public release; distribution is unlimited This thesis analyzes recent trends of transnational terrorism in East Africa. It assesses the background of domestic and international terrorist attacks in the region from 1998 to 2012. The study then quantitatively analyzes regional trends, using data drawn from the Global Terrorism Database (GTD) showing dramatic increases in levels of terrorist violence from terrorist organizations like Al-Shabaab. Based on Al-Shabaab’s propaganda, ...

South Africa

Science.gov (United States)

2002-01-01

This true-color image of South Africa was acquired on May 14, 2000, by NASA's Moderate-resolution Imaging Spectroradiometer, or MODIS. The image was produced using a combination of the sensor's 250-m and 500-m resolution visible wavelength bands. As part of the opening ceremony to begin the joint U.S.-South Africa SAFARI Field Experiment, NASA presented print copies of this image as GIFts to Dr. Ben Ngubane, Minister of Arts, Science and Technology, and Honorable Advocate Ngoaka Ramathlodi, Premier of the Northern Province, South Africa. The area shown in this image encompasses seven capital cities and a number of the region's distinctive geological features can be seen clearly. Toward the northern (top) central part of the image, the browns and tans comprise the Kalahari Desert of southern Botswana. The Tropic of Capricorn runs right through the heart of the Kalahari and the Botswanan capital city of Gaborone sits on the Limpopo River, southeast of the Kalahari. Along the western coastline of the continent is the country of Namibia, where the Namib Desert is framed against the sea by the Kaokoveld Mountains. The Namibian capital of Windhoek is obscured by clouds. Looking closely in the center of the image, the Orange River can be seen running from east to west, demarcating the boundary between Namibia and South Africa. On the southwestern corner of the continent is the hook-like Cape of Good Hope peninsula and Cape Town, the parliamentary capital of South Africa. Running west to east away from Cape Town are the Great Karroo Mountains. The shadow in this image conveys a sense of the very steep grade of the cliffs along the southern coast of South Africa. Port Elizabeth sits on the southeasternmost point of South Africa, and a large phytoplankton bloom can be seen in the water about 100 miles east of there. Moving northward along the east coast, the Drakensberg Mountains are visible. The two small nations of Lesotho and Swaziland are in this region, completely

Strengthening rural health placements for medical students ...

African Journals Online (AJOL)

Strengthening rural health placements for medical students: Lessons for South Africa ... rural health, primary healthcare and National Health Insurance strategies. ... preferential selection of students with a rural background, positioning rural ...

New Evidence for the Expansion of an Upper Pleistocene Population out of East Africa, from the Site of Station One, Northern Sudan

OpenAIRE

Rose, Jeffrey I.

2004-01-01

Evidence for a hunter-gatherer range-expansion is indicated by the site of Station One in the northern Sudan, a surface scatter of chipped stone debris systematically collected almost 40 years ago, though not studied until present. Based on technological and typological correlates in East Africa, the predominant use of quartz pebbles for raw material, and the production of small bifacial tools, the site can be classified as Middle Stone Age. While often appearing in East African assemblages, ...

The experience of living with stroke in low urban and rural socioeconomic areas of South Africa

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M. Maleka

2012-12-01

Full Text Available The effects of stroke on stroke survivors are profound and affecttheir quality of life. The aim of this study was to establish the experience of peopleliving with stroke in low socioeconomic urban and rural areas of South Africa.A qualitative study using semi-structured interviews was used to collect data.Participants were identified from stroke registers and recruited from PHC clinicsin Soweto, Gauteng and Limpopo provinces. Participants had to have had a stroke,be above the age of 18 and had lived in the community six months to a year followingtheir stroke. The researcher or research assistant conducted the interviews ofparticipants who had had strokes as well as their caregivers in the home language of the participants. The interviewswere audio taped, transcribed and translated into English. A thematic content analysis was done.Thirty two participants were interviewed, 13 from Soweto, Gauteng, and 19 from rural Limpopo provinces. Theresults suggest that the sudden, overwhelming transformation as a result of a stroke forms a background for loss ofcommunity mobility, social isolation, role reversal within the family and community, loss of role within the family andcommunity, loss of meaningful activities of daily living, loss of hope and threat to livelihood amongst stroke survivorsliving in low socioeconomic areas of South Africa.An overwhelming picture of despondency was found, with few positive stories told in both settings. The themesidentified from the interviews reflected the experience and issues that a patient with stroke has to deal with in lowsocioeconomic areas of South Africa.

A Human Economy: A "Third Way" for the Future of Young People in the Middle East and North Africa

Science.gov (United States)

Zaalouk, Malak

2014-01-01

This paper looks at the vulnerability of today's youth worldwide, with a particular focus on the Middle East and North Africa (MENA), where the proportion of citizens aged 12-24 is particularly high at one-third of the total population. Cursed with poor education and few work opportunities, the youth unemployment rate has risen to 50 per cent in…

Gender and Transport in the Middle East and North Africa Region : Case Studies from the West Bank and Yemen

OpenAIRE

World Bank

2011-01-01

Mobility is a major factor of access to economic resources, education, health, and other key elements influencing women's empowerment. In the Middle East and North Africa's countries, like in many other developing economies, women's mobility is constrained not only by the limited, sometimes unaffordable transport supply but also by social and cultural factors that frame women's access to t...

Assessing health and well-being among older people in rural South Africa

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F. Xavier Gómez-Olivé

2010-09-01

Full Text Available Background: The population in developing countries is ageing, which is likely to increase the burden of non-communicable diseases and disability. Objective: To describe factors associated with self-reported health, disability and quality of life (QoL of older people in the rural northeast of South Africa. Design: Cross-sectional survey of 6,206 individuals aged 50 and over. We used multivariate analysis to examine relationships between demographic variables and measures of self-reported health (Health Status, functional ability (WHODASi and quality of life (WHOQoL. Results: About 4,085 of 6,206 people eligible (65.8% completed the interview. Women (Odds Ratio (OR=1.30, 95% CI 1.09, 1.55, older age (OR=2.59, 95% CI 1.97, 3.40, lower education (OR=1.62, 95% CI 1.31, 2.00, single status (OR=1.18, 95% CI 1.01, 1.37 and not working at present (OR=1.29, 95% CI 1.06, 1.59 were associated with a low health status. Women were also more likely to report a higher level of disability (OR=1.38, 95% CI 1.14, 1.66, as were older people (OR=2.92, 95% CI 2.25, 3.78, those with no education (OR=1.57, 95% CI 1.26, 1.97, with single status (OR=1.25, 95% CI 1.06, 1.46 and not working at present (OR=1.33, 95% CI 1.06, 1.66. Older age (OR=1.35, 95% CI 1.06, 1.74, no education (OR=1.39, 95% CI 1.11, 1.73, single status (OR=1.28, 95% CI 1.10, 1.49, a low household asset score (OR=1.52, 95% CI 1.19, 1.94 and not working at present (OR=1.32; 95% CI 1.07, 1.64 were all associated with lower quality of life. Conclusions: This study presents the first population-based data from South Africa on health status, functional ability and quality of life among older people. Health and social services will need to be restructured to provide effective care for older people living in rural South Africa with impaired functionality and other health problems.

Traumatic brain injury in a rural and an urban Tanzanian hospital--a comparative, retrospective analysis based on computed tomography.

Science.gov (United States)

Maier, Daniel; Njoku, Innocent; Schmutzhard, Erich; Dharsee, Jaffer; Doppler, Magdalena; Härtl, Roger; Winkler, Andrea Sylvia

2014-01-01

In a resource-poor environment such as rural East Africa, expensive medical devices such as computed tomographic (CT) scanners are rare. The CT scanner at the rural Haydom Lutheran Hospital (HLH) in Tanzania therefore offers a unique chance to observe possible differences with urban medical centers in the disease pattern of trauma-related cranial pathologies. The purpose of this study was to compare traumatic brain injuries (TBIs) between a rural and an urban area of Tanzania. HLH has 350 beds and one CT scanner. The urban Aga Khan Hospital is a private hospital with 80 beds and one CT scanner. This was a retrospective study. Data of 248 patients at HLH and of 432 patients at Aga Khan Hospital with TBI could be collected. The prevalence of TBI was significantly higher in the rural area compared to the urban area (34.2% vs. 21.9%, P workplace is primarily urban or rural. Copyright © 2014 Elsevier Inc. All rights reserved.

Childhood psychological problems in school settings in rural Southern Africa.

Directory of Open Access Journals (Sweden)

Melissa A Cortina

Full Text Available BACKGROUND: Many children can be exposed to multiple adversities in low and middle-income countries (LMICs placing them at potential risk of psychological problems. However, there is a paucity of research using large representative cohorts examining the psychological adjustment of children in school settings in these countries. Children's psychological adjustment has been shown to affect educational progress which is critical for their future. This study, based in a rural, socio-economically disadvantaged area of South Africa, aimed to examine the prevalence of children's psychological problems as well as possible risk and protective factors. METHODS: Rates of psychological problems in 10-12 year olds were examined using teacher- and child-report questionnaires. Data on children from 10 rural primary schools, selected by stratified random sampling, were linked to individual and household data from the Agincourt health and socio-demographic surveillance system collected from households over 15 years. RESULTS: A total of 1,025 children were assessed. Teachers identified high levels of behavioural and emotional problems (41%. Children reported lower, but substantial rates of anxiety/depression (14%, and significant post-traumatic stress symptoms (24%; almost a quarter felt unsafe in school. Risk factors included being a second-generation former refugee and being from a large household. Protective factors highlight the importance of maternal factors, such as being more educated and in a stable partnership. CONCLUSION: The high levels of psychological problems identified by teachers are a serious public health concern, as they are likely to impact negatively on children's education, particularly given the large class sizes and limited resources in rural LMIC settings. Despite the high levels of risk, a proportion of children were managing well and research to understand resilience could inform interventions.

Energy solutions in rural Africa: mapping electrification costs of distributed solar and diesel generation versus grid extension

Energy Technology Data Exchange (ETDEWEB)

Szabo, S; Bodis, K; Huld, T [European Commission Joint Research Centre, Institute for Energy, Renewable Energy Unit, 2749 via Enrico Fermi, TP450, 21027 Ispra (Vatican City State, Holy See) (Italy); Moner-Girona, M, E-mail: Sandor.Szabo@ec.europa.eu [UNEP Energy Branch Division of Technology, Industry and Economics, 15 rue de Milan, F-75441, Paris CEDEX09 (France)

2011-07-15

Three rural electrification options are analysed showing the cost optimal conditions for a sustainable energy development applying renewable energy sources in Africa. A spatial electricity cost model has been designed to point out whether diesel generators, photovoltaic systems or extension of the grid are the least-cost option in off-grid areas. The resulting mapping application offers support to decide in which regions the communities could be electrified either within the grid or in an isolated mini-grid. Donor programs and National Rural Electrification Agencies (or equivalent governmental departments) could use this type of delineation for their program boundaries and then could use the local optimization tools adapted to the prevailing parameters.

Energy solutions in rural Africa: mapping electrification costs of distributed solar and diesel generation versus grid extension

International Nuclear Information System (INIS)

Szabo, S; Bodis, K; Huld, T; Moner-Girona, M

2011-01-01

Three rural electrification options are analysed showing the cost optimal conditions for a sustainable energy development applying renewable energy sources in Africa. A spatial electricity cost model has been designed to point out whether diesel generators, photovoltaic systems or extension of the grid are the least-cost option in off-grid areas. The resulting mapping application offers support to decide in which regions the communities could be electrified either within the grid or in an isolated mini-grid. Donor programs and National Rural Electrification Agencies (or equivalent governmental departments) could use this type of delineation for their program boundaries and then could use the local optimization tools adapted to the prevailing parameters.

Climate change impacts on rural poverty in low-elevation coastal zones

Science.gov (United States)

Barbier, Edward B.

2015-11-01

This paper identifies the low-elevation coastal zone (LECZ) populations and developing regions most vulnerable to sea-level rise and other coastal hazards, such as storm surges, coastal erosion and salt-water intrusion. The focus is on the rural poor in the LECZ, as their economic livelihoods are especially endangered both directly by coastal hazards and indirectly through the impacts of climate change on key coastal and near-shore ecosystems. Using geo-spatially referenced malnutrition and infant mortality data for 2000 as a proxy for poverty, this study finds that just 15 developing countries contain over 90% of the world's LECZ rural poor. Low-income countries as a group have the highest incidence of poverty, which declines somewhat for lower middle-income countries, and then is much lower for upper middle-income economies. South Asia, East Asia and the Pacific and Sub-Saharan Africa account for most of the world's LECZ rural poor, and have a high incidence of poverty among their rural LECZ populations. Although fostering growth, especially in coastal areas, may reduce rural poverty in the LECZ, additional policy actions will be required to protect vulnerable communities from disasters, to conserve and restore key coastal and near-shore ecosystems, and to promote key infrastructure investments and coastal community response capability.

Unlocking the potential of tropical root crop biotechnology in east Africa by establishing a genetic transformation platform for local farmer-preferred cassava cultivars

Directory of Open Access Journals (Sweden)

Evans eNyaboga

2013-12-01

Full Text Available Cassava genetic transformation capacity is still mostly restricted to advanced laboratories in the USA, Europe and China; and its implementation and maintainance in African laboratories has remained scarce. The impact of transgenic technologies for genetic improvement of cassava will depend largely on the transfer of such capabilities to researchers in Africa, where cassava has an important socioeconomic niche. A major constraint to the development of genetic transformation technologies for cassava improvement has been the lack of an efficient and robust transformation and regeneration system. Despite the success achieved in genetic modification of few cassava cultivars, including the model cultivar 60444, transgenic cassava production remains difficult for farmer-preferred cultivars. In this study, a protocol for cultivar 60444 developed at ETH Zurich was successfully implemented and optimized to establish transformation of farmer-preferred cassava cultivars popular in east Africa. The conditions for production and proliferation of friable embryogenic calli (FEC and Agrobacterium-mediated transformation were optimized for three east African farmer-preferred cultivars (Ebwanatereka, Kibandameno and Serere. Our results demonstrated transformation efficiencies of about 14-22 independent transgenic lines per 100 mg of FEC for farmer-preferred cultivars in comparison to 28 lines per 100 mg of the model cultivar 60444. The presence, integration and expression of the transgenes were confirmed by PCR, Southern blot analysis and histochemical GUS assay. This study reports the establishment of a cassava transformation platform at International Institute of Tropical Agriculture (IITA hosted by Biosciences eastern and central Africa (BecA hub in Kenya and provides the basis for transferring important traits such as virus resistance and prolonged shelf-life to farmer-preferred cultivars in east Africa. We anticipate that such platform will also be

Simulation of synoptic and sub-synoptic phenomena over East Africa and Arabian Peninsula for current and future climate using a high resolution AGCM

KAUST Repository

Raj, Jerry; Bangalath, Hamza Kunhu; Stenchikov, Georgiy L.

2015-01-01

between regional and global scale processes. Our initial results show that HiRAM simulations for historic period well reproduce the regional climate in East Africa and the Arabian Peninsula with their complex interplay of regional and global processes. Our

Domestic rainwater harvesting to improve water supply in rural South Africa

Science.gov (United States)

Mwenge Kahinda, Jean-marc; Taigbenu, Akpofure E.; Boroto, Jean R.

Halving the proportion of people without sustainable access to safe drinking water and basic sanitation, is one of the targets of the 7th Millennium Development Goals (MDGs). In South Africa, with its mix of developed and developing regions, 9.7 million (20%) of the people do not have access to adequate water supply and 16 million (33%) lack proper sanitation services. Domestic Rainwater Harvesting (DRWH), which provides water directly to households enables a number of small-scale productive activities, has the potential to supply water even in rural and peri-urban areas that conventional technologies cannot supply. As part of the effort to achieve the MDGs, the South African government has committed itself to provide financial assistance to poor households for the capital cost of rainwater storage tanks and related works in the rural areas. Despite this financial assistance, the legal status of DRWH remains unclear and DRWH is in fact illegal by strict application of the water legislations. Beyond the cost of installation, maintenance and proper use of the DRWH system to ensure its sustainability, there is risk of waterborne diseases. This paper explores challenges to sustainable implementation of DRWH and proposes some interventions which the South African government could implement to overcome them.

Scopus: Journal of East African Ornithology

African Journals Online (AJOL)

Scopus: Journal of East African Ornithology has been published since 1977 by the Bird Committee of the East Africa Natural History Society. Originally titled Scopus, the addition of Journal of East African Ornithology began with our January 2018 issue. The journal is published Open Access twice a year, typically in January ...

Application of the Eating Attitudes Test (EAT-26) in a rural, Zulu speaking, adolescent population in South Africa

Science.gov (United States)

Szabo, Christopher P; Allwood, Clifford W

2004-01-01

This study was undertaken as part of an exploration of the potential risk for future eating disorders in the black female population of South Africa. Previous research has documented eating attitudes suggesting that such a risk exists in urban populations. A translated version of the Eating Attitudes Test (EAT-26) was applied in a Zulu speaking, rural population (n=361). A prevalence of 3% for abnormal eating attitudes was established. In keeping with the hypothesis, the findings suggest that the risk for developing an eating disorder in a rural population is somewhat lower. In this regard, there does appear to be an urban-rural divide, which may have implications for the prevention of the emergence of eating disorders in black, South African adolescents. However, the validity of the EAT-26 in this population is a consideration in interpreting the data. PMID:16633489

Generation 2030/Africa

Science.gov (United States)

You, Danzhen; Hug, Lucia; Anthony, David

2014-01-01

Until relatively recently, much of Africa has been among the economically least developed and least densely populated places on earth, replete with villages and rural communities. Africa is changing rapidly, in its economy, trade and investment; in climate change; in conflict and stability; in urbanization, migration patterns, and most of all in…

International cooperation workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa

International Nuclear Information System (INIS)

2002-09-01

In pursuant to its 2002 programme of work, the Provisional Technical Secretariat (PTS) of the Preparatory Commission of the Comprehensive Nuclear-Test-Ban Treaty Organization organized a workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa in Nairobi, Kenya, from 18 to 20 June 2002. The summary report on the workshop has been provided, covering ways and means of promoting regional cooperation. The list of participants and the programme outline are annexed thereto

International cooperation workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-09-01

In pursuant to its 2002 programme of work, the Provisional Technical Secretariat (PTS) of the Preparatory Commission of the Comprehensive Nuclear-Test-Ban Treaty Organization organized a workshop on CTBTO international cooperation and national implementation for states from East and Southern Africa in Nairobi, Kenya, from 18 to 20 June 2002. The summary report on the workshop has been provided, covering ways and means of promoting regional cooperation. The list of participants and the programme outline are annexed thereto.

Ancient glaciations and hydrocarbon accumulations in North Africa and the Middle East

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Le Heron, Daniel Paul; Craig, Jonathan; Etienne, James L.

2009-04-01

At least six glaciations are purported to have affected North Africa and the Middle East region over the last one billion years, including two in the Cryogenian (Neoproterozoic), Hirnantian (Late Ordovician), Silurian, Carboniferous and Early Permian events. The sedimentary record associated with these glaciations, together with the intensity to which each has been investigated, is highly variable. As hydrocarbon exploration proceeds aggressively across the North Africa and Middle East regions, we review the relationship between glaciation and hydrocarbon accumulations. With the exception of Oman, and locally Egypt, which were tectonically active both during the Neoproterozoic and Early Palaeozoic all glaciations took place along an essentially stable passive continental margin. During the Neoproterozoic, two glaciations are recognised, referred to as older and younger Cryogenian glaciations respectively. Both of these Cryogenian events are preserved in Oman; only the younger Cryogenian has been reported in North Africa in Mauritania and Mali at the flanks of the Taoudenni Basin. The process of initial deglaciation in younger Cryogenian glaciations resulted in incision, at least locally producing large-bedrock palaeovalleys in Oman, and the deposition of glacial diamictites, gravels, sandstones and mudstones. As deglaciation progressed "cap carbonates" were deposited, passing vertically into shale with evidence for deposition in an anoxic environment. Hence, younger Cryogenian deglaciation may be associated with hydrocarbon source rock deposits. Hirnantian (Late Ordovician) glaciation was short lived (economic significance across central North Africa. Therefore, an appreciation of the processes of ice sheet growth and decay provides significant insights into the controls on large-scale heterogeneities within these sediments, and in analogue deposits produced by glaciations of different ages. Deglacial, Early Silurian black shale represents the most important

Healthy dietary practices among rural and semi-urban Blacks in the Northern Province of South Africa

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K. Peltzer

2002-09-01

Full Text Available The aim of the study was to investigate five healthy dietary behaviours in a sample of rural and semi-urban South Africans. The sample consisted of 200 adults, 100 from an semi-urban area (Mankweng and 100 from a rural area (Tiberius in the central region of the Northern Province of South Africa. The two geographically different communities were chosen by convenience and the participants in the two communities were choosen by cluster sampling. Results indicate that about a third (30% in semi-urban and 34% in rural of the study sample are overweight and 18% are obese. A moderately high prevalence of six simple healthy dietary practices was found. However, there was a very low prevalence rate of eating fruits daily among both semi-urban (10% and rural dwellers (9%. Semi-urban dwellers showed significantly higher healthy diet behaviour than rural dwellers in regard to avoiding fat, trying to eat fiber, limiting red meat, and limiting salt. Men reported more than women that they tried to eat fiber and they had more often breakfast everyday. Being semi-urban and female were significantly associated with the healthy dietary index, whereas age, BMI, educational level and marital status were not. The results give insight into dietary health behaviour practices and the factors that influence them, which have practical implications for dietary health promotion.

Solid waste characterization in Ketao, a rural town in Togo, West Africa.

Science.gov (United States)

Edjabou, Maklawe Essonanawe; Møller, Jacob; Christensen, Thomas H

2012-07-01

In Africa the majority of solid waste data is for big cities. Small and rural towns are generally neglected and waste data from these areas are often unavailable, which makes planning a proper solid waste management difficult. This paper presents the results from two waste characterization projects conducted in Kétao, a rural town in Togo during the rainy season and the dry season in 2010. The seasonal variation has a significant impact on the waste stream. The household waste generation rate was estimated at 0.22 kg person(-1) day(-1) in the dry season and 0.42 in the rainy season. Likewise, the waste moisture content was 4% in the dry season while it was 33-63% in the rainy season. The waste consisted mainly of soil and dirt characterized as 'other' (41%), vegetables and putrescibles (38%) and plastic (11%). In addition to these fractions, considerable amounts of material are either recycled or reused locally and do not enter the waste stream. The study suggests that additional recycling is not feasible, but further examination of the degradability of the organic fraction is needed in order to assess whether the residual waste should be composed or landfilled.

Transferring the Malaria Epidemic Prediction Model to Users in East ...

International Development Research Centre (IDRC) Digital Library (Canada)

Transferring the Malaria Epidemic Prediction Model to Users in East Africa. In the highlands of East Africa, epidemic malaria is an emerging climate-related hazard that urgently needs addressing. Malaria incidence increased by 337% during the 1987 epidemic in Rwanda. In Tanzania, Uganda and Kenya, malaria incidence ...

How boys become dogs: stigmatization and marginalization of uninitiated xhosa males in East London, South Africa.

Science.gov (United States)

Mavundla, Thandisizwe R; Netswera, Fulufhelo G; Toth, Ferenc; Bottoman, Brian; Tenge, Stembele

2010-07-01

Male circumcision is practiced in South Africa among the Xhosa people as a rite of passage from boyhood to manhood. The manhood status achieved after the ritual accords men power and authority in the community over women and uncircumcised men. Therefore, uninitiated men experience great pressures to get circumcised. We describe the experience of newly initiated Xhosa men in East London, South Africa. Interpretive phenomenology was used as the inquiry of choice. Data were collected through focus group discussions in which 14 men participated. The theme of marginalization of uninitiated Xhosa males emerged with two categories: (a) rejection, and (b) lack of respect. The participants revealed that uninitiated men are rejected by the community, their own families, friends, and women. We frame the discussion around the concept of stigma. Acknowledging that uninitiated males are stigmatized can help mitigate stigma, and in turn, the incidence of medical complications from botched circumcisions.

Oral Health Inequalities between Rural and Urban Populations of the African and Middle East Region.

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Ogunbodede, E O; Kida, I A; Madjapa, H S; Amedari, M; Ehizele, A; Mutave, R; Sodipo, B; Temilola, S; Okoye, L

2015-07-01

Although there have been major improvements in oral health, with remarkable advances in the prevention and management of oral diseases, globally, inequalities persist between urban and rural communities. These inequalities exist in the distribution of oral health services, accessibility, utilization, treatment outcomes, oral health knowledge and practices, health insurance coverage, oral health-related quality of life, and prevalence of oral diseases, among others. People living in rural areas are likely to be poorer, be less health literate, have more caries, have fewer teeth, have no health insurance coverage, and have less money to spend on dental care than persons living in urban areas. Rural areas are often associated with lower education levels, which in turn have been found to be related to lower levels of health literacy and poor use of health care services. These factors have an impact on oral health care, service delivery, and research. Hence, unmet dental care remains one of the most urgent health care needs in these communities. We highlight some of the conceptual issues relating to urban-rural inequalities in oral health, especially in the African and Middle East Region (AMER). Actions to reduce oral health inequalities and ameliorate rural-urban disparity are necessary both within the health sector and the wider policy environment. Recommended actions include population-specific oral health promotion programs, measures aimed at increasing access to oral health services in rural areas, integration of oral health into existing primary health care services, and support for research aimed at informing policy on the social determinants of health. Concerted efforts must be made by all stakeholders (governments, health care workforce, organizations, and communities) to reduce disparities and improve oral health outcomes in underserved populations. © International & American Associations for Dental Research 2015.

Participatory Aspirations of Environmental Governance in East Africa - Comment

Directory of Open Access Journals (Sweden)

Nicholas N. Kimani

2010-09-01

Full Text Available New ways of thinking about governance are challenging our basic understandings about how we organise ourselves in a world that is increasingly characterised by uncertainty, ambiguity and unpredictability, and about how we should organise ourselves (emphasis added. Through consideration of developments in East Africa under the auspices of a United Nations Environment Programme (UNEP-administered project, the Partnership for Development of Environmental Laws and Institutions (PADELIA, two important considerations clearly stand out. First, in regional approaches to environmental governance law-makers and policy-makers need to go beyond a formalist understanding of governance which lays sole emphasis upon respective countries' institutions and legal frameworks. An appreciation of the extent to which shared understandings and common approaches to problem-solving may be tempered by contingent social, cultural and political circumstances is also necessary. Secondly, given the present trend in environmental governance where governmental authority is increasingly shifting away from state institutions towards civil actors, ever-increasing opportunities are presented to civil actors to shape and reshape their environmental laws and policy. As a result, what is left is for these actors is to be proactive and to take more initiative in safeguarding their own environment.

APPLYING THE VERNACULAR MODEL TO HIGH-RISE RESIDENTIAL DEVELOPMENT IN THE MIDDLE EAST AND NORTH AFRICA

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Amer Al-Jokhadar

2017-07-01

Full Text Available In the age of globalisation and continuous urbanisation, architects have a greater responsibility to design residential buildings with comfortable and sustainable environments. However, sustainable solutions should not concern themselves only with utilising technology, but also with creating synergies amongst a community’s social, cultural, historical, and environmental aspects. This research focuses on the implications of this wider definition of sustainability within the hot-arid climates of the Middle East and North Africa. Most of the current high-rise residential buildings in these regions do not promote social cohesion as they have been constructed without consideration for local identity and lifestyle. In contrast, vernacular courtyard dwellings and neighbourhoods offer good examples of socially cohesive and healthy environments. Yet, vernacular houses might not be compatible with pressures of modern construction. The question then becomes how to maintain the relationship between the spatial, social and environmental aspects while employing the latest technologies and materials. This paper presents the different qualities of vernacular houses and neighbourhoods in the different regions of the Middle East and North Africa. Social and spatial relationships of different cases are assessed, through a typological analysis approach using a developed syntactic-geometric model, to trace the lifestyle and the cultural values of the society. The aim is a parametric exploration of appropriate sustainable solutions that facilitate the synergy of socio-climatic requirements, the well-being qualities of the residents, and the specifics of culture, time and people while designing sustainable high-rise developments.

Gastroenterology training in private hospitals: India vs South Africa

Science.gov (United States)

Mulder, Chris Jacob Johan; Puri, Amarender Singh; Reddy, Duvvur Nageshwar

2010-01-01

In South Africa, nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in Republic of South Africa (RSA). Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to become registered and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions to the problem. India, which has a population of more than 1 billion people, is struggling with similar problems. For the past 10-15 years, private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gastroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, similar to those in India, might move to provincial hospitals in rural areas, upgrading the medical services and keeping medical power in South Africa. South Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia. PMID:20180232

Honor killings in the Middle East and North Africa: a systematic review of the literature.

Science.gov (United States)

Kulczycki, Andrzej; Windle, Sarah

2011-11-01

A systematic review of the research literature on honor killings in the Middle East and North Africa (MENA) indicates a paucity of studies relative to the presumed magnitude of the problem. Forty articles were reviewed and critically appraised, of which only 9 contained primary data and 11 presented original secondary analyses. Despite a recent increase in published studies, persistent methodological limitations restrict the generalizability of findings. Most studies focus on legal aspects, determinants, and characteristics of victims and perpetrators. Victims are mostly young females murdered by their male kin. Unambiguous evidence of a decline in tolerance of honor killings remains elusive.

A biocultural framework for examining maternal cravings and aversions among pastoral women in east Africa.

Science.gov (United States)

Young, Alyson G; Pike, Ivy L

2012-01-01

Food preferences during pregnancy result from a complex set of biocultural interactions with important implications for maternal and child health. This article explores the social context of maternal food choice in marginal environments of East Africa. Biocultural data collected among Turkana and Datoga women living in Kenya and Tanzania indicate there is a significant social context to food choice that influences the types of food that women report craving and the food that is consumed. Our framework argues for a deeper understanding of how culture shapes food preferences and how marginalization can constrain access to favored and healthy foods.

Women and family poultry production in rural Africa.

Science.gov (United States)

Gueye, E H

2000-02-01

Poultry production has existed for many generations in Africa, and almost every village household keeps chickens. The rural family poultry (RFP) are generally raised in free-range and/or backyard systems, which are traditional extensive husbandry systems. The development of an intensive poultry production has been the goal of the African government over the years. Despite efforts aiming for such goal, RFP is still very important in African countries that are both poor and net importers of food. It is a valuable asset because it can contribute significantly in alleviating poverty, securing food supply, and promoting gender equality. In view of this, interventions to improve RFP production systems should take into account the sociocultural issues, specifically gender-based aspects. It is noted that such interventions might, in addition to food security and poverty alleviation, also serve to promote gender equality. RFP development programs should be more women-friendly in order to facilitate women's participation, as RFP production in the region is generally a woman's business. Moreover, efforts to empower village women has to be envisaged cautiously as there is a serious risk of men taking over once the poultry sector becomes more profitable.

Prospects of Collective Security in the Eastern Africa Region

Science.gov (United States)

2013-06-14

Union EAC East African Community EAR Eastern Africa Region EASBRIG East African Standby Brigade EASF Eastern Africa Standby Force ECOMOG ECOWAS...address inherent social, economic and political problems while at the same time facing the world economy as one block (AU 2000). The Union is a...the East African Community ( EAC ) will go on smoothly and its success will continue to attract other regional states to join thereby expanding the

Prevalence and impact of chronic obstructive pulmonary disease in a rural district of Uganda : FRESH AIR methodology for sub-Saharan Africa

NARCIS (Netherlands)

van Gemert, Frederik

2017-01-01

Prevalence and impact of chronic obstructive pulmonary disease in a rural district of Uganda: FRESH AIR methodology for sub-Saharan Africa Worldwide, tobacco smoking is the most common encountered risk factor for chronic obstructive pulmonary disease (COPD). However, in many low and middle-income

Field testing mobile digital storytelling software in rural Kenya

CSIR Research Space (South Africa)

Reitmaier, T

2010-09-01

Full Text Available stories stands to benefit members of rural and often impoverished African communities. Informed by ethnography and technology experiments involving storytelling, we implemented a method to involve users in a rural community in South Africa?s Eastern... storytelling, rural, HCI4D, probe, evaluation 1. INTRODUCTION Storytelling practices in rural African communities such as Adiedo, Kenya are localized by rich oral traditions [4]. In such places people like to tell stories and they do so in a variety...

Opportunities and constraints in the subsistence production and marketing of indigenous vegetables in East and Central Africa

OpenAIRE

Schippers, Rudy; Fereday, Nicholas

1998-01-01

This report summarises the results of market and production surveys carried out in both the dry and wet seasons in Cameroon and Uganda during 1997/98 as part of the DFID fimded project "Opportunities and constraints in the subsistence production and marketing of indigenous vegetables in East and Central Africa (A0699)". The main objective of the study was to establish the socio-economic significance of indigenous vegetables compared to exotic ones. This project is a follow up to the strategy ...

A situational analysis methodology to inform comprehensive HIV prevention and treatment programming, applied in rural South Africa.

Science.gov (United States)

Treves-Kagan, Sarah; Naidoo, Evasen; Gilvydis, Jennifer M; Raphela, Elsie; Barnhart, Scott; Lippman, Sheri A

2017-09-01

Successful HIV prevention programming requires engaging communities in the planning process and responding to the social environmental factors that shape health and behaviour in a specific local context. We conducted two community-based situational analyses to inform a large, comprehensive HIV prevention programme in two rural districts of North West Province South Africa in 2012. The methodology includes: initial partnership building, goal setting and background research; 1 week of field work; in-field and subsequent data analysis; and community dissemination and programmatic incorporation of results. We describe the methodology and a case study of the approach in rural South Africa; assess if the methodology generated data with sufficient saturation, breadth and utility for programming purposes; and evaluate if this process successfully engaged the community. Between the two sites, 87 men and 105 women consented to in-depth interviews; 17 focus groups were conducted; and 13 health facilities and 7 NGOs were assessed. The methodology succeeded in quickly collecting high-quality data relevant to tailoring a comprehensive HIV programme and created a strong foundation for community engagement and integration with local health services. This methodology can be an accessible tool in guiding community engagement and tailoring future combination HIV prevention and care programmes.

A qualitative investigation of the role of paediatric rehabilitation professionals in rural South Africa: Rehabilitation professionals’ perspectives

Directory of Open Access Journals (Sweden)

Desmond Mathye

2016-02-01

Full Text Available Purpose: To investigate the role that rehabilitation professionals play in the rehabilitation of children with disabilities in the rural and under-resourced community of Giyani in South Africa. Method: A qualitative, exploratory and descriptive approach was used. Semi-structured face-to-face interviews were used to collect data from a convenient sample of eight rehabilitation professionals. Data were transcribed verbatim by two trained students and verified by the main researcher. An inductive approach to qualitative data analysis was used. In vivo and open coding were used to generate codes. Results: Analysis of data resulted in 21 codes, 9 subcategories, 5 categories and 1 theme. The role of rehabilitation professionals was described in terms of the five categories which are to examine newborn babies and children at risk, support caregivers of children with disabilities, impart skills training for caregivers of children with disabilities, rehabilitate children with disabilities and conduct follow-ups in communities where the children with disabilities reside. Conclusion: The role that rehabilitation professionals play in the rural and under-resourced community of Giyani in South Africa is similar to the role played in high-income countries. The role that rehabilitation professionals play is not only focused on the child but also on the family.

Awareness, knowledge and attitudes towards epilepsy among rural populations in East Coast Peninsular Malaysia: a preliminary exploration.

Science.gov (United States)

Neni, Selamat Widiasmoro; Latif, Ahmad Zubaidi Abdul; Wong, Sok Yee; Lua, Pei Lin

2010-06-01

This study was carried out to gauge the preliminary insight regarding epilepsy among the rural society. The purposes of this study were: (1) to determine general level of awareness, knowledge and attitudes (AKA) towards epilepsy among rural communities, (2) to compare the AKA level based on socio-demographic characteristics and (3) to investigate rural cohort's perception of the best epilepsy treatment, preference for epilepsy information delivery and preference for mode of transportation to seek medical treatment. This prospective, cross sectional study included a sample of 615 rural residents enrolled via cluster sampling in East Coast region of Peninsular Malaysia (mean age=41.6+/-18.02, female=56.6%, married=65.5%, Malay=94.0%, monthly income 0.05). However, respondents with higher education significantly possessed better attitudes and higher Total AKA level compared to those with lower education level (p<0.001). Employed respondents reported significantly more favourable attitudes than unemployed respondents (p=0.011). Additionally, higher income rural cohorts possessed both significantly better attitudes and better AKA. These rural communities perceived modern medicine as the best epilepsy treatment (56.60%), preferred to obtain direct epilepsy-related information from health personnel (60.4%) and chose to use their own car to seek medical treatment in hospital (76.30%). The outcomes of this preliminary study signified the need to devise a dedicated epilepsy education program for implementation among rural residents. Increased AKA level in the society could enhance the people's acceptance, reduce stigmatisation and improve health-related quality of life (HRQoL) for epilepsy patients and their family. Copyright 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

Is production intensification likely to make farm households food-adequate? A simple food availability analysis across smallholder farming systems from East and West Africa

NARCIS (Netherlands)

Ritzema, R.S.; Frelat, R.; Douxchamps, S.; Silvestri, S.; Rufino, M.C.; Herrero, M.; Giller, K.E.; López-ridaura, S.; Teufel, N.; Paul, B.K.; Wijk, Van M.T.

2017-01-01

Despite considerable development investment, food insecurity remains prevalent throughout East and West Africa. The concept of ‘sustainable intensification’ of agricultural production has been promoted as a means to meet growing food needs in these regions. However, inadequate attention has been

Middle East and North African Oil.

Science.gov (United States)

Al-Quazzaz, Ayad

1981-01-01

Traces the history of oil and natural gas in the Middle East and relates the importance of the Middle East's current stores of oil to economic development. Information is presented on the relationship of major oil companies and local governments, OPEC, rate of production, and the impact of oil on the societies of the Middle East and North Africa.…

Psychology and modern life challenges: the 2nd Middle East and North Africa Regional Conference of Psychology, Amman, Jordan, 2007.

Science.gov (United States)

Knowles, Michael; Sabourin, Michel

2008-04-01

The Second Middle East and North Africa Regional Conference of Psychology was held in Amman from 27 April - 1 May 2007 under the Royal Patronage of Her Majesty Queen Rania Al-Abdullah and the auspices of the International Union of Psychological Science, the International Association of Applied Psychology, and the International Association of Cross-Cultural Psychology. It was hosted by the Jordanian Psychological Association whose President was Dr. Asaad Zuby. The President of the Conference and the Local Organizing Committee was Dr. Adnan Farah, the Chair of the Scientific Program Committee was Dr. Mohammad Rimawi, and the Chair of the Regional Advisory Committee was Dr. Marwan Dwairy. The Conference succeeded in attracting participants from 28 countries, including 15 from the Middle East and North Africa region. The Scientific Program explored ways and means to promote the role of psychology in meeting life challenges at regional and international levels. The Conference concluded with the signing of a formal Declaration which called upon governments, academic and professional institutions and organizations, non-governmental organization and other civil society groups, and the United Nations, to work together and to make every possible effort individually and collectively to achieve these goals.

Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study.

Science.gov (United States)

Ebonwu, Joy; Mumbauer, Alexandra; Uys, Margot; Wainberg, Milton L; Medina-Marino, Andrew

2018-01-01

To investigate and compare determinates for delayed first presentation to antenatal care (ANC) services. A cross-sectional study was conducted amongst pregnant women attending their first ANC visit in rural Capricorn District and peri-urban Tlokwe sub-district communities in South Africa. Data collection included questionnaires and medical record abstraction. Bivariate and multivariate analyses assessed factors associated with late ANC presentation. We recruited 807 pregnant women. Of these, 51% of rural women and 28% of peri-urban women presented late for first ANC. Rural women were more likely to present late for first ANC (AOR = 2.65; 95% CI 1.98-3.55) and report barriers to accessing ANC services (PANC presentation in rural communities was associated with being married (AOR = 2.36; 95% CI 1.33-4.19), employed (AOR = 1.90; 95% CI 1.03-3.50), ANC after presenting early (AOR 0.51; 95% CI 0.30-0.89) and being pregnant for the first time (AOR = 0.56; 95% CI 0.34-0.94). Both rural and peri-urban women had high rates of late presentation for first ANC. However, women in the rural communities were more likely to present late. Unplanned pregnancy was an independent risk factor in both rural and peri-urban communities. Interventions around family planning, especially for adolescent girls and young women, are needed to improve early presentation for ANC.

Regulating the for-profit private health sector: lessons from East and Southern Africa.

Science.gov (United States)

Doherty, Jane E

2015-03-01

International evidence shows that, if poorly regulated, the private health sector may lead to distortions in the type, quantity, distribution, quality and price of health services, as well as anti-competitive behaviour. This article provides an overview of legislation governing the for-profit private health sector in East and Southern Africa. It identifies major implementation problems and suggests strategies Ministries of Health could adopt to regulate the private sector more effectively and in line with key public health objectives. This qualitative study was based on a document review of existing legislation in the region, and seven semi-structured interviews with individuals selected purposively on the basis of their experience in policymaking and legislation. Legislation was categorized according to its objectives and the level at which it operates. A thematic content analysis was conducted on interview transcripts. Most legislation focuses on controlling the entry of health professionals and organizations into the market. Most countries have not developed adequate legislation around behaviour following entry. Generally the type and quality of services provided by private practitioners and facilities are not well-regulated or monitored. Even where there is specific health insurance regulation, provisions seldom address open enrolment, community rating and comprehensive benefit packages (except in South Africa). There is minimal control of prices. Several countries are updating and improving legislation although, in most cases, this is without the benefit of an overarching policy on the private sector, or reference to wider public health objectives. Policymakers in the East and Southern African region need to embark on a programme of action to strengthen regulatory frameworks and instruments in relation to private health care provision and insurance. They should not underestimate the power of the private health sector to undermine efforts for increased

Household food security and HIV status in rural and urban communities in the Free State province, South Africa.

Science.gov (United States)

Pienaar, Michélle; van Rooyen, Francois C; Walsh, Corinna M

2017-12-01

Higher socioeconomic status impacts profoundly on quality of life. Life-event stressors, such as loss of employment, marital separation/divorce, death of a spouse and food insecurity, have been found to accelerate disease progression among people with human immunodeficiency virus (HIV). The objective of this study was to determine significant independent sociodemographic and food security factors associated with HIV status in people from rural and urban communities in the Assuring Health for All study, which was undertaken in rural Trompsburg, Philippolis and Springfontein and urban Mangaung, in the Free State Province of South Africa. Sociodemographic and food security factors associated with HIV status were determined in 886 households. Logistic regression with forward selection (p rural participants, 97 (17.1%) were HIV-infected, and 172 (40.6%) of the 424 urban participants. A relatively high percentage of respondents had never attended school, while very few participants in all areas had a tertiary education. The unemployment rate of HIV-infected adults was higher than that of HIV-uninfected adults. A high percentage of respondents in all areas reported running out of money to buy food, with this tendency occurring significantly more among urban HIV-infected than HIV-uninfected respondents. In all areas, a high percentage of HIV-infected respondents relied on a limited number of foods to feed their children, with significantly more HIV-infected urban respondents compared to their uninfected counterparts reporting this. Most participants in all areas had to cut the size of meals, or ate less because there was not enough food in the house or not enough money to buy food. During periods of food shortage, more than 50% of respondents in all areas asked family, relatives or neighbours for assistance with money and/or food, which occurred at a higher percentage of HIV-infected rural participants compared to HIV-uninfected rural participants. More than half of all

What was tropical about tropical neurasthenia? The utility of the diagnosis in the management of British East Africa.

Science.gov (United States)

Crozier, Anna

2009-10-01

During the first quarter of the twentieth century, tropical neurasthenia was a popular diagnosis for a nervous condition experienced by Europeans in the topics. Tropical neurasthenia was not psychosis or madness, but was rather an ennui or loss of "edge" brought about by the strains of tropical life, especially the unfamiliar, hot climate. A catch-all for a wide range of symptoms, many missionaries, colonial staff, and settlers throughout Empire were repatriated because of it, although this article concentrates on Colonial Service employees working in British East Africa. While histories of tropical neurasthenia have usefully (and correctly) explained this diagnosis as an expression of the anxieties of the colonial regime, this article adds a new dimension to the historiography by arguing that tropical neurasthenia can only be properly understood as a hybrid form, dependent not only upon the peculiarities of the colonial situation, but also descended from British and American clinical understandings of neurasthenia. Moreover, once tropical neurasthenia is properly acknowledged as being typical of clinical understandings of the time, other reasons for its comparatively long endurance in the colonial situation emerge. This article shows that tropical neurasthenia remained a popular diagnosis in East Africa not only because (as historians have argued previously) it dovetailed with prevalent ideas of colonial acclimatization, but also because it was a practically useful tool in the management and regulation of colonial personnel.

A new tephrochronology for early diverse stone tool technologies and long-distance raw material transport in the Middle to Late Pleistocene Kapthurin Formation, East Africa.

Science.gov (United States)

Blegen, Nick; Jicha, Brian R; McBrearty, Sally

2018-05-09

The Middle to Late Pleistocene (780-10 ka) of East Africa records evidence of significant behavioral change, early fossils of Homo sapiens, and the dispersals of our species across and out of Africa. Studying human evolution in this time period thus requires an extensive and precise chronology relating behavioral evidence from archaeological sequences to aspects of hominin biology and evidence of past environments from fossils and geological sequences. Tephrochronology provides the chronostratigraphic resolution to achieve this through correlation and dating of volcanic ashes. The tephrochronology of the Kapthurin Formation presented here, based on tephra correlations and 40 Ar/ 39 Ar dates, provides new ages between 395.6 ± 3.5 ka and 465.3 ± 1.0 ka for nine sites showing diverse blade and Levallois methods of core reduction. These are >110 kyr older than previously known in East Africa. New 40 Ar/ 39 Ar dates provide a refined age of 222.5 ± 0.6 ka for early evidence of long-distance (166 km) obsidian transport at the Sibilo School Road Site. A tephra correlation between the Baringo and Victoria basins also provides a new date of ∼100 ka for the Middle Stone Age site of Keraswanin. By providing new and older dates for 11 sites containing several important aspects of hominin behavior and extending the chronology of the Kapthurin Formation forward by ∼130,000 years, the tephrochronology presented here contributes one of the longest and most refined chronostratigraphic frameworks of Middle through Late Pleistocene East Africa. This tephrochronology thus provides the foundation to understand the process of modern human behavioral evolution as it relates to biological and paleoenvironmental circumstances. Copyright © 2018 Elsevier Ltd. All rights reserved.

Natural gas in the Middle East and North Africa

International Nuclear Information System (INIS)

Enay, P.

1997-02-01

Natural Gas in the Middle East and North Africa gives an in-depth country-by-country survey of both the region's ambitious gas development plans and the problems it faces. It provides details of production costs, the extent and accessibility of gas reserves and the degree of host government support. The report addresses all the essential questions surrounding investment opportunities in this area and guides you through gas demand in the region. It also includes a detailed study of 11 major gas producing and consuming countries in the area, covering: Algeria; Egypt; Iran; Kuwait; Libya; Oman; Qatar; Saudia Arabia; Syria; UAE; Yemen. The report is divided into two sections for ease of use. The first section examines the demand factors for the region's gas exports, the second provides details of gas exploitation programmes in individual countries. The report also provides you with details of: gas reserves, production and use - a country-by-country review; maps of major pipelines - internal networks and export routes; growth in international gas trade; political and fiscal analysis - key to measuring investment risk and short- to medium-term political stability; and major limitations to the region's gas development - geography, political instability and US geopolitical influence in the region. (author)

Effects of cattle and manure management on the nutrient economy of mixed farms in East Africa: A scenario study

OpenAIRE

Snijders, P.J.M.; Meer, van der, H.G.; Onduru, D.D.; Ebanyat, P.; Ergano, K.; Zake, J.Y.K.; Wouters, A.P.; Gachimbi, L.N.; Keulen, van, H.

2013-01-01

This paper explores effects of animal and manure management in a dairy unit on the nutrient economy of crop-livestock farms in East Africa. For this purpose, 8 cattle management scenarios have been developed based on farming systems in Mbeere, Kenya (extensive), Wakiso, Uganda (semi-intensive) and Kibichoi, Kenya (intensive). Three baseline scenarios represent present-day cattle management; five improved scenarios use the same dairy breeds but have improved nutrition, using younger grass, mor...

Early childhood obesity: a survey of knowledge and practices of physicians from the Middle East and North Africa.

Science.gov (United States)

Gies, Inge; AlSaleem, Bader; Olang, Beheshteh; Karima, Berkouk; Samy, Gamal; Husain, Khaled; Elhalik, Mahmoud; Miqdady, Mohamad; Rawashdeh, Mohamad; Salah, Mohamed; Mouane, Nezha; Rohani, Pejman; Singhal, Atul; Vandenplas, Yvan

2017-04-28

Childhood obesity is one of the most serious public health issues of the twenty-first century affecting even low- and middle-income countries. Overweight and obese children are more likely to stay obese into adulthood. Due to the paucity of data on local practices, our study aimed to assess the knowledge and practices of physicians from the Middle East and North Africa region with respect to early-onset obesity. A specific questionnaire investigating the perception and knowledge on early-onset obesity was circulated to healthcare providers (general physicians, pediatricians, pediatric gastroenterologist, neonatologists) practicing in 17 Middle East and North African countries. A total of 999/1051 completed forms (95% response) were evaluated. Of all respondents, 28.9% did not consistently use growth charts to monitor growth during every visit and only 25.2% and 46.6% of respondents were aware of the correct cut-off criterion for overweight and obesity, respectively. Of those surveyed, 22.3, 14.0, 36.1, 48.2, and 49.1% of respondents did not consider hypertension, type 2 diabetes, coronary heart disease, fatty liver disease, and decreased life span, respectively, to be a long-term complication of early childhood obesity. Furthermore, only 0.7% of respondents correctly answered all survey questions pertaining to knowledge of early childhood overweight and obesity. The survey highlights the low use of growth charts in the evaluation of early childhood growth in Middle East and North Africa region, and demonstrated poor knowledge of healthcare providers on the short- and long-term complications of early-onset obesity. This suggests a need for both continued professional education and development, and implementation of guidelines for the prevention and management of early childhood overweight and obesity.

Alcohol use and depression: link with adherence and viral suppression in adult patients on antiretroviral therapy in rural Lesotho, Southern Africa: a cross-sectional study.

Science.gov (United States)

Cerutti, Bernard; Broers, Barbara; Masetsibi, Motlomelo; Faturiyele, Olatunbosun; Toti-Mokoteli, Likabelo; Motlatsi, Mokete; Bader, Joelle; Klimkait, Thomas; Labhardt, Niklaus D

2016-09-08

Depression and alcohol use disorder have been shown to be associated with poor adherence to antiretroviral therapy (ART). Studies examining their association with viral suppression in rural Africa are, however, scarce. This study reports prevalence of depressive symptoms and alcohol use disorder, and their potential association with adherence and viral suppression in adult patients on ART in ten clinics in rural Lesotho, Southern Africa. Among 1,388 adult patients (69 % women), 80.7 % were alcohol abstinent, 6.3 % were hazardous drinkers (men: 10.7 %, women: 4.4 %, p women 32.7 %, p suppression. Whereas the results of this study confirm previously reported association of alcohol use disorder with adherence to ART, there was no association with viral suppression. April 28th 2014; NCT02126696 .

Evaluating ESA CCI Soil Moisture in East Africa

Science.gov (United States)

McNally, Amy; Shukla, Shraddhanand; Arsenault, Kristi R.; Wang, Shugong; Peters-Lidard, Christa D.; Verdin, James P.

2016-01-01

To assess growing season conditions where ground based observations are limited or unavailable, food security and agricultural drought monitoring analysts rely on publicly available remotely sensed rainfall and vegetation greenness. There are also remotely sensed soil moisture observations from missions like the European Space Agency (ESA) Soil Moisture and Ocean Salinity (SMOS) and NASAs Soil Moisture Active Passive (SMAP), however these time series are still too short to conduct studies that demonstrate the utility of these data for operational applications, or to provide historical context for extreme wet or dry events. To promote the use of remotely sensed soil moisture in agricultural drought and food security monitoring, we use East Africa as a case study to evaluate the quality of a 30+ year time series of merged active-passive microwave soil moisture from the ESA Climate Change Initiative (CCI-SM). Compared to the Normalized Difference Vegetation index (NDVI) and modeled soil moisture products, we found substantial spatial and temporal gaps in the early part of the CCI-SM record, with adequate data coverage beginning in 1992. From this point forward, growing season CCI-SM anomalies were well correlated (R greater than 0.5) with modeled, seasonal soil moisture, and in some regions, NDVI. We use correlation analysis and qualitative comparisons at seasonal time scales to show that remotely sensed soil moisture can add information to a convergence of evidence framework that traditionally relies on rainfall and NDVI in moderately vegetated regions.

Foot-and-mouth Disease Transmission in Africa: Implications for Control, a Review.

Science.gov (United States)

Tekleghiorghis, T; Moormann, R J M; Weerdmeester, K; Dekker, A

2016-04-01

In Africa, for the control of foot-and-mouth disease (FMD), more information is needed on the spread of the disease at local, regional and inter-regional level. The aim of this review is to identify the role that animal husbandry, trade and wildlife have on the transmission of FMD and to provide a scientific basis for different FMD control measures in Africa. Review of literature, published reports and databases shows that there is more long distance spread of FMD virus serotypes within North, West, Central and East Africa than in southern Africa. In North, West, Central and East Africa migratory animal husbandry systems often related with search for grazing and water as well as trade are practiced to a greater extent than in southern Africa. In southern Africa, the role of African buffalo (Syncerus caffer) is more extensively studied than in the other parts of Africa, but based on the densities of African buffalo in Central and East Africa, one would assume that buffalo should also play a role in the epidemiology of FMD in this part of Africa. More sampling of buffalo is necessary in West, Central and East Africa. The genetic analysis of virus strains has proven to be valuable to increase our understanding in the spread of FMD in Africa. This review shows that there is a difference in FMD occurrence between southern Africa and the rest of the continent; this distinction is most likely based on differences in animal husbandry and trade systems. Insufficient data on FMD in wildlife outside southern Africa is limiting our understanding on the role wildlife plays in the transmission of FMD in the other buffalo inhabited areas of Africa. © 2014 Blackwell Verlag GmbH.

Child malnutrition in sub-Saharan Africa: A meta-analysis of demographic and health surveys (2006-2016.

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Blessing J Akombi

Full Text Available Sub-Saharan Africa has one of the highest levels of child malnutrition globally. Therefore, a critical look at the distribution of malnutrition within its sub-regions is required to identify the worst affected areas. This study provides a meta-analysis of the prevalence of malnutrition indicators (stunting, wasting and underweight within four sub-regions of sub-Saharan Africa.Cross-sectional data from the most recent Demographic and Health Surveys (2006-2016 of 32 countries in sub-Saharan Africa were used. The countries were grouped into four sub-regions (East Africa, West Africa, Southern Africa and Central Africa, and a meta-analysis was conducted to estimate the prevalence of each malnutrition indicator within each of the sub-regions. Significant heterogeneity was detected among the various surveys (I2 >50%, hence a random effect model was used, and sensitivity analysis was performed, to examine the effects of outliers. Stunting was defined as HAZ<-2; wasting as WHZ<-2 and underweight as WAZ<-2.Stunting was highest in Burundi (57.7% and Malawi (47.1% in East Africa; Niger (43.9%, Mali (38.3%, Sierra Leone (37.9% and Nigeria (36.8% in West Africa; Democratic Republic of Congo (42.7% and Chad (39.9% in Central Africa. Wasting was highest in Niger (18.0%, Burkina Faso (15.50% and Mali (12.7% in West Africa; Comoros (11.1% and Ethiopia (8.70% in East Africa; Namibia (6.2% in Southern Africa; Chad (13.0% and Sao Tome & Principle (10.5% in Central Africa. Underweight was highest in Burundi (28.8% and Ethiopia (25.2% in East Africa; Niger (36.4%, Nigeria (28.7%, Burkina Faso (25.7%, Mali (25.0% in West Africa; and Chad (28.8% in Central Africa.The prevalence of malnutrition was highest within countries in East Africa and West Africa compared to the WHO Millennium development goals target for 2015. Appropriate nutrition interventions need to be prioritised in East Africa and West Africa if sub-Saharan Africa is to meet the WHO global nutrition target

Population-based CD4 counts in a rural area in South Africa with high HIV prevalence and high antiretroviral treatment coverage.

Directory of Open Access Journals (Sweden)

Abraham Malaza

Full Text Available Little is known about the variability of CD4 counts in the general population of sub-Saharan Africa countries affected by the HIV epidemic. We investigated factors associated with CD4 counts in a rural area in South Africa with high HIV prevalence and high antiretroviral treatment (ART coverage.CD4 counts, health status, body mass index (BMI, demographic characteristics and HIV status were assessed in 4990 adult resident participants of a demographic surveillance in rural KwaZulu-Natal in South Africa; antiretroviral treatment duration was obtained from a linked clinical database. Multivariable regression analysis, overall and stratified by HIV status, was performed with CD4 count levels as outcome.Median CD4 counts were significantly higher in women than in men overall (714 vs. 630 cells/µl, p<0.0001, both in HIV-uninfected (833 vs. 683 cells/µl, p<0.0001 and HIV-infected adults (384.5 vs. 333 cells/µl, p<0.0001. In multivariable regression analysis, women had 19.4% (95% confidence interval (CI 16.1-22.9 higher CD4 counts than men, controlling for age, HIV status, urban/rural residence, household wealth, education, BMI, self-reported tuberculosis, high blood pressure, other chronic illnesses and sample processing delay. At ART initiation, HIV-infected adults had 21.7% (95% CI 14.6-28.2 lower CD4 counts than treatment-naive individuals; CD4 counts were estimated to increase by 9.2% (95% CI 6.2-12.4 per year of treatment.CD4 counts are primarily determined by sex in HIV-uninfected adults, and by sex, age and duration of antiretroviral treatment in HIV-infected adults. Lower CD4 counts at ART initiation in men could be a consequence of lower CD4 cell counts before HIV acquisition.

Middle East respiratory syndrome coronavirus (MERS Cov outbreak so far exempted Sub Saharan Africa; is it good news or call for action?

Directory of Open Access Journals (Sweden)

Ballah Akawu Denue

2015-01-01

Full Text Available The reported cases of MERS Cov in Arabian Peninsula and sporadic cases elsewhere except in sub Saharan Africa at present is disquieting considering its initial clinical feature that mimic flu like symptoms caused by other viruses. However MERS Cov is associated with organ dysfunction and high mortality. Although the mode of transmission is still unclear, it is postulated that it spreads through close contact, possibly via respiratory route. High similarities of MERS CoV carried by humans and camels may suggest that the diseases are zoonotic. Furthermore, airborne nosocomial transmission can occur in the room shared by the patients in the hospitals. There is still the confusion of transmission through body fluids or clinical samples, including stools and a cross transmission with medical devices or hands. Currently, all known cases can be directly or indirectly linked to Middle East from where it derives its name. Cases reported outside the Middle East first developed infection in the Middle East and then were exported outside the region. Several hospital-acquired outbreaks that resulted in upsurge of MERS Cov cases in Jeddah revealed lack of systematic implementation of infection prevention and control measures to effectively control emerging infectious diseases. The causative agent is detected and identified using Enzyme Linked Immuunosorbent Assay (ELISA and real-time polymerase chain reaction (RT-PCR that is expensive and not readily available in hospitals located in resource poor settings such as sub Saharan Africa. Although, so far no case of MERS Cov has been reported from sub Saharan Africa, the devastating consequences of MERS epidemic will be more catastrophic if it emerges in developing nations especially in sub Saharan Africa where there are no up to date facilities for investigations and management of such cases. Against this backdrop, we review this hazardous and incurable disease believing that it would create the necessary

From age-sets to friendship networks in contemporary sociology : The continuity of soda among the Boorana of East Africa

OpenAIRE

Aguilar, Mario I

2011-01-01

This paper re-assesses a comparative sociology of kinship and friendship in East Africa with a particular focus on the Boorana Oromo of Kenya. It argues that the study of kinship dominated the developments of a comparative sociology during colonial times and that the post-colonial influences of war, the market and globalization have increased the role of the individual. As a result a comparative sociology of African kinship needs to be understood in relation to comparative sociological studie...

Epidemiology and population structure of Staphylococcus aureus in various population groups from a rural and semi urban area in Gabon, Central Africa

NARCIS (Netherlands)

Ateba Ngoa, Ulysse; Schaumburg, Frieder; Adegnika, Ayola Akim; Kösters, Katrin; Möller, Tina; Fernandes, Jose Francisco; Alabi, Abraham; Issifou, Saadou; Becker, Karsten; Grobusch, Martin Peter; Kremsner, Peter Gottfried; Lell, Bertrand

2012-01-01

Little data is available on the epidemiology of Staphylococcus aureus in Africa. In the present study we aim at characterizing the population structure of S. aureus in healthy subjects from a rural and a semi-urban area in Lambarene, Gabon as well as in hospital staff and inpatients. In total, 500

Roles and challenges of the multidisciplinary team involved in prosthetic rehabilitation, in a rural district in South Africa

Directory of Open Access Journals (Sweden)

Ennion L

2016-10-01

Full Text Available Liezel Ennion, Anthea Rhoda Department of Physiotherapy, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa Background: Major lower limb amputations result in a significant sense of loss, psychological stress, and decrease in function and overall quality of life for the amputee. The holistic, patient-centered prosthetic rehabilitation of an amputee requires input from a team of dedicated health professionals from different disciplines commonly referred to as a multidisciplinary team (MDT. MDT rehabilitation is considered crucial in the reintegration of the amputee into the community, as well as for providing psychological support after limb loss. Multidisciplinary and interdisciplinary rehabilitation has been proven to be more successful than therapy provided by individual therapists in a number of different populations, regardless of the population studied. However, in most developing countries, there is a significant lack of multidisciplinary rehabilitation.Aim: To explore the roles and challenges of the members of the MDT involved in trans-tibial amputation rehabilitation in a rural community in South Africa (SA.Design: An explorative sequential qualitative descriptive study.Setting: A rural district in the KwaZulu Natal province in SA.Participants: Nine prosthetic users, three surgeons, three traditional healers, 17 therapists, four prosthetists, and four community health workers.Instruments for data collection: Semistructured interviews and focus group discussions.Results: The roles of the members of the MDT were clarified, and various members of the MDT highlighted specific challenges relating to their experiences and roles in the rehabilitation team. Lack of interdisciplinary rehabilitation and communication among team members, as well as lack of resources, and patient education negatively impact the rehabilitation of trans-tibial amputees.Conclusion: Aiming to address the limited resources

INTENDED NATIONALLY DETERMINED CONTRIBUTIONS FROM THE MIDDLE EAST AND NORTH AFRICA

Directory of Open Access Journals (Sweden)

Syed Mahbubur Rahman

2016-01-01

Full Text Available All Parties to the United Nations Framework Convention on Climate Change (UNFCCC were requested to communicate intended nationally determined contributions (INDCs in a clear, transparent and understandable way before the Conference of the Parties (known as COP21 held in Paris in 2015. The Contributions were supposed to be balanced and comprehensive to ensure sustainable development and expected to include finance, technology requires, technology transfer and capacity building aiming at mitigation and adaptation. This research focuses on investigating the INDCs prepared by countries from the Middle East and North Africa (MENA, one of the most water-scarce and dry regions in the world. Following a content analysis, this research has found that INDCs from the region have not been able to reflect the desired output. Submissions were also not timely and not sufficiently ahead of time. Many countries were not able to disclose the current status. INDCs can play a significant role by providing objective, timely, and reliable information, which is missing at present in the countries from MENA.

The Intertropical Convergence Zone over the Middle East and North Africa: Detection and Trends

KAUST Repository

Scott, Anna A.

2013-01-01

This thesis provides an overview of identifying the Intertropical Convergence Zone (ITCZ) in the Middle East and North Africa (MENA) region. The ITCZ is a zone of wind convergence around the equator that coincides with an area of intense precipitation that is commonly termed a tropical rainbelt. In Africa, these two concepts are frequently confounded. This work studies the correlation between precipitation and commonly used ITCZ indicators. A further attempt is made to detect movement in the African ITCZ, based on earlier paleontological studies showing historical changes in precipitation. Zonally averaged wind convergence is found to be the most reliable indicator of the African ITCZ, one having a low correlation with zonally averaged precipitation. Precipitation is found only to be a reliable indicator for the African ITCZ in zones near the wind convergence, which reaches as far north as 20_N in the summer. No secular change in location of the African ITCZ is found for the time of available data. Finally, historical data shows that any increase in precipitation in the Sahel, a region where precipitation is driven by the ITCZ, is mildly negatively correlated with precipitation in the rainbelt area, suggesting that shifts in the ITCZ result in a widening of the precipitation profile as well as a shift of the entire zone.

The Intertropical Convergence Zone over the Middle East and North Africa: Detection and Trends

KAUST Repository

Scott, Anna A.

2013-05-01

This thesis provides an overview of identifying the Intertropical Convergence Zone (ITCZ) in the Middle East and North Africa (MENA) region. The ITCZ is a zone of wind convergence around the equator that coincides with an area of intense precipitation that is commonly termed a tropical rainbelt. In Africa, these two concepts are frequently confounded. This work studies the correlation between precipitation and commonly used ITCZ indicators. A further attempt is made to detect movement in the African ITCZ, based on earlier paleontological studies showing historical changes in precipitation. Zonally averaged wind convergence is found to be the most reliable indicator of the African ITCZ, one having a low correlation with zonally averaged precipitation. Precipitation is found only to be a reliable indicator for the African ITCZ in zones near the wind convergence, which reaches as far north as 20_N in the summer. No secular change in location of the African ITCZ is found for the time of available data. Finally, historical data shows that any increase in precipitation in the Sahel, a region where precipitation is driven by the ITCZ, is mildly negatively correlated with precipitation in the rainbelt area, suggesting that shifts in the ITCZ result in a widening of the precipitation profile as well as a shift of the entire zone.

One Size Fits All? The Validity of a Composite Poverty Index Across Urban and Rural Households in South Africa.

Science.gov (United States)

Steinert, Janina Isabel; Cluver, Lucie Dale; Melendez-Torres, G J; Vollmer, Sebastian

2018-01-01

Composite indices have been prominently used in poverty research. However, validity of these indices remains subject to debate. This paper examines the validity of a common type of composite poverty indices using data from a cross-sectional survey of 2477 households in urban and rural KwaZulu-Natal, South Africa. Multiple-group comparisons in structural equation modelling were employed for testing differences in the measurement model across urban and rural groups. The analysis revealed substantial variations between urban and rural respondents both in the conceptualisation of poverty as well as in the weights and importance assigned to individual poverty indicators. The validity of a 'one size fits all' measurement model can therefore not be confirmed. In consequence, it becomes virtually impossible to determine a household's poverty level relative to the full sample. Findings from our analysis have important practical implications in nuancing how we can sensitively use composite poverty indices to identify poor people.

Journal of East African Natural History

African Journals Online (AJOL)

The Journal of East African Natural History is published jointly by the East Africa Natural History Society and the National Museums of Kenya. The Journal publishes papers and notes in the field of natural history, broadly defined as the study of organisms in their natural state, relevant to the eastern African region.

East Africa-India Security Relations/China-Africa Partnership: the ...

African Journals Online (AJOL)

Kenyan media as well as international media such as VOX Africa continue to report that Uhuru Kenyatta returned this week with an investment package totaling 425 billion shillings (5 billion dollars) from China. The target domains are railroad from Mombasa to Kisumu and energy generation. The move is interpreted as the ...

Connecting rural-urban economies?

DEFF Research Database (Denmark)

Larsen, Marianne Nylandsted; Birch-Thomsen, Torben; Lazaro, Evelyn

The interlinked relationships between urban settlements and their rural hinterlands in Sub-Saharan Africa are perceived crucial in enhancing possibilities for livelihood diversification and poverty reduction. Urban settlements provide opportunities for investment in more remunerative economic...... activities, job/employment opportunities that retain potential migrants in the area, and access to services for the rural hinterlands. This paper examines the role of emerging urban centres (EUCs) as ‘drivers’ of rural development based on a study of two EUCs and their rural hinterlands in Tanzania. Findings...... and poverty reduction....

Socio-cultural Issues for Sustainable Development in Africa ...

African Journals Online (AJOL)

Socio-cultural Issues for Sustainable Development in Africa. ... focal areas of sustainable development – social, economic and environmental factors. ... that designed a Sustainable Integrated Rural Development in Africa (SIRDA) programme.

Realizing Universal Health Coverage in East Africa: the relevance of human rights.

Science.gov (United States)

Yamin, Alicia Ely; Maleche, Allan

2017-08-03

Applying a robust human rights framework would change thinking and decision-making in efforts to achieve Universal Health Coverage (UHC), and advance efforts to promote women's, children's, and adolescents' health in East Africa, which is a priority under the Sustainable Development Agenda. Nevertheless, there is a gap between global rhetoric of human rights and ongoing health reform efforts. This debate article seeks to fill part of that gap by setting out principles of human rights-based approaches (HRBAs), and then applying those principles to questions that countries undertaking efforts toward UHC and promoting women's, children's and adolescents' health, will need to face, focusing in particular on ensuring enabling legal and policy frameworks, establishing fair financing; priority-setting processes, and meaningful oversight and accountability mechanisms. In a region where democratic institutions are notoriously weak, we argue that the explicit application of a meaningful human rights framework could enhance equity, participation and accountability, and in turn the democratic legitimacy of health reform initiatives being undertaken in the region.

Climatic changes and water resources in the Middle East and North Africa

Energy Technology Data Exchange (ETDEWEB)

Zereini, Fathi [Frankfurt Univ. (Germany). Inst. for Atmospheric and Environmental Sciences; Hoetzl, Heinz (eds.) [Karlsruhe Univ. (Germany). Inst. Geologie

2008-07-01

''Climatic Change and Water Resources in the Middle East and North Africa'' is dedicated to high-priority topics related to the impact of climate change on water resources in a water scarce region. The subject is described and discussed in three main chapters and different case studies. The three main chapters are (1) Climatic changes - sources and effects on the water cycle, (2) Impact of climate change on water resources, (3) Water resources and water management. These chapters are split up into further 26 sections. A total of 64 individuals from many countries have made contributions to this book. All topics in this book are complimentary and contribute to a comprehensive understanding of the interactions between global climate change, world water cycle and water resources. A valuable and meaningful interdisciplinary mixture of topics is combined in this book which will be of great interest to many scientists. (orig.)

Religiously Motivated Travel and Rural Tourism in Vhembe District of South Africa

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Gyekye Agyapong

2014-01-01

Full Text Available The study investigated the socio-economic impact of religious tourism (UAAC gathering on the local tourism industry and on surrounding rural communities in Vhembe District Municipality (VDM of South Africa. Questionnaires were used to collect data on pilgrims (visitors, businesses, and residents during, and immediately after the event. Statistical techniques were used to analyse the data to gain insight into the data as basis for answering the research questions posed in this study. The results revealed that majority of the pilgrims to the UAAC gathering were from the host province of Limpopo. Also, most pilgrims travel to the pilgrimage site solely for religious reasons. Another significant finding is that the average spending per pilgrim by pilgrims from the rest of South Africa is larger than their Limpopo and foreign pilgrim counterparts. Furthermore, the results showed that while businesses were positive about the pilgrimage’s contribution to increased sales from their businesses, they at the same time opined that the event does not generate any additional employment. This could be because out of every R100 of pilgrims spending only R2.16 remains in the local economy through leakages. Finally an important finding of the study is overall consensus among residents that the annual pilgrimage gathering promotes morality, improved socialization as well as a sense of feeling good and proud of their community.

The effect of migration on family structures in sub-Saharan Africa.

Science.gov (United States)

Okoth-ogendo, H W

1989-06-01

This paper assesses the effect of migration or family structures in sub-Saharan Africa, especially the effect of emigration on the reproduction, production, and social stability of the family in areas of origin in the predominantly agrarian communities of East and Southern Africa. Migration in precolonial Africa usually occurred for 1 of the following reasons: 1) the search by communities for new habitats and opportunities; 2) as a community response to droughts, floods, environmental degradation, and similar disasters; and 3) as a result of internecine wars, civil strife, and general hostilities. Thus, because of the collective nature of early migrations, the family unit maintained a much greater degree of social cohesion. The effects of the rise of the modern state in Africa on migration include 1) spatial limits of collective migration were frozen, 2) the colonial boundaries did not always correspond to cultural divisions, 3) both migration within colonial boundaries and individual migration became dominant, and 4) cyclical migration began. The end of colonialism resulted in 1) difficulties in creating strong and internally coherent nation states because of the uncertainty of national borders and 2) more cyclical migrants. The effects of migration on reproduction in the family during the colonial period include 17 extremely low fertility rates, 2) widespread domestic instability, and 3) exacerbation of moral decadence. Contemporary patterns of emigration have been far less disruptive, due in part to increased personal mobility and migration of the complete reproductive unit. The effects of migration on production include 1) depletion of labor for production; 2) women had to assume production functions, together with all their other responsibilities; and 3) very little cash or goods were available for remittance to areas of origin. Production and productivity among rural African families will continue to suffer as long as plantations, mines, and urban centers

Missing medical records: an obstacle to archival survey-research in a rural community in South Africa

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L. Wegner

2013-12-01

Full Text Available Keeping good quality medical records is an essential yet oftenneglected part of a health-care practitioner’s workload. In South Africa, by lawall health care facilities are required to retain medical records for a minimum ofsix years after the cessation of a patient’s treatment. In an archival survey thatwas attempted in a rural community in South Africa, only 39% of the recordsthat were requested were located. The procedure that was followed in order toobtain the records to be included in the survey is briefly described in this paper,highlighting the challenges experienced in four district hospitals in this community.The phenomenon has serious implications not only for the quality of healthcare,incidence of iatrogenic injuries and the future of the health-care practitioner’s career, but it also impacts on the ability to conductresearch to inform practice. An aspect that is not often considered is the impact of poor record keeping on the research and teachingcomponent of the broader medical profession.

Supervised oral HIV self-testing is accurate in rural KwaZulu-Natal, South Africa.

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Martínez Pérez, Guillermo; Steele, Sarah J; Govender, Indira; Arellano, Gemma; Mkwamba, Alec; Hadebe, Menzi; van Cutsem, Gilles

2016-06-01

To achieve UNAIDS 90-90-90 targets, alternatives to conventional HIV testing models are necessary in South Africa to increase population awareness of their HIV status. One of the alternatives is oral mucosal transudates-based HIV self-testing (OralST). This study describes implementation of counsellor-introduced supervised OralST in a high HIV prevalent rural area. Cross-sectional study conducted in two government-run primary healthcare clinics and three Médecins Sans Frontières-run fixed-testing sites in uMlalazi municipality, KwaZulu-Natal. Lay counsellors sampled and recruited eligible participants, sought informed consent and demonstrated the use of the OraQuick(™) OralST. The participants used the OraQuick(™) in front of the counsellor and underwent a blood-based Determine(™) and a Unigold(™) rapid diagnostic test as gold standard for comparison. Primary outcomes were user error rates, inter-rater agreement, sensitivity, specificity and predictive values. A total of 2198 participants used the OraQuick(™) , of which 1005 were recruited at the primary healthcare clinics. Of the total, 1457 (66.3%) were women. Only two participants had to repeat their OraQuick(™) . Inter-rater agreement was 99.8% (Kappa 0.9925). Sensitivity for the OralST was 98.7% (95% CI 96.8-99.6), and specificity was 100% (95% CI 99.8-100). This study demonstrates high inter-rater agreement, and high accuracy of supervised OralST. OralST has the potential to increase uptake of HIV testing and could be offered at clinics and community testing sites in rural South Africa. Further research is necessary on the potential of unsupervised OralST to increase HIV status awareness and linkage to care. © 2016 John Wiley & Sons Ltd.

Some like it hot: the influence and implications of climate change on coffee berry borer (Hypothenemus hampei and coffee production in East Africa.

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Juliana Jaramillo

Full Text Available The negative effects of climate change are already evident for many of the 25 million coffee farmers across the tropics and the 90 billion dollar (US coffee industry. The coffee berry borer (Hypothenemus hampei, the most important pest of coffee worldwide, has already benefited from the temperature rise in East Africa: increased damage to coffee crops and expansion in its distribution range have been reported. In order to anticipate threats and prioritize management actions for H. hampei we present here, maps on future distributions of H. hampei in coffee producing areas of East Africa. Using the CLIMEX model we relate present-day insect distributions to current climate and then project the fitted climatic envelopes under future scenarios A2A and B2B (for HADCM3 model. In both scenarios, the situation with H. hampei is forecasted to worsen in the current Coffea arabica producing areas of Ethiopia, the Ugandan part of the Lake Victoria and Mt. Elgon regions, Mt. Kenya and the Kenyan side of Mt. Elgon, and most of Rwanda and Burundi. The calculated hypothetical number of generations per year of H. hampei is predicted to increase in all C. arabica-producing areas from five to ten. These outcomes will have serious implications for C. arabica production and livelihoods in East Africa. We suggest that the best way to adapt to a rise of temperatures in coffee plantations could be via the introduction of shade trees in sun grown plantations. The aims of this study are to fill knowledge gaps existing in the coffee industry, and to draft an outline for the development of an adaptation strategy package for climate change on coffee production. An abstract in Spanish is provided as Abstract S1.

Hypertension and diabetes in Africa: design and implementation of a large population-based study of burden and risk factors in rural and urban Malawi

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Amelia Catharine Crampin

2016-02-01

Full Text Available Abstract Background The emerging burden of cardiovascular disease and diabetes in sub-Saharan Africa threatens the gains made in health by the major international effort to combat infectious diseases. There are few data on distribution of risk factors and outcomes in the region to inform an effective public health response. A comprehensive research programme is being developed aimed at accurately documenting the burden and drivers of NCDs in urban and rural Malawi; to design and test intervention strategies. The programme includes population surveys of all people aged 18 years and above, linking individuals with newly diagnosed hypertension and diabetes to healthcare and supporting clinical services. The successes, challenges and lessons learnt from the programme to date are discussed. Results Over 20,000 adults have been recruited in rural Karonga and urban Lilongwe. The urban population is significantly younger and wealthier than the rural population. Employed urban individuals, particularly males, give particular recruitment challenges; male participation rates were 80.3 % in the rural population and 43.6 % in urban, whilst female rates were 93.6 and 75.6 %, respectively. The study is generating high quality data on hypertension, diabetes, lipid abnormalities and risk factors. Conclusions It is feasible to develop large scale studies that can reliably inform the public health approach to diabetes, cardiovascular disease and other NCDs in Sub-Saharan Africa. It is essential for studies to capture both rural and urban populations to address disparities in risk factors, including age structure. Innovative approaches are needed to address the specific challenge of recruiting employed urban males.

Application of water quality index for the assessment of suitability of natural sources of water for drinking in rural areas of east Sikkim, India

OpenAIRE

Shubra Poonia; T Shantikumar Singh; Dechen C Tsering

2015-01-01

In Sikkim, especially in the rural areas where there is no supply of treated water for drinking and other domestic uses, natural surface water is the only source. The objective was to assess the water quality of natural sources of water in the rural areas of East Sikkim using a water quality index (WQI) for different seasons. A total of 225 samples, that is, 75 in winter, 75 in summer, and 75 in monsoon were collected from different sources for physicochemical analysis, and a WQI was calculat...

Climate risk management information, sources and responses in a pastoral region in East Africa

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Anthony Egeru

2016-01-01

Full Text Available Pastoralists in East Africa face a range of stressors, climate variability and change being one of them. Effective climate risk management involves managing the full range of variability and balancing hazard management with efforts to capitalise on opportunity; climate risk management information is central in this process. In this study, pastoralists’ perceptions of climate change, climate risk management information types, sources and attendant responses in a pastoral region in East Africa are examined. Through a multi-stage sampling process, a total of 198 heads of households in three districts were selected and interviewed using a semi-structured questionnaire. In addition, 29 focus group discussions and 10 key informant interviews were conducted to generate qualitative information to supplement survey data. Descriptive and thematic analysis were utilised in summarizing the data. Ninety-nine percent of the pastoralists noted that the climate had changed evidenced by high but erratic rainfall, occurrence of floods and variation in rainfall onset and cessation among other indicators. This change in climate had led to emergence of ‘new’ livestock and crop diseases, crop failure and low yields leading to frequent food shortages, water shortages, poor market access, and variation in pasture availability among other effects. Climate risk management information was received from multiple sources including; radio, diviners, community meetings, shrine elders, humanitarian agencies, and Uganda People’s defence forces (UPDF. Community meetings were however perceived as most accessible, reliable and dependable sources of information. Shifting livestock to dry season grazing and watering areas, selling firewood and charcoal, seeking for military escorts to grazing areas, purchasing veterinary drugs, shifting livestock to disease ‘free’ areas, and performing rituals (depending on the perceived risk constituted a set of responses undertaken in

Child malnutrition in sub-Saharan Africa: A meta-analysis of demographic and health surveys (2006-2016).

Science.gov (United States)

Akombi, Blessing J; Agho, Kingsley E; Merom, Dafna; Renzaho, Andre M; Hall, John J

2017-01-01

Sub-Saharan Africa has one of the highest levels of child malnutrition globally. Therefore, a critical look at the distribution of malnutrition within its sub-regions is required to identify the worst affected areas. This study provides a meta-analysis of the prevalence of malnutrition indicators (stunting, wasting and underweight) within four sub-regions of sub-Saharan Africa. Cross-sectional data from the most recent Demographic and Health Surveys (2006-2016) of 32 countries in sub-Saharan Africa were used. The countries were grouped into four sub-regions (East Africa, West Africa, Southern Africa and Central Africa), and a meta-analysis was conducted to estimate the prevalence of each malnutrition indicator within each of the sub-regions. Significant heterogeneity was detected among the various surveys (I2 >50%), hence a random effect model was used, and sensitivity analysis was performed, to examine the effects of outliers. Stunting was defined as HAZAfrica; Niger (43.9%), Mali (38.3%), Sierra Leone (37.9%) and Nigeria (36.8%) in West Africa; Democratic Republic of Congo (42.7%) and Chad (39.9%) in Central Africa. Wasting was highest in Niger (18.0%), Burkina Faso (15.50%) and Mali (12.7%) in West Africa; Comoros (11.1%) and Ethiopia (8.70%) in East Africa; Namibia (6.2%) in Southern Africa; Chad (13.0%) and Sao Tome & Principle (10.5%) in Central Africa. Underweight was highest in Burundi (28.8%) and Ethiopia (25.2%) in East Africa; Niger (36.4%), Nigeria (28.7%), Burkina Faso (25.7%), Mali (25.0%) in West Africa; and Chad (28.8%) in Central Africa. The prevalence of malnutrition was highest within countries in East Africa and West Africa compared to the WHO Millennium development goals target for 2015. Appropriate nutrition interventions need to be prioritised in East Africa and West Africa if sub-Saharan Africa is to meet the WHO global nutrition target of improving maternal, infant and young child nutrition by 2025.

Design for sustainability: rural connectivity with village operators

CSIR Research Space (South Africa)

Roux, K

2011-10-01

Full Text Available South Africa has approximately 26500 primary and secondary schools, of which at least 17000 are in remote rural villages. None of these rural schools have any form of Internet connectivity. The same rural villages may have one health facility...

An investigation into possibilities for implementation of a virtual community of practice delivered via a mobile social network for rural community media in the Eastern Cape, South Africa

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Oliva Muwanga-Zake

2017-03-01

Full Text Available Background: The purpose of this article is to provide an overview of how a virtual community of practice can be delivered via a mobile social networking framework to support rural community media in the Eastern Cape Province of South Africa. Objectives: The article presents the results of a study conducted to ascertain the possibilities of utilising mobile social networking as a means to provide access to required information and knowledge to rural community media through creation of a virtual community of practice. Improving the operational effectiveness of rural community media as a component of the rural community communication process would serve to improve the entire rural community communication process as well, making them more effective tools for availing relevant news and information to rural communities and reflecting the realities of rural communities to their broader environment. Method: The study was conducted on rural community media small micro and medium enterprises (SMMEs in the Eastern Cape Province of South Africa. The study applied an interpretive research philosophy, qualitative research design and multiple–case study approach. Primary data were collected through semi-structured interviews supported by a questionnaire, with secondary data collected via literature review, observation and documentation analysis. Results: Findings were that rural community media do make use of social media and mobile devices in operating their business, require access to generic and domain specific support services and actively engage their peers and stakeholders in this respect, although no formalised structure existed. The authors’ recommendation is to create a formalised virtual community of practice through the establishment of a mobile social network. Conclusion: Because of the fact that rural community SMMEs already utilise mobile devices and social media to operate their businesses, development of a solution based on a mobile social

Snowpack Variation and Hydrologic Impacts across the Middle East and North Africa

Science.gov (United States)

Robinson, D. A.; Ward, M. N.

2017-12-01

The Middle East is a region historically sensitive to climate variability and change, and contains snowpacks that have been shown to be important inputs to key regional water resources, including the Tigris-Euphrates river system. Focusing on the Middle East (and the smaller snowpacks of northwestern Africa), this presentation aims to (i) quantify each year's snowpack development and recession over recent decades, highlighting interannual to decadal variability, and (ii) advance understanding on the connection between the snowpack variations and aspects of regional hydrology. The presentation draws on satellite-based products, station data, and model reanalyses. Variation is summarized using space-time statistical techniques, as well as simpler regional indices: Northwestern Iran / Southern Caucasus (NWIC, includes Zagros Mountains); Eastern Turkey (ETKY, includes Taurus Mountains); and smaller scale indices for Lebanon and the Atlas Mountains. The Interactive Multisensor Snow and Ice Mapping System archives daily snow cover extent at 24 km resolution for 1999-present (primarily from visible satellite imagery). These data show that for both NWIC and ETKY, the mean snow extent peaks in late January with substantial coverage ( 300,000 km2 in each region), contracting to near zero by late June. A very large mid-winter interannual variance is also shown, implying substantial variation in hydrologic impacts during spring melt. Variability and decadal trends are compared with station snow depth reports (Global Historical Climatology Network - Daily). Strong agreement gives confidence in data quality, as well as, indicating high covariation of depth and extent. The connection with hydrologic impacts is investigated using reanalysis products, including the Global Land Data Assimilation System V2, which for the Middle East, shows broad agreement with observed maximum snow extent and spring retreat. The connections internal to the reanalysis between snow cover, melt and

Qualitative study exploring healthy eating practices and physical activity among adolescent girls in rural South Africa.

Science.gov (United States)

Sedibe, Heather M; Kahn, Kathleen; Edin, Kerstin; Gitau, Tabitha; Ivarsson, Anneli; Norris, Shane A

2014-08-26

Dietary behaviours and physical activity are modifiable risk factors to address increasing levels of obesity among children and adolescents, and consequently to reduce later cardiovascular and metabolic disease. This paper explores perceptions, attitudes, barriers, and facilitators related to healthy eating and physical activity among adolescent girls in rural South Africa. A qualitative study was conducted in the rural Agincourt subdistrict, covered by a health and sociodemographic surveillance system, in Mpumalanga province, South Africa. Semistructured "duo-interviews" were carried out with 11 pairs of adolescent female friends aged 16 to 19 years. Thematic content analysis was used. The majority of participants considered locally grown and traditional foods, especially fruits and vegetables, to be healthy. Their consumption was limited by availability, and these foods were often sourced from family or neighbourhood gardens. Female caregivers and school meal programmes facilitated healthy eating practices. Most participants believed in the importance of breakfast, even though for the majority, limited food within the household was a barrier to eating breakfast before going to school. The majority cited limited accessibility as a major barrier to healthy eating, and noted the increasing intake of "convenient and less healthy foods". Girls were aware of the benefits of physical activity and engaged in various physical activities within the home, community, and schools, including household chores, walking long distances to school, traditional dancing, and extramural activities such as netball and soccer. The findings show widespread knowledge about healthy eating and the benefits of consuming locally grown and traditional food items in a population that is undergoing nutrition transition. Limited access and food availability are strong barriers to healthy eating practices. School meal programmes are an important facilitator of healthy eating, and breakfast

Biofuels and Women's Empowerment (REVISED VERSION: DECEMBER 2014) : A comparative theoretical analysis of 8 biofuel projects in rural India and Sub-Saharan Africa

NARCIS (Netherlands)

Verhoog, S.M.

2010-01-01

Based upon a theoretical analysis of eight case studies in rural India and Sub-Saharan Africa, this research aims to test the hypothesis that the empowerment of women can be improved through women’s participation in small-scale biofuel projects. The hypothesis has been tested through the following

Food and Nutrition Insecurity in Selected Rural Communities of KwaZulu-Natal, South Africa-Linking Human Nutrition and Agriculture.

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Govender, Laurencia; Pillay, Kirthee; Siwela, Muthulisi; Modi, Albert; Mabhaudhi, Tafadzwanashe

2016-12-27

Lack of access to nutritious and balanced diets remains a major impediment to the health and well-being of people living in rural areas. The study utilizes a qualitative systematic approach to conduct an environmental scan and review of scientific literature of studies conducted in South Africa, specifically KwaZulu-Natal (KZN). Availability and access to nutritious, diverse and balanced diets were identified as key constraints for achieving food and nutrition security as well as for human health and well-being. This has led to both under- and over-nutrition, with the former, in particular stunting, affecting children under 5 years. A high incidence of over-nutrition, both overweight and obesity, was observed among black African females. In South Africa, poor people rely mostly on social grants and cannot afford a balanced diet. Under these circumstances, agriculture could be used to increase availability and access to diverse and nutritious foods for the attainment of a balanced diet. The wider use of traditional vegetable crops and pulses could improve availability and access to healthy and locally available alternatives. The promotion of household and community food gardens, and the use of nutrient dense crops with low levels of water use, i.e., high nutritional water productivity, offers prospects for addressing malnutrition in poor rural areas.

Prediction of East African Seasonal Rainfall Using Simplex Canonical Correlation Analysis.

Science.gov (United States)

Ntale, Henry K.; Yew Gan, Thian; Mwale, Davison

2003-06-01

A linear statistical model, canonical correlation analysis (CCA), was driven by the Nelder-Mead simplex optimization algorithm (called CCA-NMS) to predict the standardized seasonal rainfall totals of East Africa at 3-month lead time using SLP and SST anomaly fields of the Indian and Atlantic Oceans combined together by 24 simplex optimized weights, and then `reduced' by the principal component analysis. Applying the optimized weights to the predictor fields produced better March-April-May (MAM) and September-October-November (SON) seasonal rain forecasts than a direct application of the same, unweighted predictor fields to CCA at both calibration and validation stages. Northeastern Tanzania and south-central Kenya had the best SON prediction results with both validation correlation and Hanssen-Kuipers skill scores exceeding +0.3. The MAM season was better predicted in the western parts of East Africa. The CCA correlation maps showed that low SON rainfall in East Africa is associated with cold SSTs off the Somali coast and the Benguela (Angola) coast, and low MAM rainfall is associated with a buildup of low SSTs in the Indian Ocean adjacent to East Africa and the Gulf of Guinea.

COMMUNICATION AND RURAL DEVELOPEMENT: A MODEL FOR ...

African Journals Online (AJOL)

The failure in developemental endeavours in the rural areas of Africa does not stem substantially from the lack of funds. Rather, other factors conspire to make rural development a difficult task. One of these factors is communication. This paper examines the role of communication in the process of rural development.

Client characteristics and acceptability of a home-based HIV counselling and testing intervention in rural South Africa

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Naik Reshma

2012-09-01

Full Text Available Abstract Background HIV counselling and testing (HCT is a critical gateway for addressing HIV prevention and linking people to treatment, care, and support. Since national testing rates are often less than optimal, there is growing interest in expanding testing coverage through the implementation of innovative models such as home-based HIV counselling and testing (HBHCT. With the aim of informing scale up, this paper discusses client characteristics and acceptability of an HBHCT intervention implemented in rural South Africa. Methods Trained lay counsellors offered door-to-door rapid HIV testing in a rural sub-district of KwaZulu-Natal, South Africa. Household and client data were captured on cellular phones and transmitted to a web-based data management system. Descriptive analysis was undertaken to examine client characteristics, testing history, HBHCT uptake, and reasons for refusal. Chi-square tests were performed to assess the association between client characteristics and uptake. Results Lay counsellors visited 3,328 households and tested 75% (5,086 of the 6,757 people met. The majority of testers (73.7% were female, and 57% had never previously tested. With regard to marital status, 1,916 (37.7%, 2,123 (41.7%, and 818 (16.1% were single, married, and widowed, respectively. Testers ranged in age from 14 to 98 years, with a median of 37 years. Two hundred and twenty-nine couples received couples counselling and testing; 87.8%, 4.8%, and 7.4% were concordant negative, concordant positive, and discordant, respectively. There were significant differences in characteristics between testers and non-testers as well as between male and female testers. The most common reasons for not testing were: not being ready/feeling scared/needing to think about it (34.1%; knowing his/her status (22.6%, being HIV-positive (18.5%, and not feeling at risk of having or acquiring HIV (10.1%. The distribution of reasons for refusal differed significantly by gender

Astronomy Landscape in Africa

Science.gov (United States)

Nemaungani, Takalani

2015-01-01

The vision for astronomy in Africa is embedded in the African Space Policy of the African Union in early 2014. The vision is about positioning Africa as an emerging hub for astronomy sciences and facilities. Africa recognized the need to take advantage of its natural resource, the geographical advantage of the clear southern skies and pristine sites for astronomy. The Pan African University (PAU) initiative also presents an opportunity as a post-graduate training and research network of university nodes in five regions of Africa and supported by the African Union. The Southern African node based in South Africa concentrates on space sciences which also includes astronomy. The PAU aims to provide the opportunity for advanced graduate training and postgraduate research to high-performing African students. Objectives also include promoting mobility of students and teachers and harmonizing programs and degrees.A number of astronomy initiatives have burgeoned in the Southern African region and these include the Southern Africa Largest Optical Telescope (SALT), HESS (High Energy Stereoscopic System), the SKA (Square Kilometre Array) and the AVN (African Very Long Baseline Interferometer Network). There is a growing appetite for astronomy sciences in Africa. In East Africa, the astronomy community is well organized and is growing - the East African Astronomical society (EAAS) held its successful fourth annual conference since 2010 on 30 June to 04 July 2014 at the University of Rwanda. Centred around the 'Role of Astronomy in Socio-Economic Transformation,' this conference aimed at strengthening capacity building in Astronomy, Astrophysics and Space Science in general, while providing a forum for astronomers from the region to train young and upcoming scientists.

High growth and rapid internationalisation of firms from emerging markets: the case of the Middle East and North Africa (MENA) Region

OpenAIRE

Hatem, Omaima

2012-01-01

The aim of this thesis is to understand the phenomena of the high growth and rapid internationalisation of firms from emerging markets. It explores the applicability of international entrepreneurship theory to the context of the emerging market enterprises in the Middle East and North Africa (MENA) region. It integrates the literature of strategic entrepreneurship and that of portfolio entrepreneurship with the literature of international entrepreneurship to provide a closer fi...

A seasonal agricultural drought forecast system for food-insecure regions of East Africa

Science.gov (United States)

Shukla, Shraddhanand; McNally, Amy; Husak, Gregory; Funk, Christopher C.

2014-01-01

 The increasing food and water demands of East Africa's growing population are stressing the region's inconsistent water resources and rain-fed agriculture. More accurate seasonal agricultural drought forecasts for this region can inform better water and agricultural management decisions, support optimal allocation of the region's water resources, and mitigate socio-economic losses incurred by droughts and floods. Here we describe the development and implementation of a seasonal agricultural drought forecast system for East Africa (EA) that provides decision support for the Famine Early Warning Systems Network's science team. We evaluate this forecast system for a region of equatorial EA (2° S to 8° N, and 36° to 46° E) for the March-April-May growing season. This domain encompasses one of the most food insecure, climatically variable and socio-economically vulnerable regions in EA, and potentially the world: this region has experienced famine as recently as 2011. To assess the agricultural outlook for the upcoming season our forecast system simulates soil moisture (SM) scenarios using the Variable Infiltration Capacity (VIC) hydrologic model forced with climate scenarios for the upcoming season. First, to show that the VIC model is appropriate for this application we forced the model with high quality atmospheric observations and found that the resulting SM values were consistent with the Food and Agriculture Organization's (FAO's) Water Requirement Satisfaction Index (WRSI), an index used by FEWS NET to estimate crop yields. Next we tested our forecasting system with hindcast runs (1993–2012). We found that initializing SM forecasts with start-of-season (5 March) SM conditions resulted in useful SM forecast skill (> 0.5 correlation) at 1-month, and in some cases at 3 month lead times. Similarly, when the forecast was initialized with mid-season (i.e. 5 April) SM conditions the skill until the end-of-season improved. This shows that early-season rainfall

Big Sugar in southern Africa: rural development and the perverted potential of sugar/ethanol exports.

Science.gov (United States)

Richardson, Ben

2010-01-01

This paper asks how investment in large-scale sugar cane production has contributed, and will contribute, to rural development in southern Africa. Taking a case study of the South African company Illovo in Zambia, the argument is made that the potential for greater tax revenue, domestic competition, access to resources and wealth distribution from sugar/ethanol production have all been perverted and with relatively little payoff in wage labour opportunities in return. If the benefits of agro-exports cannot be so easily assumed, then the prospective 'balance sheet' of biofuels needs to be re-examined. In this light, the paper advocates smaller-scale agrarian initiatives.

Natural ventilation reduces high TB transmission risk in traditional homes in rural KwaZulu-Natal, South Africa.

Science.gov (United States)

Lygizos, Melissa; Shenoi, Sheela V; Brooks, Ralph P; Bhushan, Ambika; Brust, James C M; Zelterman, Daniel; Deng, Yanhong; Northrup, Veronika; Moll, Anthony P; Friedland, Gerald H

2013-07-01

Transmission of drug susceptible and drug resistant TB occurs in health care facilities, and community and households settings, particularly in highly prevalent TB and HIV areas. There is a paucity of data regarding factors that may affect TB transmission risk in household settings. We evaluated air exchange and the impact of natural ventilation on estimated TB transmission risk in traditional Zulu homes in rural South Africa. We utilized a carbon dioxide decay technique to measure ventilation in air changes per hour (ACH). We evaluated predominant home types to determine factors affecting ACH and used the Wells-Riley equation to estimate TB transmission risk. Two hundred eighteen ventilation measurements were taken in 24 traditional homes. All had low ventilation at baseline when windows were closed (mean ACH = 3, SD = 3.0), with estimated TB transmission risk of 55.4% over a ten hour period of exposure to an infectious TB patient. There was significant improvement with opening windows and door, reaching a mean ACH of 20 (SD = 13.1, p ventilation conditions (windows/doors open) and window to volume ratio. Expanding ventilation increased the odds of achieving ≥12 ACH by 60-fold. There is high estimated risk of TB transmission in traditional homes of infectious TB patients in rural South Africa. Improving natural ventilation may decrease household TB transmission risk and, combined with other strategies, may enhance TB control efforts.

East and Central African Journal of Surgery: Contact

African Journals Online (AJOL)

Principal Contact. Prof. Ignatius Kakande Editor-in-Chief Association of Surgeons of East Africa. East and Central African Journal of Surgery. P.O. Box 7051. Kampala. Uganda. Alternative email: igkakande@gmail.com. Phone: +256 772 501 745. Email: ecajs@gmail.com ...

A New Tephrochronology for Early Diverse Stone Tool Technologies and Long-Distance Raw Material Transport in the Middle-Late Pleistocene Kapthurin Formation, East Africa.

Science.gov (United States)

Blegen, N.; Jicha, B.

2017-12-01

The Middle to Late Pleistocene (780-10 ka) of East Africa records significant behavioral change, the earliest fossils of Homo sapiens and the dispersals of our species across and out of Africa. Studying human evolution in the Middle to Late Pleistocene thus requires an extensive and precise chronology relating the appearances of various behaviors preserved in archaeological sequences to aspects of hominin biology and evidence of past environments preserved in the fossils and geological sequences. Tephrochronology provides the chronostratigraphic resolution to achieve this through correlation and dating of volcanic ashes. The tephrochronology of the Kapthurin Formation presented here, based on tephra correlations and 40Ar/ 39Ar dates, provides new ages between 396.3 ± 3.4 ka and 465.3 ± 1.0 ka for nine sites showing some of the earliest evidence of diverse blade and Levallois methods of core reduction. These are >110 kyr older than previously known in East Africa. New 40Ar/ 39Ar dates provide a refined age of 222.5 ± 0.6 ka for early evidence of long-distance obsidian transport at the Sibilo School Road Site. Long-distance tephra correlation between the Baringo and Lake Victoria basins also provides a new date of 100 ka for the Middle Stone Age site of Keraswanin. By providing new or older dates for 11 sites containing several important aspects of hominin behavior and extending the chronology of the Kapthurin Formation forward by 130,000 years, the tephrochronology presented here contributes one of the longest and most refined chronostratigraphic frameworks relevant to modern human evolution. In conjunction with recent archaeological and paleoenvironmental data, this tephrochronology provides the foundation to understand the process of modern human behavioral evolution through the East African Middle and Late Pleistocene as it relates to biological and paleoenvironmental circumstances.

Far East Asia | Page 67 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Far East Asia. Extrême-Orient. Read more about Environmental Degradation, Social Marginalization and the Dynamics of Vulnerability in the Earthquake of October 2005 (Pakistan). Language English. Read more about Promoting Trade in Services in the Middle East and North Africa : Pilot Project. Language English.

Case Studies on Africa and the Middle East | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

21 avr. 2016 ... Participatory GIS for resource management in Africa: Taking stock. This ICT4D article series features results from innovative research on participatory geographic information systems (P-GIS) in Africa. View moreParticipatory GIS for resource management in Africa: Taking stock ...

Diversity and transboundary mobility of serotype O foot-and-mouth disease virus in East Africa: Implications for vaccination policies

DEFF Research Database (Denmark)

Balinda, Sheila; Sangula, Abraham; Heller, Rasmus

2010-01-01

Foot-and-mouth disease (FMD) virus serotype O has been responsible for most reported outbreaks of the disease in East Africa. A sustained campaign for the past 40 years to control FMD mainly by vaccination, combined with quarantine and zoosanitary measures has been undertaken with limited success....... We investigated the genetic relationships among serotype O strains in eastern Africa using complete VP1 coding region sequences obtained from 46 FMD virus isolates collected in Kenya in the years 1964–2008 and 8 Ugandan isolates collected between 1999 and 2006. In addition, 21 selected FMDV sequences...... the dominant evolutionary force. Cross-border disease transmission within the region has been suggested with probable incursions of topotypes EA-3 and EA-4 into Kenya and Uganda from neighboring Ethiopia and Sudan. We conclude that the vaccines have probably been effective in controlling EA-1, but less so...

Reproductive decision-making among postpartum HIV-infected women in rural South Africa.

Science.gov (United States)

Jones, Deborah L; Rodriguez, Violeta J; Babayigit, Suat; Chahine, Antonio; Weiss, Stephen M; Peltzer, Karl

2018-01-01

Despite pregnancy spacing recommendations to optimize health outcomes among mothers and neonates, unplanned pregnancy in sub-Saharan Africa is common among women living with human immunodeficiency virus (HIV) (WLHIV). This study examined factors associated with reproductive decision-making among WLHIV to inform pregnancy-planning interventions. WLHIV in rural South Africa (n = 165) were assessed at 12 months postpartum. The relative importance of factors associated with reproductive decision-making was estimated. Women were a mean of 28 years old (SD = 5.71). Risk of mother-to-child transmission (MTCT) of HIV (Mean = 0.43; SD = 0.33) had the greatest impact on decision-making, followed by partners' desires (M = 0.22; SD = 0.18), family preferences (M = 0.18; SD = 0.13), and community opinion (M = 0.17; SD = 0.13). MTCT was most important to women with greater HIV knowledge. However, WLHIV who had been diagnosed with HIV for a longer time placed more emphasis on partner preference and community opinion, and less importance on MTCT risk. Prevention of mother-to-child transmission (PMTCT) was less important to women experiencing intimate partner violence and those with depression. Findings highlight the need for tailored, focused interventions to support the unique circumstances of WLHIV and support the inclusion of families and/or partners in the counseling process. Results underscore the need for perinatal preconception counseling for women during routine HIV care.

Modification and implementation of NCCN guidelines on lymphomas in the Middle East and North Africa region.

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Bazarbachi, Ali; Azim, Hamdy A; Alizadeh, Hussain; Aljurf, Mahmoud; Barista, Ibrahim; Chaudhri, Naeem A; Fahed, Zahira; Fahmy, Omar A; Ghavamzadeh, Ardeshir; Khalaf, Mohamed H; Khatib, Sami; Kutoubi, Aghiad; Paydas, Semra; Elayoubi, Hanadi Rafii; Zaatari, Ghazi; Zawam, Hamdy M; Zelenetz, Andrew D

2010-07-01

In the Middle East and North Africa (MENA) region, cancer has many epidemiologic and clinical features that are different from those in the rest of the world. Additionally, the region has a relatively young population and large disparities in the availability of resources at diagnostic and treatment levels. A critical need exists for regional guidelines on cancer care, including those for lymphoid malignancies. A panel of lymphoma experts from MENA reviewed the 2009 version of the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) on Non-Hodgkin's Lymphoma and Hodgkin Lymphoma and suggested modifications for the region that were discussed with the United States NCCN Lymphoma Panels. This article presents the consensus recommendations.

A scoping review of training and deployment policies for human resources for health for maternal, newborn, and child health in rural Africa.

Science.gov (United States)

Murphy, Gail Tomblin; Goma, Fastone; MacKenzie, Adrian; Bradish, Stephanie; Price, Sheri; Nzala, Selestine; Rose, Annette Elliott; Rigby, Janet; Muzongwe, Chilweza; Chizuni, Nellisiwe; Carey, Amanda; Hamavhwa, Derrick

2014-12-16

Most African countries are facing a human resources for health (HRH) crisis, lacking the required workforce to deliver basic health care, including care for mothers and children. This is especially acute in rural areas and has limited countries' abilities to meet maternal, newborn, and child health (MNCH) targets outlined by Millennium Development Goals 4 and 5. To address the HRH challenges, evidence-based deployment and training policies are required. However, the resources available to country-level policy makers to create such policies are limited. To inform future HRH planning, a scoping review was conducted to identify the type, extent, and quality of evidence that exists on HRH policies for rural MNCH in Africa. Fourteen electronic health and health education databases were searched for peer-reviewed papers specific to training and deployment policies for doctors, nurses, and midwives for rural MNCH in African countries with English, Portuguese, or French as official languages. Non-peer reviewed literature and policy documents were also identified through systematic searches of selected international organizations and government websites. Documents were included based on pre-determined criteria. There was an overall paucity of information on training and deployment policies for HRH for MNCH in rural Africa; 37 articles met the inclusion criteria. Of these, the majority of primary research studies employed a variety of qualitative and quantitative methods. Doctors, nurses, and midwives were equally represented in the selected policy literature. Policies focusing exclusively on training or deployment were limited; most documents focused on both training and deployment or were broader with embedded implications for the management of HRH or MNCH. Relevant government websites varied in functionality and in the availability of policy documents. The lack of available documentation and an apparent bias towards HRH research in developed areas suggest a need for

Reproductive biology knowledge, and behaviour of teenagers in East, Central and Southern Africa: the Zimbabwe case study.

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Mbizvo, M T; Kasule, J; Gupta, V; Rusakaniko, S; Gumbo, J; Kinoti, S N; Mpanju-Shumbusho, W; Sebina-Zziwa; Mwateba, R; Padayachy, J

1995-11-01

Sexuality in the teenager is often complicated by unplanned/unwanted pregnancy, abortion and the risks of STDs including AIDS. There is therefore a need for improved understanding of factors affecting adolescent sexuality and the implementation of programmes designed to improve their knowledge, risk awareness and subsequent behavioural outcomes. A multicentre study of reproductive health knowledge and behaviour followed by a health education intervention was undertaken amongst teenagers in selected countries of East, Central and Southern Africa. Reported here are findings at baseline derived from the Zimbabwe component on reproductive biology knowledge and behavior. A self-administered questionnaire was used among 1 689 adolescent pupils drawn from rural, urban, co-education, single sex, boarding and day secondary schools in Zimbabwe. Correct knowledge on reproductive biology as measured by the meaning and interpretation of menstruation and wet dreams varied by school from 68 pc to 86 pc, with a significant trend (p < 0,01) based on level of education at baseline. The reported mean age at which menarche took place was 13,5 years +/- 1,3 (mean +/- SD). First coitus was reported to have taken place at the mean age of 12 years for boys and 13,6 years for girls. Seventeen pc of the adolescent pupils reported that they were sexually experienced and 33,2 had relationships. There were misconceptions reported on menstruation with 23 pc reporting that it was an illness. Peers, followed by magazines were the first sources of information on various aspects of reproductive biology, both of which might not provide the correct first information. Among pupils reporting that they were sexually experienced, the largest proportion (56 pc) had unprotected sex. The findings point to the need for targeting the adolescent pupils for information on reproductive biology and increased awareness on the risks of pregnancy, STDs and HIV.

common problems affecting supranational attempts in africa

African Journals Online (AJOL)

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Politico-legal Framework for Integration in Africa: Exploring the Attainability of a ... laws, the common international trade policy, the common fisheries policy and the .... among the member states according to the annual imports, production and ...... Fredland R (eds) Integration and Disintegration in East Africa (University.

Human–Bat Interactions in Rural West Africa

Science.gov (United States)

Anti, Priscilla; Owusu, Michael; Agbenyega, Olivia; Annan, Augustina; Badu, Ebenezer Kofi; Nkrumah, Evans Ewald; Tschapka, Marco; Oppong, Samuel; Adu-Sarkodie, Yaw

2015-01-01

Because some bats host viruses with zoonotic potential, we investigated human–bat interactions in rural Ghana during 2011–2012. Nearly half (46.6%) of respondents regularly visited bat caves; 37.4% had been bitten, scratched, or exposed to bat urine; and 45.6% ate bat meat. Human–bat interactions in rural Ghana are frequent and diverse. PMID:26177344

Human-Bat Interactions in Rural West Africa.

Science.gov (United States)

Anti, Priscilla; Owusu, Michael; Agbenyega, Olivia; Annan, Augustina; Badu, Ebenezer Kofi; Nkrumah, Evans Ewald; Tschapka, Marco; Oppong, Samuel; Adu-Sarkodie, Yaw; Drosten, Christian

2015-08-01

Because some bats host viruses with zoonotic potential, we investigated human-bat interactions in rural Ghana during 2011-2012. Nearly half (46.6%) of respondents regularly visited bat caves; 37.4% had been bitten, scratched, or exposed to bat urine; and 45.6% ate bat meat. Human-bat interactions in rural Ghana are frequent and diverse.

Search Results | Page 4 | IDRC - International Development ...

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Results 31 - 40 of 212 ... Supporting business opportunities for rural women in east and southern Africa ... Building the Capacity of Future Leaders in Economics in West and Central Africa ... low productivity, and an underperforming private sector.

Communal goat production in Southern Africa: a review.

Science.gov (United States)

Rumosa Gwaze, F; Chimonyo, M; Dzama, K

2009-10-01

Despite the fact that about 64% of goats in sub-Saharan Africa (SSA) are located in rural arid (38%) and semi-arid (26%) agro-ecological zones and that more than 90% of goats in these zones are indigenous, information on indigenous breeds is inadequate. This paper reviews the social and economic importance of goats to the communal farmer and assesses the potential of using goats in rural development in Southern Africa. Farmers in Southern Africa largely use the village goat management system. There are various goat breeds in Southern Africa, of which the Mashona, Matabele, Tswana, Nguni and the Landim are the dominant ones. It is, however, not clear if these breeds are distinct. Major constraints to goat production include high disease and parasite prevalence, low levels of management, limited forage availability and poor marketing management. Potential research areas that are required to ensure that goats are vehicles for rural development include evaluation of constraints to goat production, assessing the contribution of goats to household economies and food securities throughout the year, genetic and phenotypic characterisation of the indigenous breeds to identify appropriate strains and sustainable methods of goat improvement through either selection or crossbreeding.

Lion (Panthera leo) populations are declining rapidly across Africa, except in intensively managed areas

OpenAIRE

Bauer, Hans; Chapron, Guillaume; Nowell, Kristin; Henschel, Philipp; Funston, Paul; Hunter, Luke T. B.; Macdonald, David W.; Packer, Craig

2015-01-01

At a regional scale, lion populations in West, Central, and East Africa are likely to suffer a projected 50% decline over the next two decades, whereas lion populations are only increasing in southern Africa. Many lion populations are either now gone or expected to disappear within the next few decades to the extent that the intensively managed populations in southern Africa may soon supersede the iconic savannah landscapes in East Africa as the most successful sites for lion conservation. Th...

East-African Social Sciences and Humanities Publishing: A Handmade Bibliometrics Approach

Energy Technology Data Exchange (ETDEWEB)

Schmidt, N

2016-07-01

For Eastern Africa, very little information about the SSH knowledge production can be found from a European perspective. Adequate indicators like information-rich bibliographic databases that cover East-Africa-based journals and book publishers are lacking. This research in progress explores their indexing situation in detail, their development, which is closely connected to political history, their (non-)usage, and affiliations as well as careerstages of their authors. Furthermore, it also pays attention to East-Africa-based SSH researchers who use other publication venues. Any bibliometric analysis in this field needs to rely on manual data collection, otherwise it would be heavily biased. This study lays out the foundation for citation analyses, qualitative research on the publications' content and the self-description of East-African scholars against the background of an academic environment that is often described as “international”. (Author)

Opportunity calls: Booming growth and innovation in Africa | CRDI ...

International Development Research Centre (IDRC) Digital Library (Canada)

Africa is the next frontier for trade. Surprised? With weak economic outlooks in industrialized economies, global growth depends on trade with developing countries. After East Asia, Africa has the world's fastest-growing economy. Over the past decade, trade between Africa and China has grown from $10 billion to $170 ...

Exploring Evidence of Land Surface Dynamics of River Basin Development in East Africa

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Eluwa, C.; Brown, C.

2017-12-01

Improving the productivity of agricultural lands in Africa in the face of climate variability and change is vital to achieving food security. A variety of possible approaches exist, many of which focus on the development and expansion of irrigation - at times associated with dam construction to provide co-benefits of hydropower and water supply. Optimal development of river basin infrastructure such as this has long been a topic of interest in water resources systems analysis. Recent advances have focused on addressing the uncertainty associated with climate change in the development of river basin plans. However, such studies rarely consider either the uncertainty from changing local surface-atmosphere interactions via basin development or the attendant effects on local ecosystems, precipitation, evapotranspiration and consequently the availability of water for the proposed projects. Some numerical experiments have described and reproduced the mechanisms via which river basin infrastructure influences local climatology in Sahelian Africa. However, no studies have explored available data for evidence of land-atmosphere interactions associated with actual development projects. This study explores the correlation of seasonal soil moisture and latent heat flux over currently dammed/irrigated areas on downwind precipitation in the East Africa region (bounded by 0N, -15N, 25E, 40E) at the mesoscale (30km - 100km) to unearth evidence of local climatological effects of river basin development (irrigation schemes). The adopted process is (1) use reanalysis data to derive mean wind directions at 800hPa for selected regions (2) use mean wind directions (and orthogonal directions) to locate high (and low) impact areas 30 -100km downwind (3) extract precipitation time series for downwind locations from three different gridded products (CRU, GCPC, PRINCETON) (4) compare precipitation time series across datasets in high/low impact areas and correlate with upwind latent heat flux

Coping with change: Household structure and composition in rural South Africa, 1992 – 20031

Science.gov (United States)

MADHAVAN, SANGEETHA; SCHATZ, ENID J.

2010-01-01

Aim To describe household change over a 10-year period of tremendous social, political, economic and health transformation in South Africa using data from the Agincourt health and demographic surveillance system in the rural northeast of South Africa. Methods Examination of household structure and composition at three points: 1992, 1997, and 2003. These three years loosely represent conditions immediately before the elections (1992), short term post-elections (1997), and longer term (2003), and span a period of notable increase in HIV prevalence. Results Average household size decreased and the proportion headed by females increased. The within-household dependency ratios for children and elders both decreased, as did the proportion of households containing foster children. The proportion with at least one maternal orphan doubled, but was still relatively small at 5.5%. Conclusions This analysis is a starting point for future investigations aimed at explaining how HIV/AIDS and other sociocultural changes post-apartheid have impacted on household organization. The analysis shows both consistency and change in measures of household structure and composition between 1992 and 2003. The changes do not include an increase in various types of “fragile families”, such as child-headed or skipped-generation households that might be expected due to HIV/AIDS. PMID:17676508

A coprological survey of intestinal parasites of wild lions (Panthera leo) in the Serengeti and the Ngorongoro Crater, Tanzania, east Africa.

Science.gov (United States)

Müller-Graf, C D

1995-10-01

Fecal examination on 112 and a subset of 58 wild lions (Panthera leo) in the Serengeti National Park and the Ngorongoro Crater, Tanzania, East Africa revealed eggs, larvae, and protozoan cysts of 15 parasite taxa. The most prevalent were Spirometra sp. (63% prevalence), Taeniidae (58%), Ancylostoma sp. (56%), and a coccidian (53%). Three parasites were considered spurious. Of the hosts, 97.3% were infected with at least 1 species of parasite. Individual parasite taxa were aggregated among hosts.

Water value and demand for multiple uses in the rural areas of South Africa: The case of Ga-Sekororo

OpenAIRE

Kanyoka, P.

2008-01-01

The provision of free basic water for domestic uses and a more equal distribution of water for productive uses are seen as important instruments to redress inequities from the past and eradicate poverty in South Africa (SA). Although the government committed itself to providing free basic water for all, this result is still far to be reached, particularly in rural areas. Financing of multiple use water services was identified as an important ingredient to insure improved access to water for r...

Spatial Metadata in Africa and the Middle East

CSIR Research Space (South Africa)

Cooper, Antony K

2005-01-01

Full Text Available , Israel, Jordan, Madagas- car, Morocco, Nigeria, Qatar, South Africa, Sudan, Tanzania, Tunisia, Uganda, Yemen). We have also used the best practices studies of the Environmental Information System Programme for Sub-Saharan Africa (EIS) [EIS 1999..., the governmental authorities responsible for the management and distribution of digital spatial data (from remote sensing sources), on behalf of the public sector, are: • ASECNA: for data with low resolution (e.g.: NOAA and METEOSAT); and • CENATEL: for data...

Rural youth in northern Zambia: straddling the rural-urban divide

DEFF Research Database (Denmark)

Birch-Thomsen, Torben

2016-01-01

reported for sub-Saharan Africa, young people are increasingly turning their backs on agriculture, seeing it as an occupation that is back-breaking and only fit for old people (FAO, 2014). The aim of this chapter is to explore the livelihood strategies and aspirations of young people living in a rural area...... how, contrary to the trend in much of sub-Saharan Africa, many young people are choosing to stay in their rural villages and engage in farming. This is partly due to the availability of land and government programmes that have been introduced to stimulate agriculture. Increasingly, however, young...... people are not relying solely on farming, but are also engaging in nonfarm activities. Some young people are shown to be highly entrepreneurial, managing to set up and run businesses despite facing constant and changing challenges. Whether they are based in the village or in the nearby small town, most...

An Assessment of Satellite-Derived Rainfall Products Relative to Ground Observations over East Africa

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Margaret Wambui Kimani

2017-05-01

Full Text Available Accurate and consistent rainfall observations are vital for climatological studies in support of better agricultural and water management decision-making and planning. In East Africa, accurate rainfall estimation with an adequate spatial distribution is limited due to sparse rain gauge networks. Satellite rainfall products can potentially play a role in increasing the spatial coverage of rainfall estimates; however, their performance needs to be understood across space–time scales and factors relating to their errors. This study assesses the performance of seven satellite products: Tropical Applications of Meteorology using Satellite and ground-based observations (TAMSAT, African Rainfall Climatology And Time series (TARCAT, Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS, Tropical Rainfall Measuring Mission (TRMM-3B43, Climate Prediction Centre (CPC Morphing technique (CMORPH, Precipitation Estimation from Remotely Sensed Information using Artificial Neural Networks Climate Data Record (PERSIANN-CDR, CPC Merged Analysis of Precipitation (CMAP, and Global Precipitation Climatology Project (GPCP, using locally developed gridded (0.05° rainfall data for 15 years (1998–2012 over East Africa. The products’ assessments were done at monthly and yearly timescales and were remapped to the gridded rain gauge data spatial scale during the March to May (MAM and October to December (OND rainy seasons. A grid-based statistical comparison between the two datasets was used, but only pixel values located at the rainfall stations were considered for validation. Additionally, the impact of topography on the performance of the products was assessed by analyzing the pixels in areas of highest negative bias. All the products could substantially replicate rainfall patterns, but their differences are mainly based on retrieving high rainfall amounts, especially of localized orographic types. The products exhibited systematic errors, which

The importance of context in delivering effective EIA: Case studies from East Africa

International Nuclear Information System (INIS)

Marara, Madeleine; Okello, Nick; Kuhanwa, Zainab; Douven, Wim; Beevers, Lindsay; Leentvaar, Jan

2011-01-01

This paper reviews and compares the condition of the environmental impact assessment (EIA) system in three countries in the East Africa region: Kenya, Rwanda and Tanzania. The criteria used for the evaluation and the comparison of each system are based on the elements of the legal, administrative and procedural frameworks, as well as the context in which they operate. These criteria are adapted from the evaluation and quality control criteria derived from a number of literature sources. The study reveals that the EIA systems of Kenya and Tanzania are at a similar stage in their development. The two countries, the first to introduce the EIA concept into their jurisdiction in this part of Africa, therefore have more experience than Rwanda in the practice of environmental impact assessment, where the legislation and process requires more time to mature both from the governmental and societal perspective. The analysis of the administrative and procedural frameworks highlights the weakness in the autonomy of the competent authority, in all three countries. Finally a major finding of this study is that the contextual set up i.e. the socio-economic and political situation plays an important role in the performance of an EIA system. The context in developing countries is very different from developed countries where the EIA concept originates. Interpreting EIA conditions in countries like Kenya, Rwanda and Tanzania requires that the analysis for determining the effectiveness of their systems should be undertaken within a relevant framework, taking into account the specific requirements of those countries.

Household structure vs. composition: Understanding gendered effects on educational progress in rural South Africa

Directory of Open Access Journals (Sweden)

Sangeetha Madhavan

2017-12-01

Full Text Available Background: Demographers have long been interested in the relationship between living arrangements and gendered outcomes for children in sub-Saharan Africa. Most research conflates household structure with composition and has revealed little about the pathways that link these components to gendered outcomes. Objective: We offer a conceptual approach that differentiates structure from composition with a focus on gendered processes that operate in the household in rural South Africa. Methods: We use data from the 2002 round of the Agincourt Health and Socio-Demographic Surveillance System. Our analytical sample includes 22,997 children aged 6‒18 who were neither parents themselves nor lived with a partner or partner's family. We employ ordinary least squares regression models to examine the effects of structure and composition on educational progress of girls and boys. Results: Non-nuclear structures are associated with similar negative effects for both boys and girls compared to children growing up in nuclear households. However, the presence of other kin in the absence of one or both parents results in gendered effects favouring boys. Conclusions: The absence of any gendered effects when using a household structure typology suggests that secular changes to attitudes about gender equity trump any specific gendered processes stemming from particular configurations. On the other hand, gendered effects that appear when one or both parents are absent show that traditional gender norms and/or resource constraints continue to favour boys. Contribution: We have shown the value of unpacking household structure to better understand how gender norms and gendered resource allocations are linked to an important outcome for children in sub-Saharan Africa.

Predicting distribution of Aedes aegypti and Culex pipiens complex, potential vectors of Rift Valley fever virus in relation to disease epidemics in East Africa

Directory of Open Access Journals (Sweden)

Clement Nyamunura Mweya

2013-10-01

Full Text Available Background: The East African region has experienced several Rift Valley fever (RVF outbreaks since the 1930s. The objective of this study was to identify distributions of potential disease vectors in relation to disease epidemics. Understanding disease vector potential distributions is a major concern for disease transmission dynamics. Methods: Diverse ecological niche modelling techniques have been developed for this purpose: we present a maximum entropy (Maxent approach for estimating distributions of potential RVF vectors in un-sampled areas in East Africa. We modelled the distribution of two species of mosquitoes (Aedes aegypti and Culex pipiens complex responsible for potential maintenance and amplification of the virus, respectively. Predicted distributions of environmentally suitable areas in East Africa were based on the presence-only occurrence data derived from our entomological study in Ngorongoro District in northern Tanzania. Results: Our model predicted potential suitable areas with high success rates of 90.9% for A. aegypti and 91.6% for C. pipiens complex. Model performance was statistically significantly better than random for both species. Most suitable sites for the two vectors were predicted in central and northwestern Tanzania with previous disease epidemics. Other important risk areas include western Lake Victoria, northern parts of Lake Malawi, and the Rift Valley region of Kenya. Conclusion: Findings from this study show distributions of vectors had biological and epidemiological significance in relation to disease outbreak hotspots, and hence provide guidance for the selection of sampling areas for RVF vectors during inter-epidemic periods.

Predicting distribution of Aedes aegypti and Culex pipiens complex, potential vectors of Rift Valley fever virus in relation to disease epidemics in East Africa.

Science.gov (United States)

Mweya, Clement Nyamunura; Kimera, Sharadhuli Iddi; Kija, John Bukombe; Mboera, Leonard E G

2013-01-01

The East African region has experienced several Rift Valley fever (RVF) outbreaks since the 1930s. The objective of this study was to identify distributions of potential disease vectors in relation to disease epidemics. Understanding disease vector potential distributions is a major concern for disease transmission dynamics. DIVERSE ECOLOGICAL NICHE MODELLING TECHNIQUES HAVE BEEN DEVELOPED FOR THIS PURPOSE: we present a maximum entropy (Maxent) approach for estimating distributions of potential RVF vectors in un-sampled areas in East Africa. We modelled the distribution of two species of mosquitoes (Aedes aegypti and Culex pipiens complex) responsible for potential maintenance and amplification of the virus, respectively. Predicted distributions of environmentally suitable areas in East Africa were based on the presence-only occurrence data derived from our entomological study in Ngorongoro District in northern Tanzania. Our model predicted potential suitable areas with high success rates of 90.9% for A. aegypti and 91.6% for C. pipiens complex. Model performance was statistically significantly better than random for both species. Most suitable sites for the two vectors were predicted in central and northwestern Tanzania with previous disease epidemics. Other important risk areas include western Lake Victoria, northern parts of Lake Malawi, and the Rift Valley region of Kenya. Findings from this study show distributions of vectors had biological and epidemiological significance in relation to disease outbreak hotspots, and hence provide guidance for the selection of sampling areas for RVF vectors during inter-epidemic periods.

Characterization of Foot-and-Mouth Disease Viruses Collected in Nigeria Between 2007 and 2014: Evidence for Epidemiological Links Between West and East Africa.

Science.gov (United States)

Ularamu, H G; Ibu, J O; Wood, B A; Abenga, J N; Lazarus, D D; Wungak, Y S; Knowles, N J; Wadsworth, J; Mioulet, V; King, D P; Shamaki, D; Adah, M I

2017-12-01

This study describes the molecular characterization of 47 foot-and-mouth disease (FMD) viruses recovered from field outbreaks in Nigeria between 2007 and 2014. Antigen ELISA of viral isolates was used to identify FMD virus serotypes O, A and SAT 2. Phylogenetic analyses of VP1 nucleotide sequences provide evidence for the presence of multiple sublineages of serotype SAT 2, and O/EAST AFRICA 3 (EA-3) and O/WEST AFRICA topotypes in the country. In contrast, for serotype A, a single monophyletic cluster of viruses has persisted within Nigeria (2009-2013). These results demonstrate the close genetic relatedness of viruses in Nigeria to those from other African countries, including the first formal characterization of serotype O/EA-3 viruses in Nigeria. The introductions and persistence of certain viral lineages in Nigeria may reflect transmission patterns via nomadic pastoralism and animal trade. Continuous monitoring of field outbreaks is necessary to dissect the complexity of FMD epidemiology in sub-Saharan Africa. © 2016 Blackwell Verlag GmbH.

Synthetic review on the genetic relatedness between North Africa ...

African Journals Online (AJOL)

Soumaya

the Horn of Africa and the Indian Ocean in the southeast. ... threatened until the Islamic Arabs expanded their religion and culture to the Maghreb, ... decline from the Middle East toward Central Asia, Caucasus, North Africa and Europe.

The Rovuma Transform Margin: the enigmatic continent-ocean boundary of East Africa

Science.gov (United States)

Phethean, Jordan; Kalnins, Lara; van Hunen, Jeroen; McCaffrey, Ken; Davies, Richard

2017-04-01

The N-S trending Davie Fracture Zone (DFZ) is often assumed to form the continent-ocean transform margin (COTM) of the Western Somali Basin. However, multiple plate tectonic reconstructions favour a pre-breakup location for Madagascar that crosses the DFZ, incompatible with its interpretation as the COTM (e.g., Lottes & Rowley, 1990; Reeves, 2014; Phethean et al., 2016). For the first time, we have identified classic COTM features in seismic reflection data from the Southern Rovuma Basin, to the west and inboard of the DFZ. These suggest a NNW trend to the margin, consistent with the tectonic reconstructions. 2D gravity models, with the seabed and top basement constrained by seismic data, are used to investigate the Moho structure across the Rovuma margin and are best fit using steep 'transform style' geometries, confirming the nature of the margin. We thus model generic COTM geometries elsewhere along the East African and Madagascan transform margins to locate best-fitting positions for these conjugate COTMs. This analysis confirms that the COTMs follow a NNW trend along the Rovuma Basin and Southern Madagascar, respectively, and allows a restoration of the conjugate COTMs. This restoration is used alongside geological maps and satellite imagery from Madagascar and East Africa to refine early plate motions and further constrain the precise origin of Madagascar within Gondwana. Our refined plate tectonic model independently predicts major observations made from seismic reflection and gravity data across the basin, including: regions of major transpression/transtension along the DFZ, merging of fracture zones to form the DFZ, oceanic crust on either side of the DFZ and within the Tanzania coastal basin, and the location of an abandoned MOR within the Tanzania coastal basin. We believe that this study finally provides conclusive evidence that Madagascar originated from within the Tanzania Coastal Basin, inboard of the DFZ, after some 30 years of debate regarding this

Climate variability and conflict risk in East Africa, 1990-2009.

Science.gov (United States)

O'Loughlin, John; Witmer, Frank D W; Linke, Andrew M; Laing, Arlene; Gettelman, Andrew; Dudhia, Jimy

2012-11-06

Recent studies concerning the possible relationship between climate trends and the risks of violent conflict have yielded contradictory results, partly because of choices of conflict measures and modeling design. In this study, we examine climate-conflict relationships using a geographically disaggregated approach. We consider the effects of climate change to be both local and national in character, and we use a conflict database that contains 16,359 individual geolocated violent events for East Africa from 1990 to 2009. Unlike previous studies that relied exclusively on political and economic controls, we analyze the many geographical factors that have been shown to be important in understanding the distribution and causes of violence while also considering yearly and country fixed effects. For our main climate indicators at gridded 1° resolution (~100 km), wetter deviations from the precipitation norms decrease the risk of violence, whereas drier and normal periods show no effects. The relationship between temperature and conflict shows that much warmer than normal temperatures raise the risk of violence, whereas average and cooler temperatures have no effect. These precipitation and temperature effects are statistically significant but have modest influence in terms of predictive power in a model with political, economic, and physical geographic predictors. Large variations in the climate-conflict relationships are evident between the nine countries of the study region and across time periods.

COST EFFICIENCY LEVEL OF RURAL BANKS IN EAST JAVA

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Abdul Mongid

2017-03-01

Full Text Available Abstract: Rural Bank (BPR was an important part of financial service industry in Indonesia.Their pivotal role on lending to SMEs in the rural area made their existence very strategic torural development. However, due to its operational scale, rural bank charged higher interestrate than commercial bank. The study estimated the cost efficiency of rural banks usingparametric approach. The result found that rural bank efficiency was very high. The two yearcost efficiency estimated using frontier 4.1 was 95% and median was 100%. The lowest of costefficiency level was 32%. It meant cost inefficiency of the banks under investigated was around10%. The cost efficiency level in 2006 was on average 95% and the median was 100%. It meantthat 50% or more of the observation enjoyed 100% cost efficiency. The minimum was only67%. It meant they operated at very efficient level, leaving only 5% inefficiency. In 2007, adramatic change on efficiency level was going on. The average efficiency was dropped from11% to 89.9% due to increase on interest rate and price level.

prevalence of substance use among rural high school students

African Journals Online (AJOL)

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School of Public Health, University of the Limpopo. Sovenga, South Africa ... KEY WORDS: substance use, rural high school students, South Africa ... increased into the 1990s, these behaviours ..... Canada's Mental Health Supplement, 68,. 12.

Four concepts of Africa

African Journals Online (AJOL)

2015-05-12

May 12, 2015 ... to benefit from its problematic socio-political history is an indication that there are different and often contradictory .... This is illustrated by the early geographical .... West Africa and Togo, with the acquisition of German East.

Risk factors for incident HIV infection among antenatal mothers in rural Eastern Cape, South Africa

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Charles Bitamazire Businge

2016-01-01

Full Text Available Background: The prevalence of HIV among antenatal clients in South Africa has remained at a very high rate of about 29% despite substantial decline in several sub-Saharan countries. There is a paucity of data on risk factors for incident HIV infection among antenatal mothers and women within the reproductive age bracket in local settings in the Eastern Cape, South Africa. Objective: To establish the risk factors for incident HIV infection among antenatal clients aged 18–49 years attending public antenatal clinics in rural Eastern Cape, South Africa. Design: This was an unmatched case–control study carried out in public health antenatal clinics of King Sabata District Municipality between January and March 2014. The cases comprised 100 clients with recent HIV infection; the controls were 200 HIV-negative antenatal clients. Socio-demographic, sexual, and behavioral data were collected using interviewer-administered questionnaires adapted from the standard DHS5 women's questionnaire. Multivariate logistic regression models were used to identify the independent risk factors for HIV infection. A p<0.05 was considered statistically significant. Results: The independent risk factors for incident HIV infection were economic dependence on the partner, having older male partners especially among women aged ≤20 years, and sex under the influence of alcohol. Conclusions: Therefore, effective prevention of HIV among antenatal mothers in KSDM must target the improvement of the economic status of women, thereby reducing economic dependence on their sexual partners; address the prevalent phenomenon of cross-generation sex among women aged <20 years; and regulate the brewing, marketing, and consumption of alcohol.

Access to Productive Resources: The Catalyst to Rural Women's ...

African Journals Online (AJOL)

However, rural women in post-apartheid South Africa are experiencing hardships in laying hold of such resources. The pertinent questions the article seeks to interrogate are: who should determine the resource needs of rural women? Are the one size fit all programmes ideal for alleviating rural women's poverty. This article ...

Restricted genetic variation in populations of Achatina (Lissachatina) fulica outside of East Africa and the Indian Ocean Islands points to the Indian Ocean Islands as the earliest known common source.

Science.gov (United States)

Fontanilla, Ian Kendrich C; Sta Maria, Inna Mikaella P; Garcia, James Rainier M; Ghate, Hemant; Naggs, Fred; Wade, Christopher M

2014-01-01

The Giant African Land Snail, Achatina ( =  Lissachatina) fulica Bowdich, 1822, is a tropical crop pest species with a widespread distribution across East Africa, the Indian subcontinent, Southeast Asia, the Pacific, the Caribbean, and North and South America. Its current distribution is attributed primarily to the introduction of the snail to new areas by Man within the last 200 years. This study determined the extent of genetic diversity in global A. fulica populations using the mitochondrial 16S ribosomal RNA gene. A total of 560 individuals were evaluated from 39 global populations obtained from 26 territories. Results reveal 18 distinct A. fulica haplotypes; 14 are found in East Africa and the Indian Ocean islands, but only two haplotypes from the Indian Ocean islands emerged from this region, the C haplotype, now distributed across the tropics, and the D haplotype in Ecuador and Bolivia. Haplotype E from the Philippines, F from New Caledonia and Barbados, O from India and Q from Ecuador are variants of the emergent C haplotype. For the non-native populations, the lack of genetic variation points to founder effects due to the lack of multiple introductions from the native range. Our current data could only point with certainty to the Indian Ocean islands as the earliest known common source of A. fulica across the globe, which necessitates further sampling in East Africa to determine the source populations of the emergent haplotypes.

Restricted genetic variation in populations of Achatina (Lissachatina fulica outside of East Africa and the Indian Ocean Islands points to the Indian Ocean Islands as the earliest known common source.

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Ian Kendrich C Fontanilla

Full Text Available The Giant African Land Snail, Achatina ( =  Lissachatina fulica Bowdich, 1822, is a tropical crop pest species with a widespread distribution across East Africa, the Indian subcontinent, Southeast Asia, the Pacific, the Caribbean, and North and South America. Its current distribution is attributed primarily to the introduction of the snail to new areas by Man within the last 200 years. This study determined the extent of genetic diversity in global A. fulica populations using the mitochondrial 16S ribosomal RNA gene. A total of 560 individuals were evaluated from 39 global populations obtained from 26 territories. Results reveal 18 distinct A. fulica haplotypes; 14 are found in East Africa and the Indian Ocean islands, but only two haplotypes from the Indian Ocean islands emerged from this region, the C haplotype, now distributed across the tropics, and the D haplotype in Ecuador and Bolivia. Haplotype E from the Philippines, F from New Caledonia and Barbados, O from India and Q from Ecuador are variants of the emergent C haplotype. For the non-native populations, the lack of genetic variation points to founder effects due to the lack of multiple introductions from the native range. Our current data could only point with certainty to the Indian Ocean islands as the earliest known common source of A. fulica across the globe, which necessitates further sampling in East Africa to determine the source populations of the emergent haplotypes.

Prevalence and determinants of airflow limitation in urban and rural children exposed to cooking fuels in South-East Nigeria.

Science.gov (United States)

Oguonu, Tagbo; Obumneme-Anyim, Ijeoma N; Eze, Joy N; Ayuk, Adaeze C; Okoli, Chinyere V; Ndu, Ikenna K

2018-03-15

Background Biofuels and other cooking fuels are used in households in low- and middle-income countries. Aim To investigate the impact of cooking fuels on lung function in children in urban and rural households in South-East Nigeria. Methods The multi-stage sampling method was used to enroll children exposed to cooking fuel in the communities. Lung function values FEV1, FVC and the FEV1/FVC ratio, were measured with ndd EasyOne R spirometer. Airflow limitation was determined with FEV1/FVC Z-score values at -1.64 as the lower limit of normal (LLN5). The Global Lung Function Initiative 2012 software was used to calculate the lung function indices. Results The median age (range) of the 912 children enrolled was 10.6 years (6-18). Altogether, 468 (51.6%) children lived in rural areas. Seven hundred and thirty-seven (80.7%) were directly exposed to cooking fuels (418/737, 56.5% in rural areas). Wood and kerosene were the dominant fuels in rural and urban households. The respective mean Z-scores of the exposed children in rural and urban were zFEV1 -0.62, FVC -0.21, FEV1/FVC -0.83 and zFEV1 -0.57, zFVC -0.14, FEV1/FVC -0.75. Few (5.2%, 38/737) of the children had airflow limitation. Most of them (60.5%, 25/38) lived in the rural community; the lowest FEV1/FVC Z-scores were those of exposed to a combination of fuels. Conclusion Exposure to cooking fuels affects lung function in children with airway limitation in a small proportion, Control measures are advocated to reduce the morbidity related to cooking fuels exposure.

Journal of East African Natural History: Editorial Policies

African Journals Online (AJOL)

Focus and Scope. The Journal of East African Natural History is published jointly by the East Africa Natural History Society and the National Museums of Kenya. The Journal publishes papers and notes in the field of natural history, broadly defined as the study of organisms in their natural state, relevant to the eastern African ...

Harmonized biosafety regulations are key to trust building in regional agbiotech partnerships: the case of the Bt cotton project in East Africa

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Ezezika Obidimma C

2012-11-01

Full Text Available Abstract Background The Bacillus thuringiensis (Bt cotton public-private partnership (PPP project in East Africa was designed to gather baseline data on the effect of Bt cotton on biodiversity and the possibility of gene flow to wild cotton varieties. The results of the project are intended to be useful for Kenya, Uganda, and Tanzania when applying for biosafety approvals. Using the backdrop of the different biosafety regulations in the three countries, we investigate the role of trust in the Bt cotton partnership in East Africa. Methods Data were collected by reviewing relevant project documents and peer-reviewed articles on Bt cotton in Tanzania, Kenya and Uganda; conducting face-to-face interviews with key informants of the project; and conducting direct observations of the project. Data were analyzed based on recurring and emergent themes to create a comprehensive narrative on how trust is understood and built among the partners and with the community. Results We identified three factors that posed challenges to building trust in the Bt cotton project in East Africa: different regulatory regimes among the three countries; structural and management differences among the three partner institutions; and poor public awareness of GM crops and negative perceptions of the private sector. The structural and management differences were said to be addressed through joint planning, harmonization of research protocols, and management practices, while poor public awareness of GM crops and negative perceptions of the private sector were said to be addressed through open communication, sharing of resources, direct stakeholder engagement and awareness creation. The regulatory differences remained outside the scope of the project. Conclusions To improve the effectiveness of agbiotech PPPs, there is first a need for a regulatory regime that is acceptable to both the public and private sector partners. Second, early and continuous joint planning; sharing of

Shoreline recovery from storms on the east coast of Southern Africa

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Corbella, S.; Stretch, D. D.

2012-01-01

Episodic extreme waves due to sea storms can cause severe coastal erosion. The recovery times of such events are important for the analysis of risk and coastal vulnerability. The recovery period of a storm damaged coastline represents a time when the coastline is most vulnerable and nearby infrastructure is at the greatest risk. We propose that identification of the beach recovery period can be used as a coastal management tool when determining beach usage. As a case study, we analyse 37 yr of beach profile data on the east coast of South Africa. Considering beach length and cross-sectional area, we establish a global recovery period and rate and identify the physical characteristics of the coastlines that either accelerate or retard recovery. The beaches in the case study were found to take an average of two years to recover at a rate of approximately 90 m3 m-1 yr-1. Beach profiles with vegetated dunes recovered faster than urbanized beaches. Perpendicular beach structures have both positive and negative effects on beach recovery. Coastlines with rock outcrops in the surf zone tend to recover slowly and long-term sediment loss was identified in cases where storm damaged beaches have not recovered to pre-erosion levels.

Thrust-wrench interference tectonics in the Gulf of Cadiz (Africa-Iberia plate boundary in the North-East Atlantic): Insights from analog models

OpenAIRE

Duarte , João ,; Rosas , Filipe ,; Terrinha , Pedro; Gutscher , Marc-André ,; Malavielle , Jacques; Silva , Sonia; Matias , Luis

2011-01-01

International audience; In the Gulf of Cadiz key segment of the Africa-Iberia plate boundary (North-East Atlantic ocean), three main different modes of tectonic interference between a recently identified wrench system (SWIM) and the Gulf of Cadiz Accretionary Wedge (GCAW) were tested through analog sand-box modeling: a) An active accretionary wedge on top of a pre-existent inactive basement fault; b) An active strike-slip fault cutting a previously formed, inactive, accretionary wedge; and c)...

Portulacaria afra in East AFrica | Newton | Journal of East African ...

African Journals Online (AJOL)

No Abstract. East African Journal of Natural History Vol. 96 (1) 2007: pp. 107-108. http://dx.doi.org/10.2982/0012-8317(2007)96[107:PAIEA]2.0.CO;2 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and Conditions of Use ...

Using mobile phones and social media to facilitate education and support for rural-based midwives in South Africa.

Science.gov (United States)

Chipps, Jennifer; Pimmer, Christoph; Brysiewicz, Petra; Walters, Fiona; Linxen, Sebastian; Ndebele, Thandi; Gröhbiel, Urs

2015-12-14

Empirical studies show the value of mobile phones as effective educational tools to support learning in the nursing profession, predominantly in high income countries. The rapidly increasing prevalence of mobile phone technology in Africa nourishes hopes that these tools could be equally effective in lowly resourced contexts, specifically in efforts to achieve the health-related Millennium Development goals. The purpose of this study was to investigate the perception and use of mobile phones as educational and professional tools by nurses in lowly resourced settings. A quantitative survey using self-administered questionnaires was conducted of rural advanced midwives. Fifty-six nurses (49.6%) from the 113 rural-based midwives attending an advanced midwifery training programme at the University of KwaZulu-Natal, South Africa, filled in a questionnaire. The results showed that, whilst nurses regarded their technology competences as low and although they received very little official support from their educational and professional institutions, the majority frequently used mobile functions and applications to support their work and learning processes. They perceived mobile devices with their voice, text, and email functions as important tools for the educational and professional activities of searching for information and engaging with facilitators and peers from work and study contexts. To a lesser extent, the use of social networks, such as WhatsApp and Facebook, were also reported. It is concluded that educational institutions should support the appropriate use of mobile phones more systematically; particularly in relation to the development of mobile network literacy skills.

Determining the efficacy of national strategies aimed at addressing the challenges facing health personnel working in rural areas in KwaZulu-Natal, South Africa.

Science.gov (United States)

Mburu, Grace; George, Gavin

2017-07-31

Shortages of Human Resources for Health (HRH) in rural areas are often driven by poor working and living conditions, inadequate salaries and benefits, lack of training and career development opportunities amongst others. The South African government has adopted a human resource strategy for the health sector in 2011 aimed at addressing these challenges. This study reviews the challenges faced by health personnel against government strategies aimed at attracting and retaining health personnel in these underserved areas. The study was conducted in six primary health care service sites in the Hlabisa sub-district of Umkhanyakude, located in northern KwaZulu-Natal, South Africa. The study population comprised 25 health workers including 11 professional nurses, 4 staff nurses and 10 doctors (4 medical doctors, 3 foreign medical doctors and 3 doctors undertaking community service). Qualitative data were collected from semi-structured interviews and analysed using thematic analysis. Government initiatives including the rural allowance, deployment of foreign medical doctors and the presence of health personnel undertaking their community service in rural areas are positively viewed by health personnel working in rural health facilities. However, poor living and working conditions, together with inadequate personal development opportunities, remain unresolved challenges. It is these challenges that will continue to dissuade experienced health personnel from remaining in these underserved areas. South Africa's HRH strategy for the Health Sector 2012/13-2015/16 had highlighted the key challenges raised by respondents and identified strategies aimed at addressing these challenges. Implementation of these strategies is key to improving both living and working conditions, and providing health personnel with opportunities for further development will require inter-ministerial collaboration if the HRH 2030 objectives are to be realised.

Africa region population projections : 1990-91

OpenAIRE

Stephens, Patience W.; Bos, Eduard; Vu, My T.; Bulatao, Rodolfo A.

1991-01-01

As recently as the mid-1970s, the Africa region had a smaller population than the Asia, the Latin American and the Caribbean, or the Europe, Middle East, and North Africa regions. Explosive population growth of more than 3 percent per year, projected to decline only gradually, will make Africa the second largest region by 2005. Its share of the world's population will increase from less than 10 percent now to 20 percent in the middle of the next century and to 25 percent when stationarity is ...

South Africa : tous les projets | Page 3 | CRDI - Centre de ...

International Development Research Centre (IDRC) Digital Library (Canada)

Sujet: INTERNATIONAL FINANCE, INTERNATIONAL FINANCIAL MARKET, FINANCIAL POLICY, DEMOGRAPHY, DEMOGRAPHIC CHANGE, DEMOGRAPHIC TRANSITION. Région: Americas, Brazil, South America, Asia, China, Far East Asia, India, South and Central Asia, Global, Africa, South Africa, South of Sahara.

Trauma and posttraumatic stress disorder in a rural primary care population in South Africa.

Science.gov (United States)

Peltzer, K; Seakamela, M J; Manganye, L; Mamiane, K G; Motsei, M S; Mathebula, T T M

2007-06-01

The aim of this study was to assess trauma events experienced and PTSD among 250 consecutive rural primary clinic patients (all Black Africans, 24% male and 76% female; M age 31.1 yr., SD = 11.8; range 18-65 years) in South Africa using the Trauma History Questionnaire and the PTSD Checklist-Civilian Version, interview administered. Results indicated that the mean number of traumatic events reported was 3.5 (SD = 2.9, range = 0-19) and was significantly higher among men (M= 4.9, SD = 3.5) than women (M = 3.0, SD = 2.6). Among the most frequently endorsed traumas among men were seeing someone seriously injured or killed (60%), serious accident (43.3%), and seeing dead bodies (43.3%), and among women natural disaster (mostly floods) (51.6%), news of a serious injury, life-threatening illness or unexpected death of someone close (31.1%), and seeing someone seriously injured or killed (30%). A current diagnosis of PTSD was found in 12.4% of the sample. Trauma incidence figures were high (M = 3.5) and were comparable with an urban Xhosa primary care population in South Africa (M = 3.8). A current indicative diagnosis of PTSD of 12.4% also compares with other studies; 19.9% among urban Xhosa primary care patients and 11.8% among American primary care patients.

PV power and profit? Electrifying rural South Africa

International Nuclear Information System (INIS)

Karottki, R.; Banks, D.

2000-01-01

This article traces the background to the implementation of a programme of sustainable off-grid energy services delivered to rural areas through private-public partnership. The implementation of the school photovoltaic (PV) electrification programme, electrification of rural clinics, the solar electrification of rural households on a large scale through a joint venture between Shell Renewables and the national utility ESKOM, and the electrification of widely scattered homesteads are discussed. Details are given of the financial support from the government and the National Electricity Regulator, the development of a national standard for Solar Home Systems, identification of target regions, the regulatory framework, and the opportunities for business and for real improvement. (UK)

Strengthening health systems in Africa | CRDI - Centre de ...

International Development Research Centre (IDRC) Digital Library (Canada)

New recruitment and retention methods are therefore an important way to build staffing in rural areas. Research in Uganda ... Telemedicine studied by researchers in French-speaking Africa helped to reduce decision-making errors in remote areas, increase the number of consultations, and save patients money. The Africa ...

Rural areas of Eastern Germany: modern challenges

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Klüter Helmut

2012-03-01

Full Text Available After the German reunification the agricultural development of eastern territories seemed to have picked up its pace. Yet the main problems those territories are facing today hatched already in the mid-1990s. In our study we address the problems and challenges that hinder sustainable development of East German rural areas. We analyse agricultural statistics and describe the structure of agricultural enterprises, land-use, and other critical dimensions of agriculture. We discuss pros and cons of modern rural areas spatial planning policy and take a critical look at the current status of rural areas. We also put forward a number of concrete proposals aimed at the development of the area and counteracting the negative trends it is now experiencing. Even taking into account all ‘positive’ development trends that are postulated to have occurred since the unification, we underline the crucial necessity of diversification of labour forces and of changing the spatial planning policies in the rural areas of East Germany.

Vascular flora of Kenya, based on the Flora of Tropical East Africa

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Yadong Zhou

2017-11-01

Full Text Available Kenya, an African country with major higher plant diversity, has a corresponding diversity of plant associations, because of the wide geographic distribution, diverse climatic conditions and soil types. In this article, all vascular plants of Kenya were counted based on the completed "Flora of Tropical East Africa (FTEA", and all families and genera were revised using recent molecular systematics research, forming a "Synoptic List of Families and Genera of Kenyan Vascular Plants (SLFGKVP". In total, there are 225 families, 1538 genera and 6293 indigenous species and and 62 families, 302 genera and 588 exotic species in Kenya. The Fabaceae with 98 genera and 576 Species is the largest family. Two of the seven plant distribution regions of Kenya, K4 and K7 are the most species-richest areas with regard to both total and endemic species, with 3375 and 3191 total species and 174 and 185 endemic species in K4 and K7 respectively. While, K3 and K5 have the highest density of both total and endemic species. K1 has the lowest density of total species, and K2 has the lowest density of endemic species.

Household structure vs. composition: Understanding gendered effects on educational progress in rural South Africa.

Science.gov (United States)

Madhavan, Sangeetha; Myroniuk, Tyler W; Kuhn, Randall; Collinson, Mark A

2017-01-01

Demographers have long been interested in the relationship between living arrangements and gendered outcomes for children in sub-Saharan Africa. Most extant research conflates household structure with composition and has revealed little about the pathways that link these components to gendered outcomes. First, we offer a conceptual approach that differentiates structure from composition with a focus on gendered processes that operate in the household; and second, we demonstrate the value of this approach through an analysis of educational progress for boys and girls in rural South Africa. We use data from the 2002 round of the Agincourt Health and Demographic Surveillance System. Our analytical sample includes 22,997 children aged 6-18 who were neither parents themselves nor lived with a partner or partner's family. We employ ordinary least squares regression models to examine the effects of structure and composition on educational progress of girls and boys. The results suggest that non-nuclear structures are associated with similar negative effects for both boys and girls compared to children growing up in nuclear households. However, the presence of other kin in the absence of one or both parents results in gendered effects favouring boys. The absence of any gendered effects when using a household structure typology suggests that secular changes to attitudes about gender equity trump any specific gendered processes stemming from particular configurations. On the other hand, gendered effects that appear when one or both parents are absent show that traditional gender norms and/or resource constraints continue to favour boys. Despite the wealth of literature on household structure and children's educational outcomes in sub-Saharan Africa, the conceptual basis of these effects has not been well articulated. We have shown the value of unpacking household structure to better understand how gender norms and gendered resource allocations impact education.

Field-based random sampling without a sampling frame: control selection for a case-control study in rural Africa.

Science.gov (United States)

Crampin, A C; Mwinuka, V; Malema, S S; Glynn, J R; Fine, P E

2001-01-01

Selection bias, particularly of controls, is common in case-control studies and may materially affect the results. Methods of control selection should be tailored both for the risk factors and disease under investigation and for the population being studied. We present here a control selection method devised for a case-control study of tuberculosis in rural Africa (Karonga, northern Malawi) that selects an age/sex frequency-matched random sample of the population, with a geographical distribution in proportion to the population density. We also present an audit of the selection process, and discuss the potential of this method in other settings.