Journal articles on the topic 'Non-governmental organizations – Africa, Sub-Saharan'
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Despard, Mathieu R., Rhoda Nanre Nafziger-Mayegun, Bernice Korkor Adjabeng, and David Ansong. "Does Revenue Diversification Predict Financial Vulnerability Among Non-governmental Organizations in sub-Saharan Africa?" VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations 28, no. 5 (February 6, 2017): 2124–44. http://dx.doi.org/10.1007/s11266-017-9835-3.
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Dibie, Josephine, and Robert Dibie. "Non-Governmental Organizations (NGOs) and the Empowerment of Women in Africa." African and Asian Studies 11, no. 1-2 (2012): 95–122. http://dx.doi.org/10.1163/156921012x629349.
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Abstract This paper examines the predicament of prejudice that women face in several countries in sub-Saharan Africa. It explores the social and economic factors that militate against the integration of women into senior administrative and political leadership positions in the continent. It contends that if women are under represented in Africa because of open or indirect mechanism of exclusion and discrimination, then educating women and girls is not enough. Equity for women and girls will only change if the public and private sectors’ institutions are galvanized to change simultaneously. Further it stresses that the public, private sectors and NGOs in Africa need to introduce diversity management programs as a policy at the national and regional government levels in order to engage talented women in its process of seeking sustainable development. The paper also argues that in offering women the opportunity to access economic resources as well as to disentangle their identities from those of their families they will contribute immensely in the sustainable development process of Africa. It contends that no development process will be totally beneficial to a nation if it does not involve women. The concluding section recommended some policies that would effectively reduce discrimination against women in the public service as well as stimulate and integrate talented women interests in the social, economic, leadership, and political development of Africa.
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Kahiya, Eldrede, and Djavlonbek Kadirov. "Informal Cross Border Trade as a Substratum Marketing System: A Review and Conceptual Framework." Journal of Macromarketing 40, no. 1 (January 7, 2020): 88–109. http://dx.doi.org/10.1177/0276146719897115.
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We provide a literature review and a conceptual framework on informal cross border trade in Sub-Saharan Africa. Informal cross border trade (ICBT) refers to commercial exchanges conducted across borders by individuals operating as unregistered sole traders. ICBT is a burgeoning part of the informal markets in Sub-Saharan Africa and its existence and persistence carry substantial socio-economic implications. We use “summarizing” and “delineating” techniques to discuss seven themes of ICBT, and cast them as the manifestations of a substratum marketing system - a foundational structure instead of an auxiliary system. We underline implications for scholarship and for policymakers and non-governmental organizations charged with formulating initiatives to manage both ICBT and formal markets.
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Schiffrin, Anya, and Michael Behrman. "Does Training Make a Difference? Evaluating Journalism Training Programs in Sub-Saharan Africa." Journalism & Mass Communication Educator 66, no. 4 (December 2011): 340–60. http://dx.doi.org/10.1177/107769581106600404.
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Media in much of sub-Saharan Africa are severely constrained by lack of resources, government pressure, the influence of media ownership, and the quality of secondary education and professional education. In many countries, newspapers are unable to perform the role of watchdog or to educate the public effectively, in part because of difficulties faced by their journalists. Into the breach have stepped myriad foreign, journalism training organizations. Some are non-governmental organizations with a development agenda that seek to promote education about their causes. Others are training arms of professional media groups or organizations that work on journalism education. As with most foreign donor-funded development programs, evidence of impact is expected. But very little academic research exists on evaluation of journalism training programs. Two new studies deployed content analysis and interviews with trained journalists to assess training's effectiveness.
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Vilakati, Phesheya Ndumiso, Simone Villa, Riccardo Alagna, Bongani Khumalo, Sarah Tshuma, Virginia Quaresima, Nicole Rose Nieman, Daniela Maria Cirillo, and Mario Carlo Raviglione. "The neglected role of Faith-based Organizations in prevention and control of COVID-19 in Africa." Transactions of The Royal Society of Tropical Medicine and Hygiene 114, no. 10 (August 27, 2020): 784–86. http://dx.doi.org/10.1093/trstmh/traa073.
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Abstract The COVID-19 pandemic has exposed health system weaknesses of economically wealthy countries with advanced technologies. COVID-19 is now moving fast across Africa where small outbreaks have been reported so far. There is a concern that with the winter transmission will grow rapidly. Despite efforts of African Governments to promptly establish mitigating measures, rural areas, especially in sub-Saharan Africa, risk being neglected. In those settings, faith-based and other non-governmental organizations, if properly equipped and supported, can play a crucial role in slowing the spread of COVID-19. We describe our experience in two rural health facilities in eSwatini and Ethiopia highlighting the struggle towards preparedness and the urgency of international support to help prevent a major public health disaster.
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Ekenze, Sebastian O. "Funding paediatric surgery procedures in sub-Saharan Africa." Malawi Medical Journal 31, no. 3 (September 3, 2019): 233–39. http://dx.doi.org/10.4314/mmj.v31i3.13.
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BackgroundIn sub-Saharan Africa, there is a growing awareness of the burden of paediatric surgical diseases. This has highlighted the large discrepancy between the capacity to treat and the ability to afford treatment, and the effect of this problem on access to care. This review focuses on the sources and challenges of funding paediatric surgical procedures in sub-Saharan Africa. MethodsWe undertook a search for studies published between January 2007 and November 2016 that reported the specific funding of paediatric surgical procedures and were conducted in sub-Saharan Africa. Abstract screening, full-text review and data abstraction were completed and resulting data were analysed using Statistical Package for Social Sciences (SPSS) software. ResultsThirty-five studies met our inclusion criteria and were reviewed. The countries that were predominantly emphasized in the publications reviewed were Nigeria, South Africa, Kenya, Ghana and Uganda. The paediatric surgical procedures involved general paediatric surgery/urology, cardiac surgery, neurosurgery, oncology, plastics, ophthalmology, orthopaedics and otorhinolaryngology. The mean cost of these procedures ranged from 60 to 21,140 United States Dollars (USD). The source of funding for these procedures was mostly out-of-pocket payments (OOPs) by the patient’s family in 32 studies, (91.4%) and medical mission/non-governmental organizations (NGOs) in 21 (60%) studies. This pattern did not differ appreciably between the articles published in the initial and latter 5 years of the study period, although there was a trend towards a reduction in OOP funding. Improvements in healthcare funding by individual countries supported by international organizations and charities were the predominant suggested solutions to challenges in funding.ConclusionWhile considering the potential limitations created by diversity in study design, the reviewed publications indicate that funding for paediatric surgical procedures in sub-Saharan Africa is mostly by OOPs made by families of the patients. This may result in limited access to some procedures. Coordinated efforts, and collaboration between individual countries and international agencies, may help to reduce OOP funding and thus improve access to critical procedures.
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McGowan, Chase. "Food Security and Climate Change in Sub-Saharan Africa." Potentia: Journal of International Affairs 7 (October 1, 2016): 31–41. http://dx.doi.org/10.18192/potentia.v7i0.4425.
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Climate change is predicted to have a detrimental impact on food security throughout the world, but the poorest regions are likely to be the most affected. The Food and Agriculture Organization identifies four aspects of food security: availability, access, stability and utilization. This literature review examines the predicted impacts of climate change on food security in Sub-Saharan Africa. First, an analysis of the scientific literature was undertaken to investigate the potential impact of climate change on each of these four aspects. Second, policies relating to food security and climate change of key UN bodies, international non-profit organizations, and national governments in Sub-Saharan Africa were examined. Overall, there is extensive evidence that climate change will negatively impact each of the four aspects of food security in Sub-Saharan Africa. Until now, international organizations and national governments have failed to adopt comprehensive policies to adapt to climate change. To be effective, efforts to address the problem should combine social and development aspects.
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Takele, Bayley Adane, Lemma Derseh Gezie, and Tesfa Sewunet Alamneh. "Pooled prevalence of stunting and associated factors among children aged 6–59 months in Sub-Saharan Africa countries: A Bayesian multilevel approach." PLOS ONE 17, no. 10 (October 13, 2022): e0275889. http://dx.doi.org/10.1371/journal.pone.0275889.
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Background Over 155 million children under five suffer from stunting, and it is responsible for over one million deaths and 54.9 million Disability Adjusted Life Years (DALYS) of under-five children worldwide. These predominantly occurred in low-and middle-income countries like sub-Saharan Africa. Stunted children begin their lives at a marked disadvantage. Some of these are; poor cognition and educational performance, low adult wages, lost productivity and, when accompanied by excessive weight gain later in childhood, an increased risk of nutrition-related chronic diseases in adult life and the devastating effects of stunting can last a lifetime and even affect the next generation. Despite this, its magnitude rises in the past 25 years in sub-Saharan Africa. Studies that capture the pooled prevalence and associated factors of stunting among children aged 6–59 months in sub-Saharan Africa are limited. Therefore, this study was carried out on the basis of the Bayesian approach to determine the pooled prevalence and predictors of stunting among children aged 6–59 months in Sub-Saharan Africa. Objective To assess the pooled prevalence of stunting and associated factors among children aged 6–59 months in Sub-Saharan Africa Methods For this study a total of 173,483 weighted samples from the demography and health survey data set of 35 sub-Saharan African countries from 2008 to 2020 were used. After checking Variation between cluster by computing Intraclass Correlation Coefficient, binary logistic regression model was conducted based on hierarchical Bayesian statistical approach to account the hierarchical nature of demography and health survey data and to get reliable estimates by using additional information from the prior distribution. Adjusted odds ratio with 95% credible interval of the best fitted model was used to ascertain the predictors. Results The pooled prevalence of stunting in Sub-Saharan Africa was about 35% (95%CI: 34.87, 35.31). Of the sub-regions, the highest prevalence of stunting was in East Africa, 37% (95%, CI: 36.96, 37.63) followed by Central Africa, 35% (95%CI: (34.93, 35.94). Being male (AOR = 1.27, 95% CrI 1.25, 1.30), small birth size (AOR = 1.29, CrI 1.25, 1.32), home delivery (AOR = 1.17, CrI 1.14, 1.20), and no education of mothers (AOR = 3.07, CrI 2.79, 3.39) were some of the significant predictors of stunting of children. Conclusion and recommendation The prevalence of stunting of children in sub-Saharan Africa is among the highest in the world. Predictors such as being male, being small at birth, a child delivered at home, and, low level of maternal education were some of the predictors of childhood stunting. Stakeholders and non-governmental organizations should consider those contributing factors of stunting when they plan and design nutritional improvement programs.
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Umviligihozo, Gisele, Lucy Mupfumi, Nelson Sonela, Delon Naicker, Ekwaro A. Obuku, Catherine Koofhethile, Tuelo Mogashoa, et al. "Sub-Saharan Africa preparedness and response to the COVID-19 pandemic: A perspective of early career African scientists." Wellcome Open Research 5 (July 8, 2020): 163. http://dx.doi.org/10.12688/wellcomeopenres.16070.1.
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Emerging highly transmissible viral infections such as SARS-CoV-2 pose a significant global threat to human health and the economy. Since its first appearance in December 2019 in the city of Wuhan, Hubei province, China, SARS-CoV-2 infection has quickly spread across the globe, with the first case reported on the African continent, in Egypt on February 14th, 2020. Although the global number of COVID-19 infections has increased exponentially since the beginning of the pandemic, the number of new infections and deaths recorded in African countries have been relatively modest, suggesting slower transmission dynamics of the virus on the continent, a lower case fatality rate, or simply a lack of testing or reliable data. Notably, there is no significant increase in unexplained pneumonias or deaths on the continent which could possibly indicate the effectiveness of interventions introduced by several African governments. However, there has not yet been a comprehensive assessment of sub-Saharan Africa’s (SSA) preparedness and response to the COVID-19 pandemic that may have contributed to prevent an uncontrolled outbreak so far. As a group of early career scientists and the next generation of African scientific leaders with experience of working in medical and diverse health research fields in both SSA and resource-rich countries, we present a unique perspective on the current public health interventions to fight COVID-19 in Africa. Our perspective is based on extensive review of the available scientific publications, official technical reports and announcements released by governmental and non-governmental health organizations as well as from our personal experiences as workers on the COVID-19 battlefield in SSA. We documented public health interventions implemented in seven SSA countries including Uganda, Kenya, Rwanda, Cameroon, Zambia, South Africa and Botswana, the existing gaps and the important components of disease control that may strengthen SSA response to future outbreaks.
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Umviligihozo, Gisele, Lucy Mupfumi, Nelson Sonela, Delon Naicker, Ekwaro A. Obuku, Catherine Koofhethile, Tuelo Mogashoa, et al. "Sub-Saharan Africa preparedness and response to the COVID-19 pandemic: A perspective of early career African scientists." Wellcome Open Research 5 (September 16, 2020): 163. http://dx.doi.org/10.12688/wellcomeopenres.16070.2.
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Emerging highly transmissible viral infections such as SARS-CoV-2 pose a significant global threat to human health and the economy. Since its first appearance in December 2019 in the city of Wuhan, Hubei province, China, SARS-CoV-2 infection has quickly spread across the globe, with the first case reported on the African continent, in Egypt on February 14th, 2020. Although the global number of COVID-19 infections has increased exponentially since the beginning of the pandemic, the number of new infections and deaths recorded in African countries have been relatively modest, suggesting slower transmission dynamics of the virus on the continent, a lower case fatality rate, or simply a lack of testing or reliable data. Notably, there is no significant increase in unexplained pneumonias or deaths on the continent which could possibly indicate the effectiveness of interventions introduced by several African governments. However, there has not yet been a comprehensive assessment of sub-Saharan Africa’s (SSA) preparedness and response to the COVID-19 pandemic that may have contributed to prevent an uncontrolled outbreak so far. As a group of early career scientists and the next generation of African scientific leaders with experience of working in medical and diverse health research fields in both SSA and resource-rich countries, we present a unique perspective on the current public health interventions to fight COVID-19 in Africa. Our perspective is based on extensive review of the available scientific publications, official technical reports and announcements released by governmental and non-governmental health organizations as well as from our personal experiences as workers on the COVID-19 battlefield in SSA. We documented public health interventions implemented in seven SSA countries including Uganda, Kenya, Rwanda, Cameroon, Zambia, South Africa and Botswana, the existing gaps and the important components of disease control that may strengthen SSA response to future outbreaks.
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Umviligihozo, Gisele, Lucy Mupfumi, Nelson Sonela, Delon Naicker, Ekwaro A. Obuku, Catherine Koofhethile, Tuelo Mogashoa, et al. "Sub-Saharan Africa preparedness and response to the COVID-19 pandemic: A perspective of early career African scientists." Wellcome Open Research 5 (December 10, 2020): 163. http://dx.doi.org/10.12688/wellcomeopenres.16070.3.
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Emerging highly transmissible viral infections such as SARS-CoV-2 pose a significant global threat to human health and the economy. Since its first appearance in December 2019 in the city of Wuhan, Hubei province, China, SARS-CoV-2 infection has quickly spread across the globe, with the first case reported on the African continent, in Egypt on February 14th, 2020. Although the global number of COVID-19 infections has increased exponentially since the beginning of the pandemic, the number of new infections and deaths recorded in African countries have been relatively modest, suggesting slower transmission dynamics of the virus on the continent, a lower case fatality rate, or simply a lack of testing or reliable data. Notably, there is no significant increase in unexplained pneumonias or deaths on the continent which could possibly indicate the effectiveness of interventions introduced by several African governments. However, there has not yet been a comprehensive assessment of sub-Saharan Africa’s (SSA) preparedness and response to the COVID-19 pandemic that may have contributed to prevent an uncontrolled outbreak so far. As a group of early career scientists and the next generation of African scientific leaders with experience of working in medical and diverse health research fields in both SSA and resource-rich countries, we present a unique perspective on the current public health interventions to fight COVID-19 in Africa. Our perspective is based on extensive review of the available scientific publications, official technical reports and announcements released by governmental and non-governmental health organizations as well as from our personal experiences as workers on the COVID-19 battlefield in SSA. We documented public health interventions implemented in seven SSA countries including Uganda, Kenya, Rwanda, Cameroon, Zambia, South Africa and Botswana, the existing gaps and the important components of disease control that may strengthen SSA response to future outbreaks.
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Tigabu, Aschalew D., Charles F. Nicholson, Amy S. Collick, and Tammo S. Steenhuis. "Determinants of household participation in the management of rural water supply systems: A case from Ethiopia." Water Policy 15, no. 6 (July 24, 2013): 985–1000. http://dx.doi.org/10.2166/wp.2013.160.
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Access to safe drinking water supply in Ethiopia is among the lowest in sub-Saharan Africa. While both governmental and non-governmental organizations have implemented water supply projects in recent years, many fail shortly after construction due to improper management. In this paper, we examine socio-economic, institutional and exogenous factors affecting household participation in the management of water supply systems for drinking purposes. A survey was carried out involving 16 water supply systems and 160 households within the Achefer area, in the Amhara region, Ethiopia. The results show that household contributions to water supply system management are positively and significantly affected by user participation during the project design and implementation, by advocacy provided by the project and by greater household income. Thus, for drinking water systems in rural areas to be sustainable, these factors should be included when planning water supply projects.
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Dodoo, Joana Eva, Hosam Al-Samarraie, and Ahmed Alsswey. "The development of telemedicine programs in Sub-Saharan Africa: Progress and associated challenges." Health and Technology 12, no. 1 (November 25, 2021): 33–46. http://dx.doi.org/10.1007/s12553-021-00626-7.
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AbstractMonitoring the progress of telemedicine use in Sub-Saharan Africa (SSA) countries has received a considerable attention from many health organizations and governmental agencies. This study reviewed the current progress and challenges in relation to the development of telemedicine programs in SSA. The results from reviewing 66 empirical studies revealed an unbalanced progress across SSA countries. Further, technological, organisational, legal and regulatory, individual, financial, and cultural aspects were identified as the major barriers to the success of telemedicine development in SSA. This study reported the current trends in telemedicine application, as well as highlighting critical barriers for consideration by healthcare decision makers. The outcomes from this study offer a number of recommendations to support wider implementation and sustainable usage of telemedicine in SSA.
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İpek, Volkan, and Gonca Biltekin. "Turkey's foreign policy implementation in sub-Saharan Africa: A post-international approach." New Perspectives on Turkey 49 (2013): 121–56. http://dx.doi.org/10.1017/s0896634600002065.
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Turkey's activism in Africa has been extensively noted. It has been argued that non-state actors like business and civil society organizations take part in Turkeys Africa initiative. Nevertheless, state/non-state interaction in Turkey's foreign policy implementation has not been accounted for in theoretical terms in Turkish foreign policy literature. This paper combines post-international theory and foreign policy implementation in looking at Turkey's foreign policy towards sub-Saharan Africa. We argue that adapting to the multi-centric world, the Turkish government has moved beyond conventional state-to-state dealings in implementing its foreign policy and increasingly relies on the cooperation of non-state actors.
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O'Connell, M. J., O. Nasirwa, M. Carter, K. H. Farmer, M. Appleton, J. Arinaitwe, P. Bhanderi, et al. "Capacity building for conservation: problems and potential solutions for sub-Saharan Africa." Oryx 53, no. 2 (June 1, 2017): 273–83. http://dx.doi.org/10.1017/s0030605317000291.
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AbstractTo achieve their conservation goals individuals, communities and organizations need to acquire a diversity of skills, knowledge and information (i.e. capacity). Despite current efforts to build and maintain appropriate levels of conservation capacity, it has been recognized that there will need to be a significant scaling-up of these activities in sub-Saharan Africa. This is because of the rapid increase in the number and extent of environmental problems in the region. We present a range of socio-economic contexts relevant to four key areas of African conservation capacity building: protected area management, community engagement, effective leadership, and professional e-learning. Under these core themes, 39 specific recommendations are presented. These were derived from multi-stakeholder workshop discussions at an international conference held in Nairobi, Kenya, in 2015. At the meeting 185 delegates (practitioners, scientists, community groups and government agencies) represented 105 organizations from 24 African nations and eight non-African nations. The 39 recommendations constituted six broad types of suggested action: (1) the development of new methods, (2) the provision of capacity building resources (e.g. information or data), (3) the communication of ideas or examples of successful initiatives, (4) the implementation of new research or gap analyses, (5) the establishment of new structures within and between organizations, and (6) the development of new partnerships. A number of cross-cutting issues also emerged from the discussions: the need for a greater sense of urgency in developing capacity building activities; the need to develop novel capacity building methodologies; and the need to move away from one-size-fits-all approaches.
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Makasa, Emmanuel M. "Universal Access to Surgical Care and Sustainable Development in Sub-Saharan Africa: A Case for Surgical Systems Research Comment on "Global Surgery – Informing National Strategies for Scaling Up Surgery in Sub-Saharan Africa"." International Journal of Health Policy and Management 8, no. 1 (October 29, 2018): 58–60. http://dx.doi.org/10.15171/ijhpm.2018.106.
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National level experiences, lessons learnt from the Millennium Development Goal (MDG) era coupled with the academic evidence and proposals generated by the Lancet Commission on Global Surgery (LCoGS) together with the economic arguments and recommendations from the World Bank Group’s "Essential Surgery" Disease Control Priorities (DCP3) publication, provided the impetus for political commitments to improve surgical care capacity at the primary level of the healthcare system in low- and middle-income countries (LMICs) as part of their drive towards universal health coverage (UHC) in the form of World Health Organization (WHO) Resolution A68.15. This global commitment from governments must be followed up with development of a Global Action Plan and a global coordination mechanism supported by regional implementation frameworks on the part of the WHO in order for the organisation to better coordinate all stakeholders and sustain the technical support needed to develop and implement national surgical health policy in the form of National Surgical Obstetric and Anaesthesia Plans (NSOAPs). As expounded by Gajewski et al, data and research output on surgical care is essential to informing policy development and programme implementation. This area still remains a challenge in sub-Saharan Africa (SSA) but it is envisaged that countries will include this key component in their ongoing national surgical healthcare policy development and programme implementation. In the Zambian case study, research in the area of Global Surgery investment-the surgical workforce scale-up is used to demonstrate the important role of implementation research in the development and implementation of the Zambian NSOAP as well as the need for international collaborations to this end. Scale-up reviews informed by implementation research to evaluate progress on the commitments contained in Resolution A68.15 and Decision A70.22 are essential to sustain the momentum and to help maintain focus on the gaps in all countries. There are opportunities for non-state actors especially local sub-regional academic institutions, non-governmental organizations (NGOs) and private sector to play a key role in surgical healthcare policy development and implementation research. Collection of and better information management of standardised surgical care indicators is essential for such research, for bi-annual WHO progress reporting and for demonstration of impact to justify and encourage further investments in surgical care.
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Putoto, Giovanni, Antonella Cortese, Ilaria Pecorari, Roberto Musi, and Enrico Nunziata. "Harmonization of clinical laboratories in Africa: a multidisciplinary approach to identify innovative and sustainable technical solutions." Diagnosis 2, no. 2 (June 1, 2015): 129–35. http://dx.doi.org/10.1515/dx-2014-0071.
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AbstractIn an effective and efficient health system, laboratory medicine should play a critical role. This is not the case in Africa, where there is a lack of demand for diagnostic exams due to mistrust of health laboratory performance. Doctors with Africa CUAMM (Collegio Universitario Aspiranti Medici Missionari) is a non-profit organization, working mainly in sub-Saharan Africa (Angola, Ethiopia, Mozambique, Sierra Leone, South Sudan, Tanzania and Uganda) to help and sustain local health systems. Doctors with Africa CUAMM has advocated the need for a harmonized model for health laboratories to assess and evaluate the performance of the facilities in which they operate.In order to develop a harmonized model for African health laboratories, previous attempts at strengthening them through standardization were taken into consideration and reviewed. A survey with four Italian clinicians experienced in the field was then performed to try and understand the actual needs of health facilities. Finally a market survey was conducted to find new technologies able to update the resulting model.Comparison of actual laboratories with the developed standard – which represents the best setting any African health laboratory could aim for – allowed shortcomings in expected services to be identified and interventions subsequently prioritized. The most appropriate equipment was proposed to perform the envisaged techniques. The suitability of appliances was evaluated in consideration of recognized international recommendations, reported experiences in the field, and the availability of innovative solutions that can be performed on site in rural areas, but require minimal sample preparation and little technical expertise.: The present work has developed a new, up-to-date, harmonized model for African health laboratories. The authors suggest lists of procedures to challenge the major African health problems – HIV/AIDS, malaria, tubercolosis (TB) – at each level of pyramidal health system. This model will hopefully support the non-governmental organization (NGO) Doctors with Africa CUAMM in its activities in sub-Saharan hospitals, providing them with a guideline to programme future interventions.
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Adu-Baffoe, Emmanuel, and Solomon Bonney. "The Role of Non-Governmental Organizations in Basic Education Delivery in Ghana: Implications for Theory, Policy, and Practice." International Education Studies 14, no. 4 (March 24, 2021): 35. http://dx.doi.org/10.5539/ies.v14n4p35.
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Non-Governmental Organizations play an indispensable role in the development process in Sub-Saharan Africa. This is evident in the educational sector where most major donor organizations have increased the resources apportioned through NGOs to implement their educational programmes. However, it is sad to indicate that these interventions appear either not to have had significant impact on quality education or the contributions of the NGOs are misplaced in view of the abysmal performance of school children especially at the Basic Education Certificate Examinations in the Tamale Metropolis. The purpose of this current research is to find out the contribution of Non-Governmental Organizations activities in basic education delivery, spotlighting on Action Aid Ghana in Tamale Metropolis. This mixed method study is guided by Oregon’s Quality Education Model. Using a collective case study design, a sample size of 114 respondents comprising actors selected through purposive sampling technique engaged in basic education delivery was used for the study. The data gathered in the form of questionnaires were analyzed quantitatively using descriptive statistics while the interviews conducted were analyzed qualitatively through content analysis in codes, themes, and sub themes with the NVivo10 software. The result showed infrastructure development, provision of teaching and learning materials, capacity development of teachers, provide learning needs to students and school community sensitization as Action Aid support activities to basic education delivery in Tamale Metropolis. These activities have contributed to improved quality teaching and learning, enhanced the availability of teaching and learning materials. However, the support activities were inadequate to improve students’ performances in Basic Education Certificate Examination. In view of the findings, it was recommended that; Action Aid Ghana should set up a supervision and monitoring center in collaboration with the Education Directorate to ensure effective supervision of teaching and learning.
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Feleke, Daniel Getacher, and Nebiyou Yemanebrhane. "Trichomonas vaginalis infection in Ethiopia: A systematic review and meta-analysis." International Journal of STD & AIDS 33, no. 3 (January 17, 2022): 232–41. http://dx.doi.org/10.1177/09564624211060176.
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Background An estimated 30 million new cases of Trichomonas vaginalis are recorded annually in sub-Saharan Africa. In Ethiopia, there is no study that systematically compiled the burden of T. vaginalis. Therefore, this study aimed to estimate the pooled prevalence of T. vaginalis in Ethiopia. Methods Electronic databases such as PubMed/Medline, EMBASE, Science Direct, Scopus, HINARI, Google Scholar, and Cochrane Library were systematically searched, and studies with high-quality Newcastle Ottawa Scale scores were included. Analyses were performed using STATA version 14 software, and heterogeneity of studies was assessed using the Cochrane’s Q test statistics and I2 test statistics. Sub-group, sensitivity analysis, and publication bias were performed. Results Ten eligible studies consisting of 2979 study participants were included. The overall pooled prevalence of T. vaginalis infections in Ethiopia was 9.62%. Sub-group analysis showed that the overall pooled prevalence of T. vaginalis infections in pregnant women and other study groups was 6.68% and 12.86%, respectively. Publication bias was detected by funnel plots and Egger’s tests. Conclusions This study showed that the overall pooled prevalence of T. vaginalis infections was relatively high. This study should trigger policy makers, governmental and non-governmental organizations, and healthcare providers to give attention for prevention and control of T. vaginalis infection.
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Samba, Gideon, Reeves Meli Fokeng, Julius Tata Nfor, and Roland Chah Ngwaimbi. "Green Spaces and Urban Liveability in Sub-Saharan Africa: Lessons from Bafoussam I, Cameroon." International Journal of Global Sustainability 6, no. 1 (February 10, 2022): 1. http://dx.doi.org/10.5296/ijgs.v6i1.19390.
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Urban green spaces support the development of cities in diverse ways. Considerable work has been done in recent years exploring the value of urban green space for health and wellbeing of urban centres across the world and in Sub-Saharan African countries in particular. This study is designed to examine the contribution of green spaces to city liveability in Bafoussam I Council. Data for the study were obtained through primary and secondary sources using a mixed design method of inquiry which combines both quantitative and qualitative approaches to explore data on urban green spaces in Bafoussam I. Purposive and simple random sampling techniques were used to select households for questionnaire administration. The data engendered were analyzed with descriptive and inferential statistics. The outcomes indicated that green spaces have significantly contributed to the health and wellbeing of the city dwellers in Bafoussam I Council. The main actors responsible for green spaces management in the municipality include government agencies, Bafoussam City Council, Municipal Council, the civil society, and Non-Governmental Organizations. In line with the 2022 African Nations Cup (AFCON) in Cameroon, this city-centre beautification has been stepped up. The Pearson moment Correlation used to test the hypothesis indicated a strong positive correlation at a calculated P-value .001, thus, green spaces have significant effects on the health and wellbeing of urban dwellers in Bafoussam I. The study concluded by emphasizing that stakeholders of green spaces in the municipality need to collaborate to take effective decisions that can be sustainable to ensure protection and equitable management of urban green environment to meet the need of the future generations in line with Sustainable Development Goal (SDG) 11.
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Olufowote, James O., Johnson S. Aranda, Guoyu E. Wang, and Danni Liao. "Advancing the New Communications Framework for HIV/AIDS: The Communicative Constitution of HIV/AIDS Networks in Tanzania’s HIV/AIDS NGO Sector." Studies in Media and Communication 5, no. 1 (April 26, 2017): 79. http://dx.doi.org/10.11114/smc.v5i1.2390.
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Although health communication research on HIV/AIDS has acknowledged the work of HIV/AIDS non-governmental organizations (NGOs), we know little about how such NGOs are collaborating in their response to the epidemic in sub-Saharan Africa (SSA). UNAIDS estimated that over two-thirds of world-wide HIV infections and AIDS-related deaths take place in SSA and normative models have highlighted organizational collaborations as an important part of the response to public health risks and crises. This study advanced the New Communications Framework for HIV/AIDS by drawing on a constitutive model of communication to develop a discursive perspective on HIV/AIDS NGO collaborations. Analyses of interviews with 36 leaders of Tanzanian HIV/AIDS NGOs resulted in (a) networks of organizations of people living with HIV/AIDS (PLWHA) and (b) networks expressing the following identities: as single entities that unify PLWHA organizations in/across administrative divisions, as structures for reaching grassroots PLWHA and facilitating their participation in decision-making forums at various scales, and as vehicles for various social impacts such as advocacy for PLWHA.
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Obiyan, A. Sat. "A Critical Examination of the State versus Non-Governmental Organizations (NGOs) in the Policy Sphere in the Global South: Will the State Die as the NGOs Thrive in Sub-Saharan Africa and Asia?" African and Asian Studies 4, no. 3 (2005): 301–26. http://dx.doi.org/10.1163/156920905774270475.
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Abstract This paper examines the role of non-governmental organizations (NGOs) in service provision with a special focus on Sub-Saharan Africa and Asia. First, it reviews the conceptual and taxonomic issues in NGOs. It then proceeds to examine the performance of NGOs in some countries. The paper notes the increased relevance of NGOs in many countries. It, however, argues that any expectation that the NGOs will supplant the state in service provision is likely to be utopian. It contends that just as we have government failure and market failure, we can also have third sector failure. The paper argues for an appropriate balance between the state and NGOs in meeting the needs of the poor. It concludes that while it may be necessary to continue to strengthen the private sector and the third sector, it would be useful to continue to inquire into how the state can be effective.
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Khan, Zeyaur R., Charles A. O. Midega, Jimmy O. Pittchar, Alice W. Murage, Michael A. Birkett, Toby J. A. Bruce, and John A. Pickett. "Achieving food security for one million sub-Saharan African poor through push–pull innovation by 2020." Philosophical Transactions of the Royal Society B: Biological Sciences 369, no. 1639 (April 5, 2014): 20120284. http://dx.doi.org/10.1098/rstb.2012.0284.
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Food insecurity is a chronic problem in Africa and is likely to worsen with climate change and population growth. It is largely due to poor yields of the cereal crops caused by factors including stemborer pests, striga weeds and degraded soils. A platform technology, ‘push–pull’, based on locally available companion plants, effectively addresses these constraints resulting in substantial grain yield increases. It involves intercropping cereal crops with a forage legume, desmodium, and planting Napier grass as a border crop. Desmodium repels stemborer moths (push), and attracts their natural enemies, while Napier grass attracts them (pull). Desmodium is very effective in suppressing striga weed while improving soil fertility through nitrogen fixation and improved organic matter content. Both companion plants provide high-value animal fodder, facilitating milk production and diversifying farmers’ income sources. To extend these benefits to drier areas and ensure long-term sustainability of the technology in view of climate change, drought-tolerant trap and intercrop plants are being identified. Studies show that the locally commercial brachiaria cv mulato (trap crop) and greenleaf desmodium (intercrop) can tolerate long droughts. New on-farm field trials show that using these two companion crops in adapted push–pull technology provides effective control of stemborers and striga weeds, resulting in significant grain yield increases. Effective multi-level partnerships have been established with national agricultural research and extension systems, non-governmental organizations and other stakeholders to enhance dissemination of the technology with a goal of reaching one million farm households in the region by 2020. These will be supported by an efficient desmodium seed production and distribution system in eastern Africa, relevant policies and stakeholder training and capacity development.
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George, Mukoro. "Improving Wound Dressing Techniques and Infection Control through Support from International Non-Governmental Organizations in Sub-Sahara Africa." Asian Journal of Research in Medical and Pharmaceutical Sciences 2, no. 1 (November 1, 2017): 1–8. http://dx.doi.org/10.9734/ajrimps/2017/37161.
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Dzvimbo, Munyaradzi Admire, Tinashe Mitchell Mashizha, Monica Monga, and Cornelias Ncube. "Conservation Agriculture and Climate Change: Implications for Sustainable Rural Development in Sanyati, Zimbabwe." Journal of Social and Development Sciences 8, no. 2 (August 18, 2017): 38–46. http://dx.doi.org/10.22610/jsds.v8i2.1795.
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Zimbabwe is one of the most developed countries in Sub-Saharan Africa in that markets and rural industrialization are likely to function relatively well. Thus, Zimbabwe’s agricultural sector has been severely affected by climate change. The worsening agricultural conditions have led to undernourishment of many in rural areas and this has drawn so much attention. Young women have turned into prostitution, in their bid to ensure the survival of their families. Farmers in rural areas depend heavily on rain-fed water and with rainfall variability and extreme weather patterns records, their livelihoods are being threatened. To cope with the adverse impact of climate change on rural development, different coping strategies and mechanisms are being implemented. The government, non-governmental organizations (NGOs) and the private sector have all introduced various programmes and projects at grassroots levels. The information used in this paper was gathered using data from interviews, questionnaires, and focused group discussion. This article explores how conservation agriculture being one of the coping strategies, has helped rural farmers to deal with climate change and how it has sustained rural development in Sanyati District.
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Jamie, Arif Hussen, and Abduseme Mohammed Ahmed. "FACTORS ASSOCIATED WITH LOW BIRTH WEIGHT AMONG NEWBORNS IN ETHIOPIA." Public Health of Indonesia 6, no. 1 (March 12, 2020): 1–6. http://dx.doi.org/10.36685/phi.v6i1.319.
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Background: Worldwide more than 20 million low birth weights occur annually with the incidence of 15 to 20%, majority of this occur in low- and middle-income countries and 95.6% occur in developing nations. Its regional estimate was 28% in South Asia, 13% in sub-Saharan Africa and 13% in least developed countryObjective: To assess factors associated with low birth weight among newborns in Jugal Hospital, Harari Regional State, Ethiopia.Methods: A cross-sectional study was conducted among newborns in Jugal hospital, Ethiopia from June 01 to July 10, 2019. Systematic random sampling technique was used to select the study subjects. Multivariate logistic regression analysis was used to identify factors associated with low birth weight among newbornsResults: The magnitude of low birth weight was 19.53%. Women who had previous history of low birth weight had 5.21 times higher odds ratio of delivered low birth weight baby than their counterparts [AOR = 5.21, 95% CI: (1.5-14.2)], and pregnant women who delivered before 37 weeks of gestational age had 4.8 times higher odds ratio of delivered low birth weight neonates than those delivered at term [AOR = 4.8, 95% CI: (1.3-10.4)]Conclusion: The prevalence of low birth weight in Harar, Jugal Hospital was 19.53%. Low birth weight in the previous pregnancy and gestational age 37 weeks, and showed significant association with birth weight neonates. Governmental and non-governmental organizations working on maternal and child health should focus on identified factors in order to tackle the problem of birth weight.
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Lamberti-Castronuovo, Alessandro, Jeremy A. Pine, Giorgio Brogiato, and Hans-Friedemann Kinkel. "Agricultural Migrants’ Health and Ability to Access Care: A Case Study in Southern Italy." International Journal of Environmental Research and Public Health 18, no. 23 (November 30, 2021): 12615. http://dx.doi.org/10.3390/ijerph182312615.
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Although a large amount of research exists about migration into the European Union (EU) and the role of migrants in European society, relatively little information is available on the health status of migrants after arriving in the EU. This is particularly true in the case of the most marginalised migrants, migrants from sub-Saharan Africa, who work as itinerant laborers harvesting fruits and vegetables in southern Italy. This study analyzes demographic and health data gathered by a non-governmental organization-run primary healthcare clinic in order to understand the challenges these migrants face when trying to maintain their health. Results show that their health suffers greatly due to substandard living and working conditions, partially due to the fact that these individuals experience many barriers when trying to access care from the national health system. The health status of this population cannot improve without broad reforms to the welfare system and the agricultural sector. Government action is needed to ensure that such individuals are not denied their basic human rights and freedoms, including the right to health.
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Bruns, Bryan. "Polycentric Solutions for Groundwater Governance in Sub-Saharan Africa: Encouraging Institutional Artisanship in an Extended Ladder of Participation." Water 13, no. 5 (February 27, 2021): 630. http://dx.doi.org/10.3390/w13050630.
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The growth of groundwater irrigation poses opportunities and challenges, particularly in Africa where substantial potential exists for increased groundwater irrigation but has been constrained by limited access to energy, technology for pumps and drilling, markets, and other factors. Conventional groundwater governance concepts for state-led regulation or co-management are problematic for conditions where state capacity or political support for regulation to reconcile conflicting interests is limited. Experience in Africa and elsewhere does offer examples that may help recognize feasible patterns for collective action that can influence the equity, efficiency, and sustainability of groundwater development. An extended ladder of participation helps look beyond state-led water governance and co-management to a more diverse range of opportunities for supporting local autonomy and initiative to expand opportunities and solve problems in groundwater development. Collective action in groundwater governance can include well spacing; sharing of wells, pumps, and pipes; protecting domestic water sources; crop coordination; groundwater recharge; water imports; and aquifer management. Even where non-state organizations and collective action play primary roles in water governance, they may still be empowered by, receive advice from, or share information with government agencies and other actors. Polycentric groundwater governance can be supported by improving information, facilitating cooperation, endorsing standards, providing a legal framework for resolving conflicts and constituting governance agreements, and through polycentric social learning. Polycentric institutional artisanship by water users and their organizations can help find feasible solutions for improving groundwater governance.
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Rezaeedaryakenari, Babak, Steven T. Landis, and Cameron G. Thies. "Food price volatilities and civilian victimization in Africa." Conflict Management and Peace Science 37, no. 2 (October 25, 2017): 193–214. http://dx.doi.org/10.1177/0738894217729527.
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This paper studies the impact of food insecurity on civilian–rebel interactions. We argue that food price volatilities affect the incentives of insurgent groups and their subsequent treatment of civilians. The hypotheses developed in this study are empirically evaluated across a battery of statistical models using monthly data from a sample of 112 first administrative districts in sub-Saharan Africa. The results show that increases in food insecurity substantially raise the likelihood of insurgent groups committing violence against civilians and that districts with a higher proportion of agricultural land are at greatest risk of civilian victimization by rebel groups during these episodes of food insecurity. The implications of this analysis suggest that the human impact of food insecurity does not simply relate to nutrition and questions of governance. Food price volatilities also incentivize the use of violence against civilians by non-state actors, which is a pertinent concern of human rights organizations and policymakers.
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Niba, Juste Ongeh, Stewart Ndutard Ngasa, Neh Chang, Eric Sanji, Anne-Marie Awa, Therence Nwana Dingana, Carlson Babila Sama, Leticia Tchouda, and Mekolle Enongene Julius. "Conflict, healthcare and professional perseverance: A qualitative study in a remote hospital in an Anglophone Region of Cameroon." PLOS Global Public Health 2, no. 11 (November 29, 2022): e0001145. http://dx.doi.org/10.1371/journal.pgph.0001145.
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Armed conflicts are a major contributor to global disease burden owing to their deleterious effects on health and healthcare delivery. The Anglophone crisis in Cameroon is one of the ongoing conflicts in Sub-Saharan Africa and has led to massive displacement of healthcare workers (HCWs). However, some HCWs have stayed back and continued working. An understanding of their experiences, perspectives and professional perseverance is lacking. We designed a phenomenological study using Focused Group Discussions (FGDs) and in-depth interviews to: understand the experiences of 12 HCWs in a remote hospital in the North West region of Cameroon with armed groups; evaluate how it affects healthcare delivery from HCWs perspective and examine HCWs coping mechanisms during the conflict with a view of informing HCW protection policies in conflict zones. Results revealed that HCWs go through all forms of violence including threats, assaults and murders. Overall insecurity and shortage of health personnel were major barriers to healthcare delivery which contributed to underutilization of healthcare services. Participants observed an increase in complications due to malaria, malnutrition and a rise in maternal and infant mortality. The hospital management and Non-Governmental Organizations (NGOs) played an essential role in HCWs adaptation to the crisis. Nevertheless they unanimously advocated for a cease fire to end the conflict. In the meantime, passion for their job was the main motivating factor to stay at work.
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Tauetsile, Joy. "Employee engagement in non-Western contexts: The link between social resources Ubuntu and employee engagement." International Journal of Cross Cultural Management 21, no. 2 (April 16, 2021): 245–59. http://dx.doi.org/10.1177/14705958211007874.
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Underpinned by Social Exchange Theory (SET) this study examines the relationship between social resources and employee engagement using the Ubuntu construct as a mediating variable. Employee engagement conceptualized as a positive work-related mind-set has demonstrated positive association with both supervisor support and colleague support. The study uses data collected from employees in organizations in Botswana (n = 438) to assess the relationship between social resources and employee engagement using Ubuntu as a mediating variable. Using mediation analysis, findings suggest that high levels of Ubuntu enhance the strength of the relationship among supervisor support, colleague support and employee engagement. These findings open significant potential for future studies identifying the cultural peculiarities as well as managerial implications of management concepts such as employee engagement in non-western settings and underlining the importance of the Ubuntu concept in managing staff in a sub-Saharan Africa country.
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Kiconco, Milliam. "COVID-19 Pandemic and Increased Teenage Pregnancy in Uganda." Advances in Social Sciences Research Journal 8, no. 10 (October 29, 2021): 301–9. http://dx.doi.org/10.14738/assrj.810.11022.
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ABSTRACT
In writing this paper, secondary review methodology has been used to explore the link between COVID-19 pandemic and increased teenage pregnancy in Uganda. Data from journal articles, text books, media outlets, government documents and Non-Governmental Organizations reports have been used in coming up with this paper. The paper begins with the general discussion of teenage pregnancy with emphasis on its negative implications on teenage girls and the reasons young girls get pregnant. This is followed by the discussion about teenage pregnancy in Uganda. This part has shown that before the advent of COVID-19 pandemic, Uganda was considered one of the countries with the highest rates of teenage pregnancy in Sub Saharan Africa. Then is a discussion on how past disasters like Ebola were also associated with an increase in teenage pregnancy. This connects to the discussion on how COVID-19 pandemic is similar to earlier disasters in causing an increase in teenage pregnancy. The increase in teenage pregnancy is attributed to preventive measures such as school closures and movement restrictions that have made girls more vulnerable to sexual advances from the perpetrators. This part is followed by the discussion on how teenage pregnancy has been amplified by COVID-19 pandemic in Uganda, Finally, the paper has recommended a multi-sectoral approach to addressing teenage pregnancy and the need for incorporating teenage pregnancy in the future plans aimed at addressing pandemics and epidemics.
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Yomo, Mawulolo, Khaldoon A. Mourad, and Masamaeya D. T. Gnazou. "Examining Water Security in the Challenging Environment in Togo, West Africa." Water 11, no. 2 (January 29, 2019): 231. http://dx.doi.org/10.3390/w11020231.
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Water shortages across the globe have increased due to climate change among other factors with negative impacts expected at the river basin level. Anticipating these impacts will help experts act in a timely manner to avoid a future water crisis. As part of addressing the future water shortage impacts on the Togolese community, this paper assessed water security in the context of the global environmental change in the Oti River Basin taking Oti Nord sub-basin (ONSB) as a case study. Key informants’ interviews were done with staff from governmental institutions, Non-Governmental Organizations (NGOs), community-based organizations, and private operators. The Improved Fuzzy Comprehensive Evaluation Model (IFCEM) was used for assessing water security (WS). A basin level WS evaluation system including five subcomponents (external environment security, water resources security, water-society security, water economic security, and water-environment security) and 23 indicators related to climate, socio-economy, water availability, and consumption were constructed. The results showed that the water level is very insecure in the sub-basin for the assessed years (2010, 2015, and 2025) with the year 2025 being the worst (expected a decrease of water security by 20% and 1% in 2025 compared to the years 2015 and 2010, respectively). This insecurity is found to be the result of many factors including technical, institutional, juridical, environmental, socio-cultural, hydrogeological, and demographical factors. However, managerial factors such as institutional instability, the inadequacies in water and related sector evolution, and the absence of de-centralized water management structures, the non-operationalization of management organs/financial instruments, and culture (i.e. taboos and bylaws) are found to be key to the study area. The paper concluded that the operationalization of management organs/financial instruments may enable the application of adopted water policies and regulations, which may lead to a sound and coordinated management of the available water resources since this will enable the government’s self-investment in clean water provision, data acquisition (potential water available and the estimation of economic driven potential water needs, which are key for any sound development), and a stimulated joined effort from the existing institutions. In addition, the establishment of a sound waste management system and awareness raising, and educative activities regarding water pollution will be of great benefit for this cause.
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Serem, David, and Richard Kipngeno Ronoh. "CHALLENGES FACED IN IMPLEMENTING FREE PRIMARY EDUCATION FOR PASTORALISTS IN KENYA." Problems of Education in the 21st Century 41, no. 1 (April 5, 2012): 100–111. http://dx.doi.org/10.33225/pec/12.41.100.
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Governments in Sub-Saharan Africa allocate between 5% and 25% of public expenditure budgets to education ministries, because education is seen, correctly, as a major contributor to human welfare, social and economic development (World Bank, 2005). It is clear that these large expenditures are sub-optimal and provide less than the expected return. This situation has been felt more acutely with the introduction of free primary education (FPE). Despite the high enrolment in FPE in urban areas, the response from pastoral communities has been rather lukewarm.The general objective of the study was to investigate the challenges faced in implementing Free Primary Education policy among pastoralists in Kenya. Consequently, the rationale of this study lies in need to evaluate the impact of an educational policy and find out how its implementation responds to challenges in provision of access to Primary Schooling. The study adopted ethnographic research design that utilised purposive sampling technique and saturation procedure to select a total of 170 respondents that included head teachers, teachers, parents, school dropouts, educational managers, community leaders, and Non Governmental Organizations. Purposive sampling was used to select individuals, groups and organizations that would provide insight into the study. Data was collected using focus group interviews, structured and unstructured interviews, observation, and document analysis. Subsequently, data was collected by use of questionnaire that was sent to head-teachers and education officials and was used only to validate the qualitative data. The collected data was coded, analyzed, described and summarized in order to generate themes on educational policy and practice. The study identified various challenges such as: inadequate funding; poor infrastructure; limited awareness towards education; limited community support; insecurity and cattle rustling and lifestyle of pastoralists that impedes the government’s efforts to attain FPE. These challenges threatened the implementation of FPE for pastoralists and further illustrate the complex and messy process of policy implementation in education sector. Key words: free primary education (FPE), policy implementation, pastoral communities, challenges.
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TADESSE, YENENESH, CONNY J. M. ALMEKINDERS, ROGIER P. O. SCHULTE, and PAUL C. STRUIK. "TRACING THE SEED: SEED DIFFUSION OF IMPROVED POTATO VARIETIES THROUGH FARMERS’ NETWORKS IN CHENCHA, ETHIOPIA." Experimental Agriculture 53, no. 4 (August 3, 2016): 481–96. http://dx.doi.org/10.1017/s001447971600051x.
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SUMMARYThere are many prerequisites for potato production to meet its full potential as a food security crop for subsistence farmers in Sub-Saharan Africa. One of these is the introduction of improved varieties. Traditionally, the introduction of new varieties is by government agencies or Non-Governmental Organizations (NGOs). To understand the diffusion of seed tubers (seeds) of new potato varieties in farmer networks, we analysed social factors influencing the sharing of seed of improved potato varieties amongst farmers in Chencha, Ethiopia. We interviewed 166 farmers and analysed 146 seed transactions. We used seed flow mapping to visualize seed sharing amongst farmers. We found that the social networks of farmers are differentiated by wealth, gender and religion, and that this differentiation affects the dispersion of new varieties through the farming communities: Wealthier farmers shared seed tubers most frequently and poor farmers did not share seed at all. Seed sharing was influenced by, but not restricted to, gender and religion categories. Most sharing was with relatives (as gifts) and neighbours (in exchange for labour). There weas no equal access to seed for all households because of (i) the targeting of the better off farmers by the NGO (ii) differences in frequency of sharing and (iii) terms and motivation of the transactions. Our results show that wealthy farmers most effectively multiply and share the seed of new varieties with medium wealthy and poor farmers. This study shows that for the introduction of new technologies into a community, its dynamics of social differentiation need to be understood.
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Aboagye, Richard Gyan, Abdul-Aziz Seidu, Bright Opoku Ahinkorah, Abdul Cadri, James Boadu Frimpong, John Elvis Hagan, Nigussie Assefa Kassaw, and Sanni Yaya. "Association between frequency of mass media exposure and maternal health care service utilization among women in sub-Saharan Africa: Implications for tailored health communication and education." PLOS ONE 17, no. 9 (September 29, 2022): e0275202. http://dx.doi.org/10.1371/journal.pone.0275202.
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Introduction Awareness creation through mass media has the potential to promoted positive behaviors and discourage negative health-related behaviors through direct and indirect pathways. In this study, we examined the association between exposure to mass media and maternal health care services utilization among women in sub-Saharan Africa. Methods We used data from the recent Demographic and Health Surveys (DHS) conducted between 2010 and 2020. A total of 28 countries with a survey dataset within 2010–2020 were included in our study. We included 199,146 women who had ever had a pregnancy in the last five years preceding the survey. Weighting was applied. Multilevel mixed-effect models were considered to account for cluster-level variations and correct inferences. Fixed and random effects estimates were reported. Adjusted odds ratio (aOR) with their 95% confidence intervals (CIs) were used to present the results. Also, we presented the random intercept variations, intraclass correlation coefficient, and model fitness. Results Women who listened to radio at least once every week (aOR = 1.11, 95% CI = 1.07,1.15) were more likely to attend ANC as against those who did not listen to radio at all. Also, women who watched television at least once a week (aOR = 1.39, 95% CI = 1.33,1.46) were more likely to attend ANC compared to those who did not watch television at all. Women who read newspaper/magazine at least once a week (aOR = 1.27, 95% CI = 1.14,1.41); listened to radio at least once a week (aOR = 1.12, 95% CI = 1.07,1.17); and watched television at least once a week (aOR = 1.32, 95% CI = 1.24,1.40), were more likely to utilize SBA than those who did not read newspaper/magazine; listen to radio; and watch television at all. Women who read newspaper/magazine at least once a week (aOR = 1.35, 95% CI = 1.27,1.45); listened to radio at least once a week (aOR = 1.37, 95% CI = 1.32,1.42); and watched television at least once a week (aOR = 1.39, 95% CI = 1.32,1.47) were more likely to utilize PNC compared to those who did not. Conclusions The study identified a strong positive relationship between mass media exposure and maternal health care services utilization. Specifically, exposure to radio and television were positively associated with ANC visitations. Moreover, exposure to mass media (newspaper/magazine, radio and television) were positively associated with SBA and PNC utilization. Policymakers and other non-governmental organizations should continuously invest resources in the design and implementation of maternal health service utilization educational programs through all the mass media channels to scale up women’s maternal health service services utilization uptake in sub-Saharan Africa.
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Wightman, John A. "Can lessons learned 30 years ago contribute to reducing the impact of the fall army worm Spodoptera frugiperda in Africa and India?" Outlook on Agriculture 47, no. 4 (December 2018): 259–69. http://dx.doi.org/10.1177/0030727018814849.
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The rapid spread of the fall army worm ( Spodoptera frugiperda) across sub-Saharan Africa, and now South Asia, has created surprise and distress to the smallholder farmers of both regions who face hunger and economic stress because of this pest. There has been high-quality support from the international agricultural information sector, but there has also been advice that may not be applicable to the farming systems of smallholder farmers. That comment arises from lessons learned from involvement with a similar pest outbreak of a related pest species in India starting in the mid-80s. Post-rainy season groundnut (peanut) Arachis hypogaea is a high-value crop in the coastal region of Andhra Pradesh. Changes in the management of tobacco crops to the North of the groundnut belt resulted in invasions of Spodoptera litura. The groundnut farmers responded by applying a wide range of insecticides that did nothing to protect their crops from further defoliation. Scientists from the International Crops Research Institute for the Semi-Arid Tropics (ICRISAT) initiated research that enriched the knowledge of this crop–pest relationship. For instance, they showed that groundnut plants could withstand close to complete defoliation with little loss in yield. Farmers also learned that the cessation of their insecticide regime allowed natural enemies of the caterpillars to take over the management of the pests. They were showed how to enhance the populations of the coccinellids and the birds that were the key predators. ‘Citizen Scientists’ led this process. Non- and quasi-governmental organizations took over the extension process. They were provided with ongoing personal and technical support, for instance, the provision of definitive facts about the high levels of insecticide resistance, encouraging cultural control techniques, and of exploiting natural enemies, including entomopathogens. The involvement of the ICRISAT team later extended into the groundnut fields of South East Asia.
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Komodromos, Marcos. "Interactive radio, social network sites and development in Africa: a literature review study." Journal of Enterprising Communities: People and Places in the Global Economy 15, no. 2 (April 5, 2021): 282–95. http://dx.doi.org/10.1108/jec-06-2020-0111.
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Purpose The technology determinism theory facilitated in assessing the impact of interactive radio and social network sites (SNSs) on development factors such as education, agriculture, health, and governance, by conducting an integrative and comprehensive literature review focusing on African countries. This paper aims to conduct this literature review to provide comprehensive empirical evidence on the impact of interactive radio and SNSs on development in Africa. Design/methodology/approach This study examined articles that were retrieved from online databases including EBSCOhost, Elsevier, Science Direct, SAGE Journals, Springer and Wiley Online Library. The keywords used included interactive radio, radio, development in Africa, SNS, agriculture, education, health, peace and governance. Search phrases were formulated using boolean operators “AND” and “OR.” Findings Study results revealed that interactive radio and SNSs improve knowledge among farmers and allow the dissemination of information on innovative agricultural techniques, which supports the adoption of sustainable practices. Interactive radio promotes political accountability because the strategies provide the voiceless and powerless communities with a platform to express themselves. This paper discovers that the incorporation of SNS with existing multimedia communication facilitates the dissemination of health-related information on illnesses such as Ebola, HIV, hypertension, diabetes and Polio, and interactive radio and SNS promote education among marginalized communities and under-served rural schools. Research limitations/implications The findings on the impact of interactive radio and SNSs do not represent all 54 countries in Africa. Although the studies included in this literature review were conducted in several countries such as South Africa, Nigeria, Somalia, Kenya, Malawi, Ghana, Tanzania, Uganda and Zambia, this limited the generalizability of the findings and recommendations. Also, the other potential limitation is that using the inclusion-exclusion criteria could have resulted in bias when selecting the studies to include in the review. Practical implications The paper might serve as a valuable source of information for students, academics and entrepreneurs where the impact of interactive radio and SNSs on agriculture, education, health and governance, which are core determinants of development in Africa, has been assessed for further case studies in this area. Social implications The use of interactive radio has helped in decreasing health issues caused by a deficiency in vitamin A among children in sub-Saharan Africa. Originality/value The development of sustainable and effective interactive radio programs is dependent on the collaboration of the core stakeholders such as governmental ministries, donor organizations and the mass communication sector. Numerous open sources on technology radio stations are available to employ social media managers to help in the application of knowledge.
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Adebusola O., Oyeyemi, and Atulomah Nnodimele O. "REINFORCING AND ENABLING FACTORS INVOLVED IN THE UPTAKE OF SICKLE-CELL DISEASE SCREENING AMONG COLLEGE OF EDUCATION STUDENTS IN NIGERIA." International Journal of Advanced Research 10, no. 05 (May 31, 2022): 166–75. http://dx.doi.org/10.21474/ijar01/14693.
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Introduction: Sickle cell disease (SCD) is one of the most common hereditary diseases occurring worldwide, which may affect any organ or system of human body. Some studies have shown that the knowledge of SCD and genetic screening among unmarried youths is low in Sub-Saharan Africa countries. However, genetic counseling offers help and guidance to individuals who may have or are at the risk of having genetic diseases based on their genetic information, including their family background. Aims and Objectives: This study assessed the social support and enabling factors towards sickle cell screening and counseling uptake among students Materials and Methodology: The cross-sectional study was carried out among students of Emmanuel Alayande College of Education, Oyo and Osun State College of Education, Ilesha. Self-administered questionnaire was administered to 612 participants and 4 FGD was conducted in both study sites. Data was analyzed using SPSS software. Result: Most (60.9%) and (70.8%) of the respondents were female in both Emmanuel Alayande College of Education (EACE) and Osun State College of Education (OSCE) respectively and respondents aged between 15-30 years. Almost half (47.7%) of respondents in EACE and some (21.8%) of OSCE respondents have not gone for their genotype testing. In the OSCE, most of the FG participants were of the opinion that going for SCD screening is not common due to fear of the result and the effects it may have on them. Most (64.1%) and (69.8%) of the respondent from EACE and OSCE respectively said that support from health care providers is very important in influencing their uptake of SCD screening. In both EACE and OSCE, FGD participants highlighted lack of proper screening centers, distance of such centers, as well as poor attitude of health workers as factors that can hinder the uptake of SCD screening. Conclusion: The findings from the study revealed that almost half of respondents in EACE and some of OSCE respondents have not gone for their genotype testing. A greater percentage of the respondents stated the need for social support including support from health care providers, friends, families, religious leaders as very important. There should be a collaboration between governmental and non-governmental health organizations to facilitate the promotion of free genotype screening and promote access to genetic counseling in public hospitals for young people.
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Dzinamarira, Tafadzwa, Collins Kamanzi, and Tivani Phosa Mashamba-Thompson. "Key Stakeholders’ Perspectives on Implementation and Scale up of HIV Self-Testing in Rwanda." Diagnostics 10, no. 4 (April 1, 2020): 194. http://dx.doi.org/10.3390/diagnostics10040194.
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Introduction: The World Health Organisation recommends HIV self-testing as an alternative testing method to help reach underserved populations, such as men in sub-Saharan Africa. Successful implementation and scale-up of HIV self-testing (HIVST) in Rwanda relies heavily on relevant stakeholders’ involvement. We sought to explore HIVST key stakeholders’ perceptions of the implementation and scale-up of HIVST in Rwanda. Method: We conducted in-depth interviews with personnel involved in HIV response projects in Rwanda between September and November 2019. We purposively sampled and interviewed 13 national-level key stakeholders from the Ministry of Health, Rwanda Biomedical Center, non-governmental organizations and HIV clinics at tertiary health facilities in Kigali. We used a thematic approach to analysis with a coding framework guided by Consolidated Framework for Implementation Research (intervention characteristics, inner setting, outer setting, characteristics of individuals involved in the implementation and the implementation process). Results: Key stakeholders perceived HIVST as a potentially effective initiative, which can be used in order to ensure that there is an improvement in uptake of testing services, especially for underserved populations in Rwanda. The following challenges for implementation and scale-up of HIVST were revealed: lack of awareness of the kits, high cost of the self-test kits, and concerns on results interpretation. Key stakeholders identified the following as prerequisites to the successful implementation and scale-up of HIVST in Rwanda; creation of awareness, training those involved in the implementation process, regulation of the selling of the self-test kits, reduction of the costs of acquiring the self-test kits through the provision of subsidies, and ensuring consistent availability of the self-test kits. Conclusions: Key stakeholders expressed confidence in HIVST’s ability to improve the uptake of HIV testing services. However, they reported challenges, which need to be addressed to ensure successful implementation and scale-up of the HIVST. There is a need for further research incorporating lower level stakeholders to fully understand HIVST implementation and scale-up challenges and strategies to inform policy.
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Als, Daina, Sarah Meteke, Marianne Stefopulos, Michelle F. Gaffey, Mahdis Kamali, Mariella Munyuzangabo, Shailja Shah, et al. "Delivering water, sanitation and hygiene interventions to women and children in conflict settings: a systematic review." BMJ Global Health 5, Suppl 1 (July 2020): e002064. http://dx.doi.org/10.1136/bmjgh-2019-002064.
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BackgroundAccess to safe water and sanitation facilities and the adoption of effective hygiene practices are fundamental to reducing maternal and child morbidity and mortality globally. In armed conflict settings, inadequate water, sanitation and hygiene (WASH) infrastructure poses major health risks for women and children. This review aimed to synthesise the existing information on WASH interventions being delivered to women and children in conflict settings in low-income and middle-income countries (LMICs) and to identify the personnel, sites and platforms being used to deliver such interventions.MethodsWe conducted a systematic search for publications indexed in four databases, and grey literature was searched through the websites of humanitarian agencies and organisations. Eligible publications reported WASH interventions delivered to conflict-affected women or children. We extracted and synthesised information on intervention delivery characteristics, as well as barriers and facilitators.ResultsWe identified 58 eligible publications reporting on the delivery of WASH interventions, mostly in Sub-Saharan Africa. Non-Governmental Organization (NGO)/United Nations (UN) agency staff were reported to be involved in delivering interventions in 62% of publications, with the most commonly reported delivery site being community spaces (50%). Only one publication reported quantitative data on intervention effectiveness among women or children.DiscussionThis review revealed gaps in the current evidence on WASH intervention delivery in conflict settings. Little information is available on the delivery of water treatment or environmental hygiene interventions, or about the sites and personnel used to deliver WASH interventions. Limited quantitative data on WASH intervention coverage or effectiveness with respect to women or children are important gaps, as multiple factors can affect how WASH services are accessed differently by women and men, and the hygiene needs of adolescent girls and boys differ; these factors must be taken into account when delivering interventions in conflict settings.PROSPERO registration numberCRD42019125221
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Chokotho, Linda, Wakisa Mulwafu, Isaac Singini, Yasin Njalale, Limbika Maliwichi-Senganimalunje, and Kathryn H. Jacobsen. "First Responders and Prehospital Care for Road Traffic Injuries in Malawi." Prehospital and Disaster Medicine 32, no. 1 (December 7, 2016): 14–19. http://dx.doi.org/10.1017/s1049023x16001175.
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AbstractIntroductionRoad traffic collisions are a common cause of injuries and injury-related deaths in sub-Saharan Africa (SSA). Basic prehospital care can be the difference between life and death for injured drivers, passengers, and pedestrians.ProblemThis study examined the challenges associated with current first response practices in Malawi.MethodsIn April 2014, focus groups were conducted in two areas of Malawi: Karonga (in the Northern Region) and Blantyre (in the Southern Region; both are along the M1 highway), and a qualitative synthesis approach was used to identify themes. All governmental and nongovernmental first response organizations identified by key informants were contacted, and a checklist was used to identify the services they offer.ResultsAccess to professional prehospital care in Malawi is almost nonexistent, aside from a few city fire departments and private ambulance services. Rapid transportation to a hospital is usually the primary goal of roadside care because of limited first aid knowledge and a lack of access to basic safety equipment. The key informants recommended: expanding community-based first aid training; emphasizing umunthu (shared humanity) to inspire bystander involvement in roadside care; empowering local leaders to coordinate on-site responses; improving emergency communication systems; equipping traffic police with road safety gear; and expanding access to ambulance services.ConclusionPrehospital care in Malawi would be improved by the creation of a formal network of community leaders, police, commercial drivers, and other lay volunteers who are trained in basic first aid and are equipped to respond to crash sites to provide roadside care to trauma patients and prepare them for safe transport to hospitals.ChokothoL, MulwafuW, SinginiI, NjalaleY, Maliwichi-SenganimalunjeL, JacobsenKH. First responders and prehospital care for road traffic injuries in Malawi. Prehosp Disaster Med. 2017;32(1):14–19.
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Mwanzia Mulili, Benjamin. "Corporate governance in Kenya's public universities." Journal of Applied Research in Higher Education 6, no. 2 (September 2, 2014): 342–57. http://dx.doi.org/10.1108/jarhe-02-2013-0008.
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Purpose – The purpose of this paper is to explore the corporate governance practices adopted by public universities in Kenya, itself a developing country. Corporate governance practices in Africa, especially the sub-Saharan part, are weak and limited research has been done in this area. Design/methodology/approach – The researcher adopted the realism paradigm and relied on qualitative data obtained from five case study organizations. A total of 15 informants were interviewed. The data were recorded, transcribed and subjected to content analysis using the NVIVO software. Findings – The researcher established that the governance of the said institutions is constrained by numerous challenges that include, among many others, large student numbers, overstretched facilities, insufficient government support, inadequate induction of new staff, resistance to change and cultures that support impunity on the part of some non-performing employees. Practical implications – This research recommends several strategies that can be used to improve the governance of the said institutions and, by extension, that of similar institutions in developing countries. Originality/value – The study provides empirical evidence to support the proposition that different corporate governance theories, such as the stakeholders theory, political theory and resource dependency theory, can be used simultaneously by the same firm. On this basis, the research suggests the adoption of a combined theory of corporate governance.
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Woldie, Habtamu Gebremeskel, Daniel Bekele Ketema, Mulatu Ayana, and Animut Alebel. "Predictors of recovery rate among undernourished HIV-positive adults treated with ready-to-use therapeutic food at Debre Markos Comprehensive Specialized Hospital: A retrospective cohort study." PLOS ONE 16, no. 8 (August 4, 2021): e0255465. http://dx.doi.org/10.1371/journal.pone.0255465.
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Background Nutritional support is becoming more widely acknowledged as a crucial component of the key package of care for HIV/AIDS patients. This nutritional support is exceptionally important for patients in sub-Saharan Africa, including Ethiopia, where HIV/AIDS is very prevalent. However, there is a lack of evidence on the recovery rate and predictors at the study site and at large in Ethiopia. Therefore, this study will give some insight into the recovery rate and its predictors among under-nourished HIV-positive adults treated with Ready to Use Therapeutic Food (RUTF) attending at Debre Markos referral hospital. Moreover, the findings of this study will be used by both governmental and non-governmental organizations to allocate more resources to mitigate the nutritional problems for people living with HIV. Methods An institution-based retrospective cohort study was conducted among 453 under-nourished HIV positive adults treated with RUTF at Debre Markos referral Hospital from the 1st of July, 2015 to the 31st of December, 2017. The study participants were selected using a simple random sampling technique. Data were extracted from patient charts using a standardized data extraction checklist. Data were entered into Epi-Data Version 4.2 and analyzed using Stata Version 14. The Kaplan-Meier survival curve was used to estimate the time to recovery. Log-rank test was used to compare the recovery time between different baseline categorical variables. The bivariable and multivariable Cox-proportional hazard regression models were fitted for potential predictors of recovery time. Adjusted hazard Ratios (AHRs) with 95% CIs were used to measure the strength of association and test statistical significance. Results A total of 453 undernourished HIV-positive adults were included in the final analysis. About 201, 44.4% (95%CI: 38.9, 49.0%) patients participating in the RUTF program were recovered based on predetermined exit criteria with incidence of 10.65 (95% CI: 9.28, 12.23) per 100 person-month observations. Being moderately undernourished (AHR: 11.0, 95% CI: 5.3, 23.1), WHO clinical stage (I or II) (AHR:1.8, 95% CI: 1.2, 2.6), and working functional status at baseline (AHR = 2.34, 95%CI: 1.01,5.45) were predictors of recovery time. Conclusion This study concluded that the overall nutritional recovery rate was below the acceptable minimum requirement which at least 75% of patients should recovered. Mild to moderate undernutrition at baseline, WHO clinical stage I or II at enrolment, and working functional status were found to be predictors of recovery time in HIV/AIDS patients treated with the RUTF. As a result, special attention should be paid to severely malnourished patients, WHO clinical stages III or higher, and patients who are bedridden or ambulatory during treatment.
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Ahinkorah, Bright Opoku, Abdul-Aziz Seidu, John Elvis Hagan, Eugene Budu, Aliu Mohammed, Collins Adu, Edward Kwabena Ameyaw, Faustina Adoboi, and Thomas Schack. "Barriers to healthcare access and healthcare seeking for childhood illnesses among childbearing women in Burundi." PLOS ONE 17, no. 9 (September 30, 2022): e0274547. http://dx.doi.org/10.1371/journal.pone.0274547.
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Introduction Poor health seeking behaviour continues to be major challenge in accessing healthcare in sub-Saharan Africa despite the availability of effective treatment for most childhood illnesses. The current study investigated the barriers to healthcare access and health seeking for childhood illnesses in Burundi. Methods The study utilized data from the 2016–17 Burundi Demographic and Health Survey (BDHS). A total of 2173 children under five of childbearing women were included in our study. The outcome variable for the study was healthcare seeking for childhood illnesses (diarrhea and fever/cough). Barriers to healthcare access were the explanatory variables and maternal and child factors were the control variables. Chi-square test of independence and a binary logistic regression modelling were carried out to generate the results. Results Overall, less than 50% of children in Burundi who were ill two weeks before the survey obtained healthcare. We found that children of mothers who perceived getting money for medical care for self as a big problem [aOR = 0.75; CI = 0.60–0.93] and considered going for medical care alone as a big problem [aOR = 0.71; CI = 0.55–0.91] had lower odds of getting healthcare, compared to those of mothers who considered these indicators as not a big problem. The results also showed that children of mothers who had three [aOR = 1.48; 1.02–2.15] and four [aOR = 1.62; 1.10–2.39], children were more likely to get healthcare for childhood illnesses compared to those whose mothers had one child. Children of mothers with single birth children were less likely to get healthcare compared to those whose mothers had multiple births. Conclusion Findings of the low prevalence of healthcare for childhood illnesses in Burundi suggest the need for government and non-governmental health organizations to strengthen women’s healthcare accessibility for child healthcare services and health seeking behaviours. The Burundian government through multi-sectoral partnership should strengthen health systems for maternal health and address structural determinants of women’s health by creating favourable conditions to improve the status of women and foster their overall socioeconomic well-being. Free child healthcare policies in Burundi should be strengthened to enhance the utilization of child healthcare services in Burundi.
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Aregay, Atsede, Margaret O’Connor, Jill Stow, Nicola Ayers, and Susan Lee. "Strategies used to establish palliative care in rural low- and middle-income countries: an integrative review." Health Policy and Planning 35, no. 8 (June 24, 2020): 1110–29. http://dx.doi.org/10.1093/heapol/czaa051.
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Abstract Globally, 40 million people need palliative care; about 69% are people over 60 years of age. The highest proportion (78%) of adults are from low- and middle-income countries (LMICs), where palliative care still developing and is primarily limited to urban areas. This integrative review describes strategies used by LMICs to establish palliative care in rural areas. A rigorous integrative review methodology was utilized using four electronic databases (Ovid MEDLINE, Ovid Emcare, Embase classic+Embase and CINAHL). The search terms were: ‘palliative care’, ‘hospice care’, ‘end of life care’, ‘home-based care’, ‘volunteer’, ‘rural’, ‘regional’, ‘remote’ and ‘developing countries’ identified by the United Nations (UN) as ‘Africa’, ‘Sub-Saharan Africa’, ‘low-income’ and ‘middle- income countries’. Thirty papers published in English from 1990 to 2019 were included. Papers were appraised for quality and extracted data subjected to analysis using a public health model (policy, drug availability, education and implementation) as a framework to describe strategies for establishing palliative care in rural areas. The methodological quality of the reviewed papers was low, with 7 of the 30 being simple programme descriptions. Despite the inclusion of palliative care in national health policy in some countries, implementation in the community was often reliant on advocacy and financial support from non-government organizations. Networking to coordinate care and medication availability near-patient homes were essential features of implementation. Training, role play, education and mentorship were strategies used to support health providers and volunteers. Home- and community-based palliative care services for rural LMICs communities may best be delivered using a networked service among health professionals, community volunteers, religious leaders and technology.
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Anderson, Johanna. "A School Library in Sub-Saharan Africa." Library and Information Research 35, no. 110 (August 7, 2011): 3–15. http://dx.doi.org/10.29173/lirg456.
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This paper reports on the success and suitability of a Western-donated school library in furthering literacy and reader development in Malawi.
A qualitative, case study approach was taken using semi-structured interviews with teachers and a library assistant at a primary school in Malawi.
The research reveals positive attitudes towards reading and literacy in a predominantly oral culture. Limitations include a lack of attention to reader development and inappropriateness of materials for the local context.
The study reveals that the book donation model commonly supported by international donors and non-governmental organisations (NGOs) falls short in its ability to contribute to global literacy and education targets. Recommendations to improve impact are given.
This research is original in representing the voices of school teachers in the debate over the suitability of libraries and the overseas book donation model to the sub-Saharan African context.
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Iddi, Shabani, Joseph Justin, Kayo Hamasaki, Eveline T. Konje, and Gilbert W. Kongola. "Assessment of snakebite management practices at Meserani Juu in Monduli District, Northern Tanzania." PLOS ONE 17, no. 12 (December 22, 2022): e0278940. http://dx.doi.org/10.1371/journal.pone.0278940.
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Background Snakebite envenoming represents a tragically neglected tropical disease mostly affecting poor people living in remote areas of developing countries, primarily in sub-Saharan Africa. Anti-snake venom (ASV) is the only approved specific treatment for systemic envenoming from snakebite, but it remains largely unavailable in many parts of developing countries. There is paucity of data on snakebite management practice in Tanzania. This study aimed at assessing the community management practices of snakebite and availability of anti-snake venom in the public health facilities in Monduli District, Northern Tanzania. Methods A cross sectional study was carried out between May and June, 2018 involving 67 victims, 147 other household members, and 35 public health facilities. A structured questionnaire, respondent interview, and health facility report/document review were considered during data collection. Clean data were analyzed using SPSS version 20. Results Sixty-seven snakebite victims and 147 other household members were interviewed during a household survey. All snakebite cases reported to having visited a health facility after snakebite with the majority 55/67 (82.1%) reporting the use, prior attendance to medical care, of some form of local treatment such as tourniquets 13 (19.4%), local incision 11 (16.4%), and snakestone 7 (10.4%). None of the public health facilities in Monduli District attended a snakebite case and had never stocked anti-snake venom products. In this area, 45 snakebite cases were reported to be managed at Meserani snake park clinic where anti-snake venom products were available and provided for free in the period between January 2017 and December 2017. Conclusion Majority of the snakebite cases at Meserani Juu relied on local methods for the management of snake bites of which most are of unknown efficacy and safety. Furthermore, none of the primary public health facilities in Monduli District stocked antivenom despite being a habitat for different kinds of venomous snakes. The government and local non-government organizations should collaborate so as to improve the anti-snake venom availability and the provision of snakebite preventive and management awareness programs, especially to the rural communities.
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Brockington, Dan, and Katherine Scholfield. "The work of conservation organisations in sub-Saharan Africa." Journal of Modern African Studies 48, no. 1 (February 3, 2010): 1–33. http://dx.doi.org/10.1017/s0022278x09990206.
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ABSTRACTConservation non-governmental organisations (NGOs) have excited a great deal of comment and debate, generally quite divided, in diverse journals. Some advocate them as forces for good, others decry their clumsy dealings with rural peoples and the impoverishment their activities can cause. The debate suffers in two ways. First, it ignores a large parallel literature about the work of development NGOs. Second, there is a paucity of general knowledge about the state of the conservation NGO sector. We do not know where it works, what the main players are doing, or much at all about the extent or activities of the smaller conservation organisations. We do not know how much money the sector spends. In this paper we first briefly outline why work on development NGOs should be applied to conservation NGOs, and then offer an overview of the sector's activities based on a survey of over 280 organisations. We describe some of the basic contours of these activities, and reflect on the implications of our findings for existing writings about conservation NGOs and future research.
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Franco, Jose R., Giuliano Cecchi, Gerardo Priotto, Massimo Paone, Augustin Kadima Ebeja, Pere P. Simarro, Abdoulaye Diarra, Dieudonné Sankara, Weining Zhao, and Daniel Argaw Dagne. "Human African trypanosomiasis cases diagnosed in non-endemic countries (2011–2020)." PLOS Neglected Tropical Diseases 16, no. 11 (November 7, 2022): e0010885. http://dx.doi.org/10.1371/journal.pntd.0010885.
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Background Sleeping sickness, or human African trypanosomiasis (HAT), is transmitted by tsetse flies in endemic foci in sub-Saharan Africa. Because of international travel and population movements, cases are also occasionally diagnosed in non-endemic countries. Methodology/Principal findings Antitrypanosomal medicines to treat the disease are available gratis through the World Health Organization (WHO) thanks to a public-private partnership, and exclusive distribution of the majority of them enables WHO to gather information on all exported cases. Data collected by WHO are complemented by case reports and scientific publications. During 2011–2020, 49 cases of HAT were diagnosed in 16 non-endemic countries across five continents: 35 cases were caused by Trypanosoma brucei rhodesiense, mainly in tourists visiting wildlife areas in eastern and southern Africa, and 14 cases were due to T. b. gambiense, mainly in African migrants originating from or visiting endemic areas in western and central Africa. Conclusions/Significance HAT diagnosis in non-endemic countries is rare and can be challenging, but alertness and surveillance must be maintained to contribute to WHO’s elimination goals. Early detection is particularly important as it considerably improves the prognosis.