An overview of the development challenges and constraints of the Niger Basin and possible intervention strategies

The Niger River Basin covers 7.5% of the African continent, and is shared between nine riparian countries. The basin countries can be categorized into water resources producers, consumers, both producers and consumers, and minimum contributors and consumers. As in the case for most transboundary rivers, upstream and downstream conflicts emanating from the development and utilization of the Niger River are inevitable and are expected to be intense, particularly given the escalating demands for water from the many uses and users. The basin is divided into four major sections, namely Upper Niger, Inland Delta, Middle Niger, and Lower Niger. But these divisions, though useful, are too generic to provide a complete understanding of biophysical, hydrological and socioeconomic processes impinging on the basin’s water resources, and to provide intervention recommendations. On average, the basin’s population is two-thirds (64%) rural and a significant part of the northern zones of the basin is unpopulated. People in the basin are engaged in various livelihood strategies such as dry- and wet-season cropping systems, pastoral systems, crop-livestock systems, and fishing. The dry-season livelihood systems include fadama (lowland or inland valleys) farming, recession flood farming, agroforestry, irrigated rice farming and fishing. Wet-season livelihood systems center mostly on cereal cropping and transhumance. The major crops grown in the basin are yam, cassava, rice, groundnut, millet, sorghum, plantain, cocoa, maize, sugarcane, and cotton. Agriculture represents a large part of the gross domestic product (GDP) of the Niger River Basin with crop production alone contributing 25-35% of the basin’s GDP, while livestock and fishery contribute 10-15% and 1-4%, respectively. All countries of the Niger Basin suffer from chronic and acute poverty and are ranked ‘poor’ by most poverty indicators (Human Development Index [HDI]), child mortality, life expectancy, Social Vulnerability Index, etc.). Several structural (social and institutional) factors hold a large segment of the basin’s population in the throes of poverty. Niger Basin’s challenge is to break this vicious circle by using resources to generate sustainable growth that is favorable to the poor. Some of the prominent water-related challenges are degradation of land and water resources, climate change and variability, vulnerability to disasters, inefficiency and poor performance of agriculture (rain-fed and irrigation), competing demands between sectors and water users and inadequate investment in water infrastructure. At a wider level, inadequate public services, institutional and governance failure, high population growth and urbanization, poor macro-economic performance, and unemployment have also undermined the development of the basin. The severity of these challenges varies from location to location in the basin. The basin’s development goals and objectives originate as a response to the development challenges and are articulated in various policy documents such as the Niger Basin Shared Vision (NBA PADD), poverty reduction strategy papers, United Nations (UN) Millennium Development Goals (MDGs), and the New Partnership for Africa’s Development (NEPAD), specifically the pillars 1, 2, 3 and 4 of the Comprehensive Africa Agriculture Development Programme (CAADP). The goals of the basin countries are eradicating extreme poverty and hunger; achieving universal primary education; promoting gender equality and empowerment of women; reducing child mortality; improving maternal health; combating Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS), malaria and other diseases; ensuring environmental sustainability; and developing a global partnership for development. viii The specific development objectives of the basin countries are the following: • Increase income, generate jobs, improve living standards, and alleviate poverty, especially among the poorest section of the population while at the same time safeguarding the environment including the sustainable management of the Niger Basin water resources. • Improve access to health and education services, and increase life expectancy. • Achieve political stability, good governance and an appropriate institutional framework. • Improve the investment climate for private-sector development where infrastructure plays a decisive part. • Develop infrastructures and the productive sector to ensure better productivity of factors of production and economic growth. • Reduce food imports, boost agricultural exports through stabilization, intensification and expansion of agricultural production. To realize the basin’s development goals and objectives the following water-centered intervention clusters needed to be synergistically pursued. • Ensuring right to secure access to water for the poor. • Developing new infrastructure. • Improving access to agricultural water management innovations. • Strengthening Niger Basin’s water governance. • Upgrading rain-fed systems. • Reducing the vulnerability of poor people to climate shocks and other hazards. • Minimizing degradation of the terrestrial and aquatic ecosystems. • Diversifying livelihood strategies

Chemical efficiency of reactive microflows with heterogeneus catalysis: a lattice Boltzmann study

We investigate the effects of geometrical micro-irregularities on the conversion efficiency of reactive flows in narrow channels of millimetric size. Three-dimensional simulations, based upon a Lattice-Boltzmann-Lax-Wendroff code, indicate that periodic micro-barriers may have an appreciable effect on the effective reaction efficiency of the device. Once extrapolated to macroscopic scales, these effects can result in a sizeable increase of the overall reaction efficiency.Comment: 12 pages, 12 figure

Profiling unauthorized natural resource users for better targeting of conservation interventions

Unauthorized use of natural resources is a key threat to many protected areas. Approaches to reducing this threat include law enforcement and integrated conservation and development (ICD) projects, but for such ICDs to be targeted effectively, it is important to understand who is illegally using which natural resources and why. The nature of unauthorized behavior makes it difficult to ascertain this information through direct questioning. Bwindi Impenetrable National Park, Uganda, has many ICD projects, including authorizing some local people to use certain nontimber forest resources from the park. However, despite over 25 years of ICD, unauthorized resource use continues. We used household surveys, indirect questioning (unmatched count technique), and focus group discussions to generate profiles of authorized and unauthorized resource users and to explore motivations for unauthorized activity. Overall, unauthorized resource use was most common among people from poor households who lived closest to the park boundary and farthest from roads and trading centers. Other motivations for unauthorized resource use included crop raiding by wild animals, inequity of revenue sharing, and lack of employment, factors that created resentment among the poorest communities. In some communities, benefits obtained from ICD were reported to be the greatest deterrents against unauthorized activity, although law enforcement ranked highest overall. Despite the sensitive nature of exploring unauthorized resource use, management‐relevant insights into the profiles and motivations of unauthorized resource users can be gained from a combination of survey techniques, as adopted here. To reduce unauthorized activity at Bwindi, we suggest ICD benefit the poorest people living in remote areas and near the park boundary by providing affordable alternative sources of forest products and addressing crop raiding. To prevent resentment from driving further unauthorized activity, ICDs should be managed transparently and equitably

Meeting the Escalating Demands for Health and Social Care Services of Elderly Populations in Developing Countries: a Strategic Perspective

Population ageing is a phenomenon affecting developed and developing countries alike and represents a major global challenge. This paper is concerned with the impact of ageing populations, in developing countries, on the future provision of health and social care services to the growing elderly population. As well as reviewing previous research and available data, the paper presents the findings of a series of qualitative interviews with policy makers and clinicians in a small number of developing countries in various parts of the world. The paper argues that developing countries cannot expect to see major increases in financial resources available to health and social care for the foreseeable future. Thus, the key issue is establishing how best the available public funding for delivering health and social care services to the elderly can best be used to maximize public value at a time when public services around the world face ongoing austerity measures. The paper focuses on a number of key strategic themes to achieve this which are as follows: the strengthening of public health infrastructure and capabilities; the reconfiguration of existing health systems; a stronger focus on elderly medicine as a distinct specialty; a strengthened role for mobile healthcare, particularly in rural areas; the development of models of generic health and social care assistants; the promotion of community based social care; the utilization of appropriate public/ private health care partnerships

Efficacy of entomopathogenic fungi against large pine weevil, Hylobius abietis, and their additive effects when combined with entomopathogenic nematodes

The large pine weevil Hylobius abietis is an important pest of reforestation in northern Europe. In field trials, we assessed the efficacy of entomopathogenic fungi (EPF) alone and in combination with entomopathogenic nematodes (EPN) against immature stages. We used commercial strains of Metarhizium brunneum and Beauveria bassiana and a strain of Beauveria caledonica isolated from the pest’s habitat. The EPN used were Steinernema carpocapsae and Heterorhabditis downesi. Efficacy was assessed by weevil infection in stumps and by numbers of adult weevils emerging in traps above the stumps. EPF infected up to 23% of pine weevils, at depths up to 25 cm below ground. Three EPF application methods were compared, but application method did not affect infection rates. When applied at half doses, EPF and EPN had additive effects: M. brunneum and S. carpocapsae caused a reduction in emergence of 58% relative to control, M. brunneum and H. downesi 93%, B. caledonica and H. downesi 86%. EPN alone offered good suppression of H. abietis populations and suppression by the mixture did not surpass suppression afforded by EPN alone. Our trials show B. caledonica is a promising species, rivalling the success of the other two species. Applied EPF, especially M. brunneum, can persist for at least 2 years in the forest setting. Additionally, different fungi can have differential action against weevils above versus below ground; therefore, EPF combinations may be beneficial. Based on our trials, further development of strains and application methods are required before EPF can be recommended for suppression of pine weevil. © 2018 Springer-Verlag GmbH Germany, part of Springer Natur

Efficacy of entomopathogenic nematodes for control of large pine weevil, Hylobius abietis: effects of soil type, pest density and spatial distribution

The large pine weevil Hylobius abietis (L.), LPW, is a major pest of trees in replanted coniferous forests in northern Europe. The use of entomopathogenic nematodes (EPNs) applied against developing stages for population suppression is increasingly recognized as an effective alternative to plant protection using chemical pesticides. Here, we report results from a series of trials we conducted over 2 years using two species of EPN, Steinernema carpocapsae (Weiser) and Heterorhabitis downesi (Stock, Griffin, and Burnell) with different foraging strategies. Trials were conducted at lodgepole pine sites in Ireland on both mineral and peat soil type. EPN suspension was applied to the stumps of felled pine trees, and EPN efficacy was determined afterwards by directly assessing parasitism rates after debarking one quarter of the stumps and by collecting emerging adult weevils from traps erected over other treated and control stumps. Our results suggest that both species of EPN are equally effective in suppressing LPW populations to below the current, informal thresholds of economic damage. EPN were equally efficient in controlling LPW in peat and in mineral (lithosols/regosols and acid brown earth/brown podzolics) soils. Weevil density and distribution within pine stumps in peat versus mineral sites can explain patterns of LPW parasitism and suppression. Our results also suggest that infestation level (number of weevils per stump) can be an important factor in forecasting EPN application success as there is evidence of negative density-dependent parasitism when weevil densities were high. © 2016 Springer-Verlag Berlin Heidelber

Descriptive epidemiology of cholera outbreak in Nigeria, January-November, 2018: implications for the global roadmap strategy

Background: The cholera outbreak in 2018 in Nigeria reaffirms its public health threat to the country. Evidence on the current epidemiology of cholera required for the design and implementation of appropriate interventions towards attaining the global roadmap strategic goals for cholera elimination however seems lacking. Thus, this study aimed at addressing this gap by describing the epidemiology of the 2018 cholera outbreak in Nigeria. Methods: This was a retrospective analysis of surveillance data collected between January 1st and November 19th, 2018. A cholera case was defined as an individual aged 2 years or older presenting with acute watery diarrhoea and severe dehydration or dying from acute watery diarrhoea. Descriptive analyses were performed and presented with respect to person, time and place using appropriate statistics. Results: There were 43,996 cholera cases and 836 cholera deaths across 20 states in Nigeria during the outbreak period, with an attack rate (AR) of 127.43/100,000 population and a case fatality rate (CFR) of 1.90%. Individuals aged 15 years or older (47.76%) were the most affected age group, but the proportion of affected males and females was about the same (49.00 and 51.00% respectively). The outbreak was characterised by four distinct epidemic waves, with higher number of deaths recorded in the third and fourth waves. States from the north-west and north-east regions of the country recorded the highest ARs while those from the north-central recorded the highest CFRs. Conclusion: The severity and wide-geographical distribution of cholera cases and deaths during the 2018 outbreak are indicative of an elevated burden, which was more notable in the northern region of the country. Overall, the findings reaffirm the strategic role of a multi-sectoral approach in the design and implementation of public health interventions aimed at preventing and controlling cholera in Nigeri

Challenges of diabetes prevention in the real world : results and lessons from the Melbourne diabetes prevention study

OBJECTIVE: To assess effectiveness and implementability of the public health programme Life! Taking action on diabetes in Australian people at risk of developing type 2 diabetes. RESEARCH DESIGN AND METHODS: Melbourne Diabetes Prevention Study (MDPS) was a unique study assessing effectiveness of Life! that used a randomized controlled trial design. Intervention participants with AUSDRISK score ≥15 received 1 individual and 5 structured 90 min group sessions. Controls received usual care. Outcome measures were obtained for all participants at baseline and 12 months and, additionally, for intervention participants at 3 months. Per protocol set (PPS) and intention to treat (ITT) analyses were performed. RESULTS: PPS analyses were considered more informative from our study. In PPS analyses, intervention participants significantly improved in weight (-1.13 kg, p=0.016), waist circumference (-1.35 cm, p=0.044), systolic (-5.2 mm Hg, p=0.028) and diastolic blood pressure (-3.2 mm Hg, p=0.030) compared with controls. Based on observed weight change, estimated risk of developing diabetes reduced by 9.6% in the intervention and increased by 3.3% in control participants. Absolute 5-year cardiovascular disease (CVD) risk reduced significantly for intervention participants by 0.97 percentage points from 9.35% (10.4% relative risk reduction). In control participants, the risk increased by 0.11 percentage points (1.3% relative risk increase). The net effect for the change in CVD risk was -1.08 percentage points of absolute risk (p=0.013). CONCLUSIONS: MDPS effectively reduced the risk of diabetes and CVD, but the intervention effect on weight and waist reduction was modest due to the challenges in recruiting high-risk individuals and the abbreviated intervention

Effect of birth weight, exclusive breastfeeding and growth in infancy on fat mass and fat free mass indices in early adolescence: an analysis of the Entebbe Mother and Baby Study (EMaBs) cohort

Background: There is limited data from Africa on the effect of pre- and post-natal growth and infant feeding on later body composition. This study's aim was to investigate the effect of birth weight, exclusive breastfeeding and infant growth on adolescent body composition, using data from a Ugandan birth cohort. Methods: Data was collected prenatally from pregnant women and prospectively from their resulting live offspring. Data on body composition (fat mass index [FMI] and fat free mass index [FFMI]) was collected from 10- and 11-year olds. Linear regression was used to assess the effect of birth weight, exclusive breastfeeding and infant growth on FMI and FFMI, adjusting for confounders. Results: 177 adolescents with a median age of 10.1 years were included in analysis, with mean FMI 2.9 kg/m2 (standard deviation (SD) 1.2), mean FFMI 12.8 kg/m2 (SD 1.4) and mean birth weight 3.2 kg (SD 0.5). 90 (50.9%) were male and 110 (63.2%) were exclusively breastfeeding at six weeks of age. Birth weight was associated with FMI in adolescence (regression coefficient ?= 0.66 per kg increase in birth weight, 95% confidence interval (CI) (0.04, 1.29), P=0.02), while exclusive breastfeeding (?= -0.43, 95% CI (-1.06, 0.19), P=0.12), growth 0-6 months (?= 0.24 95% CI (-0.43, 0.92), P=0.48) and growth 6-12 months (?= 0.61, 95% CI (-0.23, 1.46), P=0.11) were not associated with FMI among adolescents. Birth weight (?= 0.91, 95% CI (0.17, 1.65), P=0.01) was associated with FFMI in adolescence. Exclusive breastfeeding (?= 0.17, 95% CI (-0.60, 0.94), P=0.62), growth 0-6 months (?= 0.56, 95% CI (-0.20, 1.33), P= 0.10), and growth 6-12 months (?= -0.02, 95% CI (-1.02, 0.99), P=0.97) were not associated with FFMI. Conclusions: Birth weight predicted body composition parameters in Ugandan early adolescents, however, exclusive breastfeeding at six weeks of age and growth in infancy did not