Drama and discounting in the relational dynamics of corporate social responsibility

Employing theoretical resources from Transactional Analysis (TA) and drawing from interviews with managers dealing with social or environmental issues in their role, we explain how CSR activity provides a context for dramas in which actors may ignore, or discount aspects of self, others, and the contexts of their work as they maintain and reproduce the roles of Rescuers, Persecutors and Victims. In doing so, we add to knowledge about CSR by providing an explanation for how the contradictions of CSR are avoided in practice even when actors may be aware of them. Specifically, we theorise how CSR work can produce dramatic stories where adversity is apparently overcome, whilst little is actually achieved at the social level. We also add to the range of psychoanalytic tools used to account for organisational behaviours, emphasising how TA can explain the relational dynamics of CSR

Compound presentation in labour: highlighting the importance of skilled attendants at birth

Objective: To describe the occurrence of compound presentation in labour, as an obstetric emergency.Background: Compound presentation is a rare obstetric event, defined as the presentation of the hand or foot alongside the head or breech. It places both mother and baby at severe risk. The presence of skilled attendants at birth is crucial to prevent maternal and neonatal morbidity and mortalityCase Report: A 28 year old G4P3A3 presented to the labour ward with a history of drainage of liquour of twelve hours duration. Examination revealed the foetal hand and arm presenting alongside the head. Emergency Caesarean Section was performed with favourable outcome for both mother and baby.Conclusion: This case clearly illustrates the importance of skilled attendants at birth and Advanced life support for Obstetrics (ALSO) in reducing maternal and perinatal morbidity and mortality

Soil fertility management in sub-Saharan Africa

Published online: 04 May 2017Most of the population in sub-Saharan Africa depends on agriculture for livelihood, which is mainly practiced by resource-constrained smallholder farmers. Due to persistent low crop yields, food and nutrition insecurity, farmers have been opening new lands through deforestation or encroachment into marginal lands where possible, seeking for additional yields, which has aggravated soil erosion, land degradation, and eutrophication of water bodies. Adoption of integrated soil fertility management practices in the smallholder farming systems has been affected by several factors including poor access to improved agricultural inputs, poor understanding of the practices and their benefits, and importantly limited financial capacity. Here we review challenges of soil fertility management in the smallholder farming systems of sub-Saharan Africa. Our major findings are: (1) most countries have not been able to meet the fertilizer target of 50 kg nutrients ha−1 by 2015 in the 2006 Abuja Declaration; over 65% of the smallholder farmers have not used fertilizer and 75% of the agricultural soils have been affected by nutrient depletion. (2) Poor agricultural practices have resulted in an average annual nutrient loss of 50 kg ha−1, which represented an equivalent of US$ four billion lost in 2008 and an estimated economic cost of up to 18% of the gross domestic product in addition to eutrophication of water bodies. (3) Value cost ratios of agricultural inputs that are less than three are common, which has limited the profitability of integrated soil fertility management practices. (4) Proliferation of fake agricultural inputs has been reported in over 40–60% of the cases as a consequence of poor enforcement of quality standards. (5) In addition to blanket recommendations, fertilization has focused on nitrogen, phosphorus and potassium, with little emphasis on secondary and micro-nutrients as well as organic amendments or liming materials in acid soils, which has generally resulted in poor crop responses or low yield increments. (6) Effective adoption of integrated soil fertility management would result in at least doubling the current nutrient agronomic use efficiency in the smallholder farming systems and reduction of the actual yield gap averaged to more than 300% for cereal and legume crops. Based on these findings, operationalization of supportive policies to increase adoption of good agronomic practices and investment in research to develop solutions appropriate to smallholder farmers should be recommended