Diffusion of electronic water payment innovations in urban Ghana. Evidence from Tema Metropolis

Recent advances in mobile technologies, especially in the utility payment space, are having an increasingly profound impact on our daily lives and offer advantageous services in the utility sectors. This paper examines the prevalence and patterns of customer uptake of an electronic water payment (EWP) system and its implications for water delivery in the Tema Metropolitan Area, Ghana. Data for the study comprised a survey of 250 utility customers and the review of a 12-month water use and customer payment database from a water supply company. Results indicate that although customers were aware of EWP’s existence, overall uptake was very low. EWP awareness and intention to use EWP were not significantly associated with customers’ gender,phone/mobile money ownership,educational status, and water usage. However, age, employment status, income, and means of receiving monthly bills were found to be statistically different in relation to the awareness of EWP. These findings offer several implications for water service and utility providers to market mobile payment solutions and to increase the consumer uptake of these services and payment options

Examining the impact of customary land secretariats on decentralised land governance in Ghana: evidence from stakeholders in northern Ghana

The complexities of customary land tenure continue to dominate academic and policy debates on sustainable land management particularly in the sub-Saharan African context. Central to the raging debate is the idea of harmonizing the disparate customary and statutory tenure systems to afford clarity, certainty and safeguard tenure security of landholders. Towards this end, proponents have endorsed Customary Land Secretariats (CLSs) as an interface between traditional authorities and statutory land agencies. Yet there is relatively limited empirical evidence on the dynamics of customary land governance in the contemporary context. Drawing on mixture of household survey (n = 115) and key-informant interviews with landowners and CLS officials (n = 6), this paper explores the role of customary land secretariats as operational vehicles for improved customary land governance in the Upper East and West regions of Ghana. The findings demonstrate that whereas CLSs’ presented a good window of opportunity for strengthening decentralized land governance in the study areas, there were important gender-based differences in the knowledge of the core functions of the CLSs as well as women’s involvement in land related discourse in the study areas. The study found no female as a landowner (Tendamba) or land overlord and few women were land users in the study areas. This is suggestive of the limited participation of women in the existing customary land governance framework in the study areas. Although CLSs are expected to work as interface between traditional authorities and statutory land agencies, the level of involvement of landowners in the activities of CLSs was very minimal, suggestive of a disconnect between the Tendambas and the CLSs. These findings have far reaching implications in terms of ongoing policy attempts at re-engineering customary land governance arrangements and to strengthen the CLSs framework to act as an interface for equitable land governance within the context of customary land management and tenure security in Ghana. As a way forward, the paper argues that context-specific strategies to gender mainstreaming and capacity building remains vital in strengthening the CLSs to deliver a ‘win-win’ equitable customary land management

Utility of decision tools for assessing plant health risks from management strategies in natural environments

Increased imports of plants and timber through global trade networks provide frequent opportunities for the introduction of novel plant pathogens that can cross‐over from commercial to natural environments, threatening native species and ecosystem functioning. Prevention or management of such outbreaks relies on a diversity of cross‐sectoral stakeholders acting along the invasion pathway. Yet, guidelines are often only produced for a small number of stakeholders, missing opportunities to consider ways to control outbreaks in other parts of the pathway. We used the infection of common juniper with the invasive pathogen Phytophthora austrocedri as a case study to explore the utility of decision tools for managing outbreaks of plant pathogens in the wider environment. We invited stakeholders who manage or monitor juniper populations or supply plants or management advice to participate in a survey exploring their awareness of, and ability to use, an existing decision tree produced by a coalition of statutory agencies augmented with new distribution maps designed by the authors. Awareness of the decision tree was low across all stakeholder groups including those planting juniper for restoration purposes. Stakeholders requested that decision tools contain greater detail about environmental conditions that increase host vulnerability to the pathogen, and clearer examples of when management practices implicated in pathogen introduction or spread should not be adopted. The results demonstrate the need to set clear objectives for the purpose of decision tools and to frame and co‐produce them with many different stakeholders, including overlooked groups, such as growers and advisory agents, to improve management of pathogens in the wider environment

‘It doesn’t happen how you think, it is very complex!’ Reconciling stakeholder priorities, evidence, and processes for zoonoses prioritisation in India

BackgroundWhy do some zoonotic diseases receive priority from health policy decision-makers and planners whereas others receive little attention? By leveraging Shiffman and Smith’s political prioritisation framework, our paper advances a political economy of disease prioritisation focusing on four key components: the strength of the actors involved in the prioritisation, the power of the ideas they use to portray the issue, the political contexts in which they operate, and the characteristics of the issue itself (e.g., overall burdens, severity, cost-effective interventions). These components afford a nuanced characterisation of how zoonotic diseases are prioritised for intervention and highlight the associated knowledge gaps affecting prioritisation outcomes. We apply this framework to the case of zoonoses management in India, specifically to identify the factors that shape disease prioritisation decision-making and outcomes.MethodsWe conducted 26 semi-structured interviews with national, state and district level health policymakers, disease managers and technical experts involved in disease surveillance and control in India.ResultsOur results show pluralistic interpretation of risks, exemplified by a disconnect between state and district level actors on priority diseases. The main factors identified as shaping prioritisation outcomes were related to the nature of the zoonoses problem (the complexity of the zoonotic disease, insufficient awareness and lack of evidence on disease burdens and impacts) as well as political, social, cultural and institutional environments (isolated departmental priorities, limited institutional authority, opaque funding mechanisms), and challenges in organisation leadership for cross-sectoral engagement.ConclusionThe findings highlight a compartmentalised regulatory system for zoonoses where political, social, cultural, and media factors can influence disease management and prioritisation. A major policy window is the institutionalisation of One Health to increase the political priority for strengthening cross-sectoral engagement to address several challenges, including the creation of effective institutions to reconcile stakeholder priorities and prioritisation processes

What is the state of the art on traditional medicine interventions for zoonotic diseases in the Indian subcontinent? A scoping review of the peer-reviewed evidence base

•Background: Traditional medicine (TM) interventions are plausible therapeutic alternatives to conventional medical interventions against emerging and endemic zoonotic diseases, particularly in low-and middle-income countries that may lack resources and infrastructure. Despite the growing popularity in the usage of TM interventions, their clinical safety and effectiveness are still contested within conventional healthcare in many countries. •Methods: We conducted a scoping review of the peer-reviewed literature that synthesises and maps the evidence on TM interventions for the treatment and prevention of zoonoses on the Indian subcontinent. The region, a global hotspot of biodiversity and emerging infections, is characterised by high prevalence of TM use. Based on the scientific literature (mostly case study research, n=l06 studies), our review (1) maps the scope of the literature, (2) synthesises the evidence on the application of TM interventions for zoonoses, and (3) critically reflects on the state of TM and identifies areas for future research focus. •Results: The evidence synthesis confirmed widespread usage of TM interventions for zoonoses on the subcontinent, with the majority of research reported from India (n=99 studies, 93.4%), followed by Pakistan (n=3 studies, 2.8%), Bangladesh (n=2 studies, 1.9%), and Sri Lanka (n=1, 0.9%). Most of the reviewed studies reported on ethno-medicinal uses of plant species, primarily for treating dengue (n=20 studies), tuberculosis (n=18 studies), Escherichia coli infection (n=16 studies), lymphatic filariasis and cholera (n=9 apiece). However, the evidence on the safety and effectiveness of these reported TM interventions is limited, indicating that these data are rarely collected and/or shared within the peer-reviewed literature. •Conclusion: This review thus highlights that, whilst TMs are already being used and could offer more widely accessible interventions against emerging and endemic zoonoses and ectoparasites, there is an urgent need for rigorous clinical testing and validation of the safety and effectiveness of these interventions

‘None of my ancestors ever discussed this disease before!’ How disease information shapes adaptive capacity of marginalised rural populations in India

Smallholder farmer and tribal communities are often characterised as marginalised and highly vulnerable to emerging zoonotic diseases due to their relatively poor access to healthcare, worse-off health outcomes, proximity to sources of disease risks, and their social and livelihood organisation. Yet, access to relevant and timely disease information that could strengthen their adaptive capacity remain challenging and poorly characterised in the empirical literature. This paper addresses this gap by exploring the role of disease information in shaping the adaptive capacity of smallholder farmer and tribal groups to Kyasanur Forest Disease (KFD), a tick-borne viral haemorrhagic fever. We carried out household surveys (n = 229) and in-depth interviews (n = 25) in two affected districts–Shimoga and Wayanad–in the Western Ghats region. Our findings suggest that, despite the generally limited awareness about KFD, access to disease information improved households’ propensity to implement adaptation strategies relative to households that had no access to it. Of the variety of adaptation strategies implemented, vaccination, avoiding forest visits, wearing of protective clothing and footwear, application of dimethyl phthalate (DMP) oil and income diversification were identified by respondents as important adaptive measures during the outbreak seasons. Even so, we identified significant differences between individuals in exposure to disease information and its contribution to substantive adaptive action. Households reported several barriers to implement adaptation strategies including, lack of disease information, low efficacy of existing vaccine, distrust, religio-cultural sentiments, and livelihood concerns. We also found that informal information sharing presented a promising avenue from a health extension perspective albeit with trade-offs with potential distortion of the messages through misinformation and/or reporting bias. Altogether, our findings stress the importance of contextualising disease information and implementing interventions in a participatory way that sufficiently addresses the social determinants of health in order to bolster households’ adaptive capacity to KFD and other neglected endemic zoonoses

Co-production of knowledge as part of a OneHealth approach to better control zoonotic diseases

There is increased global and national attention on the need for effective strategies to control zoonotic diseases. Quick, effective action is, however, hampered by poor evidence-bases and limited coordination between stakeholders from relevant sectors such as public and animal health, wildlife and forestry sectors at different scales, who may not usually work together. The OneHealth approach recognises the value of cross-sectoral evaluation of human, animal and environmental health questions in an integrated, holistic and transdisciplinary manner to reduce disease impacts and/or mitigate risks. Co-production of knowledge is also widely advocated to improve the quality and acceptability of decision-making across sectors and may be particularly important when it comes to zoonoses. This paper brings together OneHealth and knowledge co-production and reflects on lessons learned for future OneHealth co-production processes by describing a process implemented to understand spill-over and identify disease control and mitigation strategies for a zoonotic disease in Southern India (Kyasanur Forest Disease). The co-production process aimed to develop a joint decision-support tool with stakeholders, and we complemented our approach with a simple retrospective theory of change on researcher expectations of the system-level outcomes of the co-production process. Our results highlight that while co-production in OneHealth is a difficult and resource intensive process, requiring regular iterative adjustments and flexibility, the beneficial outcomes justify its adoption. A key future aim should be to improve and evaluate the degree of inter-sectoral collaboration required to achieve the aims of OneHealth. We conclude by providing guidelines based on our experience to help funders and decision-makers support future co-production processes

Land rights, tenure security and sustainable land use in rural Ghana

The return to the customary or integration of customary and statutory tenure systems to continue gain currency in both contemporary policy and academic discourses on land tenure as an alternative pathway towards enhancing security of access and tenure in the sub-Saharan African context. Central to the debates are issues concerning the relevance of customary land tenure arrangements and appropriate pathways to successfully engineer the process of harmonization toward improved tenure security whilst preserving of the communitarian principles of local tenure systems. Using two case studies in rural Ghana, this study investigated the prevailing land tenure arrangements, practices and socio-political dynamics that underpin them, highlighting the challenges and opportunities that need to be addressed for the successful adaptation of customary tenure rules and institutions into the statutory system towards improved tenure security and sustainable land management. The research employed a mixture of qualitative and quantitative methods including interviews, focus group discussions and questionnaires to collate and analyse data from sampled respondents in Kakum and Ankasa in southern Ghana. The results of the investigation revealed that contrary to the mainstream view that customary tenure arrangements are incapable of providing tenure security in the face on ongoing transformations, the perceived tenure security of respondents was generally high in the study areas. This notwithstanding, it was observed that the emerging patterns of access and control (occasioned by increasing land scarcity and commodification) have resulted in social differentiation and inequalities in land access and distribution amongst the poor and vulnerable members of the landholding groups including women and the youth. The research also showed that aside from tenure security, other important contextual factors including access to credit, modernised agricultural inputs and targeted extension service support significantly influence householdsâ investment decisions regarding adoption of sustainable land management practices. These findings have far-reaching implications for current land tenure interventions aimed at harmonising customary and statutory tenure structures for improved tenure security and sustainable land management. Results of the investigation were used to develop a three-phase incremental framework on formalisation of customary land rights which could serve as bespoke framework to guide the design of land tenure intervention strategies and implementation towards addressing local tenure insecurity in the specific context of the study areas and sub-Saharan Africa generally. The major conclusion of the research is that balancing the market efficiency and social equity considerations is necessary and should be pursued under the ongoing land tenure reforms for inclusive and equitable outcomes at the local level. This derives from the fact that the existing tenurial challenges are complex and context-specific, equally requiring well-balanced and nuanced solutions to effectively address them.</p

Building on “traditional” land dispute resolution mechanisms in rural Ghana: adaptive or anachronistic?

Despite the ongoing land administration reforms being implemented across sub-Saharan Africa (SSA), including Ghana, as a viable pathway to achieve tenure security and greater efficiency in land administration, the subject of land dispute resolution has received relatively less attention. Whereas customary tenure institutions play a central role in land administration (controlling ~80% of all land in Ghana), they remain at the fringes of the formal land dispute adjudicatory process. Recognising the pivotal role of traditional institutions as development agents and potential vehicles for promoting good land governance, recent discourses on land tenure have geared toward mainstreaming traditional land dispute institutions into the architecture of the formal judicial process via alternative dispute resolution pathways. Yet, little is known, at least empirically, as to the operations of traditional dispute resolution institutions in the contemporary context. This study therefore explores the importance of traditional dispute resolution institutions in the management of land-related disputes in southcentral and western Ghana, drawing on data collated from 380 farming households operating 746 plots. The results show that contrary to the conventional thinking that traditional institutions are anachronistic and not fit for purpose, they remain strong and a preferred forum for land dispute resolution (proving resilient and adaptable), given the changing socio-economic and tenurial conditions. Yet, these forums have differing implications for different actors within the customary spheres accessing them. The results highlight practical ways for incorporating traditional dispute resolution in the overall land governance setup in Ghana and elsewhere in sub-Saharan Africa. This has implications for redesigning context-specific and appropriate land-use policy interventions that address local land dispute resolution

Land rights, tenure security and sustainable land use in rural Ghana

The return to the customary or integration of customary and statutory tenure systems to continue gain currency in both contemporary policy and academic discourses on land tenure as an alternative pathway towards enhancing security of access and tenure in the sub-Saharan African context. Central to the debates are issues concerning the relevance of customary land tenure arrangements and appropriate pathways to successfully engineer the process of harmonization toward improved tenure security whilst preserving of the communitarian principles of local tenure systems. Using two case studies in rural Ghana, this study investigated the prevailing land tenure arrangements, practices and socio-political dynamics that underpin them, highlighting the challenges and opportunities that need to be addressed for the successful adaptation of customary tenure rules and institutions into the statutory system towards improved tenure security and sustainable land management. The research employed a mixture of qualitative and quantitative methods including interviews, focus group discussions and questionnaires to collate and analyse data from sampled respondents in Kakum and Ankasa in southern Ghana. The results of the investigation revealed that contrary to the mainstream view that customary tenure arrangements are incapable of providing tenure security in the face on ongoing transformations, the perceived tenure security of respondents was generally high in the study areas. This notwithstanding, it was observed that the emerging patterns of access and control (occasioned by increasing land scarcity and commodification) have resulted in social differentiation and inequalities in land access and distribution amongst the poor and vulnerable members of the landholding groups including women and the youth. The research also showed that aside from tenure security, other important contextual factors including access to credit, modernised agricultural inputs and targeted extension service support significantly influence households’ investment decisions regarding adoption of sustainable land management practices. These findings have far-reaching implications for current land tenure interventions aimed at harmonising customary and statutory tenure structures for improved tenure security and sustainable land management. Results of the investigation were used to develop a three-phase incremental framework on formalisation of customary land rights which could serve as bespoke framework to guide the design of land tenure intervention strategies and implementation towards addressing local tenure insecurity in the specific context of the study areas and sub-Saharan Africa generally. The major conclusion of the research is that balancing the market efficiency and social equity considerations is necessary and should be pursued under the ongoing land tenure reforms for inclusive and equitable outcomes at the local level. This derives from the fact that the existing tenurial challenges are complex and context-specific, equally requiring well-balanced and nuanced solutions to effectively address them.</p