Monetary Policy in a Markov-Switching Vecm : Implications for the Cost of Disinflation in Ghana

Monetary policy assessment in Ghana has been conducted using vector auto-regression. This however, presumes stability of long run outcomes and particularly ignores monetary policy regime changes that has characterized the economy overtime. This study thus introduced the possibility of switches in the long run equilibrium in co-integrated vector auto-regression by allowing both the covariance and weighting matrix in the error-correction term to switch. The study did not find any significant difference in monetary response in the different states. However, significant difference was obtained for the cost of disinflation across states. Though, disinflation cost has declined as the Bank of Ghana shifts from monetary targeting to inflation-targeting regime, overall cost is still high. This has implication on disinflation policy given the development agenda pursue by the country

Assessing Feed Gaps on Smallholder Livestock Farms in Limpopo: Production System and Coping Strategies

Smallholder farms in southern Africa are predominantly mixed crop-livestock systems and often characterized by low productivity. Therefore, providing sufficient forage becomes a challenge that results first in feed gaps, i.e. the difference between the demand for and supply of forage, and secondly, in nutrient mining of the soil due to the overuse of the resources. However, the availability of forage follows potentially seasonal patterns. Hence, a key entry point for any intervention strategies for improvement is an assessment of forage quantity and quality throughout the year. Against this background, we investigated six locations, smallholders’ cattle production systems and their adaptation options in periods of feed deficit across three distinct agro-ecological zones in the Limpopo province (South Africa). We interviewed 90 farmers from May to September 2019 and found that farmers struggle in winter-spring (June – September) to access feed resources for their livestock. Most farmers mentioned that feed deficit in that period is a regular phenomenon. Mixed crop-livestock farmers stated that they rely on on-farm resources (crop residues) while sole livestock farmers stated that reducing herd size is a top adaptation option. Farmers also indicated that feed availability in required quantity and quality is the biggest constraint to sustaining livestock production throughout the year. This study demonstrates a sound assessment of the temporal pattern of feed gaps in Limpopo province and potential farmer avenues for their mitigation

Acclimation responses of gill ionocytes of red tilapia (Oreochromis mossambicus × O. niloticus) to water salinity and alkalinity

To understand the acclimation strategies of red tilapia to different environments, this study aimed to evaluate different responses of red tilapia (O. mossambicus × O. niloticus) to salinity (10-30‰), alkalinity (1-3 gL^-1 NaHCO3) and salinity and alkalinity (10/1-30/3 ‰/gL^-1 NaHCO3) environments. Localization, type, size, and numeration of gill ionocytes were investigated on the same specimens by scanning electron microscopy (SEM) and immunohistochemistry (IHC) with antibodies of Na+/K+-ATPase (NKA), Na+/K+/2Cl-contransporter (NKCC), cystic fibrosis transmembrane conductance regulator (CFTR) and carbonic anhydrase (CA). Ionocytes were only located on filaments conducted by SEM. Four types of ionocytes namely pit, convex, concave and transitory types were determined morphologically by their apical openings of which concave and transitory type were not present in freshwater (FW) and saltwater (SW) fish (10). Both ionocytes size and number increased with elevated stress levels. In comparison to FW, density of ionotypes increased to about 4.75, 3.00 and 3.44 fold in SW (30), AW (3) and S&AW (30/3) respectively. Immunoreactive cells on gill filaments confirmed branchial distribution of ionocytes. Immunoreaction of NKA, NKCC and CA appeared in FW except for CFTR while they all appeared in SW (30), AW (3) and S&AW (30/3)

Closing Feed Gaps by Winter Forage Production in Limpopo: What Is the Potential?

In southern Africa, livestock productivity in mixed crop-livestock systems is constrained by forage supply towards the end of the dry period. Opportunities to improve forage availability to close the temporal feed gap counteracting negative effects on production as well as on environment need to be explored. A promising option might be the planting of cover crops (CC) during the winter period. Hence, a field experiment was conducted in the Limpopo province (South Africa) during the autumn-winter period of 2019 at two sites (Syferkuil, Thohoyandu) with contrasting climatic conditions and soil type. We selected multi-functional C3 species – winter rye (Secale cereal L.) intensively used in the temperate region sown as pure stand and established at two sowing dates. We assessed forage production, soil water dynamics and nitrogen accumulation. In a second step, we tested the Agricultural Production Systems simulator (APSIM) model against the field trial data. We present here, preliminary results which show high potential growth when irrigated. Early planting of CC yielded the highest accumulated biomass (18 t DM ha-1 and 7 t DM ha-1 at Syferkuil and Thohoyandu, respectively) after 140 days while delayed planting (4 weeks after first planting) decreased biomass production. The model predictions rely heavily on pedo-climatic interactions which need further improvements

Care seeking and attitudes towards treatment compliance by newly enrolled tuberculosis patients in the district treatment programme in rural western Kenya: a qualitative study

<p>Abstract</p> <p>Background</p> <p>The two issues mostly affecting the success of tuberculosis (TB) control programmes are delay in presentation and non-adherence to treatment. It is important to understand the factors that contribute to these issues, particularly in resource limited settings, where rates of tuberculosis are high. The objective of this study is to assess health-seeking behaviour and health care experiences among persons with pulmonary tuberculosis, and identify the reasons patients might not complete their treatment.</p> <p>Methods</p> <p>We performed qualitative one-on-one in-depth interviews with pulmonary tuberculosis patients in nine health facilities in rural western Kenya. Thirty-one patients, 18 women and 13 men, participated in the study. All reside in an area of western Kenya with a Health and Demographic Surveillance System (HDSS). They had attended treatment for up to 4 weeks on scheduled TB clinic days in September and October 2005.</p> <p>The nine sites all provide diagnostic and treatment services. Eight of the facilities were public (3 hospitals and 5 health centres) and one was a mission health centre.</p> <p>Results</p> <p>Most patients initially self-treated with herbal remedies or drugs purchased from kiosks or pharmacies before seeking professional care. The reported time from initial symptoms to TB diagnosis ranged from 3 weeks to 9 years. Misinterpretation of early symptoms and financial constraints were the most common reasons reported for the delay.</p> <p>We also explored potential reasons that patients might discontinue their treatment before completing it. Reasons included being unaware of the duration of TB treatment, stopping treatment once symptoms subsided, and lack of family support.</p> <p>Conclusions</p> <p>This qualitative study highlighted important challenges to TB control in rural western Kenya, and provided useful information that was further validated in a quantitative study in the same area.</p

Differential Association of Gene Content Polymorphisms of Killer Cell Immunoglobulin-Like Receptors with Placental Malaria in HIV− and HIV+ Mothers

Pregnant women have abundant natural killer (NK) cells in their placenta, and NK cell function is regulated by polymorphisms of killer cell immunoglobulin-like receptors (KIRs). Previous studies report different roles of NK cells in the immune responses to placental malaria (PM) and human immunodeficiency virus (HIV-1) infections. Given these references, the aim of this study was to determine the association between KIR gene content polymorphism and PM infection in pregnant women of known HIV-1 status. Sixteen genes in the KIR family were analyzed in 688 pregnant Kenyan women. Gene content polymorphisms were assessed in relation to PM in HIV-1 negative and HIV-1 positive women, respectively. Results showed that in HIV-1 negative women, the presence of the individual genes KIR2DL1 and KIR2DL3 increased the odds of having PM, and the KIR2DL2/KIR2DL2 homozygotes were associated with protection from PM. However, the reverse relationship was observed in HIV-1 positive women, where the presence of individual KIR2DL3 was associated with protection from PM, and KIR2DL2/KIR2DL2 homozygotes increased the odds for susceptibility to PM. Further analysis of the HIV-1 positive women stratified by CD4 counts showed that this reverse association between KIR genes and PM remained only in the individuals with high CD4 cell counts but not in those with low CD4 cell counts. Collectively, these results suggest that inhibitory KIR2DL2 and KIR2DL3, which are alleles of the same locus, play a role in the inverse effects on PM and PM/HIV co-infection and the effect of KIR genes on PM in HIV positive women is dependent on high CD4 cell counts. In addition, analysis of linkage disequilibrium (LD) of the PM relevant KIR genes showed strong LD in women without PM regardless of their HIV status while LD was broken in those with PM, indicating possible selection pressure by malaria infection on the KIR genes

Effect of land use on carbon-, nitrogen- and silica soil stocks in the South African bushveld

Anthropogenic land use alters soil properties and influences biological transformations in the root zone, thereby affecting the distribution and supply of soil nutrients. It is generally acknowledged that human land-use activities such as intensive cattle farming and cultivation of citrus products lead to a homogenization of soil nutrients. This research aims at investigating the heterogeneity in soil nutrient stocks and BSi stocks (a beneficial plant element) within the Savannah biome of South Africa. In this study, C-N-Si stocks and their ratios were quantified in the soil of five different land use types, common in South Africa. The five different land use types are i) bush savannahs, ii) mopane-dominated woodlands, iii) annually burned land, iv) communal grazing land and v) citrus orchards. Empirical research however could not fully validate this hypothesis. In particular fire management and game farming (natural land use type) led to more variability in nutrient pools, with occasional occurrences of C-N-Si hotspots. Our results suggest that when ecosystem analysis of soil nutrient and carbon stocks is handled as a homogeneous unit potentially large mistakes are made, even in anthropogenic landscapes previously hypothesized with uniform nutrient distributions

A Randomized Controlled Trial of Folate Supplementation When Treating Malaria in Pregnancy with Sulfadoxine-Pyrimethamine

OBJECTIVES: Sulfadoxine-pyrimethamine (SP) is an antimalarial drug that acts on the folate metabolism of the malaria parasite. We investigated whether folate (FA) supplementation in a high or a low dose affects the efficacy of SP for the treatment of uncomplicated malaria in pregnant women. DESIGN: This was a randomized, placebo-controlled, double-blind trial. SETTING: The trial was carried out at three hospitals in western Kenya. PARTICIPANTS: The participants were 488 pregnant women presenting at their first antenatal visit with uncomplicated malaria parasitaemia (density of ≥ 500 parasites/μl), a haemoglobin level higher than 7 g/dl, a gestational age between 17 and 34 weeks, and no history of antimalarial or FA use, or sulfa allergy. A total of 415 women completed the study. INTERVENTIONS: All participants received SP and iron supplementation. They were randomized to the following arms: FA 5 mg, FA 0.4 mg, or FA placebo. After 14 days, all participants continued with FA 5 mg daily as per national guidelines. Participants were followed at days 2, 3, 7, 14, 21, and 28 or until treatment failure. OUTCOME MEASURES: The outcomes were SP failure rate and change in haemoglobin at day 14. RESULTS: The proportion of treatment failure at day 14 was 13.9% (19/137) in the placebo group, 14.5% (20/138) in the FA 0.4 mg arm (adjusted hazard ratio [AHR], 1.07; 98.7% confidence interval [CI], 0.48 to 2.37; p = 0.8), and 27.1% (38/140) in the FA 5 mg arm (AHR, 2.19; 98.7% CI, 1.09 to 4.40; p = 0.005). The haemoglobin levels at day 14 were not different relative to placebo (mean difference for FA 5 mg, 0.17 g/dl; 98.7% CI, −0.19 to 0.52; and for FA 0.4 mg, 0.14 g/dl; 98.7% CI, −0.21 to 0.49). CONCLUSIONS: Concomitant use of 5 mg FA supplementation compromises the efficacy of SP for the treatment of uncomplicated malaria in pregnant women. Countries that use SP for treatment or prevention of malaria in pregnancy need to evaluate their antenatal policy on timing or dose of FA supplementation

Maternal Malaria and Malnutrition (M3) initiative, a pooled birth cohort of 13 pregnancy studies in Africa and the Western Pacific.

PURPOSE: The Maternal Malaria and Malnutrition (M3) initiative has pooled together 13 studies with the hope of improving understanding of malaria-nutrition interactions during pregnancy and to foster collaboration between nutritionists and malariologists. PARTICIPANTS: Data were pooled on 14 635 singleton, live birth pregnancies from women who had participated in 1 of 13 pregnancy studies. The 13 studies cover 8 countries in Africa and Papua New Guinea in the Western Pacific conducted from 1996 to 2015. FINDINGS TO DATE: Data are available at the time of antenatal enrolment of women into their respective parent study and at delivery. The data set comprises essential data such as malaria infection status, anthropometric assessments of maternal nutritional status, presence of anaemia and birth weight, as well as additional variables such gestational age at delivery for a subset of women. Participating studies are described in detail with regard to setting and primary outcome measures, and summarised data are available from each contributing cohort. FUTURE PLANS: This pooled birth cohort is the largest pregnancy data set to date to permit a more definite evaluation of the impact of plausible interactions between poor nutritional status and malaria infection in pregnant women on fetal growth and gestational length. Given the current comparative lack of large pregnancy cohorts in malaria-endemic settings, compilation of suitable pregnancy cohorts is likely to provide adequate statistical power to assess malaria-nutrition interactions, and could point towards settings where such interactions are most relevant. The M3 cohort may thus help to identify pregnant women at high risk of adverse outcomes who may benefit from tailored intensive antenatal care including nutritional supplements and alternative or intensified malaria prevention regimens, and the settings in which these interventions would be most effective