Can aquaculture benefit the extreme poor? A case study of landless and socially marginalized Adivasi (ethnic) communities in Bangladesh

AbstractThe Adivasi Fisheries Project, aimed at diversifying livelihood options for resource-poor Adivasi (ethnic) communities in the North and Northwest of Bangladesh, was implemented during 2007–9. Aquaculture and related technologies were introduced to a total of 3594 resource-poor Adivasi households. Baseline and end-line surveys were applied to assess the changes in their livelihoods following intervention. Household incomes of project participants rose significantly (p≤0.01), which was attributed to the increased share of aquaculture and related enterprises from 15% in 2007 to nearly 30% in 2009 in terms of annual household incomes. By contrast, the contribution of aquaculture to household incomes remained virtually unchanged (p>0.05) among non-project participants. The monthly frequency of fish, meat and egg consumption increased between 2007 and 2009 (p≤0.01), confirming improved food and nutrition security among project participants. Although non-project participants also slightly increased their fish consumption, it remained significantly lower (p≤0.01) than that of the project participants. The results from the present study contradict the prevailing view that aquaculture is inappropriate for landless, socially marginalized and extremely poor communities by demonstrating its relevance to improving livelihoods, provided that a diversified approach is followed and interventions are tailored to needs and capabilities of target households

Social Considerations of Large River Sanctuaries: A Case Study from the Hilsa Shad Fishery in Bangladesh

The establishment of a sanctuary is often suggested as an effective strategy for ecological restoration, though social aspects of such attempts are often overlooked. This study analyzed the socioeconomic status of 248 fishing households who are dependent on hilsa shad (Tenualosa ilisha) sanctuaries in southern Bangladesh. Also, the fishers’ perceptions were investigated to assess the status of ecological restoration, level of participation in the hilsa sanctuary management, their livelihoods constraints, and coping strategies during crises. Based on the fishers’ perceptions and fishery catch data of the government, it appears that the establishment of the hilsa sanctuary in the Bangladesh waters helped to restore the hilsa fishery and also enhanced the fishers’ income. However, a large section of hilsa fishers were found to be poor in terms of socioeconomic capital such as monthly income, housing conditions, and assets ownership. Particularly, these households suffer seasonal food insecurity during the banned period of fishing in the sanctuaries. The government’s compensation scheme is a good example of payment of ecosystem services in an open water fishery; however, this scheme does not include all the affected fishers. Food and income insecurity during ban period often force fishers to use illegal fishing as a livelihood strategy that undermines the success of sanctuaries as an ecological restoration strategy. The findings reflected that sanctuaries and other similar management strategies have social impacts on stakeholders and human societies, and these social impacts can have surprising feedbacks that influence management success. Thus, the success of ecological restoration relies on understanding the human dimensions of the system and that ecological and social restoration must go together. To address this goal, we call for developing fisheries policy that will facilitate engagement of resource users and other local stakeholders in sanctuary comanagement, which will ultimately strengthen fishers’ livelihoods and sustain the benefit from ecological restoration

Community-Driven Insights into Fish Assemblage, Microhabitats, and Management Strategies in the Meghna River Basin of Bangladesh

The present study aimed to delve into the local ecological knowledge of fisheries in the Meghna River Basin (MRB) of Bangladesh by exploring the insights and perspectives of local communities. A survey was administered among six fishing communities from five districts along the MRB between August 2015 and January 2016 to accumulate data for this study. The study sites were selected meticulously based on three crucial criteria: upstream river, coastal area, and fish sanctuaries, which covered three major rivers, namely the Meghna, Andharmanik, and Payra. The study employed participatory rural appraisal (PRA) tools, including 120 individual interviews using purposive sampling, 25 focus group discussions, and 36 key informant interviews. The study identified the ten most frequently caught fish species along with their temporal and spatial variation as reported by the respondents. Nine of these species fell into the least concern category, which indicate their stable population status. Meanwhile, six out of ten species cited as highly caught in the previous one to two decades belong to the threatened or near-threatened category. Findings also reveal that fishers are able to recognize important microhabitats of the study area and their significance for fish species. In addition, fishers identified the negative drivers of ecosystem degradation as well as suggested several management measures to address these challenges. The results of this study underscore the critical role of engaging with local communities and integrating their ecological knowledge into initiatives for the sustainable exploitation and conservation of aquatic resources in the MRB

Effect of transcatheter aortic valve implantation vs surgical aortic valve replacement on all-cause mortality in patients with aortic stenosis

Importance: Transcatheter aortic valve implantation (TAVI) is a less invasive alternative to surgical aortic valve replacement and is the treatment of choice for patients at high operative risk. The role of TAVI in patients at lower risk is unclear. Objective: To determine whether TAVI is noninferior to surgery in patients at moderately increased operative risk. Design, Setting, and Participants: In this randomized clinical trial conducted at 34 UK centers, 913 patients aged 70 years or older with severe, symptomatic aortic stenosis and moderately increased operative risk due to age or comorbidity were enrolled between April 2014 and April 2018 and followed up through April 2019. Interventions: TAVI using any valve with a CE mark (indicating conformity of the valve with all legal and safety requirements for sale throughout the European Economic Area) and any access route (n = 458) or surgical aortic valve replacement (surgery; n = 455). Main Outcomes and Measures: The primary outcome was all-cause mortality at 1 year. The primary hypothesis was that TAVI was noninferior to surgery, with a noninferiority margin of 5% for the upper limit of the 1-sided 97.5% CI for the absolute between-group difference in mortality. There were 36 secondary outcomes (30 reported herein), including duration of hospital stay, major bleeding events, vascular complications, conduction disturbance requiring pacemaker implantation, and aortic regurgitation. Results: Among 913 patients randomized (median age, 81 years [IQR, 78 to 84 years]; 424 [46%] were female; median Society of Thoracic Surgeons mortality risk score, 2.6% [IQR, 2.0% to 3.4%]), 912 (99.9%) completed follow-up and were included in the noninferiority analysis. At 1 year, there were 21 deaths (4.6%) in the TAVI group and 30 deaths (6.6%) in the surgery group, with an adjusted absolute risk difference of −2.0% (1-sided 97.5% CI, −∞ to 1.2%; P < .001 for noninferiority). Of 30 prespecified secondary outcomes reported herein, 24 showed no significant difference at 1 year. TAVI was associated with significantly shorter postprocedural hospitalization (median of 3 days [IQR, 2 to 5 days] vs 8 days [IQR, 6 to 13 days] in the surgery group). At 1 year, there were significantly fewer major bleeding events after TAVI compared with surgery (7.2% vs 20.2%, respectively; adjusted hazard ratio [HR], 0.33 [95% CI, 0.24 to 0.45]) but significantly more vascular complications (10.3% vs 2.4%; adjusted HR, 4.42 [95% CI, 2.54 to 7.71]), conduction disturbances requiring pacemaker implantation (14.2% vs 7.3%; adjusted HR, 2.05 [95% CI, 1.43 to 2.94]), and mild (38.3% vs 11.7%) or moderate (2.3% vs 0.6%) aortic regurgitation (adjusted odds ratio for mild, moderate, or severe [no instance of severe reported] aortic regurgitation combined vs none, 4.89 [95% CI, 3.08 to 7.75]). Conclusions and Relevance: Among patients aged 70 years or older with severe, symptomatic aortic stenosis and moderately increased operative risk, TAVI was noninferior to surgery with respect to all-cause mortality at 1 year. Trial Registration: isrctn.com Identifier: ISRCTN57819173