Gynaecological morbidity among HIV positive pregnant women in Cameroon

<p>Abstract</p> <p>Objective</p> <p>To compare the prevalence of gynaecological conditions among HIV infected and non-infected pregnant women.</p> <p>Methods</p> <p>Two thousand and eight (2008) pregnant women were screened for HIV, lower genital tract infections and lower genital tract neoplasia at booking antenatal visit.</p> <p>Results</p> <p>About 10% (198/2008) were HIV positive. All lower genital tract infections except candidiasis were more prevalent among HIV positive compared to HIV negative women: vaginal candidiasis (36.9% vs 35.4%; <it>p </it>= 0.678), Trichomoniasis (21.2% vs 10.6%; <it>p </it>< 0.001), gonorrhoea (10.1% vs 2.5%; <it>p </it>< 0.001), bacterial vaginosis (21.2% vs 15.2%; <it>p </it>= 0.026), syphilis (35.9% vs 10.6%; <it>p </it>< 0.001), and <it>Chlamydia trachomatis </it>(38.4% vs 7.1%; <it>p </it>< 0.001). Similarly, HIV positive women more likely to have preinvasive cervical lesions: low-grade squamous intraepithelial lesion (SIL) (18.2% vs 4.4%; <it>p </it>< 0.001) and high-grade squamous intraepithelial lesion (12.1% vs 1.5%; <it>p </it>< 0.001).</p> <p>Conclusion</p> <p>We conclude that (i) sexually transmitted infections (STIs) are common in both HIV positive and HIV negative pregnant women in Cameroon, and (ii) STIs and preinvasive cervical lesions are more prevalent in HIV-infected pregnant women compared to their non-infected compatriots. We recommend routine screening and treatment of STIs during antenatal care in Cameroon and other countries with similar social profiles.</p

Politico-Economic Determinants of Forestry Policy in Cameroon

Factors that influence the policy choices of forest and environmental policy-makers in developing countries are yet to be completely understood. The study reported in this paper seeks to contribute to efforts addressed to promoting knowledge of these factors. It does so by analyzing the forest and environmental policy and policy field of Cameroon. The field is shown to be crowded, involving entities and individuals with disparate goals. The state emerges as the most powerful stakeholder in the field. It is argued that despite their seemingly inconsistent and contradictory nature, major provisions of Cameroon’s forestry and environmental policy have a unified purpose, viz., to serve the interests of powerful domestic and international stakeholders. It is concluded that the interests of these stakeholders, rather than the country’s national development goals, constitute the major determinant of the policy choices of its forest and environmental policy-makers

Genomic vulnerability and socio‐economic threats under climate change in an African rainforest bird

Preserving biodiversity under rapidly changing climate conditions is challenging. One approach for estimating impacts and their magnitude is to model current relationships between genomic and environmental data and then to forecast those relationships under future climate scenarios. In this way, understanding future genomic and environmental relationships can help guide management decisions, such as where to establish new protected areas where populations might be buffered from high temperatures or major changes in rainfall. However, climate warming is only one of many anthropogenic threats one must consider in rapidly developing parts of the world. In Central Africa, deforestation, mining, and infrastructure development are accelerating population declines of rainforest species. Here we investigate multiple anthropogenic threats in a Central African rainforest songbird, the little greenbul (Andropadus virens). We examine current climate and genomic variation in order to explore the association between genome and environment under future climate conditions. Specifically, we estimate Genomic Vulnerability, defined as the mismatch between current and predicted future genomic variation based on genotype-environment relationships modeled across contemporary populations. We do so while considering other anthropogenic impacts. We find that coastal and central Cameroon populations will require the greatest shifts in adaptive genomic variation, because both climate and land use in these areas are predicted to change dramatically. In contrast, in the more northern forest-savanna ecotones, genomic shifts required to keep pace with climate will be more moderate, and other anthropogenic impacts are expected to be comparatively low in magnitude. While an analysis of diverse taxa will be necessary for making comprehensive conservation decisions, the species-specific results presented illustrate how evolutionary genomics and other anthropogenic threats may be mapped and used to inform mitigation efforts. To this end, we present an integrated conceptual model demonstrating how the approach for a single species can be expanded to many taxonomically diverse species

The Meta Indigenous Politico-Administrative System, Good Governance, and the Modern Republican State in Cameroon

Traditional or indigenous politico-administrative institutions, as opposed to those of western origin, appear to be regaining their once lost allure in Africa. Yet, it is not enough to simply extol or advocate a return to tradition. There is a need to examine the implicit hypothesis of such advocacy. Are traditional institutions truly capable of making a positive contribution to ongoing efforts to promote good governance and, ultimately, development in Africa? The present study attempts to address this question by analysing the traditional system of Meta, an acephalous polity with a tradition of autonomous chiefdoms and village-centric orientation, in the Northwest Region, Cameroon. A sample of village-level initiatives undertaken within the polity’s decentralized indigenous politico-administrative framework, and region-wide development projects under the auspices of centralized modern institutional bodies, are compared. Results show the indigenous systems markedly outperforming their modern counterparts, particularly based on outcome measures of good governance. This provides some empirical justification for recommending the incorporation of traditional institutions in the modern governance process in Cameroon in particular and Africa in general