Prevention of sexually transmitted diseases The Shurugwi sex-workers project

Sex-workers play an important role in the spread of sexually trans:mitted diseases (STDs) and this article tries to show that they can also play an important role in their prevention. Community participation by sex-workers in the prevention of STDs can also decrease the incidence thereof

Attitudes ofwotnen towards traditional midwives - a survey in the Kgalagadi (Kalahari) region

Two hundred and forty-nine women of childbearing age from 20 villages in the Kgalagadi (Kalahari) desert region, who had borne a child, were asked about their attitudes towards institutional and non-institutional deliveries. Two hundred and two (81,6%) women preferred to give birth at home. One hundred and seventeen (46,9%) attended antenatal clinics at health facilities but virtually none of these attended postnatal clinics. Forty-one per cent of the women who prefer to give birth at home do so because at home they receive African 'muti' and an abdominal massage; 22,5% deliver at home because they feel it is safer and more convenient. Most African women and commnunities are reluctant to entrust the sluicing oftheir placenta and other products of conception to strangers such as nurses. Ninety per cent of respondents suggested that traditional midwives and health personnel should work together to improve community maternal health services

Effects of conservation farming in Zimbabwe: the case of Umguza District in the post 2000 land reform programme

Text in EnglishThe study analysed the effects of conservation farming in Zimbabwe using a mixed methodology approach. This analysis comes against the background of the recognition that climate change, as characterized by severe droughts, has played a significant role in reducing agricultural productivity, in the process leaving smallholder farmers and the nation of Zimbabwe exposed to recurrent food insecurity. Conservation farming was introduced as a climate adaptation strategy that was aimed at improving crop yields. The study focused on assessing the association between the adoption of conservation farming and a concomitant increase in agricultural productivity. This was key in understanding if there are benefits of using conservation farming as opposed to making use of the conventional method of farming. The study also investigated the nature of conservation farming being practiced in Umguza District; this was done in order to understand whether smallholder farmers are implementing all the key principles underpinning the use of conservation farming. The study further assessed the challenges and opportunities that exist through the use of conservation farming with the aim of coming up with sustainable solutions to the challenges affecting smallholder farmers. The study went on to assess the factors that determine the adoption and maximum utilization of conservation farming. Identification of these key variables was instrumental in the design of a localized conservation farming model. Study results revealed that conservation farming is an effective method of increasing agricultural productivity. The study also established that smallholder farmers are not implementing all the key principles of conservation farming and this was attributed to the failure to include the smallholder farmers in the design of conservation farming models. It was further revealed that smallholder farmers face various challenges that include access to inputs and limited support from the government. Implications of the study highlight the need for the community to be actively involved in the design of a conservation farming model localized to the unique context of smallholder farmers. A prototype for implementing a sustainable conservation farming model was developed in collaboration with the smallholder farmers as part of a solution based approach to dealing with the challenges affecting smallholder farmers.School of Agriculture and Life SciencesPh. D

Can biomedical and traditional health care providers work together? Zambian practitioners' experiences and attitudes towards collaboration in relation to STIs and HIV/AIDS care: a cross-sectional study

BACKGROUND: The World Health Organization's World health report 2006: Working together for health underscores the importance of human resources for health. The shortage of trained health professionals is among the main obstacles to strengthening low-income countries' health systems and to scaling up HIV/AIDS control efforts. Traditional health practitioners are increasingly depicted as key resources to HIV/AIDS prevention and care. An appropriate and effective response to the HIV/AIDS crisis requires reconsideration of the collaboration between traditional and biomedical health providers (THPs and BHPs). The aim of this paper is to explore biomedical and traditional health practitioners' experiences of and attitudes towards collaboration and to identify obstacles and potential opportunities for them to collaborate regarding care for patients with sexually transmitted infections (STIs) and HIV/AIDS. METHODS: We conducted a cross-sectional study in two Zambian urban sites, using structured questionnaires. We interviewed 152 biomedical health practitioners (BHPs) and 144 traditional health practitioners (THPs) who reported attending to patients with STIs and HIV/AIDS. RESULTS: The study showed a very low level of experience of collaboration, predominated by BHPs training THPs (mostly traditional birth attendants) on issues of safe delivery. Intersectoral contacts addressing STIs and HIV/AIDS care issues were less common. However, both groups of providers overwhelmingly acknowledged the potential role of THPs in the fight against HIV/AIDS. Obstacles to collaboration were identified at the policy level in terms of legislation and logistics. Lack of trust in THPs by individual BHPs was also found to inhibit collaboration. Nevertheless, as many as 40% of BHPs expressed an interest in working more closely with THPs. CONCLUSION: There is indication that practitioners from both sectors seem willing to strengthen collaboration with each other. However, there are missed opportunities. The lack of collaborative framework integrating maternal health with STIs and HIV/AIDS care is at odds with the needed comprehensive approach to HIV/AIDS control. Also, considering the current human resources crisis in Zambia, substantial policy commitment is called for to address the legislative obstacles and the stigma reported by THPs and to provide an adequate distribution of roles between all partners, including traditional health practitioners, in the struggle against HIV/AIDS

Quality end-of-life care: A global perspective

BACKGROUND: Quality end-of-life care has emerged as an important concept in industrialized countries. DISCUSSION: We argue quality end-of-life care should be seen as a global public health and health systems problem. It is a global problem because 85 % of the 56 million deaths worldwide that occur annually are in developing countries. It is a public health problem because of the number of people it affects, directly and indirectly, in terms of the well being of loved ones, and the large-scale, population based nature of some possible interventions. It is a health systems problem because one of its main features is the need for better information on quality end-of-life care. We examine the context of end-of-life care, including the epidemiology of death and cross-cultural considerations. Although there are examples of success, we could not identify systematic data on capacity for delivering quality end-of-life care in developing countries. We also address a possible objection to improving end-of-life care in developing countries; many deaths are preventable and reduction of avoidable deaths should be the focus of attention. CONCLUSIONS: We make three recommendations: (1) reinforce the recasting of quality end-of-life care as a global public health and health systems problem; (2) strengthen capacity to deliver quality end-of-life care; and (3) develop improved strategies to acquire information about the quality of end-of-life care

An analysis on the effectiveness of corporate social responsibilty as a community development alternative: A case study of Econet`s Capernaum Trust Educational Scholarship Program in Matabeleland North Province.

This study focused on analyzing the effectiveness of corporate social responsibility as a community development alternative using a case study o f Econet’s Capernaum Trust social responsibility program. The researcher used both qualitative and quantitative approaches in the research design. The research was aimed at understanding from the program clients the challenges that affect orphans and vulnerable children resulting in their low academic performance. Questionnaires, interviews and focus group discussions were used to collect data. Findings revealed that there are multiple challenges that have contributed to the academic performance o f the beneficiaries. The findings o f the study also revealed that the corporate social responsibility programme by Econet was effective as it has gone a long way in complementing government efforts o f achieving the millennium development goals an instrumental development indicator. The data gathered was presented in the form oj pie charts, tables, graphs and figures. The study concluded that corporate social responsibility is effective as a community development alternative. Among the recommendations made was that Econet should engage in community awareness campaigns aimed at educating communities on the importance o f education for children and also advocate for the legislation of corporate social responsibility in Zimbabwe

The role of culture in primary health care

No Abstract

Forest and Land Rights at a Time of Deforestation and Climate Change: Land and Resource Use Crisis in Uganda

Globally, nations are targeting to achieve the “Green Deal 2030” and “Biodiversity Strategy 2030” to protect and conserve forest ecosystems. Forest land rights that define the nature of forest use have been rendered useless in many developing countries. Uganda is an African country endowed with tropical rainforests. Forests and other protected areas continue to decline due to deforestation and forest degradation in Uganda. Moreover, Uganda is an example of a country with a high allocation of virgin forest land to investors for development projects including agriculture. This paper examined perceptions of Ugandans on property rights and associated factors that impact the implementation of these rights in Uganda. The study conducted a questionnaire survey and obtained a sample size of 199. Key informant interviews (KIIs) on land and forest land rights in Uganda were conducted to get to the bottom of the problem. The results confirm high corruption (82%) and crime in Uganda’s land and forest rights management. Respondents highlighted limited transparency in implementing land and forest property rights. The study concluded that corruption and a lack of transparency frustrate property rights implementation in Uganda. The study recommends the government to prioritize fighting corruption and promoting transparency in the management of land and forest property, among others resources. Properly implementing land rights is vital in protecting and conserving forest ecosystems and other resources

Forest and Land Rights at a Time of Deforestation and Climate Change: Land and Resource Use Crisis in Uganda

Globally, nations are targeting to achieve the “Green Deal 2030” and “Biodiversity Strategy 2030” to protect and conserve forest ecosystems. Forest land rights that define the nature of forest use have been rendered useless in many developing countries. Uganda is an African country endowed with tropical rainforests. Forests and other protected areas continue to decline due to deforestation and forest degradation in Uganda. Moreover, Uganda is an example of a country with a high allocation of virgin forest land to investors for development projects including agriculture. This paper examined perceptions of Ugandans on property rights and associated factors that impact the implementation of these rights in Uganda. The study conducted a questionnaire survey and obtained a sample size of 199. Key informant interviews (KIIs) on land and forest land rights in Uganda were conducted to get to the bottom of the problem. The results confirm high corruption (82%) and crime in Uganda’s land and forest rights management. Respondents highlighted limited transparency in implementing land and forest property rights. The study concluded that corruption and a lack of transparency frustrate property rights implementation in Uganda. The study recommends the government to prioritize fighting corruption and promoting transparency in the management of land and forest property, among others resources. Properly implementing land rights is vital in protecting and conserving forest ecosystems and other resources