Capacity to conduct health research among NGOs in Malawi: Diverse strengths, needs and opportunities for development

Background: The role of non-governmental organisations (NGOs) in health research has attracted growing attention. NGOs are important service providers and advocates in international health, and conducting research can help NGOs to strengthen these service delivery and advocacy activities. However, capacity to conduct research varies among NGOs. There is currently limited evidence on NGOs’ research capacity that can explain why capacity varies or indicate potential areas for support. We examined NGOs’ capacity to conduct research, identifying factors that affect their access to the funds, time and skills needed to undertake research. Methods: We examined research capacity through qualitative case studies of three NGOs in Malawi, including one national and two international NGOs. Data were generated through interviews and focus groups with NGO staff, observation of NGO activities, and document reviews. Results: Availability of funding, skills and time to conduct research varies considerably between the case NGOs. Access to these resources is affected by internal processes such as sources of funding and prioritisation of research, and by the wider environment and external relationships, including the nature of donor support. Constraints include limited ability to apply for research funding, a perception that donors will not support research costs, lack of funding to hire or train research staff, and prioritisation of service delivery over research in funding proposals and staff schedules. Conclusion: The findings suggest strategies for NGOs and for donors interested in supporting NGOs’ research capacity. Above all, the findings reinforce the importance of initial capacity assessments to identify organisational needs and opportunities. In addition, the need for time and funding as well as skills suggests that strengthening NGOs’ research capacity will often require more than research training

Changing stigmatisation of leprosy: an exploratory, qualitative life course study in Western Nigeria

Introduction: Renewed interest in health-related stigma has invigorated calls to understand factors and processes underlying stigma. However, few empirical studies explore the influences of structural discrimination and moral status on leprosy-related stigma. We investigated how sociocultural context and organisational policies and practices influenced the connotations of leprosy, sources of stigma and the changing social responses to leprosy in Western Nigeria. Methodology: Ethnographic research conducted between 2008 and 2012 combined documents review with life history interviews of 21 individuals affected by leprosy and semistructured interviews with 26 community members in Western Nigeria. Interviews were audiotaped, transcribed verbatim and coded. Theoretical frameworks used to deepen social understandings of leprosy and responses to stigma included Link’s and Phelan’s conceptualisation of stigma and the concepts of structural discrimination and moral status. Results: Findings showed that connotations of leprosy in Yorùbá culture included the following: (i) perception of leprosy as the most shameful and detested condition and (ii) symbolic association with filth and immoral behaviour that is dishonouring to Yorùbá identity. Secondary analysis of archival materials revealed four sources of stigma: cultural beliefs about leprosy, health promotion messages embedded in primary school books, religious teachings about leprosy and campaigns conducted by the leprosy service in 1950s. Contrary to the portrayal of Yorùbá attitudes to leprosy as entirely negative, we identified that people affected by leprosy were creating new life courses to counter existing cultural accounts of marginalisation. Emerging narratives of inclusion outlined five facilitators of acceptance namely, antileprosy treatment, good moral character, supportive family networks, livelihoods, and contribution to community survival. Conclusion: Gaps highlighted by this study suggest that the global target of zero stigma and discrimination of leprosy will remain unattainable without better understanding of cultural significance(s) of leprosy and the local sources and underlying drivers of stigma that are crucial for developing context-specific stigma reduction interventions

"Who Will Marry a Diseased Girl?" Marriage, Gender, and Tuberculosis Stigma in Asia

In a qualitative study on the stigma associated with tuberculosis (TB), involving 73 interviews and eight focus groups conducted in five sites across three countries (Bangladesh, Nepal, and Pakistan), participants spoke of TB’s negative impact on the marriage prospects of women in particular. Combining the approach to discovering grounded theory with a conceptualization of causality based on a realist ontology, we developed a theory to explain the relationships between TB, gender, and marriage. The mechanism at the heart of the theory is TB’s disruptiveness to the gendered roles of wife (or daughter-in-law) and mother. It is this disruptiveness that gives legitimacy to the rejection of marriage to a woman with TB. Whether or not this mechanism results in a negative impact of TB on marriage prospects depends on a range of contextual factors, providing opportunities for interventions and policies

Dithering algorithms for variable dot size printers

Dither-based methods for the halftoning of images on multi-level printing devices such as multi-level inkjet printers are presented. Due to the relatively large size of single droplets, halftoning algorithms are still needed. However, since halftoning occurs between the basic levels attainable by printing one, two or several droplets at the same position, artefacts are less visible than in equal resolution bilevel printers. When dithering algorithms are used for the halftoning task, the dither threshold tiles should have oblique orientations so as to make the halftoning artifacts less visible. They should be designed so as to break up the inherent artifacts of variable dot size printers, such as for example continuous lines made up of elongated elliptic dots. The resulting visual effects are shown by simulating the printed dots of a multilevel inkjet printe

Integrated management of a Swiss cropland is not sufficient to preserve its soil carbon pool in the long term

Croplands are involved in the exchange of carbon dioxide (CO2) between the atmosphere and the biosphere. Furthermore, soil carbon (C) stocks play an important role in soil fertility. It is thus of great interest to know whether intensively managed croplands act as a net source or sink of atmospheric CO2 and if soil C stocks are preserved over long timescales. The FluxNet site CH-Oe2 in Oensingen, Switzerland, has been operational since the end of 2003. This cropland is managed under the Swiss framework of the Proof of Ecological Performance (PEP, a variant of integrated management) with a crop rotation centred on winter wheat, which also includes winter barley, winter rapeseed, peas, potato and intermediate cover crops. In addition to eddy covariance measurements, meteorological and soil measurements were available along with information on C imports and exports from organic fertilisation, sowing and harvesting. This study investigates cropland C budgets over 13 years and assesses whether the PEP regulations resulted in a balanced C budget. The strongest CO2 uptake was observed during cereal seasons. C export through harvest, however, offset the strong uptake of the cereal crops. The largest net CO2 emissions to the atmosphere were observed during pea and cover crop seasons. Net biome production, representing the overall C budget (assuming carbon leaching to groundwater to be negligible), typically ranged between close to C neutral to C losses of up to 407&thinsp;g&thinsp;C&thinsp;m−2 per season, with peas being the largest source. Overall, the field lost 1674&thinsp;g&thinsp;C&thinsp;m−2 over 13 years (129&thinsp;g&thinsp;C&thinsp;m−2&thinsp;yr−1), which was confirmed by soil C stock measurements at the beginning and the end of the study period. Although managing the field under the regulations of PEP did not result in an overall C sink, model simulations showed that the use of cover crops reduced the C losses compared to leaving the field bare. The use of solid manure improved the C budget by importing substantial amounts of C into the soil, while liquid manure had only a small effect. We thus conclude that additional efforts are needed to bring Swiss management practices closer to the goal of preserving soil C in the long term.</p