Farmer’s Resource Flow Decisions on Farm-Level Interventions on Livestock Water Productivity: A Conceptual Model Approach

Across sub-saharan Africa water related poverty occurs because farmers lack dependable water resources and capacity to use them. Improvement in agricultural water management offer opportunities in poverty alleviation at farm-level. An integrated framework was developed to identify sets of options as interventions for different farmer profiles in mixed crop-livestock systems. A combination of participatory rural appraisal (PRAs), household survey and gap analysis tools were used in Nkayi district, Zimbabwe to quantify the current crop and livestock production levels. The tools used identified gaps in animal health management, improved feeding, livestock sales and poor crop yields between different farmer wealth profiles in terms of mortalities, poor crop yield, reduced crop and livestock sales, poor feed quality and quantity. Interventions in terms of improved feed sourcing, improved animal health, soil fertility management and access to markets are possible solutions to the challenges faced by the different farmer profiles. If farmers’ different levels and capacities in terms of resources available are taken into consideration, there is a chance to improve the livestock water productivity at farm-level in semi-arid Zimbabwe

The dominant Anopheles vectors of human malaria in Africa, Europe and the Middle East: occurrence data, distribution maps and bionomic précis

<p>Abstract</p> <p>Background</p> <p>This is the second in a series of three articles documenting the geographical distribution of 41 dominant vector species (DVS) of human malaria. The first paper addressed the DVS of the Americas and the third will consider those of the Asian Pacific Region. Here, the DVS of Africa, Europe and the Middle East are discussed. The continent of Africa experiences the bulk of the global malaria burden due in part to the presence of the <it>An. gambiae </it>complex. <it>Anopheles gambiae </it>is one of four DVS within the <it>An. gambiae </it>complex, the others being <it>An. arabiensis </it>and the coastal <it>An. merus </it>and <it>An. melas</it>. There are a further three, highly anthropophilic DVS in Africa, <it>An. funestus</it>, <it>An. moucheti </it>and <it>An. nili</it>. Conversely, across Europe and the Middle East, malaria transmission is low and frequently absent, despite the presence of six DVS. To help control malaria in Africa and the Middle East, or to identify the risk of its re-emergence in Europe, the contemporary distribution and bionomics of the relevant DVS are needed.</p> <p>Results</p> <p>A contemporary database of occurrence data, compiled from the formal literature and other relevant resources, resulted in the collation of information for seven DVS from 44 countries in Africa containing 4234 geo-referenced, independent sites. In Europe and the Middle East, six DVS were identified from 2784 geo-referenced sites across 49 countries. These occurrence data were combined with expert opinion ranges and a suite of environmental and climatic variables of relevance to anopheline ecology to produce predictive distribution maps using the Boosted Regression Tree (BRT) method.</p> <p>Conclusions</p> <p>The predicted geographic extent for the following DVS (or species/suspected species complex*) is provided for Africa: <it>Anopheles </it>(<it>Cellia</it>) <it>arabiensis</it>, <it>An. </it>(<it>Cel.</it>) <it>funestus*</it>, <it>An. </it>(<it>Cel.</it>) <it>gambiae</it>, <it>An. </it>(<it>Cel.</it>) <it>melas</it>, <it>An. </it>(<it>Cel.</it>) <it>merus</it>, <it>An. </it>(<it>Cel.</it>) <it>moucheti </it>and <it>An. </it>(<it>Cel.</it>) <it>nili*</it>, and in the European and Middle Eastern Region: <it>An. </it>(<it>Anopheles</it>) <it>atroparvus</it>, <it>An. </it>(<it>Ano.</it>) <it>labranchiae</it>, <it>An. </it>(<it>Ano.</it>) <it>messeae</it>, <it>An. </it>(<it>Ano.</it>) <it>sacharovi</it>, <it>An. </it>(<it>Cel.</it>) <it>sergentii </it>and <it>An. </it>(<it>Cel.</it>) <it>superpictus*</it>. These maps are presented alongside a bionomics summary for each species relevant to its control.</p

Knowledge, attitudes and practice about malaria in rural Tigray, Ethiopia

Objective: To assess the knowledge, attitude and practice (KAP) regarding malaria and their determinants in a rural population of northern Ethiopia. Methods: The study was conducted in the district of Samre Saharti, Tigray, northern Ethiopia. A structured questionnaire collecting socio-demographic and malaria-related KAP information was administered to the mothers from a representative sample of households. Results: A total of 1652 questionnaires were available for analysis. Most of the respondents (92.7%) were able to mention at least one symptom of malaria. Mosquito as a cause of malaria was recognized by nearly half of the respondents (48.8%). Most of the households had a bednet (85.9%). To have a literate person at home, to belong to the lowland stratum, to have received some type of health education and to own a radio were associated with the knowledge of malaria. A strong association remained between living in the lowland stratum, to own a radio and to live close to the health post and the use of ITN. Being a housewife, lack of health education and to live further than 60 minutes walking distance to the health post were related to a delay on treatment finding. Conclusion: This study has identified some aspects which the MCP might need to improve. The knowledge about malaria transmission should be strengthened. Promotion of literacy and participation in health education are vital components in terms of malaria knowledge and practice. Issues related to geographical location and accessibility to health post should be also carefully examined

Culture, diversity, and global health: challenges and opportunities

In an increasingly globalized world, we continue to face dramatic health disparities that impact adversely on Indigenous, migrant and refugee populations as well as other minority ethnic populations in most of the countries of the world. Culture plays an important role in how people experience health and illness, and how they access and experience healthcare. It impacts on the healthcare professionals as well as on their patients and the communities, modifying the healing relationship and presenting both barriers and opportunities for better health outcomes. This chapter will explore some of the key ways in which this happens with a view to highlight the opportunities that they represent. These include issues such as how the aetiology of disease is perceived, health-seeking behaviour, issues of racism, stigma and discrimination, as well as the impacts of stress, coping and resilience. Finally, this chapters presents specific suggestions for improved healthcare systems that are more inclusive and that work towards more equitable health outcomes for culturally diverse communities