The Economic Role of Range Livestock Production in Kasungu Agricultural Development Division (KADD), Malawi

This study was conducted to determine the effects of seas on and auction and produce marketing systems on prices received by farmers for livestock sales and the effect of price on cattle numbers sold in KADD. Livestock population, carrying capacity, and stocking rate were estimated. Data were analyzed using pie charts, regression methods, and analysis of variance. There was no significant difference (P=.06) between cattle prices per kilogram during the wet season and after harvest. During the wet season, significantly more cattle were sold than after harvest (P\u3c .001) to purchase food and farm inputs, and pay school fees and medical bills. Market price was only a secondary factor. Carrying capacity and stocking rate were estimated at 15.00 kg metabolic mass per hectare and 12.00 kg metabolic mass per hectare, respectively. Most households primarily sold male cattle because females are retained for breeding

Estimating runoff from ungauged catchments for reservoir water balance in the Lower Middle Zambezi Basin

The Lower Middle Zambezi Basin is sandwiched between three hydropower dams; Kariba, Kafue (Itezhi-tezhi) and Cahora Bassa. The operation of the upstream dams impacts on the inflows into the downstream Cahora Bassa Dam which, in turn, affects the area inundated upstream of the Cahora Bassa Dam. This study applied a rainfall-runoff model (HEC-HMS) and GIS techniques to estimate both the gauged and ungauged runoff contribution to the water balance of Cahora Bassa. The rivers considered in the study are the Zambezi, Kafue, Luangwa, Chongwe, Musengezi and Manyame. Missing data were generated using the mean value infilling method. The DEM hydro-processing technique was used to determine the spatial extent of the ungauged area. A hydrological model, HEC- HMS, was used to simulate runoff from the ungauged catchments. Results from the study show that the ungauged catchment contributes about 12% of the total estimated inflows into the Cahora Bassa Dam. Averaged results over 30 years show total inflows of 71.73 x 109 m3/yr, total outflows of 52.25 x 109 m3/ yr and a residual storage of 20 x 109 m3/yr. The study successfully estimated the water balance of the Middle Zambezi Basin which, in turn, may help to inform the operation of the Cahora Bassa Dam and management of artificial floods in the basin.Keywords: Cahora Bassa, DEM hydroprocessing, HEC-HMS, remote sensing, reservoir operation, runoff simulatio

Influence of gendered roles on legume utilization and improved child dietary intake in Malawi

The relationship between gender roles, legume production, utilization and child feeding practices in rural smallholder households of Dedza and Ntcheu districts in Malawi was investigated and analyzed. A cross-sectional research study was conducted with legume farming households with children aged 6-23 months who were part of the Africa RISING ‘mother trial’ or ‘baby trials’ for two farming seasons (2014/2015 to 2015/2016). Africa RISING project encourages smallholder farmers to grow legumes namely, groundnut (Arachis hypogaea), cowpea (Vigna unguiculata), pigeon pea (Cajanus cajan) and soya bean (Glycin max) as one way of improving the wellbeing of smallholder farmers. The key objective of the research was to assess the influence of gender roles, legume production, utilization and infant and young child dietary intake. In total, 291 households with children 6-23 months were targeted. Eight focus group discussions (FDGs) for in-depth qualitative data were conducted. Two 24-hour dietary recalls and food frequency questionnaires were used to collect data on infant and young child feeding (IYCF) practices. Data collected were extracted, arranged, recorded and analyzed by using SPSS version 21. About 18% of children aged 6-23 months received a minimum dietary diversity (the consumption of four or more food groups from the seven food groups), 2.5% received a minimum acceptable diet (indicator measures both the minimum feeding frequency and minimum dietary diversity, as appropriate for various age groups) and 37.5% of children received a minimum meal frequency (frequency of receiving solid, semi-solid, or soft foods at the minimum numbers of two and three times for children aged 6–8 months, and 9–23 months, respectively). Control on use of income by women had a positive and significant association with minimum dietary diversity (P<0.05), minimum meal frequency (P<0.05) and minimum acceptable diets (P<0.05) among children of both sexes. Children aged 6-23 months from households where women were actively involved in partial processing and budgeting of legumes met minimum dietary diversity than children from nonparticipating households. Women farmers were more knowledgeable about legumes; played an important role in seed selection, storage and processing; however, the findings signal an opportunity to increase women’s income by involving them in market information. Increasing legume production at household level does not mean increasing the nutritional status among children (6-23 months). Several factors related to gender roles, markets accessibility and legume utilization have an effect on infant and young child feeding practices

Soil nitrate dynamics in relation to nitrogen source and landscape position in Malawi

Nitrogen is normally the nutrient most limiting production of maize (Zea mays) — the main staple food crop — in southern Africa. We conducted a field study to determine the effect of N sources on soil nitrate dynamics at three landscape positions in farmers' fields in southern Malawi. The landscape positions were dambo valley or bottomland, dambo margin, and steep slopes. The N sources were calcium ammonium nitrate fertilizer applied at 120 kg N ha−1, biomass from Sesbania sesban, and no added N. Sesbania biomass was produced in situ in the previous season from sesbania relay cropped with maize. Nitrate in the topsoil (0 to 15 cm depth) increased to 85 days after maize planting (mean = 48 kg N ha−1) and then decreased markedly. Application of N fertilizer and sesbania biomass increased soil nitrate, and nitrate-N in topsoil correlated positively with amount of incorporated sesbania biomass. The strongest correlation between sesbania biomass added before maize planting and topsoil nitrate was observed at 85 days after maize planting. This suggests that the sesbania biomass (mean N content = 2.3%) mineralized slowly. Inorganic N accumulated in the subsoil at the end of the maize cropping season when N fertilizer and sesbania were applied. This study demonstrated the challenges associated with moderate quality organic N sources produced in smallholder farmer's fields. Soil nitrate levels indicated that N was released by sesbania residues in the first year of incorporation, but relay cropping of sesbania with maize may need to be supplemented with appropriately timed application of N fertilize

Incidence of lactic acidosis toxicity among patients on stavudine or zidovudine containing antiretroviral therapy at Lighthouse clinics

Although stavudine and zidovudine remain frequently used in low-income countries in Africa, they are associated with long-term toxicities. Lactic acidosis is one of the most serious toxicities in antiretroviral treatment (ART) and occurs predominantly in regimens containing stavudine (D4T) or zidovudine (AZT). We conducted this study to determine the incidence and risk factors for lactic acidosis among HIV-positive patients that have been on ART for at least 6 months. This study will bridge the gap that exists due to scarcity of data on the extent of toxicities due to long-term use of D4T and AZT. We conducted a retrospective cohort study using routine clinic data from the Lighthouse and Martin Preuss Centre electronic data systems. We used the clinic data collected between 1st January 2004 and 31st December 2011. We included into the analysis all patients that have been on D4T- or AZT-containing ARV drugs for at least 6 months. We analysed the data using Poisson regression of the number of cases of lactic acidosis (LA) on gender, age at ART initiation, baseline BMI, and lipodystrophy in order to determine the incidence and risk factors for lactic acidosis. All statistical analyses were done at 5% significance level. We identified 14,854 patients that have ever been on D4T- or AZT-containing ARV drugs for longer than 5 months. Of these, 43% were male and median age was 34 years. The total number of cases of confirmed LA was 342 with observed mortality rate 40% more than the patients without confirmed LA. There were 23.02 cases of LA for every 1000 patient-years on D4T- or AZT-containing ART regimens. The strongest risk factor identified for developing LA was having a baseline BMI >25 with incidence rate ratio (IRR) 3.11 (95% CI: 2.49, 3.88). The IRR for patients with a diagnosis of lipodystrophy was 1.77 (95% CI: 1.35, 2.32). Patients aged <30 years at ART initiation had 31% reduced risk of developing LA as compared to patients aged>39 years at ART initiation. We were unable to detect any increased risk associated with gender. Clinicians should always have significantly higher index of suspicion of LA in patients with established lipodystrophy, aged more than 30 years at ART initiation and patients with higher baseline BMIs. The number of cases of fatal lactic acidosis that did not present to the clinic is unknown but is likely to be significant

Community-linked maternal death review (CLMDR) to measure and prevent maternal mortality: a pilot study in rural Malawi.

In Malawi, maternal mortality remains high. Existing maternal death reviews fail to adequately review most deaths, or capture those that occur outside the health system. We assessed the value of community involvement to improve capture and response to community maternal deaths

A qualitative assessment of disability friendly water and sanitation facilities in primary schools, Rumphi, Malawi

Students with disabilities commonly face barriers when accessing water and using sanitation and hygiene facilities at school. International frameworks have prompted governments to enact local policies that enshrine these rights, guarantee equitable access to education and mandate inclusive infrastructure. This research was designed to explore whether Malawi has translated good policies into practice. Data were gathered in Rumphi district, Malawi, through structured field observations in ten schools and interviews with students with a disability (n = 23), teachers (n = 11) and government stakeholders (n = 2). No school had facilities that fully meet the needs of students with disabilities, and private schools were not necessarily better. The cost of bringing existing infrastructure up to standard was on average MK54 000 (US$78). However, proactive consultation with children with a disability is likely to generate alternative low-cost short-term solutions. Increased government support, budgeting and enforcement is necessary to ensure international standards and national policies are met

Assessment of non-standard HIV antiretroviral therapy regimens at Lighthouse Trust in Lilongwe, Malawi

Aim: Lighthouse Trust in Lilongwe, Malawi serves approximately 25,000 patients with HIV antiretroviral therapy (ART) regimens standardized according to national treatment guidelines. However, as a referral centre for complex cases, Lighthouse Trust occasionally treats patients with non-standard ART regimens (NS-ART) that deviate from the treatment guidelines. We evaluated factors contributing to the use of NS-ART and whether patients could transition to standard regimens.Methods: This was a cross-sectional study of all adult patients at Lighthouse Trust being treated with NS-ART as of February 2012. Patients were identified using the electronic data system. Medical charts were reviewed and descriptive statistics were obtained.Results: One hundred six patients were initially found being treated with NS-ART, and 92 adult patients were confirmed to be on NS-ART after review. Mean patient age was 42.4 ± 10.3 years, and 52 (57%) were female. Mean duration of treatment with the NS-ART being used at the time of data collection was 2.1 ± 1.5 years. Eight patients (9%) were on modified first-line NS-ART and 84 (91%) were on modified second-line NS-ART, with 90 patients (98%) having multiple factors contributing to NS-ART use. Severe toxicity from one medication contributed in 28 cases (30%) and toxicity from multiple medications contributed in 46 cases (50%), while 22 patients (24%) were transitioned to NS-ART following a stockout of their original medication. Following clinical review, 84 patients (91%) were transitioned to standard regimens, and eight (9%) were maintained on NS-ART because of incompatibility of their clinical features with the latest national guidelines.Conclusions: Primary factors contributing to NS-ART use were medication toxicities and medication stockouts. Most patients were transitioned to standard regimens, although the need for NS-ART remains