The epidemiology of gonorrhoea, chlamydial infection and syphilis in four African cities.

OBJECTIVES: To compare the epidemiology of gonorrhoea, chlamydial infection and syphilis in four cities in sub-Saharan Africa; two with a high prevalence of HIV infection (Kisumu, Kenya and Ndola, Zambia), and two with a relatively low HIV prevalence (Cotonou, Benin and Yaoundé, Cameroon). DESIGN: Cross-sectional study, using standardized methods, including a standardized questionnaire and standardized laboratory tests, in four cities in sub-Saharan Africa. METHODS: In each city, a random sample of about 2000 adults aged 15-49 years was taken. Consenting men and women were interviewed about their socio-demographic characteristics and their sexual behaviour, and were tested for HIV, syphilis, herpes simplex virus type 2 (HSV-2), gonorrhoea, chlamydial infection, and (women only) Trichomonas vaginalis infection. Risk factor analyses were carried out for chlamydial infection and syphilis seroreactivity. RESULTS: The prevalence of gonorrhoea ranged between 0% in men in Kisumu and 2.7% in women in Yaoundé. Men and women in Yaoundé had the highest prevalence of chlamydial infection (5.9 and 9.4%, respectively). In the other cities, the prevalence of chlamydial infection ranged between 1.3% in women in Cotonou and 4.5% in women in Kisumu. In Ndola, the prevalence of syphilis seroreactivity was over 10% in both men and women; it was around 6% in Yaoundé, 3-4% in Kisumu, and 1-2% in Cotonou. Chlamydial infection was associated with rate of partner change for both men and women, and with young age for women. At the population level, the prevalence of chlamydial infection correlated well with reported rates of partner change. Positive syphilis serology was associated with rate of partner change and with HSV-2 infection. The latter association could be due to biological interaction between syphilis and HSV-2 or to residual confounding by sexual behaviour. At the population level, there was no correlation between prevalence of syphilis seroreactivity and reported rates of partner change. CONCLUSION: Differences in prevalence of chlamydial infection could be explained by differences in reported sexual behaviour, but the variations in prevalence of syphilis seroreactivity remained unexplained. More research is needed to better understand the epidemiology of sexually transmitted infections in Africa

Poverty and poor education are key determinants of high household food insecurity among populations adjoining forest concessions in the Congo Basin

Background: The trees and non-timber forest products (NTFPs) of the Congo Basin play a key role in alleviating food insecurity among millions of people around the world. Although many studies have been conducted both nationally and regionally on issues of food insecurity in the Congo Basin, little is known on the effects of timber exploitation on household food insecurity statues of forest dependent communities in this region. This study focused on the determination of the principal indicators of household food security status of populations living around six selected forest concessions in the Congo Basin. Method: We randomly surveyed 724 households in thirty-four communities living in six popular forest concessions around the Congo Basin. Food consumption pattern data was collected using a validated food-frequency questionnaire in 2012. Household Food Insecurity Access Prevalence (HFIAP) was assessed using the HFIAP indicator and households were categorized into four levels of household food insecurity status as follows: Food secure (HFIAS = 0); mildly food insecure (HFIAS 1–8); moderately food insecure (HFIAS 9–13); and severely food insecure (HFIAS 14–27). Results: The majority of the households interviewed were headed by women (73.1 %, 76.6 %, and 58.6 % for Cameroon, DRC and Gabon respectively), most of them married (84.6 %, 100 %, 57.6 % for Cameroon, DRC and Gabon respectively) with an average age range of 30–49 years. Most of the household members were engaged in farming and/or illegal logging as the main revenue generating activities. Results of global household food insecurity categorized 63.8 % of households in Cameroon as fully food secure and 36 % as food insecure. In the DRC (92.9 %) and Gabon (92.7 %), almost all the survey households were categorized as either moderately or severely food insecure; clearly elucidating the existence of severe insufficiency in the quantity and quality of food meant for human nutrition in these areas. The means of household food insecurity scores for the DRC (17.40 ± 4.15) and Gabon (14.9 ± 5.87) were significantly higher when compared to the average score for Cameroon ((7.55 ± 6.62) at p < 0.0001. This literally means that many of the households especially in DRC and Gabon face enormous difficulties in obtaining an adequate dietary energy supply. Gender (female), educational level (illiterate), and age (young) were positively correlated to food insecurity levels. Conclusion: Our results revealed that, despite the potential contribution of the Congo Basin forests, through enhancing access to different forms of quality foods such as bush meat, wild foods, and medicine, not forgetting the provision of agricultural land, local construction material, and income generation resources, the prevalence of food insecurity among the population adjoining forest concessions in the region is severe. This prevalence is alarming around forest concessions of the DRC and Gabon and in one concession of Cameroon. Given that poverty and poor education were positively correlated to household food insecurity, they were considered the paramount determinants of household food insecurity in this region

Biodiversity of the cocoa agroforests of the Bengamisa-Yangambi Forest Landscape in the Democratic Republic of the Congo (DRC)

Cocoa agroforestry has evolved into an accepted natural resource conservation strategy in the tropics. It is regularly proposed as one of the main uses for REDD+ projects (Reducing Emissions from Deforestation and forest Degradation and the role of conservation, sustainable management of forests, and enhancement of forest carbon stocks in developing countries) in the Democratic Republic of the Congo. However, few studies have characterized the cocoa agroforestry systems in this country. Hence, this research proposes to determine the impact of distance from Kisangani (the unique city in the landscape) and land-use intensity on the floristic composition of cocoa agroforests in Bengamisa-Yangambi forest landscape in the Congo Basin. The results revealed that species diversity and density of plants associated with cocoa are influenced by the distance from Kisangani (the main city in the landscape and province). Farmers maintain/introduce trees that play one or more of several roles. They may host caterpillars, provide food, medicine, or timber, or deliver other functions such as providing shade to the cocoa tree. Farmers maintain plants with edible products (mainly oil palms) in their agroforests more than other plants. Thus, these agroforests play key roles in conserving the floristic diversity of degraded areas. As cocoa agroforestry has greater potential for production, biodiversity conservation, and environmental protection, it should be used to slow down or even stop deforestation and forest degradation

A New Species of Boubou (Malaconotidae: Laniarius) from the Albertine Rift

We describe Laniarius willardi, a new species of boubou shrike (Malaconotidae) from the Albertine Rift of Africa. The most conspicuous, distinguishing morphological feature of the species is a gray to blue-gray iris. This and external morphometric data indicate that L. willardi is diagnosable from other black or sooty boubous. Further, L. willardi is genetically diagnosable, and its closest relative is the Mountain Sooty Boubou (L. poensis camerunensis) from Cameroon. The Crimson-breasted Bush-shrike (L. atrococcineus) and the Lowland Sooty Boubou (L. leucorhynchus) are together the sister clade to L. willardi—L.p. camerunensis. Laniarius willardi and the geographically codistributed L. p. holomelas differ by 11.5% in uncorrected sequence divergence, and elevational data taken from museum specimens suggest the possibility of elevational segregation of the species at ∼2,000 m, withL. willardi occurring at lower elevations. Our broad sampling of black and sooty boubou taxa indicate that (1) races of Mountain Sooty Boubou (L. poensis) do not form a monophyletic clade; (2) L. p. camerunensismay represent multiple, nonsister lineages; and (3) at least one race of Fülleborn\u27s Black Boubou (L. fuelleborni usambaricus) is genetically distinct from other races of that species

Trees for Food and Timber: are community interests in conflict with those of timber concessions in the Congo Basin?

Much of the Congo Basin is managed for timber from dozens of species. More than 60% also produce non-timber products, including foods. For five multiple use tree species in Cameroon, Democratic Republic of Congo (DRC) and Gabon (Entandrophragma cylindricum, Baillonella toxisperma, Erythrophleum suaveloens, Dacryodes buettneri and Gambeya lacourtiana), we studied gathering and consumption by communities, edible caterpillars hosted, the densities of trees around villages and in concessions and the impacts of timber harvesting . We also studied the consumption of forest foods and the nutritional values of fruits and seeds of various tree species. Villagers walked up to six km during day trips to collect fruits or caterpillars, gathering from concessions if the village was within or near it. When foods were gathered from trees smaller than the cutting diameter (which varied by country and species), there was no conflict with timber harvesting. However, the volume of edible caterpillars hosted increased with diameter and harvestable trees were the most productive. Caterpillars, tree fruits and seeds provide fats, vitamins and minerals that complement agricultural foods. Densities of B. toxisperma, valued for its edible oil, were higher around villages than in concessions. The proportion of commercial trees harvested for timber varied from less than 3% to more than 50%, depending on the species. Different species had different geneflow distances, meaning viable regeneration could be expected with residual adults at different maximum distances. E. cylindricum had more effective dispersal than E. suaveolens. The production of timber and nontimber products can be sustained from the same concessions, for different stakeholders, with appropriate practices and arrangements

Beyond timber: balancing demands for tree resources between concessionaires and villagers

Extensive areas of the Congo Basin forest are allocated to timber concessionaires. These forests also harbour and support village populations, including indigenous Baka people, who depend on forest foods obtained directly from trees (fruits, oils and caterpillars). Most food-producing tree species are harvested by concessionaires for timber. We documented the availability and abundance of three food tree species around four villages and in two neighboring timber concessions in Cameroon. Data was used to determine the importance of timber concessions as sources of food for local people to provide a foundation for governance arrangements that consider local needs for foods from timber trees. Discussions with concessionaires revealed that some of them have voluntarily refrained from extracting timber species of interest to villagers for their nontimber products. This is either to avoid conflict with villagers, or because regulations have been promulgated to safeguard these resources. The interplay between internal village dynamics, regulations and their implementation by forest guards, and the actions of timber concessions create a complex arena for addressing rights to forest resources. This paper provides information on the accessibility and availability of multiple use timber species as a foundation for negotiations and governance arrangements between concessionaires and local communities

Impact of mid-level management and support on the performance of a district health system in the Democratic Republic of the Congo

INTRODUCTION: The aim of this study was to assess the contribution of mid-level management and support practices to the overall performance of a district healthcare system. METHODS: This case study was carried out in the North Kivu Province of the Democratic Republic of the Congo. It was based on analysis of (i) preventive and curative healthcare services and (ii) management and support practices provided from 2000 to 2008. RESULTS: In response to recurring sociopolitical unrest since 1992, the mid-level health system (provincial level) in North Kivu has strengthened management and support practices. The main goals have been to optimize allocation of interventions by external emergency organizations and integration of specialized program activities, to harmonize intervention techniques implemented by external partners, to standardize supervision of sanitary districts with regard to care provider skills, and to adapt strategic options defined by the Ministry of Health to the provincial level. Using this comprehensive approach, the performance of the North Kivu Province in terms of curative and preventive care has exceeded the national average since 2001. Between 2001 and 2008, use of curative services progressed from 0.36 to 0.50 new cases/capita/year. Positive results have also been recorded for infrastructure coverage, essential medicine stock, health information system, and emergency preparedness. CONCLUSION: Stronger mid-level management and support practices have improved care activities in the health district while protecting the population from unstructured interventions by emergency organizations or specialized programs. A comprehensive management approach has also improved the resilience of the district and increased its contribution to Millennium Development Goals