Comparison of plant nutrient levels between compost from Sky loo and Fossa alterna toilets

Recent scholars have highlighted the benefit of harvesting compost from eco-san toilets for application as plant nutrients. However, levels of nutrients in eco-san compost may vary depending on the type of toilet and also the type of top soil in a particular geographical region. This study compared levels of nitrogen, phosphorous, potassium, calcium and sodium between compost from Sky loo and Fossa alterna toilets. Samples were collected from Zimora and Ng’ombe villages in Chikhwawa district, southern Malawi. Statistical analysis using SPSS showed significantly higher levels of nitrogen, calcium and moisture in compost from Fossa alterna toilets than in Sky loo (p < 0.05). However, there were no significant differences in the levels of potassium in the two types of eco-san compost studied. This study has revealed that compost from Fossa alterna is generally a richer source of plant nutrients than that from Sky loo thereby presenting poor, local communities in sub-Saharan Africa with a cheaper alternative to commercial fertilizer.Key words: Eco-san toilets, compost, Malawi, plant nutrients, soil quality

The 4 per 1000 initiative.

Soil organic matter is at the nexus of global challenges: food security, climate change adaptation and mitigation, soil security. The 4 per 1000 initiative, launched at the Climate COP21 within the Lima-Paris Action Agenda proposes to increase soil organic carbon (SOC) stocks to simultaneously address all these challenges. It directly addresses three sustainable development goals: SDG2 ?no hunger?, SDG13 ?Climate action?, and SDG15 ?Life on land? and indirectly concerns several others. The initiative targets agricultural soils in priority, which are often the most degraded soils and because of the high expected benefits in terms of soil fertility and hence of productivity. A range of agricultural practices are available that allow to increase SOC stocks while ensuring a resilient, productive and environmentally friendly agriculture, so that a large-scale deployment can be aimed at. Here, we review and discuss the main limits and criticisms addressed to the 4 per 1000 initiative

Psychosocial issues and coping mechanisms of pregnant and postnatal women diagnosed with COVID-19: A qualitative study

Objective There is a paucity of data on the psychosocial issues and coping mechanisms among pregnant and postnatal women with COVID-19 infection. We, therefore, aimed to explore the psychosocial issues and coping mechanisms of pregnant and postnatal women diagnosed with COVID-19 at tertiary-level hospitals. Methods This was a qualitative phenomenological study conducted in 2021 with a sample size of 16 women admitted at two referral hospitals serving as COVID-19 admission facilities for pregnant and postnatal women in Lusaka, Zambia. In-depth interviews were conducted via telephone to understand what these women experienced when diagnosed with COVID-19. All the interviews were audio-recorded and transcribed verbatim. Thematic analysis was conducted using the six steps approach to develop emerging themes. Results Two major themes emerged: psychosocial issues and coping mechanisms. The primary psychosocial issues were worry and stigma. Women worried about infecting their unborn baby or neonate, being separated from the baby, the general safety of the baby, and the health of other family members. Women also worried about the attitude of health care providers and faced discrimination or stigma because of their infection. Thus, some coping mechanisms were developed that helped them, such as a positive attitude, keeping the disease secret, reliance on family members for support and using positive information from social media. Conclusion This study provides unique insights into the psychosocial experiences of pregnant and postnatal women diagnosed with COVID-19. Women were particularly concerned about the unborn baby's well-being and discrimination.This study suggests the need for policy and clinical practice to consider the integration of effective mental health services into the provision of maternal health and COVID-19 services

Improving validity of informed consent for biomedical research in Zambia using a laboratory exposure intervention.

BACKGROUND: Complex biomedical research can lead to disquiet in communities with limited exposure to scientific discussions, leading to rumours or to high drop-out rates. We set out to test an intervention designed to address apprehensions commonly encountered in a community where literacy is uncommon, and where complex biomedical research has been conducted for over a decade. We aimed to determine if it could improve the validity of consent. METHODS: Data were collected using focus group discussions, key informant interviews and observations. We designed an intervention that exposed participants to a detailed demonstration of laboratory processes. Each group was interviewed twice in a day, before and after exposure to the intervention in order to assess changes in their views. RESULTS: Factors that motivated people to participate in invasive biomedical research included a desire to stay healthy because of the screening during the recruitment process, regular advice from doctors, free medical services, and trust in the researchers. Inhibiting factors were limited knowledge about samples taken from their bodies during endoscopic procedures, the impact of endoscopy on the function of internal organs, and concerns about the use of biomedical samples. The belief that blood can be used for Satanic practices also created insecurities about drawing of blood samples. Further inhibiting factors included a fear of being labelled as HIV positive if known to consult heath workers repeatedly, and gender inequality. Concerns about the use and storage of blood and tissue samples were overcome by a laboratory exposure intervention. CONCLUSION: Selecting a group of members from target community and engaging them in a laboratory exposure intervention could be a useful tool for enhancing specific aspects of consent for biomedical research. Further work is needed to determine the extent to which improved understanding permeates beyond the immediate group participating in the intervention

Predictors of musculoskeletal manifestations in paediatric patients presenting with sickle cell disease at a tertiary teaching hospital in Lusaka, Zambia

Aims Sickle cell disease (SCD) is an autosomal recessive inherited condition that presents with a number of clinical manifestations that include musculoskeletal manifestations (MM). MM may present differently in different individuals and settings and the predictors are not well known. Herein, we aimed at determining the predictors of MM in patients with SCD at the University Teaching Hospital, Lusaka, Zambia. Methods An unmatched case-control study was conducted between January and May 2019 in children below the age of 16 years. In all, 57 cases and 114 controls were obtained by systematic sampling method. A structured questionnaire was used to collect data. The different MM were identified, staged, and classified according to the Standard Orthopaedic Classification Systems using radiological and laboratory investigations. The data was entered in Epidata version 3.1 and exported to STATA 15 for analysis. Multiple logistic regression was used to determine predictors and predictive margins were used to determine the probability of MM. Results The cases were older median age 9.5 (interquartile range (IQR) 7 to 12) years compared to controls 7 (IQR 4 to 11) years; p = 0.003. After multivariate logistic regression, increase in age (adjusted odds ratio (AOR) = 1.2, 95% confidence interval (CI) 1.04 to 1.45; p = 0.043), increase in the frequency of vaso-occlusive crisis (VOC) (AOR = 1.3, 95% CI 1.09 to 1.52; p = 0.009) and increase in percentage of haemoglobin S (HbS) (AOR = 1.18, 95% CI 1.09 to 1.29; p Conclusion Increase in age, frequency of VOC, and an increase in the percentage of HbS were significant predictors of MM. These predictors maybe useful to clinicians in determining children who are at risk.</p

Nitazoxanide for persistent diarrhoea in Zambian acquired immune deficiency syndrome patients: a randomized-controlled trial

Background: Adults with acquired immune deficiency syndrome and persistent diarrhoea in Zambia have intestinal infection, predominantly protozoa. Aim: To search for treatment which can be offered with minimal investigation, we carried out a double‐blind, randomized‐controlled trial of nitazoxanide (a drug with a range of activity against parasites and bacteria). Methods: Patients with diarrhoea of 1 month duration or longer were randomized to receive nitazoxanide (1000 mg twice daily) or placebo for 2 weeks. End‐points were clinical response, parasitological clearance and mortality. Results: Two hundred and seven adults were randomized; 42 died during the study. The primary assessment of efficacy was made after 17 days. Clinical response was observed in 56 (75%) of 75 patients receiving nitazoxanide and 45 (58%) of 77 patients receiving placebo (P = 0.03). The rate of improvement was markedly higher in patients with CD4 counts under 50 cells/μL receiving nitazoxanide (P = 0.007). The benefit was largely restricted to the period when the drug was being administered. No difference was seen in parasitological clearance between the two groups. Mortality was 19% by 4 weeks of follow‐up and did not differ with treatment allocation. Conclusions: Nitazoxanide given orally for 14 days was associated with clinical improvement in Zambian acquired immune deficiency syndrome patients with diarrhoea, especially those with very low CD4 counts

Understanding the multidimensionality of climate-smartness: Examples from agroforestry in Tanzania

Climate-smart agriculture (CSA) has three goals—productivity, resilience and mitigation. Rarely are these accounted for in CSA programming or the scientific evidence that supports it. Here, we evaluate the climate smartness of CSA-based agroforestry practices in Tabora and Dodoma, Tanzania using unpublished data from earlier studies. Firstly, a study of on-farm wood production and its use with the improved cook stove (ICS) was used to ascertain the productivity and mitigation effects of CSA. Next, intercropping experiments of maize or cassava with pigeonpea and/or G. sepium provided information on the production and resilience benefits of CSA. It was found that agroforestry practices (shelterbelt, trees on contours and intercropping) supplied up eight tons per hectare (t ha−1) of wood—enough to support a five-member family for up to 6 years when using ICS. Employing ICS also reduced the time spent in cooking (20%) and fuelwood collection (32%), and reduced gas emissions by 62%. Generally, intercropping pigeonpea or G. sepium enhanced farm production (as noted by a land equivalent ratio greater than 1) and agroecosystem resilience through crop diversification by using suitable intercropping arrangements and including a drought-resistant crop. Using the latter two in semi-arid Dodoma enhanced crop production across seasons and sites. Our analysis shows that adopting CSA-based agroforestry and intercropping practices is beneficial. However, these benefits are not universal. It also illustrates other key principles for understanding multidimensionality of CSA objectives, including the need to: select appropriate indicators, ensure designs are robust for heterogeneity, examine trade-offs, and conduct participatory evaluation of CSA