Estimating the Benefits from Improved Market Information

Using a partial equilibrium model, the benefits of providing improved agricultural market information to farmers and small-scale traders of maize, millet, sorghum and paddy rice in Mali are estimated. The value of information is estimated as the reduction in dead-weight loss when farmers and small-scale traders with rational expectations respond to improved price forecasts from Market Information Systems. The study finds that benefits from improved information, which can also be viewed as a reduction of the cost of being off the equilibrium price and quantity, are great when there is high uncertainty about future prices, high own-price elasticity of supply, low own-price elasticity of demand, and high value of crop output. The study suggests that crop-specific, localized Market Information Systems (MIS) designed based on local area supply and demand responses to prices have higher returns than national uniformly distributed MISs covering a wide range of commodities in the country.Marketing,

Evaluating the Impact on Market Performance of Investments in Market Information Systems: Methodological Challenges

Evaluating the impact on market performance of investments in agricultural market information systems (MIS) face several methodological challenges. These fall into two broad categories: (a) defining the dimensions of market performance to measure (which is a function of whom the MIS is designed to serve) and identifying reliable indicators of those performance dimensions, and (b) identifying the causal effects of the MIS. The determination of causal effects in turn requires establishing a credible baseline, measuring “treatment effects” (i.e., the effects on economic behavior of receiving improved information from an MIS), dealing with problems of endogenous placement of treatment, and interpreting the validity of stakeholders’ statements and governments’ revealed preferences regarding the utility of MIS. Many of these challenges arise because improved market information can affect the welfare of market actors through improved market polices and increased competition even if those actors do not have direct access to that information. The paper discusses these challenges and identifies approaches that may be useful in developing a “convergence of evidence” concerning whether investment in a given MIS is socially worthwhile.market information services, impact assessment, market transparency, food policies, Agricultural and Food Policy, Food Security and Poverty, International Development, Marketing, Research and Development/Tech Change/Emerging Technologies, Research Methods/ Statistical Methods, C81, D80, H43, N57, 013, Q13,

Responding to Major Burn Disasters in Resource-Limited Settings: Lessons Learned From an Oil Tanker Explosion in Nakuru, Kenya.

BACKGROUN

Broad spectrum antibiotic use among in-patients at a hospital in Nairobi, Kenya

Background: Antimicrobial resistance is an increasingly serious threat to global public health. While the use of antibiotics is an important contributing factor, there are gaps regarding this in our region. This study aimed to describe the use of nine broad spectrum antibiotics among in-patients of The Nairobi Hospital (TNH) so as to identify opportunities for quality improvement.Methods: This was a retrospective review of the use of meropenem, ertapenem, imipenem, cefepime, piperacillin, gentamicin, amikacin, vancomycin and teicoplanin among in-patients of TNH from 1st January 2018 to 31st March 2018. Demographic and clinical data of all in-patients who were prescribed these antibiotics during the study period were retrieved from patient files.Results: There were 301 study participants with a median age (range) of 30years (1day-74years), of whom 161 (53.5%) were male. More than half of the participants were admitted for less than one week and had at least one co-morbidity. Meropenem was the most commonly prescribed study antibiotic 123 (40.9%) followed by amikacin 89 (29.6%). Respiratory tract infections 125 (41.5%) were the predominant indications. Meropenem had the longest mean duration of administration, 6.5days while the aminoglycosides were administered for a relatively shorter duration of about 4.8days. Cultures were done on 187 (62.1%) patients though it is only samples of 45 patients that grew an organism, E. coli and Klebsiella sp being the most frequently isolated organisms.Conclusions: There’s a need to strongly intensify implementation of restriction strategies for Meropenem use and introduction of education programs on antimicrobial stewardship targeting all prescribers

Cluster-randomized study of intermittent preventive treatment for malaria in infants (IPTi) in southern Tanzania: evaluation of impact on survival.

BACKGROUND\ud \ud Intermittent Preventive Treatment for malaria control in infants (IPTi) consists of the administration of a treatment dose of an anti-malarial drug, usually sulphadoxine-pyrimethamine, at scheduled intervals, regardless of the presence of Plasmodium falciparum infection. A pooled analysis of individually randomized trials reported that IPTi reduced clinical episodes by 30%. This study evaluated the effect of IPTi on child survival in the context of a five-district implementation project in southern Tanzania. [Trial registration: clinical trials.gov NCT00152204].\ud \ud METHODS\ud \ud After baseline household and health facility surveys in 2004, five districts comprising 24 divisions were randomly assigned either to receive IPTi (n = 12) or not (n = 12). Implementation started in March 2005, led by routine health services with support from the research team. In 2007, a large household survey was undertaken to assess the impact of IPTi on survival in infants aged two-11 months through birth history interviews with all women aged 13-49 years. The analysis is based on an "intention-to-treat" ecological design, with survival outcomes analysed according to the cluster in which the mothers lived.\ud \ud RESULTS\ud \ud Survival in infants aged two-11 months was comparable in IPTi and comparison areas at baseline. In intervention areas in 2007, 48% of children aged 12-23 months had documented evidence of receiving three doses of IPTi, compared to 2% in comparison areas (P < 0.0001). Over the three years of the study there was a marked improvement in survival in both groups. Between 2001-4 and 2005-7, mortality rates in two-11 month olds fell from 34.1 to 23.6 per 1,000 person-years in intervention areas and from 32.3 to 20.7 in comparison areas. In 2007, divisions implementing IPTi had a 14% (95% CI -12%, 49%) higher mortality rate in two-11 month olds in comparison with non-implementing divisions (P = 0.31).\ud \ud CONCLUSION\ud \ud The lack of evidence of an effect of IPTi on survival could be a false negative result due to a lack of power or imbalance of unmeasured confounders. Alternatively, there could be no mortality impact of IPTi due to low coverage, late administration, drug resistance, decreased malaria transmission or improvements in vector control and case management. This study raises important questions for programme evaluation design

Two Phase Flow Modeling: Summary of Flow Regimes and Pressure Drop Correlations in Reduced and Partial Gravity

The purpose of this report is to provide a summary of state-of-the-art predictions for two-phase flows relevant to Advanced Life Support. We strive to pick out the most used and accepted models for pressure drop and flow regime predictions. The main focus is to identify gaps in predictive capabilities in partial gravity for Lunar and Martian applications. Following a summary of flow regimes and pressure drop correlations for terrestrial and zero gravity, we analyze the fully developed annular gas-liquid flow in a straight cylindrical tube. This flow is amenable to analytical closed form solutions for the flow field and heat transfer. These solutions, valid for partial gravity as well, may be used as baselines and guides to compare experimental measurements. The flow regimes likely to be encountered in the water recovery equipment currently under consideration for space applications are provided in an appendix

The effect of anthelmintic treatment during pregnancy on HIV plasma viral load: results from a randomized, double-blind, placebo-controlled trial in Uganda.

BACKGROUND: To investigate the effect of helminth infections and their treatment during pregnancy on HIV load, we conducted a 2 × 2 factorial randomized controlled trial of albendazole versus placebo and praziquantel versus placebo in pregnant women in Entebbe, Uganda. METHODS: Two hundred sixty-four HIV-infected pregnant women from the Entebbe Mother and Baby Study (ISRCTN 32849447) were included in this analysis. Women were tested for helminth infections at enrollment, and mean HIV load was compared between infected and uninfected groups. The effect of anthelmintic treatment on HIV load was evaluated at 6 weeks after treatment and at delivery using linear regression and adjusting for enrollment viral load. RESULTS: Hookworm and Trichuris infections were associated with higher mean viral load at enrollment [adjusted mean difference 0.24 log10 copies/mL, 95% confidence interval (CI): 0.01 to 0.47, P = 0.03, and 0.37 log(10) copies/mL, 95% CI: 0.00 to 0.74, P = 0.05, respectively]. There were no associations between viral load and other helminth species. There was some evidence that albendazole reduced viral load at 6 weeks after treatment (adjusted mean difference -0.17, 95% CI: -0.36 to 0.01, P = 0.07); however, this effect did not differ according to mother's hookworm infection status and had diminished at delivery (adjusted mean difference -0.11, 95% CI: -0.28 to 0.07, P = 0.23). There was no effect of praziquantel treatment on HIV load at any time point. CONCLUSIONS: Infection with some soil-transmitted helminth species is associated with increased HIV load in pregnancy. Treatment with albendazole causes a small decrease in HIV load; however, this may not represent a direct effect of worm removal

The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace

Background: Trauma is an increasingly important cause of disease globally. Half of this trauma is from road traffic injuries with motorcycles contributing 21-58%. Low protective gear use, lack of regulation and weak traffic law enforcement contribute to unsafe nature of commercial motorcycles also known as “boda boda” in Uganda.Objectives: To determine the prevalence of protective gear use, the occurrence of head injury and the relationship between the two among commercial motorcycle riders in Kampala.Methods: Following ethical approval we recruited consecutive consenting participants to this analytical cross-sectional study. Data was collected using pretested interviewer administered questionnaires, double entered in Epidata and analyzed with STATA. Proportions and means were used to summarize data. Odds ratios were calculated for association between wearing helmets and occurrence and severity of head injury.Results: All 328 participants recruited were male. Of these, 18.6% used Protective gear and 71.1 % sustained head injury. Helmets protected users from head injury (OR 0.43, 95% CI, 0.23-0.8) and significantly reduced its severity when it occurred.Conclusion: Protective gear use was low, with high occurrence of head injury among commercial motorcycle riders in Uganda. More effective strategies are needed to promote protective gear use among Uganda’s commercial motorcycle riders.Keywords: Boda-boda, okada, commercial motorcycle, head injury, protective gear, helmet, Mulago hospital

Quantifying Physical and Economic Losses of African Indigenous Vegetable Solanum aethiopicum Along the Commercial Supply Value Chain

This paper is based on research work done by the authors on African Indigenous vegetables with financial support from the European Union and Forum for Agricultural Research in Africa (FARA) through its Promoting African &amp; European Partnerships in Agricultural Research &amp; Development (PAEPARD). This is part of the outputs of the project entitled “Enhancing nutrition security and incomes through adding value to indigenous vegetables in East and Central Uganda”. Abstract This study presents results of a research that was conducted in Uganda to expound the issues of Solanum aethopicum (Nakati) value chain supply, physical and economic quantification of losses in the supply chain. Specifically the study was designed to; (i) identify and map the value chain actors of an indigenous leafy vegetable S. aethiopicum production and marketing and (ii) quantify the physical losses along the S. aethiopicum vegetable supply chain and (iii) estimate the economic losses along the S. aethiopicum vegetable supply chain.A Participatory Rural Appraisal (PRA) was conducted at Namulonge, Kabanyoro, Busukuma and Zirobwe villages on 7th August 2016, 9th August 2016, 10th August 2016 and 12th August 2016, respectively with the farmers to understand the S. aethiopicum actors’ perception of value chain vegetable losses and mitigating solutions. At each supply chain stage namely field, transit, wholesale and retail. The losses were expressed as difference of the weight of vegetables that entered each stage and weighed again  when the value adding  stage is completed which became the quantity that enters the subsequent stage, thus the losses were determined as a percentage of those that never went to market in relation to the total potential from the field.The value chain actor mapping has revealed a short a short value chain with a number of value chain actors namely; 60 input suppliers, 40 farmer groups, 42 wholesalers, 48 retailers, 2 processors and 61 transporters.  With the exception of agro input supply node which handle pesticides, the rest of the actors handle fresh leafy vegetables that are prone to heavy weight losses due to wilting, rotting and transit contamination. The study further indicated that the physical quantities of S. aethopicum harvested varied in different farms, nonetheless, on average 1473.3 kgs per acre of S. aethopicum is harvested and of the harvested vegetables, 69.4kgs and 73.7 kgs get lost in the field and marketing process, respectively. This translates into S. aethopicum vegetable losses of 13.3% and 5.2% in the field and market points, respectively. Most of this loss occurred on-farm with 13.3% of the harvested crop not entering the commercial-supply chain followed by retail level, 3.5% losses and least at wholesale level of 1.7%. In terms of economic losses, sale of S. aethopicum earned farmers on average 567,233 Shs per acre, sizeable revenue of 26,700 Shs and 53,192 Shs get lost in the field and marketing process, respectively. This is equivalent to S. aethopicum revenue losses of 18% and 35.9% in the field and market points, respectively. Overall, 79,892 Shs of S. aethopicum revenues was lost in the commercial supply chain constituting 53.9% of the losses. Break down of revenue losses showed that at farm level, the loss is 18%, at wholesale level the losses are 10.2% and at retail level losses are 25.7%.It therefore can be concluded that there is a high physical and economic losses of leafy S. aethopicum vegetables at different stages in the supply chain. More research efforts could be focussed on technologies that reduce post-harvest losses such as drying and minimal processing technologies at farm level where greatest losses are experienced. Keywords: African indigenous vegetables, supply chain, economic loss, physical losses DOI: 10.7176/JESD/10-2-0