The Chronic Diseases Clinic of Ifakara (CDCI)- establishing a model clinic for chronic care delivery in rural sub-Saharan Africa

The rollout of antiretroviral drugs in sub-Saharan Africa to address the huge health impact of the HIV pandemic has been one of the largest projects undertaken in medical history and is an unprecedented medical success story. However, the path has been and still is characterized by many far reaching implementational challenges. Here, we report on the building and maintaining of a role model clinic in Ifakara, rural Southwestern Tanzania, within a collaborative project to support HIV services within the national program, training for staff and integrated research to better understand local needs and improve patients' outcomes

Impacts of savanna trees on forage quality for a large African herbivore

Recently, cover of large trees in African savannas has rapidly declined due to elephant pressure, frequent fires and charcoal production. The reduction in large trees could have consequences for large herbivores through a change in forage quality. In Tarangire National Park, in Northern Tanzania, we studied the impact of large savanna trees on forage quality for wildebeest by collecting samples of dominant grass species in open grassland and under and around large Acacia tortilis trees. Grasses growing under trees had a much higher forage quality than grasses from the open field indicated by a more favourable leaf/stem ratio and higher protein and lower fibre concentrations. Analysing the grass leaf data with a linear programming model indicated that large savanna trees could be essential for the survival of wildebeest, the dominant herbivore in Tarangire. Due to the high fibre content and low nutrient and protein concentrations of grasses from the open field, maximum fibre intake is reached before nutrient requirements are satisfied. All requirements can only be satisfied by combining forage from open grassland with either forage from under or around tree canopies. Forage quality was also higher around dead trees than in the open field. So forage quality does not reduce immediately after trees die which explains why negative effects of reduced tree numbers probably go initially unnoticed. In conclusion our results suggest that continued destruction of large trees could affect future numbers of large herbivores in African savannas and better protection of large trees is probably necessary to sustain high animal densities in these ecosystems

Zooterapia amazônica: uso de gordura de sucuri ( Eunectes murinus ) como cicatrizante natural

Zootherapy (the use of the therapeutic potential of animals) is at least 6,000 years old, and has been kept active throughout generations until modern days. Animal fat is commonly used in the zootherapeutic folk medicine from South America, specially the green anaconda's fat, which is widely promoted as a natural medicine to treat wounds, even though there is no scientific evidence showing its efficacy. In this study we compared the total healing time and the proportional daily reduction of dorsal epithelial incisions in adult male Wistar rats treated with nitrofural (a commercial cicatrizing ointment) and with anaconda fat. We applied the treatments every two days and measured the incision diameter daily, during ten consecutive days. Differences among the groups in the total healing time and in the proportional daily reduction of the incision consistently showed that the fat-based treatment resulted in a faster healing process compared to the commercial ointment tested. The literature suggests that the efficacy of animal fat on healing may be primarily related to the presence of fatty acids, which have been widely demonstrated to be important for biochemical reactions involved in healing processes. Our findings are widely socially relevant, considering that traditional Amazonian communities that use anaconda fat in folk medicine do not have easy access to pharmacies and hospitals.Práticas ancestrais de zooterapia (uso das potencialidades terapêuticas da fauna) existem há pelo menos 6000 anos, e têm sido mantidas ao longo de gerações até os tempos modernos. Gordura de animais é comumente utilizada na zooterapia tradicional da América do Sul, e a gordura de serpentes sucuris é amplamente comercializada como cicatrizante natural, embora não existam evidências científicas que mostrem sua eficácia terapêutica. Neste estudo comparamos o tempo de cicatrização epitelial total e a redução proporcional diária de uma incisão dorsal em ratos Wistar machos adultos, entre um grupo controle, um grupo tratado com nitrofural (uma pomada cicatrizante comercial) e um grupo tratado com gordura de sucuri. Nós aplicamos os tratamentos a cada dois dias e medimos o diâmetro da incisão diariamente por dez dias consecutivos. Diferenças entre os grupos no tempo de cicatrização total e na redução proporcional diária da incisão consistentemente mostraram que gordura de sucuri teve ação cicatrizante mais eficiente que a pomada comercial testada. A literatura sugere que a eficácia de gordura animal em processos de cicatrização pode estar principalmente relacionada à presença de ácidos graxos, os quais têm sido amplamente demonstrados como importantes para reações bioquímicas envolvidas em processos de cicatrização. Os resultados têm ampla relevância social, considerando que as comunidades tradicionais amazônicas que utilizam a gordura de sucuris como zooterápico não têm acesso fácil a farmácias e hospitais

Impact of decentralised forest management on forest cover changes in the north eastern Tanzania

This study aimed to assess the impact of decentralised forest management on forest cover changes in the north eastern Tanzania. Six contrasting forests namely: Shagayu (JFM), Shume-Magamba (fexclusive state management) and Sagara (CBFM) in the montane, and Handeni Hill(JFM), Kiva Hill (exclusive state management) and Kwakirunga (CBFM) insemi-arid forests were studied. Forest cover changes were assessed for periods before and after decentralised forest management. Cover maps were derived from Landsat Thematic Mapper (TM) and Enhanced Thematic Mapper (ETM) images. Forest inventory techniques were used to estimate tree harvests as major drivers of forest cover changes. The area under closed forest cover decreased substantially ranging from 0.4%.y-1 to 1.3%.y-1 in the montane forests with higher forest loss recorded under exclusive state management. In the semi-arid, the forest under JFM experienced substantial increase in forest cover (+3.5%.y-1) as compared to exclusive state management and CBFM. More tree basal area were harvested under exclusive state management in the montane study forests as compared to JFM and CBFM and the differences were significant (p<0.05). In the semi-arid study forests, higher tree harvests were recorded under CBFM followed by JFM and exclusively state and thedifferences were significant (p<0.05). It was observed in this study that, regardless of management regime, participating villagers were unable to exclude people with no formal rights to the forests under PFM. It is therefore concluded that, decentralised management can impact forest resources both positively and negatively depending on institutional arrangements. However, some empirical evidence indicates that JFM and CBFM performed better than those under exclusive state management,although uncontrolled exploitation of the forest has continued also under these regimes. Although the two regimes are promising forest decentralisation models for Tanzania, more research is needed to understand the functions of different governance structures for decentralized forest management to achieve the goal of improving forest condition.Keywords: decentralised forest management, forest cover, montane, semiarid, north eastern Tanzani

Influence of forest land tenure regimes on forest condition in Uluguru mountains, Tanzania

Tanzania Journal of Forestry and Nature Conservation, 82(1):68-91The paper scrutinizes the current wave of forest land tenure reforms since the inception of the new forest policy in 1998. It explores which type of forestland tenure regime had more positive influence on forest condition in the Uluguru Mountains, Tanzania. The assessment was done with reference to vegetation types of montane and miombo woodlands. The study showed that for the montane vegetation, state regime (Uluguru Nature Reserve) had higher stocking (volume 1,233m3/ha; basal area 78m2/ha; density 777 stems/ha) and tree species diversity (H’ 3.48) compared to communal regime (Chief Kingalu Sacred Forest) which had low stocking (volume 798m3/ha; basal area 49m2/ha; density 1,020 stems/ha) and tree species diversity (H’ 3.21). For the miombo vegetation, corporate/private regime (Tangeni Roman Catholic Church Forest Reserve) had higher stocking (volume 122m3/ha; basal area 27m2/ha and density 2,573 stems/ha) and tree species diversity (H’ 2.60) compared to communal regime (Misumba Village Land Forest Reserve) which had low stocking (volume 23m3/ha; basal area 10.8m2/ha and density 4,200 stems/ha) and tree species diversity (H’ 3.53). The study concludes that state regime represented by Uluguru Nature Reserve showed improved forest condition compared to communal tenure regime (Chief Kingalu Sacred Forest) for the montane vegetation type while private regime (Tangeni Roman Catholic Church Forest Reserve) was more effective in conservation than communal regime (Misumba Village Land Forest Reserve). The study recommends that sustainable management of forests could not be addressed by tenure reforms in the forestry sector alone, but requires 'cross-sectoral', 'inter-disciplinary' and 'participatory' approach along with secure tenure. Moreover, it is essential that an in-depth forest inventory is conducted at predetermined intervals to quantify stocking of tree, shrub species and forest disturbances to understand the level of resource extraction for each tenure regime. Key words: Tenure regimes, reforms, forest condition, Uluguru Mountains, Tanzania

Influence of forest land tenure regimes on forest condition in Uluguru mountains, Tanzania

Tanzania Journal of Forestry and Nature Conservation, 82(1):68-91The paper scrutinizes the current wave of forest land tenure reforms since the inception of the new forest policy in 1998. It explores which type of forestland tenure regime had more positive influence on forest condition in the Uluguru Mountains, Tanzania. The assessment was done with reference to vegetation types of montane and miombo woodlands. The study showed that for the montane vegetation, state regime (Uluguru Nature Reserve) had higher stocking (volume 1,233m3/ha; basal area 78m2/ha; density 777 stems/ha) and tree species diversity (H’ 3.48) compared to communal regime (Chief Kingalu Sacred Forest) which had low stocking (volume 798m3/ha; basal area 49m2/ha; density 1,020 stems/ha) and tree species diversity (H’ 3.21). For the miombo vegetation, corporate/private regime (Tangeni Roman Catholic Church Forest Reserve) had higher stocking (volume 122m3/ha; basal area 27m2/ha and density 2,573 stems/ha) and tree species diversity (H’ 2.60) compared to communal regime (Misumba Village Land Forest Reserve) which had low stocking (volume 23m3/ha; basal area 10.8m2/ha and density 4,200 stems/ha) and tree species diversity (H’ 3.53). The study concludes that state regime represented by Uluguru Nature Reserve showed improved forest condition compared to communal tenure regime (Chief Kingalu Sacred Forest) for the montane vegetation type while private regime (Tangeni Roman Catholic Church Forest Reserve) was more effective in conservation than communal regime (Misumba Village Land Forest Reserve). The study recommends that sustainable management of forests could not be addressed by tenure reforms in the forestry sector alone, but requires 'cross-sectoral', 'inter-disciplinary' and 'participatory' approach along with secure tenure. Moreover, it is essential that an in-depth forest inventory is conducted at predetermined intervals to quantify stocking of tree, shrub species and forest disturbances to understand the level of resource extraction for each tenure regime. Key words: Tenure regimes, reforms, forest condition, Uluguru Mountains, Tanzania