The importance of learning processes in transitioning small-scale irrigation schemes

Many small-scale irrigation schemes are dysfunctional, and learning, innovation and evaluation are required to facilitate sustainable transitions. Using quantitative and qualitative data from five irrigation schemes in sub-Saharan Africa, we analyze how learning and change arose in response to: soil monitoring tools, which triggered a deep learning cycle; and agricultural innovation platforms, which helped develop a social learning system. Knowledge generation and innovation were driven by the incentives of more profitable farming. Learning and change spread to farmers without the tools, and learning at different levels resulted in extension and governance stakeholders facilitating profound institutional change

The role of soil water monitoring tools and agricultural innovation platforms in improving food security and income of farmers in smallholder irrigation schemes in Tanzania

Smallholder irrigation is an important pathway towards better livelihoods and food security in sub-Saharan Africa. This article assesses the contribution of farmer-friendly soil and water monitoring tools, and agricultural innovation platforms, towards household income and food security in two small-scale irrigation schemes in Tanzania. Quantitative and qualitative data from farmer’s field books, household surveys and focus groups were used to assess the impacts of the two interventions. The two interventions together contributed to enhancing smallholders’ food security and household income in the two schemes, as did the agricultural innovation platform on its own

Do agricultural innovation platforms and soil moisture and nutrient monitoring tools improve the production and livelihood of smallholder irrigators in Mozambique?

Over four years, a research-for-development project was implemented at the 25 de Setembro irrigation scheme in Mozambique. The project introduced agricultural innovation platforms to overcome barriers to production such as input and output supply chains and poorly maintained irrigation canals. Soil moisture and nutrient monitoring tools were provided so that farmers could improve their irrigation and fertilizer management. The farmers increased their crop production through the use of the tools and better irrigation infrastructure, and increased their income and overall well-being through better links to markets and new information sources facilitated by the agricultural innovation platforms

Malawian critical care nurses’ views on the implementation of an educational intervention to enhance sustained use of an evidence-based endotracheal tube cuff pressure management guideline: A survey study

Background. Evidence-based guidelines can assist critical care nurses in promoting best practices, including those related to endotracheal tube cuff pressure management. However, these guidelines require tailored strategies to enhance their implementation, uptake, and sustained use in practice. Objectives. To evaluate Malawian critical care nurses’ views on the implementation of an endotracheal tube cuff pressure management guideline to enhance sustained guideline use. Methods. An explorative-descriptive survey design was employed, using a questionnaire with closed- and open-ended questions that was distributed after implementation of an educational intervention based on an endotracheal tube cuff pressure management guideline. The questionnaire had a Cronbach’s alpha score of 0.85. Results. A total of 47 nurses working in four public and two private hospital intensive care units in Malawi participated. Quantitative findings showed that the majority of the participants (92%) indicated that the strategies used for the group that received the full intervention including both active (monitoring visits) and passive (a half-day educational session using a PowerPoint presentation, and a printed guideline and algorithm) strategies (intervention 1 group) were useful, clear and applicable and enhanced implementation of the guideline. These results were statistically significant (mean (standard deviation) 1.86 (0.84); t=6.07; p<0.0005). Qualitative data revealed three major themes related to recommendations for uptake and sustained use of the guideline in nursing practice: the guideline needs to be translated, updated, and made available to ICU staff; implementation strategies (continuous supervision and follow-up); and facilitating factors for successful implementation (education and training on guideline content, resources, and commitment to best practices). Conclusion. The study highlighted that although the implementation strategies used were positively received by participants, they need to be further tailored to their context to enhance guideline uptake and sustained use in practice. Further study is required to ensure that tailored implementation strategies facilitate guideline uptake and sustained use, specifically in resource-constrained contexts

Cardiometabolic markers to identify cardiovascular disease risk in HIV-infected black South Africans

Background. The prevalence of HIV is the highest in sub-Saharan Africa; South Africa (SA) is one of the most affected countries with the highest number of adults living with HIV infection in the world. Besides the traditional risk factors for cardiovascular disease (CVD) in the general population, in people living with HIV there are specific factors – chronic inflammation, metabolic changes associated with the infection, therapy, and lipodystrophy – that potentially increase the risk for developing CVD. Objective. This study proposes a screening discriminant model to identify the most important risk factors for the development of CVD in a cohort of 140 HIV-infected black Africans from the North West Province, SA.Methods. Anthropometric measures, systolic blood pressure, diastolic blood pressure and the carotid-dorsalis pedis pulse wave velocity were determined. Blood was analysed to determine the levels of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol, triglycerides (TGs) and glucose. Partial least squares discriminant analysis was performed as a supervised pattern recognition method. Independent Student’s t-tests were further employed to compare the means of risk factors on interval scales; for comparison of categorical risk factors between groups, χ2 tests were used. Results. A TG:HDL-C ratio ≥1.49, TC:HDL-C ratio ≥5.4 and an HDL-C level ≤0.76 mmol/l indicated CVD risk in this cohort of patients living with HIV.Conclusion. The results have important health implications for black Africans living with HIV as these lipid levels may be a useful indicator of the risk for CVD.

Transforming smallholder irrigation schemes in Africa

This publication is a guide to help farmers become more profitable and sustainable. Across Africa, smallholder irrigation schemes have performed poorly, leading to calls for their ‘revitalisation’, ‘reoperation’ or ‘rehabilitation’. The authors present knowledge generated through four years of research intervention at six irrigation schemes in Mozambique, Tanzania and Zimbabwe, and their understanding of what has worked to turn five of into successful enterprises. A summary of the best advice on good practices needed for more sustainable irrigation is presented. Each intervention can be considered alone, although a number of different complementary interventions are usually required to achieve better socioeconomic and environmental outcomes. The ideas described in the publication were developed through the project Increasing irrigation water productivity in Mozambique, Tanzania and Zimbabwe through on-farm monitoring, adaptive management and agricultural innovation platforms that was largely funded by ACAIR project FSC/2013/006

Health Diplomacy the Adaptation of Global Health Interventions to Local Needs in sub-Saharan Africa and Thailand: Evaluating Findings from Project Accept (HPTN 043).

Study-based global health interventions, especially those that are conducted on an international or multi-site basis, frequently require site-specific adaptations in order to (1) respond to socio-cultural differences in risk determinants, (2) to make interventions more relevant to target population needs, and (3) in recognition of 'global health diplomacy' issues. We report on the adaptations development, approval and implementation process from the Project Accept voluntary counseling and testing, community mobilization and post-test support services intervention. We reviewed all relevant documentation collected during the study intervention period (e.g. monthly progress reports; bi-annual steering committee presentations) and conducted a series of semi-structured interviews with project directors and between 12 and 23 field staff at each study site in South Africa, Zimbabwe, Thailand and Tanzania during 2009. Respondents were asked to describe (1) the adaptations development and approval process and (2) the most successful site-specific adaptations from the perspective of facilitating intervention implementation. Across sites, proposed adaptations were identified by field staff and submitted to project directors for review on a formally planned basis. The cross-site intervention sub-committee then ensured fidelity to the study protocol before approval. Successfully-implemented adaptations included: intervention delivery adaptations (e.g. development of tailored counseling messages for immigrant labour groups in South Africa) political, environmental and infrastructural adaptations (e.g. use of local community centers as VCT venues in Zimbabwe); religious adaptations (e.g. dividing clients by gender in Muslim areas of Tanzania); economic adaptations (e.g. co-provision of income generating skills classes in Zimbabwe); epidemiological adaptations (e.g. provision of 'youth-friendly' services in South Africa, Zimbabwe and Tanzania), and social adaptations (e.g. modification of terminology to local dialects in Thailand: and adjustment of service delivery schedules to suit seasonal and daily work schedules across sites). Adaptation selection, development and approval during multi-site global health research studies should be a planned process that maintains fidelity to the study protocol. The successful implementation of appropriate site-specific adaptations may have important implications for intervention implementation, from both a service uptake and a global health diplomacy perspective

Simultaneous X-ray and radio observations of the transitional millisecond pulsar candidate CXOU J110926.4-650224: The discovery of a variable radio counterpart

We present the results of simultaneous observations of the transitional millisecond pulsar (tMSP) candidate CXOU J110926.4-650224 with the XMM-Newton satellite and the MeerKAT telescope. The source was found at an average X-ray luminosity of LX 7 × 1033 erg s-1 over the 0.3-10 keV band (assuming a distance of 4 kpc) and displayed a peculiar variability pattern in the X-ray emission, switching between high, low and flaring modes on timescales of tens of seconds. A radio counterpart was detected at a significance of 7.9σ with an average flux density of 33 μJy at 1.28 GHz. It showed variability over the course of hours and emitted a 10-min long flare just a few minutes after a brief sequence of multiple X-ray flares. No clear evidence for a significant correlated or anticorrelated variability pattern was found between the X-ray and radio emissions over timescales of tens of minutes and longer. CXOU J110926.4-650224 was undetected at higher radio frequencies in subsequent observations performed with the Australia Telescope Compact Array, when the source was still in the same X-ray sub-luminous state observed before, down to a flux density upper limit of 15 μJy at 7.25 GHz (at 3σ). We compare the radio emission properties of CXOU J110926.4-650224 with those observed in known and candidate tMSPs and discuss physical scenarios that may account for its persistent and flaring radio emissions

Revival of the magnetar PSR J1622-4950: observations with MeerKAT, Parkes, XMM-Newton, Swift, Chandra, and NuSTAR

New radio (MeerKAT and Parkes) and X-ray (XMM-Newton, Swift, Chandra, and NuSTAR) observations of PSR J1622-4950 indicate that the magnetar, in a quiescent state since at least early 2015, reactivated between 2017 March 19 and April 5. The radio flux density, while variable, is approximately 100x larger than during its dormant state. The X-ray flux one month after reactivation was at least 800x larger than during quiescence, and has been decaying exponentially on a 111+/-19 day timescale. This high-flux state, together with a radio-derived rotational ephemeris, enabled for the first time the detection of X-ray pulsations for this magnetar. At 5%, the 0.3-6 keV pulsed fraction is comparable to the smallest observed for magnetars. The overall pulsar geometry inferred from polarized radio emission appears to be broadly consistent with that determined 6-8 years earlier. However, rotating vector model fits suggest that we are now seeing radio emission from a different location in the magnetosphere than previously. This indicates a novel way in which radio emission from magnetars can differ from that of ordinary pulsars. The torque on the neutron star is varying rapidly and unsteadily, as is common for magnetars following outburst, having changed by a factor of 7 within six months of reactivation.Comment: Published in ApJ (2018 April 5); 13 pages, 4 figure