An assessment of a light-attraction fishery in southern Lake Malawi

This study provides the first quantitative assessment of the light-attraction component of a small-scale purse seine, locally known as a chilimira net, fishery in two areas of southern Lake Malawi. For monitoring purposes the shoreline of Lake Malawi is divided into a number of statistical strata. Two strata (‘2.1’ in the southeast arm and ‘3.1’ in the southwest arm of the lake) were selected for this study. Catch per unit effort in stratum 2.1 was generally lower than that recorded in stratum 3.1 but nets in stratum 2.1 fished more frequently, leading to similar annual catches in the two strata. Annual catch was estimated as 19.4 (CI = 15.9–23.5) tons net–1 year–1 in stratum 2.1 and 23.5 (CI = 19.5–28.1) tons net–1 year–1 in stratum 3.1 respectively. A total of 62 species from 28 cichlid genera, and 13 species from nine non-cichlid genera, were identified from the samples. Of the 37 genera identified, only five; Copadichromis, Dimidiochromis, Engraulicypris, Oreochromis and Rhamphochromis, contributed more than 5% to the total annual catch in either stratum. Their combined contribution to the annual catch was in excess of 85% in both strata. Comparisons showed that catch-composition was dependent on area. Length-frequency distributions of major target species in the catch showed that the fishery targeted juveniles in stratum 2.1, while in stratum 3.1 most individuals were harvested after reaching their lengthat-maturity. The dependence of catch-composition and size-selection on area indicates that management interventions for this fishery need to be area-specific. Since the fishery targets a diverse species assemblage, effort limitation or area closure may be the only viable management options, until such time as additional biological and fisheries data are available for the application of stock assessment models

Mortality Reduction Associated with HIV/AIDS Care and Antiretroviral Treatment in Rural Malawi: Evidence from Registers, Coffin Sales and Funerals

BACKGROUND: To report on the trend in all-cause mortality in a rural district of Malawi that has successfully scaled-up HIV/AIDS care including antiretroviral treatment (ART) to its population, through corroborative evidence from a) registered deaths at traditional authorities (TAs), b) coffin sales and c) church funerals. METHODS AND FINDINGS: Retrospective study in 5 of 12 TAs (covering approximately 50% of the population) during the period 2000-2007. A total of 210 villages, 24 coffin workshops and 23 churches were included. There were a total of 18,473 registered deaths at TAs, 15781 coffins sold, and 2762 church funerals. Between 2000 and 2007, there was a highly significant linear downward trend in death rates, sale of coffins and church funerals (X(2) for linear trend: 338.4 P<0.0001, 989 P<0.0001 and 197, P<0.0001 respectively). Using data from TAs as the most reliable source of data on deaths, overall death rate reduction was 37% (95% CI:33-40) for the period. The mean annual incremental death rate reduction was 0.52/1000/year. Death rates decreased over time as the percentage of people living with HIV/AIDS enrolled into care and ART increased. Extrapolating these data to the entire district population, an estimated 10,156 (95% CI: 9786-10259) deaths would have been averted during the 8-year period. CONCLUSIONS: Registered deaths at traditional authorities, the sale of coffins and church funerals showed a significant downward trend over a 8-year period which we believe was associated with the scaling up HIV/AIDS care and ART

Floods and health in Gambella region, Ethiopia: a qualitative assessment of the strengths and weaknesses of coping mechanisms

BACKGROUND: Floods are the most frequent and devastating type of natural disaster worldwide, causing unprecedented deaths, diseases, and destruction of property and crops. Flooding has a greater impact in developing countries due to lack of sufficient disaster management structures and a lack of economic resources. OBJECTIVE: This study was conducted with the aim of contributing to the knowledge base of development strategies that reduce flood-related health risks in developing countries. The study focused particularly on assessing the flood risks and health-related issues in the Gambella region of Ethiopia; with the intent of producing relevant information to assist with the improvements in the efficacy of the current flood coping strategies in the region. METHODS: Data were gathered through interviews with 14 officers from different government and non-governmental organizations and a questionnaire survey given to 35 flood victims in Itang woreda. A qualitative approach was applied and the data were analyzed using content analysis. RESULTS: It was found that flooding is a common problem in Gambella region. The findings also indicate that the flood frequency and magnitude has increased rapidly during the last decade. The increase in floods was driven mainly by climate change and changes in land use, specifically deforestation. The reported main impacts of flooding on human health in Gambella region were deaths, injuries, and diseases such as malaria and diarrhea. Another notable consequence of flooding was crop destruction and subsequent malnutrition. CONCLUSIONS: Three weaknesses that were identified in the current coping strategies for flood-related health impacts in Gambella region were a lack of flood-specific policy, absence of risk assessment, and weak institutional capacity. This study recommends new policy approaches that will increase the effectiveness of the current flood coping strategies to sustainably address the impact of flooding on human health

Vital Registration in Rural Africa: Is There a Way Forward to Report on Health Targets of the Millennium Development Goals?

Vital registration - the systematic recording of births and deaths - has both legal and health significance. In particular, accurate recording and reporting of vital statistics are public goods to enable the monitoring of progress towards achieving health related targets of the 2015 United Nations Millennium Development Goals (MDG). The reality in Africa is that most births and deaths cannot be traced in legal records or official statistics and as such, there is currently no way of assessing progress towards achieving MDG targets and this applies particularly to rural settings in Africa. From the context of a rural district in Malawi, we describe an informal traditional system for the reporting of deaths at village level, and discuss the potential opportunities, challenges and ways forward in the wider implementation and interpretation of vital data generated by such a system. Such a system might provide an interim solution for accelerating the production and use of district level vital statistics for legal, administrative, statistical purposes and to report on the MDG in rural Africa while waiting for more comprehensive national systems to become a reality

Trends in registered deaths, coffin sales and church funerals.

<p><b>1a</b>) Trends in registered deaths at traditional authorities, (2000–2007) Thyolo, District, Malawi. <b>1b</b>) Trend in coffin sales (2000–2007), Thyolo, District, Malawi. <b>1c</b>). Trend in registered church funerals (2000–2007), Thyolo, Malawi.</p

Registered church funerals in the 5 traditional authorities (2000–2007), Thyolo district, Malawi.

<p>a. X² for linear trend  = 196.8, <i>P</i><0.0001.</p><p>b. 95% Confidence Intervals.</p

Death rates from 5 traditional authorities projected to estimate averted deaths in the entire Thyolo district, Malawi.

<p>TAs, Traditional authorities; CI, Confidence Interval.</p><p>a. Death rate from registered deaths at traditional authorities in 5 TAs.</p><p>b. Number of deaths extrapolated by year for the entire Thyolo District assuming the same rates of death per year as in the 5 TAs.</p><p>c. Number of projected deaths assuming a death rate of 10,9 (95% CI:10.4–11.2)/1000/year that was observed in 2000 in the 5 TAs.</p