364 research outputs found
HIV/AIDS Pandemic in Africa: Trends and Challenges
Three-quarters of the worldâs AIDS population lives in Sub-Saharan Africa; most have no access to lifesaving drugs, testing facilities or even basic preventative health care. One of the major factors inhibiting medical professionals in Africa from treating this disease is the inability to access vast areas of the continent with adequately equipped medical facilities. To meet this need, Architecture for Humanity challenged the worldâs architects and health care professionals to submit designs for a mobile HIV/AIDS health clinic. The pandemic is changing the demographic structure of Africa and wiping out life expectancy gains. Indeed, in many African countries, life expectancy is dropping from more than 60 years to around 45 years or even less. In this paper, we highlight the uniqueness of factors associated with HIV/AIDS pandemic in Africa and present its impact and challenges.HIV/AIDS, Africa
HIV
Three-quarters of the worlds AIDS population lives in Sub-Saharan Africa; most have no access to lifesaving drugs, testing facilities or even basic preventative health care. One of the major factors inhibiting medical professionals in Africa from treating this disease is the inability to access vast areas of the continent with adequately equipped medical facilities. To meet this need, Architecture for Humanity challenged the worlds architects and health care professionals to submit designs for a mobile HIV/AIDS health clinic. The pandemic is changing the demographic structure of Africa and wiping out life expectancy gains. Indeed, in many African countries, life expectancy is dropping from more than 60 years to around 45 years or even less. In this paper, we highlight the uniqueness of factors associated with HIV/AIDS pandemic in Africa and present its impact and challenges
An improved technique for the prediction of optimal image resolution(s) for large-scale mapping of savannah ecosystems
Past studies to predict optimal image resolution required for generating spatial information for savannah ecosystems have yielded different outcomes, hence providing a knowledge gap that was investigated in the present study. The postulation, for the present study, was that by graphically solving two simultaneous equations of values of image noise index (INI) and degradation level Index (LDI), a robust technique for predicting optimal image resolution for the mapping of savannah ecosystems was developed. The technique involved simulating 0.5 m imagery to different spatial resolutions for two savannah test sites in Masaka district, Southern Uganda. By plotting INI and LDI values against the simulated image resolutions, it enabled the authors to objectively predict that image resolution at 2.25 and 2.5 m were optimal for generating spatial information for savannah ecosystems represented by the two test sites. The new technique will enable vegetation ecologists to objectively determine optimal resolution(s) prior to the choice of imagery, offered by different high-resolution air- and space-borne sensors, for generating spatial information for savannah ecosystems. Future research should focus on using the new technique to determine what ranges of image resolutions are optimal for generating spatial information of different savannah ecosystems in different countries.Key words: Optimal resolution, savannah ecosystems, image noise index, land cover index, level of degradation index
Strengthening community roles in aquatic resource governance in Uganda
Lake Victoria fisheries face severe environmental stresses. Stocks are declining in a context of increasing population and growing demand for the lakeâs resources. Rising competition between users is putting conservation goals and rural livelihoods at risk. While Ugandaâs co-management policy framework is well-developed, key resources for implementation are lacking, enforcement is poor, and the relations between stakeholders are unequal. Poor rural resource users face significant challenges to effectively participate in fisheries decision-making. This case study demonstrates the progress that can be made using a collaborative approach to catalyze community-led actions linking public health, sanitation and environmental conservation in difficult circumstances, even over a relatively short time period. Multistakeholder dialogue can bring to light the sources of conflict, pinpoint governance challenges, and identify opportunities for institutional collaboration to address community needs. At the same time, the process can help build trust, confidence in collective action and public accountability
Value chain analysis and mapping for groundnuts in Uganda, Socioeconomics Discussion Paper Series Number 14
Groundnut is grown on about 23.95 million ha worldwide with the total production of 36.45 million tons and an average yield of 1520 kg/ha in 2009 Developing countries in Asia, Africa and South America account for about 97% of world groundnut area and 95% of total production. It is one of the important legumes grown in Uganda, ranking second after beans. Its production is most common in Northern, Eastern and Southern parts of the country with higher volumes being produced in the Eastern part compared to the other two. The value chain for groundnuts in Uganda consist of many actors (individuals and institutions) including input suppliers and seed dealers, producers, market sellers, rural traders, urban traders, processors, exporters and consumers. The general objective of this study was to map the value chain for groundnuts, indicating the opportunities that value chain actors can benefit from and strategies that can be used to upgrade the chain. The specific objectives were to characterize the key actors along the groundnut value chain; determine the costs and value added along the groundnut value chain; determine the level of awareness of health problems associated with groundnuts; and determine the constraints and opportunities in the value chain and suggest ways to upgrade the chain. A cross sectional survey was conducted among the key actors in the value chain in 16 purposively selected districts in Uganda where groundnuts are predominantly produced marketed and/or consumed. The districts are Arua in North western Uganda, Lira in the North, Bugiri, Bukedea, Busia, Iganga, Jinja Kaberamaido, Mbale, Pallisa, Kumi and Tororo in Eastern Uganda; Soroti and Katakwi in the North east, Kampala and Wakiso in Central where a total of 145 wholesale traders, 209 retail traders wand 51 processors were randomly selected and interviewed. In addition, data collected by NARO from a total of 314 randomly selected groundnut farmers were used in this study.The data collected included socio-economic characteristics of the value chain actors, type and varieties of groundnuts handled, sales volumes and prices, trends in demand and supply, aflatoxins awareness and control, challenges, constraints and opportunities in groundnuts and trade policy related issues
Effect of chronic alcohol consumption on the red blood cell count and RBC indices in the HIV infected patients on d4T/3TC/NVP drug regimen in Uganda
Alcohol consumption is common problem in Uganda. Among the types of alcohols consumed include beers, spirits, liqueurs, wines and traditional brew. These alcohols are easily accessible and consumed by many people including the HIV infected patients who are on the d4T/3TC/NVP regimen. The aim of this study was to determine the effect of chronic alcohol intake on the red blood cell count (RBC) and the RBC indices in the HIV-infected patients on d4T/3TC/NVP regimen. It was a case control study that used a repeated measures design model where serial measurements of the red blood cell count (RBC) and RBC indices were determined at 3 month interval for 9 months. A total of 41 HIV infected patients were recruited and grouped into two arms; the control group had 21 patients and the chronic alcohol group had 20 patients. The RBC and RBC indices of the whole blood were determined using automated hematological Coulter CBC-5 Hematology Analyzer system using standard procedures. The data was sorted into alcohol-use self reporting by WHO AUDIT tool and alcohol-use biomarkers groups. It was analysed using the SAS 2003 version 9.1 statistical package with the repeated measures fixed model. The means were compared using the student t-test. The mean MCV and MCH values in the chronic alcohol use group were higher than in the control group and there was a significant difference between the 2 groups (p<0.05) for both the WHO AUDIT tool group and chronic alcohol use biomarkers group. The mean RBC count, Hct, HGB and MCHC values in both the control and chronic alcohol use groups were within the normal reference ranges for both groups though the trend was lower in alcohol group. Chronic alcohol use affects the RBC and RBC indices in the HIV infected patients on d4T/3TC/NVP treatment regimen
Threshold and stability results for a malaria model in a population with protective intervention among highârisk groups
We develop a mathematical model for the dynamics of malaria with a varying population for which new individuals are recruited through immigration and births. In the model, we assume that nonâimmune travellers move to endemic regions with sprays, smear themselves with jelly that is repellent to mosquitoes on arrival in malarious regions, others take long term antimalarials, and pregnant women and infants receive full treatment doses at intervals even when they are not sick from malaria (commonly referred to as intermittent preventive therapy). We introduce more features that describe the dynamics of the disease for the control strategies that protect the above vulnerable groups. The model analysis is done and equilibrium points are analyzed to establish their local and global stability. The threshold of the disease, the control reproduction number, is established for which the disease can be eliminated.
First Published Online:Â 14 Oct 201
AFRICAN INDIGENOUS AND TRADITIONAL VEGETABLES IN TANZANIA: PRODUCTION, POST-HARVEST MANAGEMENT AND MARKETING
Indigenous and traditional African vegetables (AITVs) are important
sources of nutrition for sub-Saharan Africans (SSA), especially the
low-income and food insecure. The U.S. Agency for International
Development directed Horticulture Collaborative Research Support
Program, now named the Horticulture Innovation Lab, builds
international partnerships for fruit and vegetable research to improve
livelihoods in developing countries. For this Programme a study was
carried out to provide baseline information on AITVs in Tanzania and to
determine research needs. A questionnaire-based survey was conducted in
four regions of Tanzania with a total of 160 sellers and producers of
AITVs, with attention to post-harvest management. Key concerns were
demographics, i.e. who is growing, transporting, and selling AITVs,
AITV identities and quantities, production, harvest, transport,
wholesale and retail patterns, processing, and surplus. Common AITVs
are greens of amaranths, nightshade, cowpea, cucurbits, Ipomea ,
cassava tree, spider flower and Ethiopian mustard; plus African
eggplant and okra fruits. Ninety six percent of sellers and 71% of
producers were female. Most AITVs are sold in roofed open markets,
secondarily on streets by mobile or semi-mobile sellers. Amaranth was
the number one seller for 83% of sellers. Issues covered were: (i)
cultural practices, AITV plot size, seed sources, irrigation and
pesticide use; (ii) post-harvest: harvest to market storage and
transport times and modes, grading, packaging and bundling, and
washing; and (iii) marketing: retail markup, price variation by season,
year and region, average daily sales; cell phone use, retail space size
and cost, retailer storage, remainders, processing and less common
AITVs. OLS regression was done to elucidate factors affecting sales
volume and regional differences. Post-harvest losses of AITVs do not
appear to be significant as the value chain participants demonstrate an
acute knowledge of consumer demand and daily market dynamics.Les l\ue9gumes indig\ue8nes et traditionnelles africaines (AITVs)
constituent une source importante de nutrition pour l\u2019Afrique
sub-saharienne, sp\ue9cialement \ue0 bas revenus et \ue0
ins\ue9curit\ue9 alimentaire. Le programme de soutien \ue0 la
recherche collaborative de l\u2019agence internationale
am\ue9ricaine pour le d\ue9veloppement, aussi appel\ue9
\u2018Horticulture Innovation Lab\u2019 institue des partenariats
internationaux pour la recherche sur les fruits et les l\ue9gumes
pour am\ue9liorer les conditions de vie dans les pays en voie de
d\ue9veloppement. Une \ue9tude \ue9tait conduite afin
d\u2019\ue9tablir une information de base sur AITVs en Tanzanie et
d\ue9terminer les besoins en recherche. Une enqu\ueate \ue9tait
conduite dans quatre r\ue9gions de la Tanzanie avec un total de 160
vendeurs et producteurs de AITVs, avec attention \ue0 la gestion
post-r\ue9colte. La question la plus importante concernait la
d\ue9mographie, par exemple, qui cro\ueet, transporte et vend AITV,
identit\ue9s et quantit\ue9s de l\u2019AITV, production,
r\ue9colte, transport, grossistes et d\ue9taillants, transformation
et surplus. Les AITVs usuels sont des amarantes, morelles, pois cajan,
cucurbites, Ipomea , manioc, cl\ue9ome et moutarde \ue9thiopienne.
A ceci s\u2019ajoute les aubergines africaines et les fruits
d\u2019Okra. Quatre vingt seize pour cent des vendeurs et 71% des
producteurs \ue9taient des femmes. La plupart d\u2019AITVs sont
vendus dans des march\ue9s t\uf4l\ue9s ouverts sur les rues par
des vendeurs mobiles ou semi-mobiles. Les amarantes \ue9taient les
plus vendues (83%). Les probl\ue8mes rencontr\ue9s \ue9taient:
(i) pratiques culturales, la taille des parcelles sous AITV, sources
des semences, utilisation des pesticides et de l\u2019irrigation; (ii)
post-r\ue9colte: de la r\ue9colte au magasin du march\ue9 et
temps et mode de transport, cat\ue9gorisation, emballage et
empaquetage, et le lavage, et (iii) promotion sur le march\ue9:
fixation des prix des d\ue9tails, variation des prix par saison,
ann\ue9e et r\ue9gion, ventes moyennes journali\ue8res,
utilisation des t\ue9l\ue9phone cellulaires, la taille et le
co\ufbt de l\u2019espace pour vente des produits, le magasin des
petits vendeurs, les produits restants apr\ue8s vente, la
transformation et les AITVs les moins communs. La r\ue9gression
d\u2019OLS \ue9tait faite apr\ue8s vente pour \ue9lucider les
facteurs qui affectent le volume des ventes et les diff\ue9rences
r\ue9gionales. Des pertes post-r\ue9coltes d\u2019AITVs ne
paraissent pas \ueatre significatives \ue9tant donn\ue9 que les
participants dans la chaine des valeurs font montre d\u2019une
connaissance suffisante sur la demande du consommateur et les
dynamiques quotidiennes du march\ue9
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