A nationally representative survey of healthcare provider counselling and provision of the female condom in South Africa and Zimbabwe

Objectives: Female condoms are the only female-initiated HIV and pregnancy prevention technology currently available. We examined female condom counselling and provision among providers in South Africa and Zimbabwe, high HIV-prevalence countries. Design: A cross-sectional study using a nationally representative survey. Setting: All facilities that provide family planning or HIV/sexually transmitted infection (STI) services. Participants: National probability sample of 1444 nurses and physicians who provide family planning or HIV/STI services. Primary and secondary outcome measures Female condom practices with different female patients, including adolescents, married women, women using hormonal contraception and by HIV status. Using multivariable logistic analysis, we measured variations in condom counselling by provider characteristics. Results: Most providers reported offering female condoms (88%; 1239/1415), but perceived a need for novel female barrier methods for HIV/STI prevention (85%; 1191/1396). By patient type, providers reported less frequent female condom counselling of adolescents (55%; 775/1411), women using hormonal contraception (65%; 909/1409) and married women (66%; 931/1416), compared to unmarried (74%; 1043/1414) or HIV-positive women (82%; 1161/1415). Multivariable results showed providers in South Africa were less likely to counsel women on female condoms than in Zimbabwe (OR=0.48, 95% CI 0.35 to 0.68, p≤0.001). However, South African providers were more likely to counsel women on male condoms (OR=2.39, 95% CI 1.57 to 3.65, p≤0.001). Nurses counselled patients on female condoms more frequently than physicians (OR=5.41, 95% CI 3.26 to 8.98, p≤0.001). HIV training, family planning training, location (urban vs rural) and facility type (hospital vs clinic) were not associated with greater condom counselling. Conclusions: Female condoms were integrated into provider counselling and care, although providers reported a need for new female-initiated multipurpose prevention technologies, suggesting female condoms do not meet all patient/provider needs or are not adequately well known or accessible. Providers should be included in HIV training efforts to raise awareness of new and existing products, and encouraged to educate all women

Representative Agricultural Pathways and Scenarios for Regional Integrated Assessment of Climate Change Impacts, Vulnerability, and Adaptation

The global change research community has recognized that new pathway and scenario concepts are needed to implement impact and vulnerability assessment where precise prediction is not possible, and also that these scenarios need to be logically consistent across local, regional, and global scales (Moss et al., 2008, 2010). For global climate models, representative concentration pathways (RCPs) have been developed that provide a range of time-series of atmospheric greenhouse-gas concentrations into the future (Moss et al., 2008, 2010; van Vuuren et al., 2012a). For impact and vulnerability assessment, new socio-economic pathway and scenario concepts have also been developed (Kriegler, 2012; van Vuuren et al., 2012b), with leadership from the Integrated Assessment Modeling Consortium (IAMC)..

Climate Change, Agricultural Production, and Poverty in India

The low-income households in the South Asian countries are highly sensitive to climate-intensive sectors like agriculture, mainly due to the negative impact of climate change on the food production system as a whole. Climate-induced supply shortfalls in agriculture, and consequent food price shocks may adversely affect consumption in these households. The tension between economic development, climate change, and agricultural production offers a challenging research question not dealt with in recent studies for India. We explore the effect of climate change on farmland value and use a counterfactual measure of the farm revenue on rural consumption expenditure. We found a discerning impact of the climate change on the net revenue and well-being of the rural people. A theoretical exercise generalizes the empirical findings

Reforming the land: agrarian reform projects missing pro-poor target

South Africa's agrarian reform programme has been criticised on a number of fronts: for its overall design, its implementation and the lack of sustained and coherent post-settlement support. Generally speaking, institutional dynamics among beneficiaries and various government institutions have contributed to the large number of dysfunctional agrarian reform projects in the country, writes Charles Nhemachena.

Economic aspects of genetic resources in addressing agricultural productivity in the context of climate change

The main objective of this paper is to discuss the economic aspects of genetic resources in addressing agricultural productivity in the context of climate change and variability in Africa. The paper synthesizes the published literature related to this topic, which has not been well integrated, especially with respect to economic improvements and the use of genetic resources in Africa. The focus is to understand the nexus between climate change, genetic resources, and agricultural productivity; the economic aspects involved in the conservation and improvement of genetic resources at farm-level use; and the adoption of these technologies to address agricultural productivity. The results show that climate change affects both genetic resources and agricultural productivity. The interaction of climate change and other stressors exacerbates the vulnerability of agricultural production systems and genetic resources. The conservation and improvement of genetic resources should address the urgent need to increase investments in conservation and the development of future adapted technologies. At the farm level, the focus should be on developing distribution and dissemination systems, including raising awareness and educating farmers on the role of genetic resource technologies in addressing agricultural productivity under climate change. Furthermore, it is critical to ensure that farmers have the means to purchase the improved genetic resource technologies to be able to use and adopt them. Efforts to conserve, improve, and promote the use of genetic resource technologies in addressing agricultural productivity should integrate the distribution, accessibility, and use of the improved technologies at the farm level and be integrated in broader adaptation and development efforts

Contribution of the tourism industry to the economy of the Limpopo province

Presenters: Dr Selma Karuaihe, Ms Nthabiseng Tsoanamatsie, Ms Lebogang Mashile and Ms Maria Molokomm

Spatial mapping and analysis of integrated agricultural land use and infrastructure in Mhlontlo local municipality, Eastern Cape, South Africa

The study spatially mapped and analysed agriculture land use and infrastructure requirements in Mhlontlo Local Municipality linked to ASGISA Eastern Cape's agrarian transformation and rural development initiatives. Emphasis was placed on informing ASGISA Eastern Cape's broader rural infrastructure programme in support of agrarian transformation and rural development for the Eastern Cape province. The study approach was participatory, extensively involving discussions with stakeholders, visits to project areas, internal and external workshops and document analysis. The results show that the municipality has a huge potential for agriculture and improved utilisation of available arable agricultural land that still needs to be realised. The poor state of basic infrastructure for economic and social service delivery remains a key constraint to sustainable and productive agricultural land use and rural development in Mhlontlo Local Municipality. This fi nding tends to hamper the contributions of the rural labour force to productive agricultural enterprises as well as limiting the knowledge base of rural people. This study recommends an integrated approach to rural agricultural transformation in Mhlontlo which requires infrastructure investments with a broader scope that transcends agricultural land use developments. For example, direct agricultural infrastructural investments and activities need to be complemented by investments in social services aimed at reducing poverty and stimulating socioeconomic growth and development of the local municipality.