How the print media in Kenya framed state of the nation addresses on covid-19 pandemic by president Uhuru Kenyatta

This study sought to find out how the print media in Kenya framed State of the Nation addresses on COVID-19 by President Uhuru Kenyatta. The objectives of this study were; (a) to ascertain the main messages or themes that were dominant in President Uhuru Kenyatta’s State of The Nation (SOTN) addresses on COVID-19, (b) to determine the frames the print media used in the coverage of the State of the Nation addresses by President Uhuru Kenyatta in regards to the containment measures, (c) to determine the sources that the print media incorporated in their coverage of the State of the Nation addresses (SOTN) on COVID-19 by President Uhuru Kenyatta and whether they were either critical or supportive of the main messages in the addresses. The study was anchored on the framing theory. The researcher conducted a content analysis of the Standard and Daily Nation newspapers whereby stories that were in line with President Uhuru Kenyatta’s State of the Nation addresses on COVID-19 were analysed. The researcher further interviewed editors and reporters in the respective media houses who papers were under study as well as media and communication experts based on the content analysis findings. This study found out that, the print media adopted the containment and economic measures frame in the reportage of Uhuru State of the Nation addresses on COVID-19. The study also found out that the media used government officials and businessmen/economic players as predominant sources in their reportage most of who were in support of President Uhuru Kenyatta’s main measures on COVID-19. The study recommends the need for media houses to invest heavily in reporting man-power to ensure that analytical and in-depth articles rather than straight news stories are served to their audiences in times of crisis. The study also recommends that journalists should not over rely on government officials as sources during pandemics but should also use medical/health experts in their reportage in times of health crisis like the COVID-19 pandemic. The current study does not examine the impact the print media’s framing of President Uhuru Kenyatta’s main messages on COVID-19 had on the audience with regards to behaviour and attitude. Therefore, further studies should look into how these addresses by heads of state or government officials have an impact on the audience’s behaviour during pandemics or health risk events and how they contribute to containment of an outbreak thus reducing morbidity and mortality

Health risks due to intrusion into the drinking water distribution network: hydraulic modelling and quantitative microbial risk assessment

Ageing water infrastructure is prone to increased physical deficiencies. These form pathways for pathogen intrusion into drinking water distribution networks (WDNs), hence posing major health risks to consumers. This study aimed at estimating the risk of infection from pipe breaks and intermittent water supply, which are some of the major causes of sustained low pressure within the WDN and hence the triggers for pathogen intrusion. Further, the effect of groundwater level on pathogen intrusion was investigated. Three risk scenarios were evaluated on the example of a real WDN in Sweden: (i) pipe break with no intrusion from leak holes, (ii) pipe break with intrusion due to leak holes, and (iii) insufficient water supply in the presence of leak holes. Pressure distribution from hydraulic modelling, estimated groundwater levels, and pathogen concentration in intruding water (from field study) were used to estimate the intrusion and the number of pathogens entering the WDN. Reference pathogens Campylobacter, Cryptosporidium, and norovirus were used in quantitative microbial risk assessment (QMRA) for assessing the health risks. Results indicated that the daily probability of infection exceeded an acceptable target value of 10−6 for most of the WDN and for all scenarios. The findings were consistent with the estimated annual burden of acute gastrointestinal illness in Sweden. The concentration of pathogens in intruding water and the duration of the low-pressure-causing event were observed to influence the probability of infection the most. The results from this study can be used to identify vulnerable sections in the WDN, which can be targeted for additional investment in monitoring and/or renewal

Revenue Management: Automation, Challenges, & Legal Perspectives of County Governments in Kenya

In today’s competitive and fast-paced business landscape, getting the most out of every available resource is not an option but rather a requirement. Organizations are taking a highly proactive approach to systems modernization and operations in an effort to increase efficiency and effectiveness in their operations. There is an increasing need by governments to enhance revenue collection through taxes to meet the ever-increasing financial expenditures budgeted by countries. It has been noted that most of the county governments were not meeting their own targets for own-source revenue and over time this has been reducing. This paper aims to establish the status of automation of revenue collection by county governments in Kenya, document the legal framework, establish the challenges of revenue collection and management, and also sought to determine whether there exists an optimal revenue automation model that can be adopted for the purpose of optimizing performance. The design of this research was done using a descriptive survey. The population for this study was composed of 47 county governments. Stratified proportionate random sampling technique was used to select the sample of 24 counties spread across the entire country. The study used a semistructured self-administered questionnaire to collect data from the respondents. The study established that the counties face a myriad of challenges including weak revenue bases, lack internal audits, have poorly trained personnel, use partially automated revenue collection systems, poor infrastructure, and some county revenue officers are reluctant to embrace change. This, however, has a negative impact on revenue collection within the counties. The results further show that adherence by counties to the provided guidelines, training, and technical assistance was widely varied and disparate. This ranged from counties that did very little to nothing in enabling and enhancing their OSR, to those that partially and/or conveniently followed guidelines where it suited them, to those that made honest efforts to comply.A model of a good automated system is also presented. The study recommends that counties should fully automate their revenue management to enhance efficiency and service delivery to their citizens

Smallholder marketed surplus and input use under transactions costs: maize supply and fertilizer demand in Kenya

This paper assessed the effects of transactions costs—relative to price and non-price factors—on smallholder marketed surplus and input use in Kenya. A selectivity model was used that accounts not only for the effects of fixed and variable transactions costs but also for the role of assets, technology, and support services in promoting input use and generating a marketable surplus. Output supply and input demand responses to changes in transactions costs and price and non-price factors were estimated and decomposed into market entry and intensity. The results showed that while transactions costs indeed have significant negative effects on market participation, cost-mitigating innovations—such as group marketing—are also emerging to mitigate the costs of accessing markets. Output price has no effect on output market entry and only provides incentives for increased supply by sellers. On the other hand, both price and non-price factors have significant influence on adoption and intensity of input use. Overall, the findings suggest that policy options are available other than price policies to promote input use and agricultural surplus.Commercialization, Marketed surplus, Fertilizer use, Transactions cost, Kenya, Agricultural and Food Policy, Agricultural Finance, Consumer/Household Economics, Environmental Economics and Policy, Food Consumption/Nutrition/Food Safety, Food Security and Poverty, Institutional and Behavioral Economics, International Relations/Trade, Marketing, Productivity Analysis, Research and Development/Tech Change/Emerging Technologies, Research Methods/ Statistical Methods,

Livelihood Strategies of Resource-Poor Farmers in Striga-Infested Areas of Western Kenya.

Striga hermonthica (del) Benth is threatening rural livelihoods in western Kenya where maize is the major food and cash crop. Vulnerability analysis was conducted on a sample of 802 households in eight districts of Nyanza and Western provinces. Farmers perceived Striga as the major cause of poverty and food insecurity. Both household income and child nutrition indicators showed alarming conditions for the majority of households. The coping strategies and informal safety nets were not capable of addressing the vulnerability issue successfully. A logistic regression model of determinants of poverty was estimated to examine the determinants and correlates of poverty. Results revealed certain characteristics of households that were more likely to be poor: poor access to land and farm assets; high dependency ratio; headed by older farmer with low education attainment; no off-farm work, no cash crops; depend on credit; Striga has been on the farm for long, high perceived yield loss to Striga given high dependency on maize for livelihoods; adopt no integrated Striga control options; and live in Bondo and Vihiga districts. The paper concludes with implications for policy to improve the livelihoods of small-scale farmers in the Striga-affected areas of western Kenya. Key words: livelihoods, maize, Striga, Kenya, Logitlivelihoods, maize, Kenya, Striga, logit, Agricultural and Food Policy, Community/Rural/Urban Development, Consumer/Household Economics, Environmental Economics and Policy, Farm Management, Food Consumption/Nutrition/Food Safety, Food Security and Poverty, Health Economics and Policy, Land Economics/Use, Marketing, Productivity Analysis, Research and Development/Tech Change/Emerging Technologies,

Cognitive Campaign Biases, Political Decisions and Consequences

The main purpose of this review study was to examine the relationship between cognitive campaign biases, political decisions and consequences. Relevant information to complete the research was obtained through a desk top research technique was adopted whereby available secondary data relating to the concept of cognitive campaign biases, political decisions and consequences was analyzed. Important information from available secondary sources including published academic documents, reports as well as other available materials online or in libraries was critically analyzed. The review study determined that cognitive campaign biases have a substantial role in determining the political choices that individuals make. In addition, it was determined that cognitive campaign biases exist primarily in the concept of framing which is the social construction of political or social movements with a positive or negative representation. The review study recommends that cognitive campaign biases should be restricted as they tend to indoctrinate people mind causing them to vote in unwise manner and thereby bringing suffering to themselves and the society at large. Keywords: Cognitive Campaign, Political Decisions, Cognitive Biases DOI: 10.7176/PPAR/13-6-05 Publication date:October 30th 202

The Uptake and Accuracy of Oral Kits for HIV Self-Testing in High HIV Prevalence Setting: A Cross-Sectional Feasibility Study in Blantyre, Malawi

Augustine Choko and colleagues assess the uptake and acceptability of home-based supervised oral HIV self-testing in Malawi, demonstrating the feasibility of this approach in a high-prevalence, low-income environment

Accelerated variety turnover for open-pollinated crops in Tanzania - Phase 1 Key Findings

Open-pollinated varieties (OPVs), such as beans, sorghum, and groundnuts, are important for increased income, job creation, food security, and nutrition of both urban and rural households in sub-Saharan Africa (SSA). However, the main constraint is underdeveloped seed systems, which contribute substantially to dwindling productivity among small-scale farmers due to limited access to reliable and quality planting materials. ACCELERATE is expected to accelerate varietal adoption and turnover in Tanzania by tapping into the power of large/small-scale or marketplace traders, and institutional seed buyers

Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021

Background: Estimates of demographic metrics are crucial to assess levels and trends of population health outcomes. The profound impact of the COVID-19 pandemic on populations worldwide has underscored the need for timely estimates to understand this unprecedented event within the context of long-term population health trends. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides new demographic estimates for 204 countries and territories and 811 additional subnational locations from 1950 to 2021, with a particular emphasis on changes in mortality and life expectancy that occurred during the 2020–21 COVID-19 pandemic period. Methods: 22 223 data sources from vital registration, sample registration, surveys, censuses, and other sources were used to estimate mortality, with a subset of these sources used exclusively to estimate excess mortality due to the COVID-19 pandemic. 2026 data sources were used for population estimation. Additional sources were used to estimate migration; the effects of the HIV epidemic; and demographic discontinuities due to conflicts, famines, natural disasters, and pandemics, which are used as inputs for estimating mortality and population. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate under-5 mortality rates, which synthesised 30 763 location-years of vital registration and sample registration data, 1365 surveys and censuses, and 80 other sources. ST-GPR was also used to estimate adult mortality (between ages 15 and 59 years) based on information from 31 642 location-years of vital registration and sample registration data, 355 surveys and censuses, and 24 other sources. Estimates of child and adult mortality rates were then used to generate life tables with a relational model life table system. For countries with large HIV epidemics, life tables were adjusted using independent estimates of HIV-specific mortality generated via an epidemiological analysis of HIV prevalence surveys, antenatal clinic serosurveillance, and other data sources. Excess mortality due to the COVID-19 pandemic in 2020 and 2021 was determined by subtracting observed all-cause mortality (adjusted for late registration and mortality anomalies) from the mortality expected in the absence of the pandemic. Expected mortality was calculated based on historical trends using an ensemble of models. In location-years where all-cause mortality data were unavailable, we estimated excess mortality rates using a regression model with covariates pertaining to the pandemic. Population size was computed using a Bayesian hierarchical cohort component model. Life expectancy was calculated using age-specific mortality rates and standard demographic methods. Uncertainty intervals (UIs) were calculated for every metric using the 25th and 975th ordered values from a 1000-draw posterior distribution. Findings: Global all-cause mortality followed two distinct patterns over the study period: age-standardised mortality rates declined between 1950 and 2019 (a 62·8% [95% UI 60·5–65·1] decline), and increased during the COVID-19 pandemic period (2020–21; 5·1% [0·9–9·6] increase). In contrast with the overall reverse in mortality trends during the pandemic period, child mortality continued to decline, with 4·66 million (3·98–5·50) global deaths in children younger than 5 years in 2021 compared with 5·21 million (4·50–6·01) in 2019. An estimated 131 million (126–137) people died globally from all causes in 2020 and 2021 combined, of which 15·9 million (14·7–17·2) were due to the COVID-19 pandemic (measured by excess mortality, which includes deaths directly due to SARS-CoV-2 infection and those indirectly due to other social, economic, or behavioural changes associated with the pandemic). Excess mortality rates exceeded 150 deaths per 100 000 population during at least one year of the pandemic in 80 countries and territories, whereas 20 nations had a negative excess mortality rate in 2020 or 2021, indicating that all-cause mortality in these countries was lower during the pandemic than expected based on historical trends. Between 1950 and 2021, global life expectancy at birth increased by 22·7 years (20·8–24·8), from 49·0 years (46·7–51·3) to 71·7 years (70·9–72·5). Global life expectancy at birth declined by 1·6 years (1·0–2·2) between 2019 and 2021, reversing historical trends. An increase in life expectancy was only observed in 32 (15·7%) of 204 countries and territories between 2019 and 2021. The global population reached 7·89 billion (7·67–8·13) people in 2021, by which time 56 of 204 countries and territories had peaked and subsequently populations have declined. The largest proportion of population growth between 2020 and 2021 was in sub-Saharan Africa (39·5% [28·4–52·7]) and south Asia (26·3% [9·0–44·7]). From 2000 to 2021, the ratio of the population aged 65 years and older to the population aged younger than 15 years increased in 188 (92·2%) of 204 nations. Interpretation: Global adult mortality rates markedly increased during the COVID-19 pandemic in 2020 and 2021, reversing past decreasing trends, while child mortality rates continued to decline, albeit more slowly than in earlier years. Although COVID-19 had a substantial impact on many demographic indicators during the first 2 years of the pandemic, overall global health progress over the 72 years evaluated has been profound, with considerable improvements in mortality and life expectancy. Additionally, we observed a deceleration of global population growth since 2017, despite steady or increasing growth in lower-income countries, combined with a continued global shift of population age structures towards older ages. These demographic changes will likely present future challenges to health systems, economies, and societies. The comprehensive demographic estimates reported here will enable researchers, policy makers, health practitioners, and other key stakeholders to better understand and address the profound changes that have occurred in the global health landscape following the first 2 years of the COVID-19 pandemic, and longer-term trends beyond the pandemic

Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

Background: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to implement strategies that can mitigate diseases. It can also facilitate more rigorous monitoring of progress towards national and international health targets, such as the Sustainable Development Goals. For three decades, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) has filled that need. A global network of collaborators contributed to the production of GBD 2021 by providing, reviewing, and analysing all available data. GBD estimates are updated routinely with additional data and refined analytical methods. GBD 2021 presents, for the first time, estimates of health loss due to the COVID-19 pandemic. Methods: The GBD 2021 disease and injury burden analysis estimated years lived with disability (YLDs), years of life lost (YLLs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries using 100 983 data sources. Data were extracted from vital registration systems, verbal autopsies, censuses, household surveys, disease-specific registries, health service contact data, and other sources. YLDs were calculated by multiplying cause-age-sex-location-year-specific prevalence of sequelae by their respective disability weights, for each disease and injury. YLLs were calculated by multiplying cause-age-sex-location-year-specific deaths by the standard life expectancy at the age that death occurred. DALYs were calculated by summing YLDs and YLLs. HALE estimates were produced using YLDs per capita and age-specific mortality rates by location, age, sex, year, and cause. 95% uncertainty intervals (UIs) were generated for all final estimates as the 2·5th and 97·5th percentiles values of 500 draws. Uncertainty was propagated at each step of the estimation process. Counts and age-standardised rates were calculated globally, for seven super-regions, 21 regions, 204 countries and territories (including 21 countries with subnational locations), and 811 subnational locations, from 1990 to 2021. Here we report data for 2010 to 2021 to highlight trends in disease burden over the past decade and through the first 2 years of the COVID-19 pandemic. Findings: Global DALYs increased from 2·63 billion (95% UI 2·44–2·85) in 2010 to 2·88 billion (2·64–3·15) in 2021 for all causes combined. Much of this increase in the number of DALYs was due to population growth and ageing, as indicated by a decrease in global age-standardised all-cause DALY rates of 14·2% (95% UI 10·7–17·3) between 2010 and 2019. Notably, however, this decrease in rates reversed during the first 2 years of the COVID-19 pandemic, with increases in global age-standardised all-cause DALY rates since 2019 of 4·1% (1·8–6·3) in 2020 and 7·2% (4·7–10·0) in 2021. In 2021, COVID-19 was the leading cause of DALYs globally (212·0 million [198·0–234·5] DALYs), followed by ischaemic heart disease (188·3 million [176·7–198·3]), neonatal disorders (186·3 million [162·3–214·9]), and stroke (160·4 million [148·0–171·7]). However, notable health gains were seen among other leading communicable, maternal, neonatal, and nutritional (CMNN) diseases. Globally between 2010 and 2021, the age-standardised DALY rates for HIV/AIDS decreased by 47·8% (43·3–51·7) and for diarrhoeal diseases decreased by 47·0% (39·9–52·9). Non-communicable diseases contributed 1·73 billion (95% UI 1·54–1·94) DALYs in 2021, with a decrease in age-standardised DALY rates since 2010 of 6·4% (95% UI 3·5–9·5). Between 2010 and 2021, among the 25 leading Level 3 causes, age-standardised DALY rates increased most substantially for anxiety disorders (16·7% [14·0–19·8]), depressive disorders (16·4% [11·9–21·3]), and diabetes (14·0% [10·0–17·4]). Age-standardised DALY rates due to injuries decreased globally by 24·0% (20·7–27·2) between 2010 and 2021, although improvements were not uniform across locations, ages, and sexes. Globally, HALE at birth improved slightly, from 61·3 years (58·6–63·6) in 2010 to 62·2 years (59·4–64·7) in 2021. However, despite this overall increase, HALE decreased by 2·2% (1·6–2·9) between 2019 and 2021. Interpretation: Putting the COVID-19 pandemic in the context of a mutually exclusive and collectively exhaustive list of causes of health loss is crucial to understanding its impact and ensuring that health funding and policy address needs at both local and global levels through cost-effective and evidence-based interventions. A global epidemiological transition remains underway. Our findings suggest that prioritising non-communicable disease prevention and treatment policies, as well as strengthening health systems, continues to be crucially important. The progress on reducing the burden of CMNN diseases must not stall; although global trends are improving, the burden of CMNN diseases remains unacceptably high. Evidence-based interventions will help save the lives of young children and mothers and improve the overall health and economic conditions of societies across the world. Governments and multilateral organisations should prioritise pandemic preparedness planning alongside efforts to reduce the burden of diseases and injuries that will strain resources in the coming decades. Funding: Bill & Melinda Gates Foundation