"Food System Mapping in Kanyanya (Kampala)" - Workshop Report.

Food value chains are part of the systemic drivers of urban food and nutrition security. An important part of these value chains are the various informal small actors. These include producers, transporters, processors and retailers. One of the main objectives of the NOURICITY project is to initiate and to implement partnership agreements between different local, national and international stakeholders to improve the urban food system. Therefore, we conducted a workshop as indicated by Work Package 1 of the NOURICITY project. This workshop aims to map the stakeholders of the food system in Kampala and to map the food flows in one of the parishes in Kampala. The parish selected was Kanyanya (Kawempe division). The workshop consisted of two days with two groups of people: the first day for parish representatives and the second day for Kampala and national representatives

Institutional stakeholders' perceptions of a sustainable neighbourhood in metropolitan Lagos

Understanding the term urban sustainability continues to dominate discourse in the built environment as societies explore how cities can be considered sustainable. Due to the increasing rate of urbanization, scholars argue that the battle for sustainability will be won or lost in cities; recognizing the crucial role that neighbourhoods can play as building blocks of urban areas. However, while the context-specificity of the several approaches to sustainability at the neighbourhood level has been recognised, no single accepted understanding of a sustainable neighbourhood has emerged. This paper explores institutional stakeholders’ understanding of a sustainable neighbourhood using questionnaire data from metropolitan Lagos. This aligns with the critical realism philosophical stance which believes that knowledge can be sourced through the perception of people with respect to an underlying structure based on their reality. The findings show variations in the perceptions with institutions having similar responsibilities differing in their understanding of the concept. It was unclear why a single common understanding was missing and why certain elements were more emphasised than others even in institutions having similar roles. Further research should explore the mechanisms at play in influencing these understandings and how they may differ in various urban contexts in Sub-Sahara Africa

The Bondo Stakeholders' Workshop, February 26th - 27th, 2001

This paper is a review of the workshop held at Bondo in Kenya to assess the role of local stakeholders in the of co-management of Lake Victoria's fisheries within the frame of the LVFRP

Supporting 'young carers' in Kenya: from policy paralysis to action

African children who care for sick or dying adults are receiving less than optimal support due to confusion about whether or not young caregiving constitutes a form of child labour and the tendency of the authorities to play it “safe” and side with more abolitionist approaches to children's work, avoiding engagement with support strategies that could be seen as support of child labour. To challenge this view, and move from policy paralysis to action, we present a study from western Kenya that explores community perceptions of children's work and caregiving as well as opportunities for support. The study draws on 17 community group conversations and 10 individual interviews, involving 283 members of a Luo community in the Bondo District of western Kenya. We provide a detailed account of how integral children's work is to household survival in the context of poverty, HIV and AIDS as well as community recommendations on how they and external service providers can work together in supporting children faced with excessive caregiving and income-generation responsibilities. We use our findings to call for less restrictive regulations of children's work and to develop a plan for policy and action for young carers that identifies key actors, their roles and responsibilities, and how they might best collaborate—in a way that is sensitive both to concerns about child labour as well as communit

Clinical predictors of low CD4 count among HIV-infected pulmonary tuberculosis clients: A health facility-based survey

Objectives. The study aimed to determine the clinical and laboratory predictors of a low CD4+ cell count

Prevalence and treatment of hypertension, diabetes and asthma in Kenya: A representative household survey in eight counties in 2016

Objectives: In 2014, 27% of total deaths in Kenya were due to non-communicable diseases (NCDs). The objectives of this study were: 1) To report on the prevalence of households with members diagnosed and treated for hypertension, diabetes, and asthma in eight counties in Kenya, and 2) To explore possible reasons for the variation in prevalence of these three NCDs in the different counties. Design, Setting andSubjects: A total of 7,870 households in a representative sample in eight Kenyan counties were screened for the presence of any non-communicable disease. Diagnosis and treatment data on these NCDs was collected and compared using county specific independent data from the 2014 Kenyan Demographic Health Survey (DHS).Main Outcome Measures: Over all the eight surveyed counties, 10.7% of households reported having one or more individuals with an NCD. The county specific prevalence varied from 3% to 30.2%. Of the 7,870 households surveyed, 6.9% reported having a diagnosis of hypertension, 3.2% of asthma, and 2.3% of diabetes.Results: The strongest explanatory variables for the variation in overall prevalence of NCDs related to access to health services and lifestyle risk factors. Conclusion: The prevalence of reported NCDs varies considerably between  counties in Kenya. Reasons may relate to a lack of access to diagnostic facilities or  ifferences in lifestyle risk factors. We recommend a comprehensive field survey of biometric, health access, and lifestyle risk factors to determine the true prevalence and related risk factors for NCDs in Kenya

Village Baseline Study: Site Analysis Report for Albertine Rift – Hoima, Uganda

The village baseline study of Kibaire village in the CCAFS benchmark site Hoima in Uganda took place from 13 to 16 July 2011. Forests are exploited at unsustainable levels in Kibaire but deforestation does not appear to be a serious threat because the tree population is still relatively high. Most of the forests have been leased to private individuals as part of the privatisation policy being implemented in Uganda. Wetlands are also increasingly subjected to overexploitation and pollution from brewing and other activities. Farming at both subsistence and commercial level is increasing at the expense of forests. Community access to forest resources is restricted. Participants identified 29 organisations working in the community, two-third of them operating from outside the locality. Participants said that they did have plenty of food in the village, and women expressed that they had never had a food crisis. Nonetheless, half of the organisations men and women identified were involved in some form of food security related activity, and notably food availability. Less than one-third of the organisations addressed natural resources management, and most of them were from outside the community. Organisations are the most significant source of information on agriculture. Farmers also get information through the many radio stations in the area that air many programs in local languages

Rational homotopy type of the component of inclusion in the nthspace of continuous mappings from Gr (k, n) to Gr(k, n + 1)

Paper presented at the 4th Strathmore International Mathematics Conference (SIMC 2017), 19 - 23 June 2017, Strathmore University, Nairobi, Kenya.A complex manifold can be embedded in some complex projective space CP (N ), in particular, the Grassmann manifold Gr(n, k) of k dimensional subspaces in Cn can bembedded in some complex projective space CP (N ).Moreover G(k, n) ‹→ G(k, n + 1). For k = 1, we get a one dimensional vector space which is the complex projective plane and is an embedding of CP (n)in CP (n + 1).The Grassmanian admits a CW structure and any CW structure on a space provides a filtration relative to the empty space. To a simply connected topo-logical space, Sullivan associates a commutative differential graded algebra(∧V, d) which encodes the rational homotopy type of X. This is called aSullivan model of X. Given that H∗(CP (n), Q) is the truncated polynomialalgebra ∧x/(xn+1), one gets a a Sullivan model of the form () ∧ (x, y), d)where |x| = 2, |y| = 2n + 1 and dx = 0, dy = xn+1. For k ≥ 1, one might usethe homeomorphism G(k, n) = U (n)/(U (k) × U (n − k)) to find a Sullivanmodel. In this paper, we use a Sullivan model of the inclusion Gr(k, n) −→ Gr(k, n+1) to compute the rational homotopy type of the component of the inclusionin the space of mappings from Gr(k, n) to Gr(k, n + 1)

Novel health systems service design checklist to improve healthcare access for marginalised, underserved communities in Europe.

BACKGROUND content: Marginalised communities such as homeless people, people who use drugs (PWUD), lesbian, gay, bisexual, transgender and intersex people (LGBTI), prisoners, sex workers and undocumented migrants are at high risk of poor health and yet face substantial barriers in accessing health and support services. The Nobody Left Outside (NLO) Service Design Checklist aims to promote a collaborative, evidence-based approach to service design and monitoring based on equity, non-discrimination and community engagement. METHODS content: The Checklist was a collaborative project involving nine community advocacy organisations, with a focus on homeless people, PWUD, LGBTI people, prisoners, sex workers, and undocumented migrants. The Checklist was devised via a literature review; two NLO platform meetings; a multistakeholder policy workshop and an associated published concept paper; two conference presentations; and stakeholder consultation via a European Commission-led Thematic Network (including webinar). RESULTS content: "The NLO Checklist has six sections in line with the WHO Health Systems Framework. These are: (1) service delivery, comprising design stage (6 items), services provided (2 items), accessibility and adaptation (16 items), peer support (2 items); (2) health workforce (12 items); (3) health information systems (7 items); (4) medical products and technologies (1 item); (5) financing (3 items); and (6) leadership and governance (7 items). It promotes the implementation of integrated (colocated or linked) healthcare services that are community based and people centred. These should provide a continuum of needs-based health promotion, disease prevention, diagnosis, treatment and management, together with housing, legal and social support services, in alignment with the goals of universal health coverage and the WHO frameworks on integrated, people-centred healthcare."CONCLUSIONS content: The Checklist is offered as a practical tool to help overcome inequalities in access to health and support services. Policymakers, public health bodies, healthcare authorities, practitioner bodies, peer support workers and non-governmental organisations can use it when developing, updating or monitoring services for target groups. It may also assist civil society in wider advocacy efforts to improve access for underserved communities