Ecosystem services and drivers of change in Nyando floodplain wetland, Kenya

Papyrus wetlands in East Africa play a vital role in supporting livelihoods of people living around them. Although, subject to natural fluctuations and threats by anthropogenic activities, little is known about historical changes in wetland functions and services, or their present status. We focused on Nyando wetland on the eastern shores of Lake Victoria, Kenya. Three sites in the wetland were identified for assessment of history and current status. Changes during the past fifty years were assessed through participatory exercises with local communities and a review of published work. To establish the current status, we used field surveys and transect walks. Results showed that the wetland is important for hydrological and also ecological functions, which depend on the connectivity of the wetland with river and lake. The major direct drivers of change were hydrological regimes and livelihood activities. The main indirect driver of change was population growth, which leads to more pressure on wetland resources. Provisioning services are important in Nyando wetland but are generated at the expense of regulating services. Hydrology and livelihoods are strongly interlinked as flooding limits access to the wetland. Understanding the historical changes in wetland functions and services is important for rural communities, policy makers and for wetland managers in guiding, planning and wetland management.Key words: Papyrus wetland, wetland ecosystem services, drivers of change, community perception, Nyando wetland

Incorporating an Environmental Management Plan in Water Utilities Management Systems to Reduce Water Loss; Case of Non-Revenue Water in Kisumu City, Kenya

One of the biggest issues facing water utilities is the water loss experienced during the distribution process. This study sought to examine water distribution process in Kisumu and formulate an Environmental Management Plan (EMP) to minimize water loss and mitigate their negative environmental impacts. A qualitative research approach and a case study research design were employed where 25 participants from Kisumu Water and Sanitation Company (KIWASCO) were interviewed in a Focus Group Discussion (FGD). Content analysis of the data collected indicated that water quality and quantity were greatly affected by water loss and the problems associated with them included water pollution due to introduction of contaminants when leakages or pipe bursts occur and water scarcity where the water utility was unable to make up for the amount of water lost. Water abstraction technique was also identified as a vital factor that determines how much water is lost even before it gets into the distribution system. Land/soil, socioeconomic and political environment were also some of the factors identified as they form the backbone of a functional EMP. The research concluded that as much as KIWASCO has a strategic plan to minimize these water losses, the goal entirely focuses on doing so for economic gains and not to address the associated negative environmental impacts hence the recommendation that there is need to incorporate an EMP in their management systems that will not only ensure high revenue generation but also guarantee the conservation of the said water resource to achieve environmental excellence

Economics of Insecticide use and Potential for Bt Maize Varieties in the Control of Stalkborer in Kenya.

Maize is the staple food crop and source of income for majority of the Kenyan population and many sub-Saharan African countries. The increasing Kenyan population demands an increase in maize production if intermittent food deficits have to be averted. Since the introduction of improved maize varieties in mid-1960, the start of Green Revolution period, maize yields increased drastically up to 1970s and started declining from 1980s to-date. The key contributory factors are nutrient mining, sub-optimal input use and insect pest damage. Of the insect pests, stalk borer is of economic importance. Currently, KARI and CIMMYT are developing maize varieties that are tolerant to stalk borer damage. In order to evaluate the potential impact of these interventions economics of stalk borer control at farm level was evaluated. Surveys complemented with on-farm trials were executed in six major maize growing zones of Kenya. Farmers were randomly selected and a sample-frame established after which a total of 1854 households were randomly selected using random sampling technique. Each household was interviewed using structured questionnaire. Data on method of stalk borer control and the type insecticides used was collected. Partial budget and economic surplus models were used. The results indicated that very few farmers control stalk borer in maize despite significant stalk borer losses of about 15%. Therefore if Bt maize is introduced in Kenya it is likely to reduce these losses. This will benefit many hungry and poor Kenyans with improved household food supply and on farm incomes, in line with Government policy of food security and poverty eradication.Crop Production/Industries,

What do you need? 2007-08 findings from a national survey of people with diagnosed HIV

Over the past twenty-five years, both the needs of people with diagnosed HIV and our understanding of them have changed dramatically. During this time there have been many assessments of need, usually within specific geographic boundaries (such as Primary Care Trusts) but no consistent approach to describing needs has been adopted. Most needs assessments have been shaped by a variety of local factors, including the profile of existing services. This study provides an insight into the needs of people with diagnosed HIV living in the UK, based on a final sample of 1777 people. The approach taken to measuring and describing need is the same as our previous national survey (Weatherburn et al. 2002). This approach was shaped by our earlier qualitative studies exploring the experience of people with diagnosed HIV in the early days of anti-HIV treatments (Anderson et al. 2000, Anderson & Weatherburn 1999, Anderson & Weatherburn 1998). While this study uses the same methods as our 2001-2002 survey we do not draw direct comparisons with our previous data or discuss change over time. The limitations of self-completion surveys using convenience samples make change comparisons hazardous. However, it is worth noting that in any comparison with our prior data (Weatherburn et al. 2002) current levels of need very rarely seem lower than we have previously reported. The range and extent of medical and social care, support and information needs we present here reveal significant challenges for service commissioners and providers. The first challenge is to avoid drawing quick conclusions about what the patterns of need mean for service commissioning and delivery. Needs have deliberately been separated from service use because the question of what services are ‘needed’ cannot be answered simply by identifying the extent of personal needs. The overall pattern of need is a useful starting point, but this pattern is complex

Schistosomiasis and soil-transmitted helminth infections in schoolchildren in north-eastern Democratic Republic of the Congo

BACKGROUND: There is a paucity of epidemiological data pertaining to schistosomiasis and soil-transmitted helminth (STH) infections in the Democratic Republic of the Congo (DRC). METHODS: A cross-sectional survey was carried out in the north-eastern part of DRC enrolling 400 schoolchildren aged 9-14 years. Stool and urine samples were subjected to standard diagnostic methods and examined under a microscope for helminth eggs. RESULTS: Four out of five children were infected with at least one helminth species. Schistosoma mansoni was the predominant species (57.8%). Urine examinations were all negative for S. haematobium. CONCLUSIONS: S. mansoni and STH infections are highly endemic in the surveyed part of the DRC, calling for interventions in school-aged children

Predictors of HIV prevention knowledge and sexual behaviors among students at Makerere University Kampala, Uganda

Background: Prior reviews argue that unsafe sexual behaviors and poor HIV knowledge significantly increase the probability of acquiring HIV infections among adolescents. This study assessed the predictors of HIV prevention knowledge and sexual behaviors among Makerere university students in Uganda.   Methods: We performed a cross-sectional survey. We performed a normality test using Shapiro Wilk test on knowledge score. Results revealed that knowledge score was not normally distributed. The study used two sample Wilcoxon Rank Sum and Kruskal Wallis Rank tests to assess the effect of HIV knowledge on demographic characteristics and sexual behaviors. Post-hoc tests were conducted using Bonferroni correction. Spearman rank correlation test was used for continuous variables while Chi-square and Fisher’s tests were used for categorical variables to assess the relationship between demographic characteristics and sexual behaviors.     Results: We report results for 1337 students. The mean age was 21.2SD (1.6) and more than half 700(52.4%) were male students. The median HIV prevention knowledge score of students was 13 IQR (11-15) in the range of 0 to 18. Males significantly scored higher than females (13.0 IQR (12-15) vs. 12.0 IQR (10-14) p=0.000), an increase in age was associated with higher knowledge scores (Rho = 0.101, p = 0.000).   Students in the third year of study significantly scored higher than those in the first year, and government-sponsored students scored higher than the privately sponsored students. HIV knowledge was also significantly associated with sexual experience, and condom use at univariate level but insignificant at multiple level analysis. Males were more likely to have ever had sex (31.7% vs. 12.7%) and ever used a condom (63% vs. 55%) than females respectively   Conclusion: Our findings suggest that Makerere University students possessed good knowledge on HIV. There is evidence of an association between student’s knowledge, and demographic characteristics and a few sexual behaviors. Future behavioral and educational programs that target both sexually and non-sexually experienced students should address the gender differences

Comparative analysis of the vaginal microbiome of pregnant women with either Trichomonas vaginalis or Chlamydia trachomatis

BACKGROUND:Although the significance of the human vaginal microbiome for health and disease is increasingly acknowledged, there is paucity of data on the differences in the composition of the vaginal microbiome upon infection with different sexually transmitted pathogens. METHOD:The composition of the vaginal bacterial community of women with Trichomonas vaginalis (TV, N = 18) was compared to that of women with Chlamydia trachomatis (CT, N = 14), and to that of controls (N = 21) (women negative for TV, CT and bacterial vaginosis). The vaginal bacterial composition was determined using high throughput sequencing with the Ion 16S metagenomics kit of the variable regions 2, 4 and 8 of the bacterial 16S ribosomal RNA gene from the vaginal swab DNA extract of the women. QIIME and R package "Phyloseq" were used to assess the α- and β-diversity and absolute abundance of the 16S rRNA gene per sample in the three groups. Differences in taxa at various levels were determined using the independent T-test. RESULTS:A total of 545 operational taxonomic units (OTUs) were identified in all the three groups of which 488 occurred in all three groups (core OTUs). Bacterial α-diversity, by both Simpson's and Shannon's indices, was significantly higher, (p = 0.056) and (p = 0.001) respectively, among women with either TV or CT than among controls (mean α-diversity TV-infected > CT-infected > Controls). At the genus level, women infected with TV had a significantly (p < 0.01) higher abundance of Parvimonas and Prevotella species compared to both controls and CT-infected women, whereas women infected with CT had a significantly (p < 0.05) higher abundance of Anaerococcus, Collinsella, Corynebacterium and Dialister. CONCLUSION:The vaginal microbiomes of TV and CT-infected women were markedly different from each other and from women without TV and CT. Future studies should determine whether the altered microbiomes are merely markers of disease, or whether they actively contribute to the pathology of the two genital infections

Experience and lessons from health impact assessment guiding prevention and control of HIV/AIDS in a copper mine project, northwestern Zambia

To avoid or mitigate potential project-related adverse health effects, the Trident copper project in Kalumbila, northwestern Zambia, commissioned a health impact assessment. HIV was identified a priority health issue based on the local vulnerability to HIV transmission and experience from other mining projects in Africa. Hence, an HIV/AIDS management plan was developed, including community and workplace interventions, with HIV testing and counselling (HTC) being one of the key components. We present trends in HTC data over a 4-year period.; In 13 communities affected by the Trident project, HTC was implemented from 2012 onwards, using rapid diagnostic tests, accompanied by pre- and post-test counselling through trained personnel. In addition, HTC was initiated in the project workforce in 2013, coinciding with the launch of the mine development. HTC uptake and HIV positivity rates were assessed in the study population and linked to demographic factors using regression analysis.; In total, 11,638 community members and 5564 workers have taken up HTC with an increase over time. The HIV positivity rate in the community was 3.0% in 2012 and 3.4% in 2015, while positivity rate in the workforce was 5.2% in 2013 and 4.3% in 2015. Females showed a significantly higher odds of having a positive test result than males (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.55-2.50 among women in the community and OR = 2.90, 95% CI: 1.74-4.84 among women in the workforce). HTC users in the 35-49 years age group were most affected by HIV, with an average positivity rate of 6.6% in the community sample and 7.9% in the workforce sample. These study groups had 4.50 and 4.95 higher odds of being positive, respectively, compared to their younger counterparts (15-24 years).; While HTC uptake increased five-fold in the community and almost three-fold in the workplace, the HIV positivity rates were insignificantly higher in 2015 compared to 2012. Our data can be used alongside other surveillance data to track HIV transmission in this specific context. Guided by the health impact assessment, the HIV prevention and control programme was readily adapted to the current setting through the identification of socioeconomic and environmental determinants of health

Analysis of Determinants of Productivity and Technical Efficiency among Smallholder Common Bean Farmers in Eastern Uganda

The efficiency of crop production has important implications for farm yield and productivity; however, little is known about the efficiency of bean production in Uganda. This study evaluated factors influencing technical efficiency among smallholder farmers in eastern Uganda where bean growing is common to over 80% of the population. Technical efficiency measured the ability of a farm to produce the maximum possible yield given the available production inputs and technology. To assess the technical efficiency, data was collected in 2010 on a sample of 280 farming households using a multistage sampling technique. A tobit model was used to analyze the data for determinants of technical efficiency. Results showed that technical efficiency was likely to decline by 2% when age of farmer increases by 1 year, possibly due to reluctance to take up new technologies. In addition, a one hectare increase in farm size is likely to increase technical efficiency by about 1.5%. A one dollar increase in asset values was likely to increase efficiency by about 2.4%. Similarly, having access to extension services was likely to increase efficiency by over 6%. Finally, being a member of a producer group was likely to increase the technical efficiency of members by over 14%. Based on these results, there is need for increased provision of extension service and training on proper crop management and improved farming technologies to increase bean productivity. On the other hand, there is need for a programme to effectively disseminate seed of new, improved, bean varieties to farmers all over the country to improve farm yields