Late Effects of Therapy, Stigmatization and Social Reintegration following Childhood Cancer Survival in Kenya: A Case Report

Childhood cancer survival is increasing in low- and middle-income countries like Kenya, which comes with a new healthcare challenge: late effects and quality-of-life of survivors. A case was studied to depict a Kenyan Hodgkin lymphoma survivor, illustrating some of the childhood cancer survivors' difficulties in Kenya. Late effects of therapy, stigmatization and social reintegration were explored. The investigators reviewed medical records and used semi-structured interviews and stigma assessments using the Social Impact Scale. The survivor developed severe pulmonary hypertension during treatment with ABVD and salvage protocols. Three years after treatment, the patient experienced chemotherapy-induced late effects (chronic heart disease) that hindered personal care, social activities and job opportunities and required follow-up. Stigmatization by the community burdened his family life and marital prospects. This case report is one of the first that testifies of combined medical and psychosocial challenges that childhood cancer survivors may face in sub-Saharan Africa and underlines the need for a holistic approach

Assisted Community-Led Systematic Land Tenure Regularization

Systematic land cadastre is still an expensive and time-consuming endeavour in Mozambique. Government adopted the approach of systematic land cadastre, launching the "Terra Segura" Programme, to cover 4 thousand communities and 5 million rural parcels, out of an estimated total universe of circa 12 million parcels and plots. The initial exercises to attend this massive registration utilized traditional methods of land tenure regularization, resulting in being either too expensive or time-consuming initiatives, with serious problems of data quality. New approaches were designed and tested to create an effective sustainable cadastre, proposing an holistic approach to register the land. However, because strong evidence must be presented with regards to this holistic approach, there is a need to scale up the tests. The end goal of this scaling up exercise is to learn and disseminate lessons in local capacity development and improve the methodology and tools of the Terra Segura programme. Key Words

Implementation Strategy for Land Administration in Mozambique

Land administration inMozambique needs to become less bureaucratic, simpler, cheaper and more transparent. Design and implementation of traditional approaches is so time consuming that land laws are to be adapted to provide for simpler procedures. Delivery of results (maps, DUATs, spatial plans) requires unconventional approaches, both conceptual and technological. This paper proposes an implementation mechanism for the Land Sector Strategic Plan in Mozambique. A clear priority is identified in this proposal: DUAT production for 5 million parcels before 2025 combined with an land administration organisation where maintenance can be performed. This allows for the future development and introduction of a more comprehensive land governance in the related areas. Land administration is considered as a business that operates within legal frameworks. Topographic mapping and land use planning should be included in this business approach. It is considered that the implementation of the Land Sector Strategic Plan of Mozambique can be achieved by one unique, single organisation for land administration and topographic mapping operating at different levels of administration