Sustainable livelihoods: the role of small-scale aquaculture to food security in Malawi

The rapid rise and evolution of aquaculture over the past few decades has led to both optimism and apprehension regarding the sector’s sustainability and role to food security. Comprised predominantly of small-scale operators, the sector is recognised to play a critical role in supporting livelihoods, contributing to food security and alleviating poverty. However, the ability to achieve these potential benefits is not a given and the transformation of communities adopting aquaculture can be positive, neutral or negative. Assessing the sectors contribution in a systematic way has been an uphill challenge due to the typical part-time and dynamic temporal engagement of operators as well as the complex socio-ecological factors that mediate aquaculture development outcomes. Moreover, the multidimensional concept of food security presents challenges to the assessment of the role of aquaculture to food security. The aim of this thesis is to explore and assess the role of small-scale aquaculture to food security. This thesis adopts a mixed methods approach and is guided by the Sustainable Livelihoods Approach framework. This thesis’s contribution to the debate focuses on Malawi, a country where the potential for aquaculture development is reported considerable. Drawing on mixed qualitative and quantitative methods, overall findings reveal that small-scale aquaculture contributes marginally but positively to local livelihoods through complex pathways to improved food security, improved well-being and reduced vulnerability. However, the type of aquaculture development, gender relations and cultural norms shape development outcomes. Significant social, environmental and economic constraints are also identified that negatively affect the sustainability of aquaculture. Findings presented have important policy implications and make novel contributions to the on-going debate concerning aquaculture’s future and its role to food security.<br/

In the frame: modifying Photovoice for improving understanding of gender in fisheries and aquaculture

Understanding the role and value of small-scale fisheries to livelihoods and food security is a key challenge in conserving fishery resources. This is particularly true for small-scale inland fisheries, one of the most underreported and undervalued fisheries sectors that also increasingly faces environmental and societal change. Gender plays a central role in the different ways in which inland fisheries contribute to food and nutritional security in developing countries. The role of women in inland fisheries is significant, with millions of women contributing to dynamic capture fisheries and aquaculture supply chains. The role of women in inland fisheries, however, is less visible than the role of men and is often overlooked in policymaking processes. The need for participatory community-based approaches has been widely recognized in natural resource management literature as a means to capture people’s perspectives and empower marginalized groups. The Photovoice method is increasingly used as a participatory tool in health, social, and environmental research, but has had little adoption in inland fisheries research to date. The aims of this paper are (1) to review and evaluate the effectiveness of an emerging participatory method, Photovoice; and (2) to present a modified Photovoice method, applicable to the context of small-scale fisheries, to advance understanding of gender and socioecological dimensions. We outline the strengths and limitations of the method and highlight that it can be used as a tool for triangulation of mixed research methods or independently. We argue that Photovoice, as a participatory tool in fisheries research, has the potential to provide rich, qualitative, context-specific, untapped sources of knowledge to advance fisheries research and management. The use of Photovoice in the context of small-scale inland fisheries and aquaculture research is a timely endeavor given heightened interest to obtain insights into the previously overlooked aspects of gender and the need for more policy relevant information

A photovoice assessment for illuminating the role of inland fisheries to livelihoods and the local challenges experienced through the lens of fishers in a climate-driven lake of Malawi

Small-scale inland capture fisheries provide an important source of nutritious food, employment and income to millions of people in developing countries, particularly in rural environments where limited alternatives exist. However, the sector is one of most under-valued fisheries sectors and is increasingly experiencing environmental change. This study adopts a Sustainable Livelihoods Approach and investigates how important a fluctuating inland fishery is to livelihoods, and how local perceptions on challenges corresponds to global evidence. Through an innovative participatory method; photovoice, the lived experiences and perceptions of fishers are depicted. The findings illuminate the valuable role of the sector to food and nutrition security and the complex nexus with vulnerability to climate change. The study responds to the call for more local level assessments of the impacts of climate change on inland fisheries in data-limited environments, and the value of the sector in underpinning the Sustainable Development Goals.publishedVersio

A photovoice assessment for illuminating the role of inland fisheries to livelihoods and the local challenges experienced through the lens of fishers in a climate-driven lake of Malawi

Small-scale inland capture fisheries provide an important source of nutritious food, employment and income to millions of people in developing countries, particularly in rural environments where limited alternatives exist. However, the sector is one of most under-valued fisheries sectors and is increasingly experiencing environmental change. This study adopts a Sustainable Livelihoods Approach and investigates how important a fluctuating inland fishery is to livelihoods, and how local perceptions on challenges corresponds to global evidence. Through an innovative participatory method; photovoice, the lived experiences and perceptions of fishers are depicted. The findings illuminate the valuable role of the sector to food and nutrition security and the complex nexus with vulnerability to climate change. The study responds to the call for more local level assessments of the impacts of climate change on inland fisheries in data-limited environments, and the value of the sector in underpinning the Sustainable Development Goals

Recognition by medical and nursing professionals of malnutrition and risk of malnutrition in elderly hospitalised patients

Objective: To determine the prevalence of malnutrition in a population of elderly hospitalised patients and to explore health professionals\u27 perceptions and awareness of signs and risks of malnutrition and treatment options available.Subjects and design: One hundred elderly patients and 57 health professionals from medical wards of a tertiary teaching hospital. Quantitative and qualitative study design using a validated malnutrition assessment tool (Mini Nutritional Assessment) and researcher-designed questionnaire to assess health professionals\u27 knowledge of nutrition risk factors.Main outcome measures: Mini Nutritional Assessment score, nutrition risk category and themes in health professionals\u27 knowledge and awareness of malnutrition and its risk factors.Results: Thirty per cent of patients were identified as malnourished while 61% were at risk of malnutrition. Documentation by health professionals of two major risk factors for malnutrition&mdash;recent loss of weight and appetite&mdash;were poor with only 19% and 53% of patients with actual loss of weight or appetite, respectively, identified by staff and only 7% and 9% of these patients, respectively, referred for dietetic assessment. While health professionals\u27 knowledge of important medical risk factors for malnutrition was good, their knowledge of malnutrition risk factors such as recent loss of weight and loss of appetite was poor. Medical staff focused on biochemical factors when assessing nutrition status, while nursing staff focused on skin integrity and turgor.Conclusion: Malnutrition in elderly hospitalised patients remains a significant problem with low rates of recognition and referral by medical and nursing staff. Considerable scope exists to develop training and education tools and to implement an appropriate nutrition screening policy to improve referral rates to dietitians.<br /

A photovoice assessment for illuminating the role of inland fisheries to livelihoods and the local challenges experienced through the lens of fishers in a climate-driven lake of Malawi

Small-scale inland capture fisheries provide an important source of nutritious food, employment and income to millions of people in developing countries, particularly in rural environments where limited alternatives exist. However, the sector is one of most under-valued fisheries sectors and is increasingly experiencing environmental change. This study adopts a Sustainable Livelihoods Approach and investigates how important a fluctuating inland fishery is to livelihoods, and how local perceptions on challenges corresponds to global evidence. Through an innovative participatory method; photovoice, the lived experiences and perceptions of fishers are depicted. The findings illuminate the valuable role of the sector to food and nutrition security and the complex nexus with vulnerability to climate change. The study responds to the call for more local level assessments of the impacts of climate change on inland fisheries in data-limited environments, and the value of the sector in underpinning the Sustainable Development Goals

Pilot study of an innovative model for clinical education in dietetics

Aim: To pilot and evaluate a new model of clinical dietetics education to address the sustainability of dietetic placements in the clinical setting.Methods: Final-year dietetics students (n = 14) completed all nine weeks of clinical placement in the pilot program at two large tertiary referral and teaching health services in metropolitan Melbourne. Staff and students completed surveys about their experience within a week of completing placement. Data collected included paid and unpaid staff working hours, hours in clinical and teaching activity, hours of student attendance and student clinical work hours. Data for the last month of the placement programs in the preceding three years were used for comparison with the pilot program.Results: Combined data for the two providers showed that the model reduced the amount of supervision hours per student hour on placement by 16% while maintaining quality indicators during the pilot compared with previous years. Students in the pilot program were more positive about their experience compared with students in the existing program. The overall trend of responses in the staff surveys was positive for the pilot program, but the trend was not as marked as that of student responses.Conclusion: The new model of clinical dietetics education was successfully piloted and demonstrated the potential to increase student training capacity without a negative impact on student achievement or major resource demands. Refinements to the model and opportunities to enhance integration into the dietetics degree program were identified during the project. The learning needs of non-English-speaking background students require further scrutiny.<br /