5 research outputs found

    Tuberculosis and HIV co-infection—focus on the Asia-Pacific region

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    Tuberculosis (TB) is the leading opportunistic disease and cause of death in patients with HIV infection. In 2013 there were 1.1 million new TB/HIV co-infected cases globally, accounting for 12% of incident TB cases and 360 000 deaths. The Asia-Pacific region, which contributes more than a half of all TB cases worldwide, traditionally reports low TB/HIV co-infection rates. However, routine testing of TB patients for HIV infection is not universally implemented and the estimated prevalence of HIV in new TB cases increased to 6.3% in 2013. Although HIV infection rates have not seen the rapid rise observed in Sub-Saharan Africa, indications are that rates are increasing among specific high-risk groups. This paper reviews the risks of TB exposure and progression to disease, including the risk of TB recurrence, in this vulnerable population. There is urgency to scale up interventions such as intensified TB case-finding, isoniazid preventive therapy, and TB infection control, as well as HIV testing and improved access to antiretroviral treatment. Increased awareness and concerted action is required to reduce TB/HIV co-infection rates in the Asia-Pacific region and to improve the outcomes of people living with HIV

    Opportunities and challenges for mangrove restoration in the Mekong Delta: Status, policies and stakeholder outlook

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    Based on a literature and policy review, spatial analysis, participatory mapping and stakeholder consultations, this paper identifies potential sites for mangrove restoration; looks at policy planning, possibilities for natural regeneration, and stakeholder perceptions; and discusses opportunities and challenges for mangrove restoration in the Mekong Delta, Vietnam

    Perceptions of wood-processing industries on FLEGT implementation: Insights from Vietnam

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    This paper analyses timber and wood processing companies' views on opportunities and challenges for FLEGT implementation in Vietnam based on a literature review, online surveys with 56 timber and wood processing companies, in-depth interviews with 26 stakeholders from different institutions, and a consultation workshop involving 94 participants. Our paper shows that FLEGT has received increasing attention and political support from the Government of Vietnam, which has issued new policies on sustainable forest management, forest certification and financial incentives to enable timber and wood processing companies to participate in FLEGT. The active presence of civil society organizations has helped improve forest governance, which is a key aspect of FLEGT. Perceiving FLEGT as a global market trend able to generate higher profits, timber and wood processing companies see opportunities to benefit from this timber trading initiative, and are therefore more willing to comply with FLEGT requirements. However, these companies also highlight challenges to implementing FLEGT on the ground, including unclear and inconsistent policies, weak monitoring and evaluation, high transaction costs, companies' limited access to information, unclear tenure and erratic land-use planning, and the weak capacity of household and small-scale enterprises. Effective implementation of FLEGT requires regulatory changes, improved law enforcement and translation of policies on the ground, enhanced information exchange between stakeholders, and addressing underlying problems relating to land tenure and forest governance

    Policymaker perceptions of COVID-19 impacts, opportunities and challenges for sustainable wildlife farm management in Vietnam

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    This paper uses Vietnam – where overexploitation of wildlife resources is a major threat to biodiversity conservation – as a case study to examine how government officials perceive the impacts of COVID-19 on wildlife farming, as well as the opportunities and challenges presented for sustainable wildlife management. Findings show Vietnamese government officials perceive COVID-19 to have had mixed impacts on wildlife conservation policies and practice. While the pandemic strengthened the legal framework on wildlife conservation, implementation and outcomes have been poor, as existing policies are unclear, contradictory, and poorly enforced. Our paper also shows policymakers in Vietnam are not in favor of banning wildlife trade. As our paper documents the immediate impacts of the pandemic on wildlife farming, more research is necessary to analyse longer-term impacts

    Impacts of Payment for Forest Ecosystem Services in Protecting Forests in Dak Lak Province, Vietnam

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    Vietnam’s Payment for Forest Ecosystem Services (PFES) scheme has the goal of protecting remaining natural forests by providing financial support to people involved in forest protection. However, studying the case of Dak Lak province in the Central Highlands region of Vietnam shows that even after eight years of PFES implementation, achieving this goal remains a challenge. Although PFES does provide a stable income source and higher payments than state forest protection programs, enables the mobilization of more personnel resources for patrolling forest and relieves a great burden on the state budget in terms of investment in forest protection and development, forest cover in Dak Lak province is still decreasing, mainly due to conversion for other land uses, especially commercial agricultural and industrial crops. These drivers are rooted in national socio-economic planning aimed at boosting economic growth and in local people’s need to sustain their livelihoods. In addition, our paper shows that illegal logging is still widespread in Dak Lak. Weak law enforcement in areas of forest managed by state forest authorities and state companies also contributes to deforestation. However, these drivers are neither fully recognized nor addressed, and instead, the blame for deforestation is laid on local communities. PFES alone cannot protect forests in Dak Lak province. It needs to be backed up by political commitment to address underlying drivers of deforestation, improved social programs to help local people diversify their income sources and clarity over land use
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