45 research outputs found
Socio-economic and geographic differences in acceptability of community-based health insurance.
A scoping review of market links between value chain actors and small-scale producers in developing regions
Sustainable Development Goal 2 aims to end hunger, achieve food and nutrition security and promote sustainable agriculture by 2030. This requires that small-scale producers be included in, and benefit from, the rapid growth and transformation under way in food systems. Small-scale producers interact with various actors when they link with markets, including product traders, logistics firms, processors and retailers. The literature has explored primarily how large firms interact with farmers through formal contracts and resource provision arrangements. Although important, contracts constitute a very small share of smallholder market interactions. There has been little exploration of whether non-contract interactions between small farmers and both small- and large-scale value chain actors have affected small farmers’ livelihoods. This scoping review covers 202 studies on that topic. We find that non-contract interactions, de facto mostly with small and medium enterprises, benefit small-scale producers via similar mechanisms that the literature has previously credited to large firms. Small and medium enterprises, not just large enterprises, address idiosyncratic market failures and asset shortfalls of small-scale producers by providing them, through informal arrangements, with complementary services such as input provision, credit, information and logistics. Providing these services directly supports Sustainable Development Goal 2 by improving farmer welfare through technology adoption and greater productivity
Using participatory modeling processes to identify sources of climate risk in West Africa
Participatory modeling has been widely recognized in recent years as a powerful tool for dealing with risk and uncertainty. By incorporating multiple perspectives into the structure of a model, we hypothesize that sources of risk can be identified and analyzed more comprehensively compared to traditional ‘expert-driven’ models. However, one of the weaknesses of a participatory modeling process is that it is typically not feasible to involve more than a few dozen people in model creation, and valuable perspectives on sources of risk may therefore be absent. We sought to address this weakness by conducting parallel participatory modeling processes in three countries in West Africa with similar climates and smallholder agricultural systems, but widely differing political and cultural contexts. Stakeholders involved in the agricultural sector in Ghana, Mali, and Nigeria participated in either a scenario planning process or a causal loop diagramming process, in which they were asked about drivers of agricultural productivity and food security, and sources of risk, including climate risk, between the present and mid-century (2035–2050). Participants in all three workshops identified both direct and indirect sources of climate risk, as they interact with other critical drivers of agricultural systems change, such as water availability, political investment in agriculture, and land availability. We conclude that participatory systems methods are a valuable addition to the suite of methodologies for analyzing climate risk and that scientists and policy-makers would do well to consider dynamic interactions between drivers of risk when assessing the resilience of agricultural systems to climate change
Medium-Scale Farming as a Policy Tool for Agricultural Commercialisation and Small-Scale Farms Transformation in Nigeria
Recent evidence suggests that the changing structure of land ownership in sub-Saharan Africa is one of the major new trends affecting African agri-food systems. Research in several African countries shows a rapid rise of medium-scale farms (MSFs) of 5–50ha. MSFs have become an important force for increasing agricultural production, particularly in countries with significant unutilised arable land and potential for area expansion, such as Ghana, Nigeria, Tanzania and Zambia. Most African countries’ national agricultural investment plans and policy strategies officially regard the smallholder farming sector as the main vehicle for achieving agricultural growth, food security, and poverty reduction objectives. However, many governments have adopted land and financial policies that implicitly encourage the rise of emergent MSFs. Given the documented rise in MSFs in many African countries, the APRA Nigeria Work Stream 1 team developed a research agenda focused on understanding the potentially complex ways in which these farms affect the productivity and commercialisation potential of small-scale farms (SSFs). We investigated the characteristics of MSFs, the processes that produces them, their relative importance in the agricultural commercialisation process, the relationship between farm scale and productivity, and whether MSFs influence the behaviour and welfare of the millions of SSF households around them. Our findings are based on two years of survey data on MSFs and nearby SSFs in 2019 and 2021 in Ogun and Kaduna states. This policy brief summarises our main findings, drawing upon several APRA-supported reports
Efficiency, food security and differentiation in small-scale irrigation agriculture: Evidence from North West Nigeria
Ambiguity over the effectiveness of agricultural intervention is more
pronounced in rural areas where the majority of North West Nigeria’s poor population, and those involved in agriculture, reside. Further characterising these areas is
the paucity of research on the issue of differentiation within the smallholder community. Specifically, definite classification of households based on efficiency, food
security and income status remains inadequate. The study explores smallholder
households’ differentials on the basis of these three phenomena, and other factors
that affect smallholder typologies. Data was collected from 306 randomly selected
smallholders involved in the Middle Rima Valley Irrigation Project, Sokoto State,
Nigeria. Smallholders’ technical efficiency and households’ Food Consumption Score
(FCS) were assessed. Also, Pearson correlation analysis, a segmentation approach
using cluster analysis and multinomial regression model were used for the study.
The study showed that the mean efficiency level of smallholder farms was 85.9%
and that the majority of the households were food insecure
Drivers of diversification and pluriactivity among smallholder farmers—evidence from Nigeria
Diversification and pluriactivity have become a norm among farm business owners (FBOs) due to persistent low farm income. This study applies the resource-based theory to examine drivers of diversification and livelihood income-oriented towards a sustainable livelihood. Our framework develops hypotheses about the impact of internal and external resources on livelihood choices at the household level. We use a survey of 480 rural Nigerian farmers (agripreneurs), applying a Multivariate Tobit to test our framework. We find that education plays the most significant role in all types of employment options. The more FBOs are educated, the more the likelihood that they will choose non-farm or wage employment. This study revealed that while the agriculture sector’s share of rural employment is declining, non-farm is on the increase. More so, there is a decline in farming among the young generation, marital status bias and gender influence in resource allocation. The socioeconomic (income and food security) and socio-cultural (employment and rural-urban migration) implications of rural sustainability linked to UN Development Goals have been highlighted and analysed in this article
Effect of Systemic Hypertension With Versus Without Left Ventricular Hypertrophy on the Progression of Atrial Fibrillation (from the Euro Heart Survey).
Hypertension is a risk factor for both progression of atrial fibrillation (AF) and development of AF-related complications, that is major adverse cardiac and cerebrovascular events (MACCE). It is unknown whether left ventricular hypertrophy (LVH) as a consequence of hypertension is also a risk factor for both these end points. We aimed to assess this in low-risk AF patients, also assessing gender-related differences. We included 799 patients from the Euro Heart Survey with nonvalvular AF and a baseline echocardiogram. Patients with and without hypertension were included. End points after 1 year were occurrence of AF progression, that is paroxysmal AF becoming persistent and/or permanent AF, and MACCE. Echocardiographic LVH was present in 33% of 379 hypertensive patients. AF progression after 1 year occurred in 10.2% of 373 patients with rhythm follow-up. In hypertensive patients with LVH, AF progression occurred more frequently as compared with hypertensive patients without LVH (23.3% vs 8.8%, p = 0.011). In hypertensive AF patients, LVH was the most important multivariably adjusted determinant of AF progression on multivariable logistic regression (odds ratio 4.84, 95% confidence interval 1.70 to 13.78, p = 0.003). This effect was only seen in male patients (27.5% vs 5.8%, p = 0.002), while in female hypertensive patients, no differences were found in AF progression rates regarding the presence or absence of LVH (15.2% vs 15.0%, p = 0.999). No differences were seen in MACCE for hypertensive patients with and without LVH. In conclusion, in men with hypertension, LVH is associated with AF progression. This association seems to be absent in hypertensive women
Progression From Paroxysmal to Persistent Atrial Fibrillation. Clinical Correlates and Prognosis
Objectives: We investigated clinical correlates of atrial fibrillation (AF) progression and evaluated the prognosis of patients demonstrating AF progression in a large population. Background: Progression of paroxysmal AF to more sustained forms is frequently seen. However, not all patients will progress to persistent AF. Methods: We included 1,219 patients with paroxysmal AF who participated in the Euro Heart Survey on AF and had a known rhythm status at follow-up. Patients who experienced AF progression after 1 year of follow-up were identified. Results: Progression of AF occurred in 178 (15%) patients. Multivariate analysis showed that heart failure, age, previous transient ischemic attack or stroke, chronic obstructive pulmonary disease, and hypertension were the only independent predictors of AF progression. Using the regression coefficient as a benchmark, we calculated the HATCH score. Nearly 50% of the patients with a HATCH score >5 progressed to persistent AF compared with only 6% of the patients with a HATCH score of 0. During follow-up, patients with AF progression were more often admitted to the hospital and had more major adverse cardiovascular events. Conclusions: A substantial number of patients progress to sustained AF within 1 year. The clinical outcome of these patients regarding hospital admissions and major adverse cardiovascular events was worse compared with patients demonstrating no AF progression. Factors known to cause atrial structural remodeling (age and underlying heart disease) were independent predictors of AF progression. The HATCH score may help to identify patients who are likely to progress to sustained forms of AF in the near future. \ua9 2010 American College of Cardiology Foundation
Historical Missionary Activity, Schooling, and the Reversal of Fortunes: Evidence from Nigeria
This paper shows that historical missionary activity has had a persistent effect on schooling outcomes, and contributed to a reversal of fortunes wherein historically richer ethnic groups are poorer today. Combining contemporary individual-level data with a newly constructed dataset on mission stations in Nigeria, we find that individuals whose ancestors were exposed to greater missionary activity have higher levels of schooling. This effect is robust to omitted heterogeneity, ethnicity fixed effects, and reverse causation. We find inter-generational factors and the persistence of early advantages in educational infrastructure to be key channels through which the effect has persisted. Consistent with theory, the effect of missions on current schooling is larger for population subgroups that have historically suffered disadvantages in access to education
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