Contribution of Agroforestry to Farmers Wellbeing in Forest Enclave, Edo State, Nigeria

Agroforestry has recently been experiencing a surge in interest as a cost-effective means to enhance food security and well-being. Thus there is a need to assess its contribution of to farmer\u2019s wellbeing. Primary data needed for the study were collected through the administration of questionnaires to agroforestry farmers. Purposive random sampling technique was used to select three forest enclaves in Edo state. A simple random sampling technic was used in the selection of respondents and a total number of 120 copies of questionnaires were administered. Data were analyzed using descriptive statistics such as frequency counts and percentages and inferential statistics such as Chi-square, Pearson Product Moment correlations (PPMC). The study revealed that the mean age of the farmers in the area was 45.6years. Majorities (85.8 %) were male and 78.3% were married. with 54.2% having household size of between 4 - 6 persons. Majority (84.2%) had formal education. Also, 65.8% engage in agroforestry farming as their primary occupation. The results showed that there was positive and significant relationship between farmers\u2019 involvement in agroforestry and their economic wellbeing (\u3c72 = 76.27, P 64 0.001), material wellbeing (\u3c72 = 93.77, P 64 0.001), social wellbeing (\u3c72 = 73.00, P 64 0.001) and psychological wellbeing (\u3c72 = 132.63, P 64 0.001), respectively. It is therefore recommended that farmers should be encouraged to increase their farm holding and also organized themselves into association for them to have access to mechanized equipment

Investigation of the Perception of Climate Change among Arable Crop Farmers in Akinyele Local Government Area of Oyo State, Nigeria

This study was designed to investigate the perception of climate change among arable crop farmers in Akinyele local government area of Oyo state, Nigeria using a well-structured questionnaire for data acquisition. Descriptive and inferential (chi-square) statistics were used to analyze the data.. The study revealed that majority of the respondents (50.8%) were between the ages of 40-49years and majority of them (85.8%) are married with household size of 7-10 persons. The study further revealed that (33.3%) of the respondents had no formal education while, (42.5%) of the respondents had a farming experience of 16years and above. However, it also shows that majority of the respondents are aware of the effect and causes of climate change. Significant association exists between marital status (x2=68.426, P=0.000), family size (X2=25.777, P=0.012) and perceived effect of climate change. The study therefore recommended that the government and extension agents should enlighten the women farmers more about climate change and should also help in making them adapt excellently to climate change

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially