The role of faith based organizations in the delivery of urban services to the poor

Today for the first time in history, over 1.15 billion people live in urban slums. Of these, 581 million live in Asia, 120 million in Latin America, and 199 million in sub-Saharan Africa (UN-HABITAT 2010). Over 90% of the urban slum dwellers live in the cities of low income countries under severe deprivation of urban services such as improved drinking water, adequate sanitation and shelter (UNHABITAT 2006a), (UN-HABITAT 2010), (Martínez, Mboup et al. 2008), (Cross, Morel 2005) and (Brocklehurst, Malhotra et al. 2005). This deprivation of the poor has been associated with bias meted against them (the poor) by the public and private sectors. Unless this bias and subsequent deprivations are dealt with, new constraints will always emerge to perpetuate the deprivations (Solo, Perez et al. 1993,). However, can certain approaches by a specific kind of organisations address the bias? This research was encouraged by the success of faith based organizations (FBOs) in treating the poor communities well and their success in delivering social services to the poor in America (White House. 2001), (Sherman 2003) and (Wuthnow, Hackett et al. 2004). The role played by human values in influencing day to day behaviour was encouraging too (Schwartz 1992), (Schwartz 2007), (Williams Jr. 1979), (Schwartz, Melech et al. 2001), and (Rokeach 1973). Reviewed literature show that the people who identify with self-transcendence values are predisposed to treat other people well and also work towards the welfare of other people (Schwartz 1992), (Schwartz 1994), and (Schwartz, Melech et al. 2001). The knowledge gap about the role that faith based organizations and human values could play towards addressing the deprivations of the urban poor in a low income country context led to the research question: ―how could faith based organizations possibly contribute towards the delivery of urban services to the poor in a low-income country context‖. To answer the research question, a case study strategy was adopted and data gathered from three FBOs in Nairobi (Kenya), using 29 in-depth interviews, 8 observations and 41 case study documents. The case studies were selected after a preliminary survey involving 256 telephone interviews and 135 subsequent self-administered mail questionnaires to probable organizations. Qualitative data from the selected case studies was analysed using the thematic analysis approach to understand the FBOs‘ involvement with urban services to the poor. Data from the Portraits Value Questionnaire (58 questionnaires) was also analysed to determine the values orientation of the FBOs‘ personnel. This inquiry found that the FBOs‘ staff oriented with self-transcendence values and also treated the poor well. The FBOs were also involved with urban services for the poor through infrastructural programmes (or projects) and the empowerment of the poor. As a result, the poor were enabled both to access and also afford the urban services, lobby, advocate and demand for urban services. These findings have illuminated the possibility of Public-Faith Partnerships in the delivery of urban services for the poor and the need for personal values to be central in staff recruitment towards eliminating bias against the poor and the subsequent deprivations.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Outcomes of HIV treatment from the private sector in low-income and middle-income countries: a systematic review protocol

Introduction: Private sector provision of HIV treatment is increasing in low-income and middle-income countries (LMIC). However, there is limited documentation of its outcomes. This protocol reports a proposed systematic review that will synthesise clinical outcomes of private sector HIV treatment in LMIC. Methods and analysis: This review will be conducted in accordance with the preferred reporting items for systematic review and meta-analyses protocols. Primary outcomes will include: (1) proportion of eligible patients initiating antiretroviral therapy (ART); (2) proportion of those on ART with 90% ART adherence (based on any measure reported); (3) proportion screened for non-communicable diseases (specifically cervical cancer, diabetes, hypertension and mental ill health); (iv) proportion screened for tuberculosis. A search of five electronic bibliographical databases (Embase, Medline, PsychINFO, Web of Science and CINAHL) and reference lists of included articles will be conducted to identify relevant articles reporting HIV clinical outcomes. Searches will be limited to LMIC. No age, publication date, study-design or language limits will be applied. Authors of relevant studies will be contacted for clarification. Two reviewers will independently screen citations and abstracts, identify full text articles for inclusion, extract data and appraise the quality and bias of included studies. Outcome data will be pooled to generate aggregative proportions of primary and secondary outcomes. Descriptive statistics and a narrative synthesis will be presented. Heterogeneity and sensitivity assessments will be conducted to aid interpretation of results. Ethics and dissemination: The results of this review will be disseminated through a peer-reviewed scientific manuscript and at international scientific conferences. Results will inform quality improvement strategies, replication of identified good practices, potential policy changes, and future research

Assessment of relationship between management policies and transfer of skills: A case of public secondary school heads in Nyeri County, Kenya

Despite heavy investments in training and development, low-quality education standards and challenges in management practices have been a sticky problem in the Kenyan education sector. Organization Theory guided the main aim of this study in establishing the relationship between management policies and transfer of skills for public secondary school headteachers in schools management. The study adopted a descriptive research design. Questionnaires were used to collect quantitative and qualitative data. Data were analyzed through descriptive and inferential statistics. The study population comprised 226 headteachers.  A mixture of stratified random sampling and census study was adopted in sampling 69 respondents. The results established that management policies explained a 23.4% variation in the transfer of skills for school heads. ?1 = 0.536 and p-value = 0.000 (p<0.05) indicated that management policies had positive and significant effects on transfer of skills. The study established that unsupportive policies like the Students Council, two centers of power, strict policies, and lack of inclusivity in policy formulation adversely affected school heads in implementing learned skills. The study recommends fair representation of all categories of education stakeholders in policies review and formulation to alleviate challenges associated with management policies to enhance the transfer of skills. The Government should address the issue of two centers of power in the public basic education sector. The paper sought to call the attention of the professional development trainers to exercise follow-ups to assess post-training behavioral outcomes in the context of organizational climate

The effects of maize planting density and weeding regimes on light and water use

Light and water are among essential resources required for production of photosynthates in plants. A study on the effects of weeding regimes and maize planting density on light and water use was conducted during the 2001/2 short and 2002 long rain seasons at Muguga in - the central highlands of Kenya. Weeding regimes were: weed free (W1), weedy (W2), herbicide (W3) and hand weeding twice (W4). Maize planting densities were 9 (D1) and 18 plants m-2 (D2) intercropped with Phaseolus vulgaris (beans). The experiment was laid as randomized complete block design replicated four times and repeated twice. All plots were thinned to 4 plants m-2 at tasseling stage (96 DAE) and thinnings quantified as forage. Soil moisture content (SMC), photosynthetically active radiation (PAR) interception, evapo-transpiration (ET crop), water use efficiency (WUE), and harvest index (HI), were determined. Percent PAR was higher in D2 than in D1 before thinning but higher in D1 than in D2 after thinning in both seasons. PAR interception was highest in W2 but similar in W1, W3 and W4 in both seasons. SMC was significantly lower in W2 but similar in W1, W3 and W4. D2 had lower SMC than D1 in season two. Weeding regime significantly influenced ET crop, while planting density and weeding regime significantly influenced WUE and HI. D2 maximizes water and light use for forage production but results to increased intra-specific plant competition for water and light severely before thinning (96 DAE) that reduce grain yield in dual purpose maize, relative to D1

Awareness and Willingness to Use HIV Pre-Exposure Prophylaxis among Men Who Have Sex with Men in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

Introduction: To facilitate provision of pre-exposure prophylaxis (PrEP) in low- and middle-income countries (LMIC), a better understanding of potential demand and user preferences is required. This review assessed awareness and willingness to use oral PrEP among men who have sex with men (MSM) in LMIC. Methods: Electronic literature search of Cochrane library, Embase, PubMed, PsychINFO, CINHAL, Web of Science, and Google Scholar was conducted between July and September 2016. Reference lists of relevant studies were searched, and three authors contacted for additional data. Non-peer reviewed publications were excluded. Studies were screened for inclusion, and relevant data abstracted, assessed for bias, and synthesized. Results: In total, 2186 records were identified, of which 23 studies involving 14,040 MSM from LMIC were included. The proportion of MSM who were aware of PrEP was low at 29.7% (95% CI: 16.9-44.3). However, the proportion willing to use PrEP was higher, at 64.4% (95% CI: 53.3-74.8). Proportions of MSM aware of PrEP was Conclusions: This review found that despite low levels of awareness of PrEP, MSM in LMIC are willing to use it if they are supported appropriately to deal with a range of individual, social, and structural barriers

Potato cyst nematodes: a new threat to potato production in east Africa

Open Access Journal; Published online: 25 May 2020Potato cyst nematodes (PCN), such as Globodera rostochiensis and Globodera pallida, are quarantine restricted pests of potato causing major yield and financial losses to farmers. G. rostochiensis was first reported from Kenya’s key potato growing area in 2015. We sought to determine the diversity, prevalence and distribution of PCN species across the country by conducting a country-wide survey between 2016 and 2018, which included a more focused, follow-up assessment in three key potato growing counties. A total of 1,348 soil samples were collected from 20 potato growing counties. Information regarding local potato farming practices, potato cultivar use, their diversity and availability was also recorded. PCN cysts were obtained from 968 samples (71.8%) in all the counties surveyed, with Nyandarua County recording the highest PCN field-incidence at 47.6%. The majority of PCN populations, 99.9%, were identified as G. rostochiensis, while G. pallida was recovered from just one field, in a mixed population with G. rostochiensis. Inconsistencies in PCR amplification efficiency was observed for G. rostochiensis using the recommended EPPO primers, compared with ITS primers AB28/TW81, indicating that this protocol cannot be entirely relied upon to effectively detect PCN. Egg density in Nyandarua County varied between 30.6 and 158.5 viable eggs/g soil, with an average egg viability of 78.9 ± 2.8% (min = 11.6%, max = 99.9%). The PCN-susceptible potato cultivar named Shangi was the most preferred and used by 65% of farmers due to its shorter dormancy and cooking time, while imported cultivars (Destiny, Jelly, Manitou, and Markies) with resistance to G. rostochiensis were used by 7.5% of farmers due to unavailability and/or limited access to seeds. Thus, most farmers preferred using their own farm-saved seeds as opposed to purchasing certified seeds. Establishing the distribution and prevalence of PCN and elucidating the local farming practices that could promote the spread of PCN is a necessary precursor to the implementation of any containment or management strategy in the country and ultimately across the region

Impact of agribusiness empowerment interventions on youth livelihoods: insight from Africa

Open Access JournalThis study generates evidence to understand the impact of agribusiness empowerment programmes on youth livelihoods in developing countries based on the ENABLE-TAAT programme implemented in Kenya, Nigeria, and Uganda. A multistage sampling technique was used in obtaining primary agribusiness-level data from a sample of 1435 young agripreneurs from the study countries. An Endogenous Treatment Effect Regression (ETER) model was used to assess the impact of programme participation on youth livelihoods (income and food security). Results show that participation significantly increased youth's agripreneurship income by 7% and improved food security by 75% for the pooled analysis. The country disaggregation results show that participation led to a 54% and 37% increase in the income of participants in Nigeria and Uganda, respectively. Also, positive and significant impacts were obtained for food security in the two East African countries. These findings suggest policy interventions or programmes focusing on youth agribusiness empowerment, particularly those that target young actors along different agricultural value chains. The study also suggests interventions geared towards mitigating constraints to credit access and productive resources by young agripreneurs to ease barriers to working capital and business innovation

ANTIINFLAMMATORY PROPERTIES OF DICHLOROMETHANE: METHANOLIC LEAF EXTRACTS OF CAESALPINIA VOLKENSII AND MAYTENUS OBSCURA IN ANIMAL MODELS

Objective: Inflammation is the reaction to injury of the living tissues. Conventional medication of inflammation is expensive and arguably associated with various severe adverse effects hence the need to develop herbal agents that are effective as alternative. Caesalpinia volkensii and Maytenus obscura are plants that grow in Mbeere County of Eastern region of Kenya. This study was designed to evaluate the anti-inflammatory activity of C. volkensii and M. obscura plants. Methods: Experimental animals were divided in to four groups; normal group, diseased negative control group, diseased reference group and diseased experimental groups. Inflammation was inducted into the mice using carrageenan. The experimental groups were treated with leaf extracts of the plants at concentration of 50 mg/kg, 100 mg/kg and 150 mg/kg. Anti-inflammatory activities in rats were compared with diclofenac (15 mg/kg) as the standard conventional drug. Results: The leaf extracts of C. volkensii reduced the paw edema by between 6.50%-13.42% while the extracts of M. obscura reduced it by between 4.94%-22.36%. Diclofenac reduced the paw edema by between 4.11%-10.47%. Conclusion: The phytochemical screening results showed that the extracts of C. volkensii had flavonoids, steroids and phenolics while the leaf extracts M. obscura had phenolics, terpenoids and saponins. Flavonoids, saponins and phenolics have been associated with anti-inflammatory activities. Therefore, the study has established that the DCM: methanolic leaf extracts of Caesalpinia volkensii and Maytenus obscura are effective in management of inflammation

A pseudo-likelihood method for estimating misclassification probabilities in competing-risks settings when true event data are partially observed

Outcome misclassification occurs frequently in binary-outcome studies and can result in biased estimation of quantities such as the incidence, prevalence, cause-specific hazards, cumulative incidence functions etc. A number of remedies have been proposed to address the potential misclassification of the outcomes in such data. The majority of these remedies lie in the estimation of misclassification probabilities, which are in turn used to adjust analyses for outcome misclassification. A number of authors advocate using a gold-standard procedure on a sample internal to the study to learn about the extent of the misclassification. With this type of internal validation, the problem of quantifying the misclassification also becomes a missing data problem as, by design, the true outcomes are only ascertained on a subset of the entire study sample. Although, the process of estimating misclassification probabilities appears simple conceptually, the estimation methods proposed so far have several methodological and practical shortcomings. Most methods rely on missing outcome data to be missing completely at random (MCAR), a rather stringent assumption which is unlikely to hold in practice. Some of the existing methods also tend to be computationally-intensive. To address these issues, we propose a computationally-efficient, easy-to-implement, pseudo-likelihood estimator of the misclassification probabilities under a missing at random (MAR) assumption, in studies with an available internal validation sample. We present the estimator through the lens of studies with competing-risks outcomes, though the estimator extends beyond this setting. We describe the consistency and asymptotic distributional properties of the resulting estimator, and derive a closed-form estimator of its variance. The finite-sample performance of this estimator is evaluated via simulations. Using data from a real-world study with competing risks outcomes, we illustrate how the proposed method can be used to estimate misclassification probabilities. We also show how the estimated misclassification probabilities can be used in an external study to adjust for possible misclassification bias when modeling cumulative incidence functions