Response of cowpea genotypes to Alectra vogelii parasitism in Kenya

Cowpea is popular in Eastern Kenya where it is attractive to farmers because of its high economic value and the belief that it does not require many external inputs. Farmers are however discouraged to grow the crop in this region due to massive attack by a parasitic weed Alectra vogelii (Benth). Yield losses due to A. vogelii have being estimated to range from 50 to 100% in Mbeere, Kitui and Makueni districts. No single method however is available to farmers in these regions in control of the parasitic weed. Combining several control methods, as in the management of Striga spp in Western Kenya should be a sustainable option. Field studies were conducted in 2010 and 2011 at Kenya Agricultural Research Institute (KARI), Kiboko farm to determine the response of 143 cowpea genotypes to Alectra infestation. The aim for the study was to identify resistant genotypes that could be used in breeding programme. Significant differences were observed amongst cowpea genotypes in days to first Alectra emergence, number of Alectra shoots emerged at 6, 8, 10 and 12 week after planting and grain yield. Cowpea genotypes Kir/Nya-005 and Mbe/Mach-022 showed complete resistance to  Alectra while Ken-Kunde, M66 and K80 (all commercial varieties) supported the highest number of Alectra shoots. Grain yield loss in the three susceptible varieties was 80, 79 and 50% respectively. On the other hand, Sia/Cia-004, Mbe/Mach-014 and Kib-006 had high grain yields despite the high number of Alectra shoots present. There was a strong correlation (r = -0.57) between grain yield and number of Alectra shoots emerged at 12 weeks after planting. A significant negative (r = -0.37) correlation was also obtained between pod number per plant and number of emerged Alectra shoots at 12 weeks after planting. This negative correlation proves the high accumulation dry matter in the cowpea roots at the expense of the pods thus decreasing grain yield. This information showed that there is sufficient genetic variability in the cowpea genotypes studied, which can be exploited in breeding improved cowpea varieties for resistance to A. vogelii in Kenya. A great progress towards developing improved cowpea variety that meets farmer’s preferences with durable resistance to A. vogelii can be achieved if the genes from the resistant and tolerant local cowpea cultivars identified in this study could be introgressed into the adapted susceptible improved varieties. This will increase the potential impact of adoption of resistant cowpea varieties in the zones.Key words: Cowpea, Alectra vogelii, Resistance/tolerance and grain yield

The effect of alpha(+)-thalassaemia on the incidence of malaria and other diseases in children living on the coast of Kenya

BACKGROUND: The alpha-thalassaemias are the commonest genetic disorders of humans. It is generally believed that this high frequency reflects selection through a survival advantage against death from malaria; nevertheless, the epidemiological description of the relationships between alpha-thalassaemia, malaria, and other common causes of child mortality remains incomplete. METHODS AND FINDINGS: We studied the alpha+-thalassaemia-specific incidence of malaria and other common childhood diseases in two cohorts of children living on the coast of Kenya. We found no associations between alpha+-thalassaemia and the prevalence of symptomless Plasmodium falciparum parasitaemia, the incidence of uncomplicated P. falciparum disease, or parasite densities during mild or severe malaria episodes. However, we found significant negative associations between alpha+-thalassaemia and the incidence rates of severe malaria and severe anaemia (haemoglobin concentration < 50 g/l). The strongest associations were for severe malaria anaemia (> 10,000 P. falciparum parasites/mul) and severe nonmalaria anaemia; the incidence rate ratios and 95% confidence intervals (CIs) for alpha+-thalassaemia heterozygotes and homozygotes combined compared to normal children were, for severe malaria anaemia, 0.33 (95% CI, 0.15,0.73; p = 0.006), and for severe nonmalaria anaemia, 0.26 (95% CI, 0.09,0.77; p = 0.015). CONCLUSIONS: Our observations suggest, first that selection for alpha+-thalassaemia might be mediated by a specific effect against severe anaemia, an observation that may lead to fresh insights into the aetiology of this important condition. Second, although alpha+-thalassaemia is strongly protective against severe and fatal malaria, its effects are not detectable at the level of any other malaria outcome; this result provides a cautionary example for studies aimed at testing malaria interventions or identifying new malaria-protective genes

Factors influencing smallholder farmers’ inputs use in major bean production corridors in Kenya

This study analysed socio-economic determinants for inputs use in major bean corridors in Kenya. It comprised 417 respondents sampled from four major bean corridors. A structured questionnaire was used in data collection. Probit model was used to assess determinants of input use among the bean-farming households. From the results, 74% of respondents were male with a mean age of 48.6 years. The probability of using agricultural inputs increased with education level and income from crop sales. Fertilizer was mainly used in Bomet (73%) and Narok (74%) counties. Eighty-five percent planted recycled seeds. Education level and Income from crops positively influenced inputs use. It was concluded that education level, incomes from sale of crops, livestock and livestock products, and farm income influenced use of inputs. As a recommendation, Capacity building on merits of input use and promotion of public-private partnerships to strengthen input supply system would enhance increased input use by smallholder farmers.Keywords: Bean, inputs, determinants, Keny

Estimating the cumulative effects of the nature-based tourism in a coastal dolphin population from southern Kenya

Due to the growth of nature-based tourism worldwide, behavioural studies are needed to assess the impact of this industry on wildlife populations and understand their short-term effect. Tourism impact on dolphin populations remain poorly documented in developing countries. This study investigates the effects of nature-based tourism on the behaviour of the Indo-Pacific bottlenose dolphins (Tursiops aduncus) in southern Kenya. We used Markov chain models to estimate transition probabilities between behavioural states in the presence and absence of tourist boats, and assess the overall behavioural budgets. Based on these data and the tourism intensity in the area, we quantified the potential tourist boat disturbance over the period 2006-2013. Our results demonstrated that tourist boat interactions affected dolphins' behavioural budgets, with a significant decrease in the overall amount of time travelling and an increase in diving. The average duration of travelling and resting decreased significantly in the presence of boats. Although the cumulative tourism exposure was not significant for the dolphin population at their current levels, these impacts should be taken into consideration with the potential tourism growth in the area. This is particularly important if tourism reaches periods of high intensity, as we have shown that these periods could have a significant impact for the species, particularly where home-range and core areas are highly overlap by this activity. Understanding the effect of human disturbance variations from previous years may help to predict the consequences on dolphin populations, towards achieving a more ecological and economic sustainability of the activity

Mapping brucellosis risk in Kenya and its implications for control strategies in sub-Saharan Africa

In Sub-Saharan Africa (SSA), effective brucellosis control is limited, in part, by the lack of long-term commitments by governments to control the disease and the absence of reliable national human and livestock population-based data to inform policies. Therefore, we conducted a study to establish the national prevalence and develop a risk map for Brucella spp. in cattle to contribute to plans to eliminate the disease in Kenya by the year 2040. We randomly generated 268 geolocations and distributed them across Kenya, proportionate to the area of each of the five agroecological zones and the associated cattle population. Cattle herds closest to each selected geolocation were identified for sampling. Up to 25 cattle were sampled per geolocation and a semi-structured questionnaire was administered to their owners. We tested 6,593 cattle samples for Brucella immunoglobulin G (IgG) antibodies using an Enzyme-linked immunosorbent assay (ELISA). We assessed potential risk factors and performed spatial analyses and prevalence mapping using approximate Bayesian inference implemented via the integrated nested Laplace approximation (INLA) method. The national Brucella spp. prevalence was 6.8% (95% CI: 6.2–7.4%). Exposure levels varied significantly between agro-ecological zones, with a high of 8.5% in the very arid zone with the lowest agricultural potential relative to a low of 0.0% in the agro-alpine zone with the highest agricultural potential. Additionally, seroprevalence increased with herd size, and the odds of seropositivity were significantly higher for females and adult animals than for males or calves. Similarly, animals with a history of abortion, or with multiple reproductive syndromes had higher seropositivity than those without. At the herd level, the risk of Brucella spp. transmission was higher in larger herds, and herds with a history of reproductive problems such as abortion, giving birth to weak calves, or having swollen testes. Geographic localities with high Brucella seroprevalence occurred in northern, eastern, and southern regions of Kenya all primarily characterized by semi-arid or arid agro-ecological zones dominated by livestock pastoralism interspersed with vast areas with mixed livestock-wildlife systems. The large spatial extent of our survey provides compelling evidence for the widespread geographical distribution of brucellosis risk across Kenya in a manner easily understandable for policymakers. Our findings can provide a basis for risk-stratified pilot studies aiming to investigate the cost-effectiveness and efficacy of singular and combined preventive intervention strategies that seek to inform Kenya’s Brucellosis Control Policy

Market arrangements used by small scale bean farmers in Kenya: What needs to change for sustainable trade volumes?

Markets and marketing of common beans ( Phaseolus vulgaris L.) is a major issue of concern to small scale farmers and other actors in the bean value chain in Kenya, particularly inconsistency in supplying sufficient volumes required for trade. This case study assessed market arrangements used by small scale farmers in the Lake Basin and Lower Eastern bean corridors of Kenya, to determine which markets work for rural producers and what changes are needed to produce and supply sufficient quantities for trade. Using exploratory research, data were collected through Focus Group Discussions with six farmer groups, representing a total of 1255 bean farmers; and key informant interviews with extension staff. The results indicated that 94% of the farmers produced beans before identifying buyers, while only 6% participated in group marketing. Though spot-market transactions with brokers and traders provided ready cash for the farmers, formal buyers were perceived to be more reliable, but difficult to find, and operated the stringent requirements, which were a barrier to entry. Based on the study findings, sustainable production and supply of sufficient volumes for trade should entail a transformation agenda at four levels of the value chain; namely intensification of production through pure stand models with greater use of certified high yielding varieties; stable price guarantees; market-driven research and extension service; and an enabling policy and business environment in the bean value chain. Further research is needed to pilot these changes in a case control study.Les march\ue9s et la commercialisation des haricots communs ( Phaseolus vulgaris L.) constituent un sujet de pr\ue9occupation majeur pour les petites entreprises les agriculteurs et d\u2019autres acteurs de la cha\ueene de valeur du haricot au Kenya, en particulier les incoh\ue9rences dans l\u2019approvisionnement volumes suffisants requis pour le commerce. Cette \ue9tude de cas a \ue9valu\ue9 les accords de march\ue9 utilis\ue9s par les petites d\u2019agriculteurs dans les couloirs de haricots kenyans du bassin du lac et du Bas-Est, afin de d\ue9terminer les les march\ue9s fonctionnent pour les producteurs ruraux et quels changements sont n\ue9cessaires pour produire et fournir suffisamment quantit\ue9s pour le commerce. \uc0 l\u2019aide de recherches exploratoires, les donn\ue9es ont \ue9t\ue9 recueillies lors de discussions de groupe avec six groupes d\u2019agriculteurs, repr\ue9sentant un total de 1255 producteurs de haricots; et entretiens avec des informateurs cl\ue9s personnel de vulgarisation. Les r\ue9sultats ont montr\ue9 que 94% des agriculteurs produisaient des haricots avant d\u2019identifier acheteurs, alors que seulement 6% ont particip\ue9 au marketing de groupe. Bien que les transactions sur le march\ue9 au comptant avec des courtiers et les commer\ue7ants fournissaient de l\u2019argent disponible aux agriculteurs, les acheteurs formels \ue9taient per\ue7us comme plus fiables, mais difficile \ue0 trouver et appliquait les exigences strictes, qui constituaient une barri\ue8re \ue0 l\u2019entr\ue9e. Bas\ue9 sur r\ue9sultats de l\u2019\ue9tude, la production durable et la fourniture de volumes suffisants pour le commerce devraient impliquer une programme de transformation \ue0 quatre niveaux de la cha\ueene de valeur; \ue0 savoir l\u2019intensification de la production par mod\ue8les de peuplements purs utilisant davantage de vari\ue9t\ue9s certifi\ue9es \ue0 haut rendement; garanties de prix stables; ax\ue9 sur le march\ue9 service de recherche et de vulgarisation; et une politique favorable et un environnement commercial dans le haricot cha\ueene de valeur. Des recherches suppl\ue9mentaires sont n\ue9cessaires pour piloter ces changements dans une \ue9tude cas-t\ue9moins

Mapping services at two Nairobi County primary health facilities: identifying challenges and opportunities in integrated mental health care as a Universal Health Coverage (UHC) priority

Abstract: Introduction There is a need to scale-up mental health service provision in primary health care. The current extent of integration of mental health in primary care is pertinent to promoting and augmenting mental health at this level. We describe a facility mapping exercise conducted in two low-income/primary health facilities in Kenya to identify existing barriers and facilitators in the delivery of mental health services in general and specifically for peripartum adolescents in primary health care as well as available service resources, cadres, and developmental partners on the ground. Method and measures This study utilized a qualitative evidence synthesis through mapping facility-level services and key-stakeholder interviews. Services-related data were collected from two facility in-charges using the Nairobi City County Human Resource Health Strategy record forms. Additionally, we conducted 10 key informant interviews (KIIs) with clinical officers (Clinicians at diploma level), Nurses, Community Health Assistants (CHAs), Prevention of Mother-to-child Transmission of HIV Mentor Mothers (PMTCTMs), around both general and adolescent mental health as well as psychosocial services they offered. Using the World Health Organization Assessments Instrument for Mental Health Systems (WHO-AIMS) as a guideline for the interview, all KII questions were structured to identify the extent of mental health integration in primary health care services. Interview transcripts were then systematically analyzed for common themes and discussed by the first three authors to eliminate discrepancies. Results Our findings show that health care services centered around physical health were offered daily while the mental health services were still vertical, offered weekly through specialist services by the Ministry of Health directly or non-governmental partners. Despite health care workers being aware of the urgent need to integrate mental health services into routine care, they expressed limited knowledge about mental disorders and reported paucity of trained mental health personnel in these sites. Significantly, more funding and resources are needed to provide mental health services, as well as the need for training of general health care providers in the identification and treatment of mental disorders. Our stakeholders underscored the urgency of integrating mental health treatment, prevention, and well-being promotive activities targeting adolescents especially peripartum adolescent girls. Conclusion There is a need for further refining of the integrated care model in mental health services and targeted capacity-building for health care providers to deliver quality services

Multiple Sexual Partners and Condom use among 10 - 19 Year-olds in four Districts in Tanzania: What do we Learn?

Although some studies in Tanzania have addressed the question of sexuality and STIs among adolescents, mostly those aged 15 - 19 years, evidence on how multiple sexual partners influence condom use among 10 - 19 year-olds is limited. This study attempts to bridge this gap by testing a hypothesis that sexual relationships with multiple partners in the age group 10 - 19 years spurs condom use during sex in four districts in Tanzania. Secondary analysis was performed using data from the Adolescents Module of the cross-sectional household survey on Maternal, Newborn and Child Health (MNCH) that was done in Kigoma, Kilombero, Rufiji and Ulanga districts, Tanzania in 2008. A total of 612 adolescents resulting from a random sample of 1200 households participated in this study. Pearson Chi-Square was used as a test of association between multiple sexual partners and condom use. Multivariate logistic regression model was fitted to the data to assess the effect of multiple sexual partners on condom use, having adjusted for potential confounding variables. STATA (10) statistical software was used to carry out this process at 5% two-sided significance level. Of the 612 adolescents interviewed, 23.4% reported being sexually active and 42.0% of these reported having had multiple (> 1) sexual partners in the last 12 months. The overall prevalence of condom use among them was 39.2%. The proportion using a condom at the last sexual intercourse was higher among those who knew that they can get a condom if they want than those who did not. No evidence of association was found between multiple sexual partners and condom use (OR = 0.77, 95% CI = 0.35 - 1.67, P = 0.504). With younger adolescents (10 - 14 years) being a reference, condom use was associated with age group (15 - 19: OR = 3.69, 95% CI = 1.21 - 11.25, P = 0.022) and district of residence (Kigoma: OR = 7.45, 95% CI = 1.79 - 31.06, P = 0.006; Kilombero: OR = 8.89, 95% CI = 2.91 - 27.21, P < 0.001; Ulanga: OR = 5.88, 95% CI = 2.00 - 17.31, P = 0.001), Rufiji being a reference category. No evidence of association was found between multiple sexual partners and condom use among adolescents in the study area. The large proportion of adolescents who engage in sexual activity without using condoms, even those with multiple partners, perpetuates the risk of transmission of HIV infections in the community. Strategies such as sex education and easing access to and making a friendly environment for condom availability are important to address the risky sexual behaviour among adolescents

Defining Clinical Malaria: The Specificity and Incidence of Endpoints from Active and Passive Surveillance of Children in Rural Kenya

Febrile malaria is the most common clinical manifestation of P. falciparum infection, and is often the primary endpoint in clinical trials and epidemiological studies. Subjective and objective fevers are both used to define the endpoint, but have not been carefully compared, and the relative incidence of clinical malaria by active and passive case detection is unknown. We analyzed data from cohorts under active and passive surveillance, including 19,462 presentations with fever and 5,551 blood tests for asymptomatic parasitaemia. A logistic regression model was used to calculate Malaria Attributable Fractions (MAFs) for various case definitions. Incidences of febrile malaria by active and passive surveillance were compared in a subset of children matched for age and location. Active surveillance identified three times the incidence of clinical malaria as passive surveillance in a subset of children matched for age and location. Objective fever (temperature≥37.5°C) gave consistently higher MAFs than case definitions based on subjective fever. The endpoints from active and passive surveillance have high specificity, but the incidence of endpoints is lower on passive surveillance. Subjective fever had low specificity and should not be used in primary endpoint. Passive surveillance will reduce the power of clinical trials but may cost-effectively deliver acceptable sensitivity in studies of large populations

Mapping the Risk of Anaemia in Preschool-Age Children: The Contribution of Malnutrition, Malaria, and Helminth Infections in West Africa

Ricardo Soares Magalhães and colleagues used national cross-sectional household-based demographic health surveys to map the distribution of anemia risk in preschool children in Burkina Faso, Ghana, and Mali