Access to Land and Poverty Reduction in Rural Zambia: Connecting the Policy Issues

Key Policy Message: - Despite having relatively low population densities, inadequate access to land is one of the major causes of rural poverty in Zambia. - The apparent paradox of inadequate access to land for many rural households in a country of low population density is partially reconciled when taking into account that economically viable arable land requires at least some degree of access to basic services, water, road infrastructure, and markets. The basic public investments to make settlement economically viable have yet been made in many areas of Zambia. - Depending of future land allocation policy, access to good quality land with a market potential may become increasingly beyond the reach of many small-scale farm households, making it more difficult to achieve a smallholder-led, pro-poor agricultural development trajectory.zambia, food security, land, policy, Agricultural and Food Policy, Community/Rural/Urban Development, Consumer/Household Economics, Food Security and Poverty, Land Economics/Use, q18, q15,

The social and cultural meanings of infertility for men and women in Zambia: Legacy, family and divine intervention

Despite the high prevalence of infertility within the sub-Saharan sterility belt, infertility in Zambia is understudied, particularly from a social perspective. Furthermore, few studies in sub-Saharan Africa include the infertility experiences of men. This article seeks to fill this gap by qualitatively describing the ways in which infertility in Zambia is socially and culturally loaded for both men and women. Demonstrating fertility is necessary to be considered a full adult, a real man or woman, and to leave a legacy after death. People in Zambia, including medical professionals, currently lack the necessary information and access to (or ability to provide) care to effectively resolve fertility issues. Infertile people manage their experience through a variety of social, emotional, spiritual, and medical strategies. However, no solution is considered adequate unless the intervention results in childbirth. In this way, infertility is about producing babies and the social meaning of that process, rather than the raising of children

Smallholder Income and Land Distribution in Africa: Implications for Poverty Reduction Strategies

This paper provides a micro-level foundation for discussions of income and asset allocation within the smallholder sector in Eastern and Southern Africa, and explores the implications of these findings for rural growth and poverty alleviation strategies in the region. Results are drawn from nationally-representative household surveys in five countries between 1990 and 2000: Ethiopia, Kenya, Rwanda, Mozambique, and Zambia. The paper addresses five major points: (1) why geographically-based poverty reduction or targeting strategies-e.g., focusing on marginal areas-is likely to miss a significant share of the poor in any particular country regardless of targeting efficiency in these areas; (2) why current enthusiasm for community-driven development approaches will require serious attention to how resources are allocated at local levels; (3) why sustained income growth for the poorest strata of the rural population will depend on agricultural growth in most countries, even though the poor generally lack the land and other productive resources to respond directly or immediately to policies and investments to stimulate agricultural growth; (4) why agricultural productivity growth, while most easily generating gains for better-off smallholder farmers, is likely to offer the best potential for pulling the poorest and land-constrained households out of poverty; and (5) why meaningful poverty alleviation strategies in many countries will require fundamental changes to make land more accessible to smallholder farmers. This could be accomplished through various processes, including improvement in land rental markets or perhaps land redistribution. We briefly elaborate on each of these findings.Food Security and Poverty, Land Economics/Use,

Smallholder Income and Land Distribution in Africa: Implications for Poverty Reduction Strategies

Farm Management, Food Security and Poverty, Downloads July 2008-July 2009: 15,

The Mediators of the Relationship between Digitalisation and Construction Productivity: A Systematic Literature Review

The construction industry has long been perceived as reluctant to embrace change, and digital transformation is not an exception. The slow adoption rate has been linked to the perceptions of the effectiveness of construction innovations. An implied link exists between digitalisation and productivity improvements. However, such a link is yet associated with ambiguities, suggesting that the influence is not linear. Despite the very low productivity rates achieved in the construction industry, studies on the association between technology adoption and productivity-related benefits and advantages are rare, and this may be a contributing factor to the indecision of construction firms to embrace digitalisation. A systematic literature review enables scholars to disseminate past research efforts in one scholarly resource, in pursuit of new knowledge. Through systematically reviewing the literature, this study identifies, classifies, and critically analyses research efforts, aiming to shed light on the mediators of the relationship between digitalisation and productivity. Overall, sixty articles have been identified, screened, and included in this study. Productivity, in this context, is positively related to digitalization, by promoting more safety and well-being, planning enhancements, collaboration, waste reduction, employee upskilling, design enhancements, communication and knowledge transfer, and accuracy in information management. The findings also reflect the popular use of qualitative methods when studying digitalisation in the construction context, a stance that may be a reflection of a less diverse use of methodological approaches, and presents a call for more quantitative studies, to explore the relationship between digitalisation and productivity. Future research is encouraged to use this extensive review as a foundation for comparable empirical investigations, considering areas of similar interest, to accelerate the adoption of digitalisation

Successes and Challenges of Food Market Reform: Experiences from Kenya, Mozambique, Zambia, and Zimbabwe

Agricultural and Food Policy, Downloads July 2008-July 2009: 38,

Evaluating the clinical management of severely malnourished children--a study of two rural district hospitals.

BACKGROUND: Severe malnutrition is an important cause of preventable mortality in most South African hospitals. Work recently done in two rural Eastern Cape hospitals supports the literature which shows that many deaths occur as a result of outdated clinical practices and that improving these practices reduces case fatality rates. Rapid assessment of clinical management in paediatric wards is necessary to highlight areas for improvement. OBJECTIVE: To assess the management of severely malnourished children in two rural district hospitals and to recommend improvements for their care. METHODS: Based on draft World Health Organisation (WHO) guidelines for inpatient care of children with severe malnutrition, data collection instruments were developed in conjunction with the district nutrition team to assess the quality of care given to malnourished children in two Mount Frere hospitals, Eastern Cape. Data were collected through retrospective review of case records, with detailed studies of selected cases, structured observations of the paediatric wards, and interviews with ward sisters and doctors. RESULTS: The combined case fatality rate for severe malnutrition was 32%. Inadequate feeding, poor management of rehydration and infection, lack of resources, and a lack of knowledge and motivation among staff were identified as areas that need attention. CONCLUSION: The clinical management of severely malnourished children can be rapidly assessed to highlight areas for improvement. Involving staff in the assessment process has led to their active involvement in improving the management of malnourished children in their hospitals

The social and cultural meanings of infertility for men and women in Zambia: Legacy, family and divine intervention

Despite the high prevalence of infertility within the sub-Saharan sterility belt, infertility in Zambia is understudied, particularly from a social perspective. Furthermore, few studies in sub-Saharan Africa include the infertility experiences of men. This article seeks to fill this gap by qualitatively describing the ways in which infertility in Zambia is socially and culturally loaded for both men and women. Demonstrating fertility is necessary to be considered a full adult, a real man or woman, and to leave a legacy after death. People in Zambia, including medical professionals, currently lack the necessary information and access to (or ability to provide) care to effectively resolve fertility issues. Infertile people manage their experience through a variety of social, emotional, spiritual, and medical strategies. However, no solution is considered adequate unless the intervention results in childbirth. In this way, infertility is about producing babies and the social meaning of that process, rather than the raising of children

Acne in South African black adults: A retrospective study in the private sector

Background. Acne vulgaris is the most common skin disorder affecting teenagers and young adults, and is becoming increasingly common in middle-aged women. It affects all skin types and ethnic groups, but dark-skinned individuals are burdened by post-inflammatory hyperpigmentation (PIH) as a sequela. PIH causes distress in acne patients even after the inflammatory lesions have resolved.Objective. To describe the characteristics of acne in black South African adults in the private health sector in Durban, KwaZulu-Natal Province.Methods. A retrospective study of records of patients attending two large private dermatology clinics in central Durban, mainly catering for black patients, was performed. Data were collected for the period January - December 2014. Records with acne as a diagnosis were retrieved and analysed with regard to age, demographics, type and severity of acne, therapy, HIV status and outcomes.Results. Of a total of ~3 000 charts available for the 12-month period, 242 had acne as a diagnosis and were retrieved and analysed. Of these patients, 204 (84.3%) were female and the remainder were male. The mean age was 28.5 years (under-18s were excluded from the study). Inflammatory acne was the most frequently encountered form (58.6%). Fifteen patients (6.2%) were on topical treatment only, and 226 (93.4%) were on topical plus systemic treatment. PIH was the most common sequela (81.0% of patients).Conclusions. The majority of the patients were young females with inflammatory acne, and PIH was the most common sequela. Early and vigorous treatment of acne may minimise its complications, including those seen mainly in black patients.