Integrating gender into index-based agricultural insurance: a focus on South Africa

Index insurance is an agricultural risk management tool that can provide a safety net for smallholder farmers experiencing climate risk. While uptake and scale-out of index insurance may be slow among smallholders, we can learn from experiences that demonstrate where crop insurance can protect smallholders’ livelihoods from climate risk. Integrating gender into climate risk management is necessary to ensure that the benefits of index insurance are experienced by both men and women. A dedicated intention to integrate gender may be required. Taking South Africa as a case study, the potential for gender-sensitive index insurance scale-out among smallholders is investigated

Digitalising Social Protection Systems for Achieving the Sustainable Development Goals: Insights from Zimbabwe

Social protection systems, a target of the United Nation’s (UN) Sustainable Development Goals (SDGs), are intended to reduce extreme poverty, build human capital, and protect against risks to sustainable livelihoods and well-being. As social protection systems are by their nature inherently complex, multi-faceted, and socially embedded, it is inevitable that tensions will emerge between their design and implementation, representing design-reality gaps. These tensions present an excellent opportunity for cross-disciplinary research, by understanding how best to bridge these design-reality gaps. In this qualitative, interpretivist case study, we situate our work on the ground with the actors involved in the design, implementation, and use of a social protection system in Zimbabwe. We find interaction failures amongst some users; design-reality gaps around network access and ICT policy implementation; as well as mixed views regarding transparency and accountability of ICT. Our findings provide rich insights from ICT users in the global south and underscore the importance of the co-creation of IS interventions together with communities to ensure technologies consider social, political, economic, and network realities. We conclude by providing directions for future research

Is the Compact Source at the Center of Cas A Pulsed?

A 50 ksec observation of the Supernova Remnant Cas A was taken using the Chandra X-Ray Observatory High Resolution Camera (HRC) to search for periodic signals from the compact source located near the center. Using the HRC-S in imaging mode, problems with correctly assigning times to events were overcome, allowing the period search to be extended to higher frequencies than possible with previous observations. In an extensive analysis of the HRC data, several possible candidate signals are found using various algorithms, including advanced techniques developed by Ransom to search for low significance periodic signals. Of the candidate periods, none is at a high enough confidence level to be particularly favored over the rest. When combined with other information, however (e.g., spectra, total energetics, and the historical age of the remnant), a 12 ms candidate period seems to be more physically plausible than the others, and we use it for illustrative purposes in discussing the possible properties of a putative neutron star in the remnant. We emphasize that this is not necessarily the true period, and that a follow-up observation, scheduled for the fall of 2001, is required. A 50 ksec Advanced CCD Imaging Spectrometer (ACIS) observation was taken, and analysis of these data for the central object shows that the spectrum is consistent with several forms, and that the emitted X-ray luminosity in the 0.1 -10 keV band is 10^{33}-10^{35}erg cm^{-2}sec^{-1} depending on the spectral model and the interstellar absorption along the line of sight to the source.Comment: 14 pages, 3 figures Submitted to ApJ 2001 June 2

Statin use and breast cancer survival: a nationwide cohort study in Scotland

BACKGROUND: Preclinical evidence suggests that statins could delay cancer progression. Previous epidemiological findings have been inconsistent and some have been limited by small sample sizes, as well as certain time-related biases. This study aimed to investigate whether breast cancer patients who were exposed to statins had reduced breast cancer-specific mortality. METHODS: We conducted a retrospective cohort study of 15,140 newly diagnosed invasive breast cancer patients diagnosed from 2009 to 2012 within the Scottish Cancer Registry. Dispensed medication usage was obtained from linkages to the Scottish Prescribing Information System and breast cancer-specific deaths were identified from National Records of Scotland Death Records. Using time-dependent Cox regression models, hazard ratios (HR) and 95 % confidence intervals (CI) were calculated for the association between post-diagnostic exposure to statins (including simvastatin) and breast cancer-specific mortality. Adjustments were made for a range of potential confounders including age at diagnosis, year of diagnosis, cancer stage, grade, cancer treatments received, comorbidities, socioeconomic status and use of aspirin. RESULTS: A total of 1,190 breast cancer-specific deaths occurred up to January 2015. Overall, after adjustment for potential confounders, there was no evidence of an association between statin use and breast cancer-specific death (adjusted HR 0.93, 95 % CI 0.77, 1.12). No significant associations were observed in dose–response analyses or in analysis of all-cause mortality. For simvastatin use specifically, a weak non-significant reduction in breast cancer-specific mortality was observed compared to non-users (adjusted HR 0.89, 95 % CI 0.73, 1.08). Statin use before diagnosis was weakly associated with a reduction in breast cancer-specific mortality (adjusted HR 0.85, 95 % CI 0.74, 0.98). CONCLUSION: Overall, we found little evidence of a protective association between post-diagnostic statin use and cancer-specific mortality in a large nation-wide cohort of breast cancer patients. These findings will help inform the decision whether to conduct randomised controlled trials of statins as an adjuvant treatment in breast cancer

National level indicators for gender, poverty, food security, nutrition and health in Climate-Smart Agriculture (CSA) activities

At the global, regional and national levels, governments, donors, research institutions, non-government organizations and private companies are more strategically linking climate change and agriculture development activities, through initiatives such as the Global Alliance for Climate-Smart Agriculture (CSA). In this context, it is necessary to have robust metrics and indicators for measuring progress towards CSA-related goals. This requires strategic selection of indicators to assess the type of impact (negative/positive) of adaptation and mitigation activities on specific societal groups (e.g. ethnic groups, women, youth, etc.) to ensure livelihoods are positively impacted by CSA interventions. Gender, poverty, food security, nutrition and health indicators have not been extensively used in CSA programming and planning to date. In this paper, we review a range of gender, poverty, food security, nutrition and health indicators relevant for national planning processes for CSA promotion and scale out. We focus on the CSA CPs developed by the International Center for Tropical Agriculture (CIAT) in collaboration with the CGIAR research program on Climate Change, Agriculture, and Food Security (CCAFS). The CSA CPs are being developed as an instrument to open dialogues on the baseline situation, identifying opportunities, and challenges for CSA in various countries. The CPs are generated by the CGIAR CCAFS program with national partners, especially those involved in CSA related planning processes, to feed into analytical multi-stakeholder processes to prioritize CSA investment portfolios for scale-up and scale out. Using a ranking system based on data relevance, availability, and applicability to multiple national contexts, we identified a set of indicators that respond to the need for better integration of gender, poverty, food security, nutrition and health concerns when approaching CSA. Strengthened integration of poverty reduction, food security and gender equality indicators into CSA assessments, including the CPs, has been identified by CCAFS as a priority to strengthen the focus on resilience/adaptation efforts, specifically highlighting evidences of gender differences. It can also serve to highlight potential gaps in availability of and access to resources and capacities to adopt CSA practices and technologies among different societal groups (women, men, youth, ethnic groups). Rather than re-invent new indicators, it is important that, where possible, existing national-level indicators can be repurposed for tracking CSA impacts over time on poverty reduction, food security and gender equality outcomes

Climate-related migration and the climate-security-migration nexus in the Central American Dry Corridor

The Central American Dry Corridor (CADC) is among the most climate-vulnerable regions worldwide. Climate change, commonly referred to as a “threat multiplier” of pre-existing socioeconomic issues, already undermines rural livelihoods by reducing agricultural yields and income opportunities. This paper provides a review of climate-related migration in the CADC region while identifying the specific pathways by which climate change manifests itself as a threat multiplier to migration. Different forms of human mobility (seasonal/temporal/permanent and internal/international migration) are increasingly attempted as adaptation strategies by affected households to diversify incomes and offset climate impacts. Preferred intra-regional migrant destinations tend to be less climate-vulnerable and also less violent. Notably, climate change is not isolated from socioeconomic and political migration drivers. Erosion of rural livelihoods reduces the costs of engaging in illicit coping strategies (e.g., illegal crop production) and simultaneously favours rapid urbanisation, which is linked to (forced) gang recruitment, primarily affecting the youth. These processes contribute to extraordinarily high violence levels, which are a major push factor for migration on their own, ultimately challenging state authority. Moreover, as outmigration from the region is projected to increase, the observed securitisation of borders, particularly along the USA-Mexico border and the Mexico-Guatemala border, while unfit to limit migration attempts, make migration more desperate and dangerous, allowing organised crime to step in and exploit migration as an economic undertaking. Thus, for the CADC, the depoliticised and simplistic narrative of migration serving as adaptation must be questioned. Policy coherence and state capacity for addressing climate-security-migration nexus challenges are critical needs

Implementation of the Climate-Smart village approach

Climate change is affecting global population and agriculture. Through climate-smart agriculture practices in climate-smart villages, it promotes adaptation, builds resilience to climatic stresses and ensures food security. This research thesis aims to support the planning and decision-making processes to promote and scale out climate-smart agriculture among smallholder farmers in Colombia. The research thesis analyzed the data from a Gender-sensitive Smart Household Monitoring instrument to assess climate-smart agriculture performance and outcomes in Cauca climate-smart village. Data was analyzed through different indicators tracked at household level disaggregated by gender and examines the Climate-smart agriculture adoption and dis-adoption trends and related factors (financial, technical/operational and social) that enable its implementation. The study found that climate-smart practices related to water and ensure food security during the year are the most preferred. This study highlights the importance of climate informatics services to promote a higher adaptation to climate change. Furthermore, this study give a recommendation to improve the surveys to future monitoring instruments to address correctly smallholder farmers and practitioners to scale out climate-smart agriculture

Yorkshire Lung Screening Trial (YLST): protocol for a randomised controlled trial to evaluate invitation to community-based low-dose CT screening for lung cancer versus usual care in a targeted population at risk

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. INTRODUCTION: Lung cancer is the world's leading cause of cancer death. Low-dose computed tomography (LDCT) screening reduced lung cancer mortality by 20% in the US National Lung Screening Trial. Here, we present the Yorkshire Lung Screening Trial (YLST), which will address key questions of relevance for screening implementation. METHODS AND ANALYSIS: Using a single-consent Zelen's design, ever-smokers aged 55-80 years registered with a general practice in Leeds will be randomised (1:1) to invitation to a telephone-based risk-assessment for a Lung Health Check or to usual care. The anticipated number randomised by household is 62 980 individuals. Responders at high risk will be invited for LDCT scanning for lung cancer on a mobile van in the community. There will be two rounds of screening at an interval of 2 years. Primary objectives are (1) measure participation rates, (2) compare the performance of PLCOM2012 (threshold ≥1.51%), Liverpool Lung Project (V.2) (threshold ≥5%) and US Preventive Services Task Force eligibility criteria for screening population selection and (3) assess lung cancer outcomes in the intervention and usual care arms. Secondary evaluations include health economics, quality of life, smoking rates according to intervention arm, screening programme performance with ancillary biomarker and smoking cessation studies. ETHICS AND DISSEMINATION: The study has been approved by the Greater Manchester West research ethics committee (18-NW-0012) and the Health Research Authority following review by the Confidentiality Advisory Group. The results will be disseminated through publication in peer-reviewed scientific journals, presentation at conferences and on the YLST website. TRIAL REGISTRATION NUMBERS: ISRCTN42704678 and NCT03750110