Aquaculture: a promising solution for food insecurity, poverty and malnutrition in Kenya

Food insecurity remains one of the most visible dimensions of poverty. The increasing population amid competition for land and water resources means that the global demand for food will continue to increase. In Kenya, the food insecurity trend is worrying as the population is expected to hit 55 million by 2020 against an annually declining arable land per capita and consequent increase in food prices. The Kenyan agricultural sector has failed to either eliminate or reduce malnourishment for poor populations as the annual national production for both staple food and livestock products fall short of national consumption levels. The nutritional deficiency levels remain high among a significant segment of the Kenyan population. With increasing food production challenges such as dwindling capture fisheries and impacts of climate change becoming more eminent, solutions to food insecurity and malnutrition in Kenya must bring about quick results in food availability by stimulating more own-food production. Aquaculture has so far been recognized as an important opportunity to enhance household food security in developing countries. The existing literature reveals scattered but increasing evidence of the contribution of aquaculture to nutritional security through direct fish consumption and income stability among vulnerable groups through involvement in aquaculture value chain linkages. This paper reveals the status of food insecurity, poverty and malnutrition problems and discusses aquaculture initiatives as the remedial solutions. This paper also provides a framework for examining aquaculture’s value chain linkages to food and nutritional security and national economic growth by elucidating key pathways concerning the role of aquaculture in household food and income systems. The authors advocate for clear and sustainable national policies for aquaculture development to address food insecurity and poverty questions more sharply. More empirical evidence should be collected on the varied aquaculture opportunities to improve the income, employment and food consumption levels within the poor households.Key words: KMFRI, MDGs, Aquaculture, Food insecurity, Poverty, Kenya, Malnutrition, Fish, Agricultur

Variant anatomy of the right portal vein in a black Kenyan population

Surface mapping of the liver before invasive procedures depends on a proper understanding of its segmental vasculature. The right portal vein ramification and lengths show marked variations and these mostly involve its right posterior sectoral branch. Their incidence is variable among populations and altogether undocumented among Africans. One hundred livers obtained during autopsies and dissections at the Department of Human anatomy, University of Nairobi, were used in this study. Gross dissection was done to reveal and determine the branching pattern of the right portal vein and the origin of the right posterior sector branch. The lengths of the right portal vein were also measured and recorded. When present, the right portal vein terminated by bifurcation in 61% of the cases, trifurcated in 20.8% and quadrifircated in 18.2%. Its length was between 0.5cm and 4cm. The right posterior sector vein was given off the main portal vein in 34 cases, the common left portal vein trunk in 15 cases, and the right portal vein in 42 cases. In 9 cases, it was not observed at the porta hepatis. We report significant different incidences of the variant anatomy of the right portal vein compared to those found in previous studies and this should be borne in mind when doing surgical interventions.Keywords: Segmentectomy, transjugular, Surface mapping, Bifurcatio

Fish farming in Tanzania: the availability and nutritive value of local feed ingredients

An investigative field survey was performed to gather baseline data on locally available feed ingredients and fish farming practices in different regions of Tanzania. More than 80% of respondents relied on locally available feed ingredients as a major feed supplement for their cultured fish, with maize bran being the most commonly used feed ingredient in all regions. Crude protein content in most analyzed local feed ingredients was medium-high, while crude fat content was high in some animal and agricultural by-products, and medium-low in other ingredients. Most respondents were males and the majority of fish farms were owned by individuals. Earthen pond was the most common fish farming system in all regions except Dar es Salaam. Semi-intensively mixed-sex tilapia monoculture was the dominating fish farming practice. The results of the survey presented provide a good platform for future development of culture systems and feeding strategies for tilapia in Tanzania

Contamination of the minnow Rastrineobola argenta, through handling at landing sites and retail markets around Lake Victoria

Background: The quality of fish could be a challenge both locally and internationally as microbial contaminants may result in infections of humans when seafood is handled unhygienically. This is because enteric bacteria such as Escherichia coli, Staphylococcus aureus, Salmonella spp. and Vibrio cholerae are likely to  accumulate in fish where low hygienic standards are maintained. Therefore, studies on fish contamination are critical for the acceptance of fish food locally and in international markets.Objective: To evaluate and compare the microbiological quality of R. argentea at the fish landing sites and local retail markets in Homa Bay County.Design: Purposive, cross-sectional study.Setting: Fish landing sites and retail markets in Homa Bay CountySubject: Studies on fish contamination are critical for the acceptance of fish food locally and in international markets. In this study, Rastrineobola argentea were examined for microbial loads.Results: Samples indicated high levels of coliforms and Escherichia coli in fish. At the landing sites, coliforms ranged from 1.6 x 103 to 4.0 x 103 while E. coli was between 0.8 x101 and 4.8 x 102. In water samples, coliforms ranged between 1.3 x 103 and 1.8x106 / ml whereas E. coli was 1.1x102 to 4.6x101. Personnel hands were found to be contaminated with Salmonella typhimurium and Shigella  dysenteriae. The samples from markets had coliform and E. coli at 5.0x104 to 9.0x105 and 2.0x102 to 4.0x102 respectively.Conclusion: The findings demonstrate that precaution should be taken to improve the hygiene levels along the value chains to ensure that the quality of fish is not compromised

The challenges of management: Recent experiences in implementing fisheries co‐management in Lake Victoria, Kenya

This study examined the efficacy of community‐level fishery co‐management organizations called Beach Management Units (BMUs) along the Kenyan shores of Lake Victoria. BMUs were established to enhance sustainable Lake Victoria fishery management through increasing the level of community participation to assist in the administration of fisheries rules and regulations by, and for, the fishers. Inefficiencies have emerged, however, inhibiting the effective execution of sustainable fisheries management by the BMUs. Data were collected from 36 BMUs along the Kenyan shores of Lake Victoria. Descriptive and inferential analyses were performed using SPSS Version 20.0. The results indicated that BMUs are successful at educating fishers and that they are aware of fishing rules and regulations. Nevertheless, high violation rates were also observed, suggesting BMUs have limited impact on fisher decisions to comply with regulations. Data suggest that the failure to comply may be due to lack of adequate financial and equipment resources for monitoring, control and surveillance (MCS) operations, making them unable to control illegal fishing in their areas of jurisdiction. Furthermore, financial mechanisms, which would allow BMUs to sustainably fund their administrative and MCS operations, are weak, thereby reducing the BMUs ability to effectively function. The data from this study highlight two activities illustrating significant indices of good performance, namely resolving disputes and receiving visitors. The data also suggest the creation of BMUs has not ensured successful implementation of co‐management of Lake Victoria fisheries. BMUs are successful at activities of a social nature, but have poorly undertaken their core functions related to enforcement and compliance with fishing rules.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/113679/1/lre12095.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/113679/2/lre12095_am.pd

Collection, genotyping and virus elimination of cassava landraces from Tanzania and documentation of farmer knowledge

Open Access Journal; Published online: 17 Aug 2021Cassava (Manihot esculenta Crantz.) has been a vital staple and food security crop in Tanzania for several centuries, and it is likely that its resilience will play a key role in mitigating livelihood insecurities arising from climate change. The sector is dominated by smallholder farmers growing traditional landrace varieties. A recent surge in virus diseases and awareness in the commercial potential of cassava has prompted a drive to disseminate improved varieties in the country. These factors however also threaten the existence of landraces and associated farmer knowledge. It is important that the landraces are conserved and utilized as the adaptive gene complexes they harbor can drive breeding for improved varieties that meet agro-ecological adaptation as well as farmer and consumer needs, thereby improving adoption rates. Here we report on cassava germplasm collection missions and documentation of farmer knowledge in seven zones of Tanzania. A total of 277 unique landraces are identified through high-density genotyping. The large number of landraces is attributable to a mixed clonal/sexual reproductive system in which the soil seed bank and incorporation of seedlings plays an important role. A striking divergence in genetic relationships between the coastal regions and western regions is evident and explained by (i) independent introductions of cassava into the country, (ii) adaptation to prevailing agro-ecological conditions and (iii) farmer selections according to the intended use or market demands. The main uses of cassava with different product profiles are evident, including fresh consumption, flour production, dual purpose incorporating both these uses and longer-term food security. Each of these products have different trait requirements. Individual landraces were not widely distributed across the country with limited farmer-to-farmer diffusion with implications for seed systems

Barriers to the effective treatment and prevention of malaria in Africa: A systematic review of qualitative studies

<p>Abstract</p> <p>Background</p> <p>In Africa, an estimated 300-500 million cases of malaria occur each year resulting in approximately 1 million deaths. More than 90% of these are in children under 5 years of age. To identify commonly held beliefs about malaria that might present barriers to its successful treatment and prevention, we conducted a systematic review of qualitative studies examining beliefs and practices concerning malaria in sub-Saharan African countries.</p> <p>Methods</p> <p>We searched Medline and Scopus (1966-2009) and identified 39 studies that employed qualitative methods (focus groups and interviews) to examine the knowledge, attitudes, and practices of people living in African countries where malaria is endemic. Data were extracted relating to study characteristics, and themes pertaining to barriers to malaria treatment and prevention.</p> <p>Results</p> <p>The majority of studies were conducted in rural areas, and focused mostly or entirely on children. Major barriers to prevention reported included a lack of understanding of the cause and transmission of malaria (29/39), the belief that malaria cannot be prevented (7/39), and the use of ineffective prevention measures (12/39). Thirty-seven of 39 articles identified barriers to malaria treatment, including concerns about the safety and efficacy of conventional medicines (15/39), logistical obstacles, and reliance on traditional remedies. Specific barriers to the treatment of childhood malaria identified included the belief that a child with convulsions could die if given an injection or taken to hospital (10/39).</p> <p>Conclusion</p> <p>These findings suggest that large-scale malaria prevention and treatment programs must account for the social and cultural contexts in which they are deployed. Further quantitative research should be undertaken to more precisely measure the impact of the themes uncovered by this exploratory analysis.</p

A qualitative study of the feasibility and community perception on the effectiveness of artemether-lumefantrine use in the context of home management of malaria in south-west Nigeria

<p>Abstract</p> <p>Background</p> <p>In Nigeria ACT use at the community level has not been evaluated and the use of antimalarial drugs (commonly chloroquine (CQ)) at home has been shown to be largely incorrect. The treatment regimen of ACT is however more complicated than that of CQ. There is thus a need to determine the feasibility of using ACT at the home level and determine community perception on its use.</p> <p>Methods</p> <p>A before and after qualitative study using key informant interviews (KII) and focus group discussions (FGDs) was conducted in selected villages in Ona-Ara local government area. At baseline, 14 FGDs and 14 KIIs were conducted. Thereafter, community medicine distributors (CMDs) were trained in each village to dispense artemeter-lumenfantrine (AL) to febrile children aged 6–59 months presumed to have uncomplicated malaria. After one year of drug distribution, nine KIIs and 10 FGDs were conducted. Participants and key informants were mothers and fathers with children under five years, traditional heads of communities, opinion leaders and health workers.</p> <p>Results</p> <p>None of the participants have heard of AL prior to study. Participants were favourably disposed to introduction of AL into the community. Mothers/caregivers were said to have used AL in place of the orthodox drugs and herbs reported commonly used prior to study after commencement of AL distribution. The use of CMDs for drug distribution was acceptable to the participants and they were judged to be efficient as they were readily available, distributed correct dose of AL and mobilised the community effectively. AL was perceived to be very effective and no significant adverse event was reported. Major concerns to the sustainability of the program were the negative attitudes of health workers towards discharge of their duties, support to the CMDs and the need to provide CMDs incentives. In addition regular supply of drugs and adequate supervision of CMDs were advised.</p> <p>Conclusion</p> <p>Our findings showed that the use of AL at home and community level is feasible with adequate training of community medicine distributors and caregivers. Community members perceived AL to be effective thus fostering acceptability. The negative attitudes of the health workers and issue of incentives to CMDs need to be addressed for successful scaling-up of ACT use at community level.</p

Reviewing the literature on access to prompt and effective malaria treatment in Kenya: implications for meeting the Abuja targets

<p>Abstract</p> <p>Background</p> <p>Effective case management is central to reducing malaria mortality and morbidity worldwide, but only a minority of those affected by malaria, have access to prompt effective treatment.</p> <p>In Kenya, the Division of Malaria Control is committed to ensuring that 80 percent of childhood fevers are treated with effective anti-malarial medicines within 24 hours of fever onset, but this target is largely unmet. This review aimed to document evidence on access to effective malaria treatment in Kenya, identify factors that influence access, and make recommendations on how to improve prompt access to effective malaria treatment. Since treatment-seeking patterns for malaria are similar in many settings in sub-Saharan Africa, the findings presented in this review have important lessons for other malaria endemic countries.</p> <p>Methods</p> <p>Internet searches were conducted in PUBMED (MEDLINE) and HINARI databases using specific search terms and strategies. Grey literature was obtained by soliciting reports from individual researchers working in the treatment-seeking field, from websites of major organizations involved in malaria control and from international reports.</p> <p>Results</p> <p>The review indicated that malaria treatment-seeking occurs mostly in the informal sector; that most fevers are treated, but treatment is often ineffective. Irrational drug use was identified as a problem in most studies, but determinants of this behaviour were not documented. Availability of non-recommended medicines over-the-counter and the presence of substandard anti-malarials in the market are well documented. Demand side determinants of access include perception of illness causes, severity and timing of treatment, perceptions of treatment efficacy, simplicity of regimens and ability to pay. Supply side determinants include distance to health facilities, availability of medicines, prescribing and dispensing practices and quality of medicines. Policy level factors are around the complexity and unclear messages regarding drug policy changes.</p> <p>Conclusion</p> <p>Kenya, like many other African countries, is still far from achieving the Abuja targets. The government, with support from donors, should invest adequately in mechanisms that promote access to effective treatment. Such approaches should focus on factors influencing multiple dimensions of access and will require the cooperation of all stakeholders working in malaria control.</p

Improving access to health care for malaria in Africa: a review of literature on what attracts patients

BACKGROUND: Increasing access to health care services is considered central to improving the health of populations. Existing reviews to understand factors affecting access to health care have focused on attributes of patients and their communities that act as 'barriers' to access, such as education level, financial and cultural factors. This review addresses the need to learn about provider characteristics that encourage patients to attend their health services. METHODS: This literature review aims to describe research that has identified characteristics that clients are looking for in the providers they approach for their health care needs, specifically for malaria in Africa. Keywords of 'malaria' and 'treatment seek*' or 'health seek*' and 'Africa' were searched for in the following databases: Web of Science, IBSS and Medline. Reviews of each paper were undertaken by two members of the team. Factors attracting patients according to each paper were listed and the strength of evidence was assessed by evaluating the methods used and the richness of descriptions of findings. RESULTS: A total of 97 papers fulfilled the inclusion criteria and were included in the review. The review of these papers identified several characteristics that were reported to attract patients to providers of all types, including lower cost of services, close proximity to patients, positive manner of providers, medicines that patients believe will cure them, and timeliness of services. Additional categories of factors were noted to attract patients to either higher or lower-level providers. The strength of evidence reviewed varied, with limitations observed in the use of methods utilizing pre-defined questions and the uncritical use of concepts such as 'quality', 'costs' and 'access'. Although most papers (90%) were published since the year 2000, most categories of attributes had been described in earlier papers. CONCLUSION: This paper argues that improving access to services requires attention to factors that will attract patients, and recommends that public services are improved in the specific aspects identified in this review. It also argues that research into access should expand its lens to consider provider characteristics more broadly, especially using methods that enable open responses. Access must be reconceptualized beyond the notion of barriers to consider attributes of attraction if patients are to receive quality care quickly