Sample records for malawi southern africa

  1. Risk Communication of Groundwater Quality in Northern Malawi, Africa

    NASA Astrophysics Data System (ADS)

    Holm, R.

    2011-12-01

    Malawi lies in Africa's Great Rift Valley. Its western border is defined by Lake Malawi, the third largest lake in Africa. Over 80% of Malawians live in rural areas and 90% of the labor force is associated with agriculture. More than half of the population lives below the poverty line. Area characteristics indicate a high likelihood of nitrate and total coliform in community drinking water. Infants exposed to high nitrate are at risk of developing methemoglobinemia. In addition, diarrheal diseases from unsafe drinking water are one of the top causes of mortality in children under five. Without sufficient and sustainable supplies of clean water, these challenges will continue to threaten Malawi's ability to overcome the devastating impact of diarrheal diseases on its population. Therefore, Malawi remains highly dependent on outside assistance and influence to reduce or eliminate the threat posed by unsafe drinking water. This research presents a literature review of nitrate and total coliform groundwater quality and a proposed risk communication plan for drinking water in northern Malawi.

  2. Human Melioidosis, Malawi, 2011

    PubMed Central

    Katangwe, Thembi; Purcell, Janet; Bar-Zeev, Naor; Denis, Brigitte; Montgomery, Jacqui; Alaerts, Maaike; Heyderman, Robert Simon; Dance, David A.B.; Kennedy, Neil; Feasey, Nicholas

    2013-01-01

    A case of human melioidosis caused by a novel sequence type of Burkholderia pseudomallei occurred in a child in Malawi, southern Africa. A literature review showed that human cases reported from the continent have been increasing. PMID:23735189

  3. Barriers to pilot mobile teleophthalmology in a rural hospital in Southern Malawi.

    PubMed

    Pérez, Guillermo Martínez; Swart, Wayne; Munyenyembe, Jimmy Kondwani; Saranchuk, Peter

    2014-01-01

    Malawi has one of the highest HIV prevalences in Sub-Saharan Africa. The rate of eligible HIV-infected people being initiated on antiretroviral therapy (ART) and retained in HIV-care is currently far from adequate. Consequently, many people continue present with advanced immunosuppression at public health facilities, often with undiagnosed opportunistic infections (OIs). In this context, mHealth was the innovation chosen to assist Eye Clinical Officers in early diagnosis of HIV-related diseases having eye manifestations in a rural hospital in Thyolo, Southern Malawi. The mTeleophthalmology program began in October 2013, but was stopped prematurely due to organizational and technological barriers that compromised its feasibility. Sharing these barriers might be useful to inform the design of similar innovations in other resource-limited settings with a high HIV prevalence and a dearth of eye specialists with capacity to diagnose HIV-related retinopathies.

  4. Cardio-thoracic ratio in Negroes in Southern Africa

    PubMed Central

    Walker, Alexander R. P.; Richardson, B. D.; Wadvalla, M.; Walker, B. F.

    1972-01-01

    Negro groups in West, Central and Southern Africa, also in Jamaica, have mean cardio-thoracic ratios significantly greater than those in corresponding age-sex groups of Caucasians. To throw more light on the situation, studies on young and elderly Negroes have been made in certain groups in Southern Africa, also on local Caucasian groups. Only slight differences in ratio were found between local Negro groups, and Caucasian groups in South Africa, also in Wales and Tecumseh (U.S.A.). Yet ratios in Negro males from Malawi and Mozambique, resident in South Africa, were significantly greater than values in local Negroes. High ratios are not therefore invariable for Negroes. The difference observed relates to heart, not thoracic diameter. Since the phenomenon, which concerns heart position, is apparent in the young, almost certainly it is of ethnic origin. Investigations on cardiomegaly in African populations must take this factor into reckoning. Its presence or absence locally may readily be assessed by determining ratios in relatively small numbers of young people of both sexes. PMID:4263410

  5. Barriers to pilot mobile teleophthalmology in a rural hospital in Southern Malawi

    PubMed Central

    Pérez, Guillermo Martínez; Swart, Wayne; Munyenyembe, Jimmy Kondwani; Saranchuk, Peter

    2014-01-01

    Introduction Malawi has one of the highest HIV prevalences in Sub-Saharan Africa. The rate of eligible HIV-infected people being initiated on antiretroviral therapy (ART) and retained in HIV-care is currently far from adequate. Consequently, many people continue present with advanced immunosuppression at public health facilities, often with undiagnosed opportunistic infections (OIs). Methods In this context, mHealth was the innovation chosen to assist Eye Clinical Officers in early diagnosis of HIV-related diseases having eye manifestations in a rural hospital in Thyolo, Southern Malawi. Results The mTeleophthalmology program began in October 2013, but was stopped prematurely due to organizational and technological barriers that compromised its feasibility. Conclusion Sharing these barriers might be useful to inform the design of similar innovations in other resource-limited settings with a high HIV prevalence and a dearth of eye specialists with capacity to diagnose HIV-related retinopathies. PMID:25767656

  6. Educating Handicapped Young People in Eastern and Southern Africa in 1981-83.

    ERIC Educational Resources Information Center

    Ross, D. H.

    This publication compiles the findings and conclusions of the 3-year first phase (1980-83) of the Unesco Sub-regional Project for Special Education in Eastern and Southern Africa. It presents the state of the art of special education and prospects for future development in Botswana, Ethiopia, Kenya, Lesotho, Malawi, Mauritius, Seychelles, Somalia,…

  7. Universal Basic Education and the Provision of Quality Mathematics in Southern Africa

    ERIC Educational Resources Information Center

    Kazima, Mercy

    2014-01-01

    In this paper, I discuss Universal Basic Education (UBE) in relation to the teaching and learning of mathematics in Southern Africa. I present the status of UBE for all countries in the region and then use 3 selected examples: Botswana, Malawi, and Zambia, to illustrate the provision of mathematics in the general framework of UBE in the countries.…

  8. Experiences of self-disclosure among tuberculosis patients in rural Southern Malawi.

    PubMed

    Zolowere, Davie; Manda, Kumbukani; Panulo, Ben; Muula, Adamson S

    2008-01-01

    Tuberculosis (Tb) is a significant public health problem in Southern Africa, largely as a consequence of the HIV/AIDS pandemic. Self-disclosure of diagnosis to others within the patients' social environment may be problematic because the diagnosis of Tb may attract stigma, largely derived from the association of this disease with HIV infection. In Malawi, there are limited reports of the diagnosis disclosure experiences of Tb patients. A qualitative study using in-depth interviews was conducted in Thyolo, a rural southern Malawi district to: (1) explore the relationship of persons to whom Tb patients disclose their diagnoses; and (2) identify the motivations for such disclosures. Thirty-two adult Tb patients participated in the study. Their ages ranged from 22 to 49 years (median 31 years), and 19 were male. The majority of patients reported having disclosed their disease status to close family members, such as spouses, siblings and parents; only a few had disclosed their status to their children. The most common way of disclosure was through personal discussion between the patient and their significant others. Study participants perceived that disclosure brought returns in terms of encouragement and empowerment. Some patients felt stigmatized or feared stigmatization following disclosure of their disease status, and some patients on antiretroviral therapy for HIV felt stigmatized by fellow patients. Patient-to-patient interaction was perceived as a valuable resource in trying to cope with a Tb diagnosis. The findings of this study suggest that Tb patients in southern Malawi were interested in disclosing their Tb diagnosis if they felt they would not be stigmatized or stood to gain as a result of self-disclosure. Disclosure of diagnosis was facilitated by trust, a feeling of safety, and a sense of obligation to others. The perceived stigmatization of patients by other patients is cause for concern. This study calls for the health education of patients, with the

  9. Health promotion and risk reduction in Malawi, Africa, village women.

    PubMed

    Gennaro, S; Thyangathyanga, D; Kershbaumer, R; Thompson, J

    2001-01-01

    A train-the-trainer intervention was evaluated in which village leaders in Malawi, Africa, taught other villagers how to improve their health. Health knowledge and reported health practices were compared before and after the educational intervention in 15 villages in Chimutu, Malawi, Africa. Surveys were completed by trained data gatherers in the village setting. All men and women of childbearing age who were present in the village when data collection occurred were asked to participate. There were 187 participants in the preintervention survey and 175 participants in the postintervention survey. Seventy-six village women were trained, using low literacy techniques, to provide content on health promotion and risk reduction in pregnancy. Over 20,000 persons have received at least one health teaching session from the village trainers. The intervention resulted in reported changes in prenatal and postpartum care and in more births occurring in the hospital or clinic. Some positive nutritional changes were reported, although few changes in beliefs about use of herbal medicines or about the use of witchcraft were reported. A train-the-trainer approach is a sustainable intervention that appears to have positive benefits on the health of village women living in Malawi, Africa.

  10. Dermatophytes and dermatophytosis in the eastern and southern parts of Africa.

    PubMed

    Nweze, E I; Eke, I E

    2018-01-01

    Dermatophytosis is currently a disease of global importance and a public health burden. It is caused by dermatophytes, which attack and grow on dead animal keratin. Dermatophytes belong to three genera, namely, Epidermophyton, Microsporum, and Trichophyton. The predominant clinical forms and causative agents vary from one region of the world to another. Poor socioeconomic status, high population densities, and poor sanitary conditions are some of the factors responsible for the high prevalence of dermatophytosis in many developing countries, which include countries in southern and eastern Africa, the focus of this review. To the best of our knowledge, there is currently no review article on published findings on dermatophytosis in the eastern and southern parts of Africa. This information will be of interest to the medical and research community since the world has become a global village. This review covers published research findings in eastern and southern regions of Africa until this date. The countries covered in the current review include Kenya, Ethiopia, Tanzania, South Africa, Mozambique, Madagascar, Malawi, Rwanda, Burundi, Uganda, Zambia, Zimbabwe, and Botswana. T. violaceum is the most common human etiological agent in all the countries under review with prevalence ranging from 56.7% to 95%, except for Madagascar (M. langeronii, reclassified as M. audouinii), Uganda (M. gypseum) and Malawi (M. audouinii). Tinea capitis was the most clinical type, followed by tinea corporis. Etiological agents of animal dermatophytoses were variable in the countries where they were reported. Major risk factors for dermatophytoses are age, climatic, and socioeconomic factors. © The Author 2017. Published by Oxford University Press on behalf of The International Society for Human and Animal Mycology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. The Rebellion of Enlisted Personnel and Democratization in Malawi

    DTIC Science & Technology

    2011-12-01

    presidentialism” in Africa )3 to push for free and fair democratic elections. D. METHODS AND SOURCES For this research, process tracing was conducted to...3 Michael Bratton and Nicolas van de Walle, Democratic Experiments in Africa : Regime Transitions in Comparative Perspective...Nandini Patel, “Political Parties: Development and Change in Malawi,” Electoral Institute of Southern Africa Research Report 21 (Johannesburg: EISA

  12. Herbalism and divination in southern Malawi.

    PubMed

    Morris, B

    1986-01-01

    Although contemporary anthropological studies of African medical systems have indicated their pluralistic and complex nature, many studies still suggest a stark contrast between folk and cosmopolitan medicine, implying that ethnomedicine is primarily concerned with mystical causation. The present paper outlines ethnomedical practices in southern Malawi, stressing the distinctiveness of herbalists and diviners, and the important role of herbal remedies in the empirical treatment of all illnesses.

  13. "Can Anything Good Come Out of This Mouth?" Female Experiences of Disability in Malawi

    ERIC Educational Resources Information Center

    Braathen, Stine Hellum; Kvam, Marit Hoem

    2008-01-01

    The aim of this article is to give an overview of the daily life stories of 23 women with disabilities in Malawi. The stories were gained through qualitative interviews that covered aspects of being a woman and living with a disability in Malawi. Recent studies from countries in southern Africa have documented how people with disabilities…

  14. Water security for productive economies: Applying an assessment framework in southern Africa

    NASA Astrophysics Data System (ADS)

    Holmatov, Bunyod; Lautze, Jonathan; Manthrithilake, Herath; Makin, Ian

    2017-08-01

    Achieving water security has emerged as a major objective in Africa, yet an analytical or diagnostic framework for assessing water security in African countries is not known to exist. This paper applies one key dimension of the 2016 Asian Development Bank's (ADB) Asian Water Development Outlook (AWDO) to assess levels of water security for productive economies in countries of the Southern African Development Community (SADC). Economic aspects of water security cover four areas: economic activities in the broad sense, agriculture, electricity, and industry. Water security in each area is measured through application of a set of indicators; results of indicator application are then aggregated to determine economic water security at a country-level. Results show that economic water security in SADC is greatest in the Seychelles and South Africa, and lowest in Madagascar and Malawi. Opportunities for strengthening economic water security in the majority of SADC countries exist through improving agricultural water productivity, strengthening resilience, and expanding sustainable electricity generation. More profoundly, this paper suggests that there is clear potential and utility in applying approaches used elsewhere to assess economic water security in southern Africa.

  15. Comparative study of general public owl knowledge in Costa Rica, Central America and Malawi, Africa

    Treesearch

    Paula A. Enriquez; Heimo Mikkola

    1997-01-01

    The public knowledge of owls in Central America and Africa was compared based on 162 interviews in Costa Rica and 147 in Malawi. General knowledge of owls included: species, common names, habitats, food, and calls, and was quite similar in both study areas. In Malawi, more than 90 percent of the respondents connected owls with bad luck, witchcraft, and death. In Costa...

  16. Persistent C3 vegetation accompanied Plio-Pleistocene hominin evolution in the Malawi Rift (Chiwondo Beds, Malawi).

    PubMed

    Lüdecke, Tina; Schrenk, Friedemann; Thiemeyer, Heinrich; Kullmer, Ottmar; Bromage, Timothy G; Sandrock, Oliver; Fiebig, Jens; Mulch, Andreas

    2016-01-01

    The development of East African savannas is crucial for the origin and evolution of early hominins. These ecosystems, however, vary widely in their fraction of woody cover and today range from closed woodland to open grassland savanna. Here, we present the first Plio-Pleistocene long-term carbon isotope (δ(13)C) record from pedogenic carbonate and Suidae teeth in the southern East African Rift (EAR). These δ(13)C data from the Chiwondo and Chitimwe Beds (Karonga Basin, Northern Malawi) represent a southern hemisphere record in the EAR, a key region for reconstructing vegetation patterns in today's Zambezian Savanna, and permit correlation with data on the evolution and migration of early hominins in today's Somali-Masai Endemic Zone. The sediments along the northwestern shore of Lake Malawi contain fossils attributed to Homo rudolfensis and Paranthropus boisei. The associated hominin localities (Uraha, Malema) are situated between the well-known hominin bearing sites of the Somali-Masai Endemic Zone in the Eastern Rift and the Highveld Grassland in southern Africa, and fill an important geographical gap for hominin research. Persistent δ(13)C values around -9‰ from pedogenic carbonate and suid enamel covering the last ∼4.3 Ma indicate a C3-dominated closed environment with regional patches of C4-grasslands in the Karonga Basin. The overall fraction of woody cover of 60-70% reflects significantly higher canopy density in the Malawi Rift than the Eastern Rift through time. The discrepancy between the two savanna types originated in the Late Pliocene, when the Somali-Masai ecosystem started to show increasing evidence for open, C4-dominated landscapes. Based on the Malawi δ(13)C data, the evolution of savanna ecosystems in Eastern Africa followed different patterns along the north-south extent of the EAR. The appearance of C4-grasses is considered a driver of evolutionary faunal shifts, but despite the difference of ecosystem evolution in the north, similar

  17. A framework to explore micronutrient deficiency in maternal and child health in Malawi, Southern Africa.

    PubMed

    Dickinson, Natalie; Gulliver, John; MacPherson, Gordon; Atkinson, John; Rankin, Jean; Cummings, Maria; Nisbet, Zoe; Hursthouse, Andrew; Taylor, Avril; Robertson, Chris; Burghardt, Wolfgang

    2009-12-21

    Global food insecurity is associated with micronutrient deficiencies and it has been suggested that 4.5 billion people world-wide are affected by deficiencies in iron, vitamin A and iodine. Zinc has also been identified to be of increasing concern. The most vulnerable are young children and women of childbearing age. A pilot study has been carried out in Southern Malawi, to attempt to link the geochemical and agricultural basis of micronutrient supply through spatial variability to maternal health and associated cultural and social aspects of nutrition. The aim is to establish the opportunity for concerted action to deliver step change improvements in the nutrition of developing countries. Field work undertaken in August 2007 and July/August 2008 involved the collection of blood, soil and crop samples, and questionnaires from ~100 pregnant women. Complex permissions and authorisation protocols were identified and found to be as much part of the cultural and social context of the work as the complexity of the interdisciplinary project. These issues are catalogued and discussed. A preliminary spatial evaluation is presented linking soil quality and food production to nutritional health. It also considers behavioural and cultural attitudes of women and children in two regions of southern Malawi, (the Shire Valley and Shire Highlands plateau). Differences in agricultural practice and widely varying soil quality (e.g. pH organic matter, C/N and metal content) were observed for both regions and full chemical analysis of soil and food is underway. Early assessment of blood data suggests major differences in health and nutritional status between the two regions. Differences in food availability and type and observations of life style are being evaluated through questionnaire analysis. The particular emphasis of the study is on the interdisciplinary opportunities and the barriers to progress in development support in subsistence communities. Engaging at the community level

  18. Climate and Southern Africa's Water-Energy-Food Nexus

    NASA Astrophysics Data System (ADS)

    Conway, D.; Osborn, T.; Dorling, S.; Ringler, C.; Lankford, B.; Dalin, C.; Thurlow, J.; Zhu, T.; Deryng, D.; Landman, W.; Archer van Garderen, E.; Krueger, T.; Lebek, K.

    2014-12-01

    Numerous challenges coalesce to make Southern Africa emblematic of the connections between climate and the water-energy-food nexus. Rainfall and river flows in the region show high levels of variability across a range of spatial and temporal scales. Physical and socioeconomic exposure to climate variability and change is high, for example, the contribution of electricity produced from hydroelectric sources is over 30% in Madagascar and Zimbabwe and almost 100% in the DRC, Lesotho, Malawi, and Zambia. The region's economy is closely linked with that of the rest of the African continent and climate-sensitive food products are an important item of trade. Southern Africa's population is concentrated in regions exposed to high levels of hydro-meteorological variability, and will increase rapidly over the next four decades. The capacity to manage the effects of climate variability tends, however, to be low. Moreover, with climate change annual precipitation levels, soil moisture and runoff are likely to decrease and rising temperatures will increase evaporative demand. Despite high levels of hydro-meteorological variability, the sectoral and cross-sectoral water-energy-food linkages with climate in Southern Africa have not been considered in detail. Lack of data and questionable reliability are compounded by complex dynamic relationships. We review the role of climate in Southern Africa's nexus, complemented by empirical analysis of national level data on climate, water resources, crop and energy production, and economic activity. Our aim is to examine the role of climate variability as a driver of production fluctuations in the nexus, and to improve understanding of the magnitude and temporal dimensions of their interactions. We first consider national level exposure of food, water and energy production to climate in aggregate economic terms and then examine the linkages between interannual and multi-year climate variability and economic activity, focusing on food and

  19. Modeling rain-fed maize vulnerability to droughts using the standardized precipitation index from satellite estimated rainfall—Southern Malawi case study

    USGS Publications Warehouse

    Funk, Christopher C.; Verdin, James; Adams Chavula,; Gregory J. Husak,; Harikishan Jayanthi,; Tamuka Magadzire,

    2013-01-01

    During 1990s, disaster risk reduction emerged as a novel, proactive approach to managing risks from natural hazards. The World Bank, USAID, and other international donor agencies began making efforts to mainstream disaster risk reduction in countries whose population and economies were heavily dependent on rain-fed agriculture. This approach has more significance in light of the increasing climatic hazard patterns and the climate scenarios projected for different hazard prone countries in the world. The Famine Early Warning System Network (FEWS NET) has been monitoring the food security issues in the sub-Saharan Africa, Asia and in Haiti. FEWS NET monitors the rainfall and moisture availability conditions with the help of NOAA RFE2 data for deriving food security status in Africa. This paper highlights the efforts in using satellite estimated rainfall inputs to develop drought vulnerability models in the drought prone areas in Malawi. The satellite RFE2 based SPI corresponding to the critical tasseling and silking phases (in the months of January, February, and March) were statistically regressed with drought-induced yield losses at the district level. The analysis has shown that the drought conditions in February and early March lead to most damage to maize yields in this region. The district-wise vulnerabilities to drought were upscaled to obtain a regional maize vulnerability model for southern Malawi. The results would help in establishing an early monitoring mechanism for drought impact assessment, give the decision makers additional time to assess seasonal outcomes, and identify potential food-related hazards in Malawi.

  20. Projected changes in Malawi's growing season

    NASA Astrophysics Data System (ADS)

    Vizy, Edward K.; Cook, Kerry H.; Chimphamba, James; McCusker, Brent

    2015-09-01

    Regional climate model projections at 30-km resolution are used to predict future mid-century and late-century growing season changes over Malawi due to global warming under the Representative Concentration Pathway 8.5 business-as-usual emissions forcing scenario. Three different methods for estimating growing season characteristics are applied and evaluated. All three methods yield reasonable growing season length, onset, and demise date estimates over Malawi given the wide range of uncertainty of the observations. The projections indicate the likelihood for a shorter growing season in the future over Malawi south of 13.5°S. At mid-century the growing season length is predicted to be 20-40 % (20-55 days) shorter over the southernmost districts and 5-20 % (5-30 days) shorter over the central districts. By late-century the length is predicted to be 25-55 % (20-70 days) shorter with significant differences extending into northern Malawi. The shorter growing season is primarily associated with an earlier demise date, as no significant change in the onset date is predicted. Analysis of the regional circulation and horizontal moisture flux transport indicates that the earlier demise is associated with an intensification of the thermal low over the Kalahari Desert to the south and west of Malawi and an expansion of the mid-tropospheric Kalahari anticyclone over southern Africa. The stronger thermal low/anticyclone enhances the moisture flux divergence over Malawi suppressing the convective activity at the end of the wet season.

  1. Mantle Flow Implications across Easter and Southern Africa from Shear Wave Splitting Measurements

    NASA Astrophysics Data System (ADS)

    Ramirez, C.; Nyblade, A.; Bagley, B. C.; Mulibo, G. D.; Tugume, F.; Wysession, M. E.; Wiens, D.; van der Meijde, M.

    2015-12-01

    In this study, we present new shear wave splitting results from broadband seismic stations in Botswana and Namibia, and combine them with previous results from stations in Kenya, Uganda, Tanzania, Malawi, Zambia, South Africa, Mozambique, Zimbabwe, and Angola to further examine the pattern of seismic anisotropy across southern Africa. The new results come from stations in northern Namibia and Botswana, which help to fill in large gaps in data coverage. Our preliminary results show that fast polarization directions overall trend in a NE orientation. The most noticeable measurements that deviate from this pattern are located around the Archean Tanzania Craton in eastern Africa. The general NE pattern of fast polarization directions is attributed to mantle flow linked to the African superplume. Smaller scale variations from this general direction can be explained by shape anisotropy in the lithosphere in magmatic regions in the East African rift system and to fossil anisotropy in the Precambrian lithosphere.

  2. Chemical safety of cassava products in regions adopting cassava production and processing--experience from Southern Africa.

    PubMed

    Nyirenda, D B; Chiwona-Karltun, L; Chitundu, M; Haggblade, S; Brimer, L

    2011-03-01

    The cassava belt area in Southern Africa is experiencing an unforeseen surge in cassava production, processing and consumption. Little documentation exists on the effects of this surge on processing procedures, the prevailing levels of cyanogenic glucosides of products consumed and the levels of products commercially available on the market. Risk assessments disclose that effects harmful to the developing central nervous system (CNS) may be observed at a lower exposure than previously anticipated. We interviewed farmers in Zambia and Malawi about their cultivars, processing procedures and perceptions concerning cassava and chemical food safety. Chips, mixed biscuits and flour, procured from households and markets in three regions of Zambia (Luapula-North, Western and Southern) as well as products from the Northern, Central and Southern regions of Malawi, were analyzed for total cyanogenic potential (CNp). Processed products from Luapula showed a low CNp, <10 mg HCN equiv./kg air dried weight, while samples from Mongu, Western Province, exhibited high levels of CNp, varying from 50 to 290 mg HCN equiv./kg. Even the lowest level is five times higher than the recommended safety level of 10mg/kg decided on for cassava flour. Our results call for concerted efforts in promoting gender oriented processing technologies. Copyright © 2010 Elsevier Ltd. All rights reserved.

  3. An overview of the Permian (Karoo) coal deposits of southern Africa

    NASA Astrophysics Data System (ADS)

    Cairncross, B.

    2001-08-01

    The coal deposits of southern Africa (Botswana, Malawi, Mozambique, Namibia, South Africa, Swaziland, Tanzania, Zambia and Zimbabwe) are reviewed. The coal seams formed during two periods, the Early Permian (Artinskian-Kungurian) and the Late Permian (Ufimian-Kazanian). The coals are associated with non-marine terrestrial clastic sedimentary sequences, most commonly mudrock and sandstones, assigned to the Karoo Supergroup. The Early Permian coals are most commonly sandstone-hosted while the younger coals typically occur interbedded with mudstones. The sediments were deposited in varying tectono-sedimentary basins such as foreland, intracratonic rifts and intercratonic grabens and half-grabens. The depositional environments that produced the coal-bearing successions were primarily deltaic and fluvial, with some minor shoreline and lacustrine settings. Coals vary in rank from high-volatile bituminous to anthracite and characteristically have a relatively high inertinite component, and medium- to high-ash content. In countries where coal is mined, it is used for power generation, coking coal, synfuel generation, gasification and for (local) domestic household consumption.

  4. Sex, Money, and Premarital Relationships in Southern Malawi

    PubMed Central

    Poulin, Miss Michelle J.

    2009-01-01

    In this paper, I argue two main points: (1), the purpose of money exchange in premarital, sexual partnerships in rural Malawi extends beyond the alleviation of female partners’ economic constraints, and (2), by elucidating this broader purpose, it becomes possible to recognize where women exert control over their own sexual selves. These findings come from field observations and a rich set of in-depth interviews (N=54), bolstered on occasion by survey data, conducted with young women and men, aged 15 to 24 years, in the Balaka district in the southern region of the country. My research demonstrates that, contrary to typical expectations, money and gift transfers in sexual partnerships are part and parcel of the courting practices of young Malawian women and men. Transfers are as much about the expression of love and commitment as they are about meeting the financial “needs” of women or the acquisition of sex for men. Using narrative information to shed light on the semiotics of the sex-money link, these findings from Malawi offer a new perspective that broadens usual interpretations of “transactional” sex, the understanding of which is critical in fighting AIDS. PMID:17764797

  5. Comparing the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa

    PubMed Central

    Blaauw, Duane; Ditlopo, Prudence; Maseko, Fresier; Chirwa, Maureen; Mwisongo, Aziza; Bidwell, Posy; Thomas, Steve; Normand, Charles

    2013-01-01

    Background Job satisfaction is an important determinant of health worker motivation, retention, and performance, all of which are critical to improving the functioning of health systems in low- and middle-income countries. A number of small-scale surveys have measured the job satisfaction and intention to leave of individual health worker cadres in different settings, but there are few multi-country and multi-cadre comparative studies. Objective The objective of this study was to compare the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa. Methods We undertook a cross-sectional survey of a stratified cluster sample of 2,220 health workers, 564 from Tanzania, 939 from Malawi, and 717 from South Africa. Participants completed a self-administered questionnaire, which included demographic information, a 10-item job satisfaction scale, and one question on intention to leave. Multiple regression was used to identify significant predictors of job satisfaction and intention to leave. Results There were statistically significant differences in job satisfaction and intention to leave between the three countries. Approximately 52.1% of health workers in South Africa were satisfied with their jobs compared to 71% from Malawi and 82.6% from Tanzania (χ2=140.3, p<0.001). 18.8% of health workers in Tanzania and 26.5% in Malawi indicated that they were actively seeking employment elsewhere, compared to 41.4% in South Africa (χ2=83.5, p<0.001). The country differences were confirmed by multiple regression. The study also confirmed that job satisfaction is statistically related to intention to leave. Conclusions We have shown differences in the levels of job satisfaction and intention to leave between different groups of health workers from Tanzania, Malawi, and South Africa. Our results caution against generalising about the effectiveness of interventions in different contexts and highlight the need for less

  6. Ash from the Toba supereruption in Lake Malawi shows no volcanic winter in East Africa at 75 ka

    PubMed Central

    Lane, Christine S.; Chorn, Ben T.; Johnson, Thomas C.

    2013-01-01

    The most explosive volcanic event of the Quaternary was the eruption of Mt. Toba, Sumatra, 75,000 y ago, which produced voluminous ash deposits found across much of the Indian Ocean, Indian Peninsula, and South China Sea. A major climatic downturn observed within the Greenland ice cores has been attributed to the cooling effects of the ash and aerosols ejected during the eruption of the Youngest Toba Tuff (YTT). These events coincided roughly with a hypothesized human genetic bottleneck, when the number of our species in Africa may have been reduced to near extinction. Some have speculated that the demise of early modern humans at that time was due in part to a dramatic climate shift triggered by the supereruption. Others have argued that environmental conditions would not have been so severe to have such an impact on our ancestors, and furthermore, that modern humans may have already expanded beyond Africa by this time. We report an observation of the YTT in Africa, recovered as a cryptotephra layer in Lake Malawi sediments, >7,000 km west of the source volcano. The YTT isochron provides an accurate and precise age estimate for the Lake Malawi paleoclimate record, which revises the chronology of past climatic events in East Africa. The YTT in Lake Malawi is not accompanied by a major change in sediment composition or evidence for substantial temperature change, implying that the eruption did not significantly impact the climate of East Africa and was not the cause of a human genetic bottleneck at that time. PMID:23630269

  7. Ash from the Toba supereruption in Lake Malawi shows no volcanic winter in East Africa at 75 ka.

    PubMed

    Lane, Christine S; Chorn, Ben T; Johnson, Thomas C

    2013-05-14

    The most explosive volcanic event of the Quaternary was the eruption of Mt. Toba, Sumatra, 75,000 y ago, which produced voluminous ash deposits found across much of the Indian Ocean, Indian Peninsula, and South China Sea. A major climatic downturn observed within the Greenland ice cores has been attributed to the cooling effects of the ash and aerosols ejected during the eruption of the Youngest Toba Tuff (YTT). These events coincided roughly with a hypothesized human genetic bottleneck, when the number of our species in Africa may have been reduced to near extinction. Some have speculated that the demise of early modern humans at that time was due in part to a dramatic climate shift triggered by the supereruption. Others have argued that environmental conditions would not have been so severe to have such an impact on our ancestors, and furthermore, that modern humans may have already expanded beyond Africa by this time. We report an observation of the YTT in Africa, recovered as a cryptotephra layer in Lake Malawi sediments, >7,000 km west of the source volcano. The YTT isochron provides an accurate and precise age estimate for the Lake Malawi paleoclimate record, which revises the chronology of past climatic events in East Africa. The YTT in Lake Malawi is not accompanied by a major change in sediment composition or evidence for substantial temperature change, implying that the eruption did not significantly impact the climate of East Africa and was not the cause of a human genetic bottleneck at that time.

  8. Incidence of induced abortion in Malawi, 2015.

    PubMed

    Polis, Chelsea B; Mhango, Chisale; Philbin, Jesse; Chimwaza, Wanangwa; Chipeta, Effie; Msusa, Ausbert

    2017-01-01

    In Malawi, abortion is legal only if performed to save a woman's life; other attempts to procure an abortion are punishable by 7-14 years imprisonment. Most induced abortions in Malawi are performed under unsafe conditions, contributing to Malawi's high maternal mortality ratio. Malawians are currently debating whether to provide additional exceptions under which an abortion may be legally obtained. An estimated 67,300 induced abortions occurred in Malawi in 2009 (equivalent to 23 abortions per 1,000 women aged 15-44), but changes since 2009, including dramatic increases in contraceptive prevalence, may have impacted abortion rates. We conducted a nationally representative survey of health facilities to estimate the number of cases of post-abortion care, as well as a survey of knowledgeable informants to estimate the probability of needing and obtaining post-abortion care following induced abortion. These data were combined with national population and fertility data to determine current estimates of induced abortion and unintended pregnancy in Malawi using the Abortion Incidence Complications Methodology. We estimate that approximately 141,044 (95% CI: 121,161-160,928) induced abortions occurred in Malawi in 2015, translating to a national rate of 38 abortions per 1,000 women aged 15-49 (95% CI: 32 to 43); which varied by geographical zone (range: 28-61). We estimate that 53% of pregnancies in Malawi are unintended, and that 30% of unintended pregnancies end in abortion. Given the challenges of estimating induced abortion, and the assumptions required for calculation, results should be viewed as approximate estimates, rather than exact measures. The estimated abortion rate in 2015 is higher than in 2009 (potentially due to methodological differences), but similar to recent estimates from nearby countries including Tanzania (36), Uganda (39), and regional estimates in Eastern and Southern Africa (34-35). Over half of pregnancies in Malawi are unintended. Our

  9. Outcomes of Antiretroviral Treatment in Programmes with and without Routine Viral Load Monitoring in Southern Africa

    PubMed Central

    Keiser, Olivia; Chi, Benjamin H.; Gsponer, Thomas; Boulle, Andrew; Orrell, Catherine; Phiri, Sam; Maxwell, Nicola; Maskew, Mhairi; Prozesky, Hans; Fox, Matthew P; Westfall, Andrew; Egger, Matthias

    2013-01-01

    Objectives To compare outcomes of antiretroviral therapy (ART) in South Africa, where viral load monitoring is routine, with Malawi and Zambia, where monitoring is based on CD4 cell counts. Methods We included 18,706 adult patients starting ART in South Africa and 80,937 patients starting in Zambia or Malawi. We examined CD4 responses in models for repeated measures, and the probability of switching to second-line regimens, mortality and loss to follow-up in multi-state models, measuring time from six months. Findings In South Africa 9.8% (9.1–10.5%) had switched at 3 years, 1.3% (95% CI 0.9–1.6%) remained on failing first-line regimens, 9.2% (8.5–9.8%) were lost to follow-up and 4.3% (3.9–4.8%) had died. In Malawi and Zambia more patients were on a failing first-line regimen (3.7%, 3.6–3.9%), fewer patients had switched (2.1%, 2.0–2.3%) and more patients were lost (15.3%, 15.0–15.6%) or had died (6.3%, 6.0–6.5%). Median CD4 cell counts were lower in South Africa at start of ART (93 vs. 132 cells/µL, p<0.001) but higher after 3 years (425 vs. 383 cells/µL, p<0.001). The hazard ratio comparing South Africa with Malawi and Zambia, adjusted for age, sex, first-line regimen and CD4 cell count, was 0.58 (95% CI 0.50–0.66) for death and 0.53 (0.48–0.58) for loss to follow-up. Conclusions Over 3 years of ART mortality was lower in South Africa than in Malawi or Zambia. The more favourable outcome in South Africa might be explained by viral load monitoring leading to earlier detection of treatment failure, adherence counselling and timelier switching to second-line ART. PMID:21681057

  10. Incidence of induced abortion in Malawi, 2015

    PubMed Central

    Mhango, Chisale; Philbin, Jesse; Chimwaza, Wanangwa; Chipeta, Effie; Msusa, Ausbert

    2017-01-01

    Background In Malawi, abortion is legal only if performed to save a woman’s life; other attempts to procure an abortion are punishable by 7–14 years imprisonment. Most induced abortions in Malawi are performed under unsafe conditions, contributing to Malawi’s high maternal mortality ratio. Malawians are currently debating whether to provide additional exceptions under which an abortion may be legally obtained. An estimated 67,300 induced abortions occurred in Malawi in 2009 (equivalent to 23 abortions per 1,000 women aged 15–44), but changes since 2009, including dramatic increases in contraceptive prevalence, may have impacted abortion rates. Methods We conducted a nationally representative survey of health facilities to estimate the number of cases of post-abortion care, as well as a survey of knowledgeable informants to estimate the probability of needing and obtaining post-abortion care following induced abortion. These data were combined with national population and fertility data to determine current estimates of induced abortion and unintended pregnancy in Malawi using the Abortion Incidence Complications Methodology. Results We estimate that approximately 141,044 (95% CI: 121,161–160,928) induced abortions occurred in Malawi in 2015, translating to a national rate of 38 abortions per 1,000 women aged 15–49 (95% CI: 32 to 43); which varied by geographical zone (range: 28–61). We estimate that 53% of pregnancies in Malawi are unintended, and that 30% of unintended pregnancies end in abortion. Given the challenges of estimating induced abortion, and the assumptions required for calculation, results should be viewed as approximate estimates, rather than exact measures. Conclusions The estimated abortion rate in 2015 is higher than in 2009 (potentially due to methodological differences), but similar to recent estimates from nearby countries including Tanzania (36), Uganda (39), and regional estimates in Eastern and Southern Africa (34–35). Over

  11. Smoke in Southern Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This SeaWiFS true-color image acquired over Southern Africa on Sept. 4, 2000, shows a thick shroud of smoke and haze blanketing much of the southern half of the continent. The smoke in this scene is being generated by a tremendous number of fires burning over a large area across the countries of Angola, Zambia, Mozambique, Zimbabwe, Botswana, and the Northern Province of South Africa. In this image, the smoke (grey pixels) is easily distinguished from clouds (bright white pixels). Refer to the Images and Data section for a larger scale view of the fires in Southern Africa. Data from both the SeaWiFS and Terra satellites are being used by an international team of scientists participating in the SAFARI field experiment. The objective of SAFARI is to measure the effects of windblown smoke and dust on air quality and the Earth's radiant energy budget. This image was produced using SeaWiFS channels 6, 5, and 1 (centered at 670 nm, 555 nm , and 412 nm, respectively). The data were acquired and provided by the Satellite Applications Center in Pretoria, South Africa. Image courtesy Gene Feldman, SeaWiFS Project and Orbital Sciences

  12. Multilingualism in Southern Africa.

    ERIC Educational Resources Information Center

    Peirce, Bonny Norton; Ridge, Stanley G. M.

    1997-01-01

    Reviews recent research in multilingualism in Southern Africa, focusing on the role of languages in education, sociolinguistics, and language policy. Much of the research is on South Africa. Topics discussed include language of instruction in schools, teacher education, higher education, adult literacy, language contact, gender and linguistic…

  13. Escalation and Resolution of Border Disputes and Interstate Conflicts in Africa: The Malawi-Tanzania Case

    DTIC Science & Technology

    2011-06-01

    struggle in the region. They cause relentless strife, including refugee problems, environmental degradation, deforestation , small arms proliferation...human and natural resources, extreme poverty and hunger abound on the continent.”42 Furthermore, a snapshot of Africa reveals deforestation , fast...Malawi, while Tanzania is disadvantaged . Since players selfishly attempt to maximize their outcomes, via ‘maximin theorem,’ the outcome is BD that

  14. Measles resurgence in southern Africa: challenges to measles elimination.

    PubMed

    Shibeshi, Messeret E; Masresha, Balcha G; Smit, Sheilagh B; Biellik, Robin J; Nicholson, Jennifer L; Muitherero, Charles; Shivute, Nestor; Walker, Oladapo; Reggis, Katsande; Goodson, James L

    2014-04-01

    In seven southern African countries (Botswana, Lesotho, Malawi, Namibia, South Africa, Swaziland and Zimbabwe), following implementation of a measles mortality reduction strategy starting in 1996, the number of annually reported measles cases decreased sharply to less than one per million population during 2006-2008. However, during 2009-2010, large outbreaks occurred in these countries. In 2011, a goal for measles elimination by 2020 was set in the World Health Organization (WHO) African Region (AFR). We reviewed the implementation of the measles control strategy and measles epidemiology during the resurgence in the seven southern African countries. Estimated coverage with routine measles vaccination, supplemental immunization activities (SIA), annually reported measles cases by country, and measles surveillance and laboratory data were analyzed using descriptive analysis. In the seven countries, coverage with the routine first dose of measles-containing vaccine (MCV1) decreased from 80% to 65% during 1996-2004, then increased to 84% in 2011; during 1996-2011, 79,696,523 people were reached with measles vaccination during 45 SIAs. Annually reported measles cases decreased from 61,160 cases to 60 cases and measles incidence decreased to <1 case per million during 1996-2008. During 2009-2010, large outbreaks that included cases among older children and adults were reported in all seven countries, starting in South Africa and Namibia in mid-2009 and in the other five countries by early 2010. The measles virus genotype detected was predominantly genotype B3. The measles resurgence highlighted challenges to achieving measles elimination in AFR by 2020. To achieve this goal, high two-dose measles vaccine coverage by strengthening routine immunization systems and conducting timely SIAs targeting expanded age groups, potentially including young adults, and maintaining outbreak preparedness to rapidly respond to outbreaks will be needed. Published by Elsevier Ltd.

  15. Language Policy and Practice in the Multilingual Southern African Development Community

    ERIC Educational Resources Information Center

    Mooko, Theophilus

    2009-01-01

    This study explores the language policy and practice of the Southern African Development Community (SADC), an African regional economic organisation made up of 14 member states (Angola, Botswana, Democratic Republic of Congo, Lesotho, Madagascar, Malawi, Mauritius, Mozambique, Namibia, South Africa, Swaziland, United Republic of Tanzania, Zambia…

  16. Conservation of indigenous cattle genetic resources in Southern Africa's smallholder areas: turning threats into opportunities - A review.

    PubMed

    Nyamushamba, G B; Mapiye, C; Tada, O; Halimani, T E; Muchenje, V

    2017-05-01

    The current review focuses on characterization and conservation efforts vital for the development of breeding programmes for indigenous beef cattle genetic resources in Southern Africa. Indigenous African cattle breeds were identified and characterized using information from refereed journals, conference papers and research reports. Results of this current review reviewed that smallholder beef cattle production in Southern Africa is extensive and dominated by indigenous beef cattle strains adaptable to the local environment. The breeds include Nguni, Mashona, Tuli, Malawi Zebu, Bovino de Tete, Angoni, Landim, Barotse, Twsana and Ankole. These breeds have important functions ranging from provision of food and income to socio-economic, cultural and ecological roles. They also have adaptive traits ranging from drought tolerant, resistance to ticks and tick borne diseases, heat tolerance and resistance to trypanosomosis. Stakeholders in the conservation of beef cattle were also identified and they included farmers, national government, research institutes and universities as well as breeding companies and societies in Southern Africa. Research efforts made to evaluate threats and opportunities of indigenous beef cattle production systems, assess the contribution of indigenous cattle to household food security and income, genetically and phenotypically characterize and conserve indigenous breeds, and develop breeding programs for smallholder beef production are highlighted. Although smallholder beef cattle production in the smallholder farming systems contributes substantially to household food security and income, their productivity is hindered by several constraints that include high prevalence of diseases and parasites, limited feed availability and poor marketing. The majority of the African cattle populations remain largely uncharacterized although most of the indigenous cattle breeds have been identified.

  17. A progressively wetter climate in southern East Africa over the past 1.3 million years.

    PubMed

    Johnson, T C; Werne, J P; Brown, E T; Abbott, A; Berke, M; Steinman, B A; Halbur, J; Contreras, S; Grosshuesch, S; Deino, A; Scholz, C A; Lyons, R P; Schouten, S; Damsté, J S Sinninghe

    2016-09-08

    African climate is generally considered to have evolved towards progressively drier conditions over the past few million years, with increased variability as glacial-interglacial change intensified worldwide. Palaeoclimate records derived mainly from northern Africa exhibit a 100,000-year (eccentricity) cycle overprinted on a pronounced 20,000-year (precession) beat, driven by orbital forcing of summer insolation, global ice volume and long-lived atmospheric greenhouse gases. Here we present a 1.3-million-year-long climate history from the Lake Malawi basin (10°-14° S in eastern Africa), which displays strong 100,000-year (eccentricity) cycles of temperature and rainfall following the Mid-Pleistocene Transition around 900,000 years ago. Interglacial periods were relatively warm and moist, while ice ages were cool and dry. The Malawi record shows limited evidence for precessional variability, which we attribute to the opposing effects of austral summer insolation and the temporal/spatial pattern of sea surface temperature in the Indian Ocean. The temperature history of the Malawi basin, at least for the past 500,000 years, strongly resembles past changes in atmospheric carbon dioxide and terrigenous dust flux in the tropical Pacific Ocean, but not in global ice volume. Climate in this sector of eastern Africa (unlike northern Africa) evolved from a predominantly arid environment with high-frequency variability to generally wetter conditions with more prolonged wet and dry intervals.

  18. Global Cicada Sound Collection I: Recordings from South Africa and Malawi by B. W. Price & M. H. Villet and harvesting of BioAcoustica data by GBIF

    PubMed Central

    Price, Benjamin Wills; Rycroft, Simon; Villet, Martin H.

    2015-01-01

    Abstract Background Sound collections for singing insects provide important repositories that underpin existing research (e.g. Price et al. 2007 at http://bio.acousti.ca/node/11801; Price et al. 2010) and make bioacoustic collections available for future work, including insect communication (Ordish 1992), systematics (e.g. David et al. 2003), and automated identification (Bennett et al. 2015). The BioAcoustica platform (Baker et al. 2015) is both a repository and analysis platform for bioacoustic collections: allowing collections to be available in perpetuity, and also facilitating complex analyses using the BioVeL cloud infrastructure (Vicario et al. 2011). The Global Cicada Sound Collection is a project to make recordings of the world's cicadas (Hemiptera: Cicadidae) available using open licences to maximise their potential for study and reuse. This first component of the Global Cicada Sound Collection comprises recordings made between 2006 and 2008 of Cicadidae in South Africa and Malawi. New information This collection of sounds includes 219 recordings of 133 voucher specimens, comprising 42 taxa (25 identified to species, all identified to genus) from South Africa and Malawi. The recordings have been used to underpin work on the species limits of cicadas in southern Africa, including Price et al. (2007) and Price et al. (2010). The specimens are deposited in the Albany Museum, Grahamstown, South Africa (AMGS). The harvesting of acoustic data as occurrence records by GBIF has been implemented by the Scratchpads Team at the Natural History Museum, London. This link increases the value of individual recordings and the BioAcoustica platform within the global infrastructure of biodiversity informatics by making specimen/occurence records from BioAcoustica available to a wider audience, and allowing their integration with other occurence datasets that also contribute to GBIF. PMID:26379465

  19. Astrophysics in Southern Africa

    NASA Astrophysics Data System (ADS)

    Whitelock, Patricia

    2008-03-01

    The government of South Africa has identified astronomy as a field in which their country has a strategic advantage and is consequently investing very significantly in astronomical infrastructure. South Africa now operates a 10-m class optical telescope, the Southern African Large Telescope (SALT), and is one of two countries short listed to host the Square Kilometre Array (SKA), an ambitious international project to construct a radio telescope with a sensitivity one hundred times that of any existing telescope. The challenge now is to produce an indigenous community of users for these facilities, particularly from among the black population which was severely disadvantaged under the apartheid regime. In this paper I briefly describe the observing facilities in Southern Africa before going on to discuss the various collaborations that are allowing us to use astronomy as a tool for development, and at the same time to train a new generation of astronomers who will be well grounded in the science and linked to their colleagues internationally.

  20. Land Cover Mapping for the Development of Green House Gas (GHG) Inventories in the Eastern and Southern Africa Region

    NASA Astrophysics Data System (ADS)

    Wakhayanga, J. A.; Oduor, P.; Korme, T.; Farah, H.; Limaye, A. S.; Irwin, D.; Artis, G.

    2014-12-01

    Anthropogenic activities are responsible for the largest share of green house gas (GHG) emissions. Research has shown that greenhouse gases cause radioactive forcing in the stratosphere, leading to ozone depletion. Different land cover types act as sources or sinks of carbon dioxide (CO2), the most dominant GHG.Under the oversight of the United Nations Framework Convention on Climate Change (UNFCCC) the Eastern and Southern Africa (ESA) region countries are developing Sustainable National GHG Inventory Management Systems. While the countries in the ESA region are making substantial progress in setting up GHG inventories, there remains significant constraints in the development of quality and sustainable National GHG Inventory Systems. For instance, there are fundamental challenges in capacity building and technology transfer, which can affect timely and consistent reporting on the land use, land-use change and forestry (LULUCF) component of the GHG inventory development. SERVIR Eastern and Southern Africa is a partnership project between the National Aeronautics and Space Administration (NASA) and the Regional Center for Mapping of Resources for Development (RCMRD), an intergovernmental organization in Africa, with 21 member states in the ESA region. With support from the United States Agency for International Development (USAID), SERVIR ESA is implementing the GHG Project in 9 countries. The main deliverables of the project are land cover maps for the years 2000 and 2010 (also 1990 for Malawi and Rwanda), and related technical reports, as well as technical training in land cover mapping using replicable methodologies. Landsat imagery which is freely available forms the main component of earth observation input data, in addition to ancillary data collected from each country. Supervised classification using maximum likelihood algorithm is applied to the Landsat images. The work is completed for the initial 6 countries (Malawi, Zambia, Rwanda, Tanzania, Botswana, and

  1. Three genetic groups of the Eucalyptus stem canker pathogen Teratosphaeria zuluensis introduced into Africa from an unknown source.

    PubMed

    Jimu, Luke; Chen, ShuaiFei; Wingfield, Michael J; Mwenje, Eddie; Roux, Jolanda

    2016-01-01

    The Eucalyptus stem canker pathogen Teratosphaeria zuluensis was discovered in South Africa in 1988 and it has subsequently been found in several other African countries as well as globally. In this study, the population structure, genetic diversity and evolutionary history of T. z uluensis were analysed using microsatellite markers to gain an enhanced understanding of its movement in Africa. Isolates were collected from several sites in Malawi, Mozambique, Uganda and Zambia. Data obtained were compared with those previously published for a South African population. The data obtained from 334 isolates, amplified across eight microsatellite loci, were used for assignment, differentiation and genetic diversity tests. STRUCTURE analyses, θ st and genetic distances revealed the existence of two clusters, one dominated by isolates from South Africa and the other by isolates from the Zambezi basin including Malawi, Mozambique and Zambia. High levels of admixture were found within and among populations, dominated by the Mulanje population in Malawi. Moderate to low genetic diversity of the populations supports the previously held view that the pathogen was introduced into Africa. The clonal nature of the Ugandan population suggests a very recent introduction, most likely from southern Africa.

  2. A biregional survey and review of first-line treatment failure and second-line paediatric antiretroviral access and use in Asia and southern Africa

    PubMed Central

    2011-01-01

    Background To better understand the need for paediatric second-line antiretroviral therapy (ART), an ART management survey and a cross-sectional analysis of second-line ART use were conducted in the TREAT Asia Paediatric HIV Observational Database and the IeDEA Southern Africa (International Epidemiologic Databases to Evaluate AIDS) regional cohorts. Methods Surveys were conducted in April 2009. Analysis data from the Asia cohort were collected in March 2009 from 12 centres in Cambodia, India, Indonesia, Malaysia, and Thailand. Data from the IeDEA Southern Africa cohort were finalized in February 2008 from 10 centres in Malawi, Mozambique, South Africa and Zimbabwe. Results Survey responses reflected inter-regional variations in drug access and national guidelines. A total of 1301 children in the TREAT Asia and 4561 children in the IeDEA Southern Africa cohorts met inclusion criteria for the cross-sectional analysis. Ten percent of Asian and 3.3% of African children were on second-line ART at the time of data transfer. Median age (interquartile range) in months at second-line initiation was 120 (78-145) months in the Asian cohort and 66 (29-112) months in the southern African cohort. Regimens varied, and the then current World Health Organization-recommended nucleoside reverse transcriptase combination of abacavir and didanosine was used in less than 5% of children in each region. Conclusions In order to provide life-long ART for children, better use of current first-line regimens and broader access to heat-stable, paediatric second-line and salvage formulations are needed. There will be limited benefit to earlier diagnosis of treatment failure unless providers and patients have access to appropriate drugs for children to switch to. PMID:21306608

  3. Resource-Sharing and Self-Reliance in Southern Africa.

    ERIC Educational Resources Information Center

    Lungu, Charles B. M.

    1987-01-01

    Discusses the need for a regional information network in southern Africa to provide policy makers with access to needed information and reduce dependence on foreign advisers. The progress of the Southern Africa Documentation and Information System is described, and future trends and possible difficulties are identified. (CLB)

  4. Barriers to Uptake of Conservation Agriculture in southern Africa: Multi-level Analyses from Malawi

    NASA Astrophysics Data System (ADS)

    Dougill, Andrew; Stringer, Lindsay; Whitfield, Stephen; Wood, Ben; Chinseu, Edna

    2015-04-01

    Conservation agriculture is a key set of actions within the growing body of climate-smart agriculture activities being advocated and rolled out across much of the developing world. Conservation agriculture has purported benefits for environmental quality, food security and the sustained delivery of ecosystem services. In this paper, new multi-level analyses are presented, assessing the current barriers to adoption of conservation agriculture practices in Malawi. Despite significant donor initiatives that have targeted conservation agriculture projects, uptake rates remain low. This paper synthesises studies from across 3 levels in Malawi: i.) national level- drawing on policy analysis, interviews and a multi-stakeholder workshop; ii.) district level - via assessments of development plans and District Office and extension service support, and; iii) local level - through data gained during community / household level studies in Dedza District that have gained significant donor support for conservation agriculture as a component of climate smart agriculture initiatives. The national level multi-stakeholder Conservation Agriculture workshop identified three areas requiring collaborative research and outlined routes for the empowerment of the National Conservation Agriculture Task Force to advance uptake of conservation agriculture and deliver associated benefits in terms of agricultural development, climate adaptation and mitigation. District level analyses highlight that whilst District Development Plans are now checked against climate change adaptation and mitigation criteria, capacity and knowledge limitations exist at the District level, preventing project interventions from being successfully up-scaled. Community level assessments highlight the need for increased community participation at the project-design phase and identify a pressing requirement for conservation agriculture planning processes (in particular those driven by investments in climate

  5. National and Local Sources of Power: Important Considerations for Teacher Education Reforms in Rural Malawi

    ERIC Educational Resources Information Center

    Chazema, Jacqueline; O'Meara, James

    2011-01-01

    The establishment of formal teacher training systems is a relatively new innovation in some parts of Africa. Formal training of secondary teachers in Malawi commenced when the government of Malawi opened the University of Malawi in 1965. The contribution of Malawi's ruling parties to the development of teacher education in Malawi since then is an…

  6. Variations in Reading Achievement across 14 Southern African School Systems: Which Factors Matter?

    ERIC Educational Resources Information Center

    Hungi, Njora; Thuku, Florence W.

    2010-01-01

    In this study the authors employed a multilevel analysis procedure in order to examine the pupil and school levels factors that contributed to variation in reading achievement among Grade 6 primary school pupils in 14 southern African school systems (Botswana, Kenya, Lesotho, Malawi, Mauritius, Mozambique, Namibia, Seychelles, South Africa,…

  7. ARE LITERACY SKILLS ASSOCIATED WITH YOUNG ADULTS’ HEALTH IN AFRICA? EVIDENCE FROM MALAWI

    PubMed Central

    Smith-Greenaway, Emily

    2014-01-01

    This study investigates whether literacy skills are a distinct dimension of education that influences young adults’ health in the southeast African context of Malawi. It uses new data from Tsogolo la Thanzi, a study of young adults in southern Malawi, to achieve three aims. The first is descriptive: to demonstrate a direct assessment for measuring literacy in a population-based survey, and show that it captures variability in skills among young adults, including those with comparable levels of educational attainment. The second aim is to identify whether literacy influences young adults’ health—net of their educational attainment and other confounding factors. Multivariate analyses reveal that literacy is associated with two measures of physical health: self-rated health and prolonged sickness. Because literacy is a key determinant of health, the third aim is to provide insight into how to measure it: can commonly used indirect approaches to estimating literacy (e.g., based on educational attainment or self-reports), accurately capture its prevalence and relationship with health? In a second set of analyses, bivariate results show whether, and the extent to which, indirect measures of literacy overestimate literacy’s prevalence, and multivariate models assess whether indirect estimates of literacy capture its relationship with health. The findings support future efforts to incorporate literacy assessments into population surveys to accurately estimate literacy’s prevalence and health benefits, particularly in contexts like Malawi where access to high-quality schools remains limited. PMID:25164414

  8. Determination of Genetic Diversity in Chilo partellus, Busseola fusca, and Spodoptera frugiperda Infesting Sugarcane in Southern Malawi Using DNA Barcodes.

    PubMed

    Kasambala Donga, Trust; Meadow, Richard

    2018-06-22

    Sugarcane is one of the most valuable crops in the world. Native and exotic Lepidopteran stemborers significantly limit sugarcane production. However, the identity and genetic diversity of stemborers infesting sugarcane in Malawi is unknown. The main objectives for this study were to identify and determine genetic diversity in stemborers infesting sugarcane in Malawi. We conducted field surveys between June 2016 and March 2017 in the Lower Shire Valley district of Chikwawa and Nsanje, southern Malawi. Molecular identification was based amplification the partial cytochrome oxidase subunit I (COI) gene region. Phylogenetic trees for sequences were generated and published GenBank accessions for each species were constructed. We found that Malawi Busseola fusca (Lepidoptera: Noctuidae) specimens belonged to clade II, Spodoptera frugiperda sp. 1 (Lepidoptera: Noctuidae) and Chilo partellus (Lepidoptera: Crambidae) were infesting sugarcane. Interspecific divergence ranged from 8.7% to 15.3%. Intraspecific divergence was highest for B. fusca , 3.6%. There were eight haplotypes for B. fusca , three for S. frugiperda and three for C. partellus . The importance of accurate species identification and genetic diversity on stemborer management is presented.

  9. Organic sedimentation in modern lacustrine systems: A case study from Lake Malawi, East Africa

    USGS Publications Warehouse

    Ellis, Geoffrey S.; Barry J. Katz,; Christopher A. Scholz,; Peter K. Swart,

    2015-01-01

    This study examines the relationship between depositional environment and sedimentary organic geochemistry in Lake Malawi, East Africa, and evaluates the relative significance of the various processes that control sedimentary organic matter (OM) in lacustrine systems. Total organic carbon (TOC) concentrations in recent sediments from Lake Malawi range from 0.01 to 8.80 wt% and average 2.83 wt% for surface sediments and 2.35 wt% for shallow core sediments. Hydrogen index (HI) values as determined by Rock-Eval pyrolysis range from 0 to 756 mg HC g−1 TOC and average 205 mg HC g−1 TOC for surface sediments and 228 mg HC g−1 TOC for shallow core samples. On average, variations in primary productivity throughout the lake may account for ~33% of the TOC content in Lake Malawi sediments (as much as 1 wt% TOC), and have little or no impact on sedimentary HI values. Similarly, ~33% to 66% of the variation in TOC content in Lake Malawi sediments appears to be controlled by anoxic preservation of OM (~1–2 wt% TOC), although some component of the water depth–TOC relationship may be due to physical sediment transport processes. Furthermore, anoxic preservation has a minimal effect on HI values in Lake Malawi sediments. Dilution of OM by inorganic sediment may account for ~16% of variability in TOC content in Lake Malawi sediments (~0.5 wt% TOC). The effect of inputs of terrestrial sediment on the organic character of surface sediments in these lakes is highly variable, and appears to be more closely related to the local depositional environment than the regional flux of terrestrial OM. Total nitrogen and TOC content in surface sediments collected throughout the lake are found to be highly correlated (r2 = 0.95), indicating a well-homogenized source of OM to the lake bottom. The recurring suspension and deposition of terrestrial sediment may account for significant amounts of OM deposited in offshore regions of the lake. This process effectively separates denser

  10. Human Rights Violations among Men Who Have Sex with Men in Southern Africa: Comparisons between Legal Contexts

    PubMed Central

    Zahn, Ryan; Grosso, Ashley; Scheibe, Andrew; Bekker, Linda-Gail; Ketende, Sosthenes; Dausab, Friedel; Iipinge, Scholastica; Beyrer, Chris; Trapance, Gift; Baral, Stefan

    2016-01-01

    In 1994, South Africa approved a constitution providing freedom from discrimination based on sexual orientation. Other Southern African countries, including Botswana, Malawi, and Namibia, criminalize same-sex behavior. Men who have sex with men (MSM) have been shown to experience high levels of stigma and discrimination, increasing their vulnerability to negative health and other outcomes. This paper examines the relationship between criminalization of same-sex behavior and experiences of human rights abuses by MSM. It compares the extent to which MSM in peri-urban Cape Town experience human rights abuses with that of MSM in Gaborone, Botswana; Blantyre and Lilongwe, Malawi; and Windhoek, Namibia. In 2008, 737 MSM participated in a cross-sectional study using a structured survey collecting data regarding demographics, human rights, HIV status, and risk behavior. Participants accrued in each site were compared using bivariate and multivariate logistic regression. Encouragingly, the results indicate MSM in Cape Town were more likely to disclose their sexual orientation to family or healthcare workers and less likely to be blackmailed or feel afraid in their communities than MSM in Botswana, Malawi, or Namibia. However, South African MSM were not statistically significantly less likely experience a human rights abuse than their peers in cities in other study countries, showing that while legal protections may reduce experiences of certain abuses, legislative changes alone are insufficient for protecting MSM. A comprehensive approach with interventions at multiple levels in multiple sectors is needed to create the legal and social change necessary to address attitudes, discrimination, and violence affecting MSM. PMID:26764467

  11. Human Rights Violations among Men Who Have Sex with Men in Southern Africa: Comparisons between Legal Contexts.

    PubMed

    Zahn, Ryan; Grosso, Ashley; Scheibe, Andrew; Bekker, Linda-Gail; Ketende, Sosthenes; Dausab, Friedel; Iipinge, Scholastica; Beyrer, Chris; Trapance, Gift; Baral, Stefan

    2016-01-01

    In 1994, South Africa approved a constitution providing freedom from discrimination based on sexual orientation. Other Southern African countries, including Botswana, Malawi, and Namibia, criminalize same-sex behavior. Men who have sex with men (MSM) have been shown to experience high levels of stigma and discrimination, increasing their vulnerability to negative health and other outcomes. This paper examines the relationship between criminalization of same-sex behavior and experiences of human rights abuses by MSM. It compares the extent to which MSM in peri-urban Cape Town experience human rights abuses with that of MSM in Gaborone, Botswana; Blantyre and Lilongwe, Malawi; and Windhoek, Namibia. In 2008, 737 MSM participated in a cross-sectional study using a structured survey collecting data regarding demographics, human rights, HIV status, and risk behavior. Participants accrued in each site were compared using bivariate and multivariate logistic regression. Encouragingly, the results indicate MSM in Cape Town were more likely to disclose their sexual orientation to family or healthcare workers and less likely to be blackmailed or feel afraid in their communities than MSM in Botswana, Malawi, or Namibia. However, South African MSM were not statistically significantly less likely experience a human rights abuse than their peers in cities in other study countries, showing that while legal protections may reduce experiences of certain abuses, legislative changes alone are insufficient for protecting MSM. A comprehensive approach with interventions at multiple levels in multiple sectors is needed to create the legal and social change necessary to address attitudes, discrimination, and violence affecting MSM.

  12. Specialization training in Malawi: a qualitative study on the perspectives of medical students graduating from the University of Malawi College of Medicine

    PubMed Central

    2014-01-01

    Background There is a critical shortage of healthcare workers in sub-Saharan Africa, and Malawi has one of the lowest physician densities in the region. One of the reasons for this shortage is inadequate retention of medical school graduates, partly due to the desire for specialization training. The University of Malawi College of Medicine has developed specialty training programs, but medical school graduates continue to report a desire to leave the country for specialization training. To understand this desire, we studied medical students’ perspectives on specialization training in Malawi. Methods We conducted semi-structured interviews of medical students in the final year of their degree program. We developed an interview guide through an iterative process, and recorded and transcribed all interviews for analysis. Two independent coders coded the manuscripts and assessed inter-coder reliability, and the authors used an “editing approach” to qualitative analysis to identify and categorize themes relating to the research aim. The University of Pittsburgh Institutional Review Board and the University of Malawi College of Medicine Research and Ethics Committee approved this study and authors obtained written informed consent from all participants. Results We interviewed 21 medical students. All students reported a desire for specialization training, with 12 (57%) students interested in specialties not currently offered in Malawi. Students discussed reasons for pursuing specialization training, impressions of specialization training in Malawi, reasons for staying or leaving Malawi to pursue specialization training and recommendations to improve training. Conclusions Graduating medical students in Malawi have mixed views of specialization training in their own country and still desire to leave Malawi to pursue further training. Training institutions in sub-Saharan Africa need to understand the needs of the country’s healthcare workforce and the needs of their

  13. Specialization training in Malawi: a qualitative study on the perspectives of medical students graduating from the University of Malawi College of Medicine.

    PubMed

    Sawatsky, Adam P; Parekh, Natasha; Muula, Adamson S; Bui, Thuy

    2014-01-06

    There is a critical shortage of healthcare workers in sub-Saharan Africa, and Malawi has one of the lowest physician densities in the region. One of the reasons for this shortage is inadequate retention of medical school graduates, partly due to the desire for specialization training. The University of Malawi College of Medicine has developed specialty training programs, but medical school graduates continue to report a desire to leave the country for specialization training. To understand this desire, we studied medical students' perspectives on specialization training in Malawi. We conducted semi-structured interviews of medical students in the final year of their degree program. We developed an interview guide through an iterative process, and recorded and transcribed all interviews for analysis. Two independent coders coded the manuscripts and assessed inter-coder reliability, and the authors used an "editing approach" to qualitative analysis to identify and categorize themes relating to the research aim. The University of Pittsburgh Institutional Review Board and the University of Malawi College of Medicine Research and Ethics Committee approved this study and authors obtained written informed consent from all participants. We interviewed 21 medical students. All students reported a desire for specialization training, with 12 (57%) students interested in specialties not currently offered in Malawi. Students discussed reasons for pursuing specialization training, impressions of specialization training in Malawi, reasons for staying or leaving Malawi to pursue specialization training and recommendations to improve training. Graduating medical students in Malawi have mixed views of specialization training in their own country and still desire to leave Malawi to pursue further training. Training institutions in sub-Saharan Africa need to understand the needs of the country's healthcare workforce and the needs of their graduating medical students to be able to

  14. Integrating interannual climate variability forecasts into weather-indexed crop insurance. The case of Malawi, Kenya and Tanzania

    NASA Astrophysics Data System (ADS)

    Vicarelli, M.; Giannini, A.; Osgood, D.

    2009-12-01

    In this study we explore the potential for re-insurance schemes built on regional climatic forecasts. We focus on micro-insurance contracts indexed on precipitation in 9 villages in Kenya, Tanzania (Eastern Africa) and Malawi (Southern Africa), and analyze the precipitation patterns and payouts resulting from El Niño Southern Oscillation (ENSO). The inability to manage future climate risk represents a “poverty trap” for several African regions. Weather shocks can potentially destabilize not only household, but also entire countries. Governments in drought-prone countries, donors and relief agencies are becoming aware of the importance to develop an ex-ante risk management framework for weather risk. Joint efforts to develop innovative mechanisms to spread and pool risk such as microinsurance and microcredit are currently being designed in several developing countries. While ENSO is an important component in modulating the rainfall regime in tropical Africa, the micro-insurance experiments currently under development to address drought risk among smallholder farmers in this region do not take into account ENSO monitoring or forecasting yet. ENSO forecasts could be integrated in the contracts and reinsurance schemes could be designed at the continental scale taking advantage of the different impact of ENSO on different regions. ENSO is associated to a bipolar precipitation pattern in Southern and Eastern Africa. La Niña years (i.e. Cold ENSO Episodes) are characterized by dry climate in Eastern Africa and wet climate in Southern Africa. During El Niño (or Warm Episode) the precipitation dipole is inverted, and Eastern Africa experiences increased probability for above normal rainfall (Halpert and Ropelewski, 1992, Journal of Climate). Our study represents the first exercise in trying to include ENSO forecasts in micro weather index insurance contract design. We analyzed the contracts payouts with respect to climate variability. In particular (i) we simulated

  15. Schistosomiasis in Malawi: a systematic review.

    PubMed

    Makaula, Peter; Sadalaki, John R; Muula, Adamson S; Kayuni, Sekeleghe; Jemu, Samuel; Bloch, Paul

    2014-12-10

    Schistosomiasis remains an important public health problem that undermines social and economic development in tropical regions of the world, mainly Sub-Saharan Africa. We are not aware of any systematic review of the literature of the epidemiology and transmission of schistosomiasis in Malawi since 1985. Therefore, we reviewed the current state of knowledge of schistosomiasis epidemiology and transmission in this country and identified knowledge gaps and relevant areas for future research and research governance. We conducted computer-aided literature searches of Medline, SCOPUS and Google Scholar using the keywords: "schistosomiasis", "Bilharzia", "Bulinus" and "Biomphalaria" in combination with "Malawi". These searches were supplemented by iterative reviews of reference lists for relevant publications in peer reviewed international scientific journals or other media. The recovered documents were reviewed for their year of publication, location of field or laboratory work, authorship characteristics, ethics review, funding sources as well as their findings regarding parasite and intermediate host species, environmental aspects, geographical distribution, seasonality of transmission, and infection prevalence and intensities. A total of 89 documents satisfied the inclusion criteria and were reviewed. Of these, 76 were published in international scientific journals, 68 were peer reviewed and 54 were original research studies. Most of the documents addressed urinary schistosomiasis and about two thirds of them dealt with the definitive host. Few documents addressed the parasites and the intermediate hosts. While urinary schistosomiasis occurs in most parts of Malawi, intestinal schistosomiasis mainly occurs in the central and southern highlands, Likoma Island and Lower Shire. Studies in selected communities estimated prevalence rates of up to 94.9% for Schistosoma haematobium and up to 67.0% for Schistosoma mansoni with considerable geographical variation. The main

  16. Cross-Border Cholera Outbreaks in Sub-Saharan Africa, the Mystery behind the Silent Illness: What Needs to Be Done?

    PubMed Central

    Mwesawina, Maurice; Baluku, Yosia; Kanyanda, Setiala S. E.; Orach, Christopher Garimoi

    2016-01-01

    Introduction Cross-border cholera outbreaks are a major public health problem in Sub-Saharan Africa contributing to the high annual reported cholera cases and deaths. These outbreaks affect all categories of people and are challenging to prevent and control. This article describes lessons learnt during the cross-border cholera outbreak control in Eastern and Southern Africa sub-regions using the case of Uganda-DRC and Malawi-Mozambique borders and makes recommendations for future outbreak prevention and control. Materials and Methods We reviewed weekly surveillance data, outbreak response reports and documented experiences on the management of the most recent cross-border cholera outbreaks in Eastern and Southern Africa sub-regions, namely in Uganda and Malawi respectively. Uganda-Democratic Republic of Congo and Malawi-Mozambique borders were selected because the countries sharing these borders reported high cholera disease burden to WHO. Results A total of 603 cross-border cholera cases with 5 deaths were recorded in Malawi and Uganda in 2015. Uganda recorded 118 cases with 2 deaths and CFR of 1.7%. The under-fives and school going children were the most affected age groups contributing 24.2% and 36.4% of all patients seen along Malawi-Mozambique and Uganda-DRC borders, respectively. These outbreaks lasted for over 3 months and spread to new areas leading to 60 cases with 3 deaths, CRF of 5%, and 102 cases 0 deaths in Malawi and Uganda, respectively. Factors contributing to these outbreaks were: poor sanitation and hygiene, use of contaminated water, floods and rampant cross-border movements. The outbreak control efforts mainly involved unilateral measures implemented by only one of the affected countries. Conclusions Cross-border cholera outbreaks contribute to the high annual reported cholera burden in Sub-Saharan Africa yet they remain silent, marginalized and poorly identified by cholera actors (governments and international agencies). The under-fives and the

  17. Mental health of carers of children affected by HIV attending community-based programmes in South Africa and Malawi

    PubMed Central

    Skeen, Sarah; Tomlinson, Mark; Macedo, Ana; Croome, Natasha; Sherr, Lorraine

    2015-01-01

    There is strong evidence that both adults and children infected with and affected by HIV have high levels of mental health burden. Yet there have been few studies investigating carer mental health outcomes in the context of HIV in Malawi and South Africa. The objective of this study was to assess the mental health of carers of children affected by HIV as a part of the Child Community Care study, which aims to generate evidence on the effectiveness of community-based organisation (CBO) services to improve child outcomes. In a cross sectional study, we interviewed 952 carers of children (aged 4 to 13 years) attending 28 randomly selected CBOs funded by 11 major donors in South Africa and Malawi. Psychological morbidity was measured using the Shona Symptom Questionnaire (SSQ) and suicidal ideation was measured using an item from the Patient Health Questionnaire (PHQ). Carers were asked about care-seeking for emotional problems. Overall, 28% of carers scored above the clinical cut-off for current psychological morbidity and 12.2% reported suicidal ideation. We used logistic regression models to test factors associated with poor outcomes. Household unemployment, living with a sick family member, and perceived lack of support from the community were associated with both psychological morbidity and suicidal ideation in carers. Reported child food insecurity was also associated with psychological morbidity. In addition, carers living in South Africa were more likely to present with psychological morbidity and suicidal ideation than carers in Malawi. Rates of help-seeking for mental health problems were low. Carers of children affected by HIV are at risk for mental health problems as a result of HIV, socio-economic, care-giving and community factors. We call for increased recognition of the potential role of CBOs in providing mental health care and support for families as a means to improve equity in mental health care. Specifically, we highlight the need for increased

  18. Livestock First Reached Southern Africa in Two Separate Events.

    PubMed

    Sadr, Karim

    2015-01-01

    After several decades of research on the subject, we now know when the first livestock reached southern Africa but the question of how they got there remains a contentious topic. Debate centres on whether they were brought with a large migration of Khoe-speakers who originated from East Africa; or whether the livestock were traded down-the-line among hunter-gatherer communities; or indeed whether there was a long history of diverse small scale population movements in this part of the world, one or more of which 'infiltrated' livestock into southern Africa. A new analysis of the distribution of stone toolkits from a sizeable sample of sub-equatorial African Later Stone Age sites, coupled with existing knowledge of the distribution of the earliest livestock remains and ceramics vessels, has allowed us to isolate two separate infiltration events that brought the first livestock into southern Africa just over 2000 years ago; one infiltration was along the Atlantic seaboard and another entered the middle reaches of the Limpopo River Basin. These findings agree well with the latest results of genetic research which together indicate that multiple, small-scale infiltrations probably were responsible for bringing the first livestock into southern Africa.

  19. El Niño–Southern Oscillation diversity and Southern Africa teleconnections during Austral Summer

    USGS Publications Warehouse

    Hoell, Andrew; Funk, Christopher C.; Magadzire, Tamuka; Zinke, Jens; Husak, Gregory J.

    2014-01-01

    A wide range of sea surface temperature (SST) expressions have been observed during the El Niño–Southern Oscillation events of 1950–2010, which have occurred simultaneously with different global atmospheric circulations. This study examines the atmospheric circulation and precipitation during December–March 1950–2010 over the African Continent south of 15∘S, a region hereafter known as Southern Africa, associated with eight tropical Pacific SST expressions characteristic of El Niño and La Niña events. The self-organizing map method along with a statistical distinguishability test was used to isolate the SST expressions of El Niño and La Niña. The seasonal precipitation forcing over Southern Africa associated with the eight SST expressions was investigated in terms of the horizontal winds, moisture budget and vertical motion. El Niño events, with warm SST across the east and central Pacific Ocean and warmer than average SST over the Indian Ocean, are associated with precipitation reductions over Southern Africa. The regional precipitation reductions are forced primarily by large-scale mid-tropospheric subsidence associated with anticyclonic circulation in the upper troposphere. El Niño events with cooler than average SST over the Indian Ocean are associated with precipitation increases over Southern Africa associated with lower tropospheric cyclonic circulation and mid-tropospheric ascent. La Niña events, with cool SST anomalies over the central Pacific and warm SST over the west Pacific and Indian Ocean, are associated with precipitation increases over Southern Africa. The regional precipitation increases are forced primarily by lower tropospheric cyclonic circulation, resulting in mid-tropospheric ascent and an increased flux of moisture into the region.

  20. Ancient west Eurasian ancestry in southern and eastern Africa.

    PubMed

    Pickrell, Joseph K; Patterson, Nick; Loh, Po-Ru; Lipson, Mark; Berger, Bonnie; Stoneking, Mark; Pakendorf, Brigitte; Reich, David

    2014-02-18

    The history of southern Africa involved interactions between indigenous hunter-gatherers and a range of populations that moved into the region. Here we use genome-wide genetic data to show that there are at least two admixture events in the history of Khoisan populations (southern African hunter-gatherers and pastoralists who speak non-Bantu languages with click consonants). One involved populations related to Niger-Congo-speaking African populations, and the other introduced ancestry most closely related to west Eurasian (European or Middle Eastern) populations. We date this latter admixture event to ∼900-1,800 y ago and show that it had the largest demographic impact in Khoisan populations that speak Khoe-Kwadi languages. A similar signal of west Eurasian ancestry is present throughout eastern Africa. In particular, we also find evidence for two admixture events in the history of Kenyan, Tanzanian, and Ethiopian populations, the earlier of which involved populations related to west Eurasians and which we date to ∼2,700-3,300 y ago. We reconstruct the allele frequencies of the putative west Eurasian population in eastern Africa and show that this population is a good proxy for the west Eurasian ancestry in southern Africa. The most parsimonious explanation for these findings is that west Eurasian ancestry entered southern Africa indirectly through eastern Africa.

  1. Ancient west Eurasian ancestry in southern and eastern Africa

    PubMed Central

    Pickrell, Joseph K.; Patterson, Nick; Loh, Po-Ru; Lipson, Mark; Berger, Bonnie; Stoneking, Mark; Pakendorf, Brigitte; Reich, David

    2014-01-01

    The history of southern Africa involved interactions between indigenous hunter–gatherers and a range of populations that moved into the region. Here we use genome-wide genetic data to show that there are at least two admixture events in the history of Khoisan populations (southern African hunter–gatherers and pastoralists who speak non-Bantu languages with click consonants). One involved populations related to Niger–Congo-speaking African populations, and the other introduced ancestry most closely related to west Eurasian (European or Middle Eastern) populations. We date this latter admixture event to ∼900–1,800 y ago and show that it had the largest demographic impact in Khoisan populations that speak Khoe–Kwadi languages. A similar signal of west Eurasian ancestry is present throughout eastern Africa. In particular, we also find evidence for two admixture events in the history of Kenyan, Tanzanian, and Ethiopian populations, the earlier of which involved populations related to west Eurasians and which we date to ∼2,700–3,300 y ago. We reconstruct the allele frequencies of the putative west Eurasian population in eastern Africa and show that this population is a good proxy for the west Eurasian ancestry in southern Africa. The most parsimonious explanation for these findings is that west Eurasian ancestry entered southern Africa indirectly through eastern Africa. PMID:24550290

  2. Population structure and infectious disease risk in southern Africa.

    PubMed

    Uren, Caitlin; Möller, Marlo; van Helden, Paul D; Henn, Brenna M; Hoal, Eileen G

    2017-06-01

    The KhoeSan populations are the earliest known indigenous inhabitants of southern Africa. The relatively recent expansion of Bantu-speaking agropastoralists, as well as European colonial settlement along the south-west coast, dramatically changed patterns of genetic diversity in a region which had been largely isolated for thousands of years. Owing to this unique history, population structure in southern Africa reflects both the underlying KhoeSan genetic diversity as well as differential recent admixture. This population structure has a wide range of biomedical and sociocultural implications; such as changes in disease risk profiles. Here, we consolidate information from various population genetic studies that characterize admixture patterns in southern Africa with an aim to better understand differences in adverse disease phenotypes observed among groups. Our review confirms that ancestry has a direct impact on an individual's immune response to infectious diseases. In addition, we emphasize the importance of collaborative research, especially for populations in southern Africa that have a high incidence of potentially fatal infectious diseases such as HIV and tuberculosis.

  3. First Responders and Prehospital Care for Road Traffic Injuries in Malawi.

    PubMed

    Chokotho, Linda; Mulwafu, Wakisa; Singini, Isaac; Njalale, Yasin; Maliwichi-Senganimalunje, Limbika; Jacobsen, Kathryn H

    2017-02-01

    Introduction Road traffic collisions are a common cause of injuries and injury-related deaths in sub-Saharan Africa (SSA). Basic prehospital care can be the difference between life and death for injured drivers, passengers, and pedestrians. Problem This study examined the challenges associated with current first response practices in Malawi. In April 2014, focus groups were conducted in two areas of Malawi: Karonga (in the Northern Region) and Blantyre (in the Southern Region; both are along the M1 highway), and a qualitative synthesis approach was used to identify themes. All governmental and nongovernmental first response organizations identified by key informants were contacted, and a checklist was used to identify the services they offer. Access to professional prehospital care in Malawi is almost nonexistent, aside from a few city fire departments and private ambulance services. Rapid transportation to a hospital is usually the primary goal of roadside care because of limited first aid knowledge and a lack of access to basic safety equipment. The key informants recommended: expanding community-based first aid training; emphasizing umunthu (shared humanity) to inspire bystander involvement in roadside care; empowering local leaders to coordinate on-site responses; improving emergency communication systems; equipping traffic police with road safety gear; and expanding access to ambulance services. Prehospital care in Malawi would be improved by the creation of a formal network of community leaders, police, commercial drivers, and other lay volunteers who are trained in basic first aid and are equipped to respond to crash sites to provide roadside care to trauma patients and prepare them for safe transport to hospitals. Chokotho L , Mulwafu W , Singini I , Njalale Y , Maliwichi-Senganimalunje L , Jacobsen KH . First responders and prehospital care for road traffic injuries in Malawi. Prehosp Disaster Med. 2017;32(1):14-19.

  4. What are the constraints and opportunities for HIVST scale-up in Africa? Evidence from Kenya, Malawi and South Africa.

    PubMed

    van Rooyen, Heidi; Tulloch, Olivia; Mukoma, Wanjiru; Makusha, Tawanda; Chepuka, Lignet; Knight, Lucia C; Peck, Roger B; Lim, Jeanette M; Muturi, Nelly; Chirwa, Ellen; Taegtmeyer, Miriam

    2015-01-01

    HIV self-testing (HIVST) has the potential to increase uptake of HIV testing among untested populations in sub-Saharan Africa and is on the brink of scale-up. However, it is unclear to what extent HIVST would be supported by stakeholders, what policy frameworks are in place and how variations between contexts might influence country-preparedness for scale-up. This qualitative study assessed the perceptions of HIVST among stakeholders in three sub-Saharan countries. Fifty-four key informant interviews were conducted in Kenya (n=16), Malawi (n=26) and South Africa (n=12) with government policy makers, academics, activists, donors, procurement specialists, laboratory practitioners and health providers. A thematic analysis was conducted in each country and a common coding framework allowed for inter-country analysis to identify common and divergent themes across contexts. Respondents welcomed the idea of an accurate, easy-to-use, rapid HIV self-test which could increase testing across all populations. High-risk groups, such as men, Men who have sex with men (MSM), couples and young people in particular, could be targeted through a range of health facility and community-based distribution points. HIVST is already endorsed in Kenya, and political support for scale-up exists in South Africa and Malawi. However, several caveats remain. Further research, policy and ensuing guidelines should consider how to regulate, market and distribute HIVST, ensure quality assurance of tests and human rights, and critically, link testing to appropriate support and treatment services. Low literacy levels in some target groups would also need context-specific consideration before scale up. World Health Organization (WHO) policy and regulatory frameworks are needed to guide the process in those areas which are new or specific to self-testing. Stakeholders in three HIV endemic sub-Saharan countries felt that HIVST will be an important complement to existing community and facility

  5. Continuing professional development for medical, nursing, and midwifery cadres in Malawi, Tanzania and South Africa: A qualitative evaluation

    PubMed Central

    Pintye, Jillian; Jacob, Sheena; Chung, Michael H.; Middleton, Lyn; Iliffe, Jill; Kim, H. Nina

    2017-01-01

    Background As innovations in the prevention and treatment of HIV and TB advance, continuing professional development (CPD) of health care workers (HCWs) remains a high priority, particularly in sub-Saharan Africa where dual TB/HIV epidemics are compounded by severe HCW shortages. There is further need to examine CPD programs to identify challenges and effective solutions to strengthen HIV/TB-related CPD. Methods Qualitative evaluations in Malawi, Tanzania and South Africa (RSA) were conducted using key informant interviews (KIIs) and focus group discussions (FGDs) in each country to identify barriers and enablers of effective HIV/TB-related CPD. Key stakeholders represented CPD implementers, regulators, and developers. HCWs were purposively sampled from high disease burden districts; each HCW completed brief, semi-structured questionnaires and participated in a FGD. KII and FGD results were combined into key themes spanning across countries using a grounded theory approach. Results Fifty-two KIIs were conducted: 17 in Malawi, 19 in Tanzania and 16 in RSA. Eighty-nine HCWs (24 from Malawi, 38 from Tanzania and 27 from RSA) completed questionnaires and participated in FGDs. Primarily, lack of sustainable financial resources and limitations in coordination of CPD result in poor accountability for CPD oversight and reduce CPD quality assurance. Healthcare worker shortages limit CPD opportunities, creating disparities in CPD access. CPD irrelevance and imbalance between HCW-identified CPD needs and current programs reduce enthusiasm for CPD. Facility-level constraints, including poor infrastructure and weak supply chains, restrict implementation of CPD skills and knowledge. Challenges are more severe in rural settings. Conclusion To address identified gaps, sustainable funding, strong leadership and collaboration at every level are needed to strengthen CPD regulation and accreditation systems; increase CPD accessibility in the workplace; and create enabling environments

  6. Continuing professional development for medical, nursing, and midwifery cadres in Malawi, Tanzania and South Africa: A qualitative evaluation.

    PubMed

    Feldacker, Caryl; Pintye, Jillian; Jacob, Sheena; Chung, Michael H; Middleton, Lyn; Iliffe, Jill; Kim, H Nina

    2017-01-01

    As innovations in the prevention and treatment of HIV and TB advance, continuing professional development (CPD) of health care workers (HCWs) remains a high priority, particularly in sub-Saharan Africa where dual TB/HIV epidemics are compounded by severe HCW shortages. There is further need to examine CPD programs to identify challenges and effective solutions to strengthen HIV/TB-related CPD. Qualitative evaluations in Malawi, Tanzania and South Africa (RSA) were conducted using key informant interviews (KIIs) and focus group discussions (FGDs) in each country to identify barriers and enablers of effective HIV/TB-related CPD. Key stakeholders represented CPD implementers, regulators, and developers. HCWs were purposively sampled from high disease burden districts; each HCW completed brief, semi-structured questionnaires and participated in a FGD. KII and FGD results were combined into key themes spanning across countries using a grounded theory approach. Fifty-two KIIs were conducted: 17 in Malawi, 19 in Tanzania and 16 in RSA. Eighty-nine HCWs (24 from Malawi, 38 from Tanzania and 27 from RSA) completed questionnaires and participated in FGDs. Primarily, lack of sustainable financial resources and limitations in coordination of CPD result in poor accountability for CPD oversight and reduce CPD quality assurance. Healthcare worker shortages limit CPD opportunities, creating disparities in CPD access. CPD irrelevance and imbalance between HCW-identified CPD needs and current programs reduce enthusiasm for CPD. Facility-level constraints, including poor infrastructure and weak supply chains, restrict implementation of CPD skills and knowledge. Challenges are more severe in rural settings. To address identified gaps, sustainable funding, strong leadership and collaboration at every level are needed to strengthen CPD regulation and accreditation systems; increase CPD accessibility in the workplace; and create enabling environments for CPD implementation. Together

  7. Vocational Education--Priorities and Strategies. Report of the WCOTP Southern Africa Regional Conference (5th, Lilongwe and Mangochi, Malawi, September 22-26, 1985).

    ERIC Educational Resources Information Center

    World Confederation of Organizations of the Teaching Profession, Morges (Switzerland).

    This document reports the proceedings of a conference in Southern Africa that addressed two themes: (1) priorities and strategies for the reform of vocational education; and (2) the functions of teacher organizations. The following presentations are included: "Opening Address" (Frank A. P. Mkomawanthu); "Keynote Address: Priorities…

  8. Communal goat production in Southern Africa: a review.

    PubMed

    Rumosa Gwaze, F; Chimonyo, M; Dzama, K

    2009-10-01

    Despite the fact that about 64% of goats in sub-Saharan Africa (SSA) are located in rural arid (38%) and semi-arid (26%) agro-ecological zones and that more than 90% of goats in these zones are indigenous, information on indigenous breeds is inadequate. This paper reviews the social and economic importance of goats to the communal farmer and assesses the potential of using goats in rural development in Southern Africa. Farmers in Southern Africa largely use the village goat management system. There are various goat breeds in Southern Africa, of which the Mashona, Matabele, Tswana, Nguni and the Landim are the dominant ones. It is, however, not clear if these breeds are distinct. Major constraints to goat production include high disease and parasite prevalence, low levels of management, limited forage availability and poor marketing management. Potential research areas that are required to ensure that goats are vehicles for rural development include evaluation of constraints to goat production, assessing the contribution of goats to household economies and food securities throughout the year, genetic and phenotypic characterisation of the indigenous breeds to identify appropriate strains and sustainable methods of goat improvement through either selection or crossbreeding.

  9. The Relationship between Partners' Family-Size Preferences in Southern Malawi.

    PubMed

    Yeatman, Sara; Sennott, Christie

    2014-09-01

    Studies of the relative influence of partners' fertility preferences on behaviors tend to treat preferences as fixed, largely independent traits despite existing theoretical arguments and empirical evidence suggesting that they are moving targets that may be jointly developed within relationships. In this study, we use couple-level panel data from married and unmarried young adults in southern Malawi to examine the relationship between partners' family-size preferences. We find evidence of assortative mating: young Malawians are more likely to partner with individuals who have similar family-size goals. Additionally, although partners' family-size preferences do not perfectly converge, changes among men's and women's preferences are significantly more likely to be "toward" than "away from" those of their partner. Our findings point to a need for studies regarding the relative influence of partners on reproductive outcomes to consider the interdependence of partners' preferences and the varied ways in which partners can influence shared reproductive behaviors. © 2014 The Population Council, Inc.

  10. The Relationship between Partners’ Family-Size Preferences in Southern Malawi

    PubMed Central

    Yeatman, Sara; Sennott, Christie

    2015-01-01

    Studies of the relative influence of partners’ fertility preferences on behaviors tend to treat preferences as fixed, largely independent traits despite existing theoretical arguments and empirical evidence suggesting that they are moving targets that may be jointly developed within relationships. In this study, we use couple-level panel data from married and unmarried young adults in southern Malawi to examine the relationship between partners’ family-size preferences. We find evidence of assortative mating: young Malawians are more likely to partner with individuals who have similar family-size goals. Additionally, although partners’ family-size preferences do not perfectly converge, changes among men’s and women’s preferences are significantly more likely to be “toward” than “away from” those of their partner. Our findings point to a need for studies regarding the relative influence of partners on reproductive outcomes to consider the interdependence of partners’ preferences and the varied ways in which partners can influence shared reproductive behaviors. PMID:25207497

  11. East and Southern Africa English Accents.

    ERIC Educational Resources Information Center

    Bobda, Augustin Simo

    2001-01-01

    Discusses English pronunciation features in the anglophone countries of East and Southern Africa. Focus is on restructuring of the STRUT vowel to /a/,/i/, and /e/ epenthesis, and short tone groups.(Author/VWL)

  12. Transport of Biomass Burning Emissions from Southern Africa

    NASA Technical Reports Server (NTRS)

    Sinha, Parikhit; Jaegle,Lyatt; Hobbs, Peter V.; Liang, Qing

    2004-01-01

    The transport of biomass burning emissions from southern Africa to the neighboring Atlantic and Indian Oceans during the dry season (May-October) of 2000 is characterized using ground, ozonesonde, and aircraft measurements of carbon monoxide (CO) and ozone (O3) in and around southern Africa, together with the GEOS-CHEM global model of tropospheric chemistry. The model shows a positive bias of approximately 20% for CO and a negative bias of approximately 10-25% for O3 at oceanic sites downwind of fire emissions. Near areas of active fire emissions the model shows a negative bias of approximately 60% and approximately 30% for CO and O3, respectively, likely due to the coarse spatial (2 deg. x 2.5 deg.) and temporal (monthly) resolution of the model compared to that of active fires. On average, from 1994 to 2000, approximately 60 Tg of carbon monoxide (CO) from biomass burning in southern Africa was transported eastward to the Indian Ocean across the latitude band 0 deg. -60 S during the 6 months of the dry season. Over the same time period, approximately 40 Tg of CO from southern African biomass burning was transported westward to the Atlantic Ocean over the latitudes 0 deg. -20 S during the 6-month dry season, but most of that amount was transported back eastward over higher latitudes to the south (21 deg. -60 S). Eastward transport of biomass burning emissions from southern Africa enhances CO concentrations by approximately 4- 13 ppbv per month over the southern subtropical Indian Ocean during the dry season, with peak enhancements in September. Carbon monoxide from southern African and South American biomass burning is seen in the model simulations as far away as Australia, contributing approximately 8 ppbv and approximately 12-15 ppbv CO, respectively, and thus explaining the approximately 20- 25 ppbv observed enhancement of CO over Melbourne in mid-September 2000.

  13. Complex Patterns of Genomic Admixture within Southern Africa

    PubMed Central

    Petersen, Desiree C.; Libiger, Ondrej; Tindall, Elizabeth A.; Hardie, Rae-Anne; Hannick, Linda I.; Glashoff, Richard H.; Mukerji, Mitali; Fernandez, Pedro; Haacke, Wilfrid; Schork, Nicholas J.; Hayes, Vanessa M.

    2013-01-01

    Within-population genetic diversity is greatest within Africa, while between-population genetic diversity is directly proportional to geographic distance. The most divergent contemporary human populations include the click-speaking forager peoples of southern Africa, broadly defined as Khoesan. Both intra- (Bantu expansion) and inter-continental migration (European-driven colonization) have resulted in complex patterns of admixture between ancient geographically isolated Khoesan and more recently diverged populations. Using gender-specific analysis and almost 1 million autosomal markers, we determine the significance of estimated ancestral contributions that have shaped five contemporary southern African populations in a cohort of 103 individuals. Limited by lack of available data for homogenous Khoesan representation, we identify the Ju/'hoan (n = 19) as a distinct early diverging human lineage with little to no significant non-Khoesan contribution. In contrast to the Ju/'hoan, we identify ancient signatures of Khoesan and Bantu unions resulting in significant Khoesan- and Bantu-derived contributions to the Southern Bantu amaXhosa (n = 15) and Khoesan !Xun (n = 14), respectively. Our data further suggests that contemporary !Xun represent distinct Khoesan prehistories. Khoesan assimilation with European settlement at the most southern tip of Africa resulted in significant ancestral Khoesan contributions to the Coloured (n = 25) and Baster (n = 30) populations. The latter populations were further impacted by 170 years of East Indian slave trade and intra-continental migrations resulting in a complex pattern of genetic variation (admixture). The populations of southern Africa provide a unique opportunity to investigate the genomic variability from some of the oldest human lineages to the implications of complex admixture patterns including ancient and recently diverged human lineages. PMID:23516368

  14. Carbon Monoxide Distributions and Atmosphere Transports over Southern Africa. Pt-2

    NASA Technical Reports Server (NTRS)

    Garstang, Michael; Swap, Robert J.; Piketh, Stuart; Mason, Simon; Connors, Vickie

    1999-01-01

    Sources and transports of CO as measured by the Measurement of Air Pollution from Space (MAPS) over a substantial sector of the southern hemisphere between South America and southern Africa are described by air parcel trajectories based upon European Center for Medium Range Weather Forecasts (ECMWF) model data fields. Observations, made by NASA Shuttle astronauts during the October 1994 mission, of vegetation fires suggest a direct relationship between in situ biomass burning, at least over South America and southern Africa, and coincident tropospheric measurements of CO. Results of this paper indicate that the transport of CO from the surface to the levels of maximum MAPS sensitivity (about 450 hPa) over these regions is not of a direct nature due largely to the well stratified atmospheric environment. The atmospheric transport of CO from biomass burning within this region is found to occur over intercontinental scales over numbers of days to more than a week. Three distinct synoptic circulation and transport classes are found to have occurred over southern Africa during the October 1994 MAPS experiment: (1) transport from South America and Africa to southern Africa associated with elevated MAPS measured CO (> 150 ppbv); (2) weakening anticyclonic transport from South America associated with moderate CO (< 150 ppbv and > 105 ppbv); and (3) transport from the high southern latitudes associated with low CO (<105 ppbv).

  15. Quality of Case Management for Pneumonia and Diarrhea Among Children Seen at Health Facilities in Southern Malawi

    PubMed Central

    Kobayashi, Miwako; Mwandama, Dyson; Nsona, Humphreys; Namuyinga, Ruth J.; Shah, Monica P.; Bauleni, Andrew; Vanden Eng, Jodi; Rowe, Alexander K.; Mathanga, Don P.; Steinhardt, Laura C.

    2017-01-01

    Pneumonia and diarrhea are leading causes of child deaths in Malawi. Guidelines to manage childhood illnesses in resource-poor settings exist, but studies have reported low health-care worker (HCW) adherence to guidelines. We conducted a health facility survey from January to March 2015 to assess HCW management of pneumonia and diarrhea in children < 5 years of age in southern Malawi, and to determine factors associated with case management quality. Descriptive statistics and multivariable logistic regression models examined patient, HCW, and health facility factors associated with recommended pneumonia and diarrhea management, using Malawi's national guidelines as the gold standard. Of 694 surveyed children 2–59 months of age at 95 health facilities, 132 (19.0%) met survey criteria for pneumonia; HCWs gave recommended antibiotic treatment to 90 (68.2%). Of 723 children < 5 years of age, 222 (30.7%) had uncomplicated diarrhea; HCWs provided recommended treatment to 94 (42.3%). In multivariable analyses, caregivers' spontaneous report of children's symptoms was associated with recommended treatment of both pneumonia (odds ratio [OR]: 2.8, 95% confidence interval [CI]: 1.2–6.8, P = 0.023) and diarrhea (OR: 24.2, 95% CI: 6.0–97.0, P < 0001). Malaria diagnosis was negatively associated with recommended treatment (OR for pneumonia: 0.5, 95% CI: 0.2–1.0, P = 0.046; OR for diarrhea: 0.3, 95% CI: 0.1–0.6, P = 0.003). To improve quality of care, children should be assessed systematically, even when malaria is suspected. Renewed efforts to invigorate such a systematic approach, including HCW training, regular follow-up supervision, and monitoring HCW performance, are needed in Malawi. PMID:28500813

  16. Quality of Case Management for Pneumonia and Diarrhea Among Children Seen at Health Facilities in Southern Malawi.

    PubMed

    Kobayashi, Miwako; Mwandama, Dyson; Nsona, Humphreys; Namuyinga, Ruth J; Shah, Monica P; Bauleni, Andrew; Vanden Eng, Jodi Vanden; Rowe, Alexander K; Mathanga, Don P; Steinhardt, Laura C

    2017-05-01

    Pneumonia and diarrhea are leading causes of child deaths in Malawi. Guidelines to manage childhood illnesses in resource-poor settings exist, but studies have reported low health-care worker (HCW) adherence to guidelines. We conducted a health facility survey from January to March 2015 to assess HCW management of pneumonia and diarrhea in children < 5 years of age in southern Malawi, and to determine factors associated with case management quality. Descriptive statistics and multivariable logistic regression models examined patient, HCW, and health facility factors associated with recommended pneumonia and diarrhea management, using Malawi's national guidelines as the gold standard. Of 694 surveyed children 2-59 months of age at 95 health facilities, 132 (19.0%) met survey criteria for pneumonia; HCWs gave recommended antibiotic treatment to 90 (68.2%). Of 723 children < 5 years of age, 222 (30.7%) had uncomplicated diarrhea; HCWs provided recommended treatment to 94 (42.3%). In multivariable analyses, caregivers' spontaneous report of children's symptoms was associated with recommended treatment of both pneumonia (odds ratio [OR]: 2.8, 95% confidence interval [CI]: 1.2-6.8, P = 0.023) and diarrhea (OR: 24.2, 95% CI: 6.0-97.0, P < 0001). Malaria diagnosis was negatively associated with recommended treatment (OR for pneumonia: 0.5, 95% CI: 0.2-1.0, P = 0.046; OR for diarrhea: 0.3, 95% CI: 0.1-0.6, P = 0.003). To improve quality of care, children should be assessed systematically, even when malaria is suspected. Renewed efforts to invigorate such a systematic approach, including HCW training, regular follow-up supervision, and monitoring HCW performance, are needed in Malawi.

  17. HIV in Southern Africa.

    PubMed

    Hensle, K

    1998-01-01

    This article discusses transmission of HIV/AIDS in Southern Africa. Five of the six countries with the highest rates of HIV infection in the world during the 1990s are in Southern Africa. Projected life expectancies are dropping due to AIDS. The population at risk is aged 15-40 years. 93-95% of all HIV infections in this age group in sub-Saharan Africa are transmitted heterosexually; by 1996, 50% were women. The second most common mode of transmission is perinatal. In Botswana, HIV infection rates increased from 6% to 30% during 1991-93 among pregnant women at prenatal clinics. 43% were HIV positive in Francistown, Botswana. Populations are vulnerable to HIV infections when risk taking sexual behavior is practiced. Risk taking sexual behavior has increased due to social, cultural, and family uprooting; lower access to health and social services; and gender imbalances among domestic and international migrant populations. Women are at risk due to their inability to ask their partners to practice safer sex. Migrants' travel to job opportunities in urban areas and neighboring countries encourages the practice of several sexual partners. The rapid spread is also attributed to a special viral subtype C that spreads more rapidly through vaginal intercourse. Treatment with AZT during pregnancy reduces transmission to infants by 66%. Breast feeding transmits HIV from mothers to infants. Social instability and civil conflicts contribute to the spread. Expensive, time consuming infrastructure development is necessary to combat AIDS. Misinformation and inaction will only lead to more deaths.

  18. Voluntary Medical Male Circumcision: Modeling the Impact and Cost of Expanding Male Circumcision for HIV Prevention in Eastern and Southern Africa

    PubMed Central

    Reed, Jason; Opuni, Marjorie; Bollinger, Lori; Heard, Nathan; Castor, Delivette; Stover, John; Farley, Timothy; Menon, Veena; Hankins, Catherine

    2011-01-01

    Background There is strong evidence showing that voluntary medical male circumcision (VMMC) reduces HIV incidence in men. To inform the VMMC policies and goals of 13 priority countries in eastern and southern Africa, we estimate the impact and cost of scaling up adult VMMC using updated, country-specific data. Methods and Findings We use the Decision Makers' Program Planning Tool (DMPPT) to model the impact and cost of scaling up adult VMMC in Botswana, Lesotho, Malawi, Mozambique, Namibia, Rwanda, South Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe, and Nyanza Province in Kenya. We use epidemiologic and demographic data from recent household surveys for each country. The cost of VMMC ranges from US$65.85 to US$95.15 per VMMC performed, based on a cost assessment of VMMC services aligned with the World Health Organization's considerations of models for optimizing volume and efficiencies. Results from the DMPPT models suggest that scaling up adult VMMC to reach 80% coverage in the 13 countries by 2015 would entail performing 20.34 million circumcisions between 2011 and 2015 and an additional 8.42 million between 2016 and 2025 (to maintain the 80% coverage). Such a scale-up would result in averting 3.36 million new HIV infections through 2025. In addition, while the model shows that this scale-up would cost a total of US$2 billion between 2011 and 2025, it would result in net savings (due to averted treatment and care costs) amounting to US$16.51 billion. Conclusions This study suggests that rapid scale-up of VMMC in eastern and southern Africa is warranted based on the likely impact on the region's HIV epidemics and net savings. Scaling up of safe VMMC in eastern and southern Africa will lead to a substantial reduction in HIV infections in the countries and lower health system costs through averted HIV care costs. Please see later in the article for the Editors' Summary. PMID:22140367

  19. Climatology of Aerosol Optical Properties in Southern Africa

    NASA Technical Reports Server (NTRS)

    Queface, Antonio J.; Piketh, Stuart J.; Eck, Thomas F.; Tsay, Si-Chee

    2011-01-01

    A thorough regionally dependent understanding of optical properties of aerosols and their spatial and temporal distribution is required before we can accurately evaluate aerosol effects in the climate system. Long term measurements of aerosol optical depth, Angstrom exponent and retrieved single scattering albedo and size distribution, were analyzed and compiled into an aerosol optical properties climatology for southern Africa. Monitoring of aerosol parameters have been made by the AERONET program since the middle of the last decade in southern Africa. This valuable information provided an opportunity for understanding how aerosols of different types influence the regional radiation budget. Two long term sites, Mongu in Zambia and Skukuza in South Africa formed the core sources of data in this study. Results show that seasonal variation of aerosol optical thicknesses at 500 nm in southern Africa are characterized by low seasonal multi-month mean values (0.11 to 0.17) from December to May, medium values (0.20 to 0.27) between June and August, and high to very high values (0.30 to 0.46) during September to November. The spatial distribution of aerosol loadings shows that the north has high magnitudes than the south in the biomass burning season and the opposite in none biomass burning season. From the present aerosol data, no long term discernable trends are observable in aerosol concentrations in this region. This study also reveals that biomass burning aerosols contribute the bulk of the aerosol loading in August-October. Therefore if biomass burning could be controlled, southern Africa will experience a significant reduction in total atmospheric aerosol loading. In addition to that, aerosol volume size distribution is characterized by low concentrations in the non biomass burning period and well balanced particle size contributions of both coarse and fine modes. In contrast high concentrations are characteristic of biomass burning period, combined with

  20. Sub-Saharan Africa Report.

    DTIC Science & Technology

    1987-04-21

    south of the Save River, In the .north, the MNR benefited in 1982 from-its absorption >of groups. of Africa Livre fighters operating out of Malawi (AC...Vol 23 Nos 15, 16). One of the Africa Livre leaders was businessman Gimo; ;Phiri, ’who became the MNR’s chief representative in Malawi, operating...Zambezia province for health reasons. The president of the republic has meanwhile appointed (Hermano Gildo Queda Gamito) as BPD chair- man, Antonio

  1. Seismic Hazard Implication of the Seismotectonics of southern Africa

    NASA Astrophysics Data System (ADS)

    Midzi, Vunganai; Mulabisana, Thifelimbilu; Manzunzu, Brassnavy

    2014-05-01

    The work presented in this report / presentation was prepared as part of the requirements for the SIDA/IGCP Project 601 titled "Seismotectonics and Seismic Hazards in Africa" as well as part of the seismic source characterisation of the GEM-Africa Seismic hazard study. An effort was made to compile information necessary to prepare a seismotectonic map of Africa which can then be used in carrying out a seismic hazard assessment of the continent or locations within the continent. Information on major faults, fault plane solutions, geophysical data as well as stress data has so far been collected and included in a database for the southern Africa region. Reports published by several experts contributed much to the collected information. The seismicity data used are part of the earthquake catalogue being prepared for the GEM-Africa project, which includes historical and instrumental records as collected from various sources. An effort has been made to characterise the identified major faults and through further analysis investigate their possible impact on the seismic hazard of southern Africa.

  2. Atmospheric Chemistry Over Southern Africa

    NASA Technical Reports Server (NTRS)

    Gatebe, Charles K.; Levy, Robert C.; Thompson, Anne M.

    2011-01-01

    During the southern African dry season, regional haze from mixed industrial pollution, biomass burning aerosol and gases from domestic and grassland fires, and biogenic sources from plants and soils is worsened by a semi-permanent atmosphere gyre over the subcontinent. These factors were a driver of several major international field campaigns in the 1990s and early 2000s, and attracted many scientists to the region. Some researchers were interested in understanding fundamental processes governing chemistry of the atmosphere and interaction with climate change. Others found favorable conditions for evaluating satellite-derived measurements of atmospheric properties and a changing land surface. With that background in mind a workshop on atmospheric chemistry was held in South Africa. Sponsored by the International Commission for Atmospheric Chemistry and Global Pollution (ICACGP; http://www.icacgp.org/), the workshop received generous support from the South African power utility, Eskom, and the Climatology Research Group of the University of the Witwatersrand, Johannesburg, South Africa. The purpose of the workshop was to review some earlier findings as well as more recent findings on southern African climate vulnerability, chemical changes due to urbanization, land-use modification, and how these factors interact. Originally proposed by John Burrows, president of ICACGP, the workshop was the first ICACGP regional workshop to study the interaction of air pollution with global chemical and climate change. Organized locally by the University of the Witwatersrand, the workshop attracted more than 60 delegates from South Africa, Mozambique, Botswana, Zimbabwe, France, Germany, Canada, and the United States. More than 30 presentations were given, exploring both retrospective and prospective aspects of the science. In several talks, attention was focused on southern African chemistry, atmospheric pollution monitoring, and climate processes as they were studied in the field

  3. Lilongwe, Malawi

    NASA Image and Video Library

    2016-08-10

    Lilongwe is the capital city of Malawi. Like many cities in Africa, it has seen phenomenal growth in the last 50 years. In 1966 the population was about 19,000; in 1987 the census counted 223,000 inhabitants; and in 2015 1,080,000 residents called Lilongwe home. . The Landsat image was acquired 27 August 1984, and the ASTER image on 31 July 2015. The images cover an area of 20 by 33 km, and are located at 14 degrees south, 33.8 degrees east. http://photojournal.jpl.nasa.gov/catalog/?IDNumber=pia20804

  4. Lessons from the recent rise in use of female sterilization in Malawi.

    PubMed

    Jacobstein, Roy

    2013-03-01

    Although female sterilization is the most widely used modern contraceptive method in the world, most family planning programs in Africa have had difficulty providing it. Malawi, however, despite daunting constraints, has made female sterilization widely and equitably accessible, thereby increasing method choice and helping its citizens better meet their reproductive intentions. Ten percent of currently married Malawian women of reproductive age rely on female sterilization for contraceptive protection, compared with less than 2 percent across Africa, and demand to limit births now exceeds demand to space births. Malawi's female sterilization prevalence surpasses that of some high-resource countries. Key service-delivery factors enabling this achievement include supportive policies, strong public-private partnerships, and mobile services delivered at no cost by dedicated providers. Challenges remain, but Malawi's achievement offers lessons for other countries with low availability of female sterilization and similar resource constraints. © 2013 The Population Council, Inc.

  5. Clean Air Slots Amid Dense Atmospheric Pollution in Southern Africa

    NASA Technical Reports Server (NTRS)

    Hobbs, Peter V.

    2003-01-01

    During the flights of the University of Washington's Convair-580 in the Southern African Regional Science Initiative (SAFARI 2000) in southern Africa, a phenomenon was observed that has not been reported previously. This was the occurrence of thin layers of remarkably clean air, sandwiched between heavily polluted air, which persisted for many hours during the day. Photographs are shown of these clean air slots (CAS), and particle concentrations and light scattering coefficients in and around such slot are presented. An explanation is proposed for the propensity of CAS to form in southern Africa during the dry season.

  6. How are health professionals earning their living in Malawi?

    PubMed Central

    Muula, Adamson S; Maseko, Fresier C

    2006-01-01

    Background The migration of health professionals from southern Africa to developed nations is negatively affecting the delivery of health care services in the source countries. Oftentimes however, it is the reasons for the out-migration that have been described in the literature. The work and domestic situations of those health professionals continuing to serve in their posts have not been adequately studied. Methods The present study utilized a qualitative data collection and analysis method. This was achieved through focus group discussions and in-depth interviews with health professionals and administrators to determine the challenges they face and the coping systems they resort to and the perceptions towards those coping methods. Results Health professionals identified the following as some of the challenges there faced: inequitable and poor remuneration, overwhelming responsibilities with limited resources, lack of a stimulating work environment, inadequate supervision, poor access to continued professionals training, limited career progression, lack of transparent recruitment and discriminatory remuneration. When asked what kept them still working in Malawi when the pressures to emigrate were there, the following were some of the ways the health professionals mentioned as useful for earning extra income to support their families: working in rural areas where life was perceived to be cheaper, working closer to home village so as to run farms, stealing drugs from health facilities, having more than one job, running small to medium scale businesses. Health professionals would also minimize expenditure by missing meals and walking to work. Conclusion Many health professionals in Malawi experience overly challenging environments. In order to survive some are involved in ethically and legally questionable activities such as receiving "gifts" from patients and pilfering drugs. The efforts by the Malawi government and the international community to retain health

  7. Adaptive strategies to climate change in Southern Malawi

    NASA Astrophysics Data System (ADS)

    Chidanti-Malunga, J.

    Climate change poses a big challenge to rural livelihoods in the Shire Valley area of Southern Malawi, where communities have depended almost entirely on rain-fed agriculture for generations. The Shire Valley area comprises of low-altitude dambo areas and uplands which have been the main agricultural areas. Since early to mid 1980s, the uplands have experienced prolonged droughts and poor rainfall distribution, while the dambos have experienced recurrent seasonal floods. This study assessed some of the adaptive strategies exercised by small-scale rural farmers in response to climate change in the Shire Valley. The methodology used in collecting information includes group discussions, household surveys in the area, secondary data, and field observations. The results show that small-scale rural farmers exercise a number of adaptive strategies in response to climate change. These adaptive strategies include: increased use of water resources for small-scale irrigation or wetland farming, mostly using simple delivery techniques; increased management of residual moisture; and increased alternative sources of income such as fishing and crop diversity. It was also observed that government promoted the use of portable motorized pumps for small-scale irrigation in order to mitigate the effects of climate change. However, these external interventions were not fully adopted; instead the farmers preferred local interventions which mostly had indigenous elements.

  8. Climate and southern Africa's water-energy-food nexus

    NASA Astrophysics Data System (ADS)

    Conway, Declan; van Garderen, Emma Archer; Deryng, Delphine; Dorling, Steve; Krueger, Tobias; Landman, Willem; Lankford, Bruce; Lebek, Karen; Osborn, Tim; Ringler, Claudia; Thurlow, James; Zhu, Tingju; Dalin, Carole

    2015-09-01

    In southern Africa, the connections between climate and the water-energy-food nexus are strong. Physical and socioeconomic exposure to climate is high in many areas and in crucial economic sectors. Spatial interdependence is also high, driven, for example, by the regional extent of many climate anomalies and river basins and aquifers that span national boundaries. There is now strong evidence of the effects of individual climate anomalies, but associations between national rainfall and gross domestic product and crop production remain relatively weak. The majority of climate models project decreases in annual precipitation for southern Africa, typically by as much as 20% by the 2080s. Impact models suggest these changes would propagate into reduced water availability and crop yields. Recognition of spatial and sectoral interdependencies should inform policies, institutions and investments for enhancing water, energy and food security. Three key political and economic instruments could be strengthened for this purpose: the Southern African Development Community, the Southern African Power Pool and trade of agricultural products amounting to significant transfers of embedded water.

  9. Costs of facility-based HIV testing in Malawi, Zambia and Zimbabwe

    PubMed Central

    Mwenge, Lawrence; Sande, Linda; Mangenah, Collin; Ahmed, Nurilign; Kanema, Sarah; d’Elbée, Marc; Sibanda, Euphemia; Kalua, Thokozani; Ncube, Gertrude; Johnson, Cheryl C.; Hatzold, Karin; Cowan, Frances M.; Corbett, Elizabeth L.; Ayles, Helen; Maheswaran, Hendramoorthy

    2017-01-01

    Background Providing HIV testing at health facilities remains the most common approach to ensuring access to HIV treatment and prevention services for the millions of undiagnosed HIV-infected individuals in sub-Saharan Africa. We sought to explore the costs of providing these services across three southern African countries with high HIV burden. Methods Primary costing studies were undertaken in 54 health facilities providing HIV testing services (HTS) in Malawi, Zambia and Zimbabwe. Routinely collected monitoring and evaluation data for the health facilities were extracted to estimate the costs per individual tested and costs per HIV-positive individual identified. Costs are presented in 2016 US dollars. Sensitivity analysis explored key drivers of costs. Results Health facilities were testing on average 2290 individuals annually, albeit with wide variations. The mean cost per individual tested was US$5.03.9 in Malawi, US$4.24 in Zambia and US$8.79 in Zimbabwe. The mean cost per HIV-positive individual identified was US$79.58, US$73.63 and US$178.92 in Malawi, Zambia and Zimbabwe respectively. Both cost estimates were sensitive to scale of testing, facility staffing levels and the costs of HIV test kits. Conclusions Health facility based HIV testing remains an essential service to meet HIV universal access goals. The low costs and potential for economies of scale suggests an opportunity for further scale-up. However low uptake in many settings suggests that demand creation or alternative testing models may be needed to achieve economies of scale and reach populations less willing to attend facility based services. PMID:29036171

  10. Viral dynamics and CD4+ T cell counts in subtype C human immunodeficiency virus type 1-infected individuals from southern Africa.

    PubMed

    Gray, Clive M; Williamson, Carolyn; Bredell, Helba; Puren, Adrian; Xia, Xiaohua; Filter, Ruben; Zijenah, Lynn; Cao, Huyen; Morris, Lynn; Vardas, Efthyia; Colvin, Mark; Gray, Glenda; McIntyre, James; Musonda, Rosemary; Allen, Susan; Katzenstein, David; Mbizo, Mike; Kumwenda, Newton; Taha, Taha; Karim, Salim Abdool; Flores, Jorge; Sheppard, Haynes W

    2005-04-01

    Defining viral dynamics in natural infection is prognostic of disease progression and could prove to be important for vaccine trial design as viremia may be a likely secondary end point in phase III HIV efficacy trials. There are limited data available on the early course of plasma viral load in subtype C HIV-1 infection in Africa. Plasma viral load and CD4+ T cell counts were monitored in 51 recently infected subjects for 9 months. Individuals were recruited from four southern African countries: Zambia, Malawi, Zimbabwe, and South Africa and the median estimated time from seroconversion was 8.9 months (interquartile range, 5.7-14 months). All were infected with subtype C HIV-1 and median viral loads, measured using branched DNA, ranged from 3.82-4.02 log10 RNA copies/ml from 2-24 months after seroconversion. Viral loads significantly correlated with CD4+ cell counts (r=-0.5, p<0.0001; range, 376-364 cells/mm3) and mathematical modeling defined a median set point of 4.08 log10 (12 143 RNA copies/ml), which was attained approximately 17 months after seroconversion. Comparative measurements using three different viral load platforms (bDNA, Amplicor, and NucliSens) confirmed that viremia in subtype C HIV-1-infected individuals within the first 2 years of infection did not significantly differ from that found in early subtype B infection. In conclusion, the course of plasma viremia, as described in this study, will allow a useful baseline comparator for understanding disease progression in an African setting and may be useful in the design of HIV-1 vaccine trials in southern Africa.

  11. A comparison of economic performance between high-yielding temperate breeds and zebu-crossbreds on smallholder dairy farms in Southern Malawi with particular focus on reproductive performance.

    PubMed

    Gazzarin, Christian; Banda, M C; Lips, M

    2018-04-23

    As in other sub-Saharan African countries, purebred dairy genetics such as Holsteins were imported to Malawi. The study investigated their economic performance by comparing them with local Zebu-crossbreds based on 131 smallholder dairy farm observations from Southern Malawi. High-yielding purebred cows and crossbred cows showed no significant differences in lactation yield and calving interval. Looking at the farms' actual costs, by-products such as maize bran clearly dominated the cost structure for both breeds, but crossbreeds showed significantly lower concentrate costs. While there was no statistically significant difference in income for both breed types, a substantial share (23%) of farms under investigation shows negative incomes. Based on survey data, two typical farms were established representing standard costs with homogenous assumptions such as identical milk price. The comparison of typical farms covering the full dairy system clearly indicated that crossbred dairy cows outperformed purebreds. In addition, a simulation of a shorter calving interval for both typical farms revealed a substantial positive impact on income for both breed types with more than 30% increase. We conclude that focusing on crossbreds in combination with improved feeding and fertility management offers a more promising strategy for smallholder dairy farms in Southern Malawi than just acquiring high-yielding purebreds.

  12. School and Community Screening Shows Malawi, Africa, to Have a High Prevalence of Latent Rheumatic Heart Disease.

    PubMed

    Sims Sanyahumbi, Amy; Sable, Craig A; Beaton, Andrea; Chimalizeni, Yamikani; Guffey, Danielle; Hosseinipour, Mina; Karlsten, Melissa; Kazembe, Peter N; Kennedy, Neil; Minard, Charles G; Penny, Daniel J

    2016-12-01

    Rheumatic heart disease (RHD) is the largest cardiac cause of morbidity and mortality in the world's youth. Early detection of RHD through echocardiographic screening in asymptomatic children may identify an early stage of disease, when secondary prophylaxis has the greatest chance of stopping disease progression. Latent RHD signifies echocardiographic evidence of RHD with no known history of acute rheumatic fever and no clinical symptoms. Determine the prevalence of latent RHD among children ages 5-16 in Lilongwe, Malawi. This is a cross-sectional study in which children ages 5 through 16 were screened for RHD using echocardiography. Screening was conducted in 3 schools and surrounding communities in the Lilongwe district of Malawi between February and April 2014. Children were diagnosed as having no, borderline, or definite RHD as defined by World Heart Federation criteria. The primary reader completed offline reads of all studies. A second reader reviewed all of the studies diagnosed as RHD, plus a selection of normal studies. A third reader served as tiebreaker for discordant diagnoses. The distribution of results was compared between gender, location, and age categories using Fisher's exact test. The prevalence of latent RHD was 3.4% (95% CI = 2.45, 4.31), with 0.7% definite RHD and 2.7% borderline RHD. There was no significant differences in prevalence between gender (P = .44), site (P = .6), urban vs. peri-urban (P = .75), or age (P = .79). Of those with definite RHD, all were diagnosed because of pathologic mitral regurgitation (MR) and 2 morphologic features of the mitral valve. Of those with borderline RHD, most met the criteria by having pathological MR (92.3%). Malawi has a high rate of latent RHD, which is consistent with other results from sub-Saharan Africa. This study strongly supports the need for a RHD prevention and control program in Malawi. © 2016 Wiley Periodicals, Inc.

  13. Land cover mapping for development planning in Eastern and Southern Africa

    NASA Astrophysics Data System (ADS)

    Oduor, P.; Flores Cordova, A. I.; Wakhayanga, J. A.; Kiema, J.; Farah, H.; Mugo, R. M.; Wahome, A.; Limaye, A. S.; Irwin, D.

    2016-12-01

    Africa continues to experience intensification of land use, driven by competition for resources and a growing population. Land cover maps are some of the fundamental datasets required by numerous stakeholders to inform a number of development decisions. For instance, they can be integrated with other datasets to create value added products such as vulnerability impact assessment maps, and natural capital accounting products. In addition, land cover maps are used as inputs into Greenhouse Gas (GHG) inventories to inform the Agriculture, Forestry and other Land Use (AFOLU) sector. However, the processes and methodologies of creating land cover maps consistent with international and national land cover classification schemes can be challenging, especially in developing countries where skills, hardware and software resources can be limiting. To meet this need, SERVIR Eastern and Southern Africa developed methodologies and stakeholder engagement processes that led to a successful initiative in which land cover maps for 9 countries (Malawi, Rwanda, Namibia, Botswana, Lesotho, Ethiopia, Uganda, Zambia and Tanzania) were developed, using 2 major classification schemes. The first sets of maps were developed based on an internationally acceptable classification system, while the second sets of maps were based on a nationally defined classification system. The mapping process benefited from reviews from national experts and also from technical advisory groups. The maps have found diverse uses, among them the definition of the Forest Reference Levels in Zambia. In Ethiopia, the maps have been endorsed by the national mapping agency as part of national data. The data for Rwanda is being used to inform the Natural Capital Accounting process, through the WAVES program, a World Bank Initiative. This work illustrates the methodologies and stakeholder engagement processes that brought success to this land cover mapping initiative.

  14. Internationalisation of Higher Education in Southern Africa with South Africa as a Major Exporter

    ERIC Educational Resources Information Center

    Kwaramba, Marko

    2012-01-01

    This study investigates the extent to which South Africa has strategically marketed its educational services and positioned itself as the educational hub of Southern Africa. The analysis reveals that South African universities' export of higher education services has been modeled in line with three of the four modes of supply identified in World…

  15. An assessment of renewable energy in Southern Africa: Wind, solar, hydro

    NASA Astrophysics Data System (ADS)

    Fant, Charles William, IV

    While electricity demand is rising quickly in the Southern African Power Pool (SAPP), the nations involved struggle to build the necessary infrastructure to meet the demand. In addition, the principal member---the Republic of South Africa---has made ambitious targets to reduce emissions via renewable energy technology. In this dissertation, three stand-alone studies on this subject are presented that address the future reliability of renewable energy in southern Africa, considering climate variability as well as long-term trends caused by climate change. In the first study, a suite of models are used to assess the vulnerability of the countries dependent on resources from the Zambezi River Basin to changes in climate. The study finds that the sectors most vulnerable to climate change are: hydropower in Zambia, irrigation in Zimbabwe and Mozambique, and flooding in Mozambique. In the second study, hourly reanalysis data is used to characterize wind power intermittency and assess the value of interconnection in southern Africa. The study finds that wind potential is high in Kenya, central Tanzania, and southern South Africa. With a closer look, wind power resource in South Africa is unreliable (i.e. intermittent) and is weak when power demand is highest on all relevant time-scales. In the third study, presented in Chapter 4, we develop a risk profile for changes in the long-term mean of wind and solar power sources. To do this, we use a statistical relationship between global mean temperature and each local gridded wind speed and solar radiation from the GCMs. We find that only small changes in wind speed and solar radiation are predicted in the median of the distributions projected to 2050. Furthermore, at the extremes of the distribution, relatively significant changes are predicted in some parts of southern Africa, and are associated with low probability. Finally, in the conclusion chapter, limitations and assumptions are listed for each of the three studies

  16. Archean sedimentation and tectonics in southern Africa

    NASA Technical Reports Server (NTRS)

    Kidd, W. S. F.

    1984-01-01

    Sequences in the Barberton Mountain Land greenstone belt (southern Africa) were examined to determine the nature of the sedimentary rocks, their tectonic implications, and their bearing on the present large-scale structural condition of the belt. Also assessed was whether there was evidence for a significant component of shallow-water-deposited sedimentary rocks in the parent materials of the Limpopo belt. The nature of a largehigh strain zone on the southern margin of the central Limpopo belt was examined.

  17. HIV Risk Perceptions, the Transition to Marriage, and Divorce in Southern Malawi

    PubMed Central

    Grant, Monica J.; Soler-Hampejsek, Erica

    2014-01-01

    Little is known about whether young people in sub-Saharan Africa use the timing of marriage as a strategy to avoid HIV infection. Using five rounds of longitudinal data from the Malawi Schooling and Adolescent Survey, we do not find support for the hypothesis that young women’s perceived chances of future HIV infection are associated with the transition to marriage, but do find evidence that young married women who see themselves at risk of future infection have a higher hazard of divorce relative to women who perceive no chance of future infection. We also use individual level fixed effect regressions to examine how the transition to marriage affects respondents’ expectations of future HIV infection. Respondents are consistently more likely to perceive any chance of future HIV infection in the years following marriage. Our findings suggest that young women revise their risk perceptions based on their marital experiences, and that divorce may serve as a protective strategy for young married women concerned about their chance of future HIV infection. PMID:25207495

  18. Lead Toxicosis in a Southern Ground Hornbill Bucorvus leadbeateri in South Africa.

    PubMed

    Koeppel, Katja N; Kemp, Lucy V

    2015-12-01

    The southern ground hornbill (Bucorvus leadbeateri) has been classified as globally vulnerable and, in South Africa, regionally endangered, with a negative population trend. Factors contributing to the population decline in South Africa are poisoning, electrocution, and illegal capture for trade, coupled with slow reproductive rates and extensive habitat requirements. Lead toxicosis is a previously undescribed threat for the population. An adult southern ground hornbill presented with acute lead toxicosis due to lead particles in the gizzard, which required intensive treatment. Two other hornbills were likely exposed. The source of the lead in these cases was likely a carcass of a porcupine that was killed with lead shot. This report highlights the importance of the use of lead-free ammunition within the habitat of the southern ground hornbill in South Africa.

  19. Influence of Lake Malawi on regional climate from a double-nested regional climate model experiment

    NASA Astrophysics Data System (ADS)

    Diallo, Ismaïla; Giorgi, Filippo; Stordal, Frode

    2017-07-01

    We evaluate the performance of the regional climate model (RCM) RegCM4 coupled to a one dimensional lake model for Lake Malawi (also known as Lake Nyasa in Tanzania and Lago Niassa in Mozambique) in simulating the main characteristics of rainfall and near surface air temperature patterns over the region. We further investigate the impact of the lake on the simulated regional climate. Two RCM simulations, one with and one without Lake Malawi, are performed for the period 1992-2008 at a grid spacing of 10 km by nesting the model within a corresponding 25 km resolution run ("mother domain") encompassing all Southern Africa. The performance of the model in simulating the mean seasonal patterns of near surface air temperature and precipitation is good compared with previous applications of this model. The temperature biases are generally less than 2.5 °C, while the seasonal cycle of precipitation over the region matches observations well. Moreover, the one-dimensional lake model reproduces fairly well the geographical pattern of observed (from satellite measurements) lake surface temperature as well as its mean month-to-month evolution. The Malawi Lake-effects on the moisture and atmospheric circulation of the surrounding region result in an increase of water vapor mixing ratio due to increased evaporation in the presence of the lake, which combines with enhanced rising motions and low-level moisture convergence to yield a significant precipitation increase over the lake and neighboring areas during the whole austral summer rainy season.

  20. Variations in Reading Achievement Across 14 Southern African School Systems: Which Factors Matter?

    NASA Astrophysics Data System (ADS)

    Hungi, Njora; Thuku, Florence W.

    2010-02-01

    In this study the authors employed a multilevel analysis procedure in order to examine the pupil and school levels factors that contributed to variation in reading achievement among Grade 6 primary school pupils in 14 southern African school systems (Botswana, Kenya, Lesotho, Malawi, Mauritius, Mozambique, Namibia, Seychelles, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zanzibar). The data for this study were collected in 2002 as part of a major project known as the Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEQ) that sought to examine the quality of education offered in primary schools in these countries. The most important factors affecting variation in pupil achievement across most of these school systems were grade repetition, pupil socioeconomic background, speaking the language of instruction at home, and Pupil age. South Africa, Uganda and Namibia were among the school systems with the largest between-school variation while Seychelles and Mauritius had the largest within-school variation. Low social equity in reading achievement was evident in Mauritius, Seychelles and Tanzania. Policy implications of the findings are discussed.

  1. Deforestation in Mwanza District, Malawi, from 1981 to 1992 as determined from Landsat MSS imagery

    Treesearch

    Andrew T. Hudak; Carol A. Wessman

    2000-01-01

    Malawi is critically short of fuelwood, the primary energy source for its poverty-stricken populace. Deforestation from 1981 to 1992 in Mwanza District in southern Malawi was assessed using Normalized Difference Vegetation Index (NDVI) values calculated from multitemporal Landsat Multispectral Scanner (MSS) images. A control site, where vegetation change was assumed to...

  2. The genetic prehistory of southern Africa.

    PubMed

    Pickrell, Joseph K; Patterson, Nick; Barbieri, Chiara; Berthold, Falko; Gerlach, Linda; Güldemann, Tom; Kure, Blesswell; Mpoloka, Sununguko Wata; Nakagawa, Hirosi; Naumann, Christfried; Lipson, Mark; Loh, Po-Ru; Lachance, Joseph; Mountain, Joanna; Bustamante, Carlos D; Berger, Bonnie; Tishkoff, Sarah A; Henn, Brenna M; Stoneking, Mark; Reich, David; Pakendorf, Brigitte

    2012-01-01

    Southern and eastern African populations that speak non-Bantu languages with click consonants are known to harbour some of the most ancient genetic lineages in humans, but their relationships are poorly understood. Here, we report data from 23 populations analysed at over half a million single-nucleotide polymorphisms, using a genome-wide array designed for studying human history. The southern African Khoisan fall into two genetic groups, loosely corresponding to the northwestern and southeastern Kalahari, which we show separated within the last 30,000 years. We find that all individuals derive at least a few percent of their genomes from admixture with non-Khoisan populations that began ∼1,200 years ago. In addition, the East African Hadza and Sandawe derive a fraction of their ancestry from admixture with a population related to the Khoisan, supporting the hypothesis of an ancient link between southern and eastern Africa.

  3. Estimating demand for perennial pigeon pea in Malawi using choice experiments.

    PubMed

    Waldman, Kurt B; Ortega, David L; Richardson, Robert B; Snapp, Sieglinde S

    2017-01-01

    Perennial crops have numerous ecological and agronomic advantages over their annual counterparts. We estimate discrete choice models to evaluate farmers' preferences for perennial attributes of pigeon pea intercropped with maize in central and southern Malawi. Pigeon pea is a nitrogen-fixing leguminous crop, which has the potential to ameliorate soil fertility problems related to continuous maize cultivation, which are common in Southern Africa. Adoption of annual pigeon pea is relatively low but perennial production of pigeon pea may be more appealing to farmers due to some of the ancillary benefits associated with perenniality. We model perennial production of pigeon pea as a function of the attributes that differ between annual and perennial production: lower labor and seed requirements resulting from a single planting with multiple harvests, enhanced soil fertility and higher levels of biomass production. The primary tradeoff associated with perennial pigeon pea intercropped with maize is competition with maize in subsequent years of production. While maize yield is approximately twice as valuable to farmers as pigeon pea yield, we find positive yet heterogeneous demand for perenniality driven by soil fertility improvements and pigeon pea grain yield.

  4. Evaluating land cover changes in Eastern and Southern Africa from 2000 to 2010 using validated Landsat and MODIS data

    NASA Astrophysics Data System (ADS)

    Al-Hamdan, Mohammad Z.; Oduor, Phoebe; Flores, Africa I.; Kotikot, Susan M.; Mugo, Robinson; Ababu, Jaffer; Farah, Hussein

    2017-10-01

    In this study, we assessed land cover land use (LCLU) changes and their potential environmental drivers (i.e., precipitation, temperature) in five countries in Eastern & Southern (E&S) Africa (Rwanda, Botswana, Tanzania, Malawi and Namibia) between 2000 and 2010. Landsat-derived LCLU products developed by the Regional Centre for Mapping of Resources for Development (RCMRD) through the SERVIR (Spanish for ;to serve;) program, a joint initiative of NASA and USAID, and NASA's Moderate Resolution Imaging Spectroradiometer (MODIS) data were used to evaluate and quantify the LCLU changes in these five countries. Given that the original development of the MODIS land cover type standard products included limited training sites in Africa, we performed a two-level verification/validation of the MODIS land cover product in these five countries. Precipitation data from CHIRPS dataset were used to evaluate and quantify the precipitation changes in these countries and see if it was a significant driver behind some of these LCLU changes. MODIS Land Surface Temperature (LST) data were also used to see if temperature was a main driver too. Our validation analysis revealed that the overall accuracies of the regional MODIS LCLU product for this African region alone were lower than that of the global MODIS LCLU product overall accuracy (63-66% vs. 75%). However, for countries with uniform or homogenous land cover, the overall accuracy was much higher than the global accuracy and as high as 87% and 78% for Botswana and Namibia, respectively. In addition, the wetland and grassland classes had the highest user's accuracies in most of the countries (89%-99%), which are the ones with the highest number of MODIS land cover classification algorithm training sites. Our LCLU change analysis revealed that Botswana's most significant changes were the net reforestation, net grass loss and net wetland expansion. For Rwanda, although there have been significant forest, grass and crop expansions in

  5. The Southern and Eastern Africa Consortium for Monitoring Educational Quality. Assessment GEMs No. 8

    ERIC Educational Resources Information Center

    Australian Council for Educational Research, 2015

    2015-01-01

    The Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEQ) carries out large-scale cross-national research studies in member countries in the Southern and Eastern Africa region. It aims to assess the conditions of schooling and performance levels of learners and teachers in the areas of literacy and numeracy. SACMEQ has…

  6. Exploratory Long-Range Models to Estimate Summer Climate Variability over Southern Africa.

    NASA Astrophysics Data System (ADS)

    Jury, Mark R.; Mulenga, Henry M.; Mason, Simon J.

    1999-07-01

    Teleconnection predictors are explored using multivariate regression models in an effort to estimate southern African summer rainfall and climate impacts one season in advance. The preliminary statistical formulations include many variables influenced by the El Niño-Southern Oscillation (ENSO) such as tropical sea surface temperatures (SST) in the Indian and Atlantic Oceans. Atmospheric circulation responses to ENSO include the alternation of tropical zonal winds over Africa and changes in convective activity within oceanic monsoon troughs. Numerous hemispheric-scale datasets are employed to extract predictors and include global indexes (Southern Oscillation index and quasi-biennial oscillation), SST principal component scores for the global oceans, indexes of tropical convection (outgoing longwave radiation), air pressure, and surface and upper winds over the Indian and Atlantic Oceans. Climatic targets include subseasonal, area-averaged rainfall over South Africa and the Zambezi river basin, and South Africa's annual maize yield. Predictors and targets overlap in the years 1971-93, the defined training period. Each target time series is fitted by an optimum group of predictors from the preceding spring, in a linear multivariate formulation. To limit artificial skill, predictors are restricted to three, providing 17 degrees of freedom. Models with colinear predictors are screened out, and persistence of the target time series is considered. The late summer rainfall models achieve a mean r2 fit of 72%, contributed largely through ENSO modulation. Early summer rainfall cross validation correlations are lower (61%). A conceptual understanding of the climate dynamics and ocean-atmosphere coupling processes inherent in the exploratory models is outlined.Seasonal outlooks based on the exploratory models could help mitigate the impacts of southern Africa's fluctuating climate. It is believed that an advance warning of drought risk and seasonal rainfall prospects will

  7. Perceptions of voluntary medical male circumcision among circumcising and non-circumcising communities in Malawi

    PubMed Central

    Rennie, Stuart; Perry, Brian; Corneli, Amy; Chilungo, Abdullah; Umar, Eric

    2015-01-01

    Three randomised controlled trials in Africa indicated that voluntary medical male circumcision (VMMC) is an effective method to reduce a man’s risk of becoming infected through sex with an HIV-positive female partner. The success of recent public health initiatives to increase numbers of circumcised men in Malawi has been very limited. We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with men, women, and male adolescents from non-circumcising and circumcising communities in southern Malawi to better understand their beliefs about male circumcision and the promotion of VMMC for HIV prevention. Results revealed that beliefs about male circumcision, in general, are strongly mediated by Malawian culture and history. Participants have attempted to develop a new meaning for circumcision in light of the threat of HIV infection and the publicised risk reduction benefits of VMMC. Several study participants found it difficult to distinguish VMMC from traditional circumcision practices (jando and lupanda), despite awareness that the new form of circumcision was an expression of (western) modern medicine performed largely for public health purposes. Greater recognition of background cultural beliefs and practices could inform future efforts to promote medical male circumcision as an HIV prevention strategy in this context. PMID:25630610

  8. The Seismotectonic Model of Southern Africa

    NASA Astrophysics Data System (ADS)

    Midzi, Vunganai; Mulabisana, Thifelimbulu; Manzunzu, Brassnavy

    2013-04-01

    Presented in this report is a summary of the major structures and seismotectonic zones in Southern Africa (Botswana, Lesotho, Namibia, South Africa and Swaziland), which includes available information on fault plane solutions and stress data. Reports published by several experts contributed much to the prepared zones. The work was prepared as part of the requirements for the SIDA/IGCP Project 601 titled "Seismotectonics and Seismic Hazards in Africa" as well as part of the seismic source characterisation of the GEM-Africa Seismic hazard study. The seismic data used are part of the earthquake catalogue being prepared for the GEM-Africa project, which includes historical and instrumental records as collected from various agencies. Seventeen seismic zones/sources were identified and demarcated using all the available information. Two of the identiied sources are faults with reliable evidence of their activity. Though more faults have been identified in unpublished material as being active, more work is being carried out to obtain information that can be used to characterise them before they are included in the seismotectonic model. Explanations for the selected boundaries of the zones are also given in the report. It should be noted that this information is the first draft of the seismic source zones of the region. Futher interpreation of the data is envisaged which might result in more than one version of the zones.

  9. "When I Grow up I Would Like to Be …": Factors Affecting Career Choice of Community Disability Workers in Southern Africa

    ERIC Educational Resources Information Center

    Rule, Sarah; Kahonde, Callista; Lorenzo, Theresa

    2015-01-01

    The effectiveness of community based rehabilitation (CBR) programmes depends on the calibre of staff recruited and employed. Therefore, this study aimed to understand how the life experiences of community disability workers (CDWs) in Malawi, Botswana and South Africa influenced their choice of career. A life history approach was used to gather…

  10. New insights into the history of the C-14010 lactase persistence variant in Eastern and Southern Africa.

    PubMed

    Macholdt, Enrico; Slatkin, Montgomery; Pakendorf, Brigitte; Stoneking, Mark

    2015-04-01

    Lactase persistence (LP), the ability to digest lactose into adulthood, is strongly associated with the cultural traits of pastoralism and milk-drinking among human populations, and several different genetic variants are known that confer LP. Recent studies of LP variants in Southern African populations, with a focus on Khoisan-speaking groups, found high frequencies of an LP variant (the C-14010 allele) that also occurs in Eastern Africa, and concluded that the C-14010 allele was brought to Southern Africa via a migration of pastoralists from Eastern Africa. However, this conclusion was based on indirect evidence; to date no study has jointly analyzed data on the C-14010 allele from both Southern African Khoisan-speaking groups and Eastern Africa. Here, we combine and analyze published data on the C-14010 allele in Southern and Eastern African populations, consisting of haplotypes with the C-14010 allele and four closely-linked short tandem repeat loci. Our results provide direct evidence for the previously-hypothesized Eastern African origin of the C-14010 allele in Southern African Khoisan-speaking groups. In addition, we find evidence for a separate introduction of the C-14010 allele into the Bantu-speaking Xhosa. The estimated selection intensity on the C-14010 allele in Eastern Africa is lower than that in Southern Africa, which suggests that in Eastern Africa the dietary changes conferring the fitness advantage associated with LP occurred some time after the origin of the C-14010 allele. Conversely, in Southern Africa the fitness advantage was present when the allele was introduced, as would be expected if pastoralism was introduced concomitantly. © 2014 Wiley Periodicals, Inc.

  11. Atmospheric Transport and Photochemistry of Ozone Over Central Southern Africa During the Southern Africa Fire-Atmosphere Research Initiative

    NASA Technical Reports Server (NTRS)

    Tyson, P. D.; Garstang, M.; Thompson, A. M.; DAbreton, P.; Diab, R. D.; Browell, E. V.

    1997-01-01

    Vertically integrated back and forward trajectories for the 300-200, 700-500 and surface-800 hPa levels are calculated using Pretoria as point of origin for the Southern Africa Fire-Atmosphere Research Initiative (SAFARI) period September-October 1992. The transport fields are then combined to show both horizontal and vertical transport of air to and from Pretoria at the different levels. Air transport patterns in the vertical are linked to the occurrence of absolutely stable layers which are also evident in the 16 ozonesonde profiles recorded at Pretoria during SAFARI. The coherence of the stratification based on dynamical and ozone analysis permits the use of mean ozone profiles with air volume fluxes to interpret the ozone in terms of photochemistry and transport within stable layers. Extensive recirculation across the meridional plane at Pretoria implies that advection of ozone is slow and that photochemistry is responsible for the observed vertical structure over central southern Africa in September and October 1992. Requisite ozone formation rates are supported by model analysis of ozone and ozone precursors measured from SAFARI and Transport and Atmospheric Research Chemistry near the Equator-Atlantic aircraft.

  12. HIV-Related Discrimination among Grade Six Students in Nine Southern African Countries

    PubMed Central

    Maughan-Brown, Brendan; Spaull, Nicholas

    2014-01-01

    Background HIV-related stigmatisation and discrimination by young children towards their peers have important consequences at the individual level and for our response to the epidemic, yet research on this area is limited. Methods We used nationally representative data to examine discrimination of HIV-positive children by grade six students (n = 39,664) across nine countries in Southern Africa: Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. Descriptive statistics are used to compare discrimination by country, gender, geographic location and socioeconomic status. Multivariate logistic regression is employed to assess potential determinants of discrimination. Results The levels and determinants of discrimination varied significantly between the nine countries. While one in ten students in Botswana, Malawi, South Africa and Swaziland would “avoid or shun” an HIV positive friend, the proportions in Lesotho, Mozambique, Zambia and Zimbabwe were twice as high (approximately 20%). A large proportion of students believed that HIV positive children should not be allowed to continue to attend school, particularly in Zambia (33%), Lesotho (37%) and Zimbabwe (42%). The corresponding figures for Malawi and Swaziland were significantly lower at 13% and 12% respectively. Small differences were found by gender. Children from rural areas and poorer schools were much more likely to discriminate than those from urban areas and wealthier schools. Importantly, we identified factors consistently associated with discrimination across the region: students with greater exposure to HIV information, better general HIV knowledge and fewer misconceptions about transmission of HIV via casual contact were less likely to report discrimination. Conclusions Our study points toward the need for early interventions (grade six or before) to reduce stigma and discrimination among children, especially in schools situated in rural areas and poorer

  13. HIV-related discrimination among grade six students in nine Southern African countries.

    PubMed

    Maughan-Brown, Brendan; Spaull, Nicholas

    2014-01-01

    HIV-related stigmatisation and discrimination by young children towards their peers have important consequences at the individual level and for our response to the epidemic, yet research on this area is limited. We used nationally representative data to examine discrimination of HIV-positive children by grade six students (n = 39,664) across nine countries in Southern Africa: Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. Descriptive statistics are used to compare discrimination by country, gender, geographic location and socioeconomic status. Multivariate logistic regression is employed to assess potential determinants of discrimination. The levels and determinants of discrimination varied significantly between the nine countries. While one in ten students in Botswana, Malawi, South Africa and Swaziland would "avoid or shun" an HIV positive friend, the proportions in Lesotho, Mozambique, Zambia and Zimbabwe were twice as high (approximately 20%). A large proportion of students believed that HIV positive children should not be allowed to continue to attend school, particularly in Zambia (33%), Lesotho (37%) and Zimbabwe (42%). The corresponding figures for Malawi and Swaziland were significantly lower at 13% and 12% respectively. Small differences were found by gender. Children from rural areas and poorer schools were much more likely to discriminate than those from urban areas and wealthier schools. Importantly, we identified factors consistently associated with discrimination across the region: students with greater exposure to HIV information, better general HIV knowledge and fewer misconceptions about transmission of HIV via casual contact were less likely to report discrimination. Our study points toward the need for early interventions (grade six or before) to reduce stigma and discrimination among children, especially in schools situated in rural areas and poorer communities. In particular, interventions

  14. The cost-effectiveness of rotavirus vaccination in Malawi.

    PubMed

    Berry, Stephen A; Johns, Benjamin; Shih, Chuck; Berry, Andrea A; Walker, Damian G

    2010-09-01

    Rotarix (GlaxoSmithKline), a newly licensed rotavirus vaccine requiring 2 doses, may have the potential to save hundreds of thousands of lives in Africa. Nations such as Malawi, where Rotarix is currently under phase III investigation, may nevertheless face difficult economic choices in considering vaccine adoption. The cost-effectiveness of implementing a Rotarix vaccine program in Malawi was estimated using published estimates of rotavirus burden, vaccine efficacy, and health care utilization and costs. With 49.5% vaccine efficacy, a Rotarix program could avert 2582 deaths annually. With GAVI Alliance cofinancing, adoption of Rotarix would be associated with a cost of $5.07 per disability-adjusted life-year averted. With market pricing, Rotarix would be associated with a base case cost of $74.73 per disability-adjusted life-year averted. Key variables influencing results were vaccine efficacy, under-2 rotavirus mortality, and program cost of administering each dose. Adopting Rotarix would likely be highly cost-effective for Malawi, particularly with GAVI support. This finding holds true across uncertainty ranges for key variables, including efficacy, for which data are becoming available.

  15. Geostatistical modelling of household malaria in Malawi

    NASA Astrophysics Data System (ADS)

    Chirombo, J.; Lowe, R.; Kazembe, L.

    2012-04-01

    Malaria is one of the most important diseases in the world today, common in tropical and subtropical areas with sub-Saharan Africa being the region most burdened, including Malawi. This region has the right combination of biotic and abiotic components, including socioeconomic, climatic and environmental factors that sustain transmission of the disease. Differences in these conditions across the country consequently lead to spatial variation in risk of the disease. Analysis of nationwide survey data that takes into account this spatial variation is crucial in a resource constrained country like Malawi for targeted allocation of scare resources in the fight against malaria. Previous efforts to map malaria risk in Malawi have been based on limited data collected from small surveys. The Malaria Indicator Survey conducted in 2010 is the most comprehensive malaria survey carried out in Malawi and provides point referenced data for the study. The data has been shown to be spatially correlated. We use Bayesian logistic regression models with spatial correlation to model the relationship between malaria presence in children and covariates such as socioeconomic status of households and meteorological conditions. This spatial model is then used to assess how malaria varies spatially and a malaria risk map for Malawi is produced. By taking intervention measures into account, the developed model is used to assess whether they have an effect on the spatial distribution of the disease and Bayesian kriging is used to predict areas where malaria risk is more likely to increase. It is hoped that this study can help reveal areas that require more attention from the authorities in the continuing fight against malaria, particularly in children under the age of five.

  16. Exploring how sand ramps respond to Quaternary environmental change in Southern Africa

    NASA Astrophysics Data System (ADS)

    Rowell, Alex; Thomas, David; Bailey, Richard

    2014-05-01

    The current climate of southern Africa is particularly complex and interesting due to the interaction of several climatic systems. However, reconstructions of how these systems behaved in the past, and how the environment responded, have been hampered by a general paucity of records and poor chronological control. Sand ramps may provide the potential to improve palaeoenvironmental reconstructions of southern Africa (and beyond). Formed against a topographic barrier, sand ramps include a combination of aeolian, fluvial and colluvial deposits in varying proportions. Therefore, they have the potential to record changes in moisture availability, circulation patterns and sediment supply which can be independently dated using luminescence dating. Nevertheless relatively little attention has been paid to these features and thus the environmental controls on their formation are not yet fully understood. In particular, there is debate as to whether they reflect deposition during a 'window of opportunity' in which high-magnitude, low-frequency events are recorded (Bateman et al. 2012) or whether they record more gradual, cyclic climate change (Bertram, 2003) or even if there is a uniform control on their formation. This research aims to investigate how sand ramps respond to environmental change and what they can tell us about the paleoenvironment of southern Africa. This poster displays preliminary results based on initial field investigation. This confirmed sand ramps to be ubiquitous in southern Africa and that they record a complex interaction of aeolian, fluvial and colluvial deposits which appears to differ between sand ramps. Preliminary luminescence dating results and sedimentology are displayed for two sand ramps, one from south west Namibia the other from the Karoo region of South Africa.

  17. Key determinants of AIDS impact in Southern sub-Saharan Africa.

    PubMed

    Shandera, Wayne Xavier

    2007-11-01

    To investigate why Southern sub-Saharan Africa is more severely impacted by HIV and AIDS than other parts of sub-Saharan Africa, I conducted a review of the literature that assessed viral, host and transmission (societal) factors. This narrative review evaluates: 1) viral factors, in particular the aggregation of subtype-C HIV infections in Southern sub-Saharan Africa; 2) host factors, including unique behaviour patterns, concomitant high prevalence of sexually transmitted diseases, circumcision patterns, average age at first marriage and immunogenetic determinants; and, 3) transmission and societal factors, including levels of poverty, degrees of literacy, migrations of people, extent of political corruption, and the usage of contaminated injecting needles in community settings. HIV prevalence data and published indices on wealth, fertility, and governmental corruption were correlated using statistical software. The high prevalence of HIV in Southern sub-Saharan Africa is not explained by the unusual prevalence of subtype-C HIV infection. Many host factors contribute to HIV prevalence, including frequency of genital ulcerating sexually transmitted infections, absence of circumcision (compiled odds ratios suggest a protective effect of between 40% and 60% from circumcision), and immunogenetic loci, but no factor alone explains the high prevalence of HIV in the region. Among transmission and societal factors, the wealthiest, most literate and most educated, but also the most income-disparate, nations of sub-Saharan Africa show the highest HIV prevalence. HIV prevalence is also highest within societies experiencing significant migration and conflict as well as in those with government systems experiencing a high degree of corruption. The interactions between poverty and HIV transmission are complex. Epidemiologic studies currently do not suggest a strong role for the community usage of contaminated injecting needles. Areas meriting additional study include clade type

  18. Starting the conversation: community perspectives on preterm birth and kangaroo mother care in southern Malawi.

    PubMed

    Lydon, Megan; Longwe, Monica; Likomwa, Dyson; Lwesha, Victoria; Chimtembo, Lydia; Donohue, Pamela; Guenther, Tanya; Valsangar, Bina

    2018-06-01

    Despite introduction of Kangaroo Mother Care (KMC) in Malawi over a decade ago, preterm birth remains the leading cause of neonatal mortality. Although KMC is initiated in the health care facility, robust community follow-up is critical for survival and optimal development of preterm and low birth weight infants post-discharge. The objective of this qualitative study was to gain insight into community and health worker understanding, attitudes, beliefs and practices around preterm and low birth weight babies and KMC in Malawi. A total of 152 participants were interviewed in two districts in southern Malawi, Machinga and Thyolo, in April 2015. Focus group discussions (groups = 11, n = 132) were conducted with pregnant women, community members and women who have practiced KMC. In-depth interviews (n = 20) were conducted with fathers who have practiced KMC, community and religious leaders, and health workers. Purposive and snowball sampling were employed to identify participants. Thematic content analysis was conducted. KMC mothers and fathers only learned about KMC and care for preterm newborns after delivery of a child in need of this care. Men typically were not included in KMC counseling due to societal gender roles. Health facilities were the main source of information on KMC, however informal networks among women provided some degree of knowledge exchange. Community leaders were regarded as major facilitators of health information, conveners, key influencers, and policy-makers. Religious leaders were regarded as advocates and emotional support for families with preterm infants. Finally, while many participants initially had negative feelings towards preterm births and KMC, the large majority saw a shift in their perceptions through health counseling, peer modeling, and personal success with KMC. The findings offer several opportunities to improve KMC implementation including 1) earlier introduction of KMC to pregnant women and their families that are

  19. Emissions From Miombo Woodland and Dambo Grassland Savanna Fires in Southern Africa

    NASA Astrophysics Data System (ADS)

    Sinha, P.; Hobbs, P. V.; Yokelson, R. J.; Blake, D. R.; Gao, S.; Kirchstetter, T. W.

    2003-12-01

    African savanna fires are the largest source of biomass burning emissions worldwide, and the miombo woodland ecosystem is the most abundant type of savanna in southern Africa. Dambo grasslands are major enclaves within miombo woodlands. Savanna fires in these two ecosystems accounted for over one-third of the total area burned in southern Africa during the dry season of 2000. Airborne measurements of trace gases and particles over and downwind of two prescribed savanna fires in plots of miombo woodland and dambo grassland were obtained on September 1 and September 5, 2000, respectively. These measurements provide emission factors for a number of gaseous species including carbon dioxide (CO2), carbon monoxide (CO), sulfur dioxide (SO2), dimethyl sulfide (DMS), nitrogen oxides (NOx), ammonia (NH3), hydrogen cyanide (HCN), methane (CH4), non-methane hydrocarbons (NMHC), halocarbons, oxygenated compounds, as well as for particulates. Emission factors for the two fires are combined with measurements of fuel loading, combustion completeness, and burned area to estimate the emissions of trace gases and particles from miombo woodland and dambo grassland fires in southern Africa during the dry season of 2000. These estimates indicate that in August and September of 2000 miombo woodland and dambo grassland fires in southern Africa accounted for about 30%, 25%, 15%, and 64% of the emissions of CO2, CO, total hydrocarbons, and total particulate matter, respectively, emitted from all types of savanna fires in southern Africa. It is also estimated that the ratios of dry season emissions from miombo woodland and dambo grassland fires in Zambia to annual emissions from the use of biofuels in Zambia for CO2, CO, NOx, formic acid, CH4, NH3, ethane, ethene, propene, acetylene, formaldehyde, methanol, and acetic acid are 3.2, 1.5, 7.2, 2.5, 0.2, 0.6, 0.2, 0.5, 0.4, 0.3, 0.6, 0.3, and 0.5, respectively.

  20. The uppermost mantle shear wave velocity structure of eastern Africa from Rayleigh wave tomography: constraints on rift evolution

    NASA Astrophysics Data System (ADS)

    O'Donnell, J. P.; Adams, A.; Nyblade, A. A.; Mulibo, G. D.; Tugume, F.

    2013-08-01

    An expanded model of the 3-D shear wave velocity structure of the uppermost mantle beneath eastern Africa has been developed using earthquakes recorded by the AfricaArray East African Seismic Experiment in conjunction with data from permanent stations and previously deployed temporary stations. The combined data set comprises 331 earthquakes recorded on a total of 95 seismic stations spanning Kenya, Uganda, Tanzania, Zambia and Malawi. In this study, data from 149 earthquakes were used to determine fundamental-mode Rayleigh wave phase velocities at periods ranging from 20 to 182 s using the two-plane wave method, and then combined with the similarly processed published measurements and inverted for a 3-D shear wave velocity model of the uppermost mantle. New features in the model include (1) a low-velocity region in western Zambia, (2) a high-velocity region in eastern Zambia, (3) a low-velocity region in eastern Tanzania and (4) low-velocity regions beneath the Lake Malawi rift. When considered in conjunction with mapped seismicity, these results support a secondary western rift branch striking southwestwards from Lake Tanganyika, likely exploiting the relatively weak lithosphere of the southern Kibaran Belt between the Bangweulu Block and the Congo Craton. We estimate a lithospheric thickness of ˜150-200 km for the substantial fast shear wave anomaly imaged in eastern Zambia, which may be a southward subsurface extension of the Bangweulu Block. The low-velocity region in eastern Tanzania suggests that the eastern rift branch trends southeastwards offshore eastern Tanzania coincident with the purported location of the northern margin of the proposed Ruvuma microplate. Pronounced velocity lows along the Lake Malawi rift are found beneath the northern and southern ends of the lake, but not beneath the central portion of the lake.

  1. Complete Khoisan and Bantu genomes from southern Africa

    PubMed Central

    Schuster, Stephan C.; Miller, Webb; Ratan, Aakrosh; Tomsho, Lynn P.; Giardine, Belinda; Kasson, Lindsay R.; Harris, Robert S.; Petersen, Desiree C.; Zhao, Fangqing; Qi, Ji; Alkan, Can; Kidd, Jeffrey M.; Sun, Yazhou; Drautz, Daniela I.; Bouffard, Pascal; Muzny, Donna M.; Reid, Jeffrey G.; Nazareth, Lynne V.; Wang, Qingyu; Burhans, Richard; Riemer, Cathy; Wittekindt, Nicola E.; Moorjani, Priya; Tindall, Elizabeth A.; Danko, Charles G.; Teo, Wee Siang; Buboltz, Anne M.; Zhang, Zhenhai; Ma, Qianyi; Oosthuysen, Arno; Steenkamp, Abraham W.; Oostuisen, Hermann; Venter, Philippus; Gajewski, John; Zhang, Yu; Pugh, B. Franklin; Makova, Kateryna D.; Nekrutenko, Anton; Mardis, Elaine R.; Patterson, Nick; Pringle, Tom H.; Chiaromonte, Francesca; Mullikin, James C.; Eichler, Evan E.; Hardison, Ross C.; Gibbs, Richard A.; Harkins, Timothy T.; Hayes, Vanessa M.

    2013-01-01

    The genetic structure of the indigenous hunter-gatherer peoples of southern Africa, the oldest known lineage of modern human, is important for understanding human diversity. Studies based on mitochondrial1 and small sets of nuclear markers2 have shown that these hunter-gatherers, known as Khoisan, San, or Bushmen, are genetically divergent from other humans1,3. However, until now, fully sequenced human genomes have been limited to recently diverged populations4–8. Here we present the complete genome sequences of an indigenous hunter-gatherer from the Kalahari Desert and a Bantu from southern Africa, as well as protein-coding regions from an additional three hunter-gatherers from disparate regions of the Kalahari. We characterize the extent of whole-genome and exome diversity among the five men, reporting 1.3 million novel DNA differences genome-wide, including 13,146 novel amino acid variants. In terms of nucleotide substitutions, the Bushmen seem to be, on average, more different from each other than, for example, a European and an Asian. Observed genomic differences between the hunter-gatherers and others may help to pinpoint genetic adaptations to an agricultural lifestyle. Adding the described variants to current databases will facilitate inclusion of southern Africans in medical research efforts, particularly when family and medical histories can be correlated with genome-wide data. PMID:20164927

  2. Building a knowledge translation platform in Malawi to support evidence-informed health policy.

    PubMed

    Berman, Joshua; Mitambo, Collins; Matanje-Mwagomba, Beatrice; Khan, Shiraz; Kachimanga, Chiyembekezo; Wroe, Emily; Mwape, Lonia; van Oosterhout, Joep J; Chindebvu, Getrude; van Schoor, Vanessa; Puchalski Ritchie, Lisa M; Panisset, Ulysses; Kathyola, Damson

    2015-12-08

    With the support of the World Health Organization's Evidence-Informed Policy Network, knowledge translation platforms have been developed throughout Africa, the Americas, Eastern Europe, and Asia to further evidence-informed national health policy. In this commentary, we discuss the approaches, activities and early lessons learned from the development of a Knowledge Translation Platform in Malawi (KTPMalawi). Through ongoing leadership, as well as financial and administrative support, the Malawi Ministry of Health has strongly signalled its intention to utilize a knowledge translation platform methodology to support evidence-informed national health policy. A unique partnership between Dignitas International, a medical and research non-governmental organization, and the Malawi Ministry of Health, has established KTPMalawi to engage national-level policymakers, researchers and implementers in a coordinated approach to the generation and utilization of health-sector research. Utilizing a methodology developed and tested by knowledge translation platforms across Africa, a stakeholder mapping exercise and initial capacity building workshops were undertaken and a multidisciplinary Steering Committee was formed. This Steering Committee prioritized the development of two initial Communities of Practice to (1) improve data utilization in the pharmaceutical supply chain and (2) improve the screening and treatment of hypertension within HIV-infected populations. Each Community of Practice's mandate is to gather and synthesize the best available global and local evidence and produce evidence briefs for policy that have been used as the primary input into structured deliberative dialogues. While a lack of sustained initial funding slowed its early development, KTPMalawi has greatly benefited from extensive technical support and mentorship by an existing network of global knowledge translation platforms. With the continued support of the Malawi Ministry of Health and the

  3. Identifying factors that influence pregnancy intentions: evidence from South Africa and Malawi.

    PubMed

    Evens, Emily; Tolley, Elizabeth; Headley, Jennifer; McCarraher, Donna R; Hartmann, Miriam; Mtimkulu, Vuyelwa T; Manenzhe, Kgahlisho Nozibele; Hamela, Gloria; Zulu, Fatima

    2015-01-01

    In developing-country settings, pregnancy intentions are often assessed using a series of questions from the Demographic and Health Surveys, yet research conducted in several countries yields conflicting results regarding these questions' ability to predict pregnancy. Conducted in Malawi and South Africa, this study identified individual, partner and societal factors that influence desire for pregnancy, and women's ability to achieve their intentions. Data come from interviews and focus-group discussions conducted prior to the FEM-PrEP HIV-prevention trial with women from communities at high risk of HIV infection. Cultural norms regarding contraceptive use and childbearing influenced both women's desire for pregnancy and ability to achieve those goals. Partner's expectations for pregnancy, financial concerns, family composition and contraceptive experiences were additional influences. Actively planning for pregnancy was not a salient concept to the majority of participants. Results support the call for a multidimensional measure of pregnancy intention that reflects the variety of factors that influence intentions, highlight the fluid nature of many women's reproductive health decision making and challenge the notion that all fertility decisions are the result of conscious action. Additional work on how women's plans for pregnancy are achieved would be programmatically more useful than current measures of intention.

  4. Strides in Preservation of Malawi's Natural Stone

    NASA Astrophysics Data System (ADS)

    Kamanga, Tamara; Chisenga, Chikondi; Katonda, Vincent

    2017-04-01

    The geology of Malawi is broadly grouped into four main lithological units that is the Basement Complex, the Karoo Super group, Tertiary to Quaternary sedimentary deposits and the Chilwa Alkaline province. The basement complex rocks cover much of the country and range in age from late Precambrian to early Paleozoic. They have been affected by three major phases of deformation and metamorphism that is the Irumide, Ubendian and The Pan-African. These rocks comprise gneisses, granulites and schists with associated mafic, ultramafic, syenites and granite rocks. The Karoo System sedimentary rocks range in age from Permian to lower Jurassic and are mainly restricted to two areas in the extreme North and extreme Alkaline Province - late Jurassic to Cretaceous in age, preceded by upper Karoo Dolerite dyke swarms and basaltic lavas, have been intruded into the Basement Complex gneisses of southern Malawi. Malawi is endowed with different types of natural stone deposits most of which remain unexploited and explored. Over twenty quarry operators supply quarry stone for road and building construction in Malawi. Hundreds of artisanal workers continue to supply aggregate stones within and on the outskirts of urban areas. Ornamental stones and granitic dimension stones are also quarried, but in insignificant volumes. In Northern Malawi, there are several granite deposits including the Nyika, which is the largest single outcrop occupying approximately 260.5 km2 , Mtwalo Amazonite an opaque to translucent bluish -green variety of microcline feldspar that occurs in alkali granites and pegmatite, the Ilomba granite (sodalite) occurring in small areas within biotite; apatite, plagioclase and calcite. In the Center, there are the Dzalanyama granites, and the Sani granites. In the South, there are the Mangochi granites. Dolerite and gabbroic rocks spread across the country, treading as black granites. Malawi is also endowed with many deposits of marble. A variety of other igneous

  5. Climate change and wildfire around southern Africa

    NASA Astrophysics Data System (ADS)

    Kimura, K.

    2013-12-01

    When the climate change in southern Africa is analyzed, the effects of rainfall by Inter Tropical Convergence Zone(ITCZ) and cyclone are important. In this study, the rainfall patterns are analyzed with synoptic analysis. The southern limit of ITCZ is around the arid zone around Namibia, Botswana, Zimbabwe and Mozambique. This zone has some effects of both ITCZ and extratropical cyclones by season. As well as this, the eastern part of this area has heavy rainfall by the cyclone from the Indian Ocean once in several years. In the other hand, a lot of wildfire occurs in this area. The main cause of the wildfire is anthropogenic misbehavior of the fire by the slash-and-burn agriculture. Recently we can find the wildfire detected with the satellite imagery like Terra/Aqua MODIS. We can compare the weather environment and the wildfire occurrence with Geographical Information System. We have tried making the fire weather index suitable for the southern African semi-arid area.

  6. Renewable Energy Zones for the Africa Clean Energy Corridor

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wu, Grace C.; Deshmukh, Ranjit; Ndhlukula, Kudakwashe

    Multi-criteria Analysis for Planning Renewable Energy (MapRE) is a study approach developed by the Lawrence Berkeley National Laboratory with the support of the International Renewable Energy Agency (IRENA). The approach combines geospatial, statistical, energy engineering, and economic methods to comprehensively identify and value high-quality wind, solar PV, and solar CSP resources for grid integration based on techno-economic criteria, generation profiles (for wind), and socio-environmental impacts. The Renewable Energy Zones for the Africa Clean Energy Corridor study sought to identify and comprehensively value high-quality wind, solar photovoltaic (PV), and concentrating solar power (CSP) resources in 21 countries in the East andmore » Southern Africa Power Pools to support the prioritization of areas for development through a multi-criteria planning process. These countries include Angola, Botswana, Burundi, Djibouti, Democratic Republic of Congo, Egypt, Ethiopia, Kenya, Lesotho, Libya, Malawi, Mozambique, Namibia, Rwanda, South Africa, Sudan, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. The study includes the methodology and the key results including renewable energy potential for each region.« less

  7. The use and management of water in the Likangala Irrigation Scheme Complex in Southern Malawi

    NASA Astrophysics Data System (ADS)

    Mulwafu, Wapulumuka O.; Nkhoma, Bryson G.

    This paper examines the uses and management of water for agriculture in Lake Chilwa catchment area in Zomba district of Southern Malawi. It focuses on the Likangala Rice Irrigation Scheme Complex situated along the Likangala River. The scheme is one of the largest government-run schemes. Established in the late 1960s by the government to meet the growing demand for rice, the scheme contributes greatly to the agricultural industry of the country. Besides, the scheme was established to ensure maximum utilization of Malawi's largest wetland, which, due to its hydromorphic soils and the littoral floodplains, does not favour the production of traditional upland seasonal crops such as maize. The scheme's overdependence on water from the Likangala River has attracted a considerable degree of academic interest in the use and management of the river to ensure that there is equity and efficiency for both productive and domestic users. The paper focuses on four main issues: the historical development of the scheme, the distribution of water to farmers, social relations, and the overall contribution of the scheme towards the social and economic development of the area and the country in general. The paper contends that the growing population of the basin and the increase in the number of formal and informal smallholder farmers, contributes greatly to the growth of competition and conflicts over water, which tends to undermine the economic potential of the scheme. Furthermore, the paper provides clearest indication of the need for a realistic and informed water management policy and strategy to solve the growing problem of social inequity without necessarily compromising the production of rice in the scheme.

  8. Seroprevalence of HTLV-1 and HTLV-2 amongst mothers and children in Malawi within the context of a systematic review and meta-analysis of HTLV seroprevalence in Africa.

    PubMed

    Fox, James M; Mutalima, Nora; Molyneux, Elizabeth; Carpenter, Lucy M; Taylor, Graham P; Bland, Martin; Newton, Robert; Martin, Fabiola

    2016-03-01

    Human T-lymphotropic virus (HTLV)-1 causes T-cell leukaemia and myelopathy. Together with HTLV-2, it is endemic in some African nations. Seroprevalence data from Malawi are scarce, with no reports on associated disease incidence. HTLV seroprevalence and type were tested in 418 healthy mothers from Malawi. In addition, we tested the sera of 534 children to investigate mother-to-child transmission. To provide context, we conducted a systematic review and meta-analysis of HTLV seroprevalence in African women and children. Stored samples from a previous childhood cancer and BBV study were analysed. ELISA was used for HTLV screening followed by immunoblot for confirmation and typing. Standard methods were used for the systematic review. HTLV seroprevalence was 2.6% (11/418) in mothers and 2.2% (12/534) in children. Three mothers carried HTLV-1 alone, seven had HTLV-2 and one was dually infected. Three children carried HTLV-1 alone, seven had HTLV-2 and two were dually infected. Only two corresponding mothers of the 12 HTLV-positive children were HTLV positive. The systematic review included 66 studies of women and 13 of children conducted in 25 African countries. Seroprevalence of HTLV-1 varied from 0 to 17% and of HTLV-2 from 0 to 4%. In contrast to findings from other studies in Africa, the seroprevalence of HTLV-2 was higher than that of HTLV-1 in Malawi and one of the highest for the African region. The lack of mother-child concordance suggests alternative sources of infection among children. Our data and analyses contribute to HTLV prevalence mapping in Africa. © 2016 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  9. Southern Africa as seen from STS-61 Shuttle Endeavour

    NASA Image and Video Library

    1993-12-09

    STS061-106-091 (December 1993) --- The entire southern tip of Africa is shown in this high altitude 50mm photograph. The center of the photograph is at approximately 28.0 degrees south and 24.0 degrees east Cape Columbine is at the upper right with Durban at the lower center. The Orange River is at the upper center of the frame. Cape Agulas is the southernmost part of the African continent and is visible toward the upper right corner with the great bays of South Africa trending toward the bottom right. Continuing clockwise along the coast, Durban projects out into the Indian Ocean. The oceanic clouds on the right side of the photograph probably depict a current boundary. The Drakensberg Range on the east, the great Karoo Range to the south and the Karas Mountains on the west surround the drier central plateau. The southern Kalahari Desert is at the upper left of the photograph.

  10. Mathematical Modeling to Assess the Drivers of the Recent Emergence of Typhoid Fever in Blantyre, Malawi.

    PubMed

    Pitzer, Virginia E; Feasey, Nicholas A; Msefula, Chisomo; Mallewa, Jane; Kennedy, Neil; Dube, Queen; Denis, Brigitte; Gordon, Melita A; Heyderman, Robert S

    2015-11-01

    Multiyear epidemics of Salmonella enterica serovar Typhi have been reported from countries across eastern and southern Africa in recent years. In Blantyre, Malawi, a dramatic increase in typhoid fever cases has recently occurred, and may be linked to the emergence of the H58 haplotype. Strains belonging to the H58 haplotype often exhibit multidrug resistance and may have a fitness advantage relative to other Salmonella Typhi strains. To explore hypotheses for the increased number of typhoid fever cases in Blantyre, we fit a mathematical model to culture-confirmed cases of Salmonella enterica infections at Queen Elizabeth Central Hospital, Blantyre. We explored 4 hypotheses: (1) an increase in the basic reproductive number (R0) in response to increasing population density; (2) a decrease in the incidence of cross-immunizing infection with Salmonella Enteritidis; (3) an increase in the duration of infectiousness due to failure to respond to first-line antibiotics; and (4) an increase in the transmission rate following the emergence of the H58 haplotype. Increasing population density or decreasing cross-immunity could not fully explain the observed pattern of typhoid emergence in Blantyre, whereas models allowing for an increase in the duration of infectiousness and/or the transmission rate of typhoid following the emergence of the H58 haplotype provided a good fit to the data. Our results suggest that an increase in the transmissibility of typhoid due to the emergence of drug resistance associated with the H58 haplotype may help to explain recent outbreaks of typhoid in Malawi and similar settings in Africa. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America.

  11. Aha Malawi! Envisioning Field Experiences That Nurture Cultural Competencies for Preservice Teachers

    ERIC Educational Resources Information Center

    Talbot, Patricia A.

    2011-01-01

    This theoretical study uses the context of the writer's personal encounters in Malawi, Africa, to propose a conceptual model for creating diverse field experiences based on best practices in critical pedagogy, service learning, and the underpinnings of transformational learning theory, for the purpose of increasing the probability of meaningful…

  12. A southern Africa harmonic spline core field model derived from CHAMP satellite data

    NASA Astrophysics Data System (ADS)

    Nahayo, E.; Kotzé, P. B.; McCreadie, H.

    2015-02-01

    The monitoring of the Earth's magnetic field time variation requires a continuous recording of geomagnetic data with a good spatial coverage over the area of study. In southern Africa, ground recording stations are limited and the use of satellite data is needed for the studies where high spatial resolution data is required. We show the fast time variation of the geomagnetic field in the southern Africa region by deriving an harmonic spline model from CHAMP satellite measurements recorded between 2001 and 2010. The derived core field model, the Southern Africa Regional Model (SARM), is compared with the global model GRIMM-2 and the ground based data recorded at Hermanus magnetic observatory (HER) in South Africa and Tsumeb magnetic observatory (TSU) in Namibia where the focus is mainly on the long term variation of the geomagnetic field. The results of this study suggest that the regional model derived from the satellite data alone can be used to study the small scale features of the time variation of the geomagnetic field where ground data is not available. In addition, these results also support the earlier findings of the occurrence of a 2007 magnetic jerk and rapid secular variation fluctuations of 2003 and 2004 in the region.

  13. Molecular characterization of rotavirus strains detected during a clinical trial of a human rotavirus vaccine in Blantyre, Malawi

    PubMed Central

    Nakagomi, Toyoko; Nakagomi, Osamu; Dove, Winifred; Doan, Yen Hai; Witte, Desiree; Ngwira, Bagrey; Todd, Stacy; Steele, A Duncan; Neuzil, Kathleen M; Cunliffe, Nigel A

    2014-01-01

    The human, G1P[8] rotavirus vaccine (Rotarix) significantly reduced severe rotavirus gastroenteritis episodes in a clinical trial in South Africa and Malawi, but vaccine efficacy was lower in Malawi (49.5%) than reported in South Africa (76.9%) and elsewhere. The aim of this study was to examine the molecular relationships of circulating wild-type rotaviruses detected during the clinical trial in Malawi to RIX4414 (the strain contained in Rotarix) and to common human rotavirus strains. Of 88 rotavirus-positive, diarrhoeal stool specimens, 43 rotaviruses exhibited identifiable RNA migration patterns when examined by polyacrylamide gel electrophoresis. The genes encoding VP7, VP4, VP6 and NSP4 of 5 representative strains possessing genotypes G12P[6], G1P[8], G9P[8], and G8P[4] were sequenced. While their VP7 (G) and VP4 (P) genotype designations were confirmed, the VP6 (I) and NSP4 (E) genotypes were either I1E1 or I2E2, indicating that they were of human rotavirus origin. RNA-RNA hybridization using 21 culture-adapted strains showed that Malawian rotaviruses had a genomic RNA constellation common to either the Wa-like or DS-1 like human rotaviruses. Overall, the Malawi strains appear similar in their genetic make-up to rotaviruses described in countries where vaccine efficacy is greater, suggesting that the lower efficacy in Malawi is unlikely to be explained by the diversity of circulating strains. PMID:22520123

  14. CenteringPregnancy-Africa: a pilot of group antenatal care to address Millennium Development Goals.

    PubMed

    Patil, Crystal L; Abrams, Elizabeth T; Klima, Carrie; Kaponda, Chrissie P N; Leshabari, Sebalda C; Vonderheid, Susan C; Kamanga, Martha; Norr, Kathleen F

    2013-10-01

    severe health worker shortages and resource limitations negatively affect quality of antenatal care (ANC) throughout sub-Saharan Africa. Group ANC, specifically CenteringPregnancy (CP), may offer an innovative approach to enable midwives to offer higher quality ANC. our overarching goal was to prepare to conduct a clinical trial of CenteringPregnancy-Africa (CP-Africa) in Malawi and Tanzania. In Phase 1, our goal was to determine the acceptability of CP as a model for ANC in both countries. In Phase 2, our objective was to develop CP-Africa session content consistent with the Essential Elements of CP model and with national standards in both Malawi and Tanzania. In Phase 3, our objective was to pilot CP-Africa in Malawi to determine whether sessions could be conducted with fidelity to the Centering process. Phases 1 and 2 took place in Malawi and Tanzania. Phase 3, the piloting of two sessions of CP-Africa, occurred at two sites in Malawi: a district hospital and a small clinic. we used an Action Research approach to promote partnerships among university researchers, the Centering Healthcare Institute, health care administrators, health professionals and women attending ANC to develop CP-Africa session content and pilot this model of group ANC. for Phases 1 and 2, members of the Ministries of Health, health professionals and pregnant women in Malawi and Tanzania were introduced to and interviewed about CP. In Phase 2, we finalised CP-Africa content and trained 13 health professionals in the Centering Healthcare model. In Phase 3, we conducted a small pilot with 24 pregnant women (12 at each site). participants enthusiastically embraced CP-Africa as an acceptable model of ANC health care delivery. The CP-Africa content met both CP and national standards. The pilot established that the CP model could be implemented with process fidelity to the 13 Essential Elements. Several implementation challenges and strategies to address these challenges were identified

  15. CENTERING PREGANCY- AFRICA: A PILOT OF GROUP ANTENATAL CARE TO ADDRESS MILLENIUM DEVELOPMENT GOALS

    PubMed Central

    Patil, Crystal L.; Abrams, Elizabeth T.; Klima, Carrie; Kaponda, Chrissie P.N.; Leshabari, Sebalda C.; Vonderheid, Susan C.; Kamaga, Martha; Norr, Kathleen F.

    2013-01-01

    Background Severe health worker shortages and resource limitations negatively affect quality of antenatal care (ANC) throughout sub-Saharan Africa. Group ANC, specifically CenteringPregnancy (CP), may offer an innovative approach to enable midwives to offer higher quality ANC. Objective Our overarching goal was to prepare to conduct a clinical trial of CenteringPregnancy – Africa (CP-Africa) in Malawi and Tanzania. In Phase 1, our goal was to determine the acceptability of CP as model for ANC in both countries. In Phase 2, our objective was to develop CP-Africa session content consistent with the Essential Elements of CP model and with national standards in both Malawi and Tanzania. In Phase 3, our objective was to pilot CP-Africa in Malawi to determine whether sessions could be conducted with fidelity to the Centering process. Setting Phase 1 and 2 took place in Malawi and Tanzania. Phase 3, the piloting of two sessions of CP-Africa, occurred at two sites in Malawi: a district hospital and a small clinic. Design We used an Action Research approach to promote partnerships among university researchers, the Centering Healthcare Institute, healthcare administrators, health professionals and women attending ANC to develop CP-Africa session content and pilot this model of group ANC. Participants For Phases 1 and 2, members of the Ministries of Health, health professionals and pregnant women in Malawi and Tanzania were introduced to and interviewed about CP. In Phase 2, we finalized CP-Africa content and trained thirteen health professionals in the Centering Healthcare model. In Phase 3, we conducted a small pilot with 24 pregnant women (12 at each site). Measurements and Findings Participants enthusiastically embraced CP-Africa as an acceptable model of ANC healthcare delivery. The CP-Africa content met both CP and national standards. The pilot established that the CP model could be implemented with process fidelity to the 13 Essential Elements. Several implementation

  16. Africa burning: A thematic analysis of the Southern African Regional Science Initiative (SAFARI 2000)

    NASA Astrophysics Data System (ADS)

    Swap, Robert J.; Annegarn, Harold J.; Suttles, J. Timothy; King, Michael D.; Platnick, Steven; Privette, Jeffrey L.; Scholes, Robert J.

    2003-07-01

    The Southern African Regional Science Initiative (SAFARI 2000) was a major surface, airborne, and spaceborne field campaign carried out in southern Africa in 2000 and 2001 that addressed a broad range of phenomena related to land-atmosphere interactions and the biogeochemical functioning of the southern African system. This paper presents a thematic analysis and integration of the Journal of Geophysical Research SAFARI 2000 Special Issue, presenting key findings of an intensive field campaign over southern Africa in August and September of 2000. The integrating themes deal with surface emissions characterization; airborne characterizations of aerosols and trace gases; regional haze and trace gas characterization; and radiant measurements by surface, aircraft, and remote sensing platforms. Enhanced regional fuel loads associated with the moist La Niña phase of the El Niño-Southern Oscillation (ENSO) cycle produced above average biomass burning emissions, which consequently dominated all other aerosol and trace gas emissions during the dry season. Southward transport of a broad plume of smoke originating in equatorial Africa and exiting off the east coast toward the Indian Ocean (the river of smoke) is attributed to unusual synoptic airflows associated the ENSO phase. New and revised biogenic and pyrogenic emission factors are reported, including a number of previously unreported oxygenated organic compounds and inorganic compounds from biomass combustion. Emission factors are scaled up to regional emission surfaces for biogenic species utilizing species specific and light-dependent emission factors. Fire scar estimates reveal contradictory information on the timing of the peak and extent of the biomass-burning season. Integrated tall stack coordinated measurements (between ground, airborne and remotely sensing platforms) of upwelling and downwelling radiation in massive thick aerosol layers covering much of southern Africa yield consistent estimates of large

  17. Characterizing Pediatric Non-Malarial Fever and Identifying the At-Risk Child in Rural Malawi.

    PubMed

    Kortz, Teresa Bleakly; Blair, Alden; Scarr, Ellen; Mguntha, Andrew Masozi; Bandawe, Gama; Schell, Ellen; Rankin, Sally; Baltzell, Kimberly

    2018-01-01

    Objective . To characterize children with non-malarial fever at risk of nonrecovery or worsening in rural Malawi. Methods . This is a subgroup analysis of patients ≤14 years of age from a prospective cohort study in non-malarial fever subjects (temperature ≥37.5°C, or fever within 48 hours, and malaria negative) in southern Malawi cared for at a mobile clinic during the 2016 dry (August to September) or wet (November to December) season. Data collection included chart review and questionnaires; 14-day follow-up was conducted. We conducted univariate descriptive statistics on cohort characteristics, bivariate analyses to examine associations between characteristics and outcomes, and multivariate logistic regressions to explore factors associated with nonrecovery. Results . A total of 2893 patients were screened, 401 were enrolled, 286 of these were children, and 280 children completed follow-up. Eighty-seven percent reported symptom resolution, 12.9% reported no improvement, and there were no deaths or hospitalizations. No improvement was associated with dry season presentation (42.6% vs 75.0%, P < .0003), >2 days of symptoms (51.6% vs 72.2%, P = .03), and food insecurity (62.3% vs 86.1%, P = .007). Dry season subjects had a 4.35 times greater likelihood of nonimprovement (95% confidence interval [CI] = 1.96-11.11). Household food insecurity and being >2 hours from a permanent clinic were associated with no improvement (adjusted odds ratio [AOR] = 4.61, 95% CI = 1.81-14.29; and AOR = 2.38, 95% CI = 1.11-5.36, respectively). Conclusion . Outcomes were generally excellent in this rural, outpatient pediatric cohort, though risk factors for nonrecovery included food insecurity, access to a standing clinic, and seasonality. Ideally, this study will inform clinic- and policy-level changes aimed at ameliorating the modifiable risk factors in Malawi and throughout rural Africa.

  18. Environmental Education Research in Southern Africa: Dilemmas of Interpretation

    ERIC Educational Resources Information Center

    Gough, Annette; Gough, Noel

    2004-01-01

    These multiple framings of our reflections on environmental education research in southern Africa are written as dilemmas of interpretation that aim to disrupt any temptation to generalise or essentialise its qualities and characteristics. Recognising that research is a textual practice, we use J. M. Coetzee's portrayal of the dilemmas faced by…

  19. Starting the conversation: community perspectives on preterm birth and kangaroo mother care in southern Malawi

    PubMed Central

    Lydon, Megan; Longwe, Monica; Likomwa, Dyson; Lwesha, Victoria; Chimtembo, Lydia; Donohue, Pamela; Guenther, Tanya; Valsangar, Bina

    2018-01-01

    Background Despite introduction of Kangaroo Mother Care (KMC) in Malawi over a decade ago, preterm birth remains the leading cause of neonatal mortality. Although KMC is initiated in the health care facility, robust community follow-up is critical for survival and optimal development of preterm and low birth weight infants post-discharge. The objective of this qualitative study was to gain insight into community and health worker understanding, attitudes, beliefs and practices around preterm and low birth weight babies and KMC in Malawi. Methods A total of 152 participants were interviewed in two districts in southern Malawi, Machinga and Thyolo, in April 2015. Focus group discussions (groups = 11, n = 132) were conducted with pregnant women, community members and women who have practiced KMC. In-depth interviews (n = 20) were conducted with fathers who have practiced KMC, community and religious leaders, and health workers. Purposive and snowball sampling were employed to identify participants. Thematic content analysis was conducted. Findings KMC mothers and fathers only learned about KMC and care for preterm newborns after delivery of a child in need of this care. Men typically were not included in KMC counseling due to societal gender roles. Health facilities were the main source of information on KMC, however informal networks among women provided some degree of knowledge exchange. Community leaders were regarded as major facilitators of health information, conveners, key influencers, and policy-makers. Religious leaders were regarded as advocates and emotional support for families with preterm infants. Finally, while many participants initially had negative feelings towards preterm births and KMC, the large majority saw a shift in their perceptions through health counseling, peer modeling, and personal success with KMC. Conclusions The findings offer several opportunities to improve KMC implementation including 1) earlier introduction of KMC to

  20. Last interglacial semi-desert expansions in southern Africa

    NASA Astrophysics Data System (ADS)

    Urrego, D. H.; Sanchez Goni, M.; Lechevrel, S.; Daniau, A.

    2013-05-01

    While our understanding of the effects of orbital-scale variability on the vegetation has grown during the past decades, empirical data from some climatically important periods and regions are still lacking. Scarce data exist for instance for deep-time glacial-interglacial cycles that could provide suitable analogs for current climate change. Recent global-scale syntheses of vegetation responses to rapid events during the last glacial have been useful, however, these global compilations clearly show that some regions, namely the southern tropics and subtropics, remain understudied. We use pollen analysis of marine sediments from core MD96-2098 to produce a paleoenvironmental record from southern Africa spanning MIS 6 to 3. Our interpretations are supported by an analysis of present-day pollen-vegetation-climate relationships for the region. We applied canonical correspondence analysis (CCA) and detrended correspondence analysis (DCA) on pollen spectra from terrestrial surface samples to investigate these relationships and to identify pollen taxa that are suitable bioclimatic indicators for the different South African biomes. Semi-desert vegetation dominated southern Africa during the MIS 5 interglacial. Expansion of the semi-desert biome into the Namib desert likely resulted from the reduction of the Benguela upwelling and a relative decrease in aridity. In its eastern boundary, the semi-desert likely expanded at the expense of grasslands as a result of increased subtropical high pressure and reduced summer precipitation. Semi-desert expansion in its southern boundary probably resulted from reduced influence of the southern westerlies and decreased winter precipitation. This atmospheric configuration was probably exacerbated during the three warm substages of MIS 5. During glacial isotopic stages MIS 6, 4 and 3 grasslands gained area over the semi-desert as summer precipitation increased. The area occupied by Fynbos vegetation was particularly large at the

  1. On the effects of wildfires on precipitation in Southern Africa

    NASA Astrophysics Data System (ADS)

    De Sales, Fernando; Okin, Gregory S.; Xue, Yongkang; Dintwe, Kebonye

    2018-03-01

    This study investigates the impact of wildfire on the climate of Southern Africa. Moderate resolution imaging spectroradiometer derived burned area fraction data was implemented in a set of simulations to assess primarily the role of wildfire-induced surface changes on monthly precipitation. Two post-fire scenarios are examined namely non-recovering and recovering vegetation scenarios. In the former, burned vegetation fraction remains burned until the end of the simulations, whereas in the latter it is allowed to regrow following a recovery period. Control simulations revealed that the model can dependably capture the monthly precipitation and surface temperature averages in Southern Africa thus providing a reasonable basis against which to assess the impacts of wildfire. In general, both wildfire scenarios have a negative impact on springtime precipitation. September and October were the only months with statistically significant precipitation changes. During these months, precipitation in the region decreases by approximately 13 and 9% in the non-recovering vegetation scenario, and by about 10 and 6% in the recovering vegetation wildfire scenario, respectively. The primary cause of precipitation deficit is the decrease in evapotranspiration resulting from a reduction in surface net radiation. Areas impacted by the precipitation reduction includes the Luanda, Kinshasa, and Brazzaville metropolitan areas, The Angolan Highlands, which are the source of the Okavango Rive, and the Okavango Delta region. This study suggests that a probable intensification in wildfire frequency and extent resulting from projected population increase and global warming in Southern Africa could potentially exacerbate the impacts of wildfires in the region's seasonal precipitation.

  2. IBFAN Africa training initiatives: code implementation and lactation management.

    PubMed

    Mbuli, A

    1994-01-01

    As part of an ongoing effort to halt the decline of breast feeding rates in Africa, 35 representatives of 12 different African countries met in Mangochi, Malawi, in February 1994. The Code of Marketing of Breastmilk Substitutes was scrutinized. National codes were drafted based on the "Model Law" of the IBFAN Code Documentation Centre (ICDC), Penang. Mechanisms of implementation, specific to each country, were developed. Strategies for the promotion, protection, and support of breast feeding, which is very important to child survival in Africa, were discussed. The training course was organized by ICDC, in conjunction with IBFAN Africa, and with the support of the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO). Countries in eastern, central, and southern Africa were invited to send participants, who included professors, pediatricians, nutritionists, MCH personnel, nurses, and lawyers. IBFAN Africa has also been conducting lactation management workshops for a number of years in African countries. 26 health personnel (pediatricians, nutritionists, senior nursing personnel, and MCH workers), representing 7 countries in the southern African region, attended a training of trainers lactation management workshop in Swaziland in August, 1993 with the support of their UNICEF country offices. The workshop included lectures, working sessions, discussions, and slide and video presentations. Topics covered included national nutrition statuses, the importance of breast feeding, the anatomy and physiology of breast feeding, breast feeding problems, the International Code of Marketing, counseling skills, and training methods. The field trip to a training course covering primary health care that was run by the Traditional Healers Organization (THO) in Swaziland was of particular interest because of the strong traditional medicine sector in many African countries. IBFAN Africa encourages use of community workers (traditional healers, Rural Health

  3. Tulimbe Nutrition Project: a community-based dietary intervention to combat micronutrient malnutrition in rural southern Malawi.

    PubMed

    Berhe, G

    1997-12-01

    This article describes the community-based nutrition intervention in rural southern Malawi. The program aims to reverse micronutrient deficiencies in vitamin A, iron, and zinc in a society where staple diets are plant-based and contain high levels of anti-nutrients. Anti-nutrients, such as polyphenols, dietary fiber, and phytates, inhibit absorption of iron and zinc. This population's diet was also low in dairy and meat products. The Tulimbe Nutrition Project aimed to modify and diversify diets rather than to supplement or fortify diets. This approach was more culturally acceptable and economically feasible. The approach required changing food selection patterns and methods of preparing and processing indigenous foods. The new diets aimed to enhance the availability, access, and use of micronutrient-rich foods throughout the year. The project was initiated in 1995 in two communities among 300 families with children ranging in age from 3 to 7 years. A baseline assessment with interviews and focus groups was conducted. The assessment for children included a 24-hour dietary recall, anthropometric measurement, and other clinical measurement. Anthropometric and dietary assessments were repeated at 6 and 12 months. New cultivars and technologies were introduced, such as soybeans, short-duration pigeon peas, groundnuts, sunflower seeds, and papaya seedlings. The Malawi Industrial Research and Technology Development Center built and installed solar dryers, seed oil presses, and ovens in each community. People were encouraged to include soaked and fermented maize flour and germinated cereal flours in infant and child porridges. Parents were educated about micronutrient-rich foods, meal frequencies, portion sizes, and food combinations. Information was provided through demonstrations, home visits, plays, songs, and booklets. The program evaluation is in progress.

  4. Unprecedented Fires in Southern Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The fires that raged across southern Africa this August and September produced a thick 'river of smoke' over the region. NASA-supported studies currently underway on the event will contribute to improved air pollution policies in the region and a better understanding of its impact on climate change. This year the southern African fire season peaked in early September. The region is subject to some of the highest levels of biomass burning in the world. The heaviest burning was in western Zambia, southern Angola, northern Namibia, and northern Botswana. Some of the blazes had fire fronts 20 miles long that lasted for days. In this animation, multiple fires are burning across the southern part of the African continent in September 2000. The fires, indicated in red, were observed by the Advanced Very High Resolution Radiometer (AVHRR) instrument on board the NOAA-14 satellite. The fires generated large amounts of heat-absorbing aerosols (the dark haze), which were observed with the Earth Probe Total Ozone Mapping Spectrometer (TOMS) instrument. These observations were collected as part of a NASA-supported field campaign called SAFARI 2000 (Southern African Regional Science Initiative). The recent six-week 'dry-season' portion of this experiment was planned to coincide with the annual fires. SAFARI 2000 planners tracked the changing location of fires with daily satellite maps provided by researchers at NASA's Goddard Space Flight Center. 'Every year African biomass burning greatly exceeds the scale of the fires seen this year in the western United States,' says Robert Swap of the University of Virginia, one of the campaign organizers. 'But the southern African fire season we just observed may turn out to be an extreme one even by African standards. It was amazing how quickly this region went up in flames.' The thick haze layer from these fires was heavier than campaign participants had seen in previous field studies in the Amazon Basin and during the Kuwati oil fires

  5. Inferences of Complex Anisotropic Layering and Mantle Flow Beneath the Malawi Rift Zone from Shear-Wave Splitting

    NASA Astrophysics Data System (ADS)

    Gao, S. S.; Reed, C. A.; Yu, Y.; Liu, K. H.; Chindandali, P. R. N.; Mdala, H. S.; Massinque, B.; Mutamina, D. M.

    2016-12-01

    Measuring the magnitude and orientation of seismic anisotropy beneath actively extending rift zones provides invaluable estimates of the influence of numerous geodynamic parameters upon their evolution. In order to infer the character and origin of extensional forces acting upon the Malawi Rift Zone (MRZ) and Luangwa Rift Zone (LRZ) of southern Africa, we installed 33 Seismic Arrays For African Rift Initiation (SAFARI) three-component broadband seismic stations in Malawi, Mozambique, and Zambia between 2012-2014. Shear-wave splitting parameters, including the fast-component polarization orientation and the splitting time, are extracted from 142 events recorded during that time period for a total of 642 well-defined PKS, SKKS, and SKS phase measurements. Polarizations trend NE-SW along the western flank of the LRZ, whereupon they demonstrate an abrupt shift to N-S within the rift valley and the eastern flank. SWS orientations shift increasingly counterclockwise toward the east until, at 33°E, they shift from WNW-ESE to ENE-WSW, suggesting a systematic change in dominant mantle fabric orientation. The resulting fast orientations demonstrate remarkable variability within the MRZ, with E-W measurements in the north rotating counterclockwise toward the south to N-S within the southernmost MRZ. Measurements revert to E-W and NE-SW orientations toward the east in Mozambique, suggesting the presence of complex two-layer anisotropy. Azimuthal variations of SWS parameters recorded by stations within the central MRZ exhibit excellent 90° periodicity, further suggesting complex anisotropic layering. Lateral variation of measurements between the northern and southern MRZ imply the modulation of the mantle flow system beneath the active rift zone.

  6. Understanding the Earth Systems of Malawi: Ecological Sustainability, Culture, and Place-Based Education

    ERIC Educational Resources Information Center

    Glasson, George E.; Frykholm, Jeffrey A.; Mhango, Ndalapa A.; Phiri, Absalom D.

    2006-01-01

    The purpose of this 2-year study was to investigate Malawian teacher educators' perspectives and dispositions toward teaching about ecological sustainability issues in Malawi, a developing country in sub-Sahara Africa. This study was embedded in a larger theoretical framework of investigating earth systems science through the understanding of…

  7. Ages for the Middle Stone Age of southern Africa: implications for human behavior and dispersal.

    PubMed

    Jacobs, Zenobia; Roberts, Richard G; Galbraith, Rex F; Deacon, Hilary J; Grün, Rainer; Mackay, Alex; Mitchell, Peter; Vogelsang, Ralf; Wadley, Lyn

    2008-10-31

    The expansion of modern human populations in Africa 80,000 to 60,000 years ago and their initial exodus out of Africa have been tentatively linked to two phases of technological and behavioral innovation within the Middle Stone Age of southern Africa-the Still Bay and Howieson's Poort industries-that are associated with early evidence for symbols and personal ornaments. Establishing the correct sequence of events, however, has been hampered by inadequate chronologies. We report ages for nine sites from varied climatic and ecological zones across southern Africa that show that both industries were short-lived (5000 years or less), separated by about 7000 years, and coeval with genetic estimates of population expansion and exit times. Comparison with climatic records shows that these bursts of innovative behavior cannot be explained by environmental factors alone.

  8. Molecular characterization of rotavirus strains detected during a clinical trial of a human rotavirus vaccine in Blantyre, Malawi.

    PubMed

    Nakagomi, Toyoko; Nakagomi, Osamu; Dove, Winifred; Doan, Yen Hai; Witte, Desiree; Ngwira, Bagrey; Todd, Stacy; Duncan Steele, A; Neuzil, Kathleen M; Cunliffe, Nigel A

    2012-04-27

    The human, G1P[8] rotavirus vaccine (Rotarix™) significantly reduced severe rotavirus gastroenteritis episodes in a clinical trial in South Africa and Malawi, but vaccine efficacy was lower in Malawi (49.5%) than reported in South Africa (76.9%) and elsewhere. The aim of this study was to examine the molecular relationships of circulating wild-type rotaviruses detected during the clinical trial in Malawi to RIX4414 (the strain contained in Rotarix™) and to common human rotavirus strains. Of 88 rotavirus-positive, diarrhoeal stool specimens, 43 rotaviruses exhibited identifiable RNA migration patterns when examined by polyacrylamide gel electrophoresis. The genes encoding VP7, VP4, VP6 and NSP4 of 5 representative strains possessing genotypes G12P[6], G1P[8], G9P[8], and G8P[4] were sequenced. While their VP7 (G) and VP4 (P) genotype designations were confirmed, the VP6 (I) and NSP4 (E) genotypes were either I1E1 or I2E2, indicating that they were of human rotavirus origin. RNA-RNA hybridization using 21 culture-adapted strains showed that Malawian rotaviruses had a genomic RNA constellation common to either the Wa-like or the DS-1 like human rotaviruses. Overall, the Malawi strains appear similar in their genetic make-up to rotaviruses described in countries where vaccine efficacy is greater, suggesting that the lower efficacy in Malawi is unlikely to be explained by the diversity of circulating strains. Copyright © 2011 Elsevier Ltd. All rights reserved.

  9. Agroecology and healthy food systems in semi-humid tropical Africa: Participatory research with vulnerable farming households in Malawi.

    PubMed

    Nyantakyi-Frimpong, Hanson; Kangmennaang, Joseph; Bezner Kerr, Rachel; Luginaah, Isaac; Dakishoni, Laifolo; Lupafya, Esther; Shumba, Lizzie; Katundu, Mangani

    2017-11-01

    This paper assesses the relationship between agroecology, food security, and human health. Specifically, we ask if agroecology can lead to improved food security and human health among vulnerable smallholder farmers in semi-humid tropical Africa. The empirical evidence comes from a cross-sectional household survey (n=1000) in two districts in Malawi, a small country in semi-humid, tropical Africa. The survey consisted of 571 agroecology-adoption and 429 non-agroecology-adoption households. Ordered logistics regression and average treatment effects models were used to determine the effect of agroecology adoption on self-reported health. Our results show that agroecology-adoption households (OR=1.37, p=0.05) were more likely to report optimal health status, and the average treatment effect shows that adopters were 12% more likely to be in optimal health. Furthermore, being moderately food insecure (OR=0.59, p=0.05) and severely food insecure (OR=0.89, p=0.10) were associated with less likelihood of reporting optimal health status. The paper concludes that with the adoption of agroecology in the semi-humid tropics, it is possible for households to diversify their crops and diets, a condition that has strong implications for improved food security, good nutrition and human health. Copyright © 2016 Elsevier B.V. All rights reserved.

  10. Africa and Applied Linguistics.

    ERIC Educational Resources Information Center

    Makoni, Sinfree, Ed.; Meinhof, Ulrike H., Ed.

    2003-01-01

    This collection of articles includes: "Introducing Applied Linguistics in Africa" (Sinfree Makoni and Ulrike H. Meinhof); "Language Ideology and Politics: A Critical Appraisal of French as Second Official Language in Nigeria" (Tope Omoniyi); "The Democratisation of Indigenous Languages: The Case of Malawi" (Themba…

  11. Intergenerational transfers in the era of HIV/AIDS: Evidence from rural Malawi.

    PubMed

    Kohler, Iliana V; Kohler, Hans-Peter; Anglewicz, Philip; Behrman, Jere R

    2012-12-13

    Intergenerational transfer patterns in sub-Saharan Africa are poorly understood, despite the alleged importance of support networks to ameliorate the complex implications of the HIV/AIDS epidemic for families. There is a considerable need for research on intergenerational support networks and transfers to better understand the mechanisms through which extended families cope with the HIV/AIDS epidemic and potentially alleviate some of its consequences in sub-Saharan Africa, and to comprehend how transfers respond-or not-to perceptions about own and other family members' health. Using the 2008 round of the Malawi Longitudinal Study of Families and Health (MLSFH), we estimate the age patterns and the multiple directions of financial and non-financial transfer flows in rural Malawi-from prime-aged respondents to their elderly parents and adult children age 15 and up. We also estimate the social, demographic and economic correlates of financial and non-financial transfers of financial intergenerational transfers in this context. Our findings are that: (1) intergenerational financial and non-financial transfers are widespread and a key characteristic of family relationships in rural Malawi; (2) downward and upward transfers are importantly constrained and determined by the availability of transfer partners (parents or adult children); (3) financial net transfers are strongly age-patterned and the middle generations are net-providers of transfers; (4) non-financial transfers are based on mutual assistance rather than reallocation of resources; and (5) intergenerational transfers are generally not related to health status, including HIV positive status.

  12. Characterizing wind power resource reliability in southern Africa

    DOE PAGES

    Fant, Charles; Gunturu, Bhaskar; Schlosser, Adam

    2015-08-29

    Producing electricity from wind is attractive because it provides a clean, low-maintenance power supply. However, wind resource is intermittent on various timescales, thus occasionally introducing large and sudden changes in power supply. A better understanding of this variability can greatly benefit power grid planning. In the following study, wind resource is characterized using metrics that highlight these intermittency issues; therefore identifying areas of high and low wind power reliability in southern Africa and Kenya at different time-scales. After developing a wind speed profile, these metrics are applied at various heights in order to assess the added benefit of raising themore » wind turbine hub. Furthermore, since the interconnection of wind farms can aid in reducing the overall intermittency, the value of interconnecting near-by sites is mapped using two distinct methods. Of the countries in this region, the Republic of South Africa has shown the most interest in wind power investment. For this reason, we focus parts of the study on wind reliability in the country. The study finds that, although mean Wind Power Density is high in South Africa compared to its neighboring countries, wind power resource tends to be less reliable than in other parts of southern Africa—namely central Tanzania. We also find that South Africa’s potential varies over different timescales, with higher reliability in the summer than winter, and higher reliability during the day than at night. This study is concluded by introducing two methods and measures to characterize the value of interconnection, including the use of principal component analysis to identify areas with a common signal.« less

  13. Characterizing wind power resource reliability in southern Africa

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fant, Charles; Gunturu, Bhaskar; Schlosser, Adam

    Producing electricity from wind is attractive because it provides a clean, low-maintenance power supply. However, wind resource is intermittent on various timescales, thus occasionally introducing large and sudden changes in power supply. A better understanding of this variability can greatly benefit power grid planning. In the following study, wind resource is characterized using metrics that highlight these intermittency issues; therefore identifying areas of high and low wind power reliability in southern Africa and Kenya at different time-scales. After developing a wind speed profile, these metrics are applied at various heights in order to assess the added benefit of raising themore » wind turbine hub. Furthermore, since the interconnection of wind farms can aid in reducing the overall intermittency, the value of interconnecting near-by sites is mapped using two distinct methods. Of the countries in this region, the Republic of South Africa has shown the most interest in wind power investment. For this reason, we focus parts of the study on wind reliability in the country. The study finds that, although mean Wind Power Density is high in South Africa compared to its neighboring countries, wind power resource tends to be less reliable than in other parts of southern Africa—namely central Tanzania. We also find that South Africa’s potential varies over different timescales, with higher reliability in the summer than winter, and higher reliability during the day than at night. This study is concluded by introducing two methods and measures to characterize the value of interconnection, including the use of principal component analysis to identify areas with a common signal.« less

  14. 21st Century African Philosophy of Adult and Human Resource Education in Southern Africa

    ERIC Educational Resources Information Center

    Mutamba, Charlene

    2012-01-01

    This paper will attempt to define a philosophy of adult education for the purpose of workforce development in Southern Africa. The different influences such as Ubuntu and communalism, indigenous education, diversity western philosophy, globalization and technology are explored in the context of the Southern African region.

  15. Creating Cultural Competence: An Outreach Immersion Experience in Southern Africa

    ERIC Educational Resources Information Center

    West-Olatunji, Cirecie; Goodman, Rachael D.; Mehta, Sejal; Templeton, Laura

    2011-01-01

    With disasters on the rise, counselors need to increase their cultural awareness, knowledge, and skills to work with affected communities. This study reports outcomes of a four-week immersion experience in southern Africa with six counselor-trainees. Data sources for this qualitative study were: daily journals and demographic forms. Outcomes…

  16. Links between Higher Education and Employers in Malawi: The Need for a Dialogue?

    ERIC Educational Resources Information Center

    Hall, David; Thomas, Harold

    2005-01-01

    The development of skills for employment is an important international policy area, but one that has been relatively ignored in sub-Saharan Africa. This paper reports on findings from a research project in Malawi, supported by the Department for International Development (DFID), that explored the links that exist between employers and the higher…

  17. New Technology Tools for Human Development? Towards Policy and Practice for Knowledge Societies in Southern Africa.

    ERIC Educational Resources Information Center

    Johnson, Phyllis

    2002-01-01

    Explores the interface of technology and education for human development in southern Africa. Uses the case of Mozambique to describe the challenges presented by the global marketplace and local policy. Outlines the vision of the New Partnership for Africa's Development Centre (SARDC) to reduce the digital divide for Africa. (CAJ)

  18. The pursuit of equity in health: reflections on race and public health data in Southern Africa.

    PubMed Central

    Bassett, M T

    2000-01-01

    The United States shares with Zimbabwe and South Africa a history of racial subjugation. A revision of the US racial classification to allow membership in more than one group means race may no longer be an exclusive characteristic. These issues also have been debated in southern Africa. In this commentary, the author reviews race classification in southern Africa and the use of race-specific public health data. Comparisons of illness and death rates across race groups have shown the health consequences of White privilege and Black disadvantage. But current public health data are not divided by race. The consequences of this policy are discussed. PMID:11076231

  19. The pursuit of equity in health: reflections on race and public health data in Southern Africa.

    PubMed

    Bassett, M T

    2000-11-01

    The United States shares with Zimbabwe and South Africa a history of racial subjugation. A revision of the US racial classification to allow membership in more than one group means race may no longer be an exclusive characteristic. These issues also have been debated in southern Africa. In this commentary, the author reviews race classification in southern Africa and the use of race-specific public health data. Comparisons of illness and death rates across race groups have shown the health consequences of White privilege and Black disadvantage. But current public health data are not divided by race. The consequences of this policy are discussed.

  20. Emissions of Trace Gases and Particles from Savanna Fires in Southern Africa

    NASA Technical Reports Server (NTRS)

    Sinha, Parikhit; Hobbs, Peter V.; Yokelson, Robert J.; Bertschi, Isaac T.; Blake, Donald R.; Simpson, Isobel J.; Gao, Song; Kirchstetter, Thomas W.; Novakov, Tica

    2003-01-01

    Airborne measurements made on initial smoke from 10 savanna fires in southern Africa provide quantitative data on emissions of 50 gaseous and particulate species, including carbon dioxide, carbon monoxide, sulfur dioxide, nitrogen oxides, methane, ammonia, dimethyl sulfide, nonmethane organic compounds, halocarbons, gaseous organic acids, aerosol ionic components, carbonaceous aerosols, and condensation nuclei (CN). Measurements of several of the gaseous species by gas chromatography and Fourier transform infrared spectroscopy are compared. Emission ratios and emission factors are given for eight species that have not been reported previously for biomass burning of savanna in southern Africa (namely, dimethyl sulfide, methyl nitrate, five hydrocarbons, and particles with diameters from 0.1 to 3 microns). The emission factor that we measured for ammonia is lower by a factor of 4, and the emission factors for formaldehyde, hydrogen cyanide, and CN are greater by factors of about 3, 20, and 3 - 15, respectively, than previously reported values. The new emission factors are used to estimate annual emissions of these species from savanna fires in Africa and worldwide.

  1. Institutional Research in Emerging Countries of Southern Africa, Latin America, and the Middle East and North Africa: Global Frameworks and Local Practices

    ERIC Educational Resources Information Center

    Lange, Lis; Saavedra, F. Mauricio; Romano, Jeanine

    2013-01-01

    This chapter presents a synthesis of the conceptualization and practice of institutional research (IR) in higher education (HE) in emerging countries across Southern Africa, Latin America and the Middle East and North Africa (MENA) regions. The chapter contextualizes the growing need for IR in these regions, identifies problems and challenges…

  2. Implementing Free Primary Education Policy in Malawi and Ghana: Equity and Efficiency Analysis

    ERIC Educational Resources Information Center

    Inoue, Kazuma; Oketch, Moses

    2008-01-01

    Malawi and Ghana are among the numerous Sub-Saharan Africa countries that have in recent years introduced Free Primary Education (FPE) policy as a means to realizing the 2015 Education for All and Millennium Development Goals international targets. The introduction of FPE policy is, however, a huge challenge for any national government that has…

  3. "That Indefinable Something Besides": Southern Africa, British Identity, and the Authorial Informant, 1883-1924

    ERIC Educational Resources Information Center

    Free, Melissa

    2009-01-01

    This project examines the role of southern Africa (from the Cape to the Zambezi) in the constitution of British identity from the rise of the systematic exploitation of the region's mineral deposits through the close of World War One. Reading a wide variety of print culture produced by South Africa's "authorial informants"--British…

  4. Genome-Wide Transcription and Functional Analyses Reveal Heterogeneous Molecular Mechanisms Driving Pyrethroids Resistance in the Major Malaria Vector Anopheles funestus Across Africa

    PubMed Central

    Riveron, Jacob M.; Ibrahim, Sulaiman S.; Mulamba, Charles; Djouaka, Rousseau; Irving, Helen; Wondji, Murielle J.; Ishak, Intan H.; Wondji, Charles S.

    2017-01-01

    Pyrethroid resistance in malaria vector, An. funestus is increasingly reported across Africa, threatening the sustainability of pyrethroid-based control interventions, including long lasting insecticidal nets (LLINs). Managing this problem requires understanding of the molecular basis of the resistance from different regions of the continent, to establish whether it is being driven by a single or independent selective events. Here, using a genome-wide transcription profiling of pyrethroid resistant populations from southern (Malawi), East (Uganda), and West Africa (Benin), we investigated the molecular basis of resistance, revealing strong differences between the different African regions. The duplicated cytochrome P450 genes (CYP6P9a and CYP6P9b) which were highly overexpressed in southern Africa are not the most upregulated in other regions, where other genes are more overexpressed, including GSTe2 in West (Benin) and CYP9K1 in East (Uganda). The lack of directional selection on both CYP6P9a and CYP6P9b in Uganda in contrast to southern Africa further supports the limited role of these genes outside southern Africa. However, other genes such as the P450 CYP9J11 are commonly overexpressed in all countries across Africa. Here, CYP9J11 is functionally characterized and shown to confer resistance to pyrethroids and moderate cross-resistance to carbamates (bendiocarb). The consistent overexpression of GSTe2 in Benin is coupled with a role of allelic variation at this gene as GAL4-UAS transgenic expression in Drosophila flies showed that the resistant 119F allele is highly efficient in conferring both DDT and permethrin resistance than the L119. The heterogeneity in the molecular basis of resistance and cross-resistance to insecticides in An. funestus populations throughout sub-Saharan African should be taken into account in designing resistance management strategies. PMID:28428243

  5. Genome-Wide Transcription and Functional Analyses Reveal Heterogeneous Molecular Mechanisms Driving Pyrethroids Resistance in the Major Malaria Vector Anopheles funestus Across Africa.

    PubMed

    Riveron, Jacob M; Ibrahim, Sulaiman S; Mulamba, Charles; Djouaka, Rousseau; Irving, Helen; Wondji, Murielle J; Ishak, Intan H; Wondji, Charles S

    2017-06-07

    Pyrethroid resistance in malaria vector, An. funestus is increasingly reported across Africa, threatening the sustainability of pyrethroid-based control interventions, including long lasting insecticidal nets (LLINs). Managing this problem requires understanding of the molecular basis of the resistance from different regions of the continent, to establish whether it is being driven by a single or independent selective events. Here, using a genome-wide transcription profiling of pyrethroid resistant populations from southern (Malawi), East (Uganda), and West Africa (Benin), we investigated the molecular basis of resistance, revealing strong differences between the different African regions. The duplicated cytochrome P450 genes ( CYP6P9a and CYP6P9b ) which were highly overexpressed in southern Africa are not the most upregulated in other regions, where other genes are more overexpressed, including GSTe2 in West (Benin) and CYP9K1 in East (Uganda). The lack of directional selection on both CYP6P9a and CYP6P9b in Uganda in contrast to southern Africa further supports the limited role of these genes outside southern Africa. However, other genes such as the P450 CYP9J11 are commonly overexpressed in all countries across Africa. Here, CYP9J11 is functionally characterized and shown to confer resistance to pyrethroids and moderate cross-resistance to carbamates (bendiocarb). The consistent overexpression of GSTe2 in Benin is coupled with a role of allelic variation at this gene as GAL4-UAS transgenic expression in Drosophila flies showed that the resistant 119F allele is highly efficient in conferring both DDT and permethrin resistance than the L119. The heterogeneity in the molecular basis of resistance and cross-resistance to insecticides in An. funestus populations throughout sub-Saharan African should be taken into account in designing resistance management strategies. Copyright © 2017 Riveron et al.

  6. Southern Africa seismic structure and source studies

    NASA Astrophysics Data System (ADS)

    Zhao, Ming

    1998-09-01

    The upper mantle seismic velocity structure beneath southern Africa is investigated using travel time and waveform data. Waveform and travel time data used in this study come mainly from a large mine tremor in South Africa (msb{b} 5.6) recorded on stations of the southern Africa and the Tanzania Broadband Seismic Experiment. Auxiliary data along similar profiles are obtained from other moderate events within eastern and southern Africa. The waveform data from the large tremor show upper mantle triplications for both the 400 and 670-km discontinuities between 18sp° and 27sp° distance. The most notable feature of the data is a large, late P phase that propagates to at least 27sp°. This phase is striking because of its late arrival time (as much as 15 seconds after direct P at 27sp°) and high amplitude relative to the first arrival. Travel times from all available stations are used to invert for the P wave velocity structure down to 800 km depth and S wave velocity structure down to 200 km using the Wiechert-Herglotz (W-H) inversion technique. The P wave velocities from the uppermost mantle down to 300 km are as much as 3% higher than the global average and are slightly slower than the global average between 300 and 400 km depths. The velocity gradient between 300 and 400 km is 0.0015 1/s. The S wave travel time data yield fast velocities above 200-km depth. The S wave velocity structure appears inconsistent with the P wave structure model indicating varying Poisson's ratio in the upper mantle. Little evidence is found for a pronounced upper mantle low velocity zone. Both sharp and gradual-change 400-km discontinuities are favored by the waveform data. The 670-km discontinuity appears as a gradual-change zone. The source mechanism of the mb 5.6 mining tremor itself is important for seismic discrimination and insight into mining tremor sources. Source parameters for this event as well as some other large mining tremors from the South African gold mines are studied

  7. Amietia angolensis and A. fuscigula (Anura: Pyxicephalidae) in southern Africa: a cold case reheated.

    PubMed

    Channing, Alan; Baptista, Ninda

    2013-01-01

    A study combining DNA sequences of the mitochondrial 16S rRNA gene, advertisement calls and morphology of some southern African river frogs confirms Amietia vandijki (Visser & Channing, 1997) as a good species. The form presently referred to as Amietia angolensis in southern Africa is shown to comprise two species: Amietia angolensis (Bocage, 1866) known from Angola, and Amietia quecketti (Boulenger, 1895) known from South Africa, Zimbabwe and Lesotho. Junior synonyms of A. quecketti include Rana theileri Mocquard, 1906 and Afrana dracomontana Channing, 1978. The form presently known as Amietia fuscigula is shown to consist of two distantly related taxa: Amietia fuscigula (Duméril & Bibron, 1841) from the south-western Cape and an undescribed species that we here name Amietia poyntoni sp. nov. Channing & Baptista, known from the rest of South Africa and Namibia. These five species have large differences in 16S sequences, as well as differences in morphology and advertisement call. Call and molecular data are both diagnostic, while morphology shows some overlap between taxa. An extended study of the genus across Africa is in preparation.

  8. Research Capacity for Local Innovation: The Case of Conservation Agriculture in Ethiopia, Malawi and Mozambique

    ERIC Educational Resources Information Center

    Brown, Brendan; Nuberg, Ian; Llewellyn, Rick

    2018-01-01

    Purpose: The limited uptake of improved agricultural practices in Africa raise questions on the functionality of current agricultural research systems. Our purpose is to explore the capacity for local innovation within the research systems of Ethiopia, Malawi and Mozambique. Design/Methodology/Approach: Using Conservation Agriculture (CA) as a…

  9. Hydrologic modeling for monitoring water availability in Eastern and Southern Africa

    NASA Astrophysics Data System (ADS)

    McNally, A.; Harrison, L.; Shukla, S.; Pricope, N. G.; Peters-Lidard, C. D.

    2017-12-01

    Severe droughts in 2015, 2016 and 2017 in Ethiopia, Southern Africa, and Somalia have negatively impacted agriculture and municipal water supplies resulting in food and water insecurity. Information from remotely sensed data and field reports indicated that the Famine Early Warning Systems Network (FEWS NET) Land Data Assimilation (FLDAS) accurately tracked both the anomalously low soil moisture, evapotranspiration and runoff conditions. This work presents efforts to more precisely monitor how the water balance responds to water availability deficits (i.e. drought) as estimated by the FLDAS with CHIRPS precipitation, MERRA-2 meteorological forcing and the Noah33 land surface model.Preliminary results indicate that FLDAS streamflow estimates are well correlated with observed streamflow where irrigation and other channel modifications are not present; FLDAS evapotranspiration (ET) is well correlated with ET from the Operational Simplified Surface Energy Balance model (SSEBop) in Eastern and Southern Africa. We then use these results to monitor availability, and explore trends in water supply and demand.

  10. The Influence of Infant Feeding Practices on Infant Mortality in Southern Africa.

    PubMed

    Motsa, Lungile F; Ibisomi, Latifat; Odimegwu, Clifford

    2016-10-01

    Objective To examine the adjusted and unadjusted effects of infant feeding practices on infant mortality in Southern Africa. Methods A merged dataset from the most recent Demographic and Health Surveys for Lesotho, Swaziland, Zambia and Zimbabwe was analysed using the Cox Proportional Hazard Model. A total number of 13,218 infants born in 5 years preceding all the surveys with information on infant feeding practices constituted the study population. Infant mortality was the outcome variable and infant feeding practices categorised into; no breastfeeding, partial breastfeeding and exclusive breastfeeding were the main explanatory variables. Maternal demographic and socio-economic characteristics and infants' bio-demographic characteristics were also studied. Results Although, exclusive breastfeeding was quite low (12 %), exclusively breastfed infants exhibited a 97 % lower risk of dying during infancy compared to infants not breastfed in the region. Variations existed by country in the levels and patterns of both infant mortality and infant feeding practices. Mother's country, highest level of education and marital status; child's sex, birth weight and preceding birth interval were the significant predictors of infant mortality in Southern Africa. Conclusions Any form of breastfeeding whether exclusive or partial breastfeeding greatly reduces the risk of infant mortality with the greatest mortality reduction effect observed among exclusively breastfed infants in Southern Africa. To reduce the upsurge of infant mortality, there is the need to step up the effectiveness of child nutrition programmes that promote breastfeeding and put emphasis on exclusive breastfeeding of infants in the region.

  11. The DACCIWA 2016 radiosonde campaign in southern West Africa

    NASA Astrophysics Data System (ADS)

    Fink, Andreas H.; Maranan, Marlon; Knippertz, Peter; Ngamini, Jean-Blaise; Francis, Sabastine

    2017-04-01

    Operational upper-air stations are very sparsely distributed over West Africa, resulting in the necessity to enhance radiosonde observations for the DACCIWA (Dynamics-Aerosol-Chemistry-Cloud Interactions in West Africa) experimental period during June-July 2016. Building on the AMMA (African Monsoon - Multidisciplinary Analyses) experience, existing infrastructures, as well as human networks, the upper air network was successfully augmented to a spatial density that is unprecedented for southern West Africa. Altogether, more than 750 experimental radiosondes were launched at seven stations in three countries along the Guinea Coast. From its outset, the DACCIWA radiosonde campaign had three pillars: (a) enhancing soundings at operational or quiescent AMMA radiosonde stations; (b) launching sondes at DACCIWA supersites and two additional DACCIWA field sites; and (c) collecting standard and - if possible - high-resolution data from other operational RS stations. In terms of (a), it was found during preparing recce visits to West Africa, that the AMMA-activated stations of Cotonou (Benin) and Abuja (Nigeria) were operational though almost "invisible" on the World Meteorological Organisation's Global Teleconnection System (GTS). These and other AMMA legacies facilitated the implementation of enhanced, four-times daily soundings at Abidjan (Ivory Coast), Cotonou and Parakou (both Benin). Two well-instrumented DACCIWA ground sites at Kumasi (Ghana) and Savé (Benin) performed 06 UTC soundings, being enhanced to four-times daily ascents during fifteen Intensive Observing Periods (IOPs). In addition, research staff and students from the Karlsruhe Institute of Technology (KIT) and African partners conducted up to five-times daily soundings at Lamto (Ivory Coast) and Accra (Ghana). Almost all of the experimental DACCIWA ascents were submitted to the GTS in real time and assimilated at least at three European numerical weather prediction centres that helped to improve their

  12. Applying a Reading Program Based on Cognitive Science in Rural Areas of Malawi: Preliminary Results

    ERIC Educational Resources Information Center

    Iyengar, Radhika; Karim, Alia; Chagwira, Florie

    2016-01-01

    Reading fluency is a skill foundational to academic performance, and acquiring this skill in early grades is crucial. Throughout sub-Saharan Africa, reading levels of students are far below grade level, and Malawi is no exception. Research suggests that students, particularly in consistently spelled languages, acquire automaticity most easily by…

  13. Environmental change in subtropical southern Africa since the Last Glacial Maximum: a case study from Etosha Pan

    NASA Astrophysics Data System (ADS)

    Mauz, Barbara

    2014-05-01

    Millennial-scale climate shifts described by Heinrich Events and Dansgard-Oeschger Cycles occurred in the Northern and Southern Hemispheres asynchronously. It has been suggested that combined influence of the oceanic bipolar seesaw and the southward displacement of the south hemisphere (SH) westerlies, both linked to northern stadials, allowed the high southern latitudes to warm as a result of melting and collapse of NH ice sheets (Denton et al. 2010). For tropical southern Africa most terrestrial records delivering observational data for such climate scenario are derived from east African rift valley lakes (e.g. Olaka et al., 2010) but further to the west data are sparse. Here we report about a palaeoclimate proxy extracted from Etosha Pan, a vast endorheic plain in southern west Africa. It is situated at the southern border of tropical Africa, at the eastern border of the coastal area influenced by the Benguela current and at the western border of inland Africa influenced by the Indian Ocean. It is therefore supposed to be sensitive to climate change and provides the opportunity to link its lake record with the drastic hydrological changes that occurred in east African rift-valley lakes during deglaciation. Using OSL dating and sediment analysis to constrain lake shorelines of perennial lakes in time and space, we found high lake levels during the late Pleistocene and a drastic drop shortly after 10 ka. This lake water-level reconstruction is not in line with the histories of ITCZ migration and strength of Benguela current upwelling. We confirm that the linkages between the evolution of the Etosha Pan and the climate mechanisms driving hydrological changes in subtropical southwest Africa are poorly resolved and need further investigation. The paper discusses these findings in the context of SH palaeoclimate records.

  14. Multi-country analysis of treatment costs for HIV/AIDS (MATCH): facility-level ART unit cost analysis in Ethiopia, Malawi, Rwanda, South Africa and Zambia.

    PubMed

    Tagar, Elya; Sundaram, Maaya; Condliffe, Kate; Matatiyo, Blackson; Chimbwandira, Frank; Chilima, Ben; Mwanamanga, Robert; Moyo, Crispin; Chitah, Bona Mukosha; Nyemazi, Jean Pierre; Assefa, Yibeltal; Pillay, Yogan; Mayer, Sam; Shear, Lauren; Dain, Mary; Hurley, Raphael; Kumar, Ritu; McCarthy, Thomas; Batra, Parul; Gwinnell, Dan; Diamond, Samantha; Over, Mead

    2014-01-01

    Today's uncertain HIV funding landscape threatens to slow progress towards treatment goals. Understanding the costs of antiretroviral therapy (ART) will be essential for governments to make informed policy decisions about the pace of scale-up under the 2013 WHO HIV Treatment Guidelines, which increase the number of people eligible for treatment from 17.6 million to 28.6 million. The study presented here is one of the largest of its kind and the first to describe the facility-level cost of ART in a random sample of facilities in Ethiopia, Malawi, Rwanda, South Africa and Zambia. In 2010-2011, comprehensive data on one year of facility-level ART costs and patient outcomes were collected from 161 facilities, selected using stratified random sampling. Overall, facility-level ART costs were significantly lower than expected in four of the five countries, with a simple average of $208 per patient-year (ppy) across Ethiopia, Malawi, Rwanda and Zambia. Costs were higher in South Africa, at $682 ppy. This included medications, laboratory services, direct and indirect personnel, patient support, equipment and administrative services. Facilities demonstrated the ability to retain patients alive and on treatment at these costs, although outcomes for established patients (2-8% annual loss to follow-up or death) were better than outcomes for new patients in their first year of ART (77-95% alive and on treatment). This study illustrated that the facility-level costs of ART are lower than previously understood in these five countries. While limitations must be considered, and costs will vary across countries, this suggests that expanded treatment coverage may be affordable. Further research is needed to understand investment costs of treatment scale-up, non-facility costs and opportunities for more efficient resource allocation.

  15. Multi-Country Analysis of Treatment Costs for HIV/AIDS (MATCH): Facility-Level ART Unit Cost Analysis in Ethiopia, Malawi, Rwanda, South Africa and Zambia

    PubMed Central

    Tagar, Elya; Sundaram, Maaya; Condliffe, Kate; Matatiyo, Blackson; Chimbwandira, Frank; Chilima, Ben; Mwanamanga, Robert; Moyo, Crispin; Chitah, Bona Mukosha; Nyemazi, Jean Pierre; Assefa, Yibeltal; Pillay, Yogan; Mayer, Sam; Shear, Lauren; Dain, Mary; Hurley, Raphael; Kumar, Ritu; McCarthy, Thomas; Batra, Parul; Gwinnell, Dan; Diamond, Samantha; Over, Mead

    2014-01-01

    Background Today's uncertain HIV funding landscape threatens to slow progress towards treatment goals. Understanding the costs of antiretroviral therapy (ART) will be essential for governments to make informed policy decisions about the pace of scale-up under the 2013 WHO HIV Treatment Guidelines, which increase the number of people eligible for treatment from 17.6 million to 28.6 million. The study presented here is one of the largest of its kind and the first to describe the facility-level cost of ART in a random sample of facilities in Ethiopia, Malawi, Rwanda, South Africa and Zambia. Methods & Findings In 2010–2011, comprehensive data on one year of facility-level ART costs and patient outcomes were collected from 161 facilities, selected using stratified random sampling. Overall, facility-level ART costs were significantly lower than expected in four of the five countries, with a simple average of $208 per patient-year (ppy) across Ethiopia, Malawi, Rwanda and Zambia. Costs were higher in South Africa, at $682 ppy. This included medications, laboratory services, direct and indirect personnel, patient support, equipment and administrative services. Facilities demonstrated the ability to retain patients alive and on treatment at these costs, although outcomes for established patients (2–8% annual loss to follow-up or death) were better than outcomes for new patients in their first year of ART (77–95% alive and on treatment). Conclusions This study illustrated that the facility-level costs of ART are lower than previously understood in these five countries. While limitations must be considered, and costs will vary across countries, this suggests that expanded treatment coverage may be affordable. Further research is needed to understand investment costs of treatment scale-up, non-facility costs and opportunities for more efficient resource allocation. PMID:25389777

  16. Out-of-pocket expenditure on chronic non-communicable diseases in sub-Saharan Africa: the case of rural Malawi.

    PubMed

    Wang, Qun; Fu, Alex Z; Brenner, Stephan; Kalmus, Olivier; Banda, Hastings Thomas; De Allegri, Manuela

    2015-01-01

    In Sub-Saharan Africa (SSA) the disease burden of chronic non-communicable diseases (CNCDs) is rising considerably. Given weaknesses in existing financial arrangements across SSA, expenditure on CNCDs is often borne directly by patients through out-of-pocket (OOP) payments. This study explored patterns and determinants of OOP expenditure on CNCDs in Malawi. We used data from the first round of a longitudinal household health survey conducted in 2012 on a sample of 1199 households in three rural districts in Malawi. We used a two-part model to analyze determinants of OOP expenditure on CNCDs. 475 respondents reported at least one CNCD. More than 60% of the 298 individuals who reported seeking care incurred OOP expenditure. The amount of OOP expenditure on CNCDs comprised 22% of their monthly per capita household expenditure. The poorer the household, the higher proportion of their monthly per capita household expenditure was spent on CNCDs. Higher severity of disease was significantly associated with an increased likelihood of incurring OOP expenditure. Use of formal care was negatively associated with the possibility of incurring OOP expenditure. The following factors were positively associated with the amount of OOP expenditure: being female, Alomwe and household head, longer duration of disease, CNCDs targeted through active screening programs, higher socio-economic status, household head being literate, using formal care, and fewer household members living with a CNCD within a household. Our study showed that, in spite of a context where care for CNCDs should in principle be available free of charge at point of use, OOP payments impose a considerable financial burden on rural households, especially among the poorest. This suggests the existence of important gaps in financial protection in the current coverage policy.

  17. Out-of-Pocket Expenditure on Chronic Non-Communicable Diseases in Sub-Saharan Africa: The Case of Rural Malawi

    PubMed Central

    Wang, Qun; Fu, Alex Z.; Brenner, Stephan; Kalmus, Olivier; Banda, Hastings Thomas; De Allegri, Manuela

    2015-01-01

    In Sub-Saharan Africa (SSA) the disease burden of chronic non-communicable diseases (CNCDs) is rising considerably. Given weaknesses in existing financial arrangements across SSA, expenditure on CNCDs is often borne directly by patients through out-of-pocket (OOP) payments. This study explored patterns and determinants of OOP expenditure on CNCDs in Malawi. We used data from the first round of a longitudinal household health survey conducted in 2012 on a sample of 1199 households in three rural districts in Malawi. We used a two-part model to analyze determinants of OOP expenditure on CNCDs. 475 respondents reported at least one CNCD. More than 60% of the 298 individuals who reported seeking care incurred OOP expenditure. The amount of OOP expenditure on CNCDs comprised 22% of their monthly per capita household expenditure. The poorer the household, the higher proportion of their monthly per capita household expenditure was spent on CNCDs. Higher severity of disease was significantly associated with an increased likelihood of incurring OOP expenditure. Use of formal care was negatively associated with the possibility of incurring OOP expenditure. The following factors were positively associated with the amount of OOP expenditure: being female, Alomwe and household head, longer duration of disease, CNCDs targeted through active screening programs, higher socio-economic status, household head being literate, using formal care, and fewer household members living with a CNCD within a household. Our study showed that, in spite of a context where care for CNCDs should in principle be available free of charge at point of use, OOP payments impose a considerable financial burden on rural households, especially among the poorest. This suggests the existence of important gaps in financial protection in the current coverage policy. PMID:25584960

  18. Treating chancroid: summary of studies in southern Africa.

    PubMed Central

    Ballard, R C; Duncan, M O; Fehler, H G; Dangor, Y; Exposto, F L; Latif, A S

    1989-01-01

    Recent studies undertaken in southern Africa and elsewhere indicate that many short or single dose treatments are available to treat chancroid. Erythromycin 500 mg three times a day for five days, ciprofloxacin 500 mg, sulphamethopyrazine 800 mg and trimethoprim 1000 mg or sulphametrole 3200 mg and trimethoprim 640 mg as single oral doses, or ceftriaxone 250 mg as a single intramuscular injection are all effective in treating the disease. The widespread use of these regimens largely depends on the accuracy of diagnosis, susceptibilities of local Haemophilus ducreyi isolates to antimicrobials, and financial considerations. PMID:2629710

  19. Assessing and Responding to Palliative Care Needs in Rural Sub-Saharan Africa: Results from a Model Intervention and Situation Analysis in Malawi

    PubMed Central

    Kalanga, Noel; Keck, James W.; Wroe, Emily B.; Phiri, Atupere; Mayfield, Alishya; Chingoli, Felix; Beste, Jason A.; Tengatenga, Listern; Bazile, Junior

    2014-01-01

    Introduction Palliative care is rarely accessible in rural sub-Saharan Africa. Partners In Health and the Malawi government established the Neno Palliative Care Program (NPCP) to provide palliative care in rural Neno district. We conducted a situation analysis to evaluate early NPCP outcomes and better understand palliative care needs, knowledge, and preferences. Methods Employing rapid evaluation methodology, we collected data from 3 sources: 1) chart review of all adult patients from the NPCP’s first 9 months; 2) structured interviews with patients and caregivers; 3) semi-structured interviews with key stakeholders. Results The NPCP enrolled 63 patients in its first 9 months. Frequent diagnoses were cancer (n = 50, 79%) and HIV/AIDS (n = 37 of 61, 61%). Nearly all (n = 31, 84%) patients with HIV/AIDS were on antiretroviral therapy. Providers registered 112 patient encounters, including 22 (20%) home visits. Most (n = 43, 68%) patients had documented pain at baseline, of whom 23 (53%) were treated with morphine. A majority (n = 35, 56%) had ≥1 follow-up encounter. Mean African Palliative Outcome Scale pain score decreased non-significantly between baseline and follow-up (3.0 vs. 2.7, p = 0.5) for patients with baseline pain and complete pain assessment documentation. Providers referred 48 (76%) patients for psychosocial services, including community health worker support, socioeconomic assistance, or both. We interviewed 36 patients referred to the NPCP after the chart review period. Most had cancer (n = 19, 53%) or HIV/AIDS (n = 10, 28%). Patients frequently reported needing income (n = 24, 67%) or food (n = 22, 61%). Stakeholders cited a need to make integrated palliative care widely available. Conclusions We identified a high prevalence of pain and psychosocial needs among patients with serious chronic illnesses in rural Malawi. Early NPCP results suggest that comprehensive palliative care can be provided in rural

  20. Southern Africa Development Coordinating Conference and Its Security Implications

    DTIC Science & Technology

    1989-04-03

    CLASSIFICATION OF THIS PAGE (When Data lintered) REPORT DOCUMENTATION PAGE ;READ INSTRUCTIONS R TP BEFORE COMPLETING FORM I. REPORT NUMBER 12. GOVT...ACCESSION NO., RECIPIENT’S CATALOG NUMBER . TITLE (an1d Su~btile) TYPE OF REPORT , PERIOD COVERED Southern Africa Development Coordinating Conference and...OFFICE NAME AND ADn1PE-c 12. RCPOr,7 DATE 3 April 1989 f3. NUMBER OF PAGE.3 55 14. MONITORING AGENCY NAME & AODRESS(If different from Controlling Office

  1. The Score Reliability of Draw-a-Person Intellectual Ability Test (DAP: IQ) for Rural Malawi Students

    ERIC Educational Resources Information Center

    Khasu, Denis S.; Williams, Thomas O., Jr.

    2016-01-01

    In this brief article, the reliability of scores for the Draw-A-Person Intellectual Ability Test for Children, Adolescents, and Adults (DAP: IQ; Reynolds & Hickman, 2004) was examined through several analyses with a sample of 147 children from rural Malawi, Africa using a Chichewa translation of instructions. Cronbach alpha coefficients for…

  2. Next Year Will Be a Good Year--Southern Africa's Dreadful Dryland Farming Disaster.

    ERIC Educational Resources Information Center

    Johns, Maria

    1992-01-01

    Discusses how agricultural productivity in drought stricken southern Africa is diminished by economically and ecologically unsustainable agricultural practices. A vignette provides alternative farming techniques appropriate for dry regions with an emphasis on respect for the land. (MCO)

  3. The palaeoecological context of the Oldowan-Acheulean in southern Africa.

    PubMed

    Ecker, Michaela; Brink, James S; Rossouw, Lloyd; Chazan, Michael; Horwitz, Liora K; Lee-Thorp, Julia A

    2018-05-21

    The influence of climatic and environmental change on human evolution in the Pleistocene epoch is understood largely from extensive East African stable isotope records. These records show increasing proportions of C 4 plants in the Early Pleistocene. We know far less about the expansion of C 4 grasses at higher latitudes, which were also occupied by early Homo but are more marginal for C 4 plants. Here we show that both C 3 and C 4 grasses and prolonged wetlands remained major components of Early Pleistocene environments in the central interior of southern Africa, based on enamel stable carbon and oxygen isotope data and associated faunal abundance and phytolith evidence from the site of Wonderwerk Cave. Vegetation contexts associated with Oldowan and early Acheulean lithic industries, in which climate is driven by an interplay of regional rainfall seasonality together with global CO 2 levels, develop along a regional distinct trajectory compared to eastern South Africa and East Africa.

  4. Fine-Scale Human Population Structure in Southern Africa Reflects Ecogeographic Boundaries

    PubMed Central

    Uren, Caitlin; Kim, Minju; Martin, Alicia R.; Bobo, Dean; Gignoux, Christopher R.; van Helden, Paul D.; Möller, Marlo; Hoal, Eileen G.; Henn, Brenna M.

    2016-01-01

    Recent genetic studies have established that the KhoeSan populations of southern Africa are distinct from all other African populations and have remained largely isolated during human prehistory until ∼2000 years ago. Dozens of different KhoeSan groups exist, belonging to three different language families, but very little is known about their population history. We examine new genome-wide polymorphism data and whole mitochondrial genomes for >100 South Africans from the ≠Khomani San and Nama populations of the Northern Cape, analyzed in conjunction with 19 additional southern African populations. Our analyses reveal fine-scale population structure in and around the Kalahari Desert. Surprisingly, this structure does not always correspond to linguistic or subsistence categories as previously suggested, but rather reflects the role of geographic barriers and the ecology of the greater Kalahari Basin. Regardless of subsistence strategy, the indigenous Khoe-speaking Nama pastoralists and the N|u-speaking ≠Khomani (formerly hunter-gatherers) share ancestry with other Khoe-speaking forager populations that form a rim around the Kalahari Desert. We reconstruct earlier migration patterns and estimate that the southern Kalahari populations were among the last to experience gene flow from Bantu speakers, ∼14 generations ago. We conclude that local adoption of pastoralism, at least by the Nama, appears to have been primarily a cultural process with limited genetic impact from eastern Africa. PMID:27474727

  5. Modelling Southern Africa Air Quality and Atmosphere: Importance and Interplay of Natural and Anthropogenic Emissions

    NASA Astrophysics Data System (ADS)

    Garland, R. M.; Naidoo, M.; Dedekind, Z.; Sibiya, B.; Piketh, S.; Engelbrecht, C. J.; Engelbrecht, F.

    2017-12-01

    Many parts of the southern hemisphere are linked in part due to the strong impact that emissions from natural sources, such as large biomass burning events and marine sources, as well as growing anthropogenic emission sources. Most of southern Africa has an arid to semi-arid climate that is strongly impacted by biomass burning, biogenic and dust emissions. In addition, there are areas of growing industrialization and urbanization that contributes to poor air quality. This air pollution can impact not only human health, but also agriculture, ecosystems, and the climate. This presentation will highlight on-going research to simulate the southern Africa atmosphere and impacts, with a focus on the interplay and relative importance of natural and anthropogenic emissions. The presentation will discuss the simulated sensitivity of the southern African climate to aerosol particles to highlight the importance of natural sources. These historical simulations (1979-2012) were performed with CCAM and are towards the development of the first Africa-led earth systems model. The analysis focused on the simulated sensitivity of the climate and clouds off the southwestern coast of Africa to aerosol particles. The interplay between natural and anthropogenic sources on air pollution will be highlighted using the Waterberg region of South Africa as a case study. CAMx was run at 2km resolution for 2013 using local emission inventories and meteorological output from CCAM to simulate the air quality of the region. These simulations estimate that, on average in the summer, up to 20% of ozone in and around a power plant plume is attributable to biogenic sources of VOCs, with ozone peaks of up to 120ppb; highlighting the importance of understanding the mix of pollutants in this area. In addition to presenting results from this study, the challenges in modelling will be highlighted. These challenges include very few or no measurements that are important to understand, and then accurately

  6. Making a Case for Epistemological Access in Biotechnology Education in Southern Africa

    ERIC Educational Resources Information Center

    Mollett, Jean; Cameron, Ann

    2016-01-01

    In southern Africa, biotechnology is increasingly important with regard to food security and the development of the pharmaceutical industry. Universities are tasked with providing the relevant capacity development through tertiary-level courses to meet these development needs. However, the knowledge and practices of biotechnology may be…

  7. The cost of HIV/AIDS to businesses in southern Africa.

    PubMed

    Rosen, Sydney; Vincent, Jeffrey R; MacLeod, William; Fox, Matthew; Thea, Donald M; Simon, Jonathon L

    2004-01-23

    Information on the potential costs of HIV/AIDS to the private sector is needed if companies are to be given a financial incentive to invest in prevention and treatment interventions. To estimate the cost of HIV/AIDS to businesses in southern Africa using company-specific data on employees, costs, and HIV prevalence. : Six formal sector enterprises in South Africa and Botswana provided detailed human resource, financial, and medical data and carried out voluntary, anonymous HIV seroprevalence surveys. The present value of incident HIV infections with a 9-year median survival and 7% real discount rate was estimated. Costs included were sick leave; productivity loss; supervisory time; retirement, death, disability, and medical benefits; and recruitment and training of replacement workers. HIV prevalence in the workforces studied ranged from 7.9 to 25.0%. HIV/AIDS among employees added 0.4-5.9% to the companies' annual salary and wage bills. The present value of an incident HIV infection ranged from 0.5 to 3.6 times the annual salary of the affected worker. Costs varied widely across firms and among job levels within firms. Key reasons for the differences included HIV prevalence, levels and stability of employee benefits, and the contractual status of unskilled workers. Some costs were omitted from the analysis because of lack of data, and results should be regarded as quite conservative. AIDS is causing labor costs for businesses in southern Africa to rise and threatens the competitiveness of African industry. Research on the effectiveness of workplace interventions is urgently needed.

  8. Climate Change Adaptation and Climate Related Disaster Risk Reduction Strategies in Zimbabwe and Malawi

    NASA Astrophysics Data System (ADS)

    Mubaya, C. P.; Ngepah, N.; Seyama, W.

    2015-12-01

    Climate Change Adaptation (CCA) and Disaster Risk Reduction (DRR) have similar aims and mutual benefits, and there is a very strong rationale for adopting a more integrated approach to these issues rather than analysing each of them as distinct from the other. One of the gaps that have been noted in this context is the lack of evidence in systematic integration of CCA and DRR in Southern Africa. In this regard, this study builds on understanding CCA and DRR policies from the perspectives of vulnerable groups- women and smallholder farmers, and conducts institutional and policy analysis of CCA and DRR in southern Africa, with specific focus on Malawi and Zimbabwe. Both quantitative and qualitative methodologies were employed to collect data for this study in the two countries. The analysis is centred on the conceptualization of DRR in the context of recovery time and CCA on livelihood changes. Findings of the study show that drought is no longer viewed as a hazard as it is a perennial and chronic occurrence in selected climate hotspots, with heightened intensity in certain identified years. Households are able to quickly recover from slow onset hazards such as droughts and dry spells more than they are able to recover from sudden onset floods, implying more capacity towards CCA than DRR. Government programmes and policies are also focused more on CCA than on DRR efforts that appear not to be a priority. Findings point towards female vulnerability from perceptions and practice where males tend to dominate where they are set to benefit from external assistance. We need to strengthen government capacity in implementation of DRR programmes, which is currently limited and development initiatives must deliberately target building the resilience of women.

  9. Outcomes and Cost-Effectiveness of Integrating HIV and Nutrition Service Delivery: Pilots in Malawi and Mozambique.

    PubMed

    Bergmann, Julie N; Legins, Kenneth; Sint, Tin Tin; Snidal, Sarah; Amor, Yanis Ben; McCord, Gordon C

    2017-03-01

    This paper provides the first estimates of impact and cost-effectiveness for integrated HIV and nutrition service delivery in sub-Saharan Africa. HIV and undernutrition are synergistic co-epidemics impacting millions of children throughout the region. To alleviate this co-epidemic, UNICEF supported small-scale pilot programs in Malawi and Mozambique that integrated HIV and nutrition service delivery. We use trends from integration sites and comparison sites to estimate the number of lives saved, infections averted and/or undernutrition cases cured due to programmatic activities, and to estimate cost-effectiveness. Results suggest that Malawi's program had a cost-effectiveness of $11-29/DALY, while Mozambique's was $16-59/DALY. Some components were more effective than others ($1-4/DALY for Malawi's Male motivators vs. $179/DALY for Mozambique's One stop shops). These results suggest that integrating HIV and nutrition programming leads to a positive impact on health outcomes and should motivate additional work to evaluate impact and determine cost-effectiveness using an appropriate research design.

  10. A Review of Community Extension Approaches to Innovation for Improved Livelihoods in Ghana, Uganda and Malawi

    ERIC Educational Resources Information Center

    Wellard, Kate; Rafanomezana, Jenny; Nyirenda, Mahara; Okotel, Misaki; Subbey, Vincent

    2013-01-01

    Purpose: Farmer-to-farmer extension offers a potentially low-cost and wide-reach alternative in supporting agricultural innovation. Various approaches are being promoted but information on their impact and sustainability is sparse. This study examines experiences of Self Help Africa and partners in Ghana, Uganda and Malawi. It asks: What is good…

  11. Terrestrial heat flow in east and southern Africa

    NASA Astrophysics Data System (ADS)

    Nyblade, Andrew A.; Pollack, Henry N.; Jones, D. L.; Podmore, Francis; Mushayandebvu, Martin

    1990-10-01

    We report 26 new heat flow and 13 radiogenic heat production measurements from Zimbabwe, Zambia and Tanzania, together with details and some revisions of 18 previous heat flow measurements by other investigators from Kenya and Tanzania. These measurements come from Archean cratons, Proterozoic mobile belts, and Mesozoic and Cenozoic rifts. Heat flow data from eight new sites in the Archean Zimbabwe Craton are consistent with previous measurements in the Archean Kaapvaal-Zimbabwe Craton and Limpopo Belt (Kalahari Craton) and do not change the mean heat flow of 47±2 mW m-2 (standard error of the mean) in the Kalahari Craton based on 53 previous measurements. Eight new sites in the Archean Tanzania Craton give a mean heat flow of 34±4 mW m-2. The mean heat flow from nine sites in the Proterozoic Mozambique Belt to the east of the Tanzania Craton in Kenya and Tanzania is 47±4 mW m-2. Twelve measurements in the Mesozoic rifted continental margin in east Africa give a mean heat flow of 68±4 mW m-2; four measurements in the Mesozoic Luangwa and Zambezi Rifts range from 44 to 110 mW m-2 with a mean of 76±14 mW m-2. In comparing heat flow in east and southern Africa, we observe a common heat flow pattern of increasing heat flow away from the centers of the Archean cratons. This pattern suggests a fundamental difference in lithospheric thermal structure between the Archean cratons and the Proterozoic and early Paleozoic mobile belts which surround them. Superimposed on this common pattern are two regional variations in heat flow. Heat flow in the Tanzania Craton is lower by about 13 mW m-2 than in the Kalahari Craton, and in the Mozambique Belt in east Africa heat flow is somewhat lower than in the southern African mobile belts at similar distances from the Archean cratonic margin. The two regional variations can be explained in several ways, none of which can as yet be elevated to a preferred status: (1) by variations in crustal heat production, (2) by thin

  12. Implications of Nubian-Like Core Reduction Systems in Southern Africa for the Identification of Early Modern Human Dispersals

    PubMed Central

    Phillips, Natasha

    2015-01-01

    Lithic technologies have been used to trace dispersals of early human populations within and beyond Africa. Convergence in lithic systems has the potential to confound such interpretations, implying connections between unrelated groups. Due to their reductive nature, stone artefacts are unusually prone to this chance appearance of similar forms in unrelated populations. Here we present data from the South African Middle Stone Age sites Uitpanskraal 7 and Mertenhof suggesting that Nubian core reduction systems associated with Late Pleistocene populations in North Africa and potentially with early human migrations out of Africa in MIS 5 also occur in southern Africa during early MIS 3 and with no clear connection to the North African occurrence. The timing and spatial distribution of their appearance in southern and northern Africa implies technological convergence, rather than diffusion or dispersal. While lithic technologies can be a critical guide to human population flux, their utility in tracing early human dispersals at large spatial and temporal scales with stone artefact types remains questionable. PMID:26125972

  13. Hydrological Response and Complex Impact Pathways of the 2015/2016 El Niño in Eastern and Southern Africa

    NASA Astrophysics Data System (ADS)

    Siderius, C.; Gannon, K. E.; Ndiyoi, M.; Opere, A.; Batisani, N.; Olago, D.; Pardoe, J.; Conway, D.

    2018-01-01

    The 2015/2016 El Niño has been classified as one of the three most severe on record. El Niño teleconnections are commonly associated with droughts in southern Africa and high precipitation in eastern Africa. Despite their relatively frequent occurrence, evidence for their hydrological effects and impacts beyond agriculture is limited. We examine the hydrological response and impact pathways of the 2015/2016 El Niño in eastern and southern Africa, focusing on Botswana, Kenya, and Zambia. We use in situ and remotely sensed time series of precipitation, river flow, and lake levels complemented by qualitative insights from interviews with key organizations in each country about awareness, impacts, and responses. Our results show that drought conditions prevailed in large parts of southern Africa, reducing runoff and contributing to unusually low lake levels in Botswana and Zambia. Key informants characterized this El Niño through record high temperatures and water supply disruption in Botswana and through hydroelectric load shedding in Zambia. Warnings of flood risk in Kenya were pronounced, but the El Niño teleconnection did not materialize as expected in 2015/2016. Extreme precipitation was limited and caused localized impacts. The hydrological impacts in southern Africa were severe and complex, strongly exacerbated by dry antecedent conditions, recent changes in exposure and sensitivity and management decisions. Improved understanding of hydrological responses and the complexity of differing impact pathways can support design of more adaptive, region-specific management strategies.

  14. Modelling Bambara Groundnut Yield in Southern Africa: Towards a Climate-Resilient Future

    NASA Technical Reports Server (NTRS)

    Karunaratne, A. S.; Walker, S.; Ruane, A. C.

    2015-01-01

    Current agriculture depends on a few major species grown as monocultures that are supported by global research underpinning current productivity. However, many hundreds of alternative crops have the potential to meet real world challenges by sustaining humanity, diversifying agricultural systems for food and nutritional security, and especially responding to climate change through their resilience to certain climate conditions. Bambara groundnut (Vigna subterranea (L.) Verdc.), an underutilised African legume, is an exemplar crop for climate resilience. Predicted yield performances of Bambara groundnut by AquaCrop (a crop-water productivity model) were evaluated for baseline (1980-2009) and mid-century climates (2040-2069) under 20 downscaled Global Climate Models (CMIP5-RCP8.5), as well as for climate sensitivities (AgMIPC3MP) across 3 locations in Southern Africa (Botswana, South Africa, Namibia). Different land - races of Bambara groundnut originating from various semi-arid African locations showed diverse yield performances with diverse sensitivities to climate. S19 originating from hot-dry conditions in Namibia has greater future yield potential compared to the Swaziland landrace Uniswa Red-UN across study sites. South Africa has the lowest yield under the current climate, indicating positive future yield trends. Namibia reported the highest baseline yield at optimum current temperatures, indicating less yield potential in future climates. Bambara groundnut shows positive yield potential at temperatures of up to 31degC, with further warming pushing yields down. Thus, many regions in Southern Africa can utilize Bambara groundnut successfully in the coming decades. This modelling exercise supports decisions on genotypic suitability for present and future climates at specific locations.

  15. Availability and affordability of antimalarial and antibiotic medicines in Malawi

    PubMed Central

    Khuluza, Felix

    2017-01-01

    Background Availability and affordability of medicines are key determinants of universal health coverage, yet achieving them presents a major challenge especially in low-income countries. We here present an analysis of availability and prices of antimalarial and antibiotic medicines in public, faith-based and private health facilities in Malawi. Medicines are provided free of charge in the public health care system of Malawi. In contrast, facilities of the Christian Health Association of Malawi (CHAM) usually charge their patients for medicines, as do private for-profit facilities. Methods As part of a study on medicine quality, samples of six antimalarial and six antibiotic medicines were collected in 31 health facilities in four districts of southern Malawi. These included 15 public facilities (i.e. health centres, district hospitals and central hospitals), eight CHAM and eight private facilities. Random selection was used in choosing the included health facilities. The availability of medicines was recorded, including the number of units which could be collected of each medicine, as well as the prices of medicines which were charged in CHAM and private facilities. These data were analyzed using the standard methodology developed by the World Health Organization (WHO) and Health Action International (HAI). Results Availability of the antimalarials artemether/lumefantrine and sulfadoxine/pyrimethamine, which are provided with financial support from international donors, was high in public and CHAM facilities (93% and 100%, respectively). However, availability of antibiotics was much lower (e.g. 40% availability of amoxicillin tablets/capsules in public health centres). Medicine prices were lower than reported from many other countries. The median price ratio (MPR) to a wholesale international procurement price was 2.8 in CHAM facilities and even lower in the private sector (MPR 2.3). Nevertheless, for 10 of the 12 investigated medicines the cost for one course of

  16. The Impact of International Teacher Migration on Schooling in Developing Countries--The Case of Southern Africa

    ERIC Educational Resources Information Center

    Appleton, Simon; Sives, Amanda; Morgan, W. John

    2006-01-01

    Whilst the migration of teachers has been a phenomenon for hundreds of years, the advent of "globalisation" has seen such migration return to prominence. This article focuses on the experiences of two developing countries in Southern Africa which have been on different ends of the process: South Africa as a net sender of teachers and…

  17. Delivering Lifelong Learning for Sustainable Development in Southern Africa: Problems and Prospects

    ERIC Educational Resources Information Center

    Maruatona, Tonic L.

    2012-01-01

    Southern African Development Community (SADC) nations in principle endorse lifelong learning (LLL) as a useful framework for sustainable development. However, in spite of the rhetoric, only a few member states such as South Africa, Botswana and Namibia have officially endorsed LLL in their educational policies. The sub-region is plagued by social…

  18. Language Choice and Education Quality in Eastern and Southern Africa: A Review

    ERIC Educational Resources Information Center

    Trudell, Barbara

    2016-01-01

    In 2014, UNICEF commissioned a review of language policy and education quality in the 21 countries of UNICEF's Eastern and Southern Africa Region. This paper examines findings from the review, related to the role of English and local languages in current education practice in the region. National language policies and implementation practices are…

  19. Review of Occupational Health and Safety Organization in Expanding Economies: The Case of Southern Africa.

    PubMed

    Moyo, Dingani; Zungu, Muzimkhulu; Kgalamono, Spoponki; Mwila, Chimba D

    2015-01-01

    Globally, access to occupational health and safety (OHS) by workers has remained at very low levels. The organization and implementation of OHS in South Africa, Zimbabwe, Zambia, and Botswana has remained at suboptimal levels. Inadequacy of human resource capital, training, and education in the field of OHS has had a major negative impact on the improvement of worker access to such services in expanding economies. South Africa, Zimbabwe, Zambia, and Botswana have expanding economies with active mining and agricultural activities that pose health and safety risks to the working population. A literature review and country systems inquiry on the organization of OHS services in the 4 countries was carried out. Because of the infancy and underdevelopment of OHS in southern Africa, literature on the status of this topic is limited. In the 4 countries under review, OHS services are a function shared either wholly or partially by 3 ministries, namely Health, Labor, and Mining. Other ministries, such as Environment and Agriculture, carry small fragments of OHS function. The 4 countries are at different stages of OHS legislative frameworks that guide the practice of health and safety in the workplace. Inadequacies in human resource capital and expertise in occupational health and safety are noted major constraints in the implementation and compliance to health and safety initiatives in the work place. South Africa has a more mature system than Zimbabwe, Zambia, and Botswana. Lack of specialized training in occupational health services, such as occupational medicine specialization for physicians, has been a major drawback in Zimbabwe, Zambia, and Botswana. The full adoption and success of OHS systems in Southern Africa remains constrained. Training and education in OHS, especially in occupational medicine, will enhance the development and maturation of occupational health in southern Africa. Capacitating primary health services with basic occupational health knowledge would

  20. History and origin of the HIV-1 subtype C epidemic in South Africa and the greater southern African region

    PubMed Central

    Wilkinson, Eduan; Engelbrecht, Susan; de Oliveira, Tulio

    2015-01-01

    HIV has spread at an alarming rate in South Africa, making it the country with the highest number of HIV infections. Several studies have investigated the histories of HIV-1 subtype C epidemics but none have done so in the context of social and political transformation in southern Africa. There is a need to understand how these processes affects epidemics, as socio-political transformation is a common and on-going process in Africa. Here, we genotyped strains from the start of the epidemic and applied phylodynamic techniques to determine the history of the southern Africa and South African epidemic from longitudinal sampled data. The southern African epidemic’s estimated dates of origin was placed around 1960 (95% HPD 1956–64), while dynamic reconstruction revealed strong growth during the 1970s and 80s. The South African epidemic has a similar origin, caused by multiple introductions from neighbouring countries, and grew exponentially during the 1980s and 90s, coinciding with socio-political changes in South Africa. These findings provide an indication as to when the epidemic started and how it has grown, while the inclusion of sequence data from the start of the epidemic provided better estimates. The epidemic have stabilized in recent years with the expansion of antiretroviral therapy. PMID:26574165

  1. Understanding the earth systems of Malawi: Ecological sustainability, culture, and place-based education

    NASA Astrophysics Data System (ADS)

    Glasson, George E.; Frykholm, Jeffrey A.; Mhango, Ndalapa A.; Phiri, Absalom D.

    2006-07-01

    The purpose of this 2-year study was to investigate Malawian teacher educators' perspectives and dispositions toward teaching about ecological sustainability issues in Malawi, a developing country in sub-Sahara Africa. This study was embedded in a larger theoretical framework of investigating earth systems science through the understanding of nature-knowledge-culture systems from local, place-based perspectives. Specifically, we were interested in learning more about eco-justice issues that are related to environmental degradation in Malawi and the potential role of inquiry-oriented pedagogies in addressing these issues. In a science methods course, the African educators' views on deforestation and teaching about ecological sustainability were explored within the context of the local environment and culture. Teachers participated in inquiry pedagogies designed to promote the sharing of perspectives related to the connections between culture and ecological degradation. Strategies encouraging dialogue and reflection included role-playing, class discussions, curriculum development activities, teaching experiences with children, and field trips to a nature preserve. Data were analyzed from postcolonial and critical pedagogy of place theoretical perspectives to better understand the hybridization of viewpoints influenced by both Western and indigenous science and the political hegemonies that impact sustainable living in Malawi. Findings suggested that the colonial legacy of Malawi continues to impact the ecological sustainability issue of deforestation. Inquiry-oriented pedagogies and connections to indigenous science were embraced by the Malawian educators as a means to involve children in investigation, decision making, and ownership of critical environmental issues.

  2. What can health care professionals in the United Kingdom learn from Malawi?

    PubMed Central

    Neville, Ron; Neville, Jemma

    2009-01-01

    Debate on how resource-rich countries and their health care professionals should help the plight of sub-Saharan Africa appears locked in a mind-set dominated by gloomy statistics and one-way monetary aid. Having established a project to link primary care clinics based on two-way sharing of education rather than one-way aid, our United Kingdom colleagues often ask us: "But what can we learn from Malawi?" A recent fact-finding visit to Malawi helped us clarify some aspects of health care that may be of relevance to health care professionals in the developed world, including the United Kingdom. This commentary article is focused on encouraging debate and discussion as to how we might wish to re-think our relationship with colleagues in other health care environments and consider how we can work together on a theme of two-way shared learning rather than one-way aid. PMID:19327137

  3. From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi

    PubMed Central

    2011-01-01

    Background Only about one-third of eligible HIV/AIDS patients receive anti-retroviral treatment (ART). Decentralizing treatment is crucial to wider and more equitable access, but key obstacles are a shortage of trained healthcare workers (HCW) and challenges integrating HIV/AIDS care with other primary care. This report describes the development of a guideline and training program (PALM PLUS) designed to integrate HIV/AIDS care with other primary care in Malawi. PALM PLUS was adapted from PALSA PLUS, developed in South Africa, and targets middle-cadre HCWs (clinical officers, nurses, and medical assistants). We adapted it to align with Malawi's national treatment protocols, more varied healthcare workforce, and weaker health system infrastructure. Methods/Design The international research team included the developers of the PALSA PLUS program, key Malawi-based team members and personnel from national and district level Ministry of Health (MoH), professional associations, and an international non-governmental organization. The PALSA PLUS guideline was extensively revised based on Malawi national disease-specific guidelines. Advice and input was sought from local clinical experts, including middle-cadre personnel, as well as Malawi MoH personnel and representatives of Malawian professional associations. Results An integrated guideline adapted to Malawian protocols for adults with respiratory conditions, HIV/AIDS, tuberculosis, and other primary care conditions was developed. The training program was adapted to Malawi's health system and district-level supervision structure. PALM PLUS is currently being piloted in a cluster-randomized trial in health centers in Malawi (ISRCTN47805230). Discussion The PALM PLUS guideline and training intervention targets primary care middle-cadre HCWs with the objective of improving HCW satisfaction and retention, and the quality of patient care. Successful adaptations are feasible, even across health systems as different as those of

  4. Serum uric acid concentrations in a Xhosa community in the Transkei of Southern Africa.

    PubMed

    Beighton, P; Daynes, G; Soskolne, C L

    1976-02-01

    Serum uric acid (SUA) concentrations were measured in specimens obtained from 479 respondents aged 15 and over during an epidemiological survey of bone and joint conditions in a tribal Xhosa community living in the Transkei, Southern Africa. Population SUA levels in the Xhosa were significantly lower than those previously observed in South Africa Negro groups in rural and urban environments. This finding agrees with the observations that population SUA concentrations tend to rise with increasing complexity of life style.

  5. HIV and mental illness in Malawi and the neuropsychiatric sequelae of efavirenz.

    PubMed

    Drury, Andrew; Gleadow-Ware, Selena; Gilfillan, Sheila; Ahrens, Jen

    2018-03-01

    Little is published about mental disorders in Malawi, specifically in relation to Human Immunodeficiency Virus (HIV) and it's treatment. Efavirenz is a medication commonly used as part of triple therapy for HIV treatment. Indeed, in 2013, Malawi introduced 5A with Efavirenz as part of it's 1st line treatment for HIV. There exists some literature documenting known psychiatric side effects of Efavirenz, which include anxiety, mood changes, nightmares, psychosis and suicidal ideation. Little is known about what features are most common in the presentation and what factors in the patient and drug which may make this reaction more likely. The aim of this commentary is to review the association between HIV and psychiatric disorder, and consider the neuropsychiatric side-effects of Efavirenz. An evaluative literature review was completed by means of multiple electronic database search as well as an additional manual search to obtain published works identified through the electronic search. Search terms used were: Efavirenz, Acquired Immunodeficiency Syndrome, Africa, Antiretroviral Therapy, Developing Countries, Malawi, Mental Disorders, Public Health, and Psychiatry. This is an important area of study, as potentially large numbers of individuals with HIV are being placed on Efavirenz as first line treatment, yet 60% may experience some form of neuropsychiatric side effects.

  6. Exposure to violence predicts poor educational outcomes in young children in South Africa and Malawi

    PubMed Central

    Sherr, L.; Hensels, I. S.; Skeen, S.; Tomlinson, M.; Roberts, K. J.; Macedo, A.

    2016-01-01

    Background Violence during childhood may affect short and long-term educational factors. There is scant literature on younger children from resource poor settings. Methods This study assessed child violence experiences (harsh punishment and exposure to domestic or community violence) and school enrolment, progress and attendance in children attending community-based organisations in South Africa and Malawi (n=989) at baseline and at 15 months' follow-up, examining differential experience of HIV positive, HIV affected and HIV unaffected children. Results Violence exposure was high: 45.4% experienced some form of psychological violence, 47.8% physical violence, 46.7% domestic violence and 41.8% community violence. Primary school enrolment was 96%. Violence was not associated with school enrolment at baseline but, controlling for baseline, children exposed to psychological violence for discipline were more than ten times less likely to be enrolled at follow-up (OR 0.09; 95% CI 0.01 to 0.57). Harsh discipline was associated with poor school progress. For children HIV positive a detrimental effect of harsh physical discipline was found on school performance (OR 0.10; 95% CI 0.02 to 0.61). Conclusion Violence experiences were associated with a number of educational outcomes, which may have long-term consequences. Community-based organisations may be well placed to address such violence, with a particular emphasis on the challenges faced by children who are HIV positive. PMID:26678567

  7. Low Prevalence of Substandard and Falsified Antimalarial and Antibiotic Medicines in Public and Faith-Based Health Facilities of Southern Malawi

    PubMed Central

    Khuluza, Felix; Kigera, Stephen; Heide, Lutz

    2017-01-01

    Substandard and falsified antimalarial and antibiotic medicines represent a serious problem for public health, especially in low- and middle-income countries. However, information on the prevalence of poor-quality medicines is limited. In the present study, samples of six antimalarial and six antibiotic medicines were collected from 31 health facilities and drug outlets in southern Malawi. Random sampling was used in the selection of health facilities. For sample collection, an overt approach was used in licensed facilities, and a mystery shopper approach in nonlicensed outlets. One hundred and fifty-five samples were analyzed by visual and physical examination and by rapid prescreening tests, that is, disintegration testing and thin-layer chromatography using the GPHF-Minilab. Fifty-six of the samples were analyzed according to pharmacopeial monographs in a World Health Organization-prequalified quality control laboratory. Seven out-of-specification medicines were identified. One sample was classified as falsified, lacking the declared active ingredients, and containing other active ingredients instead. Three samples were classified as substandard with extreme deviations from the pharmacopeial standards, and three further samples as substandard with nonextreme deviations. Of the substandard medicines, three failed in dissolution testing, two in the assay for the content of the active pharmaceutical ingredient, and one failed in both dissolution testing and assay. Six of the seven out-of-specification medicines were from private facilities. Only one out-of-specification medicine was found within the samples from public and faith-based health facilities. Although the observed presence of substandard and falsified medicines in Malawi requires action, their low prevalence in public and faith-based health facilities is encouraging. PMID:28219993

  8. The YES Africa 2011 Symposium: A Key to Developing the Future Geoscience Workforce in Africa

    NASA Astrophysics Data System (ADS)

    Nkhonjera, E.

    2011-12-01

    Africa is facing serious challenges in geoscience education. This has been as a result of absence of or very young/small Earth Science Departments in some universities (e.g., Mauritius, Namibia, Botswana, Swaziland, Malawi): Limited capacity (staff and equipment needed for practicals) to cope with the growing number of students, compounded by brain drain of academic staffs and the fact that current tertiary programmes do not seem to produce graduates suitable for the industry are some of the contributing factors to the challenges, (UNESCO-AEON Report, 2009). As such Earth Science studies in Africa have been one of the career paths that has not been promoted or highly preferred by many students. In January 2011, the YES Network African chapter was launched through the YES Africa 2011 Symposium that took place at the University of Johannesburg South Africa in Conjunction with the 23rd Colloquium of Africa Geology from the 08-14th January 2011. The YES Africa 2011 Symposium was organized by five YES African National networks from Southern, Central, Eastern and Northern Africa to bring young geoscientists from all regions of Africa together to present their research about African geoscience topics. The symposium also included roundtable discussions about increasing the involvement of youth's participation in geoscience issues in Africa, about how to increase the number of youths in African geosciences education university programs, and about how to promote geoscience careers to university students in Africa c. Roundtable discussions revealed that many African colleges and universities do not provide adequate infrastructure and resources to support the students studying in the department. As such, most students graduate with poor preparation for geoscience careers, having gained a theoretical understanding of geology, but not the practical application of the discipline. The recommendations from the YES Africa 2011 Symposium also highlighted on the best ways of

  9. Stars and Seasons in Southern Africa

    NASA Astrophysics Data System (ADS)

    Snedegar, K. V.

    Although the indigenous people of Southern Africa traditionally viewed the sky as a place quite apart from the Earth, they believed celestial phenomena to be natural signs united with those of the Earth in a harmonious synchronicity. There is no substantial evidence that the precolonial Africans imagined a casual relationship between celestial bodies and the seasonal patterns of life on Earth. They did, however, recognize a coincidental relationship. The traditional African cosmos, then, worked as a noetic principle unifying the observed motions of celestial bodies, the sequence of seasons, and the behavior of plants and animals. Such a cosmos, with local peculiarities, was widely understood in Southern Africa before the end of the last century. By the early 20th century European colonial paradigms had largely obliterated this African worldview. This paper will offer a partial reconstruction. Pre-colonial South African people viewed time as a sequence of discrete natural events; through annual repetition these events served as a guide for proper human action. The South Africans analyzed the passage of time in terms of the motions of celestial bodies, the maturation of beneficial plants, and the mating patterns of animals. The rightful course of human life was seen to fit within the seasonal context of these natural phenomena. The visibility of conspicuous stars and asterisms marked significant times of year. For instance, the Lovedu people greeted the dawn rising of Canopus with joy: "The boy has come out." The star was a signal for rainmaking and boys' initiation ceremonies to proceed. The Venda constellation Thutlwa, the giraffes, comprises α and β Crucis and α and β Centauri. In October Thutlwa skims the trees of the evening horizon. The Venda Thutlwa literally means 'rising above the trees,' an allusion to the majestic vegetarian creatures and the stars advising the people to be done with their spring planting. This paper will describe stellar associations

  10. OUTLINE OF VOCATIONAL TRAINING IN MALAWI.

    ERIC Educational Resources Information Center

    Australian Dept. of Labour and National Service, Perth.

    THE 1963 POPULATION OF MALAWI WAS 3,753,000. MALAWI'S ECONOMY IS BASED ON AGRICULTURE. PRIMARY EDUCATION COVERS 8 YEARS AND ENROLLS 98 PERCENT OF THE 380,000 PUPILS IN SCHOOL. TECHNICAL SCHOOLS INCLUDE TRADE- AND TECHNICIAN-ORIENTED PROGRAMS UNDER THE MINISTRY OF EDUCATION. A NEW UNIVERSITY OF MALAWI INCLUDES NO COURSES OF A TECHNICAL NATURE, BUT…

  11. Serum uric acid concentrations in a Xhosa community in the Transkei of Southern Africa.

    PubMed Central

    Beighton, P; Daynes, G; Soskolne, C L

    1976-01-01

    Serum uric acid (SUA) concentrations were measured in specimens obtained from 479 respondents aged 15 and over during an epidemiological survey of bone and joint conditions in a tribal Xhosa community living in the Transkei, Southern Africa. Population SUA levels in the Xhosa were significantly lower than those previously observed in South Africa Negro groups in rural and urban environments. This finding agrees with the observations that population SUA concentrations tend to rise with increasing complexity of life style. PMID:1275585

  12. Integrated climate and land change research to improve decision-making and resource management in Southern Africa: The SASSCAL approach

    NASA Astrophysics Data System (ADS)

    Helmschrot, J.; Olwoch, J. M.

    2017-12-01

    The ability of countries in southern Africa to jointly respond to climate challenges with scientifically informed and evidence-based actions and policy decisions remains low due to limited scientific research capacity and infrastructure. The Southern African Science Service Centre for Climate Change and Adaptive Land Management (SASSCAL; www.sasscal.org) addresses this gap by implementing a high-level framework to guide research and innovation investments in climate change and adaptive land management interventions in Southern Africa. With a strong climate service component as cross-cutting topic, SASSCAL's focus is to improve the understanding of climate and land management change impacts on the natural and socio-economic environment in Southern Africa. The paper presents a variety of SASSCAL driven activities which contribute to better understand climate and long-term environmental change dynamics at various temporal and spatial scales in Southern Afrika and how these activities are linked to support research and decision-making to optimize agricultural practices as well as sustainable environmental and water resources management. To provide consistent and reliable climate information for Southern Africa, SASSCAL offers various climate services ranging from real-time climate observation across the region utilizing the SASSCAL WeatherNet to regional climate change analysis and modelling efforts at seasonal-to-decadal timescales using climate data from various sources. SASSCAL also offers the current state of the environment in terms of recent data on changes in the environment that are necessary for setting appropriate adaptation strategies . The paper will further demonstrate how these services are utilized for interdisciplinary research on the impact of climate change on natural resources and socio-economic development in the SASSCAL countries and how this knowledge can be effectively used to mitigate and adapt to climate change by informed decision-making from

  13. Origin, imports and exports of HIV-1 subtype C in South Africa: A historical perspective.

    PubMed

    Wilkinson, Eduan; Rasmussen, David; Ratmann, Oliver; Stadler, Tanja; Engelbrecht, Susan; de Oliveira, Tulio

    2016-12-01

    While the HIV epidemic in South Africa had a later onset than epidemics in other southern African countries, prevalence grew rapidly during the 1990's when the country was going through socio-political changes with the end of Apartheid. South Africa currently has the largest number of people living with HIV in the world and the epidemic is dominated by a unique subtype, HIV-1 subtype C. This large epidemic is also characterized by high level of genetic diversity. We hypothesize that this diversity is due to multiple introductions of the virus during the period of change. In this paper, we apply novel phylogeographic methods to estimate the number of viral imports and exports from the start of the epidemic to the present. We assembled 11,289 unique subtype C pol sequences from southern Africa. These represent one of the largest sequence datasets ever analyzed in the region. Sequences were stratified based on country of sampling and levels of genetic diversity were estimated for each country. Sequences were aligned and a maximum-likelihood evolutionary tree was inferred. Least-Squares Dating was then used to obtain a dated phylogeny from which we estimated the number of introductions into and exports out of South Africa using parsimony-based ancestral location reconstructions. Our results identified 189 viral introductions into South Africa with the largest number of introductions attributed to Zambia (n=109), Botswana (n=32), Malawi (n=26) and Zimbabwe (n=13). South Africa also exported many viral lineages to its neighbours. The bulk viral imports and exports appear to have occurred between 1985 and 2000, coincident with the period of socio-political transition. The high level of subtype C genetic diversity in South Africa is related to multiple introductions of the virus to the country. While the number of viral imports and exports we identified was highly sensitive to the number of samples included from each country, they mostly clustered around the period of

  14. Southern Africa Validation of NASA's Earth Observing System (SAVE EOS)

    NASA Technical Reports Server (NTRS)

    Privette, Jeffrey L.

    2000-01-01

    Southern Africa Validation of EOS (SAVE) is 4-year, multidisciplinary effort to validate operational and experimental products from Terra-the flagship satellite of NASA's Earth Observing System (EOS). At test sites from Zambia to South Africa, we are measuring soil, vegetation and atmospheric parameters over a range of ecosystems for comparison with products from Terra, Landsat 7, AVHRR and SeaWiFS. The data are also employed to parameterize and improve vegetation process models. Fixed-point and mobile "transect" sampling are used to collect the ground data. These are extrapolated over larger areas with fine-resolution multispectral imagery. We describe the sites, infrastructure, and measurement strategies developed underSAVE, as well as initial results from our participation in the first Intensive Field Campaign of SAFARI 2000. We also describe SAVE's role in the Kalahari Transect Campaign (February/March 2000) in Zambia and Botswana.

  15. Assessment of a climate model to reproduce rainfall variability and extremes over Southern Africa

    NASA Astrophysics Data System (ADS)

    Williams, C. J. R.; Kniveton, D. R.; Layberry, R.

    2010-01-01

    It is increasingly accepted that any possible climate change will not only have an influence on mean climate but may also significantly alter climatic variability. A change in the distribution and magnitude of extreme rainfall events (associated with changing variability), such as droughts or flooding, may have a far greater impact on human and natural systems than a changing mean. This issue is of particular importance for environmentally vulnerable regions such as southern Africa. The sub-continent is considered especially vulnerable to and ill-equipped (in terms of adaptation) for extreme events, due to a number of factors including extensive poverty, famine, disease and political instability. Rainfall variability and the identification of rainfall extremes is a function of scale, so high spatial and temporal resolution data are preferred to identify extreme events and accurately predict future variability. The majority of previous climate model verification studies have compared model output with observational data at monthly timescales. In this research, the assessment of ability of a state of the art climate model to simulate climate at daily timescales is carried out using satellite-derived rainfall data from the Microwave Infrared Rainfall Algorithm (MIRA). This dataset covers the period from 1993 to 2002 and the whole of southern Africa at a spatial resolution of 0.1° longitude/latitude. This paper concentrates primarily on the ability of the model to simulate the spatial and temporal patterns of present-day rainfall variability over southern Africa and is not intended to discuss possible future changes in climate as these have been documented elsewhere. Simulations of current climate from the UK Meteorological Office Hadley Centre's climate model, in both regional and global mode, are firstly compared to the MIRA dataset at daily timescales. Secondly, the ability of the model to reproduce daily rainfall extremes is assessed, again by a comparison with

  16. Explanations for Child Sexual Abuse Given by Convicted Offenders in Malawi: No Evidence for "HIV Cleansing"

    ERIC Educational Resources Information Center

    Mtibo, Charles; Kennedy, Neil; Umar, Eric

    2011-01-01

    Objective: A commonly cited, but unproven reason given for the rise in reported cases of child sexual abuse in Sub-Saharan Africa is the "HIV cleansing myth"--the belief that an HIV infected individual can be cured by having sex with a child virgin. The purpose of this study was to explore in Malawi the reasons given by convicted sex…

  17. Inclusion and Human Rights in Health Policies: Comparative and Benchmarking Analysis of 51 Policies from Malawi, Sudan, South Africa and Namibia

    PubMed Central

    MacLachlan, Malcolm; Amin, Mutamad; Mannan, Hasheem; El Tayeb, Shahla; Bedri, Nafisa; Swartz, Leslie; Munthali, Alister; Van Rooy, Gert; McVeigh, Joanne

    2012-01-01

    While many health services strive to be equitable, accessible and inclusive, peoples’ right to health often goes unrealized, particularly among vulnerable groups. The extent to which health policies explicitly seek to achieve such goals sets the policy context in which services are delivered and evaluated. An analytical framework was developed – EquiFrame – to evaluate 1) the extent to which 21 Core Concepts of human rights were addressed in policy documents, and 2) coverage of 12 Vulnerable Groups who might benefit from such policies. Using this framework, analysis of 51 policies across Malawi, Namibia, South Africa and Sudan, confirmed the relevance of all Core Concepts and Vulnerable Groups. Further, our analysis highlighted some very strong policies, serious shortcomings in others as well as country-specific patterns. If social inclusion and human rights do not underpin policy formation, it is unlikely they will be inculcated in service delivery. EquiFrame facilitates policy analysis and benchmarking, and provides a means for evaluating policy revision and development. PMID:22649488

  18. Stable oxygen and carbon isotope characteristics in speleothems from Southern Africa - how good are they?

    NASA Astrophysics Data System (ADS)

    Holmgren, K.

    2009-04-01

    Much remains to be understood about the interaction between the African climate system, its surrounding ocean-atmosphere climate variability and the global climate system. A better understanding of the regional climate evolution is crucial for understanding global climate dynamics and issues surrounding environmental change throughout Africa and a prerequisite for increasing climate forecasting capabilities for the region. As part of developing this understanding, a longer term perspective that reaches beyond the information available from instrumental records is required. Speleothems are frequently abundant in southern Africa. Quite a few records are now available, reporting significant changes in climate and environmental conditions over longer and shorter time scales. Conclusions are mainly based on the stable isotopic composition of the speleothems. The interpretation of the stable isotope data is, however, not always straight-forward, since many processes contribute to the observed signal in the speleothem and these processes may influence the signal differently at different spatial and temporal scales. For example was the Makapansgat speleothem oxygen isotope record, originally interpreted as being generally determined by shifts in atmospheric circulation pattern (Lee-Thorp et al. 2001, Holmgren et al. 2003), recently challenged and re-interpreted by Partin et al. (2008) to reflect annual rainfall amounts. Historically, less attention has been paid to the stable carbon isotope composition in speleothems. Today, an increasing number of studies demonstrate the potential of stable carbon variations as providing additional information on climate and environment. Measured variations can be a function of the amount of C3 versus C4 vegetation, vegetation cover and soil biological activity, bedrock proportion, rainfall amount and the drip rate. Clearly the multitudes of plausible processes behind the isotopic composition of speleothems in southern Africa (as well as

  19. The impact of education and globalization on sexual and reproductive health: retrospective evidence from eastern and southern Africa.

    PubMed

    Van Stam, Marie-Anne; Michielsen, Kristien; Stroeken, Koen; Zijlstra, Bonne J H

    2014-01-01

    The objective of this study is to qualify the relationship between sexual and reproductive health (SRH) and educational attainment in eastern and southern Africa (ESA). We hypothesize that the regional level of globalization is a moderating factor in the relationship between SRH and educational attainment. Using retrospective data from Kenya, Malawi, Tanzania, and Zambia, the associations between SRH (eight indicators), educational attainment, and globalization were examined using multilevel logistic regression analysis. It was found that the model fit for every SRH outcome indicator increased significantly after including the interaction between globalization and educational attainment, supporting the hypothesis. Depending on the level of globalization, three types of relationships between education and SRH were found: (1) for the indicators "more than four children," "intercourse before 17 years," "first child before 20 years," and "one or more child died" education is risk-decreasing, and the reduction is stronger in more globalized regions; (2) for the indicators "condom use at last intercourse" and "current contraceptive use" education is risk-decreasing, and the reduction is stronger in less globalized regions; (3) for the indicators "HIV positive" and "more than four lifetime sexual partners" education is risk increasing, but only in less globalized regions. In conclusion, these effects are related to three types of access: (1) access to services, (2) access to information, and (3) access to sexual networks. The findings highlight the relevance of globalization when analyzing the association between SRH and education, and the importance of structural factors in the development of effective SRH promotion interventions.

  20. Generating High Resolution Climate Scenarios Through Regional Climate Modelling Over Southern Africa

    NASA Astrophysics Data System (ADS)

    Ndhlovu, G. Z.; Woyessa, Y. E.; Vijayaraghavan, S.

    2017-12-01

    limate change has impacted the global environment and the Continent of Africa, especially Southern Africa, regarded as one of the most vulnerable regions in Africa, has not been spared from these impacts. Global Climate Models (GCMs) with coarse horizontal resolutions of 150-300 km do not provide sufficient details at the local basin scale due to mismatch between the size of river basins and the grid cell of the GCM. This makes it difficult to apply the outputs of GCMs directly to impact studies such as hydrological modelling. This necessitates the use of regional climate modelling at high resolutions that provide detailed information at regional and local scales to study both climate change and its impacts. To this end, an experiment was set up and conducted with PRECIS, a regional climate model, to generate climate scenarios at a high resolution of 25km for the local region in Zambezi River basin of Southern Africa. The major input data used included lateral and surface boundary conditions based on the GCMs. The data is processed, analysed and compared with CORDEX climate change project data generated for Africa. This paper, highlights the major differences of the climate scenarios generated by PRECIS Model and CORDEX Project for Africa and further gives recommendations for further research on generation of climate scenarios. The climatic variables such as precipitation and temperatures have been analysed for flood and droughts in the region. The paper also describes the setting up and running of an experiment using a high-resolution PRECIS model. In addition, a description has been made in running the model and generating the output variables on a sub basin scale. Regional climate modelling which provides information on climate change impact may lead to enhanced understanding of adaptive water resources management. Understanding the regional climate modelling results on sub basin scale is the first step in analysing complex hydrological processes and a basis for

  1. Overcoming constraints to the implementation of water demand management in southern Africa

    NASA Astrophysics Data System (ADS)

    Mwendera, E. J.; Hazelton, D.; Nkhuwa, D.; Robinson, P.; Tjijenda, K.; Chavula, G.

    This paper presents results of a study on water demand management status and overcoming constraints to implementation of water demand management in the southern African region, as part of Phase II of water demand management (WDM) programme implemented by the IUCN (The World Conservation Union). The study was conducted in Malawi, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. The study methodology consisted of a survey of literature, and interviewing and communicating with stakeholders in order to learn from stakeholders on the critical constraints to WDM implementation and strategies to overcome them. The study has shown that, despite the potential savings that would accrue from implementation of WDM, the water sector across the southern African region continues to focus on water supply augmentation. There are inadequate financial and human resources for rehabilitation, operation and maintenance of water conveyance systems resulting in system leaks, which contribute to high levels of unaccounted-for water, a situation that masks the potential benefits of WDM. In most countries, the water sector operates on ad-hoc sub-sector water user objectives, which provided guidelines only for development and management purposes. Most of the institutional frameworks have remained diffuse, resulting into poor performance in the sector, and into crisis management in the water resources development. Though the WDM policy in most countries is already accessible through guidelines for catchment management institutions and water supply institutions; there is a lack of broad commitment to implementing them. In other countries the instruments are relatively new and have not been applied widely. Similarly, the effectiveness of instruments has not been well evaluated in most countries. In countries where policy is weak there is often a lack of clarity as to who is responsible for WDM implementation, and even less clarity on who is responsible for facilitating and monitoring

  2. TYPES OF ALBINISM IN THE BLACK SOUTHERN AFRICA POPULATION.

    PubMed

    Kromberg, J G R; Bothwell, J; Kidson, S H; Manga, P; Kerr, R; Jenkins, T

    2012-01-01

    Oculocutaneous albinism (OCA) is the most common inherited disorder in Southern African blacks and several types have been described. Molecular techniques, where available, can be used to confirm a clinical diagnosis and the type of OCA, if necessary, and for prenatal diagnosis. To investigate and classify the different types of albinism commonly found and to determine the clinical implications for each type. A descriptive survey. Gauteng province, South Africa, and Lesotho. Three groups of subjects with OCA (96 from a genetics clinic, 62 from a dermatology clinic, and 31 from community surveys) from the black African population participated. Subjects underwent clinical and/or dermatological examinations and were then classified according to type of OCA. Four forms of OCA were identified: most (82%) subjects had OCA2 (a tyrosinase- positive type) with three sub-types: those without large freckles (ephelides) on exposed areas (named OCA 2a in this study), those with such freckles (named OCA 2b), and those with brown albinism (BOCA); the remainder had red/rufous albinism, ROCA (OCA 3). The four forms could be distinguished from each other clinically without using molecular genetic testing. The most common types of albinism found in the black population of Southern Africa are OCA2 and OCA3. Given the high prevalence of the disorder, together with the high risk of skin cancer, and the recent persecution of affected individuals in certain East African countries, these findings and their clinical implications have significance in terms of both education and awareness for health professionals and lay people caring for those with albinism.

  3. Malaria research in Malawi from 1984 to 2016: a literature review and bibliometric analysis.

    PubMed

    Mwendera, Chikondi A; de Jager, Christiaan; Longwe, Herbert; Hongoro, Charles; Mutero, Clifford M; Phiri, Kamija S

    2017-06-12

    Malaria research can play a vital role in addressing the malaria burden in Malawi. An organized approach in addressing malaria in Malawi started in 1984 by the establishment of the first National Malaria Control Programme and research was recognized to be significant. This study aimed to assess the type and amount of malaria research conducted in Malawi from 1984 to 2016 and its related source of funding. A systematic literature search was conducted in the Medline/PubMed database for Malawian publications and approved malaria studies from two Ethical Committees were examined. Bibliometric analysis was utilized to capture the affiliations of first and senior/last authors, funding acknowledgements, while titles, abstracts and accessed full text were examined for research type. A total of 483 publications and 165 approved studies were analysed. Clinical and basic research in the fields of malaria in pregnancy 105 (21.5%), severe malaria 97 (20.1%) and vector and/or agent dynamics 69 (14.3%) dominated in the publications while morbidity 33 (20%), severe malaria 28 (17%) and Health Policy and Systems Research 24 (14.5%) dominated in the approved studies. In the publications, 146 (30%) first authors and 100 (21%) senior authors, and 88 (53.3%) principal investigators in approved studies were affiliated to Malawian-based institutions. Most researchers were affiliated to the Malawi-Liverpool Wellcome Trust, College of Medicine, Blantyre Malaria Project, Ministry of Health, and Malaria Alert Centre. The major malaria research funders were the National Institute for Health/USA, Wellcome Trust and the US Agency for International Development. Only three (2.5%) out of 118 journals publishing research on malaria in Malawi were from Africa and the Malaria Journal, with 76 (15.7%) publications, published most of the research from Malawi, followed by the American Journal of Tropical Medicine and Hygiene with 57 (11.8%) in comparison to only 13 (2.7%) published in the local Malawi

  4. Vernonieae (Asteraceae) of southern Africa: A generic disposition of the species and a study of their pollen

    PubMed Central

    Robinson, Harold; Skvarla, John J.; Funk, Vicki A.

    2016-01-01

    Abstract Current and previously included members of the Tribe Vernonieae (Asteraceae) of southern Africa are listed in their presently recognized genera with complete synonymies and keys to genera and species. The genus Vernonia, as presently delimited, does not occur in Africa. Genera of the Vernonieae presently recognized from southern Africa are Baccharoides, Bothriocline, Cyanthillium, Distephanus, Erlangea, Ethulia, Gymnanthemum, Hilliardiella, Oocephala, Orbivestus, Parapolydora, Polydora, Vernonella, Vernoniastrum, plus two genera that are named as new: Namibithamnus and Pseudopegolettia. Twelve new combinations are provided and two species, Vernonia potamiphila and Vernonia collinii Klatt., hom. illeg., remain unplaced because of a lack of material. Pollen types are illustrated including previously recognized types: non-lophate, sublophate, tricolporate lophate, and non-colpate triporate lophate. A type previously unknown in the Asteraceae is described here and in a separate paper for Oocephala and Polydora; a non-colpate pantoporate lophate type with pores not strictly equatorial. PMID:27081344

  5. The Intraplate Earthquakes of SE Africa

    NASA Astrophysics Data System (ADS)

    Fonseca, J. F. B. D.; Domingues, A.

    2014-12-01

    Southeast Africa is a region of complex tectonic inheritance, combining early Archean cratonic blocks - the Zimbabwe and Kaapvaal cratons - and several collision belts ranging in age from ~2.6Ga (Limpopo Belt) to the Pan-African Orogeny, 800-500 Ma ago (Zambezi Belt, Mozambique Belt). Mesozoic rifting was the last tectonic event to leave an imprint in the lithosphere of the region. Tertiary deformation is mild and related to the extensional regime of the East African Rift System (EARS) further north. Instrumental seismology started in Johannesburg in 1910 (Saunders et al., 2008). Ambraseys and Adams (1991) conducted a reappraisal of the seismicity of Sub-Saharan Africa from 1900 to 1930, and the compilations by Krige and Maree (1948) and Gutenberg and F. Richter (1949) are main sources for the two subsequent decades. The available data can be considered complete since 1900 for magnitudes above M6 (Ambraseys and Adams, 1991), although major epicentral errors are likely to affect the early decades. Earthquakes above this threshold in the region to the south of Lake Malawi and to the east of the Okavango Rift are reported in 1919 (MS6.5, NE South Africa), 1932 (MS6.8, Natal Bay), 1940 (MS6.2, SE Mozambique), 1951 (MS6.0, Central Mozambique), 1957 (M6.0, Central Mozambique), again in 1957 (M6.2, Central Mozambique), 1958 (M6.0, Southern Zimbabwe), 1959 (M6.1, Southern Zambia) and 2006 (M7.0, Central Mozambique). The four M>6 earthquakes from 1957 to 1959 configure a cluster in time, followed by a shutdown (at M>6) that was to last nearly five decades. While a coincidence is unlikely, a causal link is challenged by the large spatial scatter of about 500 km. However, the fact that the four earthquakes occurred on the border of the Zimbabwe craton may provide a clue to the mechanism promoting the clustering. We combine these data with recent seismicity results (Fonseca et al., 2014) to discuss possible factors controlling the seismotectonics of the region.

  6. Sensitivity of the atmospheric water cycle to corrections of the sea surface temperature bias over southern Africa in a regional climate model

    NASA Astrophysics Data System (ADS)

    Weber, Torsten; Haensler, Andreas; Jacob, Daniela

    2017-12-01

    Regional climate models (RCMs) have been used to dynamically downscale global climate projections at high spatial and temporal resolution in order to analyse the atmospheric water cycle. In southern Africa, precipitation pattern were strongly affected by the moisture transport from the southeast Atlantic and southwest Indian Ocean and, consequently, by their sea surface temperatures (SSTs). However, global ocean models often have deficiencies in resolving regional to local scale ocean currents, e.g. in ocean areas offshore the South African continent. By downscaling global climate projections using RCMs, the biased SSTs from the global forcing data were introduced to the RCMs and affected the results of regional climate projections. In this work, the impact of the SST bias correction on precipitation, evaporation and moisture transport were analysed over southern Africa. For this analysis, several experiments were conducted with the regional climate model REMO using corrected and uncorrected SSTs. In these experiments, a global MPI-ESM-LR historical simulation was downscaled with the regional climate model REMO to a high spatial resolution of 50 × 50 km2 and of 25 × 25 km2 for southern Africa using a double-nesting method. The results showed a distinct impact of the corrected SST on the moisture transport, the meridional vertical circulation and on the precipitation pattern in southern Africa. Furthermore, it was found that the experiment with the corrected SST led to a reduction of the wet bias over southern Africa and to a better agreement with observations as without SST bias corrections.

  7. Health Selection, Migration, and HIV Infection in Malawi.

    PubMed

    Anglewicz, Philip; VanLandingham, Mark; Manda-Taylor, Lucinda; Kohler, Hans-Peter

    2018-04-27

    Despite its importance in studies of migrant health, selectivity of migrants-also known as migration health selection-has seldom been examined in sub-Saharan Africa (SSA). This neglect is problematic because several features of the context in which migration occurs in SSA-very high levels of HIV, in particular-differ from contextual features in regions that have been studied more thoroughly. To address this important gap, we use longitudinal panel data from Malawi to examine whether migrants differ from nonmigrants in pre-migration health, assessed via SF-12 measures of mental and physical health. In addition to overall health selection, we focus on three more-specific factors that may affect the relationship between migration and health: (1) whether migration health selection differs by destination (rural-rural, rural-town, and rural-urban), (2) whether HIV infection moderates the relationship between migration and health, and (3) whether circular migrants differ in pre-migration health status. We find evidence of the healthy migrant phenomenon in Malawi, where physically healthier individuals are more likely to move. This relationship varies by migration destination, with healthier rural migrants moving to urban and other rural areas. We also find interactions between HIV-infected status and health: HIV-infected women moving to cities are physically healthier than their nonmigrant counterparts.

  8. ROLE OF GRASSROOTS ENVIRONMENTAL LITERACY: The case of water security at Bwaila Secondary School in Malawi

    NASA Astrophysics Data System (ADS)

    Chasukwa Mwalwenje, Yvonne; Chasukwa, Steria

    2015-04-01

    Malawi is popularly known as the Warm Heart of Africa. Malawi has a total land area of 45,747 sq. miles. Of the total area, 80 % is covered by fresh water from Lake Malawi and other rivers. The country boasts that it holds large amounts of fresh water and has the third largest lake in Africa. Ironically, the number of households with reliable water access is low (Water Aid, 2014, UNDP, Human Development Report 2008). Regardless of signs of economic development, water security still remains a challenge in the Warm Heart of Africa. The problem with access to water prompted the Government of Malawi to introduce a National Water Policy in 1994 with the vision of 'Water and Sanitation for All'. Since then, other water access interventions have impacted on the ability to manage water sustainably. Over the past few years, more inclusive and diversified interventions have been put in place to reverse the situation. For instance, the government of Malawi has taken action to increase the number of water tanks in schools (UNICEF 2005). Several stakeholders' support the government in their role provides policy direction and coordinate management of the water sector. The outlined National Water and Sanitation Policy strategies includes promoting water conservation and catchment protection; incorporating local governments and communities in planning, development and management of water supplies and sanitation services; rehabilitating the existing infrastructure; creating an enabling environment for public-private partnerships in water supply and sanitation activities; undertaking rehabilitation and reduction of unaccounted-for-water of existing urban, peri-urban, as a priority; promoting economic incentives and opportunities to encourage the participation of small-scale water and sanitation service providers; and promoting water recycling and re-use. Despite of all these interventions, Malawi still continues to face significant challenges with issues of access and quality of

  9. Evaluation of gridding procedures for air temperature over Southern Africa

    NASA Astrophysics Data System (ADS)

    Eiselt, Kai-Uwe; Kaspar, Frank; Mölg, Thomas; Krähenmann, Stefan; Posada, Rafael; Riede, Jens O.

    2017-06-01

    Africa is considered to be highly vulnerable to climate change, yet the availability of observational data and derived products is limited. As one element of the SASSCAL initiative (Southern African Science Service Centre for Climate Change and Adaptive Land Management), a cooperation of Angola, Botswana, Namibia, Zambia, South Africa and Germany, networks of automatic weather stations have been installed or improved (http://www.sasscalweathernet.org). The increased availability of meteorological observations improves the quality of gridded products for the region. Here we compare interpolation methods for monthly minimum and maximum temperatures which were calculated from hourly measurements. Due to a lack of longterm records we focused on data ranging from September 2014 to August 2016. The best interpolation results have been achieved combining multiple linear regression (elevation, a continentality index and latitude as predictors) with three dimensional inverse distance weighted interpolation.

  10. Climate change and maize yield in southern Africa: what can farm management do?

    PubMed

    Rurinda, Jairos; van Wijk, Mark T; Mapfumo, Paul; Descheemaeker, Katrien; Supit, Iwan; Giller, Ken E

    2015-12-01

    There is concern that food insecurity will increase in southern Africa due to climate change. We quantified the response of maize yield to projected climate change and to three key management options - planting date, fertilizer use and cultivar choice - using the crop simulation model, agricultural production systems simulator (APSIM), at two contrasting sites in Zimbabwe. Three climate periods up to 2100 were selected to cover both near- and long-term climates. Future climate data under two radiative forcing scenarios were generated from five global circulation models. The temperature is projected to increase significantly in Zimbabwe by 2100 with no significant change in mean annual total rainfall. When planting before mid-December with a high fertilizer rate, the simulated average grain yield for all three maize cultivars declined by 13% for the periods 2010-2039 and 2040-2069 and by 20% for 2070-2099 compared with the baseline climate, under low radiative forcing. Larger declines in yield of up to 32% were predicted for 2070-2099 with high radiative forcing. Despite differences in annual rainfall, similar trends in yield changes were observed for the two sites studied, Hwedza and Makoni. The yield response to delay in planting was nonlinear. Fertilizer increased yield significantly under both baseline and future climates. The response of maize to mineral nitrogen decreased with progressing climate change, implying a decrease in the optimal fertilizer rate in the future. Our results suggest that in the near future, improved crop and soil fertility management will remain important for enhanced maize yield. Towards the end of the 21st century, however, none of the farm management options tested in the study can avoid large yield losses in southern Africa due to climate change. There is a need to transform the current cropping systems of southern Africa to offset the negative impacts of climate change. © 2015 John Wiley & Sons Ltd.

  11. Language Policy and Orthographic Harmonization across Linguistic, Ethnic and National Boundaries in Southern Africa

    ERIC Educational Resources Information Center

    Banda, Felix

    2016-01-01

    Drawing on online and daily newspapers, speakers' language and writing practices, official government documents and prescribed spelling systems in Southern Africa, the paper explores the challenges and possibilities of orthographic reforms allowing for mobility across language clusters, ethnicity, regional and national borders. I argue that this…

  12. Exposure to violence predicts poor educational outcomes in young children in South Africa and Malawi.

    PubMed

    Sherr, L; Hensels, I S; Skeen, S; Tomlinson, M; Roberts, K J; Macedo, A

    2016-01-01

    Violence during childhood may affect short and long-term educational factors. There is scant literature on younger children from resource poor settings. This study assessed child violence experiences (harsh punishment and exposure to domestic or community violence) and school enrolment, progress and attendance in children attending community-based organisations in South Africa and Malawi (n=989) at baseline and at 15 months' follow-up, examining differential experience of HIV positive, HIV affected and HIV unaffected children. Violence exposure was high: 45.4% experienced some form of psychological violence, 47.8% physical violence, 46.7% domestic violence and 41.8% community violence. Primary school enrolment was 96%. Violence was not associated with school enrolment at baseline but, controlling for baseline, children exposed to psychological violence for discipline were more than ten times less likely to be enrolled at follow-up (OR 0.09; 95% CI 0.01 to 0.57). Harsh discipline was associated with poor school progress. For children HIV positive a detrimental effect of harsh physical discipline was found on school performance (OR 0.10; 95% CI 0.02 to 0.61). Violence experiences were associated with a number of educational outcomes, which may have long-term consequences. Community-based organisations may be well placed to address such violence, with a particular emphasis on the challenges faced by children who are HIV positive. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

  13. Life on the rocks: Multilocus phylogeography of rock hyrax (Procavia capensis) from southern Africa.

    PubMed

    Maswanganye, K Amanda; Cunningham, Michael J; Bennett, Nigel C; Chimimba, Christian T; Bloomer, Paulette

    2017-09-01

    Understanding the role of geography and climatic cycles in determining patterns of biodiversity is important in comparative and evolutionary biology and conservation. We studied the phylogeographic pattern and historical demography of a rock-dwelling small mammal species from southern Africa, the rock hyrax Procavia capensis capensis. Using a multilocus coalescent approach, we assessed the influence of strong habitat dependence and fluctuating regional climates on genetic diversity. We sequenced a mitochondrial gene (cytochrome b) and two nuclear introns (AP5, PRKC1) supplemented with microsatellite genotyping, in order to assess evolutionary processes over multiple temporal scales. In addition, distribution modelling was used to investigate the current and predicted distribution of the species under different climatic scenarios. Collectively, the data reveal a complex history of isolation followed by secondary contact shaping the current intraspecific diversity. The cyt b sequences confirmed the presence of two previously proposed geographically and genetically distinct lineages distributed across the southern African Great Escarpment and north-western mountain ranges. Molecular dating suggests Miocene divergence of the lineages, yet there are no discernible extrinsic barriers to gene flow. The nuclear markers reveal incomplete lineage sorting or ongoing mixing of the two lineages. Although the microsatellite data lend some support to the presence of two subpopulations, there is weak structuring within and between lineages. These data indicate the presence of gene flow from the northern into the southern parts of the southern African sub-region likely following the secondary contact. The distribution modelling predictably reveal the species' preference for rocky areas, with stable refugia through time in the northern mountain ranges, the Great Escarpment, as well as restricted areas of the Northern Cape Province and the Cape Fold Mountains of South Africa

  14. Evolution of the atmospheric boundary layer in southern West Africa - an overview from the DACCIWA field campaign

    NASA Astrophysics Data System (ADS)

    Kalthoff, Norbert; Lohou, Fabienne; Brooks, Barbara; Jegede, Gbenga; Adler, Bianca; Ajao, Adewale; Ayoola, Muritala; Babić, Karmen; Bessardon, Geoffrey; Delon, Claire; Dione, Cheikh; Handwerker, Jan; Jambert, Corinne; Kohler, Martin; Lothon, Marie; Pedruzo-Bagazgoitia, Xabier; Smith, Victoria; Sunmonu, Lukman; Wieser, Andreas

    2017-04-01

    In southern West Africa, extended low-level stratus clouds form very frequently during night-time and persist long into the following day influencing the diurnal cycle of the atmospheric boundary layer (ABL). During the course of the day, a transition from nocturnal low-level stratus to stratocumulus, cumulus, and sometimes congestus and possibly cumulonimbus clouds is observed. In June and July 2016, a ground-based field campaign took place in southern West Africa within the framework of the Dynamics-aerosol-chemistry-cloud interactions in West Africa (DACCIWA) project with the aim to identify the meteorological controls on the stratus and the evolution of the ABL. During the measurement period, extensive remote sensing and in-situ measurements were performed at three supersites in Kumasi (Ghana), Savè (Benin) and Ile-Ife (Nigeria). We give an overview of the atmospheric conditions during the whole measurement period focusing on the vertical and temporal distribution of the stratus and relevant related atmospheric features.

  15. Diversification of de-agrarianization? Income diversification, labor, and processes of agrarian change in southern and northern Malawi, mid-1930s to mid-1950s.

    PubMed

    Green, Erik

    2008-01-01

    This article investigates the links between market-oriented activities and subsistence production among peasant farmers in the Thyolo and Mzimba districts in Malawi from the mid-1930s to the mid-1950s. The two districts were chosen because of their differences in terms of land-labor ratios, quality of soils, and structure of market engagement. Exploring the different paths of agrarian change in these two districts demonstrates that they were dependent on the structure of market engagement and its effects on the supply and flexibility of labor. African agricultural history is best understood when agricultural systems are viewed in connection to the overall economic activities of rural households. More simply put, the dynamics of agrarian change in rural Africa cannot be understood without linking such changes to the wider economy and their impact on local labor processes.

  16. Temporal and spatial characteristics of annual and seasonal rainfall in Malawi

    NASA Astrophysics Data System (ADS)

    Ngongondo, Cosmo; Xu, Chong-Yu; Gottschalk, Lars; Tallaksen, Lena M.; Alemaw, Berhanu

    2010-05-01

    An understanding of the temporal and spatial characteristics of rainfall is central to water resources planning and management. However, such information is often limited in many developing countries like Malawi. In an effort to bridge the information gap, this study examined the temporal and spatial charecteristics of rainfall in Malawi. Rainfall readings from 42 stations across Malawi from 1960 to 2006 were analysed at monthly, annual and seasonal scales. The Malawian rainfall season lasts from November to April. The data were firstly subjected to quality checks through the cumulative deviations test and the Standard Normal Homogeinity Test (SNHT). Monthly distribution in a typical year, called heterogeneity, was investigated using the Precipitation Concentration Index (PCI). Further, normalized precipitation anomaly series of annual rainfall series (AR) and the PCI (APCI) were used to test for interannual rainfall variability. Spatial variability was characterised by fitting the Spatial Correlation function (SCF). The nonparametric Mann-Kendall statistic was used to investigate the temporal trends of the various rainfall variables. The results showed that 40 of the stations passed both data quality tests. For the two stations that failed, the data were adjusted using nearby stations. Annual and seasonal rainfall were found to be characterised by high spatial variation. The country mean annual rainfall was 1095 mm with mean interannual variability of 26%. The highland areas to the north and southeast of the country exhibited the highest rainfall and lowest interannual variability. Lowest rainfall coupled with high interannual variability was found in the Lower Shire basin, in the southern part of Malawi. This simillarity is the pattern of annual and seasonal rainfall should be expected because all stations had over 90% of their observed annual rainfall in the six month period between November and April. Monthly rainfall was found to be highly variable both

  17. THE WEIGHT OF SUCCESS: THE BODY MASS INDEX AND ECONOMIC WELL-BEING IN SOUTHERN AFRICA.

    PubMed

    Wittenberg, Martin

    2013-10-01

    We show that body mass increases with economic resources among most Southern Africans, although not all. Among Black South Africans the relationship is non-decreasing over virtually the entire range of incomes/wealth. Furthermore in this group other measures of "success" (e.g., employment and education) are also associated with increases in body mass. This is true in both 1998 (the Demographic and Health Survey) and 2008 (National Income Dynamics Survey). A similar relationship holds among residents of Lesotho, Swaziland, Mozambique, Malawi, and Namibia. This suggests that body mass can be used as a crude measure of well-being. This allows us to examine the vexed question in South African labor economics whether there is involuntary unemployment. The fact that the unemployed are lighter than the employed, even when we control for household fixed effects, suggests that they are not choosing this state.

  18. Task sharing within a managed clinical network to improve child health in Malawi.

    PubMed

    O'Hare, Bernadette; Phiri, Ajib; Lang, Hans-Joerg; Friesen, Hanny; Kennedy, Neil; Kawaza, Kondwani; Jana, Collins E; Chirambo, George; Mulwafu, Wakisa; Heikens, Geert T; Mipando, Mwapatsa

    2015-07-21

    indicators. Data from different districts will be compared at baseline and annually until 2020 as the specialists of both cadres take up posts. If a managed clinical network improves child healthcare in Malawi, it may be a potential model for the other countries in sub-Saharan Africa with similar cadres in their healthcare system and face similar challenges in terms of scarcity of specialists.

  19. ADULT EDUCATION IN AFRICA. CURRENT INFORMATION SOURCES, NUMBER 12.

    ERIC Educational Resources Information Center

    Syracuse Univ., NY. ERIC Clearinghouse on Adult Education.

    TWENTY-THREE ABSTRACTS AND ANNOTATIONS OF RECENT (1962-67) PUBLICATIONS ON ADULT EDUCATION IN AFRICA ARE PROVIDED IN THIS BIBLIOGRAPHY. EDUCATIONAL NEEDS AND POLICIES AND SPECIFIC NATIONAL AND INSTITUTIONAL PROGRAMS IN ETHIOPIA, TANZANIA, KENYA, MALAWI, ZAMBIA, RHODESIA, AND NIGERIA ARE FEATURED, WITH COMMUNITY AND RURAL DEVELOPMENT, MANPOWER…

  20. Rainfall variability over southern Africa: an overview of current research using satellite and climate model data

    NASA Astrophysics Data System (ADS)

    Williams, C.; Kniveton, D.; Layberry, R.

    2009-04-01

    It is increasingly accepted that any possible climate change will not only have an influence on mean climate but may also significantly alter climatic variability. A change in the distribution and magnitude of extreme rainfall events (associated with changing variability), such as droughts or flooding, may have a far greater impact on human and natural systems than a changing mean. This issue is of particular importance for environmentally vulnerable regions such as southern Africa. The subcontinent is considered especially vulnerable to and ill-equipped (in terms of adaptation) for extreme events, due to a number of factors including extensive poverty, famine, disease and political instability. Rainfall variability is a function of scale, so high spatial and temporal resolution data are preferred to identify extreme events and accurately predict future variability. In this research, satellite-derived rainfall data are used as a basis for undertaking model experiments using a state-of-the-art climate model, run at both high and low spatial resolution. Once the model's ability to reproduce extremes has been assessed, idealised regions of sea surface temperature (SST) anomalies are used to force the model, with the overall aim of investigating the ways in which SST anomalies influence rainfall extremes over southern Africa. In this paper, a brief overview is given of the authors' research to date, pertaining to southern African rainfall. This covers (i) a description of present-day rainfall variability over southern Africa; (ii) a comparison of model simulated daily rainfall with the satellite-derived dataset; (iii) results from sensitivity testing of the model's domain size; and (iv) results from the idealised SST experiments.

  1. Conservation of indigenous cattle genetic resources in Southern Africa’s smallholder areas: turning threats into opportunities — A review

    PubMed Central

    Nyamushamba, G. B.; Mapiye, C.; Tada, O.; Halimani, T. E.; Muchenje, V.

    2017-01-01

    The current review focuses on characterization and conservation efforts vital for the development of breeding programmes for indigenous beef cattle genetic resources in Southern Africa. Indigenous African cattle breeds were identified and characterized using information from refereed journals, conference papers and research reports. Results of this current review reviewed that smallholder beef cattle production in Southern Africa is extensive and dominated by indigenous beef cattle strains adaptable to the local environment. The breeds include Nguni, Mashona, Tuli, Malawi Zebu, Bovino de Tete, Angoni, Landim, Barotse, Twsana and Ankole. These breeds have important functions ranging from provision of food and income to socio-economic, cultural and ecological roles. They also have adaptive traits ranging from drought tolerant, resistance to ticks and tick borne diseases, heat tolerance and resistance to trypanosomosis. Stakeholders in the conservation of beef cattle were also identified and they included farmers, national government, research institutes and universities as well as breeding companies and societies in Southern Africa. Research efforts made to evaluate threats and opportunities of indigenous beef cattle production systems, assess the contribution of indigenous cattle to household food security and income, genetically and phenotypically characterize and conserve indigenous breeds, and develop breeding programs for smallholder beef production are highlighted. Although smallholder beef cattle production in the smallholder farming systems contributes substantially to household food security and income, their productivity is hindered by several constraints that include high prevalence of diseases and parasites, limited feed availability and poor marketing. The majority of the African cattle populations remain largely uncharacterized although most of the indigenous cattle breeds have been identified. PMID:27004814

  2. Of Drama, Dreams and Desire: Creative Approaches to Applied Sex Education in Southern Africa

    ERIC Educational Resources Information Center

    Casale, Marisa; Hanass-Hancock, Jill

    2011-01-01

    In the midst of a generalised HIV and AIDS epidemic in southern Africa, the argument for more coordinated and comprehensive youth sexual health interventions is intensifying. Yet the crucial question of "how best" to provide young people with these skills and knowledge remains a key challenge for policy-makers, researchers and…

  3. Rapid population growth. Effects on the social infrastructures of southern Africa.

    PubMed

    Smith, J D

    1995-01-01

    Southern Africa's high rate of population growth and widespread poverty have serious implications for the region's social infrastructure. Large increases in the school-age population have undermined efforts to improve the quality of education since all resources are directed toward expansion of availability. To achieve a teacher-pupil ratio of 1:40 at the primary level and 1:35 at the secondary level, an estimated additional 50,000 classrooms would be required. Also jeopardized by high fertility is access to health services, safe water, and sanitation. In Mozambique, for example, where only 30% of the population has access to health services, the under-five years mortality rate is 297/1000 live births and the physician-population ratio is 1:37,970. Substandard housing, homelessness, congestion, deteriorating public services, pollution, and crime dominate urban areas. The single most effective intervention to reduce population growth in Southern Africa is female education. Women without a secondary education bear an average of seven children; if 40% of women attend secondary school, this drops to three children. Thus, governments must make gender equality a central focus of development planning and ensure that women are participants in this process. Property and inheritance laws that serve to increase the economic need for early marriage should be eliminated. Public health programs, including family planning, must be expanded. Finally, women's organizations should be strengthened and urged to foster female empowerment.

  4. Epidemiologic and Environmental Risk Factors of Rift Valley Fever in Southern Africa from 2008 to 2011.

    PubMed

    Glancey, Margaret M; Anyamba, Assaf; Linthicum, Kenneth J

    2015-08-01

    Rift Valley fever (RVF) outbreaks have been associated with periods of widespread and above-normal rainfall over several months. Knowledge on the environmental factors influencing disease transmission dynamics has provided the basis for developing models to predict RVF outbreaks in Africa. From 2008 to 2011, South Africa experienced the worst wave of RVF outbreaks in almost 40 years. We investigated rainfall-associated environmental factors in southern Africa preceding these outbreaks. RVF epizootic records obtained from the World Animal Health Information Database (WAHID), documenting livestock species affected, location, and time, were analyzed. Environmental variables including rainfall and satellite-derived normalized difference vegetation index (NDVI) data were collected and assessed in outbreak regions to understand the underlying drivers of the outbreaks. The predominant domestic vertebrate species affected in 2008 and 2009 were cattle, when outbreaks were concentrated in the eastern provinces of South Africa. In 2010 and 2011, outbreaks occurred in the interior and southern provinces affecting over 16,000 sheep. The highest number of cases occurred between January and April but epidemics occurred in different regions every year, moving from the northeast of South Africa toward the southwest with each progressing year. The outbreaks showed a pattern of increased rainfall preceding epizootics ranging from 9 to 152 days; however, NDVI and rainfall were less correlated with the start of the outbreaks than has been observed in eastern Africa. Analyses of the multiyear RVF outbreaks of 2008 to 2011 in South Africa indicated that rainfall, NDVI, and other environmental and geographical factors, such as land use, drainage, and topography, play a role in disease emergence. Current and future investigations into these factors will be able to contribute to improving spatial accuracy of models to map risk areas, allowing adequate time for preparation and prevention

  5. Health systems challenges in cervical cancer prevention program in Malawi.

    PubMed

    Maseko, Fresier C; Chirwa, Maureen L; Muula, Adamson S

    2015-01-01

    Cervical cancer remains the leading cause of cancer death among women in sub-Saharan Africa. In Malawi, very few women have undergone screening and the incidence of cervical cancer is on the increase as is the case in most developing countries. We aimed at exploring and documenting health system gaps responsible for the poor performance of the cervical cancer prevention program in Malawi. The study was carried out in 14 randomly selected districts of the 29 districts of Malawi. All cervical cancer service providers in these districts were invited to participate. Two semi-structured questionnaires were used, one for the district cervical cancer coordinators and the other for the service providers. The themes of both questionnaires were based on World Health Organization (WHO) health system frameworks. A checklist was also developed to audit medical supplies and equipment in the cervical cancer screening facilities. The two questionnaires together with the medical supplies and equipment checklist were piloted in Chikwawa district before being used as data collection tools in the study. Quantitative data were analyzed using STATA and qualitative in NVIVO. Forty-one service providers from 21 health facilities and 9 district coordinators participated in the study. Our findings show numerous health system challenges mainly in areas of health workforce and essential medical products and technologies. Seven out of the 21 health facilities provided both screening and treatment. RESULTS showed challenges in the management of the cervical cancer program at district level; inadequate service providers who are poorly supervised; lack of basic equipment and stock-outs of basic medical supplies in some health facilities; and inadequate funding of the program. In most of the health facilities, services providers were not aware of the policy which govern their work and that they did not have standards and guidelines for cervical cancer screening and treatment. Numerous health

  6. Viral Suppression and HIV Drug Resistance at 6 Months Among Women in Malawi's Option B+ Program: Results From the PURE Malawi Study.

    PubMed

    Hosseinipour, Mina; Nelson, Julie A E; Trapence, Clement; Rutstein, Sarah E; Kasende, Florence; Kayoyo, Virginia; Kaunda-Khangamwa, Blessings; Compliment, Kara; Stanley, Christopher; Cataldo, Fabian; van Lettow, Monique; Rosenberg, Nora E; Tweya, Hannock; Gugsa, Salem; Sampathkumar, Veena; Schouten, Erik; Eliya, Michael; Chimbwandira, Frank; Chiwaula, Levison; Kapito-Tembo, Atupele; Phiri, Sam

    2017-06-01

    In 2011, Malawi launched Option B+, a program of universal antiretroviral therapy (ART) treatment for pregnant and lactating women to optimize maternal health and prevent pediatric HIV infection. For optimal outcomes, women need to achieve HIVRNA suppression. We report 6-month HIVRNA suppression and HIV drug resistance in the PURE study. PURE study was a cluster-randomized controlled trial evaluating 3 strategies for promoting uptake and retention; arm 1: Standard of Care, arm 2: Facility Peer Support, and arm 3: Community Peer support. Pregnant and breastfeeding mothers were enrolled and followed according to Malawi ART guidelines. Dried blood spots for HIVRNA testing were collected at 6 months. Samples with ART failure (HIVRNA ≥1000 copies/ml) had resistance testing. We calculated odds ratios for ART failure using generalized estimating equations with a logit link and binomial distribution. We enrolled 1269 women across 21 sites in Southern and Central Malawi. Most enrolled while pregnant (86%) and were WHO stage 1 (95%). At 6 months, 950/1269 (75%) were retained; 833/950 (88%) had HIVRNA testing conducted, and 699/833 (84%) were suppressed. Among those with HIVRNA ≥1000 copies/ml with successful amplification (N = 55, 41% of all viral loads > 1000 copies/ml), confirmed HIV resistance was found in 35% (19/55), primarily to the nonnucleoside reverse transcriptase inhibitor class of drugs. ART failure was associated with treatment default but not study arm, age, WHO stage, or breastfeeding status. Virologic suppression at 6 months was <90% target, but the observed confirmed resistance rates suggest that adherence support should be the primary approach for early failure in option B+.

  7. IMMUNISATION TRAINING NEEDS IN MALAWI.

    PubMed

    Tsega, A Y; Hausi, H T; Steinglass, R; Chirwa, G Z

    2014-09-01

    The Malawi Ministry of Health (MOH) and its immunisation partners conducted a training needs assessment in May 2013 to assess the current status of immunisation training programmemes in health training institutions, to identify unmet training needs, and to recommend possible solutions for training of health workers on a regular basis. A cross-sectional, descriptive study. Health training institutions in Malawi, a developing country that does not regularly update its curricula to include new vaccines and management tools, nor train healthcare workers on a regular basis. Researchers interviewed Malawi's central immunisation manager, three zonal immunisation officers, six district officers, 12 health facility immunisation coordinators, and eight principals of training institutions. All health training institutions in Malawi include immunisation in their preservice training curricula. However, the curriculum is not regularly updated; thus, the graduates are not well equipped to provide quality services. In addition, the duration of the training curriculum is inadequate, and in-service training sessions for managers and service providers are conducted only on an ad hoc basis. All levels of Malawi's health system have not met sufficient training needs for providing immunisations, and the health training institutions teach their students with outdated materials. It is recommended that the training institutions update their training curricula regularly and the service providers are trained on a regular basis.

  8. Global leaf companies control the tobacco market in Malawi.

    PubMed

    Otañez, Marty G; Mamudu, Hadii; Glantz, Stanton A

    2007-08-01

    To examine the influence of US-based tobacco leaf-buying companies, Universal Corporation and Alliance One International, on Malawi's economy and trade policy in 2000-6. Analyses of ethnographic data and tobacco industry documents. Universal Corporation and Alliance One International, through their subsidiary companies Limbe Leaf and Alliance One, respectively, in Malawi, control policy-making advisory groups and operate a tobacco cartel to influence Malawi's economic and trade sectors. Limbe Leaf's corporate secretary and lawyer is a member of several policy-making committees that advise the Malawi government on tobacco-related trade policy. The corporate representative's presence prevents other committee members from taking positions against the tobacco industry and ensures government policy that advances industry interests to obtain low-cost tobacco. The World Bank and Malawi's Anti-corruption Bureau report allegations of collusion between Limbe Leaf and Alliance One over prices at tobacco markets. Allegations of collusion between Limbe Leaf and Alliance One prompted Malawi President Bingu Mutharika in 2006 to warn the companies to end non-competitive practices or leave the country, but there was no meaningful follow-up action. Findings from interviews with small-scale tobacco traders in Malawi suggest that Universal and Alliance One International purchase smuggled raw tobacco from the neighbouring countries, Zambia and Mozambique, undermining growers' efforts to benefit from tobacco farming in Malawi. These actions restrict competition, depress tobacco prices for Malawi's farmers and contribute to poverty in Malawi, while keeping the country dependent on tobacco growing.

  9. Multimillion-Year Evolution of a Sublacustrine Fan System: Source-to-Sink History of the South Rukuru and Ruhuhu River Drainages, Lake Malawi (Nyasa) Rift, East Africa

    NASA Astrophysics Data System (ADS)

    Scholz, C. A.; Shillington, D. J.; McCartney, T.

    2017-12-01

    The development of long-lived continental rifts can be markedly influenced by surface processes, including sediment input and footwall erosion. This occurs through modifying crustal thickness and loading, as well as by influencing behaviors of individual faults. Here we report on the evolution of a long-lived system of sublacustrine fans in the Central Basin of the Lake Malawi (Nyasa) rift, East Africa. An extensive suite of crustal-scale seismic reflection data was acquired in 2015 as part of the SEGMeNT project, which resulted superb images of the syn-rift section. These data are augmented by legacy single-channel high resolution reflection data that provide detailed information on facies geometries and stacking architecture of the deep-water fan systems. The ages and lithologic character of the stratal surfaces observed in the reflection seismic data are constrained by ties to the 2005 scientific drill cores acquired during the Lake Malawi Scientific Drilling Project. The South Rukuru River is an eastward flowing regional drainage (11,900 km2) that enters Lake Malawi through an incision in the western border fault of the rift's Central Basin. The Rukuru River drainage (17,230 km2) enters the eastern side of the lake at an accommodation zone margin between the North and Central Basins. Both are antecedent drainages that prior to rifting may have delivered sediments to the Indian Ocean continental margin. Both systems now deliver sediment to a highly confined and focused depocenter in the Central Basin. The complex interplay of extension, mainly on the border fault systems, and high-frequency and high-amplitude lake levels shifts, has led to unique coarse sediment facies stacking architectures, with vertical stacking controlled by hydroclimate, and lateral positioning localized by fault behavior. Focused deep-water (700 m) deposition has resulted in overpressure within the sedimentary section in the localized depocenter, producing dramatic mud diapirs. Long

  10. From Lake Malawi Drilling: East African Climate May Have Caused Major Evolutionary Turnover in Mammalian Species During MIS 14

    NASA Astrophysics Data System (ADS)

    Johnson, Thomas; Werne, Josef

    2016-04-01

    Hominin evolution underwent important changes in the last 1.3 million years, including the extinction of Paranthropus at about 1.2 Ma, leaving Homo as the sole hominin genus. Our genus experienced a major increase in cranial capacity at about 500 ka, and our species, H. sapiens, first appeared at ~200 ka. There was a major turnover in mammalian species in East Africa between 540 and 400 ka, favoring descendants of smaller size and less specialized diet. An understanding of what drove evolution in these directions is fundamental to understanding the development of modern H. sapiens. Climate certainly played a role, for it is the principal factor that influences the distribution of vegetation and habitability on the landscape. We present a 1.3 million year record of temperature and hydroclimate in the basin of Lake Malawi, the second deepest lake in Africa, derived from a 380 m sediment sequence taken from a water depth of 590 m by the Lake Malawi Drilling Project. Seismic reflection profiles used to select the site portray an undisturbed sedimentary section that was not impacted by erosion, turbidity currents or mass wasting events. Sediment samples were analyzed to produce records of temperature (TEX86) and aridity (Ca content and leaf wax δ13C). The temperature record displays progressively larger amplitude glacial-interglacial variations from MIS 13 (~500 ka) to MIS 5 (~125 ka). Intervals of low Ca abundance, which reflect lake high stands, correlate with times of depleted δ13Cwax and relatively warm temperatures. The Malawi basin experienced warm, wet interglacials and cooler (by about 2 - 4°C), dry glacial periods, with roughly a 100 ky periodicity since the Mid-Pleistocene Transition (MPT), about 900 ka. The paleoclimate record from Lake Malawi sediments portrays a transition from a highly variable and predominantly arid climate prior to 900 ka to a progressively more humid environment after the MPT dominated by 100 ky cycles consisting of warm, wet

  11. The archaeological evidence for the appearance of pastoralism and farming in southern Africa

    PubMed Central

    2018-01-01

    This paper is a response to the growing reference to archaeological evidence by linguists and geneticists interested in the spread of early farmers and pastoralists in southern Africa. It presents two databases. The first contains the archaeological evidence for pastoralism and farming in southern Africa, for the period 550 BC to AD 1050. This is the first time that the seven different types of archaeological evidence that have traditionally been used to identify both spread events are presented together at this scale. This was stimulated by our interest in investigating the antiquity of an early ‘Iron Age package’ relative to the spread of single archaeological traits. The analysis shows that the package appears approximately 700 years after sites containing pottery, cattle and sheep, without agriculture, appear in the drier parts of the sub-continent. It post-dates the appearance of earlier sites with pottery associated with farmers, metal-working and cultivation in the eastern half of the sub-continent. While poor preservation undoubtedly explains the absence of some parts of the package, the analysis suggests that other explanations should be considered. The second database is a quantitative, spatial study of archaeological publications on southern African farming and pastoralism for the period 1950 to 2016, covering the same geographical area and archaeological timeframe. This is presented as a proxy for research-intensive areas in attempt to show the gaps in archaeological fieldwork and knowledge. PMID:29902271

  12. Aircraft-based investigation of Dynamics-Aerosol-Chemistry-Cloud Interactions in Southern West Africa

    NASA Astrophysics Data System (ADS)

    Flamant, Cyrille

    2017-04-01

    The EU-funded project DACCIWA (Dynamics-Aerosol-Chemistry-Cloud Interactions in West Africa, http://www.dacciwa.eu) is investigating the relationship between weather, climate and air pollution in southern West Africa. The air over the coastal region of West Africa is a unique mixture of natural and anthropogenic gases, liquids and particles, emitted in an environment, in which multi-layer cloud decks frequently form. These exert a large influence on the local weather and climate, mainly due to their impact on radiation, the surface energy balance and thus the diurnal cycle of the atmospheric boundary layer. The main objective for the aircraft detachment was to build robust statistics of cloud properties in southern West Africa in different chemical landscapes to investigate the physical processes involved in their life cycle in such a complex chemical environment. As part of the DACCIWA field campaigns, three European aircraft (the German DLR Falcon 20, the French SAFIRE ATR 42 and the British BAS Twin Otter) conducted a total of 50 research flights across Ivory Coast, Ghana, Togo, and Benin from 27 June to 16 July 2016 for a total of 155 flight hours, including hours sponsored through 3 EUFAR projects. The aircraft were used in different ways based on their strengths, but all three had comparable instrumentation with the the capability to do gas-phase chemistry, aerosol and clouds, thereby generating a rich dataset of atmospheric conditions across the region. Eight types of flight objectives were conducted to achieve the goals of the DACCIWA: (i) Stratus clouds, (ii) Land-sea breeze clouds, (iii) Mid-level clouds, (iv) Biogenic emission, (v) City emissions, (vi) Flaring and ship emissions, (vii) Dust and biomass burning aerosols, and (viii) air-sea interactions. An overview of the DACCIWA aircraft campaign as well as first highlights from the airborne observations will be presented.

  13. Attitudes towards mental illness in Malawi: a cross-sectional survey

    PubMed Central

    2012-01-01

    Background Stigma and discrimination associated with mental illness are strongly linked to suffering, disability and poverty. In order to protect the rights of those with mental disorders and to sensitively develop services, it is vital to gain a more accurate understanding of the frequency and nature of stigma against people with mental illness. Little research about this issue has been conducted in Sub- Saharan Africa. Our study aimed to describe levels of stigma in Malawi. Methods A cross-sectional survey of patients and carers attending mental health and non-mental health related clinics in a general hospital in Blantyre, Malawi. Participants were interviewed using an adapted version of the questionnaire developed for the “World Psychiatric Association Program to Reduce Stigma and Discrimination Because of Schizophrenia”. Results 210 participants participated in our study. Most attributed mental disorder to alcohol and illicit drug abuse (95.7%). This was closely followed by brain disease (92.8%), spirit possession (82.8%) and psychological trauma (76.1%). There were some associations found between demographic variables and single question responses, however no consistent trends were observed in stigmatising beliefs. These results should be interpreted with caution and in the context of existing research. Contrary to the international literature, having direct personal experience of mental illness seemed to have no positive effect on stigmatising beliefs in our sample. Conclusions Our study contributes to an emerging picture that individuals in Sub-Saharan Africa most commonly attribute mental illness to alcohol/ illicit drug use and spirit possession. Our work adds weight to the argument that stigma towards mental illness is an important global health and human rights issue. PMID:22823941

  14. Cholera outbreaks in Malawi in 1998-2012: social and cultural challenges in prevention and control.

    PubMed

    Msyamboza, Kelias Phiri; Kagoli, Mathew; M'bang'ombe, Maurice; Chipeta, Sikhona; Masuku, Humphrey Dzanjo

    2014-06-11

    Cholera still remains a significant cause of morbidity and mortality in developing countries, although comprehensive surveillance data to inform policy and strategies are scarce. A desk review of the national cholera database and zonal and districts reports was conducted. Interviews were conducted with district health management teams, health workers, and participants in communities in six districts affected by cholera in 2011/2012 to obtain data on water, sanitation, and sociocultural issues. From 1998 to 2012, cholera outbreaks occurred every year in Malawi, with the highest number of cases and deaths reported in 2001/2002 (33,546 cases, 968 deaths; case fatality rate [CFR] 2.3%). In 2011/2012, cholera outbreak was widespread in the southern region, affecting 10 out of 13 districts, where 1,806 cases and 38 deaths (CFR 2.1%) were reported. Unsafe water sources, lack of maintenance of broken boreholes, frequent breakdown of piped water supply, low coverage of pit latrines (range 40%-60%), lack of hand washing facilities (< 5%), salty borehole water, fishermen staying on Lake Chilwa, cross-border Malawi-Mozambique disease spread, and sociocultural issues were some of the causes of the persistent cholera outbreaks in Malawi. Despite improvements in safe drinking water and sanitation, cholera is still a major public health problem. Introduction of a community-led total sanitation approach, use of social and cultural information in community mobilization strategies, and introduction of an oral cholera vaccine could help to eliminate cholera in Malawi.

  15. Mantle P wave travel time tomography of Eastern and Southern Africa: New images of mantle upwellings

    NASA Astrophysics Data System (ADS)

    Benoit, M. H.; Li, C.; van der Hilst, R.

    2006-12-01

    Much of Eastern Africa, including Ethiopia, Kenya, and Tanzania, has undergone extensive tectonism, including rifting, uplift, and volcanism during the Cenozoic. The cause of this tectonism is often attributed to the presence of one or more mantle upwellings, including starting thermal plumes and superplumes. Previous regional seismic studies and global tomographic models show conflicting results regarding the spatial and thermal characteristics of these upwellings. Additionally, there are questions concerning the extent to which the Archean and Proterozoic lithosphere has been altered by possible thermal upwellings in the mantle. To further constrain the mantle structure beneath Southern and Eastern Africa and to investigate the origin of the tectonism in Eastern Africa, we present preliminary results of a large-scale P wave travel time tomographic study of the region. We invert travel time measurements from the EHB database with travel time measurements taken from regional PASSCAL datasets including the Ethiopia Broadband Seismic Experiment (2000-2002); Kenya Broadband Seismic Experiment (2000-2002); Southern Africa Seismic Experiment (1997- 1999); Tanzania Broadband Seismic Experiment (1995-1997), and the Saudi Arabia PASSCAL Experiment (1995-1997). The tomographic inversion uses 3-D sensitivity kernels to combine different datasets and is parameterized with an irregular grid so that high spatial resolution can be obtained in areas of dense data coverage. It uses an adaptive least-squares context using the LSQR method with norm and gradient damping.

  16. THE WEIGHT OF SUCCESS: THE BODY MASS INDEX AND ECONOMIC WELL-BEING IN SOUTHERN AFRICA

    PubMed Central

    Wittenberg, Martin

    2015-01-01

    We show that body mass increases with economic resources among most Southern Africans, although not all. Among Black South Africans the relationship is non-decreasing over virtually the entire range of incomes/wealth. Furthermore in this group other measures of “success” (e.g., employment and education) are also associated with increases in body mass. This is true in both 1998 (the Demographic and Health Survey) and 2008 (National Income Dynamics Survey). A similar relationship holds among residents of Lesotho, Swaziland, Mozambique, Malawi, and Namibia. This suggests that body mass can be used as a crude measure of well-being. This allows us to examine the vexed question in South African labor economics whether there is involuntary unemployment. The fact that the unemployed are lighter than the employed, even when we control for household fixed effects, suggests that they are not choosing this state. PMID:26199456

  17. Global leaf companies control the tobacco market in Malawi

    PubMed Central

    Otañez, Marty G; Mamudu, Hadii; Glantz, Stanton A

    2007-01-01

    Objective To examine the influence of US‐based tobacco leaf‐buying companies, Universal Corporation and Alliance One International, on Malawi's economy and trade policy in 2000–6. Design Analyses of ethnographic data and tobacco industry documents. Results Universal Corporation and Alliance One International, through their subsidiary companies Limbe Leaf and Alliance One, respectively, in Malawi, control policy‐making advisory groups and operate a tobacco cartel to influence Malawi's economic and trade sectors. Limbe Leaf's corporate secretary and lawyer is a member of several policy‐making committees that advise the Malawi government on tobacco‐related trade policy. The corporate representative's presence prevents other committee members from taking positions against the tobacco industry and ensures government policy that advances industry interests to obtain low‐cost tobacco. The World Bank and Malawi's Anti‐corruption Bureau report allegations of collusion between Limbe Leaf and Alliance One over prices at tobacco markets. Allegations of collusion between Limbe Leaf and Alliance One prompted Malawi President Bingu Mutharika in 2006 to warn the companies to end non‐competitive practices or leave the country, but there was no meaningful follow‐up action. Findings from interviews with small‐scale tobacco traders in Malawi suggest that Universal and Alliance One International purchase smuggled raw tobacco from the neighbouring countries, Zambia and Mozambique, undermining growers' efforts to benefit from tobacco farming in Malawi. Conclusion These actions restrict competition, depress tobacco prices for Malawi's farmers and contribute to poverty in Malawi, while keeping the country dependent on tobacco growing. PMID:17652242

  18. Upper mantle velocity structure beneath southern Africa from modeling regional seismic data

    NASA Astrophysics Data System (ADS)

    Zhao, Ming; Langston, Charles A.; Nyblade, Andrew A.; Owens, Thomas J.

    1999-03-01

    The upper mantle seismic velocity structure beneath southern Africa is investigated using travel time and waveform data which come from a large mine tremor in South Africa (mb 5.6) recorded by the Tanzania broadband seismic experiment and by several stations in southern Africa. The waveform data show upper mantle triplications for both the 410- and 670-km discontinuities between distances of 2100 and 3000 km. Auxiliary travel time data along similar profiles obtained from other moderate events are also used. P wave travel times are inverted for velocity structure down to ˜800-km depth using the Wiechert-Herglotz technique, and the resulting model is evaluated by perturbing it at three depth intervals and then testing the perturbed model against the travel time and waveform data. The results indicate a typical upper mantle P wave velocity structure for a shield. P wave velocities from the top of the mantle down to 300-km depth are as much as 3% higher than the global average and are slightly slower than the global average between 300- and 420-km depth. Little evidence is found for a pronounced low-velocity zone in the upper mantle. A high-velocity gradient zone is required above the 410-km discontinuity, but both sharp and smooth 410-km discontinuities are permitted by the data. The 670-km discontinuity is characterized by high-velocity gradients over a depth range of ˜80 km around 660-km depth. Limited S wave travel time data suggest fast S wave velocities above ˜150-km depth. These results suggest that the bouyant support for the African superswell does not reside at shallow depths in the upper mantle.

  19. Parental Bereavement in Young Children Living in South Africa and Malawi: Understanding Mental Health Resilience.

    PubMed

    Macedo, A; Sherr, L; Tomlinson, M; Skeen, S; Roberts, K J

    2018-04-17

    Parental loss is a major stressful event found to increase risk of mental health problems in childhood. Yet, some children show resilient adaptation in the face of adversity across time. This study explores predictors of mental health resilience among parentally bereaved children in South Africa and Malawi, and their cumulative effect. The study also explores whether predictors of resilience differed between orphaned and non-orphaned children. Consecutive attenders of community based organisations (children;4-13 years, and their caregivers) were interviewed at baseline and 15-18 month follow up (n=833). Interviews comprised of inventories on demographic information, family data, child mental health, bereavement experience and community characteristics. Mental health screens were used to operationalise resilience as the absence of symptoms of depression, suicidality, trauma, emotional and behavioural problems. Almost 60% of children experienced parental loss. One quarter of orphaned children showed no mental health problems at either wave and were classified as resilient. There were equal proportions of children classified as resilient within the orphaned (25%) vs. non-orphaned group (22%). Being a quick learner, aiding ill family members, positive caregiving, household employment, higher community support, and lower exposure to domestic violence, physical punishment, or stigma at baseline predicted sustained resilience. There were cumulative influences of resilience predictors among orphaned children. Predictors of resilience did not vary by child age, gender, country of residence or between orphaned and non-orphaned children. This study enhances understanding of resilience in younger children and identifies a number of potential environmental and psychosocial factors for bolstering resilience in orphaned children.

  20. Balancing livestock production and wildlife conservation in and around southern Africa's transfrontier conservation areas.

    PubMed

    Thomson, G R; Penrith, M-L; Atkinson, M W; Atkinson, S J; Cassidy, D; Osofsky, S A

    2013-12-01

    Biodiversity conservation, of which the transfrontier conservation area movement is an integral part, and more effective livestock production/trade are pivotal to future rural development in southern Africa. For that reason, it is imperative to effectively ameliorate the obstacles that have impeded progress towards the coexistence of these two sectors for more than half a century. Transboundary animal diseases, foot and mouth disease in particular, have been and continue to be the most important of these obstacles. Fortunately, new developments in international sanitary standards applicable to trade in commodities and products derived from animals are beginning to make a solution possible. However, while progress in principle has been achieved, practical implementation remains problematic for technical reasons, exacerbated by inconsistent attitudes towards acceptance of non-traditional international trade standards. This paper describes the background to this situation, progress that has been achieved in the recent past and remaining difficulties that need to be overcome to advance towards achievement of balanced rural development in southern Africa. © 2013 Blackwell Verlag GmbH.

  1. Elephantorrhiza elephantina: Traditional Uses, Phytochemistry, and Pharmacology of an Important Medicinal Plant Species in Southern Africa

    PubMed Central

    2017-01-01

    Elephantorrhiza elephantina is used in southern Africa as traditional remedy for a wide range of human diseases and ailments including dermatological diseases, gastrointestinal system disorders, sexual dysfunction, sexually transmitted infections, and wounds. The rhizome decoction of E. elephantina is widely used by small-scale farmers in Botswana and South Africa as ethnoveterinary medicine for cattle, goats, horses, pigs, poultry, and sheep. Several classes of phytochemical compounds including anthocyanidins, anthraquinones, esters, fatty acids, phenolic compounds, flavonoids, glycosides, polysterols, saponins, sugars, tannins, and triterpenoids have been isolated from E. elephantina. Scientific studies on E. elephantina indicate that it has a wide range of biological activities including anthelmintic, antibacterial, antifungal, anti-inflammatory and antinociceptive, antiplasmodial, antioxidant, antibabesial, and antirickettsial activities. Elephantorrhiza elephantina is a valuable source of traditional medicine in southern Africa that it is worth additional research attention because of its wide ethnomedicinal applications and promising biological activities. However, the current health-related information on E. elephantina is not sufficiently explored as diverse studies on its chemical and pharmacological activities are required to understand its mechanism of action and to characterize the metabolites responsible for these activities. PMID:28588639

  2. "Of sheep and men": earliest direct evidence of caprine domestication in southern Africa at Leopard Cave (Erongo, Namibia).

    PubMed

    Pleurdeau, David; Imalwa, Emma; Détroit, Florent; Lesur, Joséphine; Veldman, Anzel; Bahain, Jean-Jacques; Marais, Eugène

    2012-01-01

    The origins of herding practices in southern Africa remain controversial. The first appearance of domesticated caprines in the subcontinent is thought to be c. 2000 years BP; however, the origin of this cultural development is still widely debated. Recent genetic analyses support the long-standing hypothesis of herder migration from the north, while other researchers have argued for a cultural diffusion hypothesis where the spread of herding practices took place without necessarily implicating simultaneous and large population movements. Here we document the Later Stone Age (LSA) site of Leopard Cave (Erongo, Namibia), which contains confirmed caprine remains, from which we infer that domesticates were present in the southern African region as early as the end of the first millennium BC. These remains predate the first evidence of domesticates previously recorded for the subcontinent. This discovery sheds new light on the emergence of herding practices in southern Africa, and also on the possible southward routes used by caprines along the western Atlantic coast.

  3. Prevalence and determinants of cigarette smoking among adolescents in Blantyre City, Malawi.

    PubMed

    Muula, A S

    2007-01-01

    Tobacco smoking is a major risk factor for non-communicable diseases such as ischaemic heart disease, stroke, chronic obstructive airways disease and several cancers. There is little data about the prevalence and determinants of smoking among adolescents in southern Africa. This study aimed to determine the prevalence and determinants of cigarette smoking among adolescents in Blantyre City, Malawi. Cross-sectional data were obtained from school-going adolescents in Blantyre in 2001 using the Global Youth Tobacco Survey data collection instrument. Data were analysed to determine prevalence of current and ever cigarette smoking, and predictors of smoking. The prevalence of current smoking and ever smoking were 3.0% and 15.6%, respectively. Predictors of current tobacco smoking included male gender, having friends or parents who smoked, having been exposed to advertisements about tobacco brands on television and having seen a lot of advertisements in newspapers and magazines. School programmes that included being taught about smoking in class and a class discussion on the dangers of tobacco were not associated with reduced current smoking. Intervention programmes aiming to curb tobacco smoking among adolescents should focus on dealing also with parental smoking, peer influence and pay special attention toward male gender. School-based programmes to prevent smoking should be evaluated as some may have little impact in influencing current smoking status.

  4. Making the invisible visible: a systematic review of sexual minority women's health in Southern Africa.

    PubMed

    Muller, Alexandra; Hughes, Tonda L

    2016-04-11

    Over the past two decades research on sexual and gender minority (lesbian, gay, bisexual and transgender; LGBT) health has highlighted substantial health disparities based on sexual orientation and gender identity in many parts of the world. We systematically reviewed the literature on sexual minority women's (SMW) health in Southern Africa, with the objective of identifying existing evidence and pointing out knowledge gaps around the health of this vulnerable group in this region. A systematic review of publications in English, French, Portuguese or German, indexed in PubMed or MEDLINE between the years 2000 and 2015, following PRISMA guidelines. Additional studies were identified by searching bibliographies of identified studies. Search terms included (Lesbian OR bisexual OR "women who have sex with women"), (HIV OR depression OR "substance use" OR "substance abuse" OR "mental health" OR suicide OR anxiety OR cancer), and geographical specification. All empirical studies that used quantitative or qualitative methods, which contributed to evidence for SMW's health in one, a few or all of the countries, were included. Theoretical and review articles were excluded. Data were extracted independently by 2 researchers using predefined data fields, which included a risk of bias/quality assessment. Of 315 hits, 9 articles were selected for review and a further 6 were identified through bibliography searches. Most studies were conducted with small sample sizes in South Africa and focused on sexual health. SMW included in the studies were racially and socio-economically heterogeneous. Studies focused predominately on young populations, and highlighted substance use and violence as key health issues for SMW in Southern Africa. Although there are large gaps in the literature, the review highlighted substantial sexual-orientation-related health disparities among women in Southern Africa. The findings have important implications for public health policy and research

  5. Patterns of intimate partner violence: a study of female victims in Malawi.

    PubMed

    Bazargan-Hejazi, Shahrzad; Medeiros, Sarah; Mohammadi, Reza; Lin, Johnny; Dalal, Koustuv

    2013-01-01

    countries in sub-Saharan Africa. Further studies are needed to assess the attitudes and behaviors of Malawi women towards acceptability and justification of IPV as well as their willingness to disclose it.

  6. Patterns of Intimate Partner Violence: a study of female victims in Malawi

    PubMed Central

    Bazargan-Hejazi, Shahrzad; Medeiros, Sarah; Mohammadi, Reza; Lin, Johnny; Dalal, Koustuv

    2013-01-01

    Malawi appears slightly lower than that reported for other countries in sub-Saharan Africa. Further studies are needed to assess the attitudes and behaviors of Malawi women towards acceptability and justification of IPV as well as their willingness to disclose it. PMID:22289886

  7. Coexisting shortening and extension along the "Africa-Eurasia" plate boundary in southern Italy

    NASA Astrophysics Data System (ADS)

    Cuffaro, M.; Riguzzi, F.; Scrocca, D.; Doglioni, C.

    2009-04-01

    We performed geodetic strain rate field analyses along the "Africa (Sicily microplate)"-"Eurasia (Tyrrhenian microplate)" plate boundary in Sicily (southern Italy), using new GPS velocities from a data set spanning maximum ten years (1998-2007). Data from GPS permanent stations maintained from different institutions and the recent RING network, settled in Italy in the last five years by the Istituto Nazionale di Geofisica e Vulcanologia, were included into the analysis. Two dimensional strain and rotation rate fields were estimated by the distance weighted approach on a regularly spaced grid (30*30km), estimating the strain using all stations, but data from each station are weighted by their distance from the grid node by a constant a=70km that specifies how the effect of a station decays with distance from the node grid interpolation. Results show that most of the shortening of the Africa-Eurasia relative motion is distributed in the northwestern side offshore Sicily, whereas the extension becomes comparable with shortening on the western border of the Capo d'Orlando basin, and grater in the northeastern side, offshore Sicily, as directly provided by GPS velocities which show a larger E-ward component of sites located in Calabria with respect to those located either in northern Sicily or in the Ustica-Aeolian islands. Moreover, where shortening and extension have mostly a similar order of magnitude, two rotation rate fields can be detected, CCW in the northwestern side of Sicily, and CW in the northeastern one respectively. Also, 2-D dilatation field records a similar pattern, with negative values (shortening) in the northwestern area of Sicily close to the Ustica island, and positive values (extension) in the northeastern and southeastern ones, respectively. Principal shortening and extension rate axes are consistent with long-term geological features: seismic reflection profiles acquired in the southern Tyrrhenian seismogenic belt show active extensional faults

  8. Remote Sensing Analysis of Malawi's Agricultural Inputs Subsidy and Climate Variability Impacts on Productivity

    NASA Astrophysics Data System (ADS)

    Galford, G. L.; Fiske, G. J.; Sedano, F.; Michelson, H.

    2016-12-01

    Agriculture in sub-Saharan Africa is characterized by smallholder production and low yields ( 1 ton ha-1 year-1 since records began in 1961) for staple food crops such as maize (Zea mays). Many years of low-input farming have depleted much of the region's agricultural land of critical soil carbon and nitrogen, further reducing yield potentials. Malawi is a 98,000 km2 subtropical nation with a short rainy season from November to May, with most rainfall occurring between December and mid-April. This short growing season supports the cultivation of one primary crop, maize. In Malawi, many smallholder farmers face annual nutrient deficits as nutrients removed as grain harvest and residues are beyond replenishment levels. As a result, Malawi has had stagnant maize yields averaging 1.2 ton ha-1 year-1 for decades. After multiple years of drought and widespread hunger in the early 2000s, Malawi introduced an agricultural input support program (fertilizer and seed subsidy) in time for the 2006 harvest that was designed to restore soil nutrients, improve maize production, and decrease dependence on food aid. Malawi's subsidy program targets 50-67% of smallholder farmers who cultivate half a hectare or less, yet collectively supply 80% of the country's maize. The country has achieved significant increases in crop yields (now 2 tons/ha/year) and, as our analysis shows, benefited from a new resilience against drought. We utilized Landsat time series to determine cropland extent from 2000-present and identify areas of marginal and/or intermittent production. We found a strong latitudinal gradient of precipitation variability from north to south in CHIRPS data. We used the precipitation variability to normalize trends in a productivity proxy derived from MODIS EVI. After normalization of productivity to precipitation variability, we found significant productivity trends correlated to subsidy distribution. This work was conducted with Google's Earth Engine, a cloud-based platform

  9. A review of the stratigraphy and sedimentary environments of the Karoo-aged basins of Southern Africa

    NASA Astrophysics Data System (ADS)

    Smith, R. M. H.; Eriksson, P. G.; Botha, W. J.

    1993-02-01

    The Karoo Basin of South Africa was one of several contemporaneous intracratonic basins in southwestern Gondwana that became active in the Permo-Carboniferous (280 Ma) and continued to accumulate sediments until the earliest Jurassic, 100 million years later. At their maximum areal extent, during the early Permian, these basins covered some 4.5 million km 2. The present outcrop area of Karoo rocks in southern Africa is about 300 000 km 2 with a maximum thickness of some 8000 m. The economic importance of these sediments lies in the vast reserves of coal within the Ecca Group rocks of northern and eastern Transvaal and Natal, South Africa. Large reserves of sandstone-hosted uranium and molybdenum have been proven within the Beaufort Group rocks of the southern Karoo trough, although they are not mineable in the present market conditions. Palaeoenvironmental analysis of the major stratigraphic units of the Karoo succession in South Africa demonstrates the changes in depositional style caused by regional and localized tectonism within the basin. These depocentres were influenced by a progressive aridification of climate which was primarily caused by the northward drift of southwestern Gondwana out of a polar climate and accentuated by the meteoric drying effect of the surrounding land masses. Changing palaeoenvironments clearly influenced the rate and direction of vertebrate evolution in southern Gondwana as evidenced by the numerous reptile fossils, including dinosaurs, which are found in the Karoo strata of South Africa, Lesotho, Namibia and Zimbabwe. During the Late Carboniferous the southern part of Gondwana migrated over the South Pole resulting in a major ice sheet over the early Karoo basin and surrounding highlands. Glacial sedimentation in upland valleys and on the lowland shelf resulted in the Dwyka Formation at the base of the Karoo Sequence. After glaciation, an extensive shallow sea covered the gently subsiding shelf, fed by large volumes of meltwater

  10. Using Tournament Angler Data to Rapidly Assess the Invasion Status of Alien Sport Fishes (Micropterus spp.) in Southern Africa.

    PubMed

    Hargrove, John S; Weyl, Olaf L F; Allen, Micheal S; Deacon, Neil R

    2015-01-01

    Fishes are one of the most commonly introduced aquatic taxa worldwide, and invasive fish species pose threats to biodiversity and ecosystem function in recipient waters. Considerable research efforts have focused on predicting the invasibility of different fish taxa; however, accurate records detailing the establishment and spread of invasive fishes are lacking for large numbers of fish around the globe. In response to these data limitations, a low-cost method of cataloging and quantifying the temporal and spatial status of fish invasions was explored. Specifically, angler catch data derived from competitive bass angling tournaments was used to document the distribution of 66 non-native populations of black bass (Micropterus spp.) in southern Africa. Additionally, catch data from standardized tournament events were used to assess the abundance and growth of non-native bass populations in southern Africa relative to their native distribution (southern and eastern United States). Differences in metrics of catch per unit effort (average number of fish retained per angler per day), daily bag weights (the average weight of fish retained per angler), and average fish weight were assessed using catch data from 14,890 angler days of tournament fishing (11,045 days from South Africa and Zimbabwe; 3,845 days from the United States). No significant differences were found between catch rates, average daily bag weight, or the average fish weight between countries, suggesting that bass populations in southern Africa reach comparable sizes and numbers relative to waters in their native distribution. Given the minimal cost associated with data collection (i.e. records are collected by tournament organizers), the standardized nature of the events, and consistent bias (i.e. selection for the biggest fish in a population), the use of angler catch data represents a novel approach to infer the status and distribution of invasive sport fish.

  11. Using Tournament Angler Data to Rapidly Assess the Invasion Status of Alien Sport Fishes (Micropterus spp.) in Southern Africa

    PubMed Central

    Hargrove, John S.; Weyl, Olaf L. F.; Allen, Micheal S.; Deacon, Neil R.

    2015-01-01

    Fishes are one of the most commonly introduced aquatic taxa worldwide, and invasive fish species pose threats to biodiversity and ecosystem function in recipient waters. Considerable research efforts have focused on predicting the invasibility of different fish taxa; however, accurate records detailing the establishment and spread of invasive fishes are lacking for large numbers of fish around the globe. In response to these data limitations, a low-cost method of cataloging and quantifying the temporal and spatial status of fish invasions was explored. Specifically, angler catch data derived from competitive bass angling tournaments was used to document the distribution of 66 non-native populations of black bass (Micropterus spp.) in southern Africa. Additionally, catch data from standardized tournament events were used to assess the abundance and growth of non-native bass populations in southern Africa relative to their native distribution (southern and eastern United States). Differences in metrics of catch per unit effort (average number of fish retained per angler per day), daily bag weights (the average weight of fish retained per angler), and average fish weight were assessed using catch data from 14,890 angler days of tournament fishing (11,045 days from South Africa and Zimbabwe; 3,845 days from the United States). No significant differences were found between catch rates, average daily bag weight, or the average fish weight between countries, suggesting that bass populations in southern Africa reach comparable sizes and numbers relative to waters in their native distribution. Given the minimal cost associated with data collection (i.e. records are collected by tournament organizers), the standardized nature of the events, and consistent bias (i.e. selection for the biggest fish in a population), the use of angler catch data represents a novel approach to infer the status and distribution of invasive sport fish. PMID:26047487

  12. Bitterness values for traditional tonic plants of southern Africa.

    PubMed

    Olivier, D K; van Wyk, B-E

    2013-06-03

    Bitterness values have been determined for southern African plant species that are traditionally used as tonics (imbizas or 'musa-pelo) to alleviate the symptoms of stress and a variety of ailments related to the digestive system. To measure and present, for the first time, the bitterness values of 15 of the best-known and most widely used tonic plants in southern Africa in order to find a rationale for their traditional use in improving appetite and treating digestive ailments. Most of the plants were found to be very bitter, with bitterness values comparable to those reported for internationally well-known bitter tonics such as Artemisia absynthium L. and Gentiana lutea L. The relatively high bitterness values obtained for all of the plants indicate that their alleged value in improving digestion and appetite may at least be partly ascribed to the bitter tonic (amarum) effect, i.e., the stimulation of gastric juices via the nervus vagus. It may be interesting to examine the chemical compounds responsible for the bitter taste, as well as the possible links between bitterness and the anecdotal anti-stress properties ascribed to these species. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  13. Intergenerational transfers in the era of HIV/AIDS: Evidence from rural Malawi

    PubMed Central

    Kohler, Iliana V.; Kohler, Hans-Peter; Anglewicz, Philip; Behrman, Jere R.

    2013-01-01

    BACKGROUND Intergenerational transfer patterns in sub-Saharan Africa are poorly understood, despite the alleged importance of support networks to ameliorate the complex implications of the HIV/AIDS epidemic for families. OBJECTIVE There is a considerable need for research on intergenerational support networks and transfers to better understand the mechanisms through which extended families cope with the HIV/AIDS epidemic and potentially alleviate some of its consequences in sub-Saharan Africa, and to comprehend how transfers respond—or not—to perceptions about own and other family members' health. METHODS Using the 2008 round of the Malawi Longitudinal Study of Families and Health (MLSFH), we estimate the age patterns and the multiple directions of financial and non-financial transfer flows in rural Malawi—from prime-aged respondents to their elderly parents and adult children age 15 and up. We also estimate the social, demographic and economic correlates of financial and non-financial transfers of financial intergenerational transfers in this context. RESULTS AND CONCLUSIONS Our findings are that: (1) intergenerational financial and non-financial transfers are widespread and a key characteristic of family relationships in rural Malawi; (2) downward and upward transfers are importantly constrained and determined by the availability of transfer partners (parents or adult children); (3) financial net transfers are strongly age-patterned and the middle generations are net-providers of transfers; (4) non-financial transfers are based on mutual assistance rather than reallocation of resources; and (5) intergenerational transfers are generally not related to health status, including HIV positive status. PMID:23606809

  14. Antiretroviral Therapy and Nutrition in Southern Africa: Citizenship and the Grammar of Hunger.

    PubMed

    Cousins, Thomas

    2016-01-01

    How might we understand and respond to the new forms of hunger that arise with the massive rollout of antiretroviral therapy (ART) for HIV in southern Africa? Rather than 'merely' a technical problem of measurement, medicine or infrastructure, I suggest that a philosophical question arises concerning the relationship between the experience of hunger, the utterances that communicate that experience, and the bodily regimes of well-being and ill-being indexed by such utterances. Taking the gut as a particular kind of mediator of experience, I draw on ethnographic fieldwork conducted in KwaZulu-Natal, South Africa to open up a set of questions on acknowledgment and avoidance. The central question concerns the divergent concepts of 'grammar' that confront the relationship between hunger and ART.

  15. Greenhouse gas emissions from vegetation fires in Southern Africa.

    PubMed

    Scholes, R J

    1995-01-01

    Methane (CH4), carbon monoxide (CO), nitrogen oxides (NOx), volatile organic carbon, and aerosols emitted as a result of the deliberate or accidental burning of natural vegetation constitute a large component of the greenhouse gas emissions of many African countries, but the data needed for calculating these emissions by the IPCC methodology is sparse and subject to estimation errors. An improved procedure for estimating emissions from fires in southern Africa has been developed. The proposed procedure involves reclassifying existing vegetation maps into one of eleven broad, functional vegetation classes. Fuel loads are calculated within each 0.5 × 0.5° cell based on empirical relationships to climate data for each class. The fractional area of each class that burns is estimated by using daily low-resolution satellite fire detection, which is calibrated against a subsample of pre- and post-fire high-resolution satellite images. The emission factors that relate the quantity of gas released to the mass of fuel burned are based on recent field campaigns in Africa and are related to combustion efficiency, which is in turn related to the fuel mix. The emissions are summed over the 1989 fire season for Africa south of the equator. The estimated emissions from vegetation burning in the subcontinent are 0.5 Tg CH4, 14.9 Tg CO, 1.05 Tg NOx, and 1.08 Tg of particles smaller than 2.5µm. The 324 Tg CO2 emitted is expected to be reabsorbed in subsequent years. These estimates are smaller than previous estimates.

  16. Trace elements geochemistry of fractured basement aquifer in southern Malawi: A case of Blantyre rural

    NASA Astrophysics Data System (ADS)

    Mapoma, Harold Wilson Tumwitike; Xie, Xianjun; Nyirenda, Mathews Tananga; Zhang, Liping; Kaonga, Chikumbusko Chiziwa; Mbewe, Rex

    2017-07-01

    In this study, twenty one (21) trace elements in the basement complex groundwater of Blantyre district, Malawi were analyzed. The majority of the analyzed trace elements in the water were within the standards set by World Health Organization (WHO) and Malawi Standards Board (MSB). But, iron (Fe) (BH16 and 21), manganese (Mn) (BH01) and selenium (Se) (BH02, 13, 18, 19 and 20) were higher than the WHO and MSB standards. Factor analysis (FA) revealed up to five significant factors which accounted for 87.4% of the variance. Factor 1, 2 and 3 suggest evaporite dissolution and silicate weathering processes while the fourth factor may explain carbonate dissolution and pH influence on trace element geochemistry of the studied groundwater samples. According to PHREEQC computed saturation indices, dissolution, precipitation and rock-water-interaction control the levels of trace elements in this aquifer. Elevated concentrations of Fe, Mn and Se in certain boreholes are due to the geology of the aquifer and probable redox status of groundwater. From PHREEQC speciation results, variations in trace element species were observed. Based on this study, boreholes need constant monitoring and assessment for human consumption to avoid health related issues.

  17. Cost-Effectiveness of Monovalent Rotavirus Vaccination of Infants in Malawi: A Postintroduction Analysis Using Individual Patient–Level Costing Data

    PubMed Central

    Bar-Zeev, Naor; Tate, Jacqueline E.; Pecenka, Clint; Chikafa, Jean; Mvula, Hazzie; Wachepa, Richard; Mwansambo, Charles; Mhango, Themba; Chirwa, Geoffrey; Crampin, Amelia C.; Parashar, Umesh D.; Costello, Anthony; Heyderman, Robert S.; French, Neil; Atherly, Deborah; Cunliffe, Nigel A.

    2016-01-01

    Background. Rotavirus vaccination reduces childhood hospitalization in Africa, but cost-effectiveness has not been determined using real-world effectiveness and costing data. We sought to determine monovalent rotavirus vaccine cost-effectiveness in Malawi, one of Africa's poorest countries and the first Gavi-eligible country to report disease reduction following introduction in 2012. Methods. This was a prospective cohort study of children with acute gastroenteritis at a rural primary health center, a rural first referral–level hospital and an urban regional referral hospital in Malawi. For each participant we itemized household costs of illness and direct medical expenditures incurred. We also collected Ministry of Health vaccine implementation costs. Using a standard tool (TRIVAC), we derived cost-effectiveness. Results. Between 1 January 2013 and 21 November 2014, we recruited 530 children aged <5 years with gastroenteritis. Costs did not differ by rotavirus test result, but were significantly higher for admitted children and those with increased severity on Vesikari scale. Adding rotavirus vaccine to the national schedule costs Malawi $0.42 per dose in system costs. Vaccine copayment is an additional $0.20. Over 20 years, the vaccine program will avert 1 026 000 cases of rotavirus gastroenteritis, 78 000 inpatient admissions, 4300 deaths, and 136 000 disability-adjusted-life-years (DALYs). For this year's birth cohort, it will avert 54 000 cases of rotavirus and 281 deaths in children aged <5 years. The program will cost $10.5 million and save $8.0 million in averted healthcare costs. Societal cost per DALY averted was $10, and the cost per rotavirus case averted was $1. Conclusions. Gastroenteritis causes substantial economic burden to Malawi. The rotavirus vaccine program is highly cost-effective. Together with the demonstrated impact of rotavirus vaccine in reducing population hospitalization burden, its cost-effectiveness makes a strong argument

  18. Cost-Effectiveness of Monovalent Rotavirus Vaccination of Infants in Malawi: A Postintroduction Analysis Using Individual Patient-Level Costing Data.

    PubMed

    Bar-Zeev, Naor; Tate, Jacqueline E; Pecenka, Clint; Chikafa, Jean; Mvula, Hazzie; Wachepa, Richard; Mwansambo, Charles; Mhango, Themba; Chirwa, Geoffrey; Crampin, Amelia C; Parashar, Umesh D; Costello, Anthony; Heyderman, Robert S; French, Neil; Atherly, Deborah; Cunliffe, Nigel A

    2016-05-01

    Rotavirus vaccination reduces childhood hospitalization in Africa, but cost-effectiveness has not been determined using real-world effectiveness and costing data. We sought to determine monovalent rotavirus vaccine cost-effectiveness in Malawi, one of Africa's poorest countries and the first Gavi-eligible country to report disease reduction following introduction in 2012. This was a prospective cohort study of children with acute gastroenteritis at a rural primary health center, a rural first referral-level hospital and an urban regional referral hospital in Malawi. For each participant we itemized household costs of illness and direct medical expenditures incurred. We also collected Ministry of Health vaccine implementation costs. Using a standard tool (TRIVAC), we derived cost-effectiveness. Between 1 January 2013 and 21 November 2014, we recruited 530 children aged <5 years with gastroenteritis. Costs did not differ by rotavirus test result, but were significantly higher for admitted children and those with increased severity on Vesikari scale. Adding rotavirus vaccine to the national schedule costs Malawi $0.42 per dose in system costs. Vaccine copayment is an additional $0.20. Over 20 years, the vaccine program will avert 1 026 000 cases of rotavirus gastroenteritis, 78 000 inpatient admissions, 4300 deaths, and 136 000 disability-adjusted-life-years (DALYs). For this year's birth cohort, it will avert 54 000 cases of rotavirus and 281 deaths in children aged <5 years. The program will cost $10.5 million and save $8.0 million in averted healthcare costs. Societal cost per DALY averted was $10, and the cost per rotavirus case averted was $1. Gastroenteritis causes substantial economic burden to Malawi. The rotavirus vaccine program is highly cost-effective. Together with the demonstrated impact of rotavirus vaccine in reducing population hospitalization burden, its cost-effectiveness makes a strong argument for widespread utilization in other low-income, high

  19. Teacher Migration Impact: A Review in the Context of Quality Education Provision and Teacher Training in Higher Education in Southern Africa

    ERIC Educational Resources Information Center

    Brown, B.

    2008-01-01

    Teacher mobility has become a common feature of the cross-border flows and transnational networks that constitute globalisation. International and intraregional migration of teachers is an important factor in education provision and management in countries in the Southern Africa region, for example Botswana and South Africa. In an increasingly…

  20. Cultural Diffusion Was the Main Driving Mechanism of the Neolithic Transition in Southern Africa

    PubMed Central

    Jerardino, Antonieta; Fort, Joaquim; Isern, Neus; Rondelli, Bernardo

    2014-01-01

    It is well known that the Neolithic transition spread across Europe at a speed of about 1 km/yr. This result has been previously interpreted as a range expansion of the Neolithic driven mainly by demic diffusion (whereas cultural diffusion played a secondary role). However, a long-standing problem is whether this value (1 km/yr) and its interpretation (mainly demic diffusion) are characteristic only of Europe or universal (i.e. intrinsic features of Neolithic transitions all over the world). So far Neolithic spread rates outside Europe have been barely measured, and Neolithic spread rates substantially faster than 1 km/yr have not been previously reported. Here we show that the transition from hunting and gathering into herding in southern Africa spread at a rate of about 2.4 km/yr, i.e. about twice faster than the European Neolithic transition. Thus the value 1 km/yr is not a universal feature of Neolithic transitions in the world. Resorting to a recent demic-cultural wave-of-advance model, we also find that the main mechanism at work in the southern African Neolithic spread was cultural diffusion (whereas demic diffusion played a secondary role). This is in sharp contrast to the European Neolithic. Our results further suggest that Neolithic spread rates could be mainly driven by cultural diffusion in cases where the final state of this transition is herding/pastoralism (such as in southern Africa) rather than farming and stockbreeding (as in Europe). PMID:25517968

  1. Biology and genetics of oculocutaneous albinism and vitiligo - common pigmentation disorders in southern Africa.

    PubMed

    Manga, Prashiela; Kerr, Robyn; Ramsay, Michèle; Kromberg, Jennifer G R

    2013-07-29

    Pigmentation disorders span the genetic spectrum from single-gene autosomal recessive disorders such as oculocutaneous albinism (OCA), the autosomal dominant disorder piebaldism to X-linked ocular albinism and multifactorial vitiligo. OCA connotes a group of disorders that result in hypopigmented skin due to decreased melanin production in melanocytes and loss of visual acuity. There are four non-syndromic forms, OCA1-4, which are classified based on the gene that is mutated (tyrosinase, OCA2, tyrosinase-related protein 1 and SLC45A2, respectively). Despite the fact that multiple genes account for the various forms of OCA, the phenotypes of all four forms result from disruption in the maturation and trafficking of the enzyme tyrosinase. OCA2 is the most prevalent autosomal recessive disorder among southern African blacks, affecting 1/3 900 individuals; while OCA3, although rare, is most prevalent in southern Africa. Another common pigmentation disorder in southern Africa is vitiligo, which affects 1 - 2% of people worldwide. Vitiligo is a complex, acquired disorder in which melanocytes are destroyed due to an autoimmune response. The aetiology underlying this disorder is poorly understood, although recent genetic association studies have begun to shed light on the contributing factors. Pigmentation disorders have significant psychosocial implications and co-morbidities, yet therapies are still lacking. Recent progress in our understanding of the pathobiology of both albinism and vitiligo may herald novel treatment strategies for these disorders. 

  2. The production of consumption: addressing the impact of mineral mining on tuberculosis in southern Africa

    PubMed Central

    Basu, Sanjay; Stuckler, David; Gonsalves, Gregg; Lurie, Mark

    2009-01-01

    Background Miners in southern Africa experience incident rates of tuberculosis up to ten times greater than the general population. Migration to and from mines may be amplifying tuberculosis epidemics in the general population. Discussion Migration to and from mineral mines contributes to HIV risks and associated tuberculosis incidence. Health and safety conditions within mines also promote the risk of silicosis (a tuberculosis risk factor) and transmission of tuberculosis bacilli in close quarters. In the context of migration, current tuberculosis prevention and treatment strategies often fail to provide sufficient continuity of care to ensure appropriate tuberculosis detection and treatment. Reports from Lesotho and South Africa suggest that miners pose transmission risks to other household or community members as they travel home undetected or inadequately treated, particularly with drug-resistant forms of tuberculosis. Reducing risky exposures on the mines, enhancing the continuity of primary care services, and improving the enforcement of occupational health codes may mitigate the harmful association between mineral mining activities and tuberculosis incidence among affected communities. Summary Tuberculosis incidence appears to be amplified by mineral mining operations in southern Africa. A number of immediately-available measures to improve continuity of care for miners, change recruitment and compensation practices, and reduce the primary risk of infection may critically mitigate the negative association between mineral mining and tuberculosis. PMID:19785769

  3. Understanding the relationship between couple dynamics and engagement with HIV care services: insights from a qualitative study in Eastern and Southern Africa

    PubMed Central

    Wamoyi, Joyce; Renju, Jenny; Moshabela, Mosa; McLean, Estelle; Nyato, Daniel; Mbata, Doris; Bonnington, Oliver; Seeley, Janet; Church, Kathryn; Zaba, Basia; Wringe, Alison

    2017-01-01

    Objective To explore the interplay between couple dynamics and the engagement of people living with HIV (PLHIV) with HIV care and treatment services in three health and demographic surveillance sites in Tanzania, Malawi and South Africa. Methods A qualitative study was conducted involving 107 in-depth interviews with PLHIV with a range of HIV care and treatment histories, including current users of HIV clinics, and people not enrolled in HIV care. Interviews explored experiences of living with HIV and how and why they chose to engage or not with HIV services. Thematic analysis was conducted with the aid of NVivo 10. Results We found an interplay between couple dynamics and HIV care and treatment-seeking behaviour in Tanzania, Malawi and South Africa. Being in a relationship impacted on the level and type of engagement with HIV services in multiple ways. In some instances, couples living with HIV supported each other which improved their engagement with care and strengthened their relationships. The desire to fulfil societal expectations and attract a new partner, or have a baby with a new partner, or to receive emotional or financial support, strengthened on-going engagement with HIV care and treatment. However, fear of blame, abandonment or abuse resulted in unwillingness to disclose and often led to disputes or discord between couples. There was little evidence of intracouple understanding of each other’s lived experiences with HIV, and we found that couples rarely interacted with the formal health system together. Conclusions Couple dynamics influenced engagement with HIV testing, care and treatment for both partners through a myriad of pathways. Couple-friendly approaches to HIV care and treatment are needed that move beyond individualised care and which recognise partner roles in HIV care engagement. PMID:28736395

  4. “Of Sheep and Men”: Earliest Direct Evidence of Caprine Domestication in Southern Africa at Leopard Cave (Erongo, Namibia)

    PubMed Central

    Pleurdeau, David; Imalwa, Emma; Détroit, Florent; Lesur, Joséphine; Veldman, Anzel; Bahain, Jean-Jacques; Marais, Eugène

    2012-01-01

    The origins of herding practices in southern Africa remain controversial. The first appearance of domesticated caprines in the subcontinent is thought to be c. 2000 years BP; however, the origin of this cultural development is still widely debated. Recent genetic analyses support the long-standing hypothesis of herder migration from the north, while other researchers have argued for a cultural diffusion hypothesis where the spread of herding practices took place without necessarily implicating simultaneous and large population movements. Here we document the Later Stone Age (LSA) site of Leopard Cave (Erongo, Namibia), which contains confirmed caprine remains, from which we infer that domesticates were present in the southern African region as early as the end of the first millennium BC. These remains predate the first evidence of domesticates previously recorded for the subcontinent. This discovery sheds new light on the emergence of herding practices in southern Africa, and also on the possible southward routes used by caprines along the western Atlantic coast. PMID:22808138

  5. Traditional healers, faith healers and medical practitioners: the contribution of medical pluralism to bottlenecks along the cascade of care for HIV/AIDS in Eastern and Southern Africa

    PubMed Central

    Bukenya, Dominic; Darong, Gabriel; Wamoyi, Joyce; McLean, Estelle; Skovdal, Morten; Ddaaki, William; Ondeng’e, Kenneth; Bonnington, Oliver; Seeley, Janet; Hosegood, Victoria; Wringe, Alison

    2017-01-01

    Objectives There are concerns that medical pluralism may delay patients’ progression through the HIV cascade-of-care. However, the pathways of impact through which medical pluralism influence the care of people living with HIV (PLHIV) in African settings remain unclear. We sought to establish the manifestation of medical pluralism among PLHIV, and explore mechanisms through which medical pluralism contributes bottlenecks along the HIV care cascade. Methods We conducted a multicountry exploratory qualitative study in seven health and demographic surveillance sites in six eastern and southern African countries: Uganda, Kenya, Tanzania, Malawi, Zimbabwe and South Africa. We interviewed 258 PLHIV at different stages of the HIV cascade-of-care, 48 family members of deceased PLHIV and 53 HIV healthcare workers. Interviews were conducted using shared standardised topic guides, and data managed through NVIVO 8/10/11. We conducted a thematic analysis of healthcare pathways and bottlenecks related to medical pluralism. Results Medical pluralism, manifesting across traditional, faith-based and biomedical health-worlds, contributed to the care cascade bottlenecks for PLHIV through three pathways of impact. First, access to HIV treatment was delayed through the nature of health-related beliefs, knowledge and patient journeys. Second, HIV treatment was interrupted by availability of alternative options, perceived failed treatment and exploitation of PLHIV by opportunistic traders and healers. Lastly, the mixing of biomedical healthcare providers and treatment with traditional and faith-based options fuelled tensions driven by fear of drug-to-drug interactions and mistrust between providers operating in different health-worlds. Conclusion Medical pluralism contributes to delays and interruptions of care along the HIV cascade, and mistrust between health providers. Region-wide interventions and policies are urgently needed in sub-Saharan Africa to minimise potential harm and

  6. Traditional healers, faith healers and medical practitioners: the contribution of medical pluralism to bottlenecks along the cascade of care for HIV/AIDS in Eastern and Southern Africa.

    PubMed

    Moshabela, Mosa; Bukenya, Dominic; Darong, Gabriel; Wamoyi, Joyce; McLean, Estelle; Skovdal, Morten; Ddaaki, William; Ondeng'e, Kenneth; Bonnington, Oliver; Seeley, Janet; Hosegood, Victoria; Wringe, Alison

    2017-07-01

    There are concerns that medical pluralism may delay patients' progression through the HIV cascade-of-care. However, the pathways of impact through which medical pluralism influence the care of people living with HIV (PLHIV) in African settings remain unclear. We sought to establish the manifestation of medical pluralism among PLHIV, and explore mechanisms through which medical pluralism contributes bottlenecks along the HIV care cascade. We conducted a multicountry exploratory qualitative study in seven health and demographic surveillance sites in six eastern and southern African countries: Uganda, Kenya, Tanzania, Malawi, Zimbabwe and South Africa. We interviewed 258 PLHIV at different stages of the HIV cascade-of-care, 48 family members of deceased PLHIV and 53 HIV healthcare workers. Interviews were conducted using shared standardised topic guides, and data managed through NVIVO 8/10/11. We conducted a thematic analysis of healthcare pathways and bottlenecks related to medical pluralism. Medical pluralism, manifesting across traditional, faith-based and biomedical health-worlds, contributed to the care cascade bottlenecks for PLHIV through three pathways of impact. First, access to HIV treatment was delayed through the nature of health-related beliefs, knowledge and patient journeys. Second, HIV treatment was interrupted by availability of alternative options, perceived failed treatment and exploitation of PLHIV by opportunistic traders and healers. Lastly, the mixing of biomedical healthcare providers and treatment with traditional and faith-based options fuelled tensions driven by fear of drug-to-drug interactions and mistrust between providers operating in different health-worlds. Medical pluralism contributes to delays and interruptions of care along the HIV cascade, and mistrust between health providers. Region-wide interventions and policies are urgently needed in sub-Saharan Africa to minimise potential harm and consequences of medical pluralism for PLHIV

  7. Hydropower plans in eastern and southern Africa increase risk of concurrent climate-related electricity supply disruption

    NASA Astrophysics Data System (ADS)

    Conway, Declan; Dalin, Carole; Landman, Willem A.; Osborn, Timothy J.

    2017-12-01

    Hydropower comprises a significant and rapidly expanding proportion of electricity production in eastern and southern Africa. In both regions, hydropower is exposed to high levels of climate variability and regional climate linkages are strong, yet an understanding of spatial interdependences is lacking. Here we consider river basin configuration and define regions of coherent rainfall variability using cluster analysis to illustrate exposure to the risk of hydropower supply disruption of current (2015) and planned (2030) hydropower sites. Assuming completion of the dams planned, hydropower will become increasingly concentrated in the Nile (from 62% to 82% of total regional capacity) and Zambezi (from 73% to 85%) basins. By 2030, 70% and 59% of total hydropower capacity will be located in one cluster of rainfall variability in eastern and southern Africa, respectively, increasing the risk of concurrent climate-related electricity supply disruption in each region. Linking of nascent regional electricity sharing mechanisms could mitigate intraregional risk, although these mechanisms face considerable political and infrastructural challenges.

  8. Extreme Rainfall Events Over Southern Africa: Assessment of a Climate Model to Reproduce Daily Extremes

    NASA Astrophysics Data System (ADS)

    Williams, C.; Kniveton, D.; Layberry, R.

    2007-12-01

    It is increasingly accepted that any possible climate change will not only have an influence on mean climate but may also significantly alter climatic variability. This issue is of particular importance for environmentally vulnerable regions such as southern Africa. The subcontinent is considered especially vulnerable extreme events, due to a number of factors including extensive poverty, disease and political instability. Rainfall variability and the identification of rainfall extremes is a function of scale, so high spatial and temporal resolution data are preferred to identify extreme events and accurately predict future variability. The majority of previous climate model verification studies have compared model output with observational data at monthly timescales. In this research, the assessment of a state-of-the-art climate model to simulate climate at daily timescales is carried out using satellite derived rainfall data from the Microwave Infra-Red Algorithm (MIRA). This dataset covers the period from 1993-2002 and the whole of southern Africa at a spatial resolution of 0.1 degree longitude/latitude. Once the model's ability to reproduce extremes has been assessed, idealised regions of SST anomalies are used to force the model, with the overall aim of investigating the ways in which SST anomalies influence rainfall extremes over southern Africa. In this paper, results from sensitivity testing of the UK Meteorological Office Hadley Centre's climate model's domain size are firstly presented. Then simulations of current climate from the model, operating in both regional and global mode, are compared to the MIRA dataset at daily timescales. Thirdly, the ability of the model to reproduce daily rainfall extremes will be assessed, again by a comparison with extremes from the MIRA dataset. Finally, the results from the idealised SST experiments are briefly presented, suggesting associations between rainfall extremes and both local and remote SST anomalies.

  9. An economic perspective on Malawi's medical "brain drain".

    PubMed

    Record, Richard; Mohiddin, Abdu

    2006-12-18

    The medical "brain drain" has been described as rich countries "looting" doctors and nurses from developing countries undermining their health systems and public health. However this "brain-drain" might also be seen as a success in the training and "export" of health professionals and the benefits this provides. This paper illustrates the arguments and possible policy options by focusing on the situation in one of the poorest countries in the world, Malawi. Many see this "brain drain" of medical staff as wrong with developed countries exploiting poorer ones. The effects are considerable with Malawi facing high vacancy rates in its public health system, and with migration threatening to outstrip training despite efforts to improve pay and conditions. This shortage of staff has made it more challenging for Malawi to deliver on its Essential Health Package and to absorb new international health funding.Yet, without any policy effort Malawi has been able to demonstrate its global competitiveness in the training ("production") of skilled health professionals. Remittances from migration are a large and growing source of foreign exchange for poor countries and tend to go directly to households. Whilst the data for Malawi is limited, studies from other poor countries demonstrate the power of remittances in significantly reducing poverty. Malawi can benefit from the export of health professionals provided there is a resolution of the situation whereby the state pays for training and the benefits are gained by the individual professional working abroad. Solutions include migrating staff paying back training costs, or rich host governments remitting part of a tax (e.g. income or national insurance) to the Malawi government. These schemes would allow Malawi to scale up training of health professionals for local needs and to work abroad. There is concern about the negative impacts of the medical "brain-drain". However a closer look at the evidence for and against the medical

  10. Prevalence and correlates of being bullied among in-school adolescents in Malawi: results from the 2009 Global School-Based Health Survey.

    PubMed

    Kubwalo, H W; Muula, A S; Siziya, S; Pasupulati, S; Rudatsikira, E

    2013-03-01

    Physical and emotional violence against adolescents is a neglected, but growing problem globally. Violence against adolescents negatively affects the victim in terms of physical health, school attendance and performance and social adjustment. The literature on the prevalence and associated factors of bullying against adolescents is sparse in southern Africa outside South Africa. Such data are even sparser for Malawi. The current study was conducted to estimate the prevalence of self-reported bullying and its personal and social correlates. A secondary analysis of the Malawi School-Based Student Health Survey (2009) was done. Descriptive analyses were done to describe the sample and estimate the prevalence of reporting history of bullying in the past 30 days preceding the survey. Logistic regression analysis was done to assess the association between several factors and being a victim of bullying. Crude and adjusted odds ratios are reported. A total of 2,264 in-school adolescents participated in the Malawi School-Based Student Health Survey of 2009. Just under half (44.5%) reported having been bullied in the previous month to the survey (44.1% among boys versus 44.9% among girls). Compared to adolescents of age 16 years or older, those who were 12 years old or younger and those who were 14 years of age were more likely to be bullied (AOR=1.54; 95% CI [1.41, 1.76]) and OR=1.26; 95% CI [1.21, 1.31]) respectively. The other risk factors that were identified in the analysis were loneliness (AOR = 2.23; 95% CI [2.20, 2.27]), and being worried (AOR = 2.80; 95% CI [2.76, 2.85[). Adolescents who had no close friends were 14% (AOR = 1.14; 95% CI [1.11-1.17]) more likely to be reporting bullied compared to adolescents who reported having close friends. Adolescents who smoked cigarettes were more than three times more likely to reporting be bullied compared to non-smokers (AOR=3.97; 955 CI [3.83, 4.10]), while those who drank alcohol were more than twice as likely to be

  11. Challenges for Children and Women in the 1990s: Eastern and Southern Africa in Profile.

    ERIC Educational Resources Information Center

    United Nations Children's Fund, Nairobi (Kenya). Eastern and Southern Africa Regional Office.

    This report profiles conditions in the lives of children and women in Eastern and Southern Africa (ESA), and attempts to identify and analyze trends and issues which are emerging in ESA and which have particular significance for UNICEF activities. During the 1980s, ESA experienced unprecedented economic decline due to falling commodity prices and…

  12. Multi-scale investigation of shrub encroachment in southern Africa

    NASA Astrophysics Data System (ADS)

    Aplin, Paul; Marston, Christopher; Wilkinson, David; Field, Richard; O'Regan, Hannah

    2016-04-01

    There is growing speculation that savannah environments throughout Africa have been subject to shrub encroachment in recent years, whereby grassland is lost to woody vegetation cover. Changes in the relative proportions of grassland and woodland are important in the context of conservation of savannah systems, with implications for faunal distributions, environmental management and tourism. Here, we focus on southern Kruger National Park, South Africa, and investigate whether or not shrub encroachment has occurred over the last decade and a half. We use a multi-scale approach, examining the complementarity of medium (e.g. Landsat TM and OLI) and fine (e.g. QuickBird and WorldView-2) spatial resolution satellite sensor imagery, supported by intensive field survey in 2002 and 2014. We employ semi-automated land cover classification, involving a hybrid unsupervised clustering approach with manual class grouping and checking, followed by change detection post-classification comparison analysis. The results show that shrub encroachment is indeed occurring, a finding evidenced through three fine resolution replicate images plus medium resolution imagery. The results also demonstrate the complementarity of medium and fine resolution imagery, though some thematic information must be sacrificed to maintain high medium resolution classification accuracy. Finally, the findings have broader implications for issues such as vegetation seasonality, spatial transferability and management practices.

  13. Is it ethical to prevent secondary use of stored biological samples and data derived from consenting research participants? The case of Malawi.

    PubMed

    Mungwira, Randy G; Nyangulu, Wongani; Misiri, James; Iphani, Steven; Ng'ong'ola, Ruby; Chirambo, Chawanangwa M; Masiye, Francis; Mfutso-Bengo, Joseph

    2015-12-02

    This paper discusses the contentious issue of reuse of stored biological samples and data obtained from research participants in past clinical research to answer future ethical and scientifically valid research questions. Many countries have regulations and guidelines that guide the use and exportation of stored biological samples and data. However, there are variations in regulations and guidelines governing the reuse of stored biological samples and data in Sub-Saharan Africa including Malawi. The current research ethics regulations and guidelines in Malawi do not allow indefinite storage and reuse of biological samples and data for future unspecified research. This comes even though the country has managed to answer pertinent research questions using stored biological samples and data. We acknowledge the limited technical expertise and equipment unavailable in Malawi that necessitates exportation of biological samples and data and the genuine concern raised by the regulatory authorities about the possible exploitation of biological samples and data by researchers. We also acknowledge that Malawi does not have bio-banks for storing biological samples and data for future research purposes. This creates room for possible exploitation of biological samples and data collected from research participants in primary research projects in Malawi. However, research ethics committees require completion and approval of material transfer agreements and data transfer agreements for biological samples and data collected for research purposes respectively and this requirement may partly address the concern raised by the regulatory authorities. Our concern though is that there is no such requirement for biological samples and data collected from patients for clinical or diagnostic purposes. In conclusion, we propose developing a medical data and material transfer agreement for biological samples and data collected from patients for clinical or diagnostic purposes in both public

  14. Seasonal and Interannual Variations in BC Emissions From Open Biomass Burning in Southern Africa From 1998 to 2005

    NASA Astrophysics Data System (ADS)

    Ito, A.; Akimoto, H.

    2006-12-01

    We estimate the emissions of black carbon (BC) from open vegetation fires in southern hemisphere Africa from 1998 to 2005 using satellite information in conjunction with a biogeochemical model. Monthly burned areas at a 0.5-degree resolution are estimated from the Visible and Infrared Scanner (VIRS) fire count product and the Moderate Resolution Imaging Spectroradiometer (MODIS) burned area data set associated with the MODIS tree cover imagery in grasslands and woodlands. The monthly fuel load distribution is derived from a 0.5- degree terrestrial carbon cycle model in conjunction with satellite data. The monthly maps of combustion factor and emission factor are estimated using empirical models that predict the effects of fuel conditions on these factors in grasslands and woodlands. Our annual averaged BC emitted per unit area burned is 0.17 g BC m-2 which is consistent with the product of fuel consumption and emission factor typically measured in southern Africa. The BC emissions from open vegetation burning in southern Africa ranged from 0.26 Tg BC yr-1 for 2002 to 0.42 Tg BC yr-1 for 1998. The peak in BC emissions is identical to that from previous top-down estimate using the Total Ozone Mapping Spectrometer (TOMS) Aerosol Index (AI) data. The sum of monthly emissions during the burning season in 2000 is in good agreement between our estimate (0.38 Tg) and previous estimate constrained by numerical model and measurements (0.47 Tg).

  15. The status of water demand management in selected cities of southern Africa

    NASA Astrophysics Data System (ADS)

    Gumbo, Bekithemba

    As a result of the rapid rate of urbanisation throughout Africa, many African cities face mounting challenges of providing their increasing populations with adequate and sustainable water services. Water demand management (WDM) offers a sustainable solution to water woes experienced in most cities in the southern Africa region. The region is characterised by frequent droughts, floods and erratic, unevenly distributed rainfall. Meanwhile nearly half of the southern Africa’s 200 million inhabitants do not have access to safe water and sanitation. This paper makes an assessment of the status of WDM in eight cities in the region based on published data and reports. It provides a basis of benchmarking the progress and success in WDM programmes by using selected key performance indicators. Gross unaccounted-for-water (UAW) is used as a crude measure of WDM good practice. From the eight selected case studies, Windhoek, Bulawayo and Hermanus have achieved considerable success in water use efficiency, implementing WDM programmes and recording UAW values of less than 20%, whilst Johannesburg; Maputo; Maseru; Lusaka and Mutare cannot account for about 40-60% of the water introduced into the distribution system. WDM projects require some key performance indicators which need to be recorded systematically by water supply agencies to enable a consistent monitoring and evaluation of programme. Finally for WDM to succeed, a new breed of professionals with multi-disciplinary skills is required as well as training of operatives, i.e. technicians, plumbers and meter readers.

  16. An economic perspective on Malawi's medical "brain drain"

    PubMed Central

    Record, Richard; Mohiddin, Abdu

    2006-01-01

    Background The medical "brain drain" has been described as rich countries "looting" doctors and nurses from developing countries undermining their health systems and public health. However this "brain-drain" might also be seen as a success in the training and "export" of health professionals and the benefits this provides. This paper illustrates the arguments and possible policy options by focusing on the situation in one of the poorest countries in the world, Malawi. Discussion Many see this "brain drain" of medical staff as wrong with developed countries exploiting poorer ones. The effects are considerable with Malawi facing high vacancy rates in its public health system, and with migration threatening to outstrip training despite efforts to improve pay and conditions. This shortage of staff has made it more challenging for Malawi to deliver on its Essential Health Package and to absorb new international health funding. Yet, without any policy effort Malawi has been able to demonstrate its global competitiveness in the training ("production") of skilled health professionals. Remittances from migration are a large and growing source of foreign exchange for poor countries and tend to go directly to households. Whilst the data for Malawi is limited, studies from other poor countries demonstrate the power of remittances in significantly reducing poverty. Malawi can benefit from the export of health professionals provided there is a resolution of the situation whereby the state pays for training and the benefits are gained by the individual professional working abroad. Solutions include migrating staff paying back training costs, or rich host governments remitting part of a tax (e.g. income or national insurance) to the Malawi government. These schemes would allow Malawi to scale up training of health professionals for local needs and to work abroad. Summary There is concern about the negative impacts of the medical "brain-drain". However a closer look at the evidence

  17. Prevention and management of malaria during pregnancy: findings from a comparative qualitative study in Ghana, Kenya and Malawi

    PubMed Central

    2013-01-01

    Background In endemic regions of sub-Saharan Africa, malaria during pregnancy (MiP) is a major preventable cause of maternal and infant morbidity and mortality. Current recommended MiP prevention and control includes intermittent preventive treatment (IPTp), distribution of insecticide-treated bed nets (ITNs) and appropriate case management. This article explores the social and cultural context to the uptake of these interventions at four sites across Africa. Methods A comparative qualitative study was conducted at four sites in three countries: Ghana, Malawi and Kenya. Individual and group interviews were conducted with pregnant women, their relatives, opinion leaders, other community members and health providers. Observations, which focused on behaviours linked to MiP prevention and treatment, were also undertaken at health facilities and in local communities. Results ITNs were generally recognized as important for malaria prevention. However, their availability and use differed across the sites. In Malawi and Kenya, ITNs were sought-after items, but there were complaints about availability. In central Ghana, women saved ITNs until the birth of the child and they were used seasonally in northern Ghana. In Kenya and central Ghana, pregnant women did not associate IPTp with malaria, whereas, in Malawi and northern Ghana, IPTp was linked to malaria, but not always with prevention. Although IPTp adherence was common at all sites, whether delivered with directly observed treatment or not, a few women did not comply with IPTp often citing previous side effects. Although generally viewed as positive, experiences of malaria testing varied across the four sites: treatment was sometimes administered in spite of a negative diagnosis in Ghana (observed) and Malawi (reported). Despite generally following the advice of healthcare staff, particularly in Kenya, personal experience, and the availability and accessibility of medication – including anti-malarials – influenced

  18. Mongoose rabies in southern Africa: a re-evaluation based on molecular epidemiology.

    PubMed

    Nel, L H; Sabeta, C T; von Teichman, B; Jaftha, J B; Rupprecht, C E; Bingham, J

    2005-05-01

    Relative to the developed world, rabies has been poorly studied in the vast African continent. The southern African countries of Zimbabwe and South Africa, however, are known to sustain a great diversity of lyssaviruses, with large biological variations amongst genotype 1 (rabies viruses) at present more apparent here than elsewhere on the continent. One recognized biotype of rabies virus in the subcontinent appears to be specifically adapted to a variety of mongooses, belonging to the Viverrinae subfamily (family Herpestidae) and are commonly referred to as viverrid viruses, although the term mongoose rabies would be more correct, considering the taxonomic status of the host species involved. It was our objective to study the genetic relationships of 77 rabies virus isolates of this mongoose biotype, isolated in South Africa and Zimbabwe, towards elucidation of the molecular epidemiology of this interesting group of African viruses. In our study of a 592 nucleotide sequence encompassing the cytoplasmic domain of the glycoprotein and the G-L intergenic region of the viral genomes, we provide the first comprehensive data on the molecular epidemiology of these viruses and indicate a history of extended evolutionary adaptation in this geographical domain. The molecular epidemiological observations reported here are highly unlikely to be limited to the small geographical areas of South Africa and Zimbabwe and illustrate the need for lyssavirus surveillance in the rest of sub-Saharan Africa and throughout the entire continent.

  19. Drug resistance of Mycobacterium tuberculosis in Malawi: a cross-sectional survey

    PubMed Central

    Abouyannis, Michael; Dacombe, Russell; Dambe, Isaias; Mpunga, James; Faragher, Brian; Gausi, Francis; Ndhlovu, Henry; Kachiza, Chifundo; Suarez, Pedro; Mundy, Catherine; Banda, Hastings T; Nyasulu, Ishmael

    2014-01-01

    Abstract Objective To document the prevalence of multidrug resistance among people newly diagnosed with – and those retreated for – tuberculosis in Malawi. Methods We conducted a nationally representative survey of people with sputum-smear-positive tuberculosis between 2010 and 2011. For all consenting participants, we collected demographic and clinical data, two sputum samples and tested for human immunodeficiency virus (HIV).The samples underwent resistance testing at the Central Reference Laboratory in Lilongwe, Malawi. All Mycobacterium tuberculosis isolates found to be multidrug-resistant were retested for resistance to first-line drugs – and tested for resistance to second-line drugs – at a Supranational Tuberculosis Reference Laboratory in South Africa. Findings Overall, M. tuberculosis was isolated from 1777 (83.8%) of the 2120 smear-positive tuberculosis patients. Multidrug resistance was identified in five (0.4%) of 1196 isolates from new cases and 28 (4.8%) of 581 isolates from people undergoing retreatment. Of the 31 isolates from retreatment cases who had previously failed treatment, nine (29.0%) showed multidrug resistance. Although resistance to second-line drugs was found, no cases of extensive drug-resistant tuberculosis were detected. HIV testing of people from whom M. tuberculosis isolates were obtained showed that 577 (48.2%) of people newly diagnosed and 386 (66.4%) of people undergoing retreatment were positive. Conclusion The prevalence of multidrug resistance among people with smear-positive tuberculosis was low for sub-Saharan Africa – probably reflecting the strength of Malawi’s tuberculosis control programme. The relatively high prevalence of such resistance observed among those with previous treatment failure may highlight a need for a change in the national policy for retreating this subgroup of people with tuberculosis. PMID:25378741

  20. Sustaining control: lessons from the Lubombo spatial development initiative in southern Africa.

    PubMed

    Maharaj, Rajendra; Moonasar, Devanand; Baltazar, Candrinho; Kunene, Simon; Morris, Natashia

    2016-08-12

    The Lubombo Spatial Development Initiative (LSDI) was a tri-country project between South Africa, Swaziland and Mozambique with the aim of accelerating socio-economic development in the region. The malaria component of the project was introduced to decrease the transmission of malaria in the region. This goal was met but with termination of this project resulted in an upsurge of malaria cases in the sub-region mainly as a result of migration from high transmission areas to low transmission ones. The movement of people across borders in southern Africa remains a challenge in sustaining malaria control and elimination. Malaria case data for Swaziland and South Africa were obtained from their respective national Malaria Information Systems. Data for Mozambique was obtained from the Mozambican Ministry of Health. Data obtained during the course of the LSDI project was compared to the case data post the termination of the LSDI. The 12-year period of the LSDI showed a substantial decrease in disease burden amongst the three countries involved when compared to the baseline year of 2000. The decrease in malaria cases was 99 % in South Africa and 98 % in Swaziland. Malaria prevalence in Mozambique decreased by 85 % over the same period. However, after the LSDI ended, between 2012 and 2014, there was an upward trend in case data that was counter to the goal of elimination. South Africa and Swaziland benefitted from the LSDI and were able to sustain malaria control and progress to the stage of elimination. Mozambique could not sustain the gains made during the LSDI and case numbers increased. Technical and financial resources are key challenges for malaria control and elimination interventions.

  1. Beyond Denomination: The Relationship between Religion and Family Planning in Rural Malawi

    PubMed Central

    Yeatman, Sara E.; Trinitapoli, Jenny

    2010-01-01

    Despite the centrality of religion and fertility to life in rural Africa, the relationship between the two remains poorly understood. The study presented here uses unique integrated individual and congregational level data from rural Malawi to examine religious influences on contraceptive use. In this religiously diverse population, we find evidence that the particular characteristics of a congregation—leader’s positive attitudes toward family planning and discussion of sexual morality, which do not fall along broad denominational lines—are more relevant than denominational categories for predicting women’s contraceptive use. We further find evidence for a relationship between religious socialization and contraceptive behavior. PMID:20463916

  2. Implications for Lithospheric Reheating beneath the African Superswell from P nl Wave Propagation in Central and Southern Africa,

    DTIC Science & Technology

    1995-08-14

    characterized by a lid structure with a constant velocity. There appears to be little evidence for (1) mantle velocity gradients beneath southern Africa that...therefore conclude that there is little evidence for (1) a mantle lid beneath central Africa containing a positive velocity gradient or (2).a low velocity... Fucks , M.A. Khan, P.K.H. Maguire, W.D. Mooney, U. Achauer, P.M. Davis, R.P. Meyer, L.W. Braile, 1.0. Nyambok, and G.A. Thompson, The East African rift

  3. The evolutionary dynamics of canid and mongoose rabies virus in Southern Africa.

    PubMed

    Davis, P L; Rambaut, A; Bourhy, H; Holmes, E C

    2007-01-01

    Two variants of rabies virus (RABV) currently circulate in southern Africa: canid RABV, mainly associated with dogs, jackals, and bat-eared foxes, and mongoose RABV. To investigate the evolutionary dynamics of these variants, we performed coalescent-based analyses of the G-L inter-genic region, allowing for rate variation among viral lineages through the use of a relaxed molecular clock. This revealed that mongoose RABV is evolving more slowly than canid RABV, with mean evolutionary rates of 0.826 and 1.676 x 10(-3) nucleotide substitutions per site, per year, respectively. Additionally, mongoose RABV exhibits older genetic diversity than canid RABV, with common ancestors dating to 73 and 30 years, respectively, and while mongoose RABV has experienced exponential population growth over its evolutionary history in Africa, populations of canid RABV have maintained a constant size. Hence, despite circulating in the same geographic region, these two variants of RABV exhibit striking differences in evolutionary dynamics which are likely to reflect differences in their underlying ecology.

  4. Migration dynamics, entrepreneurship, and African development: Lessons from Malawi.

    PubMed

    Thomas, Kevin J A; Inkpen, Christopher

    2013-12-01

    Using data from Malawi, this study situates the discourse on migration, entrepreneurship, and development within the context of Africa's social realities. It examines self-employment differences among three groups of migrants and corresponding group differences in agricultural and non-agricultural self-employment. International migrants are found to be more engaged in self-employment than internal-migrants. However, our results suggest that previous findings on the development-related contributions of returning migrants from the West need to be appropriately contextualized. When returnees from the West invest in self-employment, they typically shy away from Africa's largest economic sector - agriculture. In contrast, levels of self-employment, especially in agricultural self-employment, are highest among returning migrants and immigrants from other African countries, especially from those nearby. We also underscore the gendered dimensions of migrants' contribution to African development by demonstrating that female migrants are more likely to be self-employed in agriculture than male migrants. Furthermore, as human-capital increases, migrants are more likely to concentrate their self-employment activities in non-agricultural activities and not in the agricultural sector. The study concludes by using these findings to discuss key implications for policy and future research.

  5. Uptake contexts and perceived impacts of HIV testing and counselling among adults in East and Southern Africa: A meta-ethnographic review.

    PubMed

    Witzel, T Charles; Lora, Wezzie; Lees, Shelley; Desmond, Nicola

    2017-01-01

    HIV testing and counselling (HTC) interventions are key to controlling the HIV epidemic in East and Southern Africa where HTC is primarily delivered through voluntary counselling and testing (VCT), provider initiated testing and counselling (PITC), and home-based counselling and testing (HBVCT). Decision making processes around uptake of HTC models must be taken into account when designing new interventions. Counselling in HTC aims to reduce post-test risk taking behaviour and to link individuals to care but its efficacy is unclear. This meta-ethnography aims to understand the contexts of HTC uptake in East and Southern Africa and to analyse the perceived impacts of counselling-based interventions in relation to sexual behaviour and linkage to care. We conducted a systematic literature review of studies investigating HTC in East and Southern Africa from 2003 -April 2014. The search and additional snowballing identified 20 studies that fit our selection criteria. These studies were synthesised through a thematic framework analysis. Twenty qualitative and mixed-methods studies examining impacts of HTC models in East and Southern Africa were meta-synthesised. VCT decisions were made individually while HBVCT decisions were located in family and community units. PITC was associated with coercion from healthcare providers. Low quality counselling components and multiple-intersecting barriers faced by individuals mean that counselling in HTC was not perceived to be effective in reducing post-test risk behaviour and had limited perceived effect in facilitating linkage to care. HBVCT is associated with minimal stigma and should be considered as an area of priority. Counselling components in HTC interventions were effective in transmitting information about HIV and sexual risk, but were perceived as ineffective in addressing the broader personal circumstances preventing sexual behaviour change and modulating access to care.

  6. Uptake contexts and perceived impacts of HIV testing and counselling among adults in East and Southern Africa: A meta-ethnographic review

    PubMed Central

    Witzel, T. Charles; Lora, Wezzie; Lees, Shelley; Desmond, Nicola

    2017-01-01

    Introduction HIV testing and counselling (HTC) interventions are key to controlling the HIV epidemic in East and Southern Africa where HTC is primarily delivered through voluntary counselling and testing (VCT), provider initiated testing and counselling (PITC), and home-based counselling and testing (HBVCT). Decision making processes around uptake of HTC models must be taken into account when designing new interventions. Counselling in HTC aims to reduce post-test risk taking behaviour and to link individuals to care but its efficacy is unclear. This meta-ethnography aims to understand the contexts of HTC uptake in East and Southern Africa and to analyse the perceived impacts of counselling-based interventions in relation to sexual behaviour and linkage to care. Methods We conducted a systematic literature review of studies investigating HTC in East and Southern Africa from 2003 –April 2014. The search and additional snowballing identified 20 studies that fit our selection criteria. These studies were synthesised through a thematic framework analysis. Results Twenty qualitative and mixed-methods studies examining impacts of HTC models in East and Southern Africa were meta-synthesised. VCT decisions were made individually while HBVCT decisions were located in family and community units. PITC was associated with coercion from healthcare providers. Low quality counselling components and multiple-intersecting barriers faced by individuals mean that counselling in HTC was not perceived to be effective in reducing post-test risk behaviour and had limited perceived effect in facilitating linkage to care. Conclusion HBVCT is associated with minimal stigma and should be considered as an area of priority. Counselling components in HTC interventions were effective in transmitting information about HIV and sexual risk, but were perceived as ineffective in addressing the broader personal circumstances preventing sexual behaviour change and modulating access to care. PMID

  7. Mainstreaming conservation agriculture in Malawi: Knowledge gaps and institutional barriers.

    PubMed

    Dougill, Andrew J; Whitfield, Stephen; Stringer, Lindsay C; Vincent, Katharine; Wood, Benjamin T; Chinseu, Edna L; Steward, Peter; Mkwambisi, David D

    2017-06-15

    Conservation agriculture (CA) practices of reduced soil tillage, permanent organic soil coverage and intercropping/crop rotation, are being advocated globally, based on perceived benefits for crop yields, soil carbon storage, weed suppression, reduced soil erosion and improved soil water retention. However, some have questioned their efficacy due to uncertainty around the performance and trade-offs associated with CA practices, and their compatibility with the diverse livelihood strategies and varied agro-ecological conditions across African smallholder systems. This paper assesses the role of key institutions in Malawi in shaping pathways towards more sustainable land management based on CA by outlining their impact on national policy-making and the design and implementation of agricultural development projects. It draws on interviews at national, district and project levels and a multi-stakeholder workshop that mapped the institutional landscape of decision-making for agricultural land management practices. Findings identify knowledge gaps and institutional barriers that influence land management decision-making and constrain CA uptake. We use our findings to set out an integrated roadmap of research needs and policy options aimed at supporting CA as a route to enhanced sustainable land management in Malawi. Findings offer lessons that can inform design, planning and implementation of CA projects, and identify the multi-level institutional support structures required for mainstreaming sustainable land management in sub-Saharan Africa. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Astronomy Landscape in Africa

    NASA Astrophysics Data System (ADS)

    Nemaungani, Takalani

    2015-01-01

    The vision for astronomy in Africa is embedded in the African Space Policy of the African Union in early 2014. The vision is about positioning Africa as an emerging hub for astronomy sciences and facilities. Africa recognized the need to take advantage of its natural resource, the geographical advantage of the clear southern skies and pristine sites for astronomy. The Pan African University (PAU) initiative also presents an opportunity as a post-graduate training and research network of university nodes in five regions of Africa and supported by the African Union. The Southern African node based in South Africa concentrates on space sciences which also includes astronomy. The PAU aims to provide the opportunity for advanced graduate training and postgraduate research to high-performing African students. Objectives also include promoting mobility of students and teachers and harmonizing programs and degrees.A number of astronomy initiatives have burgeoned in the Southern African region and these include the Southern Africa Largest Optical Telescope (SALT), HESS (High Energy Stereoscopic System), the SKA (Square Kilometre Array) and the AVN (African Very Long Baseline Interferometer Network). There is a growing appetite for astronomy sciences in Africa. In East Africa, the astronomy community is well organized and is growing - the East African Astronomical society (EAAS) held its successful fourth annual conference since 2010 on 30 June to 04 July 2014 at the University of Rwanda. Centred around the 'Role of Astronomy in Socio-Economic Transformation,' this conference aimed at strengthening capacity building in Astronomy, Astrophysics and Space Science in general, while providing a forum for astronomers from the region to train young and upcoming scientists.

  9. Establishing an online continuing and professional development library for nurses and midwives in east, central, and southern Africa

    PubMed Central

    Hosey, Kristen N.; Kalula, Alphonce; Voss, Joachim

    2016-01-01

    Over the previous 4 years, the African Health Profession Regulatory Collaborative for nurses and midwives has supported 12 countries to establish national continuing and professional development frameworks and programs, linking continuing education to nursing and midwifery re-licensure through technical assistance and improvement grants. However, lack of electronic media and rural practice sites, differences in priority content, and varying legal frameworks make providing accessible, certifiable, and up-to-date online continuing education content for the more than 300,000 nurses and midwives in the 17 member countries of the East, Central, and Southern Africa College of Nursing a major challenge. We report here on how the East, Central, and Southern Africa College of Nursing, with technical assistance from an Afya Bora Fellow, developed an online continuing professional development library hosted on their Website using data collected in a survey of nursing and midwifery leaders in the region. PMID:27086190

  10. Emissions of mercury in Southern Africa derived from long-term observations at Cape Point, South Africa

    NASA Astrophysics Data System (ADS)

    Brunke, E.-G.; Ebinghaus, R.; Kock, H. H.; Labuschagne, C.; Slemr, F.

    2012-05-01

    Mercury emissions in South Africa have so far been estimated only by a bottom-up approach from activities and emission factors for different processes. In this paper we derive GEM/CO (GEM being gaseous elemental mercury, Hg0), GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios from plumes observed during long-term monitoring of these species at Cape Point between March 2007 and December 2009. The average observed GEM/CO, GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios were 2.40 ± 2.65 pg m-3 ppb-1 (n = 47), 62.7 ± 80.2 pg m-3 ppb-1 (n = 44), 3.61 ± 4.66 pg m-3 ppb-1 (n = 46), 35.6 ± 25.4 ppb ppm-1 (n = 52), 20.2 ± 15.5 ppb ppm-1 (n=48), and 0.876 ± 1.106 ppb ppm-1 (n=42), respectively. The observed CO/CO2, CH4/CO2, and CH4/CO emission ratios agree within the combined uncertainties of the observations and emissions with the ratios calculated from EDGAR (version 4.2) CO2, CO, and CH4 inventories for South Africa and Southern Africa (South Africa, Lesotho, Swaziland, Namibia, Botswana, Zimbabwe, and Mozambique) in 2007 and 2008 (inventories for 2009 are not available yet). Total elemental mercury emission of 13.1, 15.2, and 16.1 t Hg yr-1 are estimated independently using the GEM/CO, GEM/CO2, and GEM/CH4 emission ratios and the annual mean CO, CO2, and CH4 emissions, respectively, of South Africa in 2007 and 2008. The average of these independent estimates of 14.8 ± 1.5 t GEM yr-1 is much less than the total emission of 257 t Hg yr-1 from older inventories. Considering that emission of GEM represents only 50-78% of all mercury emissions, our estimates come close to the total mercury emission estimates ranging between 40-50 t Hg yr-1 from more recent inventories.

  11. Rabies Encephalitis in Malaria-Endemic Area, Malawi, Africa

    PubMed Central

    Mallewa, Macpherson; Fooks, Anthony R.; Banda, Daniel; Chikungwa, Patrick; Mankhambo, Limangeni; Molyneux, Elizabeth; Molyneux, Malcolm E.

    2007-01-01

    In a malaria-endemic area of Africa, rabies was an important cause of fatal central nervous system infection, responsible for 14 (10.5%) of 133 cases. Four patients had unusual clinical manifestations, and rabies was only diagnosed postmortem. Three (11.5%) of 26 fatal cases were originally attributed to cerebral malaria. PMID:17370529

  12. Physical attractiveness and women's HIV risk in rural Malawi.

    PubMed

    Frye, Margaret; Chae, Sophia

    2017-01-01

    Qualitative evidence from sub-Saharan Africa, where a generalized AIDS epidemic exists, suggests that attractiveness may play a role in shaping individual-level HIV risk. Attractive women, who are often blamed for the epidemic and stigmatized, are believed to pose a higher HIV risk because they are viewed as having more and riskier partners. We examine the association between perceived attractiveness and HIV infection and risk in rural Malawi in the midst of the country's severe AIDS epidemic. We use interviewers' ratings of respondents' attractiveness, along with HIV test results and women's assessments of their own likelihood of infection, to estimate the association between perceived attractiveness and HIV infection and risk for a random sample of 961 women aged 15-35. Results show that women who are rated by interviewers as 'much less' or 'less' attractive than other women their age are 9% more likely to test positive for HIV. We also find that attractiveness is associated with women's own assessments of their HIV risk: Among women who tested negative, those perceived as 'much less' or 'less' attractive than average report themselves to be at greater risk of HIV infection. These results suggest that attractiveness is negatively associated with HIV risk in Malawi, countering local beliefs that hold attractive women responsible for perpetuating the epidemic. This study highlights the need to consider perceived physical attractiveness, and sexual desirability more broadly, as an under-examined axis of inequality in HIV risk in high-prevalence settings.

  13. Prediction, Assessment of the Rift Valley Fever Activity in East and Southern Africa 2006–2008 and Possible Vector Control Strategies

    PubMed Central

    Anyamba, Assaf; Linthicum, Kenneth J.; Small, Jennifer; Britch, Seth C.; Pak, Edwin; de La Rocque, Stephane; Formenty, Pierre; Hightower, Allen W.; Breiman, Robert F.; Chretien, Jean-Paul; Tucker, Compton J.; Schnabel, David; Sang, Rosemary; Haagsma, Karl; Latham, Mark; Lewandowski, Henry B.; Magdi, Salih Osman; Mohamed, Mohamed Ally; Nguku, Patrick M.; Reynes, Jean-Marc; Swanepoel, Robert

    2010-01-01

    Historical outbreaks of Rift Valley fever (RVF) since the early 1950s have been associated with cyclical patterns of the El Niño/Southern Oscillation (ENSO) phenomenon, which results in elevated and widespread rainfall over the RVF endemic areas of Africa. Using satellite measurements of global and regional elevated sea surface temperatures, elevated rainfall, and satellite derived-normalized difference vegetation index data, we predicted with lead times of 2–4 months areas where outbreaks of RVF in humans and animals were expected and occurred in the Horn of Africa, Sudan, and Southern Africa at different time periods from September 2006 to March 2008. Predictions were confirmed by entomological field investigations of virus activity and by reported cases of RVF in human and livestock populations. This represents the first series of prospective predictions of RVF outbreaks and provides a baseline for improved early warning, control, response planning, and mitigation into the future. PMID:20682905

  14. Influence of aerosol-cloud interaction on austral summer precipitation over Southern Africa during ENSO events

    NASA Astrophysics Data System (ADS)

    Ruchith, R. D.; Sivakumar, V.

    2018-04-01

    In the present study, we are investigating the role of aerosols-and clouds in modulating the austral summer precipitation (December-February) during ENSO events over southern Africa region for the period from 2002 to2012 by using satellite and complimentary data sets. Aerosol radiative forcing (ARF) and Cloud radiative forcing (CRF) shows distinct patterns for El-Nina and La-Nina years. Further analysis were carried out by selecting the four Southern Africa regions where the precipitation shows remarkable difference during El-Nino and La-Nina years. These regions are R1 (33°S-24°S, 18°E-30°E), R2 (17°S-10°S, 24°E-32°E), R3 (19°S-9°S, 33°E-41°E) and R4 (7°S-0°S, 27°E-36°E). Aerosol Optical depth (AOD) shows considerable differences during these events. In region R1, R2 and R3 AOD shows more abundance in El-Nino years as compared to La-Nina years where as in R4 the AOD shows more abundance in La-Nina years. Cloud Droplet Effective radius (CDER) shows higher values during La-Nina years over R1, R2 and R3 regions but in R4 region CDER shows higher values in El-Nino years. Aerosol indirect effect (AIE) is estimated both for fixed cloud liquid water path (CLWP) and for fixed cloud ice path (CIP) bins, ranging from 1 to 300 gm -2 at 25 gm -2 interval over all the selected regions for El-Nino and La-Nina years. The results indicate more influence of positive indirect effect (Twomey effect) over R1 and R3 region during El-Nino years as compared to La-Nina years. This analysis reveals the important role of aerosol on cloud-precipitation interaction mechanism illustrating the interlinkage between dynamics and microphysics during austral summer season over southern Africa.

  15. Risk factors of Toxoplasma gondii infection in hunting, pet and watchdogs from Southern Spain and Northern Africa

    USDA-ARS?s Scientific Manuscript database

    Dogs can act as reservoirs of Toxoplasma gondii infections for humans and other hosts. Here we determined seroprevalence and risk factors of T. gondii infection in dogs from Andalusia (Southern Spain) and Ceuta (Northern Africa). Antibodies to T. gondii were detected in 235 out of 769 dogs (30.6%; C...

  16. Semivolatile Particulate Organic Material Southern Africa during SAFARI 2000

    NASA Technical Reports Server (NTRS)

    Eatough, D. J.; Eatough, N. L.; Pang, Y.; Sizemore, S.; Kirchstetter, T. W.; Novakov, T.

    2005-01-01

    During August and September 2000, the University of Washington's Cloud and Aerosol Research Group (CARG) with its Convair-580 research aircraft participated in the Southern African Fire-Atmosphere Research Initiative (SAFARI) 2000 field study in southern Africa. Aboard this aircraft was a Particle Concentrator-Brigham Young University Organic Sampling System (PC-BOSS), which was used to determine semivolatile particulate material with a diffusion denuder sampler. Denuded quartz filters and sorbent beds in series were used to measure nonvolatile and semivolatile materials, respectively. Results obtained with the PC-BOSS are compared to those obtained with conventional quartz-quartz and Teflon-quartz filter pack samplers. Various 10-120 min integrated samples were collected during flights through the h e troposphere, in the atmospheric boundary layer, and in plumes from savanna fires. Significant fine particulate semivolatile organic compounds (SVOC) were found in all samples. The SVOC was not collected by conventional filter pack samplers and therefore would not have been determined in previous studies that used only filter pack samplers. The SVOC averaged 24% of the fine particulate mass in emissions from the fires and 36% of the fine particulate mass in boundary layer samples heavily impacted by aged emissions from savanna fires. Concentrations of fine particulate material in the atmospheric mixed layer heavily impacted by aged savanna frre emissions averaged 130 micrograms per cubic meter. This aerosol was 85% carbonaceous mated.

  17. Theoretical Perspectives on Gender in Education: The Case of Eastern and Southern Africa

    NASA Astrophysics Data System (ADS)

    Mannathoko, Changu

    1999-11-01

    In recent years, throughout Eastern and Southern Africa, there has been a proliferation of research on gender in education. It is possible to point to a wide variety of publications, courses and programmes planned and organized by universities, national governments, international organizations, non-governmental organizations and the private sector relating to this field. This article examines the feminist and gender theories underpinning all these endeavors. The theories are assessed for their potential capacity to assist in elucidating the complex relationship between gender and development within the region.

  18. Modelled rainfall skill assessment against a 1000-year time/space isotope dendro-climatology for southern Africa

    NASA Astrophysics Data System (ADS)

    Woodborne, Stephan; Hall, Grant; Zhang, Qiong

    2016-04-01

    Palaeoclimate reconstruction using isotopic analysis of tree growth increments has yielded a 1000-year record of rainfall variability in southern Africa. Isotope dendro-climatology reconstructions from baobab trees (Adansonia digitata) provide evidence for rainfall variability from the arid Namib Desert and the Limpopo River Valley. Isotopic analysis of a museum specimen of a yellowwood tree (Podocarps falcatus) yields another record from the southwestern part of the subcontinent. Combined with the limited classic denro-climatologies available in the region these records yield palaeo-rainfall variability in the summer and winter rainfall zones as well as the hyper-arid zone over the last 1000 years. Coherent shifts in all of the records indicate synoptic changes in the westerlies, the inter-tropical convergence zone, and the Congo air boundary. The most substantial rainfall shift takes place at about 1600 CE at the onset of the Little Ice Age. Another distinctive feature of the record is a widespread phenomenon that occurs shortly after 1810 CE that in southern Africa corresponds with a widespread social upheaval known as the Difequane or Mfekane. Large scale forcing of the system includes sea-surface temperatures in the Agulhas Current, the El Nino Southern Oscillation and the Southern Annular Mode. The Little Ice Age and Mfekane climate shifts result from different forcing mechanisms, and the rainfall response in the different regions at these times do not have a fixed phase relationship. This complexity provides a good scenario to test climate models. A first order (wetter versus drier) comparison between each of the tree records and a 1000-year palaeoclimate model simulation for the Little Ice Age and Mfekane transitions demonstrates a generally good correspondence.

  19. The association between school bullying victimization and substance use among adolescents in Malawi: the mediating effect of loneliness.

    PubMed

    Kim, Youn Kyoung; Okumu, Moses; Small, Eusebius; Nikolova, Silviya Pavlova; Mengo, Cecilia

    2018-06-12

    Background and objectives Research has shown an increased prevalence of substance use among adolescents in countries in Sub-Saharan Africa. Peer affiliation, bullying, and psychological stress are significantly associated with substance use. This study empirically tested theoretical frameworks linking peer affiliation, bullying victimization, loneliness and substance use (specifically tobacco or alcohol use) among adolescents. Materials and methods Data were obtained from the 2009 Malawi Global School-based Health Survey (GSHS) with a representative sample of 2359 students aged 13-17 years in Malawi, Sub-Saharan Africa. Missing data were handled using multiple imputation. The study conducted path analyses using Mplus to test the conceptual models of tobacco use and alcohol use. Results The results showed that loneliness partially mediated the association between bullying victimization and tobacco use in the first model, as well as the relationship between bullying victimization and alcohol use in the second model. Results indicated statistically significant indirect paths from bullying victimization to tobacco use and alcohol use through the mediation of loneliness. However, peer affiliation did not directly predict bullying victimization in the two path models; it directly predicted tobacco use only. Conclusions These findings have important implications in early intervention for health practitioners in school and mental health settings to prevent feelings of loneliness and substance use among adolescents who have experience with bullying victimization but no experience with depression, alcohol use or tobacco use.

  20. Comparative study of the silica and cation geothermometry of the Malawi hot springs: Potential alternative energy source

    NASA Astrophysics Data System (ADS)

    Dulanya, Zuze; Morales-Simfors, Nury; Sivertun, Åke

    2010-06-01

    Malawi is one of the poorest countries in the world and one of the most densely populated in south-eastern Africa. Its major power source is hydro-electricity. During the past few years, the power generation capacity has been reduced, which has impacted negatively on the socio-economic development of the country. The country holds an enormous potential to generate geothermal energy due to the country's position within the Great African Rift valley. This could contribute to economic growth, poverty reduction and technological development in Malawi. The paper presents findings of research on comparisons between silica (quartz and chalcedony) and cation geothermometers (Na-K, Na-K-Ca and K-Mg) of hot springs in the Malawi Rift, in order to deduce the temperature at depth of selected hot springs. The saturation indices of most springs have a bearing on the geology of the areas where these hot springs are found. The Na-K geothermometers are, in general, higher than the Na-K-Ca geothermometer and the K-Mg geothermometer shows temperatures that are too low to be considered. The difference in the results between the different geothermometers may indicate shallow conditions of mixing with groundwater. Results also indicate that some hot springs have sufficient heat-generating capabilities and warrant further exploration work to assess their suitability for energy generation.

  1. A new genus and species of Macroderoididae, and other digeneans from fishes of Lake Malawi, Africa.

    PubMed

    Bray, Rodney A; Hendrix, Sherman S

    2007-08-01

    Malawitrema staufferi n. gen., n. sp., an unusual digenean, is described from Clarias mossambicus (type host) and Bagrus meridionalis from Lake Malawi. It has a small, pyriform body, with a spinous tegument. The ceca are relative short, not reaching to the testes. The 2 testes are symmetrical in the middle hind body. The cirrus sac is long and narrow, reaching into hind body. The genital pore is median, immediately anterior to the ventral sucker. The ovary is pretesticular, and a canalicular seminal vesicle and Laurer's canal are present. The uterus usually reaches distinctly posteriorly to testes. The eggs are small. The follicular vitellarium is in 2 small fields just anterior to testes. The ventrally subterminal excretory pore leads to a claviform vesicle. This species does not fit clearly into any known family of digeneans and is placed in the Macroderoididae as a temporary measure. Other digeneans reported from Lake Malawi include Haplorchoides cahirinus (Looss, 1896) in C. mossambicus and B. meridionalis; Astiotrema turneri Bray, van Oosterhout, Blais & Cable, 2006 in Protomelas annectens, P. cf. taeniolatus, Labeotropheus fuelleborni, Ctenopharynx (Otopharynx) pictus, and Pseudotropheus zebra; Glossidium pedatum Looss, 1899 in C. mossambicus and B. meridionalis; and an unidentifiable sanguinicolid from Bathyclarias nyasensis.

  2. Nocturnal low-level clouds over southern West Africa analysed using high-resolution simulations

    NASA Astrophysics Data System (ADS)

    Adler, Bianca; Kalthoff, Norbert; Gantner, Leonhard

    2017-01-01

    We performed a high-resolution numerical simulation to study the development of extensive low-level clouds that frequently form over southern West Africa during the monsoon season. This study was made in preparation for a field campaign in 2016 within the Dynamics-aerosol-chemistry-cloud interactions in West Africa (DACCIWA) project and focuses on an area around the city of Savè in southern Benin. Nocturnal low-level clouds evolve a few hundred metres above the ground around the same level as a distinct low-level jet. Several processes are found to determine the spatio-temporal evolution of these clouds including (i) significant cooling of the nocturnal atmosphere caused by horizontal advection with the south-westerly monsoon flow during the first half of the night, (ii) vertical cold air advection due to gravity waves leading to clouds in the wave crests and (iii) enhanced convergence and upward motion upstream of existing clouds that trigger new clouds. The latter is caused by an upward shift of the low-level jet in cloudy areas leading to horizontal convergence in the lower part and to horizontal divergence in the upper part of the cloud layer. Although this single case study hardly allows for a generalisation of the processes found, the results added to the optimisation of the measurements strategy for the field campaign and the observations will be used to test the hypotheses for cloud formation resulting from this study.

  3. Regional fuel load modeled for two contrasting years in central and southern Africa

    NASA Astrophysics Data System (ADS)

    Hely, C.; Dowty, P. R.; Alleaume, S.; Caylor, K. K.; Shugart, H. H.

    2001-12-01

    Fuel load has been modeled for southern hemisphere Africa for the 1991-92 and 1999-2000 growing seasons. The 1991-92 year was generally dry due to a strong El Nino event in contrast to the particularly wet year of 1999-2000. The method integrates site-level process modeling with 15 day AVHRR NDVI data. The site model was used to simulate landscape light-use efficiency (LUE) at a series of sites in the Kalahari region ranging from evergreen woodland to arid shrubland. This site-level LUE is extrapolated over the southern African region with gridded tree cover data and gridded rainfall. The predicted net primary production (NPP) is allocated into the different fuel types (grass, litter, twigs) using empirical based relationships. The model results are compared with field measurements of fuel load at a number of sites. The results will be used for modeling of biomass burning emissions.

  4. Understanding the relationship between couple dynamics and engagement with HIV care services: insights from a qualitative study in Eastern and Southern Africa.

    PubMed

    Wamoyi, Joyce; Renju, Jenny; Moshabela, Mosa; McLean, Estelle; Nyato, Daniel; Mbata, Doris; Bonnington, Oliver; Seeley, Janet; Church, Kathryn; Zaba, Basia; Wringe, Alison

    2017-07-01

    To explore the interplay between couple dynamics and the engagement of people living with HIV (PLHIV) with HIV care and treatment services in three health and demographic surveillance sites in Tanzania, Malawi and South Africa. A qualitative study was conducted involving 107 in-depth interviews with PLHIV with a range of HIV care and treatment histories, including current users of HIV clinics, and people not enrolled in HIV care. Interviews explored experiences of living with HIV and how and why they chose to engage or not with HIV services. Thematic analysis was conducted with the aid of NVivo 10. We found an interplay between couple dynamics and HIV care and treatment-seeking behaviour in Tanzania, Malawi and South Africa. Being in a relationship impacted on the level and type of engagement with HIV services in multiple ways. In some instances, couples living with HIV supported each other which improved their engagement with care and strengthened their relationships. The desire to fulfil societal expectations and attract a new partner, or have a baby with a new partner, or to receive emotional or financial support, strengthened on-going engagement with HIV care and treatment. However, fear of blame, abandonment or abuse resulted in unwillingness to disclose and often led to disputes or discord between couples. There was little evidence of intracouple understanding of each other's lived experiences with HIV, and we found that couples rarely interacted with the formal health system together. Couple dynamics influenced engagement with HIV testing, care and treatment for both partners through a myriad of pathways. Couple-friendly approaches to HIV care and treatment are needed that move beyond individualised care and which recognise partner roles in HIV care engagement. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  5. Interdisciplinary Environmental Summer Study Abroad in Southern Africa as a Mechanism for the Development of an International Research and Education Consortium

    NASA Astrophysics Data System (ADS)

    Swap, R. J.; Sabea, H.; Annegarn, H.; Ford, C.; Netshandama-Funyufunyu, V.; Omara-Ojungu, P.; Vaz, K.; Ribeiro, N.; Twine, W.; Terni, C.; Estes, L.

    2005-12-01

    We describe an interdisciplinary course for non-specialist undergraduates in which the students experience firsthand issues of regional environmental complexity and have the unique opportunity to gain insight into the role the environment plays in shaping the people and culture of southern Africa. Undergraduates receive 3 hours of credit both in Environmental Science and Anthropology for the ``People, Culture and Environment of Southern Africa" study abroad program. The program is an intensive introduction to the physical geography, history and culture of the region and involves an intensive blend of in-class lectures and field trips with daily debriefing discussions. Over the duration of the 30 day program, students are exposed to elements of geology, ecology, hydrology and atmospheric science and how the interconnectedness of these different aspects of the physical environment help shape the history of the people and their culture in the region. Information about logistics and course development as well as to how this summer study abroad program has contributed to the development and expansion of the Southern Africa Virginia Networks and Associations (SAVANA) consortium will be detailed. The program builds upon more than 12 years of relationships between UVA faculty and their southern African colleagues developed during the course of several regional scale research programs with the most recent being the Southern African Regional Science Initiative - SAFARI 2000. Students enrolled with the UVA program are joined by their counterparts and interact with faculty from institutional partners both in the classroom and in the field. Participants operate out of four major locations: Johannesburg, RSA (Univ. of the Witwatersrand); Thohoyondou, RSA (Univ. of Venda); Maputo, MOZ (Univ. of Eduardo Mondlane); and Acornhoek, RSA (Univ. of the Witwatersrand - Rural Facility). Class size is limited to 15 students from UVA and about 6 SAVANA consortium students. This pairing with

  6. Children's rights in the context of HIV/AIDS in Southern Africa.

    PubMed

    van Rensburg, Gisela H; et Phil, D Litt; Human, Sarie P

    2005-01-01

    Children in Southern Africa are living under extreme, difficult circumstances because of the spread of HIV/AIDS. Protecting and enhancing the rights of children can be regarded as an investment in the future. The principles identified in the World Fit for Children document from the United Nations International Children's Emergency Fund, within the context of HIV/AIDS, were used as a theoretical framework for a study conducted in one of the provinces of South Africa. A survey was conducted as a collaborative research project to map out critical trends regarding the fulfillment of children's rights, patterns, and structures of services available and the identification of capacity gaps. Right holders and duty bearers were interviewed, area surveys were conducted, and field observations were performed to determine data. Recommendations were made to raise the awareness of children's rights and to mobilize the community into action. To realize children's rights, emphasis must be placed on physical survival, development, and protection. Duty bearers should recognize and accept their responsibilities to establish, facilitate, manage, and/or control plans of action to address the devastating consequences of HIV/AIDS. Children should be empowered with knowledge, skills, and awareness to engage in and claim their rights.

  7. A strategic assessment of unsafe abortion in Malawi.

    PubMed

    Jackson, Emily; Johnson, Brooke Ronald; Gebreselassie, Hailemichael; Kangaude, Godfrey D; Mhango, Chisale

    2011-05-01

    As part of efforts to achieve Millennium Development Goal 5--to reduce maternal mortality by 75% and achieve universal access to reproductive health by 2015--the Malawi Ministry of Health conducted a strategic assessment of unsafe abortion in Malawi. This paper describes the findings of the assessment, including a human rights-based review of Malawi's laws, policies and international agreements relating to sexual and reproductive health and data from 485 in-depth interviews about sexual and reproductive health, maternal mortality and unsafe abortion, conducted with Malawians from all parts of the country and social strata. Consensus recommendations to address the issue of unsafe abortion were developed by a broad base of local and international stakeholders during a national dissemination meeting. Malawi's restrictive abortion law, inaccessibility of safe abortion services, particularly for poor and young women, and lack of adequate family planning, youth-friendly and post-abortion care services were the most important barriers. The consensus reached was that to make abortion safe in Malawi, there were four areas for urgent action--abortion law reform; sexuality education and family planning; adolescent sexual and reproductive health services; and post-abortion care services. Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  8. Satellite-based high-resolution mapping of rainfall over southern Africa

    NASA Astrophysics Data System (ADS)

    Meyer, Hanna; Drönner, Johannes; Nauss, Thomas

    2017-06-01

    A spatially explicit mapping of rainfall is necessary for southern Africa for eco-climatological studies or nowcasting but accurate estimates are still a challenging task. This study presents a method to estimate hourly rainfall based on data from the Meteosat Second Generation (MSG) Spinning Enhanced Visible and Infrared Imager (SEVIRI). Rainfall measurements from about 350 weather stations from 2010-2014 served as ground truth for calibration and validation. SEVIRI and weather station data were used to train neural networks that allowed the estimation of rainfall area and rainfall quantities over all times of the day. The results revealed that 60 % of recorded rainfall events were correctly classified by the model (probability of detection, POD). However, the false alarm ratio (FAR) was high (0.80), leading to a Heidke skill score (HSS) of 0.18. Estimated hourly rainfall quantities were estimated with an average hourly correlation of ρ = 0. 33 and a root mean square error (RMSE) of 0.72. The correlation increased with temporal aggregation to 0.52 (daily), 0.67 (weekly) and 0.71 (monthly). The main weakness was the overestimation of rainfall events. The model results were compared to the Integrated Multi-satellitE Retrievals for GPM (IMERG) of the Global Precipitation Measurement (GPM) mission. Despite being a comparably simple approach, the presented MSG-based rainfall retrieval outperformed GPM IMERG in terms of rainfall area detection: GPM IMERG had a considerably lower POD. The HSS was not significantly different compared to the MSG-based retrieval due to a lower FAR of GPM IMERG. There were no further significant differences between the MSG-based retrieval and GPM IMERG in terms of correlation with the observed rainfall quantities. The MSG-based retrieval, however, provides rainfall in a higher spatial resolution. Though estimating rainfall from satellite data remains challenging, especially at high temporal resolutions, this study showed promising results

  9. Agricultural nematology in East and Southern Africa: problems, management strategies and stakeholder linkages.

    PubMed

    Talwana, Herbert; Sibanda, Zibusiso; Wanjohi, Waceke; Kimenju, Wangai; Luambano-Nyoni, Nessie; Massawe, Cornel; Manzanilla-López, Rosa H; Davies, Keith G; Hunt, David J; Sikora, Richard A; Coyne, Danny L; Gowen, Simon R; Kerry, Brian R

    2016-02-01

    By 2050, Africa's population is projected to exceed 2 billion. Africa will have to increase food production more than 50% in the coming 50 years to meet the nutritional requirements of its growing population. Nowhere is the need to increase agricultural productivity more pertinent than in much of Sub-Saharan Africa, where it is currently static or declining. Optimal pest management will be essential, because intensification of any system creates heightened selection pressures for pests. Plant-parasitic nematodes and their damage potential are intertwined with intensified systems and can be an indicator of unsustainable practices. As soil pests, nematodes are commonly overlooked or misdiagnosed, particularly where appropriate expertise and knowledge transfer systems are meager or inadequately funded. Nematode damage to roots results in less efficient root systems that are less able to access nutrients and water, which can produce symptoms typical of water or nutrient deficiency, leading to misdiagnosis of the underlying cause. Damage in subsistence agriculture is exacerbated by growing crops on degraded soils and in areas of low water retention where strong root growth is vital. This review focuses on the current knowledge of economically important nematode pests affecting key crops, nematode control methods and the research and development needs for sustainable management, stakeholder involvement and capacity building in the context of crop security in East and Southern Africa, especially Kenya, Tanzania, Uganda and Zimbabwe. © 2015 Society of Chemical Industry.

  10. FIFA 11 for Health Programme: Implementation in Five Countries in Sub-Saharan Africa

    ERIC Educational Resources Information Center

    Fuller, Colin W.; Junge, Astrid; Amaning, Jacob; Kaijage, Rogasian R.; Kaputa, John; Magwende, George; Pambo, Prince; Dvorak, Jiri

    2015-01-01

    Objective: To assess the effectiveness of the FIFA 11 for Health programme in increasing children's knowledge about communicable and non-communicable diseases in five countries of Sub-Saharan Africa. Method: A prospective five-cohort study was implemented in schools in Ghana (17), Malawi (12), Namibia (11), Tanzania (18) and Zambia (11). The…

  11. Emissions of mercury in southern Africa derived from long-term observations at Cape Point, South Africa

    NASA Astrophysics Data System (ADS)

    Brunke, E.-G.; Ebinghaus, R.; Kock, H. H.; Labuschagne, C.; Slemr, F.

    2012-08-01

    Mercury emissions in South Africa have so far been estimated only by a bottom-up approach from activities and emission factors for different processes. In this paper we derive GEM/CO (GEM being gaseous elemental mercury, Hg0), GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios from plumes observed during long-term monitoring of these species at Cape Point between March 2007 and December 2009. The average observed GEM/CO, GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios were 2.40 ± 2.65 pg m-3 ppb-1 (n = 47), 62.7 ± 80.2 pg m-3 ppm-1 (n = 44), 3.61 ± 4.66 pg m-3 ppb-1 (n = 46), 35.6 ± 25.4 ppb ppm-1 (n = 52), 20.2 ± 15.5 ppb ppm-1 (n = 48), and 0.876 ± 1.106 ppb ppb-1 (n = 42), respectively. The observed CO/CO2, CH4/CO2, and CH4/CO emission ratios agree within the combined uncertainties of the observations and emissions with the ratios calculated from EDGAR (version 4.2) CO2, CO, and CH4 inventories for South Africa and southern Africa (South Africa, Lesotho, Swaziland, Namibia, Botswana, Zimbabwe, and Mozambique) in 2007 and 2008 (inventories for 2009 are not available yet). Total elemental mercury emission of 13.1, 15.2, and 16.1 t Hg yr-1 are estimated independently using the GEM/CO, GEM/CO2, and GEM/CH4 emission ratios and the annual mean CO, CO2, and CH4 emissions, respectively, of South Africa in 2007 and 2008. The average of these independent estimates of 14.8 t GEM yr-1 is much less than the total emission of 257 t Hg yr-1 shown by older inventories which are now considered to be wrong. Considering the uncertainties of our emission estimate, of the emission inventories, and the fact that emission of GEM represents 50-78 % of all mercury emissions, our estimate is comparable to the currently cited GEM emissions in 2004 and somewhat smaller than emissions in 2006. A further increase of mercury emissions due to increasing electricity consumption will lead to a more pronounced difference. A quantitative assessment of the difference

  12. Working with Cultural-Historical Activity Theory and Critical Realism to Investigate and Expand Farmer Learning in Southern Africa

    ERIC Educational Resources Information Center

    Mukute, Mutizwa; Lotz-Sisitka, Heila

    2012-01-01

    This article uses the theoretical and methodological tools of cultural historical activity theory and critical realism to examine three case studies of the introduction and expansion of sustainable agricultural practices in southern Africa. The article addresses relevant issues in the field of agricultural extension, which lacks a theoretical…

  13. Mental Health Facilitator (MHF) Service Implementation in Schools in Malawi, Africa: A Strategy for Increasing Community Human Resources

    ERIC Educational Resources Information Center

    Luke, Melissa; Hinkle, J. Scott; Schweiger, Wendi; Henderson, Donna

    2016-01-01

    The Mental Health Facilitator (MHF) program utilizes a population-based curriculum and has been implemented in Malawi for the past seven years. This article reports findings from an ethnographic study that explored how 40 MHF stakeholders have experienced the MHF program. This transdisciplinary program is a 30-hour training in community mental…

  14. Southern Hemisphere anticyclonic circulation drives oceanic and climatic conditions in late Holocene southernmost Africa

    NASA Astrophysics Data System (ADS)

    Hahn, Annette; Schefuß, Enno; Andò, Sergio; Cawthra, Hayley C.; Frenzel, Peter; Kugel, Martin; Meschner, Stephanie; Mollenhauer, Gesine; Zabel, Matthias

    2017-06-01

    Due to the high sensitivity of southern Africa to climate change, a reliable understanding of its hydrological system is crucial. Recent studies of the regional climatic system have revealed a highly complex interplay of forcing factors on precipitation regimes. This includes the influence of the tropical easterlies, the strength of the southern hemispheric westerlies as well as sea surface temperatures along the coast of the subcontinent. However, very few marine records have been available in order to study the coupling of marine and atmospheric circulation systems. Here we present results from a marine sediment core, recovered in shallow waters off the Gouritz River mouth on the south coast of South Africa. Core GeoB18308-1 allows a closer view of the last ˜ 4 kyr. Climate sensitive organic proxies, like the distribution and isotopic composition of plant-wax lipids as well as indicators for sea surface temperatures and soil input, give information on oceanographic and hydrologic changes during the recorded time period. Moreover, the micropaleontology, mineralogical and elemental composition of the sediments reflect the variability of the terrigenous input to the core site. The combination of down-core sediment signatures and a catchment-wide provenance study indicate that the Little Ice Age ( ˜ 300-650 cal yr BP) was characterized by climatic conditions favorable to torrential flood events. The Medieval Climate Anomaly ( ˜ 950-650 cal yr BP) is expressed by lower sea surface temperatures in the Mossel Bay area and humid conditions in the Gouritz River catchment. These new results suggest that the coincidence of humid conditions and cooler sea surface temperatures along the south coast of South Africa resulted from a strengthened and more southerly anticyclonic circulation. Most probably, the transport of moisture from the Indian Ocean by strong subtropical easterlies was coupled with Agulhas Bank upwelling pulses, which were initiated by an increase in

  15. Developmental Idealism and Cultural Models of the Family in Malawi

    PubMed Central

    Pierotti, Rachael S.; Young-DeMarco, Linda; Watkins, Susan

    2014-01-01

    This paper examines the extent to which developmental idealism has been disseminated in Malawi. Developmental idealism is a set of beliefs and values about development and the relationships between development and family structures and behavior. Developmental idealism states that attributes of societies and families defined as modern are better than attributes defined as traditional, that modern societies help produce modern families, that modern families facilitate the achievement of modern societies, and that the future will bring family change in the direction of modernity. Previous research has demonstrated that knowledge of developmental idealism is widespread in many places around the world, but provides little systematic data about it in sub-Saharan Africa or how knowledge of it is associated with certain demographic characteristics in that region. In this paper, we address this issue by examining whether ordinary people in two settings in Malawi, a sub-Saharan African country, have received and understood messages that are intended to associate development with certain types of family forms and family behaviors. We then examine associations between demographic characteristics and developmental idealism to investigate possible mechanisms linking global discourse about development to the grassroots. We analyze data collected in face-to-face surveys from two samples of Malawian men in 2009 and 2010, one rural, the other in a low-to-medium income neighborhood of a city. Our analysis of these survey data shows considerable evidence that many developmental idealism beliefs have been spread in that country and that education has positive effects on beliefs in the association between development and family attributes. We also find higher levels of developmental idealism awareness in the urban sample than we do in the rural sample, but once dissimilarities in education and wealth between the two samples are controlled, awareness levels no longer differed between

  16. Impact of immigration on HIV-1 molecular epidemiology in West Africa, Maghreb and Southern Europe.

    PubMed

    Miri, Lamia; Wakrim, Lahcen; Kassar, Hassène; Hemminki, Kari; Khyatti, Meriem

    2014-01-01

    There is global concern about the relation between international migration and the course of the AIDS epidemic. Maghreb is a North African region, which lies between sub-Saharan Africa and Europe. It has been turned recently into a region of immigration, since there are more and more flows of West African migrants hoping to reach European countries. Here we provide an overview on HIV-1 molecular epidemiology particularly in West African countries, Maghreb (Morocco, Algeria, Tunisia) and southern European countries (Spain, France, and Italy). The studies conducted in several countries of the region revealed different features of HIV-1 molecular epidemiology, especially for the distribution of viral subtypes and for transmitted drug resistance profiles. Furthermore, migration from West Africa to Europe seems to be a potential source of non-B subtype mobility to Maghreb and eventually to southern Europe, where HIV-1 non-B variants significantly increased in the last 10 to 15 years. As genetic differences between subtypes might impact the drug resistance pathways, it is important to provide continuous surveillance programs for the early detection of new variants spreading in the population before they become more prevalent, and to identify resistance profiles in different infected populations, especially migrants.

  17. Prediction, Assessment of the Rift Valley Fever Activity in East and Southern Africa 2006-2008 and Possible Vector Control Strategies

    DTIC Science & Technology

    2010-01-01

    and Hygiene INTRODUCTION Rift Valley fever ( RVF ) is a mosquito-borne viral disease with pronounced health and economic impacts on domestic...animals and humans in much of sub-Saharan Africa. 1 The eco- nomic loss from RVF in East Africa is estimated to exceed $60 million because of disruption in...morbidity and mortality in humans. The RVF epizootics and epidemics are closely linked to the occurrence of the warm phase of the El Niño/Southern

  18. 'It was caused by the carelessness of the parents': cultural models of child malnutrition in southern Malawi.

    PubMed

    Flax, Valerie L

    2015-01-01

    Parents' conceptions of child growth, health and malnutrition are culturally bound, making information about local understandings of malnutrition and its causes necessary for designing effective nutrition programmes. This study used ethnographic methods to elucidate cultural models of child care and malnutrition among the Yao of southern Malawi. Data were collected in six rural villages from 28 key informant interviews with village chiefs and traditional healers among others and 18 focus group discussions with parents and grandmothers of young children. For the Yao, lack of parental care is a key cause of poor child health and can lead to thinness (kunyililika) or swelling (kuimbangana). Parents are said to be careless if they are not attentive to the child's needs, are unable to provide adequate quality or quantity of food, or fail to follow sexual abstinence rules. Maintaining abstinence protects the family and failure to do so causes the transfer of 'heat' from a sexually active parent to a 'cold' child and results in child health problems, including signs and symptoms of malnutrition. These findings indicate that the Yao understanding of care is much broader than the concept of care during feeding described in the nutrition literature. In addition, the Yao note the importance of several key feeding practices supported by international agencies and understand the influence of illness on child nutritional status. These congruencies with the public health frame should be used together with information about the cultural context to design more socially and emotionally relevant care and nutrition programmes among the Yao. © 2013 John Wiley & Sons Ltd.

  19. HIV and childhood disability: a case-controlled study at a paediatric antiretroviral therapy centre in Lilongwe, Malawi.

    PubMed

    Devendra, Akash; Makawa, Atupele; Kazembe, Peter N; Calles, Nancy R; Kuper, Hannah

    2013-01-01

    As paediatric antiretroviral therapy (ART) is rapidly scaled up in Southern Africa, Human Immunodeficiency Virus (HIV) infection is becoming a chronic illness. Children growing up with HIV may begin to encounter disabilities. The relationship between HIV, disability and the need for rehabilitation has added an additional element that needs to be addressed by paediatric HIV treatment programmes. 1) Estimate the prevalence of disabilities in HIV-infected and HIV-uninfected children in Lilongwe, Malawi. 2) Examine types of disability and associated clinical and socio-demographic factors. 3) Identify needs, opportunities and barriers for rehabilitation in Malawi. A case-controlled study of 296 HIV-infected children aged 2-9 years attending an ART centre in Lilongwe (cases) and their uninfected siblings (controls) was conducted. Disability was assessed using the WHO Ten Question Screen (TQS). Socio-demographic and clinical data were collected using a parent-proxy questionnaire and medical records. Of 296 case and control pairs recruited, 33% (98) versus 7% (20) screened positive for a disability (OR 8.4, 4.4-15.7) respectively. Of these 98 HIV-infected cases, 6%, 36%, 33%, 53%, 46% and 6% had a vision, hearing; physical, learning/comprehension, speech or seizure-related disability respectively and 51% had multiple coexisting disabilities. HIV-infected cases with a disability were more likely to be WHO stage III or IV at enrolment (71% vs. 52%, OR 2.7, 1.5-4.2), to have had TB (58% vs. 39%, OR 2.3, 1.4-3.8) and to have below-average school grades (18% vs. 2%, OR 11.1, 2.2-54.6) than those without. Sixty-seven percent of cases with a disability had never attended any rehabilitative service. Twenty-nine percent of caregivers reported facing stigma and discrimination because of the child's disability. This study reveals the magnitude of disability among HIV-infected children and the large unmet need for rehabilitation services. This expanding issue demands further

  20. Transportation as an Element of Foreign Policy in Southern Africa or the Ties that Bind

    DTIC Science & Technology

    1985-06-01

    been used by political leaders in Southern Africa to push regional development in a direction that would benefit the particular personal or corporate ...concession to an American financed company which rapidly went bankrupt and sold out to an English owned company, owned by Cecil J. Rhodes. Claiming breach...8217 political cunning and his ability to secure financing , all in an effort to "extract maximum political advantage with minimum financial outlay." [Ref

  1. Rainfall variability and extremes over southern Africa: Assessment of a climate model to reproduce daily extremes

    NASA Astrophysics Data System (ADS)

    Williams, C. J. R.; Kniveton, D. R.; Layberry, R.

    2009-04-01

    It is increasingly accepted that that any possible climate change will not only have an influence on mean climate but may also significantly alter climatic variability. A change in the distribution and magnitude of extreme rainfall events (associated with changing variability), such as droughts or flooding, may have a far greater impact on human and natural systems than a changing mean. This issue is of particular importance for environmentally vulnerable regions such as southern Africa. The subcontinent is considered especially vulnerable to and ill-equipped (in terms of adaptation) for extreme events, due to a number of factors including extensive poverty, famine, disease and political instability. Rainfall variability and the identification of rainfall extremes is a function of scale, so high spatial and temporal resolution data are preferred to identify extreme events and accurately predict future variability. The majority of previous climate model verification studies have compared model output with observational data at monthly timescales. In this research, the assessment of ability of a state of the art climate model to simulate climate at daily timescales is carried out using satellite derived rainfall data from the Microwave Infra-Red Algorithm (MIRA). This dataset covers the period from 1993-2002 and the whole of southern Africa at a spatial resolution of 0.1 degree longitude/latitude. The ability of a climate model to simulate current climate provides some indication of how much confidence can be applied to its future predictions. In this paper, simulations of current climate from the UK Meteorological Office Hadley Centre's climate model, in both regional and global mode, are firstly compared to the MIRA dataset at daily timescales. This concentrates primarily on the ability of the model to simulate the spatial and temporal patterns of rainfall variability over southern Africa. Secondly, the ability of the model to reproduce daily rainfall extremes will

  2. Rainfall variability and extremes over southern Africa: assessment of a climate model to reproduce daily extremes

    NASA Astrophysics Data System (ADS)

    Williams, C.; Kniveton, D.; Layberry, R.

    2009-04-01

    It is increasingly accepted that that any possible climate change will not only have an influence on mean climate but may also significantly alter climatic variability. A change in the distribution and magnitude of extreme rainfall events (associated with changing variability), such as droughts or flooding, may have a far greater impact on human and natural systems than a changing mean. This issue is of particular importance for environmentally vulnerable regions such as southern Africa. The subcontinent is considered especially vulnerable to and ill-equipped (in terms of adaptation) for extreme events, due to a number of factors including extensive poverty, famine, disease and political instability. Rainfall variability and the identification of rainfall extremes is a function of scale, so high spatial and temporal resolution data are preferred to identify extreme events and accurately predict future variability. The majority of previous climate model verification studies have compared model output with observational data at monthly timescales. In this research, the assessment of ability of a state of the art climate model to simulate climate at daily timescales is carried out using satellite derived rainfall data from the Microwave Infra-Red Algorithm (MIRA). This dataset covers the period from 1993-2002 and the whole of southern Africa at a spatial resolution of 0.1 degree longitude/latitude. The ability of a climate model to simulate current climate provides some indication of how much confidence can be applied to its future predictions. In this paper, simulations of current climate from the UK Meteorological Office Hadley Centre's climate model, in both regional and global mode, are firstly compared to the MIRA dataset at daily timescales. This concentrates primarily on the ability of the model to simulate the spatial and temporal patterns of rainfall variability over southern Africa. Secondly, the ability of the model to reproduce daily rainfall extremes will

  3. The evolution of nocturnal boundary-layer clouds in southern West Africa - a case study from DACCIWA

    NASA Astrophysics Data System (ADS)

    Adler, Bianca; Kalthoff, Norbert; Babić, Karmen; Lohou, Fabienne; Dione, Cheikh; Lothon, Marie; Pedruzo-Bagazgoitia, Xabier

    2017-04-01

    During the monsoon season, the atmospheric boundary layer in southern West Africa is characterised by various kinds of low-level clouds which experience a distinct diurnal cycle. During the night, extensive low-level stratiform clouds frequently form with a cloud base often less than few hundred metres above ground. After sunrise the cloud base slowly starts rising and eventually a transition to convective clouds occurs. While the existence of the clouds is documented in satellite images and synoptic observations, little is known about the mechanisms controlling their evolution. To provide observational evidence, a field campaign was conducted in southern West Africa in June and July 2016 within the framework of the Dynamics-aerosol-chemistry-cloud interactions in West Africa (DACCIWA) project. Comprehensive ground-based in situ and remote sensing measurements were performed at three different supersites in Ghana, Benin and Nigeria. In this contribution, we present the diurnal cycle of boundary-layer clouds for a typical day using data from a supersite at Savè in Benin. Due to the synergy of various instruments, we are able to obtain detailed information on the evolution of the clouds as well as on the boundary-layer structure with high temporal and vertical resolution. By combining ceilometer, cloud radar and microwave radiometer data we determined the cloud base, -depth and -density. The clouds form in the same layer as a nocturnal low-level jet (NLLJ), which we probe by sodar and UHF profiler. There is evidence for a strong link between the height and strength of the NLLJ and the density of the nocturnal clouds.

  4. Preliminary Exploration of Encounter During Transit Across Southern Africa

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Stroud, Phillip David; Cuellar-Hengartner, Leticia; Kubicek, Deborah Ann

    Los Alamos National Laboratory (LANL) is utilizing the Probability Effectiveness Methodology (PEM) tools, particularly the Pathway Analysis, Threat Response and Interdiction Options Tool (PATRIOT) to support the DNDO Architecture and Planning Directorate’s (APD) development of a multi-region terrorist risk assessment tool. The effort is divided into three stages. The first stage is an exploration of what can be done with PATRIOT essentially as is, to characterize encounter rate during transit across a single selected region. The second stage is to develop, condition, and implement required modifications to the data and conduct analysis to generate a well-founded assessment of the transitmore » reliability across that selected region, and to identify any issues in the process. The final stage is to extend the work to a full multi-region global model. This document provides the results of the first stage, namely preliminary explorations with PATRIOT to assess the transit reliability across the region of southern Africa.« less

  5. Initiating and developing clinical services, training and research in a low resource setting: the Malawi ENT experience.

    PubMed

    Mulwafu, Wakisa; Nyirenda, Thomas Elliot; Fagan, Johannes J; Bem, Chris; Mlumbe, Kumvana; Chitule, Jean

    2014-07-01

    Sub-Saharan Africa countries like Malawi have a paucity of ear, nose and throat (ENT) data, services and training opportunities. To reflect on new Malawian ENT experience and to propose guidelines to poorly resourced countries. Analysis of data predating and following establishment of ENT services in Malawi. In 2008 the first and only Malawian ENT specialist established ENT services with external funding. Fifteen clinical officers have been trained and a nurse placed at each outreach hospital. In 2012, 15,284 consultations were recorded: 543 (3.6%) from outreach clinics. Forty-nine percent needed medical treatment, while 45% needed medical advice. Surgery was performed on 2.7% of patients; 21% for foreign bodies in the nose and throat and 18% for foreign bodies and biopsies of ears. To establish accessible and sustainable specialist ENT services in a poor country requires building on an established local health delivery system, careful planning and investment in personnel, infrastructure, training and data collection. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  6. Distributions of Trace Gases and Aerosols during the Dry Biomass Burning Season in Southern Africa

    NASA Technical Reports Server (NTRS)

    Sinha, Parikhit; Hobbs, Peter V.; Yokelson, Robert J.; Blake, Donald R.; Gao, Song; Kirchstetter, Thomas W.

    2003-01-01

    Vertical profiles in the lower troposphere of temperature, relative humidity, sulfur dioxide (SO2), ozone (O3), condensation nuclei (CN), and carbon monoxide (CO), and horizontal distributions of twenty gaseous and particulate species, are presented for five regions of southern Africa during the dry biomass burning season of 2000. The regions are the semiarid savannas of northeast South Africa and northern Botswana, the savanna-forest mosaic of coastal Mozambique, the humid savanna of southern Zambia, and the desert of western Namibia. The highest average concentrations of carbon dioxide (CO2), CO, methane (CH4), O3, black particulate carbon, and total particulate carbon were in the Botswana and Zambia sectors (388 and 392 ppmv, 369 and 453 ppbv, 1753 and 1758 ppbv, 79 and 88 ppbv, 2.6 and 5.5 micrograms /cubic meter and 13.2 and 14.3 micrograms/cubic meter). This was due to intense biomass burning in Zambia and surrounding regions. The South Africa sector had the highest average concentrations of SO2, sulfate particles, and CN (5.1 ppbv, 8.3 micrograms/cubic meter, and per 6400 cubic meter , respectively), which derived from biomass burning and electric generation plants and mining operations within this sector. Air quality in the Mozambique sector was similar to the neighboring South Africa sector. Over the arid Namibia sector there were polluted layers aloft, in which average SO2, O3, and CO mixing ratios (1.2 ppbv, 76 ppbv, and 3 10 ppbv, respectively) were similar to those measured over the other more polluted sectors. This was due to transport of biomass smoke from regions of widespread savanna burning in southern Angola. Average concentrations over all sectors of CO2 (386 +/- 8 ppmv), CO (261 +/- 81 ppbv), SO2 (2.5 +/- 1.6 ppbv), O3 (64 +/- 13 ppbv), black particulate carbon (2.3 +/- 1.9 microgram/cubic meter), organic particulate carbon (6.2 +/- 5.2 microgram/cubic meter), total particle mass (26.0 +/- 4.7 microgram/cubic meter), and potassium particles (0

  7. Exposure to violence and psychological well-being over time in children affected by HIV/AIDS in South Africa and Malawi

    PubMed Central

    Skeen, S.; Macedo, A.; Tomlinson, M.; Hensels, I. S.; Sherr, L.

    2016-01-01

    ABSTRACT Many of the risk factors for violence against children are particularly prevalent in families and communities affected by HIV/AIDS. Yet, in sub-Saharan Africa, where HIV rates are high, efforts to prevent or address violence against children and its long-lasting effects are hampered by a lack of evidence. We assessed the relationship between violence exposure and mental health among HIV-affected children attending community-based organisations in South Africa (n = 834) and Malawi (n = 155, total sample n = 989) at baseline and 12–15-month follow-up. Exposure to violence in the home and in the community was high. HIV-negative children who lived with an HIV-positive person experienced most violence overall, followed by HIV-positive children. Children unaffected by HIV experienced least violence (all p < .05). Interpersonal violence in the home predicted child depression (β = 0.17, p < .001), trauma symptoms (β = 0.17, p < .001), lower self-esteem (β = −0.17, p < .001), and internalising and externalising behavioural problems (β = 0.07, p < .05), while exposure to community violence predicted trauma symptoms (β = 0.16, p < .001) and behavioural problems (β = 0.07, p < .05). Harsh physical discipline predicted lower self-esteem (β = −0.18, p < .001) and behavioural problems for children (β = 0.24, p < .001). Exposure to home (OR: 1.89, 95% CI: 1.23–2.85) and community violence predicted risk behaviour (OR: 2.39, 95% CI: 1.57–3.62). Over time, there was a decrease in depressed mood and problem behaviours, and an increase in self-esteem for children experiencing different types of violence at baseline. This may have been due to ongoing participation in the community-based programme. These data highlight the burden of violence in these communities and possibilities for programmes to include violence prevention to improve psychosocial well-being in HIV-affected children. PMID:27002770

  8. Social Networks, Social Participation, and Health among Youth Living in Extreme Poverty in Rural Malawi

    PubMed Central

    Rock, Amelia; Barrington, Clare; Abdoulayi, Sara; Tsoka, Maxton; Mvula, Peter; Handa, Sudhanshu

    2017-01-01

    Extensive research documents that social network characteristics affect health, but knowledge of peer networks of youth in Malawi and sub-Saharan Africa is limited. We examine the networks and social participation of youth living in extreme poverty in rural Malawi, using in-depth interviews with 32 youth and caregivers. We describe youth’s peer networks and assess how gender and the context of extreme poverty influence their networks and participation, and how their networks influence health. In-school youth had larger, more interactive, and more supportive networks than out-of-school youth, and girls described less social participation and more isolation than boys. Youth exchanged social support and influence within their networks that helped cope with poverty-induced stress and sadness, and encouraged protective sexual health practices. However, poverty hampered their involvement in school, religious schools, and community organizations, directly through lack of required material means, and indirectly by reducing time and emotional resources and creating shame and stigma. Poverty alleviation policy holds promise for improving youth’s social wellbeing and mental and physical health by increasing their opportunities to form networks, receive social support, and experience positive influence. PMID:27760393

  9. Social networks, social participation, and health among youth living in extreme poverty in rural Malawi.

    PubMed

    Rock, Amelia; Barrington, Clare; Abdoulayi, Sara; Tsoka, Maxton; Mvula, Peter; Handa, Sudhanshu

    2016-12-01

    Extensive research documents that social network characteristics affect health, but knowledge of peer networks of youth in Malawi and sub-Saharan Africa is limited. We examine the networks and social participation of youth living in extreme poverty in rural Malawi, using in-depth interviews with 32 youth and caregivers. We describe youth's peer networks and assess how gender and the context of extreme poverty influence their networks and participation, and how their networks influence health. In-school youth had larger, more interactive, and more supportive networks than out-of-school youth, and girls described less social participation and more isolation than boys. Youth exchanged social support and influence within their networks that helped cope with poverty-induced stress and sadness, and encouraged protective sexual health practices. However, poverty hampered their involvement in school, religious schools, and community organizations, directly by denying them required material means, and indirectly by reducing time and emotional resources and creating shame and stigma. Poverty alleviation policy holds promise for improving youth's social wellbeing and mental and physical health by increasing their opportunities to form networks, receive social support, and experience positive influence. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Tetanus Cases After Voluntary Medical Male Circumcision for HIV Prevention - Eastern and Southern Africa, 2012-2015

    DTIC Science & Technology

    2016-01-22

    Control and Prevention Notes from the Field Tetanus Cases After Voluntary Medical Male Circumcision for HIV Prevention — Eastern and Southern Africa...the risk for female-to-male HIV transmission by approximately 60% (1), and the President’s Emergency Plan for AIDS Relief (PEPFAR) is supporting...the scale-up of VMMC for adolescent and adult males in countries with high prevalence of human immunodeficiency virus ( HIV ) and low coverage of male

  11. Linking the North Atlantic Oscillation to Rainfall Over Northern Lake Malawi

    NASA Astrophysics Data System (ADS)

    Johnson, T. C.; Powers, L. A.; Werne, J. P.; Brown, E. T.; Castaneda, I.; Schouten, S.; Sinninghe-Damste, J.

    2005-12-01

    Piston and multi-cores recovered from the north basin of Lake Malawi in 1998 by the International Decade for the East African Lakes (IDEAL) have provided a rich history of climate variability spanning the past 25,000 years. As we now begin to analyze the cores recovered by the Malawi Drilling Project in early 2005, we are considering the relationships among sedimentary signals of temperature (TEX86), northerly winds associated with a southward excursion of the Inter-Tropical Convergence Zone (per cent biogenic silica), and rainfall (terrigenous mass accumulation rate) in the well dated 1998 cores. A high-resolution record of the past 800 years suggests that rainfall in this region (10 - 12° S, 30 - 35° E) was relatively low during the Little Ice Age, when northerly winds were more prevalent, attributed to a more southerly position of the ITCZ during austral summers. The TEX86 signal of lake (surface?) temperature ranged mostly between 24 and 26°C during this period, with the coldest temperature of about 22°C around AD1680 and the warmest temperature, exceeding 27°C, in the youngest sediment sample. The cooler water temperatures coincide with periods of highest diatom productivity, consistent with the latter being due to relatively intense upwelling associated with the northerly winds. Our observation of low rainfall during periods of more southerly migration of the ITCZ is consistent with the results of McHugh and Rogers (2001), who linked rainfall in southeastern Africa to the North Atlantic Oscillation (NAO). During years of weak NAO, equatorial westerly transport of Atlantic moisture across Africa during austral summer is relatively intense, causing high rainfall in the East African Rift between the equator and 16° S. Conversely, when the NAO is positive, rainfall is higher south of 15° S than north of this latitude, which is consistent with a southward migration of the ITCZ. McHugh, M. J. and J. C. Rogers (2001). "North Atlantic Oscillation influence on

  12. High-Stakes Testing in the Warm Heart of Africa: The Challenges and Successes of the Malawi National Examinations Board

    ERIC Educational Resources Information Center

    Chakwera, Elias; Khembo, Dafter; Sireci, Stephen G.

    2004-01-01

    In the United States, tests are held to high standards of quality. In developing countries such as Malawi, psychometricians must deal with these same high standards as well as several additional pressures such as widespread cheating, test administration difficulties due to challenging landscapes and poor resources, difficulties in reliably scoring…

  13. POLITICS OF BIOPIRACY: AN ADVENTURE INTO HOODIA/XHOBA PATENTING IN SOUTHERN AFRICA.

    PubMed

    Amusan, Lere

    2017-01-01

    Africa is being described as the wretched of the earth, despite this, the continent is endowed with natural resources, dynamic ecosystem, and different species of plants and animals, and species derivatives. This paper area of departure is to focus on Hoodia, a plant that is being a source of food, medicine and water for the San and Khoe indigenous peoples before the advent of Europeans into southern Africa. South African Council for Scientific and Industrial Research (CSIR) dubiously patented Hoodia without observing the basic indices of geographical indications (GIs), indigenous knowledge (IK), novelty, access sharing benefit (ASB), prior informed consent (PIC) and sustainability of ecosystem before the rights was sold to Phytopharm pharmaceutical company. This article adopts neoliberal thesis with emphasis on complex interdependence theory of organic linkages between developing and developed countries. Secondary sources of information taken into account of qualitative and critical discuss content analyses dominate this paper. The paper recommends a linkage between developed and developing states based on endowment theory and comparative advantage with the notion of adhering to the Convention on Biological Diversity (CBD) which has three objectives: the conservation of biodiversity; the sustainable utilisation of indigenous biological resources (IBR); and fair and equitable benefit sharing. The paper recommends that there is a need to follow CBD and other relevant international regimes that promote equal exchange in exploitation of Africa resources as against the present skewed arrangement that is in favour of multinational corporations (MNCs).

  14. Sex work and the construction of intimacies: meanings and work pragmatics in rural Malawi.

    PubMed

    Tavory, Iddo; Poulin, Michelle

    2012-05-01

    This article focuses on Malawian sex workers' understandings of exchange and intimacy, showing how multiple historically emergent categories and specific work pragmatics produce specific patterns of relational meanings. As we show, sex workers make sense of their relationships with clients through two categories. The first is sex work; the second is the chibwenzi , an intimate premarital relational category that emerged from pre-colonial transformations in courtship practices. These categories, in turn, are also shaped differently in different work settings. We use narratives from in-depth interviews with 45 sex workers and bar managers in southern Malawi to describe how the everyday pragmatics of two forms of sex work-performed by "bargirls" and "freelancers"-foster distinct understandings of relationships between them and men they have sex with. Bargirls, who work and live in bars, blurred the boundaries between "regulars" and chibwenzi; freelancers, who are not tethered to a specific work environment, often subverted the meanings of the chibwenzi , presenting these relationships as both intimate and emotionally distant. Through this comparison, we thus refine an approach to the study of the intimacy-exchange nexus, and use it to capture the complexities of gender relations in post-colonial Malawi.

  15. Palaeoclimatic conditions in the Late Triassic-Early Jurassic of southern Africa: A geochemical assessment of the Elliot Formation

    NASA Astrophysics Data System (ADS)

    Sciscio, Lara; Bordy, Emese M.

    2016-07-01

    The Triassic-Jurassic boundary marks a global faunal turnover event that is generally considered as the third largest of five major biological crises in the Phanerozoic geological record of Earth. Determining the controlling factors of this event and their relative contributions to the biotic turnover associated with it is on-going globally. The Upper Triassic and Lower Jurassic rock record of southern Africa presents a unique opportunity for better constraining how and why the biosphere was affected at this time not only because the succession is richly fossiliferous, but also because it contains important palaeoenvironmental clues. Using mainly sedimentary geochemical proxies (i.e., major, trace and rare earth elements), our study is the first quantitative assessment of the palaeoclimatic conditions during the deposition of the Elliot Formation, a continental red bed succession that straddles the Triassic-Jurassic boundary in southern Africa. Employing clay mineralogy as well as the indices of chemical alteration and compositional variability, our results confirm earlier qualitative sedimentological studies and indicate that the deposition of the Upper Triassic and Lower Jurassic Elliot Formation occurred under increasingly dry environmental conditions that inhibited chemical weathering in this southern part of Pangea. Moreover, the study questions the universal validity of those studies that suggest a sudden increase in humidity for the Lower Jurassic record and supports predictions of long-term global warming after continental flood basalt emplacement.

  16. The SASSCAL contribution to climate observation, climate data management and data rescue in Southern Africa

    NASA Astrophysics Data System (ADS)

    Kaspar, F.; Helmschrot, J.; Mhanda, A.; Butale, M.; de Clercq, W.; Kanyanga, J. K.; Neto, F. O. S.; Kruger, S.; Castro Matsheka, M.; Muche, G.; Hillmann, T.; Josenhans, K.; Posada, R.; Riede, J.; Seely, M.; Ribeiro, C.; Kenabatho, P.; Vogt, R.; Jürgens, N.

    2015-07-01

    A major task of the newly established "Southern African Science Service Centre for Climate Change and Adaptive Land Management" (SASSCAL; www.sasscal.org) and its partners is to provide science-based environmental information and knowledge which includes the provision of consistent and reliable climate data for Southern Africa. Hence, SASSCAL, in close cooperation with the national weather authorities of Angola, Botswana, Germany and Zambia as well as partner institutions in Namibia and South Africa, supports the extension of the regional meteorological observation network and the improvement of the climate archives at national level. With the ongoing rehabilitation of existing weather stations and the new installation of fully automated weather stations (AWS), altogether 105 AWS currently provide a set of climate variables at 15, 30 and 60 min intervals respectively. These records are made available through the SASSCAL WeatherNet, an online platform providing near-real time data as well as various statistics and graphics, all in open access. This effort is complemented by the harmonization and improvement of climate data management concepts at the national weather authorities, capacity building activities and an extension of the data bases with historical climate data which are still available from different sources. These activities are performed through cooperation between regional and German institutions and will provide important information for climate service related activities.

  17. The colposcopic atlas of schistosomiasis in the lower female genital tract based on studies in Malawi, Zimbabwe, Madagascar and South Africa.

    PubMed

    Norseth, Hanne M; Ndhlovu, Patricia D; Kleppa, Elisabeth; Randrianasolo, Bodo S; Jourdan, Peter M; Roald, Borghild; Holmen, Sigve D; Gundersen, Svein G; Bagratee, Jayanthilall; Onsrud, Mathias; Kjetland, Eyrun F

    2014-01-01

    Schistosoma (S.) haematobium is a neglected tropical disease which may affect any part of the genital tract in women. Female genital schistosomiasis (FGS) may cause abnormal vaginal discharge, contact bleeding, genital tumours, ectopic pregnancies and increased susceptibility to HIV. Symptoms may mimic those typical of sexually transmitted infections (STIs) and women with genital schistosomiasis may be incorrectly diagnosed. An expert consensus meeting suggested that the following findings by visual inspection should serve as proxy indicators for the diagnosis of schistosomiasis of the lower genital tract in women from S. haematobium endemic areas: sandy patches appearing as (1) single or clustered grains or (2) sandy patches appearing as homogenous, yellow areas, or (3) rubbery papules. In this atlas we aim to provide an overview of the genital mucosal manifestations of schistosomiasis in women. Photocolposcopic images were captured from women, between 1994 and 2012 in four different study sites endemic for S. haematobium in Malawi, Zimbabwe, South Africa and Madagascar. Images and specimens were sampled from sexually active women between 15 and 49 years of age. Colposcopic images of other diseases are included for differential diagnostic purposes. This is the first atlas to present the clinical manifestations of schistosomiasis in the lower female genital tract. It will be freely available for online use, downloadable as a presentation and for print. It could be used for training purposes, further research, and in clinical practice.

  18. Africa's Great Lakes in peril

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ryan, J.C.

    Three of the great lakes in East Africa are in serious danger. Over the last two decades, overfishing, pollution, and the introduction of the Nile perch, have combined to push into extinction as many as 200 fish species found in Lake Victoria. The recycling of nutrients and oxygen through living and non-living matter has been disrupted and large area of the lake are now depleted of oxygen. Overfishing has had dramatic consequences in Lake Malawi, while Lake Tanganyika's most serious problem is with sedimentation from raw sewage, soil and chemicals. International cooperation will be required to restore these lakes.

  19. Estimating probabilistic rainfall and food security outcomes for eastern and southern Africa

    NASA Astrophysics Data System (ADS)

    Verdin, J.; Funk, C.; Dettinger, M.; Brown, M.

    2009-05-01

    Since 1980, the number of undernourished people in eastern and southern Africa has more than doubled. Rural development stalled and rural poverty expanded during the 1990s. Population growth remains high, and declining per-capita agricultural capacity retards development. In September of 2008, Ethiopia, Kenya, Djibouti, and Somalia faced high or extreme conditions of food insecurity caused by repeated droughts and rapid food price inflation. In this talk we present research, performed for the US Agency for International Development on probabilistic projections of rainfall and food security trends for eastern and southern Africa. Analyses of station data and satellite-based estimates of precipitation have identified another problematic trend: main growing- season rainfall has diminished by ~15% in food-insecure countries clustered along the western rim of the Indian Ocean. Occurring during the main growing seasons in poor countries dependent on rain-fed agriculture, these declines constitute a long term danger to subsistence agricultural and pastoral livelihoods. Tracing moisture deficits upstream to an anthropogenically-induced warming Indian Ocean leads us to conclude that further rainfall declines are likely. We present analyses suggesting that warming in the central Indian Ocean disrupts onshore moisture transports, reducing continental rainfall. Thus, late 20th century Indian Ocean warming has probably already produced societally dangerous climate change by creating drought and social disruption in some of the world's most fragile food economies. We quantify the potential impacts of the observed precipitation and agricultural capacity trends by modeling millions of undernourished people as a function of rainfall, population, cultivated area, and seed and fertilizer use. Persistence of current trends may result in a 50% increase in undernourished people. On the other hand, modest increases in per-capita agricultural productivity could more than offset the

  20. The Arabian Cradle: Mitochondrial Relicts of the First Steps along the Southern Route out of Africa

    PubMed Central

    Fernandes, Verónica; Alshamali, Farida; Alves, Marco; Costa, Marta D.; Pereira, Joana B.; Silva, Nuno M.; Cherni, Lotfi; Harich, Nourdin; Cerny, Viktor; Soares, Pedro; Richards, Martin B.; Pereira, Luísa

    2012-01-01

    A major unanswered question regarding the dispersal of modern humans around the world concerns the geographical site of the first human steps outside of Africa. The “southern coastal route” model predicts that the early stages of the dispersal took place when people crossed the Red Sea to southern Arabia, but genetic evidence has hitherto been tenuous. We have addressed this question by analyzing the three minor west-Eurasian haplogroups, N1, N2, and X. These lineages branch directly from the first non-African founder node, the root of haplogroup N, and coalesce to the time of the first successful movement of modern humans out of Africa, ∼60 thousand years (ka) ago. We sequenced complete mtDNA genomes from 85 Southwest Asian samples carrying these haplogroups and compared them with a database of 300 European examples. The results show that these minor haplogroups have a relict distribution that suggests an ancient ancestry within the Arabian Peninsula, and they most likely spread from the Gulf Oasis region toward the Near East and Europe during the pluvial period 55–24 ka ago. This pattern suggests that Arabia was indeed the first staging post in the spread of modern humans around the world. PMID:22284828

  1. Cryptic variation in an ecological indicator organism: mitochondrial and nuclear DNA sequence data confirm distinct lineages of Baetis harrisoni Barnard (Ephemeroptera: Baetidae) in southern Africa

    PubMed Central

    2012-01-01

    Background Baetis harrisoni Barnard is a mayfly frequently encountered in river studies across Africa, but the external morphological features used for identifying nymphs have been observed to vary subtly between different geographic locations. It has been associated with a wide range of ecological conditions, including pH extremes of pH 2.9–10.0 in polluted waters. We present a molecular study of the genetic variation within B. harrisoni across 21 rivers in its distribution range in southern Africa. Results Four gene regions were examined, two mitochondrial (cytochrome c oxidase subunit I [COI] and small subunit ribosomal 16S rDNA [16S]) and two nuclear (elongation factor 1 alpha [EF1α] and phosphoenolpyruvate carboxykinase [PEPCK]). Bayesian and parsimony approaches to phylogeny reconstruction resulted in five well-supported major lineages, which were confirmed using a general mixed Yule-coalescent (GMYC) model. Results from the EF1α gene were significantly incongruent with both mitochondrial and nuclear (PEPCK) results, possibly due to incomplete lineage sorting of the EF1α gene. Mean between-clade distance estimated using the COI and PEPCK data was found to be an order of magnitude greater than the within-clade distance and comparable to that previously reported for other recognised Baetis species. Analysis of the Isolation by Distance (IBD) between all samples showed a small but significant effect of IBD. Within each lineage the contribution of IBD was minimal. Tentative dating analyses using an uncorrelated log-normal relaxed clock and two published estimates of COI mutation rates suggest that diversification within the group occurred throughout the Pliocene and mid-Miocene (~2.4–11.5 mya). Conclusions The distinct lineages of B. harrisoni correspond to categorical environmental variation, with two lineages comprising samples from streams that flow through acidic Table Mountain Sandstone and three lineages with samples from neutral-to-alkaline streams

  2. Diversity and biogeographical patterns of legumes (Leguminosae) indigenous to southern Africa

    PubMed Central

    Trytsman, Marike; Westfall, Robert H.; Breytenbach, Philippus J. J.; Calitz, Frikkie J.; van Wyk, Abraham E.

    2016-01-01

    Abstract The principal aim of this study was to establish biogeographical patterns in the legume flora of southern Africa so as to facilitate the selection of species with agricultural potential. Plant collection data from the National Herbarium, South Africa, were analysed to establish the diversity and areas covered by legumes (Leguminosae/Fabaceae) indigenous to South Africa, Lesotho and Swaziland. A total of 27,322 records from 1,619 quarter degree grid cells, representing 1,580 species, 122 genera and 24 tribes were included in the analyses. Agglomerative hierarchical clustering was applied to the presence or absence of legume species in quarter degree grid cells, the resultant natural biogeographical regions (choria) being referred to as leguminochoria. The description of the 16 uniquely formed leguminochoria focuses on defining the associated bioregions and biomes, as well as on the key climate and soil properties. Legume species with a high occurrence in a leguminochorion are listed as key species. The dominant growth form of key species, species richness and range within each leguminochorion is discussed. Floristic links between the leguminochoria are established, by examining and comparing key species common to clusters, using a vegetation classification program. Soil pH and mean annual minimum temperature were found to be the main drivers for distinguishing among legume assemblages. This is the first time that distribution data for legumes has been used to identify biogeographical areas covered by leguminochoria on the subcontinent. One potential application of the results of this study is to assist in the selection of legumes for pasture breeding and soil conservation programs, especially in arid and semi-arid environments. PMID:27829799

  3. Diversity and biogeographical patterns of legumes (Leguminosae) indigenous to southern Africa.

    PubMed

    Trytsman, Marike; Westfall, Robert H; Breytenbach, Philippus J J; Calitz, Frikkie J; van Wyk, Abraham E

    2016-01-01

    The principal aim of this study was to establish biogeographical patterns in the legume flora of southern Africa so as to facilitate the selection of species with agricultural potential. Plant collection data from the National Herbarium, South Africa, were analysed to establish the diversity and areas covered by legumes (Leguminosae/Fabaceae) indigenous to South Africa, Lesotho and Swaziland. A total of 27,322 records from 1,619 quarter degree grid cells, representing 1,580 species, 122 genera and 24 tribes were included in the analyses. Agglomerative hierarchical clustering was applied to the presence or absence of legume species in quarter degree grid cells, the resultant natural biogeographical regions (choria) being referred to as leguminochoria. The description of the 16 uniquely formed leguminochoria focuses on defining the associated bioregions and biomes, as well as on the key climate and soil properties. Legume species with a high occurrence in a leguminochorion are listed as key species. The dominant growth form of key species, species richness and range within each leguminochorion is discussed. Floristic links between the leguminochoria are established, by examining and comparing key species common to clusters, using a vegetation classification program. Soil pH and mean annual minimum temperature were found to be the main drivers for distinguishing among legume assemblages. This is the first time that distribution data for legumes has been used to identify biogeographical areas covered by leguminochoria on the subcontinent. One potential application of the results of this study is to assist in the selection of legumes for pasture breeding and soil conservation programs, especially in arid and semi-arid environments.

  4. Overview of the DACCIWA ground-based field campaign in southern West Africa

    NASA Astrophysics Data System (ADS)

    Lohou, Fabienne; Kalthoff, Norbert; Brooks, Barbara; Jegede, Gbenga; Adler, Bianca; Ajao, Adewale; Ayoola, Muritala; Babić, Karmen; Bessardon, Geoffrey; Delon, Claire; Dione, Cheikh; Handwerker, Jan; Jambert, Corinne; Kohler, Martin; Lothon, Marie; Pedruzo-Bagazgoitia, Xabier; Smith, Victoria; Sunmonu, Lukman; Wieser, Andreas; Derrien, Solène

    2017-04-01

    During June and July 2016, a ground-based field campaign took place in southern West Africa within the framework of the Dynamics-aerosol-chemistry-cloud interactions in West Africa (DACCIWA) project. In the investigated region, extended low-level stratus clouds form very frequently during night-time and persist long into the following day influencing the diurnal cycle of the atmospheric boundary layer and, hence, the regional climate. The motivation for the measurements was to identify the meteorological controls on the whole process chain from the formation of nocturnal stratus clouds, via the daytime transition to convective clouds and the formation of deep precipitating clouds. During the measurement period, extensive remote sensing and in-situ measurements were performed at three supersites in Kumasi (Ghana), Savè (Benin) and Ile-Ife (Nigeria). The gathered observations included the energy-balance components at the Earth's surface, the mean and turbulent conditions in the nocturnal and daytime ABL as well as the de- and entrainment processes between the ABL and the free troposphere. The meteorological measurements were supplemented by aerosol and air-chemistry observations. We will give an overview of the conducted measurements including instrument availability and strategy during intensive observation periods.

  5. The Damara in the context of Southern Africa fat-tailed sheep breeds.

    PubMed

    Almeida, André Martinho

    2011-10-01

    Sheep production is one of the most important activities in animal production in tropical regions. Southern Africa (SA) fat-tailed sheep such as the Afrikaner, Namaqua Afrikaner, Nguni, Persian Black Head, Tswana, Pedi, Sabi, and particularly the Damara are important animal genetic resources very well adapted to their harsh home environments. In this review, autochthonous sheep genetic resources of SA are reviewed regarding history and productive performance. A special focus is made to the most internationalized of such breeds: the Damara. The following aspects are reviewed: history, standards, productive performance in SA, and importation to Australia. Finally, a reference is made to the influence of fat-tailed sheep formation of composite breeds such as the Dorper or the Meatmaster.

  6. Hierarchical segmentation of the Malawi Rift: The influence of inherited lithospheric heterogeneity and kinematics in the evolution of continental rifts

    NASA Astrophysics Data System (ADS)

    Laó-Dávila, Daniel A.; Al-Salmi, Haifa S.; Abdelsalam, Mohamed G.; Atekwana, Estella A.

    2015-12-01

    We used detailed analysis of Shuttle Radar Topography Mission-digital elevation model and observations from aeromagnetic data to examine the influence of inherited lithospheric heterogeneity and kinematics in the segmentation of largely amagmatic continental rifts. We focused on the Cenozoic Malawi Rift, which represents the southern extension of the Western Branch of the East African Rift System. This north trending rift traverses Precambrian and Paleozoic-Mesozoic structures of different orientations. We found that the rift can be hierarchically divided into first-order and second-order segments. In the first-order segmentation, we divided the rift into Northern, Central, and Southern sections. In its Northern Section, the rift follows Paleoproterozoic and Neoproterozoic terrains with structural grain that favored the localization of extension within well-developed border faults. The Central Section occurs within Mesoproterozoic-Neoproterozoic terrain with regional structures oblique to the rift extent. We propose that the lack of inherited lithospheric heterogeneity favoring extension localization resulted in the development of the rift in this section as a shallow graben with undeveloped border faults. In the Southern Section, Mesoproterozoic-Neoproterozoic rocks were reactivated and developed the border faults. In the second-order segmentation, only observed in the Northern Section, we divided the section into five segments that approximate four half-grabens/asymmetrical grabens with alternating polarities. The change of polarity coincides with flip-over full-grabens occurring within overlap zones associated with ~150 km long alternating border faults segments. The inherited lithospheric heterogeneity played the major role in facilitating the segmentation of the Malawi Rift during its opening resulting from extension.

  7. THE TEACHING OF GEO SCIENCE IN MALAWI SECONDARY SCHOOLS: The case of the Solar System and beyond

    NASA Astrophysics Data System (ADS)

    Chasukwa Mwalwenje, Yvonne; Chasukwa, Fidel

    2016-04-01

    orange year in and year out. Using such single improvisation strategy has resulted into boring and monotonous lessons hence high failure in the subject. Furthermore, the study reveals that other factors contributing to poor pass rate include use of single teaching and learning skills hence making the topic less popular among the learners. The paper concludes that education stakeholders need to take extra steps on purchasing of teaching and learning instructions to improve teaching and learning of the solar system to produce successful Malawian astronomers. The responsibility of purchasing teaching instructions should not be left to government alone. Lastly, teaching and learning of the solar system should be innovative and meaningful to the environment outside the classroom where learners can see pieces of empirical evidence. Key Words: Malawi, Geography, Malawi National Examinations Board, Solar System References All Africa (1999) Poor School examination results blamed on education system Malawi National Examinations Board (2015)

  8. Prediction, Assessment of the Rift Valley fever Activity in East and Southern Africa 2006 - 2008 and Possible Vector Control Strategies

    USDA-ARS?s Scientific Manuscript database

    Historical outbreaks of Rift Valley fever (RVF) since the early 1950s have been associated with cyclical patterns of the El Nino/Southern Oscillation (ENSO) phenomenon which results in elevated and widespread rainfall over the RVF endemic areas of Africa. Using satellite measurements of global and ...

  9. Physical attractiveness and women’s HIV risk in rural Malawi

    PubMed Central

    Frye, Margaret; Chae, Sophia

    2017-01-01

    BACKGROUND Qualitative evidence from sub-Saharan Africa, where a generalized AIDS epidemic exists, suggests that attractiveness may play a role in shaping individual-level HIV risk. Attractive women, who are often blamed for the epidemic and stigmatized, are believed to pose a higher HIV risk because they are viewed as having more and riskier partners. OBJECTIVE We examine the association between perceived attractiveness and HIV infection and risk in rural Malawi in the midst of the country’s severe AIDS epidemic. METHODS We use interviewers’ ratings of respondents’ attractiveness, along with HIV test results and women’s assessments of their own likelihood of infection, to estimate the association between perceived attractiveness and HIV infection and risk for a random sample of 961 women aged 15–35. RESULTS Results show that women who are rated by interviewers as ‘much less’ or ‘less’ attractive than other women their age are 9% more likely to test positive for HIV. We also find that attractiveness is associated with women’s own assessments of their HIV risk: Among women who tested negative, those perceived as ‘much less’ or ‘less’ attractive than average report themselves to be at greater risk of HIV infection. CONCLUSIONS These results suggest that attractiveness is negatively associated with HIV risk in Malawi, countering local beliefs that hold attractive women responsible for perpetuating the epidemic. CONTRIBUTION This study highlights the need to consider perceived physical attractiveness, and sexual desirability more broadly, as an under-examined axis of inequality in HIV risk in high-prevalence settings. PMID:29242708

  10. Rates of surface lowering and landscape development in southern South Africa: a cosmogenic view

    NASA Astrophysics Data System (ADS)

    Richardson, Janet; Vanacker, Veerle; Lang, Andreas; Hodgson, David

    2016-04-01

    The landscape of southern South Africa is characterised by large-scale erosion surfaces, including extensive pediments and multiple strath terraces, which document discordant river evolution through resistant quarzitic lithologies of the Cape Fold Belt (CFB). The timing and rate of erosion is poorly constrained. New cosmogenic ages from surfaces in South Africa are presented using in situ produced 10Be. Strath terraces in deeply incised rivers at two sites within the CFB indicate slow rates of erosion (1.54 - 11.79 m/Ma), which are some of the lowest rates recorded globally. Four pediment surfaces and a depth profile of the thickest pediment were also dated, and the results indicate that there are low rates of surface lowering on the pediments (0.44 - 1.24 m/Ma). The pediments are long-lived features (minimum exposure ages of 0.47 - 1.09 Ma), and are now deeply dissected. Given the minimum exposure ages, calculated river incision rates (42- 203 m/Ma) suggest that after a long period of geomorphic stability during pediment formation there was a discrete phase of increased geomorphic activity. The calculated minimum exposure ages are considered dubious because: 1) known rates of surrounding river incision (published and ours); 2) the climate conditions and time necessary for ferricrete formation on the pediment surfaces and; 3) the deeply incised catchments in the CFB on which the pediments sit, which all point to the pediments being much older. The pediments are fossilised remnants of a much larger geomorphic surface that formed after the main phase of exhumation in southern Africa. They form a store of sediment that currently sit above the surrounding rivers that have some of the lowest erosion rates in the world. These results indicate that steep topography can prevail even in areas of low erosion and tectonic quiescence, and that whilst cosmogenic dating of landscapes is an exciting development in earth sciences, care is needed especially in ancient settings. We

  11. U.S. Counterterrorism in Sub-Saharan Africa: Understanding Costs, Cultures, and Conflicts

    DTIC Science & Technology

    2008-09-01

    counterterrorism in SSA. Vast and diverse, SSA is divided subregionally into East, West, and Southern Africa so as to highlight the different ...divided into East, West, and Southern Africa subregions so as to highlight the different geographies, histories, threats, and perceptions. Section...subregional approach. It divides SSA into East, West, and Southern Africa to highlight the different geogra- phies, histories, threats, and perceptions

  12. POLITICS OF BIOPIRACY: AN ADVENTURE INTO HOODIA/XHOBA PATENTING IN SOUTHERN AFRICA

    PubMed Central

    Amusan, Lere

    2017-01-01

    Background: Africa is being described as the wretched of the earth, despite this, the continent is endowed with natural resources, dynamic ecosystem, and different species of plants and animals, and species derivatives. This paper area of departure is to focus on Hoodia, a plant that is being a source of food, medicine and water for the San and Khoe indigenous peoples before the advent of Europeans into southern Africa. South African Council for Scientific and Industrial Research (CSIR) dubiously patented Hoodia without observing the basic indices of geographical indications (GIs), indigenous knowledge (IK), novelty, access sharing benefit (ASB), prior informed consent (PIC) and sustainability of ecosystem before the rights was sold to Phytopharm pharmaceutical company. Materials and methods: This article adopts neoliberal thesis with emphasis on complex interdependence theory of organic linkages between developing and developed countries. Secondary sources of information taken into account of qualitative and critical discuss content analyses dominate this paper. Result: The paper recommends a linkage between developed and developing states based on endowment theory and comparative advantage with the notion of adhering to the Convention on Biological Diversity (CBD) which has three objectives: the conservation of biodiversity; the sustainable utilisation of indigenous biological resources (IBR); and fair and equitable benefit sharing. Conclusion: The paper recommends that there is a need to follow CBD and other relevant international regimes that promote equal exchange in exploitation of Africa resources as against the present skewed arrangement that is in favour of multinational corporations (MNCs). PMID:28480387

  13. Seasonal and interannual variations in CO and BC emissions from open biomass burning in Southern Africa during 1998-2005

    NASA Astrophysics Data System (ADS)

    Ito, Akinori; Ito, Akihiko; Akimoto, Hajime

    2007-06-01

    We estimate the emissions of carbon monoxide (CO) and black carbon (BC) from open vegetation fires in the Southern Hemisphere Africa from 1998 to 2005 using satellite information in conjunction with a biogeochemical model. Monthly burned areas at a 0.5-degree resolution are estimated from the Visible InfraRed Scanner (VIRS) fire count product and the MODerate resolution Imaging Spectroradiometer (MODIS) burned area data set associated with the MODIS tree cover imagery in grasslands and woodlands. The monthly fuel load distributions are derived from a 0.5-degree terrestrial carbon cycle model in conjunction with satellite data. The monthly maps of combustion factors and emission factors are estimated using empirical models that predict the effects of fuel conditions on these factors in grasslands and woodlands. Our annually averaged effective CO and BC emissions per area burned are 27 g CO m-2 and 0.17 g BC m-2 which are consistent with the products of fuel consumption and emission factors typically measured in southern Africa. The CO and BC emissions from open vegetation burning in southern Africa range from 45 Tg CO yr-1 and 0.26 Tg BC yr-1 for 2002 to 75 Tg CO yr-1 and 0.42 Tg BC yr-1 for 1998. The monthly averaged burned areas from VIRS fire counts peak earlier than modeled CO emissions. This characteristic delay between burned areas and emissions is mainly explained by significant changes in combustion factors for woodlands in our model. Consequently, the peaks in CO and BC emissions from our bottom-up approach are identical to those from previous top-down estimates using the Measurement Of the Pollution In The Troposphere (MOPITT) and the Total Ozone Mapping Spectrometer (TOMS) Aerosol Index (AI) data.

  14. Social and Economic Change in Southern Africa. Fulbright-Hays Summer Seminars Abroad Program, Summer 1991. [Curriculum Projects and Papers.

    ERIC Educational Resources Information Center

    Institute of International Education, New York, NY.

    This document presents curriculum projects and papers written by U.S. teachers who traveled to countries in Southern Africa in the summer of 1991 as part of the Fulbright-Hays Summer Seminars Abroad Program. The included projects and papers are: "Through a Glass Darkly: The Enigmatic Educational System of Botswana" (Alan C. Howard);…

  15. The HIV Care Continuum among Female Sex Workers: A Key Population in Lilongwe, Malawi.

    PubMed

    Lancaster, Kathryn Elizabeth; Powers, Kimberly A; Lungu, Thandie; Mmodzi, Pearson; Hosseinipour, Mina C; Chadwick, Katy; Go, Vivian F; Pence, Brian W; Hoffman, Irving F; Miller, William C

    2016-01-01

    The HIV care continuum among female sex workers (FSW), a key population, has not been well characterized, especially within the generalized epidemics of sub-Saharan Africa. This was the first study to characterize the HIV care continuum among FSW in Lilongwe, Malawi. From July through September 2014, we used venue-based sampling to enroll 200 adult FSW in Lilongwe, Malawi into a cross-sectional evaluation assessing HIV care continuum outcomes. Seropositive FSW, identified using HIV rapid testing, received rapid CD4 counts in addition to viral loads using dried blood spots. We calculated proportions of HIV-infected FSW who had history of care, were on ART, and had suppressed viral load and we used Poisson regression to estimate the associations of demographic characteristics and transmission risk behaviors with each outcome. HIV seroprevalence was 69% (n = 138). Among all FSW the median age was 24 years (IQR: 22-28). Among the 20% who were newly diagnosed and reported previously testing negative, the median time since last HIV test was 11 months (interquartile range: 3-17). The majority (69%) of HIV-infected FSW had a history of HIV care, 52% reported current ART use, and 45% were virally suppressed. Of the FSW who reported current ART use, 86% were virally suppressed. Transmission risk behaviors were not associated with continuum outcomes. FSW in Lilongwe were predominately young and have a high HIV prevalence. Only half of HIV-infected FSW reported current ART use, but the majority of those on ART were virally suppressed. To reduce ongoing transmission and improve health outcomes, increased HIV testing, care engagement, and ART coverage is urgently needed among FSW. Universal testing and treatment strategies for all FSW in Malawi must be strongly considered.

  16. The HIV Care Continuum among Female Sex Workers: A Key Population in Lilongwe, Malawi

    PubMed Central

    Lancaster, Kathryn Elizabeth; Powers, Kimberly A.; Lungu, Thandie; Mmodzi, Pearson; Hosseinipour, Mina C.; Chadwick, Katy; Go, Vivian F.; Pence, Brian W.; Hoffman, Irving F.; Miller, William C.

    2016-01-01

    Objective The HIV care continuum among female sex workers (FSW), a key population, has not been well characterized, especially within the generalized epidemics of sub-Saharan Africa. This was the first study to characterize the HIV care continuum among FSW in Lilongwe, Malawi. Methods From July through September 2014, we used venue-based sampling to enroll 200 adult FSW in Lilongwe, Malawi into a cross-sectional evaluation assessing HIV care continuum outcomes. Seropositive FSW, identified using HIV rapid testing, received rapid CD4 counts in addition to viral loads using dried blood spots. We calculated proportions of HIV-infected FSW who had history of care, were on ART, and had suppressed viral load and we used Poisson regression to estimate the associations of demographic characteristics and transmission risk behaviors with each outcome. Results HIV seroprevalence was 69% (n = 138). Among all FSW the median age was 24 years (IQR: 22–28). Among the 20% who were newly diagnosed and reported previously testing negative, the median time since last HIV test was 11 months (interquartile range: 3–17). The majority (69%) of HIV-infected FSW had a history of HIV care, 52% reported current ART use, and 45% were virally suppressed. Of the FSW who reported current ART use, 86% were virally suppressed. Transmission risk behaviors were not associated with continuum outcomes. Conclusions FSW in Lilongwe were predominately young and have a high HIV prevalence. Only half of HIV-infected FSW reported current ART use, but the majority of those on ART were virally suppressed. To reduce ongoing transmission and improve health outcomes, increased HIV testing, care engagement, and ART coverage is urgently needed among FSW. Universal testing and treatment strategies for all FSW in Malawi must be strongly considered. PMID:26808043

  17. Distributions of trace gases and aerosols during the dry biomass burning season in southern Africa

    NASA Astrophysics Data System (ADS)

    Sinha, Parikhit; Hobbs, Peter V.; Yokelson, Robert J.; Blake, Donald R.; Gao, Song; Kirchstetter, Thomas W.

    2003-09-01

    Vertical profiles in the lower troposphere of temperature, relative humidity, sulfur dioxide (SO2), ozone (O3), condensation nuclei (CN), and carbon monoxide (CO), and horizontal distributions of twenty gaseous and particulate species, are presented for five regions of southern Africa during the dry biomass burning season of 2000. The regions are the semiarid savannas of northeast South Africa and northern Botswana, the savanna-forest mosaic of coastal Mozambique, the humid savanna of southern Zambia, and the desert of western Namibia. The highest average concentrations of carbon dioxide (CO2), CO, methane (CH4), O3, black particulate carbon, and total particulate carbon were in the Botswana and Zambia sectors (388 and 392 ppmv, 369 and 453 ppbv, 1753 and 1758 ppbv, 79 and 88 ppbv, 2.6 and 5.5 μg m-3, and 13.2 and 14.3 μg m-3). This was due to intense biomass burning in Zambia and surrounding regions. The South Africa sector had the highest average concentrations of SO2, sulfate particles, and CN (5.1 ppbv, 8.3 μg m-3, and 6400 cm-3, respectively), which derived from biomass burning and electric generation plants and mining operations within this sector. Air quality in the Mozambique sector was similar to the neighboring South Africa sector. Over the arid Namibia sector there were polluted layers aloft, in which average SO2, O3, and CO mixing ratios (1.2 ppbv, 76 ppbv, and 310 ppbv, respectively) were similar to those measured over the other more polluted sectors. This was due to transport of biomass smoke from regions of widespread savanna burning in southern Angola. Average concentrations over all sectors of CO2 (386 ± 8 ppmv), CO (261 ± 81 ppbv), SO2 (2.5 ± 1.6 ppbv), O3 (64 ± 13 ppbv), black particulate carbon (2.3 ± 1.9 μg m-3), organic particulate carbon (6.2 ± 5.2 μg m-3), total particle mass (26.0 ± 4.7 μg m-3), and potassium particles (0.4 ± 0.1 μg m-3) were comparable to those in polluted, urban air. Since the majority of the measurements

  18. The Southern Hemisphere between 30 and 11 cal. kyr B.P.: a comparison between continental records from Africa, South America and Australia

    NASA Astrophysics Data System (ADS)

    Sylvestre, F.; Williams, M. A.; Gasse, F.; Chalie, F.; Vincens, A.; David, W.

    2006-12-01

    The timing and amplitude of climate changes during the Last Glacial Maximum (LGM) and Termination I have led to considerable debate around the mechanisms driving the reorganisation of the global climate system and its regional expression. The LGM over the southern tropics and subtropics is still poorly understood and the interpretation of different proxies sometimes appears controversial. Here, we summarise the best, well-dated continental records spanning the interval 30-11 cal. kyr, from Africa south of the equator, Australia and South America. Due to the scarcity of the usable records, we had to decipher several proxies (pollen-inferred vegetation, diatom-inferred lake level, isotopes, sea-surface temperatures SST- in the surrounding oceans) and to consider all existing types of archives (wetlands, lakes, speleothems, (peri)glacial deposits, dunes and aeolian dusts), to characterize as completely as possible, the major features of the climate variability over the three continents. Regional similarities and divergences are pointed out, especially East-West asymmetry linked with oceanic currents and topography. The processes driving the observed temperature and hydrological changes are discussed focusing on the following questions: -How did monsoonal climates in the southern tropics respond to orbital forcing versus other glacial boundary conditions, e.g., sea-surface conditions, during the LGM? Example: several tropical lakes from southern Africa were low during the LGM probably in response to low SST. -How did the convergence zones (e.g. the Intertropical Convergence Zone ITCZ) have migrated through time and why? Example: in South America, LGM dryness in Amazonia has been associated with a southward migration of the ITCZ. -How did the extratropical, winter rainfall domain expand/retreat in response to meridian shifts of the Subtropical Westerly Jet and of the oceanic Subtropical Front, and to latitudinal thermal gradient in the Southern Ocean? Example: in

  19. Globalization and occupational health: a perspective from southern Africa.

    PubMed Central

    Loewenson, R.

    2001-01-01

    Increased world trade has generally benefited industrialized or strong economies and marginalized those that are weak. This paper examines the impact of globalization on employment trends and occupational health, drawing on examples from southern Africa. While the share of world trade to the world's poorest countries has decreased, workers in these countries increasingly find themselves in insecure, poor-quality jobs, sometimes involving technologies which are obsolete or banned in industrialized countries. The occupational illness which results is generally less visible and not adequately recognized as a problem in low-income countries. Those outside the workplace can also be affected through, for example, work-related environmental pollution and poor living conditions. In order to reduce the adverse effects of global trade reforms on occupational health, stronger social protection measures must be built into production and trade activities, including improved recognition, prevention, and management of work-related ill-health. Furthermore, the success of production and trade systems should be judged on how well they satisfy both economic growth and population health. PMID:11584735

  20. The cost benefit and efficiency of waste water treatment using domestic ponds—the ultimate solution in Southern Africa

    NASA Astrophysics Data System (ADS)

    Ntengwe, F. W.

    Wastewater treatment has become a challenge to most countries in Southern Africa because of the fluctuating economies that have been hit by high levels of debts. The treatment of domestic wastewater using ponds, if carefully utilized, as has been observed in most countries in the world, is the most cost effective means of handling wastewaters. When compared to the conventional use of treatment plants, the ponds have been observed to be the ultimate solution for the countries in Southern Africa especially those that are classified as Highly Indebted Poor Countries (HIPC) because of little or no operating costs associated with the treatment. The study conducted on Kitwe Waste Water Treatment Ponds to evaluate the cost benefit and efficiencies has revealed low levels of operating cost and high removal efficiencies of oxygen demanding wastes (BOD removal of 86% and TSS removal of 75%), pH values ranged from 7 to 8 indicating an increasing alkalinity from facultative to maturation ponds while other parameters such as nitrates, phosphates and temperature were found to be within acceptable levels thereby releasing effluent that makes the environment sustainable. The overall social benefit was found to be much higher than the operating costs.

  1. Malawi three district evaluation: Community-based maternal and newborn care economic analysis.

    PubMed

    Greco, Giulia; Daviaud, Emmanuelle; Owen, Helen; Ligowe, Reuben; Chimbalanga, Emmanuel; Guenther, Tanya; Gamache, Nathalie; Zimba, Evelyn; Lawn, Joy E

    2017-10-01

    Malawi is one of few low-income countries in sub-Saharan Africa to have met the fourth Millennium Development Goal for child survival (MDG 4). To accelerate progress towards MDGs, the Malawi Ministry of Health's Reproductive Health Unit - in partnership with Save the Children, UNICEF and others - implemented a Community Based Maternal and Newborn Care (CBMNC) package, integrated within the existing community-based system. Multi-purpose Health Surveillance Assistants (HSAs) already employed by the local government were trained to conduct five core home visits. The additional financial costs, including donated items, incurred by the CBMNC package were analysed from the perspective of the provider. The coverage level of HSA home visits (35%) was lower than expected: mothers received an average of 2.8 visits rather than the programme target of five, or the more reasonable target of four given the number of women who would go away from the programme area to deliver. Two were home pregnancy and less than one, postnatal, reflecting greater challenges for the tight time window to achieve postnatal home visits. As a proportion of a 40 hour working week, CBMNC related activities represented an average of 13% of the HSA work week. Modelling for 95% coverage in a population of 100,000, the same number of HSAs could achieve this high coverage and financial programme cost could remain the same. The cost per mother visited would be US$6.6, or US$1.6 per home visit. The financial cost of universal coverage in Malawi would stand at 1.3% of public health expenditure if the programme is rolled out across the country. Higher coverage would increase efficiency of financial investment as well as achieve greater effectiveness. The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. An Overview of SASSCAL Activities Supporting Interdisciplinary Water Research in Southern Africa

    NASA Astrophysics Data System (ADS)

    Helmschrot, J.; Jürgens, N.

    2013-12-01

    Climate change will affect current water resources in sub-Saharan Africa. Considering projected climate scenarios, the overall challenge in the southern African region is to secure water at sufficient quality and quantity for both, the stability of ecosystems with their functions and services as well as for human well-being (potable water, irrigation water, and water for industrial use). Thus, improved understanding of the linkages between hydrological (including hydro-geological) components of ecosystems and society is needed as a precondition to develop sustainable management strategies for integrated water resources management in this data scarce region. Funded by the German Ministry of Education and Research (BMBF), 87 research projects of the SASSCAL Initiative (Southern African Science Service Centre for Climate Change and Adaptive Land Management) focus on providing information and services allowing for a better understanding and assessment of the impact of climate and land management changes in five thematic areas, namely climate, water, agriculture, forestry and biodiversity. Water-related research activities in SASSCAL aim to improve our knowledge on the complex interactions and feedbacks between surface and groundwater dynamics and resources as well as land surface processes in selected regions of the participating countries (Angola, Botswana, Namibia, South Africa and Zambia). The main objective of this joint and integrated research effort is to develop reliable hydrological and hydro-geological baseline data along with a set of analytical methods to strengthen the research capacity of the water sector of the Southern African region. Thereby, SASSCAL contributes to the implemention of integrated water resources management strategies for improved trans-boundary river management and resources usage in the perspective of global climate and land management changes. Here, we present an overview and first results of ongoing studies conducted by various

  3. MODIS Observation of Aerosols over Southern Africa During SAFARI 2000: Data, Validation, and Estimation of Aerosol Radiative Forcing

    NASA Technical Reports Server (NTRS)

    Ichoku, Charles; Kaufman, Yoram; Remer, Lorraine; Chu, D. Allen; Mattoo, Shana; Tanre, Didier; Levy, Robert; Li, Rong-Rong; Kleidman, Richard; Lau, William K. M. (Technical Monitor)

    2001-01-01

    Aerosol properties, including optical thickness and size parameters, are retrieved operationally from the MODIS sensor onboard the Terra satellite launched on 18 December 1999. The predominant aerosol type over the Southern African region is smoke, which is generated from biomass burning on land and transported over the southern Atlantic Ocean. The SAFARI-2000 period experienced smoke aerosol emissions from the regular biomass burning activities as well as from the prescribed burns administered on the auspices of the experiment. The MODIS Aerosol Science Team (MAST) formulates and implements strategies for the retrieval of aerosol products from MODIS, as well as for validating and analyzing them in order to estimate aerosol effects in the radiative forcing of climate as accurately as possible. These activities are carried out not only from a global perspective, but also with a focus on specific regions identified as having interesting characteristics, such as the biomass burning phenomenon in southern Africa and the associated smoke aerosol, particulate, and trace gas emissions. Indeed, the SAFARI-2000 aerosol measurements from the ground and from aircraft, along with MODIS, provide excellent data sources for a more intensive validation and a closer study of the aerosol characteristics over Southern Africa. The SAFARI-2000 ground-based measurements of aerosol optical thickness (AOT) from both the automatic Aerosol Robotic Network (AERONET) and handheld Sun photometers have been used to validate MODIS retrievals, based on a sophisticated spatio-temporal technique. The average global monthly distribution of aerosol from MODIS has been combined with other data to calculate the southern African aerosol daily averaged (24 hr) radiative forcing over the ocean for September 2000. It is estimated that on the average, for cloud free conditions over an area of 9 million square kin, this predominantly smoke aerosol exerts a forcing of -30 W/square m C lose to the terrestrial

  4. Towards a gender perspective in qualitative research on voluntary medical male circumcision in east and southern Africa.

    PubMed

    Martínez Pérez, Guillermo; Triviño Durán, Laura; Gasch, Angel; Desmond, Nicole

    2015-01-01

    The World Health Organization endorsed voluntary medical male circumcision (VMMC) in 2007 as an effective method to provide partial protection against heterosexual female-to-male transmission of HIV in regions with high rates of such transmission, and where uptake of VMMC is low. Qualitative research conducted in east and southern Africa has focused on assessing acceptability, barriers to uptake of VMMC and the likelihood of VMMC increasing men's adoption of risky sexual behaviours. Less researched, however, have been the perceptions of women and sexual minorities towards VMMC, even though they are more vulnerable to HIV/AIDS transmission than are heterosexual men. The purpose of this paper is to identify core areas in which a gendered perspective in qualitative research might improve the understanding and framing of VMMC in east and southern Africa. Issues explored in this analysis are risk compensation, the post-circumcision appearance of the penis, inclusion of men who have sex with men as study respondents and the antagonistic relation between VMMC and female genital cutting. If biomedical and social science researchers explore these issues in future qualitative inquiry utilising a gendered perspective, a more thorough understanding of VMMC can be achieved, which could ultimately inform policy and implementation.

  5. AZT Impairs Immunological Recovery on First-line ART: Collaborative analysis of cohort studies in Southern Africa

    PubMed Central

    WANDELER, Gilles; GSPONER, Thomas; MULENGA, Lloyd; GARONE, Daniela; WOOD, Robin; MASKEW, Mhairi; PROZESKY, Hans; HOFFMANN, Christopher; EHMER, Jochen; DICKINSON, Diana; DAVIES, Mary-Ann; EGGER, Matthias; KEISER, Olivia

    2013-01-01

    Objectives Zidovudine (AZT) is recommended for first-line antiretroviral therapy (ART) in resource limited settings. AZT may, however, lead to anemia and impaired immunological response. We compared CD4 counts over 5 years between patients starting ART with and without AZT in Southern Africa. Design Cohort study Methods Patients aged ≥16 years who started first-line ART in South Africa, Botswana, Zambia or Lesotho were included. We used linear mixed-effect models to compare CD4 cell count trajectories between patients on AZT-containing regimens and patients on other regimens, censoring follow-up at first treatment change. Impaired immunological recovery, defined as a CD4 count below 100 cells/μl at 1 year, was assessed in logistic regression. Analyses were adjusted for baseline CD4 count and haemoglobin level, age, gender, type of regimen, viral load monitoring and calendar year. Results 72,597 patients starting ART, including 19,758 (27.2%) on AZT, were analysed. Patients on AZT had higher CD4 cell counts (150 vs.128 cells/μl) and haemoglobin level (12.0 vs. 11.0 g/dl) at baseline, and were less likely to be female than those on other regimens. Adjusted differences in CD4 counts between regimens containing and not containing AZT were −16 cells/μl (95% CI −18 to −14) at 1 year and −56 cells/μl (95% CI −59 to −52) at 5 years. Impaired immunological recovery was more likely with AZT compared to other regimens (odds ratio 1.40, 95% CI 1.22–1.61). Conclusions In Southern Africa AZT is associated with inferior immunological recovery compared to other backbones. Replacing AZT with another NRTI could avoid unnecessary switches to second-line ART. PMID:23660577

  6. Sex work and the construction of intimacies: meanings and work pragmatics in rural Malawi

    PubMed Central

    Tavory, Iddo; Poulin, Michelle

    2017-01-01

    This article focuses on Malawian sex workers’ understandings of exchange and intimacy, showing how multiple historically emergent categories and specific work pragmatics produce specific patterns of relational meanings. As we show, sex workers make sense of their relationships with clients through two categories. The first is sex work; the second is the chibwenzi, an intimate premarital relational category that emerged from pre-colonial transformations in courtship practices. These categories, in turn, are also shaped differently in different work settings. We use narratives from in-depth interviews with 45 sex workers and bar managers in southern Malawi to describe how the everyday pragmatics of two forms of sex work—performed by “bargirls” and “freelancers”—foster distinct understandings of relationships between them and men they have sex with. Bargirls, who work and live in bars, blurred the boundaries between “regulars” and chibwenzi; freelancers, who are not tethered to a specific work environment, often subverted the meanings of the chibwenzi, presenting these relationships as both intimate and emotionally distant. Through this comparison, we thus refine an approach to the study of the intimacy-exchange nexus, and use it to capture the complexities of gender relations in post-colonial Malawi. PMID:28936026

  7. Incremental cost-effectiveness of screening and laser treatment for diabetic retinopathy and macular edema in Malawi.

    PubMed

    Vetrini, Damir; Kiire, Christine A; Burgess, Philip I; Harding, Simon P; Kayange, Petros C; Kalua, Khumbo; Msukwa, Gerald; Beare, Nicholas A V; Madan, Jason

    2018-01-01

    To investigate the economic impact of introducing targeted screening and laser photocoagulation treatment for sight-threatening diabetic retinopathy and macular edema in a setting with no previous screening or laser treatment for diabetic retinopathy in sub-Saharan Africa. A cohort Markov model was built to compare combined targeted screening and laser treatment for patients with sight-threatening diabetic retinopathy and macular edema against no intervention. Primary outcomes were incremental cost per quality-adjusted life year (QALY) gained and per disability-adjusted life year (DALY) averted. Primary data were collected on 357 participants from the Malawi Diabetic Retinopathy Study, a prospective, observational cohort study. Multiple scenarios were explored and a probabilistic sensitivity analysis was performed. In the base case (age: 50 years, service utilization rate: 80%), the cost of the intervention and the years of severe visual impairment averted per patient screened were $209 and 2.2 years respectively. Applying the World Health Organization threshold of cost-effectiveness for Malawi ($679), the base case was cost-effective when QALYs were used ($400 per QALY gained) but not when DALYs were used ($766 per DALY averted). The intervention was more cost-effective when it targeted younger patients (age: 30 years) and less cost-effective when the utilization rate was lowered to 50%. Annual photographic screening of diabetic patients attending medical diabetes clinics in Malawi, with the provision of laser treatment for those with sight-threatening diabetic retinopathy and macular edema, appears to be cost-effective in terms of QALYs gained, in our base case scenario. Cost-effectiveness improves if services are utilized more intensively and extended to younger patients.

  8. Prediction, Assessment of the Rift Valley Fever Activity in East and Southern Africa 2006 - 2008 and Possible Vector Control Strategies

    USDA-ARS?s Scientific Manuscript database

    Historical episodic outbreaks of Rift Valley fever (RVF) since the early 1950s have been associated with cyclical patterns (El Niño and La Niña) of El Niño Southern Oscillation (ENSO) phenomenon which results in elevated and widespread rainfall over the RVF endemic areas of Africa. Using satellite ...

  9. Foot-and-mouth Disease Transmission in Africa: Implications for Control, a Review.

    PubMed

    Tekleghiorghis, T; Moormann, R J M; Weerdmeester, K; Dekker, A

    2016-04-01

    In Africa, for the control of foot-and-mouth disease (FMD), more information is needed on the spread of the disease at local, regional and inter-regional level. The aim of this review is to identify the role that animal husbandry, trade and wildlife have on the transmission of FMD and to provide a scientific basis for different FMD control measures in Africa. Review of literature, published reports and databases shows that there is more long distance spread of FMD virus serotypes within North, West, Central and East Africa than in southern Africa. In North, West, Central and East Africa migratory animal husbandry systems often related with search for grazing and water as well as trade are practiced to a greater extent than in southern Africa. In southern Africa, the role of African buffalo (Syncerus caffer) is more extensively studied than in the other parts of Africa, but based on the densities of African buffalo in Central and East Africa, one would assume that buffalo should also play a role in the epidemiology of FMD in this part of Africa. More sampling of buffalo is necessary in West, Central and East Africa. The genetic analysis of virus strains has proven to be valuable to increase our understanding in the spread of FMD in Africa. This review shows that there is a difference in FMD occurrence between southern Africa and the rest of the continent; this distinction is most likely based on differences in animal husbandry and trade systems. Insufficient data on FMD in wildlife outside southern Africa is limiting our understanding on the role wildlife plays in the transmission of FMD in the other buffalo inhabited areas of Africa. © 2014 Blackwell Verlag GmbH.

  10. Sibling support and the educational prospects of young adults in Malawi

    PubMed Central

    Trinitapoli, Jenny; Yeatman, Sara; Fledderjohann, Jasmine

    2014-01-01

    BACKGROUND Extended kin networks are an important social and economic resource in Africa. Existing research has focused primarily on intergenerational ties, but much less is known about “lateral” ties, such as those between siblings. In contexts of high adult mortality (i.e., fewer parents and grandparents) sibling interdependencies may assume heightened importance, especially during the transition to adulthood. OBJECTIVE In this paper, we extend the resource dilution perspective that dominates research on sibling relationships in early childhood and propose an alternate framework in which siblings represent a source of economic support that contributes positively to educational outcomes at later stages of the life course. METHODS We draw upon longitudinal data from young adults (age 15–18) in southern Malawi to assess the scope and magnitude of economic transfers among sibship sets. We then explore the relationships between sibship size, net economic transfers between siblings, and four measures of educational progress. RESULTS First, exchanges of economic support between siblings are pervasive in the Malawian context and patterned, especially by birth order. Second, economic support from siblings is positively associated with educational attainment, as well as with the odds of being at grade level in school, both contemporaneously and prospectively. CONCLUSIONS During young-adulthood, economic support from siblings acts as a buffer against the negative association between sibship size and schooling outcomes that has been documented at earlier ages. COMMENTS We question the established notion that siblings unilaterally subtract from resource pools, and argue that sibling support may be consequential for a wide range of demographic outcomes in a variety of cultural contexts. Our findings point to the need for additional research on the importance of lateral kinship ties across cultural settings and throughout the life course. PMID:24855450

  11. History and development of research on wildlife parasites in southern Africa, with emphasis on terrestrial mammals, especially ungulates

    PubMed Central

    Junker, Kerstin; Horak, Ivan G.; Penzhorn, Banie

    2014-01-01

    The history of wildlife parasitology in South Africa, and to some extent southern Africa, is reviewed, giving a brief overview of the early years and following its development from the founding of the Onderstepoort Veterinary Institute in 1908 until the turn of the century. An emphasis is placed on game species. The main findings on protozoan parasites, including those of carnivores, are presented, starting in the 1890s and leading up to the first decade of the 21st century. Important developments with regard to the studies of arthropod and helminth parasites took place during a period of three decades, starting from the 1970s. Because of the sheer volume of work done by parasitologists during this time, this particular part of the overview concentrates on South African authors or authors working in South Africa at the time, and is limited to hosts that are members of the order Perissodactyla and the superorder Cetartiodactyla. PMID:25830101

  12. Positively essential: traditional birth attendants in Malawi.

    PubMed

    Stronge, Shirley

    2011-06-01

    One of the biggest challenges for healthcare professionals working in developing countries is the lack of trained personnel to carry out much needed health care provision. Shirley Stronge worked as a nurse/midwife tutor in a rural area in the north of Malawi. Millennium Development Goals four and five have focused our attention on the care required by mothers and newborns. Shirley has chosen to reflect on the role of Traditional Birth Attendants in the north of Malawi and their positive impact on maternity services in this area.

  13. The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

    PubMed Central

    Norseth, Hanne M.; Ndhlovu, Patricia D.; Kleppa, Elisabeth; Randrianasolo, Bodo S.; Jourdan, Peter M.; Roald, Borghild; Holmen, Sigve D.; Gundersen, Svein G.; Bagratee, Jayanthilall; Onsrud, Mathias; Kjetland, Eyrun F.

    2014-01-01

    Background Schistosoma (S.) haematobium is a neglected tropical disease which may affect any part of the genital tract in women. Female genital schistosomiasis (FGS) may cause abnormal vaginal discharge, contact bleeding, genital tumours, ectopic pregnancies and increased susceptibility to HIV. Symptoms may mimic those typical of sexually transmitted infections (STIs) and women with genital schistosomiasis may be incorrectly diagnosed. An expert consensus meeting suggested that the following findings by visual inspection should serve as proxy indicators for the diagnosis of schistosomiasis of the lower genital tract in women from S. haematobium endemic areas: sandy patches appearing as (1) single or clustered grains or (2) sandy patches appearing as homogenous, yellow areas, or (3) rubbery papules. In this atlas we aim to provide an overview of the genital mucosal manifestations of schistosomiasis in women. Methodology/Principal findings Photocolposcopic images were captured from women, between 1994 and 2012 in four different study sites endemic for S. haematobium in Malawi, Zimbabwe, South Africa and Madagascar. Images and specimens were sampled from sexually active women between 15 and 49 years of age. Colposcopic images of other diseases are included for differential diagnostic purposes. Significance This is the first atlas to present the clinical manifestations of schistosomiasis in the lower female genital tract. It will be freely available for online use, downloadable as a presentation and for print. It could be used for training purposes, further research, and in clinical practice. PMID:25412334

  14. Prevalence of hepatitis D virus infection in sub-Saharan Africa: a systematic review and meta-analysis.

    PubMed

    Stockdale, Alexander J; Chaponda, Mas; Beloukas, Apostolos; Phillips, Richard Odame; Matthews, Philippa C; Papadimitropoulos, Athanasios; King, Simon; Bonnett, Laura; Geretti, Anna Maria

    2017-10-01

    Hepatitis D virus (also known as hepatitis delta virus) can establish a persistent infection in people with chronic hepatitis B, leading to accelerated progression of liver disease. In sub-Saharan Africa, where HBsAg prevalence is higher than 8%, hepatitis D virus might represent an important additive cause of chronic liver disease. We aimed to establish the prevalence of hepatitis D virus among HBsAg-positive populations in sub-Saharan Africa. We systematically reviewed studies of hepatitis D virus prevalence among HBsAg-positive populations in sub-Saharan Africa. We searched PubMed, Embase, and Scopus for papers published between Jan 1, 1995, and Aug 30, 2016, in which patient selection criteria and geographical setting were described. Search strings included sub-Saharan Africa, the countries therein, and permutations of hepatitis D virus. Cohort data were also added from HIV-positive populations in Malawi and Ghana. Populations undergoing assessment in liver disease clinics and those sampled from other populations (defined as general populations) were analysed. We did a meta-analysis with a DerSimonian-Laird random-effects model to calculate a pooled estimate of hepatitis D virus seroprevalence. Of 374 studies identified by our search, 30 were included in our study, only eight of which included detection of hepatitis D virus RNA among anti-hepatitis D virus seropositive participants. In west Africa, the pooled seroprevalence of hepatitis D virus was 7·33% (95% CI 3·55-12·20) in general populations and 9·57% (2·31-20·43) in liver-disease populations. In central Africa, seroprevalence was 25·64% (12·09-42·00) in general populations and 37·77% (12·13-67·54) in liver-disease populations. In east and southern Africa, seroprevalence was 0·05% (0·00-1·78) in general populations. The odds ratio for anti-hepatitis D virus detection among HBsAg-positive patients with liver fibrosis or hepatocellular carcinoma was 5·24 (95% CI 2·74-10·01; p<0·0001

  15. Physiotherapy in Malawi - a step in the right direction.

    PubMed

    Fielder, S; Mpezeni, S; Benjamin, L; Cary, I

    2013-09-01

    Physiotherapists in Malawi are in short supply and the demand for this service is increasing. This profession is instrumental in the rehabilitation of patients following accident and disease. Early input from a physiotherapist can be life changing; for example, timely physiotherapy could prevent a patient from becoming wheelchair-bound for life. This article explores the role of physiotherapists, in the context of what they do, the medical conditions that benefit from physiotherapy and the services available in Malawi. The clinical focus will be on orthopaedic, musculoskeletal and neurological conditions, since those are the specialties of the authors. With the start of the physiotherapy degree programme at the College of Medicine, University of Malawi, huge steps have been taken to address this neglected profession.

  16. South Africa/Time Running Out.

    ERIC Educational Resources Information Center

    Clark, Todd, Ed.

    1984-01-01

    Based on the book, "South Africa: Time Running Out," a report of the Study Commission on U.S. Policy Toward Southern Africa, this 10-20 day unit of study is designed to help high school students learn about the history, geography, and present situation in South Africa and its relationship to the United States. The first of four sections…

  17. Migration in southern Africa: a comparative perspective.

    PubMed

    Solomon, H

    1994-01-01

    Population movement can be described as intra-state, East-West, South-North, and South-South. About 20 million persons globally are considered displaced, of which about 4.1 million are internally displaced persons in South Africa. East-West movement occurred for over 400 million when the Iron Curtain came down. South-North movements of asylum seekers were estimated at 442,000 in 1990. South-South movement amounted to 4 million official refugees in Africa in 1989 and 4.4 million in 1990. African has the largest concentration of refugees. This article does not address the 265,825 contract migrant workers in South Africa. South African migration is the South-South type and can be characterized as "brain-drain" of well-trained professionals in neighboring states and unskilled and illegal migrants from Mozambique and Angola. Movement is pushed or pulled according to sociocultural factors, communications and technology, geographic proximity, precedent, demographic factors, environmental factors, economic factors, and political factors. The effects of migration in South Africa include increased stress on housing, political and social tension, increased costs, overcrowding, transmission of disease, and marginalization of migrants into low status and low paid jobs. For Lesotho migrants in South Africa remittances are a major source of national wealth. South Africa has also experienced racial discord against Mozambicans and Chinese. Political right wing groups mobilize around anti-immigration platforms. Migrants can become policy tools, and many are used in wars of liberation. International attention may focus on mistreatment of refugees. Management can be construed as "carrot" or "stick" approaches. Stick approaches include forced repatriation, limiting immigration, housing in survival-level camps, public campaigns run by host countries in sending countries, or greater control of national borders. South Africa has extensively used stick approaches, which have been only

  18. Fewer rainy days and more extreme rainfall by the end of the century in Southern Africa

    NASA Astrophysics Data System (ADS)

    Pohl, Benjamin; Macron, Clémence; Monerie, Paul-Arthur

    2017-04-01

    Future changes in the structure of daily rainfall, especially the number of rainy days and the intensity of extreme events, are likely to induce major impacts on rain-fed agriculture in the tropics. In Africa this issue is of primary importance, but the agreement between climate models to simulate such descriptors of rainfall is generally poor. Here, we show that the climate models used for the fifth assessment report of IPCC simulate a marked decrease in the number of rainy days, together with a strong increase in the rainfall amounts during the 1% wettest days, by the end of the 21st century over Southern Africa. These combined changes lead to an apparent stability of seasonal totals, but are likely to alter the quality of the rainy season. These evolutions are due to the superposition of slowly-changing moisture fluxes, mainly supported by increased hygrometric capacity associated with global warming, and unchanged short-term atmospheric configurations in which extreme events are embedded. This could cause enhanced floods or droughts, stronger soil erosion and nutriment loss, questioning the sustainability of food security for the 300 million people currently living in Africa south of the Equator.

  19. Geographic variation in sexual behavior can explain geospatial heterogeneity in the severity of the HIV epidemic in Malawi.

    PubMed

    Palk, Laurence; Blower, Sally

    2018-02-09

    In sub-Saharan Africa, where ~ 25 million individuals are infected with HIV and transmission is predominantly heterosexual, there is substantial geographic variation in the severity of epidemics. This variation has yet to be explained. Here, we propose that it is due to geographic variation in the size of the high-risk group (HRG): the group with a high number of sex partners. We test our hypothesis by conducting a geospatial analysis of data from Malawi, where ~ 13% of women and ~ 8% of men are infected with HIV. We used georeferenced HIV testing and behavioral data from ~ 14,000 participants of a nationally representative population-level survey: the 2010 Malawi Demographic and Health Survey (MDHS). We constructed gender-stratified epidemic surface prevalence (ESP) maps by spatially smoothing and interpolating the HIV testing data. We used the behavioral data to construct gender-stratified risk maps that reveal geographic variation in the size of the HRG. We tested our hypothesis by fitting gender-stratified spatial error regression (SER) models to the MDHS data. The ESP maps show considerable geographic variation in prevalence: 1-29% (women), 1-20% (men). Risk maps reveal substantial geographic variation in the size of the HRG: 0-40% (women), 16-58% (men). Prevalence and the size of the HRG are highest in urban centers. However, the majority of HIV-infected individuals (~75% of women, ~ 80% of men) live in rural areas, as does most of the HRG (~ 80% of women, ~ 85% of men). We identify a significant (P < 0.001) geospatial relationship linking the size of the HRG with prevalence: the greater the size, the higher the prevalence. SER models show HIV prevalence in women is expected to exceed the national average in districts where > 20% of women are in the HRG. Most importantly, the SER models show that geographic variation in the size of the HRG can explain a substantial proportion (73% for women, 67% for men) of the geographic

  20. Tropospheric Ozone Increases over the Southern Africa Region: Bellwether for Rapid Growth in Southern Hemisphere Pollution?

    NASA Technical Reports Server (NTRS)

    Thompson, Anne M.; Balashov, Nikolay V.; Witte, J. C.; Coetzee, J. G. R.; Thouret, V.; Posny, F.

    2014-01-01

    Increases in free-tropospheric (FT) ozone based on ozonesonde records from the early 1990s through 2008 over two subtropical stations, Irene (near Pretoria, South Africa) and Réunion (21 deg. S, 55 deg. E; approx. 2800 km NE of Irene in the Indian Ocean), have been reported. Over Irene a large increase in the urban-influenced boundary layer (BL, 1.5-4 km) was also observed during the 18-year period, equivalent to 30%decade-1. Here we show that the Irene BL trend is at least partly due to a gradual change in the sonde launch times from early morning to the midday period. The FT ozone profiles over Irene in 1990-2007 are re-examined, filling in a 1995-1999 gap with ozone profiles taken during the Measurements of Ozone by Airbus In-service Aircraft (MOZAIC) project over nearby Johannesburg. A multivariate regression model that accounts for the annual ozone cycle, El Niño-Southern Oscillation (ENSO) and possible tropopause changes was applied to monthly averaged Irene data from 4 to 11 km and to 1992-2011 Réunion sonde data from 4 to 15 km. Statistically significant trends appear predominantly in the middle and upper troposphere (UT; 4-11 km over Irene, 4-15 km over Réunion) in winter (June-August), with increases 1 ppbv yr(exp. -1) over Irene and approx. 2 ppbv yr(exp. -1) over Réunion. These changes are equivalent to approx. 25 and 35-45%decade( exp. -1), respectively. Both stations also display smaller positive trends in summer, with a 45%decade(exp. -1) ozone increase near the tropopause over Réunion in December. To explain the ozone increases, we investigated a time series of dynamical markers, e.g., potential vorticity (PV) at 330-350 K. PV affects UT ozone over Irene in November-December but displays little relationship with ozone over Réunion. A more likely reason for wintertime FT ozone increases over Irene and Réunion appears to be long-range transport of growing pollution in the Southern Hemisphere. The ozone increases are consistent with trajectory

  1. Malaria research and its influence on anti-malarial drug policy in Malawi: a case study.

    PubMed

    Mwendera, Chikondi; de Jager, Christiaan; Longwe, Herbert; Phiri, Kamija; Hongoro, Charles; Mutero, Clifford M

    2016-06-01

    In 1993, Malawi changed its first-line anti-malarial treatment for uncomplicated malaria from chloroquine to sulfadoxine-pyrimethamine (SP), and in 2007, it changed from SP to lumefantrine-artemether. The change in 1993 raised concerns about whether it had occurred timely and whether it had potentially led to early development of Plasmodium falciparum resistance to SP. This case study examined evidence from Malawi in order to assess if the policy changes were justifiable and supported by evidence. A systematic review of documents and published evidence between 1984 and 1993, when chloroquine was the first-line drug, and 1994 and 2007, when SP was the first-line drug, was conducted herein. The review was accompanied with key informant interviews. A total of 1287 publications related to malaria drug policy changes in sub-Saharan Africa were identified. Using the inclusion criteria, four articles from 1984 to 1993 and eight articles from 1994 to 2007 were reviewed. Between 1984 and 1993, three studies reported on chloroquine poor efficacy prompting policy change according to WHO's recommendation. From 1994 to 2007, four studies conducted in the early years of policy change reported a high SP efficacy of above 80%, retaining it as a first-line drug. Unpublished sentinel site studies between 2005 and 2007 showed a reduced efficacy of SP, influencing policy change to lumefantrine-artemether. The views of key informants indicate that the switch from chloroquine to SP was justified based on local evidence despite unavailability of WHO's policy recommendations, while the switch to lumefantrine-artemether was uncomplicated as the country was following the recommendations from WHO. Ample evidence from Malawi influenced and justified the policy changes. Therefore, locally generated evidence is vital for decision making during policy change.

  2. The impact of long term institutional collaboration in surgical training on trauma care in Malawi.

    PubMed

    Young, Sven; Banza, Leonard; Mkandawire, Nyengo

    2016-01-01

    Attempts to address the huge, and unmet, need for surgical services in Africa by training surgical specialists in well established training programmes in high-income countries have resulted in brain drain, as most trainees do not return home on completion of training for various reasons. Local postgraduate training is key to retaining specialists in their home countries. International institutional collaborations have enabled Kamuzu Central Hospital (KCH) in Lilongwe, Malawi, to start training their own surgical specialists from 2009. The direct impact of this has been an increase in Malawian staff from none at all to 12 medical doctors in 2014 in addition to increased foreign faculty. We have also seen improved quality of care as illustrated by a clear reduction in the amputation rate after trauma at KCH, from nearly every fourth orthopaedic operation being an amputation in 2008 to only 4 % in 2014. Over the years the training program at KCH has, with the help from its international partners, merged with the College of Medicine in Blantyre, Malawi, into a national training programme for surgery. Our experiences from this on-going international institutional collaboration to increase the capacity for training surgeons in Malawi show that long-term institutional collaboration in the training of surgeons in low-income countries can be done as a sustainable and up-scalable model with great potential to reduce mortality and prevent disability in young people. Despite the obvious and necessary focus on the rural poor in low-income countries, stakeholders must start to see the value of strengthening teaching hospitals to sustainably meet the growing burden of trauma and surgical disease. Annual operating data from Kamuzu Central Hospital's Main Operating Theatre log book for the years 2008-2014 was collected. Observed annual numbers were presented as graphs for easy visualization. Linear regression curve estimations were calculated and plotted as trend lines on the

  3. Refractive errors, visual impairment, and the use of low-vision devices in albinism in Malawi.

    PubMed

    Schulze Schwering, M; Kumar, N; Bohrmann, D; Msukwa, G; Kalua, K; Kayange, P; Spitzer, M S

    2015-04-01

    This study focuses on the refractive implications of albinism in Malawi, which is mostly associated with the burden of visual impairment. The main goal was to describe the refractive errors and to analyze whether patients with albinism in Malawi, Sub-Saharan Africa, benefit from refraction. Age, sex, refractive data, uncorrected and best-corrected visual acuity (UCVA, BCVA), colour vision, contrast sensitivity, and the prescription of sunglasses and low vision devices were collected for a group of 120 albino individuals with oculocutaneous albinism (OCA). Refractive errors were evaluated objectively and subjectively by retinoscopy, and followed by cycloplegic refraction to reconfirm the results. Best-corrected visual acuity (BCVA) was also assessed binocularly. One hundred and twenty albino subjects were examined, ranging in age from 4 to 25 years (median 12 years), 71 (59 %) boys and 49 (41 %) girls. All exhibited horizontal pendular nystagmus. Mean visual acuity improved from 0.98 (0.33) logMAR to 0.77 (0.15) logMAR after refraction (p < 0.001). The best improvement of VA was achieved in patients with mild to moderate myopia. Patients with albinism who were hyperopic more than +1.5 D hardly improved from refraction. With the rule (WTR) astigmatism was more present (37.5 %) than against the rule (ATR) astigmatism (3.8 %). Patients with astigmatism less than 1.5 D improved in 15/32 of cases (47 %) by 2 lines or more. Patients with astigmatism equal to or more than 1.5 D in any axis improved in 26/54 of cases (48 %) by 2 lines or more. Refraction improves visual acuity of children with oculocutaneous albinism in a Sub-Saharan African population in Malawi. The mean improvement was 2 logMAR units.

  4. HIV and Childhood Disability: A Case-Controlled Study at a Paediatric Antiretroviral Therapy Centre in Lilongwe, Malawi

    PubMed Central

    Devendra, Akash; Makawa, Atupele; Kazembe, Peter N.; Calles, Nancy R.; Kuper, Hannah

    2013-01-01

    Background As paediatric antiretroviral therapy (ART) is rapidly scaled up in Southern Africa, Human Immunodeficiency Virus (HIV) infection is becoming a chronic illness. Children growing up with HIV may begin to encounter disabilities. The relationship between HIV, disability and the need for rehabilitation has added an additional element that needs to be addressed by paediatric HIV treatment programmes. Study Objectives 1) Estimate the prevalence of disabilities in HIV-infected and HIV-uninfected children in Lilongwe, Malawi. 2) Examine types of disability and associated clinical and socio-demographic factors. 3) Identify needs, opportunities and barriers for rehabilitation in Malawi. Methods A case-controlled study of 296 HIV-infected children aged 2–9 years attending an ART centre in Lilongwe (cases) and their uninfected siblings (controls) was conducted. Disability was assessed using the WHO Ten Question Screen (TQS). Socio-demographic and clinical data were collected using a parent-proxy questionnaire and medical records. Results Of 296 case and control pairs recruited, 33% (98) versus 7% (20) screened positive for a disability (OR 8.4, 4.4–15.7) respectively. Of these 98 HIV-infected cases, 6%, 36%, 33%, 53%, 46% and 6% had a vision, hearing; physical, learning/comprehension, speech or seizure-related disability respectively and 51% had multiple coexisting disabilities. HIV-infected cases with a disability were more likely to be WHO stage III or IV at enrolment (71% vs. 52%, OR 2.7, 1.5–4.2), to have had TB (58% vs. 39%, OR 2.3, 1.4–3.8) and to have below-average school grades (18% vs. 2%, OR 11.1, 2.2–54.6) than those without. Sixty-seven percent of cases with a disability had never attended any rehabilitative service. Twenty-nine percent of caregivers reported facing stigma and discrimination because of the child’s disability. Conclusion This study reveals the magnitude of disability among HIV-infected children and the large unmet need for

  5. Surgical pathology in sub-Saharan Africa--volunteering in Malawi.

    PubMed

    Berezowska, Sabina; Tomoka, Tamiwe; Kamiza, Steve; Milner, Danny A; Langer, Rupert

    2012-04-01

    The breadth of material found in surgical pathology services in African countries differs from the common spectrum of "the West". We report our experience of a voluntary work in the pathology departments of Blantyre and Lilongwe, Malawi. During a 6-week period, 405 cases (378 histology and 27 cytology cases) were processed. The vast majority showed significant pathological findings (n = 369; 91.1 %): 175 cases (47.4 %) were non-tumoral conditions with predominance of inflammatory lesions, e.g., schistosomiasis (n = 11) and tuberculosis (n = 11). There were 39 (10.6 %) benign tumors or tumor-like lesions. Intraepithelial neoplasia of the cervix uteri dominated among premalignant conditions (n = 15; 4.1 %). The large group of malignancies (n = 140; 37.9 %) comprised 11 pediatric tumors (e.g., rhabdomyosarcoma, small blue round cell tumors) and 129 adult tumors. Among women (n = 76), squamous cell carcinomas (SCCs) of the cervix uteri predominated (n = 25; 32.9 %), followed by breast carcinomas (n = 12; 15.8 %) and esophageal SCC (n = 9; 11.8 %). Males (n = 53) most often showed SCC of the esophagus (n = 9; 17.0 %) and of the urinary bladder (n = 7; 13.2 %). Lymphomas (n = 7) and Kaposi's sarcomas (n = 6) were less frequent. Differences compared to the western world include the character of the conditions in general, the spectrum of inflammatory lesions, and the young age of adult tumor patients (median 45 years; range 18-87 years). Providing pathology service in a low-resource country may be handicapped by lack of personnel, inadequate material resources, or insufficient infrastructure. Rotating volunteers offer a bridge for capacity building of both personnel and the local medical service; in addition, the volunteer's horizons are broadened professionally and personally.

  6. A Neonatal Resuscitation Curriculum in Malawi, Africa: Did It Change In-Hospital Mortality?

    PubMed Central

    Hole, Michael K.; Olmsted, Keely; Kiromera, Athanase; Chamberlain, Lisa

    2012-01-01

    Objective. The WHO estimates that 99% of the 3.8 million neonatal deaths occur in developing countries. Neonatal resuscitation training was implemented in Namitete, Malawi. The study's objective was to evaluate the training's impact on hospital staff and neonatal mortality rates. Study Design. Pre-/postcurricular surveys of trainee attitude, knowledge, and skills were analyzed. An observational, longitudinal study of secondary data assessed neonatal mortality. Result. All trainees' (n = 18) outcomes improved, (P = 0.02). Neonatal mortality did not change. There were 3449 births preintervention, 3515 postintervention. Neonatal mortality was 20.9 deaths per 1000 live births preintervention and 21.9/1000 postintervention, (P = 0.86). Conclusion. Short-term pre-/postintervention evaluations frequently reveal positive results, as ours did. Short-term pre- and postintervention evaluations should be interpreted cautiously. Whenever possible, clinical outcomes such as in-hospital mortality should be additionally assessed. More rigorous evaluation strategies should be applied to training programs requiring longitudinal relationships with international community partners. PMID:22164184

  7. Maritime and Underwater Cultural Heritage in South Africa: The Development of Relevant Management Strategies in the Historical Maritime Context of the Southern Tip of Africa

    NASA Astrophysics Data System (ADS)

    Sharfman, Jonathan; Boshoff, Jaco; Parthesius, Robert

    2012-10-01

    South Africans have a long association with water. It has provided a source of food, a medium for trade and a catalyst for migration and development. The country's geographical position as a crossroads of maritime trade between Europe and the East means that its history is inextricably linked to the history of the rest of the world. The result is a multi-faceted representation of sites, objects and mythologies related to water and maritime heritage that reflect not only local historical and social development, but global cultural change as well. Given the importance of South Africa's underwater cultural heritage (UCH), managers have grappled with management principles, ethics and theoretical models in an effort to produce and enforce heritage legislation that is relevant and effective. This paper outlines South Africa's maritime context from 1.5 million years ago until the present, summarises legislative and mitigation developments over the past half century and provides details of current trends in maritime archaeology and UCH management at the southern tip of Africa. Training programmes and public awareness are keys to this strategy to bring UCH and maritime archaeology into the mainstream and counter treasure hunting and looting of this rich, friable resource.

  8. Local biomass burning is a dominant cause of the observed precipitation reduction in southern Africa

    PubMed Central

    Hodnebrog, Øivind; Myhre, Gunnar; Forster, Piers M.; Sillmann, Jana; Samset, Bjørn H.

    2016-01-01

    Observations indicate a precipitation decline over large parts of southern Africa since the 1950s. Concurrently, atmospheric concentrations of greenhouse gases and aerosols have increased due to anthropogenic activities. Here we show that local black carbon and organic carbon aerosol emissions from biomass burning activities are a main cause of the observed decline in southern African dry season precipitation over the last century. Near the main biomass burning regions, global and regional modelling indicates precipitation decreases of 20–30%, with large spatial variability. Increasing global CO2 concentrations further contribute to precipitation reductions, somewhat less in magnitude but covering a larger area. Whereas precipitation changes from increased CO2 are driven by large-scale circulation changes, the increase in biomass burning aerosols causes local drying of the atmosphere. This study illustrates that reducing local biomass burning aerosol emissions may be a useful way to mitigate reduced rainfall in the region. PMID:27068129

  9. P wave velocity of Proterozoic upper mantle beneath central and southern Asia

    NASA Astrophysics Data System (ADS)

    Nyblade, Andrew A.; Vogfjord, Kristin S.; Langston, Charles A.

    1996-05-01

    P wave velocity structure of Proterozoic upper mantle beneath central and southern Africa was investigated by forward modeling of Pnl waveforms from four moderate size earthquakes. The source-receiver path of one event crosses central Africa and lies outside the African superswell while the source-receiver paths for the other events cross Proterozoic lithosphere within southern Africa, inside the African superswell. Three observables (Pn waveshape, PL-Pn time, and Pn/PL amplitude ratio) from the Pnl waveform were used to constrain upper mantle velocity models in a grid search procedure. For central Africa, synthetic seismograms were computed for 5880 upper mantle models using the generalized ray method and wavenumber integration; synthetic seismograms for 216 models were computed for southern Africa. Successful models were taken as those whose synthetic seismograms had similar waveshapes to the observed waveforms, as well as PL-Pn times within 3 s of the observed times and Pn/PL amplitude ratios within 30% of the observed ratio. Successful models for central Africa yield a range of uppermost mantle velocity between 7.9 and 8.3 km s-1, velocities between 8.3 and 8.5 km s-1 at a depth of 200 km, and velocity gradients that are constant or slightly positive. For southern Africa, successful models yield uppermost mantle velocities between 8.1 and 8.3 km s-1, velocities between 7.9 and 8.4 km s-1 at a depth of 130 km, and velocity gradients between -0.001 and 0.001 s-1. Because velocity gradients are controlled strongly by structure at the bottoming depths for Pn waves, it is not easy to compare the velocity gradients obtained for central and southern Africa. For central Africa, Pn waves turn at depths of about 150-200 km, whereas for southern Africa they bottom at ˜100-150 km depth. With regard to the origin of the African superswell, our results do not have sufficient resolution to test hypotheses that invoke simple lithospheric reheating. However, our models are not

  10. Influences on Children's Human Capital in Rural Malawi: Three Essays

    ERIC Educational Resources Information Center

    Appiah-Yeboah, Shirley Afua

    2013-01-01

    The circumstances that characterize poor, rural communities in Malawi suggest that children's health-wealth gradient can vary from other settings. This dissertation begins with a description of the methods used to create a household wealth variable using assets data in the Malawi Longitudinal Study of Families and Health project. By using a fixed…

  11. Integrated Numerical Model for the East African Rift System: Plume-induced Rifting and Continental Break-up from Lake Malawi to Red Sea

    NASA Astrophysics Data System (ADS)

    Koptev, A.; Leroy, S. D.; Calais, E.; Gerya, T.

    2016-12-01

    We present numerical experiments that target to reveal the role of active mantle plume, far-field tectonic forces and pre-existing lithospheric heterogeneities in structural development of the East African Rift system (EARS). Starting with models capturing the essential geophysical features of the central and southern parts of the EARS (two «cratonic» bodies (Tanzanian craton and Bangweulu block) embedded into a «normal» surrounding lithosphere) we show that development of the magmatic Eastern branch, the amagmatic Western branch and its southern prolongation (Malawi rift) can be the result of non-uniform splitting of some hot plume material that has been initially seeded underneath the southern part of Tanzanian craton. The second series of experiments has been designed in order to investigate northern segment of the EARS where Afro-Arabian plate separation is supposed to be related with the impact of Afar mantle plume. These models permit us to reproduce observed orientation and relative position of two spreading axes (Red Sea, Gulf of Aden) and rifting (Main Ethiopian rift) one. All are joining at Afar triple junction. Finally, for laterally extended experiment we have used parameters of the best-fit models for the southern and northern segments of the EARS in order to define the position of Kenyan plume and the velocity boundary conditions. This model cover all rifting and spreading structure associated with both Afar and Kenyan plumes: Red Sea Rift and the Aden Ridge to the north of the Afar Triple Junction; Main Ethiopian Rift running to the south that continues as the Kenyan Rift; Western Rift and its southern prolongation corresponding to Malawi rift.We argue that main features of the EARS can be reproduced in a relatively simple context of the interaction between two mantle anomalies corresponding to Afar and Kenyan plumes and pre-stressed rheologically stratified continental lithosphere containing only first-order structural heterogeneities (such as

  12. Women’s perspectives on quality of maternal health care services in Malawi

    PubMed Central

    Machira, Kennedy; Palamuleni, Martin

    2018-01-01

    Despite promotion by many stakeholders to improve maternal health outcome in many developing countries including Malawi, many analysts agree that the utmost success in maternal health will arise if maternal health care services are an unparallel led source for women’s health care solutions for any problem related to childbirth. Health advocates worldwide claim that even though maternal services are provided, women’s utilization of such services has not been ascertained. The objective of this study was to explore women’s perspectives on the quality of health care service delivery in Malawi. This article therefore investigates women’s perspectives on the quality of maternal health care services in Malawi. We used six focus group discussions in six health facilities that were selected across Malawi. We found that erratic availability of medical resources and unethical practices among health workers adversely affected quality of maternal health care service delivery. We concluded that the expensive routine operational audits of medical resources and service delivery across health facilities are imperative if women’s health outcomes are to be enhanced in Malawi. PMID:29386917

  13. Childhood Malaria Admission Rates to Four Hospitals in Malawi between 2000 and 2010

    PubMed Central

    Okiro, Emelda A.; Kazembe, Lawrence N.; Kabaria, Caroline W.; Ligomeka, Jeffrey; Noor, Abdisalan M.; Ali, Doreen; Snow, Robert W.

    2013-01-01

    Introduction The last few years have witnessed rapid scaling-up of key malaria interventions in several African countries following increases in development assistance. However, there is only limited country-specific information on the health impact of expanded coverage of these interventions. Methods Paediatric admission data were assembled from 4 hospitals in Malawi reflecting different malaria ecologies. Trends in monthly clinical malaria admissions between January 2000 and December 2010 were analysed using time-series models controlling for covariates related to climate and service use to establish whether changes in admissions can be related to expanded coverage of interventions aimed at reducing malaria infection. Results In 3 of 4 sites there was an increase in clinical malaria admission rates. Results from time series models indicate a significant month-to-month increase in the mean clinical malaria admission rates at two hospitals (trend P<0.05). At these hospitals clinical malaria admissions had increased from 2000 by 41% to 100%. Comparison of changes in malaria risk and ITN coverage appear to correspond to a lack of disease declines over the period. Changes in intervention coverage within hospital catchments showed minimal increases in ITN coverage from <6% across all sites in 2000 to maximum of 33% at one hospital site by 2010. Additionally, malaria transmission intensity remained unchanged between 2000–2010 across all sites. Discussion Despite modest increases in coverage of measures to reduce infection there has been minimal changes in paediatric clinical malaria cases in four hospitals in Malawi. Studies across Africa are increasingly showing a mixed set of impact results and it is important to assemble more data from more sites to understand the wider implications of malaria funding investment. We also caution that impact surveillance should continue in areas where intervention coverage is increasing with time, for example Malawi, as decline may

  14. Genomic and cranial phenotype data support multiple modern human dispersals from Africa and a southern route into Asia

    PubMed Central

    Reyes-Centeno, Hugo; Ghirotto, Silvia; Détroit, Florent; Grimaud-Hervé, Dominique; Barbujani, Guido; Harvati, Katerina

    2014-01-01

    Despite broad consensus on Africa as the main place of origin for anatomically modern humans, their dispersal pattern out of the continent continues to be intensely debated. In extant human populations, the observation of decreasing genetic and phenotypic diversity at increasing distances from sub-Saharan Africa has been interpreted as evidence for a single dispersal, accompanied by a series of founder effects. In such a scenario, modern human genetic and phenotypic variation was primarily generated through successive population bottlenecks and drift during a rapid worldwide expansion out of Africa in the Late Pleistocene. However, recent genetic studies, as well as accumulating archaeological and paleoanthropological evidence, challenge this parsimonious model. They suggest instead a “southern route” dispersal into Asia as early as the late Middle Pleistocene, followed by a separate dispersal into northern Eurasia. Here we test these competing out-of-Africa scenarios by modeling hypothetical geographical migration routes and assessing their correlation with neutral population differentiation, as measured by genetic polymorphisms and cranial shape variables of modern human populations from Africa and Asia. We show that both lines of evidence support a multiple-dispersals model in which Australo-Melanesian populations are relatively isolated descendants of an early dispersal, whereas other Asian populations are descended from, or highly admixed with, members of a subsequent migration event. PMID:24753576

  15. Transitioning HIV care and treatment programs in southern Africa to full local management.

    PubMed

    Vermund, Sten H; Sidat, Mohsin; Weil, Lori F; Tique, José A; Moon, Troy D; Ciampa, Philip J

    2012-06-19

    Global AIDS programs such as the US President's Emergency Plan for AIDS Relief (PEPFAR) face a challenging health care management transition. HIV care must evolve from vertically-organized, externally-supported efforts to sustainable, locally controlled components that are integrated into the horizontal primary health care systems of host nations. We compared four southern African nations in AIDS care, financial, literacy, and health worker capacity parameters (2005 to 2009) to contrast in their capacities to absorb the huge HIV care and prevention endeavors that are now managed with international technical and fiscal support. Botswana has a relatively high national income, a small population, and an advanced HIV/AIDS care program; it is well poised to take on management of its HIV/AIDS programs. South Africa has had a slower start, given HIV denialism philosophies of the previous government leadership. Nonetheless, South Africa has the national income, health care management, and health worker capacity to succeed in fully local management. The sheer magnitude of the burden is daunting, however, and South Africa will need continuing fiscal assistance. In contrast, Zambia and Mozambique have comparatively lower per capita incomes, many fewer health care workers per capita, and lower national literacy rates. It is improbable that fully independent management of their HIV programs is feasible on the timetable being contemplated by donors, nor is locally sustainable financing conceivable at present. A tailored nation-by-nation approach is needed for the transition to full local capacitation; donor nation policymakers must ensure that global resources and technical support are not removed prematurely.

  16. Impact of the 13-Valent Pneumococcal Conjugate Vaccine on Clinical and Hypoxemic Childhood Pneumonia over Three Years in Central Malawi: An Observational Study

    PubMed Central

    McCollum, Eric D.; Nambiar, Bejoy; Deula, Rashid; Zadutsa, Beatiwel; Bondo, Austin; King, Carina; Beard, James; Liyaya, Harry; Mankhambo, Limangeni; Lazzerini, Marzia; Makwenda, Charles; Masache, Gibson; Bar-Zeev, Naor; Kazembe, Peter N.; Mwansambo, Charles; Lufesi, Norman; Costello, Anthony; Armstrong, Ben

    2017-01-01

    Background The pneumococcal conjugate vaccine’s (PCV) impact on childhood pneumonia during programmatic conditions in Africa is poorly understood. Following PCV13 introduction in Malawi in November 2011, we evaluated the case burden and rates of childhood pneumonia. Methods and Findings Between January 1, 2012-June 30, 2014 we conducted active pneumonia surveillance in children <5 years at seven hospitals, 18 health centres, and with 38 community health workers in two districts, central Malawi. Eligible children had clinical pneumonia per Malawi guidelines, defined as fast breathing only, chest indrawing +/- fast breathing, or, ≥1 clinical danger sign. Since pulse oximetry was not in the Malawi guidelines, oxygenation <90% defined hypoxemic pneumonia, a distinct category from clinical pneumonia. We quantified the pneumonia case burden and rates in two ways. We compared the period immediately following vaccine introduction (early) to the period with >75% three-dose PCV13 coverage (post). We also used multivariable time-series regression, adjusting for autocorrelation and exploring seasonal variation and alternative model specifications in sensitivity analyses. The early versus post analysis showed an increase in cases and rates of total, fast breathing, and indrawing pneumonia and a decrease in danger sign and hypoxemic pneumonia, and pneumonia mortality. At 76% three-dose PCV13 coverage, versus 0%, the time-series model showed a non-significant increase in total cases (+47%, 95% CI: -13%, +149%, p = 0.154); fast breathing cases increased 135% (+39%, +297%, p = 0.001), however, hypoxemia fell 47% (-5%, -70%, p = 0.031) and hospital deaths decreased 36% (-1%, -58%, p = 0.047) in children <5 years. We observed a shift towards disease without danger signs, as the proportion of cases with danger signs decreased by 65% (-46%, -77%, p<0.0001). These results were generally robust to plausible alternative model specifications. Conclusions Thirty months after PCV13

  17. Earth Observation

    NASA Image and Video Library

    2011-07-23

    ISS028-E-018675 (23 July 2011) --- Biomass burning in southern Africa is featured in this image photographed by an Expedition 28 crew member on the International Space Station. A smoke pall of subcontinental proportions dominates this view of tropical southern Africa. In what has been described as the most fire-prone part of the world, numerous fires give rise to regional smoke palls every dry season. Fires are both natural and set by local people to clear woodland for agricultural fields. This recent, oblique, northwest-looking view taken in July 2011 at the end of the dry season shows the extent of the smoke on the African plateau?from central Zimbabwe (lower left) to northern Malawi more than 1,000 kilometers away (top right)?and in the wide coastal plains of the lower Zambezi River valley of Mozambique (lower right). Here smoke can be seen blowing inland (left to right), channeled up the Zambezi River valley and contributing to the pall on the plateau. The light gray smoke plumes contrast with higher altitude, brighter patchy cloud cover at lower right. The smoke palls obscure much surface detail, so that Lake Malawi, one of Africa?s Great Lakes, is barely visible, as is Lake Cahora Bassa, Africa?s fourth largest reservoir, in the Zambezi valley. The sun?s reflection off its surface (sunglint) makes Lake Kariba most prominent in the view at left. Kariba is the world?s largest artificial reservoir by volume, and is 220 kilometers long, giving a sense of the scale of the view. The steep, shadowed, mid-afternoon faces of the Inyanga Mountains on the Mozambique-Zimbabwe border protrude above the smoke layer at lower left. Solar panels extending from Russian spacecraft docked at the International Space Station are visible in the foreground at left.

  18. Development of a framework to improve the utilisation of malaria research for policy development in Malawi.

    PubMed

    Mwendera, Chikondi; de Jager, Christiaan; Longwe, Herbert; Hongoro, Charles; Phiri, Kamija; Mutero, Clifford M

    2017-11-21

    The existing gap between research evidence and public health practice has attributed to the unmet Millennium Development Goals in Africa and consequently, has stimulated the development of frameworks to enhance knowledge translation. These efforts aim at maximising health research utilisation in policy and practice to address the world's disease burdens, including malaria. This study aimed at developing a contextual framework to improve the utilisation of malaria research for policy development in Malawi. The study used two approaches including: two case studies of policy analysis exploring the policy-making process in Malawi, utilisation of local malaria research, and the role of key stakeholders in policy formulation process; and the assessment of facilitating factors and barriers to malaria research utilisation for policy-making in Malawi. From the case studies' lessons and elements identified during the assessment of facilitating factors and barriers, a framework is developed to promote an integrated approach to knowledge translation. In this framework the Ministry of Health is considered as the main user of knowledge from research through the demand created by the research directorate and the National Malaria Control Programme. Key documents identified as being particularly relevant to the Ministry of Health for purposes of knowledge translation include the National Health Research Agenda, Guidelines for Policy Development and Analysis, and Guidelines for Evidence Use in Policy-making. Institutions conducting academic and policy-relevant malaria research in Malawi are identified and a consolidation of their linkages with the users of research is established through the Knowledge Translation Unit, the Evidence Informed decision-making Centre, and the African Institute for Development Policy. Equally, key players in this framework are the funding partners for both research and programmes that need to see accountability and impact of their support. Independent

  19. GDP Matters: Cost Effectiveness of Cochlear Implantation and Deaf Education in Sub-Saharan Africa.

    PubMed

    Emmett, Susan D; Tucci, Debara L; Smith, Magteld; Macharia, Isaac M; Ndegwa, Serah N; Nakku, Doreen; Mukara, Kaitesi B; Kaitesi, Mukara B; Ibekwe, Titus S; Mulwafu, Wakisa; Gong, Wenfeng; Francis, Howard W; Saunders, James E

    2015-09-01

    Cochlear implantation and deaf education are cost effective in Sub-Saharan Africa. Cost effectiveness of pediatric cochlear implantation has been well established in developed countries but is unknown in low resource settings, where access to the technology has traditionally been limited. With incidence of severe-to-profound congenital sensorineural hearing loss 5 to 6 times higher in low/middle-income countries than the United States and Europe, developing cost-effective management strategies in these settings is critical. Costs were obtained from experts in Nigeria, South Africa, Kenya, Rwanda, Uganda, and Malawi using known costs and published data, with estimation when necessary. A disability adjusted life years (DALY) model was applied using 3% discounting and 10-year length of analysis. Sensitivity analysis was performed to evaluate the effect of device cost, professional salaries, annual number of implants, and probability of device failure. Cost effectiveness was determined using the WHO standard of cost-effectiveness ratio/gross domestic product per capita (CER/GDP) less than 3. Cochlear implantation was cost effective in South Africa and Nigeria, with CER/GDP of 1.03 and 2.05, respectively. Deaf education was cost effective in all countries investigated, with CER/GDP ranging from 0.55 to 1.56. The most influential factor in the sensitivity analysis was device cost, with the cost-effective threshold reached in all countries using discounted device costs that varied directly with GDP. Cochlear implantation and deaf education are equally cost effective in lower-middle and upper-middle income economies of Nigeria and South Africa. Device cost may have greater impact in the emerging economies of Kenya, Uganda, Rwanda, and Malawi.

  20. Menstruation and School Absenteeism: Evidence from Rural Malawi

    PubMed Central

    Grant, Monica J.; Lloyd, Cynthia B.; Mensch, Barbara S.

    2014-01-01

    The provision of toilets and menstrual supplies has emerged as a promising programmatic strategy to support adolescent girls’ school attendance and performance in less developed countries. We use the first round of the Malawi Schooling and Adolescent Survey (MSAS) to examine the individual- and school-level factors associated with menstruation-related school absenteeism. The MSAS is a school-based longitudinal survey of adolescent students enrolled in coed public primary schools in the southern districts of Machinga and Balaka who were aged 14–16 in 2007. Although one-third of female students report missing at least one day of school at their last menstrual period, our data suggest that menstruation only accounts for a small proportion of all female absenteeism and does not create a gender gap in absenteeism. We find no evidence for school-level variance in menstruation-related absenteeism, suggesting that absenteeism is not sensitive to school environments. Rather, co-residence with a grandmother and spending time on school work at home reduce the odds of absence during the last menstrual period. PMID:25580018

  1. Menstruation and School Absenteeism: Evidence from Rural Malawi.

    PubMed

    Grant, Monica J; Lloyd, Cynthia B; Mensch, Barbara S

    2013-05-01

    The provision of toilets and menstrual supplies has emerged as a promising programmatic strategy to support adolescent girls' school attendance and performance in less developed countries. We use the first round of the Malawi Schooling and Adolescent Survey (MSAS) to examine the individual- and school-level factors associated with menstruation-related school absenteeism. The MSAS is a school-based longitudinal survey of adolescent students enrolled in coed public primary schools in the southern districts of Machinga and Balaka who were aged 14-16 in 2007. Although one-third of female students report missing at least one day of school at their last menstrual period, our data suggest that menstruation only accounts for a small proportion of all female absenteeism and does not create a gender gap in absenteeism. We find no evidence for school-level variance in menstruation-related absenteeism, suggesting that absenteeism is not sensitive to school environments. Rather, co-residence with a grandmother and spending time on school work at home reduce the odds of absence during the last menstrual period.

  2. A lithofacies terrain model for the Blantyre Region: Implications for the interpretation of palaeosavanna depositional systems and for environmental geology and economic geology in southern Malawi

    NASA Astrophysics Data System (ADS)

    Dill, H. G.; Ludwig, R.-R.; Kathewera, A.; Mwenelupembe, J.

    2005-06-01

    The Blantyre City Area is part of the African savanna in southern Malawi. Sedimentological, geomorphological, chemical and mineralogical studies were conducted to create a lithofacies terrain model. The project involves mapping, cross-sectioning, grain size, heavy mineral analysis, XRD and the study of sedimentary textures under the petrographic microscope. These classical techniques were combined with GIS-based field and office works. The combined efforts led to 2-D maps and 3-D block diagrams that illustrate the geomorphological and sedimentological evolution of the landscape in southern Malawi during the late Mesozoic and Cenozoic. The results obtained through integrated geomorphological-sedimentological studies form the basis for land management (planning of residential areas, waste disposal sites, assessment of bearing capacity of rocks), geohazard prediction (delineation of high risk zones in terms of mass flow and inundation) and the evaluation of high-place (ceramic raw materials) and high-unit value (placers of precious metals and gemstones) mineral commodities in the study area. The study addresses regional and general aspects alike. In regional terms, the study aimed at unraveling the evolution of landforms at the southern end of the East African Rift System during the most recent parts of the geological past. Four stages of peneplanation were established in the working area. Planation was active from the Cretaceous to the Quaternary (stage I: early to mid-Cretaceous, stage II: early Tertiary, stage III: early to mid-Tertiary, stage IV: mid- to late Tertiary). During the most recent parts of the Quaternary, strong fluvial incision was triggered by the base-level lowering of the Shire River. Geomorphological alteration of the landscape goes along with a phyllosilicate-sesquioxide transformation from minerals indicative of more acidic meteoric fluids (e.g., gibbsite, kaolinite) to those typical of more alkaline conditions (e.g. smectite, vermiculite

  3. AIDS epidemic in Malawi: shaking cultural foundations.

    PubMed

    Chirwa, I

    1993-05-01

    Many young men and women in Malawi are infected with HIV and dying from AIDS. The head of the Malawi AIDS Control Program estimates that as many as 10% of all adults in the country may be infected with HIV, with the rate being higher in urban areas. While more than 90% of the population is now aware of the existence of AIDS and its dangers, changes in behavior have not taken place and HIV continues to spread. Early campaigns attempted to generate condom use through peer educators among bar girls, truck drivers, and STD patients. Many men state, however, that they prefer to have sex without condoms because it is more exciting. Others cite alcohol consumption, ignorance of the dangers of HIV infection, and/or a fear of suggesting mistrust in a partner as reasons for not using condoms. Many women also find it difficult to negotiate condom use among reluctant men. Making condoms readily accessible and giving them a positive image may help increase their rate of use; the opposition of some religious groups must be thwarted and the distribution system needs to be improved to realize these ends. Condoms are provided to Malawi free of charge by the US Agency of International Development. Supplies are then either distributed free through health centers and bars or sold in shops. The failure of free condoms to be readily available in rural areas where 90% of the population resides, however, poses concern. Finally, training programs, counseling, anonymous HIV testing centers, and peer educators are among some of the interventions being made against AIDS in Malawi.

  4. The AIDS-related activities of religious leaders in Malawi

    PubMed Central

    TRINTAPOLI, J.

    2010-01-01

    The AIDS-related activities of religious leaders in Africa extend far beyond preaching about sexual mortality. This study aims to quantify the involvement of religious leaders in the fight against AIDS and to identify key predictors of the types of prevention strategies they promote. Using data from a random sample of Christian and Muslim leaders in Malawi, I use logistic regression to predict six types of AIDS activities, which correspond to three distinct types: formal messages (i.e., preaching), pragmatic interventions (monitoring the sexual behaviour of members and advising divorce to avoid infection), and the promotion of biomedical prevention strategies (promoting condom use and testing for HIV). Preaching about AIDS is the most common prevention activity, and promoting condom use is the least; sizable proportions of clergy promote testing and engage in pragmatic interventions. Denominational patterns in the type of engagement are weak and inconsistent. However, inquiries into the motivation for leaders' activities show that discussions with members about AIDS is the most consistent predictor, suggesting that religious leaders' engagement with HIV prevention is primarily a demand-driven phenomenon. PMID:20552476

  5. Multidrug-resistant typhoid fever with neurologic findings on the Malawi-Mozambique border.

    PubMed

    Lutterloh, Emily; Likaka, Andrew; Sejvar, James; Manda, Robert; Naiene, Jeremias; Monroe, Stephan S; Khaila, Tadala; Chilima, Benson; Mallewa, Macpherson; Kampondeni, Sam D; Lowther, Sara A; Capewell, Linda; Date, Kashmira; Townes, David; Redwood, Yanique; Schier, Joshua G; Nygren, Benjamin; Tippett Barr, Beth; Demby, Austin; Phiri, Abel; Lungu, Rudia; Kaphiyo, James; Humphrys, Michael; Talkington, Deborah; Joyce, Kevin; Stockman, Lauren J; Armstrong, Gregory L; Mintz, Eric

    2012-04-01

    Salmonella enterica serovar Typhi causes an estimated 22 million cases of typhoid fever and 216 000 deaths annually worldwide. We investigated an outbreak of unexplained febrile illnesses with neurologic findings, determined to be typhoid fever, along the Malawi-Mozambique border. The investigation included active surveillance, interviews, examinations of ill and convalescent persons, medical chart reviews, and laboratory testing. Classification as a suspected case required fever and ≥1 other finding (eg, headache or abdominal pain); a probable case required fever and a positive rapid immunoglobulin M antibody test for typhoid (TUBEX TF); a confirmed case required isolation of Salmonella Typhi from blood or stool. Isolates underwent antimicrobial susceptibility testing and subtyping by pulsed-field gel electrophoresis (PFGE). We identified 303 cases from 18 villages with onset during March-November 2009; 214 were suspected, 43 were probable, and 46 were confirmed cases. Forty patients presented with focal neurologic abnormalities, including a constellation of upper motor neuron signs (n = 19), ataxia (n = 22), and parkinsonism (n = 8). Eleven patients died. All 42 isolates tested were resistant to ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole; 4 were also resistant to nalidixic acid. Thirty-five of 42 isolates were indistinguishable by PFGE. The unusual neurologic manifestations posed a diagnostic challenge that was resolved through rapid typhoid antibody testing in the field and subsequent blood culture confirmation in the Malawi national reference laboratory. Extending laboratory diagnostic capacity, including blood culture, to populations at risk for typhoid fever in Africa will improve outbreak detection, response, and clinical treatment.

  6. Parenting experiences of couples living with human immunodeficiency virus: a qualitative study from rural Southern Malawi.

    PubMed

    Gombachika, Belinda Chimphamba; Sundby, Johanne; Chirwa, Ellen; Malata, Address

    2014-01-01

    The advent of antiretroviral therapy (ART) has allowed couples living with human immunodeficiency virus (HIV) to live longer and healthier lives. The reduction in the mother-to-child transmission of HIV has encouraged some people living with HIV (PLWH) to have children. However, little is known about the parenting experiences of couples living with HIV (CLWH). The aim of this qualitative study was to explore and describe parenting experiences of seroconcordant couples who have a child while living with HIV in Malawi. Data were collected using in-depth interviews with 14 couples purposively sampled in matrilineal Chiradzulu and patrilineal Chikhwawa communities from July to December 2010. The research findings shows that irrespective of kinship organization, economic hardships, food insecurity, gender-specific role expectations and conflicting information from health institutions and media about sources of support underpin their parenting roles. In addition, male spouses are directly involved in household activities, childcare and child feeding decisions, challenging the existing stereotyped gender norms. In the absence of widow inheritance, widows from patrilineal communities are not receiving the expected support from the deceased husband relatives. Finally, the study has shown that CLWH are able to find solutions for the challenges they encounter. Contrary to existing belief that such who have children depend solely on public aid. Such claims without proper knowledge of local social cultural contexts, may contribute to stigmatizing CLWH who continue to have children. The study is also relevant to PLWH who, although not parents themselves, are confronted with a situation where they have to accept responsibility for raising children from their kin. We suggest the longer-term vision for ART wide access in Malawi to be broadened beyond provision of ART to incorporate social and economic interventions that support the rebuilding of CLWH social and economic lives. The

  7. Parenting experiences of couples living with human immunodeficiency virus: A qualitative study from rural Southern Malawi

    PubMed Central

    Gombachika, Belinda Chimphamba; Sundby, Johanne; Chirwa, Ellen; Malata, Address

    2014-01-01

    Abstract The advent of antiretroviral therapy (ART) has allowed couples living with human immunodeficiency virus (HIV) to live longer and healthier lives. The reduction in the mother-to-child transmission of HIV has encouraged some people living with HIV (PLWH) to have children. However, little is known about the parenting experiences of couples living with HIV (CLWH). The aim of this qualitative study was to explore and describe parenting experiences of seroconcordant couples who have a child while living with HIV in Malawi. Data were collected using in-depth interviews with 14 couples purposively sampled in matrilineal Chiradzulu and patrilineal Chikhwawa communities from July to December 2010. The research findings shows that irrespective of kinship organization, economic hardships, food insecurity, gender-specific role expectations and conflicting information from health institutions and media about sources of support underpin their parenting roles. In addition, male spouses are directly involved in household activities, childcare and child feeding decisions, challenging the existing stereotyped gender norms. In the absence of widow inheritance, widows from patrilineal communities are not receiving the expected support from the deceased husband relatives. Finally, the study has shown that CLWH are able to find solutions for the challenges they encounter. Contrary to existing belief that such who have children depend solely on public aid. Such claims without proper knowledge of local social cultural contexts, may contribute to stigmatizing CLWH who continue to have children. The study is also relevant to PLWH who, although not parents themselves, are confronted with a situation where they have to accept responsibility for raising children from their kin. We suggest the longer-term vision for ART wide access in Malawi to be broadened beyond provision of ART to incorporate social and economic interventions that support the rebuilding of CLWH social and economic

  8. The impact of the increasing burden of trauma in Malawi on orthopedic trauma service priorities at Kamuzu Central Hospital.

    PubMed

    Young, Sven; Banza, Leonard; Munthali, Boston S; Manda, Kumbukani G; Gallaher, Jared; Charles, Anthony

    2016-12-01

    Background and purpose - The burden of road traffic injuries globally is rising rapidly, and has a huge effect on health systems and development in low- and middle-income countries. Malawi is a small low-income country in southeastern Africa with a population of 16.7 million and a gross national income per capita of only 250 USD. The impact of the rising burden of trauma is very apparent to healthcare workers on the ground, but there are very few data showing this development. Patients and methods - The annual number of femoral fracture patients admitted to Kamuzu Central Hospital (KCH) in the Capital of Malawi, Lilongwe, from 2009 to 2014 was retrieved from the KCH trauma database. Linear regression curve estimation was used to project the growth in the burden of femoral fractures and the number of operations performed for femoral fractures over the same time period. Results - 992 patients with femoral fractures (26% of all admissions for fractures) presented at KCH from 2009 through 2014. In this period, there was a 132% increase in the annual number of femoral fractures admitted to KCH. In the same time period, the total number of operations more than doubled, but there was no increase in the number of operations performed for femoral fractures. Overall, there was a 7% mortality rate for patients with femoral fractures. Interpretation - The burden of femoral fractures in Malawi is rising rapidly, and the surgical resources available cannot keep up with this development. Limited funds for orthopedic trauma care in Malawi should be invested in central training hospitals, to develop a sustainable number of orthopedic surgeons and improve current infrastructure and equipment. The centralization of orthopedic surgical care delivery at the central training hospitals will lead to better access to surgical care and early return of patients to local district hospitals for rehabilitation, thus increasing surgical throughput and efficiency in a more cost-effective manner

  9. Proposing a Master's Programme on Participatory Integrated Assessment of Energy Systems to Promote Energy Access and Energy Efficiency in Southern Africa

    ERIC Educational Resources Information Center

    Kiravu, Cheddi; Diaz-Maurin, François; Giampietro, Mario; Brent, Alan C.; Bukkens, Sandra G.F.; Chiguvare, Zivayi; Gasennelwe-Jeffrey, Mandu A.; Gope, Gideon; Kovacic, Zora; Magole, Lapologang; Musango, Josephine Kaviti; Ruiz-Rivas Hernando, Ulpiano; Smit, Suzanne; Vázquez Barquero, Antonio; Yunta Mezquita, Felipe

    2018-01-01

    Purpose: This paper aims to present a new master's programme for promoting energy access and energy efficiency in Southern Africa. Design/methodology/approach: A transdisciplinary approach called "participatory integrated assessment of energy systems" (PARTICIPIA) was used for the development of the curriculum. This approach is based on…

  10. Feasibility of using teleradiology to improve tuberculosis screening and case management in a district hospital in Malawi

    PubMed Central

    Panunzi, Isabella; Spijker, Saskia; Brant, William E; Duran, Laura Triviño; Kosack, Cara S; Murowa, Michael Mitchell

    2012-01-01

    Abstract Problem Malawi has one of the world’s highest rates of human immunodeficiency virus (HIV) infection (10.6%), and southern Malawi, where Thyolo district is located, bears the highest burden in the country (14.5%). Tuberculosis, common among HIV-infected people, requires radiologic diagnosis, yet Malawi has no radiologists in public service. This hinders rapid and accurate diagnosis and increases morbidity and mortality. Approach Médecins Sans Frontières, in collaboration with Malawi’s Ministry of Health, implemented teleradiology in Thyolo district to assist clinical staff in radiologic image interpretation and diagnosis. Local setting Thyolo district’s 600 000 inhabitants are mostly subsistence-level or migrant farmers living in extreme poverty. Health facilities include one public hospital and 38 primary health centres. Understaffing and the absence of a radiologist make the diagnosis of tuberculosis difficult in a population where this disease affects 66% of patients with HIV infection. Relevant changes From September 2010–2011, 159 images (from 158 patients) were reviewed by teleradiology. Teleradiology changed patient management in 36 cases (23.5%). Two (1.3%) of them were cases of pulmonary tuberculosis not previously suspected by clinical staff. In addition, the radiologist’s review corrected the misdiagnosis of tuberculosis and averted inappropriate treatment in 16 patients (10.5%). Lessons learnt Teleradiology can improve tuberculosis diagnosis and case management, especially if criteria to identify the patients most suitable for referral are developed and the radiologist is conversant with local resources and health problems. Designating a clinical focal point for teleradiology ensures sustainability. Staff need time to adapt to a new teleradiology programme. PMID:22984316

  11. IWRM and poverty reduction in Malawi: A socio-economic analysis

    NASA Astrophysics Data System (ADS)

    Mulwafu, Wapulumuka O.; Msosa, Hendrina K.

    Like most other countries in the SADC region, Malawi has swiftly endorsed the United Nations Millennium Development Goals. In the water sector, these principles are reflected in the National Water Policy (2004) and in the Malawi Poverty Reduction Strategy Paper (PRSP) (2002) which emphasize three key aspects. First, the articulation of a vision and policy objectives that address development and management of water for productive purposes, conservation and poverty reduction. Second, the recognition of international and regional conventions and agreements on water resources to which Malawi is a signatory, thereby promoting global partnership for development. Third, the provision of mechanisms for monitoring, assessment and development related to watershed management, conservation and the mitigation of floods and droughts. Both the Malawi Poverty Reduction Strategy Paper and the National Water Policy seek to reduce poverty by increasing access to water for domestic and productive purposes. In particular, the MPRSP will focus on constructing and rehabilitating water facilities, extend water supply capacity, promote community-based management and improve water resources conservation and management. In this paper, we examine the challenges of implementing these goals against the background of various institutional reforms in the water sector. We argue that although Malawi has come up with very clear strategies and guidelines for promoting MDGs, a combination of human and financial resources, bedevil the successful implementation of these ideas. In addition, the strategies do not articulate water as a medium for poverty alleviation in a holistic manner. The paper further demonstrates ways in which the promotion of IWRM can facilitate in reducing poverty.

  12. Parental Divorce and Children's Schooling in Rural Malawi.

    PubMed

    Chae, Sophia

    2016-12-01

    A growing body of literature has examined the impact of different types of family structures on children's schooling in sub-Saharan Africa. These studies have investigated how living arrangements, gender of the household head, parental death, and paternal migration are related to schooling. Although many sub-Saharan African countries have high divorce rates, very few studies have explored the impact of parental divorce on children's schooling. The present study uses three waves of data from the Malawi Longitudinal Study of Families and Health (MLSFH) to investigate the effect of parental divorce on children's schooling and the possible mechanisms driving this relationship. Unlike prior studies, this study uses child-level fixed-effects models to control for selection into divorce. Results show that parental divorce is associated with lower grade attainment and a larger schooling gap, defined as the number of years a child is behind in school (among children currently attending school). Although no association exists between parental divorce and current school attendance, girls affected by divorce are significantly less likely to be attending school. Differences in economic resources, maternal coresidence, or maternal psychological well-being do not explain the relationship between parental divorce and children's schooling.

  13. Increasing behavioral flexibility? New archaeological and ecological approaches to understanding the Howieson's Poort in Southern Africa

    NASA Astrophysics Data System (ADS)

    Kandel, A. W.; Bolus, M.; Bruch, A. A.; Haidle, M. N.; Hertler, C.; Märker, M.

    2012-04-01

    The Howieson's Poort (HP) of Southern Africa peaked between 60 and 65 ka and represents a distinct phase of cultural innovation adopted by modern humans during the Middle Stone Age. While researchers generally attribute the rise and fall of the HP to social and environmental causes, neither provides a complete explanation. As patterns at the site level come into focus, large-scale trends explaining the HP expansion remain uncertain. Comparisons with earlier and later cultural phases may provide ways to view the HP phenomenon. The most notable artifacts of the HP lithic industry are standardized, crescent-shaped, backed stone tools called segments that were mounted on wooden shafts in several orientations using mixtures of ground pigment and plant resin to create composite tools such as stone-tipped arrows and spears. The use of ocher, often faceted or striated from grinding and sometimes engraved with geometric patterns, attests to functional and possibly symbolic behavior. Other attributes of the HP include the use of laminar lithic technology to produce blades and a preference for finer grained raw materials. While rare bone tools hint at advanced hunting strategies, other organic finds include geometrically engraved and perforated ostrich eggshell containers and perhaps shell beads, artifacts that serve as markers conveying individual and group status. Analyses of faunal remains supports the possible use of snares and traps, in addition to diverse hunting strategies. Even the sediments testify to changes in behavior that involved the increasing maintenance of living areas. Micromorphological evidence for the construction of bedding layers that were regularly cleaned by burning appears towards the end of the HP. While this combination of behaviors indicates a cultural complexity that did not exist before or after the HP, the reasons for its appearance and the causes of its demise remain unclear. To test the hypotheses of cultural and environmental causality and

  14. Regulating the for-profit private health sector: lessons from East and Southern Africa.

    PubMed

    Doherty, Jane E

    2015-03-01

    International evidence shows that, if poorly regulated, the private health sector may lead to distortions in the type, quantity, distribution, quality and price of health services, as well as anti-competitive behaviour. This article provides an overview of legislation governing the for-profit private health sector in East and Southern Africa. It identifies major implementation problems and suggests strategies Ministries of Health could adopt to regulate the private sector more effectively and in line with key public health objectives. This qualitative study was based on a document review of existing legislation in the region, and seven semi-structured interviews with individuals selected purposively on the basis of their experience in policymaking and legislation. Legislation was categorized according to its objectives and the level at which it operates. A thematic content analysis was conducted on interview transcripts. Most legislation focuses on controlling the entry of health professionals and organizations into the market. Most countries have not developed adequate legislation around behaviour following entry. Generally the type and quality of services provided by private practitioners and facilities are not well-regulated or monitored. Even where there is specific health insurance regulation, provisions seldom address open enrolment, community rating and comprehensive benefit packages (except in South Africa). There is minimal control of prices. Several countries are updating and improving legislation although, in most cases, this is without the benefit of an overarching policy on the private sector, or reference to wider public health objectives. Policymakers in the East and Southern African region need to embark on a programme of action to strengthen regulatory frameworks and instruments in relation to private health care provision and insurance. They should not underestimate the power of the private health sector to undermine efforts for increased

  15. Tobacco growing and the sustainable development goals, Malawi

    PubMed Central

    Bialous, Stella Aguinaga; Munthali, Spy; Max, Wendy

    2017-01-01

    Abstract Negative impacts of tobacco result from human consumption and from tobacco-growing activities, most of which now occur in low- and middle-income countries. Malawi is the world’s largest producer of burley tobacco and its population is affected by the negative consequences of both tobacco consumption and production. In countries like Malawi, tobacco control refers to control of the tobacco supply chain, rather than control of consumption. We review the impact of tobacco cultivation, using Malawi as an example, to illustrate the economic, environmental, health and social issues faced by low- and middle-income countries that still produce significant tobacco crops. We place these issues in the context of the sustainable development goals (SDGs), particularly 3a which calls on all governments to strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control. Other goals address the negative effects that tobacco cultivation has on development. The SDGs offer an opportunity for low- and middle-income countries that are dependent on tobacco production and that are not yet parties to the Convention, to reconsider joining the FCTC. PMID:28479637

  16. Interpretation of Nimbus-7 37 GHz microwave brightness temperature data in semi-arid southern Africa

    NASA Technical Reports Server (NTRS)

    Prince, S. D.; Choudhury, B. J.

    1989-01-01

    Monthly 37 GHz microwave polarization difference temperatures (MPDT) derived from the Nimbus-7 scanning multichannel microwave radiometer (SMMR) for southern Africa from 1979 to 1985 are compared with rainfall and Advanced Very High Resolution Radiometer (AVHRR) normalized difference vegetation index (NDVI) data. MPDT rose sharply during a drought episode which occurred within the period included in the data. The rise was seen not only in the growing season, but also in the dry season MPDT when no actively photosynthetic, water-containing leaves are present. The results suggest that scattering of the emitted microwave radiation by dead and living vegetation is a more important factor than has previously been recognized.

  17. Big Sugar in southern Africa: rural development and the perverted potential of sugar/ethanol exports.

    PubMed

    Richardson, Ben

    2010-01-01

    This paper asks how investment in large-scale sugar cane production has contributed, and will contribute, to rural development in southern Africa. Taking a case study of the South African company Illovo in Zambia, the argument is made that the potential for greater tax revenue, domestic competition, access to resources and wealth distribution from sugar/ethanol production have all been perverted and with relatively little payoff in wage labour opportunities in return. If the benefits of agro-exports cannot be so easily assumed, then the prospective 'balance sheet' of biofuels needs to be re-examined. In this light, the paper advocates smaller-scale agrarian initiatives.

  18. Do not forget the boys - gender differences in children living in high HIV-affected communities in South Africa and Malawi in a longitudinal, community-based study.

    PubMed

    Hensels, I S; Sherr, L; Skeen, S; Macedo, A; Roberts, K J; Tomlinson, M

    2016-03-01

    Gender is an important factor in child development. Especially in sub-Saharan Africa, girls have often been shown to be less likely to access education compared to boys. The consequence of this has been that that programmes addressing child development are often aimed at girls in order to redress gender imbalances. This study examines the effect of gender on the development of children attending community-based organisations in high HIV-affected areas, and explores whether community-based organisation attendance was associated with any changes in gender differences over time. Baseline data from 989 children and 12-15 month follow from 854 (86% response rate) were used to examine gender differences in children from Malawi and South Africa. At baseline, where there were differences by gender, these tended to disadvantage boys. It was found that boys were significantly more often found to be subjected to violence. Boys showed worse performance at school and more behavioural problems than girls. These gender differences persisted from baseline to follow-up. At follow-up, boys self-reported significantly worse average quality of life than girls. Only harsh discipline differed by gender in progression over time: boys experienced a stronger reduction in harsh physical discipline than girls from baseline to follow-up. Since harsh discipline was associated with boys' worse educational outcomes and behavioural problems, our data cautiously suggests that gender differences could be reduced over time. In conclusion, our data suggests that, perhaps due to the narrow equity approach focusing on provision for girls, boys may be overlooked. As a result, there are some specific experiences where boys are generally worse off. These differences have distinct ramifications for the educational and emotional development of boys. A broader equity approach to child development might be warranted to ensure that the needs of both girls and boys are considered, and that boys are not

  19. Transactional sex and HIV: understanding the gendered structural drivers of HIV in fishing communities in Southern Malawi

    PubMed Central

    MacPherson, Eleanor E; Sadalaki, John; Njoloma, Macdonald; Nyongopa, Victoria; Nkhwazi, Lawrence; Mwapasa, Victor; Lalloo, David G; Desmond, Nicola; Seeley, Janet; Theobald, Sally

    2012-01-01

    Background In Southern Malawi, the fishing industry is highly gendered, with men carrying out the fishing and women processing, drying and selling the fish. Research has shown that individuals living in fishing communities in low-income countries are particularly vulnerable to HIV infection. One of the key drivers of HIV in fishing communities is transactional sex. In the fishing industry this takes the form of “fish-for-sex” networks where female fish traders exchange sex with fishermen for access to or more favourable prices of fish. By controlling the means of production, the power dynamics in these exchanges favour men and can make it more difficult for women to negotiate safe sex. Methods Qualitative methods were used to collect data on gendered drivers of transactional sex in the fishing community and how different groups perceive HIV risk in these transactions. Observation, focus group discussions and semi-structured interviews were undertaken with members of the fishing communities, including men and women directly and indirectly involved in fishing. Results In fishing communities transactional sex was prevalent across a spectrum ranging from gift giving within relationships, to sex for fish exchanges, to sex worker encounters. Power differences between couples in transactional sexual encounters shape individual’s abilities to negotiate condom use (with women being at a particularly disadvantaged negotiating position). The context and motivations for transactional sex varied and was mediated by economic need and social position both of men and women. Female fish traders new to the industry and boat crew members who travelled for work and experienced difficult living conditions often engaged in transactional sex. Conclusions Transactional sex is common in Malawian fishing communities, with women particularly vulnerable in negotiations because of existing gendered power structures. Although knowledge and understanding of the HIV risk associated with

  20. Applications of the IRI in Southern Africa

    NASA Astrophysics Data System (ADS)

    Coetzee, P. J.

    2004-01-01

    The IRI forms the basis of the Single Site Location Direction Finding networks of the South African Defence Force as well as theNational Intelligence Agency. It is also used in "Path Analysis" applications where the possible transmitter coverage is calculated. Another application of the IRI is in HF frequency predictions, especially for the South African Defence Force involved in peace keeping duties in Africa. The IRI is either used independently or in conjunction with vertical ionosondes. In the latter case the scaled F2 peak parameters (foF2, hmF2) are used as inputs to the IRI. The IRI thus gets "calibrated" to extend the area covered by the ionosonde(s). The IRI has proved to be a very important tool in South Africa and Africa in the fight against crime, drug trafficking, political instability and maintaining the peace in potentially unstable countries.

  1. The Angola Low: relationship with southern African rainfall and ENSO

    NASA Astrophysics Data System (ADS)

    Crétat, Julien; Pohl, Benjamin; Dieppois, Bastien; Berthou, Ségolène; Pergaud, Julien

    2018-05-01

    The main states of the Angola Low (AL) are identified using clustering analysis applied to daily anomalous patterns of 700-hPa wind vorticity over Angola and adjacent countries from November to March for the 1980/81-2014/15 period. At the daily timescale, we examine the extent to which the main states of the AL modulate daily rainfall over southern Africa. At the interannual timescale, we assess both the relationship between the occurrence of these AL states and El Niño southern oscillation (ENSO) and the role of the AL in explaining ENSO's failure in driving southern African rainfall at times. Three reanalyses are considered to account for uncertainties induced by the scarcity of data available for assimilation over southern Africa. Three preferential states of the Angola Low are identified: AL state close to its seasonal climatology with slight zonal displacements, anomalously weak AL state and anomalously strong AL state with meridional displacements. These different states all significantly modulate daily southern African rainfall. Near-climatological AL state promotes wet rainfall anomalies over eastern subtropical southern Africa and dry rainfall anomalies over its western part. A slight westward shift in the near-climatological position of the AL leads to reversed zonal gradient in rainfall. The remaining regimes significantly modulate the meridional gradient in southern African rainfall. Anomalously weak and anomalously northward AL states promote wet rainfall anomalies over tropical southern Africa and dry rainfall anomalies over subtropical southern Africa. The reverse prevails for anomalously southward AL. At the interannual timescale, ENSO significantly modulates the seasonal occurrence of most AL states in the three reanalyses. Anomalously weak and southward AL states are more strongly correlated with regional rainfall than ENSO in all reanalyses, suggesting that accounting for AL variability may improve seasonal forecasts. Case study analysis of the

  2. mtDNA control-region sequence variation suggests multiple independent origins of an "Asian-specific" 9-bp deletion in sub-Saharan Africans.

    PubMed Central

    Soodyall, H.; Vigilant, L.; Hill, A. V.; Stoneking, M.; Jenkins, T.

    1996-01-01

    The intergenic COII/tRNA(Lys) 9-bp deletion in human mtDNA, which is found at varying frequencies in Asia, Southeast Asia, Polynesia, and the New World, was also found in 81 of 919 sub-Saharan Africans. Using mtDNA control-region sequence data from a subset of 41 individuals with the deletion, we identified 22 unique mtDNA types associated with the deletion in Africa. A comparison of the unique mtDNA types from sub-Saharan Africans and Asians with the 9-bp deletion revealed that sub-Saharan Africans and Asians have sequence profiles that differ in the locations and frequencies of variant sites. Both phylogenetic and mismatch-distribution analysis suggest that 9-bp deletion arose independently in sub-Saharan Africa and Asia and that the deletion has arisen more than once in Africa. Within Africa, the deletion was not found among Khoisan peoples and was rare to absent in western and southwestern African populations, but it did occur in Pygmy and Negroid populations from central Africa and in Malawi and southern African Bantu-speakers. The distribution of the 9-bp deletion in Africa suggests that the deletion could have arisen in central Africa and was then introduced to southern Africa via the recent "Bantu expansion." PMID:8644719

  3. Diversification in an Afro-Asian songbird clade (Erythropygia-Copsychus) reveals founder-event speciation via trans-oceanic dispersals and a southern to northern colonization pattern in Africa.

    PubMed

    Voelker, Gary; Peñalba, Joshua V; Huntley, Jerry W; Bowie, Rauri C K

    2014-04-01

    Erythropygia scrub-robins and their allies are distributed throughout Africa, Europe, Southeast Asia, India, Madagascar and the Seychelles. This broad distribution, as well as the distribution of Erythropygia taxa across Africa, presents an interesting opportunity to explore the mechanisms by which this biogeographic distribution was achieved. Multilocus sequence data (3310 base pairs from two mitochondrial and two nuclear genes) were generated for all species of Erythropygia and Cercotrichas scrub-robins, as well as from genera previously shown to render Erythropygia paraphyletic. Using model-based phylogenetic methods and molecular clock dating, we constructed a time-calibrated molecular phylogenetic hypothesis for the lineage. Ancestral area reconstructions were performed on the phylogeny using probabilistic approaches implemented in LaGrange and BioGeoBEARS. Our results confirm that Erythropygia is not monophyletic, and that one of the two Erythropygia clades is more closely related to a clade of Asian and Indian Ocean islands distributed species. Overall, the Erythropygia and allies clade originated in Africa in the late Miocene c. 6.9 Ma. Subsequently, a number of overwater dispersals occurred to include an initial colonization of Southeast Asia, and an ensuing progression of colonizations from Southeast Asia to the Seychelles, from there to Madagascar, and from these Indian Ocean islands back to Southeast Asia. Within the two clades of Erythropygia, ancestral area reconstructions within Africa indicate a Southern Africa origin, with subsequent lineage divergence in each clade indicating northward colonization. Overall, this clade of non-migratory songbirds shows a remarkable number of trans-oceanic colonization events, that were possibly facilitated by wind-driven dispersal; repeated Africa to Asia colonizations, two of which occur in this clade, are exceptionally rare in birds. Also rare is our finding that colonization patterns in Africa indicate a

  4. Approaching Southern Theory: Explorations of Gender in South African Education

    ERIC Educational Resources Information Center

    Epstein, Debbie; Morrell, Robert

    2012-01-01

    This article draws on the five other papers from South Africa in this issue of "Gender and Education" to consider how Southern theory has been developed and is developing in relation to gender and education in South Africa. We argue that Southern theory is not an on-the-shelf solution to global geopolitical inequalities but a work in…

  5. Azithromycin to Reduce Childhood Mortality in Sub-Saharan Africa.

    PubMed

    Keenan, Jeremy D; Bailey, Robin L; West, Sheila K; Arzika, Ahmed M; Hart, John; Weaver, Jerusha; Kalua, Khumbo; Mrango, Zakayo; Ray, Kathryn J; Cook, Catherine; Lebas, Elodie; O'Brien, Kieran S; Emerson, Paul M; Porco, Travis C; Lietman, Thomas M

    2018-04-26

    We hypothesized that mass distribution of a broad-spectrum antibiotic agent to preschool children would reduce mortality in areas of sub-Saharan Africa that are currently far from meeting the Sustainable Development Goals of the United Nations. In this cluster-randomized trial, we assigned communities in Malawi, Niger, and Tanzania to four twice-yearly mass distributions of either oral azithromycin (approximately 20 mg per kilogram of body weight) or placebo. Children 1 to 59 months of age were identified in twice-yearly censuses and were offered participation in the trial. Vital status was determined at subsequent censuses. The primary outcome was aggregate all-cause mortality; country-specific rates were assessed in prespecified subgroup analyses. A total of 1533 communities underwent randomization, 190,238 children were identified in the census at baseline, and 323,302 person-years were monitored. The mean (±SD) azithromycin and placebo coverage over the four twice-yearly distributions was 90.4±10.4%. The overall annual mortality rate was 14.6 deaths per 1000 person-years in communities that received azithromycin (9.1 in Malawi, 22.5 in Niger, and 5.4 in Tanzania) and 16.5 deaths per 1000 person-years in communities that received placebo (9.6 in Malawi, 27.5 in Niger, and 5.5 in Tanzania). Mortality was 13.5% lower overall (95% confidence interval [CI], 6.7 to 19.8) in communities that received azithromycin than in communities that received placebo (P<0.001); the rate was 5.7% lower in Malawi (95% CI, -9.7 to 18.9), 18.1% lower in Niger (95% CI, 10.0 to 25.5), and 3.4% lower in Tanzania (95% CI, -21.2 to 23.0). Children in the age group of 1 to 5 months had the greatest effect from azithromycin (24.9% lower mortality than that with placebo; 95% CI, 10.6 to 37.0). Serious adverse events occurring within a week after administration of the trial drug or placebo were uncommon, and the rate did not differ significantly between the groups. Evaluation of selection

  6. Sexual conflict resolved by invasion of a novel sex determiner in Lake Malawi cichlid fishes.

    PubMed

    Roberts, Reade B; Ser, Jennifer R; Kocher, Thomas D

    2009-11-13

    Sex determination mechanisms differ among animal species, but it is not clear how these differences evolve. New sex determiners may arise in response to sexual conflicts, which occur when traits benefit one sex but hinder the other. We identified the genetic basis for the orange-blotch (OB) color pattern, a trait under sexually antagonistic selection in the cichlid fish of Lake Malawi, East Africa. The OB phenotype is due to a cis-regulatory mutation in the Pax7 gene. OB provides benefits of camouflage to females but disrupts the species-specific male color patterns used for mate recognition. We suggest that the resulting sexual conflict over the OB allele has been resolved by selection for a novel female sex determination locus that has invaded populations with an ancestral male sex determination system.

  7. A cross-sectional study of household biomass fuel use among a periurban population in Malawi.

    PubMed

    Piddock, Katy C; Gordon, Stephen B; Ngwira, Andrew; Msukwa, Malango; Nadeau, Gilbert; Davis, Kourtney J; Nyirenda, Moffat J; Mortimer, Kevin

    2014-07-01

    The Global Burden of Disease Study suggests almost 3.5 million people die as a consequence of household air pollution every year. Respiratory diseases including chronic obstructive pulmonary disease and pneumonia in children are strongly associated with exposure to household air pollution. Smoke from burning biomass fuels for cooking, heating, and lighting is the main contributor to high household air pollution levels in low-income countries like Malawi. A greater understanding of biomass fuel use in Malawi should enable us to address household air pollution-associated communicable and noncommunicable diseases more effectively. To conduct a cross-sectional analysis of biomass fuel use and population demographics among adults in Blantyre, Malawi. We used global positioning system-enabled personal digital assistants to collect data on location, age, sex, marital status, education, occupation, and fuel use. We describe these data and explore associations between demographics and reported fuel type. A total of 16,079 adults participated (nine households refused); median age was 30 years, there was a similar distribution of men and women, 60% were married, and 62% received secondary school education. The most commonly reported occupation for men and women was "salaried employment" (40.7%) and "petty trader and marketing" (23.5%), respectively. Charcoal (81.5% of households), wood (36.5%), and electricity (29.1%) were the main fuels used at home. Only 3.9% of households used electricity exclusively. Lower educational and occupational attainment was associated with greater use of wood. This large cross-sectional study has identified extensive use of biomass fuels in a typical sub-Saharan Africa periurban population in which women and people of lower socioeconomic status are disproportionately affected. Biomass fuel use is likely to be a major driver of existing communicable respiratory disease and the emerging noncommunicable disease (especially respiratory and

  8. A Cross-Sectional Study of Household Biomass Fuel Use among a Periurban Population in Malawi

    PubMed Central

    Piddock, Katy C.; Gordon, Stephen B.; Ngwira, Andrew; Msukwa, Malango; Nadeau, Gilbert; Davis, Kourtney J.; Nyirenda, Moffat J.; Mortimer, Kevin

    2016-01-01

    Rationale The Global Burden of Disease Study suggests almost 3.5 million people die as a consequence of household air pollution every year. Respiratory diseases including chronic obstructive pulmonary disease and pneumonia in children are strongly associated with exposure to household air pollution. Smoke from burning biomass fuels for cooking, heating, and lighting is the main contributor to high household air pollution levels in low-income countries like Malawi. A greater understanding of biomass fuel use in Malawi should enable us to address household air pollution–associated communicable and noncommunicable diseases more effectively. Objectives To conduct a cross-sectional analysis of biomass fuel use and population demographics among adults in Blantyre, Malawi. Methods We used global positioning system–enabled personal digital assistants to collect data on location, age, sex, marital status, education, occupation, and fuel use. We describe these data and explore associations between demographics and reported fuel type. Measurements and Main Results A total of 16,079 adults participated (nine households refused); median age was 30 years, there was a similar distribution of men and women, 60% were married, and 62% received secondary school education. The most commonly reported occupation for men and women was “salaried employment” (40.7%) and “petty trader and marketing” (23.5%), respectively. Charcoal (81.5% of households), wood (36.5%), and electricity (29.1%) were the main fuels used at home. Only 3.9% of households used electricity exclusively. Lower educational and occupational attainment was associated with greater use of wood. Conclusions This large cross-sectional study has identified extensive use of biomass fuels in a typical sub-Saharan Africa periurban population in which women and people of lower socioeconomic status are disproportionately affected. Biomass fuel use is likely to be a major driver of existing communicable respiratory

  9. Potential plant poisonings in dogs and cats in southern Africa.

    PubMed

    Botha, C J; Penrith, M L

    2009-06-01

    Plant poisoning occurs less commonly in dogs and cats than in herbivorous livestock, but numerous cases have been documented worldwide, most of them caused by common and internationally widely cultivated ornamental garden and house plants. Few cases of poisoning of cats and dogs have been reported in southern Africa, but many of the plants that have caused poisoning in these species elsewhere are widely available in the subregion and are briefly reviewed in terms of toxic principles, toxicity, species affected, clinical signs, and prognosis. The list includes Melia azedarach (syringa), Brunfelsia spp. (yesterday, today and tomorrow), Datura stramonium (jimsonweed, stinkblaar), a wide variety of lilies and lily-like plants, cycads, plants that contain soluble oxalates, plants containing cardiac glycosides and other cardiotoxins and euphorbias (Euphorbia pulcherrima, E. tirucalli). Poisoning by plant products such as macadamia nuts, onions and garlic, grapes and raisins, cannabis (marijuana, dagga) or hashish and castor oil seed or seedcake is also discussed. Many of the poisonings are not usually fatal, but others frequently result in death unless rapid action is taken by the owner and the veterinarian, underlining the importance of awareness of the poisonous potential of a number of familiar plants.

  10. Could cash and good parenting affect child cognitive development? A cross-sectional study in South Africa and Malawi.

    PubMed

    Sherr, Lorraine; Macedo, Ana; Tomlinson, Mark; Skeen, Sarah; Cluver, Lucie Dale

    2017-05-12

    Social protection interventions, including cash grants and care provision have been shown to effectively reduce some negative impacts of the HIV epidemic on adolescents and families. Less is known about the role of social protection on younger HIV affected populations. This study explored the impact of cash grants on children's cognitive development. Additionally, we examined whether combined cash and care (operationalised as good parenting) was associated with improved cognitive outcomes. The sample included 854 children, aged 5 - 15, participating in community-based organisation (CBO) programmes for children affected by HIV in South Africa and Malawi. Data on child cognitive functioning were gathered by a combination of caregiver report and observer administered tests. Primary caregivers also reported on the economic situation of the family, cash receipt into the home, child and household HIV status. Parenting was measured on a 10 item scale with good parenting defined as a score of 8 or above. About half of families received cash (55%, n = 473), only 6% (n = 51) reported good parenting above the cut-off point but no cash, 18% (n = 151) received combined cash support and reported good parenting, and 21% (n = 179) had neither. Findings show that cash receipt was associated with enhanced child cognitive outcomes in a number of domains including verbal working memory, general cognitive functioning, and learning. Furthermore, cash plus good parenting provided an additive effect. Child HIV status had a moderating effect on the association between cash or/plus good parenting and cognitive outcomes. The association between cash and good parenting and child cognitive outcomes remained significant among both HIV positive and negative children, but overall the HIV negative group benefited more. This study shows the importance of cash transfers and good parenting on cognitive development of young children living in HIV affected environments. Our data clearly

  11. Climatic controls on Later Stone Age human adaptation in Africa's southern Cape.

    PubMed

    Chase, Brian M; Faith, J Tyler; Mackay, Alex; Chevalier, Manuel; Carr, Andrew S; Boom, Arnoud; Lim, Sophak; Reimer, Paula J

    2018-01-01

    Africa's southern Cape is a key region for the evolution of our species, with early symbolic systems, marine faunal exploitation, and episodic production of microlithic stone tools taken as evidence for the appearance of distinctively complex human behavior. However, the temporally discontinuous nature of this evidence precludes ready assumptions of intrinsic adaptive benefit, and has encouraged diverse explanations for the occurrence of these behaviors, in terms of regional demographic, social and ecological conditions. Here, we present a new high-resolution multi-proxy record of environmental change that indicates that faunal exploitation patterns and lithic technologies track climatic variation across the last 22,300 years in the southern Cape. Conditions during the Last Glacial Maximum and deglaciation were humid, and zooarchaeological data indicate high foraging returns. By contrast, the Holocene is characterized by much drier conditions and a degraded resource base. Critically, we demonstrate that systems for technological delivery - or provisioning - were responsive to changing humidity and environmental productivity. However, in contrast to prevailing models, bladelet-rich microlithic technologies were deployed under conditions of high foraging returns and abandoned in response to increased aridity and less productive subsistence environments. This suggests that posited links between microlithic technologies and subsistence risk are not universal, and the behavioral sophistication of human populations is reflected in their adaptive flexibility rather than in the use of specific technological systems. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Improved predictability of droughts over southern Africa using the standardized precipitation evapotranspiration index and ENSO

    NASA Astrophysics Data System (ADS)

    Manatsa, Desmond; Mushore, Terrence; Lenouo, Andre

    2017-01-01

    The provision of timely and reliable climate information on which to base management decisions remains a critical component in drought planning for southern Africa. In this observational study, we have not only proposed a forecasting scheme which caters for timeliness and reliability but improved relevance of the climate information by using a novel drought index called the standardised precipitation evapotranspiration index (SPEI), instead of the traditional precipitation only based index, the standardised precipitation index (SPI). The SPEI which includes temperature and other climatic factors in its construction has a more robust connection to ENSO than the SPI. Consequently, the developed ENSO-SPEI prediction scheme can provide quantitative information about the spatial extent and severity of predicted drought conditions in a way that reflects more closely the level of risk in the global warming context of the sub region. However, it is established that the ENSO significant regional impact is restricted only to the period December-March, implying a revisit to the traditional ENSO-based forecast scheme which essentially divides the rainfall season into the two periods, October to December and January to March. Although the prediction of ENSO events has increased with the refinement of numerical models, this work has demonstrated that the prediction of drought impacts related to ENSO is also a reality based only on observations. A large temporal lag is observed between the development of ENSO phenomena (typically in May of the previous year) and the identification of regional SPEI defined drought conditions. It has been shown that using the Southern Africa Regional Climate Outlook Forum's (SARCOF) traditional 3-month averaged Nino 3.4 SST index (June to August) as a predictor does not have an added advantage over using only the May SST index values. In this regard, the extended lead time and improved skill demonstrated in this study could immensely benefit

  13. Gaps in universal health coverage in Malawi: A qualitative study in rural communities

    PubMed Central

    2014-01-01

    Background In sub-Saharan Africa, universal health coverage (UHC) reforms have often adopted a technocratic top-down approach, with little attention being paid to the rural communities’ perspective in identifying context specific gaps to inform the design of such reforms. This approach might shape reforms that are not sufficiently responsive to local needs. Our study explored how rural communities experience and define gaps in universal health coverage in Malawi, a country which endorses free access to an Essential Health Package (EHP) as a means towards universal health coverage. Methods We conducted a qualitative cross-sectional study in six rural communities in Malawi. Data was collected from 12 Focus Group Discussions with community residents and triangulated with 8 key informant interviews with health care providers. All respondents were selected through stratified purposive sampling. The material was tape-recorded, fully transcribed, and coded by three independent researchers. Results The results showed that the EHP has created a universal sense of entitlements to free health care at the point of use. However, respondents reported uneven distribution of health facilities and poor implementation of public-private service level agreements, which have led to geographical inequities in population coverage and financial protection. Most respondents reported affordability of medical costs at private facilities and transport costs as the main barriers to universal financial protection. From the perspective of rural Malawians, gaps in financial protection are mainly triggered by supply-side access-related barriers in the public health sector such as: shortages of medicines, emergency services, shortage of health personnel and facilities, poor health workers’ attitudes, distance and transportation difficulties, and perceived poor quality of health services. Conclusions Moving towards UHC in Malawi, therefore, implies the introduction of appropriate interventions

  14. An allelic series at pax7a is associated with colour polymorphism diversity in Lake Malawi cichlid fish.

    PubMed

    Roberts, Reade B; Moore, Emily C; Kocher, Thomas D

    2017-05-01

    Despite long-standing interest in the evolution and maintenance of discrete phenotypic polymorphisms, the molecular genetic basis of such polymorphism in the wild is largely unknown. Female sex-associated blotched colour polymorphisms found in cichlids of Lake Malawi, East Africa, represent a highly successful polymorphic phenotype, found and maintained in four genera across the geographic expanse of the lake. Previously, we identified an association with an allelic variant of the paired-box transcription factor gene pax7a and blotched colour morphs in Lake Malawi cichlid fishes. Although a diverse range of blotched phenotypes are present in Lake Malawi cichlid species, they all appeared to result from an allele of pax7a that produces increased levels of transcript. Here, we examine the developmental and genetic basis of variation among blotched morphs. First, we confirm that pax7a-associated blotch morphs result primarily from modulation of melanophore development and survival. From laboratory crosses and natural population studies, we identify at least three alleles of pax7a associated with discrete subtypes of blotched morphs, in addition to the ancestral pax7a allele. Genotypes at pax7a support initial evolution of a novel pax7a allele to produce the blotched class of morphs, followed by subsequent evolution of that pax7a blotched allele to produce additional alleles associated with discrete colour morphs. Variant alleles of pax7a produce different levels of pax7a transcript, correlating with pigmentation phenotype at the cellular level. This naturally selected allelic series should serve as a case study for understanding the molecular genetic control of pax7a expression and the evolution of sex-associated alleles. © 2016 John Wiley & Sons Ltd.

  15. Geographical disparities in HIV prevalence and care among men who have sex with men in Malawi: results from a multisite cross-sectional survey.

    PubMed

    Wirtz, Andrea L; Trapence, Gift; Kamba, Dunker; Gama, Victor; Chalera, Rodney; Jumbe, Vincent; Kumwenda, Rosemary; Mangochi, Marriam; Helleringer, Stephane; Beyrer, Chris; Baral, Stefan

    2017-06-01

    Epidemiological assessment of geographical heterogeneity of HIV among men who have sex with men (MSM) is necessary to inform HIV prevention and care strategies in the more generalised HIV epidemics across sub-Saharan Africa, including Malawi. We aimed to measure the HIV prevalence, risks, and access to HIV care among MSM across multiple localities to better inform HIV programming for MSM in Malawi. Between Aug 1, 2011, and Sept 13, 2014, we recruited MSM into cross-sectional research via respondent-driven sampling (RDS) in seven districts of Malawi. RDS and site weights were used to estimate national HIV prevalence and engagement in care and in multilevel regression models to identify correlates of prevalent HIV infection. The comparative prevalence ratio of HIV among MSM relative to adult men was calculated by use of direct age-stratification. 2453 MSM were enrolled with a population HIV prevalence of 18·2% (95% CI 15·5-21·2), as low as 4·1% (2·2-7·6) in Mzuzu and as high as 24·5% (19·5-30·3) in Mulanje. The comparative HIV prevalence ratio was 2·52 when comparing MSM with the adult male population. Age-stratified HIV prevalence showed early onset of infection with 11·8% (95% CI 7·3-18·4) of MSM aged 18-19 years HIV infected. Factors positively associated with HIV infection included being aged 21-30 years and reporting female or transgender identity. Among HIV infected MSM, less than 1% reported ever being diagnosed with HIV infection (0·9%, 95% CI 0·4-2·5) and initiated antiretroviral treatment (0·2%, 0·2-0·3). HIV disproportionately affects MSM in Malawi with disparities sustained across the HIV care continuum. These issues are geographically heterogeneous and begin among young MSM, supporting geographically focused and age-specific approaches to confidential HIV testing with linkage to HIV services. Malawi Department of Nutrition, HIV and AIDS (DNHA), UNDP, UNFPA, UNAIDS, and UNICEF. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Reconstructing the History of Maize Streak Virus Strain A Dispersal To Reveal Diversification Hot Spots and Its Origin in Southern Africa ▿ †

    PubMed Central

    Monjane, Adérito L.; Harkins, Gordon W.; Martin, Darren P.; Lemey, Philippe; Lefeuvre, Pierre; Shepherd, Dionne N.; Oluwafemi, Sunday; Simuyandi, Michelo; Zinga, Innocent; Komba, Ephrem K.; Lakoutene, Didier P.; Mandakombo, Noella; Mboukoulida, Joseph; Semballa, Silla; Tagne, Appolinaire; Tiendrébéogo, Fidèle; Erdmann, Julia B.; van Antwerpen, Tania; Owor, Betty E.; Flett, Bradley; Ramusi, Moses; Windram, Oliver P.; Syed, Rizwan; Lett, Jean-Michel; Briddon, Rob W.; Markham, Peter G.; Rybicki, Edward P.; Varsani, Arvind

    2011-01-01

    Maize streak virus strain A (MSV-A), the causal agent of maize streak disease, is today one of the most serious biotic threats to African food security. Determining where MSV-A originated and how it spread transcontinentally could yield valuable insights into its historical emergence as a crop pathogen. Similarly, determining where the major extant MSV-A lineages arose could identify geographical hot spots of MSV evolution. Here, we use model-based phylogeographic analyses of 353 fully sequenced MSV-A isolates to reconstruct a plausible history of MSV-A movements over the past 150 years. We show that since the probable emergence of MSV-A in southern Africa around 1863, the virus spread transcontinentally at an average rate of 32.5 km/year (95% highest probability density interval, 15.6 to 51.6 km/year). Using distinctive patterns of nucleotide variation caused by 20 unique intra-MSV-A recombination events, we tentatively classified the MSV-A isolates into 24 easily discernible lineages. Despite many of these lineages displaying distinct geographical distributions, it is apparent that almost all have emerged within the past 4 decades from either southern or east-central Africa. Collectively, our results suggest that regular analysis of MSV-A genomes within these diversification hot spots could be used to monitor the emergence of future MSV-A lineages that could affect maize cultivation in Africa. PMID:21715477

  17. Remarkable rates of lightning strike mortality in Malawi.

    PubMed

    Mulder, Monique Borgerhoff; Msalu, Lameck; Caro, Tim; Salerno, Jonathan

    2012-01-01

    Livingstone's second mission site on the shore of Lake Malawi suffers very high rates of consequential lightning strikes. Comprehensive interviewing of victims and their relatives in seven Traditional Authorities in Nkhata Bay District, Malawi revealed that the annual rate of consequential strikes was 419/million, more than six times higher than that in other developing countries; the rate of deaths from lightning was 84/million/year, 5.4 times greater than the highest ever recorded. These remarkable figures reveal that lightning constitutes a significant stochastic source of mortality with potential life history consequences, but it should not deflect attention away from the more prominent causes of mortality in this rural area.

  18. Weaving networks of responsibility: community work in development programs in rural Malawi.

    PubMed

    Rosenthal, Anat

    2012-01-01

    The need to cope with the impact of the AIDS epidemic on communities in Africa has resulted in the emergence of numerous community health and development programs. Initiated by governments, international nongovernmental organizations (NGOs), and local organizations, such programs target local communities with the goal of building care and support mechanisms in the local level. Based on ethnographic field research in rural Malawi, and drawing from the cross-disciplinary debate on development work, the article explores the work of an NGO offering health and care programs to orphans and vulnerable children. Through analyzing the organization's scope of work, the article demonstrates how the NGO acts to structure local social networks as instruments of care and offers a new reading of the role of NGOs in which the limitations of development work and the work of NGOs are understood within their local context and not only in the context of broad cultural critique.

  19. Sustainability of NGO capacity building in southern Africa: successes and opportunities.

    PubMed

    Humphries, Debbie; Gomez, Ligia; Hartwig, Kari

    2011-01-01

    Despite an increase in organizational capacity building efforts by external organizations in low and middle income countries, the documentation of these efforts and their effects on health programs and systems remains limited. This paper reviews key frameworks for considering sustainability of capacity building and applies these frameworks to an evaluation of the sustainability of an AIDS non-governmental organization (NGO) capacity building initiative. From 2004-2007 Bristol-Myers Squibb Foundation's Secure the Future(TM) initiative in southern Africa funded a five country program, the NGO Training Institute (NGOTI), to build capacity of NGOs working to address HIV/AIDS. Lessons learned from this project include issues of ownership, the importance of integrating planning for sustainability within capacity-building projects, and the value of identifying primary capacity-building objectives in order to select sustainability strategies that are focused on maintaining program benefits. Sustainability for capacity building projects can be developed by discussing key issues early in the planning process with all primary stakeholders. Copyright © 2010 John Wiley & Sons, Ltd.

  20. Socially disempowered women as the key to addressing change in Malawi: how do they do it?

    PubMed

    Macintyre, Linda M; Rankin, Sally; Pinderhughes, Howard; Waters, Catherine M; Schell, Ellen; Fiedler, Rachel

    2013-01-01

    Malawi women are in the ironic juxtaposition of being socially disempowered while, at the same time, thought to hold the key to shaping an effective community response to the HIV crisis. Based on this juxtaposition, a descriptive, qualitative study was conducted in Malawi and the United States where 26 participants from nongovernmental organizations (NGOs) and community-based organizations (CBOs) discussed the roles of Malawi women. Interviews were audiotaped, transcribed, and analyzed. We identified an improvement in women's economic status as the strongest factor in reducing gender inequities. Through providing stipends for rural Malawi women, one NGO created unintended changes in gender roles.

  1. Country watch: Malawi.

    PubMed

    Knox, G

    1995-01-01

    The Drought Network for information sharing eventually led to the establishment of the more formal Southern Region AIDS Network (SORAN) where representatives from government and nongovernmental organizations (NGOs) focused on awareness raising, lobbying, and advocacy. As an initial step towards networking on HIV/AIDS issues, a festival was organized in Blantyre on December 4, 1993, by NGOs, private companies, church groups, school children, and volunteers to bring about behavior change. About 2000 people gathered to listen to music, learn about HIV transmission through drama group presentations, watch videos with HIV/STD prevention messages, and learn about proper condom use. The participants officially established SORAN in February 1994 to act as a coordinating body for organizations working in prevention and care for HIV/STD-infected persons and their families. Network activities endeavored: to assist organizations interested in developing HIV/AIDS programs and activities; to encourage the business communities to participate in multisectoral coordination and to help channel funds from them to HIV/AIDS programs; to act as a resource center for information about HIV/AIDS; and to lobby among politicians as well as traditional local and religious leaders. When the first multi-party parliamentary election approached in May 1994, SORAN challenged representatives of 7 political parties and a women's organization to speak out publicly on what they envisioned doing about HIV/AIDS. The Grand Walk was also organized by SORAN members representing the Catholic Episcopal Conference of Malawi, the Protestant Blantyre Synod, a local brewery, and UNICEF. About 500 walkers received support from passersby. 70% were school children 10-18 years old who sang AIDS awareness songs and passed out flyers. Three months later the National AIDS Program's Big Walk for AIDS, following a National AIDS Crisis Conference, signaled the government's public recognition of the need for a

  2. Assessing infection control practices to protect health care workers and patients in Malawi from nosocomial transmission of Mycobacterium tuberculosis

    PubMed Central

    Simon, Katherine; Hosseinipour, Mina; Kim, Maria H.; Mlauzi, Lameck; Kazembe, Peter N.; Ahmed, Saeed

    2017-01-01

    Transmission of Mycobacterium tuberculosis (TB) in health settings threatens health care workers and people living with HIV in sub-Saharan Africa. Nosocomial transmission is reduced with implementation of infection control (IC) guidelines. The objective of this study is to describe implementation of TB IC measures in Malawi. We conducted a cross-sectional study utilizing anonymous health worker questionnaires, semi-structured interviews with facility managers, and direct observations at 17 facilities in central Malawi. Of 592 health care workers surveyed, 34% reported that all patients entering the facility were screened for cough and only 8% correctly named the four most common signs and symptoms of TB in adults. Of 33 managers interviewed, 7 (21%) and 1 (3%) provided the correct TB screening questions for use in adults and children, respectively. Of 592 health workers, only 2.4% had been screened for TB in the previous year. Most (90%) reported knowing their HIV status, 53% were tested at their facility of employment, and half reported they would feel comfortable receiving ART or TB treatment at their facility of employment. We conclude that screening is infrequently conducted and knowledge gaps may undercut its effectiveness. Further, health care workers do not routinely access TB and HIV diagnostic and treatment services at their facility of employment. PMID:29211793

  3. Assessing infection control practices to protect health care workers and patients in Malawi from nosocomial transmission of Mycobacterium tuberculosis.

    PubMed

    Flick, Robert J; Munthali, Adamson; Simon, Katherine; Hosseinipour, Mina; Kim, Maria H; Mlauzi, Lameck; Kazembe, Peter N; Ahmed, Saeed

    2017-01-01

    Transmission of Mycobacterium tuberculosis (TB) in health settings threatens health care workers and people living with HIV in sub-Saharan Africa. Nosocomial transmission is reduced with implementation of infection control (IC) guidelines. The objective of this study is to describe implementation of TB IC measures in Malawi. We conducted a cross-sectional study utilizing anonymous health worker questionnaires, semi-structured interviews with facility managers, and direct observations at 17 facilities in central Malawi. Of 592 health care workers surveyed, 34% reported that all patients entering the facility were screened for cough and only 8% correctly named the four most common signs and symptoms of TB in adults. Of 33 managers interviewed, 7 (21%) and 1 (3%) provided the correct TB screening questions for use in adults and children, respectively. Of 592 health workers, only 2.4% had been screened for TB in the previous year. Most (90%) reported knowing their HIV status, 53% were tested at their facility of employment, and half reported they would feel comfortable receiving ART or TB treatment at their facility of employment. We conclude that screening is infrequently conducted and knowledge gaps may undercut its effectiveness. Further, health care workers do not routinely access TB and HIV diagnostic and treatment services at their facility of employment.

  4. Monitoring vegetation dynamics with medium resolution MODIS-EVI time series at sub-regional scale in southern Africa

    NASA Astrophysics Data System (ADS)

    Dubovyk, Olena; Landmann, Tobias; Erasmus, Barend F. N.; Tewes, Andreas; Schellberg, Jürgen

    2015-06-01

    Currently there is a lack of knowledge on spatio-temporal patterns of land surface dynamics at medium spatial scale in southern Africa, even though this information is essential for better understanding of ecosystem response to climatic variability and human-induced land transformations. In this study, we analysed vegetation dynamics across a large area in southern Africa using the 14-years (2000-2013) of medium spatial resolution (250 m) MODIS-EVI time-series data. Specifically, we investigated temporal changes in the time series of key phenometrics including overall greenness, peak and timing of annual greenness over the monitoring period and study region. In order to specifically capture spatial and per pixel vegetation changes over time, we calculated trends in these phenometrics using a robust trend analysis method. The results showed that interannual vegetation dynamics followed precipitation patterns with clearly differentiated seasonality. The earliest peak greenness during 2000-2013 occurred at the end of January in the year 2000 and the latest peak greenness was observed at the mid of March in 2012. Specifically spatial patterns of long-term vegetation trends allowed mapping areas of (i) decrease or increase in overall greenness, (ii) decrease or increase of peak greenness, and (iii) shifts in timing of occurrence of peak greenness over the 14-year monitoring period. The observed vegetation decline in the study area was mainly attributed to human-induced factors. The obtained information is useful to guide selection of field sites for detailed vegetation studies and land rehabilitation interventions and serve as an input for a range of land surface models.

  5. The cold climate geomorphology of the Eastern Cape Drakensberg: A reevaluation of past climatic conditions during the last glacial cycle in Southern Africa

    NASA Astrophysics Data System (ADS)

    Mills, S. C.; Barrows, T. T.; Telfer, M. W.; Fifield, L. K.

    2017-02-01

    Southern Africa is located in a unique setting for investigating past cold climate geomorphology over glacial-interglacial timescales. It lies at the junction of three of the world's major oceans and is affected by subtropical and temperate circulation systems, therefore recording changes in Southern Hemisphere circulation patterns. Cold climate landforms are very sensitive to changes in climate and thus provide an opportunity to investigate past changes in this region. The proposed existence of glaciers in the high Eastern Cape Drakensberg mountains, together with possible rock glaciers, has led to the suggestion that temperatures in this region were as much as 10-17 °C lower than present. Such large temperature depressions are inconsistent with many other palaeoclimatic proxies in Southern Africa. This paper presents new field observations and cosmogenic nuclide exposure ages from putative cold climate landforms. We discuss alternative interpretations for the formation of the landforms and confirm that glaciers were absent in the Eastern Cape Drakensberg during the last glaciation. However, we find widespread evidence for periglacial activity down to an elevation of 1700 m asl, as illustrated by extensive solifluction deposits, blockstreams, and stone garlands. These periglacial deposits suggest that the climate was significantly colder ( 6 °C) during the Last Glacial Maximum, in keeping with other climate proxy records from the region, but not cold enough to initiate or sustain glaciers or rock glaciers.

  6. Seasonal variations in tuberculosis diagnosis among HIV-positive individuals in Southern Africa: analysis of cohort studies at antiretroviral treatment programmes

    PubMed Central

    Ballif, Marie; Zürcher, Kathrin; Reid, Stewart E; Boulle, Andrew; Fox, Matthew P; Prozesky, Hans W; Chimbetete, Cleophas; Egger, Matthias; Fenner, Lukas

    2018-01-01

    Objectives Seasonal variations in tuberculosis diagnoses have been attributed to seasonal climatic changes and indoor crowding during colder winter months. We investigated trends in pulmonary tuberculosis (PTB) diagnosis at antiretroviral therapy (ART) programmes in Southern Africa. Setting Five ART programmes participating in the International Epidemiology Database to Evaluate AIDS in South Africa, Zambia and Zimbabwe. Participants We analysed data of 331 634 HIV-positive adults (>15 years), who initiated ART between January 2004 and December 2014. Primary outcome measure We calculated aggregated averages in monthly counts of PTB diagnoses and ART initiations. To account for time trends, we compared deviations of monthly event counts to yearly averages, and calculated correlation coefficients. We used multivariable regressions to assess associations between deviations of monthly ART initiation and PTB diagnosis counts from yearly averages, adjusted for monthly air temperatures and geographical latitude. As controls, we used Kaposi sarcoma and extrapulmonary tuberculosis (EPTB) diagnoses. Results All programmes showed monthly variations in PTB diagnoses that paralleled fluctuations in ART initiations, with recurrent patterns across 2004–2014. The strongest drops in PTB diagnoses occurred in December, followed by April–May in Zimbabwe and South Africa. This corresponded to holiday seasons, when clinical activities are reduced. We observed little monthly variation in ART initiations and PTB diagnoses in Zambia. Correlation coefficients supported parallel trends in ART initiations and PTB diagnoses (correlation coefficient: 0.28, 95% CI 0.21 to 0.35, P<0.001). Monthly temperatures and latitude did not substantially change regression coefficients between ART initiations and PTB diagnoses. Trends in Kaposi sarcoma and EPTB diagnoses similarly followed changes in ART initiations throughout the year. Conclusions Monthly variations in PTB diagnosis at ART programmes in

  7. The Africa South America Intercontinental Teleconnection.

    NASA Astrophysics Data System (ADS)

    Cook, K. H.; Hsieh, J.-S.; Hagos, S. M.

    2004-07-01

    The influence of heating over Africa on the South American precipitation climatology, and the influence of South America on Africa, is examined through the application of GCM simulations with idealized boundary conditions and perpetual solstice (January and July) conditions.The presence of Africa is associated with a pronounced (up to 4 mm day-1) decrease in precipitation in Brazil's Nordeste region during austral summer. Low-level moisture divergence and dry-air advection associated with the downbranch of a Walker circulation induced by heating over southern Africa is amplified over the Nordeste due to the response of the land surface. The response is much smaller during austral winter due to differences in the heat source over Africa and a reduced sensitivity in the surface heat balance over tropical South America. Forcing from South America in January shifts the position of the South Indian convergence zone (SICZ) to the southwest over southern Africa in association with the formation of the South Atlantic convergence zone (SACZ). In July, a Rossby wave train generated over South America induces a response in the surface temperature of Africa that leads to stronger precipitation in central and western Africa.This study suggests a zonal mode of variability for South American and African circulation and precipitation fields. The resulting perturbations depend as much on land surface atmosphere interactions as on the direct forcing from the adjacent continent, and the mechanisms are highly nonlinear.


  8. Analyzing spatial clustering and the spatiotemporal nature and trends of HIV/AIDS prevalence using GIS: the case of Malawi, 1994-2010.

    PubMed

    Zulu, Leo C; Kalipeni, Ezekiel; Johannes, Eliza

    2014-05-23

    Although local spatiotemporal analysis can improve understanding of geographic variation of the HIV epidemic, its drivers, and the search for targeted interventions, it is limited in sub-Saharan Africa. Despite recent declines, Malawi's estimated 10.0% HIV prevalence (2011) remained among the highest globally. Using data on pregnant women in Malawi, this study 1) examines spatiotemporal trends in HIV prevalence 1994-2010, and 2) for 2010, identifies and maps the spatial variation/clustering of factors associated with HIV prevalence at district level. Inverse distance weighting was used within ArcGIS Geographic Information Systems (GIS) software to generate continuous surfaces of HIV prevalence from point data (1994, 1996, 1999, 2001, 2003, 2005, 2007, and 2010) obtained from surveillance antenatal clinics. From the surfaces prevalence estimates were extracted at district level and the results mapped nationally. Spatial dependency (autocorrelation) and clustering of HIV prevalence were also analyzed. Correlation and multiple regression analyses were used to identify factors associated with HIV prevalence for 2010 and their spatial variation/clustering mapped and compared to HIV clustering. Analysis revealed wide spatial variation in HIV prevalence at regional, urban/rural, district and sub-district levels. However, prevalence was spatially leveling out within and across 'sub-epidemics' while declining significantly after 1999. Prevalence exhibited statistically significant spatial dependence nationally following initial (1995-1999) localized, patchy low/high patterns as the epidemic spread rapidly. Locally, HIV "hotspots" clustered among eleven southern districts/cities while a "coldspot" captured configurations of six central region districts. Preliminary multiple regression of 2010 HIV prevalence produced a model with four significant explanatory factors (adjusted R2 = 0.688): mean distance to main roads, mean travel time to nearest transport, percentage that had

  9. Using Rainfall and Temperature Data in the Evaluation of National Malaria Control Programs in Africa

    PubMed Central

    Thomson, Madeleine C.; Ukawuba, Israel; Hershey, Christine L.; Bennett, Adam; Ceccato, Pietro; Lyon, Bradfield; Dinku, Tufa

    2017-01-01

    Abstract. Since 2010, the Roll Back Malaria (RBM) Partnership, including National Malaria Control Programs, donor agencies (e.g., President's Malaria Initiative and Global Fund), and other stakeholders have been evaluating the impact of scaling up malaria control interventions on all-cause under-five mortality in several countries in sub-Saharan Africa. The evaluation framework assesses whether the deployed interventions have had an impact on malaria morbidity and mortality and requires consideration of potential nonintervention influencers of transmission, such as drought/floods or higher temperatures. Herein, we assess the likely effect of climate on the assessment of the impact malaria interventions in 10 priority countries/regions in eastern, western, and southern Africa for the President's Malaria Initiative. We used newly available quality controlled Enhanced National Climate Services rainfall and temperature products as well as global climate products to investigate likely impacts of climate on malaria evaluations and test the assumption that changing the baseline period can significantly impact on the influence of climate in the assessment of interventions. Based on current baseline periods used in national malaria impact assessments, we identify three countries/regions where current evaluations may overestimate the impact of interventions (Tanzania, Zanzibar, Uganda) and three countries where current malaria evaluations may underestimate the impact of interventions (Mali, Senegal and Ethiopia). In four countries (Rwanda, Malawi, Mozambique, and Angola) there was no strong difference in climate suitability for malaria in the pre- and post-intervention period. In part, this may be due to data quality and analysis issues. PMID:28990912

  10. Using Rainfall and Temperature Data in the Evaluation of National Malaria Control Programs in Africa.

    PubMed

    Thomson, Madeleine C; Ukawuba, Israel; Hershey, Christine L; Bennett, Adam; Ceccato, Pietro; Lyon, Bradfield; Dinku, Tufa

    2017-09-01

    Since 2010, the Roll Back Malaria (RBM) Partnership, including National Malaria Control Programs, donor agencies (e.g., President's Malaria Initiative and Global Fund), and other stakeholders have been evaluating the impact of scaling up malaria control interventions on all-cause under-five mortality in several countries in sub-Saharan Africa. The evaluation framework assesses whether the deployed interventions have had an impact on malaria morbidity and mortality and requires consideration of potential nonintervention influencers of transmission, such as drought/floods or higher temperatures. Herein, we assess the likely effect of climate on the assessment of the impact malaria interventions in 10 priority countries/regions in eastern, western, and southern Africa for the President's Malaria Initiative. We used newly available quality controlled Enhanced National Climate Services rainfall and temperature products as well as global climate products to investigate likely impacts of climate on malaria evaluations and test the assumption that changing the baseline period can significantly impact on the influence of climate in the assessment of interventions. Based on current baseline periods used in national malaria impact assessments, we identify three countries/regions where current evaluations may overestimate the impact of interventions (Tanzania, Zanzibar, Uganda) and three countries where current malaria evaluations may underestimate the impact of interventions (Mali, Senegal and Ethiopia). In four countries (Rwanda, Malawi, Mozambique, and Angola) there was no strong difference in climate suitability for malaria in the pre- and post-intervention period. In part, this may be due to data quality and analysis issues.

  11. Phylogeographic Patterns in Africa and High Resolution Delineation of Genetic Clades in the Lion (Panthera leo)

    NASA Astrophysics Data System (ADS)

    Bertola, L. D.; Jongbloed, H.; van der Gaag, K. J.; de Knijff, P.; Yamaguchi, N.; Hooghiemstra, H.; Bauer, H.; Henschel, P.; White, P. A.; Driscoll, C. A.; Tende, T.; Ottosson, U.; Saidu, Y.; Vrieling, K.; de Iongh, H. H.

    2016-08-01

    Comparative phylogeography of African savannah mammals shows a congruent pattern in which populations in West/Central Africa are distinct from populations in East/Southern Africa. However, for the lion, all African populations are currently classified as a single subspecies (Panthera leo leo), while the only remaining population in Asia is considered to be distinct (Panthera leo persica). This distinction is disputed both by morphological and genetic data. In this study we introduce the lion as a model for African phylogeography. Analyses of mtDNA sequences reveal six supported clades and a strongly supported ancestral dichotomy with northern populations (West Africa, Central Africa, North Africa/Asia) on one branch, and southern populations (North East Africa, East/Southern Africa and South West Africa) on the other. We review taxonomies and phylogenies of other large savannah mammals, illustrating that similar clades are found in other species. The described phylogeographic pattern is considered in relation to large scale environmental changes in Africa over the past 300,000 years, attributable to climate. Refugial areas, predicted by climate envelope models, further confirm the observed pattern. We support the revision of current lion taxonomy, as recognition of a northern and a southern subspecies is more parsimonious with the evolutionary history of the lion.

  12. Phylogeographic Patterns in Africa and High Resolution Delineation of Genetic Clades in the Lion (Panthera leo).

    PubMed

    Bertola, L D; Jongbloed, H; van der Gaag, K J; de Knijff, P; Yamaguchi, N; Hooghiemstra, H; Bauer, H; Henschel, P; White, P A; Driscoll, C A; Tende, T; Ottosson, U; Saidu, Y; Vrieling, K; de Iongh, H H

    2016-08-04

    Comparative phylogeography of African savannah mammals shows a congruent pattern in which populations in West/Central Africa are distinct from populations in East/Southern Africa. However, for the lion, all African populations are currently classified as a single subspecies (Panthera leo leo), while the only remaining population in Asia is considered to be distinct (Panthera leo persica). This distinction is disputed both by morphological and genetic data. In this study we introduce the lion as a model for African phylogeography. Analyses of mtDNA sequences reveal six supported clades and a strongly supported ancestral dichotomy with northern populations (West Africa, Central Africa, North Africa/Asia) on one branch, and southern populations (North East Africa, East/Southern Africa and South West Africa) on the other. We review taxonomies and phylogenies of other large savannah mammals, illustrating that similar clades are found in other species. The described phylogeographic pattern is considered in relation to large scale environmental changes in Africa over the past 300,000 years, attributable to climate. Refugial areas, predicted by climate envelope models, further confirm the observed pattern. We support the revision of current lion taxonomy, as recognition of a northern and a southern subspecies is more parsimonious with the evolutionary history of the lion.

  13. Phylogeographic Patterns in Africa and High Resolution Delineation of Genetic Clades in the Lion (Panthera leo)

    PubMed Central

    Bertola, L. D.; Jongbloed, H.; van der Gaag, K. J.; de Knijff, P.; Yamaguchi, N.; Hooghiemstra, H.; Bauer, H.; Henschel, P.; White, P. A.; Driscoll, C. A.; Tende, T.; Ottosson, U.; Saidu, Y.; Vrieling, K.; de Iongh, H. H.

    2016-01-01

    Comparative phylogeography of African savannah mammals shows a congruent pattern in which populations in West/Central Africa are distinct from populations in East/Southern Africa. However, for the lion, all African populations are currently classified as a single subspecies (Panthera leo leo), while the only remaining population in Asia is considered to be distinct (Panthera leo persica). This distinction is disputed both by morphological and genetic data. In this study we introduce the lion as a model for African phylogeography. Analyses of mtDNA sequences reveal six supported clades and a strongly supported ancestral dichotomy with northern populations (West Africa, Central Africa, North Africa/Asia) on one branch, and southern populations (North East Africa, East/Southern Africa and South West Africa) on the other. We review taxonomies and phylogenies of other large savannah mammals, illustrating that similar clades are found in other species. The described phylogeographic pattern is considered in relation to large scale environmental changes in Africa over the past 300,000 years, attributable to climate. Refugial areas, predicted by climate envelope models, further confirm the observed pattern. We support the revision of current lion taxonomy, as recognition of a northern and a southern subspecies is more parsimonious with the evolutionary history of the lion. PMID:27488946

  14. Surviving life as a woman: a critical ethnography of violence in the lives of female domestic workers in Malawi.

    PubMed

    Mkandawire-Valhmu, Lucy; Rodriguez, Rachel; Ammar, Nawal; Nemoto, Keiko

    2009-09-01

    A common form of employment for low-income third world women is domestic work. The power dynamics in this type of employer-employee relationship may place women at risk for abuse. Our aim in conducting this qualitative inquiry was to describe the experiences of violence in the lives of young female domestic workers in Malawi, a small country in South East Africa. Forty-eight women participated in focus group and individual interviews. "Surviving" was the main theme identified, with women employing creative ways of surviving the challenges they met at various points in their lives. This study provides information that health care professionals could use in assisting women through the process of surviving.

  15. Sources of Social Capital for Malawi People Living With HIV

    PubMed Central

    Rankin, Sally H.; Jong, SoSon; Matovu, Schola; Youmans, Sharon; Lindgren, Teri

    2016-01-01

    With one of the highest rates of poverty and HIV in the world, Malawi faith-based organizations (FBOs), non-governmental organizations (NGOs), and community-based organizations (CBOs) are expected to provide tangible and emotional support to people living with HIV (PLWH). Using Lin’s social capital theoretical approach, we examine the perspective of PLWH regarding the adequacy of support responses. Forty-six rural Malawi HIV+ adults provided interviews that were recorded digitally, translated, and transcribed by Malawi research assistants. Atlas.ti was used to organize the data and to aid in the analytic process. Participants expressed disappointment in the lack of resources that could be accessed through the FBOs although their expectations may have been unrealistic. Outcomes from accessing and mobilizing the FBO network were negative in terms of stigmatization by FBO leaders and members, whereas outcomes related to CBOs and NGOs were generally positive in terms of empowerment through HIV information and attendance at support groups. PMID:28462349

  16. Fires in Tanzania and Mozambique

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Like many countries, the southeastern African country of Malawi faces the challenge of balancing a growing population's need for food and energy with preservation of natural resources. This MODIS image from November 8, 2001, shows Malawi surrounded by (starting from top and moving clockwise) Tanzania, Mozambique, and northern Zambia. Lake Malawi runs north-south through the eastern part of the country, and is the southern-most of Africa's Great Rift Lakes, a series of deep lakes that run roughly north-south along the Great Rift Valley in eastern Africa, formed when the Earth buckled and then sank after the collision of Africa and Eurasia millions of years ago. Most of the land around the lake and throughout the country has been cleared of its natural vegetation and converted to agricultural land. This causes soil erosion problems and sedimentation in the lake, which affects the sustainability of fishing in the lake. In this image, greenish swirls in the water around the shores could indicate a mixture of sediment and phytoplankton or algae. Deforestation is also a major issue, especially since wood for fuel is the primary source of the country's energy. The difference between the lands protected by parks and preserves stand out dramatically. The largest protected area is halfway down the western border of the country-Kasungu National Park. Several smaller preserves also exist, and where they do, they stand out in green against the paler landscape. Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  17. Remarkable Rates of Lightning Strike Mortality in Malawi

    PubMed Central

    Borgerhoff Mulder, Monique; Msalu, Lameck; Caro, Tim; Salerno, Jonathan

    2012-01-01

    Livingstone's second mission site on the shore of Lake Malawi suffers very high rates of consequential lightning strikes. Comprehensive interviewing of victims and their relatives in seven Traditional Authorities in Nkhata Bay District, Malawi revealed that the annual rate of consequential strikes was 419/million, more than six times higher than that in other developing countries; the rate of deaths from lightning was 84/million/year, 5.4 times greater than the highest ever recorded. These remarkable figures reveal that lightning constitutes a significant stochastic source of mortality with potential life history consequences, but it should not deflect attention away from the more prominent causes of mortality in this rural area. PMID:22253708

  18. Reframing noncommunicable diseases and injuries for the poorest Malawians: the Malawi National NCDI Poverty Commission.

    PubMed

    Cundale, Katie; Wroe, Emily; Matanje-Mwagomba, Beatrice L; Muula, Adamson S; Gupta, Neil; Berman, Josh; Kasomekera, Noel; Masiye, Jones

    2017-06-01

    Noncommunicable diseases and injuries (NCDIs) account for nearly 70% of deaths worldwide, with an estimated 75% of these deaths occurring in low- and middle-income countries. Globally, the burden of disease from noncommunicable diseases (NCDs) is most often caused by the "big 4," namely: diabetes, cardiovascular diseases, cancer, and chronic lung diseases. However, in Malawi, these 4 conditions account for only 29% of the NCDI disease burden. The Malawi National NCDI Poverty Commission was launched in November 2016 and will describe and evaluate the current NCDI situation in Malawi, with a focus on the poorest populations. The National Commission will investigate which NCDIs cause the biggest burden, which are more present in the young, and which interventions are available to avert death and disability from NCDIs in Malawi, particularly among the poorest segments of the population. The evidence gained through the work of this Commission will help inform research, policy, and programme interventions, all through an advocacy lens, as we strive to address the impact of NCDIs among all populations in Malawi.

  19. International migration and sustainable human development in eastern and southern Africa.

    PubMed

    Oucho, J O

    1995-01-01

    International migration in eastern and southern Africa (ESA) is rarely addressed in population and development policies or regional organizations, and regional organizations must in the articulation of sustainable shared development identify the role of international migration. Poor quality data on international migration hampers analysis. Sustainable, shared, and human development within the region are subregional issues. Permanent migration is characterized among ESA countries as increasing demographic ethnic pluralism that may result in redrawing of territorial boundaries and further population movement. Portuguese and Arab settlement and integration in eastern areas resulted in coexistence, while European immigration to South Africa resulted in racial segregation. Modern colonial settlement and the aftermath of political conflict resulted in independent countries after the 1960s and outmigration of nonAfrican groups. Much of the labor migration in ESA is unskilled workers moving to South African mining regions. Labor migration to Zimbabwe and Zambia declined after the 1960s. The formation of the Common Market for ESA and the potential merger with the Preferential Trade Area and South African Development Community is a key approach to integration of migration into regional cooperation and shared development. Refugee movements create the most problems. Prior to 1992 ESA countries accounted for 83.4% of refugees, particularly in Mozambique, Ethiopia, and Somalia. Some countries blame poor economic performance on the deluge of refugees. Illegal migration is currently detected because of the required work permits, but the adoption of the Common Market would obscure this phenomenon. Human development is affected most by migrations related to drought, labor migration to strong economic areas, and return migration. The Inter-Governmental Authority on Drought and Development needs to become more active and establish better policies on nomadic and refugee movements and

  20. Catalysts for Stone Age innovations: What might have triggered two short-lived bursts of technological and behavioral innovation in southern Africa during the Middle Stone Age?

    PubMed

    Jacobs, Zenobia; Roberts, Richard G

    2009-01-01

    Fossil and genetic evidence suggests the emergence of anatomically modern humans (Homo sapiens) in sub-Saharan Africa some time between 200 and 100 thousand years (ka) ago. But the first traces of symbolic behavior-a trait unique to our species-are not found until many tens of millennia later, and include items such as engraved ochres and eggshells, tools made from bone, and personal ornaments made of shell beads. These behavioral indicators appear in concert with two innovative phases of Middle Stone Age technology, known as the Still Bay (SB) and Howieson's Poort (HP) industries, across a range of climatic and ecological zones in southern Africa. The SB and HP have recently been dated to about 72-71 ka and 65-60 ka, respectively, at sufficiently high resolution to investigate the possible causes and effects. A remarkable feature of these two industries is the spatial synchroneity of their start and end dates at archaeological sites spread across a region of two million square kilometers. What were the catalysts for the SB and HP, and what were the consequences? Both industries flourished at a time when tropical Africa had just entered a period of wetter and more stable conditions, and populations of hunter-gatherers were expanding rapidly throughout sub-Saharan Africa before contracting into geographically and genetically isolated communities. The SB and HP also immediately preceded the likely exit time of modern humans from Africa into southern Asia and across to Australia, which marked the beginning of the worldwide dispersal of our species. In this paper, we argue that environmental factors alone are insufficient to explain these two bursts of technological and behavioral innovation. Instead, we propose that the formation of social networks across southern Africa during periods of population expansion, and the disintegration of these networks during periods of population contraction, can explain the abrupt appearance and disappearance of the SB and HP, as well

  1. Community-supported models of care for people on HIV treatment in sub-Saharan Africa.

    PubMed

    Bemelmans, Marielle; Baert, Saar; Goemaere, Eric; Wilkinson, Lynne; Vandendyck, Martin; van Cutsem, Gilles; Silva, Carlota; Perry, Sharon; Szumilin, Elisabeth; Gerstenhaber, Rodd; Kalenga, Lucien; Biot, Marc; Ford, Nathan

    2014-08-01

    Further scale-up of antiretroviral therapy (ART) to those in need while supporting the growing patient cohort on ART requires continuous adaptation of healthcare delivery models. We describe several approaches to manage stable patients on ART developed by Médecins Sans Frontières together with Ministries of Health in four countries in sub-Saharan Africa. Using routine programme data, four approaches to simplify ART delivery for stable patients on ART were assessed from a patient and health system perspective: appointment spacing for clinical and drug refill visits in Malawi, peer educator-led ART refill groups in South Africa, community ART distribution points in DRC and patient-led community ART groups in Mozambique. All four approaches lightened the burden for both patients (reduced travel and lost income) and health system (reduced clinic attendance). Retention in care is high: 94% at 36 months in Malawi, 89% at 12 months in DRC, 97% at 40 months in South Africa and 92% at 48 months in Mozambique. Where evaluable, service provider costs are reported to be lower. Separating ART delivery from clinical assessments was found to benefit patients and programmes in a range of settings. The success of community ART models depends on sufficient and reliable support and resources, including a flexible and reliable drug supply, access to quality clinical management, a reliable monitoring system and a supported lay workers cadre. Such models require ongoing evaluation and further adaptation to be able to reach out to more patients, including specific groups who may be challenged to meet the demands of frequent clinic visits and the integrated delivery of other essential chronic disease interventions. © 2014 John Wiley & Sons Ltd.

  2. The impact of family transitions on child fostering in rural Malawi.

    PubMed

    Grant, Monica J; Yeatman, Sara

    2014-02-01

    Despite the frequency of divorce and remarriage across much of sub-Saharan Africa, little is known about what these events mean for the living arrangements of children. We use longitudinal data from rural Malawi to examine the effects of family transitions on the prevalence and incidence of child fostering, or children residing apart from their living parents. We find that between 7 % and 15 % of children aged 3-14 are out-fostered over the two-year intersurvey period. Although divorce appears to be a significant driver of child fostering in the cross-sectional analysis, it is not significantly associated with the incidence of out-fostering. In contrast, maternal remarriage has both a lagged and an immediate effect on the incidence of out-fostering. Furthermore, the likelihood of out-fostering is even higher among children whose mother remarried and had a new child during the intersurvey period. Using longitudinal data collected from living mothers rather than from children's current foster homes offers new insights into the reasons children are sent to live with others besides their parents.

  3. The Impact of Family Transitions on Child Fostering in Rural Malawi

    PubMed Central

    Grant, Monica J.; Yeatman, Sara

    2013-01-01

    Despite the frequency of divorce and remarriage across much of sub-Saharan Africa, little is known about what these events mean for the living arrangements of children. We use longitudinal data from rural Malawi to examine the effects of family transitions on the prevalence and incidence of child fostering, or children residing apart from their living parents. We find that between 7 % and 15 % of children aged 3–14 are out-fostered over the two-year intersurvey period. Although divorce appears to be a significant driver of child fostering in the cross-sectional analysis, it is not significantly associated with the incidence of out-fostering. In contrast, maternal remarriage has both a lagged and an immediate effect on the incidence of out-fostering. Furthermore, the likelihood of out-fostering is even higher among children whose mother remarried and had a new child during the intersurvey period. Using longitudinal data collected from living mothers rather than from children’s current foster homes offers new insights into the reasons children are sent to live with others besides their parents. PMID:24019099

  4. The economic burden of chronic non-communicable diseases in rural Malawi: an observational study.

    PubMed

    Wang, Qun; Brenner, Stephan; Kalmus, Olivier; Banda, Hastings Thomas; De Allegri, Manuela

    2016-09-01

    Evidence from population-based studies on the economic burden imposed by chronic non-communicable diseases (CNCDs) is still sparse in Sub-Saharan Africa. Our study aimed to fill this existing gap in knowledge by estimating both the household direct, indirect, and total costs incurred due to CNCDs and the economic burden households bear as a result of these costs in Malawi. The study used data from the first round of a longitudinal household health survey conducted in 2012 in three rural districts in Malawi. A cost-of-illness method was applied to estimate the economic burden of CNCDs. Indicators of catastrophic spending and impoverishment were used to estimate the economic burden imposed by CNCDs on households. A total 475 out of 5643 interviewed individuals reported suffering from CNCDs. Mean total costs of all reported CNCDs were 1,040.82 MWK, of which 56.8 % was contributed by direct costs. Individuals affected by chronic cardiovascular conditions and chronic neuropsychiatric conditions bore the highest levels of direct, indirect, and total costs. Using a threshold of 10 % of household non-food expenditure, 21.3 % of all households with at least one household member reporting a CNCD and seeking care for such a condition incurred catastrophic spending due to CNCDs. The poorest households were more likely to incur catastrophic spending due to CNCDs. An additional 1.7 % of households reporting a CNCD fell under the international poverty line once considering direct costs due to CNCDs. Our study showed that the economic burden of CNCDs is high, causes catastrophic spending, and aggravates poverty in rural Malawi, a country where in principle basic care for CNCDs should be offered free of charge at point of use through the provision of an Essential Health Package (EHP). Our findings further indicated that particularly high direct, indirect, and total costs were linked to specific diagnoses, although costs were high even for conditions targeted by the EHP. Our

  5. A platform to integrate climate information and rural telemedicine in Malawi

    NASA Astrophysics Data System (ADS)

    Lowe, R.; Chadza, T.; Chirombo, J.; Fonda, C.; Muyepa, A.; Nkoloma, M.; Pietrosemoli, E.; Radicella, S. M.; Tompkins, A. M.; Zennaro, M.

    2012-04-01

    It is commonly accepted that climate plays a role in the transmission of many infectious diseases, particularly those transmitted by mosquitoes such as malaria, which is one of the most important causes of mortality and morbidity in developing countries. Due to time lags involved in the climate-disease transmission system, lagged observed climate variables could provide some predictive lead for forecasting disease epidemics. This lead time could be extended by using forecasts of the climate in disease prediction models. This project aims to implement a platform for the dissemination of climate-driven disease risk forecasts, using a telemedicine approach. A pilot project has been established in Malawi, where a 162 km wireless link has been installed, spanning from Blantyre City to remote health facilities in the district of Mangochi in the Southern region, bordering Lake Malawi. This long Wi-Fi technology allows rural health facilities to upload real-time disease cases as they occur to an online health information system (DHIS2); a national medical database repository administered by the Ministry of Health. This technology provides a real-time data logging system for disease incidence monitoring and facilitates the flow of information between local and national levels. This platform allows statistical and dynamical disease prediction models to be rapidly updated with real-time climate and epidemiological information. This permits health authorities to target timely interventions ahead of an imminent increase in malaria incidence. By integrating meteorological and health information systems in a statistical-dynamical prediction model, we show that a long-distance Wi-Fi link is a practical and inexpensive means to enable the rapid analysis of real-time information in order to target disease prevention and control measures and mobilise resources at the local level.

  6. Marketing University Education: The Southern African Experience.

    ERIC Educational Resources Information Center

    Maringe, Felix; Foskett, Nick

    2002-01-01

    Examined the perceptions of university marketers in southern Africa. Found a varying awareness of the significance of marketing, with more mature institutions exhibiting more developed marketing orientations. Strategies ranged from marketing as public relations to marketing as sales, with universities in South Africa the only ones demonstrating a…

  7. HIV/AIDS reduces the relevance of the principle of individual medical confidentiality among the Bantu people of Southern Africa.

    PubMed

    Ndebele, Paul; Mfutso-Bengo, Joseph; Masiye, Francis

    2008-01-01

    The principle of individual medical confidentiality is one of the moral principles that Africa inherited unquestioningly from the West as part of Western medicine. The HIV/AIDS pandemic in Southern Africa has reduced the relevance of the principle of individual medical confidentiality. Individual medical confidentiality has especially presented challenges for practitioners among the Bantu communities that are well known for their social inter-connectedness and the way they value their extended family relations. Individual confidentiality has raised several unforeseen problems for persons living with HIV/AIDS, ranging from stigma and isolation to feelings of dejection as it drives them away from their families as a way of trying to keep information about their conditions confidential. The involvement of family members in treatment decisions is in line with the philosophy of Ubuntu and serves to respect patients' and families' autonomy while at the same time benefiting the individual patient.

  8. Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa

    PubMed Central

    Toska, Elona; Gittings, Lesley; Hodes, Rebecca; Cluver, Lucie D.; Govender, Kaymarlin; Chademana, KE; Gutiérrez, Vincent Evans

    2017-01-01

    Adolescents are the only age group with growing AIDS-related morbidity and mortality in Eastern and Southern Africa, making HIV prevention research among this population an urgent priority. Structural deprivations are key drivers of adolescent HIV infection in this region. Biomedical interventions must be combined with behavioural and social interventions to alleviate the socio-structural determinants of HIV infection. There is growing evidence that social protection has the potential to reduce the risk of HIV infection among children and adolescents. This research combined expert consultations with a rigorous review of academic and policy literature on the effectiveness of social protection for HIV prevention among children and adolescents, including prevention for those already HIV-positive. The study had three goals: (i) assess the evidence on the effectiveness of social protection for HIV prevention, (ii) consider key challenges to implementing social protection programmes that promote HIV prevention, and (iii) identify critical research gaps in social protection and HIV prevention, in Eastern and Southern Africa. Causal pathways of inequality, poverty, gender and HIV risk require flexible and responsive social protection mechanisms. Results confirmed that HIV-inclusive child- and adolescent-sensitive social protection has the potential to interrupt risk pathways to HIV infection and foster resilience. In particular, empirical evidence (literature and expert feedback) detailed the effectiveness of combination social protection particularly cash/in-kind components combined with ‘care’ and ‘capability’ among children and adolescents. Social protection programmes should be dynamic and flexible, and take into account age, gender, HIV-related stigma, and context, including cultural norms, which offer opportunities to improve programmatic coverage, reach, and uptake. Effective HIV prevention also requires integrated social protection policies, developed

  9. Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa.

    PubMed

    Toska, Elona; Gittings, Lesley; Hodes, Rebecca; Cluver, Lucie D; Govender, Kaymarlin; Chademana, K Emma; Gutiérrez, Vincent Evans

    2016-07-01

    Adolescents are the only age group with growing AIDS-related morbidity and mortality in Eastern and Southern Africa, making HIV prevention research among this population an urgent priority. Structural deprivations are key drivers of adolescent HIV infection in this region. Biomedical interventions must be combined with behavioural and social interventions to alleviate the socio-structural determinants of HIV infection. There is growing evidence that social protection has the potential to reduce the risk of HIV infection among children and adolescents. This research combined expert consultations with a rigorous review of academic and policy literature on the effectiveness of social protection for HIV prevention among children and adolescents, including prevention for those already HIV-positive. The study had three goals: (i) assess the evidence on the effectiveness of social protection for HIV prevention, (ii) consider key challenges to implementing social protection programmes that promote HIV prevention, and (iii) identify critical research gaps in social protection and HIV prevention, in Eastern and Southern Africa. Causal pathways of inequality, poverty, gender and HIV risk require flexible and responsive social protection mechanisms. Results confirmed that HIV-inclusive child-and adolescent-sensitive social protection has the potential to interrupt risk pathways to HIV infection and foster resilience. In particular, empirical evidence (literature and expert feedback) detailed the effectiveness of combination social protection particularly cash/in-kind components combined with "care" and "capability" among children and adolescents. Social protection programmes should be dynamic and flexible, and consider age, gender, HIV-related stigma, and context, including cultural norms, which offer opportunities to improve programmatic coverage, reach and uptake. Effective HIV prevention also requires integrated social protection policies, developed through strong national

  10. The financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis.

    PubMed

    Mills, Edward J; Kanters, Steve; Hagopian, Amy; Bansback, Nick; Nachega, Jean; Alberton, Mark; Au-Yeung, Christopher G; Mtambo, Andy; Bourgeault, Ivy L; Luboga, Samuel; Hogg, Robert S; Ford, Nathan

    2011-11-23

    To estimate the lost investment of domestically educated doctors migrating from sub-Saharan African countries to Australia, Canada, the United Kingdom, and the United States. Human capital cost analysis using publicly accessible data. Sub-Saharan African countries. Nine sub-Saharan African countries with an HIV prevalence of 5% or greater or with more than one million people with HIV/AIDS and with at least one medical school (Ethiopia, Kenya, Malawi, Nigeria, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe), and data available on the number of doctors practising in destination countries. The financial cost of educating a doctor (through primary, secondary, and medical school), assuming that migration occurred after graduation, using current country specific interest rates for savings converted to US dollars; cost according to the number of source country doctors currently working in the destination countries; and savings to destination countries of receiving trained doctors. In the nine source countries the estimated government subsidised cost of a doctor's education ranged from $21,000 (£13,000; €15,000) in Uganda to $58,700 in South Africa. The overall estimated loss of returns from investment for all doctors currently working in the destination countries was $2.17bn (95% confidence interval 2.13bn to 2.21bn), with costs for each country ranging from $2.16m (1.55m to 2.78m) for Malawi to $1.41bn (1.38bn to 1.44bn) for South Africa. The ratio of the estimated compounded lost investment over gross domestic product showed that Zimbabwe and South Africa had the largest losses. The benefit to destination countries of recruiting trained doctors was largest for the United Kingdom ($2.7bn) and United States ($846m). Among sub-Saharan African countries most affected by HIV/AIDS, lost investment from the emigration of doctors is considerable. Destination countries should consider investing in measurable training for source countries and strengthening of their

  11. The financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis

    PubMed Central

    Kanters, Steve; Hagopian, Amy; Bansback, Nick; Nachega, Jean; Alberton, Mark; Au-Yeung, Christopher G; Mtambo, Andy; Bourgeault, Ivy L; Luboga, Samuel; Hogg, Robert S; Ford, Nathan

    2011-01-01

    Objective To estimate the lost investment of domestically educated doctors migrating from sub-Saharan African countries to Australia, Canada, the United Kingdom, and the United States. Design Human capital cost analysis using publicly accessible data. Settings Sub-Saharan African countries. Participants Nine sub-Saharan African countries with an HIV prevalence of 5% or greater or with more than one million people with HIV/AIDS and with at least one medical school (Ethiopia, Kenya, Malawi, Nigeria, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe), and data available on the number of doctors practising in destination countries. Main outcome measures The financial cost of educating a doctor (through primary, secondary, and medical school), assuming that migration occurred after graduation, using current country specific interest rates for savings converted to US dollars; cost according to the number of source country doctors currently working in the destination countries; and savings to destination countries of receiving trained doctors. Results In the nine source countries the estimated government subsidised cost of a doctor’s education ranged from $21 000 (£13 000; €15 000) in Uganda to $58 700 in South Africa. The overall estimated loss of returns from investment for all doctors currently working in the destination countries was $2.17bn (95% confidence interval 2.13bn to 2.21bn), with costs for each country ranging from $2.16m (1.55m to 2.78m) for Malawi to $1.41bn (1.38bn to 1.44bn) for South Africa. The ratio of the estimated compounded lost investment over gross domestic product showed that Zimbabwe and South Africa had the largest losses. The benefit to destination countries of recruiting trained doctors was largest for the United Kingdom ($2.7bn) and United States ($846m). Conclusions Among sub-Saharan African countries most affected by HIV/AIDS, lost investment from the emigration of doctors is considerable. Destination countries should

  12. Human trafficking, labor brokering, and mining in southern Africa: responding to a decentralized and hidden public health disaster.

    PubMed

    Steele, Sarah

    2013-01-01

    Many southern African economies are dependent on the extractive industries. These industries rely on low-cost labor, often supplied by migrants, typically acquired through labor brokers. Very little attention has so far been paid to trafficking of men into extractive industries or its connection with trafficked women in the region's mining hubs. Recent reports suggest that labor-brokering practices foster human trafficking, both by exposing migrant men to lack of pay and exploitative conditions and by creating male migratory patterns that generate demand for sex workers and associated trafficking of women and girls. While trafficking in persons violates human rights, and thus remains a priority issue globally, there is little or no evidence of an effective political response to mine-related trafficking in southern Africa. This article concludes with recommendations for legal and policy interventions, as well as an enhanced public health response, which if implemented would help reduce human trafficking toward mining sites.

  13. Bleeding and Blood Disorders in Clients of Voluntary Medical Male Circumcision for HIV Prevention - Eastern and Southern Africa, 2015-2016.

    PubMed

    Hinkle, Lawrence E; Toledo, Carlos; Grund, Jonathan M; Byams, Vanessa R; Bock, Naomi; Ridzon, Renee; Cooney, Caroline; Njeuhmeli, Emmanuel; Thomas, Anne G; Odhiambo, Jacob; Odoyo-June, Elijah; Talam, Norah; Matchere, Faustin; Msungama, Wezi; Nyirenda, Rose; Odek, James; Come, Jotamo; Canda, Marcos; Wei, Stanley; Bere, Alfred; Bonnecwe, Collen; Choge, Isaac Ang'Ang'A; Martin, Enilda; Loykissoonlal, Dayanund; Lija, Gissenge J I; Mlanga, Erick; Simbeye, Daimon; Alamo, Stella; Kabuye, Geoffrey; Lubwama, Joseph; Wamai, Nafuna; Chituwo, Omega; Sinyangwe, George; Zulu, James Exnobert; Ajayi, Charles A; Balachandra, Shirish; Mandisarisa, John; Xaba, Sinokuthemba; Davis, Stephanie M

    2018-03-23

    Male circumcision reduces the risk for female-to-male human immunodeficiency virus (HIV) transmission by approximately 60% (1) and has become a key component of global HIV prevention programs in countries in Eastern and Southern Africa where HIV prevalence is high and circumcision coverage is low. Through September 2017, the President's Emergency Plan for AIDS Relief (PEPFAR) had supported 15.2 million voluntary medical male circumcisions (VMMCs) in 14 priority countries in Eastern and Southern Africa (2). Like any surgical intervention, VMMC carries a risk for complications or adverse events. Adverse events during circumcision of males aged ≥10 years occur in 0.5% to 8% of procedures, though the majority of adverse events are mild (3,4). To monitor safety and service quality, PEPFAR tracks and reports qualifying notifiable adverse events. Data reported from eight country VMMC programs during 2015-2016 revealed that bleeding resulting in hospitalization for ≥3 days was the most commonly reported qualifying adverse event. In several cases, the bleeding adverse event revealed a previously undiagnosed or undisclosed bleeding disorder. Bleeding adverse events in men with potential bleeding disorders are serious and can be fatal. Strategies to improve precircumcision screening and performance of circumcisions on clients at risk in settings where blood products are available are recommended to reduce the occurrence of these adverse events or mitigate their effects (5).

  14. National health research system in Malawi: dead, moribund, tepid or flourishing?

    PubMed

    Kirigia, Joses Muthuri; Kathyola, Damson D; Muula, Adamson S; Ota, Martin Matthew Okechukwu

    2015-03-31

    Several instruments at both the global and regional levels to which countries in the WHO African Region are party call for action by governments to strengthen national health research systems (NHRS). This paper debates the extent to which Malawi has fulfilled this commitment. Some research literature has characterized African research - and by implication NHRS - as moribund. In our view, the Malawi government, with partner support, has made effort to strengthen the capacities of individuals and institutions that generate scientific knowledge. This is reflected in the Malawi national NHRS index (MNSR4HI) of 51%, which is within the 50%-69% range, and thus, it should be characterized as tepid with significant potential to flourish. Governance of research for health (R4H) has improved with the promulgation of the Malawi Science and Technology Act in 2003. However, lack of an explicit R4H policy, a strategic plan and a national R4H management forum undermines the government's effectiveness in overseeing the operation of the NHRS. The mean index of 'governance of R4H' sub-functions was 67%, implying that research governance is tepid. Malawi has a national health research focal point, an R4H program, and four public and 11 private universities. The average index of 'creating and sustaining resources' sub-functions was 48.6%, meaning that R4H human and infrastructural resources can be considered to be in a moribund state. The average index of 'producing and using research' sub-functions of 50.4% implies that production and utilization of research findings in policy development and public health practice can best be described as tepid. Efforts need to be intensified to boost national research productivity. Over the five financial years 2011-2016 the government plans to spend 0.26% of its total health budget on R4H. The mean index of 'financing' sub-functions of 23.6% is within the range of 1-49%, which is considered moribund. A functional NHRS is a prerequisite for the

  15. Children and Wild Foods in the Context of Deforestation in Rural Malawi.

    PubMed

    Maseko, H; Shackleton, Charlie M; Nagoli, J; Pullanikkatil, D

    2017-01-01

    There is growing recognition of the contribution of wild foods to local diets, nutrition, and culture. Yet disaggregation of understanding of wild food use by gender and age is limited. We used a mixed methods approach to determine the types, frequencies, and perceptions of wild foods used and sold by children in four villages in southern Malawi that have different levels of deforestation. Household and individual dietary diversity scores are low at all sites. All households consume one or more wild foods. Across the four sites, children listed 119 wild foods, with a wider variety at the least deforested sites than the most deforested ones. Older children can name more wild foods than younger ones. More children from poor households sell wild foods than from well-off households. Several reasons were provided for the consumption or avoidance of wild foods (most commonly taste, contribution to health, limited alternatives, hunger, availability, local taboos).

  16. Distinguishing Southern Africa precipitation response by strength of El Niño events

    NASA Astrophysics Data System (ADS)

    Pomposi, C.; Funk, C. C.; Shukla, S.; Magadzire, T.

    2017-12-01

    The El Niño Southern Oscillation (ENSO) is a leading mode of interannual precipitation variability and the main source of skill for seasonal climate predictions. Interannual precipitation variability linked to ENSO can have drastic impacts on agricultural systems and food resources in the semi-arid tropics, highlighting the need for increased information regarding ENSO's links to sub-seasonal to seasonal precipitation variations. The present work describes a case study on recent precipitation variability during warm ENSO events (i.e. El Niño) for the austral summer rainy season (December-February) in Southern Africa. Using a blending of observational and model data, it is found that the probability distribution of precipitation varies according to the strength of El Niño events. Strong El Niño events show a much clearer tendency for drying than moderate or weak events, which have smaller absolute magnitude anomalies and larger spatial heterogeneity in the precipitation response. A dynamical exploration of the various precipitation responses is also completed. The techniques utilized can be easily expanded to study likelihood of drought during El Niño for a variety of other regions and also provides information about El Niño strength and its influence on regional teleconnections. Finally, this presentation will describe the channels by which seasonal forecasting information is disseminated in the region and utilized by the Famine Early Warning Systems Network to help mitigate the impacts of potential food insecurity crises.

  17. Incidence rate of Kaposi sarcoma in HIV-infected patients on antiretroviral therapy in Southern Africa: a prospective multi-cohort study

    PubMed Central

    Rohner, Eliane; Valeri, Fabio; Maskew, Mhairi; Prozesky, Hans; Rabie, Helena; Garone, Daniela; Dickinson, Diana; Chimbetete, Cleophas; Lumano-Mulenga, Priscilla; Sikazwe, Izukanji; Wyss, Natascha; Clough-Gorr, Kerri M.; Egger, Matthias; Chi, Benjamin H.; Bohlius, Julia

    2014-01-01

    Background The risk of Kaposi sarcoma (KS) among HIV-infected persons on antiretroviral therapy (ART) is not well defined in resource-limited settings. We studied KS incidence rates and associated risk factors in children and adults on ART in Southern Africa. Methods We included patient data of six ART programs in Botswana, South Africa, Zambia, and Zimbabwe. We estimated KS incidence rates in patients on ART measuring time from 30 days after ART initiation to KS diagnosis, last follow-up visit, or death. We assessed risk factors (age, sex, calendar year, WHO stage, tuberculosis, and CD4 counts) using Cox models. Findings We analyzed data from 173,245 patients (61% female, 8% children aged <16 years) who started ART between 2004 and 2010. 564 incident cases were diagnosed during 343,927 person-years (pys). KS incidence rate overall was 164/100,000 pys (95% confidence interval [CI] 151–178). The incidence rate was highest 30 to 90 days after ART initiation (413/100,000 pys; 95% CI 342–497) and declined thereafter (86/100,000 pys[95% CI 71–105]>2 years after ART initiation). Male sex (adjusted hazard ratio [HR] 1.34; 95% CI 1.12–1.61), low current CD4 counts (≥500 cells/µL versus <50 cells/µL, adjusted HR 0.36; 95% CI 0.23–0.55) and age (5 to 9 years versus 30 to 39 years, adjusted HR 0.20; 95% CI 0.05–0.79) were relevant risk factors for developing KS. Interpretation Despite ART, KS risk in HIV-infected persons in Southern Africa remains high. Early HIV testing and maintaining high CD4 counts is needed to further reduce KS-related morbidity and mortality. PMID:25393941

  18. Controls on Early-Rift Geometry: New Perspectives From the Bilila-Mtakataka Fault, Malawi

    NASA Astrophysics Data System (ADS)

    Hodge, M.; Fagereng, Å.; Biggs, J.; Mdala, H.

    2018-05-01

    We use the ˜110-km long Bilila-Mtakataka fault in the amagmatic southern East African Rift, Malawi, to investigate the controls on early-rift geometry at the scale of a major border fault. Morphological variations along the 14 ± 8-m high scarp define six 10- to 40-km long segments, which are either foliation parallel or oblique to both foliation and the current regional extension direction. As the scarp is neither consistently parallel to foliation nor well oriented for the current regional extension direction, we suggest that the segmented surface expression is related to the local reactivation of well-oriented weak shallow fabrics above a broadly continuous structure at depth. Using a geometrical model, the geometry of the best fitting subsurface structure is consistent with the local strain field from recent seismicity. In conclusion, within this early-rift, preexisting weaknesses only locally control border fault geometry at subsurface.

  19. Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study

    PubMed Central

    2011-01-01

    . Dignitas and Ministry of Health have facilitated interaction with implementers and policy-makers. Challenges and successes This initiative is an example of South-South knowledge translation between South Africa and Malawi, mediated by a Canadian academic-NGO hybrid. Our success in developing and rolling out PALM PLUS in Malawi suggests that it is possible to adapt and implement this intervention for use in other resource-limited settings. PMID:22166125

  20. Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study.

    PubMed

    Sodhi, Sumeet; Banda, Hastings; Kathyola, Damson; Burciul, Barry; Thompson, Sandy; Joshua, Martias; Bateman, Eric; Fairall, Lara; Martiniuk, Alexandra; Cornick, Ruth; Faris, Gill; Draper, Beverley; Mondiwa, Martha; Katengeza, Egnat; Sanudi, Lifah; Zwarenstein, Merrick; Schull, Michael J

    2011-11-08

    implementers and policy-makers. This initiative is an example of South-South knowledge translation between South Africa and Malawi, mediated by a Canadian academic-NGO hybrid. Our success in developing and rolling out PALM PLUS in Malawi suggests that it is possible to adapt and implement this intervention for use in other resource-limited settings.