Preparing for Successful Transitions beyond Institutional Care in Zimbabwe: Adolescent Girls' Perspectives and Programme Needs

ERIC Educational Resources Information Center

Berejena Mhongera, Pamhidzayi

2017-01-01

This qualitative study explored adolescent girls' perspectives and programme needs as they transition from two institutions in Highfield, Harare, Zimbabwe. The study was guided by the sustainable livelihood and feminist theoretical frameworks. Semi-structured interviews were conducted with 32 adolescent girls (16 inside and 16 outside) from…

Stigma and discrimination: coping behaviours of people living with HIV and AIDS in an urban community of Mabvuku and Tafara, Harare, Zimbabwe.

PubMed

Tarwireyi, F

2005-01-01

To assess how people living with HIV and AIDS reacted to the knowledge of the infection and how they are coping with stigma and discrimination. The study was conducted in the two high density urban suburbs of Mabvuku and Tafara in Harare, Zimbabwe. The study was a descriptive cross sectional survey. A total of 600 participants (160 men and 440 women) who had received their HIV results after Voluntary Counselling and Testing for HIV at the Zimbabwe AIDS Prevention and Support Organization (ZAPSO) Mabvuku/Tafara Voluntary Counselling and Testing Centre were interviewed. Reactions to the diagnosis of HIV, disclosure of sero-status, experiences of self, family and community induced stigma and discrimination, coping mechanisms and desired interventions to reduce stigma. The majority, 61.7%, had been diagnosed HIV positive less than two years at the time of the study. While 33.3% felt hurt, 41% were immediately depressed when they discovered they were HIV positive. Eighty five percent had not disclosed their sero-status to anyone. While 55% experience self induced stigma, 56.7% experienced family induced and 38.3% experienced community induced stigma. People living with HIV and AIDS were coping with stigma through withdrawal (60%); joining support groups (83.3%); seeking counselling (95%) and praying (86.7%). Encouraging community counselling and HIV testing with disclosure of status was perceived by 98.3% of the respondents as an effective method to reduce HIV and AIDS related stigma and discrimination. While non disclosure of sero status is still high, self, family and community induced stigma pose a big challenge. Withdrawal (used mostly by men), seeking counselling and joining support groups (used mostly by older women) are the common coping behaviours being used by HIV positive clients. There is need to improve counselling capacities so as to meet the demands from a stigma reduction perspective as well as from a coping perspective.

Zimbabwe.

PubMed

1988-03-01

Zimbabwe is a land-locked plateau country of 151,000 square miles, divided into 8 provinces, in Southeastern Africa, bordered by South Africa, Botswana, Zambia and Mozambique. Its population consists of 8.8 million blacks, divided between the Shona-speaking Mashona (80%) and the Sindebele-speaking Matabele (19%), 100,000 whites, 20,000 coloreds, and 10,000 Asians. Many of the blacks are Christians. More than 1/2 the whites migrated to Zimbabwe after the Second World War at a rate of about 1000 a year until the mid-1970s; since then 12,000 whites have left the country. The official language is English, and education is free. Most African children 5-19 years old attend school, and literacy is between 40% and 50%. The University of Zimbabwe is located in Harare, the capital, and there are several technical institutes and teacher-training colleges. Zimbabwe has been inhabited since the stone age, and evidence of a high indigenous civilization remains in the "Great Zimbabwe Ruins" near Masvingo. The present black population is descended from later migrations of Bantu people from central Africa. Cecil Rhodes was granted concessions for mineral rights in the area in 1888, and the territory, which administered by the British South Africa Company, was called Rhodesia. Southern Rhodesia became a self-governing entity within the British Empire in 1913. In 1953 Southern Rhodesia was joined with the British protectorates of Northern Rhodesia and Nyasaland in the Central African Federation, but this dissolved in 1963, and Northern Rhodesia and Nyasaland became independent as Zambia and Malawi in 1964. Independence was withheld from Rhodesia because Prime Minister Ian Smith refused to give Britain assurances that the country would move toward majority rule. In 1965 Smith issued a Unilateral Declaration of Independence (UDI) from the UK. In 1966 the UN Security Council imposed mandatory economic sanctions on Rhodesia. Within Rhodesia the major African nationalist groups -- the

Evaluation of Cortez OneStep Chlamydia Rapicard™ Insta Test for the Detection of Chlamydia trachomatis in Pregnant Women at Mbare Polyclinic in Harare, Zimbabwe.

PubMed

Stephen, Stephen; Muchaneta-Kubara, Chiwoneso Gwyneth Elizabeth; Munjoma, Marshall Wesley; Mandozana, Gibson

2017-01-01

Cervical chlamydia infection poses high risk of pregnancy complications and neonatal infection. Reference methods for the detection of chlamydia infection are not available for routine use in developing countries. Point-of-care (POC) tests can bridge this gap. This study evaluated Cortez Onestep Chlamydia Rapicard™ insta test for the detection of Chlamydia trachomatis in pregnant women at Mbare Polyclinic and determined the prevalence of C. trachomatis . This was a cross sectional study in 242 pregnant women aged ≥18 years attending their first ANC visit at Mbare polyclinic in Harare, Zimbabwe. Data collection form was used to obtain demographic and predisposing factors to Chlamydia infection and two endocervical swabs were collected from each patient. One specimen was examined by the POC test at the clinic and the other by SDA method in the laboratory. The sensitivity, specificity, positive and negative predictive values of the rapid kit were 71.4%, 99.6%, 90.9% and 98.3% respectively. Prevalence of C. trachomitis was 5.8% by SDA method. The kit's sensitivity (71.4%) and specificity (99.6%) implies that the rapid test is an important test which needs further evaluations. The prevalence of C. trichomitis of 5.8% is comparable to studies done elsewhere in Africa.

Genital infections in women attending a genito-urinary clinic in Harare, Zimbabwe.

PubMed

Mason, P R; Gwanzura, L; Latif, A S; Marowa, E

1990-06-01

One hundred women attending a sexually transmitted diseases clinic in Harare were examined for presenting features and genital infections. The most common presenting symptoms were of discharge, lower abdominal pain and dysuria, and on examination signs of discharge, inflammation, haemorrhage or ulcers/erosions were noticeable in all women. Fourteen women had genital warts. Pathogens were detected in 95% of patients. Gonococcal infection occurred in 19 women, with 60% of the strains isolated being penicillinase producing. Yeasts were detected in specimens from 25 women while chlamydial infection appeared to be rare, evidence of infection being detected in only eight women. Sera from 44 women were positive by the RPR test and sera from 33 women were positive by TPHA. Gardnerella vaginalis was isolated from 48 women, Group B streptococci from 37 women, and Trichomonas vaginalis from 32 women.

Evaluation of the adverse events following immunizations surveillance system in Harare City, Zimbabwe, 2016: a descriptive cross sectional study.

PubMed

Zvanaka, Sithole; Tsitsi, Juru; Chonzi, Prosper; Shambira, Gerald; Gombe, Notion Tafara; Tshimanga, Mufuta

2017-01-01

Vaccines safety are monitored by looking for Adverse Events Following Immunizations (AEFIs). A review of the 2014 Harare City consolidated monthly return form (T5) revealed that 28 AEFIs were seen in 2014. However, only 21 were reported through the system. We therefore evaluated the Harare City AEFI surveillance system to assess its usefulness. A descriptive cross sectional study was conducted. Twenty one of 41 clinics were randomly selected and 51 health workers were randomly recruited. Interviewer administered questionnaires were used to collect data. Epi info 7 was used to generate frequencies, means and proportions. Out of 51 respondents, 50 (98%) knew the purpose of AEFI system, 48 (94%) knew at least two presenting symptoms of AEFIs and 39 (77%) knew the correct date of form submission to the next level. Receiving no feedback 24 (47.1%), fear of victimisation 16 (31.4%) and work overload 11 (21.6%) were the major reasons for under reporting. Eighty six percent perceived the system to be simple and 43 (84%) were willing to continue participating. Fifty three percent (27) reported taking public health actions (such as awareness campaigns & making follow ups) basing on AEFI data collected. All 46 reviewed forms were completely filled and submitted in time. All 21 clinics had written AEFI guidelines and case definitions. Only 14 of 21 clinics had adequately stocked emergency drugs. The total cost for a single notification was estimated at US$22.30. The system was useful, simple, acceptable, timely, stable, representative but costly. The good performance of the system reported in this evaluation could be attributed to high health worker knowledge. Following this evaluation, replenishment of out of stock drugs and follow up of missing 2014 AEFI feedback from MCAZ were done. In addition, making the system electronic is recommended.

Evaluation of Cortez OneStep Chlamydia Rapicard™ Insta Test for the Detection of Chlamydia trachomatis in Pregnant Women at Mbare Polyclinic in Harare, Zimbabwe

PubMed Central

Stephen, Stephen; Muchaneta-Kubara, Chiwoneso Gwyneth Elizabeth; Munjoma, Marshall Wesley; Mandozana, Gibson

2017-01-01

Background: Cervical chlamydia infection poses high risk of pregnancy complications and neonatal infection. Reference methods for the detection of chlamydia infection are not available for routine use in developing countries. Point-of-care (POC) tests can bridge this gap. This study evaluated Cortez Onestep Chlamydia Rapicard™ insta test for the detection of Chlamydia trachomatis in pregnant women at Mbare Polyclinic and determined the prevalence of C. trachomatis. Methods: This was a cross sectional study in 242 pregnant women aged ≥18 years attending their first ANC visit at Mbare polyclinic in Harare, Zimbabwe. Data collection form was used to obtain demographic and predisposing factors to Chlamydia infection and two endocervical swabs were collected from each patient. One specimen was examined by the POC test at the clinic and the other by SDA method in the laboratory. Results: The sensitivity, specificity, positive and negative predictive values of the rapid kit were 71.4%, 99.6%, 90.9% and 98.3% respectively. Prevalence of C. trachomitis was 5.8% by SDA method. Conclusion and Global Health Implications: The kit’s sensitivity (71.4%) and specificity (99.6%) implies that the rapid test is an important test which needs further evaluations. The prevalence of C. trichomitis of 5.8% is comparable to studies done elsewhere in Africa. PMID:28798890

Dental caries and oral health practice among 12 year old school children from low socio-economic status background in Zimbabwe.

PubMed

Mafuvadze, Brighton Tasara; Mahachi, Lovemore; Mafuvadze, Benford

2013-01-01

Dental caries is one of the most prevalent chronic diseases affecting children in Sub-Saharan Africa. Previous studies show a higher prevalence of dental caries in children from low socio-economic status backgrounds. The purpose of this study was to determine the prevalence of dental caries among 12 year old children in urban and rural areas of Zimbabwe and establish preliminary baseline data. A descriptive cross-sectional study was conducted among 12 year old children at primary schools in Harare and Bikita district. A Pre-tested questionnaire was administered to elicit information from the participants on tooth cleaning, dietary habits and dental experience. Dental caries status was assessed using the DMFT index following World Health Organization (WHO) guidelines. Our results showed a high prevalence of dental caries in both urban (59.5%) and rural (40.8%) children. The mean DMFT in urban and rural areas was 1.29 and 0.66, respectively. Furthermore, our data showed a general lack of knowledge on oral health issues by the participants. There is high prevalence of dental caries among 12 years old school children in both urban and rural areas of Zimbabwe. This calls for early preventive strategies and treatment services. We recommend incorporation of oral health education in the elementary school curricula.

Country watch: Zimbabwe.

PubMed

Laver, S

1999-01-01

Tsungirirai is a counseling and information service developed during 1994 in response to the growing problem of HIV/AIDS in the small town of Norton, southwest of Harare, Zimbabwe. The objectives of the project include identification of key leaders in the area, determination of the setting in which HIV was spreading, and community consultation in program design and implementation. Tsungirirai's initial activities included a series of workshops on participatory techniques particularly the LADA (Listening-Appraisal-Dialogue-Action) method for key leaders, community men, women, and adolescents. Workshop participants demonstrated different views concerning HIV/AIDS problems. Key leaders viewed the HIV/AIDS problem within the context of existing laws that contradict traditional mores, while the youth linked the problem of HIV to the issue of unemployment and lack of recreation. Lessons learned include the following: 1) stop talking and listen; 2) start where people are at instead of telling them what they already know; 3) let the people decide; 4) turn a dream into reality; and 5) facilitate awareness process instead of leading it.

The changing economic role of women in the urbanization process: a preliminary report from Zimbabwe.

PubMed

Drakakis-smith, D W

1984-01-01

This article reports the findings of a survey, conducted to collect information on the present economic situation of women and the constraints they face in the choice of work in Zimbabwe, which has recently witnessed a steady growth in its urbanization. Questionnaires were administered to women in 3 district areas of the city of Harare--a middle class suburb within easy commuting distance to the main white collar employment in the city, a low income area of site-and-service housing in the semiperiphery of the city, and a densely populated, lower income, inner city district. There are clear contrasts among the economic activities of women in the 3 areas studied, but the factors which influence the activities seem to vary between and within the social groups, relating somewhat uneasily to the generalized concepts on the female labor market. The occupational analysis of Harare reveals not only the inadequacy of conventional dualistic theories on the labor market, but the somewhat limited utility of westernized concepts on the domestic role of women. The survey also showed strong spatial and geographic influence on women's work and the different opportunities that arise from particular residential locations in Harare. However, this was clearly tempered by social contacts and migrational histories, especially in the inner city areas, where proximity to potential employment was not exploited by many recent migrants. Political factors too were found to play an important role, in the particular circumstance of Zimbabwe, in affecting the residential and economic opportunities for households. In the middle class suburb and low income area studied, the allocation of site and service plots or mortgages was strongly influenced by one's previous combatant status during the struggle for independence. For instance, families with such a status which could be earned by men as well as women), and who are also members of the ruling ZANU-PF party have been favored since 1980.

Modeling Impact and Cost-Effectiveness of Increased Efforts to Attract Voluntary Medical Male Circumcision Clients Ages 20-29 in Zimbabwe.

PubMed

Kripke, Katharine; Hatzold, Karin; Mugurungi, Owen; Ncube, Gertrude; Xaba, Sinokuthemba; Gold, Elizabeth; Ahanda, Kim Seifert; Kruse-Levy, Natalie; Njeuhmeli, Emmanuel

2016-01-01

Zimbabwe aims to increase circumcision coverage to 80% among 13- to 29-year-olds. However, implementation data suggest that high coverage among men ages 20 and older may not be achievable without efforts specifically targeted to these men, incurring additional costs per circumcision. Scale-up scenarios were created based on trends in implementation data in Zimbabwe, and the cost-effectiveness of increasing efforts to recruit clients ages 20-29 was examined. Zimbabwe voluntary medical male circumcision (VMMC) program data were used to project trends in male circumcision coverage by age into the future. The projection informed a base scenario in which, by 2018, the country achieves 80% circumcision coverage among males ages 10-19 and lower levels of coverage among men above age 20. The Zimbabwe DMPPT 2.0 model was used to project costs and impacts, assuming a US$109 VMMC unit cost in the base scenario and a 3% discount rate. Two other scenarios assumed that the program could increase coverage among clients ages 20-29 with a corresponding increase in unit cost for these age groups. When circumcision coverage among men ages 20-29 is increased compared with a base scenario reflecting current implementation trends, fewer VMMCs are required to avert one infection. If more than 50% additional effort (reflected as multiplying the unit cost by >1.5) is required to double the increase in coverage among this age group compared with the base scenario, the cost per HIV infection averted is higher than in the base scenario. Although increased investment in recruiting VMMC clients ages 20-29 may lead to greater overall impact if recruitment efforts are successful, it may also lead to lower cost-effectiveness, depending on the cost of increasing recruitment. Programs should measure the relationship between increased effort and increased ability to attract this age group.

HIV in Harare: the role and relevance of social stigma.

PubMed

O'Brien, Stephen; Broom, Alex

2014-01-01

HIV is a significant social, political and economic problem in Zimbabwe. However, few researchers have explored peoples' experiences of living with HIV in that country. Drawing on 60 qualitative interviews conducted with Zimbabweans living in Harare in 2010, this paper focuses on how people from four different urban communities cope with HIV-related social stigma. To provide theoretical context to this issue, we utilised the ideas of Erving Goffman for exploring the individual experience of stigma and the concept of structural violence to understand stigma as a social phenomenon. This paper considers the relevance and role of stigma in the context of a country undergoing significant social, political and economic crisis. We investigated the strategies adopted by the Zimbabwean state and the influence of traditional and religious interpretations to appreciate the historical roots of HIV-related stigma. We took into account the ways in which the articulation of HIV with gender has caused women to experience stigma differently than men, and more intensely, and how grassroots activism and biomedical technologies have transformed the experience of stigma.

An Optimal Cost Effectiveness Study on Zimbabwe Cholera Seasonal Data from 2008–2011

PubMed Central

Sardar, Tridip; Mukhopadhyay, Soumalya; Bhowmick, Amiya Ranjan; Chattopadhyay, Joydev

2013-01-01

Incidence of cholera outbreak is a serious issue in underdeveloped and developing countries. In Zimbabwe, after the massive outbreak in 2008–09, cholera cases and deaths are reported every year from some provinces. Substantial number of reported cholera cases in some provinces during and after the epidemic in 2008–09 indicates a plausible presence of seasonality in cholera incidence in those regions. We formulate a compartmental mathematical model with periodic slow-fast transmission rate to study such recurrent occurrences and fitted the model to cumulative cholera cases and deaths for different provinces of Zimbabwe from the beginning of cholera outbreak in 2008–09 to June 2011. Daily and weekly reported cholera incidence data were collected from Zimbabwe epidemiological bulletin, Zimbabwe Daily cholera updates and Office for the Coordination of Humanitarian Affairs Zimbabwe (OCHA, Zimbabwe). For each province, the basic reproduction number () in periodic environment is estimated. To the best of our knowledge, this is probably a pioneering attempt to estimate in periodic environment using real-life data set of cholera epidemic for Zimbabwe. Our estimates of agree with the previous estimate for some provinces but differ significantly for Bulawayo, Mashonaland West, Manicaland, Matabeleland South and Matabeleland North. Seasonal trend in cholera incidence is observed in Harare, Mashonaland West, Mashonaland East, Manicaland and Matabeleland South. Our result suggests that, slow transmission is a dominating factor for cholera transmission in most of these provinces. Our model projects cholera cases and cholera deaths during the end of the epidemic in 2008–09 to January 1, 2012. We also determine an optimal cost-effective control strategy among the four government undertaken interventions namely promoting hand-hygiene & clean water distribution, vaccination, treatment and sanitation for each province. PMID:24312540

Effects of infant sex on mother-to-child transmission of HIV-1 according to timing of infection in Zimbabwe.

PubMed

Piwoz, Ellen G; Humphrey, Jean H; Marinda, Edmore T; Mutasa, Kuda; Moulton, Lawrence H; Iliff, Peter J

2006-10-03

We examined the relationship between sex and the risk of intrauterine, intrapartum and postnatal HIV transmission among 4495 infants born to HIV-infected mothers in Harare, Zimbabwe. Intrauterine transmission was 8.6%, and consistent with other studies was higher among girl than boy infants (AOR 1.53; 95% CI 1.23-1.91). Unlike previous studies, we observed no independent effect of infant sex on intrapartum or breastfeeding-associated HIV transmission. Sex-specific postnatal prevention strategies are not warranted in this population.

A serosurvey of bluetongue and epizootic haemorrhagic disease in a convenience sample of sheep and cattle herds in Zimbabwe.

PubMed

Gordon, Stuart J G; Bolwell, Charlotte; Rogers, Chris W; Musuka, Godfrey; Kelly, Patrick; Guthrie, Alan; Mellor, Philip S; Hamblin, Chris

2017-11-14

A convenience sample of sheep and cattle herds around the cities of Harare, Kwekwe and Bulawayo, located in the Highveld region of Zimbabwe, was used to estimate the seroprevalence and sero-incidence of bluetongue virus (BTV) and epizootic haemorrhagic disease virus (EHDV) antibodies. A competitive enzyme-linked immunosorbent assay was used to identify serum antibodies against BTV and EHDV across three rainy seasons. The median sero-prevalence of BTV and EHDV antibodies in cattle was 62% (interquartile range [IQR]: 30-89) and 56% (IQR: 5-77), respectively. In sheep, the median sero-prevalence of BTV and EHDV was 41% (IQR: 19-63) and 0% (IQR: 0-21), respectively. Median sero-incidences of BTV and EHDV antibodies in cattle of 43% (IQR: 22-67) and 27% (IQR: 9-57) respectively were recorded. The median sero-incidence of BTV in sheep was 14% (IQR: 6-23). Based on these preliminary findings, animal health workers in Zimbabwe should continue to monitor the exposure rates of cattle and sheep to BTV and consider the possibility of strains emerging with increased pathogenicity. There are no previous published reports of antibodies against EHDV in Zimbabwe so the possibility of epizootic haemorrhagic disease existing in domestic livestock should now be considered by Zimbabwean animal health officials. Seroconversions to BTV and EHDV occurred predominantly at the end of each rainy season (March and April), which generally corresponds to high numbers of the Culicoides vectors. BTV isolations were made from three individual cows in two of the sentinel herds and all three were identified as serotype 3. This is the first time BTV serotype 3 has been recorded in Zimbabwe, although its presence in neighbouring South Africa is well documented.

Antimicrobial resistence of Shigella species isolated during 2004 and 2005 from selected sites in Zimbabwe.

PubMed

Ndlovu, N; Tarupiwa, A; Mudzori, J T

2006-01-01

To determine the predominant serotype and antibiotic sensitivity pattern of Shigella isolates during 2004 and 2005 in Zimbabwe. Cross sectional study. National Microbiology Reference Laboratory (NMRL), Harare, Zimbabwe. 259 clinical isolates of Shigella species isolated during 2004 and 2005 in Zimbabwe were studied. These samples had been referred to the NMRL for further testing. Serotype and antibiotic sensitivity pattern of Shigella species. Of the 259 clinical isolates of Shigella tested the following species were serotyped; 141 (54.4%) were S. flexneri; 70 (27%) S. sonnei; 38 (14.7%) S. dysenteriae and 10 (3.9%) S. boydii. About 4% of all Shigella isolates tested showed full sensitivity to commonly used antibiotics, 20.8% were resistant to one antibiotic only while 75.3% were resistant to at least two antibiotics. The most common resistance among Shigella species was to cotrimoxazole (89%), tetracycline (73%), ampicillin (49%) and chloramphenicol (41%). High susceptibility among Shigella species was observed to nalidixic acid (86%), ciprofloxacin (99%) and ceftazidine (99%). There was a low drug resistance of Shigella species to nalidixic acid, a drug of choice in Zimbabwe, except among Shigella dysenteriae type 1 strains. Continuous monitoring of the susceptibility patterns of Shigella species is important in order to detect the emergence of drug resistance and to update guidelines for antibiotic treatment in shigellosis.

Individual resilience as a strategy to counter employment barriers for people with epilepsy in Zimbabwe.

PubMed

Mugumbate, Jacob; Gray, Mel

2017-09-01

Understanding individual resilience helps to improve employment opportunities of people with epilepsy. This is significant because, in Zimbabwe, as in many other countries in the Global South, people with epilepsy encounter several barriers in a context of less-than-ideal public services. Despite this disadvantage, some people with epilepsy have better employment outcomes for reasons including level of seizure control, social background, employment support services, and individual resilience. This article reports on data from participants (n=8), who were part of a larger study (n=30) on employment experiences of people with epilepsy in Harare. The study used in-depth interviews with the participants, who were all service users and members of the Epilepsy Support Foundation (ESF) in Harare. The eight resilient participants comprised four males and four females aged between 26-48years, who were selected because, unlike the remaining 22 participants, they had overcome chronic unemployment. Seven of the eight participants were employed, while one had recently become unemployed. Views of service providers (n=7) were sought on the experiences of people with epilepsy through a focus group discussion. The service providers included two health workers, three social service workers, and two disability advocacy workers. Data were analysed using NVivo, a computer-assisted qualitative data analysis package. The study found that participants experienced barriers, such as a lack of medical treatment, yet this was important for education and training, lack of finances for training, and negative attitudes at workplaces. Despite these barriers, participants had overcome chronic unemployment due to their individual resilience characterised by: (i) a 'fighting spirit', (ii) being their own advocates, and (iii) having a mastery over, and acceptance of, their epilepsy. The research concluded that, where people with epilepsy faced barriers, as in Zimbabwe, individual resilience acted as

Care requirements for clients who present after rape and clients who presented after consensual sex as a minor at a clinic in Harare, Zimbabwe, from 2011 to 2014.

PubMed

Harrison, Rebecca E; Pearson, Linda; Vere, Michael; Chonzi, Prosper; Hove, Brian Tafadzwa; Mabaya, Sharon; Chigwamba, Margaret; Nhamburo, Juliana; Gura, Juliet; Vandeborne, An; Simons, Sandra; Lagrou, Daphne; De Plecker, Eva; Van den Bergh, Rafael

2017-01-01

To describe the differences between clients presenting after rape and clients who have consented to sex as a minor to an SGBV clinic in Harare, Zimbabwe, and how these differences affect their care requirements. Adolescents and adults presenting at the specialized Sexual and Gender Based Violence clinic in Harare are offered a standardised package of free medical and psychosocial care. Zimbabwe has an HIV prevalence of 14%, so prevention of HIV infection using PEP for those that present within 72 hours is a key part of the response. STI treatment, emergency contraceptive pills, referral for termination of pregnancy, psychological, social and legal support is also provided. This is a retrospective descriptive study of routine programmatic data collected at the Edith Opperman polyclinic in Mbare SGBV clinic from 2011 to 2014. Chi-square tests and logistic regression were used to describe the different experiences and the differences in uptake of care between clients presenting for rape compared to those who consented to sex as a minor. During the study period a total of 3617 clients presented to the clinic. 2242 (62%) sought care after rape, 602 (17%) for having consented to sex as a minor and 395 (11%) for suspected sexual abuse. 1615 (45%) of people presenting were 12-15 year olds. Minors who consented to sex compared to survivors of rape were less likely to report within 72 hours- 156 (26%) vs 894 (40%) p<0.001; less likely to report that they delayed due to fear- 68 (17%) vs 472 (40%) p<0.001, less likely to have experienced accompanying violence- 9 (1%) vs 176 (8%) p<0.001 or physical trauma-34 (6%) vs 427 (19%) p<0.001; and less likely to display psychological symptoms at presentation 51 (8%) vs 411 (18%) p<0.001. Minors who consented to sex compared to those who were raped were less likely to start PEP if eligible-123 (80%) vs 751 (93%) p<0.001, less likely to take emergency contraceptives if eligible-125 (81%) vs 598 (88%) p<0.001, more likely to be pregnant

Care requirements for clients who present after rape and clients who presented after consensual sex as a minor at a clinic in Harare, Zimbabwe, from 2011 to 2014

PubMed Central

Pearson, Linda; Vere, Michael; Chonzi, Prosper; Hove, Brian Tafadzwa; Mabaya, Sharon; Chigwamba, Margaret; Nhamburo, Juliana; Gura, Juliet; Vandeborne, An; Simons, Sandra; Lagrou, Daphne; De Plecker, Eva; Van den Bergh, Rafael

2017-01-01

Study goals To describe the differences between clients presenting after rape and clients who have consented to sex as a minor to an SGBV clinic in Harare, Zimbabwe, and how these differences affect their care requirements. Background Adolescents and adults presenting at the specialized Sexual and Gender Based Violence clinic in Harare are offered a standardised package of free medical and psychosocial care. Zimbabwe has an HIV prevalence of 14%, so prevention of HIV infection using PEP for those that present within 72 hours is a key part of the response. STI treatment, emergency contraceptive pills, referral for termination of pregnancy, psychological, social and legal support is also provided. Methods This is a retrospective descriptive study of routine programmatic data collected at the Edith Opperman polyclinic in Mbare SGBV clinic from 2011 to 2014. Chi-square tests and logistic regression were used to describe the different experiences and the differences in uptake of care between clients presenting for rape compared to those who consented to sex as a minor. Results During the study period a total of 3617 clients presented to the clinic. 2242 (62%) sought care after rape, 602 (17%) for having consented to sex as a minor and 395 (11%) for suspected sexual abuse. 1615 (45%) of people presenting were 12–15 year olds. Minors who consented to sex compared to survivors of rape were less likely to report within 72 hours– 156 (26%) vs 894 (40%) p<0.001; less likely to report that they delayed due to fear– 68 (17%) vs 472 (40%) p<0.001, less likely to have experienced accompanying violence– 9 (1%) vs 176 (8%) p<0.001 or physical trauma—34 (6%) vs 427 (19%) p<0.001; and less likely to display psychological symptoms at presentation 51 (8%) vs 411 (18%) p<0.001. Minors who consented to sex compared to those who were raped were less likely to start PEP if eligible—123 (80%) vs 751 (93%) p<0.001, less likely to take emergency contraceptives if eligible—125

Migrant remittances and household wellbeing in urban Zimbabwe.

PubMed

Bracking, Sarah; Sachikonye, Lloyd

2010-01-01

Evidence from household surveying in December 2005 in Harare and Bulawayo, Zimbabwe, indicates that a wide network of international migrant remitters are ameliorating the economic crisis in Zimbabwe by sending monetary and in-kind transfers to over 50 per cent of urban households. The research combines quantitative measurement of scale and scope, with demographic and qualitative narrative to build a holistic picture of the typography of receiving and non-receiving households. A complex set of interrelated variables helps to explain why some households do and others do not receive income and goods from people who are away, and the economic and social extent of their subsequent benefit from them. Moreover, the mixed methods approach is designed to capture inter-household and likely macroeconomic effects of how households receive their goods and money; and of how they subsequently exchange (if applicable), store and spend it. Evidence emerges of a largely informal, international social welfare system, but one which is not without adverse inter-household effects for some. These include suffering exclusion from markets suffering from inflationary pressures, not least as a result of other people’s remittances. This paper explores the role of remittances, within this internationalised informal welfare system which we can map from our household survey, in reframing vulnerability and marginalization differentially among and between our subject households.

28 CFR 22.29 - Sanctions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Sanctions. 22.29 Section 22.29 Judicial Administration DEPARTMENT OF JUSTICE CONFIDENTIALITY OF IDENTIFIABLE RESEARCH AND STATISTICAL INFORMATION § 22.29 Sanctions. Where BJA, OJJDP, BJS, NIJ, or OJP believes that a violation of section 812(a) of the Act or...

28 CFR 22.29 - Sanctions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Sanctions. 22.29 Section 22.29 Judicial Administration DEPARTMENT OF JUSTICE CONFIDENTIALITY OF IDENTIFIABLE RESEARCH AND STATISTICAL INFORMATION § 22.29 Sanctions. Where BJA, OJJDP, BJS, NIJ, or OJP believes that a violation of section 812(a) of the Act or...

Perceptions on the use of bottled water in restaurants in Harare's Central Business District (CBD)

NASA Astrophysics Data System (ADS)

Juba, Olivia Sakhile; Tanyanyiwa, Vincent Itai

2018-06-01

Bottled water use continues to expand worldwide and in the last two decades, a significant number of consumers have shifted from tap water to bottled water due to Cryptosporidium outbreaks. Bottled water consumption has increased in Harare due to erratic tap water supplies. Since 2011, forty bottled water brands have been banned because of failure to meet safety and quality standards due to contamination, unsuitable packaging, and wrong labelling. Nevertheless, the bottled water industry continues to thrive as local authorities fail to adequately purify municipal water. The study assessed the perceptions on drinking bottled water in restaurants within Harare's CBD. Demographic and social factors associated with bottled water users were established and the role and influence of stakeholders in bottling and distribution of water documented. A field survey through the administration of questionnaires to fifty restaurant users was carried out to assess the perceptions of people on the use of bottled water in terms of its safety and potential health benefits. Key informant interviews were conducted using a semi-structured interview with ten local water bottling companies as well as representatives from the Environmental Management Agency (EMA) and Standards Association of Zimbabwe (SAZ). Data were analysed using descriptive statistics and logistic regression analysis. Standard descriptive statistics were generated, with 95% confidence intervals (95% CIs). Consumers used bottled water as their primary drinking water source when they perceived that tap water was not safe. Perceptions of purity of water, bottled water convenience, and tap water unavailability seemed to determine consumption patterns among users. Females in the 18-48 age groups were more likely to think that bottled water was cleaner, safer, tasted better and was more convenient than tap water. Consumers regularly purchased bottled water for drinking and used bottled water as their primary drinking water

The potential of solar water disinfection as a household water treatment method in peri-urban Zimbabwe

NASA Astrophysics Data System (ADS)

Murinda, Sharon; Kraemer, Silvie

The potential for reducing diarrhoea morbidity and improving the health status of children in developing countries using solar water disinfection (SODIS) has been demonstrated in past research. A baseline survey was conducted to explore the feasibility and necessity of introducing SODIS in peri-urban communities of Zimbabwe. The survey sought to establish drinking water quality in these areas and to determine the health and hygiene beliefs as well as practices related to water handling in the household. Microbiological water quality tests and personal interviews were carried out in Epworth township and Hopley farm, two peri-urban areas near the capital of Zimbabwe, Harare. These two areas are among the poorest settlements around Harare with 80% of inhabitants being informal settlers. Community meetings were held to introduce solar water disinfection prior to the survey. This was followed by administration of questionnaires, which aimed to investigate whether the community had ever heard about SODIS, whether they were practicing it, other means that were being used to treat drinking water as well as health and hygiene beliefs and practices. It was found out that most households cannot afford basic water treatment like boiling as firewood is expensive. People generally reported that the water was not palatable due to objectionable odour and taste. Microbiological water quality tests proved that drinking water was contaminated in both areas, which makes the water unsafe for drinking and shows the necessity of treatment. Although the majority of people interviewed had not heard of SODIS prior to the interview, attitudes towards its introduction were very positive and the intention to do SODIS in the future was high. Amongst the ones who had heard about SODIS before the study, usage was high. Plastic PET bottles, which were used for the SODIS experiments are currently unavailable and this has been identified as a potential hindrance to the successful implementation of

Impacts of alum residues from Morton Jaffray Water Works on water quality and fish, Harare, Zimbabwe

NASA Astrophysics Data System (ADS)

Muisa, Norah; Hoko, Zvikomborero; Chifamba, Portia

Metal pollution of freshwater due to human activities is a major problem confronting most urban centres in developing countries. This study determined the extent to which aluminium in the residues from Morton Jaffray Water Works in Harare were affecting the water quality of Manyame River and Lake Manyame. The study also measured aluminium bioaccumulation in Nile Tilapia ( Oreochromis niloticus) which is of importance to the commercial fisheries industry in Zimbabwe. Depth integrated water, and sediment grab samples and adult fish were collected per site in January and March, 2010. A total of six sites were selected on the Manyame River and in Lake Manyame. The levels of Total Aluminium (Al) were determined in sediments, water and fish tissues (liver, kidney, gill and muscle). Total solids, total dissolved solids, conductivity, pH, dissolved oxygen and temperature were also determined in water and residues. The texture of the sediments was also assessed. Aluminium concentration in water ranged from 2.19 mg/L to 68.93 mg/L during both sampling campaigns surpassing permissible maximum concentration limits of 0.087 to 0.75 mg/L suggested by the Environmental Protection Agency and African Union. The site upstream of the discharge point of the residues always had the lowest levels though it was higher than acceptable levels indicated above, thus suggesting the existence of other sources of aluminium in the catchment besides Morton Jaffray Water Works. However, there was a 10-fold and 100-fold increase in levels of aluminium in water and sediments, respectively, at the site 100 m downstream of the discharge point on the Manyame River. Mean aluminium concentrations in water and sediments at this site averaged 68.93 ± 61.74 mg/L and 38.18 ± 21.54 mg/L in water and 103.79 ± 55.96 mg/L and 131.84 ± 16.48 mg/L in sediments in sampling campaigns 1 and 2, respectively. These levels were significantly higher than levels obtained from all the other sites during both sampling

Data on introduced plants in Zimbabwe: Floristic changes and patterns of collection based on historical herbarium records.

PubMed

Maroyi, Alfred

2017-12-01

National herbaria with significant historical plant collections are critical to tracking floristic changes and patterns, which include the introduction and spread of non-native plant species. To explore the importance of herbarium specimen data in understanding floristic changes in Zimbabwe, the plant collections housed by the National Herbarium (SRGH) in Harare, Zimbabwe were utilized with historical specimens dating back to 1870. A list of naturalised plant taxa and collection data were compiled. A total of 2916 plant specimens were recorded, comprising of 401 taxa, 237 genera and 76 plant families. Twenty eight specimens (1.0%) were collected between 1870 and 1908, prior to the establishment of the National Herbarium in 1909 and 123 specimens (4.2%) were collected in the first 25 years of the establishment of the institute (1909-1934). Intensive collection of herbarium specimens of casual, naturalised and invasive alien plant species occurred between 1950 and 1970. This data demonstrates the utility of plant species data housed in the National Herbaria and how such data can be used to map floristic changes and patterns.

A survey of feline leukaemia virus infection of domestic cats from selected areas in Harare, Zimbabwe.

PubMed

Muchaamba, Francis; Mutiringindi, Takudzwa H; Tivapasi, Musavenga T; Dhliwayo, Solomon; Matope, Gift

2014-11-14

A cross-sectional study was conducted to detect the feline leukaemia virus (FeLV) p27 antigen and to determine risk factors and the haematological changes associated with infection in domestic cats in Zimbabwe. Sera were collected for detection of the p27 antigen, urea, creatinine, alanine aminotransferase and gamma-glutamyl transferase levels, whilst whole blood was collected for haematology. FeLV p27 antigen was detected using a rapid enzyme-linked immunosorbent assay (ELISA) test kit. Data on risk factors were analysed using a logistic regression model. Of the 100 cats tested, 41% (95% CI: 31.19% - 50.81%) (41/100) were positive for the FeLV p27 antigen. Sex and health status of cats were not significantly (p > 0.05) associated with infection. Intact cats (OR = 9.73), those living in multicat housing (OR = 5.23) and cats that had access to outdoor life (OR = 35.5) were found to have higher odds of infection compared with neutered cats, those living in single-cat housing, and without access to outdoor life, respectively. Biochemistry and haematology revealed no specific changes. The results showed that FeLV infection was high in sampled cats, providing evidence of active infection. Thus, it would be prudent to introduce specific control measures for FeLV infection in Zimbabwe.

42 CFR 102.22-102.29 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 1 2014-10-01 2014-10-01 false [Reserved] 102.22-102.29 Section 102.22-102.29 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX COMPENSATION PROGRAM Covered Injuries §§ 102.22-102.29 [Reserved] ...

42 CFR 102.22-102.29 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false [Reserved] 102.22-102.29 Section 102.22-102.29 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX COMPENSATION PROGRAM Covered Injuries §§ 102.22-102.29 [Reserved] ...

42 CFR 102.22-102.29 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 1 2012-10-01 2012-10-01 false [Reserved] 102.22-102.29 Section 102.22-102.29 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX COMPENSATION PROGRAM Covered Injuries §§ 102.22-102.29 [Reserved] ...

42 CFR 102.22-102.29 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 1 2013-10-01 2013-10-01 false [Reserved] 102.22-102.29 Section 102.22-102.29 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX COMPENSATION PROGRAM Covered Injuries §§ 102.22-102.29 [Reserved] ...

42 CFR 102.22-102.29 - [Reserved

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 1 2011-10-01 2011-10-01 false [Reserved] 102.22-102.29 Section 102.22-102.29 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX COMPENSATION PROGRAM Covered Injuries §§ 102.22-102.29 [Reserved] ...

Comparative performance characteristics of the urine lipoarabinomannan strip test and sputum smear microscopy in hospitalized HIV-infected patients with suspected tuberculosis in Harare, Zimbabwe.

PubMed

Zijenah, Lynn Sodai; Kadzirange, Gerard; Bandason, Tsitsi; Chipiti, Maria Mary; Gwambiwa, Bevel; Makoga, Forget; Chungu, Pauline; Kaguru, Philip; Dheda, Keertan

2016-01-22

In Zimbabwe, sputum smear microscopy (SSM) is the routinely used TB diagnostic tool in hospitalised HIV-infected patients. However, SSM has poor sensitivity in HIV-infected patients. We compared performance of urine lipoarabinomannan strip test (LAM) and SSM among hospitalized HIV-infected patients with suspected TB. Hospitalized HIV-infected patients with suspected TB were randomized to LAM plus SSM or SSM alone groups as part of a larger multi-country parent study. Here we present a comparison of LAM versus SSM performance from the Zimbabwe study site. LAM analyses (grade 2 cut-off) were conducted using (i) a microbiological reference standard (MRS; culture positivity for M.tb and designated definite TB) and (ii) a composite reference standard (CRS; definite TB plus probable TB i.e. patients with clinical TB excluded from the culture negative group). CRS constituted the primary analysis. 82/457 (18%) of the patients randomized to the LAM group were M.tuberculosis culture positive. Using CRS, sensitivity (%, 95% CI) of LAM was significantly higher than SSM [49.2 (42.1-56.4) versus 29.4(23.2-36.3); p < 0.001]. Specificity and PPV were 98.1%, and 95.8%, respectively. By contrast, using MRS, LAM sensitivity was similar to SSM and specificity was significantly lower, however, the combined sensitivity of LAM and SSM was significantly higher than that of SSM alone, p = 0.009. Using CRS, LAM sensitivity (%, CI) was CD4 count dependent [60.6(50.7-69.8) at ≤50 cells/μL; 40.0(22.7-59.4) at 51-100 cells/μL, and 32.8(21.0-46.3) at >100 cells/μL. The combined sensitivity of LAM and SSM was higher than SSM alone being highest at CD4 counts <50 cells/μL [67.6(57.9-76.3); p = <0.001]. Specificity of LAM or SSM alone, or of combined LAM and SSM was >97% in all the 3 CD4 strata. Among hospitalized HIV-infected patients with suspected TB, the sensitivity of LAM is significantly higher than that of SSM, especially at low CD4 counts. LAM and SSM are complimentary

Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva.

PubMed

Bere, Tarisai; Nyamayaro, Primrose; Magidson, Jessica F; Chibanda, Dixon; Chingono, Alfred; Munjoma, Ronald; Macpherson, Kirsty; Ndhlovu, Chiratidzo Ellen; O'Cleirigh, Conall; Kidia, Khameer; Safren, Steven A; Abas, Melanie

2017-09-01

Few evidence-based interventions to improve adherence to antiretroviral therapy have been adapted for use in Africa. We selected, culturally adapted and tested the feasibility of a cognitive-behavioural intervention for adherence and for delivery in a clinic setting in Harare, Zimbabwe. The feasibility of the intervention was evaluated using a mixed-methods assessment, including ratings of provider fidelity of intervention delivery, and qualitative assessments of feasibility using individual semi-structured interviews with counsellors (n=4) and patients (n=15). The intervention was feasible and acceptable when administered to 42 patients and resulted in improved self-reported adherence in a subset of 15 patients who were followed up after 6months.

A Study of the Association of Attitudes to the Philosophy of Science with Classroom Contexts, Academic Qualification and Professional Training, amongst A-Level Biology Teachers in Harare, Zimbabwe.

ERIC Educational Resources Information Center

Gwimbi, Eric; Monk, Martin

2003-01-01

Investigates the association between attitude towards the philosophy of science and academic qualification professional training. Analyzes responses from 33 A-level biology teachers to a questionnaire and reports from teachers in Harare on their school contexts. Suggests that the differential distribution of facilities and resources across school…

New-onset type 2 diabetes mellitus among patients receiving HIV care at Newlands Clinic, Harare, Zimbabwe: retrospective cohort analysis.

PubMed

Chimbetete, Cleophas; Mugglin, Catrina; Shamu, Tinei; Kalesan, Bindu; Bertisch, Barbara; Egger, Matthias; Keiser, Olivia

2017-07-01

To assess the incidence and associated factors of Type 2 Diabetes Mellitus (T2DM) among people living with HIV (PLHIV) in Zimbabwe. We analysed data of all HIV-infected patients older than 16 years who attended Newlands Clinic between March 1, 2004 and April 29, 2015. The clinic considers patients whose random blood sugar is higher than 11.1 mmol/l and which is confirmed by a fasting blood sugar higher than 7.0 mmol/l to have T2DM. T2DM is also diagnosed in symptomatic patients who have a RBS >11.0 mmol/l. Risk factors for developing T2DM were identified using Cox proportional hazard models adjusted for confounding. Missing baseline BMI data were multiply imputed. Results are presented as adjusted hazard ratios (aHR) with 95% confidence intervals (95% CI). Data for 4,110 participants were included: 67.2% were women; median age was 37 (IQR: 31-43) years. Median baseline CD4 count was 197 (IQR: 95-337) cells/mm 3 . The proportion of participants with hypertension at baseline was 15.5% (n=638). Over a median follow-up time of 4.7 (IQR: 2.1-7.2) years, 57 patients developed T2DM; the overall incidence rate was 2.8 (95% CI: 2.1-3.6) per 1000 person-years of follow-up. Exposure to PIs was associated with T2DM (HR: 1.80, 95% CI: 1.04-3.09). In the multivariable analysis, obesity (BMI>30 kg/m 2 ) (aHR=2.26, 95% CI: 1.17-4.36), age >40 years (aHR=2.16, 95% CI: 1.22-3.83) and male gender, (aHR=2.13, 95% CI: 1.22-3.72) were independently associated with the risk of T2DM. HIV-related factors (baseline CD4 cell count and baseline WHO clinical stage) were not independent risk factors for developing T2DM. Although the incidence of T2DM in this HIV cohort was lower than that has been observed in others, our results show that risk factors for developing T2DM among HIV-infected people are similar to those of the general population. HIV-infected patients in sub-Saharan Africa need a comprehensive approach to care that includes better health services for prevention, early

First aid practices, beliefs, and sources of information among caregivers regarding paediatric burn injuries in Harare, Zimbabwe: A cross-sectional study.

PubMed

Chirongoma, Farai; Chengetanai, Samson; Tadyanemhandu, Cathrine

2017-06-01

While burns take seconds to occur, injuries incurred result in pain and undesirable long term effects that might take a lifetime to overcome. The study was carried out to determine the measures of first aid delivered by caregivers after a burn injury and sources of the information. A cross- sectional study was carried out over a period of 3 months at two central hospitals in Harare. A questionnaire was administered to the caregivers of children within the age group of 0-60 months admitted in burns wards to elicit information on the circumstances of the burn injury and the first aid methods which were administered. Out of the 50 children who were recruited, 54.0% were females and the mean age was 29.5 months (SD= 15.5). After the burn injury 30(60.0%) of the caregivers, cooled the burn injury with cold running water whilst some caregivers also applied eggs, margarine and some traditional herbs as first aid. The other practices reported by the caregivers included use of urine and crushed cockroaches after burn injury in 40 (80.0%) whilst 20 (40.0%) reported used aloe vera gel after a burn injury. About half of the caregivers got first aid information mainly from family members and very few indicated that the information was obtained from mass media, 3 (6.0%). The first aid measures used by the majority of caregivers were either incomplete or inadequate. Although some caregivers had adequate knowledge of what to do after an injury, there still was widespread use of alternatives therapies in burn management.

22 CFR 401.29 - Hearings.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Hearings. 401.29 Section 401.29 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE References § 401.29 Hearings. (a) A hearing or hearings may be held whenever in the opinion of the Commission such action would...

Reducing unplanned pregnancy and abortion in Zimbabwe through postabortion contraception.

PubMed

Johnson, Brooke R; Ndhlovu, Singatsho; Farr, Sherry L; Chipato, Tsungai

2002-06-01

In many countries, women treated for complications from spontaneous or unsafely induced abortion lack access to contraceptive services. As a result, many of them soon have a subsequent unplanned pregnancy or a repeat abortion, placing their health at increased risk. This report presents the results of a prospective intervention study on postabortion family planning conducted in the two largest public hospitals in Zimbabwe. Women at Harare Central Hospital, in the capital, received a postabortion family planning intervention, and Mpilo Central Hospital, in Bulawayo, served as the control site. The study cohort was 982 women, 527 of whom were followed for a 12-month period. During the follow-up period, significantly more women used highly effective methods of contraception, significantly fewer unplanned pregnancies occurred, and fewer repeat abortions were performed at the intervention site than at the control site. These results offer compelling evidence that ward-based contraceptive services provided to women treated for incomplete abortion can significantly reduce subsequent unplanned pregnancies. The results also suggest that postabortion family planning services can reduce the incidence of repeat abortion.

29 CFR 1450.22 - Hearing.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 4 2012-07-01 2012-07-01 false Hearing. 1450.22 Section 1450.22 Labor Regulations Relating... STATES Salary Offset § 1450.22 Hearing. (a) Petition for hearing. (1) A hearing may be requested by..., and is not accepted pursuant to paragraph (a)(4) of this section, the employee's right to hearing will...

29 CFR 1450.22 - Hearing.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 4 2014-07-01 2014-07-01 false Hearing. 1450.22 Section 1450.22 Labor Regulations Relating... STATES Salary Offset § 1450.22 Hearing. (a) Petition for hearing. (1) A hearing may be requested by..., and is not accepted pursuant to paragraph (a)(4) of this section, the employee's right to hearing will...

29 CFR 22.21 - Discovery.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 1 2012-07-01 2012-07-01 false Discovery. 22.21 Section 22.21 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.21 Discovery. (a) The following types of discovery are authorized: (1) Requests for production of documents for inspection and copying; (2) Requests...

29 CFR 22.21 - Discovery.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 1 2014-07-01 2013-07-01 true Discovery. 22.21 Section 22.21 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.21 Discovery. (a) The following types of discovery are authorized: (1) Requests for production of documents for inspection and copying; (2) Requests...

29 CFR 22.21 - Discovery.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 1 2013-07-01 2013-07-01 false Discovery. 22.21 Section 22.21 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.21 Discovery. (a) The following types of discovery are authorized: (1) Requests for production of documents for inspection and copying; (2) Requests...

29 CFR 22.21 - Discovery.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Discovery. 22.21 Section 22.21 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.21 Discovery. (a) The following types of discovery are authorized: (1) Requests for production of documents for inspection and copying; (2) Requests...

29 CFR 22.21 - Discovery.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Discovery. 22.21 Section 22.21 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.21 Discovery. (a) The following types of discovery are authorized: (1) Requests for production of documents for inspection and copying; (2) Requests...

29 CFR 18.22 - Depositions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Depositions. 18.22 Section 18.22 Labor Office of the... ADMINISTRATIVE LAW JUDGES General § 18.22 Depositions. (a) When, how, and by whom taken. The deposition of any witness may be taken at any stage of the proceeding at reasonable times. Depositions may be taken by oral...

29 CFR 18.22 - Depositions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Depositions. 18.22 Section 18.22 Labor Office of the... ADMINISTRATIVE LAW JUDGES General § 18.22 Depositions. (a) When, how, and by whom taken. The deposition of any witness may be taken at any stage of the proceeding at reasonable times. Depositions may be taken by oral...

7 CFR 1724.22-1724.29 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 11 2010-01-01 2010-01-01 false [Reserved] 1724.22-1724.29 Section 1724.22-1724.29 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES Architectural...

Re-engineering the urban drainage system for resource recovery and protection of drinking water supplies.

PubMed

Gumbo, B

2000-01-01

The Harare metropolis in Zimbabwe, extending upstream from Manyame Dam in the Upper Manyame River Basin, consists of the City of Harare and its satellite towns: Chitungwiza, Norton, Epworth and Ruwa. The existing urban drainage system is typically a single-use-mixing system: water is used and discharged to "waste", excreta are flushed to sewers and eventually, after "treatment", the effluent is discharged to a drinking water supply source. Polluted urban storm water is evacuated as fast as possible. This system not only ignores the substantial value in "waste" materials, but it also exports problems to downstream communities and to vulnerable fresh-water sources. The question is how can the harare metropolis urban drainage system, which is complex and has evolved over time, be rearranged to achieve sustainability (i.e. water conservation, pollution prevention at source, protection of the vulnerable drinking water sources and recovery of valuable materials)? This paper reviews current concepts regarding the future development of the urban drainage system in line with the new vision of "Sustainable Cities of the Future". The Harare Metropolis in Zimbabwe is taken as a case, and philosophical options for re-engineering the drainage system are discussed.

Achieving long-term use of solar water disinfection in Zimbabwe.

PubMed

Mosler, H-J; Kraemer, S M; Johnston, R B

2013-01-01

To use a psychological theory of behavioural change to measure and interpret the effectiveness of different promotional strategies for achieving long-term usage of a household water treatment and safe storage (HWTS) system in peri-urban Zimbabwe. Solar disinfection (SODIS) was introduced into five peri-urban communities near Harare, Zimbabwe. Six different interventions were developed and were applied in four communities in different combinations, with the fifth remaining as a control area where no interventions were implemented. Throughout the 26 months of the study nine longitudinal panel surveys were conducted in which SODIS usage was estimated using three separate metrics: reported, calculated, and observed. A total of 1551 people were interviewed. The three indicators of SODIS usage broadly agreed with one another. By any measure, the most effective intervention was household visits by trained promoters in combination with persuasion. Households which received household visits maintained SODIS usage rates of 65% or more, even six months after the cessation of all promotional activities. Households receiving other interventions were significantly less effective. Interventions like prompts or public commitment after the application of household visits were effective at maintaining good practices once these were established. Household promotion in combination with persuasion appears more effective than other approaches, especially when followed with interventions targeting the maintenance of the new behaviour. With this intervention it is possible that around 65% of the households continue to use solar water disinfection (SODIS) more than two years after the initial promotion, and six months after the end of all interventions. Copyright © 2012 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

22 CFR 401.29 - Hearings.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Hearings. 401.29 Section 401.29 Foreign... Hearings. (a) A hearing or hearings may be held whenever in the opinion of the Commission such action would... or exceptions which may be imposed by the terms of the reference, a final hearing or hearings shall...

22 CFR 401.29 - Hearings.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Hearings. 401.29 Section 401.29 Foreign... Hearings. (a) A hearing or hearings may be held whenever in the opinion of the Commission such action would... or exceptions which may be imposed by the terms of the reference, a final hearing or hearings shall...

22 CFR 401.29 - Hearings.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Hearings. 401.29 Section 401.29 Foreign... Hearings. (a) A hearing or hearings may be held whenever in the opinion of the Commission such action would... or exceptions which may be imposed by the terms of the reference, a final hearing or hearings shall...

29 CFR 22.22 - Exchange of witness lists, statements, and exhibits.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Exchange of witness lists, statements, and exhibits. 22.22 Section 22.22 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.22... statements that the party intends to offer in lieu of live testimony in accordance with § 22.33(b). At the...

29 CFR 22.22 - Exchange of witness lists, statements, and exhibits.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 1 2014-07-01 2013-07-01 true Exchange of witness lists, statements, and exhibits. 22.22 Section 22.22 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.22... statements that the party intends to offer in lieu of live testimony in accordance with § 22.33(b). At the...

29 CFR 22.22 - Exchange of witness lists, statements, and exhibits.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 1 2012-07-01 2012-07-01 false Exchange of witness lists, statements, and exhibits. 22.22 Section 22.22 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.22... statements that the party intends to offer in lieu of live testimony in accordance with § 22.33(b). At the...

29 CFR 22.22 - Exchange of witness lists, statements, and exhibits.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 1 2013-07-01 2013-07-01 false Exchange of witness lists, statements, and exhibits. 22.22 Section 22.22 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.22... statements that the party intends to offer in lieu of live testimony in accordance with § 22.33(b). At the...

29 CFR 22.22 - Exchange of witness lists, statements, and exhibits.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Exchange of witness lists, statements, and exhibits. 22.22 Section 22.22 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.22... statements that the party intends to offer in lieu of live testimony in accordance with § 22.33(b). At the...

22 CFR 62.29 - Government visitors.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Government visitors. 62.29 Section 62.29... Program Provisions § 62.29 Government visitors. (a) Purpose. The government visitor category is for the exclusive use of the U.S. federal, state, or local government agencies. Programs under this section are for...

22 CFR 62.29 - Government visitors.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Government visitors. 62.29 Section 62.29... Program Provisions § 62.29 Government visitors. (a) Purpose. The government visitor category is for the exclusive use of the U.S. federal, state, or local government agencies. Programs under this section are for...

22 CFR 62.29 - Government visitors.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Government visitors. 62.29 Section 62.29... Program Provisions § 62.29 Government visitors. (a) Purpose. The government visitor category is for the exclusive use of the U.S. federal, state, or local government agencies. Programs under this section are for...

22 CFR 62.29 - Government visitors.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Government visitors. 62.29 Section 62.29... Program Provisions § 62.29 Government visitors. (a) Purpose. The government visitor category is for the exclusive use of the U.S. federal, state, or local government agencies. Programs under this section are for...

22 CFR 62.29 - Government visitors.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Government visitors. 62.29 Section 62.29... Program Provisions § 62.29 Government visitors. (a) Purpose. The government visitor category is for the exclusive use of the U.S. federal, state, or local government agencies. Programs under this section are for...

29 CFR 1910.22 - General requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 5 2012-07-01 2012-07-01 false General requirements. 1910.22 Section 1910.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Walking-Working Surfaces § 1910.22 General requirements. This section...

29 CFR 1955.22 - Summary decision.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Summary decision. 1955.22 Section 1955.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) PROCEDURES FOR WITHDRAWAL OF APPROVAL OF STATE PLANS Consent Findings and Summary Decisions § 1955.22 Summary...

49 CFR 22.29 - DOT access to participating lenders files.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false DOT access to participating lenders files. 22.29 Section 22.29 Transportation Office of the Secretary of Transportation SHORT-TERM LENDING PROGRAM (STLP) Participating Lenders § 22.29 DOT access to participating lenders files. A Participating Lender must allow the...

29 CFR 1921.22 - Computation of time.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Computation of time. 1921.22 Section 1921.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... WORKERS' COMPENSATION ACT Miscellaneous § 1921.22 Computation of time. Sundays and holidays shall be...

29 CFR 22.36 - Post-hearing briefs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Post-hearing briefs. 22.36 Section 22.36 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.36 Post-hearing briefs. The ALJ may require the parties to file post-hearing briefs. In any event, any party may file a post-hearing...

29 CFR 22.36 - Post-hearing briefs.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 1 2013-07-01 2013-07-01 false Post-hearing briefs. 22.36 Section 22.36 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.36 Post-hearing briefs. The ALJ may require the parties to file post-hearing briefs. In any event, any party may file a post-hearing...

29 CFR 22.36 - Post-hearing briefs.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 1 2012-07-01 2012-07-01 false Post-hearing briefs. 22.36 Section 22.36 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.36 Post-hearing briefs. The ALJ may require the parties to file post-hearing briefs. In any event, any party may file a post-hearing...

Community burden of undiagnosed HIV infection among adolescents in Zimbabwe following primary healthcare-based provider-initiated HIV testing and counselling: A cross-sectional survey

PubMed Central

Dakshina, Subathira; McHugh, Grace; Munyati, Shungu; Chonzi, Prosper; Ncube, Getrude; Masimirembwa, Collen; Thelingwani, Roslyn; Apollo, Tsitsi; Ferrand, Rashida A.

2017-01-01

Background Children living with HIV who are not diagnosed in infancy often remain undiagnosed until they present with advanced disease. Provider-initiated testing and counselling (PITC) in health facilities is recommended for high-HIV-prevalence settings, but it is unclear whether this approach is sufficient to achieve universal coverage of HIV testing. We aimed to investigate the change in community burden of undiagnosed HIV infection among older children and adolescents following implementation of PITC in Harare, Zimbabwe. Methods and findings Over the course of 2 years (January 2013–January 2015), 7 primary health clinics (PHCs) in southwestern Harare implemented optimised, opt-out PITC for all attendees aged 6–15 years. In February 2015–December 2015, we conducted a representative cross-sectional survey of 8–17-year-olds living in the 7 communities served by the study PHCs, who would have had 2 years of exposure to PITC. Knowledge of HIV status was ascertained through a caregiver questionnaire, and anonymised HIV testing was carried out using oral mucosal transudate (OMT) tests. After 1 participant taking antiretroviral therapy was observed to have a false negative OMT result, from July 2015 urine samples were obtained from all participants providing OMTs and tested for antiretroviral drugs to confirm HIV status. Children who tested positive through PITC were identified from among survey participants using gender, birthdate, and location. Of 7,146 children in 4,251 eligible households, 5,486 (76.8%) children in 3,397 households agreed to participate in the survey, and 141 were HIV positive. HIV prevalence was 2.6% (95% CI 2.2%–3.1%), and over a third of participants with HIV were undiagnosed (37.7%; 95% CI 29.8%–46.2%). Similarly, among the subsample of 2,643 (48.2%) participants with a urine test result, 34.7% of those living with HIV were undiagnosed (95% CI 23.5%–47.9%). Based on extrapolation from the survey sample to the community, we

HIV in (and out of) the clinic: Biomedicine, traditional medicine and spiritual healing in Harare

PubMed Central

O'Brien, Stephen; Broom, Alex

2014-01-01

Abstract Contemporary lived experiences of the human immunodeficiency virus (HIV) are shaped by clinical and cultural encounters with illness. In sub-Saharan countries such as Zimbabwe, HIV is treated in very different ways in various therapeutic contexts including by biomedical experts, traditional medicine and faith healers. The co-existence of such expertise raises important questions around the potencies and limits of medicalisation and alternative healing practices in promoting HIV recovery. First, in this study, drawing on in-depth qualitative interviews with 60 people from poor urban areas in Harare, we explore the experiences of people living with and affected by HIV. Specifically, we sought to document, interrogate and reflect on their perceptions and experiences of biomedicine in relation to traditional medicine and spiritual healing. Their accounts indicate that traditional medicine and spiritual beliefs continue to significantly influence the way in which HIV is understood, and the forms of help and care people seek. Second, we observe the dramatic and overwhelmingly beneficial impact of Antiretroviral Therapy and conclude through Zimbabwean's own stories that limitations around delivery and wider structural inequalities impede its potential. Lastly, we explore some practical implications of the biomedical clinic (and alternative healing practices) being understood as sites of ideological and expert contestation. This paper aimed to add to our knowledge of the relationships between traditional medicine and spiritual healing in connection with biomedicine and how this may influence HIV treatment and prevention. PMID:25017937

HIV in (and out of) the clinic: biomedicine, traditional medicine and spiritual healing in Harare.

PubMed

O'Brien, Stephen; Broom, Alex

2014-01-01

Contemporary lived experiences of the human immunodeficiency virus (HIV) are shaped by clinical and cultural encounters with illness. In sub-Saharan countries such as Zimbabwe, HIV is treated in very different ways in various therapeutic contexts including by biomedical experts, traditional medicine and faith healers. The co-existence of such expertise raises important questions around the potencies and limits of medicalisation and alternative healing practices in promoting HIV recovery. First, in this study, drawing on in-depth qualitative interviews with 60 people from poor urban areas in Harare, we explore the experiences of people living with and affected by HIV. Specifically, we sought to document, interrogate and reflect on their perceptions and experiences of biomedicine in relation to traditional medicine and spiritual healing. Their accounts indicate that traditional medicine and spiritual beliefs continue to significantly influence the way in which HIV is understood, and the forms of help and care people seek. Second, we observe the dramatic and overwhelmingly beneficial impact of Antiretroviral Therapy and conclude through Zimbabwean's own stories that limitations around delivery and wider structural inequalities impede its potential. Lastly, we explore some practical implications of the biomedical clinic (and alternative healing practices) being understood as sites of ideological and expert contestation. This paper aimed to add to our knowledge of the relationships between traditional medicine and spiritual healing in connection with biomedicine and how this may influence HIV treatment and prevention.

Uptake of heavy metals by vegetables irrigated using wastewater and the subsequent risks in Harare, Zimbabwe

NASA Astrophysics Data System (ADS)

Mapanda, F.; Mangwayana, E. N.; Nyamangara, J.; Giller, K. E.

Contamination of leafy vegetables ( Brassica species) by copper (Cu), zinc (Zn), cadmium (Cd), nickel (Ni), lead (Pb) and chromium (Cr), and the subsequent human exposure risks, were determined at two sites in the City of Harare, where wastewater is used for irrigating vegetables. The concentrations of heavy metals (mg kg -1 dry wt.) in vegetable leaves ranged from 1.0 to 3.4 for Cu, 18 to 201 for Zn, 0.7 to 2.4 for Cd, 2.5 to 6.3 for Ni, 0.7 to 5.4 for Pb and 1.5 to 6.6 for Cr. Bio-concentration factors in the range of 0.04-3 were obtained, with Zn and Cd having the highest concentration factors of 1.6 and 3, respectively. Estimated intakes rates of heavy metals from consumption of the vegetables in mg day -1 ranged from 0.04 to 0.05 for Cu, 0.6 to 3.3 for Zn, 0.02 to 0.04 for Cd, 0.05 to 0.1 for Ni, 0.05 to 0.09 for Pb and 0.05 to 0.1 for Cr. Cadmium intake rates were above their recommended minimum risk levels (MRLs) at both sites, while Cu, Ni, Cr and Pb had daily intakes above 40% of their MRLs. Potential health risks, particularly from Cd intake, existed for the daily consumers of the leafy vegetables at both Mukuvisi and Pension sites. Thus, although the practice of growing leafy vegetables using wastewater for irrigation is aimed at producing socio-economic benefits, it is not safe and may not be sustainable in the long-term. There is need for an improved food quality assurance system to ensure that the vegetables comply with existing standards on heavy metal concentrations.

29 CFR 22.36 - Post-hearing briefs.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 1 2014-07-01 2013-07-01 true Post-hearing briefs. 22.36 Section 22.36 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.36 Post-hearing briefs. The ALJ may require the parties to file post-hearing briefs. In any event, any party may file a post-hearing brief. The...

29 CFR 22.36 - Post-hearing briefs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Post-hearing briefs. 22.36 Section 22.36 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.36 Post-hearing briefs. The ALJ may require the parties to file post-hearing briefs. In any event, any party may file a post-hearing brief. The...

29 CFR 4022.22 - Maximum guaranteeable benefit.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Maximum guaranteeable benefit. 4022.22 Section 4022.22 Labor Regulations Relating to Labor (Continued) PENSION BENEFIT GUARANTY CORPORATION COVERAGE AND... Maximum guaranteeable benefit. Subject to section 4022B of ERISA and part 4022B of this chapter, benefits...

Fractionation of wastewater characteristics for modelling of Firle Sewage Treatment Works, Harare, Zimbabwe

NASA Astrophysics Data System (ADS)

Muserere, Simon Takawira; Hoko, Zvikomborero; Nhapi, Innocent

Varying conditions are required for different species of microorganisms for the complex biological processes taking place within the activated sludge treatment system. It is against the requirement to manage this complex dynamic system that computer simulators were developed to aid in optimising activated sludge treatment processes. These computer simulators require calibration with quality data input that include wastewater fractionation among others. Thus, this research fractionated raw sewage, at Firle Sewage Treatment Works (STW), for calibration of the BioWin simulation model. Firle STW is a 3-stage activated sludge system. Wastewater characteristics of importance for activated sludge process design can be grouped into carbonaceous, nitrogenous and phosphorus compounds. Division of the substrates and compounds into their constituent fractions is called fractionation and is a valuable tool for process assessment. Fractionation can be carried out using bioassay methods or much simpler physico-chemical methods. The bioassay methods require considerable experience with experimental activated sludge systems and associated measurement techniques while the physico-chemical methods are straight forward. Plant raw wastewater fractionation was carried out through two 14-day campaign periods, the first being from 3 to 16 July 2013 and the second was from 1 to 14 October 2013. According to the Zimbabwean Environmental Management Act, and based on the sensitivity of its catchment, Firle STW effluent discharge regulatory standards in mg/L are COD (<60), TN (<10), ammonia (<0.2), and TP (<1). On the other hand Firle STW Unit 4 effluent quality results based on City of Harare records in mg/L during the period of study were COD (90 ± 35), TN (9.0 ± 3.0), ammonia (0.2 ± 0.4) and TP (3.0 ± 1.0). The raw sewage parameter concentrations measured during the study in mg/L and fractions for raw sewage respectively were as follows total COD (680 ± 37), slowly biodegradable COD

Is fertility falling in Zimbabwe?

PubMed

Udjo, E O

1996-01-01

With an unequalled contraceptive prevalence rate in sub-Saharan Africa, of 43% among currently married women in Zimbabwe, the Central Statistical Office (1989) observed that fertility has declined sharply in recent years. Using data from several surveys on Zimbabwe, especially the birth histories of the Zimbabwe Demographic and Health Survey, this study examines fertility trends in Zimbabwe. The results show that the fertility decline in Zimbabwe is modest and that the decline is concentrated among high order births. Multivariate analysis did not show a statistically significant effect of contraception on fertility, partly because a high proportion of Zimbabwean women in the reproductive age group never use contraception due to prevailing pronatalist attitudes in the country.

Report on The U.S./Africa Roundtable on Trade and Investment

DOT National Transportation Integrated Search

1997-10-08

Following the Fourth Annual African-African American Summit in Harare, Zimbabwe, U.S. Secretary of Transportation Rodney E. Slater pledged to continue his engagement with Africa and to follow-up on the issues and concerns addressed there. On October ...

Factors associated with contracting malaria in Ward 29 of Shamva District, Zimbabwe, 2014.

PubMed

Muchena, Gladwin; Gombe, Notion; Takundwa, Lucia; Tshimanga, Mufuta; Bangure, Donewell; Masuka, Nyasha; Juru, Tsitsi

2017-04-25

Malaria cases at Wadzanayi Clinic in Shamva District, Zimbabwe, increased drastically, surpassing the epidemic threshold, in week four of December 2013. This rise was sustained, which necessitated an investigation of the outbreak. To identify risk factors and system weaknesses to improve epidemic preparedness and response. An unmatched 1:1 case-control study was conducted in Ward 29 of Shamva District in Zimbabwe. Epidemic preparedness and response were assessed using the Zimbabwean epidemic preparedness and response guidelines. The sociodemographic characteristics of all participants were similar, except for gender. The risk factors for contracting malaria were performing early morning chores (odds ratio (OR) 2.75; 95% confidence interval (CI) 1.20 - 6.32), having a body of water near the home (OR 3.41; 95% CI 1.62 - 7.20) and having long grass near the home (OR 2.61; 95% CI 1.10 - 6.37). Protective factors were staying indoors at night (OR 0.13; 95% CI 0.06 - 0.28) and staying in a sprayed home (OR 0.36; 95% CI 0.21 - 0.92). All cases were diagnosed with a malaria rapid diagnostic test. All complicated cases were treated with quinine. Four out of 58 uncomplicated cases were treated with quinine. The rest were treated with co-artemether. There was no documentation of the outbreak response by the district health executive. Respraying (indoor residual spraying) was carried out, with a coverage of 78% of rooms sprayed. One nurse out of seven at Wadzanayi Clinic was trained in integrated disease surveillance and response, and malaria case management. District malaria thresholds were outdated. Malaria commodities such as drugs and sprays did not have reorder limits. This study re-emphasises the importance of environmental- and personal-level factors as determinants of malaria. Poor out-break preparedness and response may have propagated the malaria outbreak in this setting. Health education and the use of mosquito repellants should be emphasised. Larvicide may reduce

Maintenance Downtime August 22, 23, 29, 30, 2014

Atmospheric Science Data Center

2014-08-28

... Friday, August 22, 2014 to Saturday, August 23, 2014 Time:  07:00 pm - 08:00 am EDT Event ... on Friday evening through Saturday morning on Aug. 22-23, and again on Aug. 29-30. Periods of intermittent network outages will occur ...

22 CFR 120.29 - Missile Technology Control Regime.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Missile Technology Control Regime. 120.29... DEFINITIONS § 120.29 Missile Technology Control Regime. (a) For purposes of this subchapter, Missile Technology Control Regime (MTCR) means the policy statement between the United States, the United Kingdom...

Evaluating the Impact of Zimbabwe's Prevention of Mother-to-Child HIV Transmission Program: Population-Level Estimates of HIV-Free Infant Survival Pre-Option A.

PubMed

Buzdugan, Raluca; McCoy, Sandra I; Watadzaushe, Constancia; Kang Dufour, Mi-Suk; Petersen, Maya; Dirawo, Jeffrey; Mushavi, Angela; Mujuru, Hilda Angela; Mahomva, Agnes; Musarandega, Reuben; Hakobyan, Anna; Mugurungi, Owen; Cowan, Frances M; Padian, Nancy S

2015-01-01

We estimated HIV-free infant survival and mother-to-child HIV transmission (MTCT) rates in Zimbabwe, some of the first community-based estimates from a UNAIDS priority country. In 2012 we surveyed mother-infant pairs residing in the catchment areas of 157 health facilities randomly selected from 5 of 10 provinces in Zimbabwe. Enrolled infants were born 9-18 months before the survey. We collected questionnaires, blood samples for HIV testing, and verbal autopsies for deceased mothers/infants. Estimates were assessed among i) all HIV-exposed infants, as part of an impact evaluation of Option A of the 2010 WHO guidelines (rolled out in Zimbabwe in 2011), and ii) the subgroup of infants unexposed to Option A. We compared province-level MTCT rates measured among women in the community with MTCT rates measured using program monitoring data from facilities serving those communities. Among 8568 women with known HIV serostatus, 1107 (12.9%) were HIV-infected. Among all HIV-exposed infants, HIV-free infant survival was 90.9% (95% confidence interval (CI): 88.7-92.7) and MTCT was 8.8% (95% CI: 6.9-11.1). Sixty-six percent of HIV-exposed infants were still breastfeeding. Among the 762 infants born before Option A was implemented, 90.5% (95% CI: 88.1-92.5) were alive and HIV-uninfected at 9-18 months of age, and 9.1% (95%CI: 7.1-11.7) were HIV-infected. In four provinces, the community-based MTCT rate was higher than the facility-based MTCT rate. In Harare, the community and facility-based rates were 6.0% and 9.1%, respectively. By 2012 Zimbabwe had made substantial progress towards the elimination of MTCT. Our HIV-free infant survival and MTCT estimates capture HIV transmissions during pregnancy, delivery and breastfeeding regardless of whether or not mothers accessed health services. These estimates also provide a baseline against which to measure the impact of Option A guidelines (and subsequently Option B+).

22 CFR 120.29 - Missile Technology Control Regime.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Missile Technology Control Regime. 120.29... DEFINITIONS § 120.29 Missile Technology Control Regime. (a) For purposes of this subchapter, Missile... sensitive missile-relevant transfers based on the MTCR Annex, and any amendments thereto. (b) The term MTCR...

22 CFR 120.29 - Missile Technology Control Regime.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Missile Technology Control Regime. 120.29... DEFINITIONS § 120.29 Missile Technology Control Regime. (a) For purposes of this subchapter, Missile... restrict sensitive missile-relevant transfers based on the MTCR Annex, and any amendments thereto; (b) The...

22 CFR 120.29 - Missile Technology Control Regime.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Missile Technology Control Regime. 120.29... DEFINITIONS § 120.29 Missile Technology Control Regime. (a) For purposes of this subchapter, Missile... restrict sensitive missile-relevant transfers based on the MTCR Annex, and any amendments thereto; (b) The...

22 CFR 120.29 - Missile Technology Control Regime.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Missile Technology Control Regime. 120.29... DEFINITIONS § 120.29 Missile Technology Control Regime. (a) For purposes of this subchapter, Missile... restrict sensitive missile-relevant transfers based on the MTCR Annex, and any amendments thereto; (b) The...

Neurodevelopmental Impairment among Infants Born to Mothers Infected with Human Immunodeficiency Virus and Uninfected Mothers from Three Peri-Urban Primary Care Clinics in Harare, Zimbabwe

ERIC Educational Resources Information Center

Kandawasvika, Gwendoline Q.; Ogundipe, Enitan; Gumbo, Felicity Z.; Kurewa, Edith N.; Mapingure, Munyaradzi P.; Stray-Pedersen, Babill

2011-01-01

Aim: The aim of this article is to document the risk of neurodevelopmental impairment (NDI) among infants enrolled in a programme for the prevention of mother-to-child transmission of HIV (human immunodeficiency virus) in Zimbabwe using the Bayley Infant Neurodevelopmental Screener (BINS). Method: We prospectively followed up infants at three…

29 CFR 1956.22 - Procedures for evaluation and monitoring.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Procedures for evaluation and monitoring. 1956.22 Section 1956.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION..., Change, Evaluation and Withdrawal of Approval Procedures § 1956.22 Procedures for evaluation and...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 1 2013-07-01 2013-07-01 false Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 1 2014-07-01 2013-07-01 true Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 1 2012-07-01 2012-07-01 false Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe.

PubMed

Shamu, Simukai; Abrahams, Naeemah; Temmerman, Marleen; Zarowsky, Christina

2013-01-01

Pregnancy offers an opportunity for midwives to recognise and respond to women experiencing intimate partner violence (IPV). However, most antenatal care interventions have been conducted in private specialist services in high-income countries and do not address the structural and cultural realities of developing country settings. We report on an exploratory qualitative study conducted in antenatal public health facilities in Harare, Zimbabwe, involving six in-depth interviews with midwives and seven FGDs with 64 pregnant and postpartum women. Recorded interviews were transcribed verbatim and analysed using thematic content analysis. We found that identifying and responding to IPV in antenatal care is hampered by inadequate human, financial and infrastructural resources as well as poor support of gender-based violence training for midwives. Midwives had divergent views of their role, with some perceiving IPV as a non-clinical, social and domestic problem that does not require their attention, while others who had been sensitised to the problem felt that it could easily overwhelm them. A comprehensive response to IPV by midwives would be difficult to achieve in this setting but sensitised midwives could respond to cues to violence and ultimately assist abused women in culturally sensitive and appropriate ways.

Zimbabwe Culture before Mapungubwe: New Evidence from Mapela Hill, South-Western Zimbabwe

PubMed Central

Chirikure, Shadreck; Manyanga, Munyaradzi; Pollard, A. Mark; Bandama, Foreman; Mahachi, Godfrey; Pikirayi, Innocent

2014-01-01

Across the globe, the emergence of complex societies excites intense academic debate in archaeology and allied disciplines. Not surprisingly, in southern Africa the traditional assumption that the evolution of socio-political complexity began with ideological transformations from K2 to Mapungubwe between CE1200 and 1220 is clouded in controversy. It is believed that the K2−Mapungubwe transitions crystallised class distinction and sacred leadership, thought to be the key elements of the Zimbabwe culture on Mapungubwe Hill long before they emerged anywhere else. From Mapungubwe (CE1220–1290), the Zimbabwe culture was expressed at Great Zimbabwe (CE1300–1450) and eventually Khami (CE1450–1820). However, new fieldwork at Mapela Hill, when coupled with a Bayesian chronology, offers tremendous fresh insights which refute this orthodoxy. Firstly, Mapela possesses enormous prestige stone-walled terraces whose initial construction date from the 11th century CE, almost two hundred years earlier than Mapungubwe. Secondly, the basal levels of the Mapela terraces and hilltop contain élite solid dhaka (adobe) floors associated with K2 pottery and glass beads. Thirdly, with a hilltop and flat area occupation since the 11th century CE, Mapela exhibits evidence of class distinction and sacred leadership earlier than K2 and Mapungubwe, the supposed propagators of the Zimbabwe culture. Fourthly, Mapungubwe material culture only appeared later in the Mapela sequence and therefore post-dates the earliest appearance of stone walling and dhaka floors at the site. Since stone walls, dhaka floors and class distinction are the essence of the Zimbabwe culture, their earlier appearance at Mapela suggests that Mapungubwe can no longer be regarded as the sole cradle of the Zimbabwe culture. This demands not just fresh ways of accounting for the rise of socio-political complexity in southern Africa, but also significant adjustments to existing models. PMID:25360782

Zimbabwe culture before Mapungubwe: new evidence from Mapela Hill, South-Western Zimbabwe.

PubMed

Chirikure, Shadreck; Manyanga, Munyaradzi; Pollard, A Mark; Bandama, Foreman; Mahachi, Godfrey; Pikirayi, Innocent

2014-01-01

Across the globe, the emergence of complex societies excites intense academic debate in archaeology and allied disciplines. Not surprisingly, in southern Africa the traditional assumption that the evolution of socio-political complexity began with ideological transformations from K2 to Mapungubwe between CE1200 and 1220 is clouded in controversy. It is believed that the K2-Mapungubwe transitions crystallised class distinction and sacred leadership, thought to be the key elements of the Zimbabwe culture on Mapungubwe Hill long before they emerged anywhere else. From Mapungubwe (CE1220-1290), the Zimbabwe culture was expressed at Great Zimbabwe (CE1300-1450) and eventually Khami (CE1450-1820). However, new fieldwork at Mapela Hill, when coupled with a Bayesian chronology, offers tremendous fresh insights which refute this orthodoxy. Firstly, Mapela possesses enormous prestige stone-walled terraces whose initial construction date from the 11th century CE, almost two hundred years earlier than Mapungubwe. Secondly, the basal levels of the Mapela terraces and hilltop contain élite solid dhaka (adobe) floors associated with K2 pottery and glass beads. Thirdly, with a hilltop and flat area occupation since the 11th century CE, Mapela exhibits evidence of class distinction and sacred leadership earlier than K2 and Mapungubwe, the supposed propagators of the Zimbabwe culture. Fourthly, Mapungubwe material culture only appeared later in the Mapela sequence and therefore post-dates the earliest appearance of stone walling and dhaka floors at the site. Since stone walls, dhaka floors and class distinction are the essence of the Zimbabwe culture, their earlier appearance at Mapela suggests that Mapungubwe can no longer be regarded as the sole cradle of the Zimbabwe culture. This demands not just fresh ways of accounting for the rise of socio-political complexity in southern Africa, but also significant adjustments to existing models.

Progress towards malaria elimination in Zimbabwe with special reference to the period 2003-2015.

PubMed

Sande, Shadreck; Zimba, Moses; Mberikunashe, Joseph; Tangwena, Andrew; Chimusoro, Anderson

2017-07-24

An intensive effort to control malaria in Zimbabwe has produced dramatic reductions in the burden of the disease over the past 13 years. The successes have prompted the Zimbabwe's National Malaria Control Programme to commit to elimination of malaria. It is critical to analyse the changes in the morbidity trends based on surveillance data, and scrutinize reorientation to strategies for elimination. This is a retrospective study of available Ministry of Health surveillance data and programme reports, mostly from 2003 to 2015. Malaria epidemiological data were drawn from the National Health Information System database. Data on available resources, malaria control strategies, morbidity and mortality trends were analysed, and opportunities for Zimbabwe malaria elimination agenda was perused. With strong government commitment and partner support, the financial gap for malaria programming shrank by 91.4% from about US$13 million in 2012 to US$1 million in 2015. Vector control comprises indoor residual house spraying (IRS) and long-lasting insecticidal nets, and spray coverage increased from 28% in 2003 to 95% in 2015. Population protected by IRS increased also from 20 to 96% for the same period. In 2009, diagnostics improved from clinical to parasitological confirmation either by rapid diagnostic tests or microscopy. Artemisinin-based combination therapy was used to treat malaria following chloroquine resistance in 2000, and sulfadoxine-pyrimethamine in 2004. In 2003, there were 155 malaria cases per 1000 populations reported from all health facilities throughout the country. The following decade witnessed a substantial decline in cases to only 22 per 1000 populations in 2012. A resurgence was reported in 2013 (29/1000) and 2014 (39/1000), thereafter morbidity declined to 29 cases per 1000 populations, only to the same level as in 2013. Overall, morbidity declined by 81% from 2003 to 2015. Inpatient malaria deaths per 100,000 populations doubled in 4 years, from 2

Understanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabwe

PubMed Central

Mavhu, Webster; Wogrin, Carol; Mutsinze, Abigail; Kagee, Ashraf

2018-01-01

Background Studies have found that adolescents living with HIV are at risk of depression, which in turn affects adherence to medication. This study explored the experience and manifestation of depression in adolescents living with HIV in Zimbabwe in order to inform intervention development. Methods We conducted a body mapping exercise with 21 HIV positive 15–19 years olds who had been diagnosed with major depressive disorder. Participants created a painted map of their body to assist them in expressing their somatic and emotional experiences in qualitative interviews. The interviews were transcribed and thematically coded using NVivo 10. Results Participants attributed their experiences of depression to their relationships and interactions with significant people in their lives, primarily family members and peers. A sense of being different from others was common among participants, both due to their HIV status and the impact HIV has had on their life circumstances. Participants described a longing to be important or to matter to the people in their lives. A sense of isolation and rejection was common, as well as grief and loss, including ambiguous and anticipated loss. Participants’ idioms of distress included ‘thinking deeply’ (‘kufungisisa’), ‘pain’, darkness, ‘stress’ or a lack of hope and ambiguity for the future. Suicidal ideation was described, including slow suicide through poor adherence. Supportive factors were also relational, including the importance of supportive relatives and peers, clinic staff and psychosocial support programmes. Conclusions An understanding of HIV positive adolescents’ own narratives around depression can inform the development and integration of appropriate mental health interventions within HIV care and treatment programmes. Study findings suggest that family and peer-led interventions are potentially useful in the prevention and management of depression in adolescents living with HIV. PMID:29298326

Acceptability of lifelong treatment among HIV-positive pregnant and breastfeeding women (Option B+) in selected health facilities in Zimbabwe: a qualitative study.

PubMed

Chadambuka, Addmore; Katirayi, Leila; Muchedzi, Auxilia; Tumbare, Esther; Musarandega, Reuben; Mahomva, Agnes I; Woelk, Godfrey

2017-07-25

Zimbabwe's Ministry of Health and Child Care (MOHCC) adopted 2013 World Health Organization (WHO) prevention of mother-to-child HIV transmission (PMTCT) guidelines recommending initiation of HIV-positive pregnant and breastfeeding women (PPBW) on lifelong antiretroviral treatment (ART) irrespective of clinical stage (Option B+). Option B+ was officially launched in Zimbabwe in November 2013; however the acceptability of life-long ART and its potential uptake among women was not known. A qualitative study was conducted at selected sites in Harare (urban) and Zvimba (rural) to explore Option B+ acceptability; barriers, and facilitators to ART adherence and service uptake. In-depth interviews (IDIs), focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with PPBW, healthcare providers, and community members. All interviews were audio-recorded, transcribed, and translated; data were coded and analyzed in MaxQDA v10. Forty-three IDIs, 22 FGDs, and five KIIs were conducted. The majority of women accepted lifelong ART. There was however, a fear of commitment to taking lifelong medication because they were afraid of defaulting, especially after cessation of breastfeeding. There was confusion around dosage; and fear of side effects, not having enough food to take drugs, and the lack of opportunities to ask questions in counseling. Participants reported the need for strengthening community sensitization for Option B+. Facilitators included receiving a simplified pill regimen; ability to continue breastfeeding beyond 6 months like HIV-negative women; and partner, community and health worker support. Barriers included distance of health facility, non-disclosure of HIV status, poor male partner support and knowing someone who had negative experience on ART. This study found that Option B+ is generally accepted among PPBW as a means to strengthen their health and protect their babies. Consistent with previous literature, this study demonstrated the

29 CFR 102.22 - Extension of time for filing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Extension of time for filing. 102.22 Section 102.22 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD RULES AND REGULATIONS, SERIES 8 Procedure Under... of time for filing. Upon his own motion or upon proper cause shown by any other party the regional...

29 CFR 102.22 - Extension of time for filing.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 2 2013-07-01 2013-07-01 false Extension of time for filing. 102.22 Section 102.22 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD RULES AND REGULATIONS, SERIES 8 Procedure Under... of time for filing. Upon his own motion or upon proper cause shown by any other party the regional...

29 CFR 102.22 - Extension of time for filing.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 2 2012-07-01 2012-07-01 false Extension of time for filing. 102.22 Section 102.22 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD RULES AND REGULATIONS, SERIES 8 Procedure Under... of time for filing. Upon his own motion or upon proper cause shown by any other party the regional...

29 CFR 102.22 - Extension of time for filing.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 2 2014-07-01 2014-07-01 false Extension of time for filing. 102.22 Section 102.22 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD RULES AND REGULATIONS, SERIES 8 Procedure Under... of time for filing. Upon his own motion or upon proper cause shown by any other party the regional...

29 CFR 102.22 - Extension of time for filing.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 2 2011-07-01 2011-07-01 false Extension of time for filing. 102.22 Section 102.22 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD RULES AND REGULATIONS, SERIES 8 Procedure Under... of time for filing. Upon his own motion or upon proper cause shown by any other party the regional...

Zimbabwe: 2008 Elections and Implications for U.S. Policy

DTIC Science & Technology

2008-09-26

region.඀ President Mwanawasa reportedly suffered a stroke on the eve of the AU Summit in Sharm el- Sheikh and passed away on August 19, 2008. Since...stakeholders once the results are announced.59 At the June 29- July 1 AU Summit in Sharm el Sheikh, Egypt, Botswana’s Vice President joined leaders from...Zimbabwe, and he called on AU leaders not to allow Mugabe to attend the Sharm el-Sheikh summit. The African Union has some precedent for intervening

Results of clubfoot treatment after manipulation and casting using the Ponseti method: experience in Harare, Zimbabwe.

PubMed

Smythe, Tracey; Chandramohan, Daniel; Bruce, Jane; Kuper, Hannah; Lavy, Christopher; Foster, Allen

2016-10-01

The objective of this study was to evaluate the outcomes of the Ponseti manipulation and casting method for clubfoot in a tertiary hospital in Zimbabwe and explore predictors of these outcomes. A cohort study included children with idiopathic clubfoot managed from 2011 to 2013 at Parirenyatwa Hospital. Demographic data, clinical features and treatment outcomes were extracted from clinic records. The primary outcome measure was the final Pirani score (clubfoot severity measure) after manipulation and casting. Secondary outcomes included change in Pirani score (pre-treatment to end of casting), number of casts for correction, proportion receiving tenotomy and proportion lost to follow up. A total of 218 children (337 feet) were eligible for inclusion. The median age at treatment was 8 months; 173 children (268 feet) completed casting treatment within the study period. The mean length of time for corrective treatment was 10.2 weeks (9.5-10.9 weeks). Of the 45 children who did not complete treatment, 28 were under treatment and 17 were lost to follow up. A Pirani score of 1 or less was achieved in 85% of feet. Mean Pirani score at presentation was 3.80 (SD 1.15) and post-treatment 0.80 (SD 0.56, P-value <0.0001). Severity of deformity and being male were associated with a higher (worse) final Pirani score. Severity and age over two were associated with an increase in the number of casts required to correct deformity. This case series demonstrates that the majority (80%+) of children with clubfoot can achieve a good outcome with the Ponseti manipulation and casting method. © 2016 John Wiley & Sons Ltd.

Female genital mutilation among mothers and daughters in Harar, eastern Ethiopia.

PubMed

Oljira, Teshome; Assefa, Nega; Dessie, Yadeta

2016-12-01

To assess the practice of female genital mutilation (FGM) among mothers and daughters, and to investigate sociodemographic factors influencing the practice of FGM in Harar, Ethiopia. A community-based cross-sectional study was conducted among women aged 15 years or older who had at least one living daughter younger than 12 years via the Harar Health and Demographic Surveillance System 2013. Data were collected through face-to-face interviews. The practice of FGM was compared between mothers and their daughters. Whether the daughter had undergone FGM was included as an outcome variable in bivariate and multivariate analyses. Among 842 mothers, 669 (79.5%) reported that they had undergone FGM themselves, and 160 (19.0%) that their daughter had undergone FGM. Traditional practitioners were said to be the major performers of FGM by 151 (94.4%) mothers. Mothers whose daughter was mutilated mentioned social acceptance (144 [90.0%] women) and better marriage prospects (96 [60.0%]) as the major benefits. Genital mutilation of daughters was significantly associated with maternal age, education to grade 1-4, and FGM experience. Amhara ethnic origin was significantly associated with a reduced likelihood of FGM among daughters. Over one generation, the incidence of FGM has reduced. Increasing advocacy against FGM and enforcement of law should be emphasized. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Temperament Styles of Zimbabwe and U.S. Children

ERIC Educational Resources Information Center

Oakland, Thomas; Mpofu, Elias; Sulkowski, Michael

2006-01-01

Temperament styles of 600 Zimbabwe children are described and compared to those of 3,200 U.S. children. Gender and age differences are described for children in Zimbabwe and compared to U.S. children. Results indicate that Zimbabwe children generally prefer extroverted to introverted styles, practical to imaginative styles, feeling to thinking…

29 CFR 510.22 - Industries eligible for minimum wage phase-in.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Industries eligible for minimum wage phase-in. 510.22 Section 510.22 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR... ACT IN PUERTO RICO Classification of Industries § 510.22 Industries eligible for minimum wage phase-in...

Towards Respecting Children's Rights, Obligations and Responsibilities: The Zimbabwean Case

ERIC Educational Resources Information Center

Mhaka-Mutepfa, Magen; Maree, Jacobus Gideon; Chiganga, Gilbert

2014-01-01

This article reports on an attempt to demonstrate the importance of putting theory into practice in a way that will impact on the lives of children who are currently being denied their basic rights. Purposive sampling of schools in urban areas in Harare Province, Zimbabwe, was used with data collected from 147 participants (M age?=?16.9,…

29 CFR 502.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 3 2014-07-01 2014-07-01 false Civil money penalties-payment and collection. 502.22... § 502.22 Civil money penalties—payment and collection. Where the assessment is directed in a final order... promptly the amount thereof as finally determined, to the Administrator, WHD by certified check or by money...

29 CFR 502.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 3 2013-07-01 2013-07-01 false Civil money penalties-payment and collection. 502.22... § 502.22 Civil money penalties—payment and collection. Where the assessment is directed in a final order... promptly the amount thereof as finally determined, to the Administrator, WHD by certified check or by money...

29 CFR 502.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 3 2011-07-01 2011-07-01 false Civil money penalties-payment and collection. 502.22... § 502.22 Civil money penalties—payment and collection. Where the assessment is directed in a final order... promptly the amount thereof as finally determined, to the Administrator, WHD by certified check or by money...

29 CFR 502.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 3 2012-07-01 2012-07-01 false Civil money penalties-payment and collection. 502.22... § 502.22 Civil money penalties—payment and collection. Where the assessment is directed in a final order... promptly the amount thereof as finally determined, to the Administrator, WHD by certified check or by money...

29 CFR 502.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Civil money penalties-payment and collection. 502.22... § 502.22 Civil money penalties—payment and collection. Where the assessment is directed in a final order... promptly the amount thereof as finally determined, to the Administrator, WHD by certified check or by money...

29 CFR 501.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 3 2012-07-01 2012-07-01 false Civil money penalties-payment and collection. 501.22... SECTION 218 OF THE IMMIGRATION AND NATIONALITY ACT Enforcement § 501.22 Civil money penalties—payment and collection. Where a civil money penalty is assessed in a final order by the WHD Administrator, by an ALJ, or...

29 CFR 501.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 3 2014-07-01 2014-07-01 false Civil money penalties-payment and collection. 501.22... SECTION 218 OF THE IMMIGRATION AND NATIONALITY ACT Enforcement § 501.22 Civil money penalties—payment and collection. Where a civil money penalty is assessed in a final order by the WHD Administrator, by an ALJ, or...

29 CFR 501.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 3 2013-07-01 2013-07-01 false Civil money penalties-payment and collection. 501.22... SECTION 218 OF THE IMMIGRATION AND NATIONALITY ACT Enforcement § 501.22 Civil money penalties—payment and collection. Where a civil money penalty is assessed in a final order by the WHD Administrator, by an ALJ, or...

29 CFR 501.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 3 2011-07-01 2011-07-01 false Civil money penalties-payment and collection. 501.22... SECTION 218 OF THE IMMIGRATION AND NATIONALITY ACT Enforcement § 501.22 Civil money penalties—payment and collection. Where a civil money penalty is assessed in a final order by the WHD Administrator, by an ALJ, or...

29 CFR 501.22 - Civil money penalties-payment and collection.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Civil money penalties-payment and collection. 501.22... SECTION 218 OF THE IMMIGRATION AND NATIONALITY ACT Enforcement § 501.22 Civil money penalties—payment and collection. Where a civil money penalty is assessed in a final order by the WHD Administrator, by an ALJ, or...

Zimbabwe

DTIC Science & Technology

2009-02-20

arrears, and foreign currency for essential imports, particularly fuel, is in extremely short supply. The IMF suggests that the inflation rate will not... devalue the official exchange rate. Instead, in June 2006, Gono devalued the country’s currency , the Zimbabwe dollar, removing three zeros in an effort to...23 The IMF and the World Bank

Zimbabwe

DTIC Science & Technology

2007-12-06

than six years due to nonpayment of arrears, and foreign currency for essential imports, particularly fuel, is in extremely short supply. The IMF ...the government has refused to devalue the official exchange rate. Instead, in June 2006, Gono devalued the country’s currency , the Zimbabwe dollar...24 The IMF and the World Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Attempts to Revive Agriculture

Access, attitudes and training in information technologies and evidence-based medicine among medical students at University of Zimbabwe College of Health Sciences.

PubMed

Parve, Swapnil; Ershadi, Ali; Karimov, Alexandr; Dougherty, Anne; Ndhlovu, Chiratidzo E; Chidzonga, Midion M; Sadigh, Majid

2016-09-01

The Medical Education Partnership Initiative, has helped to mitigate the digital divide in Africa. The aim of the study was to assess the level of access, attitude, and training concerning meaningful use of electronic resources and EBM among medical students at an African medical school. The study involved medical students at the University of Zimbabwe College of Health Sciences, Harare. The needs assessment tool consisted of a 21-question, paper-based, voluntary and anonymous survey. A total of 61/67 (91%), responded to the survey. 60% of the medical students were 'third-year medical students'. Among medical students, 85% of responders had access to digital medical resources, but 54% still preferred printed medical textbooks. Although 25% of responders had received training in EBM, but only 7% found it adequate. 98% of the participants did not receive formal training in journal club presentation or analytical reading of medical literature, but 77 % of them showed interest in learning these skills. Lack of training in EBM, journal club presentation and analytical reading skills have limited the impact of upgraded technology in enhancing the level of knowledge. This impact can be boosted by developing a curriculum with skills necessary in using EBM.

Escherichia coli Contamination across Multiple Environmental Compartments (Soil, Hands, Drinking Water, and Handwashing Water) in Urban Harare: Correlations and Risk Factors.

PubMed

Navab-Daneshmand, Tala; Friedrich, Max N D; Gächter, Marja; Montealegre, Maria Camila; Mlambo, Linn S; Nhiwatiwa, Tamuka; Mosler, Hans-Joachim; Julian, Timothy R

2018-03-01

Escherichia coli pathotypes (i.e., enteropathogenic and enterotoxigenic) have been identified among the pathogens most responsible for moderate-to-severe diarrhea in low- and middle-income countries (LMICs). Pathogenic E. coli are transmitted from infected human or animal feces to new susceptible hosts via environmental reservoirs such as hands, water, and soil. Commensal E. coli , which includes nonpathogenic E. coli strains, are widely used as fecal bacteria indicator, with their presence associated with increased likelihood of enteric pathogens and/or diarrheal disease. In this study, we investigated E. coli contamination in environmental reservoirs within households ( N = 142) in high-population density communities of Harare, Zimbabwe. We further assessed the interconnectedness of the environmental compartments by investigating associations between, and household-level risk factors for, E. coli contamination. From the data we collected, the source and risk factors for E. coli contamination are not readily apparent. One notable exception is the presence of running tap water on the household plot, which is associated with significantly less E. coli contamination of drinking water, handwashing water, and hands after handwashing. In addition, E. coli levels on hands after washing are significantly associated with handwashing water contamination, hand contamination before washing, and diarrhea incidence. Finally, we observed that animal ownership increases E. coli contamination in soil, and E. coli in soil are correlated with contamination on hands before washing. This study highlights the complexity of E. coli contamination in household environments within LMICs. More, larger, studies are needed to better identify sources and exposure pathways of E. coli -and enteric pathogens generally-to identify effective interventions.

A Reevaluation of the Voluntary Medical Male Circumcision Scale-Up Plan in Zimbabwe.

PubMed

Awad, Susanne F; Sgaier, Sema K; Ncube, Gertrude; Xaba, Sinokuthemba; Mugurungi, Owen M; Mhangara, Mutsa M; Lau, Fiona K; Mohamoud, Yousra A; Abu-Raddad, Laith J

2015-01-01

The voluntary medical male circumcision (VMMC) program in Zimbabwe aims to circumcise 80% of males aged 13-29 by 2017. We assessed the impact of actual VMMC scale-up to date and evaluated the impact of potential alterations to the program to enhance program efficiency, through prioritization of subpopulations. We implemented a recently developed analytical approach: the age-structured mathematical (ASM) model and accompanying three-level conceptual framework to assess the impact of VMMC as an intervention. By September 2014, 364,185 males were circumcised, an initiative that is estimated to avert 40,301 HIV infections by 2025. Through age-group prioritization, the number of VMMCs needed to avert one infection (effectiveness) ranged between ten (20-24 age-group) and 53 (45-49 age-group). The cost per infection averted ranged between $811 (20-24 age-group) and $5,518 (45-49 age-group). By 2025, the largest reductions in HIV incidence rate (up to 27%) were achieved by prioritizing 10-14, 15-19, or 20-24 year old. The greatest program efficiency was achieved by prioritizing 15-24, 15-29, or 15-34 year old. Prioritizing males 13-29 year old was programmatically efficient, but slightly inferior to the 15-24, 15-29, or 15-34 age groups. Through geographic prioritization, effectiveness varied from 9-12 VMMCs per infection averted across provinces. Through risk-group prioritization, effectiveness ranged from one (highest sexual risk-group) to 60 (lowest sexual risk-group) VMMCs per infection averted. The current VMMC program plan in Zimbabwe is targeting an efficient and impactful age bracket (13-29 year old), but program efficiency can be improved by prioritizing a subset of males for demand creation and service availability. The greatest program efficiency can be attained by prioritizing young sexually active males and males whose sexual behavior puts them at higher risk for acquiring HIV.

29 CFR 510.22 - Industries eligible for minimum wage phase-in.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 3 2012-07-01 2012-07-01 false Industries eligible for minimum wage phase-in. 510.22... ACT IN PUERTO RICO Classification of Industries § 510.22 Industries eligible for minimum wage phase-in. (a) Appendix A contains a listing of all industries included in the Census of Manufacturing. Appendix...

29 CFR 510.22 - Industries eligible for minimum wage phase-in.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 3 2013-07-01 2013-07-01 false Industries eligible for minimum wage phase-in. 510.22... ACT IN PUERTO RICO Classification of Industries § 510.22 Industries eligible for minimum wage phase-in. (a) Appendix A contains a listing of all industries included in the Census of Manufacturing. Appendix...

29 CFR 510.22 - Industries eligible for minimum wage phase-in.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 3 2014-07-01 2014-07-01 false Industries eligible for minimum wage phase-in. 510.22... ACT IN PUERTO RICO Classification of Industries § 510.22 Industries eligible for minimum wage phase-in. (a) Appendix A contains a listing of all industries included in the Census of Manufacturing. Appendix...

29 CFR 510.22 - Industries eligible for minimum wage phase-in.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 3 2011-07-01 2011-07-01 false Industries eligible for minimum wage phase-in. 510.22... ACT IN PUERTO RICO Classification of Industries § 510.22 Industries eligible for minimum wage phase-in. (a) Appendix A contains a listing of all industries included in the Census of Manufacturing. Appendix...

Community burden of undiagnosed HIV infection among adolescents in Zimbabwe following primary healthcare-based provider-initiated HIV testing and counselling: A cross-sectional survey.

PubMed

Simms, Victoria; Dauya, Ethel; Dakshina, Subathira; Bandason, Tsitsi; McHugh, Grace; Munyati, Shungu; Chonzi, Prosper; Kranzer, Katharina; Ncube, Getrude; Masimirembwa, Collen; Thelingwani, Roslyn; Apollo, Tsitsi; Hayes, Richard; Weiss, Helen A; Ferrand, Rashida A

2017-07-01

Children living with HIV who are not diagnosed in infancy often remain undiagnosed until they present with advanced disease. Provider-initiated testing and counselling (PITC) in health facilities is recommended for high-HIV-prevalence settings, but it is unclear whether this approach is sufficient to achieve universal coverage of HIV testing. We aimed to investigate the change in community burden of undiagnosed HIV infection among older children and adolescents following implementation of PITC in Harare, Zimbabwe. Over the course of 2 years (January 2013-January 2015), 7 primary health clinics (PHCs) in southwestern Harare implemented optimised, opt-out PITC for all attendees aged 6-15 years. In February 2015-December 2015, we conducted a representative cross-sectional survey of 8-17-year-olds living in the 7 communities served by the study PHCs, who would have had 2 years of exposure to PITC. Knowledge of HIV status was ascertained through a caregiver questionnaire, and anonymised HIV testing was carried out using oral mucosal transudate (OMT) tests. After 1 participant taking antiretroviral therapy was observed to have a false negative OMT result, from July 2015 urine samples were obtained from all participants providing OMTs and tested for antiretroviral drugs to confirm HIV status. Children who tested positive through PITC were identified from among survey participants using gender, birthdate, and location. Of 7,146 children in 4,251 eligible households, 5,486 (76.8%) children in 3,397 households agreed to participate in the survey, and 141 were HIV positive. HIV prevalence was 2.6% (95% CI 2.2%-3.1%), and over a third of participants with HIV were undiagnosed (37.7%; 95% CI 29.8%-46.2%). Similarly, among the subsample of 2,643 (48.2%) participants with a urine test result, 34.7% of those living with HIV were undiagnosed (95% CI 23.5%-47.9%). Based on extrapolation from the survey sample to the community, we estimated that PITC over 2 years identified between

Child Sexual Abuse in Zimbabwe.

PubMed

Mantula, Fennie; Saloojee, Haroon

2016-01-01

Although child sexual abuse is a significant public health problem globally, its incidence, prevention, and management is less well described in resource-poor settings. In poorer settings prevention initiatives assume even more importance since resources for managing abused children are severely limited. This article examines the current status of policy and practice related to the prevention of child sexual abuse in Zimbabwe. It identifies implementation challenges and highlights opportunities that could be embraced to reduce CSA in Zimbabwe, based on evidence synthesized from recent work. Although Zimbabwe has a well-established legal and regulatory framework to protect children from child sexual abuse, implementation of existing policies is weak. Financial, human, and material resource constraints are frequently cited to explain limited prevention activity. Effective strategies for the prevention of child sexual abuse should focus on implementing existing legislation, targeting schoolchildren, and getting community involvement. A dedicated budget would help entrench these strategies, but gains can be achieved even in the absence of this.

Zimbabwe Colonial and Post-Colonial Language Policy and Planning Practices

ERIC Educational Resources Information Center

Makoni, Sinfree B.; Dube, Busi; Mashiri, Pedzisai

2006-01-01

This monograph focuses on the development of colonial and post-colonial language policies and practices in Zimbabwe, attributing changes to evolving philosophies and politics in colonial and post-colonial Zimbabwe. In colonial Zimbabwe, we argue that the language policies had as one of their key objectives the development of a bilingual white…

Zimbabwe

DTIC Science & Technology

2008-09-26

foreign currency for essential imports, particularly fuel, is in extremely short supply. The IMF suggests that the inflation rate will not reverse without...international assessments of Zimbabwe’s economic prospects remain bleak. Ignoring the advice of the IMF , the government has refused to devalue the official...exchange rate. Instead, in June 2006, Gono devalued the country’s currency , the Zimbabwe dollar, removing three zeros in an effort to mitigate

"I don't feel shy because I will be among others who are just like me…": The role of support groups for children perinatally infected with HIV in Zimbabwe.

PubMed

Mupambireyi, Zivai; Bernays, Sarah; Bwakura-Dangarembizi, Mutsa; Cowan, Frances M

2014-10-01

As access to paediatric antiretroviral therapy (ART) continues to improve in sub-Saharan Africa, a new historically specific cohort of HIV-perinatally infected children surviving into adolescent has emerged. Although remarkable successes have been made clinically in keeping this cohort alive and in reasonable health, their social support experiences are still unknown. The research being reported here sought to explore peer social support experiences of HIV-perinatally infected children in Harare, Zimbabwe. In this article, we draw on 56 repeat in-depth interviews (IDIs) conducted in three phases and two focus group discussions (FGDs) with HIV-infected children (11-13 years). Additional interviews were held with 10 carers. Study findings suggested that both children and carers perceive support groups as a safe social space for learning and acquiring HIV information as well as gaining confidence. Additionally, findings highlighted the importance of consistency of participation. Structural and personal barriers to access and participation in support group were also identified. We conclude that support groups are a useful resource for HIV-infected children and therefore should be supported by stable funding.

“That Pregnancy Can Bring Noise into the Family”: Exploring Intimate Partner Sexual Violence during Pregnancy in the Context of HIV in Zimbabwe

PubMed Central

Shamu, Simukai; Abrahams, Naeemah; Temmerman, Marleen; Shefer, Tamara; Zarowsky, Christina

2012-01-01

Background Globally, studies report a high prevalence of intimate partner sexual violence (IPSV) and an association with HIV infection. Despite the criminalisation of IPSV and deliberate sexual HIV infection in Zimbabwe, IPSV remains common. This study explored women's and health workers' perspectives and experiences of sexuality and sexual violence in pregnancy, including in relation to HIV testing. Methods This qualitative study was part of a larger study of the dynamics of intimate partner violence and HIV in pregnancy in Zimbabwe. Key informant interviews were conducted with health workers and focus group discussions were held with 64 pregnant or nursing mothers attending antenatal and postnatal care clinics in low-income neighbourhoods of Harare, covering the major thematic areas of validated sexual violence research instruments. Thematic content analysis of audio-recorded and transcribed data was conducted. Results While women reported some positive experiences of sex in pregnancy, most participants commonly experienced coercive sexual practices. They reported that men failed to understand, or refused to accept, pregnancy and its associated emotional changes, and often forced painful and degrading sexual acts on them, usually while the men were under the influence of alcohol or illicit drugs. Men often refused or delayed HIV testing, and participants reported accounts of HIV-positive men not disclosing their status to their partners and deliberately infecting or attempting to infect them. Women's passive acceptance of sexual violence was influenced by advice they received from other females to subordinate to their partners and to not deprive men of their conjugal sexual rights. Conclusions Cultural and societal factors, unequal gender norms and practices, women's economic vulnerability, and men's failure to understand pregnancy and emotional changes, influence men to perpetrate IPSV, leading to high risk of HIV infection. PMID:22937018

What was the population of Great Zimbabwe (CE1000 - 1800)?

PubMed

Chirikure, Shadreck; Moultrie, Thomas; Bandama, Foreman; Dandara, Collett; Manyanga, Munyaradzi

2017-01-01

The World Heritage Site of Great Zimbabwe is one of the most iconic and largest archaeological settlements in Africa. It was the hub of direct and indirect trade which internally connected various areas of southern Africa, and externally linked them with East Africa and the Near and Far East. Archaeologists believe that at its peak, Great Zimbabwe had a fully urban population of 20,000 people concentrated in approximately 2.9 square kilometres (40 percent of 720 ha). This translates to a population density of 6,897, which is comparable with that of some of the most populous regions of the world in the 21st century. Here, we combine archaeological, ethnographic and historical evidence with ecological and statistical modelling to demonstrate that the total population estimate for the site's nearly 800-year occupational duration (CE1000-1800), after factoring in generational succession, is unlikely to have exceeded 10,000 people. This conclusion is strongly firmed up by the absence of megamiddens at the site, the chronological differences between several key areas of the settlement traditionally assumed to be coeval, and the historically documented low populations recorded for the sub-continent between CE1600 and 1950.

78 FR 41192 - Publication of General License Related to the Zimbabwe Sanctions Program

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-09

... Development Bank of Zimbabwe and Infrastructure Development Bank of Zimbabwe, subject to certain limitations... Infrastructure Development Bank of Zimbabwe, subject to certain limitations. At the time of its issuance on April... and Infrastructure Development Bank of Zimbabwe (a) Effective April 24, 2013, all transactions...

Zimbabwe

DTIC Science & Technology

2009-04-01

Fund ( IMF ) lending has been suspended since 2000 due to nonpayment of arrears, and foreign currency for essential imports, particularly fuel, is in...remain bleak in the near term. Ignoring the advice of the IMF , the government refused to devalue the official exchange rate. Instead, in June 2006...Gono devalued the country’s currency , the Zimbabwe dollar, removing three zeros in an effort to mitigate inflation. Under “Operation Sunrise,” the

Escherichia coli Contamination across Multiple Environmental Compartments (Soil, Hands, Drinking Water, and Handwashing Water) in Urban Harare: Correlations and Risk Factors

PubMed Central

Navab-Daneshmand, Tala; Friedrich, Max N. D.; Gächter, Marja; Montealegre, Maria Camila; Mlambo, Linn S.; Nhiwatiwa, Tamuka; Mosler, Hans-Joachim; Julian, Timothy R.

2018-01-01

Abstract. Escherichia coli pathotypes (i.e., enteropathogenic and enterotoxigenic) have been identified among the pathogens most responsible for moderate-to-severe diarrhea in low- and middle-income countries (LMICs). Pathogenic E. coli are transmitted from infected human or animal feces to new susceptible hosts via environmental reservoirs such as hands, water, and soil. Commensal E. coli, which includes nonpathogenic E. coli strains, are widely used as fecal bacteria indicator, with their presence associated with increased likelihood of enteric pathogens and/or diarrheal disease. In this study, we investigated E. coli contamination in environmental reservoirs within households (N = 142) in high-population density communities of Harare, Zimbabwe. We further assessed the interconnectedness of the environmental compartments by investigating associations between, and household-level risk factors for, E. coli contamination. From the data we collected, the source and risk factors for E. coli contamination are not readily apparent. One notable exception is the presence of running tap water on the household plot, which is associated with significantly less E. coli contamination of drinking water, handwashing water, and hands after handwashing. In addition, E. coli levels on hands after washing are significantly associated with handwashing water contamination, hand contamination before washing, and diarrhea incidence. Finally, we observed that animal ownership increases E. coli contamination in soil, and E. coli in soil are correlated with contamination on hands before washing. This study highlights the complexity of E. coli contamination in household environments within LMICs. More, larger, studies are needed to better identify sources and exposure pathways of E. coli—and enteric pathogens generally—to identify effective interventions. PMID:29363444

29 CFR 1917.22 - Hazardous cargo 2 (See § 1917.2(p)).

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 7 2013-07-01 2013-07-01 false Hazardous cargo 2 (See § 1917.2(p)). 1917.22 Section 1917.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... § 1917.2(p)). 2 The Department of Transportation and the United States Coast Guard apply requirements...

29 CFR 1917.22 - Hazardous cargo 2 (See § 1917.2(p)).

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 7 2011-07-01 2011-07-01 false Hazardous cargo 2 (See § 1917.2(p)). 1917.22 Section 1917.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... § 1917.2(p)). 2 The Department of Transportation and the United States Coast Guard apply requirements...

29 CFR 1917.22 - Hazardous cargo 2 (See § 1917.2(p)).

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 7 2014-07-01 2014-07-01 false Hazardous cargo 2 (See § 1917.2(p)). 1917.22 Section 1917.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... § 1917.2(p)). 2 The Department of Transportation and the United States Coast Guard apply requirements...

29 CFR 1917.22 - Hazardous cargo 2 (See § 1917.2(p)).

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Hazardous cargo 2 (See § 1917.2(p)). 1917.22 Section 1917.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... § 1917.2(p)). 2 The Department of Transportation and the United States Coast Guard apply requirements...

29 CFR 1917.22 - Hazardous cargo 2 (See § 1917.2(p)).

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 7 2012-07-01 2012-07-01 false Hazardous cargo 2 (See § 1917.2(p)). 1917.22 Section 1917.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... § 1917.2(p)). 2 The Department of Transportation and the United States Coast Guard apply requirements...

Increased incidence of tuberculosis in zimbabwe, in association with food insecurity, and economic collapse: an ecological analysis.

PubMed

Burke, Stephen J; Lass, Elliot; Thistle, Paul; Katumbe, Lovemore; Jetha, Arif; Schwarz, Dan; Bolotin, Shelly; Barker, R D; Simor, Andrew; Silverman, Michael

2014-01-01

Zimbabwe underwent a socioeconomic crisis and resultant increase in food insecurity in 2008-9. The impact of the crisis on Tuberculosis (TB) incidence is unknown. Prospective databases from two mission hospitals, which were geographically widely separated, and remained open during the crisis, were reviewed. At the Howard Hospital (HH) in northern Zimbabwe, TB incidence increased 35% in 2008 from baseline rates in 2003-2007 (p<0.01) and remained at that level in 2009. Murambinda Hospital (MH) in Eastern Zimbabwe also demonstrated a 29% rise in TB incidence from 2007 to 2008 (p<0.01) and remained at that level in 2009. Data collected post-crisis at HH showed a decrease of 33% in TB incidence between 2009 to 2010 (p<0.001) and 2010/2011 TB incidence remained below that of the crisis years of 2008/2009 (p<0.01). Antenatal clinic HIV seroprevalence at HH decreased between 2001(23%) to 2011(11%) (p<0.001). Seasonality of TB incidence was analyzed at both MH and HH. There was a higher TB incidence in the dry season when food is least available (September-November) compared to post harvest (April-June) (p<0.001). This study suggests that an epidemic of TB mirrored socioeconomic collapse and recovery in Zimbabwe. The seasonal data suggests that food security may have been associated with TB incidence both annually and during the crisis in this high HIV prevalence country.

Reemergence of African Swine Fever in Zimbabwe, 2015.

PubMed

van Heerden, Juanita; Malan, Kerstin; Gadaga, Biko M; Spargo, Reverend M

2017-05-01

Zimbabwe is the only country in southern Africa with no reported African swine fever (ASF) outbreaks during 1993-2014. However, the 2015 discovery of genotype II ASF virus in Zimbabwe indicates the reemergence of ASF in this country and suggests that this viral genotype may be spreading through eastern and southern Africa.

Characterisation of raw sewage and performance assessment of primary settling tanks at Firle Sewage Treatment Works, Harare, Zimbabwe

NASA Astrophysics Data System (ADS)

Muserere, Simon Takawira; Hoko, Zvikomborero; Nhapi, Innocent

The need for more stringent effluent discharge standards as prescribed by the Environmental Management Act 20:27 to protect the environment can be sustainably achieved with the aid of Activated Sludge Models. Thus, the researchers believe it is time to re-evaluate wastewater characteristics at Firle Sewage Treatment Works (STW) and make use of activated sludge simulators to address pollution challenges caused by the sewage plant. Therefore, this paper characterizes raw sewage and assesses settled and unsettled sewage in order to evaluate the performance of the primary treatment system and the suitability of the settled sewage for treatment by the subsequent Biological Nutrient Removal (BNR) system at Firle STW. Parameters studied included COD, BOD, TKN, TP, NH3, TSS, pH and Alkalinity. Composite samples were collected over a 9-day campaign period (27 June to 6 July 2012), hourly grab samples over 24 hrs and composite samples on 6 March 2012 which were then analysed in the lab in accordance with Standard Methods for the Examination of Water and Wastewater to support the City of Harare 2004-2012 lab historical records. Concentrations for unsettled sewage in mg/L were COD (527 ± 32), BOD (297 ± 83) TKN (19.0 ± 2.0), TP (18 ± 3), NH3 (24.0 ± 12.9), TSS (219 ± 57), while pH was 7.0 ± 0 and Alkalinity 266 ± 36 mg/L. For settled sewage the corresponding values in mg/L were COD (522 ± 15), BOD (324 ± 102), TKN (21.0 ± 3.0), TP (19.0 ± 2.0), NH3 (25.6 ± 11.2), TSS (250 ± 66), while pH was 7.0 ± 0 and Alkalinity 271 ± 17 mg/L. The plant design values for raw sewage are COD (650 mg/L), BOD (200 mg/L), TKN (40 mg/L) and TP (11 mg/L). Thus, COD and nitrogen were within the plant design range while BOD and TP were higher. Treatability of sewage in BNR systems is often inferred from the levels of critical parameters and also the ratios of TKN/COD and COD/TP. The wastewater average settled COD/BOD, COD/TP and TKN/COD ratio were 1.7 ± 0.5, 27.1 ± 3.1 and 0.04 ± 0

"Worse than dogs and pigs?" Attitudes toward homosexual practice in Zimbabwe.

PubMed

Shoko, Tabona

2010-01-01

Politicians call them the "festering finger," endangering the body of the nation; churchmen say God wants them dead; the courts send them to jail. Zimbabwe has declared that it will not tolerate homosexuality. Gays and lesbians feel persecuted and their rights are undermined. The controversy that was ignited in 1997 when the Zimbabwean government forced the closure of a fair booth by Gays and Lesbians of Zimbabwe at the Zimbabwe International Book Fair continues to echo. At issue are fundamental questions of the scope of human rights protection in Zimbabwe and other African countries (BBC News, 1998). Such issues have sparked endless debates on homosexuality in religion, politics, and other forums. This article seeks to explore the attitudes of both traditional Shona culture and Christian sectors in Zimbabwe. The goal is to find out if the practice is rooted in Shona tradition or if it can be seen as a new phenomenon emanating from Western political and Judeo-Christian influences on Zimbabwe. The article argues that the Zimbabwean attitudes toward homosexuality combine Christian and traditional morality. Finally, the article will discuss how Christian churches and traditional Shona culture come to terms with homosexual practice today.

Understanding women's attitudes towards wife beating in Zimbabwe.

PubMed Central

Hindin, Michelle J.

2003-01-01

OBJECTIVE: To investigate the factors associated with attitudes towards wife beating among women in partnerships in Zimbabwe in order to assist public health practitioners in preventing intimate partner violence (IPV). METHODS: A nationally representative survey of 5907 women of reproductive age (15-49 years) was conducted in Zimbabwe. Women were asked about their attitudes towards wife beating in five situations. The survey included sociodemographic characteristics, partnership characteristics, and household decision-making. FINDINGS: Over half of all women in Zimbabwe (53%) believed that wife beating was justified in at least one of the five situations. Respondents were most likely to find wife beating justified if a wife argued with her spouse (36%), neglected her children (33%), or went out without telling her spouse (30%). Among women in partnerships (n=3077), younger age, living in rural areas, lower household wealth, schooling at a lower level than secondary, and lower occupational status were associated with women reporting that wife beating is justified. Women who reported that they make household decisions jointly with their partners were less likely to say that wife beating is justified. CONCLUSIONS: Zimbabwe has a long way to go in preventing IPV, particularly because the younger generation of women is significantly more likely to believe that wife beating is justified compared with older women. Given the current social and political climate in Zimbabwe, finding means to negotiate rather than settle conflict through violence is essential from the household level to the national level. PMID:12973642

Prevalence of HIV/AIDS and psychiatric disorders and their related risk factors among adults in Epworth, Zimbabwe.

PubMed

Sebit, M B; Tombe, M; Siziya, S; Balus, S; Nkomo, S D A; Maramba, P

2003-10-01

To examine the prevalence of HIV infection, neuropsychiatric disorders, psychiatric symptoms/signs, alcohol use/misuse, CD4 cell counts and risk factors in adult patients. Cross-sectional study. Epworth, which is about 15 km on the southeastern part of Harare, Zimbabwe. Two hundred subjects were included in the study out of which six were excluded beacause of HIV-1 indeterminate results. A convenience sample of 200 subjects recruited in a cross-sectional study in Epworth, Zimbabwe. Six subjects had indeterminate HIV-1 antibody results and were excluded from the study. The remaining 194 subjects of whom 101 (52.1%) knew about their sero-status and were consecutively recruited, whereas, 93 (47.9%) did not know about their sero-status and were recruited by a systematic random sampling method (1-in-3). They were then interviewed about neuropsychiatric disorders using BPRS, MADRS, AUDIT and MINI Mental State Test, including the risk factors related to HIV infection. After ELISA tests' results, the two groups were combined and then categorised into HIV positive (n=115) and HIV negative (n=79) subjects. Prevalence, neuropsychiatric disorders, increased CD4 cell counts and risk factors associated with HIV infection. The findings were that the overall point prevalence of the HIV infection was 59.3% (115/194). Comparative analyses between seropositive and seronegative HIV/AIDS subjects showed: over two thirds (71.3%) of the HIV positive subjects suffered from psychiatric disorders, more than those with HIV negative 44.3% (OR=3.12, 95% CI=1.64-5.95, P=0.0002), and subjects aged 35 years and less were mostly HIV seronegatives (n=77.2%, OR=2.34, 95% CI=1.18-4.75, P=0.014). The overall prevalence of alcohol use/misuse was 41 (21.1%), with higher prevalence rate among HIV positive subjects, 28 (24.3%) than those who were HIV negative, 13 (16.5%). The commonest psychiatric symptoms/signs (P<0.05) were emotional withdrawal, depressed mood, suspiciousness, apparent sadness, reduced

Zimbabwe: Background

DTIC Science & Technology

2010-07-08

uncompensated seizure of white-owned land for redistribution to black farmers. The referendum failed, and the MDC won nearly half the seats in the...concluded a series of agreements with the black majority in 1979 that resulted in the establishment of the government of the Republic of Zimbabwe...Committee (chaired by an MDC MP), but was later revised and approved in June 2007. Critics suggest that the revisions were cosmetic

What was the population of Great Zimbabwe (CE1000 – 1800)?

PubMed Central

Moultrie, Thomas; Bandama, Foreman; Dandara, Collett; Manyanga, Munyaradzi

2017-01-01

The World Heritage Site of Great Zimbabwe is one of the most iconic and largest archaeological settlements in Africa. It was the hub of direct and indirect trade which internally connected various areas of southern Africa, and externally linked them with East Africa and the Near and Far East. Archaeologists believe that at its peak, Great Zimbabwe had a fully urban population of 20,000 people concentrated in approximately 2.9 square kilometres (40 percent of 720 ha). This translates to a population density of 6,897, which is comparable with that of some of the most populous regions of the world in the 21st century. Here, we combine archaeological, ethnographic and historical evidence with ecological and statistical modelling to demonstrate that the total population estimate for the site’s nearly 800-year occupational duration (CE1000–1800), after factoring in generational succession, is unlikely to have exceeded 10,000 people. This conclusion is strongly firmed up by the absence of megamiddens at the site, the chronological differences between several key areas of the settlement traditionally assumed to be coeval, and the historically documented low populations recorded for the sub-continent between CE1600 and 1950. PMID:28614397

Inclusion of Children with Autism Spectrum Disorders: Listening and Hearing to Voices from the Grassroots.

PubMed

Majoko, Tawanda

2016-04-01

The current significantly high prevalence rates of autism spectrum disorder (ASD) coupled with the paradigm shift from exclusive to inclusive education warrants research on inclusion of children with ASD in mainstream classrooms in Zimbabwe. A qualitative methodology was used to interview 21 regular primary school teachers regarding social barriers and enablers of inclusion of 6-12 year old children with ASD in mainstream classrooms in Harare educational province of Zimbabwe. Data analysis comprised pattern coding and cross-case analysis. Social rejection, communication impairments and behavioural challenges of children with ASD interfered with inclusion in mainstream classrooms. Regular teachers' training, stakeholder collaboration and institutionalization of social support services and programmes would facilitate the inclusion of children with ASD in mainstream classrooms.

29 CFR 22.31 - Determining the amount of penalties and assessments.

Code of Federal Regulations, 2011 CFR

2011-07-01

... loss; (7) The potential or actual impact of the misconduct upon national defense, public health or... 29 Labor 1 2011-07-01 2011-07-01 false Determining the amount of penalties and assessments. 22.31... Determining the amount of penalties and assessments. (a) In determining an appropriate amount of civil...

29 CFR 22.31 - Determining the amount of penalties and assessments.

Code of Federal Regulations, 2014 CFR

2014-07-01

... loss; (7) The potential or actual impact of the misconduct upon national defense, public health or... 29 Labor 1 2014-07-01 2013-07-01 true Determining the amount of penalties and assessments. 22.31... Determining the amount of penalties and assessments. (a) In determining an appropriate amount of civil...

29 CFR 22.31 - Determining the amount of penalties and assessments.

Code of Federal Regulations, 2013 CFR

2013-07-01

... loss; (7) The potential or actual impact of the misconduct upon national defense, public health or... 29 Labor 1 2013-07-01 2013-07-01 false Determining the amount of penalties and assessments. 22.31... Determining the amount of penalties and assessments. (a) In determining an appropriate amount of civil...

29 CFR 22.31 - Determining the amount of penalties and assessments.

Code of Federal Regulations, 2012 CFR

2012-07-01

... loss; (7) The potential or actual impact of the misconduct upon national defense, public health or... 29 Labor 1 2012-07-01 2012-07-01 false Determining the amount of penalties and assessments. 22.31... Determining the amount of penalties and assessments. (a) In determining an appropriate amount of civil...

29 CFR 22.31 - Determining the amount of penalties and assessments.

Code of Federal Regulations, 2010 CFR

2010-07-01

... loss; (7) The potential or actual impact of the misconduct upon national defense, public health or... 29 Labor 1 2010-07-01 2010-07-01 true Determining the amount of penalties and assessments. 22.31... Determining the amount of penalties and assessments. (a) In determining an appropriate amount of civil...

Factors Associated with Mortality among Patients on TB Treatment in the Southern Region of Zimbabwe, 2013

PubMed Central

Sandy, Charles; Masuka, Nyasha; Hazangwe, Patrick; Choto, Regis C.; Mutasa-Apollo, Tsitsi; Nkomo, Brilliant; Sibanda, Edwin; Mugurungi, Owen; Siziba, Nicholas

2017-01-01

Background. In 2013, the tuberculosis (TB) mortality rate was highest in southern Zimbabwe at 16%. We therefore sought to determine factors associated with mortality among registered TB patients in this region. Methodology. This was a retrospective record review of registered patients receiving anti-TB treatment in 2013. Results. Of 1,971 registered TB patients, 1,653 (84%) were new cases compared with 314 (16%) retreatment cases. There were 1,538 (78%) TB/human immunodeficiency virus (HIV) coinfected patients, of whom 1,399 (91%) were on antiretroviral therapy (ART) with median pre-ART CD4 count of 133 cells/uL (IQR, 46–282). Overall, 428 (22%) TB patients died. Factors associated with increased mortality included being ≥65 years old [adjusted relative risk (ARR) = 2.48 (95% CI 1.35–4.55)], a retreatment TB case [ARR = 1.34 (95% CI, 1.10–1.63)], and being HIV-positive [ARR = 1.87 (95% CI, 1.44–2.42)] whilst ART initiation was protective [ARR = 0.25 (95% CI, 0.22–0.29)]. Cumulative mortality rates were 10%, 14%, and 21% at one, two, and six months, respectively, after starting TB treatment. Conclusion. There was high mortality especially in the first two months of anti-TB treatment, with risk factors being recurrent TB and being HIV-infected, despite a high uptake of ART. PMID:28352474

Traditional use of medicinal plants in south-central Zimbabwe: review and perspectives

PubMed Central

2013-01-01

Background Traditional medicine has remained as the most affordable and easily accessible source of treatment in the primary healthcare system of resource poor communities in Zimbabwe. The local people have a long history of traditional plant usage for medicinal purposes. Despite the increasing acceptance of traditional medicine in Zimbabwe, this rich indigenous knowledge is not adequately documented. Documentation of plants used as traditional medicines is needed so that the knowledge can be preserved and the utilized plants conserved and used sustainably. The primary objective of this paper is to summarize information on traditional uses of medicinal plants in south-central Zimbabwe, identifying research gaps and suggesting perspectives for future research. Methods This study is based on a review of the literature published in scientific journals, books, reports from national, regional and international organizations, theses, conference papers and other grey materials. Results A total of 93 medicinal plant species representing 41 families and 77 genera are used in south-central Zimbabwe. These plant species are used to treat 18 diseases and disorder categories, with the highest number of species used for gastro-intestinal disorders, followed by sexually transmitted infections, cold, cough and sore throat and gynaecological problems. Shrubs and trees (38% each) were the primary sources of medicinal plants, followed by herbs (21%) and climbers (3%). The therapeutic claims made on medicinal plants documented in south-central Zimbabwe are well supported by literature, with 82.8% of the plant species having similar applications in other regions of Zimbabwe as well as other parts of the world and 89.2% having documented biological and pharmacological properties. Conclusion This study illustrates the importance of traditional medicines in the treatment and management of human diseases and ailments in south-central Zimbabwe. Traditional medicines still play an important

Education in Post-apartheid South Africa: Some Lessons from Zimbabwe.

ERIC Educational Resources Information Center

Lemon, Anthony

1995-01-01

Reviews the history of educational development in Zimbabwe-Rhodesia during the transition from colonialism to independence and beyond. Offers a case study of effects of educational policies in nine Zimbabwean secondary schools. Lessons derived from Zimbabwe suggest that the first postapartheid South African government must avoid policies that…

Teenage Suicide in Zimbabwe.

ERIC Educational Resources Information Center

Lester, David; Wilson, C.

1990-01-01

The teenage suicide rate in Zimbabwe did not change much during the 1970s, though the rate rose for female teenagers. Female teenagers used poison as a method of suicide more often than did adults, and self-immolation had increased in frequency among young women by the mid-1980s. (Author)

Validation of screening tools for depression and anxiety disorders in a primary care population with high HIV prevalence in Zimbabwe.

PubMed

Chibanda, Dixon; Verhey, Ruth; Gibson, Lorna J; Munetsi, Epiphania; Machando, Debra; Rusakaniko, Simbarashe; Munjoma, Ronald; Araya, Ricardo; Weiss, Helen A; Abas, Melanie

2016-07-01

In low income countries in Sub-Saharan Africa there are few validated tools to screen for common disabling mental disorders such as depression and general anxiety disorder (GAD). We validated three screening tools: the Shona Symptom Questionnaire for common mental disorders (SSQ-14), the Patient Health Questionnaire for depression (PHQ-9), and the Generalized Anxiety Disorder questionnaire (GAD-7). The study participants were attendees at a primary health care clinic in Harare, Zimbabwe. Consecutive adults aged 18 and above attending the clinic were enrolled over a two-week period in September 2013. Trained research assistants administered the screening tools to eligible participants after obtaining written consent. Participants were then interviewed by one of four psychiatrists using the Structured Clinical Interview of the DSM-IV (SCID). Performance characteristics were calculated for each tool, against the SCID as the gold standard. A total of 264 participants were enrolled, of whom 52 (20%) met the SCID criteria for depression alone, 97 (37%) for mixed depression and anxiety and 9 (3%) for anxiety alone. Of the 237 where HIV status was known, 165 (70%) were HIV positive. With the optimal cutoff of ≥9, the sensitivity and specificity for the SSQ-14 against a diagnosis of either depression and/or general anxiety were 84% (95%CI:78-89%) and 73% (95%CI:63-81%) respectively. Internal reliability was high (Cronbach α=0.74). The optimal cutoff for PHQ-9 was ≥11, which provided a sensitivity of 85% (95%CI:78-90%) and specificity of 69% (95%CI:59-77%) against a SCID diagnosis of depression (Cronbach α=0.86). The GAD-7 (optimal cutoff ≥10) had sensitivity and specificity of 89% (95%CI:81-94%) and 73% (95%CI:65-80%) respectively against a SCID diagnosis of GAD (Cronbach α=0.87). Screening tools for depression and GAD had good performance characteristics in a primary health care population in Zimbabwe with a high prevalence of HIV. These can be used for research

29 CFR 1620.22 - Employment cost not a “factor other than sex.”

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 4 2012-07-01 2012-07-01 false Employment cost not a âfactor other than sex.â 1620.22... THE EQUAL PAY ACT § 1620.22 Employment cost not a “factor other than sex.” A wage differential based on claimed differences between the average cost of employing workers of one sex as a group and the...

29 CFR 1620.22 - Employment cost not a “factor other than sex.”

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 4 2013-07-01 2013-07-01 false Employment cost not a âfactor other than sex.â 1620.22... THE EQUAL PAY ACT § 1620.22 Employment cost not a “factor other than sex.” A wage differential based on claimed differences between the average cost of employing workers of one sex as a group and the...

29 CFR 1620.22 - Employment cost not a “factor other than sex.”

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 4 2011-07-01 2011-07-01 false Employment cost not a âfactor other than sex.â 1620.22... THE EQUAL PAY ACT § 1620.22 Employment cost not a “factor other than sex.” A wage differential based on claimed differences between the average cost of employing workers of one sex as a group and the...

29 CFR 1620.22 - Employment cost not a “factor other than sex.”

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 4 2014-07-01 2014-07-01 false Employment cost not a âfactor other than sex.â 1620.22... THE EQUAL PAY ACT § 1620.22 Employment cost not a “factor other than sex.” A wage differential based on claimed differences between the average cost of employing workers of one sex as a group and the...

29 CFR 1620.22 - Employment cost not a “factor other than sex.”

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Employment cost not a âfactor other than sex.â 1620.22... THE EQUAL PAY ACT § 1620.22 Employment cost not a “factor other than sex.” A wage differential based on claimed differences between the average cost of employing workers of one sex as a group and the...

29 CFR 779.22 - Enterprise engaged in commerce or in the production of goods for commerce.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 3 2013-07-01 2013-07-01 false Enterprise engaged in commerce or in the production of goods for commerce. 779.22 Section 779.22 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR... Definitions § 779.22 Enterprise engaged in commerce or in the production of goods for commerce. The portions...

29 CFR 779.22 - Enterprise engaged in commerce or in the production of goods for commerce.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 3 2012-07-01 2012-07-01 false Enterprise engaged in commerce or in the production of goods for commerce. 779.22 Section 779.22 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR... Definitions § 779.22 Enterprise engaged in commerce or in the production of goods for commerce. The portions...

29 CFR 779.22 - Enterprise engaged in commerce or in the production of goods for commerce.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 3 2014-07-01 2014-07-01 false Enterprise engaged in commerce or in the production of goods for commerce. 779.22 Section 779.22 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR... Definitions § 779.22 Enterprise engaged in commerce or in the production of goods for commerce. The portions...

29 CFR 779.22 - Enterprise engaged in commerce or in the production of goods for commerce.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 3 2011-07-01 2011-07-01 false Enterprise engaged in commerce or in the production of goods for commerce. 779.22 Section 779.22 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR... Definitions § 779.22 Enterprise engaged in commerce or in the production of goods for commerce. The portions...

Implementation of Antiretroviral Therapy for Life in Pregnant/Breastfeeding HIV+ Women (Option B+) Alongside Rollout and Changing Guidelines for ART Initiation in Rural Zimbabwe: The Lablite Project Experience.

PubMed

Ford, Deborah; Muzambi, Margaret; Nkhata, Misheck J; Abongomera, George; Joseph, Sarah; Ndlovu, Makosonke; Mabugu, Travor; Grundy, Caroline; Chan, Adrienne K; Cataldo, Fabian; Kityo, Cissy; Seeley, Janet; Katabira, Elly; Gilks, Charles F; Reid, Andrew; Hakim, James; Gibb, Diana M

2017-04-15

Lifelong antiretroviral therapy (ART) for pregnant and breastfeeding women (Option B+) was rolled out in Zimbabwe from 2014, with simultaneous raising of the CD4 treatment threshold to 500 cells per cubic millimeter in nonpregnant/breastfeeding adults and children 5 years and over. Lablite is an implementation project in Zimbabwe, Malawi, and Uganda evaluating ART rollout. Routine patient-level data were collected for 6 months before and 12 months after Option B+ rollout at a district hospital and 3 primary care facilities in Zimbabwe (2 with outreach ART and 1 with no ART provision before Option B+). Between September 2013 and February 2015, there were 1686 ART initiations in the 4 facilities: 91% adults and 9% children younger than 15 years. In the 3 facilities with established ART, initiations rose from 300 during 6 months before Option B+ to 869 (2.9-fold) and 463 (1.5-fold), respectively, 0-6 months and 6-12 months after Option B+. Post-Option B+, an estimated 43% of pregnant/breastfeeding women needed ART for their own health, based on World Health Organization stage 3/4 or CD4 ≤350 per cubic millimeter (64% for CD4 ≤500). Seventy-four men (22%) and 123 nonpregnant/breastfeeding women (34%) initiated ART with CD4 >350 after the CD4 threshold increase. Estimated 12-month retention on ART was 79% (69%-87%) in Option B+ women (significantly lower in younger women, P = 0.01) versus 93% (91%-95%) in other adults (difference P < 0.001). There were increased ART initiations in all patient groups after implementation of World Health Organization 2013 guidelines. Retention of Option B+ women was poorer than retention of other adults; younger women require attention because they are more likely to disengage from care.

Implementation of antiretroviral therapy for life in pregnant/breastfeeding HIV+ women (Option B+) alongside rollout and changing guidelines for ART initiation in rural Zimbabwe: the Lablite Project experience

PubMed Central

Nkhata, Misheck J; Abongomera, George; Joseph, Sarah; Ndlovu, Makosonke; Mabugu, Travor; Grundy, Caroline; Chan, Adrienne K; Cataldo, Fabian; Kityo, Cissy; Seeley, Janet; Katabira, Elly; Gilks, Charles F; Reid, Andrew; Hakim, James; Gibb, Diana M

2017-01-01

Background Life-long ART for pregnant and breastfeeding women (Option B+) was rolled-out in Zimbabwe from 2014 with simultaneous raising of the CD4 treatment-threshold in non-pregnant/breastfeeding adults and children >5 years to 500 cells/mm3. Methods Lablite is an implementation project in Zimbabwe, Malawi and Uganda evaluating ART rollout. Routine patient-level data were collected for 6 months prior to and 12 months after Option B+ rollout at a district hospital and three primary care facilities in Zimbabwe (two with outreach ART; one with no ART provision prior to Option B+). Results Between September 2013-February 2015 there were 1,686 ART initiations in the four facilities; 91% adults and 9% children aged <15 years. In the three facilities with established ART, initiations rose from 300 during 6 months before Option B+ to 869 (2.9-fold) and 463 (1.5-fold) respectively 0-6 months and 6-12 months after Option B+. Post Option B+, an estimated 43% of pregnant/breastfeeding women needed ART for their own health, based on WHO stage 3/4 or CD4≤350 (64% for CD4≤500). 74 (22%) men and 123 (34%) non-pregnant/breastfeeding women initiated ART with CD4>350 after the CD4-threshold increase. Estimated 12-month retention on ART was 79% (69%-87%) in Option B+ women (significantly lower in younger women, p=0.01), versus 93% (91%-95%) in other adults (difference p<0.001). Conclusions There were increased ART initiations in all patient groups following implementation of WHO 2013 guidelines. Retention of Option B+ women was poorer than retention of other adults; younger women require attention as they are more likely to disengage from care. PMID:27984555

Carriage of extended-spectrum beta-lactamase-producing Enterobacteriaceae in HIV-infected children in Zimbabwe.

PubMed

Wilmore, S M S; Kranzer, K; Williams, A; Makamure, B; Nhidza, A F; Mayini, J; Bandason, T; Metcalfe, J; Nicol, M P; Balakrishnan, I; Ellington, M J; Woodford, N; Hopkins, S; McHugh, T D; Ferrand, R A

2017-05-01

Antimicrobial resistance is an emerging global health issue. Data on the epidemiology of multidrug-resistant organisms are scarce for Africa, especially in HIV-infected individuals who often have frequent contact with healthcare. We investigated the prevalence of extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E) carriage in stool among HIV-infected children attending an HIV outpatient department in Harare, Zimbabwe. We recruited children who were stable on antiretroviral therapy (ART) attending a HIV clinic from August 2014 to June 2015. Information was collected on antibiotic use and hospitalization. Stool was tested for ESBL-E through combination disc diffusion. API20E identification and antimicrobial susceptibility was performed on the positive samples followed by whole genome sequencing. Stool was collected from 175/202 (86.6 %) children. Median age was 11 [inter-quartile range (IQR) 9-12] years. Median time on ART was 4.6 years (IQR 2.4-6.4). ESBL-Es were found in 24/175 samples (13.7 %); 50 % of all ESBL-Es were resistant to amoxicillin-clavulanate, 100 % to co-trimoxazole, 45.8 % to chloramphenicol, 91.6 % to ceftriaxone, 20.8 % to gentamicin and 62.5 % to ciprofloxacin. ESBL-Es variously encoded CTX-M, OXA, TEM and SHV enzymes. The odds of ESBL-E carriage were 8.5 times (95 % CI 2.2-32.3) higher in those on ART for less than one year (versus longer) and 8.5 times (95 % CI 1.1-32.3) higher in those recently hospitalized for a chest infection. We found a 13.7 % prevalence of ESBL-E carriage in a population where ESBL-E carriage has not been described previously. Antimicrobial resistance (AMR) in Africa merits further study, particularly given the high HIV prevalence and limited diagnostic and therapeutic options available.

Intimate Partner Violence Against Women in Zimbabwe.

PubMed

Fidan, Ahmet; Bui, Hoan N

2016-08-01

The present study examines intimate partner violence (IPV) reported by a sample of women in Zimbabwe to explore factors associated with the problem. Findings from the study indicate an important role of gender relationships in violence against women. The effects of gender inequalities on the likelihood of IPV vary with types of violence, but husband's patriarchal behaviors increase the likelihood of all forms of violence. The study suggests the importance of improving gender equality through public education on gender relationships, increasing women's education and economic opportunities, and eliminating customary laws that sustain gender inequality as necessary steps to combat IPV against women in Zimbabwe. © The Author(s) 2015.

Gramsci, Doke and the Marginalisation of the Ndebele Language in Zimbabwe

ERIC Educational Resources Information Center

Ndhlovu, Finex

2006-01-01

Clement M. Doke's 1929-1930 research on Zimbabwean languages has played a key role in shaping the tribalised and politicised linguistic terrain that characterises modern Zimbabwe. Doke, professor of linguistics at the University of Witwaters-rand, was commissioned in 1929 by the government of Southern Rhodesia (present-day Zimbabwe) to research…

Social marketing of condoms (female, too) gets going (again). Zimbabwe.

PubMed

Winter, J

1997-04-01

More than 10% of Zimbabwe's population is thought to be infected with HIV. Protector condoms, marketed by Johnson and Johnson (Zimbabwe), have been available in Zimbabwe for several years, but supplies often ran out due to contractual difficulties with the US Agency for International Development (USAID). Population Services International (PSI), with the financial support of Britain's Overseas Development Administration (ODA) and USAID, has relaunched the condom social marketing program in Zimbabwe and will also introduce female condoms for the first time in May. Selling for about Z$1 (US$0.09) each, the subsidized male condoms will be marketed in places where the public sector cannot go, such as gas stations, supermarkets, convenience grocery stores in high-density suburbs, beer halls, and night clubs. Approximately 5 million condoms are expected to be sold in 1997, although most condoms will still be supplied free of charge through the public sector. The female condoms will be priced at Z$3 each. PSI hopes to sell 40,000 per year, while another 400,000 will be given away in hospitals, family planning clinics, and other public health services.

29 CFR 14.22 - Availability of classified information to persons not employed by the Department of Labor.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Availability of classified information to persons not employed by the Department of Labor. 14.22 Section 14.22 Labor Office of the Secretary of Labor SECURITY REGULATIONS Transmission of Classified Information § 14.22 Availability of classified information to persons...

Zimbabwe's national AIDS levy: A case study.

PubMed

Bhat, Nisha; Kilmarx, Peter H; Dube, Freeman; Manenji, Albert; Dube, Medelina; Magure, Tapuwa

2016-01-01

We conducted a case study of the Zimbabwe National AIDS Trust Fund ('AIDS Levy') as an approach to domestic government financing of the response to HIV and AIDS. Data came from three sources: a literature review, including a search for grey literature, review of government documents from the Zimbabwe National AIDS Council (NAC), and key informant interviews with representatives of the Zimbabwean government, civil society and international organizations. The literature search yielded 139 sources, and 20 key informants were interviewed. Established by legislation in 1999, the AIDS Levy entails a 3% income tax for individuals and 3% tax on profits of employers and trusts (which excluded the mining industry until 2015). It is managed by the parastatal NAC through a decentralized structure of AIDS Action Committees. Revenues increased from inception to 2006 through 2008, a period of economic instability and hyperinflation. Following dollarization in 2009, annual revenues continued to increase, reaching US$38.6 million in 2014. By policy, at least 50% of funds are used for purchase of antiretroviral medications. Other spending includes administration and capital costs, HIV prevention, and monitoring and evaluation. Several financial controls and auditing systems are in place. Key informants perceived the AIDS Levy as a 'homegrown' solution that provided country ownership and reduced dependence on donor funding, but called for further increased transparency, accountability, and reduced administrative costs, as well as recommended changes to increase revenue. The Zimbabwe AIDS Levy has generated substantial resources, recently over US$35 million per year, and signals an important commitment by Zimbabweans, which may have helped attract other donor resources. Many key informants considered the Zimbabwe AIDS Levy to be a best practice for other countries to follow.

Zimbabwe's national AIDS levy: A case study

PubMed Central

Bhat, Nisha; Kilmarx, Peter H.; Dube, Freeman; Manenji, Albert; Dube, Medelina; Magure, Tapuwa

2016-01-01

Abstract Background: We conducted a case study of the Zimbabwe National AIDS Trust Fund (‘AIDS Levy’) as an approach to domestic government financing of the response to HIV and AIDS. Methods: Data came from three sources: a literature review, including a search for grey literature, review of government documents from the Zimbabwe National AIDS Council (NAC), and key informant interviews with representatives of the Zimbabwean government, civil society and international organizations. Findings: The literature search yielded 139 sources, and 20 key informants were interviewed. Established by legislation in 1999, the AIDS Levy entails a 3% income tax for individuals and 3% tax on profits of employers and trusts (which excluded the mining industry until 2015). It is managed by the parastatal NAC through a decentralized structure of AIDS Action Committees. Revenues increased from inception to 2006 through 2008, a period of economic instability and hyperinflation. Following dollarization in 2009, annual revenues continued to increase, reaching US$38.6 million in 2014. By policy, at least 50% of funds are used for purchase of antiretroviral medications. Other spending includes administration and capital costs, HIV prevention, and monitoring and evaluation. Several financial controls and auditing systems are in place. Key informants perceived the AIDS Levy as a ‘homegrown’ solution that provided country ownership and reduced dependence on donor funding, but called for further increased transparency, accountability, and reduced administrative costs, as well as recommended changes to increase revenue. Conclusions: The Zimbabwe AIDS Levy has generated substantial resources, recently over US$35 million per year, and signals an important commitment by Zimbabweans, which may have helped attract other donor resources. Many key informants considered the Zimbabwe AIDS Levy to be a best practice for other countries to follow. PMID:26781215

3 CFR - Continuation of the National Emergency With Respect to Zimbabwe

Code of Federal Regulations, 2012 CFR

2012-01-01

... 3 The President 1 2012-01-01 2012-01-01 false Continuation of the National Emergency With Respect to Zimbabwe Presidential Documents Other Presidential Documents Notice of March 2, 2011 Continuation of the National Emergency With Respect to Zimbabwe On March 6, 2003, by Executive Order 13288, the President declared a national emergency and...

3 CFR - Continuation of the National Emergency With Respect to Zimbabwe

Code of Federal Regulations, 2011 CFR

2011-01-01

... 3 The President 1 2011-01-01 2011-01-01 false Continuation of the National Emergency With Respect to Zimbabwe Presidential Documents Other Presidential Documents Notice of February 26, 2010 Continuation of the National Emergency With Respect to Zimbabwe On March 6, 2003, by Executive Order 13288, the President declared a national emergency and...

3 CFR - Continuation of the National Emergency With Respect to Zimbabwe

Code of Federal Regulations, 2010 CFR

2010-01-01

... 3 The President 1 2010-01-01 2010-01-01 false Continuation of the National Emergency With Respect to Zimbabwe Presidential Documents Other Presidential Documents Notice of March 3, 2009 Continuation of the National Emergency With Respect to Zimbabwe On March 6, 2003, by Executive Order 13288, the President declared a national emergency and...

Clinical outcomes in children and adolescents initiating antiretroviral therapy in decentralized healthcare settings in Zimbabwe.

PubMed

McHugh, Grace; Simms, Victoria; Dauya, Ethel; Bandason, Tsitsi; Chonzi, Prosper; Metaxa, Dafni; Munyati, Shungu; Nathoo, Kusum; Mujuru, Hilda; Kranzer, Katharina; Ferrand, Rashida A

2017-09-01

Decentralized HIV care for adults does not appear to compromise clinical outcomes. HIV care for children poses additional clinical and social complexities. We conducted a prospective cohort study to investigate clinical outcomes in children aged 6-15 years who registered for HIV care at seven primary healthcare clinics (PHCs) in Harare, Zimbabwe. Participants were recruited between January 2013 and December 2014 and followed for 18 months. Rates of and reasons for mortality, hospitalization and unscheduled PHC attendances were ascertained. Cox proportional modelling was used to determine the hazard of death, unscheduled attendances and hospitalization. We recruited 385 participants, median age 11 years (IQR: 9-13) and 52% were female. The median CD4 count was 375 cells/mm 3 (IQR: 215-599) and 77% commenced ART over the study period, with 64% of those who had viral load measured achieving an HIV viral load <400 copies/ml. At 18 months, 4% of those who started ART vs. 24% of those who remained ART-naïve were lost-to-follow-up ( p  < 0.001). Hospitalization and mortality rates were low (8.14/100 person-years (pyrs) and 2.86/100 pyrs, respectively). There was a high rate of unscheduled PHC attendances (34.94/100 pyrs), but only 7% resulted in hospitalization. Respiratory disease was the major cause of hospitalization, unscheduled attendances and death. CD4 count <350cells/mm 3 was a risk factor for hospitalization (aHR 3.6 (95%CI 1.6-8.2)). Despite only 64% of participants achieving virological suppression, clinical outcomes were good and high rates of retention in care were observed. This demonstrates that in an era moving towards differentiated care in addition to implementation of universal treatment, decentralized HIV care for children is achievable. Interventions to improve adherence in this age-group are urgently needed.

The Jerusarema Dance of Zimbabwe.

ERIC Educational Resources Information Center

Asante, Kariamu Welsh

1985-01-01

Traces the historical development of the Jerusarema, a traditional dance of the Shona of Zimbabwe, from its origins as a form of military defense to its present role in recreation and ceremony. Describes the Jerusarema, classifies it in relation to other African dance forms, and discusses how it is learned. (KH)

Teacher Efficacy in Rural Zimbabwe

ERIC Educational Resources Information Center

Dunham, Judy K.; Song'ony, Daniel

2008-01-01

The need to address contextual variables, such as cultural bias and cultural norms, is a common challenge for researchers in international education. This article highlights societal conditions and cultural issues that could have impacted teacher efficacy data in Zimbabwe, a country known for its ongoing economic crisis, political repression, and…

STS-29 Discovery, OV-103, lands on Edwards AFB concrete runway 22

NASA Technical Reports Server (NTRS)

1989-01-01

STS-29 Discovery, Orbiter Vehicle (OV) 103, main landing gear (MLG) touches down at a speed of approximately 205 knots (235 miles per hour) on concrete runway 22 at Edwards Air Force Base (AFB), California. Nose landing gear (NLG) is deployed and rides above runway surface prior touchdown. Mojave desert scrub brush appears in the foreground with mountain range appearing in the background.

Mental health in Zimbabwe: a health systems analysis.

PubMed

Kidia, Khameer; Machando, Debra; Mangezi, Walter; Hendler, Reuben; Crooks, Megan; Abas, Melanie; Chibanda, Dixon; Thornicroft, Graham; Semrau, Maya; Jack, Helen

2017-11-01

There has been little external analysis of Zimbabwe's mental health system. We did a systems analysis to identify bottlenecks and opportunities for mental health service improvement in Zimbabwe and to generate cost-effective, policy-relevant solutions. We combined in-depth interviews with a range of key stakeholders in health and mental health, analysis of mental health laws and policies, and publicly available data about mental health. Five themes are key to mental health service delivery in Zimbabwe: policy and law; financing and resources; criminal justice; workforce, training, and research; and beliefs about mental illness. We identified human resources, rehabilitation facilities, psychotropic medication, and community mental health as funding priorities. Moreover, we found that researchers should prioritise measuring the economic impact of mental health and exploring substance use, forensic care, and mental health integration. Our study highlights forensic services as a central component of the mental health system, which has been a neglected concept. We also describe a tailored process for mental health systems that is transferable to other low-income settings and that garners political will, builds capacity, and raises the profile of mental health. Copyright © 2017 Elsevier Ltd. All rights reserved.

Human parasitic protozoa in drinking water sources in rural Zimbabwe and their link to HIV infection

PubMed Central

Mtapuri-Zinyowera, Sekesai; Ruhanya, Vurayai; Midzi, Nicholas; Berejena, Chipo; Chin'ombe, Nyasha; Nziramasanga, Pasipanodya; Nyandoro, George; Mduluza, Takafira

2014-01-01

Objective We aimed to perform a risk assessment in a rural setting, where drinking water is obtained from both protected and unprotected deep or shallow wells, boreholes and springs. Water is consumed untreated and this poses a risk of acquiring waterborne infections that may cause diarrhea. Methods The study included 113 study participants who volunteered in Chiweshe rural community (Musarara village) in Mashonaland Central Province in Zimbabwe. There were 34 (30%) males and 79 (70%) females with ages ranging from 2 to 89 years. HIV counseling was carried out at the communal meeting and testing was done at home visits. Stool and drinking water samples were collected from 104 subjects. Routine laboratory methods were used to examine for parasitic infections. Results Only 29 (25.7%) of participants were confirmed HIV positive using 2 rapid serology tests; eighty-four (74.3%) were negative. Diarrheic stool samples were observed in 17 (16.3%) participants and of these 5 (29.4%) were HIV seropositive. Several parasites were isolated from stool samples: G. duodenalis 6 (5.7%), E. histolytica/dispar 19 (18.2%), C. parvum, 8 (7.6%) and C. cayetanensis 23 (22.1%). Eleven out of 30 (36.6%) water bodies had protozoan parasites: G. duodenalis 2 (6.6%), E. histolytica 4 (13.3%), C. parvum 1 (3.3%), C. cayetanensis 3 (10%), E. coli 1 (3.3%). Conclusion The water sources were being used without treatment and were shown to pose a risk for acquiring diarrheagenic protozoan parasites. PMID:25505741

Knowledge, attitude, and practice regarding voluntary blood donation among adult residents of Harar town, Eastern Ethiopia: a community-based study

PubMed Central

Urgesa, Kedir; Hassen, Nejat; Seyoum, Ayichew

2017-01-01

Background The availability of safe blood and blood products is a critical factor in improving health care. In Ethiopia, lack of voluntary blood donors is a major challenge. This could be due to low community knowledge, unfavorable attitude, and poor donation practice regarding voluntary blood donation. Thus, the aim of this study was to assess community knowledge, attitude, and practice regarding voluntary blood donation among adults in Harar town, Ethiopia. Materials and methods A community-based cross-sectional study was conducted from July 1 to July 31, 2015. A total of 845 adults were randomly selected and interviewed using a pretested, structured questionnaire. Six trained data collectors conducted a face-to-face interview. Data were entered into EpiData Version 3 and analyzed using STATA Version 11. Results Comprehensive knowledge of the study participants toward voluntary blood donation was 43.5%. Multivariable logistic regression demonstrated that male sex (adjusted odds ratio [AOR] = 1.69, 95% confidence interval [CI]: 1.19–2.39), age (31–45 years; AOR = 0.50, 95% CI: 0.34–0.74) and >45 years (AOR = 0.60, 95% CI: 0.38–0.95), and higher education (AOR = 15.34, 95% CI: 5.01–46.91) were significantly associated with comprehensive knowledge about voluntary blood donation. A total of 278 (32.9%) study participants had positive attitude toward voluntary blood donation. College graduates (AOR = 13.05, 95% CI: 4.12–41.29) were significantly associated with positive attitude toward voluntary blood donation. Only 191 (22.6%) subjects had ever donated blood. However, the proportion of study participants who donated blood voluntarily with good knowledge about voluntary blood donation was significantly lower than the study participants who donated blood voluntarily with low knowledge (X2 = 6.1746, P = 0.013). Conclusion This study showed an inauspicious attitude toward blood donation and poor blood donation practices. Subjects with good comprehensive

Knowledge, attitude, and practice regarding voluntary blood donation among adult residents of Harar town, Eastern Ethiopia: a community-based study.

PubMed

Urgesa, Kedir; Hassen, Nejat; Seyoum, Ayichew

2017-01-01

The availability of safe blood and blood products is a critical factor in improving health care. In Ethiopia, lack of voluntary blood donors is a major challenge. This could be due to low community knowledge, unfavorable attitude, and poor donation practice regarding voluntary blood donation. Thus, the aim of this study was to assess community knowledge, attitude, and practice regarding voluntary blood donation among adults in Harar town, Ethiopia. A community-based cross-sectional study was conducted from July 1 to July 31, 2015. A total of 845 adults were randomly selected and interviewed using a pretested, structured questionnaire. Six trained data collectors conducted a face-to-face interview. Data were entered into EpiData Version 3 and analyzed using STATA Version 11. Comprehensive knowledge of the study participants toward voluntary blood donation was 43.5%. Multivariable logistic regression demonstrated that male sex (adjusted odds ratio [AOR] = 1.69, 95% confidence interval [CI]: 1.19-2.39), age (31-45 years; AOR = 0.50, 95% CI: 0.34-0.74) and >45 years (AOR = 0.60, 95% CI: 0.38-0.95), and higher education (AOR = 15.34, 95% CI: 5.01-46.91) were significantly associated with comprehensive knowledge about voluntary blood donation. A total of 278 (32.9%) study participants had positive attitude toward voluntary blood donation. College graduates (AOR = 13.05, 95% CI: 4.12-41.29) were significantly associated with positive attitude toward voluntary blood donation. Only 191 (22.6%) subjects had ever donated blood. However, the proportion of study participants who donated blood voluntarily with good knowledge about voluntary blood donation was significantly lower than the study participants who donated blood voluntarily with low knowledge ( X 2 = 6.1746, P = 0.013). This study showed an inauspicious attitude toward blood donation and poor blood donation practices. Subjects with good comprehensive knowledge about voluntary blood donation were less likely to donate

Brand equity and willingness to pay for condoms in Zimbabwe.

PubMed

Evans, W Douglas; Taruberekera, Noah; Longfield, Kim; Snider, Jeremy

2011-10-26

Zimbabwe suffers from one of the greatest burdens of HIV/AIDS in the world that has been compounded by social and economic instability in the past decade. However, from 2001 to 2009 HIV prevalence among 15-49 year olds declined from 26% to approximately 14%. Behavior change and condom use may in part explain this decline.PSI-Zimbabwe socially markets the Protector Plus (P+) branded line of condoms. When Zimbabwe converted to a dollar-based economy in 2009, the price of condoms was greatly increased and new marketing efforts were undertaken. This paper evaluates the role of condom marketing, a multi-dimensional scale of brand peceptions (brand equity), and price in condom use behavior. We randomly sampled sexually active men age 15-49 from 3 groups - current P+ users, former users, and free condom users. We compared their brand equity and willingness to pay based on survey results. We estimated multivariable logistic regression models to compare the 3 groups. We found that the brand equity scale was positive correlated with willingness to pay and with condom use. Former users also indicated a high willingness to pay for condoms. We found differences in brand equity between the 3 groups, with current P+ users having the highest P+ brand equity. As observed in previous studies, higher brand equity was associated with more of the targeted health behavior, in this case and more consistent condom use. Zimbabwe men have highly positive brand perceptions of P+. There is an opportunity to grow the total condom market in Zimbabwe by increasing brand equity across user groups. Some former users may resume using condoms through more effective marketing. Some free users may be willing to pay for condoms. Achieving these objectives will expand the total condom market and reduce HIV risk behaviors.

Brand equity and willingness to pay for condoms in zimbabwe

PubMed Central

2011-01-01

Background Zimbabwe suffers from one of the greatest burdens of HIV/AIDS in the world that has been compounded by social and economic instability in the past decade. However, from 2001 to 2009 HIV prevalence among 15-49 year olds declined from 26% to approximately 14%. Behavior change and condom use may in part explain this decline. PSI-Zimbabwe socially markets the Protector Plus (P+) branded line of condoms. When Zimbabwe converted to a dollar-based economy in 2009, the price of condoms was greatly increased and new marketing efforts were undertaken. This paper evaluates the role of condom marketing, a multi-dimensional scale of brand peceptions (brand equity), and price in condom use behavior. Methods We randomly sampled sexually active men age 15-49 from 3 groups - current P+ users, former users, and free condom users. We compared their brand equity and willingness to pay based on survey results. We estimated multivariable logistic regression models to compare the 3 groups. Results We found that the brand equity scale was positive correlated with willingness to pay and with condom use. Former users also indicated a high willingness to pay for condoms. We found differences in brand equity between the 3 groups, with current P+ users having the highest P+ brand equity. As observed in previous studies, higher brand equity was associated with more of the targeted health behavior, in this case and more consistent condom use. Conclusions Zimbabwe men have highly positive brand perceptions of P+. There is an opportunity to grow the total condom market in Zimbabwe by increasing brand equity across user groups. Some former users may resume using condoms through more effective marketing. Some free users may be willing to pay for condoms. Achieving these objectives will expand the total condom market and reduce HIV risk behaviors. PMID:22029874

Head circumferences of children born to HIV-infected and HIV-uninfected mothers in Zimbabwe during the preantiretroviral therapy era

PubMed Central

Evans, Ceri; Chasekwa, Bernard; Ntozini, Robert; Humphrey, Jean H.; Prendergast, Andrew J.

2016-01-01

Objectives: To describe the head growth of children according to maternal and child HIV infection status. Design: Longitudinal analysis of head circumference data from 13 647 children followed from birth in the ZVITAMBO trial, undertaken in Harare, Zimbabwe, between 1997 and 2001, prior to availability of antiretroviral therapy (ART) or cotrimoxazole prophylaxis. Methods: Head circumference was measured at birth, then at regular intervals through 24 months of age. Mean head circumference-for-age Z-scores (HCZ) and prevalence of microcephaly (HCZ < −2) were compared between HIV-unexposed children, HIV-exposed uninfected (HEU) children and children infected with HIV in utero (IU), intrapartum (IP) and postnatally (PN). Results: Children infected with HIV in utero had head growth restriction at birth. Head circumference Z-scores remained low throughout follow-up in IP children, whereas they progressively declined in IU children. During the second year of life, HCZ in the PN group declined, reaching a similar mean as IP-infected children by 21 months of age. Microcephaly was more common among IU and IP children than HIV-uninfected children through 24 months. HEU children had significantly lower head circumferences than HIV-unexposed children through 12 months. Conclusion: HIV-infected children had lower head circumferences and more microcephaly than HIV-uninfected children. Timing of HIV acquisition; influenced HCZ, with those infected before birth having particularly poor head growth. HEU children had poorer head growth until 12 months of age. Correlations between head growth and neurodevelopment in the context of maternal/infant HIV infection, and further studies from the current ART era, will help determine the predictive value of routine head circumference measurement. PMID:27428746

Assessing adult mortality in HIV-1-afflicted Zimbabwe (1998 -2003).

PubMed Central

Lopman, Ben A.; Barnabas, Ruanne; Hallett, Timothy B.; Nyamukapa, Constance; Mundandi, Costa; Mushati, Phyllis; Garnett, Geoff P.; Gregson, Simon

2006-01-01

OBJECTIVE: To compare alternative methods to vital registration systems for estimating adult mortality, and describe patterns of mortality in Manicaland, Zimbabwe, which has been severely affected by HIV. METHODS: We compared estimates of adult mortality from (1) a single question on household mortality, (2) repeated household censuses, and (3) an adult cohort study with linked HIV testing from Manicaland, with a mathematical model fitted to local age-specific HIV prevalence (1998 -2000). FINDINGS: The crude death rate from the single question (29 per 1000 person-years) was roughly consistent with that from the mathematical model (22 -25 per 1000 person-years), but much higher than that from the household censuses (12 per 1000 person-years). Adult mortality in the household censuses (males 0.65; females 0.51) was lower than in the cohort study (males 0.77; females 0.57), while mathematical models gave a much higher estimate, especially for females (males 0.80 -0.83; females 0.75 -0.80). The population attributable fraction of adult deaths due to HIV was 0.61 for men and 0.70 for women, with life expectancy estimated to be 34.3 years for males and 38.2 years for females. CONCLUSION: Each method for estimating adult mortality had limitations in terms of loss to follow-up (cohort study), under-ascertainment (household censuses), transparency of underlying processes (single question), and sensitivity to parameterization (mathematical model). However, these analyses make clear the advantages of longitudinal cohort data, which provide more complete ascertainment than household censuses, highlight possible inaccuracies in model assumptions, and allow direct quantification of the impact of HIV. PMID:16583077

Educational Innovation in Zimbabwe: Possibilities and Problems.

ERIC Educational Resources Information Center

Mungazi, Dickson A.

1985-01-01

Describes education for Blacks in Zimbabwe (formerly Rhodesia) during the last 15 years of colonial rule. Assesses the educational opportunities Zimbabweans now have, in light of economic and political factors and constraints present under the current government. (GC)

“You are wasting our drugs”: health service barriers to HIV treatment for sex workers in Zimbabwe

PubMed Central

2013-01-01

Background Although disproportionately affected by HIV, sex workers (SWs) remain neglected by efforts to expand access to antiretroviral treatment (ART). In Zimbabwe, despite the existence of well-attended services targeted to female SWs, fewer than half of women diagnosed with HIV took up referrals for assessment and ART initiation; just 14% attended more than one appointment. We conducted a qualitative study to explore the reasons for non-attendance and the high rate of attrition. Methods Three focus group discussions (FGD) were conducted in Harare with HIV-positive SWs referred from the ‘Sisters with a Voice’ programme to a public HIV clinic for ART eligibility screening and enrolment. Focus groups explored SWs’ experiences and perceptions of seeking care, with a focus on how managing HIV interacted with challenges specific to being a sex worker. FGD transcripts were analyzed by identifying emerging and recurring themes that were specifically related to interactions with health services and how these affected decision-making around HIV treatment uptake and retention in care. Results SWs emphasised supply-side barriers, such as being demeaned and humiliated by health workers, reflecting broader social stigma surrounding their work. Sex workers were particularly sensitive to being identified and belittled within the health care environment. Demand-side barriers also featured, including competing time commitments and costs of transport and some treatment, reflecting SWs’ marginalised socio-economic position. Conclusion Improving treatment access for SWs is critical for their own health, programme equity, and public health benefit. Programmes working to reduce SW attrition from HIV care need to proactively address the quality and environment of public services. Sensitising health workers through specialised training, refining referral systems from sex-worker friendly clinics into the national system, and providing opportunities for SW to collectively

Learning To Cope with Drought in Zimbabwe.

ERIC Educational Resources Information Center

von Kotze, Astrid

2002-01-01

A program started during a drought in Zimbabwe involved the cultivation of drought-resistant crops. The program made the women less dependent on their often-absent husbands and changed the relationship between men and women in the village. (JOW)

Grassroots community organizations' contribution to the scale-up of HIV testing and counselling services in Zimbabwe.

PubMed

Gregson, Simon; Nyamukapa, Constance A; Sherr, Lorraine; Mugurungi, Owen; Campbell, Catherine

2013-06-19

To investigate whether community engagement (participation in grassroots organizations) contributed to increases in HIV testing in Zimbabwe. Prospective data on membership of local community organizations (e.g. women's groups and burial societies) and uptake of HIV testing and counselling (HTC) and prevention-of-mother-to-child transmission (PMTCT) services were collected from 5260 adults interviewed in two consecutive rounds of a general-population cohort survey in eastern Zimbabwe between 2003 and 2008. The effects of community engagement on uptake of services during the follow-up period were measured using logistic regression to adjust for observed confounding factors. Sixteen percent of men and 47% of women were consistent members of community organizations; 58 and 35% of these people discussed HIV in their meetings and were members of externally sponsored organizations, respectively. Fewer men (10.1%) than women (32.4%) took up HTC during follow-up [adjusted odds ratio (aOR)=4.08, 95% confidence interval (CI) 3.43-4.86, P<0.001]. HTC uptake was higher for members of community organizations than for nonmembers: men, 15.0 versus 9.2% (1.67, 1.15-2.43, P=0.007); women, 35.6 versus 29.6% (1.26, 1.06-1.49, P=0.008). Membership of community organizations showed a nonsignificant association with PMTCT uptake amongst recently pregnant women (42.3 versus 34.2%; 1.30, 0.94-1.78, P=0.1). The most consistent positive associations between community participation and HTC and PMTCT uptake were found in organizations that discussed HIV and when external sponsorship was absent. Grassroots organizations contributed to increased uptake of HTC services in eastern Zimbabwe in the mid-2000s. Partnerships with these organizations could harness community support for the further increases in HIV testing needed in sub-Saharan Africa. © 2013 Creative Common License

Entrepreneurial Careers of Women in Zimbabwe

ERIC Educational Resources Information Center

Ncube, Lisa B.; Greenan, James P.

2003-01-01

The purpose of this study was to investigate the pathways of entrepreneurial career development and the processes involved for women to become entrepreneurs in Zimbabwe. Women entrepreneurs were studied to gain an understanding of why women chose self-employment and how local enterprise programs should be designed to benefit them. The study…

Debate on the legalization of abortion in Zimbabwe.

PubMed

1994-01-01

In Zimbabwe, where over 70,000 illegal abortions are performed each year and complications from clandestine abortion are a leading cause of maternal mortality, the abortion law debate has been re-opened. Under the present law, abortion is legal only to save the life of the mother and women who undergo illegal abortion face strict criminal sanctions. Timothy Stamps, the Minister of Health and Child Welfare, has stated, "The first rights of a child are to be desired, to be wanted, and to be planned." Dr. Illiff, of the University of Zimbabwe's Department of Obstetrics and Gynecology, has noted, "We cannot stop abortion. The choice is how safe it is." Illiff pointed out that urban Zimbabwe women run a 262 times greater risk of dying of abortion complications than their counterparts in the UK where abortion is legal. As the Women's Action Group has observed, men have dominated the current debate on abortion. The group has issued an appeal to women to enter into this debate that concerns their bodies to ensure that another law is not imposed on them. The group's appeal for action states: "We as Women's Action Group believe that every woman should decide what's right and what's wrong in her life. She and only she should be the master of her destiny. Her voice should be heard louder than anyone else's."

Factors influencing post abortion outcomes among high-risk patients in Zimbabwe.

PubMed

Mudokwenuy-Rawdon, C; Ehlers, V J; Bezuidenhout, M C

2005-11-01

Post abortion complications remain one of the major causes of mortality among women of child bearing age in Zimbabwe. Based on this problem, factors associated with mortalities due to abortion were investigated with the aim of improving post abortion outcomes for Zimbabwe's women, and possibly also for women of other African countries. Cases and controls were selected from 4895 post abortion records to conduct a retrospective case-control study. Significant risk factors identified for reducing mortalities due to post abortion complications included the administration of oxytocic drugs and evacuation of the uterus whilst anaemia and sepsis apparently reduced these women's chances of survival. Women who died (cases) from post abortion complications apparently received better reported quantitative care than controls. Recommendations based on this research report include improved education of health care workers and enhanced in-service training, regular audits of patients' records and changed policies for managing these conditions more effectively in Zimbabwe.

HIV status disclosure to perinatally-infected adolescents in Zimbabwe: a qualitative study of adolescent and healthcare worker perspectives.

PubMed

Kidia, Khameer K; Mupambireyi, Zivai; Cluver, Lucie; Ndhlovu, Chiratidzo E; Borok, Margaret; Ferrand, Rashida A

2014-01-01

Due to the scale up of antiretroviral therapy, increasing numbers of HIV-infected children are living into adolescence. As these children grow and surpass the immediate threat of death, the issue of informing them of their HIV status arises. This study aimed to understand how perinatally-infected adolescents learn about their HIV-status as well as to examine their preferences for the disclosure process. In-depth interviews were conducted with 31 (14 male, 17 female) perinatally-infected adolescents aged 16-20 at an HIV clinic in Harare, Zimbabwe, and focused on adolescents' experiences of disclosure. In addition, 15 (1 male, 14 female) healthcare workers participated in two focus groups that were centred on healthcare workers' practices surrounding disclosure in the clinic. Purposive sampling was used to recruit participants. A coding frame was developed and major themes were extracted using grounded theory methods. Healthcare workers encouraged caregivers to initiate disclosure in the home environment. However, many adolescents preferred disclosure to take place in the presence of healthcare workers at the clinic because it gave them access to accurate information as well as an environment that made test results seem more credible. Adolescents learned more specific information about living with an HIV-positive status and the meaning of that status from shared experiences among peers at the clinic. HIV-status disclosure to adolescents is distinct from disclosure to younger children and requires tailored, age-appropriate guidelines. Disclosure to this age group in a healthcare setting may help overcome some of the barriers associated with caregivers disclosing in the home environment and make the HIV status seem more credible to an adolescent. The study also highlights the value of peer support among adolescents, which could help reduce the burden of psychosocial care on caregivers and healthcare workers.

Prospects for tobacco control in Zimbabwe: a historical perspective.

PubMed

Woelk, G; Mtisi, S; Vaughan, J P

2001-09-01

Using a historical and political economy perspective, this paper explores the prospects for tobacco control in Zimbabwe, the world's sixth largest producer and third largest tobacco exporter. Tobacco production, which first began in the former Rhodesia in the early 1900s, is closely associated with colonial history and land occupation by white settlers. The Zimbabwe (formerly Rhodesia) Tobacco Association was formed in 1928 and soon became a powerful political force. Although land redistribution has always been a central issue, it was not adequately addressed after independence in 1980, largely due to the need for Zimbabwe to gain foreign currency and safeguard employment. However, by the mid-1990s political pressures forced the government to confront the mainly white, commercial farmers with a new land acquisition policy, but intense national and international lobbying prevented its implementation. With advent of global economic changes, and following the start of a structural adjustment programme in 1991, manufacturing began to decline and the government relied even more on the earnings from tobacco exports. Thus strengthening tobacco control policies has always had a low national and public health priority. Recent illegal occupation of predominantly white owned farms, under the guise of implementing the former land redistribution policy, was politically motivated as the government faced its first major challenge at the general elections in June 2000. It remains unclear whether this will lead to long term reductions in tobacco production, although future global declines in demand could weaken the tobacco lobby. However, since Zimbabwe is only a minor consumer of tobacco, a unique opportunity does exist to develop controls on domestic cigarette consumption. To achieve this the isolated ministry of health would need considerable support from international agencies, such as the World Health Organisation and World Bank.

Child Growth According to Maternal and Child HIV Status in Zimbabwe.

PubMed

Omoni, Adetayo O; Ntozini, Robert; Evans, Ceri; Prendergast, Andrew J; Moulton, Lawrence H; Christian, Parul S; Humphrey, Jean H

2017-09-01

Growth failure is common among HIV-infected infants, but there are limited data on the effects of HIV exposure or timing of HIV acquisition on growth. Fourteen thousand one hundred ten infants were enrolled in the Zimbabwe Vitamin A for Mothers and Babies trial in Zimbabwe before the availability of antiretroviral therapy or co-trimoxazole. Anthropometric measurements were taken from birth through 12-24 months of age. Growth outcomes were compared between 5 groups of children: HIV-infected in utero (IU), intrapartum (IP) or postnatally (PN); HIV-exposed uninfected (HEU); and HIV unexposed. Growth failure was common across all groups of children. Compared with HIV-unexposed children, IU-, IP- and PN-infected children had significantly lower length-for-age and weight-for-length Z scores throughout the first 2 years of life. At 12 months, odds ratios for stunting were higher in IU [6.25, 95% confidence interval (CI): 4.20-9.31] and IP infants (4.76, 95% CI: 3.58-6.33) than in PN infants (1.70, 95% CI: 1.16-2.47). Compared with HIV-unexposed infants, HEU infants at 12 months had odds ratios for stunting of 1.23 (95% CI: 1.08-1.39) and wasting of 1.56 (95% CI: 1.22-2.00). HIV-infected infants had very high rates of growth failure during the first 2 years of life, particularly if IU or IP infected, highlighting the importance of early infant diagnosis and antiretroviral therapy. HEU infants had poorer growth than HIV-unexposed infants in the first 12 months of life.

Factors associated with hospital arrival time after the onset of stroke symptoms: A cross-sectional study at two teaching hospitals in Harare, Zimbabwe.

PubMed

Seremwe, Farayi; Kaseke, Farayi; Chikwanha, Theodora M; Chikwasha, Vasco

2017-06-01

Late presentation to hospital after onset of stroke affects management and outcomes of the patients. This study aimed to determine the factors associated with time taken to present to hospital after the onset of acute stroke symptoms. A descriptive cross sectional study was conducted at two teaching hospitals in Zimbabwe. Participants included patients admitted with stroke and their relatives. A self-administered questionnaire was used to collect information on history of stroke occurrence and time taken to present to hospital. Data was analysed for means, frequencies, percentages and Odds ratios. Less than half (33%) of the participants were able to recognize symptoms of stroke. Not having money to pay for hospital bills was a predictor of late hospital presentation (OR =6.64; 95% CI, (2.05-21.53); p=0.002). The other factors, though not statistically significant included not perceiving stroke as a serious illness (OR = 2.43; 95% CI (0.78-5.51); p=0.083) and unavailability of transport (OR=2.33; 95% CI (0.71-7.56); p=0.161). Predictors for early presentation included receiving knowledge about stroke from the community (OR=0.46; 95% CI (0.15-1.39); p=0.170); seeking help at the hospital (OR=0.50; 95% CI (0.18-1.37); p=0.177) and having a stroke while at the workplace (OR =0.46; 95% CI (0.08-2.72); p=0.389). Regarding stroke as an emergency that does not require prerequisite payment for services at hospitals and improved community awareness on stroke may improve time taken to present to hospital after the onset of stroke symptoms.

Vocational Rehabilitation in Zimbabwe: A Socio-Historical Analysis.

ERIC Educational Resources Information Center

Devlieger, Patrick J.

1998-01-01

Addresses the legacy of Zimbabwe's missionary and colonial history; the postcolonial period; approaches to employment of people with disabilities; the impact of migration; and new developments throughout Africa and their implications for vocational rehabilitation. (SK)

The Ground-Level Enhancements of 29 September and 22 October 1989

DTIC Science & Technology

1993-01-01

3409 September 29 OLE Static Zenith Auimuth Thmrahl lwuaae % m~GV -’O0-13:0 . T 130-,,14:00 UT : Mawson 42? N -3 2.5 1.7 42? S -3 2.5 1.7 620 N -5 1.3...seen by all stations except above 2 GV. J is in units of (cm- s ster GV)-. Source direc- Mawson and the second not seen by the low latitude stations...t989 October 22 GLE sun and further studies are continuing. The main GLE was complex with several peaks. We have Time T J J 1, per Source Source

3 CFR - Continuation of the National Emergency With Respect to the Situation in Zimbabwe

Code of Federal Regulations, 2014 CFR

2014-01-01

... 3 The President 1 2014-01-01 2014-01-01 false Continuation of the National Emergency With Respect to the Situation in Zimbabwe Presidential Documents Other Presidential Documents Notice of March 1, 2013 Continuation of the National Emergency With Respect to the Situation in Zimbabwe On March 6, 2003, by Executive Order 13288, the President...

3 CFR - Continuation of the National Emergency With Respect to the Situation in Zimbabwe

Code of Federal Regulations, 2013 CFR

2013-01-01

... 3 The President 1 2013-01-01 2013-01-01 false Continuation of the National Emergency With Respect to the Situation in Zimbabwe Presidential Documents Other Presidential Documents Notice of March 2, 2012 Continuation of the National Emergency With Respect to the Situation in Zimbabwe On March 6, 2003, by Executive Order 13288, the President...

The effects of progressive-resisted exercises on muscle strength and health-related quality of life in persons with HIV-related poly-neuropathy in Zimbabwe.

PubMed

Mkandla, Khumbula; Myezwa, Hellen; Musenge, Eustasius

2016-01-01

Distal symmetrical poly-neuropathy (DSP) is a neurological complication associated with HIV/AIDS and stavudine (d4T) containing antiretroviral therapy. People with DSP experience pain, numbness and muscle weakness, which affect their quality of life (QOL). The purpose of this study was to establish the effect of a progressive-resisted exercise (PRE) intervention on health-related quality of life (HR-QOL) in people living with HIV/AIDS-related DSP. An assessor-blinded randomised controlled trial was conducted, with participants sourced from 10 clinics with HIV services, the family care clinic at Wilkins Hospital and 2 large hospitals in Harare, Zimbabwe. A 12-week PRE intervention was conducted twice weekly for 80 participants, while the control group with 80 participants continued with usual daily activities. The main outcome variable was HR-QOL for which we controlled for demographic and clinical measures in generalised estimating equation population-averaged models. Data were summarised and analysed using an intention to treat analysis approach using the Stata v10 program. Mean age of participants was 42.2 years (SD = 8.5). While d4T was used by 59% (n = 94), an equal proportion of the participants also had moderate to severe neuropathy. PRE was found to significantly improve HR-QOL in the intervention group based on the mean difference between the intervention group mean change and the mean change in the control group (F ratio 4.24; p = .04). This study established that PREs have positive effects on HR-QOL for people living with HIV/AIDS-related DSP.

Paleomagnetic reunion

NASA Astrophysics Data System (ADS)

McElhinny, Mike

In August 1987, in Vancouver, Canada, almost all of those who worked in the paleomagnetic group at the University College of Rhodesia and Nyasaland, Salisbury, Southern Rhodesia (now the University of Zimbabwe, Harare, Zimbabwe) were by chance attending the International Union of Geodesy and Geophysics meeting. For 8 years (1958-1966) the scientists in this photograph, taken in Vancouver, formed one of the world's most productive research groups. The paleomagnetic data from central Africa acquired by the group still remain the cornerstone of data for the continent.The g roup was started by Ian Gough in 1958. In 1960, h e became one of the few foreign grantees of the U.S. National Science Foundation (NSF). Mike McElhinny, who took over the group following Gough's departure in 1963, also received an NSF grant. The group broke up in 1966 because of political events in Rhodesia. Since 1968, work has been kept going in that region by Dai Jones.

Gender Discrimination in Educational Personnel: A Case Study of Gweru Urban District Secondary Schools, Zimbabwe

ERIC Educational Resources Information Center

Matope, Nogget

2012-01-01

Gender discrimination in educational institutions persists, despite the vigorous pursuit of policies and programmes to reduce the varying degrees of gender inequity in Zimbabwe. Zimbabwe is a signatory to international agreements and conventions which promote gender equity with a thrust towards increased access to education for girls and females.…

Quality of Teaching and Learning in Resource Quandary: The Case of a University in Zimbabwe

ERIC Educational Resources Information Center

Chidindi, Joseph

2012-01-01

Zimbabwe faced severe economic challenges that impacted on resource accumulation leading to a decline of quality of teaching and learning in a selected university in Zimbabwe yet the Resource Dependence Theory advocates that organizations are dependent on the environment for resources for survival and achievement of their set objectives. The study…

Contemporary Development Issues: The Women of Zimbabwe.

ERIC Educational Resources Information Center

Rucks, Doris

This preliminary report of a research project in progress briefly outlines Zimbabwe's historical, geographic, and cultural heritage and describes the methodology being used. Traditionally, Zimbabwean women are viewed as inferior and subordinate in a patriarchal society. They perform much of the work but have no political power. This study seeks to…

STS-29 Discovery, OV-103, lands on Edwards AFB concrete runway 22

NASA Technical Reports Server (NTRS)

1989-01-01

STS-29 Discovery, Orbiter Vehicle (OV) 103, main landing gear (MLG) touches down at a speed of approximately 205 knots (235 miles per hour) on concrete runway 22 at Edwards Air Force Base (AFB), California. Nose landing gear (NLG) is deployed and rides above runway surface prior touchdown. Rear view captures OV-103 as it glides past photographer to wheel stop showing the tail section (speedbrake/rudder) and three space shuttle main engines (SSMEs). Mojave desert scrub brush appears in the foreground with aircraft hangar appearing in the background.

Special Education Professional Development Needs in Zimbabwe

ERIC Educational Resources Information Center

Chitiyo, Morgan; Hughes, Elizabeth M.; Changara, Darlington M.; Chitiyo, George; Montgomery, Kristen M.

2017-01-01

Since 1980 when Zimbabwe obtained political independence, special education has not received the same priority as the entire education system. One of the manifestations of this discrepancy is the shortage of qualified special education teachers in the country. In order to address this trend and promote the development of special education,…

Underage and underserved: reaching young women who sell sex in Zimbabwe.

PubMed

Busza, Joanna; Mtetwa, Sibongile; Mapfumo, Rumbidzo; Hanisch, Dagmar; Wong-Gruenwald, Ramona; Cowan, Frances

2016-03-01

Young women who sell sex (YWSS) in Southern Africa are highly vulnerable to HIV, as the risks of being young and female in a high prevalence setting coalesce with those of commercial sex. YWSS are less able to negotiate safe sex, more likely to have higher risk partners, and less likely to use available health services compared to older sex workers. In Zimbabwe's national HIV programme for sex workers, fewer than 1% of clients were 15-29. We developed monthly interactive workshops for YWSS based on an Activity Pack consisting of 21 sessions organised into six modules. The aim was to encourage YWSS' interaction with each other, build their trust, confidence and skills, and encourage uptake of clinical services. We conducted a process evaluation to assess programme strengths, identify challenges, and recommend changes. This paper presents findings synthesising programme records with qualitative data and discusses feasibility, acceptability, and outputs during the pilot phase. In total, 143 YWSS attended meetings and most were from the target 15-19-year-old age group. Participants enjoyed the sessions and reported improved cooperation, willingness to negotiate with clients, and self-reflection about their futures. Staff found facilitating sessions easy and activities clear and appropriate. Challenges included identifying appropriate referrals, initial recruitment of women in some sites, and managing participants' requests for financial compensation. The number of clients aged 15-19 increased at sex worker clinics in all sites. This programme is the first to target YWSS in Zimbabwe to address their disproportionately low service use. It proved feasible to staff and acceptable to participants over a one-year period. Given enhanced vulnerability of YWSS, this programme provides one workable model for reaching this underserved group.

Business confidence still high in Zimbabwe.

PubMed

Amanor-wilks, D

1995-12-01

Business confidence has not been affected in Zimbabwe despite the AIDS epidemic in that country. An Australian mining company has recruited people to work at its platinum mine in Zimbabwe and also instituted an AIDS awareness program. The National Chamber of Commerce disclosed that semiskilled and unskilled workers who are the "easiest to replace" have been most affected by the epidemic. The impact of AIDS has not been as bad as had been predicted several years ago. By the end of the 1990s, however, there might be a skills shortage. The first AIDS case was detected in 1985 in Zimbabwe. By the end of 1995 a cumulative total of 38,500 cases had been reported, but the National AIDS Control Program believes that the true figure is over 100,000. The estimated number of HIV-infected people is about 1 million. The most economically productive age group (30-50) has the highest rates of infection. Transport is affected most, followed by mining and commercial farming. Infection rates among miners are estimated to be 20-30% and the rates are the highest at the mines on the major transport routes. The mining industry has not had any problems in recruiting labor, but, increasingly, deaths are AIDS-related. The growing sex industry at the mines has accelerated the spread of HIV. In addition, small mines do not have AIDS awareness programs in place. The National Employment Council runs a project for the transport industry, which seeks to intensify AIDS campaigns at truck stops. This also entails talks to drivers about AIDS; courses for police, nurses, and sex workers; and the distribution of condoms. In commercial farming, two-thirds of workers are unskilled casual laborers who live in squalid conditions that foster the spread of AIDS. At these farms there is also a growing number of orphans, whose number is estimated to rise to 60,000 by the late 1990s.

Grassroots community organizations’ contribution to the scale-up of HIV testing and counselling services in Zimbabwe

PubMed Central

Gregson, Simon; Nyamukapa, Constance A.; Sherr, Lorraine; Mugurungi, Owen; Campbell, Catherine

2013-01-01

Objective: To investigate whether community engagement (participation in grassroots organizations) contributed to increases in HIV testing in Zimbabwe. Methods: Prospective data on membership of local community organizations (e.g. women's groups and burial societies) and uptake of HIV testing and counselling (HTC) and prevention-of-mother-to-child transmission (PMTCT) services were collected from 5260 adults interviewed in two consecutive rounds of a general-population cohort survey in eastern Zimbabwe between 2003 and 2008. The effects of community engagement on uptake of services during the follow-up period were measured using logistic regression to adjust for observed confounding factors. Results: Sixteen percent of men and 47% of women were consistent members of community organizations; 58 and 35% of these people discussed HIV in their meetings and were members of externally sponsored organizations, respectively. Fewer men (10.1%) than women (32.4%) took up HTC during follow-up [adjusted odds ratio (aOR) = 4.08, 95% confidence interval (CI) 3.43–4.86, P < 0.001]. HTC uptake was higher for members of community organizations than for nonmembers: men, 15.0 versus 9.2% (1.67, 1.15–2.43, P = 0.007); women, 35.6 versus 29.6% (1.26, 1.06–1.49, P = 0.008). Membership of community organizations showed a nonsignificant association with PMTCT uptake amongst recently pregnant women (42.3 versus 34.2%; 1.30, 0.94–1.78, P = 0.1). The most consistent positive associations between community participation and HTC and PMTCT uptake were found in organizations that discussed HIV and when external sponsorship was absent. Conclusion: Grassroots organizations contributed to increased uptake of HTC services in eastern Zimbabwe in the mid-2000s. Partnerships with these organizations could harness community support for the further increases in HIV testing needed in sub-Saharan Africa. PMID:24047764

Vocationalising Curriculum in Zimbabwe. An Evaluation Perspective.

ERIC Educational Resources Information Center

Gumbo, Samson D.

When Zimbabwe was still Rhodesia, the education provided blacks was very different from that provided to whites. As more blacks passed through the school system it became obvious that for many young Zimbabweans the system provided education for unemployment and frustration. In 1966 African secondary schools were divided into F(1) academic and F(2)…

Zimbabwe: Current Issues and U.S. Policy

DTIC Science & Technology

2007-06-21

Monetary Fund ( IMF ) lending has been suspended for more than six years due to nonpayment of arrears, and foreign currency for essential imports... devalue the official exchange rate. Instead, in June 2006, Gono devalued the country’s currency , the Zimbabwe dollar, removing three zeros in an...27 The IMF and the World Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Attempts to Revive Agriculture Industry

Widening Access in Higher Education in Zimbabwe

ERIC Educational Resources Information Center

Kariwo, Michael Tonderai

2007-01-01

Higher education in Zimbabwe is undergoing changes mainly because of the rapid expansion that started in 1999. The current situation is that higher education is going through a series of crises due to the fact that government subventions are diminishing in real terms as a result of the decline in economic growth, yet at the same time, student…

Competency based ophthalmology training curriculum for undergraduate medical students in Zimbabwe.

PubMed

Masanganise, R; Samkange, C; Mukona, D; Aagaard, E

2015-01-01

The establishment of a credible, defensible and acceptable “formal competency based ophthalmology training curriculum for undergraduate medical and dental students” is fundamental to program recognition, monitoring and evaluation. The University of Zimbabwe College of Health Sciences (UZ-CHS) has never had a formal ophthalmology training curriculum for medical graduates since its inception. This has cast doubts on the quality of medical graduates produced with regards to delivery of basic primary eye care in the community. The aim of this project was to develop a formal “competency based ophthalmology training curriculum” (CBOTC) for medical graduates in Zimbabwe. Institution based (University of Zimbabwe College of Health Sciences and Parirenyatwa Group of Hospitals), cross-sectional analytic study. A review of undergraduate medical training curriculum and literature was done to identify gaps in the ophthalmology training curriculum. A local needs assessment was conducted through interviews of major stake holders in the University of Zimbabwe College of Health Sciences and Parirenyatwa Group of Hospitals. This project confirmed the lack of a formal ophthalmology training curriculum for medical graduates at the UZCHS, ad-hoc training of undergraduate ophthalmology and inconsistent student assessment in knowledge of and care of eye complaints. Cataract, glaucoma, refractive errors, ocular tumours, conjunctivitis, eye infection and eye injuries were suggested as priority conditions every student should learn during the rotation. A formal CBOTC for medical graduates based on identified needs and priority eye diseases has been developed in response. A CBOTC based on identified needs and focused on targeted diseases has been proposed geared towards producing medical graduates with the basic knowledge, skills and attitudes to deliver adequate primary eye care.

Zimbabwe's success story in education and health: will it weather economic structural adjustment?

PubMed

Tumwine, J K

1992-12-01

The beginning of the 1980s saw the birth of Zimbabwe as a result of a protracted liberation war. It coincided with global interest in primary health care, the concept of universal primary school education and, unfortunately, moves towards economic stabilization and structural adjustment programmes. Economic structural adjustment was adopted by several sub Saharan African countries with dire consequences for the poor and vulnerable. Zimbabwe's commitment to social justice and to equitable distribution of resources demonstrated a practical move away from the culture of rhetoric so characteristic of many governments and non-governmental organisations and agencies. This commitment has been translated into impressive improvements in health and education. Current evidence shows that education has had a positive impact on health and related areas like contraceptive use, child mortality and the nutrition status of children. Conversely nutrition and health conditions among school children are important determinants of educational outcomes. Hitherto Zimbabwe's economy has been sufficiently strong to avoid excessive dependence on the International Monetary Fund, the World Bank and other foreign financial institutions. Unfortunately, however, the current economic recession together with economic structural adjustment programmes are beginning to have a negative impact on health and education. Will true synergism between health and education weather these structural problems? It seems that the people and government of Zimbabwe have the capacity and resolve to weather such a storm.

DNA sequence analyses reveal co-occurrence of novel haplotypes of Fasciola gigantica with F. hepatica in South Africa and Zimbabwe.

PubMed

Mucheka, Vimbai T; Lamb, Jennifer M; Pfukenyi, Davies M; Mukaratirwa, Samson

2015-11-30

The aim of this study was to identify and determine the genetic diversity of Fasciola species in cattle from Zimbabwe, the KwaZulu-Natal and Mpumalanga provinces of South Africa and selected wildlife hosts from Zimbabwe. This was based on analysis of DNA sequences of the nuclear ribosomal internal transcribed spacer (ITS1 and 2) and mitochondrial cytochrome oxidase 1 (CO1) regions. The sample of 120 flukes was collected from livers of 57 cattle at 4 abattoirs in Zimbabwe and 47 cattle at 6 abattoirs in South Africa; it also included three alcohol-preserved duiker, antelope and eland samples from Zimbabwe. Aligned sequences (ITS 506 base pairs and CO1 381 base pairs) were analyzed by neighbour-joining, maximum parsimony and Bayesian inference methods. Phylogenetic trees revealed the presence of Fasciola gigantica in cattle from Zimbabwe and F. gigantica and Fasciola hepatica in the samples from South Africa. F. hepatica was more prevalent (64%) in South Africa than F. gigantica. In Zimbabwe, F. gigantica was present in 99% of the samples; F. hepatica was found in only one cattle sample, an antelope (Hippotragus niger) and a duiker (Sylvicapra grimmia). This is the first molecular confirmation of the identity Fasciola species in Zimbabwe and South Africa. Knowledge on the identity and distribution of these liver flukes at molecular level will allow disease surveillance and control in the studied areas. Copyright © 2015 Elsevier B.V. All rights reserved.

Holistic Initiatives for Enhancing Graduate Employability in Zimbabwe

ERIC Educational Resources Information Center

Garwe, Evelyn Chiyevo

2014-01-01

The objective of the study was to document initiatives for enhancing graduate employability and building successful future careers for students. The author used the case of Zimbabwe to explore interventions by higher education institutions, government, industry and commerce as well as professional bodies. The methodology involved a mix of…

Agroforestry Systems in Zimbabwe: Promoting Trees in Agriculture.

ERIC Educational Resources Information Center

Vukasin, Helen L., Ed.

Agroforestry has been defined as a sustainable crop management system which combines the production of forest crops with field crops. In June, 1987, an agroforestry workshop took place in Nyanga, Manicaland, Zimbabwe. This document was prepared to share the information presented at this workshop with other non-government organizations around the…

29 CFR 1903.22 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... Occupational Safety and Health Act of 1970. (84 Stat. 1590 et seq., 29 U.S.C. 651 et seq.) (b) The definitions... included, and the last day of the 15 working days shall be included. (d) Compliance Safety and Health...

29 CFR 1903.22 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... Occupational Safety and Health Act of 1970. (84 Stat. 1590 et seq., 29 U.S.C. 651 et seq.) (b) The definitions... included, and the last day of the 15 working days shall be included. (d) Compliance Safety and Health...

Knowledge of HIV-related disabilities and challenges in accessing care: Qualitative research from Zimbabwe

PubMed Central

Zuurmond, Maria; Ferrand, Rashida; Kuper, Hannah

2017-01-01

Introduction While the rapid expansion in antiretroviral therapy access in low and middle income countries has resulted in dramatic declines in mortality rates, many people living with HIV face new or worsening experiences of disability. As nearly 1 in 20 adults are living with HIV in sub-Saharan Africa–many of whom are likely to develop disabling sequelae from long-term infection, co-morbidities and side effects of their treatment–understanding the availability and accessibility of services to address HIV-related disabilities is of vital importance. The aim of this study thus is to explore knowledge of HIV-related disabilities amongst stakeholders working in the fields of HIV and disability and factors impacting uptake and provision of interventions for preventing, treating or managing HIV-related disabilities. Methods In-depth, semi-structured interviews were conducted with ten stakeholders based in Harare, Zimbabwe, who were working in the fields of either disability or HIV. Stakeholders were identified through a priori stakeholder analysis. Thematic Analysis, complemented by constant comparison as described in Grounded Theory, was used to analyse findings. Results All key informants reported some level of knowledge of HIV-related disability, mostly from observations made in their line of work. However, they reported no interventions or policies were in place specifically to address HIV-related disability. While referrals between HIV and rehabilitation providers were not uncommon, no formal mechanisms had been established for collaborating on prevention, identification and management. Additional barriers to accessing and providing services to address HIV-related disabilities included: the availability of resources, including trained professionals, supplies and equipment in both the HIV and rehabilitation sectors; lack of disability-inclusive adaptations, particularly in HIV services; heavy centralization of available services in urban areas, without

Occupational health risk of working in garages: comparative study on blood pressure and hematological parameters between garage workers and Haramaya University community, Harar, eastern Ethiopia.

PubMed

Ataro, Zerihun; Geremew, Abraham; Urgessa, Fekadu

2018-01-01

Occupational exposure to chemicals in garages causes a wide range of biological effects, depending upon the level and duration of exposure. In Ethiopia, there have been few studies conducted to assess the exposure of garage workers to chemicals. Preceding studies have not explored the effect of working in garage on blood pressure and hematological parameters. Therefore, this study aimed to assess differences in blood pressure and hematological parameters among garage workers compared to the Haramaya University community, Harar, eastern Ethiopia. A comparative cross-sectional study was conducted in Harar town, eastern Ethiopia. Thirty garage workers were selected and compared with 30 age- and sex-matched controls comprising of teachers and students. Demographic and occupational data were collected by using a structured questionnaire by a trained data collector. Blood pressure was measured using sphygmomanometry. Hematological parameters were measured with an automated hematology analyzer. Data were analyzed using Stata version 13. The majority of the garage workers did not implement effective preventive or control measures for workplace chemical exposure. Statistically significant increases were found in systolic (128.67±18.14 vs 106.33 ±9.27 mmHg, P <0.0001), diastolic blood pressure (90.33±11.29 vs 75.67 ±5.68 mmHg, P <0.0001), total white blood cells (7.9±1.51 vs 6.72±2.04×10 9 cells/L, P =0.0138), and platelets (323.20±48.82 vs 244.1±47.3×10 9 cells/L, P <0.0001) in garage workers compared to the control group. On the other hand, statistically significant decreases were found in red blood cells (5.13±0.38 vs 5.46±0.36×10 12 cells/L, P =0.0006), hemoglobin (14.89±0.71 vs 15.45±0.87 g/dL, P =0.0062), hematocrit (43.98%±1.99% vs 46.4%3±2.32%, P <0.0001), and mean corpuscular volume (83.19±2.93 vs 85.11±3.87 fL, P =0.0353) among garage workers compared to the control group. There were significant differences in blood pressure and hematological

Occupational health risk of working in garages: comparative study on blood pressure and hematological parameters between garage workers and Haramaya University community, Harar, eastern Ethiopia

PubMed Central

Ataro, Zerihun; Geremew, Abraham; Urgessa, Fekadu

2018-01-01

Background Occupational exposure to chemicals in garages causes a wide range of biological effects, depending upon the level and duration of exposure. In Ethiopia, there have been few studies conducted to assess the exposure of garage workers to chemicals. Preceding studies have not explored the effect of working in garage on blood pressure and hematological parameters. Therefore, this study aimed to assess differences in blood pressure and hematological parameters among garage workers compared to the Haramaya University community, Harar, eastern Ethiopia. Materials and methods A comparative cross-sectional study was conducted in Harar town, eastern Ethiopia. Thirty garage workers were selected and compared with 30 age- and sex-matched controls comprising of teachers and students. Demographic and occupational data were collected by using a structured questionnaire by a trained data collector. Blood pressure was measured using sphygmomanometry. Hematological parameters were measured with an automated hematology analyzer. Data were analyzed using Stata version 13. Results The majority of the garage workers did not implement effective preventive or control measures for workplace chemical exposure. Statistically significant increases were found in systolic (128.67±18.14 vs 106.33 ±9.27 mmHg, P<0.0001), diastolic blood pressure (90.33±11.29 vs 75.67 ±5.68 mmHg, P<0.0001), total white blood cells (7.9±1.51 vs 6.72±2.04×109 cells/L, P=0.0138), and platelets (323.20±48.82 vs 244.1±47.3×109 cells/L, P<0.0001) in garage workers compared to the control group. On the other hand, statistically significant decreases were found in red blood cells (5.13±0.38 vs 5.46±0.36×1012 cells/L, P=0.0006), hemoglobin (14.89±0.71 vs 15.45±0.87 g/dL, P=0.0062), hematocrit (43.98%±1.99% vs 46.4%3±2.32%, P<0.0001), and mean corpuscular volume (83.19±2.93 vs 85.11±3.87 fL, P=0.0353) among garage workers compared to the control group. Conclusion There were significant

Mainstreaming gender in integrated water resources management: the case of Zimbabwe

NASA Astrophysics Data System (ADS)

Manase, G.; Ndamba, J.; Makoni, F.

Zimbabwe embarked on a water sector reform programme in 1995. Two goals of the water reform were to broaden women’s access to water and to enhance their participation in water management. This paper analyses how gender was addressed at the national and institutional levels and in the water reform process, paying particular attention on how strategic gender needs were addressed in the process and the resultant policies and Acts. The results show that although the government of Zimbabwe has made considerable progress in mainstreaming gender at the ministerial level, departments which are involved in the actual implementation of water programmes do not have clear gender policies. Therefore although gender equity was one of the main goals of the water reform, most poor women and men were not involved in the consultations. Consequently neither the new Water Act nor the Zimbabwe National Water Authority (ZINWA) Act addresses gender in explicit terms. Strategic gender needs are not addressed at all. It is recommended that all institutions in the water sector, including NGOs, should have clear gender policies, include a gender perspective in their organisation culture and practices and address strategic gender needs through training, education and supporting productive use of water.

Impact of urbanization on the ecology of Mukuvisi River, Harare, Zimbabwe

NASA Astrophysics Data System (ADS)

Moyo, N. A. G.; Rapatsa, M. M.

2016-04-01

The main objective in this study was to compare the physico-chemical characteristics and biota of a river (Mukuvisi) passing through an urban area to that of a non-urbanised river (Gwebi). Five sites in the Mukuvisi River and five sites in the Gwebi River were sampled for water physico-chemical parameters (pH, conductivity, DO, BOD, TDS, ammonia, Cl, SO42-, PO42-, NO33-, F-, Pb, Cu, Fe, Mn, Zn and Cr) once every month between August, 2012-August, 2013. Cluster analysis based on the physico-chemical parameters grouped the sites into two groups. Mukuvisi River sites formed their own grouping except for one site which was grouped with Gwebi River sites. Principal Component Analysis (PCA) was used to extract the physico-chemical parameters that account for most variations in water quality in the Mukuvisi and Gwebi Rivers. PCA identified sulphate, chloride, fluoride, iron, manganese and zinc as the major factors contributing to the variability of Mukuvisi River water quality. In the Gwebi river, sulphate, nitrate, fluoride and copper accounted for most of the variation in water quality. Canonical Correspondence Analysis (CCA) was used to explore the relationship between physico-chemical parameters and macroinvertebrate communities. CCA plots in both Mukuvisi and Gwebi Rivers showed significant relationships between macroinvertebrate communities and water quality variables. Phosphate, ammonia and nitrates were correlated with Chironomidae and Simulidae. Gwebi River had higher (P < 0.05, ANOVA) macroinvertebrates and fish diversity than Mukuvisi River. Clarias gariepinus from the Mukuvisi River had high liver histological lesions and low AChE activity and this led to lower growth rates in this river.

Factors affecting acceptance of provider-initiated HIV testing and counseling services among outpatient clients in selected health facilities in Harar Town, Eastern Ethiopia.

PubMed

Abdurahman, Sami; Seyoum, Berhanu; Oljira, Lemessa; Weldegebreal, Fitsum

2015-01-01

To improve the slow uptake of HIV counseling and testing, the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) have developed draft guidelines on provider-initiated testing and counseling (PITC). Both in low- and high-income countries, mainly from outpatient clinics and tuberculosis settings, indicates that the direct offer of HIV testing by health providers can result in significant improvements in test uptake. In Ethiopia, there were limited numbers of studies conducted regarding PITC in outpatient clinics. Therefore, in this study, we have assessed the factors affecting the acceptance of PITC among outpatient clients in selected health facilities in Harar, Harari Region State, Ethiopia. Institutional-based, cross-sectional quantitative and qualitative studies were conducted from February 12-30, 2011 in selected health facilities in Harar town, Harari Region State, Ethiopia. The study participants were recruited from the selected health facilities of Harar using a systematic random sampling technique. The collected data were double entered into a data entry file using Epi Info version 3.5.1. The data were transferred to SPSS software version 16 and analyzed according to the different variables. A total of 362 (70.6%) clients accepted PITC, and only 39.4% of clients had heard of PITC in the outpatient department service. Age, occupation, marital status, anyone who wanted to check their HIV status, and the importance of PITC were the variables that showed significant associations with the acceptance of PITC upon bivariate and multivariate analyses. The main reasons given for not accepting the tests were self-trust, not being at risk for HIV, not being ready, needing to consult their partners, a fear of the results, a shortage of staff, a busy work environment, a lack of private rooms, and a lack of refresher training, which were identified as the main barriers for PITC. There is evidence of the relatively increased

Influence of the Trojan Nickel Mine on surface water quality, Mazowe valley, Zimbabwe: Runoff chemistry and acid generation potential of waste rock

NASA Astrophysics Data System (ADS)

Lupankwa, Keretia; Love, David; Mapani, Benjamin; Mseka, Stephen; Meck, Maideyi

The impacts of mining on the environment depend on the nature of the ore body, the type of mining and the size of operation. The focus of this study is on Trojan Nickel Mine which is located 90 km north of Harare, Zimbabwe. It produces nickel from iron, iron-nickel and copper-nickel sulphides and disposes of waste rock in a rock dump. Surface water samples were taken at 11 points selected from a stream which drains the rock dump, a stream carrying underground water and the river into which these streams discharge. Samples were analysed for metals using atomic absorption spectrometry, for sulphates by gravitation and for carbonates and bicarbonates by back titration. Ninteen rock samples were collected from the dump and static tests were performed using the Sobek acid base accounting method. The results show that near neutral runoff (pH 7.0-8.5) with high concentrations of sulphate (over 100 mg/L) and some metals (Pb > 1.0 mg/L and Ni > 0.2 mg/L) emanates from the dump. This suggests that acid mine drainage is buffered in the dump (probably by carbonates). This is supported by the static tests, which show that the fine fraction of dump material neutralises acid. Runoff from the dump flows into a pond. Concentrations of sulphates and metals decrease after the dump runoff enters the pond, but sufficient remains to increase levels of calcium, sulphate, bicarbonate, iron and lead in the Pote River. The drop in concentrations at the pond indicates that the settling process has a positive effect on water quality. This could be enhanced by treating the pond water to raise pH, thus precipitating out metals and decreasing their concentrations in water draining from the pond.

Science, Technology, Engineering and Mathematics (STEM): A Case Study of Zimbabwe's Educational Approach to Industrialisation

ERIC Educational Resources Information Center

Chitate, Hardy

2016-01-01

One of the fundamental pre-requisites for Industrialisation is its stupendous availability, in a country of skilled-manpower. In this regard, Zimbabwe has sought to leverage human resources, such as these, in order to accelerate the process of socio-economic transformation. In March 2012, for example, the Government of Zimbabwe (GoZ) pronounced…

A simplified form of cardiotocography for antenatal fetal assessment.

PubMed

Mahomed, K; Gupta, B K; Matikiti, L; Murape, T S

1992-12-01

Antenatal cardiotocography has become the primary method of evaluation of fetal wellbeing, and the relationship between the presence of fetal heart rate accelerations in response to fetal movement and subsequent good fetal outcome has been demonstrated. However, in areas where electronic monitors are few or not available it would be useful if such accelerations could be demonstrated using the Pinard stethoscope. A prospective study involving 200 women with a singleton pregnancy of more than 34 weeks gestation was performed at Harare Maternity Hospital, Harare, Zimbabwe, when a 6 min electronic trace using an external transducer was compared with simultaneously performed 6 min manual record using the Pinard stethoscope. The findings showed that the manual record has a sensitivity of 75% and although traces with excessive base line variability would show an acceleration on the manual record, in no case with a flat trace was an acceleration noted on the manual record. This acceptable degree of sensitivity would allow for a significant decrease in the number of women being referred for electronic tracing and would be a more appropriate use of limited resources in terms of manpower and equipment.

Comparison of the spatial patterns of schistosomiasis in Zimbabwe at two points in time, spaced twenty-nine years apart: is climate variability of importance?

PubMed

Pedersen, Ulrik B; Karagiannis-Voules, Dimitrios-Alexios; Midzi, Nicholas; Mduluza, Tkafira; Mukaratirwa, Samson; Fensholt, Rasmus; Vennervald, Birgitte J; Kristensen, Thomas K; Vounatsou, Penelope; Stensgaard, Anna-Sofie

2017-05-08

Temperature, precipitation and humidity are known to be important factors for the development of schistosome parasites as well as their intermediate snail hosts. Climate therefore plays an important role in determining the geographical distribution of schistosomiasis and it is expected that climate change will alter distribution and transmission patterns. Reliable predictions of distribution changes and likely transmission scenarios are key to efficient schistosomiasis intervention-planning. However, it is often difficult to assess the direction and magnitude of the impact on schistosomiasis induced by climate change, as well as the temporal transferability and predictive accuracy of the models, as prevalence data is often only available from one point in time. We evaluated potential climate-induced changes on the geographical distribution of schistosomiasis in Zimbabwe using prevalence data from two points in time, 29 years apart; to our knowledge, this is the first study investigating this over such a long time period. We applied historical weather data and matched prevalence data of two schistosome species (Schistosoma haematobium and S. mansoni). For each time period studied, a Bayesian geostatistical model was fitted to a range of climatic, environmental and other potential risk factors to identify significant predictors that could help us to obtain spatially explicit schistosomiasis risk estimates for Zimbabwe. The observed general downward trend in schistosomiasis prevalence for Zimbabwe from 1981 and the period preceding a survey and control campaign in 2010 parallels a shift towards a drier and warmer climate. However, a statistically significant relationship between climate change and the change in prevalence could not be established.

The prices people pay for medicines in Zimbabwe.

PubMed

Gavaza, P; Simoyi, T; Makunike, B; Maponga, C C

2009-01-01

To collect, analyse and compare prices of medicines in different sectors and parts of the country and to compare them with the medicine prices in other countries. A prospective cross sectional study. Pharmacy outlets in Zimbabwe comprising 27 retail pharmacies, 23 dispensing doctors, eight public hospital pharmacies and seven municipal clinics. Median price ratios, 25th percentiles and 75th percentiles. Innovator brands in the private sector were priced 10 times the International References Prices (IRP) and more than three times the price of generic medicines. Dispensing doctors were charging the highest prices for medicines and the public sector had the least prices. The national procurement agency, NatPharm, procured medicines at prices slightly below the Management Sciences for Health (MSH) prices. Prices of medicines in the public sector were higher than average prices for medicines from seven other African countries. Medicine prices in Zimbabwe are high, a scenario that may compromise affordability and accessibility to medicines especially by the poor. Urgent steps are needed to reduce the level and effect of the high prices on the population, especially the poor.

Snake poisoning in rural Zimbabwe--a prospective study.

PubMed

Nhachi, C F; Kasilo, O M

1994-01-01

Over a period of 2 years (January 1991 to December 1992) 274 cases of snake bite were admitted to hospital in the eight provinces of Zimbabwe. Of these patients, 54% were males and 88% belonged to the 6-40-year age group. Five deaths (1.8% of the total cases) were reported. The majority of snake bites (63%) occurred at night (between 6.30 p.m. and midnight) and over 74% took place during the hot rainy season, i.e. between November and April. In over 58% of the cases the victim accidentally stepped on the snake, the snake being cobra in 37%, puff adder in 20% and the black and green mamba in 18% of the cases. Most of the bites occurred on the leg, below the knee. Treatment of snake envenomation consisted mainly of the administration of antibiotics (151 cases), analgesics (144 cases), antivenom tropical snake polyvalent (ATT) (89 cases), antitoxoid tetanus (TT) (61 cases), antihistamines (47 cases) and traditional medicines (43 cases). This study indicates that snake envenomation in rural Zimbabwe is common but fatalities are relatively rare.

Distribution of schistosomiasis and soil transmitted helminthiasis in Zimbabwe: towards a national plan of action for control and elimination.

PubMed

Midzi, Nicholas; Mduluza, Takafira; Chimbari, Moses J; Tshuma, Clement; Charimari, Lincoln; Mhlanga, Gibson; Manangazira, Portia; Munyati, Shungu M; Phiri, Isaac; Mutambu, Susan L; Midzi, Stanley S; Ncube, Anastancia; Muranzi, Lawrence P; Rusakaniko, Simbarashe; Mutapi, Francisca

2014-08-01

Schistosomiasis and STH are among the list of neglected tropical diseases considered for control by the WHO. Although both diseases are endemic in Zimbabwe, no nationwide control interventions have been implemented. For this reason in 2009 the Zimbabwe Ministry of Health and Child Care included the two diseases in the 2009-2013 National Health Strategy highlighting the importance of understanding the distribution and burden of the diseases as a prerequisite for elimination interventions. It is against this background that a national survey was conducted. A countrywide cross-sectional survey was carried out in 280 primary schools in 68 districts between September 2010 and August 2011. Schistosoma haematobium was diagnosed using the urine filtration technique. Schistosoma mansoni and STH (hookworms, Trichuris trichiura, Ascaris lumbricoides) were diagnosed using both the Kato Katz and formol ether concentration techniques. Schistosomiasis was more prevalent country-wide (22.7%) than STH (5.5%). The prevalence of S. haematobium was 18.0% while that of S. mansoni was 7.2%. Hookworms were the most common STH with a prevalence of 3.2% followed by A. lumbricoides and T. trichiura with prevalence of 2.5% and 0.1%, respectively. The prevalence of heavy infection intensity as defined by WHO for any schistosome species was 5.8% (range 0%-18.3% in districts). Only light to moderate infection intensities were observed for STH species. The distribution of schistosomiasis and STH varied significantly between provinces, districts and schools (p<0.001). Overall, the prevalence of co-infection with schistosomiasis and STH was 1.5%. The actual co-endemicity of schistosomiasis and STH was observed in 43 (63.2%) of the 68 districts screened. This study provided comprehensive baseline data on the distribution of schistosomiasis and STH that formed the basis for initiating a national control and elimination programme for these two neglected tropical diseases in Zimbabwe.

Current Status of Mycotoxin Contamination of Food Commodities in Zimbabwe.

PubMed

Nleya, Nancy; Adetunji, Modupeade Christianah; Mwanza, Mulunda

2018-05-03

Agricultural products, especially cereal grains, serve as staple foods in sub-Saharan Africa. However, climatic conditions in this region can lead to contamination of these commodities by moulds, with subsequent production of mycotoxins posing health risks to both humans and animals. There is limited documentation on the occurrence of mycotoxins in sub-Saharan African countries, leading to the exposure of their populations to a wide variety of mycotoxins through consumption of contaminated foods. This review aims at highlighting the current status of mycotoxin contamination of food products in Zimbabwe and recommended strategies of reducing this problem. Zimbabwe is one of the African countries with very little information with regards to mycotoxin contamination of its food commodities, both on the market and at household levels. Even though evidence of multitoxin occurrence in some food commodities such as maize and other staple foods exist, available published research focuses only on Aspergillus and Fusarium mycotoxins, namely aflatoxins, deoxynivalenol (DON), trichothecenes, fumonisins, and zearalenone (ZEA). Occurrence of mycotoxins in the food chain has been mainly associated with poor agricultural practices. Analysis of mycotoxins has been done mainly using chromatographic and immunological methods. Zimbabwe has adopted European standards, but the legislation is quite flexible, with testing for mycotoxin contamination in food commodities being done voluntarily or upon request. Therefore, the country needs to tighten its legislation as well as adopt stricter standards that will improve the food safety and security of the masses.

A population policy for Zimbabwe Rhodesia.

PubMed

Hanks, J

1979-01-01

The author offers suggestions for the implementation of a population policy in Zimbabwe, with the aim of substantially reducing that country's birth rate within the next 10 years. He briefly examines the consequences of continued population growth and suggests steps to be taken by the government in preparation for the introduction of a population policy. Courses of action for policy implementation are proposed, including organization of public information programs, provision of family planning services, introduction of incentive programs, and promotion of reproductive research

Great Dike of Zimbabwe, Zimbabwae, Africa

NASA Technical Reports Server (NTRS)

1993-01-01

The Great Dike of Zimbabwe (17.5S, 31.5E) bisects the entire length of Zimbabwae in southern Africa and is one of the prominent visual features easily recognized from low orbit. The volcanic rocks which make up the dike are about 1.2 billion years old and are rich in chromite and platinum which are mined from it. The straight line of the dike is offset in places by faults which are often occupied by streams flowing through the fractures.

Critical CALL: Proceedings of the 2015 EUROCALL Conference (22nd, Padova, Italy, August 26-29, 2015)

ERIC Educational Resources Information Center

Helm, Francesca, Ed.; Bradley, Linda, Ed.; Guarda, Marta, Ed.; Thouësny, Sylvie, Ed.

2015-01-01

The 22nd EUROCALL conference was held at the University of Padova from the 26th to the 29th of August 2015, the first time that EUROCALL has been held in Italy. The event was organized in collaboration with the University Language Centre and the support of the Department of Political Science, Law and International Studies. Over 300 delegates…

Development of a rainfall sensitive tree-ring chronology in Zimbabwe

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

Stahle, D.W.; Cleaveland, M.K.; Nicholson, S.E.

1997-11-01

This paper reports the discovery of annual tree ring formation in two species of trees in Zimbabwe and describes their paleoclimatic reconstruction potential. Due to the strong influence of El Nino-Southern Oscillation on the climate and crop yields of Zimbabwe and surrenting areas, and the rarity of annual tree ring chronologies in the tropics, the discovery of climatically sensitive growth rings is extremely significant. In particular, the Pterocarpus angolensis shows a strong correlation between the derived tree ring chronology and regional rainfall amounts. Based on sampling at the Sikumi Forest, it is speculated that P. angolensis may routinely achieve overmore » 200 years in age. Four lines of evidence are identified which indicate that the semi-ring porous growth bands in P. angolensis are exactly annual growth rings. 18 refs., 3 figs.« less

Towards an integrated approach to health and medicine in Africa.

PubMed

Batisai, Kezia

2016-12-01

This article frames the intersections of medicine and humanities as intrinsic to understanding the practice of health care in Africa. Central to this manuscript, which draws on empirical findings on the interplay between HIV and AIDS and alternative medicine in Zimbabwe is the realisation that very limited research has been undertaken to examine 'HIV/AIDS patient behaviour' with respect to choice of therapy on the continent [Bene, M. & Darkoh, M. B. K. (2014). The Constraints of Antiretroviral Uptake in Rural Areas: The Case of Thamaga and Surrounding Villages, Botswana. Journal of Social Aspects of HIV/AIDS, 11(1), 167-177. doi: 10.1080/17290376.2014.972057 ; Chavunduka, G. (1998). Professionalisation of Traditional Medicine in Zimbabwe, Harare, Jongwe Printers; O'Brien, S. & Broom, A. (2014). HIV in (and out of) the Clinic: Biomedicine, Traditional Medicine and Spiritual Healing in Harare. Journal of Social Aspects of HIV/AIDS, 11(1), 94-104. doi: 10.1080/17290376.2014.938102 ]. As such, a social approach to health-seeking behaviour questions how decisions about alternative therapies including herbal remedies, traditional healing and faith healing are made. The paper unpacks the realities around how people living with HIV and AIDS - who span different age groups and profess various religious backgrounds, faced with an insurmountable health challenge against a background of limited resources and no cure for the virus - often experience shifts in health-seeking behaviour. Grappling with seemingly simple questions about 'when, where and how to seek medical attention', the paper provides pointers to therapy choices and health-seeking behaviour; and it serves as a route into deeper and intense healthcare practice explorations. In conclusion, the paper proposes that medicine and the humanities should engage seriously with those social aspects of HIV and AIDS which call for an integrated approach to healthcare practice in Africa. If combined, medicine and the humanities

29 CFR 95.22 - Payment.

Code of Federal Regulations, 2014 CFR

2014-07-01

... and Human Services, Payment Management System, P.O. Box 6021, Rockville, MD 20852. Interest amounts up... FOREIGN GOVERNMENTS, AND INTERNATIONAL ORGANIZATIONS Post-Award Requirements Financial and Program Management § 95.22 Payment. (a) Payment methods shall minimize the time elapsing between the transfer of...

Results From Zimbabwe's 2016 Report Card on Physical Activity for Children and Youth.

PubMed

Manyanga, Taru; Makaza, Daga; Mahachi, Carol; Mlalazi, Tholumusa F; Masocha, Vincent; Makoni, Paul; Tapera, Eberhard; Khumalo, Bhekuzulu; Rutsate, Sipho H; Tremblay, Mark S

2016-11-01

The report card was a synthesis of the best available evidence on the performance of Zimbabwean children and youth on key physical activity (PA) indicators. The aim of this article was to summarize the results from the 2016 Zimbabwe Report Card. The Report Card Working Group gathered and synthesized the best available evidence, met, discussed and assigned grades to 10 indicators based on the Active Healthy Kids Global Alliance global matrix grading system. The indicators were graded as follows: overall PA (C+), organized sport participation (B), active play (D+), active transportation (A-), sedentary behaviors (B), school (D), family and peers (Incomplete), community and the built environment (F), government (D) and nongovernmental organizations (Incomplete). Although the majority of children used active transport, played organized sports and engaged in acceptable levels of PA, most of them did not meet the recommended hours of unstructured/unorganized play per day. At present, there are limited data to accurately inform the Zimbabwe Report Card therefore studies employing robust research designs with representative samples are needed. Zimbabwe also needs to prioritize policies and investments that promote greater and safe participation in PA among children and youth.

The Zimbabwe Student Movement: Love-Hate Relationship with Government?

ERIC Educational Resources Information Center

Makunike, Blessing

2015-01-01

The purpose of the article is to trace the development of student unionism in Zimbabwe. On the basis of a discussion of the nature of the university, the article argues that because the university environment tolerates and promotes academic freedom and liberal values, it provides an environment conducive to critical thought and oppositional…

Factors contributing to the low uptake of medical male circumcision in Mutare Rural District, Zimbabwe

PubMed Central

Chiringa, Irene O.; Mashau, Ntsieni S.

2016-01-01

Background Medical male circumcision (MMC) has become a significant dimension of HIV prevention interventions, after the results of three randomised controlled trials in Uganda, South Africa and Kenya demonstrated that circumcision has a protective effect against contracting HIV of up to 60%. Following recommendations by the World Health Organization, Zimbabwe in 2009 adopted voluntary MMC as an additional HIV prevention strategy to the existing ABC behaviour change model. Purpose The purpose of this study is thus to investigate the factors contributing to the low uptake of MMC. Methods The study was a quantitative cross-sectional survey conducted in Mutare rural district, Zimbabwe. Questionnaires with open- and closed-ended questions were administered to the eligible respondents. The target population were male participants aged 15–29 who met the inclusion criteria. The households were systematically selected with a sample size of 234. Statistical Package for the Social Sciences was used to analyse the data. Results Socioculturally, circumcised men are viewed as worthless (37%), shameful (30%) and are tainted as promiscuous (20%), psychological factors reported were infection and delayed healing (39%), being ashamed and dehumanised (58%), stigmatised and discriminated (40.2%) and fear of having an erection during treatment period (89.7%) whilst socio-economic factors were not having time, as it will take their time from work (58%) and complications may arise leading to spending money on treatment (84%). Conclusion Knowledge deficits regarding male medical circumcision lead to low uptake, education on male medical circumcision and its benefits. Comprehensive sexual health education should target men and dispel negative attitudes related to the use of health services. PMID:27380850

The social impact of cost recovery measures in Zimbabwe.

PubMed

Nyambuya, M N

1994-03-01

Since the International Monetary Fund/World Bank Economic Structural Adjustment Program (ESAP) in Zimbabwe was adopted in 1990, health care and education costs have escalated, and many people fail to get these services owing to poverty. The post-independence era in Zimbabwe witnessed a tremendous growth in education and health with many schools, colleges, hospitals and clinics built, professional staff employed, and a general expansion in demand. Nevertheless, the question of drug shortages and ever-increasing health care costs were not addressed. A deficient transport network, the increases in drug prices, the exodus of professional staff, the devaluation of the Zimbabwe dollar, and the cost recovery measures endangered the right to acceptable health care. The social service cutbacks adopted by the government in education will deepen poverty. After independence, the Zimbabwean education system had a free tuition policy at primary school levels. Now that the government reintroduced school fees, a generation of illiterate and semi-illiterate school dropouts will grow up. The social implications of this include increases in crime, prostitution, the number of street kids, the spread of diseases, and social discontent, which are the symptoms of a shrinking economy. As a result of the cost recovery measures, school enrollment in rural areas has gone up. Some urban parents have been forced to transfer their children to rural schools. Higher education also suffers, as government subsidies to colleges and universities have been drastically curtailed. The budgetary cuts have grave repercussions for teaching and research, as poor working conditions and low morals of lecturers and students become prevalent. Most wage-earning Zimbabweans' living standards have deteriorated as the cost of living continues to escalate, coupled with the cost recovery measures in the name of ESAP.

Mediating HIV/AIDS Strategies in Children's Literature in Zimbabwe

ERIC Educational Resources Information Center

Ngoshi, Hazel Tafadzwa; Pasi, Juliet Sylvia

2007-01-01

The Ministry of Education and Culture in Zimbabwe has introduced an intervention into the school curricula to complement the already existing mechanisms in the fight against HIV/AIDS. The literature in this programme is said to be designed to develop children's knowledge of HIV/AIDS and to maximise both individual and community commitment to the…

Community Development: A Quiet Evolution from Rhodesia to Zimbabwe.

ERIC Educational Resources Information Center

Madondo, B. B. S.

1985-01-01

Because of the importance of community development in development strategies, both in Rhodesia and, more recently, Zimbabwe, this article looks at the concept in a historical perspective. In this perspective, three major phases can be identified: the period between 1890 and 1962; the period between 1962 and 1979; and 1980 to the present. (CT)

Geographical patterns of Kaposi's sarcoma, nonHodgkin lymphomas, and cervical cancer associated with HIV infection in five African populations.

PubMed

Chaabna, Karima; Boniol, Mathieu; de Vuyst, Hugo; Vanhems, Philippe; Antônio de Ávila Vitoria, Marco; Curado, Maria-Paula

2012-01-01

The objective of this study is to describe the most recent geographical patterns of incidence of AIDS-related cancers, Kaposi's sarcoma (KS), nonHodgkin lymphoma (NHL), and cervical cancer in North African and subSaharan African populations. Data were extracted for the period 1998-2002 from five African population-based cancer registries: Kyadondo, Harare, Setif, Sousse, and Gharbiah. Age-standardized rates were calculated using the African standard population; a comparison was made between these populations by computing the standardized incidence ratio and 95% confidence intervals. The KS rate was found to be significantly higher in men than in women, and higher in Harare (women: 26.3/100,000; men: 50.4/100,000) and Kyadondo (women: 23.6/100,000; men: 30.2/100,000) than in the North African sites for both sexes (<0.3/100,000). In addition, the KS rate in women from Harare was similar to that for Kyadondo. Gharbiah presented the highest rates for NHL (women: 7 per 100,000; men: 11.9/100,000) for both sexes. We observed that Harare and Kyadondo had similar age-specific incidence in the high-risk age group for HIV/AIDS (15-49 years), and these rates were 4.5-fold higher in subSaharan populations than those in the North African sites. Thus, it was observed that the pattern of HIV prevalence is variable with the lowest prevalence in North African countries, intermediate prevalence in Uganda, and the highest prevalence in Zimbabwe. Our findings show that the incidence of NHL and cervical cancer, considered to be HIV/AIDS-related cancers, does not follow the pattern of HIV prevalence in the five studied African populations. Thus, the highest NHL incidence rate in both sexes in Gambia may be explained, at least in great part, by the highest hepatitis C virus prevalence observed there. Indeed, factors other than HIV infection likely contribute to their geographical patterns.

Mainstream Early Childhood Education Teacher Preparation for Inclusion in Zimbabwe

ERIC Educational Resources Information Center

Majoko, Tawanda

2017-01-01

This study examined mainstream teachers' preparation for inclusion in Early Childhood Education (ECE). Embedded within the "core expertise" of inclusive pedagogy, this descriptive study drew on a sample of 23 mainstream teachers purposively drawn from the Midlands educational province of Zimbabwe. A constant comparative approach of…

Praying until Death: Apostolicism, Delays and Maternal Mortality in Zimbabwe

PubMed Central

2016-01-01

Religion affects people’s daily lives by solving social problems, although it creates others. Female sexual and reproductive health are among the issues most affected by religion. Apostolic sect members in Zimbabwe have been associated with higher maternal mortality. We explored apostolic beliefs and practices on maternal health using 15 key informant interviews in 5 purposively selected districts of Zimbabwe. Results show that apostolicism promotes high fertility, early marriage, non-use of contraceptives and low or non-use of hospital care. It causes delays in recognizing danger signs, deciding to seek care, reaching and receiving appropriate health care. The existence of a customized spiritual maternal health system demonstrates a huge desire for positive maternal health outcomes among apostolics. We conclude that apostolic beliefs and practices exacerbate delays between onset of maternal complications and receiving help, thus increasing maternal risk. We recommend complementary and adaptive approaches that address the maternal health needs of apostolics in a religiously sensitive manner. PMID:27509018

Malaria morbidity and mortality trends in Manicaland province, Zimbabwe, 2005-2014.

PubMed

Mutsigiri, Faith; Mafaune, Patron Trish; Mungati, More; Shambira, Gerald; Bangure, Donewell; Juru, Tsitsi; Gombe, Notion Tafara; Tshimanga, Mufuta

2017-01-01

Zimbabwe targets reducing malaria incidence from 22/1000 in 2012 to 10/1000 by 2017, and malaria deaths to near zero by 2017. As the country moves forward with the malaria elimination efforts, it is crucial to monitor trends in malaria morbidity and mortality in the affected areas. In 2013, Manicaland Province contributed 51% of all malaria cases and 35% of all malaria deaths in Zimbabwe. This analysis describes the trends in malaria incidence, case fatality and malaria outpatient workload compared to the general outpatient workload. We analyzed routinely captured malaria data in Manicaland Province for the period 2005 to 2014. Epi Info version 7 was used to calculate chi-square trends for significance and Microsoft Excel was used to generate graphs. Permission to analyze the data was sought and granted by the Provincial Medical Directorate Institutional Review Board of Manicaland and the Health Studies office. Malaria morbidity data for the period 2005-2014 was reviewed and a total of 947,462 cases were confirmed during this period. However, malaria mortality data was only available for the period 2011-2014 and cumulatively 696 deaths were reported. Malaria incidence increased from 4.4/1,000 persons in 2005 to 116.3/1,000 persons in 2014 (p<0.001). The incidence was higher among females compared to males (p-trend<0.001) and among the above five years age group compared to the under-fives (p-trend<0.001). The proportion of all Outpatient Department attendances that were malaria cases increased 30 fold from 0.3% in 2005 to 9.1% in 2014 (p-trend<0.001). The Case Fatality Rate also increased 2-fold from 0.05 in 2011 to 0.1 in 2014 (p-trend<0.001). Despite current malaria control strategies, the morbidity and mortality of malaria increased over the period under review. There is need for further strengthening of malaria control interventions to reduce the burden of the disease.

Cultures in Collision: Education and Dialogical Encounter in Zimbabwe.

ERIC Educational Resources Information Center

Mungazi, Dickson A.

The central theory of Paulo Freire's "Pedagogy of the Oppressed" is that all human beings are capable of engaging in a dialogical encounter with their world. Application of this theory to the bitter civil war that occurred in Zimbabwe from 1972 to 1979 leads to four conclusions. First, the lack of educational opportunity for the Africans…

Estimating the reproductive numbers for the 2008–2009 cholera outbreaks in Zimbabwe

PubMed Central

Mukandavire, Zindoga; Liao, Shu; Wang, Jin; Gaff, Holly; Smith, David L.; Morris, J. Glenn

2011-01-01

Cholera remains an important global cause of morbidity and mortality, capable of causing periodic epidemic disease. Beginning in August 2008, a major cholera epidemic occurred in Zimbabwe, with 98,585 reported cases and 4,287 deaths. The dynamics of such outbreaks, particularly in nonestuarine regions, are not well understood. We explored the utility of mathematical models in understanding transmission dynamics of cholera and in assessing the magnitude of interventions necessary to control epidemic disease. Weekly data on reported cholera cases were obtained from the Zimbabwe Ministry of Health and Child Welfare (MoHCW) for the period from November 13, 2008 to July 31, 2009. A mathematical model was formulated and fitted to cumulative cholera cases to estimate the basic reproductive numbers R0 and the partial reproductive numbers from all 10 provinces for the 2008–2009 Zimbabwe cholera epidemic. Estimated basic reproductive numbers were highly heterogeneous, ranging from a low value of just above unity to 2.72. Partial reproductive numbers were also highly heterogeneous, suggesting that the transmission routes varied by province; human-to-human transmission accounted for 41–95% of all transmission. Our models suggest that the underlying patterns of cholera transmission varied widely from province to province, with a corresponding variation in the amenability of outbreaks in different provinces to control measures such as immunization. These data underscore the heterogeneity of cholera transmission dynamics, potentially linked to differences in environment, socio-economic conditions, and cultural practices. The lack of traditional estuarine reservoirs combined with these estimates of R0 suggest that mass vaccination against cholera deployed strategically in Zimbabwe and surrounding regions could prevent future cholera epidemics and eventually eliminate cholera from the region. PMID:21518855

Music Acquisition of Children in Rural Zimbabwe: A Longitudinal Observation.

ERIC Educational Resources Information Center

Kreutzer, Natalie Jones

2001-01-01

This article provides qualitative description of behaviors that bring children to musical competence by age 5 in Nharira Communal Lands in Zimbabwe. Based on observation of three villages comprised of multiple extended family groups, the narrative focuses on area demographics, the community's people, musical influences, musical interactions of…

The Women's Movement, Adult Education and Globalization: Women's Agencies in Zimbabwe.

ERIC Educational Resources Information Center

Mpofu, Stanley T.

1996-01-01

Notes that in Zimbabwe, women's agencies pursue practical, strategic, and interagency gender interests consistent with adult education practice. However, they also manifest the globalizing tendencies of pluralism, cultural homogenization, and the coalescence of transnational and domestic processes and structures. (SK)

Managing the Quality of Cross-Border Higher Education in Zimbabwe

ERIC Educational Resources Information Center

Garwe, Evelyn Chiyevo

2015-01-01

A study on investigating the issues of quality associated with cross-border higher education was carried out using the case study approach focusing on Zimbabwe. The methodology involved document analysis of the cases of regulation and accreditation of cross-border higher education providers and assessment of qualifications acquired from foreign…

Factors associated with HIV infection among children born to mothers on the prevention of mother to child transmission programme at Chitungwiza Hospital, Zimbabwe, 2008.

PubMed

Ngwende, Stella; Gombe, Notion T; Midzi, Stanley; Tshimanga, Mufuta; Shambira, Gerald; Chadambuka, Addmore

2013-12-14

Zimbabwe is one of the five countries worst affected by the HIV/AIDS pandemic with HIV infection contributing increasingly to childhood morbidity and mortality. Among the children born to HIV positive mothers participating in the PMTCT programme, 25% tested positive to HIV. We investigated factors associated with HIV infection among children born to mothers on the PMTCT programme. A 1:1 unmatched case-control study was conducted at Chitungwiza Hospital, Zimbabwe, 2008. A case was defined as a child who tested HIV positive, born to a mother who had been on PMTCT programme. A control was a HIV negative child born to a mother who had been on PMTCT programme. An interviewer-administered questionnaire was used to collect data on demographic characteristics, risk factors associated with HIV infection and immunization status. A total of 120 mothers were interviewed. Independent risk factors associated with HIV infection among children included maternal CD4 count of less than 200 during pregnancy [aOR = 7.1, 95% CI (2.6-17)], mixed feeding [aOR = 29, 95% CI (4.2-208)], being hospitalized since birth [aOR = 2.9, 95% CI (1.2-4.8)] whilst being exclusively breast fed for less than 6 months [aOR = 0.1 (95% CI 0.03-0.4)] was protective. HIV infection among children increased if the mother's CD4 count was ≤200 cells/μL and if the child was exposed to mixed feeding. Breastfeeding exclusively for less than six months was protective. We recommended exclusive breast feeding period for the first six months and stop breast feeding after 6 months if affordable, sustainable and safe.

Distribution of Schistosomiasis and Soil Transmitted Helminthiasis in Zimbabwe: Towards a National Plan of Action for Control and Elimination

PubMed Central

Midzi, Nicholas; Mduluza, Takafira; Chimbari, Moses J.; Tshuma, Clement; Charimari, Lincoln; Mhlanga, Gibson; Manangazira, Portia; Munyati, Shungu M.; Phiri, Isaac; Mutambu, Susan L.; Midzi, Stanley S.; Ncube, Anastancia; Muranzi, Lawrence P.; Rusakaniko, Simbarashe; Mutapi, Francisca

2014-01-01

Background Schistosomiasis and STH are among the list of neglected tropical diseases considered for control by the WHO. Although both diseases are endemic in Zimbabwe, no nationwide control interventions have been implemented. For this reason in 2009 the Zimbabwe Ministry of Health and Child Care included the two diseases in the 2009–2013 National Health Strategy highlighting the importance of understanding the distribution and burden of the diseases as a prerequisite for elimination interventions. It is against this background that a national survey was conducted. Methodology A countrywide cross-sectional survey was carried out in 280 primary schools in 68 districts between September 2010 and August 2011. Schistosoma haematobium was diagnosed using the urine filtration technique. Schistosoma mansoni and STH (hookworms, Trichuris trichiura, Ascaris lumbricoides) were diagnosed using both the Kato Katz and formol ether concentration techniques. Main findings Schistosomiasis was more prevalent country-wide (22.7%) than STH (5.5%). The prevalence of S. haematobium was 18.0% while that of S. mansoni was 7.2%. Hookworms were the most common STH with a prevalence of 3.2% followed by A. lumbricoides and T. trichiura with prevalence of 2.5% and 0.1%, respectively. The prevalence of heavy infection intensity as defined by WHO for any schistosome species was 5.8% (range 0%–18.3% in districts). Only light to moderate infection intensities were observed for STH species. The distribution of schistosomiasis and STH varied significantly between provinces, districts and schools (p<0.001). Overall, the prevalence of co-infection with schistosomiasis and STH was 1.5%. The actual co-endemicity of schistosomiasis and STH was observed in 43 (63.2%) of the 68 districts screened. Conclusion and recommendations This study provided comprehensive baseline data on the distribution of schistosomiasis and STH that formed the basis for initiating a national control and elimination programme

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

Is there a threshold level of maternal education sufficient to reduce child undernutrition? Evidence from Malawi, Tanzania and Zimbabwe.

PubMed

Makoka, Donald; Masibo, Peninah Kinya

2015-08-22

Maternal education is strongly associated with young child nutrition outcomes. However, the threshold of the level of maternal education that reduces the level of undernutrition in children is not well established. This paper investigates the level of threshold of maternal education that influences child nutrition outcomes using Demographic and Health Survey data from Malawi (2010), Tanzania (2009-10) and Zimbabwe (2005-06). The total number of children (weighted sample) was 4,563 in Malawi; 4,821 children in Tanzania; and 3,473 children in Zimbabwe Demographic and Health Surveys. Using three measures of child nutritional status: stunting, wasting and underweight, we employ a survey logistic regression to analyse the influence of various levels of maternal education on child nutrition outcomes. In Malawi, 45% of the children were stunted, 42% in Tanzania and 33% in Zimbabwe. There were 12% children underweight in Malawi and Zimbabwe and 16% in Tanzania.The level of wasting was 6% of children in Malawi, 5% in Tanzania and 4% in Zimbabwe. Stunting was significantly (p values < 0.0001) associated with mother's educational level in all the three countries. Higher levels of maternal education reduced the odds of child stunting, underweight and wasting in the three countries. The maternal threshold for stunting is more than ten years of schooling. Wasting and underweight have lower threshold levels. These results imply that the free primary education in the three African countries may not be sufficient and policies to keep girls in school beyond primary school hold more promise of addressing child undernutrition.

Toxicoepidemiology in Zimbabwe: admissions resulting from exposure to paraffin (kerosene).

PubMed

Tagwireyi, D; Ball, D E; Nhachi, C F B

2006-01-01

Paraffin (kerosene) ingestion is the most common form of childhood poisoning in most developing countries. Despite this, there is a paucity of toxicoepidemiological data which could potentially be used in measures to reduce preventable exposures. This article reports on the patterns of hospital admissions resulting from paraffin exposure in Zimbabwe. All cases of paraffin ingestion admitted to eight major referral hospitals in Zimbabwe from January 1998 to December 1999 (inclusive), were identified using ICD-9 codes and ward registers and relevant information recorded on a standard data collection sheet. There were a total of 327 admissions due to oral exposure to paraffin. This represented 11.8% of all the poisoning admissions to the eight study hospitals. Most exposures (300; 91.7%) occurred accidentally, with only 6.7% resulting from deliberate ingestion of the chemical. The median age on admission was 2 years (interquartile range [IQR] 1-2 yrs) with over 85% of cases in the 0-5 year age range and less than 10% above the age of 12 years. The median age on admission was much higher for deliberate self poisoning (23 yrs; IQR 19-26 yrs) compared to that for accidental poisoning (1.5 yrs; IQR 1-2 yrs). Accidental poisoning from paraffin occurred throughout the year. Over three-quarters of patients received an antibiotic either alone, or in combination with another antibiotic or drug. Paracetamol (24.3%) was the next most commonly encountered treatment. The case fatality rate (CFR) was therefore 0.3 deaths per 100 admissions (95% Confidence Interval 0.0-1.7). Paraffin ingestion remains an important cause of poisoning morbidity in Zimbabwe throughout the year, particularly in children. Clinical management appears adequate with a low mortality, although there may be overuse of prophylactic antibiotics. Further study specific to this area is warranted to prevent unnecessary antibiotic use and wastage of resources.

Population and development problems: a critical assessment of conventional wisdom. The case of Zimbabwe.

PubMed

Sibanda, A E

1988-01-01

Conventional wisdom, as reflected in reports by the World Bank and the Whitsun Foundation, maintains that control of population growth is the key strategy for stimulating socioeconomic development and ending widespread poverty. The Witsun Foundation has criticized the Government of Zimbabwe for failing to include specific policies for population control in its National Transitional Development Plan. the report further expressed alarm about future availability of land to contain Zimbabwe's growing population. Communal areas are designed for a maximum of 325,000 families yet presently contain 700-800,000 families. This Malthusian, deterministic emphasis on population growth as the source of social ills ignores the broader, complex set of socioeconomic, historical, and political factors that determine material life. Any analysis of population that fails to consider the class structure of society, the type of division of labor, and forms of property and production can produce only meaningless abstractions. For example, consideration of crowding in communal areas must include consideration of inequitable patterns of land ownership in sub-Saharan Africa. Unemployment must be viewed within the context of a capitalist economic structure that relies on an industrial reserve army of labor to ensure acceptance of low wages and labor-intensive conditions. While it is accepted that population growth is creating specific and real problems in Zimbabwe and other African countries, these problems could be ameliorated by land reform and restructuring of the export-oriented colonial economies. Similarly, birth control should not be promoted as the solution to social problems, yet family planning services should be available to raise the status of women. Literacy, agrarian reform, agricultural modernization, and industrialization campaigns free from the dominance of Western capitalism represent the true solutions to Zimbabwe's problems.

miR-22 and miR-29a Are Members of the Androgen Receptor Cistrome Modulating LAMC1 and Mcl-1 in Prostate Cancer.

PubMed

Pasqualini, Lorenza; Bu, Huajie; Puhr, Martin; Narisu, Narisu; Rainer, Johannes; Schlick, Bettina; Schäfer, Georg; Angelova, Mihaela; Trajanoski, Zlatko; Börno, Stefan T; Schweiger, Michal R; Fuchsberger, Christian; Klocker, Helmut

2015-07-01

The normal prostate as well as early stages and advanced prostate cancer (PCa) require a functional androgen receptor (AR) for growth and survival. The recent discovery of microRNAs (miRNAs) as novel effector molecules of AR disclosed the existence of an intricate network between AR, miRNAs and downstream target genes. In this study DUCaP cells, characterized by high content of wild-type AR and robust AR transcriptional activity, were chosen as the main experimental model. By integrative analysis of chromatin immunoprecipitation-sequencing (ChIP-seq) and microarray expression profiling data, miRNAs putatively bound and significantly regulated by AR were identified. A direct AR regulation of miR-22, miR-29a, and miR-17-92 cluster along with their host genes was confirmed. Interestingly, endogenous levels of miR-22 and miR-29a were found to be reduced in PCa cells expressing AR. In primary tumor samples, miR-22 and miR-29a were less abundant in the cancerous tissue compared with the benign counterpart. This specific expression pattern was associated with a differential DNA methylation of the genomic AR binding sites. The identification of laminin gamma 1 (LAMC1) and myeloid cell leukemia 1 (MCL1) as direct targets of miR-22 and miR-29a, respectively, suggested a tumor-suppressive role of these miRNAs. Indeed, transfection of miRNA mimics in PCa cells induced apoptosis and diminished cell migration and viability. Collectively, these data provide additional information regarding the complex regulatory machinery that guides miRNAs activity in PCa, highlighting an important contribution of miRNAs in the AR signaling.

AIDS prevention is thicker than blood. Zimbabwe.

PubMed

Steinberg, J

1992-01-01

Usually, giving blood is generous. Sometimes, however, it is lethal. In countries such as the US, India and Brazil, where blood donors can get paid by the pint, drug addicts, street dwellers and others who have little to sell except their bodies flock to for-profit blood centers. Many of these people carry the AIDS virus. A survey in the Indian state of Maharashtra revealed that 27% of blood donors tested positive for AIDS antibodies--a slightly higher rate than the same survey found among prostitutes. If 1 private blood bank tests for AIDS antibodies and turns HIV-positive volunteers away--forget about treating them--those poor and desperate enough can often find another, less scrupulous clinic. Or a clinic that doesn't do the testing properly. Although the 1988 Brazilian constitution banned the sale of blood, private clinics continue to flourish and nobody knows whose veins the blood is flowing from. The inevitable result is a frightening rate of contamination. An estimated 85% of Brazilian hemophiliacs have become infected with the HIV virus by contaminated blood or blood products. Even in countries that eschew blood sales and rely on donated supplies, the danger of HIV contamination is still present. HIV infection often does not generate antibodies for weeks; sometimes months or even years. In many 3rd World communities without adequate equipment, blood storage is impossible. The cost of testing emergency donations is so high that the choice may be narrowed--either go without testing or do without blood. Despite all these obstacles, Zimbabwe has shown that a 3rd World country where public health care takes precedence over private profit can make the blood supply network a force for reducing the spread of AIDS rather than increasing it. All blood donations in Zimbabwe were voluntary even before AIDS became an issue. When AIDS was accorded recognition as a serious issue, the country had no clinic for HIV testing. Concerned with the rapid spread of AIDS among the

Quality Assurance Challenges and Opportunities Faced by Private Universities in Zimbabwe

ERIC Educational Resources Information Center

Garwe, Evelyn Chiyevo

2014-01-01

The study sought to provide an understanding of the quality assurance challenges and opportunities faced by private universities in Zimbabwe. The study analyzed the factors determining provision of quality higher education in private universities and the resultant effects of failing to achieve the minimum acceptable standards. The author employed…

29 CFR 97.22 - Allowable costs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... accounting standards that comply with cost principles acceptable to the Federal agency. [53 FR 8069, 8087... LOCAL GOVERNMENTS Post-Award Requirements Financial Administration § 97.22 Allowable costs. (a... increment above allowable costs) to the grantee or subgrantee. (b) Applicable cost principles. For each kind...

The Uses and Consequences of Literacy in the Daily Lives of Ordinary People: From an Evaluation of Adult Literacy Organization of Zimbabwe (ALOZ).

ERIC Educational Resources Information Center

Bhola, H. S.

To evaluate the Adult Literacy Organization of Zimbabwe (ALOZ), an organization whose aim is to achieve universal literacy in Zimbabwe, a study interviewed officials at ALOZ, the United States Agency for International Development (USAID), and other institutions involved in literacy development; reviewed relevant literature and documents;…

Challenges of communicating integrated water resource management in Zimbabwe

NASA Astrophysics Data System (ADS)

Marimbe, Simbiso; Manzungu, Emmanuel

With the promulgation of the 1998 Water Act the Government of Zimbabwe took a decisive step to reform the country’s water sector, to bring it in line with contemporary socio-political realities obtaining in the country, and in tune with the philosophy of integrated water resources management. Researchers have reported a lack of awareness of the reforms, particularly among the black communities, who were considered not just as one of the target of the reforms, but the beneficiaries. This paper analyses why this has been the case. The paper makes a case for differentiating communication from information dissemination. Information refers to a set of data packaged for delivery to a receiver while communication involves a dialogue. This paper critiques communication strategies used to communicate water reforms in Zimbabwe, applying recent developments in communication theories. The argument in the paper is that there was a failure to communicate although there was some success in dissemination information about the reforms. If the situation is to be reversed then methods that involve audience analysis may have to be used. Such methods tend to be expensive and time consuming--however, there is no substitute to this if integrated water resources management is to be institutionalised among the various stakeholders.

Assessments of genetic diversity and anthracnose disease response among Zimbabwe sorghum germplasm.

USDA-ARS?s Scientific Manuscript database

The USDA-ARS National Plant Germplasm System maintains a Zimbabwe sorghum collection of 1,235 accessions from different provinces. This germplasm has not been extensively employed in U.S. breeding programs due to the lack of phenotypic and genetic characterization. Therefore, 68 accessions from th...

Challenges of Virtual and Open Distance Science Teacher Education in Zimbabwe

ERIC Educational Resources Information Center

Mpofu, Vongai; Samukange, Tendai; Kusure, Lovemore M.; Zinyandu, Tinoidzwa M.; Denhere, Clever; Huggins, Nyakotyo; Wiseman, Chingombe; Ndlovu, Shakespear; Chiveya, Renias; Matavire, Monica; Mukavhi, Leckson; Gwizangwe, Isaac; Magombe, Elliot; Magomelo, Munyaradzi; Sithole, Fungai; Bindura University of Science Education (BUSE),

2012-01-01

This paper reports on a study of the implementation of science teacher education through virtual and open distance learning in the Mashonaland Central Province, Zimbabwe. The study provides insight into challenges faced by students and lecturers on inception of the program at four centres. Data was collected from completed evaluation survey forms…

29 CFR 1470.22 - Allowable costs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... to that circular 48 CFR part 31. Contract Cost Principles and Procedures, or uniform cost accounting... Financial Administration § 1470.22 Allowable costs. (a) Limitation on use of funds. Grant funds may be used... grantee or subgrantee. (b) Applicable cost principles. For each kind of organization, there is a set of...

Teaching with and Learning through ICTs in Zimbabwe's Teacher Education Colleges

ERIC Educational Resources Information Center

Musarurwa, Charles

2011-01-01

The use of ICTs (information and communication technologies) in Zimbabwe's teacher education colleges is of paramount importance. The teacher trainees have a dual role to play: learning through ICTs and also learning how to teach through them. Interestingly, the rate at which schools have embraced the use of ICTs is unprecedented, but this has not…

Iron and zinc bioaccessibility of fermented maize, sorghum and millets from five locations in Zimbabwe.

PubMed

Gabaza, Molly; Shumoy, Habtu; Muchuweti, Maud; Vandamme, Peter; Raes, Katleen

2018-01-01

The present study is an evaluation of iron and zinc bioaccessibility of fermented maize, sorghum, pearl millet and finger millet from five different locations in Zimbabwe. Iron and zinc contents ranged between 3.22 and 49.7 and 1.25-4.39mg/100gdm, respectively. Fermentation caused a reduction of between 20 and 88% of phytic acid (PA) while a general increase in soluble phenolic compounds (PC) and a decrease of the bound (PC) was observed. Bioaccessibility of iron and zinc ranged between 2.77 and 26.1% and 0.45-12.8%, respectively. The contribution of the fermented cereals towards iron and zinc absolute requirements ranged between 25 and 411% and 0.5-23% with higher contribution of iron coming from cereals that were contaminated with extrinsic iron. Populations subsisting on cereals could be more at risk of zinc rather than iron deficiency. Copyright © 2017 Elsevier Ltd. All rights reserved.

Access and Quality in Education in Resettlement Schools: The Case Study of Zvivingwi Secondary School in Gutu District, Masvingo Province in Zimbabwe

ERIC Educational Resources Information Center

Jenjekwa, Vincent

2013-01-01

In Zimbabwe, the discourse on access and quality in education has been a raging one since the colonial days of bottlenecks and outright discrimination against black Zimbabweans in education. The doors to education were declared open to all at independence in 1980 with the new Zimbabwe government's enunciated policy of education for all. It is an…

Surveillance for equity in maternal care in Zimbabwe.

PubMed

Taylor, C; Sanders, D; Bassett, M; Goings, S

1993-01-01

The great hope and promise of post-independence efforts to promote equitable health care in Zimbabwe started with three years of dramatic improvement. Commitment to correcting inequities which were as discriminatory as any country in the world produced rapid extension of health centre infrastructure and the improvement of district hospitals. The major constraint was the entrenched pattern of sophisticated, high-technology health care left by colonial administrators which continued to monopolize resources. In spite of the excellent beginning, development of services for the poor was thwarted by recession, prolonged drought and external military destabilization. The cutbacks in funding for health care have been particularly severe as a result of economic adjustment policies imposed by IMF. Political pressure moved the health system toward private entrepreneurship returning to earlier patterns of discrimination in favour of whites and urban residents. Efforts to promote high-risk monitoring have had little impact among the poor and those living in remote areas. Equity has become symbolic rather than real. The government of Zimbabwe maintains a continuing commitment to the original goals of equity through primary health care. International agencies also would like to find a way to help reallocate services. There seems to be recognition that little will be accomplished in improving health conditions unless services are provided to those in greatest need. Disparities in maternal care are especially severe and can be improved only by building infrastructure to provide antenatal and perinatal services.(ABSTRACT TRUNCATED AT 250 WORDS)

40 CFR 22.16 - Motions.

Code of Federal Regulations, 2014 CFR

2014-07-01

.... Except as provided in §§ 22.29(c) and 22.51, an Administrative Law Judge shall rule on all motions filed... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Motions. 22.16 Section 22.16 Protection... Procedures § 22.16 Motions. (a) General. Motions shall be served as provided by § 22.5(b)(2). Upon the filing...

Why Do They Stay: Factors Influencing Teacher Retention in Rural Zimbabwe

ERIC Educational Resources Information Center

Gomba, Clifford

2015-01-01

The attraction and retention of teachers in Zimbabwe is a problem not only unique to Zimbabwean schools, but all over the world. The problem is more pronounced in rural areas where resources are scarce, hence the tendency to repel teachers. Although the problem of teacher turnover is real, there are teachers who have remained in the profession for…

29 CFR 22.24 - Protective order.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.24 Protective order. (a) A party or a prospective witness or deponent may file a motion for a protective order with respect to discovery sought by... more of the following: (1) That the discovery not be had; (2) That the discovery may be had only on...

"We Are Not Really Marketing Mental Health": Mental Health Advocacy in Zimbabwe.

PubMed

Hendler, Reuben; Kidia, Khameer; Machando, Debra; Crooks, Megan; Mangezi, Walter; Abas, Melanie; Katz, Craig; Thornicroft, Graham; Semrau, Maya; Jack, Helen

2016-01-01

Few people with mental disorders in low and middle-income countries (LMICs) receive treatment, in part because mental disorders are highly stigmatized and do not enjoy priority and resources commensurate with their burden on society. Advocacy has been proposed as a means of building political will and community support for mental health and reducing stigma, but few studies have explored the practice and promise of advocacy in LMICs. We conducted 30 semi-structured interviews with leaders in health and mental health in Zimbabwe to explore key stakeholder perceptions on the challenges and opportunities of the country's mental health system. We coded the transcripts using the constant comparative method, informed by principles of grounded theory. Few interview questions directly concerned advocacy, yet in our analysis, advocacy emerged as a prominent, cross-cutting theme across participants and interview questions. Two thirds of the respondents discussed advocacy, often in depth, returning to the concept throughout the interview and emphasizing their belief in advocacy's importance. Participants described six distinct components of advocacy: the advocates, to whom they advocate ("targets"), what they advocate for ("asks"), how advocates reach their targets ("access"), how they make their asks ("arguments"), and the results of their advocacy ("outcomes"). Despite their perception that mental health is widely misunderstood and under-appreciated in Zimbabwe, respondents expressed optimism that strategically speaking out can reduce stigma and increase access to care. Key issues included navigating hierarchies, empowering service users to advocate, and integrating mental health with other health initiatives. Understanding stakeholder perceptions sets the stage for targeted development of mental health advocacy in Zimbabwe and other LMICs.

Towards an integrated approach to health and medicine in Africa

PubMed Central

Batisai, Kezia

2016-01-01

Abstract This article frames the intersections of medicine and humanities as intrinsic to understanding the practice of health care in Africa. Central to this manuscript, which draws on empirical findings on the interplay between HIV and AIDS and alternative medicine in Zimbabwe is the realisation that very limited research has been undertaken to examine ‘HIV/AIDS patient behaviour’ with respect to choice of therapy on the continent [Bene, M. & Darkoh, M. B. K. (2014). The Constraints of Antiretroviral Uptake in Rural Areas: The Case of Thamaga and Surrounding Villages, Botswana. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 11(1), 167–177. doi:10.1080/17290376.2014.972057; Chavunduka, G. (1998). Professionalisation of Traditional Medicine in Zimbabwe, Harare, Jongwe Printers; O’Brien, S. & Broom, A. (2014). HIV in (and out of) the Clinic: Biomedicine, Traditional Medicine and Spiritual Healing in Harare. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 11(1), 94–104. doi:10.1080/17290376.2014.938102]. As such, a social approach to health-seeking behaviour questions how decisions about alternative therapies including herbal remedies, traditional healing and faith healing are made. The paper unpacks the realities around how people living with HIV and AIDS – who span different age groups and profess various religious backgrounds, faced with an insurmountable health challenge against a background of limited resources and no cure for the virus – often experience shifts in health-seeking behaviour. Grappling with seemingly simple questions about ‘when, where and how to seek medical attention’, the paper provides pointers to therapy choices and health-seeking behaviour; and it serves as a route into deeper and intense healthcare practice explorations. In conclusion, the paper proposes that medicine and the humanities should engage seriously with those social aspects of HIV and AIDS which call for an integrated approach to healthcare practice in

Near real time water quality monitoring of Chivero and Manyame lakes of Zimbabwe

NASA Astrophysics Data System (ADS)

Muchini, Ronald; Gumindoga, Webster; Togarepi, Sydney; Pinias Masarira, Tarirai; Dube, Timothy

2018-05-01

Zimbabwe's water resources are under pressure from both point and non-point sources of pollution hence the need for regular and synoptic assessment. In-situ and laboratory based methods of water quality monitoring are point based and do not provide a synoptic coverage of the lakes. This paper presents novel methods for retrieving water quality parameters in Chivero and Manyame lakes, Zimbabwe, from remotely sensed imagery. Remotely sensed derived water quality parameters are further validated using in-situ data. It also presents an application for automated retrieval of those parameters developed in VB6, as well as a web portal for disseminating the water quality information to relevant stakeholders. The web portal is developed, using Geoserver, open layers and HTML. Results show the spatial variation of water quality and an automated remote sensing and GIS system with a web front end to disseminate water quality information.

From Bus Stop to Farm Village: The Farm Worker Programme in Zimbabwe.

ERIC Educational Resources Information Center

Auret, Diana

This book documents the history, successes, and failures of Save the Children's farmworker program in Zimbabwe, 1981-98. The report explores workers' past and present living and working conditions on commercial farms and describes how the program promoted a progression from workers with a migrant mentality to the building of functional…

Who benefits from public health financing in Zimbabwe? Towards universal health coverage.

PubMed

Shamu, Shepherd; January, James; Rusakaniko, Simbarashe

2017-09-01

Zimbabwe's public health financing model is mostly hospital-based. Financing generally follows the bigger and higher-level hospitals at the expense of smaller, lower-level ones. While this has tended to perpetuate inequalities, the pattern of healthcare services utilisation and benefits on different levels of care and across different socioeconomic groups remains unclear. The purpose of this study was therefore to assess the utilisation of healthcare services and benefits at different levels of care by different socioeconomic groups. We conducted secondary data analysis of the 2010 National Health Accounts survey, which had 7084 households made up of 26,392 individual observations. Results showed significant utilisation of health services by poorer households at the district level (concentration index of -0.13 [CI:-0.2 to -0.06; p < .05]), but with mission hospitals showing equitable utilisation by both groups. Provincial and higher levels showed greater utilisation by richer households (0.19; CI: 0.1-0.29; p < .05). The overall results showed that richer households benefited significantly more from public health funds than poorer households (0.26; CI: 0.2-0.4; p < .05). Richer households disproportionately benefited from public health subsidies overall, particularly at secondary and tertiary levels, which receive more funding and provide a higher level of care.

The decentralisation of the sexually transmitted diseases service and its integration into primary health care.

PubMed

Latif, A S; Mbengeranwa, O L; Marowa, E; Paraiwa, E; Gutu, S

1986-10-01

As part of National Health Policy, the City Health Department in Harare, Zimbabwe decentralized sexually transmitted diseases (STD) services and integrated it into primary health care. A central referral STD clinic was created to concentrate expertise. Simplified treatment protocols were distributed to primary care clinics, and nurses in these clinics received an intensive 2-week training course at the central clinic. This was part of a larger plan to provide comprehensive health care in easily accessible settings. The Harare City Health Department has 14 primary care clinics and 9 polyclinics staffed mainly by nursing personnel. The training course taught curative treatment of STDs and prevention by patient education and locating sexual contacts. Participants were expected to be able to utilize physical and laboratory diagnostic techniques accurately to identify common STDs, and to order appropriate treatment. The program emphasized "bedside" teaching with continuous exposure to clinical problems and discussion of those problems. The textbook used included management guidelines in the form of flow charts adapted from World Health Organization guidelines. Over 16 weeks, 49 trainees attended the course. Trainees were mainly female, while patients are mainly male. Trainees performed well, gaining self confidence and ability to manage STDs. The main problems encountered were overwork of staff in clinics when 1 lest for the program, and reluctance of male patients to be examined by female trainees.

Barriers and Coping Mechanisms Relating to Agroforestry Adoption by Smallholder Farmers in Zimbabwe

ERIC Educational Resources Information Center

Chitakira, Munyaradzi; Torquebiau, Emmanuel

2010-01-01

Purpose: The purpose of the present study was to investigate agroforestry adoption by smallholder farmers in Gutu District, Zimbabwe. Design/Methodology/Approach: The methodology was based on field data collected through household questionnaires, key informant interviews and direct observations. Findings: Major findings reveal that traditional…

Cholera in Zimbabwe: Developing an Educational Response to a Health Crisis

ERIC Educational Resources Information Center

Mandikonza, Caleb; Musindo, Beatrice; Taylor, Jim

2011-01-01

In February 2009, the World Health Organization (WHO) reported that the cholera epidemic in Zimbabwe had claimed 3,300 lives and infected 66,000 people--greater than the toll of that disease in the whole of Africa in most years. How is it possible that a disease such as cholera can have such a devastating effect in modern times? How should one…

Science Teacher Training Programme in Rural Schools: An ODL Lesson from Zimbabwe

ERIC Educational Resources Information Center

Mhishi, Misheck; Bhukuvhani, Crispen Erinos; Sana, Abel Farikai

2012-01-01

This case study looked at 76 randomly selected preservice science teachers from Mbire and Guruve districts who were learning at the Mushumbi Centre in Zimbabwe and assessed their motivations for enrolling under the Bindura University of Science Education (BUSE)'s Virtual and Open Distance Learning (VODL) programme. It also looked at the challenges…

The Army of Zimbabwe: A Role Model for Namibia

DTIC Science & Technology

1990-03-02

centuries. A limited sense of nationhood started to exist. Further south on the African continent Zulu dissidents broke from the main empire and in...important role. 13 One of the manifestations of this unity would emerge in the creation of the new Zimbabwe Defense Forces. 6 ENDNOTES 1. DA PAM 550-171...prove to be very helpful in the months to come, 25 as BMATT arrived, set up, came on line and started its difficult mission. The creation of the first

Human resource for health reform in peri-urban areas: a cross-sectional study of the impact of policy interventions on healthcare workers in Epworth, Zimbabwe.

PubMed

Taderera, Bernard Hope; Hendricks, Stephen James Heinrich; Pillay, Yogan

2017-12-16

The need to understand how healthcare worker reform policy interventions impact health personnel in peri-urban areas is important as it also contributes towards setting of priorities in pursuing the universal health coverage goal of health sector reform. This study explored the impact of post 2008 human resource for health reform policy interventions on healthcare workers in Epworth, a peri-urban community in Harare, Zimbabwe, and the implications towards health sector reform policy in peri-urban areas. The study design was exploratory and cross-sectional and involved the use of qualitative and quantitative methods in data collection, presentation, and analysis. A qualitative study in which data were collected through a documentary search, five key informant interviews, seven in-depth interviews, and five focus group discussions was carried out first. This was followed by a quantitative study in which data were collected through a documentary search and 87 semi-structured sample interviews with healthcare workers. Qualitative data were analyzed thematically whilst descriptive statistics were used to examine quantitative data. All data were integrated during analysis to ensure comprehensive, reliable, and valid analysis of the dataset. Three main factors were identified to help interpret findings. The first main factor consisted policy result areas that impacted most successfully on healthcare workers. These included the deployment of community health workers with the highest correlation of 0.83. Policy result areas in the second main factor included financial incentives with a correlation of 0.79, training and development (0.77), deployment (0.77), and non-financial incentives (0.75). The third factor consisted policy result areas that had the lowest satisfaction amongst healthcare workers in Epworth. These included safety (0.72), equipment and tools of trade (0.72), health welfare (0.65), and salaries (0.55). The deployment of community health volunteers impacted

Enhancing Schistosomiasis Control Strategy for Zimbabwe: Building on Past Experiences

PubMed Central

Chimbari, Moses J.

2012-01-01

Schistosoma haematobium and Schistosoma mansoni are prevalent in Zimbabwe to levels that make schistosomiasis a public health problem. Following three national surveys to map the disease prevalence, a national policy on control of schistosomiasis and soil transmitted helminths is being developed. This paper reviews the experiences that Zimbabwe has in the area of schistosomiasis control with a view to influence policy. A case study approach to highlight key experiences and outcomes was adopted. The benefits derived from intersectoral collaboration that led to the development of a model irrigation scheme that incorporates schistosomiasis control measures are highlighted. Similarly, the benefits of using plant molluscicides and fish and duck biological agents (Sargochromis codringtonii and Cairina moschata) are highlighted. Emphasis was also placed on the importance of utilizing locally developed water and sanitation technologies and the critical human resource base in the area of schistosomiasis developed over years. After synthesis of the case studies presented, it was concluded that while there is a need to follow the WHO recommended guidelines for schistosomiasis control it is important to develop a control strategy that is informed by work already done in the country. The importance of having a policy and local guidelines for schistosomiasis control is emphasized. PMID:22655171

7 CFR 29.2543 - Raw.

Code of Federal Regulations, 2010 CFR

2010-01-01

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7 CFR 29.2543 - Raw.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Raw. 29.2543 Section 29.2543 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2543 Raw. Freshly harvested tobacco or...

7 CFR 29.2538 - Oil.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Oil. 29.2538 Section 29.2538 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2538 Oil. A soft, semifluid constituent of...

7 CFR 29.2538 - Oil.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Oil. 29.2538 Section 29.2538 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2538 Oil. A soft, semifluid constituent of...

7 CFR 29.2538 - Oil.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Oil. 29.2538 Section 29.2538 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2538 Oil. A soft, semifluid constituent of...

7 CFR 29.2538 - Oil.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Oil. 29.2538 Section 29.2538 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2538 Oil. A soft, semifluid constituent of...

7 CFR 29.2538 - Oil.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Oil. 29.2538 Section 29.2538 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2538 Oil. A soft, semifluid constituent of...

7 CFR 29.2559 - Sweating.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Sweating. 29.2559 Section 29.2559 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2559 Sweating. The condition of tobacco in...

7 CFR 29.2558 - Sweated.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Sweated. 29.2558 Section 29.2558 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2558 Sweated. The condition of tobacco...

7 CFR 29.2559 - Sweating.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Sweating. 29.2559 Section 29.2559 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2559 Sweating. The condition of tobacco in...

7 CFR 29.2558 - Sweated.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Sweated. 29.2558 Section 29.2558 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2558 Sweated. The condition of tobacco...

7 CFR 29.2558 - Sweated.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Sweated. 29.2558 Section 29.2558 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2558 Sweated. The condition of tobacco...

7 CFR 29.2559 - Sweating.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Sweating. 29.2559 Section 29.2559 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2559 Sweating. The condition of tobacco in...

7 CFR 29.2558 - Sweated.

Code of Federal Regulations, 2011 CFR

2011-01-01

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7 CFR 29.2559 - Sweating.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Sweating. 29.2559 Section 29.2559 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2559 Sweating. The condition of tobacco in...

7 CFR 29.2558 - Sweated.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Sweated. 29.2558 Section 29.2558 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2558 Sweated. The condition of tobacco...

7 CFR 29.2559 - Sweating.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Sweating. 29.2559 Section 29.2559 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2559 Sweating. The condition of tobacco in...

Participatory Curriculum Development: Lessons Drawn from Teaching Environmental Education to Industry in Zimbabwe

ERIC Educational Resources Information Center

Price, Leigh

2004-01-01

My experience of teaching the Rhodes University/Speciss College Environmental Education Course in Zimbabwe alerted me to a tension between the industry course participants who largely (although not entirely) wanted a skills/vocational training orientation and the course curriculum developers, who wanted a critical/theoretical/praxis-based…

The Extent of Teacher Participation in Decision-Making in Secondary Schools in Zimbabwe

ERIC Educational Resources Information Center

Wadesango, Newman

2010-01-01

In Zimbabwe, there have been some debates on democratisation and decentralisation, which led to the development of policies meant to increase teacher participation in decision-making in schools. However, despite these developments, teacher participation in decision-making in Zimbabwean schools is regarded as insignificant. Teachers work closely…

Policy development in malaria vector management in Mozambique, South Africa and Zimbabwe

PubMed Central

Cliff, Julie; Lewin, Simon; Woelk, Godfrey; Fernandes, Benedita; Mariano, Alda; Sevene, Esperança; Daniels, Karen; Matinhure, Sheillah; Oxman, Andrew; Lavis, John

2010-01-01

Introduction Indoor residual spraying (IRS) and insecticide-treated nets (ITNs), two principal malaria control strategies, are similar in cost and efficacy. We aimed to describe recent policy development regarding their use in Mozambique, South Africa and Zimbabwe. Methods Using a qualitative case study methodology, we undertook semi-structured interviews of key informants from May 2004 to March 2005, carried out document reviews and developed timelines of key events. We used an analytical framework that distinguished three broad categories: interests, ideas and events. Results A disparate mix of interests and ideas slowed the uptake of ITNs in Mozambique and Zimbabwe and prevented uptake in South Africa. Most respondents strongly favoured one strategy over the other. In all three countries, national policy makers favoured IRS, and only in Mozambique did national researchers support ITNs. Outside interests in favour of IRS included manufacturers who supplied the insecticides and groups opposing environmental regulation. International research networks, multilateral organizations, bilateral donors and international NGOs supported ITNs. Research evidence, local conditions, logistic feasibility, past experience, reaction to outside ideas, community acceptability, the role of government and NGOs, and harm from insecticides used in spraying influenced the choice of strategy. The end of apartheid permitted a strongly pro-IRS South Africa to influence the region, and in Mozambique and Zimbabwe, floods provided conditions conducive to ITN distribution. Conclusions Both IRS and ITNs have a place in integrated malaria vector management, but pro-IRS interests and ideas slowed or prevented the uptake of ITNs. Policy makers needed more than evidence from trials to change from the time-honoured IRS strategy that they perceived was working. Those intending to promote new policies such as ITNs should examine the interests and ideas motivating key stakeholders and their own

New U-Pb zircon geochronology of the Choma-Kalomo Block (Zambia) and the Dete-Kamativi Inlier (Zimbabwe), with implications for the extent of the Zimbabwe Craton.

NASA Astrophysics Data System (ADS)

Glynn, Sarah; Wiedenbeck, Michael; Master, Sharad; Frei, Dirk

2015-04-01

The Choma-Kalomo Block is a north-east trending, Mesoproterozoic terrane located in southern Zambia. It is composed of as yet undated gneissic basement with a high-grade metamorphosed supracrustal metasedimentary sequence, which is intruded by hornblende granites and gneisses of the Choma-Kalomo Batholith, that is dated between ca. 1.37 and 1.18 Ga. Our new zircon U-Pb age data on metasedimentary rocks of the Choma-Kalomo Block identifies samples of different ages, with slightly different provenances. The oldest metasedimentary rock is a muscovite-biotite schist, which has only Palaeoproterozoic detrital zircons, the two age clusters around 2.03-2.02 Ga and 1.8-1.9 Ga, correspond to the ages of granitic intrusion, and metamorphism, in the Magondi Mobile Belt on the western side of the Archaean Zimbabwe Craton. The second sample is a garnetiferous paragneiss, which contains both Palaeoproterozoic (2.04 Ga), and Mesoproterozoic zircons, ca. 1.36 Ga, derived from the granites of the Choma-Kalomo Batholith. The third sample is a biotite-muscovite schist, in which the detrital zircon ages fall into four separate clusters: ca. 3.39 Ga, ca. 2.7-2.6 Ga, ca. 2.1-1.7 Ga (with a peak at ca. 1.18 Ga), and 1.55 - 1.28 Ga. The Archaean zircons in this sample are derived from the Zimbabwe Craton, while the Palaeoproterozoic samples come from the Magondi belt, and the youngest zircons come from both phases of the Choma-Kalomo Batholith. A possible connection between the Choma-Kalomo Block and the Dete-Kamativi Inlier - some 150 km to the south-east in western Zimbabwe - has been proposed on the basis of similarities in the nature of their Sn-Ta-muscovite pegmatite mineralisation. The Dete-Kamativi Inlier, which is part of the Magondi Mobile Belt, is a window into Palaeoproterozoic north-east trending belts of deformed and metamorphosed supracrustal rocks. By dating localities which we suspect form the basement to the surrounding younger sediments, along with selected pegmatites

The Cholera Epidemic in Zimbabwe, 2008–2009

PubMed Central

Sollom, Richard; Beyrer, Chris

2017-01-01

Abstract The 2008–2009 Zimbabwe cholera epidemic resulted in 98,585 reported cases and caused more than 4,000 deaths. In this study, we used a mixed-methods approach that combined primary qualitative data from a 2008 Physicians for Human Rights-led investigation with a systematic review and content analysis of the scientific literature. Our initial investigation included semi-structured interviews of 92 key informants, which we supplemented with reviews of the social science and human rights literature, as well as international news reports. Our systematic review of the scientific literature retrieved 59 unique citations, of which 30 met criteria for inclusion in the content analysis: 14 of the 30 (46.7%) articles mentioned the political dimension of the epidemic, while 7 (23.3%) referenced Mugabe or his political party (ZANU-PF). Our investigation revealed that the 2008–2009 Zimbabwean cholera epidemic was exacerbated by a series of human rights abuses, including the politicization of water, health care, aid, and information. The failure of the scientific community to directly address the political determinants of the epidemic exposes challenges to maintaining scientific integrity in the setting of humanitarian responses to complex health and human rights crises. While the period of the cholera epidemic and the health care system collapse is now nearly a decade in the past, the findings of this work remain highly relevant for Zimbabwe and other countries, as complex health and rights interactions remain widespread, and governance concerns continue to limit improvements in human health. PMID:29302180

Seed Aid for Food Security? Some Lessons from Zimbabwe's Agricultural Recovery Programme

ERIC Educational Resources Information Center

Foti, Richard; Muringai, Violet; Mavunganidze, Zira

2007-01-01

Does agricultural input aid always lead to favourable food security outcomes? This paper describes Zimbabwe's agricultural recovery program for the 2003/2004 farming season and draws some lessons that can be used in the designing and implementation of future programs. Input aid was found to be most beneficial if it is packaged together with other…

Greywater reuse: A strategy for water demand management in Harare?

NASA Astrophysics Data System (ADS)

Madungwe, Emaculate; Sakuringwa, Saniso

Greywater is wastewater from baths, sinks and washing machines, accounting for about 60% of the outflow from homes. It contains little pathogens and 90% less nitrogen than toilet water, so does not require the same treatment process. With the increasing demand for freshwater, its use may reduce irrigation water needs, increasing its availability of freshwater for other primary uses. Agriculture is the main water consumer in Africa, which cannot be compromised due to its role in domestic food security and export supplies. The purpose of this paper is to demonstrate findings of the research done on benefits of greywater reuse in some countries, applicable to African countries. In Australia, greywater reuse has reduced freshwater demand, strain on wastewater treatment plants and energy consumption. Aquifer recharge has improved due to increased infiltration flows from greywater uses. In Lebanon, greywater is a valuable resource for encouraging plant growth from nutrients that may otherwise have been wasted. Palestine shares similar climate and water scarcity conditions with most arid sub-Saharan African countries, yet utilizes grey water in production of crops and citrus fruits. Thus use of grey water should be possible in African cities such as Harare, where nearly two thirds of the population rely on agriculture for livelihoods. The problem of blue green algae in sewerage ponds and water reservoirs is significantly reduced by household reuse of grey water in Mexico. Water savings are increased and expenses reduced, as illustrated by the reduction in consumption of municipality freshwater supplies in South African urban areas. Rural communities and schools in Namibia and Egypt have raised funds from grey water reuse in banana plantations. A possible constraint to this strategy could be the unavailability of appropriate technology for primary treatment of grey water before reuse. This strategy may pose health risks where water quality tests are unknown or unavailable

7 CFR 29.2548 - Side.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Side. 29.2548 Section 29.2548 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2548 Side. A certain phase of quality, color...

7 CFR 29.2548 - Side.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Side. 29.2548 Section 29.2548 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2548 Side. A certain phase of quality, color...

7 CFR 29.2548 - Side.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Side. 29.2548 Section 29.2548 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2548 Side. A certain phase of quality, color...

7 CFR 29.2548 - Side.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Side. 29.2548 Section 29.2548 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2548 Side. A certain phase of quality, color...

7 CFR 29.2548 - Side.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Side. 29.2548 Section 29.2548 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2548 Side. A certain phase of quality, color...

7 CFR 29.2503 - Body.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Body. 29.2503 Section 29.2503 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2503 Body. The thickness and density of a...

7 CFR 29.2553 - Stem.

Code of Federal Regulations, 2012 CFR

2012-01-01

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7 CFR 29.2553 - Stem.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Stem. 29.2553 Section 29.2553 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2553 Stem. The midrib or large central vein...

7 CFR 29.2553 - Stem.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Stem. 29.2553 Section 29.2553 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2553 Stem. The midrib or large central vein...

7 CFR 29.2553 - Stem.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Stem. 29.2553 Section 29.2553 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2553 Stem. The midrib or large central vein...

7 CFR 29.2553 - Stem.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Stem. 29.2553 Section 29.2553 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2553 Stem. The midrib or large central vein...

7 CFR 29.2513 - Damage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Damage. 29.2513 Section 29.2513 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2513 Damage. The effect of mold, must, rot...

7 CFR 29.2555 - Strength.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Strength. 29.2555 Section 29.2555 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2555 Strength. The stress a tobacco leaf can...

7 CFR 29.2555 - Strength.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Strength. 29.2555 Section 29.2555 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2555 Strength. The stress a tobacco leaf can...

7 CFR 29.2550 - Sound.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Sound. 29.2550 Section 29.2550 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2550 Sound. Free of damage. [37 FR 13626...

7 CFR 29.2550 - Sound.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Sound. 29.2550 Section 29.2550 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2550 Sound. Free of damage. [37 FR 13626...

7 CFR 29.2550 - Sound.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Sound. 29.2550 Section 29.2550 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2550 Sound. Free of damage. [37 FR 13626...

7 CFR 29.2550 - Sound.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Sound. 29.2550 Section 29.2550 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2550 Sound. Free of damage. [37 FR 13626...

7 CFR 29.2550 - Sound.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Sound. 29.2550 Section 29.2550 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2550 Sound. Free of damage. [37 FR 13626...

7 CFR 29.2503 - Body.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Body. 29.2503 Section 29.2503 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2503 Body. The thickness and density of a...

YF-22 in flight (US AF photo)

NASA Technical Reports Server (NTRS)

1990-01-01

The YF-22, prototype aircraft for the Air Force's F-22 fighter, cruises over the desert on a flight for the Air Force. It was never involved in any programs with Dryden. The United States Air Force announced the demonstration/validation phase contractors selection for the Advanced Tactical Fighter (ATF) program October 31, 1986. These contractor programs were the Lockheed YF-22 and the Northrop YF-23; each produced two prototypes and ground-based avionics testbeds. First flights of all four prototypes occured in 1990. The YF-22 was first flown on Sept. 29, 1990. The YF-22 was powered by two General Electric YF120-GE-100 engines. The final design, the F-22, was flown sometime in May 1997. The F-22 is capable of efficient supersonic operation without afterburner use (supercruise). Lockheed teamed with General Dynamics (Fort Worth) and Boeing Military Airplanes to produce two YF-22 prototypes, civil registrations N22YF (with GE YF120) and N22YX (P&W YF119). N22YF rolled out at Palmdale August 29, 1990; first flight/ferry to Edwards AFB September 29, 1990; first air refuelling (11th sortie) October 26, 1990; thrust vectoring in flight November 15, 1990; achieved Mach 1.8 December 26, 1990. Flight test demonstrations included `supercruise' flight in excess of Mach 1.58 without afterburner.

Precursor conditions related to Zimbabwe's summer droughts

NASA Astrophysics Data System (ADS)

Nangombe, Shingirai; Madyiwa, Simon; Wang, Jianhong

2018-01-01

Despite the increasing severity of droughts and their effects on Zimbabwe's agriculture, there are few tools available for predicting these droughts in advance. Consequently, communities and farmers are more exposed, and policy makers are always ill prepared for such. This study sought to investigate possible cycles and precursor meteorological conditions prior to drought seasons that could be used to predict impending droughts in Zimbabwe. The Single Z-Index was used to identify and grade drought years between 1951 and 2010 according to rainfall severity. Spectral analysis was used to reveal the cycles of droughts for possible use of these cycles for drought prediction. Composite analysis was used to investigate circulation and temperature anomalies associated with severe and extreme drought years. Results indicate that severe droughts are more highly correlated with circulation patterns and embedded weather systems in the Indian Ocean and equatorial Pacific Ocean than any other area. This study identified sea surface temperatures in the average period June to August, geopotential height and wind vector in July to September period, and air temperature in September to November period as precursors that can be used to predict a drought occurrence several months in advance. Therefore, in addition to sea surface temperature, which was identified through previous research for predicting Zimbabwean droughts, the other parameters identified in this study can aid in drought prediction. Drought cycles were established at 20-, 12.5-, 3.2-, and 2.7-year cycles. The spectral peaks, 12.5, 3.2, and 2.7, had a similar timescale with the luni-solar tide, El Niño Southern Oscillation and Quasi Biennial Oscillation, respectively, and hence, occurrence of these phenomena have a possibility of indicating when the next drought might be.

Home-Based Learning Programmes for Mentally Handicapped People in Rural Areas of Zimbabwe.

ERIC Educational Resources Information Center

Mariga, Lilian; McConkey, Roy

1987-01-01

The paper describes a community based rehabilitation program for mentally handicapped children and young adults living with their families in rural areas of Zimbabwe. Critical to the program's success are (1) partnership with existing agencies; (2) training and monitoring provided by specialist staff; and (3) provision of appropriate resource…

The impact of herbal remedies on adverse effects and quality of life in HIV-infected individuals on antiretroviral therapy

PubMed Central

Bepe, Nyasha; Madanhi, Nathan; Mudzviti, Tinashe; Gavi, Samuel; Maponga, Charles Chiedza; Morse, Gene D

2012-01-01

Introduction Use of herbal remedies among HIV-infected individuals in Africa increased in the past decade, mainly due to traditional beliefs and at times inconsistent access to antiretroviral drugs. In Zimbabwe, accessibility and availability of antiretroviral drugs has increased in recent years; however, the use of herbal remedies remains high. This study was conducted to determine the impact of concomitant use of herbal remedies with antiretroviral drugs on adverse events and on quality of life. Methodology A convenient sample of HIV positive patients at Parirenyatwa group of hospitals' Family Care Clinic (Harare, Zimbabwe) was enrolled. A questionnaire was used to collect data on the adverse event experiences of the patients using herbal remedies for their HIV, as well as the types of herbal remedy used. Quality of life index was measured using an HIV/AIDS targeted quality of life (HAT-QOL) tool developed by the World Health Organization. Results Abdominal pain (odds ratio = 2.7, p-value = 0.01) and rash (odds ratio = 2.5, p-value = 0.02) had significant associations with using herbal remedies during antiretroviral therapy. Improved quality of life index was not significantly associated with herbal remedy use during antiretroviral therapy. Conclusions There is evidence to suggest that some traditional herbal remedies used in Zimbabwe may increase incidence of certain types of adverse events when used in combination with antiretroviral drugs. Use of herbal drugs in combination with antiretroviral therapy does not significantly improve quality of life index in comparison to antiretroviral drug use only. PMID:21330740

“We Are Not Really Marketing Mental Health”: Mental Health Advocacy in Zimbabwe

PubMed Central

Hendler, Reuben; Kidia, Khameer; Machando, Debra; Crooks, Megan; Mangezi, Walter; Abas, Melanie; Katz, Craig; Thornicroft, Graham; Semrau, Maya

2016-01-01

Introduction Few people with mental disorders in low and middle-income countries (LMICs) receive treatment, in part because mental disorders are highly stigmatized and do not enjoy priority and resources commensurate with their burden on society. Advocacy has been proposed as a means of building political will and community support for mental health and reducing stigma, but few studies have explored the practice and promise of advocacy in LMICs. Methods We conducted 30 semi-structured interviews with leaders in health and mental health in Zimbabwe to explore key stakeholder perceptions on the challenges and opportunities of the country’s mental health system. We coded the transcripts using the constant comparative method, informed by principles of grounded theory. Few interview questions directly concerned advocacy, yet in our analysis, advocacy emerged as a prominent, cross-cutting theme across participants and interview questions. Results Two thirds of the respondents discussed advocacy, often in depth, returning to the concept throughout the interview and emphasizing their belief in advocacy’s importance. Participants described six distinct components of advocacy: the advocates, to whom they advocate (“targets”), what they advocate for (“asks”), how advocates reach their targets (“access”), how they make their asks (“arguments”), and the results of their advocacy (“outcomes”). Discussion Despite their perception that mental health is widely misunderstood and under-appreciated in Zimbabwe, respondents expressed optimism that strategically speaking out can reduce stigma and increase access to care. Key issues included navigating hierarchies, empowering service users to advocate, and integrating mental health with other health initiatives. Understanding stakeholder perceptions sets the stage for targeted development of mental health advocacy in Zimbabwe and other LMICs. PMID:27607240

Stakeholder participation in the new water management approach: a case study of the Save catchment, Zimbabwe

NASA Astrophysics Data System (ADS)

Dube, Dumisani; Swatuk, Larry A.

The 1998 Zimbabwe Water Act introduced the ideas of 'lowest appropriate authority' in the management of water resources. To this end, the country has been divided into seven catchments. This new set-up is intended to achieve efficiency, accountability and sustainability through stakeholder participation. This paper critically examines the way in which the idea of 'stakeholder participation' has been operationalised in the new water reform process. We examine recent experiences of participation in the creation and operation of the new water management structure, in particular Catchment Councils in Zimbabwe, and argue against an uncritical or atheoretical understanding of 'participation'. To simply assume that inclusivist language translates into wider benefits for society is to ignore the profoundly political nature of the entire water reform process.

48 CFR 22.901 - Policy.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Policy. 22.901 Section 22... APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Nondiscrimination Because of Age 22.901 Policy. Executive Order 11141, February 12, 1964 (29 FR 2477), states that the Government policy is as follows: (a...

Factors affecting parent-adolescent discussion on reproductive health issues in Harar, eastern Ethiopia: a cross-sectional study.

PubMed

Yadeta, Tesfaye Assebe; Bedane, Haji Kedir; Tura, Abera Kenay

2014-01-01

Open family discussion on reproductive health (RH) issues often leads to increased awareness on RH matters and reduces risky behaviors among adolescents. This study was conducted to assess factors affecting parent-adolescent discussion on RH issues in Harar, Ethiopia. A cross-sectional survey using face to face interview supplemented with focus group discussion (FGD) was conducted on 751 randomly selected parents of 10-19-year-old adolescents. Data was analyzed using SPSS version 15. More than one-fourth (28.76%) of parents reported discussing RH issues with their adolescents during the last six months. In the logistic regression, parents who have demonstrated good RH knowledge and positive attitude towards RH were almost six times and seventy percent (AOR 5.69, 95% CI: 3.67-8.82; AOR 1.70, 95% CI: 1.08-2.68) higher in discussing RH with their adolescents than their counterparts, respectively. Parent-adolescent discussion about RH issues rarely occurs and is bounded by lack of knowledge, sociocultural norms, and parental concern that discussion would encourage premarital sex. Reproductive health programs should target on improving awareness of parents and addressing sociocultural norms surrounding reproductive health issues.

29 CFR 1905.22 - Hearing examiners; powers and duties.

Code of Federal Regulations, 2010 CFR

2010-07-01

... UNDER THE WILLIAMS-STEIGER OCCUPATIONAL SAFETY AND HEALTH ACT OF 1970 Hearings § 1905.22 Hearing....22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... involved. (8) To make decisions in accordance with the Act, this part, and the Administrative Procedure Act...

7 CFR 29.2507 - Color.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Color. 29.2507 Section 29.2507 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2507 Color. The third factor of a grade based on the relative hues, saturation or chroma, and color values common to the type. ...

7 CFR 29.2507 - Color.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Color. 29.2507 Section 29.2507 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2507 Color. The third factor of a grade based on the relative hues, saturation or chroma, and color values common to the type. ...

7 CFR 29.2507 - Color.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Color. 29.2507 Section 29.2507 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2507 Color. The third factor of a grade based on the relative hues, saturation or chroma, and color values common to the type. ...

7 CFR 29.2507 - Color.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Color. 29.2507 Section 29.2507 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2507 Color. The third factor of a grade based on the relative hues, saturation or chroma, and color values common to the type. ...

7 CFR 29.2507 - Color.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Color. 29.2507 Section 29.2507 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2507 Color. The third factor of a grade based on the relative hues, saturation or chroma, and color values common to the type. ...

An Analysis of the Factors Affecting Students' Adjustment at a University in Zimbabwe

ERIC Educational Resources Information Center

Mutambara, Julia; Bhebe, Veni

2012-01-01

This study provides insight into transition experiences and adjustment of students at a university in Zimbabwe. Research was based on students in the first three semesters of college. Based on prior research college adjustment was conceptualised in this study as involving personal, emotional, social and academic issues. The study was qualitative…

Increasing the hydrophobicity degree of stonework by means of laser surface texturing: An application on Zimbabwe black granites

NASA Astrophysics Data System (ADS)

Chantada, A.; Penide, J.; Riveiro, A.; del Val, J.; Quintero, F.; Meixus, M.; Soto, R.; Lusquiños, F.; Pou, J.

2017-10-01

Tailoring the wetting characteristics of materials has gained much interest in applications related to surface cleaning in both industry and home. Zimbabwe black granite is a middle-to-fine-grained natural stone commonly used as countertops in kitchens and bathrooms. In this study, the laser texturing of Zimbabwe black granite surfaces is investigated with the aim to enhance its hydrophobic character, thus reducing the attachment of contaminants on the surface. Two laser sources (λ = 1064 and 532 nm) were used for this purpose. The treatment is based on the irradiation of the stone by a laser focused on the surface of the targeting sample. The influence of different laser processing parameters on the surface characteristics of granite (wettability, roughness, and chemistry) was statistically assessed. Most suitable laser processing parameters required to obtain the highest hydrophobicity degree were identified. It has been possible to identify the 532 nm laser wavelength as the most effective one to increase the hydrophobic degree of Zimbabwe black granite surface. The phenomenon governing wettability changes was found to be the surface roughness patterns, given the unaltered chemical surface composition after laser processing.

25 CFR 2.2 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Definitions. 2.2 Section 2.2 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR PROCEDURES AND PRACTICE APPEALS FROM ADMINISTRATIVE ACTIONS § 2.2... appealed (see § 2.9). Person includes any Indian or non-Indian individual, corporation, tribe or other...

25 CFR 2.2 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Definitions. 2.2 Section 2.2 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR PROCEDURES AND PRACTICE APPEALS FROM ADMINISTRATIVE ACTIONS § 2.2... appealed (see § 2.9). Person includes any Indian or non-Indian individual, corporation, tribe or other...

25 CFR 2.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Definitions. 2.2 Section 2.2 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR PROCEDURES AND PRACTICE APPEALS FROM ADMINISTRATIVE ACTIONS § 2.2... appealed (see § 2.9). Person includes any Indian or non-Indian individual, corporation, tribe or other...

25 CFR 2.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Definitions. 2.2 Section 2.2 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR PROCEDURES AND PRACTICE APPEALS FROM ADMINISTRATIVE ACTIONS § 2.2... appealed (see § 2.9). Person includes any Indian or non-Indian individual, corporation, tribe or other...

Factors influencing the demand of the service of community based animal health care in Zimbabwe.

PubMed

Mutambara, J; Dube, I; Matangi, E; Majeke, F

2013-11-01

This study was done to find out about animal health service providers and factors that determined demand for community based veterinary service delivery in smallholder sector of Zimbabwe. Focus group discussions and a questionnaire was used to collect data on veterinary services providers and socio-economic factors related to animal health from a sample (N=333) smallholder livestock farmers from Gutu district of Masvingo province in Zimbabwe. Analytical techniques used were descriptive statistics, K-mean cluster analysis and Tobit regression model. Results showed that the majority of farmers (45%) obtained services from both Community Based Animal Health Workers (CBAHWs) and Department of Veterinary Service (DVS), 25% DVS only, 20% used CBAHWs while 10% did not seek any services. Further analysis showed that distance to CBAHW, distance to AHMC and employment status were significantly related to demand for CBAHWs with coefficients of -1.5, 0.7 and -10.3, respectively. The study thus concluded that CBAHW is an alternative animal health service delivery approach already practiced in smallholder farming sectors of Zimbabwe. Socio-economic factors significantly influenced the demand for CBAHW services. Given limited resources by state sponsored veterinary services, it is recommended that the CBAHWs approach should be encouraged as supplementary service provider especially in areas further DVS. These community organizations can be empowered by the state to deliver more improved services based on hygiene and modern science at a relatively low cost to farmers. Copyright © 2013 Elsevier B.V. All rights reserved.

7 CFR 29.2526 - Group.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Group. 29.2526 Section 29.2526 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2526 Group. A division of a type covering..., or the general quality of the tobacco. Groups in these types are Wrappers (A), Heavy Leaf (B), Thin...

7 CFR 29.2526 - Group.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Group. 29.2526 Section 29.2526 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2526 Group. A division of a type covering..., or the general quality of the tobacco. Groups in these types are Wrappers (A), Heavy Leaf (B), Thin...

7 CFR 29.2526 - Group.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Group. 29.2526 Section 29.2526 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2526 Group. A division of a type covering..., or the general quality of the tobacco. Groups in these types are Wrappers (A), Heavy Leaf (B), Thin...

7 CFR 29.2526 - Group.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Group. 29.2526 Section 29.2526 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2526 Group. A division of a type covering..., or the general quality of the tobacco. Groups in these types are Wrappers (A), Heavy Leaf (B), Thin...

7 CFR 29.2526 - Group.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Group. 29.2526 Section 29.2526 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2526 Group. A division of a type covering..., or the general quality of the tobacco. Groups in these types are Wrappers (A), Heavy Leaf (B), Thin...

7 CFR 29.2542 - Quality.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Quality. 29.2542 Section 29.2542 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2542 Quality. A division of a group or the second factor of a grade based on the relative degree of one or more elements of quality. [37 FR 13626...

7 CFR 29.2528 - Leaf.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Leaf. 29.2528 Section 29.2528 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2528 Leaf. Whole, unstemmed leaf. Leaf, when applied to tobacco in strip form, shall describe the divided unit of a whole leaf. [49 FR 16757, Apr. 20...

7 CFR 29.2528 - Leaf.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Leaf. 29.2528 Section 29.2528 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2528 Leaf. Whole, unstemmed leaf. Leaf, when applied to tobacco in strip form, shall describe the divided unit of a whole leaf. [49 FR 16757, Apr. 20...

7 CFR 29.2528 - Leaf.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Leaf. 29.2528 Section 29.2528 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2528 Leaf. Whole, unstemmed leaf. Leaf, when applied to tobacco in strip form, shall describe the divided unit of a whole leaf. [49 FR 16757, Apr. 20...

7 CFR 29.2528 - Leaf.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Leaf. 29.2528 Section 29.2528 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2528 Leaf. Whole, unstemmed leaf. Leaf, when applied to tobacco in strip form, shall describe the divided unit of a whole leaf. [49 FR 16757, Apr. 20...

7 CFR 29.2528 - Leaf.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Leaf. 29.2528 Section 29.2528 Agriculture Regulations...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2528 Leaf. Whole, unstemmed leaf. Leaf, when applied to tobacco in strip form, shall describe the divided unit of a whole leaf. [49 FR 16757, Apr. 20...

7 CFR 29.2530 - Leaf structure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Leaf structure. 29.2530 Section 29.2530 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2530 Leaf structure. The cell development of a leaf as indicated by its porosity. (See chart, § 29.2601.) [37 FR 13626, July 12, 1972...

7 CFR 29.2530 - Leaf structure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Leaf structure. 29.2530 Section 29.2530 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2530 Leaf structure. The cell development of a leaf as indicated by its porosity. (See chart, § 29.2601.) [37 FR 13626, July 12, 1972...

7 CFR 29.2530 - Leaf structure.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Leaf structure. 29.2530 Section 29.2530 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2530 Leaf structure. The cell development of a leaf as indicated by its porosity. (See chart, § 29.2601.) [37 FR 13626, July 12, 1972...

7 CFR 29.2530 - Leaf structure.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Leaf structure. 29.2530 Section 29.2530 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2530 Leaf structure. The cell development of a leaf as indicated by its porosity. (See chart, § 29.2601.) [37 FR 13626, July 12, 1972...

7 CFR 29.2530 - Leaf structure.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Leaf structure. 29.2530 Section 29.2530 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2530 Leaf structure. The cell development of a leaf as indicated by its porosity. (See chart, § 29.2601.) [37 FR 13626, July 12, 1972...

Evidence for a contribution of the community response to HIV decline in eastern Zimbabwe?

PubMed Central

Gregson, S.; Nyamukapa, C.; Schumacher, C.; Magutshwa-Zitha, S.; Skovdal, M.; Yekeye, R.; Sherr, L.; Campbell, C.

2013-01-01

Membership of indigenous local community groups was protective against HIV for women, but not for men, in eastern Zimbabwe during the period of greatest risk reduction (1999–2004). We use four rounds of data from a population cohort to investigate: (1) the effects of membership of multiple community groups during this period; (2) the effects of group membership in the following five years; and (3) the effects of characteristics of groups hypothesised to determine their effect on HIV risk. HIV incidence from 1998 to 2003 was 1.18% (95% CI: 0.78–1.79%), 0.48% (0.20–1.16%) and 1.13% (0.57–2.27%), in women participating in one, two and three or more community groups at baseline versus 2.19% (1.75–2.75%) in other women. In 2003–2005, 36.5% (versus 43% in 1998–2000) of women were members of community groups, 50% and 56% of which discussed HIV prevention and met with other groups, respectively; the corresponding figures for men were 24% (versus 28% in 1998–2000), 51% and 58%. From 2003 to 2008, prior membership of community groups was no longer protective against HIV for women (1.13% versus 1.29%, aIRR = 1.25;p = 0.23). However, membership of groups that provided social spaces for dialogue about HIV prevention (0.62% versus 1.01%, aIRR = 0.54; p = 0.28) and groups that interacted with other groups (0.65% versus 1.01%, aIRR = 0.51; p = 0.19) showed non-significant protective effects. For women, membership of a group with external sponsorship showed a non-significant increase in HIV risk compared to membership of unsponsored groups (adjusted odds ratio = 1.63, p = 0.48). Between 2003 and 2008, membership of community groups showed a non-significant tendency towards higher HIV risk for men (1.47% versus 0.94%, p = 0.23). Community responses contributed to HIV decline in eastern Zimbabwe. Sensitive engagement and support for local groups (including non-AIDS groups) to encourage dialogue on positive local responses to HIV and to challenge harmful social norms

Funding and expenditure of a sample of community-based organizations in Kenya, Nigeria, and Zimbabwe

PubMed Central

Krivelyova, Anya; Kakietek, Jakub; Connolly, Helen; Bonnel, Rene; Manteuffel, Brigitte; Rodriguez-García, Rosalía; N'Jie, N'Della; Berruti, Andres; Gregson, Simon; Agrawal, Ruchika

2013-01-01

Over the last decade, international donors, technical specialists, and governments have come to recognize the potential of community-based organizations (CBOs) in the fight against HIV/AIDS. Recent empirical studies suggest that community engagement, including the involvement of CBOs, adds value to the national response to HIV/AIDS. With the emerging evidence of the effectiveness of engaging communities in the fight against AIDS, it is crucial to understand the economic dimension of community engagement. This article provides an analysis of funding and expenditure data collected from CBOs in three African countries: Kenya, Nigeria, and Zimbabwe. It presents descriptive information regarding CBO funding and expenditure and examines the factors associated with the total amount of funds received and with the proportions of the funds allocated to programmatic activities and program management and administration. An average CBO in the sample received US$29,800 annually or about US$2480 per month. The highest percentage of CBO funding (37%) came from multilateral organizations. CBOs in the sample spent most of their funds (71%) on programmatic activities including provision of treatment, support, care, impact mitigation, and treatment services. PMID:23745626

Funding and expenditure of a sample of community-based organizations in Kenya, Nigeria, and Zimbabwe.

PubMed

Krivelyova, Anya; Kakietek, Jakub; Connolly, Helen; Bonnel, Rene; Manteuffel, Brigitte; Rodriguez-García, Rosalía; N'Jie, N'Della; Berruti, Andres; Gregson, Simon; Agrawal, Ruchika

2013-01-01

Over the last decade, international donors, technical specialists, and governments have come to recognize the potential of community-based organizations (CBOs) in the fight against HIV/AIDS. Recent empirical studies suggest that community engagement, including the involvement of CBOs, adds value to the national response to HIV/AIDS. With the emerging evidence of the effectiveness of engaging communities in the fight against AIDS, it is crucial to understand the economic dimension of community engagement. This article provides an analysis of funding and expenditure data collected from CBOs in three African countries: Kenya, Nigeria, and Zimbabwe. It presents descriptive information regarding CBO funding and expenditure and examines the factors associated with the total amount of funds received and with the proportions of the funds allocated to programmatic activities and program management and administration. An average CBO in the sample received US$29,800 annually or about US$2480 per month. The highest percentage of CBO funding (37%) came from multilateral organizations. CBOs in the sample spent most of their funds (71%) on programmatic activities including provision of treatment, support, care, impact mitigation, and treatment services.

29 CFR 776.22b - Guiding principles.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Individual Employee Coverage in the Construction Industry § 776.22b Guiding principles. (a) Scope of bulletin... and Hour Division with respect to the applicability of the Fair Labor Standards Act to employees... application dependent on the character of an employee's activities, that is, on whether he is engaged “in...

29 CFR 776.22b - Guiding principles.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Individual Employee Coverage in the Construction Industry § 776.22b Guiding principles. (a) Scope of bulletin... and Hour Division with respect to the applicability of the Fair Labor Standards Act to employees... application dependent on the character of an employee's activities, that is, on whether he is engaged “in...

Identifying our strengths. Colleen Lowe Morna talks to women in Zimbabwe.

PubMed

Morna, C L

1989-12-01

In Zimbabwe, men expect to marry virgins, but do not plan to remain virgin themselves until marriage. Once married, society condones men, but not women, having extramarital sexual relations. There is in Zimbabwe, however, a high rate of sexually transmitted diseases and a rapidly growing AIDS epidemic, with 1148 AIDS cases already having been officially reported. It is estimated that approximately 5% of adult men and women may be infected with HIV in some urban areas. In this context, many women fear that their husbands may infect them with HIV. A woman who insists that her husband use a condom is, however, either told by the man that he wants to impregnate her, accused of being sexually unfaithful, or hit for accusing the man of being sexually unfaithful. Several men who have developed AIDS have even accused their wives of bewitching them out of jealousy and sent them back to their homes. The Women's AIDS Support Network held its first meeting in November 1989 for the purpose of helping women gain confidence to fight AIDS in a society where they have little control over the sexual behavior of men. Additionally, AIDS education discussion groups have been held for traditional healers, practitioners who provide advice and support with regard to AIDS and other health matters.

7 CFR 29.2520 - Foreign matter.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Foreign matter. 29.2520 Section 29.2520 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2520 Foreign matter. Any extraneous...

7 CFR 29.2520 - Foreign matter.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Foreign matter. 29.2520 Section 29.2520 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2520 Foreign matter. Any extraneous...

7 CFR 29.2520 - Foreign matter.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Foreign matter. 29.2520 Section 29.2520 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2520 Foreign matter. Any extraneous...

7 CFR 29.2520 - Foreign matter.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Foreign matter. 29.2520 Section 29.2520 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2520 Foreign matter. Any extraneous...

7 CFR 29.2520 - Foreign matter.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Foreign matter. 29.2520 Section 29.2520 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2520 Foreign matter. Any extraneous...

7 CFR 29.2561 - Tobacco products.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Tobacco products. 29.2561 Section 29.2561 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2561 Tobacco products. Manufactured tobacco...

Government and Educational Reform: Policy Networks in Policy-Making in Zimbabwe, 1980-2008

ERIC Educational Resources Information Center

Moyo, Nathan; Modiba, Maropeng M.

2013-01-01

This paper reflects on the key actors in education policy making in Zimbabwe. It looks at the contextual complexities that characterized policy-making in this country to make sense of the contestations that the state had to confront and accommodate. The policy network approach is employed as an analytical framework to clarify how, in particular…

"Do Not Look Down on Us": Children's Voices from Informal Settlements in Zimbabwe.

ERIC Educational Resources Information Center

Chinyenze-Daniel, Mary; McIvor, Chris; Honeyman, Astrid

This book reports on a collaborative research project to evaluate the conditions in Porta Farm, an informal settlement in Zimbabwe. Of particular interest to researchers was determining how children felt about their status, what they faced in their daily lives, where they came from, as well as what their future aspirations were and what…

Increasing Adolescent HIV Prevalence in Eastern Zimbabwe – Evidence of Long-Term Survivors of Mother-to-Child Transmission?

PubMed Central

Eaton, Jeffrey W.; Garnett, Geoffrey P.; Takavarasha, Felicia R.; Mason, Peter R.; Robertson, Laura; Schumacher, Christina M.; Nyamukapa, Constance A.; Gregson, Simon

2013-01-01

Recent data from the Manicaland HIV/STD Prevention Project, a general-population open HIV cohort study, suggested that between 2004 and 2007 HIV prevalence amongst males aged 15–17 years in eastern Zimbabwe increased from 1.20% to 2.23%, and in females remained unchanged at 2.23% to 2.39%, while prevalence continued to decline in the rest of the adult population. We assess whether the more likely source of the increase in adolescent HIV prevalence is recent sexual HIV acquisition, or the aging of long-term survivors of perinatal HIV acquisition that occurred during the early growth of the epidemic. Using data collected between August 2006 and November 2008, we investigated associations between adolescent HIV and (1) maternal orphanhood and maternal HIV status, (2) reported sexual behaviour, and (3) reporting recurring sickness or chronic illness, suggesting infected adolescents might be in a late stage of HIV infection. HIV-infected adolescent males were more likely to be maternal orphans (RR = 2.97, p<0.001) and both HIV-infected adolescent males and females were more likely to be maternal orphans or have an HIV-infected mother (male RR = 1.83, p<0.001; female RR = 16.6, p<0.001). None of 22 HIV-infected adolescent males and only three of 23 HIV-infected females reported ever having had sex. HIV-infected adolescents were 60% more likely to report illness than HIV-infected young adults. Taken together, all three hypotheses suggest that recent increases in adolescent HIV prevalence in eastern Zimbabwe are more likely attributable to long-term survival of mother-to-child transmission rather than increases in risky sexual behaviour. HIV prevalence in adolescents and young adults cannot be used as a surrogate for recent HIV incidence, and health systems should prepare for increasing numbers of long-term infected adolescents. PMID:23950938

The social context of adolescent women's use of modern contraceptives in Zimbabwe: a multilevel analysis.

PubMed

Ngome, Enock; Odimegwu, Clifford

2014-08-10

Efforts aimed at reducing maternal mortality as per the Millennium Development Goal 5 (MDG 5) include reducing early childbearing through increased adolescent contraceptive use. Despite a substantial attempt to study factors influencing adolescent contraceptive use in Sub-Saharan Africa (SSA), few studies have explored the role of community level characteristics on adolescent modern contraceptive use. This study examines the influence of both individual, household and community variables in influencing adolescent contraceptive use in Zimbabwe. This study posits that community characteristics are more critical predictors of adolescent contraceptive use in Zimbabwe than other individual and household characteristics. Data from the 2010/11 Zimbabwe Demographic Health Survey (ZDHS), supplemented by additional data from the Measure DHS consultants were used. A total weighted sample of 457 non-pregnant adolescent women aged 15 to 19 years who had their last sex within 12 months preceding the 2010/11 ZDHS was analysed. Univariate, bivariate and multilevel binary logistic regression analysis were performed using generalized linear mixed models (GLMM). The odds of contraceptive use were higher for adolescent women with one or more children ever born (Odds Ratio (OR), 13.6) and for those ever married (OR, 2.5). Having medium and high access to media also increased the odds of using contraceptives (OR, 1.8; 2.1 respectively). At community level, the odds of modern contraceptive use decreased with an increase in the mean number of children ever borne per woman (OR, 0.071), an increase in the mean number of school years per women (OR, 0.4) and an increase in the proportion of women with at least secondary education (OR, 0.5). It however increased with an increase in the proportion of women experiencing at least one problem accessing health care (OR, 2.0). Individual and community level variables considered successfully explained the variation of adolescent contraceptive use

Citizenship and Citizenship Education: A Critical Discourse Analysis of the Zimbabwe Presidential Commission Report

ERIC Educational Resources Information Center

Sigauke, Aaron T.

2011-01-01

Educational discourse, like other fields, is not neutral. Through policy documents it has ideological functions of transmitting dominant cultures and serving certain sectional interest groups. In Zimbabwe 1998 was characterized by radical political discontent as witnessed by a rise in student activism and the formation of the main political…

The Teaching of African Traditional Religion in Primary Schools in Zimbabwe: Challenges and Opportunities

ERIC Educational Resources Information Center

Marashe, Joel; Ndamba, Gamuchirai Tsitsiozashe; Chireshe, Excellent

2009-01-01

Zimbabwe's Education Ministry recommended the teaching of African Traditional Religion in recognition of its multi-religious society. This study sought to establish the extent to which African Traditional Religion is taught in primary schools, the challenges faced by teachers, and opportunities for promoting its teaching. A descriptive survey…

Curriculum Issues: Teaching and Learning for Sustainable Development in Developing Countries--Zimbabwe Case Study

ERIC Educational Resources Information Center

Dambudzo, Ignatius Isaac

2015-01-01

The study sought to investigate curriculum issues, teaching and learning for sustainable development in secondary schools in Zimbabwe. Education for sustainable development (ESD) aims at changing the approach to education by integrating principles, values, practices and needs in all forms of learning. Literature has documented the importance of…

7 CFR 29.2516 - Elements of quality.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Elements of quality. 29.2516 Section 29.2516... Foreign-Grown Fire-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2516 Elements of quality... within each element are shown in the chart in § 29.2601. ...

7 CFR 29.2516 - Elements of quality.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Elements of quality. 29.2516 Section 29.2516... Foreign-Grown Fire-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2516 Elements of quality... within each element are shown in the chart in § 29.2601. ...

7 CFR 29.2516 - Elements of quality.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Elements of quality. 29.2516 Section 29.2516... Foreign-Grown Fire-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2516 Elements of quality... within each element are shown in the chart in § 29.2601. ...

7 CFR 29.2516 - Elements of quality.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Elements of quality. 29.2516 Section 29.2516... Foreign-Grown Fire-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2516 Elements of quality... within each element are shown in the chart in § 29.2601. ...

7 CFR 29.2516 - Elements of quality.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Elements of quality. 29.2516 Section 29.2516... Foreign-Grown Fire-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2516 Elements of quality... within each element are shown in the chart in § 29.2601. ...

The burden of chronic mercury intoxication in artisanal small-scale gold mining in Zimbabwe: data availability and preliminary estimates.

PubMed

Steckling, Nadine; Bose-O'Reilly, Stephan; Pinheiro, Paulo; Plass, Dietrich; Shoko, Dennis; Drasch, Gustav; Bernaudat, Ludovic; Siebert, Uwe; Hornberg, Claudia

2014-12-13

Artisanal small-scale gold mining (ASGM) is a poverty-driven activity practiced in over 70 countries worldwide. Zimbabwe is amongst the top ten countries using large quantities of mercury to extract gold from ore. This analysis was performed to check data availability and derive a preliminary estimate of disability-adjusted life years (DALYs) due to mercury use in ASGM in Zimbabwe. Cases of chronic mercury intoxication were identified following an algorithm using mercury-related health effects and mercury in human specimens. The sample prevalence amongst miners and controls (surveyed by the United Nations Industrial Development Organization in 2004 and the University of Munich in 2006) was determined and extrapolated to the entire population of Zimbabwe. Further epidemiological and demographic data were taken from the literature and missing data modeled with DisMod II to quantify DALYs using the methods from the Global Burden of Disease (GBD) 2004 update published by the World Health Organization (WHO). While there was no disability weight (DW) available indicating the relative disease severity of chronic mercury intoxication, the DW of a comparable disease was assigned by following the criteria 1) chronic condition, 2) triggered by a substance, and 3) causing similar health symptoms. Miners showed a sample prevalence of 72% while controls showed no cases of chronic mercury intoxication. Data availability is very limited why it was necessary to model data and make assumptions about the number of exposed population, the definition of chronic mercury intoxication, DW, and epidemiology. If these assumptions hold, the extrapolation would result in around 95,400 DALYs in Zimbabwe's total population in 2004. This analysis provides a preliminary quantification of the mercury-related health burden from ASGM based on the limited data available. If the determined assumptions hold, chronic mercury intoxication is likely to have been one of the top 20 hazards for population

Concerns raised about Botswana's proposed HIV-disclosure law.

PubMed

Ahmad, K

2000-08-19

On August 10, 2000, Botswana's Minister for Health, Joy Phumaphi, announced that the country is considering legislation making disclosure of one's HIV status to a sex partner mandatory. The legislation would make sexual activity without information a criminal offense. However, Phumaphi's statement has created worldwide concern. Ethicists Anna Mastroianni of the University of Washington and Jeffrey Kahn of the University of Minnesota argue that such a policy, if enacted, would further increase the spread of HIV/AIDS because people would not present for HIV testing. Moreover, Josef Decosas of the Southern Africa AIDS Training Programme, Harare, Zimbabwe adds that such legislation would disempower women and be used to criminalize prostitution and drive the industry further underground. He rather recommends regular access to sexual health care services and intensive support for consistent condom use in containing HIV epidemic in Botswana.

'11 for Health', a football-based health education programme for children: a two-cohort study in Mauritius and Zimbabwe.

PubMed

Fuller, Colin W; Junge, Astrid; Dorasami, Cadrivel; DeCelles, Jeff; Dvorak, Jiri

2011-06-01

To implement and assess Fédération Internationale de Football Association Medical Assessment and Research Centre's '11 for Health' football-based health education programme for children. Prospective, 2-cohort study. In-school groups (Mauritius); out-of-school groups (Zimbabwe). Mauritius: 389 children, aged 12-15 years; Zimbabwe: 395 children, aged 10-14 years. Eleven 90-min sessions, each divided into two 45-min halves of Play Football (focusing on one football skill) and Play Fair (focusing on one health issue). 30-item questionnaire implemented pre and postintervention to assess children's health knowledge; six-item questionnaire implemented postintervention to assess children's views about the '11 for Health' programme. Mean pre and postintervention health knowledge scores were greater in Mauritius (pre: 69.3%; post: 87.1%) than Zimbabwe (pre: 57.8%; post: 76.2%) but the mean gain in health knowledge was greater in Zimbabwe (18.4%) than Mauritius (17.8%). There were few significant differences in the outcomes for boys and girls in both countries. The '11 for Health' programme was received positively by the children in both countries and there were no significant differences in the views of boys and girls in either country. The study demonstrated that it was possible to achieve significant increases in children's knowledge for all health messages by implementing the '11 for Health' programme in a school-based setting in collaboration with a national Football Association and in an out-of-school setting in collaboration with a non-government organisation. Based on these positive results, the authors recommend that the programme be widely implemented in Africa in co-operation with government and non-government organisations.

7 CFR 29.2570 - Wet (W).

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Wet (W). 29.2570 Section 29.2570 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2570 Wet (W). Any sound tobacco containing...

7 CFR 29.2502 - Air-dried.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Air-dried. 29.2502 Section 29.2502 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2502 Air-dried. The condition of unfermented...

7 CFR 29.2502 - Air-dried.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Air-dried. 29.2502 Section 29.2502 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2502 Air-dried. The condition of unfermented...

7 CFR 29.2502 - Air-dried.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Air-dried. 29.2502 Section 29.2502 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2502 Air-dried. The condition of unfermented...

7 CFR 29.2502 - Air-dried.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Air-dried. 29.2502 Section 29.2502 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2502 Air-dried. The condition of unfermented...

7 CFR 29.2502 - Air-dried.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Air-dried. 29.2502 Section 29.2502 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2502 Air-dried. The condition of unfermented...

7 CFR 29.2524 - Green (G).

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Green (G). 29.2524 Section 29.2524 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2524 Green (G). A term applied to green...

7 CFR 29.2524 - Green (G).

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Green (G). 29.2524 Section 29.2524 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2524 Green (G). A term applied to green...

Hydrocarbon source rock potential of the Karoo in Zimbabwe

NASA Astrophysics Data System (ADS)

Hiller, K.; Shoko, U.

1996-07-01

The hydrocarbon potential of Zimbabwe is tied to the Karoo rifts which fringe the Zimbabwe Craton, i.e. the Mid-Zambezi basin/rift and the Mana Pools basin in the northwest, the Cabora Bassa basin in the north and the Tuli-Bubye and Sabi-Runde basins in the south. Based on the geochemical investigation of almost one thousand samples of fine clastic Karoo sediments, a concise source rock inventory has been established showing the following features. No marine source rocks have been identified. In the Mid-Zambezi area and Cabora Bassa basin, the source rocks are gas-prone, carbonaceous to coaly mudstones and coal of Lower Karoo age. In the Cabora Bassa basin, similar gas-prone source rocks occur in the Upper Karoo (Angwa Alternations Member). These kerogen type III source rocks are widespread and predominantly immature to moderately mature. In the southern basins, the Lower Karoo source rocks are gas-prone; in addition some have a small condensate potential. Most of the samples are, however, overmature due to numerous dolerite intrusions. Samples with a mixed gas, condensate and oil potential (mainly kerogen types II and III) were identified in the Lower Karoo (Coal Measure and Lower Madumabisa Mudstone Formations) of the Mid-Zambezi basin, and in the Louver Karoo (Mkanga Formation) and Upper Karoo (Upper Angwa Alternations Member Formation) of the Cabora Bassa basin. The source rocks, with a liquid potential, are also immature to moderately mature and were deposited in swamp, paludal and lacustrine environments of limited extent.

An improved maize marketing system for African countries: the case of Zimbabwe.

PubMed

Child, B; Muir, K; Blackie, M

1985-11-01

This article proposes a system for Zimbabwe which retains government control of national stocks and enables the parastatal marketing system to stabilize prices, at the same time ensuring a more rational delivery system in rural areas with prices reflecting storage and transport costs. The local population is encouraged to fulfill local needs, thus avoiding the expense of directing all marketing and processing through the urban areas. A more localized system will also have greater multiplier effects. Zimbabwe's maize marketing system is used to show how this system could be modified with benefits to rural consumers, producers and government. Data suggest there is little market exploitation: price differentials between markts reflect transport costs, returns on storage are reasonable, and voluntary procurement operations are usually able to stabilize prices. Zoning, movement restrictions and compulsory procurement have been shown to destabilize food markets; prices between markets are higher in periods of strict control than when marketing is relatively free. Controlled marketing answers a real political and economic need in Zimbabwe. Existing public food marketing agencies are not inherently inefficient. While stabilizing maize supply, there are important advantages in announcing preplanting prices, but any trade in maize only takes place after price setting. It is unlikely that there would be both imports and exports in any 1 year, except when previous contracts are being fulfilled. 2 policy options are available to cover anticipated periods of insufficient national maize production: the maintenance of a strategic reserve; and importation of maize to cover supply shortfalls. Single-channel marketing should be replaced by an internal free market operating between floor and ceiling prices by supply manipulation to prevent excessive producer and consumer welfare fluctuations. This system would be more efficient and have beneficial effects on development. It is more

7 CFR 29.2519 - Fire-cured.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Fire-cured. 29.2519 Section 29.2519 Agriculture... INSPECTION Standards Official Standard Grades for Kentucky and Tennessee Fire-Cured and Foreign-Grown Fire-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2519 Fire-cured. Tobacco cured under...

7 CFR 29.2552 - Steam-dried.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Steam-dried. 29.2552 Section 29.2552 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2552 Steam-dried. The condition of unfermented tobacco as customarily prepared for storage by means of a redrying machine or other steam...

The Role of UK Qualification Suppliers in Sri Lanka and Zimbabwe: A Comparative Evaluation

ERIC Educational Resources Information Center

Evans, J.; Little, A. W.

2007-01-01

This paper is based on research on the role of UK qualifications suppliers in providing qualifications and accreditation in Sri Lanka and Zimbabwe in the context of rather different engagements with liberalisation, structural adjustment and globalisation. Sri Lanka's economic liberalisation and growth since the late 1970s has had a "de…

7 CFR 29.2508 - Color intensity.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Color intensity. 29.2508 Section 29.2508 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2508 Color intensity. The varying degree of saturation or chroma. Color intensity as applied to tobacco describes the strength or weakness of a specific...

7 CFR 29.2508 - Color intensity.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Color intensity. 29.2508 Section 29.2508 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2508 Color intensity. The varying degree of saturation or chroma. Color intensity as applied to tobacco describes the strength or weakness of a specific...

7 CFR 29.2508 - Color intensity.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Color intensity. 29.2508 Section 29.2508 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2508 Color intensity. The varying degree of saturation or chroma. Color intensity as applied to tobacco describes the strength or weakness of a specific...

7 CFR 29.2508 - Color intensity.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Color intensity. 29.2508 Section 29.2508 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2508 Color intensity. The varying degree of saturation or chroma. Color intensity as applied to tobacco describes the strength or weakness of a specific...

14 CFR 29.631 - Bird strike.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Bird strike. 29.631 Section 29.631... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction General § 29.631 Bird strike. The... safe landing (for Category B) after impact with a 2.2-lb (1.0 kg) bird when the velocity of the...

14 CFR 29.631 - Bird strike.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Bird strike. 29.631 Section 29.631... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction General § 29.631 Bird strike. The... safe landing (for Category B) after impact with a 2.2-lb (1.0 kg) bird when the velocity of the...

7 CFR 29.2508 - Color intensity.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Color intensity. 29.2508 Section 29.2508 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2508 Color intensity. The varying degree of saturation or chroma. Color intensity as applied to tobacco describes the strength or weakness of a specific...

7 CFR 29.2529 - Leaf scrap.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Leaf scrap. 29.2529 Section 29.2529 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2529 Leaf scrap. A byproduct of unstemmed tobacco. Leaf scrap results from handling unstemmed tobacco and consists of loose and tangled whole or...

7 CFR 29.2529 - Leaf scrap.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Leaf scrap. 29.2529 Section 29.2529 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2529 Leaf scrap. A byproduct of unstemmed tobacco. Leaf scrap results from handling unstemmed tobacco and consists of loose and tangled whole or...

7 CFR 29.2529 - Leaf scrap.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Leaf scrap. 29.2529 Section 29.2529 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2529 Leaf scrap. A byproduct of unstemmed tobacco. Leaf scrap results from handling unstemmed tobacco and consists of loose and tangled whole or...

7 CFR 29.2529 - Leaf scrap.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Leaf scrap. 29.2529 Section 29.2529 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2529 Leaf scrap. A byproduct of unstemmed tobacco. Leaf scrap results from handling unstemmed tobacco and consists of loose and tangled whole or...

7 CFR 29.2529 - Leaf scrap.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Leaf scrap. 29.2529 Section 29.2529 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2529 Leaf scrap. A byproduct of unstemmed tobacco. Leaf scrap results from handling unstemmed tobacco and consists of loose and tangled whole or...

Determinants of Students' Academic Performance in Four Selected Accounting Courses at University of Zimbabwe

ERIC Educational Resources Information Center

Nyikahadzoi, Loveness; Matamande, Wilson; Taderera, Ever; Mandimika, Elinah

2013-01-01

The study seeks to establish scientific evidence of the factors affecting academic performance for first year accounting students using four selected courses at the University of Zimbabwe. It uses Ordinary Least Squares method to analyse the influence of personal and family background on performance. The findings show that variables age gender,…

Developing Effective Learning Material to Students with Hearing Impairment (HI) through ODL in Zimbabwe

ERIC Educational Resources Information Center

Mpofu, John; Chimhenga, Sylod; Mafa, Onias

2013-01-01

Students with Hearing Impairment (HI) are experiencing learning problems in most institutions of Higher Learning in Zimbabwe. Access to colleges and universities is limited and where they are accepted, there are no facilities to cater for their needs, hence there is need to develop learning materials that enable these students to learn effectively…

Expedition 29 Landing

NASA Image and Video Library

2011-11-22

Expedition 29 Commander Mike Fossum is seen in a traditional Kazakhstan hat gifted to him during a welcome ceremony at the Kustanay Airport in Kazakhstan on Tuesday, Nov. 22, 2011. NASA Astronaut Fossum, Russian Cosmonaut Sergei Volkov and JAXA (Japan Aerospace Exploration Agency) Astronaut Satoshi Furukawa returned from more than five months onboard the International Space Station where they served as members of the Expedition 28 and 29 crews. Photo Credit: (NASA/Bill Ingalls)

An Analysis of the Integration of Instructional Technology in Pre-Service Teacher Education in Zimbabwe

ERIC Educational Resources Information Center

Chitiyo, Rodwell; Harmon, Stephen W.

2009-01-01

In the context of continuous innovations in information and communication technology (ICT) and its impact on higher education, this study explored the integration of instructional technology (IT) by university lecturers in pre-service secondary school teacher education programs in Zimbabwe. Specifically, the study examined how lecturers integrate…

7 CFR 29.2509 - Color symbols.

Code of Federal Regulations, 2013 CFR

2013-01-01

...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2509 Color symbols. As applied to these types, color symbols are L—light brown, F—medium brown, D—dark brown, M—mixed or variegated VF—greenish... 7 Agriculture 2 2013-01-01 2013-01-01 false Color symbols. 29.2509 Section 29.2509 Agriculture...

7 CFR 29.2504 - Brown colors.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Brown colors. 29.2504 Section 29.2504 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2504 Brown colors. A group of colors ranging from a reddish brown to yellowish brown. These colors vary from low to medium saturation and from very...

7 CFR 29.2504 - Brown colors.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Brown colors. 29.2504 Section 29.2504 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2504 Brown colors. A group of colors ranging from a reddish brown to yellowish brown. These colors vary from low to medium saturation and from very...

7 CFR 29.2509 - Color symbols.

Code of Federal Regulations, 2012 CFR

2012-01-01

...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2509 Color symbols. As applied to these types, color symbols are L—light brown, F—medium brown, D—dark brown, M—mixed or variegated VF—greenish... 7 Agriculture 2 2012-01-01 2012-01-01 false Color symbols. 29.2509 Section 29.2509 Agriculture...

7 CFR 29.2509 - Color symbols.

Code of Federal Regulations, 2014 CFR

2014-01-01

...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2509 Color symbols. As applied to these types, color symbols are L—light brown, F—medium brown, D—dark brown, M—mixed or variegated VF—greenish... 7 Agriculture 2 2014-01-01 2014-01-01 false Color symbols. 29.2509 Section 29.2509 Agriculture...

7 CFR 29.2504 - Brown colors.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Brown colors. 29.2504 Section 29.2504 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2504 Brown colors. A group of colors ranging from a reddish brown to yellowish brown. These colors vary from low to medium saturation and from very...

7 CFR 29.2504 - Brown colors.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Brown colors. 29.2504 Section 29.2504 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2504 Brown colors. A group of colors ranging from a reddish brown to yellowish brown. These colors vary from low to medium saturation and from very...

7 CFR 29.2551 - Special factor.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Special factor. 29.2551 Section 29.2551 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2551 Special factor. A symbol or term authorized to be used with specified grades. Tobacco to which a special factor is applied may meet the...

7 CFR 29.2504 - Brown colors.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Brown colors. 29.2504 Section 29.2504 Agriculture...-Cured Tobacco (u.s. Types 22, 23, and Foreign Type 96) § 29.2504 Brown colors. A group of colors ranging from a reddish brown to yellowish brown. These colors vary from low to medium saturation and from very...

Maternal education and child mortality in Zimbabwe.

PubMed

Grépin, Karen A; Bharadwaj, Prashant

2015-12-01

In 1980, Zimbabwe rapidly expanded access to secondary schools, providing a natural experiment to estimate the impact of increased maternal secondary education on child mortality. Exploiting age specific exposure to these reforms, we find that children born to mothers most likely to have benefited from the policies were about 21% less likely to die than children born to slightly older mothers. We also find that increased education leads to delayed age at marriage, sexual debut, and first birth and that increased education leads to better economic opportunities for women. We find little evidence supporting other channels through which increased education might affect child mortality. Expanding access to secondary schools may greatly accelerate declines in child mortality in the developing world today. Copyright © 2015 Elsevier B.V. All rights reserved.

Option A improved HIV-free infant survival and mother to child HIV transmission at 9-18 months in Zimbabwe.

PubMed

Buzdugan, Raluca; Kang Dufour, Mi-Suk; McCoy, Sandra I; Watadzaushe, Constancia; Dirawo, Jeffrey; Mushavi, Angela; Mujuru, Hilda Angela; Mahomva, Agnes; Kangwende, Rugare Abigail; Hakobyan, Anna; Mugurungi, Owen; Cowan, Frances M; Padian, Nancy S

2016-06-19

We evaluated the impact of Option A on HIV-free infant survival and mother-to-child transmission (MTCT) in Zimbabwe. Serial cross-sectional community-based serosurveys. We analyzed serosurvey data collected in 2012 and 2014 among mother-infant pairs from catchment areas of 132 health facilities from five of 10 provinces in Zimbabwe. Eligible infants (alive or deceased) were born 9-18 months before each survey to mothers at least 16 years old. We randomly selected mother-infant pairs and conducted questionnaires, verbal autopsies, and collected blood samples. We estimated the HIV-free infant survival and MTCT rate within each catchment area and compared the 2012 and 2014 estimates using a paired t test and number of HIV infections averted because of the intervention. We analyzed 7249 mother-infant pairs with viable maternal specimens collected in 2012 and 8551 in 2014. The mean difference in the catchment area level MTCT between 2014 and 2012 was -5.2 percentage points (95% confidence interval = -8.1, -2.3, P < 0.001). The mean difference in the catchment area level HIV-free survival was 5.5 percentage points (95% confidence interval = 2.6, 8.5, P < 0.001). Between 2012 and 2014, 1779 infant infections were averted compared with the pre-Option A regimen. The association between HIV-free infant survival and duration of Option A implementation was NS at the multivariate level (P = 0.093). We found a substantial and statistically significant increase in HIV-free survival and decrease in MTCT among infants aged 9-18 months following Option A rollout in Zimbabwe. This is the only evaluation of Option A and shows the effectiveness of Option A and Zimbabwe's remarkable progress toward eMTCT.

Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?

PubMed

Cormick, Gabriela; Betrán, Ana Pilar; Harbron, Janetta; Dannemann Purnat, Tina; Parker, Catherine; Hall, David; Seuc, Armando H; Roberts, James M; Belizán, José M; Hofmeyr, G Justus

2018-06-15

Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition. PACTR201105000267371 . Registered 06 December 2010.

Beyond a Learning Society? It Is All to Be Done Again: Zambia and Zimbabwe

ERIC Educational Resources Information Center

Alexander, David

2006-01-01

This article considers the ways in which educators and learning societies in Zambia and Zimbabwe have had to struggle to create independent, democratic and critical curricula in difficult circumstances over the last 50 years in the context of historical shifts in power, a declining British Empire and the re-emergence of reactionary forces at a…

The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis

PubMed Central

2014-01-01

Background Efforts aimed at reducing maternal mortality as per the Millennium Development Goal 5 (MDG 5) include reducing early childbearing through increased adolescent contraceptive use. Despite a substantial attempt to study factors influencing adolescent contraceptive use in Sub-Saharan Africa (SSA), few studies have explored the role of community level characteristics on adolescent modern contraceptive use. This study examines the influence of both individual, household and community variables in influencing adolescent contraceptive use in Zimbabwe. This study posits that community characteristics are more critical predictors of adolescent contraceptive use in Zimbabwe than other individual and household characteristics. Methods Data from the 2010/11 Zimbabwe Demographic Health Survey (ZDHS), supplemented by additional data from the Measure DHS consultants were used. A total weighted sample of 457 non-pregnant adolescent women aged 15 to 19 years who had their last sex within 12 months preceding the 2010/11 ZDHS was analysed. Univariate, bivariate and multilevel binary logistic regression analysis were performed using generalized linear mixed models (GLMM). Results The odds of contraceptive use were higher for adolescent women with one or more children ever born (Odds Ratio (OR), 13.6) and for those ever married (OR, 2.5). Having medium and high access to media also increased the odds of using contraceptives (OR, 1.8; 2.1 respectively). At community level, the odds of modern contraceptive use decreased with an increase in the mean number of children ever borne per woman (OR, 0.071), an increase in the mean number of school years per women (OR, 0.4) and an increase in the proportion of women with at least secondary education (OR, 0.5). It however increased with an increase in the proportion of women experiencing at least one problem accessing health care (OR, 2.0). Individual and community level variables considered successfully explained the variation of

Modelling climate change impact on the spatial distribution of fresh water snails hosting trematodes in Zimbabwe.

PubMed

Pedersen, Ulrik B; Stendel, Martin; Midzi, Nicholas; Mduluza, Takafira; Soko, White; Stensgaard, Anna-Sofie; Vennervald, Birgitte J; Mukaratirwa, Samson; Kristensen, Thomas K

2014-12-12

Freshwater snails are intermediate hosts for a number of trematodes of which some are of medical and veterinary importance. The trematodes rely on specific species of snails to complete their life cycle; hence the ecology of the snails is a key element in transmission of the parasites. More than 200 million people are infected with schistosomes of which 95% live in sub-Saharan Africa and many more are living in areas where transmission is on-going. Human infection with the Fasciola parasite, usually considered more of veterinary concern, has recently been recognised as a human health problem. Many countries have implemented health programmes to reduce morbidity and prevalence of schistosomiasis, and control programmes to mitigate food-borne fascioliasis. As these programmes are resource demanding, baseline information on disease prevalence and distribution becomes of great importance. Such information can be made available and put into practice through maps depicting spatial distribution of the intermediate snail hosts. A biology driven model for the freshwater snails Bulinus globosus, Biomphalaria pfeifferi and Lymnaea natalensis was used to make predictions of snail habitat suitability by including potential underlying environmental and climatic drivers. The snail observation data originated from a nationwide survey in Zimbabwe and the prediction model was parameterised with a high resolution Regional Climate Model. Georeferenced prevalence data on urinary and intestinal schistosomiasis and fascioliasis was used to calibrate the snail habitat suitability predictions to produce binary maps of snail presence and absence. Predicted snail habitat suitability across Zimbabwe, as well as the spatial distribution of snails, is reported for three time slices representative for present (1980-1999) and future climate (2046-2065 and 2080-2099). It is shown from the current study that snail habitat suitability is highly variable in Zimbabwe, with distinct high- and low

29 CFR 453.22 - Prohibition of certain activities by unbonded persons.

Code of Federal Regulations, 2010 CFR

2010-07-01

....22 Section 453.22 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE BONDING REQUIREMENTS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Miscellaneous Provisions § 453.22 Prohibition of...

The nutritional intake of undergraduates at the University of Zimbabwe College of Health Sciences.

PubMed

Cooper, R G; Chifamba, J

2009-01-01

In developing countries the cost of treating disease is much more than prevention and so there is now a lot of interest in understanding nutrition. In this pilot study we selected a cohort of pre-clinical students studying at the College of Health Sciences in the University of Zimbabwe. This study was carried to investigate the gender-based weekly consumption of different food categories amongst University of Zimbabwe students. Semi-structured questionnaires distributed to 100 undergraduate students (male= 47; female= 52). The proportion of male and female respondents, age and body weight did not differ significantly. Principal foods consumed by males included sadza and cerevita; naartjies, bananas and avocado pears; tomatoes, onions, covo and spinach; beef; and condensed milk and powdered milk occupied the larger proportions. Females frequently ate a lot of bread, cerevita, sadza and cereal; lemons and avocado pears; onions, tomatoes, rape and covo; beef and soya meat; creamer, powdered milk and milk. This study suggests that females consumed a greater variety of food, including the infrequent types by comparison with men.

Birth of a health service.

PubMed

Anderson, G

On April 18th, independent Zimbabwe celebrated its 3rd birthday. In 1980, within days after taking power, Robert Mugabe's government announced that health care was to be free to everyone earning less then Z150 (60 British pounds) a month--the vast majority of the population. Although the free services are a good public relations policy, more important was the decision to expand the health services at grassroots level and to shift emphasis from an urban based curative system to rural based preventive care. Zimbabwe desperately needs doctors. According to the World Health Organization (WHO), the country has some 1400 registered doctors, roughly 1 for every 6000 people. Yet, of the 1400, under 300 work in the government health services and many of those are based in Harare, the capital. Of Zimbabwe's 28 district hospitals, only 14 have a full-time doctor. In some rural areas, there is 1 doctor/100,000 or more people. The nature of the country's health problems, coupled with the government's severe shortage of cash, shows why nursing is so crucial to Zimbabwe's development. If the rural communities, which make up 85% of the population, were to have easy access to a qualified nurse, or even a nursing assistant, the quality of life would double. The only thing that is more important is a clean water supply. Possibly the most important role for nurses in Zimbabwe is that of education. Nurses can spread awareness of basic hygiene, raise the skill of local people in dealing with minor health problems independently, carry out immunization programs, offer contraceptive advice, give guidance on breastfeeding and infant nutrition, and work with practitioners of traditional African medicines to make sure they possess basic scientific knowledge. Rebuilding after the war was not a major problem for the Mugabe health ministry, for in many areas there was simply nothing to rebuild. There were never any health services. A far greater problem has been the top heavy structure of the

Gender equality and education: Increasing the uptake of HIV testing among married women in Kenya, Zambia and Zimbabwe.

PubMed

Singh, Kavita; Luseno, Winnie; Haney, Erica

2013-01-01

Gender equality and education are being promoted as strategies to combat the HIV epidemic in Africa, but few studies have looked at the role of gender equality and education in the uptake of a vital service - HIV testing. This study looks at the associations between education (a key input needed for gender equality) and key gender equality measures (financial decision making and attitudes toward violence) with ever tested for HIV and tested for HIV in the past year. The study focused on currently married women ages between15-24 and 25-34 in three countries - Kenya, Zambia, and Zimbabwe. The data came from the Demographic and Health Surveys. Logistic regression was used to study the role of gender equality and education on the HIV testing outcomes after controlling for both social and biological factors. Results indicated that education had a consistent positive relationship with testing for both age groups, and the associations were always significant for young women aged 15-24 years (p<0.01). The belief that gender-based violence is unacceptable was positively associated with testing for women aged 25-34 in all the three countries, although the associations were only significant in Kenya (among women reporting ever being tested: OR 1.58, p<0.00; among women reporting being tested in the past year: OR 1.34, p<0.05) and Zambia (among women reporting ever being tested: OR 1.24, p<0.10; among women reporting being tested in the past year: OR 1.29, p<0.05). High financial decision making was associated with testing for women aged 25-34 in Zimbabwe only (among women reporting ever being tested: OR 1.66, p<0.01). Overall, the findings indicate that the education and the promotion of gender equality are important strategies for increasing uptake of a vital HIV service, and thus are important tools for protecting girls and young women against HIV.

Comparative Cost Analysis of Surgical and PrePex Device Male Circumcision in Zimbabwe and Mozambique.

PubMed

Schutte, Carl; Tshimanga, M; Mugurungi, Owen; Come, Iotamo; Necochea, Edgar; Mahomed, Mehebub; Xaba, Sinokuthemba; Bossemeyer, Debora; Ferreira, Thais; Macaringue, Lucinda; Chatikobo, Pessanai; Gundididza, Patricia; Hatzold, Karin

2016-06-01

The PrePex device has proven to be safe for voluntary medical male circumcision (VMMC) in adults in several African countries. Costing studies were conducted as part of a PrePex/Surgery comparison study in Zimbabwe and a pilot implementation study in Mozambique. The studies calculated per male circumcision unit costs using a cost-analysis approach. Both direct costs (consumable and nonconsumable supplies, device, personnel, associated staff training) and selected indirect costs (capital and support personnel costs) were calculated. The cost comparison in Zimbabwe showed a unit cost per VMMC of $45.50 for PrePex and $53.08 for surgery. The unit cost difference was based on higher personnel and consumable supplies costs for the surgical procedure, which used disposable instrument kits. In Mozambique, the costing analysis estimated a higher unit cost for PrePex circumcision ($40.66) than for surgery ($20.85) because of higher consumable costs, particularly the PrePex device and lower consumable supplies costs for the surgical procedure using reusable instruments. Supplies and direct staff costs contributed 87.2% for PrePex and 65.8% for surgical unit costs in Mozambique. PrePex device male circumcision could potentially be cheaper than surgery in Zimbabwe, especially in settings that lack the infrastructure and personnel required for surgical VMMC, and this might result in programmatic cost savings. In Mozambique, the surgical procedure seems to be less costly compared with PrePex mainly because of higher consumable supplies costs. With reduced device unit costs, PrePex VMMC could become more cost-efficient and considered as complementary for Mozambique's VMMC scale-up program.

40 CFR 461.21-461.22 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 29 2010-07-01 2010-07-01 false [Reserved] 461.21-461.22 Section 461.21-461.22 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS BATTERY MANUFACTURING POINT SOURCE CATEGORY Calcium Subcategory §§ 461.21-461.22...

Serological detection of infection with canine distemper virus, canine parvovirus and canine adenovirus in communal dogs from Zimbabwe.

PubMed

McRee, Anna; Wilkes, Rebecca P; Dawson, Jessica; Parry, Roger; Foggin, Chris; Adams, Hayley; Odoi, Agricola; Kennedy, Melissa A

2014-09-05

Domestic dogs are common amongst communities in sub-Saharan Africa and may serve as important reservoirs for infectious agents that may cause diseases in wildlife. Two agents of concern are canine parvovirus (CPV) and canine distemper virus (CDV), which may infect and cause disease in large carnivore species such as African wild dogs and African lions, respectively. The impact of domestic dogs and their diseases on wildlife conservation is increasing in Zimbabwe, necessitating thorough assessment and implementation of control measures. In this study, domestic dogs in north-western Zimbabwe were evaluated for antibodies to CDV, CPV, and canine adenovirus (CAV). These dogs were communal and had no vaccination history. Two hundred and twenty-five blood samples were collected and tested using a commercial enzyme-linked immunosorbent assay (ELISA) for antibodies to CPV, CDV, and CAV. Of these dogs, 75 (34%) had detectable antibodies to CDV, whilst 191 (84%) had antibodies to CPV. Antibodies to canine adenovirus were present in 28 (13%) dogs. Canine parvovirus had high prevalence in all six geographic areas tested. These results indicate that CPV is circulating widely amongst domestic dogs in the region. In addition, CDV is present at high levels. Both pathogens can infect wildlife species. Efforts for conservation of large carnivores in Zimbabwe must address the role of domestic dogs in disease transmission.

Assessment of coalbed gas resources of the Kalahari Basin Province of Botswana, Zimbabwe, and Zambia, Africa, 2016

USGS Publications Warehouse

Brownfield, Michael E.; Schenk, Christopher J.; Klett, Timothy R.; Tennyson, Marilyn E.; Mercier, Tracey J.; Gaswirth, Stephanie B.; Marra, Kristen R.; Hawkins, Sarah J.; Finn, Thomas M.; Le, Phuong A.; Leathers-Miller, Heidi M.

2017-02-24

Using a geology-based assessment methodology, the U.S. Geological Survey estimated undiscovered, technically recoverable mean resources of 4.5 trillion cubic feet of coalbed gas in the Kalahari Basin Province of Botswana, Zambia, and Zimbabwe, Africa.

40 CFR 610.22 - Device integrity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Device integrity. 610.22 Section 610.22 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) ENERGY POLICY FUEL ECONOMY RETROFIT DEVICES Test Procedures and Evaluation Criteria Evaluation Criteria for the Preliminary Analysis...

Cost-effectiveness of community vegetable gardens for people living with HIV in Zimbabwe.

PubMed

Puett, Chloe; Salpéteur, Cécile; Lacroix, Elisabeth; Zimunya, Simbarashe Dennis; Israël, Anne-Dominique; Aït-Aïssa, Myriam

2014-01-01

There is little evidence to date of the potential impact of vegetable gardens on people living with HIV (PLHIV), who often suffer from social and economic losses due to the disease. From 2008 through 2011, Action Contre la Faim France (ACF) implemented a project in Chipinge District, eastern Zimbabwe, providing low-input vegetable gardens (LIGs) to households of PLHIV. Program partners included Médecins du Monde, which provided medical support, and Zimbabwe's Agricultural Extension Service, which supported vegetable cultivation. A survey conducted at the end of the program found LIG participants to have higher Food Consumption Scores (FCS) and Household Dietary Diversity Scores (HDDS) relative to comparator households of PLHIV receiving other support programs. This study assessed the incremental cost-effectiveness of LIGs to improve FCS and HDDS of PLHIV compared to other support programs. This analysis used an activity-based cost model, and combined ACF accounting data with estimates of partner and beneficiary costs derived using an ingredients approach to build an estimate of total program resource use. A societal perspective was adopted to encompass costs to beneficiary households, including their opportunity costs and an estimate of their income earned from vegetable sales. Qualitative methods were used to assess program benefits to beneficiary households. Effectiveness data was taken from a previously-conducted survey. Providing LIGs to PLHIV cost an additional 8,299 EUR per household with adequate FCS and 12,456 EUR per household with HDDS in the upper tertile, relative to comparator households of PLHIV receiving other support programs. Beneficiaries cited multiple tangible and intangible benefits from LIGs, and over 80% of gardens observed were still functioning more than one year after the program had finished. Cost outcomes were 20-30 times Zimbabwe's per capita GDP, and unlikely to be affordable within government services. This analysis concludes that

Profiles of blood and blood component transfusion recipients in Zimbabwe

PubMed Central

Mafirakureva, Nyashadzaishe; Khoza, Star; Hassall, Oliver; Faragher, Brian E.; Kajja, Isaac; Mvere, David A.; Emmanuel, Jean C.; Postma, Maarten J.; van Hulst, Marinus

2015-01-01

Background There are limited published data on the characteristics of blood transfusion recipients in sub-Saharan Africa. This study describes the demographic characteristics of blood transfusion recipients and patterns of blood and blood component use in Zimbabwe. Materials and methods Data on the characteristics of the blood transfusion recipients (age, sex, blood group), blood components received (type, quantity), discharge diagnoses and outcomes following transfusion (discharge status, duration of stay in hospital), were retrospectively collected from four major hospitals for the period from January 1, 2012 to December 31, 2012. Diagnoses were grouped into broad categories according to the disease headings of the International Classification of Diseases (ICD-10). Surgical procedures were grouped into broad categories according to organ system using ICD-9. Results Most of the 1,793 transfusion recipients studied were female (63.2%) and in the reproductive age group, i.e. 15–49 years (65.3%). The median age of the recipients was 33 years (range, 0–93). The majority of these recipients (n=1,642; 91.6%) received a red blood cell transfusion. The majority of the patients were diagnosed with conditions related to pregnancy and childbirth (22.3%), and diseases of blood and blood-forming organs (17.7%). The median time spent in hospital was 8 days (range, 0–214) and in-hospital mortality was 15.4%. Discussion Our sample of blood transfusion recipients were fairly young and most of them received red blood cell transfusions. The majority of patients in the reproductive age group received blood transfusions for pregnancy and childbirth-related diagnoses. PMID:26192782

Evaluating the Impact of Zimbabwe’s Prevention of Mother-to-Child HIV Transmission Program: Population-Level Estimates of HIV-Free Infant Survival Pre-Option A

PubMed Central

Buzdugan, Raluca; McCoy, Sandra I.; Watadzaushe, Constancia; Kang Dufour, Mi-Suk; Petersen, Maya; Dirawo, Jeffrey; Mushavi, Angela; Mujuru, Hilda Angela; Mahomva, Agnes; Musarandega, Reuben; Hakobyan, Anna; Mugurungi, Owen; Cowan, Frances M.; Padian, Nancy S.

2015-01-01

Objective We estimated HIV-free infant survival and mother-to-child HIV transmission (MTCT) rates in Zimbabwe, some of the first community-based estimates from a UNAIDS priority country. Methods In 2012 we surveyed mother-infant pairs residing in the catchment areas of 157 health facilities randomly selected from 5 of 10 provinces in Zimbabwe. Enrolled infants were born 9–18 months before the survey. We collected questionnaires, blood samples for HIV testing, and verbal autopsies for deceased mothers/infants. Estimates were assessed among i) all HIV-exposed infants, as part of an impact evaluation of Option A of the 2010 WHO guidelines (rolled out in Zimbabwe in 2011), and ii) the subgroup of infants unexposed to Option A. We compared province-level MTCT rates measured among women in the community with MTCT rates measured using program monitoring data from facilities serving those communities. Findings Among 8568 women with known HIV serostatus, 1107 (12.9%) were HIV-infected. Among all HIV-exposed infants, HIV-free infant survival was 90.9% (95% confidence interval (CI): 88.7–92.7) and MTCT was 8.8% (95% CI: 6.9–11.1). Sixty-six percent of HIV-exposed infants were still breastfeeding. Among the 762 infants born before Option A was implemented, 90.5% (95% CI: 88.1–92.5) were alive and HIV-uninfected at 9–18 months of age, and 9.1% (95%CI: 7.1–11.7) were HIV-infected. In four provinces, the community-based MTCT rate was higher than the facility-based MTCT rate. In Harare, the community and facility-based rates were 6.0% and 9.1%, respectively. Conclusion By 2012 Zimbabwe had made substantial progress towards the elimination of MTCT. Our HIV-free infant survival and MTCT estimates capture HIV transmissions during pregnancy, delivery and breastfeeding regardless of whether or not mothers accessed health services. These estimates also provide a baseline against which to measure the impact of Option A guidelines (and subsequently Option B+). PMID:26248197

Attitudes to sex and sexual behaviour in rural Matabeleland, Zimbabwe.

PubMed

Vos, T

1994-01-01

Though HIV prevention campaigns in Zimbabwe have increased public awareness of HIV, they have not meaningfully changed sexual behaviour. Possibly these campaigns are based on wrong assumptions about sexual behaviour. By means of 111 structured interviews with hospital patients, secondary school students and teachers, and 11 focus group discussions with traditional healers, midwives, village community workers, secondary school students and teachers, and commercial sex workers in a rural district of Matabeleland in Zimbabwe, this low-budget study explores attitudes towards sex and sexual behaviour in order to define more appropriate health education messages. Results indicate that traditional sex education no longer takes place and that communication between sexual partners is limited. The almost ubiquitous expectation of women to get rewards for sex outside marriage motivates mostly single women out of economic necessity to meet the male demand for sexual partners, which is created by large scale migrant labour and men's professed 'biological' need for multiple partners. Types of sexual behaviour other than penetrative vaginal sex are uncommon and considered deviant. Safe sex messages from the West therefore are inappropriate in the Zimbabwean context. Recommendations are given to restore traditional communication about sexual matters across generations and to urge sexual partners to discuss sex. Women who, for economic reasons, engage in casual sex should at least learn to negotiate the use of condoms. Men seriously need to reconsider their attitudes to sex and sexual practices in view of the high HIV sero-prevalence. Faithfulness, rather than multiple sexual contacts, should become a reason to boast.

29 CFR 4043.22 - Amendment decreasing benefits payable.

Code of Federal Regulations, 2010 CFR

2010-07-01

... TERMINATIONS REPORTABLE EVENTS AND CERTAIN OTHER NOTIFICATION REQUIREMENTS Post-Event Notice of Reportable Events § 4043.22 Amendment decreasing benefits payable. (a) Reportable event. A reportable event occurs... contributions with respect to any participant may be decreased. (b) Waivers. Notice is waived for this event. ...

29 CFR 4043.22 - Amendment decreasing benefits payable.

Code of Federal Regulations, 2014 CFR

2014-07-01

... TERMINATIONS REPORTABLE EVENTS AND CERTAIN OTHER NOTIFICATION REQUIREMENTS Post-Event Notice of Reportable Events § 4043.22 Amendment decreasing benefits payable. (a) Reportable event. A reportable event occurs... contributions with respect to any participant may be decreased. (b) Waivers. Notice is waived for this event. ...

29 CFR 4043.22 - Amendment decreasing benefits payable.

Code of Federal Regulations, 2012 CFR

2012-07-01

... TERMINATIONS REPORTABLE EVENTS AND CERTAIN OTHER NOTIFICATION REQUIREMENTS Post-Event Notice of Reportable Events § 4043.22 Amendment decreasing benefits payable. (a) Reportable event. A reportable event occurs... contributions with respect to any participant may be decreased. (b) Waivers. Notice is waived for this event. ...

29 CFR 4043.22 - Amendment decreasing benefits payable.

Code of Federal Regulations, 2013 CFR

2013-07-01

... TERMINATIONS REPORTABLE EVENTS AND CERTAIN OTHER NOTIFICATION REQUIREMENTS Post-Event Notice of Reportable Events § 4043.22 Amendment decreasing benefits payable. (a) Reportable event. A reportable event occurs... contributions with respect to any participant may be decreased. (b) Waivers. Notice is waived for this event. ...

29 CFR 4043.22 - Amendment decreasing benefits payable.

Code of Federal Regulations, 2011 CFR

2011-07-01

... TERMINATIONS REPORTABLE EVENTS AND CERTAIN OTHER NOTIFICATION REQUIREMENTS Post-Event Notice of Reportable Events § 4043.22 Amendment decreasing benefits payable. (a) Reportable event. A reportable event occurs... contributions with respect to any participant may be decreased. (b) Waivers. Notice is waived for this event. ...

‘11 for Health’, a football-based health education programme for children: a two-cohort study in Mauritius and Zimbabwe

PubMed Central

Fuller, Colin W; Junge, Astrid; Dorasami, Cadrivel; DeCelles, Jeff; Dvorak, Jiri

2011-01-01

Objectives To implement and assess Fédération Internationale de Football Association Medical Assessment and Research Centre's ‘11 for Health’ football-based health education programme for children. Design Prospective, 2-cohort study. Setting In-school groups (Mauritius); out-of-school groups (Zimbabwe). Participants Mauritius: 389 children, aged 12–15 years; Zimbabwe: 395 children, aged 10–14 years. Intervention Eleven 90-min sessions, each divided into two 45-min halves of Play Football (focusing on one football skill) and Play Fair (focusing on one health issue). Main outcome measures 30-item questionnaire implemented pre and postintervention to assess children's health knowledge; six-item questionnaire implemented postintervention to assess children's views about the ‘11 for Health’ programme. Results Mean pre and postintervention health knowledge scores were greater in Mauritius (pre: 69.3%; post: 87.1%) than Zimbabwe (pre: 57.8%; post: 76.2%) but the mean gain in health knowledge was greater in Zimbabwe (18.4%) than Mauritius (17.8%). There were few significant differences in the outcomes for boys and girls in both countries. The ‘11 for Health’ programme was received positively by the children in both countries and there were no significant differences in the views of boys and girls in either country. Conclusions The study demonstrated that it was possible to achieve significant increases in children's knowledge for all health messages by implementing the ‘11 for Health’ programme in a school-based setting in collaboration with a national Football Association and in an out-of-school setting in collaboration with a non-government organisation. Based on these positive results, the authors recommend that the programme be widely implemented in Africa in co-operation with government and non-government organisations. PMID:21504962

Village victories: new motivational techniques in Kenya and Zimbabwe.

PubMed

Miller, N N

1983-01-01

The Institute of Cultural Affairs (ICA) in Kenya and the Zimbabwe Project in Zimbabwe are organizations working to promote local level development in their respective countries and a major challenge to these organizations has been how to change the attitudes and perceptions of the poor in ways that help them help themselves. ICA efforts are carried out in Kenya by several hundred volunteer staff, including 30 expatriates. Most are assigned to 1 of the 21 projects spread across southern Kenya. Since 1975 the ICA has launched projects in over 200 villages. Village clean up, public health, school construction, water development, and agricultural improvement are some of the project categories. Tangible results include starting demonstration farms, field terracing projects, building pit latrines and compost pits, constructing new pathways, roads, and schoolrooms. Many of ICA's efforts are funded by local companies and through Kenyan offices of development organizations. In the field of health, ICA provides training courses at the village level that emphasize preventive care, sanitation, hygiene, nutrition, family planning, first aid, and treatment of common illnesses. ICA's mobilization techniques are based on motivating villagers to help themselves, to "catalyze and energize" the resources at hand. The process begins with a "consult" in which 12 or more ICA staff conduct a 3- or 4-day meeting with villagers to reorient local thinking. A special effort is made to break old attitudes that have held traditional villagers back. The consult is also designed to confront traditional assumptions about what the longterm reality might be. For urban slum villages the focus is on the transient nature of community that serves as low cost housing for thousands of newly arrived migrants. Today the Zimbabwe Project (ZP) is working with former soldiers, although when established in 1978 in Britain its purpose was to assist refugees from the Rhodesian struggle who had fled to Botswana

What Makes Things Happen? Teacher's Guide. Unit B. ZIM-SCI, Zimbabwe Secondary School Science Project.

ERIC Educational Resources Information Center

Dube, Peter

The Zimbabwe Secondary School Science Project (ZIM-SCI) developed student study guides, corresponding teaching guides, and science kits for a low-cost science course which could be taught during the first 2 years of secondary school without the aid of qualified teachers and conventional laboratories. This teaching guide, designed to be read in…

What Makes Things Happen? Study Guide. Unit B. ZIM-SCI, Zimbabwe Secondary School Science Project.

ERIC Educational Resources Information Center

Dube, Peter

The Zimbabwe Secondary School Science Project (ZIM-SCI) developed student study guides, corresponding teaching guides, and science kits for a low-cost science course which could be taught during the first 2 years of secondary school without the aid of qualified teachers and conventional laboratories. This ZIM-SCI study guide presents activities…

Looking at Life. Study Guide. Unit A2. ZIM-SCI, Zimbabwe Secondary School Science Project.

ERIC Educational Resources Information Center

Hosking, Bunty

The Zimbabwe Secondary School Science Project (ZIM-SCI) developed student study guides, corresponding teaching guides, and science kits for a low-cost science course which could be taught during the first 2 years of secondary school without the aid of qualified teachers and conventional laboratories. This ZIM-SCI study guide presents activities…

The Challenges of Revitalizing an Indigenous and Afrocentric Moral Theory in Postcolonial Education in Zimbabwe

ERIC Educational Resources Information Center

Mungwini, Pascah

2011-01-01

This work contributes to the philosophical debate on the normative dimension of postcolonial education in Zimbabwe. The work is a reaction to revelations made by the Commission of Inquiry into Education and Training of 1999 and its concomitant recommendations. Among its many observations, the Commission noted that there was a worrisome development…

Looking at Life. Teacher's Guide. Unit A2. ZIM-SCI, Zimbabwe Secondary School Science Project.

ERIC Educational Resources Information Center

Hosking, Bunty

The Zimbabwe Secondary School Science Project (ZIM-SCI) developed student study guides, corresponding teaching guides, and science kits for a low-cost science course which could be taught during the first 2 years of secondary school without the aid of qualified teachers and conventional laboratories. This teaching guide, designed to be read in…