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Sample records for hospital parirenyatwa zimbabwe

  1. Diagnoses and prescribing for pediatric patients at two hospitals in Harare, Zimbabwe.

    PubMed

    Kasilo, O M; Nathoo, S; Nhachi, C F

    1993-07-01

    During March-August 1990 in Zimbabwe, researchers reviewed the medical records of 500 consecutive patients, 0-12 years old, at Harare Hospital and Parirenyatwa Hospital to lean what the most frequent pediatric diagnoses were and to compare prescribing patterns. These hospitals were of comparable size but served different populations. Patients at Harare Hospital tended to have a lower income and be children than those at Parirenyatwa Hospital. Parirenyatwa Hospital specialized in cardiovascular, hematology, medicine, and oncology services. Clinicians identified 737 diagnoses. The most common diagnoses included respiratory infections (39.4% of patients), gastroenteritis (16.8%), malnutrition (10.4%), sepsis (9.6%), and AIDS (8.6%). 97.8% of the children received at least 1 medication (1725 prescriptions). The mean drugs prescribed per patient stood at 3.45 (range, 0-18). Patients with AIDS accounted for the high end of the range. The most frequently prescribed drug type was antibiotics (about 35%), especially penicillin. The recommended duration of antibiotic treatment is 7-14 days, but the mean duration among these children was only 5.1 days. Harare Hospital had more patients admitted for infections and neurologic conditions than did Parirenyatwa Hospital (47.1% vs. 35.% and 4.5% vs. 2%, respectively), which accounted for the higher prescription rate for anti-infective drugs and central nervous system drugs at Harare Hospital (55.4% vs. 47.3%, and 3.5% vs. 2.6%, respectively). Parirenyatwa Hospital had more surgical procedures and febrile convulsions than Harare Hospital, which explained why it had higher prescription rate for analgesics (12.5% vs. 8.7%). It also had more children diagnoses with respiratory infections. Harare Hospital had more malnutrition, sepsis, and AIDS pediatric cases. Since the two hospitals served different socioeconomic populations, it was not surprising to find differences in prescription patterns, which were appropriate and tended to abide

  2. 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

  3. 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

  4. A hospital response to a soccer stadium stampede in Zimbabwe

    PubMed Central

    Madzimbamuto, F

    2003-01-01

    Method: A literature review was done to establish international standards of best practice in major medical incident response. The hospital disaster plan (major medical incident plan) was reviewed and used as local standard. Written submissions and unstructured interviews technique were used to collect information from staff present on the day and involved in the care of the stampede victims and from staff specified in the hospital disaster plan. This was presented as a report to the Hospital Clinical Audit and Quality Assurance Committee (CAQAC), with recommendations. Results: The hospital's response to the disaster was suboptimal. The initial recommendations were accepted. Implementation is ongoing while discussion is drawing in other people and agencies. An integrated prehospital care system is required. The casualty department needs to develop into a modern accident and emergency department. Individual departments need to develop their own disaster plans that link into the hospital plan. A system for future audits of the hospital's performance after a disaster need to be put in place. Implementation of these recommendations is changing disaster preparedness in and out of the hospital. Conclusions: The exercise was very useful in raising awareness and the value of audit and specific issues were defined for improvement. Long term and short term goals were set. Despite the shortage of resources, change was felt to be necessary and possible. PMID:14623853

  5. The Hospitalization Costs of Diabetes and Hypertension Complications in Zimbabwe: Estimations and Correlations.

    PubMed

    Mutowo, Mutsa P; Lorgelly, Paula K; Laxy, Michael; Renzaho, Andre M N; Mangwiro, John C; Owen, Alice J

    2016-01-01

    Objective. Treating complications associated with diabetes and hypertension imposes significant costs on health care systems. This study estimated the hospitalization costs for inpatients in a public hospital in Zimbabwe. Methods. The study was retrospective and utilized secondary data from medical records. Total hospitalization costs were estimated using generalized linear models. Results. The median cost and interquartile range (IQR) for patients with diabetes, $994 (385-1553) mean $1319 (95% CI: 981-1657), was higher than patients with hypertension, $759 (494-1147) mean $914 (95% CI: 825-1003). Female patients aged below 65 years with diabetes had the highest estimated mean costs ($1467 (95% CI: 1177-1828)). Wound care had the highest estimated mean cost of all procedures, $2884 (95% CI: 2004-4149) for patients with diabetes and $2239 (95% CI: 1589-3156) for patients with hypertension. Age below 65 years, medical procedures (amputation, wound care, dialysis, and physiotherapy), the presence of two or more comorbidities, and being prescribed two or more drugs were associated with significantly higher hospitalization costs. Conclusion. Our estimated costs could be used to evaluate and improve current inpatient treatment and management of patients with diabetes and hypertension and determine the most cost-effective interventions to prevent complications and comorbidities. PMID:27403444

  6. The Hospitalization Costs of Diabetes and Hypertension Complications in Zimbabwe: Estimations and Correlations

    PubMed Central

    Mutowo, Mutsa P.; Lorgelly, Paula K.; Laxy, Michael; Mangwiro, John C.; Owen, Alice J.

    2016-01-01

    Objective. Treating complications associated with diabetes and hypertension imposes significant costs on health care systems. This study estimated the hospitalization costs for inpatients in a public hospital in Zimbabwe. Methods. The study was retrospective and utilized secondary data from medical records. Total hospitalization costs were estimated using generalized linear models. Results. The median cost and interquartile range (IQR) for patients with diabetes, $994 (385–1553) mean $1319 (95% CI: 981–1657), was higher than patients with hypertension, $759 (494–1147) mean $914 (95% CI: 825–1003). Female patients aged below 65 years with diabetes had the highest estimated mean costs ($1467 (95% CI: 1177–1828)). Wound care had the highest estimated mean cost of all procedures, $2884 (95% CI: 2004–4149) for patients with diabetes and $2239 (95% CI: 1589–3156) for patients with hypertension. Age below 65 years, medical procedures (amputation, wound care, dialysis, and physiotherapy), the presence of two or more comorbidities, and being prescribed two or more drugs were associated with significantly higher hospitalization costs. Conclusion. Our estimated costs could be used to evaluate and improve current inpatient treatment and management of patients with diabetes and hypertension and determine the most cost-effective interventions to prevent complications and comorbidities. PMID:27403444

  7. [AIDS information in Zimbabwe].

    PubMed

    Meyer, L

    1993-11-20

    The difficulties of health education concerning AIDs prevention in Zimbabwe include communicating simple information about complicated processes, resistance to the information because of status or tradition, and lack of experience with translating material that was produced in the West. The beliefs in ghosts and witch doctors are still part of the tradition in Zimbabwe, providing cultural diversity and a sense of identification. Traditional medicine is characterized by Westerners as often irrational behavior that is deleterious to one's health. However, even in the allegedly educated part of the world compliance is often lacking and alternative treatment forms are actively pursued in tandem with formal medicine. When there is a short time period between harmful behavior and infection, most people realize that there is a causative connection. On the other hand, it is a more complicated mental exercise to fathom that intercourse can result in HIV infection that 5 years later may lead to death from tuberculosis. No other disease is known by these people that has a corresponding delay from the time of infection to disease or death. It is also confusing that a sexually transmitted disease does not produce symptoms such as discharge or genital sores. It is difficult to comprehend that a sole causative agent, HIV, can lead to so many different diseases and symptoms. When a young man died after having been hospitalized with protracted cough and TB as a result of HIV infection that he had contracted from a girlfriend, the father told the folks at home that his son had died of TB. These conflicting pieces of information make AIDS prevention education wrought with difficulties, which adds to the rapid spread of the disease, although the authorities and international organizations have responded with strategies, informational materials, and educational courses. PMID:8273086

  8. Haemophilia in Zimbabwe.

    PubMed

    Mukiibi, J M; Paul, B; Field, S P; Lloyd, S E

    1990-01-01

    Of the 120 haemophiliacs diagnosed in Zimbabwe in 8 years, haemophilia A and Christmas disease accounted for 90% and 10% respectively (i.e. a ratio of 9:1). Although the clinical and laboratory parameters were essentially similar to those previously described in Caucasian, African and other populations in the World, sub-haemophiliac cases are probably still being missed particularly in very busy health centres where the index of suspicion is low and malnutrition and infectious disease predominate and therefore readily attract the attention of most health workers. However, with the steadily improving socio-economic status and decentralization of health care facilities, more of these cases are likely to be diagnosed. Major constraints in the diagnosis and management of haemophilia in an African setting are succinctly discussed; including home therapy; and the implications of recent findings of HIV sero-positivity. The study serves as evidence that haemophilia is common in Zimbabwe contrary to earlier published literature.

  9. Special Education in Zimbabwe: Issues and Trends

    ERIC Educational Resources Information Center

    Chitiyo, Morgan

    2006-01-01

    Following a massive educational expansion initiative by the government of Zimbabwe since 1980, the country has achieved one of the highest literacy rates in Africa. There is legislation in Zimbabwe which makes education a right for every child. In spite of this legislation, special education in Zimbabwe still lags behind the entire educational…

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

    PubMed

    Munyaradzi Kenneth, Dodzo; Marvellous, Mhloyi; Stanzia, Moyo; Memory, Dodzo-Masawi

    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

  11. 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

  12. 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…

  13. Contracting out of clinical services in Zimbabwe.

    PubMed

    McPake, B; Hongoro, C

    1995-07-01

    Contracting is increasingly recommended to developing countries as a way of improving the efficiency of the health sector. However, empirical evidence regarding its effectiveness in this respect is almost completely absent. In Zimbabwe, a long standing contract exists between the Ministry of Health and Wankie Colliery to provide clinical services in the Colliery's 400 bed hospital. This paper details a study of the Zimbabweans' experience with the contract. Its success is assessed using comparisons with a neighbouring government hospital of the price of services (vs the cost in the government hospital); the situation of hospital workers; and the quality of services delivered. The Colliery has established a monopoly position for hospital services in the district. However, it appears to offer services of at least as good quality at prices which are lower than the unit costs of the government hospital when capital costs are included. Nevertheless, the contract cannot be considered a success due to the failure to contain its total cost. Approximately 70% of provincial non-salary recurrent expenditure is consumed by the contract while only a minority of the province's population have access to the Colliery hospital. Screening patients, both with respect to their ability to pay and to their need for secondary level services does not take place with the result that utilization levels are not controlled. The study highlights a number of important issues affecting contracting in developing country setting: First, contracted institutions attain powerful bargaining positions if there are no viable competitors and the government does not itself retain capacity to offer an alternative service. Second, specific skills are needed for the management of contracts at all levels. If the process of contract development responds to a crisis driven agenda resulting from civil service retrenchment and public expenditure cuts, it is unlikely that adequate consideration will be given to

  14. Zimbabwe's Public Education System Reforms: Successes and Challenges

    ERIC Educational Resources Information Center

    Kanyongo, Gibbs Y.

    2005-01-01

    The purpose of this article is to discuss Zimbabwe's public education system. First, the article provides a brief look at pre-independence education in Zimbabwe. Second, it discusses some of the reforms that took place in the Zimbabwe education system following independence. Third, it looks at the current structure of Zimbabwe's education system…

  15. Salivary gland tumours in Zimbabwe: report of 282 cases.

    PubMed

    Chidzonga, M M; Lopez Perez, V M; Portilla-Alvarez, A L

    1995-08-01

    Tumours of the salivary glands are relatively uncommon. In a review of 282 black patients seen at Harare Central Hospital, Zimbabwe, the relative incidence of various tumour types and the age and sex distribution were similar to those reported in other series. There were more tumours of the minor salivary glands than in reported Western series. There were more tumours of the minor salivary glands than in reported Western series. Pain and rapid growth were significant in distinguishing malignant from benign tumours. Malignant tumours were more common in elderly than in young patients.

  16. 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.

  17. 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…

  18. Ndebele Culture of Zimbabwe's Views of Giftedness

    ERIC Educational Resources Information Center

    Ngara, Constantine; Porath, Marion

    2007-01-01

    This study explored Ndebele culture of Zimbabwe's views of giftedness. Using questionnaire narratives, data were collected from thirty Zimbabwean teachers and lecturers of Ndebele cultural background. The study established that Ndebele culture views giftedness as an unusually outstanding ability blessed in an individual from birth, which manifests…

  19. 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…

  20. 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)

  1. 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. PMID:8061079

  2. 78 FR 41192 - Publication of General License Related to the Zimbabwe Sanctions Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ... Office of Foreign Assets Control Publication of General License Related to the Zimbabwe Sanctions Program... General License No. 1 issued under the Zimbabwe sanctions program on April 24, 2013. Zimbabwe General License No. 1 authorizes all transactions involving Agricultural Development Bank of Zimbabwe...

  3. 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.

  4. 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

  5. The Future of Technical Subjects in Zimbabwe's Primary Schools.

    ERIC Educational Resources Information Center

    Mupinga, Davison M.

    A study was conducted to investigate the future of woodworking in primary schools in Zimbabwe. Although such subjects have generally been organized along the same lines as traditional academic subjects, strategies vary from one country to another and so do the problems. The investigation covered all the primary schools in Zimbabwe teaching…

  6. 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.

  7. A survey of urinary aflatoxin in Zimbabwe.

    PubMed

    Nyathi, C B; Mutiro, C F; Hasler, J A; Chetsanga, C J

    1987-12-01

    In this study, 1228 urine samples were collected from different centres in Zimbabwe and were analysed for aflatoxin contamination. The urine samples were extracted with chloroform and analysed by thin layer chromatography and high-performance liquid chromatography. The most commonly observed contaminant was aflatoxin M1, at an average concentration of 4.2 ng/ml of urine. Although the national average of urine samples contaminated was 4.3%, there were areas in which up to 10% of the urine samples were contaminated.

  8. Reproductive rights and population control in Zimbabwe.

    PubMed

    Mcfadden, P

    1995-05-01

    The author argues that population control in Zimbabwe, in other developing countries, and even in developed countries is targeted at non-whites and at the poorer classes. She discusses fertility vaccines and male sterilization in this context, and makes the point that while the technology of population control flows from the North to the South, resources from the South are flowing North to maintain the economic status quo. "I think that the real population problem is the widening gap between a few greedy, irresponsible people, most of whom happen to be located in the North, and the rest of humankind, whose lives have been so denigrated that they are now merely statistics.... We can easily see that what should be feeding, clothing, housing, healing, pleasing Africans, goes North, all in the name of ¿development'."

  9. 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.

  10. 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. PMID:26569469

  11. Female condom uptake and acceptability in Zimbabwe.

    PubMed

    Napierala, Sue; Kang, Mi-Suk; Chipato, Tsungai; Padian, Nancy; van der Straten, Ariane

    2008-04-01

    As the first phase of a two-phase prospective cohort study to assess the acceptability of the diaphragm as a potential HIV/STI prevention method, we conducted a 2-month prospective study and examined the effect of a male and female condom intervention on female condom (FC) use among 379 sexually active women in Harare, Zimbabwe. Reported use of FC increased from 1.1% at baseline to 70.6% at 2-month follow-up. Predictors of FC uptake immediately following the intervention included interest in using FC, liking FC better than male condoms, and believing one could use them more consistently than male condoms. Women reported 28.8% of sex acts protected by FC in the 2 weeks prior to last study visit. Though FC may not be the preferred method for the majority of women, with access, proper education, and promotion they may be a valuable option for some Zimbabwean women. PMID:18433318

  12. 75 FR 10155 - Continuation of the National Emergency With Respect to Zimbabwe

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... or institutions in Zimbabwe, pursuant to the International Emergency Economic Powers Act (50 U.S.C... Zimbabwe and other persons to undermine Zimbabwe's democratic processes or institutions. These actions and... motivated violence and intimidation in that country, and to political and economic instability in...

  13. 78 FR 14425 - Continuation of the National Emergency With Respect to the Situation in Zimbabwe

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... blocked the property of persons undermining democratic processes or institutions in Zimbabwe, pursuant to... Zimbabwe's democratic processes or institutions. These actions and policies had contributed to the deliberate breakdown in the rule of law in Zimbabwe, to politically motivated violence and intimidation...

  14. In what ways do communities support optimal antiretroviral treatment in Zimbabwe?

    PubMed Central

    Scott, K.; Campbell, C.; Madanhire, C.; Skovdal, M.; Nyamukapa, C.; Gregson, S.

    2014-01-01

    Little research has been conducted on how pre-existing indigenous community resources, especially social networks, affect the success of externally imposed HIV interventions. Antiretroviral treatment (ART), an externally initiated biomedical intervention, is being rolled out across sub-Saharan Africa. Understanding the ways in which community networks are working to facilitate optimal ART access and adherence will enable policymakers to better engage with and bolster these pre-existing resources. We conducted 67 interviews and eight focus group discussions with 127 people from three key population groups in Manicaland, eastern Zimbabwe: healthcare workers, adults on ART and carers of children on ART. We also observed over 100 h of HIV treatment sites at local clinics and hospitals. Our research sought to determine how indigenous resources were enabling people to achieve optimal ART access and adherence. We analysed data transcripts using thematic network technique, coding references to supportive community networks that enable local people to achieve ART access and adherence. People on ART or carers of children on ART in Zimbabwe report drawing support from a variety of social networks that enable them to overcome many obstacles to adherence. Key support networks include: HIV groups; food and income support networks; home-based care, church and women's groups; family networks; and relationships with healthcare providers. More attention to the community context in which HIV initiatives occur will help ensure that interventions work with and benefit from pre-existing social capital. PMID:23503291

  15. In what ways do communities support optimal antiretroviral treatment in Zimbabwe?

    PubMed

    Scott, K; Campbell, C; Madanhire, C; Skovdal, M; Nyamukapa, C; Gregson, S

    2014-12-01

    Little research has been conducted on how pre-existing indigenous community resources, especially social networks, affect the success of externally imposed HIV interventions. Antiretroviral treatment (ART), an externally initiated biomedical intervention, is being rolled out across sub-Saharan Africa. Understanding the ways in which community networks are working to facilitate optimal ART access and adherence will enable policymakers to better engage with and bolster these pre-existing resources. We conducted 67 interviews and eight focus group discussions with 127 people from three key population groups in Manicaland, eastern Zimbabwe: healthcare workers, adults on ART and carers of children on ART. We also observed over 100 h of HIV treatment sites at local clinics and hospitals. Our research sought to determine how indigenous resources were enabling people to achieve optimal ART access and adherence. We analysed data transcripts using thematic network technique, coding references to supportive community networks that enable local people to achieve ART access and adherence. People on ART or carers of children on ART in Zimbabwe report drawing support from a variety of social networks that enable them to overcome many obstacles to adherence. Key support networks include: HIV groups; food and income support networks; home-based care, church and women's groups; family networks; and relationships with healthcare providers. More attention to the community context in which HIV initiatives occur will help ensure that interventions work with and benefit from pre-existing social capital.

  16. 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

  17. Factors determining the attractiveness of the teaching profession in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Chivore, B. R. S.

    1988-03-01

    This article analyses the factors influencing the attractiveness of the secondary teaching profession in Zimbabwe. The findings are based on data collected from more than 200 non-graduate student teachers by means of a questionnaire, supplemented by documents and interviews. Among the 21 relevant factors listed in the questionnaire, those relating to salary, fringe benefits and working conditions were considered to have the greatest influence. In particular, benefits similar to those of comparable professions in the public and private sectors were identified as crucial. The author broadens the context of his conclusions by comparing the situation in Zimbabwe to that in other developing countries.

  18. A coverage plan for health centres in Murewa district in Zimbabwe: an example of action research.

    PubMed

    Criel, B; Macq, J; Bossyns, P; Hongoro, C

    1996-10-01

    Good access to health facilities providing good first-level health care remains problematic in many developing countries. It is a hindrance to effective and efficient functioning of the hospital, as outpatient departments become overcrowded with patients from areas without health centres. In many cases the quality of care delivered to these patients is poor because within the district health system the hospital is not the best place for the supply of comprehensive, integrated and continuous care. Eventually, high hospital involvement in first-level care can jeopardize the delivery of adequate referral care for those patients who desperately need the hospital's technology and expertise. This paper provides an account of the way this problem was investigated and managed by the district health management team in the Murewa district in north-east Zimbabwe. The design of a comprehensive 'master plan' or 'coverage plan' is presented as well as the problems and difficulties encountered. The Murewa experience highlights the relevance of a coverage plan for rational and coherent health infrastructure planning at district level. The approach followed by the Murewa team illustrates the use of action research as an integral part of the management of district health systems. PMID:8911457

  19. Integration of Information Services in the Parliament of Zimbabwe.

    ERIC Educational Resources Information Center

    Chiwandamira, Lyn

    This paper discusses the integration of information services in the Parliament of Zimbabwe (PoZ). An organizational chart of the information systems at PoZ in 1999 is provided, and each of the four departments managing information services are described, i.e., the library, the research department, public relations, and information technology. An…

  20. 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…

  1. Counseling in Zimbabwe: History, Current Status, and Future Trends

    ERIC Educational Resources Information Center

    Richards, Kimberly A. M.; Zivave, Athanas T.; Govere, Saunsuray M.; Mphande, Joyce; Dupwa, Beatrice

    2012-01-01

    Counseling in Zimbabwe has a long tradition, dating back to pre-Colonial times. In the modern context, counseling has evolved through the educational and health care sectors. Since the 1990s, Zimbabwean counselors have advocated for professional recognition, a struggle similar to that of counselors in the United States. In this article, the…

  2. 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…

  3. AIDS and the workplace: signs of hope from Zimbabwe.

    PubMed

    Williams, G; Ray, S

    1994-01-01

    Strategies for Hope is a series of booklets and videos about innovative and practical approaches to AIDS management and prevention in developing countries. It is published by the UK development agency ACTIONAID and the African Medical and Research Foundation with technical and financial support from the World Health Organization Global Program on AIDS. More than 500,000 booklets and 5000 videos have been distributed worldwide. The authors describe what they learned while researching the eighth booklet in the series, Work Against AIDS, analyzing seven workplace-based AIDS programs in Zimbabwe. They argue that the workplace can play a far greater role in AIDS awareness and prevention than is generally realized. AIDS is already affecting the health and productivity of the workforce in Zimbabwe, where in some areas more than 15% of adults are estimated to be HIV-positive. Morbidity and mortality are rising with concomitant worker absenteeism, yet most workplaces in Zimbabwe do not have even a poster about AIDS on display. There are, however, some impressive education programs under way. These programs, run by a significant number of volunteer peer educators, are working to reduce the stigma attached with sexually transmitted diseases and promote low-cost or free treatment. The authors also note as most promising the program of the Zimbabwe Congress of Trade Unions training 700 Health and Safety representatives at shop-floor and branch levels in AIDS-related human rights issues at the workplace as well as AIDS awareness and prevention.

  4. Zimbabwe to criminalise the deliberate spreading of HIV.

    PubMed

    1996-01-01

    "We are going to introduce new legislation which makes it a criminal offense for a person infected with AIDS or an STD to have a sexual relationship when they know that they have the disease," Zimbabwe's Justice Minister Emerson Mnangagwa told the Ziana news agency in May. "This will also apply to marriages." Zimbabwe has one of the highest HIV infection rates in the world. More than one-quarter of Zimbabwe's population is said to be HIV-positive, with an estimated 300 people a week dying from AIDS-related illnesses. If the Criminal Law Amendment Bill is approved by Parliament later this year, those convicted of deliberately transmitting HIV or other STDs could be jailed for a maximum of 15 years, while rapists who infected people would be sentenced to at least 15 years in jail. Justice Minister Emerson Mnangagwa explained that if a person were accused of raping someone or spreading a disease, they would be tested for viruses before a hearing. "If found positive, the person will get the stiffer sentence, regardless of whether the person had prior knowledge or not, because the rape put the victim at risk of infection." The legislation comes two years after activist groups started lobbying for stiffer sentences for rapists infected with HIV. "When passed by Parliament, information on the new legislation should be made available to women, because we find that most of the women we receive here are married ones," said Priscilla Ndlovu of Zimbabwe's Women and AIDS Support Network.

  5. Young People, Citizenship and Citizenship Education in Zimbabwe

    ERIC Educational Resources Information Center

    Sigauke, Aaron T.

    2012-01-01

    Citizenship education in Zimbabwe is based on the claim that young people lack citizenship virtues. This study set out to investigate these assumptions by assessing high school students' knowledge of, attitudes towards and participation levels in citizenship issues. Findings show that while students are knowledgeable about citizenship issues they…

  6. 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

  7. Design and production of an atlas for diplomacy in Zimbabwe and the Southern African Development Community

    USGS Publications Warehouse

    Crawford, T.W.; Larson, C.R.; Granneman, B.J.; Evans, G.A.; Gacke, C.K.; Pearson, D.R.

    1999-01-01

    An atlas of Zimbabwe and the Southern African Development Community was designed and produced for use by American diplomats in Zimbabwe. Two copies of the bound atlas are used by the Embassy of the United States of America (U.S. Embassy) and the Mission of the U.S. Agency for International Development (USAID) in Harare, Zimbabwe, to orient visitors and discuss matters of diplomacy and development in Zimbabwe and the Southern African Development Community. The atlas contains maps derived from satellite images showing features of the physical geography of Southern Africa and Zimbabwe and plastic overlays showing rivers and lakes and manmade features, such as major roads, railroads, and cities. The atlas is an important tool that American diplomats can use to orient participants in discussions of the environment and to develop agreements for management of the environment in Zimbabwe and Southern Africa.

  8. Social, Cultural, and Environmental Challenges Faced by Children on Antiretroviral Therapy in Zimbabwe: a Mixed-Method Study

    PubMed Central

    Macherera, Margaret; Moyo, Lindani; Ncube, Mkhanyiseli; Gumbi, Angella

    2012-01-01

    Objectives Despite the advent of antiretroviral therapy (ART), many children, particularly in the rural communities of Zimbabwe, remain vulnerable. The purpose of this study was to determine the factors and challenges facing children on antiretroviral therapy (ART) in Brunapeg area of Mangwe District, Zimbabwe. Methods A mixed-method approach involving interviewer-guided focus group discussions and piloted semi-structured questionnaires was utilized to collect data from different key population groups. The data obtained were analyzed through content coding procedures based on a set of predetermined themes of interest. Results A number of challenges emerged as barriers to the success of antiretroviral therapy for children. Primary care givers were less informed about HIV and AIDS issues for people having direct impact on the success of antiretroviral therapy in children whilst some were found to be taking the antiretroviral drugs meant for the children. It also emerged that some primary care givers were either too young or too old to care for the children while others had failed to disclose to the children why they frequently visited the Opportunistic Infections (OI) clinic. Most primary care givers were not the biological parents of the affected children. Other challenges included inadequate access to health services, inadequate food and nutrition and lack of access to clean water, good hygiene and sanitation. The lack of community support and stigma and discrimination affected their school attendance and hospital visits. All these factors contributed to non-adherence to antiretroviral drugs. Conclusions and Public Health Implications Children on ART in rural communities in Zimbabwe remain severely compromised and have unique problems that need multi-intervention strategies both at policy and programmatic levels. Effective mitigating measures must be fully established and implemented in rural communities of developing countries in the fight for universal

  9. Cervical cancer screening: Safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe

    PubMed Central

    Fallala, Muriel S.

    2015-01-01

    Background Cervical cancer is the commonest cancer amongst African women, and yet preventative services are often inadequate. Aim The purpose of the study was to assess the safety, acceptability and feasibility of visual inspection with acetic acid and cervicography (VIAC) followed by cryotherapy or a loop electrical excision procedure (LEEP) at a single visit for prevention of cancer of the cervix. Setting The United Bulawayo Hospital, Zimbabwe. Methods The study was descriptive, using retrospective data extracted from electronic medical records of women attending the VIAC clinic. Over 24 months 4641 women visited the clinic and were screened for cervical cancer using VIAC. Cryotherapy or LEEP was offered immediately to those that screened positive. Treated women were followed up at three months and one year. Results The rate of positive results on VIAC testing was 10.8%. Of those who were eligible, 17.0% received immediate cryotherapy, 44.1% received immediate LEEP, 1.9% delayed treatment, and 37.0% were referred to a gynaecologist. No major complications were recorded after cryotherapy or LEEP. Amongst those treated 99.5% expressed satisfaction with their experience. Only 3.2% of those treated at the clinic had a positive result on VIAC one year later. The service was shown to be feasible to sustain over time with the necessary consumables. There were no service-related treatment postponements and the clinic staff and facility were able to meet the demand for the service. Conclusion A single-visit approach using VIAC, followed by cryotherapy or LEEP, proved to be safe, acceptable and feasible in an urban African setting in Bulawayo, Zimbabwe. Outcomes a year later suggested that treatment had been effective. PMID:26245601

  10. Masculinity as a barrier to men's use of HIV services in Zimbabwe

    PubMed Central

    2011-01-01

    Background A growing number of studies highlight men's disinclination to make use of HIV services. This suggests there are factors that prevent men from engaging with health services and an urgent need to unpack the forms of sociality that determine men's acceptance or rejection of HIV services. Methods Drawing on the perspectives of 53 antiretroviral drug users and 25 healthcare providers, we examine qualitatively how local constructions of masculinity in rural Zimbabwe impact on men's use of HIV services. Results Informants reported a clear and hegemonic notion of masculinity that required men to be and act in control, to have know-how, be strong, resilient, disease free, highly sexual and economically productive. However, such traits were in direct conflict with the 'good patient' persona who is expected to accept being HIV positive, take instructions from nurses and engage in health-enabling behaviours such as attending regular hospital visits and refraining from alcohol and unprotected extra-marital sex. This conflict between local understandings of manhood and biopolitical representations of 'a good patient' can provide a possible explanation to why so many men do not make use of HIV services in Zimbabwe. However, once men had been counselled and had the opportunity to reflect upon the impact of ART on their productivity and social value, it was possible for some to construct new and more ART-friendly versions of masculinity. Conclusion We urge HIV service providers to consider the obstacles that prevent many men from accessing their services and argue for community-based and driven initiatives that facilitate safe and supportive social spaces for men to openly discuss social constructions of masculinity as well as renegotiate more health-enabling masculinities. PMID:21575149

  11. Disease pattern and prescribing at the University of Zimbabwe students health service, 1987-1991.

    PubMed

    Bvochora, J F; Kasilo, O M; Nhachi, C F

    1993-05-01

    The trends in drug use, expenditure and disease pattern at the University of Zimbabwe students' health facility over a period of five years (1987-1991), were analysed retrospectively. The study also analysed the use of the essential drugs concept and the drug situation in Zimbabwe. A total of 1,500 cases which were randomly selected were studied. The total student population over this period was 44,030. Data collection sheets where utilised to extract information from patients' cards. Requisition order books and budgets for drugs and medical appliances and student population statistical data were analysed. Males accounted for 75.7 pc of the cases and the average age at the time of the visit was 22.04 years. The percentage of cases involving married students was 2.53 pc of which 94.74 pc were males. The total expenditure of drugs and medical appliances for the study period was $412,413.55 and most of the items were supplied by the Government Medical Stores. The most prevalent disease conditions were respiratory tract infections (35 pc) and urinary tract infections (16.3 pc). The disease pattern differed from that at district, general and provincial hospitals. The total number of drugs dispensed for the 1,500 students was 2,600, giving an average of 1.7 drugs per case. Analgesics were the most widely used drugs (28.5 pc), followed by anti-infectives (28.2 pc). The most popular analgesic used was paracetamol which accounted for 66.6 pc of the analgesics. Antibiotics accounted for 88.1 pc of the anti-infectives and 24.9 pc of the total number of drugs dispensed.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. Critical pollution levels in Umguza River, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Chinyama, A.; Ncube, R.; Ela, W.

    2016-06-01

    In most countries worldwide regulatory bodies set effluent discharge limits into rivers and other natural water bodies. These limits specify the maximum permissible concentration of defined pollutants that may be discharged into the water body. This limit is conceptually based on the self-purification (assimilative) capacity of the receiving water. However, this self-purification constant is itself a function of the water's pollutant loading. Umguza River situated south west of Zimbabwe, is fed by tributaries that drain an urban catchment and as such is prone to pollution due to human activities in the catchment. This study investigated the levels of pollution in Umguza River that would affect its self-purification capacity. This was achieved by characterising the spatial distribution of a selected range of water quality parameters as well as determining the self-purification capacity of a stretch of the river. Critical pollutant concentrations were determined for some of the parameters that showed high values along the stretch. The selected parameters of interest were dissolved oxygen, suspended solids, phosphates, nitrates, COD, turbidity, ammonia, pH, alkalinity and temperature. The study was carried out from January 2014 to April 2014. The self-purification capacity was determined using a formula that compares the mass flux of a pollutant upstream and downstream of the selected stretch of the river. Statistical analysis was used to establish relationships between the pollutants and the self-purification capacity of the river. The study found that the levels of ammonia and phosphates were very high compared to the regulated limits (2 mg/l vs 0.5 mg/l; and 8 mg/l vs 0.5 mg/l respectively). It was also found that the self-purification capacity varied significantly across pollutants. It was therefore concluded that a critical pollutant concentration exists above which the river completely loses its natural ability to assimilate and decrease its pollutant load over

  13. Education policy and gender in Zimbabwe.

    PubMed

    Gordon, R

    1994-01-01

    It is concluded that equality for women in education, which was a state aim in 1980, is no longer a state concern in Zimbabwe. It is argued that protection of the patriarchal order has been the operating principle of both colonial and post-colonial periods, and education is used to maintain the gender imbalance. Black women under colonialism were subjected to both sexism and racism. The socioeconomic order was maintained by ensuring that Blacks remained uneducated and unskilled. Colonial policy was race specific. Education was free and compulsory for Whites only. Black parents paid fees for a son's education. Post colonialism and in 1971, only 43.5% of Black children were enrolled in school, of which 3.9% were in secondary school. Only 19 girls with at the highest level in school. School curriculum was gender based, which meant girls were taught cooking and typing. During independence, education policy was instituted, and education was considered as a human right and gender neutral. Tuition fees in primary grades were eliminated, and education was expanded. However, changes after independence did not result in equal advantage for girls. By 1985-91, girls had lower enrollments at all grade levels. The widest gaps in enrollment were at the highest levels. School curriculum changed very little, and girls were directed to the "feminine" courses of study. Girls performed poorly in math and sciences. Girls were underenrolled in technical and vocational institutions. After 1989, structural adjustment programs negatively impacted on women. There was reduced access to employment, limited access to services, and increased demands on women's time in order to compensate for gaps created by cuts in services. New changes in education policy are expected to negatively impact on girl's education. Fees for primary school were reintroduced in urban areas, and secondary school fees were increased. The government dropped the requirement of certification for technical and commercial

  14. Genital ulcers and transmission of HIV among couples in Zimbabwe.

    PubMed

    Latif, A S; Katzenstein, D A; Bassett, M T; Houston, S; Emmanuel, J C; Marowa, E

    1989-08-01

    Seventy-five married men found to be positive for HIV-1 in Harare, Zimbabwe, were interviewed in order to define behaviours associated with acquisition of infection and to determine factors associated with transmission of infection to their wives. The majority of infected men reported sexual intercourse with multiple heterosexual partners and female prostitutes, and gave a history of sexually transmitted diseases (STDs). All subjects denied homosexual activity and parenteral drug abuse. Serological testing of the wives of seropositive men showed that 45 (60%) were HIV-antibody-positive. Wives of men with AIDS and AIDS-related complex (ARC) and wives of men who gave a history of genital ulcer disease were more likely to be seropositive. The study demonstrates that HIV-1 infection in Zimbabwe occurs through heterosexual intercourse and is associated with other STDs. In addition, the study shows that male to female transmission of HIV-1 is facilitated by the presence of genital ulcers in infected men.

  15. A framework for the decentralised management of wastewater in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Nhapi, Innocent

    The traditional wastewater management style is now presenting some problems, having evolved from a situation of small communities, little industrial activities, and abundance of freshwater. The style is characterized by high water consumption and large treatment plants that employ sophisticated treatment systems with final effluent discharged to rivers. This paper focuses on analysis and development of an alternative strategy of decentralised wastewater management in Zimbabwe. Serious pollution problems related to inappropriate effluent discharges are prevalent necessitating an efficient and reliable strategy of controlling environmental pollution whilst obtaining optimal benefits from wastewater reuse. A conceptual plan for the decentralised strategy was developed taking into account capital and operational costs, wastewater generation patterns and quality, and urban agriculture. Maize cultivation was used to illustrate the implications of water and nutrient utilisation potential of the strategy. It was concluded that the strategy would suit high and medium density dwellings in Zimbabwe and that greywater separation can be used as part of the strategy.

  16. 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.

  17. 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. PMID:11459625

  18. 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…

  19. 76 FR 12267 - Continuation of the National Emergency With Respect to Zimbabwe

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ... property of persons undermining democratic processes or institutions in Zimbabwe, pursuant to the... democratic processes or institutions. These actions and policies have contributed to the deliberate breakdown in the rule of law in Zimbabwe, to politically motivated violence and intimidation in that...

  20. 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…

  1. 77 FR 13177 - Continuation of the National Emergency With Respect to the Situation in Zimbabwe

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ..., March 2, 2012. [FR Doc. 2012-5509 Filed 3-2-12; 2:15 pm] Billing code 3295-F2-P ... Respect to the Situation in Zimbabwe #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register... Zimbabwe On March 6, 2003, by Executive Order 13288, the President declared a national emergency...

  2. 78 FR 16028 - Waiver of Restriction on Assistance to the Central Government of Zimbabwe

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Zimbabwe Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act with respect to Zimbabwe and I hereby report the waiver of this...

  3. 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...

  4. 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...

  5. 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...

  6. 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...

  7. Implementing Educational Policies in Zimbabwe. World Bank Discussion Papers No. 91. Africa Technical Department Series.

    ERIC Educational Resources Information Center

    Maravanyika, O. E.

    Zimbabwe has been independent only since 1980. It has, however, attempted to change significantly the inherited educational policies, which it considers to be inappropriate to the nation's adopted socialist ideology. This paper outlines and critically appraises Zimbabwe's educational policies and finds that post-independence educational policy…

  8. 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.…

  9. Abdominal surgical site infections: a prospective study of determinant factors in Harare, Zimbabwe.

    PubMed

    Muchuweti, David; Jönsson, Kent U G

    2015-10-01

    Surgical site infections (SSIs) are reported in lower frequencies in the developed countries than in the developing world. A prospective evaluation of risk factors in 285 patients undergoing abdominal surgery procedures in Zimbabwe was therefore undertaken. Overall infection rate was 26%. The age group 30-39 years had the highest number of dirty wounds and the highest rate of human immunodeficiency virus (HIV) infection. Multivariate regression analysis showed a correlation between wound class and SSI (P < 0·05). This was also noted for American Society of Anesthesiologists (ASA) score (P < 0·05). HIV-infected patients had 52% SSIs and non-infected patients had 26% (P < 0·05). Patients receiving blood transfusion had 51% SSIs and those not transfused had 17% (P < 0·01). Patients receiving pre- and intra-operative prophylactic antibiotics had 18% SSIs and those receiving postoperative administration had 37% (P < 0·01). Treatment ranged from dressings only in 11% to surgical intervention in 30% resulting in prolongation of median hospital stay from 8 to 18 days (P < 0·001). Mortality was 7%. High wound class, high ASA score, blood transfusion, HIV infection and delayed use of prophylactic antibiotics were risk factors for SSIs, resulting in surgical interventions, prolonged hospital stay and mortality.

  10. Cultural orientation and adolescents' alcohol use in Zimbabwe.

    PubMed

    Eide, A H; Acuda, S W

    1996-06-01

    A classroom survey was conducted in June 1994 among 3061 secondary school students in four provinces in Zimbabwe, with the main objective of measuring health behaviours, school performance and environmental and cultural factors as predictors for drug use. This paper presents an analysis of the relationship between cultural orientation and alcohol use. The survey instrument was based on previous studies undertaken in Zimbabwe and in Europe and adapted to the local situation. A two-staged stratified random sampling strategy distinguished between four different socio-cultural groups. Standardized instructions were given in classrooms by a trained research team. Respondents' mean ages were 14.9 years for boys and 15.1 years for girls, and 51.4% were boys. For a number of core questions, test-retest reliability was shown to be satisfactory. A 14-item scale focusing on language, mass media and music preferences was constructed to measure cultural orientation. Principal component analysis revealed two distinct factors with low interfactor correlation and acceptable scale reliability (alpha), one representing Western orientation and the other Zimbabwean or traditional cultural orientation. Zimbabwean orientation was found to be associated with lower alcohol use, whereas western orientation was associated with higher probability for alcohol use. PMID:8696244

  11. Effects of veterinary fences on Wildlife conservation in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Taylor, Russell D.; Martin, Rowan B.

    1987-07-01

    In Zimbabwe, veterinary fences are used to control trypanosomiasis and foot- and-mouth disease, two important diseases that threaten cattle production and beef exports. Wildlife is implicated in both instances and the effects of fences on wildlife conservation and land use are discussed in relation to these two diseases. Advantages and disadvantages related to direct and indirect fence effects are outlined. Although the maintenance of fences for trypanosomiasis control is likely to become obsolete, control of foot- and-mouth disease will rely on fences for the foreseeable future. Most of Zimbabwe's protected wildlife areas are located in marginal agricultural land around the periphery of the country where cattle productivity is low. This land should be excluded from any involvement in the beef export industry rather than attempting its inclusion through cordoning and isolating individual protected areas. Within such land, the need for rigid veterinary restrictions should then disappear and allow more flexible strategies for disease control, including adaptive and imaginative approaches to land-use planning.

  12. Zimbabwe uses all medical resources to find solutions.

    PubMed

    Barrett, S

    1996-02-01

    In Zimbabwe, traditional healers enjoy a social role which is much broader than that of a doctor. The healer is an integral part of a complex world view which sees religious beliefs, concepts of disease, human growth and development, and life and the hereafter as intricately interwoven. The government of Zimbabwe therefore recognized as early as 1980 the potential population health benefits of organizing traditional healers and establishing grassroots cooperation toward an integrated approach to health care. To that end, traditional healers were pressured to establish an associate body, ZINTHA, and soon after, the Traditional Medical Practitioners Act established a licensing system for traditional healers to be run by the Traditional Medical Council (TMC). ZINTHA and TMC are now in every administrative district of the country. Traditional midwives and their practices are an accepted part of the maternity system, with most receiving training in basic hygiene and sterilization techniques; a traditional drug used to induce labor has been accepted by doctors; and all medical students spend part of their training in rural areas to gain first-hand experience in traditional medicine. Against AIDS, workshops have been held in every district to facilitate the exchange of practical knowledge and advice among traditional healers and Western doctors on managing the disease. Western medicine is, however, mainly interested in the pharmacological knowledge of the herbalist and healer. These traditional practitioners are loathe to share their knowledge for the profit of Western pharmaceutical companies. The healers fear that giving away too much information may put them out of business.

  13. 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

  14. "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.

  15. Microbiological quality of water processed and bottled in Zimbabwe.

    PubMed

    Okagbue, R N; Dlamini, N R; Siwela, M; Mpofu, F

    2002-01-01

    A total of sixty samples of bottled water processed in Zimbabwe by three companies, were analysed microbiologically, to assess the relative safety of locally processed bottled water. The samples were from different batches and from different storage conditions and the analyses were for total viable counts and coliforms. Four (6.7%) and seven (11.7%) samples were found to exceed the recommended maximum total viable and coliform counts, respectively. There was a low incidence of Staphylococus aureus (3.3%), Pseudomonas species (6.7%) and Bacillus species (5%). Overall, the work shows that locally bottled water is generally safe, microbiologically, though it is necessary to continue with precautionary measures because any lapse in hygiene may lead to microbial proliferation.

  16. The 1993 Zimbabwe impact crater and meteorite expedition

    NASA Astrophysics Data System (ADS)

    Reimold, W. U.; Master, S.; Koeberl, C.; Robertson, D.

    1994-07-01

    In September 1993 our expedition visited four strucutres in Zimbabwe that had been selected because of circular outlines or because of unusual aeromagnetic anomalies. The first one, the 1.1-km-diameter Thuli structure was identified as a well-preserved volcanic caldera formed by a series of basaltic, gabbroic, and dioritic instrusions. Preliminary results of magnetic traverses are consistent with the model of a volcanic pipe. The 600- and 800-m-wide Save craters near the Mozambican border closely resemble young, well-preserved impact craters such as the Pretoria Saltpan crater in South Africa. However, detailed geological traverses revealed only volcanic rocks intruded into sandstone forming the sharp rim crests. The Mucheka region is the site of the most prominent aeromagnetic anomaly in Zimbabwe. In the absence of any exposures other than Archean basement, the cause of this anomaly is still unknown. None of the basement rock specimens obtained yielded any evidence for shock metamorphism. In 1985 German geologists reportedly noted a circular structure in the Highbury area on Landsat images. An approximately 25-km-wide circular structure is visible on a SPOT satellite image as well. The regional geological map revealed the presence of a slight elevation near the center of this otherwise flat area. The flat floor of this structure is formed by fertile soils overlying locally exposed Deweras arkose and metadolomites, in turn surrounded by hills of Lomagundi sandstones and slates. Near the geographical center a small hill of sandstone and quartzite was indeed detected. Reconnaissance sampling in 'rim' and 'central uplift' provided several specimens with significant numbers of quartz grains with single or multiple sets of planar deformation features (PDFs). A strongly hematized sample from the 'central uplift' contains shocked quartz and relics of glass.

  17. 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

  18. Student Participation and Responsible Citizenship in a Non-Polyarchy: An Evaluation of Challenges Facing Zimbabwe's Schools

    ERIC Educational Resources Information Center

    Tshabangu, Icarbord P.

    2006-01-01

    This article discusses perceptions on child participation and responsible citizenship in Zimbabwe's secondary schools. A brief outlook on Zimbabwe's values education is provided followed by a discussion of theoretical frameworks on citizenship and polyarchy and what these mean to the school. The article analyses teacher and student perceptions on…

  19. Randomized trial of sulfamethoxazole + trimethoprim versus procaine penicillin for the outpatient treatment of childhood pneumonia in Zimbabwe.

    PubMed Central

    Keeley, D. J.; Nkrumah, F. K.; Kapuyanyika, C.

    1990-01-01

    Reported are the results of a randomized trial of sulfamethoxazole + trimethoprim versus procaine penicillin for the outpatient treatment of pneumonia in 614 children aged 3 months to 12 years at primary health care clinics in Chitungwiza, a large town near Harare, Zimbabwe. Diagnosis and treatment were carried out by nurses, without medical supervision. The presence of lower respiratory tract infection that required antibiotics was diagnosed on the basis of a recent history of a cough and the presence of a respiratory rate of greater than 50 per minute. Patients were followed up by a research nurse with minimal drop-out losses. Referred children were examined and assessed by a doctor at the Chitungwiza General Hospital. Of the study children, 65 (11%) were referred to hospital, but only 8 (1.3%) had pneumonia that required a change in the treatment (5 in the sulfamethoxazole + trimethoprim group and 3 in the procaine penicillin group). There were no significant differences in outcome between the two treatment groups. One child, who had evidence of infection with human immunodeficiency virus (HIV), died. Sulfamethoxazole + trimethoprim and procaine penicillin were highly and equally effective for the outpatient treatment of children who had been clinically diagnosed to have pneumonia by primary health care workers. PMID:2194687

  20. Structural and attitudinal change: fertility decline in Zimbabwe.

    PubMed

    Adamchak, D J; Mbizvo, M T

    1993-01-01

    This paper investigates the effect of wives' and husbands' education, gender equality, and place of residence on children ever born. In 1984 the total fertility rate (TFR) in Zimbabwe was 6.5 births per woman and total contraceptive prevalence was 38%. By 1988-89 the TFR had declined to 5.5 per women and contraceptive prevalence increased to 43% among married women ages 15-49. The 1988 Zimbabwe Male Fertility Survey (ZMFS) provided the data on the Shona-speaking population, using a stratified cluster sampling design. 710 respondents were identified in each administrative enumeration area. The analysis was based on an unweighted subsample of respondents in the 11 rural, rural commercial, and urban enumeration areas and limited to wives in the 15-49 age group, yielding 457 people. Also 423 husbands with one wife were included, but the final sample was 393 after exclusions. All information gathered in the survey was obtained from male respondents, i.e., husbands. The reproductive age group of 15-49 was divided into equal age groupings of 15-29 and 30-49 with 182 and 211 couples respectively in the multiple regression analysis. Three models were estimated for each age group by successively adding variables. The effects of age and GENDEX (the gender equality index) were estimated, then the two dummy residence variables were added, and finally the two education variables were included. The 3 residence types for the 15-49 age group showed significant differences for GENDEX and both wives' and husbands' education. GENDEX significantly increased from rural to high density and from high density to middle class residences. In all age groups the independent variables of GENDEX, MIDCLASS and wife's education had a significant and negative influence on children ever born. In the 30-49 age group the overall mean was 5.6 children compared to 6.4 children ever born for the 40-49 age group. In the future primarily female education but also urban residence, gender equality, and

  1. Use of weeds as traditional vegetables in Shurugwi District, Zimbabwe

    PubMed Central

    2013-01-01

    Background Most agricultural weeds are usually regarded as undesirable and targeted for eradication. However, weeds are useful to human beings as food and traditional medicines. Few studies have been done to document the uses of weeds as traditional vegetables. This study was therefore, done to document indigenous knowledge related to the diversity and use of agricultural weeds as traditional vegetables in Shurugwi District, Zimbabwe, emphasizing their role in food security and livelihoods of the local people. Materials and methods Semi-structured interviews, observation and guided field walks with 147 participants were employed between December 2011 and January 2012 to obtain ethnobotanical data on the use of edible weeds as traditional vegetables. Based on ethnobotanical information provided by the participants, botanical specimens were collected, numbered, pressed and dried for identification. Results A total of 21 edible weeds belonging to 11 families and 15 genera, mostly from Amaranthaceae (19%), Asteraceae and Tiliaceae (14.3%), Capparaceae, Cucurbitaceae and Solanaceae (9.5% each) were identified. Of the documented edible weeds, 52.4% are indigenous while 47.6% are exotic to Zimbabwe; either semi-cultivated or growing naturally as agricultural weeds in farmlands, fallow land and home gardens. Among the main uses of edible weeds were leafy vegetables (81%), followed by edible fruits (19%), edible corms (9.5%), edible flowers and seeds (4.8% each). The most important edible weeds were Cleome gynandra, cited by 93.9% of the participants, Cucumis metuliferus (90.5%), Cucumis anguria (87.8%), Corchorus tridens (50.3%) and Amaranthus hybridus (39.5%). All edible weeds were available during rainy and harvest period with Cleome gynandra, Corchorus tridens, Cucumis anguria, Cucumis metuliferus and Moringa oleifera also available during the dry season, enabling households to obtain food outputs in different times of the year. The importance of edible weeds for local

  2. Community Factors Influencing Birth Spacing among Married Women in Uganda and Zimbabwe.

    PubMed

    McGuire, Courtney; Stephenson, Rob

    2015-03-01

    Short birth spacing continues to be a problem in Uganda and Zimbabwe, resulting in negative infant, child, and maternal health outcomes. This study investigates community-level influences on birth spacing outcomes among women aged 15-49 in Uganda and Zimbabwe, using Demographic and Health Surveys conducted in 2011 (Uganda) and 2010-2011 (Zimbabwe). Women living in communities with higher mean maternal age, mean age at marriage, and mean parity were significantly more likely to have longer birth spacing. Women living in communities with higher levels of contraceptive use and low levels of unmet contraceptive need were more likely to have short birth spacing. The significance of community-level demographic and fertility norms, gender norms, economic prosperity, and family planning behaviors demonstrate the broad influence of community variables on birth spacing outcomes. This analysis highlights the importance of moving beyond individual and household-level interventions in order to harness the power of contextual influences on birth spacing.

  3. Naturally occurring tetracycline-like fluorescence in sections of femur from jackals in Zimbabwe.

    PubMed

    Bingham, J; Matema, R; Kappeler, A; Hill, F W

    1994-08-20

    In assessing the potential of the tetracycline compounds as biomarkers in oral rabies vaccination campaigns in jackals in Zimbabwe, the natural prevalence of fluorescent compounds in bone tissue from jackals was investigated. Femur samples were taken from unbaited jackals received for routine rabies diagnosis, and thin undecalcified sections were cut and viewed under an ultraviolet microscope. Of 131 femur samples examined, 49 (37 per cent) had fluorescent markings indistinguishable from those of tetracycline. The result implies that the tetracycline compounds, which are commonly used in rabies baiting campaigns in Europe and North America, cannot be used as biomarkers in jackals in Zimbabwe.

  4. Quality of counselling of young clients in Zimbabwe.

    PubMed

    Kim, Y M; Marangwanda, C; Kols, A

    1997-08-01

    Researchers observed 418 consultations with clients aged 12-24 years at 38 health facilities throughout Zimbabwe and interviewed both the clients and providers. Less than one per cent of clients at these facilities were aged 12-14 years; between 5% and 20% were aged 15-19 years. Compared with older clients, those aged 12-16 years came more often for antenatal care and medical problems and less often for family planning. In sessions with 12-16 years, the most common topics were STDs (48%) and school (46%), while sessions with older clients focused more on family planning (56-68%). Providers rarely discussed adolescence or non-sexual problems such as alcohol and drugs. Younger clients were less likely than older clients to ask questions without prompting (16%), expressed their concerns (27%), and they were more likely to appear embarrassed (58%) and shy (64%). Most service providers believed that the parents should be notified if a young, unmarried client was pregnant (89%), had HIV/AIDS (74%), or engaged in sex at "an early" age (73%). The findings suggest that young people may be reluctant to seek advice at health facilities because of legitimate concerns about privacy, providers' attitudes, and narrow focus on reproductive health. PMID:9487418

  5. Changing men's attitudes and behavior: the Zimbabwe Male Motivation Project.

    PubMed

    Piotrow, P T; Kincaid, D L; Hindin, M J; Lettenmaier, C L; Kuseka, I; Silberman, T; Zinanga, A; Chikara, F; Adamchak, D J; Mbizvo, M T

    1992-01-01

    A multimedia communication campaign was conducted between 1988 and 1989 to promote family planning among men in Zimbabwe. The campaign consisted of a 52-episode semiweekly radio soap opera, about 60 motivational talks, and two pamphlets about contraceptive methods. Changes over time were measured by comparing a subset of a follow-up survey conducted from October to December 1989 to a baseline survey conducted from April to June 1988. Men exposed to the campaign were also compared to men who were not exposed. The follow-up survey revealed that the campaign reached 52 percent of men aged 18 to 55. Among married Shona-speaking men, use of modern contraceptive methods increased from about 56 percent to 59 percent during the campaign. Condom use increased from about 5 percent to 10 percent. Awareness and current use of modern contraceptives was also higher among men exposed to the campaign, primarily because of their greater awareness of condoms. Men exposed to the campaign were significantly more likely than other men to make the decision to use family planning and to say that both spouses should decide how many children to have.

  6. Closely associated theropod trackways from the Jurassic of Zimbabwe.

    PubMed

    Lingham-Soliar, Theagarten; Broderick, Tim; Ait Kaci Ahmed, Ali

    2003-12-01

    Eighty-eight tracks of large theropod dinosaurs were found in the mid-Jurassic of Zimbabwe. Among the tracks, at least five adjacent trackways are recorded. The adjacent tracks were probably made by animals traveling as a group, given that they are in relatively close succession; that there are three overlapping tracks (among just 23) suggesting reasonably close associations of the animals; that all the tracks are apparently of the same ichnotaxon; that the preservational types of the tracks are similar; and that the tracks are all of animals traveling in one general direction closely associated in time (there are no returning tracks of the same animals or of those of other species; presence of such tracks would be highly probable if the tracks were made over a period of time of even several hours). Nearby, recently discovered giant sauropod tracks, the first in sub-Saharan Africa, indicate a realistic potential of predator/prey interactions between the two groups of dinosaurs. PMID:14676955

  7. Closely associated theropod trackways from the Jurassic of Zimbabwe.

    PubMed

    Lingham-Soliar, Theagarten; Broderick, Tim; Ait Kaci Ahmed, Ali

    2003-12-01

    Eighty-eight tracks of large theropod dinosaurs were found in the mid-Jurassic of Zimbabwe. Among the tracks, at least five adjacent trackways are recorded. The adjacent tracks were probably made by animals traveling as a group, given that they are in relatively close succession; that there are three overlapping tracks (among just 23) suggesting reasonably close associations of the animals; that all the tracks are apparently of the same ichnotaxon; that the preservational types of the tracks are similar; and that the tracks are all of animals traveling in one general direction closely associated in time (there are no returning tracks of the same animals or of those of other species; presence of such tracks would be highly probable if the tracks were made over a period of time of even several hours). Nearby, recently discovered giant sauropod tracks, the first in sub-Saharan Africa, indicate a realistic potential of predator/prey interactions between the two groups of dinosaurs.

  8. Fluoride levels and dental fluorosis in two districts in Zimbabwe.

    PubMed

    Tobayiwa, C; Musiyambiri, M; Chironga, L; Mazorodze, O; Sapahla, S

    1991-11-01

    Water from two rural communities in Zimbabwe was analysed for fluoride content and school children in the two districts were examined for dental fluorosis. The survey for fluoride distribution in drinking water and the survey for the prevalence of fluorosis in the two districts were two complementary phases of the same project. In Gokwe District, water from artesian wells was found to contain between 5ppm and 10ppm fluoride ion concentration and as a result, fluorosis was found to be extremely severe in those communities solely dependent on artesian wells. In Chimanimani District, water from hot springs was found to contain five to six ppm fluoride ion concentration and in the catchment area of schools, drinking from hot springs fluorosis was also found to be very severe. In both cases, access to high fluoride water can be linked to administrative decisions taken some thirty years ago. Consideration for the long-term adverse effects of drinking water with excess fluoride had not been taken and now, corrective action will need to incorporate inter-disciplinary expertise.

  9. Adolescent pregnancy in Zimbabwe: distribution by socio-demographic factors.

    PubMed

    Siziya, S; Rusakaniko, S; Marufu, T; Matchaba, R; Mudyarabikwa, O; Gwanzura, L

    1998-01-01

    We conducted a further analysis of the Zimbabwe 1994 demographic health survey data to determine demographic and social factors associated with adolescent pregnancies in Zimba notbwe. Out of a total of 1486 female adolescents sampled, 12 did not provide information on whether they had begun child bearing, and were therefore excluded from the analysis. Significantly elevated odds ratios (OR) were noted for age (OR=2.27,95% confidence interval (CI) 2.01-2.58) and having primary or no education (OR=1.58, 95%CI 1.35,1.87). Watching television every week was protective (OR=0.69, 95%CI 0.57-0.83). Heads of households with less than 25 years of age were 2.10 (95%CI 1.54-2.87) times more likely to have adolescents who were pregnant when compared with heads of households of age 35 years or more. We conclude that electronic media should be continued to be used to deliver sex education messages to adolescents in order to curb the adolescent pregnancy epidemic.

  10. Determinants of contraceptive knowledge among teenagers in Zimbabwe.

    PubMed

    Siziya, S

    2000-01-01

    An analysis was conducted using the Zimbabwe 1994 demographic health survey data to determine social and demographic factors associated with the knowledge of contraceptive methods among teenagers. The sample comprised of 1486 teenagers. The condom (89.1%) and the pill (88.8%) were the most commonly known contraceptive methods . Teenagers with up to seven years of education were 90% (95%CI 60 %to 98%) and 84% (95% CI 58% to 93%) less likely to have the knowledge of the condom and the pill, respectively, compared to teenagers who had 11 or 12 years of education. Compared to teenagers who were not sexually active, teenagers who were sexually active were 2.94 ((95% CI 1.94 to 4.46) and 4.33 (95% CI 2.73 to 6.86) times more likely to have the knowledge of the condom and the pill, respectively. Listening to the radio everyday was associated with the knowledge of the condom (OR = 1.65, 95% CI 1.07 to 2.55) and the pill. (OR= 1.51,95%CI 1.04 to 2.21). Watching television every week was only associated with the condom knowledge (OR = 2.81, 95 % CI 1.47 to 5.39). In conclusion, sex education in schools should start early before girls become sexually active. Continued use of electronic media to disseminate information on contraceptives is strongly recommended.

  11. 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 facto"…

  12. 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…

  13. 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…

  14. 3 CFR - Continuation of the National Emergency With Respect to Zimbabwe

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... or institutions in Zimbabwe, pursuant to the International Emergency Economic Powers Act (50 U.S.C. 1701-1706). He took this action to deal with the unusual and extraordinary threat to the foreign policy of the United States constituted by the actions and policies of certain members of the Government...

  15. 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…

  16. 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…

  17. 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…

  18. Particles in Action. Study Guide. Unit C2. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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 is a four-part unit…

  19. 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…

  20. 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,…

  1. Genome Sequences of Brucella abortus and Brucella suis Strains Isolated from Bovine in Zimbabwe

    PubMed Central

    Ledwaba, Betty; Mafofo, Joseph

    2014-01-01

    This is a report of whole-genome sequences of a Brucella abortus strain and two Brucella suis strains isolated from bovine in Zimbabwe. These strains were selected based on their origin and data obtained when using multiplex PCR assays, then sequenced using next-generation sequencing technologies. PMID:25342680

  2. College-School Dialogue and Mentoring in Teacher Training Programmes in Zimbabwe

    ERIC Educational Resources Information Center

    Maunganidze, Omega

    2015-01-01

    Globally, mentoring has been recognized as one of the effective approaches in professional training and development of teachers. Most importantly, in Zimbabwe, mentoring has been largely adopted as one of the Teaching Practice strategies by teacher training colleges and schools. Good quality mentoring in schools makes an important contribution to…

  3. What is Matter? Teacher's Guide. Unit C1. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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…

  4. What is Matter? Study Guide. Unit C1. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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 is a two-part unit…

  5. 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…

  6. Challenges for Open and Distance Learning (ODL) Students: Experiences from Students of the Zimbabwe Open University

    ERIC Educational Resources Information Center

    Musingafi, Maxwell C. C.; Mapuranga, Barbra; Chiwanza, Kudzai; Zebron, Shupikai

    2015-01-01

    The purpose of this study was to investigate the challenges facing Open and Distance Learning students at the Zimbabwe Open University (ZOU). The study was conducted at ZOU Masvingo Regional Campus. The study employed both qualitative and quantitative approaches. The main data collection techniques were questionnaires and structured interviews,…

  7. 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…

  8. 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…

  9. Reaction to rust by a subset of sorghum accessions from Zimbabwe

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Sorghum rust (Puccinia purpurea) is a foliar disease that affects sorghum productivity worldwide. The use of resistant sources is the most effective and stable way to control the disease. In this study, 68 sorghum accessions from the Zimbabwe collection maintained by the USDA-ARS, Plant Genetic Re...

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

    Technology Transfer Automated Retrieval System (TEKTRAN)

    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...

  11. 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…

  12. 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…

  13. Bandwidth Management in Universities in Zimbabwe: Towards a Responsible User Base through Effective Policy Implementation

    ERIC Educational Resources Information Center

    Chitanana, Lockias

    2012-01-01

    This research was undertaken to investigate the issue of how to maximise or make efficient use of bandwidth. In particular, the research sought to find out about what universities in Zimbabwe are doing to manage their bandwidth. It was, therefore, appropriate to survey a sample of five universities and to catalogue their experiences. Results show…

  14. 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…

  15. The occurrence of Culicoides species, the vectors of arboviruses, at selected trap sites in Zimbabwe.

    PubMed

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

    2015-05-29

    A study of the distribution of Culicoides species was conducted by establishing 12 light trap sites over five rainy seasons between 1998 and 2003 covering all the geo-climatic natural regions of Zimbabwe. In total, 279 919 specimens of Culicoides were trapped over a total of 163 trapping nights. The highest median counts of Culicoides per trapping night were recorded in natural region III, which has climatic conditions conducive to the successful development of the larvae. Culicoides imicola, the major vector of bluetongue and African horse sickness viruses in Africa, was found to be the most abundant species (80.4%), followed by Culicoides enderleini (5.9%) and Culicoides milnei (5.2%). This study identified 10 species of Culicoides that had not been previously described in Zimbabwe, including Culicoides loxodontis and Culicoides miombo, which are members of the C. imicola complex. A total of 23 994 Culicoides midges were collected from five trap sites in Harare, Zimbabwe, with the dominant species, C. imicola, representing 91.6% of the total collection. Seventeen arboviruses were isolated from these midges, 15 of which were bluetongue virus. The predominant bluetongue virus serotype was serotype 11, followed by serotypes 1, 8, 12 and 15. Bluetongue virus serotypes 1, 2, 8, 10, 12, 15, 16 and 18, detected in this study, had not been previously reported in Zimbabwe.

  16. 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…

  17. 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…

  18. 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…

  19. "Whipping into Line": The Dual Crisis of Education and Citizenship in Postcolonial Zimbabwe

    ERIC Educational Resources Information Center

    Matereke, Kudzai Pfuwai

    2012-01-01

    This article draws from my current research on the challenges that the concept "citizenship" brings to postcolonial Africa. The article takes Zimbabwe as a case study with the view to interrogate how the decade-long crisis has been obfuscated by the elites' manipulation of the education system which has left it redundant for envisioning both…

  20. 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…

  1. Particles in Action. Teacher's Guide. Unit C2. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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…

  2. Inconsistencies within Attachment Teaching Practice in Zimbabwe: Call for a Participatory Model

    ERIC Educational Resources Information Center

    Chikunda, Charles

    2008-01-01

    This article raises some inconsistencies observed in attachment teaching practice in Zimbabwe. The argument made is that these inconsistencies are caused by the different philosophical approaches informing attachment teaching practice and its delivery, which is largely visible in teaching practice supervision. The discussion shows that while…

  3. A Critical Analysis of the Historical and Contemporary Status of Minority Languages in Zimbabwe

    ERIC Educational Resources Information Center

    Makoni, Sinfree

    2011-01-01

    Although a voluminous amount of literature addresses language-in-education policy in Africa, one area in which the literature remains sparse is the role of minority languages in education. This article presents an overview of complex issues regarding the hegemony claims of different minority language groups in Zimbabwe. Given the relatively small…

  4. 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…

  5. 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…

  6. 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…

  7. 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. PMID:1469676

  8. 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…

  9. 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…

  10. 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…

  11. Department Involvement in Instructional Materials Development for ODL Study at the Zimbabwe Open University (ZOU)

    ERIC Educational Resources Information Center

    Tanyanyiwa, Vincent Itai; Mutambanengwe, Betty

    2015-01-01

    The teaching and designing of modules at Zimbabwe Open University (ZOU) is the principal responsibility of a single body of teaching staff, although some authors and content reviewers could be sourced from elsewhere if they are not available in ZOU. This survey, through a case study, examines the involvement of lecturers and staff in the…

  12. 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…

  13. Teaching Fractions at Ordinary Level: A Case Study of Mathematics Secondary School Teachers in Zimbabwe

    ERIC Educational Resources Information Center

    Chinyoka, Mirirai; Mutambara, Lillias H. N.; Chagwiza, C. J.

    2012-01-01

    The aim of the study was to investigate the teaching of fractions by Ordinary level mathematics teachers at Radcliff high school in Zimbabwe. The main objective of the study was to establish how teachers teach the concept of fraction and to find out why they teach in the manner they do. A case study research design was used and purposive sampling…

  14. The Relevance of Machine Shop Engineering Programs in Technical Colleges to Industry in Zimbabwe.

    ERIC Educational Resources Information Center

    Gweru, Sisco

    A study investigated the relationship between existing machine shop engineering programs in technical colleges and the requirements of industry in Zimbabwe. Data were collected from the principals, department headmasters, and a sample of lecturers and students at two colleges, and from personnel managers and workshop managers at nine companies…

  15. A nationally representative survey of healthcare provider counselling and provision of the female condom in South Africa and Zimbabwe

    PubMed Central

    Holt, Kelsey; Blanchard, Kelly; Chipato, Tsungai; Nhemachena, Taazadza; Blum, Maya; Stratton, Laura; Morar, Neetha; Ramjee, Gita; Harper, Cynthia C

    2013-01-01

    Objectives Female condoms are the only female-initiated HIV and pregnancy prevention technology currently available. We examined female condom counselling and provision among providers in South Africa and Zimbabwe, high HIV-prevalence countries. Design A cross-sectional study using a nationally representative survey. Setting All facilities that provide family planning or HIV/sexually transmitted infection (STI) services. Participants National probability sample of 1444 nurses and physicians who provide family planning or HIV/STI services. Primary and secondary outcome measures Female condom practices with different female patients, including adolescents, married women, women using hormonal contraception and by HIV status. Using multivariable logistic analysis, we measured variations in condom counselling by provider characteristics. Results Most providers reported offering female condoms (88%; 1239/1415), but perceived a need for novel female barrier methods for HIV/STI prevention (85%; 1191/1396). By patient type, providers reported less frequent female condom counselling of adolescents (55%; 775/1411), women using hormonal contraception (65%; 909/1409) and married women (66%; 931/1416), compared to unmarried (74%; 1043/1414) or HIV-positive women (82%; 1161/1415). Multivariable results showed providers in South Africa were less likely to counsel women on female condoms than in Zimbabwe (OR=0.48, 95% CI 0.35 to 0.68, p≤0.001). However, South African providers were more likely to counsel women on male condoms (OR=2.39, 95% CI 1.57 to 3.65, p≤0.001). Nurses counselled patients on female condoms more frequently than physicians (OR=5.41, 95% CI 3.26 to 8.98, p≤0.001). HIV training, family planning training, location (urban vs rural) and facility type (hospital vs clinic) were not associated with greater condom counselling. Conclusions Female condoms were integrated into provider counselling and care, although providers reported a need for new female

  16. Transition to Parenthood and HIV Infection in Rural Zimbabwe

    PubMed Central

    Piccarreta, Raffaella; Gregson, Simon; Melegaro, Alessia

    2016-01-01

    Background The relationship between the risk of acquiring human immunodeficiency virus (HIV) infection and people’s choices about life course events describing the transition to parenthood–sexual debut, union (in the form of marriage, cohabitation, or long-term relationship), and parenthood–is still unclear. A crucial role in shaping this relationship may be played by the sequence of these events and by their timing. This suggests the opportunity to focus on the life courses in their entirety rather than on the specific events, thus adopting a holistic approach that regards each individual’s life course trajectory as a whole. Methods We summarise the individual life courses describing the transition to parenthood using ordered sequences of the three considered events. We aim to (i) investigate the association between the sequences and HIV infection, and (ii) understand how these sequences interact with known mechanisms for HIV transmission, such as the length of sexual exposure and the experience of non-regular sexual partnerships. For this purpose, we use data from a general population cohort study run in Manicaland (Zimbabwe), a Sub-Saharan African area characterised by high HIV prevalence. Results For both genders, individuals who experienced either premarital or delayed childbearing have higher HIV risk compared to individuals following more standard transitions. This can be explained by the interplay of the sequences with known HIV proximate determinants, e.g., a longer exposure to sexual activity and higher rates of premarital sex. Moreover, we found that people in the younger birth cohorts experience more normative and safer sequences. Conclusions The shift of younger generations towards more normative transitions to parenthood is a sign of behaviour change that might have contributed to the observed reduction in HIV prevalence in the area. On the other hand, for people with less normative transitions, targeted strategies are essential for HIV

  17. Bladder cancer: epidemiology and risk factors in Bulawayo, Zimbabwe.

    PubMed

    Vizcaino, A P; Parkin, D M; Boffetta, P; Skinner, M E

    1994-11-01

    The incidence of bladder cancer, and the importance of some selected risk factors in its etiology, were estimated from the data collected in the cancer registry of Bulawayo, Zimbabwe, during the period 1963-77. Cancer cases were interviewed with a standard questionnaire, and more than 70 percent of these were complete. Incidence rates in the urban population of Bulawayo in the first 10-year period were relatively high, with age standardized rates of 17.9 per 100,000 in men and 9.5 in women. Risk-factor distribution was compared in 680 bladder cancer cases (494 males, 186 females) and a control group comprising other cases with non-tobacco-related cancers (8,201). Seventy-one percent of bladder cancer cases were squamous cell carcinomas. The presence of schistosomiasis, evaluated from past history of bilharzia or hematuria, was associated with a significantly increased risk of bladder cancer in both genders (odds ratio [OR] = 3.9 for men, 5.7 for women), a result reflected in the differing risk by province of residence, which correlated with the prevalence of infection among cancer cases. The proportion of bladder cancer attributable to schistosomiasis was estimated to be 28 percent. Social status, as reflected by education level, also influenced risk (ORs for literate cf illiterate males = 0.6), but tobacco smoking in men had no effect on the risk of squamous cell tumors. For transitional cell carcinomas or adenocarcinomas, there was a nonsignificant increased risk of 2.0 in the highest smoking categories (15 g of tobacco per day), compared with non smokers.

  18. 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

  19. Changes in the burden of malaria following scale up of malaria control interventions in Mutasa District, Zimbabwe

    PubMed Central

    2013-01-01

    Background To better understand trends in the burden of malaria and their temporal relationship to control activities, a survey was conducted to assess reported cases of malaria and malaria control activities in Mutasa District, Zimbabwe. Methods Data on reported malaria cases were abstracted from available records at all three district hospitals, three rural hospitals and 25 rural health clinics in Mutasa District from 2003 to 2011. Results Malaria control interventions were scaled up through the support of the Roll Back Malaria Partnership, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and The President’s Malaria Initiative. The recommended first-line treatment regimen changed from chloroquine or a combination of chloroquine plus sulphadoxine/pyrimethamine to artemisinin-based combination therapy, the latter adopted by 70%, 95% and 100% of health clinics by 2008, 2009 and 2010, respectively. Diagnostic capacity improved, with rapid diagnostic tests (RDTs) available in all health clinics by 2008. Vector control consisted of indoor residual spraying and distribution of long-lasting insecticidal nets. The number of reported malaria cases initially increased from levels in 2003 to a peak in 2008 but then declined 39% from 2008 to 2010. The proportion of suspected cases of malaria in older children and adults remained high, ranging from 75% to 80%. From 2008 to 2010, the number of RDT positive cases of malaria decreased 35% but the decrease was greater for children younger than five years of age (60%) compared to older children and adults (26%). Conclusions The burden of malaria in Mutasa District decreased following the scale up of malaria control interventions. However, the persistent high number of cases in older children and adults highlights the need for strategies to identify locally effective control measures that target all age groups. PMID:23815862

  20. Gender, poverty and economic adjustment in Harare, Zimbabwe.

    PubMed

    Kanji, N

    1995-04-01

    This study examines the gender-differentiated effects of Structural Adjustment Programs (SAPs) on households in Zimbabwe during 1991. Interviews and focus groups were conducted among 120 randomly selected households in Kambuzuma, a densely populated suburb of Harare with mostly Black residents with a considerable range in income. Interviews were conducted in mid-1991 and reinterviews were conducted among 100 households in mid-1992. 40 semi-structured interviews and focus groups were conducted. Policy changes were partially instituted, and intensification of changes was planned during 1991-95. By 1992 debt servicing increased rather than decreased as planned. Adjustments were made in employment sectors, cost of living, and social services. Findings reveal that cost of living for lower-income urban families rose by 45%. Expenditures showed a real decline among the lowest 25% income group by 12.4%. Food expenditures declined by 15.4% in real income in the lowest income group and by only 3.4% in the highest income group. Food declines in male-headed households were 1.3% in real terms, but 13.4% in female-headed households, which were predominantly low-income households. The lowest-income households were found to cut back on absolute amounts of food consumed, as well as shifting to food with greater bulk and less protein. The mid-day meal among women and children was eliminated. Rents increased, as did transportation costs. Low-income and high-income (with 3-4 children) households had difficulty paying school fees. Out of the sample of 100, the number of households that could not afford to buy clothes increased from 6 to 28 during 1991-92. 89% of households were employed in 1991, but only 85% were employed in 1992. The number of second earners increased by 1%. Unemployment numbers and dependents rose. Women's income generating activities declined during 1991-92. Average monthly income from regular activities declined by 45% in real terms and declined for irregular

  1. Insecticide resistance in malaria-transmitting mosquitoes in Zimbabwe: a review.

    PubMed

    Soko, White; Chimbari, Moses J; Mukaratirwa, Samson

    2015-01-01

    Malaria is a global public health problem, with about 3.2 billion people at risk of infection. The populations at risk mainly reside in Africa, Asia and America, with African populations accounting for the largest burden of the disease. In 2013, close to 198 million malaria cases were reported, leading to 584,000 deaths. Much (90 %) of the mortality rates were recorded from the World Health Organization (WHO) database in the African region and 78 % of these occurred in children under the age of five. In Zimbabwe, approximately half of the population is at risk of infection with malaria.Insecticide residual spraying (IRS) has been documented as an effective way to control malaria and has been adopted globally by the WHO and national governments. However, both insecticide resistance and climate change threaten to reverse the progress made by IRS in malaria control. Resistance has been reported in all four classes of insecticides approved by the WHO for vector control intervention. Variability of environmental temperature is suspected to complicate the situation through alteration in the genetic structure, and enzyme and protein profiles of mosquitoes. In Zimbabwe, little research has been done on the interaction between climate change, temperature variability and insecticide resistance in malarial mosquitoes over time. Such information is important for informing policies on insecticide selection for IRS.We reviewed literature on insecticide sensitivity among malarial mosquitoes in Zimbabwe from 1972 to 2014. International peer-reviewed articles on insecticide sensitivity in Zimbabwe, published in English in this time period, were searched using MEDLINE® (PubMed), Google Scholar, Google and grey literature. Eight publications were eligible for the present study, with one of the articles being a review paper. Six articles covered insecticide resistance, while the other two articles, published in 2000, were about the absence of resistance. Contradicting resistance

  2. Insecticide resistance in malaria-transmitting mosquitoes in Zimbabwe: a review.

    PubMed

    Soko, White; Chimbari, Moses J; Mukaratirwa, Samson

    2015-01-01

    Malaria is a global public health problem, with about 3.2 billion people at risk of infection. The populations at risk mainly reside in Africa, Asia and America, with African populations accounting for the largest burden of the disease. In 2013, close to 198 million malaria cases were reported, leading to 584,000 deaths. Much (90 %) of the mortality rates were recorded from the World Health Organization (WHO) database in the African region and 78 % of these occurred in children under the age of five. In Zimbabwe, approximately half of the population is at risk of infection with malaria.Insecticide residual spraying (IRS) has been documented as an effective way to control malaria and has been adopted globally by the WHO and national governments. However, both insecticide resistance and climate change threaten to reverse the progress made by IRS in malaria control. Resistance has been reported in all four classes of insecticides approved by the WHO for vector control intervention. Variability of environmental temperature is suspected to complicate the situation through alteration in the genetic structure, and enzyme and protein profiles of mosquitoes. In Zimbabwe, little research has been done on the interaction between climate change, temperature variability and insecticide resistance in malarial mosquitoes over time. Such information is important for informing policies on insecticide selection for IRS.We reviewed literature on insecticide sensitivity among malarial mosquitoes in Zimbabwe from 1972 to 2014. International peer-reviewed articles on insecticide sensitivity in Zimbabwe, published in English in this time period, were searched using MEDLINE® (PubMed), Google Scholar, Google and grey literature. Eight publications were eligible for the present study, with one of the articles being a review paper. Six articles covered insecticide resistance, while the other two articles, published in 2000, were about the absence of resistance. Contradicting resistance

  3. "Living from day to day": food insecurity, complexity, and coping in muTare, Zimbabwe.

    PubMed

    Gwatirisa, Pauline; Manderson, Lenore

    2012-01-01

    In Zimbabwe, unpredictable conditions associated with structural and institutional factors exacerbated the combined effects of structural violence, economic and political instability, and climate change in the mid 2000s, contributing to widespread food insecurity. Drought, food shortages, and government settlement policy affecting both rural and urban populations has yielded a national human rights crisis. Drawing on ethnographic research conducted in Mutare, southeast Zimbabwe, in 2005-2006, the authors illustrate the flow-on effects of drought and government policy on the livelihoods of households already suffering as a result of the social impacts of AIDS, and how people in a regional city responded to these factors, defining and meeting their basic food needs in diverse ways. PMID:22455860

  4. The importation of the black rhinoceros (Diceros bicornis) from Zimbabwe into Australia.

    PubMed

    Kelly, J D; Blyde, D J; Denney, I S

    1995-10-01

    The paper describes a program to import and breed black rhinoceros ex situ at Western Plains Zoo in Australia. Nine rhinoceros (7 females and 2 males) captured in 1992 in Chete National Park, Zimbabwe, were transported to Australia via Cocos Island. The veterinary treatment of the animals before and during quarantine in Zimbabwe and on Cocos (Keeling) Islands is described. Three animals died; an adult male on Cocos Islands and a juvenile male and an adult female at Western Plains Zoo, Dubbo, New South Wales. The juvenile male died as a result of trauma sustained shortly after arrival and the two adults after developing a severe hepatopathy. The group of 6 females and an additional 4 males imported from the USA in 1994 have adapted well to captivity and to the climate and environment of central west New South Wales.

  5. Monitoring of early warning indicators for HIV drug resistance in antiretroviral therapy clinics in Zimbabwe.

    PubMed

    Dzangare, J; Gonese, E; Mugurungi, O; Shamu, T; Apollo, T; Bennett, D E; Kelley, K F; Jordan, M R; Chakanyuka, C; Cham, F; Banda, R M

    2012-05-01

    Monitoring human immunodeficiency virus drug resistance (HIVDR) early warning indicators (EWIs) can help national antiretroviral treatment (ART) programs to identify clinic factors associated with HIVDR emergence and provide evidence to support national program and clinic-level adjustments, if necessary. World Health Organization-recommended HIVDR EWIs were monitored in Zimbabwe using routinely available data at selected ART clinics between 2007 and 2009. As Zimbabwe's national ART coverage increases, improved ART information systems are required to strengthen routine national ART monitoring and evaluation and facilitate scale-up of HIVDR EWI monitoring. Attention should be paid to minimizing loss to follow-up, supporting adherence, and ensuring clinic-level drug supply continuity. PMID:22544194

  6. "Living from day to day": food insecurity, complexity, and coping in muTare, Zimbabwe.

    PubMed

    Gwatirisa, Pauline; Manderson, Lenore

    2012-01-01

    In Zimbabwe, unpredictable conditions associated with structural and institutional factors exacerbated the combined effects of structural violence, economic and political instability, and climate change in the mid 2000s, contributing to widespread food insecurity. Drought, food shortages, and government settlement policy affecting both rural and urban populations has yielded a national human rights crisis. Drawing on ethnographic research conducted in Mutare, southeast Zimbabwe, in 2005-2006, the authors illustrate the flow-on effects of drought and government policy on the livelihoods of households already suffering as a result of the social impacts of AIDS, and how people in a regional city responded to these factors, defining and meeting their basic food needs in diverse ways.

  7. A descriptive study of the changing roles and practices of traditional birth attendants in Zimbabwe.

    PubMed

    Sparks, B T

    1990-01-01

    In Zimbabwe, traditional birth attendants (TBAs) attend more than 50% of the births. Training courses to improve their skills have been offered since 1983. Although there are many assumptions about the TBAs' work, there has been little formal investigation. This is a descriptive study of the practice and attitudes of trained and untrained TBAs in Zimbabwe. Seventy-one midwives were divided into groups according to geographic area and attendance at an upgrading course. Data were obtained through informal small group interviews and observation. Findings indicate that TBAs have traditionally been both health educators and health providers. Midwives who have attended the training course exhibit improved practices, refer more high-risk pregnant women to clinics, and perceive themselves to be attending fewer births. As a result of delivering fewer babies, the TBAs believe that they have lost credibility as health educators.

  8. Weight discrepancy and body appreciation of Zimbabwean women in Zimbabwe and Britain.

    PubMed

    Swami, Viren; Mada, Rujeko; Tovée, Martin J

    2012-09-01

    Few studies have investigated a cultural group's corporeal experiences in both its country of origin and a host, Western country using the same methodology. To overcome this dearth in the literature, the present study examined body image among 140 women in Harare, Zimbabwe, and an age-matched sample of 138 Zimbabwean migrants in Britain. Participants completed measures of actual-ideal weight discrepancy, body appreciation, and lifetime exposure to Western and Zimbabwean media. Preliminary analyses showed that there were no significant differences in body mass index between the two groups. Further analyses showed that Zimbabwean women in Britain had significantly greater weight discrepancy and lower body appreciation than their counterparts in Zimbabwe. In addition, weight discrepancy and body appreciation among both samples were significantly associated with exposure to Western media, but not Zimbabwean media. These findings support the contention that transcultural migration may place individuals at risk for symptoms of negative body image.

  9. 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…

  10. 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.

  11. Establishing strategic energy assessment indicators for Zimbabwe: A key to improving electrical energy efficiency

    NASA Astrophysics Data System (ADS)

    Goto, Felix

    In Zimbabwe, there is still very little realization of the potential of demand side management (DSM) to increase industrial energy efficiency. Without clear guidelines that indicate the most economic energy efficiency strategies to implement, it is difficult for industry to easily evaluate the benefits of energy assessments. This research focused on establishing and evaluating indicators that guide correct implementation of energy assessments into Zimbabwean industry. This quantitative and qualitative study used a theoretic approach to develop indicators that identified industrial subsectors that should be targeted for DSM interventions. This may bring about reduction in energy demand in high power consuming Zimbabwean industrial companies, which were compared with energy utility performances of similar industrial companies in countries located in other parts of the world. This research used pattern-matching, categorical aggregation, and stochastic frontier regression analysis for data analysis. In maximizing electrical efficiency, the implications of this study may be used by individual companies in Zimbabwe to perform energy efficiency self-diagnoses, operational efficiency evaluations, and capital resource justifications. From a societal perspective, this study may benefit Zimbabwe because it provides opportunities for the alleviation of both shortages in power supply and the capital constraints of building new generating capacity. This study will also benefit ordinary Zimbabweans by lowering energy costs and providing reliable power. This promotes sustainable economic growth and lowers the need for foreign currency to import power.

  12. A review of new challenges and prospects for malaria elimination in Mutare and Mutasa Districts, Zimbabwe.

    PubMed

    Sande, Shadreck; Zimba, Moses; Chinwada, Peter; Masendu, Hieronymo Takundwa; Mberikunshe, Joseph; Makuwaza, Aramu

    2016-01-01

    This review outlines and discusses the new challenges in malaria control and prospects for its elimination in Mutare and Mutasa Districts, Zimbabwe. The burden of malaria has declined significantly over the past 5 years in most regions in Zimbabwe, including Mutare and Mutasa Districts. The nationwide malaria reduction has been primarily linked to scaled-up vector control interventions and early diagnosis and treatment with effective anti-malarial medicines. The successes recorded have prompted Zimbabwe's National Malaria Control Programme to commit to a global health agenda of eliminating malaria in all districts in the country. However, despite the decline in malaria burden in Mutare and Mutasa Districts, there is clear evidence of new challenges, including changes in vector behaviour, resistance to insecticides and anti-malarial medicines, invasion of new areas by vectors, vectors in various combination of sympatry, changes in vector proportions, outdoor malaria transmission, climate change and lack of meticulousness of spray operators. These new challenges are likely to retard the shift from malaria control to elimination in Mutare and Mutasa Districts. PMID:27411705

  13. 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.

  14. A nation in pain: why the HIV/AIDS epidemic is out of control in Zimbabwe.

    PubMed

    Sibanda, A

    2000-01-01

    There has been a dramatic increase in the number of people living with HIV and the number who have died of AIDS-related diseases in Zimbabwe since the early 1990s. This increase has caused shock waves and panic in Zimbabwe and in the entire southern African region. Understanding the factors that have given rise to and sustained patterns of sexual behavior that allow HIV to be transmitted easily and quickly among the general populace is of paramount importance if HIV/AIDS prevention campaigns are to be better formulated and to be effective in this part of sub-Saharan Africa. This article makes a contribution to those studies that seek to examine socioeconomic, cultural, political, and psychological factors determining high-risk sexual behaviors leading to heterosexual HIV infection in the African context. The author contends that the focus of HIV/AIDS prevention programs should be on a myriad of socioeconomic, cultural, political, and behavioral factors instead of just on women and prostitutes--groups that have the least negotiating power within the context of sex and reproduction in a patriarchal society such as Zimbabwe. The author also points out many important areas that have been omitted in the study of HIV transmission and AIDS in Africa.

  15. Maternal versus paternal orphans and HIV/STI risk among adolescent girls in Zimbabwe.

    PubMed

    Kang, M; Dunbar, M; Laver, S; Padian, N

    2008-02-01

    The AIDS epidemic has contributed to a drastic increase in the number of orphans in Zimbabwe. Orphans (whether orphaned by AIDS or other causes) have been shown to have economic and educational disadvantages as well as poor reproductive health outcomes. We recruited a convenience sample of 200 girls in a peri-urban area of Zimbabwe to examine the impact of orphan status (compared to non-orphans) on household composition, education, risk behaviour, pregnancy and prevalent HIV and HSV-2 infection. In our population, maternal orphans were more likely to be in households headed by themselves or a sibling, to be sexually active, to have had an STI, to have been pregnant and to be infected with HIV. Paternal orphans were more likely to have ever been homeless and to be out of school. Our findings suggest that maternal care and support is important for HIV prevention. This finding corroborates previous research in Zimbabwe and has implications for intervention strategies among orphan girls. PMID:18293132

  16. 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…

  17. 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;…

  18. We Are Your Children: The Kushanda Early Childhood Education and Care Dissemination Programme, Zimbabwe 1985-1993. Early Childhood Development: Practice and Reflections, Number 7.

    ERIC Educational Resources Information Center

    Booker, Salih

    Part of the series "Early Childhood Development: Practice and Reflections," this report details the Kushanda Project, an early childhood education program in Zimbabwe. The Kushanda Project is a 16-person organization that has helped parents in rural Zimbabwe communities to understand the value of early childhood education and development. Since…

  19. The Challenges of Using the Communicative Approach (CA) in the Teaching of English as a Second Language (ESL) in Zimbabwe: Implications for ESL Teacher Education

    ERIC Educational Resources Information Center

    Mutekwa, Anias

    2013-01-01

    This article examines studies done on the use of the CA locally, in addition to insights from studies done abroad, as well as critically examining the nature of the CA and the language situation in Zimbabwe, to identify and discuss the main challenges associated with the use of this approach to the teaching of ESL in Zimbabwe and its implications…

  20. HIV-Exposed Uninfected Infants in Zimbabwe: Insights into Health Outcomes in the Pre-Antiretroviral Therapy Era.

    PubMed

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

    2016-01-01

    The ZVITAMBO trial recruited 14,110 mother-infant pairs to a randomized controlled trial of vitamin A between 1997 and 2000, before the availability of antiretroviral therapy for HIV prophylaxis or treatment in Zimbabwe. The HIV status of mothers and infants was well characterized through 1-2 years of follow-up, leading to the largest cohort to date of HIV-exposed uninfected (HEU) infants (n = 3135), with a suitable comparison group of HIV-unexposed infants (n = 9510). Here, we draw on 10 years of published findings from the ZVITAMBO trial. HEU infants had increased morbidity compared to HIV-unexposed infants, with 50% more hospitalizations in the neonatal period and 30% more sick clinic visits during infancy, particularly for skin infections, lower respiratory tract infections, and oral thrush. HEU children had 3.9-fold and 2.0-fold higher mortality than HIV-unexposed children during the first and second years of life, respectively, most commonly due to acute respiratory infections, diarrhea/dysentery, malnutrition, sepsis, and meningitis. Infant morbidity and mortality were strongly related to maternal HIV disease severity, and increased morbidity remained until maternal CD4 counts were >800 cells/μL. HEU infants were more likely to be premature and small-for-gestational age than HIV-unexposed infants, and had more postnatal growth failure. Here, we propose a conceptual framework to explain the increased risk of infectious morbidity, mortality, and growth failure among HEU infants, hypothesizing that immune activation and inflammation are key drivers of both infection susceptibility and growth failure. Future studies should further dissect the causes of infection susceptibility and growth failure and determine the impact of ART and cotrimoxazole on outcomes of this vulnerable group of infants in the current era. PMID:27375613

  1. Factors associated with severe occupational injuries at mining company in Zimbabwe, 2010: a cross-sectional study

    PubMed Central

    Chimamise, Chipo; Gombe, Notion Tafara; Tshimanga, Mufuta; Chadambuka, Addmore; Shambira, Gerald; Chimusoro, Anderson

    2013-01-01

    Introduction Injury rate among mining workers in Zimbabwe was 789/1000 workers in 2008. The proportion of severe occupational injuries increased from 18% in 2008 to 37% in 2009. We investigated factors associated with severe injuries at the mine. Methods An unmatched 1:1 case-control study was carried out at the mine, a case was any worker who suffered severe occupational injury at the mine and was treated at the mine or district hospital from January 2008 to April 2010, a control was any worker who did not suffer occupational injury during same period. We randomly selected 156 cases and 156 controls and used interviewer administered questionnaires to collect data from participants. Results Majority of cases, 155(99.4%) and of controls 142(91%) were male, 127(81.4%) of cases and 48(30.8%) of controls worked underground. Majority (73.1%) of severe occupational injuries occurred during night shift. Underground temperatures reached 500C. Factors independently associated with getting severe occupational injuries included working underground (AOR = 10.55; CI 5.97-18.65), having targets per shift (AOR = 12.60; CI 3.46-45.84), inadequate PPE (AOR= 3.65 CI 1.34-9.89) and working more than 8 hours per shift (AOR = 8.65 CI 2.99-25.02). Conclusion Having targets exerts pressure to perform on workers. Prolonged working periods decrease workers’ attention and concentration resulting in increased risk to severe injuries as workers become exhausted, lose focus and alertness. Underground work environment had environmental hazards so managers to install adequate ventilation and provide adequate PPE. Management agreed to standardize shifts to eight hours and workers in some departments have been supplied with adequate PPE. PMID:23504270

  2. HIV-Exposed Uninfected Infants in Zimbabwe: Insights into Health Outcomes in the Pre-Antiretroviral Therapy Era

    PubMed Central

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

    2016-01-01

    The ZVITAMBO trial recruited 14,110 mother–infant pairs to a randomized controlled trial of vitamin A between 1997 and 2000, before the availability of antiretroviral therapy for HIV prophylaxis or treatment in Zimbabwe. The HIV status of mothers and infants was well characterized through 1–2 years of follow-up, leading to the largest cohort to date of HIV-exposed uninfected (HEU) infants (n = 3135), with a suitable comparison group of HIV-unexposed infants (n = 9510). Here, we draw on 10 years of published findings from the ZVITAMBO trial. HEU infants had increased morbidity compared to HIV-unexposed infants, with 50% more hospitalizations in the neonatal period and 30% more sick clinic visits during infancy, particularly for skin infections, lower respiratory tract infections, and oral thrush. HEU children had 3.9-fold and 2.0-fold higher mortality than HIV-unexposed children during the first and second years of life, respectively, most commonly due to acute respiratory infections, diarrhea/dysentery, malnutrition, sepsis, and meningitis. Infant morbidity and mortality were strongly related to maternal HIV disease severity, and increased morbidity remained until maternal CD4 counts were >800 cells/μL. HEU infants were more likely to be premature and small-for-gestational age than HIV-unexposed infants, and had more postnatal growth failure. Here, we propose a conceptual framework to explain the increased risk of infectious morbidity, mortality, and growth failure among HEU infants, hypothesizing that immune activation and inflammation are key drivers of both infection susceptibility and growth failure. Future studies should further dissect the causes of infection susceptibility and growth failure and determine the impact of ART and cotrimoxazole on outcomes of this vulnerable group of infants in the current era. PMID:27375613

  3. Norovirus - hospital

    MedlinePlus

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... Symptoms start within 24 to 48 hours of infection, and can last for 1 ... norovirus. Hospital patients who are very old, very young, or ...

  4. 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.

  5. “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

  6. Improving the implementation of cost recovery for health: lessons from Zimbabwe.

    PubMed

    Hecht, R; Overholt, C; Holmberg, H

    1993-10-01

    In the current debate over health financing policy in developing countries, governments are increasingly focusing on cost recovery--having patients pay part or all of their health care costs--as a way to mobilize more resources for health, improve equity by selectively charging the wealthy, and increase efficiency by encouraging reinvestment of fee revenues into cost-effective primary care. Zimbabwe offers an important example of a country with a tradition of levying fees in government health facilities, but where enforcement became lax in the 1980s. In 1991, policymakers resolved to resuscitate and strengthen cost recovery, as part of a broader economic reform program. This paper discusses the strengths and weaknesses of Zimbabwe's cost recovery system, its potential for improvement, and the obstacles to change in revising the fee structure and billing and collection procedures. It argues that cost recovery can help to achieve Zimbabwe's health objectives, but only in conjunction with other measures to redirect public spending to essential public health and clinic care and improve the efficiency of government services. The paper finds that during the 1980s, the fee schedule became badly misaligned with actual medical care costs and created distortions in patient referral patterns. Billing and collection were also weak, because of deficiencies in personnel and information systems and lack of incentives for revenue generation. The paper concludes that if key steps were taken to raise the collections-to-billings ratio, recover fees from privately-insured patients, and adjust fees in line with medical cost inflation, recoveries could increase fourfold, from 5% to 20% of government spending for clinical care. At the same time, access to government health services for the poor could be maintained by improving exemption procedures.

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

    PubMed Central

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

    2016-01-01

    Background: 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. Methods: 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. Results: 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. Discussion: 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. PMID:27331599

  8. Diamond genesis, seismic structure, and evolution of the Kaapvaal-Zimbabwe craton.

    PubMed

    Shirey, Steven B; Harris, Jeffrey W; Richardson, Stephen H; Fouch, Matthew J; James, David E; Cartigny, Pierre; Deines, Peter; Viljoen, Fanus

    2002-09-01

    The lithospheric mantle beneath the Kaapvaal-Zimbabwe craton of southern Africa shows variations in seismic P-wave velocity at depths within the diamond stability field that correlate with differences in the composition of diamonds and their syngenetic inclusions. Middle Archean mantle depletion events initiated craton keel formation and early harzburgitic diamond formation. Late Archean accretionary events involving an oceanic lithosphere component stabilized the craton and contributed a younger Archean generation of eclogitic diamonds. Subsequent Proterozoic tectonic and magmatic events altered the composition of the continental lithosphere and added new lherzolitic and eclogitic diamonds to the Archean diamond suite. PMID:12215642

  9. Effectiveness of conservation agriculture practices on soil erosion processes in semi-arid areas of Zimbabwe

    NASA Astrophysics Data System (ADS)

    Chikwari, Emmanuel; Mhaka, Luke; Gwandu, Tariro; Chipangura, Tafadzwa; Misi Manyanga, Amos; Sabastian Matsenyengwa, Nyasha; Rabesiranana, Naivo; Mabit, Lionel

    2016-04-01

    - The application of fallout radionuclides (FRNs) in soil erosion and redistribution studies has gained popularity since the late 1980s. In Zimbabwe, soil erosion research was mostly based on conventional methods which included the use of erosion plots for quantitative measurements and erosion models for predicting soil losses. Only limited investigation to explore the possibility of using Caesium-137 (Cs-137) has been reported in the early 1990s for undisturbed and cultivated lands in Zimbabwe. In this study, the Cs-137 technique was applied to assess the impact of soil conservation practices on soil losses and to develop strategies and support effective policies that help farmers in Zimbabwe for sustainable land management. The study was carried out at the Makoholi research station 30 km north of the Masvingo region which is located 260 km south of Harare. The area is semi-arid and the study site comprises coarse loamy sands, gleyic lixisols. The conservation agriculture (CA) practices used within the area since 1988 include (i) direct seeding (DS) with mulch, (ii) CA basins with mulch, and (iii) 18 years direct seeding, left fallow for seven years and turned into conventional tillage since 2012 (DS/F/C). The Cs-137 reference inventory was established at 214 ± 16 Bq/m2. The mean inventories for DS, CA basins and DS/F/C were 195, 190 and 214 Bq/m2 respectively. Using the conversion Mass Balance Model 2 on the Cs-137 data obtained along transects for each of the practices, gross erosion rates were found to be 7.5, 7.3 and 2.6 t/ha/yr for direct seeding, CA basins and the DS/F/C while the net erosion rates were found to be 3.8, 4.6 and 0 t/ha/yr respectively. Sediment delivery ratios were 50%, 63% and 2% in the respective order. These preliminary results showed the effectiveness of DS over CA basins in erosion control. The efficiency of fallowing in controlling excessive soil loss was significant in the plot that started as DS for 18 years but left fallow for 7

  10. An appraisal of policies and institutional frameworks impacting on smallholder agricultural water management in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Nyagumbo, I.; Rurinda, J.

    Policies and institutional frameworks associated with and / or impacting on agricultural water management (AWM) in smallholder farming systems in Zimbabwe were analyzed through literature reviews, feedback from stakeholder workshops, key informant interviews and evaluation of policy impacts on implemented case study projects/programmes. The study showed that Zimbabwe has gone a long way towards developing a water management policy addressing both equity and access, through the Water and ZINWA of 1998. However, lack of incentives for improving efficient management and utilization of water resources once water has reached the farm gate was apparent, apart from punitive economic instruments levied on usage of increased volumes of water. For example, the new water reforms of 1998 penalized water savers through loss of any unused water in their permits to other users. In addition, the ability of smallholder farmers to access water for irrigation or other purposes was influenced by macro and micro-economic policies such as Economic Structural and Adjustment Programme (ESAP), Zimbabwe Programme for Economic and Social Transformation (ZIMPREST), prevailing monetary and fiscal policies, as well as the Land and Agrarian Reform policies. For instance, the implementation of ESAP from 1991 to 95 resulted in a decline in government support to management of communal irrigation schemes, and as a result only gravity-fed schemes survived. Also AWM projects/programmes that were in progress were prematurely terminated. While considerable emphasis was placed on rehabilitation of irrigation infrastructure since the fast track land reform in 1998, the policies remained rather silent on strategies for water management in rainfed systems. The piecemeal nature and fragmentation of policies and institutional frameworks scattered across government ministries and sectors were complex and created difficulties for smallholder farmers to access water resources. Poor policy implementation

  11. Does the type of treatment supporter influence tuberculosis treatment outcomes in Zimbabwe?

    PubMed

    Mlilo, N; Sandy, C; Harries, A D; Kumar, A M V; Masuka, N; Nyathi, B; Edginton, M; Isaakidis, P; Manzi, M; Siziba, N

    2013-06-21

    Zimbabwe National Tuberculosis Guidelines advise that direct observation of anti-tuberculosis treatment (DOT) can be provided by a family member/relative as a last resort. In 2011, in Nkayi District, of 763 registered tuberculosis (TB) patients, 59 (8%) received health facility-based DOT, 392 (51%) received DOT from a trained community worker and 306 (40%) from a family member/relative. There were no differences in TB treatment outcomes between the three DOT groups, apart from a higher frequency rate of 'no reported outcomes' for those receiving family-based DOT. Family members should be trained to use a suitable DOT support package.

  12. The impact of husband's and wife's education and occupation on family size in Zimbabwe.

    PubMed

    Adamchak, D J; Mbizvo, M T

    1994-10-01

    This paper assesses the impact of husband's and wife's education and occupation on family size in Zimbabwe. Results from the 1988 Male Fertility Survey indicate that husband's education had a strong negative effect, and wife's education had a moderate negative effect on the number of children ever born. Contrary to the literature, wives who were not employed had significantly fewer children than those who work in agriculture, and fewer, but not significantly, than those in non-agricultural occupations. Findings show the importance of husband's education and the changing dynamics of wife's occupation in fertility decline.

  13. The profile and context of the epidemics of sexually transmitted infections including HIV in Zimbabwe

    PubMed Central

    Decosas, J; Padian, N

    2002-01-01

    Zimbabwe has widespread and widely disseminated epidemics of most major sexually transmitted infections (STI) including HIV. This epidemiological situation is examined from a broad historical perspective, exploring the interactions between the population incidence of STI and the social profile of the country. The results suggest opportunities for upstream prevention efforts. Examples of these include: integration of prevention with care and social support; increasing general communication and openness about sexuality; economic support initiatives including income generating and micro-credit programmes, offering living accommodations for families in cities, mines, and military camps; and programmes focusing on adolescents before they become sexually active. PMID:12083446

  14. The profile and context of the epidemics of sexually transmitted infections including HIV in Zimbabwe.

    PubMed

    Decosas, J; Padian, N

    2002-04-01

    Zimbabwe has widespread and widely disseminated epidemics of most major sexually transmitted infections (STI) including HIV. This epidemiological situation is examined from a broad historical perspective, exploring the interactions between the population incidence of STI and the social profile of the country. The results suggest opportunities for upstream prevention efforts. Examples of these include: integration of prevention with care and social support; increasing general communication and openness about sexuality; economic support initiatives including income generating and micro-credit programmes, offering living accommodations for families in cities, mines, and military camps; and programmes focusing on adolescents before they become sexually active. PMID:12083446

  15. No joking matter: formal and informal sources of information about AIDS in Zimbabwe.

    PubMed

    Pitts, M; Jackson, H

    1993-01-01

    One hundred and forty-two social work students in Harare, Zimbabwe, were questioned concerning their sources and memory of information concerning the human immunodeficiency virus (HIV) and AIDS. Newspapers were cited most frequently as the major source of information. Family and friends were not reported to be major sources of information. An analysis of the kinds of items most frequently recalled showed that articles concerning personal portrayals were the most powerful vehicles for AIDS information. Metaphors and similes for AIDS produced by the students mirrored those commonly reported elsewhere. Jokes were studied as indicators of informal opinions, and these showed negative views of American involvement in AIDS issues.

  16. Postpartum haemorrhage in Zimbabwe: a risk factor analysis.

    PubMed

    Tsu, V D

    1993-04-01

    For both cases and controls, only singleton, vertex births with spontaneous onset of labor without oxytocic or instrumental intervention during delivery between May 1 and December 31, 1989, were included, and all eligible mothers were residents of Greater Harare. There were 2 case groups: women with postpartum hemorrhage after a normal vaginal delivery, and women with cephalopelvic disproportion (CPD) requiring surgical or instrumental delivery. Postpartum hemorrhage (PPH) was defined as excess bleeding with a minimum of 600 ml rather than 500 ml. Data were abstracted from the medical records. 2 control groups (PPH and CPD) were combined for a control group of 299 normal deliveries. Cases were much more likely than controls to have a traumatic delivery involving vaginal or cervical tears, which accounted for more than one-third of the hemorrhages. Uterine atony was the most common cause of PPH. There was one maternal death among the cases (case fatality rate of 6.6/1000). The perinatal mortality among the cases was 33.8/1000 live births (3 stillbirths, 2 neonatal deaths) and none among controls. Although cases and controls had similar mean gravidity (3.3) and parity (2.2), cases were more likely to have had either none or 1 previous delivery. Cases also had a higher proportion of grand multiparas (5 or more previous deliveries). More cases than controls reported outcomes such as PPH, miscarriage in the first or second trimester, or neonatal death. The results of the logistic regression analysis showed that women 35 years or more at delivery were at 2.5 times greater risk of PPH than were younger women. Women who were hospitalized antenatally for a pregnancy-related problem were at 3-4 times greater risk of PPH than were women without hospitalization. Occiput transverse or posterior fetal head position was associated with a nearly/10-fold greater relative risk for PPH.

  17. Observing Some Life Cycles. Teacher's Guide. Unit E3. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Chitepo, Thoko; And Others

    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 contains instructional…

  18. Using Electricity. Teacher's Guide. Unit I2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Chidume, Kwashira

    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 used in…

  19. Using Electricity. Study Guide. Unit I2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Chidume, Kwashira

    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…

  20. Understanding Electricity. Teacher's Guide. Unit I1. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Chidume, Kwashira

    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…

  1. Understanding Electricity. Study Guide. Unit I1. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Chidume, Kwashira

    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…

  2. Life, Beginning and Growing. Study Guide. Unit E1. 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 is a three-part unit…

  3. Life, Beginning and Growing. Teacher's Guide. Unit E1. 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…

  4. Our Planet Earth. Teacher's Guide. Unit F1. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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,…

  5. Our Planet Earth. Study Guide. Unit F1. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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…

  6. Living Things and Their Food. Teacher's Guide. Unit G2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    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…

  7. Atoms and Molecules. 'O' Level. Teacher's Guide. Unit 2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 3.

    ERIC Educational Resources Information Center

    Mandizha, George

    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 third year of secondary school without the aid of qualified teachers and conventional laboratories. This teaching guide, designed to be used in…

  8. Atoms and Molecules. Study Guide. Unit 2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 3.

    ERIC Educational Resources Information Center

    Mandizha, George

    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 third year of secondary school without the aid of qualified teachers and conventional laboratories. This ZIM-SCI study guide is a four-part unit…

  9. The Chemicals of the Earth. Study Guide. Unit F2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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…

  10. The Chemicals of the Earth. Teacher's Guide. Unit F2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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…

  11. Teachers' Perceptions and Students' Lived Experiences in Vocational-Technical Subjects in a Rural High School in Zimbabwe

    ERIC Educational Resources Information Center

    Masinire, Alfred

    2015-01-01

    This paper explores the construction of dominant models of gender among students in the Vocational-Technical. In the backdrop of dominant narratives that structure gender policies and practices in schooling in Zimbabwe, the paper elaborates upon how students' daily experiences in workrooms perpetuate the feminisation and masculinisation of fields…

  12. Forces in Living Things. Study Guide. Unit H2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Hosking, Bunty; Zesaguli, Josie

    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…

  13. Field evaluation of foliar anthracnose disease response for sorghum germplasm from the Matabeleland North Province of Zimbabwe

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Anthracnose occurs in most sorghum producing regions worldwide and the pathogen is highly variable; thus, additional sources of resistance are needed for sorghum improvement. To identify resistant sources, 41 sorghum accessions from the Matabeleland North Province of Zimbabwe were evaluated for fol...

  14. Evaluations of fungicides and fungicide timing for the control of soybean rust at Zimbabwe, 2005-2006

    Technology Transfer Automated Retrieval System (TEKTRAN)

    SC Siesta soybean seeds were planted at Rattray Arnold Research Station in Enterprise Land near Harare, Zimbabwe on 10 Dec 2005 in four row plots, 20 ft. long, with 30 in row spacing and two rows of border. the experimental design was a randomized complete block design with four replications. Treat...

  15. The Presidential Scholarship Programme in Zimbabwe: A Living Case of the Political Will in Promoting Regionalisation in Higher Education

    ERIC Educational Resources Information Center

    Zvavahera, Promise

    2014-01-01

    The study sought to explore the impact of the commitment and political will exhibited by the Government of Zimbabwe through the Presidential Scholarship Scheme in promoting regionalisation of higher education. The methodology employed document analysis, interviews and questionnaires to gather data from the stakeholders. The officials responsible…

  16. Job Stress and Locus of Control in Teachers: Comparisons between Samples from the United States and Zimbabwe

    ERIC Educational Resources Information Center

    Crothers, Laura M.; Kanyongo, Gibbs Y.; Kolbert, Jered B.; Lipinski, John; Kachmar, Steven P.; Koch, Gary D.

    2010-01-01

    This study examines the relationship between educators' locus of control and job stress using samples from the US and Zimbabwe. Multiple regression analyses are used to identify significant relationships in the US sample between teachers' external locus of control and the severity of the job stress that they experience, coupled with the perceived…

  17. Reproducing by Flowers and Seeds. Teacher's Guide. Unit E2. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Zesaguli, Josie

    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…

  18. Reproducing by Flowers and Seeds. Study Guide. Unit E2. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Zesaguli, Josie

    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 environmental laboratories. This ZIM-SCI study guide consists of…

  19. Applied Climate Education and Training for Agricultural and Natural Resource Management in India, Indonesia, Zimbabwe and Australia

    ERIC Educational Resources Information Center

    George, D. A.; Clewett, J. F.; Selvaraju, R.; Birch, C.

    2006-01-01

    In parts of the world, including many developing countries, climate variability impacts negatively on agricultural production and natural resource management. Workshops in applied climatology were held in Australia, India, Indonesia and Zimbabwe between 1999 and 2002 to provide farmers and agricultural and meteorological staff a better…

  20. Examination Management as a Way of Achieving Quality Assurance in ODL Institutions: The Case of Zimbabwe Open University

    ERIC Educational Resources Information Center

    Mafa, Onias; Gudhlanga, Enna Sukutai

    2012-01-01

    An examination is an important component of any institution that educates people. It is a form of assessment used to measure the students' understanding of the concepts and principles they would have learnt. Zimbabwe Open University, an Open and Distance Learning institution has been setting its own examinations for the academic programmes…

  1. What Do You Know about Water? Study Guide. Unit D. 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 is a three-part unit…

  2. What Do You Know about Water? Teacher's Guide. Unit D. 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…

  3. The Educational System of Zimbabwe Compared with Those of Selected African and Advanced Countries: Costs, Efficiency and Other Characteristics.

    ERIC Educational Resources Information Center

    Edwards, Glyn; Tisdell, Clem

    1989-01-01

    Compares Zimbabwe's rapidly expanding educational system to those of Kenya, Malawi, Tanzania, Zambia, Australia, Canada, New Zealand, United Kingdom, and United States with regard to enrollment rates, government expenditures, per pupil costs, student teacher ratios, teacher salaries, internal efficiency, and cost per graduate. Contains 16…

  4. A Comparative Study of Entrepreneurship Curriculum Development and Review at the University of Zimbabwe and Botho University, Botswana

    ERIC Educational Resources Information Center

    Munyanyiwa, Takaruza; Svotwa, Douglas; Rudhumbu, Norman; Mutsau, Morgen

    2016-01-01

    The purpose of this research was to make comparative study of the development and review process of the entrepreneurship curriculum at the University of Zimbabwe (UZ) Faculty of Commerce and Botho University, (BU) Faculty of Business and Accounting in Gaborone, Botswana. The study focused on the processes and influences of curriculum development…

  5. An Assessment of the Policies and Programmes of Zimbabwe in Addressing the HIV/Aids Epidemic in the Education Sector

    ERIC Educational Resources Information Center

    Rembe, Symphorosa

    2006-01-01

    This study assessed the policies, strategic plans and structures that have been put in place in Zimbabwe to address the HIV/AIDS epidemic in the education sector. It also examined the comprehensiveness of projects and programmes currently being implemented by the government in collaboration with partner organisations and NGOs. The findings show…

  6. Learning to be a Scientist. Study Guide. Unit A1. ZIM-SCI, Zimbabwe Secondary School Science Project.

    ERIC Educational Resources Information Center

    Stocklmayer, Sue

    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 introduces students to…

  7. Living Things and Their Food. Study Guide. Unit G2. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    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…

  8. Sense from Senses. Study Guide. Unit J. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Simango, Sam

    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…

  9. Sense from Senses. Teacher's Guide. Unit J. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    ERIC Educational Resources Information Center

    Simango, Sam

    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…

  10. An Analysis of Female Lecturers' Participation in Civil Engineering Research and Development Activities at One Polytechnic in Zimbabwe

    ERIC Educational Resources Information Center

    Chikuvadze, Pinias; Matswetu, Vimbai Sharon; Mugijima, Samuel

    2015-01-01

    This study sought to explore female lecturers' participation in civil engineering research and development activities at one polytechnic in Zimbabwe. Case study design was chosen for this study to make predictions, narration of events, comparisons and drawing of conclusions. The female lecturers were purposively sampled to participate in the…

  11. A Comparison of Zimbabwe's Rural and Urban Primary School Pupils' Views about Homework: A Case of Masvingo District

    ERIC Educational Resources Information Center

    Mapako, Felix Petros; Mareva, Rugare; Chindedza, Winnet

    2013-01-01

    The study sought to establish and compare the views of rural and urban primary school pupils on homework in Zimbabwe, using six purposively sampled Masvingo rural and urban primary schools. The inquiry employed a qualitative methodology in which data were gathered through semi-structured personal interviews and document analysis. A sample of…

  12. Vocational Education and Training in Tanzania and Zimbabwe in the Context of Economic Reform. Education Research Paper.

    ERIC Educational Resources Information Center

    Bennell, Paul; Bendera, Shane; Kanyenze, Godfrey; Kimambo, Emrode; Kiwia, Sixtus; Mbiriyakura, Tichafa; Mukyanuzi, Faustin; Munetsi, N.; Muzulu, Jo; Parsalaw, Willy; Temu, John

    Developments in vocational education and training (VET) in Tanzania and Zimbabwe since the 1980s were examined in the context of economic reform. Formal VET provision in each country's public and private sectors was reviewed, and case studies of one firm in each country's manufacturing and tourism industries were conducted. The research identified…

  13. The Role of Parent Governors in School Governance in Zimbabwe: Perceptions of School Heads, Teachers and Parent Governors

    ERIC Educational Resources Information Center

    Chikoko, Vitallis

    2008-01-01

    This paper reports on a study of the role of parent governors in five neighbouring rural primary schools in Zimbabwe. The study proposed that despite the presence of a legal decentralised school governance structure in which parents form the majority, they did not have the capacity to function effectively therein, and were still marginalised in…

  14. Energy for Living. Teacher's Guide. Unit G1. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    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…

  15. Critical Analysis of Problems Encountered in Incorporating Indigenous Knowledge in Science Teaching by Primary School Teachers in Zimbabwe

    ERIC Educational Resources Information Center

    Shizha, Edward

    2007-01-01

    In Zimbabwe the need to incorporate indigenous knowledge in science education to reflect local cultural settings cannot be overemphasized. Current policies on science are situated in Western cultural definitions, thus marginalizing indigenous knowledge, which is misconceived as irrational and illogical. This study used qualitative research…

  16. Forces in Action. Study Guide. Unit H1. ZIM-SCI, Zimbabwe Secondary School Science Project. Year 2.

    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…

  17. Nationalism, race, and gender: the politics of family planning in Zimbabwe, 1957-1990.

    PubMed

    West, M O

    1994-12-01

    In line with a general tendency of nationalists to hold pro-natalist views, African nationalists in Zimbabwe took a hostile position to family planning upon its introduction in 1957, arguing that it was part of a conspiracy to control the black population. However, it was only after the unilateral declaration of independence in 1965 by the white settlers under Ian Smith that an official policy aimed at reducing African fertility emerged. The African nationalists waged a consistent propaganda campaign against this policy, and the facilities that were established under it, as well as their personnel, became military targets during the guerrilla war in the late 1970s. After independence in 1980, the triumphant nationalists tried to maintain their pro-natalist position. But, with a postwar 'baby boom' pushing the birth rate close to four per cent by the mid-1980s, the officials in charge of economic and social development concluded that society could not sustain such a high fertility rate. Consequently, there was a reversal of policy, and by 1990 Zimbabwe had become an internationally recognized leader of family planning among developing countries. For the most part, however, these changes have taken place without any real input by African women, who remained largely excluded from the male-dominated circles in which decisions about family planning were made. PMID:11639476

  18. A survey of ectoparasites, cestodes and management of free-range indigenous chickens in rural Zimbabwe.

    PubMed

    Mukaratirwa, S; Hove, T

    2009-09-01

    A survey of ectoparasites, cestodes and husbandry aspects of indigenous free-range chickens was carried out in selected districts from the highveld and lowveld of rural Zimbabwe. The survey recorded infection with 4 species from the order Phthiraptera (lice), 1 species from the order Siphonaptera (fleas), 6 species from the order Acarina (ticks and mites) and 9 species of cestodes. Among the ectoparasites, the most prevalent was Menacanthus stramineus (87.7%) followed by Echidinophaga gallinacea (71.9%). Chickens in the Mazowe district had the highest number of ectoparasites species (10 of 11) followed by Goromonzi district (9 of 11) both these districts are situated in the highveld of Zimbabwe. The most prevalent cestode species was Raillietina tetragona (84.4%), followed by Raillietina echinobothrida (32.2%). Chickens in the Goromonzi district had the highest number of cestode species (7 of 9), followed by Mazowe district (one subgenus and 5 of 9). In all the districts sampled the main purpose of keeping free-range chickens was for meat for the household, with few households using the birds as a source of income. The majority of households kept their birds extensively with barely any appropriate housing, and supplementary feeding was only occasionally practised.

  19. Childhood sexual violence in Zimbabwe: evidence for the epidemic against girls.

    PubMed

    Rumble, Lauren; Mungate, Taizivei; Chigiji, Handrick; Salama, Peter; Nolan, Anthony; Sammon, Elayn; Muwoni, Leon

    2015-08-01

    Sexual abuse during childhood is a public health and human rights concern throughout the world, including Sub-Saharan Africa. In 2011, Zimbabwe initiated national prevalence data collection on violence against children to inform government policy and programs. We interviewed 567 females and 589 males, aged 18-24 years following standardized and previously tested survey methods from the region. Of females 32.5%, and of males 8.9%, reported experiencing sexual violence before age 18. Most female (62.7%) and male (47.9%) victims of sexual violence experienced more than one incident of sexual violence prior to age 18 years. Three in four females (77.7%) and one in four males (26.7%) of those who experienced sexual violence reported that the first incident was perpetrated by a boyfriend or girlfriend. Few victims received professional help (2.7% of females and 2.4% of males who had reported experiencing sexual violence). Violence against girls is at epidemic levels in Zimbabwe. Most sexual violence against girls occurs within the context of peer relationships. Child victims who seek potentially life-saving support tend not to receive it. This study is evidence of a national public health and child rights emergency in the country and a case for increased, longer-term investment by the government and its development partners in policy reform for enhancing adolescent girls' empowerment and protection.

  20. Declining tuberculosis case notification rates with the scale-up of antiretroviral therapy in Zimbabwe

    PubMed Central

    Harries, A. D.; Sandy, C.; Mutasa-Apollo, T.; Zishiri, C.

    2016-01-01

    Setting: Zimbabwe has a human immunodeficiency virus (HIV) driven tuberculosis (TB) epidemic, with antiretroviral therapy (ART) scaled up in the public sector since 2004. Objective: To determine whether national ART scale-up was associated with annual national TB case notification rates (CNR), stratified by disease type and category, between 2000 and 2013. Design: This was a retrospective study using aggregate data from global reports. Results: The number of people living with HIV and retained on ART from 2004 to 2013 increased from 8400 to 665 299, with ART coverage increasing from <0.5% to 48%. TB CNRs, all types and categories, increased from 2000 to 2003, and declined thereafter from 2004 to 2013. The decreases in annual TB notifications between the highest rates (before 2004) and lowest rates (2013) were all forms of TB (56%), new TB (60%), previously treated TB (53%), new smear-positive pulmonary TB (PTB) (40%), new smear-negative/smear-unknown PTB (58%) and extra-pulmonary TB (58%). Conclusion: Significant declines in TB CNRs were observed during ART scale-up, especially for smear-negative PTB and extra-pulmonary TB. These encouraging national trends support the continued scale-up of ART for people living with HIV as a way of tackling the twin epidemics of HIV/acquired immune-deficiency syndrome and TB in Zimbabwe.

  1. Declining tuberculosis case notification rates with the scale-up of antiretroviral therapy in Zimbabwe

    PubMed Central

    Harries, A. D.; Sandy, C.; Mutasa-Apollo, T.; Zishiri, C.

    2016-01-01

    Setting: Zimbabwe has a human immunodeficiency virus (HIV) driven tuberculosis (TB) epidemic, with antiretroviral therapy (ART) scaled up in the public sector since 2004. Objective: To determine whether national ART scale-up was associated with annual national TB case notification rates (CNR), stratified by disease type and category, between 2000 and 2013. Design: This was a retrospective study using aggregate data from global reports. Results: The number of people living with HIV and retained on ART from 2004 to 2013 increased from 8400 to 665 299, with ART coverage increasing from <0.5% to 48%. TB CNRs, all types and categories, increased from 2000 to 2003, and declined thereafter from 2004 to 2013. The decreases in annual TB notifications between the highest rates (before 2004) and lowest rates (2013) were all forms of TB (56%), new TB (60%), previously treated TB (53%), new smear-positive pulmonary TB (PTB) (40%), new smear-negative/smear-unknown PTB (58%) and extra-pulmonary TB (58%). Conclusion: Significant declines in TB CNRs were observed during ART scale-up, especially for smear-negative PTB and extra-pulmonary TB. These encouraging national trends support the continued scale-up of ART for people living with HIV as a way of tackling the twin epidemics of HIV/acquired immune-deficiency syndrome and TB in Zimbabwe. PMID:27695678

  2. The Interannual Variability of the Onset of the Maize Growing Season over South Africa and Zimbabwe.

    NASA Astrophysics Data System (ADS)

    Tadross, M. A.; Hewitson, B. C.; Usman, M. T.

    2005-08-01

    Subsistence farmers within southern Africa have identified the onset of the maize growing season as an important seasonal characteristic, advance knowledge of which would aid preparations for the planting of rain-fed maize. Onset over South Africa and Zimbabwe is calculated using rainfall data from the Climate Prediction Center (CPC) Merged Analysis of Precipitation (CMAP) and the Computing Center for Water Research (CCWR). The two datasets present similar estimates of the mean, standard deviation, and trend of onset for the common period (1979-97) over South Africa. During this period, onset has been tending to occur later in the season, in particular over the coastal regions and the Limpopo valley. However, the CCWR data (1950-97) indicate that this is part of long-term (decadal) variability.Characteristic rainfall patterns associated with late and early onset are estimated using a self-organizing map (SOM). Late onset is associated with heavier rainfall over the subcontinent. When onset is early over Zimbabwe, there is an increased frequency of more intense rainfall over northeast Madagascar during the preceding August. Accompanying these intense events is an increased frequency of positive 500-hPa geopotential height anomalies to the southeast of the continent. Similar positive height anomalies are also frequently present during early onset. The study indicates that onset variability is partly forced by synoptic conditions, and the successful use of general circulation models to estimate onset will depend on their simulation of the zonally asymmetric component of the westerly circulation.

  3. Mercury contamination associated with small-scale gold mining in Tanzania and Zimbabwe.

    PubMed

    van Straaten, P

    2000-10-01

    Mercury contamination associated with small-scale gold mining and processing represents a major environmental and human health concern in Eastern and Southern Africa. Approximately 200,000-300,000 persons are involved in small-scale gold mining activities in Tanzania and > 200,000 persons in Zimbabwe. Mercury (Hg) is used mainly for the processing of primary gold quartz veins and supergene gold mineralizations. Gravimetric material flow analyses show that 70-80% of the Hg is lost to the atmosphere during processing, 20-30% are lost to tailings, soils, stream sediments and water. For every 1 g Au produced, 1.2-1.5 g Hg are lost to the environment. Cumulatively, the anthropogenic Hg released annually into the atmosphere is approximately 3-4 t in the whole Lake Victoria Goldfields of Tanzania and > 3 t in Zimbabwe. Tailings are local 'hot spots' with high concentrations of As, Pb, Cu and Hg. Lateral and vertical dispersion of Hg lost to soils and stream sediments is very limited (laterally < 260 m, vertically < 20 cm). Dispersion of mercury from tailings is low because Hg is transported largely in the elemental, metallic form. In addition, Fe-oxide rich laterites and swamps appear to be natural barriers for the dispersion of metals in soils and streams. Ground and surface water quality data indicate very low dispersion rates during the dry season.

  4. Nationalism, race, and gender: the politics of family planning in Zimbabwe, 1957-1990.

    PubMed

    West, M O

    1994-12-01

    In line with a general tendency of nationalists to hold pro-natalist views, African nationalists in Zimbabwe took a hostile position to family planning upon its introduction in 1957, arguing that it was part of a conspiracy to control the black population. However, it was only after the unilateral declaration of independence in 1965 by the white settlers under Ian Smith that an official policy aimed at reducing African fertility emerged. The African nationalists waged a consistent propaganda campaign against this policy, and the facilities that were established under it, as well as their personnel, became military targets during the guerrilla war in the late 1970s. After independence in 1980, the triumphant nationalists tried to maintain their pro-natalist position. But, with a postwar 'baby boom' pushing the birth rate close to four per cent by the mid-1980s, the officials in charge of economic and social development concluded that society could not sustain such a high fertility rate. Consequently, there was a reversal of policy, and by 1990 Zimbabwe had become an internationally recognized leader of family planning among developing countries. For the most part, however, these changes have taken place without any real input by African women, who remained largely excluded from the male-dominated circles in which decisions about family planning were made.

  5. Is religion the forgotten variable in maternal and child health? Evidence from Zimbabwe.

    PubMed

    Ha, Wei; Salama, Peter; Gwavuya, Stanley; Kanjala, Chifundo

    2014-10-01

    The Apostolic faith, a rapidly growing and increasingly influential force in Zimbabwe, has received attention in the literature due to its potential role in shaping its followers' attitudes and behaviours towards health. Existing literature, however, has only examined small cross-section samples from a few confined survey sites or has failed to adequately control for the many factors that may mediate the effects of religion. This paper examines the effects of the Apostolic faith on the usage of maternal health and child immunization services in Zimbabwe. It is based on a nationally representative sample from the 2009 Multi-Indicator Monitoring Survey and employs the established Andersen model on access to health services. Well controlled multivariate logit regression models derived from these data show that an affiliation with the Apostolic faith is a substantial and significant risk factor in reducing the utilization of both maternal and child health services. Moreover, even when the services were least costly and readily available and when gaps along other social and economic factors were limited, as in the case of Bacillus Calmette-Guérin vaccination and one visit to antenatal care, women and children from Apostolic faith families still fared significantly worse than others in accessing them.

  6. Satellite Based Assessment of Hydroclimatic Conditions Related to Cholera in Zimbabwe

    PubMed Central

    Jutla, Antarpreet; Aldaach, Haidar; Billian, Hannah; Akanda, Ali; Huq, Anwar; Colwell, Rita

    2015-01-01

    Introduction Cholera, an infectious diarrheal disease, has been shown to be associated with large scale hydroclimatic processes. The sudden and sporadic occurrence of epidemic cholera is linked with high mortality rates, in part, due to uncertainty in timing and location of outbreaks. Improved understanding of the relationship between pathogenic abundance and climatic processes allows prediction of disease outbreak to be an achievable goal. In this study, we show association of large scale hydroclimatic processes with the cholera epidemic in Zimbabwe reported to have begun in Chitungwiza, a city in Mashonaland East province, in August, 2008. Principal Findings Climatic factors in the region were found to be associated with triggering cholera outbreak and are shown to be related to anomalies of temperature and precipitation, validating the hypothesis that poor conditions of sanitation, coupled with elevated temperatures, and followed by heavy rainfall can initiate outbreaks of cholera. Spatial estimation by satellite of precipitation and global gridded air temperature captured sensitivities in hydroclimatic conditions that permitted identification of the location in the region where the disease outbreak began. Discussion Satellite derived hydroclimatic processes can be used to capture environmental conditions related to epidemic cholera, as occurred in Zimbabwe, thereby providing an early warning system. Since cholera cannot be eradicated because the causative agent, Vibrio cholerae, is autochthonous to the aquatic environment, prediction of conditions favorable for its growth and estimation of risks of triggering the disease in a given population can be used to alert responders, potentially decreasing infection and saving lives. PMID:26417994

  7. Bridewealth and sexual and reproductive practices among women in Harare, Zimbabwe.

    PubMed

    Wojcicki, Janet M; van der Straten, Ariane; Padian, Nancy

    2010-06-01

    This paper examines the relationship between bridewealth, socio-demographics, and sexual and reproductive practices among a group of women in Harare, Zimbabwe. The study sample was recruited as part of a six-month safety trial of the diaphragm and a microbicide, between August 2004 and April 2005 in Harare, Zimbabwe. Women underwent two screening visits: first, women completed a demographic and behavioral interviewer-administered questionnaire which included questions on bridewealth; at the second visit, women were offered HIV testing and counseling. Our results included: 417 women were married (currently or in the past) and almost half had had bridewealth negotiated as part of the marriage process. In multivariate analyses, women who were married with bridewealth had more years of education (OR 1.17, 95%CI 1.03-1.32), a higher age of coital debut (OR 1.37, 95%CI 1.09-1.71), and increased likelihood of having ever used male condoms (OR 1.54, 95%CI 1.01-2.37) compared with women who had been married without bridewealth. Bridewealth may be a relevant area of traditional culture to further examine in relation to HIV risk, for its potential association with co-factors that can reduce risk of HIV infection among women in Southern Africa. PMID:20467936

  8. Bridewealth and sexual and reproductive practices among women in Harare, Zimbabwe

    PubMed Central

    Wojcicki, Janet M.; van der Straten, Ariane; Padian, Nancy

    2011-01-01

    This paper examines the relationship between bridewealth, socio-demographics, and sexual and reproductive practices among a group of women in Harare, Zimbabwe. The study sample was recruited as part of a six-month safety trial of the diaphragm and a microbicide, between August 2004 and April 2005 in Harare, Zimbabwe. Women underwent two screening visits: first, women completed a demographic and behavioral interviewer-administered questionnaire which included questions on bridewealth; at the second visit, women were offered HIV testing and counseling. Our results included: 417 women were married (currently or in the past) and almost half had had bridewealth negotiated as part of the marriage process. In multivariate analyses, women who were married with bridewealth had more years of education (OR 1.17, 95%CI 1.03–1.32), a higher age of coital debut (OR 1.37, 95%CI 1.09–1.71), and increased likelihood of having ever used male condoms (OR 1.54, 95%CI 1.01–2.37) compared with women who had been married without bridewealth. Bridewealth may be a relevant area of traditional culture to further examine in relation to HIV risk, for its potential association with co-factors that can reduce risk of HIV infection among women in Southern Africa. PMID:20467936

  9. Hospital fundamentals.

    PubMed

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID

  10. Hospital fundamentals.

    PubMed

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols.

  11. Hospital marketing.

    PubMed

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.

  12. Hospital philanthropy.

    PubMed

    Smith, Dean G; Clement, Jan P

    2013-01-01

    It remains an open question whether hospital spending on fundraising efforts to garner philanthropy is a good use of funds. Research and industry reports provide conflicting results. We describe the accounting and data challenges in analysis of hospital philanthropy, which include measurement of donations, measurement of fundraising expenses, and finding the relationships among organizations where these cash flows occur. With these challenges, finding conflicting results is not a surprise. PMID:23614267

  13. Hospital marketing.

    PubMed

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation. PMID:14753323

  14. Cost-effectiveness of community vegetable gardens for people living with HIV in Zimbabwe

    PubMed Central

    2014-01-01

    Background 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. Methods 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. Results 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. Conclusions Cost outcomes were 20–30 times Zimbabwe's per capita GDP, and unlikely to be affordable within government

  15. Reproductive parameters in free-ranging female black rhinoceroses (Diceros bicornis) in Zimbabwe.

    PubMed

    Kock, N; Morton, D; Kock, M

    1991-03-01

    Samples and data were collected from twenty-eight female black rhinoceroses (Diceros bicornis) during translocation efforts carried out by the Department of National Parks and Wildlife Management in Zimbabwe. Biological data were collected, cytological examination of vaginal smears was performed, and serum concentrations of follicle stimulating hormone, luteinizing hormone, progesterone, oestriol, and 17-beta-oestradiol were determined by radio-immuno-assay. Prolactin levels were determined for 3 pregnant animals, 1 of which was sampled before and after parturition. Vaginal cytology was not found to be helpful for indicating the oestrous cycle stage for the black rhinoceros, but progesterone and 17-beta-oestradiol levels were found to be useful indicators of pregnancy and possibly of oestrous cycle stage as well.

  16. Infestations of the bont tick Amblyomma hebraeum (Acari: Ixodidae) on different breeds of cattle in Zimbabwe.

    PubMed

    Norval, R A; Sutherst, R W; Kerr, J D

    1996-10-01

    Infestations of adults and nymphs of Amblyomma hebraeum were counted on Brahman (Br), Brahman x Simmental (BS), Sanga (Sa) and Hereford (He) steers exposed to infested pastures at Mbizi in southern Zimbabwe in 1986-1987. Herefords were always the most heavily infested, while the Sanga tended to carry the fewest ticks with the Brahman and Brahman x Simmental groups being in between. The ratios of the engorged females on the four breeds were 2.3:1.4:1.4:1.0 for He:Br:BS:Sa. The ratios of the standard nymphs were 2.2:1.4:1.7:1.0 for He:Br:BS:Sa. The results confirm earlier observations in Africa and support the view that there are genetic differences between breeds in the expression of resistance to this tick species. PMID:8952073

  17. Water quality of the odzi river in the Eastern Highlands of Zimbabwe.

    PubMed

    Jonnalagadda, S B; Mhere, G

    2001-07-01

    For Odzi. the main river originating in the Eastern Highlands of Zimbabwe, the nature, sources and extent of pollution are characterised. Over a span of 9 months, the river water samples collected at six selected sites were analysed for various physical and chemical parameters namely, temperature, conductance, pH, total suspended and dissolved solids, BOD. total phosphate and nitrate levels. The Mutare river carried the seepage from abandoned mine dumps to the Odzi River. Water quality of the Odzi River at different points assessed by the water quality indices (WQI) is compared. According to the quality indices during the study period, water quality in the upper reaches of the river was medium to good. It dwindled in the plains, due to the seepage from abandoned mine dumps and discharges from the farm lands.

  18. Culture as a barrier to rural women's entrepreneurship: experience from Zimbabwe.

    PubMed

    Chitsike, C

    2000-03-01

    This article identifies the important issues addressed by programs and projects that are aimed at promoting women's equality through entrepreneurship and suggests several actions for future focus of gender programs and training. Culture was seen as a barrier to the self-confident and autonomous economic activities of women in Zimbabwe. Likewise, structural barriers such as lack of marketable skills, time and ability to travel, land and assets, education, and position as primary family providers all compounded to the problem of entrepreneurship among women. Establishment of policy approaches for women like vocational skills training augmented by training in business skills and marketing, however, are insufficient since it failed to discuss and transfer behavioral skills necessary to make one an entrepreneur. To conclude, programs must be designed to empower personal skills and self-awareness, as well as address the constraints to entrepreneurship, and macroeconomic policy change. PMID:12349641

  19. Social and Economic Barriers to Exclusive Breast Feeding In Rural Zimbabwe

    PubMed Central

    Muchacha, Munyaradzi; Mtetwa, Edmos

    2015-01-01

    Objectives: Exclusive breast feeding (EBF) uptake in Zimbabwe is very low. Given that EBF is a physiological process which transpires in a specific socio-economic milieu, this study investigates the socio-economic factors militating against its uptake. Methods: The study used a mixed research methodology. The concurrent nested model of mixed methods was utilized using one data collection phase, during which both quantitative and qualitative data were collected simultaneously. Results: The research noted that factors such as low education, low income, gender inequalities, social influence, and traditional practices were hindering the uptake of exclusive breast feeding. Conclusions and Global Health Implications: The study envisages that it is pertinent for infant feeding programs to address socio-economic barriers to EBF in order to influence a positive uptake. The potential interventions include increasing men’s involvement, raising awareness on EBF, and strengthening the Village Health Worker Program. PMID:27621982

  20. Report of isolations of unusual lyssaviruses (rabies and Mokola virus) identified retrospectively from Zimbabwe.

    PubMed

    Bingham, J; Javangwe, S; Sabeta, C T; Wandeler, A I; Nel, L H

    2001-06-01

    Rabies isolates that had been stored between 1983 and 1997 were examined with a panel of anti-lyssavirus nucleocapsid monoclonal antibodies. Out of 56 isolates from cats and various wild carnivore species, 1 isolate of Mokola virus and 5 other non-typical rabies viruses were identified. The Mokola virus isolate was diagnosed as rabies in 1993 from a cat. Genetic analysis of this isolate suggests that it falls in a distinct subgroup of the Mokola virus genotype. The 5 non-typical rabies viruses were isolated from honey badgers (Mellivora capensis), African civets (Civettictis civetta) and an unidentified mongoose (Herpestidae). These isolates are representatives of rarely-reported wildlife-associated strains of rabies, probably maintained by the slender mongoose (Galerella sanguinea). These findings indicate that both Mokola virus and the mongoose-associated variant may be more common in Zimbabwe than is apparent from routine surveillance. PMID:11513267

  1. A retrospective study of rabies in humans in Zimbabwe, between 1992 and 2003.

    PubMed

    Pfukenyi, D M; Pawandiwa, D; Makaya, P V; Ushewokunze-Obatolu, Unesu

    2007-06-01

    This study aimed at examining the epidemiological features of rabies in humans in Zimbabwe. The data were taken from internal reports of the department of veterinary technical services at Harare covering the period 1st January 1992-31st December 2003 inclusive. Positive cases were examined in relation to age and sex of the victim, animal vector involved, season, and land-use categories. The majority of the confirmed positive human cases (85.7%) were recorded in communal areas. The 5-19 year age group and males constituted a highly vulnerable group. Over 90% of the cases were due to dog bites with jackals (Canis adustus and C. mesomelas), and honey badgers (Mellivora capensis) also contributing to the positive cases. Rabid cats and rabid wild animals had a high relative risk (RR) of biting humans. Animal-to-human transmission was highest during the dry months of July to November. PMID:17543871

  2. Social and Economic Barriers to Exclusive Breast Feeding In Rural Zimbabwe

    PubMed Central

    Muchacha, Munyaradzi; Mtetwa, Edmos

    2015-01-01

    Objectives: Exclusive breast feeding (EBF) uptake in Zimbabwe is very low. Given that EBF is a physiological process which transpires in a specific socio-economic milieu, this study investigates the socio-economic factors militating against its uptake. Methods: The study used a mixed research methodology. The concurrent nested model of mixed methods was utilized using one data collection phase, during which both quantitative and qualitative data were collected simultaneously. Results: The research noted that factors such as low education, low income, gender inequalities, social influence, and traditional practices were hindering the uptake of exclusive breast feeding. Conclusions and Global Health Implications: The study envisages that it is pertinent for infant feeding programs to address socio-economic barriers to EBF in order to influence a positive uptake. The potential interventions include increasing men’s involvement, raising awareness on EBF, and strengthening the Village Health Worker Program.

  3. Directory of socio-behavioural research on HIV infection and AIDS in Zimbabwe.

    PubMed

    Bijlmakers, L A

    1993-02-01

    In July-August 1992, a directory was made of research projects on socio-behavioural aspects of HIV infection and AIDS in Zimbabwe. A total of 92 research projects were identified, most of which were already completed. Whilst there was a wide variety of topics, populations and geographical areas covered, there was a strong bias towards AIDS awareness and knowledge, attitudes and practices (KAP) studies. Many of these were not linked with any specific AIDS prevention programme or with policy making. Suggestions are given to make better use of existing scientific information. A call is made upon researchers to conduct action-oriented studies and to consult HIV/AIDS programme implementers when specifying 'researchable' problems, so as to increase the likelihood that the study results will indeed have an impact on policy making and programme implementation. PMID:8261502

  4. Infestations of the bont tick Amblyomma hebraeum (Acari: Ixodidae) on different breeds of cattle in Zimbabwe.

    PubMed

    Norval, R A; Sutherst, R W; Kerr, J D

    1996-10-01

    Infestations of adults and nymphs of Amblyomma hebraeum were counted on Brahman (Br), Brahman x Simmental (BS), Sanga (Sa) and Hereford (He) steers exposed to infested pastures at Mbizi in southern Zimbabwe in 1986-1987. Herefords were always the most heavily infested, while the Sanga tended to carry the fewest ticks with the Brahman and Brahman x Simmental groups being in between. The ratios of the engorged females on the four breeds were 2.3:1.4:1.4:1.0 for He:Br:BS:Sa. The ratios of the standard nymphs were 2.2:1.4:1.7:1.0 for He:Br:BS:Sa. The results confirm earlier observations in Africa and support the view that there are genetic differences between breeds in the expression of resistance to this tick species.

  5. Maternal height and age: risk factors for cephalopelvic disproportion in Zimbabwe.

    PubMed

    Tsu, V D

    1992-10-01

    Maternal age and stature are among several factors used to screen pregnant women for potential risk of labour complications. In a population-based case-control study in Harare, Zimbabwe, multivariate analysis was carried out to evaluate the importance of maternal age and height as risk factors for cephalopelvic disproportion (CPD). Using data abstracted from the medical records of 203 women with operative deliveries due to CPD and 299 women with normal unassisted vaginal deliveries, multiple logistic regression models were developed. Although maternal age < 18 years was not a significant risk factor in this study (perhaps because there were few women in this age group), advanced maternal age (> or = 35 years) was associated with a relative risk of 2.7 compared to women 20-34, after adjusting for other demographic and obstetric factors. Maternal height < 160 cm was associated with a twofold increased risk of CPD as compared to taller women.

  6. The influence of conservation tillage methods on soil water regimes in semi-arid southern Zimbabwe

    NASA Astrophysics Data System (ADS)

    Mupangwa, W.; Twomlow, S.; Walker, S.

    Planting basins and ripper tillage practices are major components of the recently introduced conservation agriculture package that is being extensively promoted for smallholder farming in Zimbabwe. Besides preparing land for crop planting, these two technologies also help in collecting and using rainwater more efficiently in semi-arid areas. The basin tillage is being targeted for households with limited or no access to draught animals while ripping is meant for smallholder farmers with some draught animal power. Trials were established at four farms in Gwanda and Insiza in southern Zimbabwe to determine soil water contributions and runoff water losses from plots under four different tillage treatments. The tillage treatments were hand-dug planting basins, ripping, conventional spring and double ploughing using animal-drawn implements. The initial intention was to measure soil water changes and runoff losses from cropped plots under the four tillage practices. However, due to total crop failure, only soil water and runoff were measured from bare plots between December 2006 and April 2007. Runoff losses were highest under conventional ploughing. Planting basins retained most of the rainwater that fell during each rainfall event. The amount of rainfall received at each farm significantly influenced the volume of runoff water measured. Runoff water volume increased with increase in the amount of rainfall received at each farm. Soil water content was consistently higher under basin tillage than the other three tillage treatments. Significant differences in soil water content were observed across the farms according to soil types from sand to loamy sand. The basin tillage method gives a better control of water losses from the farmers’ fields. The planting basin tillage method has a greater potential for providing soil water to crops than ripper, double and single conventional ploughing practices.

  7. 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

  8. Acceptability of Early Infant Male Circumcision as an HIV Prevention Intervention in Zimbabwe: A Qualitative Perspective

    PubMed Central

    Mavhu, Webster; Hatzold, Karin; Laver, Susan M.; Sherman, Judith; Tengende, Brenda R.; Mangenah, Collin; Langhaug, Lisa F.; Hart, Graham; Cowan, Frances M.

    2012-01-01

    Background Early infant male circumcision (EIMC) is simpler, safer and more cost-effective than adult circumcision. In sub-Saharan Africa, there are concerns about acceptability of EIMC which could affect uptake. In 2009 a quantitative survey of 2,746 rural Zimbabweans (aged 18–44) indicated that 60% of women and 58% of men would be willing to have their newborn son circumcised. Willingness was associated with knowledge of HIV and male circumcision. This qualitative study was conducted to better understand this issue. Methods In 2010, 24 group discussions were held across Zimbabwe with participants from seven ethnic groups. Additionally, key informant interviews were held with private paediatricians who offer EIMC (n = 2) plus one traditional leader. Discussions were audio-recorded, transcribed, translated into English (where necessary), coded using NVivo 8 and analysed using grounded theory principles. Results Knowledge of the procedure was poor. Despite this, acceptability of EIMC was high among parents from most ethnic groups. Discussions suggested that fathers would make the ultimate decision regarding EIMC although mothers and extended family can have (often covert) influence. Participants' concerns centred on: safety, motive behind free service provision plus handling and disposal of the discarded foreskin. Older men from the dominant traditionally circumcising population strongly opposed EIMC, arguing that it separates circumcision from adolescent initiation, as well as allowing women (mothers) to nurse the wound, considered taboo. Conclusions EIMC is likely to be an acceptable HIV prevention intervention for most populations in Zimbabwe, if barriers to uptake are appropriately addressed and fathers are specifically targeted by the programme. PMID:22384258

  9. Incidence and pattern of 12 years of reported transfusion adverse events in Zimbabwe: a retrospective analysis

    PubMed Central

    Mafirakureva, Nyashadzaishe; Khoza, Star; Mvere, David A.; Chitiyo, McLeod E.; Postma, Maarten J.; van Hulst, Marinus

    2014-01-01

    Background Haemovigilance hinges on a systematically structured reporting system, which unfortunately does not always exist in resource-limited settings. We determined the incidence and pattern of transfusion-related adverse events reported to the National Blood Service Zimbabwe. Materials and methods A retrospective review of the transfusion-event records of the National Blood Service Zimbabwe was conducted covering the period from 1 January 1999 to 31 December 2011. All transfusion-related event reports received during the period were analysed. Results A total of 308 transfusion adverse events (0.046%) were reported for 670,625 blood components distributed. The majority (61.6%) of the patients who experienced an adverse event were female. The median age was 36 years (range, 1–89 years). The majority (68.8%) of the adverse events were acute transfusion reactions consisting of febrile non-haemolytic transfusion reactions (58.5%), minor allergies (31.6%), haemolytic reactions (5.2%), severe allergic reactions (2.4%), anaphylaxis (1.4%) and hypotension (0.9%). Two-thirds (66.6%) of the adverse events occurred following administration of whole blood, although only 10.6% of the blood was distributed as whole blood. Packed cells, which accounted for 75% of blood components distributed, were associated with 20.1% of the events. Discussion The incidence of suspected transfusion adverse events was generally lower than the incidences reported globally in countries with well-established haemovigilance systems. The administration of whole blood was disproportionately associated with transfusion adverse events. The pattern of the transfusion adverse events reported here highlights the probable differences in practice between different settings. Under-reporting of transfusion events is rife in passive reporting systems. PMID:24887217

  10. 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.

  11. Analysis of multidimensional aspects of agricultural droughts in Zimbabwe using the Standardized Precipitation Index (SPI)

    NASA Astrophysics Data System (ADS)

    Manatsa, Desmond; Mukwada, Geoffrey; Siziba, Emmanuel; Chinyanganya, Tafadzwa

    2010-11-01

    This study focuses on a framework of methodologies used for analyzing the frequency and spatiotemporal characteristics of agricultural droughts in Zimbabwe from a vulnerability context. By employing an empirical orthogonal analysis method, the study revealed that relatively strong spatial and temporal station drought relationships prevail, making the drought spatiotemporal characteristics of the country to be considered highly homogeneous. Thus, agricultural droughts were characterized temporarily using the Standardized Precipitation Index derived from rainfall data for the longer but sparse data period from 1901 to 2004. At the same time, higher spatial density analysis was achieved from shorter but denser database for the period 1941 to 1999. The results indicated that drought is a natural climatic feature of the region and occurs from time to time in defined periods. However, severe and extreme droughts tend to concentrate near the end of the time series, suggesting that during the earlier period of the twentieth century, droughts have been smaller or less pervasive. The extreme droughts appear to inherit the coincidence of both very high values of spatial extent and intensity in a single event. This offers a possible explanation to why extreme droughts in Zimbabwe usually have dire consequences on agriculture and the national economy. By showing that the related national drought impacts on staple maize food production can be estimated, this study has demonstrated that it is possible to anticipate future drought hazard impacts and predict periods of food insecurity. As far as the forecasting of agricultural droughts is concerned, the recently discovered Indian Ocean dipole/zonal mode seems to perform better than the traditional El Niño-Southern Oscillation as a potential drought predictor during the twentieth century.

  12. Spatio-temporal variations of aquatic weeds abundance and coverage in Lake Chivero, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Shekede, M. D.; Kusangaya, S.; Schmidt, K.

    Information on the spatial distribution of aquatic weeds is required for understanding the evolution of weed invasion and propagation rates. Such information is also vital for identifying affected areas and relating weed abundance to probable changes in environmental conditions and human actions including management practices within the lake and its catchment. Information on aquatic weed distribution also assists in evaluating the effectiveness of control measures and management actions. In Zimbabwe, Lake Chivero has been characterised by aquatic weed proliferation since the 1970s. Field surveys done between December 2005 and March 2006 showed concentrations of 1.2 mg/l and 0.3 mg/l up from 0.3 mg/l and 0.03 mg/l in 2001 for phosphates and nitrates respectively. Proliferation of aquatic weeds will continue unless nutrient loadings to this lake are reduced. The aim of this paper was to assess the feasibility of mapping the spatial extent and abundance of aquatic weeds in Lake Chivero, Zimbabwe using Landsat images. Landsat images of 1976, 1989 and 2000 were used to calculate the normalised difference vegetation index (NDVI) which was used for estimating the spatial extent of aquatic weeds and weed biomass. Field data and actual biomass measurements were obtained between December 2005 and March 2006 by harvesting weeds from the lake. This was subsequently related to NDVI and used to estimate the abundance of the different weed species. The results indicate that the weed coverage in Lake Chivero declined from 42% in 1976, 36% in 1989 to 22% in 2000. The research also demonstrated that Typha capensis has more biomass, 11.1kg per square metre, than any other weed type and hence higher abundance in all the years. It was concluded that remote sensing is an invaluable asset for detection of invasions, assessment of infestation levels, monitoring rate of spread, and determining the efficacy of weed mitigation measures.

  13. 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. PMID:27391994

  14. Factors associated with uptake of voluntary medical male circumcision, Mazowe District, Zimbabwe, 2014

    PubMed Central

    Rupfutse, Maxwell; Tshuma, Cremence; Tshimanga, Mufuta; Gombe, Notion; Bangure, Donewell; Wellington, Maureen

    2014-01-01

    Introduction Voluntary Medical Male Circumcision (VMMC) is the surgical removal of the foreskin by a trained health worker. VMMC was introduced in Zimbabwe in 2009. It is of concern that the programme performance has been below expectations nationally and in Mazowe district. Zimbabwe is unlikely to meet its 2015 target of circumcising 1 200 000 men aged between 15 and 29 years and unlikely to enjoy maximum benefits of VMMC which include prevention of HIV, sexually transmitted infections and cervical cancer. We therefore broadly aimed at identifying factors influencing the level of VMMC uptake in Mazowe district. Methods An analytic cross-sectional study was carried out in Mazowe district. A multi-stage probability sampling strategy was used to select 300 men aged between 18 and 49 years. Pretested interviewer administered questionnaires, key informant interviews and focus group discussions were used to collect data. Quantitative data was analysed using Epi info where odds ratios and p-values were calculated. Qualitative data was analysed thematically. Results Being of Shona origin (AOR= 7.69 (95%CI 1.78-33.20)), fear of pain (AOR= 7.09 (95%CI 2.58-19.47)) and fear of poor wound healing (AOR= 2.68 (95%CI 1.01-7.08)) were independently associated with being uncircumcised while having a circumcised friend and encouragement by a friend or relative were independently associated with being circumcised. Conclusion Fear of pain, fear of poor wound healing and encouragement by a friend or relative were associated with circumcision status. Widening use of surgical devices and third part referrals may assist in scaling up the programme. PMID:25918577

  15. Seroprevalence of leptospirosis in dogs in urban Harare and selected rural communities in Zimbabwe.

    PubMed

    Dhliwayo, Solomon; Matope, Gift; Marabini, Lisa; Dutlow, Keith; Pfukenyi, Davis M

    2012-12-06

    A cross-sectional study was conducted to investigate seroprevalence of canine leptospirosis in urban Harare and five selected rural communities in Zimbabwe and to assess public awareness of the disease. Sera from randomly selected dogs were tested for antibodies to the serovars Canicola, Grippotyphosa, Icterohaemorrhagiae and Pomona of Leptospira interrogans using an enzyme-linked immunosorbent assay. Clinical chemistry was performed on all seropositive and selected seronegative sera to screen for hepatic and renal insufficiency. A questionnaire- based survey was conducted in Harare to assess dog owners' awareness of leptospirosis and other zoonoses. Overall, 15.6% of sera samples tested (39 out of 250; 95% confidence interval [CI]: 11.0% - 20.2%) were positive for leptospiral antibodies. A significantly higher (p < 0.05) seroprevalence was recorded in urban dogs than in rural dogs (25% vs. 11.2%). No significant difference in seroprevalence was observed amongst dogs from different rural communities or between sexes of dogs. There was a significant association between seropositivity and hepatic and/or renal insufficiency (p < 0.01), with dogs having hepatic and/or renal insufficiency being approximately twice as likely to be seropositive (relative risk = 1.96; 95% CI: 1.3-3.0). Of the dog owners, 78.8% (119/151) were aware of zoonoses. Except for rabies (92.4%), awareness of leptospirosis (5.0%) and other zoonoses amongst these owners was low. This study showed that leptospirosis was present and represented a risk to dogs from urban Harare and the selected rural communities in Zimbabwe. Availing training programmes for dog owners would be beneficial in improving disease control and reducing the public health risk of pet zoonoses.

  16. Integrated human rights and poverty eradication strategy: the case of civil registration rights in Zimbabwe.

    PubMed

    Musarandega, Reuben

    2009-01-01

    High poverty levels characterise sub-Saharan Africa, Zimbabwe included. Over 80 per cent of Zimbabwe's population lived below the total consumption poverty line and 70 per cent below the food poverty line in 2003. This plummeting of social indicators resulted from the freefall suffered by the country's economy from the 1990s, after unsuccessful attempts to implement structural adjustment programmes prescribed by international financial institutions. The ensuing socioeconomic decay, political crisis and international isolation of the country from the late 1990s reversed gains made in social indicators during the 1980s. Development theories attribute poverty to unchecked population growth, political, economic and environmental mismanagement, while developing countries' leaders attribute it to historical imbalances and global political and economic injustices. Despite this debate, poverty continues to evolve, expand and deepen and the need to eradicate it has become urgent. The complex question of what causes and what drives poverty is perpetually addressed and new ideas are emerging to answer the question. One recent view is that failure to centre development on people and to declare poverty a violation of human rights has allowed poverty to grow the world over. This study uses a hypothesised cause of poverty - civil registration - to exemplify the human right nature of poverty, and how a human rights' policy can be used as an instrument to eradicate poverty. The study demonstrates that civil registration is a right of instrumental relevance to poverty; and achieving civil registration grants people access to numerous other rights, some of which will lift them out of poverty, while the failure of civil registration deprives people of access to livelihoods, thereby entrenching them in poverty.

  17. Landuse Dynamics in a Small Watershed of the Semi-arid Zimbabwe

    NASA Astrophysics Data System (ADS)

    Kileshye-Onema, J.; Rooyen, A. V.

    2007-12-01

    Zimbabwe has experienced a controversial land reform program with physical, political and socio-economical consequences for the country and the entire southern African region. Here, land use decision making is related to water. A study has been undertaken in Insiza River watershed (3401 km 2), located within the semi-arid southern part of Zimbabwe. The Insiza River is a tributary of Mzingwane River, which drains into the transboundary Limpopo River, contributing around 9 % of the unit runoff of the latter river. The Insiza watershed is divided into two main hydrological zones, the Upper Insiza and the Lower Insiza. Mean Annual Runoff of the two hydrological zones is 50 mm and 38 mm respectively. Through a supervised classification of satellite images, the landuse dynamics was assessed from Landsat images acquired in April 1991 and April 2000. Five signature files, bare ground, water bodies, mixed impacted land, good natural vegetation and croplands were used to define the Insiza watershed land use set up while processing Landsat images with IDRISI. For the decade considered, the major changes occurred within mixed impacted lands that were converted into croplands. This conversion was observed on 14% of the total area of the Insiza watershed. Moreover there was a decrease in water bodies (from 1.3% to 0.89%), bare ground (from 1.2% to 0.9%) and in natural good vegetation (from 50.99% to 50.48%) land types. These changes were observed in the Upper Insiza, where the commercial farms were located. However, the decrease in natural good vegetation and the conversion of mixed impacted lands into fields took place mainly in the communal lands.

  18. Voluntary Medical Male Circumcision (VMMC) in Tanzania and Zimbabwe: Service Delivery Intensity and Modality and Their Influence on the Age of Clients

    PubMed Central

    Ashengo, Tigistu Adamu; Hatzold, Karin; Mahler, Hally; Rock, Amelia; Kanagat, Natasha; Magalona, Sophia; Curran, Kelly; Christensen, Alice; Castor, Delivette; Mugurungi, Owen; Dhlamini, Roy; Xaba, Sinokuthemba; Njeuhmeli, Emmanuel

    2014-01-01

    Background Scaling up voluntary medical male circumcision (VMMC) to 80% of men aged 15–49 within five years could avert 3.4 million new HIV infections in Eastern and Southern Africa by 2025. Since 2009, Tanzania and Zimbabwe have rapidly expanded VMMC services through different delivery (fixed, outreach or mobile) and intensity (routine services, campaign) models. This review describes the modality and intensity of VMMC services and its influence on the number and age of clients. Methods and Findings Program reviews were conducted using data from implementing partners in Tanzania (MCHIP) and Zimbabwe (PSI). Key informant interviews (N = 13 Tanzania; N = 8 Zimbabwe) were conducted; transcripts were analyzed using Nvivo. Routine VMMC service data for May 2009–December 2012 were analyzed and presented in frequency tables. A descriptive analysis and association was performed using the z-ratio for the significance of the difference. Key informants in both Tanzania and Zimbabwe believe VMMC scale-up can be achieved by using a mix of service delivery modality and intensity approaches. In Tanzania, the majority of clients served during campaigns (59%) were aged 10–14 years while the majority during routine service delivery (64%) were above 15 (p<0.0001). In Zimbabwe, significantly more VMMCs were done during campaigns (64%) than during routine service delivery (36%) (p<0.00001); the difference in the age of clients accessing services in campaign versus non-campaign settings was significant for age groups 10–24 (p<0.05), but not for older groups. Conclusions In Tanzania and Zimbabwe, service delivery modalities and intensities affect client profiles in conjunction with other contextual factors such as implementing campaigns during school holidays in Zimbabwe and cultural preference for circumcision at a young age in Tanzania. Formative research needs to be an integral part of VMMC programs to guide the design of service delivery modalities in the face of, or

  19. Socio-economic status and health care utilization in rural Zimbabwe: findings from Project Accept (HPTN 043)

    PubMed Central

    Kevany, Sebastian; Murima, Oliver; Singh, Basant; Hlubinka, Daniel; Kulich, Michal; Morin, Stephen F.; Sweat, Michael

    2012-01-01

    Zimbabwe’s HIV epidemic is amongst the worst in the world, and disproportionately effects poorer rural areas. Access to almost all health services in Zimbabwe includes some form of cost to the client. In recent years, the socio-economic and employment status of many Zimbabweans has suffered a serious decline, creating additional barriers to HIV treatment and care. We aimed to assess the impact of i) socio-economic status (SES) and ii) employment status on the utilization of health services in rural Zimbabwe. Data were collected from a random probability sample household survey conducted in the Mutoko district of north-western Zimbabwe in 2005. We selected variables that described the economic status of the respondent, including: being paid to work, employment status, and SES by assets. Respondents were also asked about where they most often utilized healthcare when they or their family was sick or hurt. Of 2,874 respondents, all forms of healthcare tended to be utilized by those of high or medium-high SES (65%), including private (65%), church-based (61%), traditional (67%), and other providers (66%) (P=0.009). Most respondents of low SES utilized government providers (74%) (P=0.009). Seventy-one percent of respondents utilizing health services were employed. Government (71%), private (72%), church (71%), community-based (78%) and other (64%) health services tended to be utilized by employed respondents (P=0.000). Only traditional health services were equally utilized by unemployed respondents (50%) (P=0.000). A wide range of health providers are utilized in rural Zimbabwe. Utilization is strongly associated with SES and employment status, particularly for services with user fees, which may act as a barrier to HIV treatment and care access. Efforts to improve access in low-SES, high HIV-prevalence settings may benefit from the subsidization of the health care payment system, efforts to improve SES levels, political reform, and the involvement of traditional

  20. Institutional aspects of proportional water allocation in practice: case of the Odzani River Irrigation Company, Save Catchment, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Senzanje, A.; van der Zaag, P.

    Under the new Water Act [Government of Zimbabwe, 1998. Water Act, Chapter 20:24, No. 31/98. Government Printers, Harare] of Zimbabwe which abolished the priority date system for the allocation of surface water in a catchment, it is widely believed that the alternative will be the proportional water allocation system. The proportional water allocation system has been practiced by groups of water users in a number of sub-catchments in Zimbabwe including Mupfuri, Mazowe and Odzi River systems, mainly in the form of dam syndicates (groups of users jointly owning a dam) and irrigation companies (groups of irrigators sharing one source of water). This paper presents the practical experiences with, and lessons that can be learnt from proportional water allocation in the Odzani River Irrigation Company (ORIC) on the Odzi River system in Manicaland in Zimbabwe. ORIC was formed under the provisions of the old Water Act after the construction of the canal, and currently has 50 irrigating members. They are engaged in a variety of agricultural enterprises that include crop production, horticulture and dairying. All members have sub-permits (sub-rights) that enable them to draw water, but the company has a single permit to abstract water from the Odzi River into their supply canal. Farmers’ perception and understanding of proportional water allocation varied but generally defined it as getting a certain percentage of water depending on the amount available in the canal and one’s water permit. One of the major sources of problems in ORIC is inequitable access to water arising from water poaching. Overall, ORIC farmers felt that for proportional water allocation to work properly, the services of a fulltime water bailiff are required, farmers must have their own storage facilities, water should be metered, members should participate fully in decision making, politics should be kept to a minimum and conflicts must be resolved internally.

  1. The Impact of the HIV/AIDS and Economic Crises on Orphans and Other Vulnerable Children in Zimbabwe

    ERIC Educational Resources Information Center

    Chitiyo, George; Chitiyo, Morgan

    2009-01-01

    Zimbabwe, like most of Sub-Saharan Africa, has been hard-hit by HIV/ AIDS. National estimates reported by the Ministry of Health and Child Welfare put the prevalence rates of HIV in the age group between 15 and 49 at 15.3% (World Health Organization [WHO], UNICEF, & UNAIDS, 2008). This is one of the highest HIV/AIDS prevalence rates in the world…

  2. Hospitality Management.

    ERIC Educational Resources Information Center

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  3. Academic Hospitality

    ERIC Educational Resources Information Center

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  4. Psychometric properties of the revised UCLA Loneliness Scale and two short-form measures of loneliness in Zimbabwe.

    PubMed

    Wilson, D; Cutts, J; Lees, I; Mapungwana, S; Maunganidze, L

    1992-08-01

    The cross-cultural reliability in Zimbabwe of the Revised University of California at Los Angeles (UCLA) Loneliness Scale and two short forms of the Revised UCLA Loneliness Scale were investigated. Subjects comprised a sample of 1,354 adolescents and another sample of 754 adults. The reliability of the Revised UCLA Loneliness Scale was acceptable. The internal consistency of an eight-item short form of the Revised UCLA Loneliness Scale was adequate, but the reliability of a four-item short form was low. Factor analysis of the Revised UCLA Loneliness Scale, which yielded two factors similar to those reported in North America by Zakahi and Duran (1982) supported the construct validity of the Revised UCLA Loneliness Scale in Zimbabwe. The Revised UCLA Loneliness Scale and the eight-item short form were highly correlated, but this association was spuriously elevated by the fact the eight-item short form is part of the full scale. Factor analysis of the eight-item short form suggested that this scale does not consistently reflect the factor structure of the full scale. We concluded that the Revised UCLA Loneliness Scale possesses acceptable reliability and factorial validity in Zimbabwe and that the eight-item version is superior to the four-item form of the Revised UCLA Loneliness Scale as a short loneliness measure. However, additional refinements may be needed to further improve the eight-item short version. PMID:1512681

  5. 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

    2014-01-01

    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. PMID:25686382

  6. 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

    2014-01-01

    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.

  7. Evaluating Crop Area Mapping from MODIS Time-Series as an Assessment Tool for Zimbabwe's "Fast Track Land Reform Programme".

    PubMed

    Hentze, Konrad; Thonfeld, Frank; Menz, Gunter

    2016-01-01

    Moderate Resolution Imaging Spectroradiometer (MODIS) data forms the basis for numerous land use and land cover (LULC) mapping and analysis frameworks at regional scale. Compared to other satellite sensors, the spatial, temporal and spectral specifications of MODIS are considered as highly suitable for LULC classifications which support many different aspects of social, environmental and developmental research. The LULC mapping of this study was carried out in the context of the development of an evaluation approach for Zimbabwe's land reform program. Within the discourse about the success of this program, a lack of spatially explicit methods to produce objective data, such as on the extent of agricultural area, is apparent. We therefore assessed the suitability of moderate spatial and high temporal resolution imagery and phenological parameters to retrieve regional figures about the extent of cropland area in former freehold tenure in a series of 13 years from 2001-2013. Time-series data was processed with TIMESAT and was stratified according to agro-ecological potential zoning of Zimbabwe. Random Forest (RF) classifications were used to produce annual binary crop/non crop maps which were evaluated with high spatial resolution data from other satellite sensors. We assessed the cropland products in former freehold tenure in terms of classification accuracy, inter-annual comparability and heterogeneity. Although general LULC patterns were depicted in classification results and an overall accuracy of over 80% was achieved, user accuracies for rainfed agriculture were limited to below 65%. We conclude that phenological analysis has to be treated with caution when rainfed agriculture and grassland in semi-humid tropical regions have to be separated based on MODIS spectral data and phenological parameters. Because classification results significantly underestimate redistributed commercial farmland in Zimbabwe, we argue that the method cannot be used to produce spatial

  8. Improving the efficiency of district hospitals: is contracting an option?

    PubMed

    Mills, A; Hongoro, C; Broomberg, J

    1997-02-01

    A world-wide revolution in thinking about public sector management has occurred in recent years, termed the 'new public management'. It aims to improve the efficiency of service provision primarily through the introduction of market mechanisms into the public sector. The earliest form of marketization in developed countries has tended to be the introduction of competitive tendering and contracts for the provision of public services. In less wealthy countries, the language of contracting is heard with increasing frequency in discussions of health sector reform despite the lack of evidence of the virtues (or vices) of contracting in specific country settings. This paper examines the economic arguments for contracting district hospital care in two rather different settings in Southern Africa: in South Africa using private-for-profit providers, and in Zimbabwe using NGO (mission) providers. The South African study compared the performance of three 'contractor' hospitals with three government-run hospitals, analysing data on costs and quality. There were no significant differences in quality between the two sets of hospitals, but contractor hospitals provided care at significantly lower unit costs. However, the cost to the government of contracting was close to that of direct provision, indicating that the efficiency gains were captured almost entirely by the contractor. A crucial lesson from the study is the importance of developing government capacity to design and negotiate contracts that ensure the government is able to derive significant efficiency gains from contractual arrangements. In other parts of Africa, contracts for hospital care are more likely to be agreed with not-for-profit providers. The Zimbabwean study compared the performance of two government district hospitals with two district 'designated' mission hospitals. It found that the two mission hospitals delivered similar services to those of the two government hospitals but at substantially lower unit

  9. Improving the efficiency of district hospitals: is contracting an option?

    PubMed

    Mills, A; Hongoro, C; Broomberg, J

    1997-02-01

    A world-wide revolution in thinking about public sector management has occurred in recent years, termed the 'new public management'. It aims to improve the efficiency of service provision primarily through the introduction of market mechanisms into the public sector. The earliest form of marketization in developed countries has tended to be the introduction of competitive tendering and contracts for the provision of public services. In less wealthy countries, the language of contracting is heard with increasing frequency in discussions of health sector reform despite the lack of evidence of the virtues (or vices) of contracting in specific country settings. This paper examines the economic arguments for contracting district hospital care in two rather different settings in Southern Africa: in South Africa using private-for-profit providers, and in Zimbabwe using NGO (mission) providers. The South African study compared the performance of three 'contractor' hospitals with three government-run hospitals, analysing data on costs and quality. There were no significant differences in quality between the two sets of hospitals, but contractor hospitals provided care at significantly lower unit costs. However, the cost to the government of contracting was close to that of direct provision, indicating that the efficiency gains were captured almost entirely by the contractor. A crucial lesson from the study is the importance of developing government capacity to design and negotiate contracts that ensure the government is able to derive significant efficiency gains from contractual arrangements. In other parts of Africa, contracts for hospital care are more likely to be agreed with not-for-profit providers. The Zimbabwean study compared the performance of two government district hospitals with two district 'designated' mission hospitals. It found that the two mission hospitals delivered similar services to those of the two government hospitals but at substantially lower unit

  10. “All for some”: water inequity in Zambia and Zimbabwe

    NASA Astrophysics Data System (ADS)

    Robinson, Peter B.

    In southern Africa, gross disparities in access to water are symptomatic of the overall uneven pattern of development. Despite post-independence egalitarian rhetoric, in countries such as Zambia and Zimbabwe inappropriate models (piped house connections in the urban areas, high technology irrigation schemes in the agricultural sector), combined with weak macro-economies and poorly formulated sectoral policies have actually exacerbated the disparities. Zero or very low tariffs have played a major role in this. Although justified as being consistent with water’s special status, inadequate tariffs in fact serve to undermine any programme of making water accessible to all. This has led to a narrowing of development options, resulting in exclusivist rather than inclusivist development, and stagnation rather than dynamism. A major part of the explanation for perpetuation of such unsatisfactory outcomes is the existence of political interest groups who benefit from the status quo. The first case study in the paper involves urban water consumers in Zambia, where those with piped water connections seek to continue the culture of low tariffs which is by now deeply embedded. The result is that the water supply authorities (in this case the newly formed, but still politically constrained ‘commercialised utilities’) are unable even to maintain adequate supplies to the piped customers, let alone extend service to the peri-urban dwellers, 56% of whom do not have access to safe water. The paper outlines some modest, workable principles to achieve universal, affordable access to water in the urban areas, albeit through a mix of service delivery mechanisms. In a second case study of rural productive water in Zimbabwe, the reasons for only 2% of the rural subsistence farming households being involved in formal small-scale irrigation schemes 20 years after independence are explored. Again, a major part of the explanation lies in government pursuing a water delivery model which

  11. The religious-spiritual self-image and behaviours among adolescent street children in Harare, Zimbabwe.

    PubMed

    Mhizha, Samson

    2015-02-01

    The present study sought to explore the relationship between street childhood and adolescent religious-spiritual self-image. In Zimbabwe, there has been a rise in street children population in the urban centres. The current study investigated whether adolescent street children live and work in an eco-developmentally risky context for the development of positive religious-spiritual self-image. This rise in street children population has been in the context of a socio-politico-economic crisis, which was marked by record inflation rates and the HIV and AIDS pandemic. The research objectives were to investigate the nature of religious-spiritual self-image for street-living adolescent children, and to determine the effects of self-image on the behaviour of street-living adolescent children. A psycho-ethnographic research design was employed in this study. This involved collection of data for a sustained period in the context within which the participants live. The participants were 16 street-living adolescent children aged between 12 and 18 years and six key informants all in Harare in Zimbabwe. A total of 22 participants took part in this study. Snowballing was used to recruit key informant interviewees, while purposive sampling was used to recruit participants for focus group discussions, in-depth interview, and participant and non-participant observations. Key informant interviews, focus group discussions, in-depth interviews, and participant and non-participant observations were the data collection methods. Thematic content analysis was used for analysing the data. This thematic content analytic method helped to identify themes on the religious-spiritual self-image that emerged from the data. Data analysis revealed that the adolescent street children's religious-spiritual self-image is largely negative. Most street-living adolescent children believed that they were controlled and influenced by evil spirits and that their relatives were casting bad spells on them

  12. Aeromagnetic interpretation in the south-central Zimbabwe Craton: (reappraisal of) crustal structure and tectonic implications

    NASA Astrophysics Data System (ADS)

    Ranganai, Rubeni T.; Whaler, Kathryn A.; Ebinger, Cynthia J.

    2015-12-01

    Regional aeromagnetic data from the south-central Zimbabwe Craton have been digitally processed and enhanced for geological and structural mapping and tectonic interpretation integrated with gravity data, to constrain previous interpretations based on tentative geologic maps and provide new information to link these structural features to known tectonic events. The derived maps show excellent correlation between magnetic anomalies and the known geology, and extend lithological and structural mapping to the shallow/near subsurface. In particular, they reveal the presence of discrete crustal domains and several previously unrecognised dykes, faults, and ultramafic intrusions, as well as extensions to others. Five regional structural directions (ENE, NNE, NNW, NW, and WNW) are identified and associated with trends of geological units and cross-cutting structures. The magnetic lineament patterns cut across the >2.7 Ga greenstone belts, which are shown by gravity data to be restricted to the uppermost 10 km of the crust. Therefore, the greenstone belts were an integral part of the lithosphere before much of the upper crustal (brittle) deformation occurred. Significantly, the observed magnetic trends have representatives craton-wide, implying that our interpretation and inferences can be applied to the rest of the craton with confidence. Geological-tectonic correlation suggests that the interpreted regional trends are mainly 2.5 Ga (Great Dyke age) and younger, and relate to tectonic events including the reactivation of the Limpopo Belt at 2.0 Ga and the major regional igneous/dyking events at 1.8-2.0 Ga (Mashonaland), 1.1 Ga (Umkondo), and 180 Ma (Karoo). Thus, their origin is here inferred to be inter- and intra-cratonic collisions and block movements involving the Zimbabwe and Kaapvaal Cratons and the Limpopo Belt, and later lithospheric heating and extension associated with the break-up of Gondwana. The movements produced structures, or reactivated older fractures

  13. Acceptability of heat treating breast milk to prevent mother-to-child transmission of human immunodeficiency virus in Zimbabwe: a qualitative study.

    PubMed

    Israel-Ballard, Kiersten A; Maternowska, M Catherine; Abrams, Barbara F; Morrison, Pamela; Chitibura, Livona; Chipato, Tsungai; Chirenje, Zvavahera M; Padian, Nancy S; Chantry, Caroline J

    2006-02-01

    Although heat treatment of human milk is an official infant-feeding recommendation for human immunodeficiency virus (HIV)-positive mothers in Zimbabwe, its implementation has not been adequately addressed, because knowledge about the safety of this method is rudimentary and its acceptability is poorly understood. To address this knowledge gap, the authors conducted focus group discussions among mothers, grandmothers, midwives, and husbands in various regions of Zimbabwe. Although the practice of heat treating expressed human milk was initially met with skepticism because of potential obstacles, including time constraints and social and cultural stigma, a pattern of opinion reversal emerged in all groups. By the end of each discussion, participants believed that, given its affordability and its potential to protect infants from HIV infection, heat-treated human milk may be a feasible infant-feeding option for HIV-positive mothers in Zimbabwe. These findings merit further investigation so that appropriate behavioral strategies can be designed. PMID:16467287

  14. Detrital zircon geochronology by LA-ICP-MS of the Neoarchean Manjeri Formation in the Archean Zimbabwe craton- the disappearance of Eoarchean crust by 2.7 Ga?

    NASA Astrophysics Data System (ADS)

    Sawada, Hikaru; Maruyama, Shigenori; Sakata, Shuhei; Hirata, Takafumi

    2016-01-01

    For the ca. 2.7 Ga (Neoarchean) clastic rocks in the Belingwe greenstone belt (Manjeri Formation), U-Pb age of detrital zircon grains were analyzed by Laser Ablation Inductively Coupled Plasma Mass Spectrometry (LA-ICP-MS). The Manjeri Formation, composed of sandstone, quartzite, and limestone with stromatolites, was deposited in a shallow marine setting along the ancient passive continental margin of the Zimbabwe craton. Nearly 100 detrital zircon grains, for each from two sandstone samples in central Zimbabwe, were separated for U-Pb dating. Age spectra of detrital zircon grains of two analyzed sandstones of the Manjeri Formation show more or less the same multiple age clusters: i.e., ca. 2.9 Ga, ca. 3.15 Ga, ca. 3.3 Ga, and ca. 3.5 Ga. These age spectra reflect nature of the provenance of proto-Zimbabwe, which was considerably different from that of the modern Zimbabwe craton. The age clusters of ca. 2.9 Ga, ca. 3.3 Ga, and ca. 3.5 Ga are correlated with those of extant basement rocks of the present Zimbabwe craton, whereas the ca. 3.15 Ga cluster has no corresponding unit within the craton, except for detrital zircons from the 2.65 Ga Shamvaian Group in a neighboring area of the Zimbabwe craton. The extremely old (3.85 Ga; Eoarchean) detrital zircon grains, previously reported from the ca. 2.9 Ga and ca. 3.4 Ga sandstones elsewhere in the craton, were not detected at all in the present two analyzed samples. As no Eoarchean (>3.8 Ga) basement rocks remain in the Zimbabwe craton at present either, the present study confirmed that the Eoarchean crustal rocks once occurred in the proto-Zimbabwe craton but they had been removed secondarily from the provenance of Neoarchean and younger basins prior to 2.7 Ga. Possible geologic processes for such disappearance of older crusts may include the physiological separation by continental rifting, subduction erosion, and/or other crustal recycling processes.

  15. Mapping structural influences on sex and HIV education in church and secular schools in Zimbabwe.

    PubMed

    Mpofu, Elias; Mutepfa, Magen Mhaka; Hallfors, Denise Dion

    2012-09-01

    The authors used state-of-the-art concept mapping approaches to examine structural institutional effects of church and secular high schools on the types of sexual and HIV-prevention education messages transmitted to learners in Zimbabwe. Participants were school teachers (n = 26), school counselors (n = 28), and pastors involved in student pastoral care (n = 14; males = 27, females = 41). They reported on messages perceived to influence sexual decisions of learners in their school setting. The self-report data were clustered into message types using concept mapping and contrasted for consistency of content and structure both between and within type of school. The authors also engaged in curriculum document study with member checks in the participant schools to determine convergence of the evidence on school-type effects of the messages transmitted to students. Church schools prioritized faith-informed sexual and HIV-prevention messages, whereas both types of schools prioritized Life skills education and a future focus. Secular schools prioritized sex and HIV messages in the context of community norms. Facts about HIV and AIDS were relatively underemphasized by church schools. The implicit knowledge values that differentiate types of schools influence learner access to information important for their sexual decisions.

  16. Black-white differences in cancer risk in Harare, Zimbabwe, during 1991-2010.

    PubMed

    Chokunonga, Eric; Windridge, Peter; Sasieni, Peter; Borok, Margaret; Parkin, D Maxwell

    2016-03-15

    Data from 20 years of cancer registration in Harare (Zimbabwe) are used to investigate the risk of cancer in the white population of the city (of European origin), relative to that in blacks (of African origin). In the absence of information on the respective populations-at-risk, we calculated odds of each major cancer among all cancers, and took the odds ratios of whites to blacks. Some major differences reflect obvious phenotypic differences (the very high incidence of skin cancer-melanoma and nonmelanoma--in the white population), whereas others (high rates of liver cancer, Kaposi sarcoma and conjunctival cancers in blacks) are the result of differences in exposure to infectious agents. Of particular interest are cancers related to lifestyle factors, and how the differences in risk are changing over time, as a result of evolving lifestyles. Thus, the high risk of cancers of the esophagus and cervix uteri in blacks (relative to whites) and colorectal cancers in whites show little change over time. Conversely, the odds of breast cancer, on average four times higher in whites than blacks, has shown a significant decrease in the differential over time. Cancer of the prostate, with the odds initially (1991-1997) 15% higher in whites had become 33% higher in blacks by 2004-2010.

  17. Decentralized domestic wastewater systems in developing countries: the case study of Harare (Zimbabwe)

    NASA Astrophysics Data System (ADS)

    Chirisa, Innocent; Bandauko, Elmond; Matamanda, Abraham; Mandisvika, Gladys

    2016-02-01

    Until recently there has been little, if any, concern over revamping let alone improving wastewater management system in Zimbabwe's urban areas given the dominance and institutionalised water-borne system. Yet, the current constraints in this system and the immensity of urbanisation in the country begs and compels planners, engineers and systems thinkers to rethink what best can work as a sustainable wastewater system. With particular reference to the ever-expanding Harare metropolitan region, this article provides an evaluative analysis on the potentiality, risks and strategies that can be adopted by Harare and its satellites in addressing the problems of the conventional wastewater management system. The suggested framework of operation is a decentralised domestic wastewater collection and treatment system which however has its own multifarious risks. Using systems dynamics conceptualisation of the potentiality, opportunities, risks and strategies, the paper seeks to model the path and outcomes of this decentralised domestic wastewater collection and treatment system and also suggests a number of policy measures and strategies that the city of Harare and its satellites can adopt.

  18. Assessment of Burden of Malaria in Gwanda District, Zimbabwe, Using the Disability Adjusted Life Years.

    PubMed

    Gunda, Resign; Chimbari, Moses John; Mukaratirwa, Samson

    2016-02-01

    Malaria is one of the highest contributors to morbidity and mortality in Zimbabwe. However, there is paucity of knowledge regarding disability adjusted life years (DALYs) as a measure of burden of malaria in affected communities. The DALYs metric was used to assess the burden of malaria in Gwanda District with the aim of contributing to a better understanding of the impact of disease on affected communities. Data was collected from health facility malaria registers and the District Health Information System (DHIS) to estimate DALYs at household and district levels respectively. The household DALYs included 130 malaria cases from 2013 to 2015 while the DALYs for the district included 719 confirmed malaria cases from 2011 to 2015. Households lost a total of 153.89 DALYs with the majority of the disease burden (65.55%) occurring in the most economically productive age group (15-45 years) with a mean loss of 1.18 DALYs per malaria case. At district level, 251.09 DALYs were lost due to malaria and the calculated average district DALY rate for 2011-2015 was 36.29 DALYs/100,000 persons per year. It is important to estimate malaria burden to assist policy makers in making informed decisions when channelling resources for control and prevention of the disease. PMID:26907320

  19. Curricular changes in the Geology Department, University of Zimbabwe: towards a more vocational degree

    NASA Astrophysics Data System (ADS)

    Walsh, Kevin L.

    1999-05-01

    Most students taking Geology at the University of Zimbabwe graduate with a B.Sc. General degree. Formerly, the role of this degree was to produce school teachers and until the early 1990s this was the major area of employment. From 1992, the Geology Department changed its curriculum in an effort to make its graduates more marketable. At the same time, the mining industry was expanding. Within a few years the employment situation for the students had dramatically changed — with over three-quarters of the B.Sc. graduates of the last three years finding employment as earth scientists. Students from all three undergraduate years now have more contact with industry, including a vacation placement scheme. University-based curricular changes have included a greater involvement with computers, the economic geology syllabus has been revised and at third-year level the students are now able to drop their second science subject in favour of three vocationally-orientated courses from other faculties. It remains to be seen how successful these curricular changes are in the longer term, without the benefit of a booming industry, but they should form a good basis for the future. Preliminary indications from the mining industry suggest that B.Sc. General graduates have the potential to succeed in basic geological jobs, such as core logging and sampling, which have previously required an Honours degree as a minimum qualification.

  20. Chrysotile asbestos and health in Zimbabwe: II. Health status survey of active miners and millers

    SciTech Connect

    Cullen, M.R.; Lopez-Carrillo, L.; Alli, B.; Pace, P.E.; Shalat, S.L.; Baloyi, R.S. )

    1991-02-01

    As part of the effort to establish industrial practice and public policy regarding asbestos in Zimbabwe, we have conducted a cross-sectional study of the chrysotile mines and mills. A stratified random sample of workers with greater than 10 years of exposure has been evaluated by spirometry, chest radiographs, and employment history. The latter was converted to quantitative estimates of exposure dose, using a matrix based on measured and reconstructed fiber levels for each job and facility during the years of work. Based on these data, a clear dose-response between asbestos exposure and functional loss has been demonstrated, with mean losses from predicted of about 400-600 cc in vital capacity in the 10% of the population with heaviest exposures. Low-grade parenchymal radiographic abnormalities (ILO grade greater than or equal to 1/0) were evident in 8.7% of the total study group and were almost 10 times more common in those with more than 100 fibers/cc.years cumulative exposure than in those with 16 fibers/cc.years or less. Pleural disease was relatively rare, occurring in just under 10% of the study group, and was unrelated to exposure dose. Overall, these findings are compatible with results of similar studies in Quebec and Swaziland and suggest that similar control strategies are probably indicated.

  1. Microbial quality of frozen Nile crocodile (Crocodylus niloticus) meat samples from three selected farms in Zimbabwe.

    PubMed

    Makanyanga, Tsitsi B; Mutema, Gideon; Mukarati, Norman L; Chikerema, Sylvester M; Makaya, Pious V; Musari, Shuvai; Matope, Gift

    2014-01-17

    Microbial quality of frozen Nile crocodile (Crocodylus niloticus) meat from three farms in Zimbabwe was assessed based on 2051 samples collected for pre-export testing during 2006 to 2011. Data were perused by season and year in terms of aerobic plate (APC), coliform (CC), Escherichia coli (ECC) and Listeria monocytogenes (LMC) counts and the presence of Salmonella spp. The log10-transformed data were compared among the farms and seasons using the Kruskal-Wallis test. Microbial quality of the samples was graded based on the EC No. 2073.2005 criteria for beef. The mean APC and CC for the crocodile meat differed significantly (P=0.000) among the farms with the highest APC (3.2±0.05 log10 cfu/g) and the lowest (2.7±0.05 log10 cfu/g) recorded from farms A and C, respectively. There were no significant differences (P>0.05) in ECC and LMC among the farms, while Salmonella spp. were only isolated from one farm. Although the microbial quality of frozen crocodile meat from these farms was generally within acceptable limits, the isolation of E. coli and Salmonella spp. is of public health concern. Thus, implementing of measures to control the pasteurizing process and to minimize bacterial contamination of crocodile meat after pasteurization need to be carefully considered.

  2. Crop diversification and livelihoods of smallholder farmers in Zimbabwe: adaptive management for environmental change.

    PubMed

    Makate, Clifton; Wang, Rongchang; Makate, Marshall; Mango, Nelson

    2016-01-01

    This paper demonstrates how crop diversification impacts on two outcomes of climate smart agriculture; increased productivity (legume and cereal crop productivity) and enhanced resilience (household income, food security, and nutrition) in rural Zimbabwe. Using data from over 500 smallholder farmers, we jointly estimate crop diversification and each of the outcome variables within a conditional (recursive) mixed process framework that corrects for selectivity bias arising due to the voluntary nature of crop diversification. We find that crop diversification depends on the land size, farming experience, asset wealth, location, access to agricultural extension services, information on output prices, low transportation costs and general information access. Our results also indicate that an increase in the rate of adoption improves crop productivity, income, food security and nutrition at household level. Overall, our results are indicative of the importance of crop diversification as a viable climate smart agriculture practice that significantly enhances crop productivity and consequently resilience in rural smallholder farming systems. We, therefore, recommend wider adoption of diversified cropping systems notably those currently less diversified for greater adaptation to the ever-changing climate.

  3. The Impact of Safer Breastfeeding Practices on Postnatal HIV-1 Transmission in Zimbabwe

    PubMed Central

    Piwoz, Ellen G.; Humphrey, Jean H.; Tavengwa, Naume V.; Iliff, Peter J.; Marinda, Edmore T.; Zunguza, Clare D.; Nathoo, Kusum J.; Mutasa, Kuda; Moulton, Lawrence H.; Ward, Brian J.

    2007-01-01

    Objectives. We assessed the association between exposure to an educational intervention that emphasized safer breastfeeding practices and postnatal HIV transmission among 437 HIV-positive mothers in Zimbabwe, 365 of whom did not know their infection status. Methods. Mothers were tested for HIV and were encouraged—but not required—to learn their HIV status. Intervention exposure was assessed by a questionnaire, Turnbull methods were used to estimate postnatal HIV transmission, and multivariate Cox proportional hazard models were constructed to assess the association between intervention exposure and postnatal HIV transmission. Results. Cumulative postnatal HIV transmission was 8.2%; each additional intervention contact was associated with a 38% reduction in postnatal HIV transmission. HIV-positive mothers who were exposed to both print and video materials were 79% less likely to infect their infants compared with mothers who had no exposure. These findings were similar for mothers who did not know their HIV status. Conclusions. The promotion of exclusive breastfeeding has the potential to reduce postnatal HIV transmission among women who do not know their HIV status, and child survival and HIV prevention programs should support this practice. PMID:17538064

  4. Social Capital and Women's Reduced Vulnerability to HIV infection in Rural Zimbabwe

    PubMed Central

    GREGSON, SIMON; MUSHATI, PHYLLIS; GRUSIN, HARRY; NHAMO, MERCY; SCHUMACHER, CHRISTINA; SKOVDAL, MORTEN; NYAMUKAPA, CONSTANCE; CAMPBELL, CATHERINE

    2012-01-01

    Social capital - especially through its ‘network’ dimension (high levels of participation in local community groups) - is thought to be an important determinant of health in many contexts. We investigate its effect on HIV prevention, using prospective data from a general population cohort in eastern Zimbabwe spanning a period of extensive behaviour change (1998-2003). Almost half of the initially uninfected women interviewed were members of at least one community group. In an ecological analysis of 88 communities, those with higher levels of community group participation had lower incidence of new HIV infections and more had adopted safer behaviours, although these effects were largely accounted for by differences in socio-demographic composition. Individual women in community groups had lower HIV incidence and more extensive behaviour change, even after controlling for confounding factors. Community group membership was not associated with lower HIV incidence in men, possibly reflecting a propensity amongst men to participate in groups that allow them to develop and demonstrate their masculine identities – often at the expense of their health. Support for women’s community groups could be an effective HIV prevention strategy in countries with large-scale HIV epidemics. PMID:22066129

  5. Faecal indicator bacteria on the hands and the effectiveness of hand-washing in Zimbabwe.

    PubMed

    Kaltenthaler, E; Waterman, R; Cross, P

    1991-10-01

    Two aspects of hand-washing were explored in this study. Mothers and children from 80 families in Zimbabwe were asked to wash their hands in the traditional manner in sterile water. Mothers were asked to answere a socio-economic questionnaire. By using the questionnaire and observations in conjunction with the microbiological data from hand-washing, factors were identified which contributed to high counts on the hands. These were: high relative humidity, living on a commercial farm, and having an infant in the family. Mothers and children 1-5 years of age had higher counts than children of 6-12 years. People recently involved in outdoor physical activities such as farming had higher counts than those involved in other activities. The traditional hand-washing method was also compared with two other hand-washing methods: hand-washing using soap and hand-washing using a container known as the mukombe. Hand-washing with soap was the most effective method closely followed by hand-washing using the mukombe. The least effective method was traditional hand-washing.

  6. Assessment of Burden of Malaria in Gwanda District, Zimbabwe, Using the Disability Adjusted Life Years.

    PubMed

    Gunda, Resign; Chimbari, Moses John; Mukaratirwa, Samson

    2016-02-22

    Malaria is one of the highest contributors to morbidity and mortality in Zimbabwe. However, there is paucity of knowledge regarding disability adjusted life years (DALYs) as a measure of burden of malaria in affected communities. The DALYs metric was used to assess the burden of malaria in Gwanda District with the aim of contributing to a better understanding of the impact of disease on affected communities. Data was collected from health facility malaria registers and the District Health Information System (DHIS) to estimate DALYs at household and district levels respectively. The household DALYs included 130 malaria cases from 2013 to 2015 while the DALYs for the district included 719 confirmed malaria cases from 2011 to 2015. Households lost a total of 153.89 DALYs with the majority of the disease burden (65.55%) occurring in the most economically productive age group (15-45 years) with a mean loss of 1.18 DALYs per malaria case. At district level, 251.09 DALYs were lost due to malaria and the calculated average district DALY rate for 2011-2015 was 36.29 DALYs/100,000 persons per year. It is important to estimate malaria burden to assist policy makers in making informed decisions when channelling resources for control and prevention of the disease.

  7. It's harder for boys? Children's representations of their HIV/AIDS-affected peers in Zimbabwe.

    PubMed

    LeRoux-Rutledge, Emily; Guerlain, Madeleine A; Andersen, Louise B; Madanhire, Claudius; Mutsikiwa, Alice; Nyamukapa, Constance; Skovdal, Morten; Gregson, Simon; Campbell, Catherine

    2015-01-01

    This study examines whether children in rural Zimbabwe have differing representations of their HIV/AIDS-affected peers based on the gender of those peers. A group of 128 children (58 boys, 70 girls) aged 10-14 participated in a draw-and-write exercise, in which they were asked to tell the story of either an HIV/AIDS-affected girl child, or an HIV/AIDS-affected boy child. Stories were inductively thematically coded, and then a post hoc statistical analysis was conducted to see if there were differences in the themes that emerged in stories about girls versus stories about boys. The results showed that boys were more often depicted as materially deprived, without adult and teacher support, and heavily burdened with household duties. Further research is needed to determine whether the perceptions of the children in this study point to a series of overlooked challenges facing HIV/AIDS-affected boys, or to a culture of gender inequality facing HIV/AIDS-affected girls - which pays more attention to male suffering than to female suffering.

  8. Variation in village chicken production systems among agro-ecological zones of Zimbabwe.

    PubMed

    Muchadeyi, F C; Wollny, C B A; Eding, H; Weigend, S; Makuza, S M; Simianer, H

    2007-08-01

    The degree to which village chickens are integrated in the smallholder farming systems differs depending on the socio-economic, cultural and biological factors within each system. The objective of this study was to characterise the village chicken farming systems and identify possible threats to, and opportunities for, local chickens in the agro-ecological zones of Zimbabwe. A pre-tested questionnaire was administered to households randomly selected from five districts, Risitu (n=97), Hurungwe (n=56), Gutu (n=77), Gokwe-South (n=104) and Beitbridge (n=37) in eco-zones I-V, respectively. Age of head of household averaged 47 years (SD = 14.3). Land holdings per household averaged 4.82 ha (SD = 3.6). Overall, 17.7 percent of the households ranked livestock as the major source of income compared to 70.8 percent who ranked crops as the main contributor. Chicken flock size averaged 16.7 (SD = 12.4), and the highest flock sizes were observed in eco-zones I and IV. Households owning cattle, goats and other livestock assigned less important ranks to chickens. Chickens were usedmainly for the provision of meat and eggs whilst the use of chicken feathers and investment were uncommon practises. Results indicate that more support is necessary for village chickens in the non-cropping regions of the country.

  9. Potential of weight of evidence modelling for gully erosion hazard assessment in Mbire District - Zimbabwe

    NASA Astrophysics Data System (ADS)

    Dube, F.; Nhapi, I.; Murwira, A.; Gumindoga, W.; Goldin, J.; Mashauri, D. A.

    Gully erosion is an environmental concern particularly in areas where landcover has been modified by human activities. This study assessed the extent to which the potential of gully erosion could be successfully modelled as a function of seven environmental factors (landcover, soil type, distance from river, distance from road, Sediment Transport Index (STI), Stream Power Index (SPI) and Wetness Index (WI) using a GIS-based Weight of Evidence Modelling (WEM) in the Mbire District of Zimbabwe. Results show that out of the studied seven factors affecting gully erosion, five were significantly correlated (p < 0.05) to gully occurrence, namely; landcover, soil type, distance from river, STI and SPI. Two factors; WI and distance from road were not significantly correlated to gully occurrence (p > 0.05). A gully erosion hazard map showed that 78% of the very high hazard class area is within a distance of 250 m from rivers. Model validation indicated that 70% of the validation set of gullies were in the high hazard and very high hazard class. The resulting map of areas susceptible to gully erosion has a prediction accuracy of 67.8%. The predictive capability of the weight of evidence model in this study suggests that landcover, soil type, distance from river, STI and SPI are useful in creating a gully erosion hazard map but may not be sufficient to produce a valid map of gully erosion hazard.

  10. Community-level HIV risk behaviors and HIV prevalence among women and men in Zimbabwe.

    PubMed

    Speizer, Ilene S; Gómez, Anu Manchikanti; Stewart, James; Voss, Paul

    2011-10-01

    Most studies on HIV risk in sub-Saharan Africa focus on individual-level sociodemographic and behavioral correlates of risk. Only recently have researchers and programmers considered the context within which individuals live. This study uses the 2005-6 Zimbabwe Demographic and Health Survey to examine the correlation between the prevalence of HIV at the community level and the prevalence of HIV risk-taking behaviors. Results show that women and men living in communities with higher HIV prevalence in the opposite sex are at increased risk of HIV. In addition, rural women and men living in communities with greater premarital and nonmarital sex are at greater risk of HIV. Finally, HIV prevalence is higher among women and men living in urban areas with higher intimate partner violence. Programs should address community-level social norms that make high-risk behaviors acceptable and thus increase all women and men's risk of HIV, not just those engaged in high-risk behaviors. PMID:22010807

  11. A retrospective study of wildlife rabies in Zimbabwe, between 1992 and 2003.

    PubMed

    Pfukenyi, D M; Pawandiwa, D; Makaya, P V; Ushewokunze-Obatolu, U

    2009-04-01

    To assess the epidemiological features of wildlife rabies in Zimbabwe, a retrospective study covering a period of 12 years (1992-2003) was conducted using rabies records of the Central Veterinary Laboratories (CVL), Department of Veterinary Technical Services at Harare. Records of monthly and annual wildlife rabies were perused with regard to total samples submitted to the CVL and corresponding positive cases. Positive cases were analyzed in relation to the animal species involved, seasonal trends, and land-use categories. A total of 2107 samples were submitted and 1 540 (73.1%) were positive. Jackals (Canis mesomelas and C. adustus), with a peak occurrence of rabies between January and March were the major maintenance host, representing approximately 91% of the total rabies cases confirmed. The Canidae family recorded the highest number of cases followed by the Viverridae, Mustelidae, Felidae, Herpestidae and Hyaenidae families in that order. During the present study rabies cases were confirmed in 7 additional wild animals. The majority of the positive cases (83.7%) were recorded in commercial farming areas in the northeast parts of the country. PMID:18758985

  12. Critical considerations for adopting the HIV 'treat all' approach in Zimbabwe: is the nation poised?

    PubMed

    Takarinda, K C; Harries, A D; Mutasa-Apollo, T

    2016-03-21

    While the advent of antiretroviral therapy (ART) has increased survival and reduced the number of acquired immune-deficiency syndrome (AIDS) related deaths among people living with the human immunodeficiency virus (HIV) virus (PLHIV), HIV/AIDS remains a global health problem and sub-Saharan Africa continues to bear the greatest burden of disease. There are also major challenges in the HIV response: as of December 2013, only 36% of PLHIV globally were on ART, and for every individual started on ART there were two new PLHIV diagnosed. This has led to considerable debate around adopting an HIV 'treat all' approach aimed at greatly escalating the number of PLHIV initiated and retained on ART, regardless of CD4 cell count or World Health Organization (WHO) clinical stage, with the intended goal of achieving viral suppression which should in turn reduce HIV transmission, morbidity and mortality in affected individuals. This paper examines the issues being discussed in Zimbabwe, a low-income country with a high burden of HIV/AIDS, about the implications and opportunities of adopting an HIV 'treat all' approach, along with pertinent operational research questions that need to be answered to move the agenda forward. These discussions are timely, given the recent WHO recommendations advising ART for all PLHIV, regardless of CD4 cell count.

  13. Sustainability of donor-funded rural water supply and sanitation projects in Mbire district, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Kwangware, Johnson; Mayo, Aloyce; Hoko, Zvikomborero

    The sustainability of donor-funded rural water supply and sanitation projects was assessed in Mbire district, Zimbabwe in terms of level of community participation, quality of implementation and reliability of the systems. The study was carried out through questionnaires, focus group discussions, interviews and field observations. The results show that the quality of implementation of the projects was deemed to be good and participation of the communities in project ideas initiation and choice of technology was found to be very low. Reliability of the systems was found to be very high with 97% of the boreholes in all the three wards studied being functional. Financial management mechanisms were very poor because water consumers were not willing to pay for operation and maintenance. The projects were classified as potentially sustainable with sustainability index between 5.00 and 6.67. Poor financial management mechanisms for effective borehole maintenance, poor quality of construction and lack of community participation in project planning were found to be potential threats to the sustainability of the projects. Future projects should establish the need for the service and should thus be demand driven to ensure effective participation of the water consumers and enhance project's potential for sustainability.

  14. Social capital and women's reduced vulnerability to HIV infection in rural Zimbabwe.

    PubMed

    Gregson, Simon; Mushati, Phyllis; Grusin, Harry; Nhamo, Mercy; Schumacher, Christina; Skovdal, Morten; Nyamukapa, Constance; Campbell, Catherine

    2011-01-01

    Social capital—especially through its “network” dimension (high levels of participation in local community groups)—is thought to be an important determinant of health in many contexts. We investigate its effect on HIV prevention, using prospective data from a general population cohort in eastern Zimbabwe spanning a period of extensive behavior change (1998–2003). Almost half of the initially uninfected women interviewed were members of at least one community group. In an analysis of 88 communities, individuals with higher levels of community group participation had lower incidence of new HIV infections and more of them had adopted safer behaviors, although these effects were largely accounted for by differences in socio-demographic composition. Individual women in community groups had lower HIV incidence and more extensive behavior change, even after controlling for confounding factors. Community group membership was not associated with lower HIV incidence in men, possibly refecting a propensity among men to participate in groups that allow them to develop and demonstrate their masculine identities—often at the expense of their health. Support for women's community groups could be an effective HIV prevention strategy in countries with large-scale HIV epidemics. PMID:22066129

  15. New palynological data from Karoo sediments, Mana Pools basin, northern Zimbabwe

    NASA Astrophysics Data System (ADS)

    d'Engelbronner, E. R.

    1996-07-01

    The palynological associations of 16 Karoo samples, collected in the Mana Pools basin, Northern Zimbabwe, were studied, and four zonal assemblages can be recognized. Assemblage I (Kondo Pools Formation) is dominated by monosaccate pollen grains and diverse alete bisaccate pollen grains occur frequently. Important but rare marker genera include Limitisporites, Vittatina and Weylandites. These indicate a middle to late Early Permian age (e.g. Late Sakmarian to Early Artinskian). The palynological assemblage, derived from the Massive Sandstone Member, Angwa Sandstone Formation, is characterized by a small number of smooth and apiculate spores, but is lacking any age significant marker taxa. Assemblages II and III, both from the Alternations Member (Angwa Sandstone Formation), and Assemblage IV (Pebbly Arkose Formation) are dominated by alete bisaccate and multitaeniate pollen grains. The rare occurrence of Vittatina, Weylandites lucifer and Guttulapollenites hannonicus indicates a Late Permian to Early Triassic age for Assemblage II. Based on sedimentological data and literature, a preliminary age of Early Triassic (Induan) can be given. A range from latest Fassanian (Ladinian) to Lacian (Norian) for Assemblage III is indicated by the occurrence of Asseretospora gyrata, Cadargasporites senectus, Eucommiidites, Infernopollenites, Minutosaccus crenulatus, Retisulcites perforatus and Samaropollenites speciosus. Small amounts of Asseretospora gyrata, Cadargasporites senectus, Cycadopites, Microcachryidites and Minutosaccus crenulatus indicate a slightly larger age range for Assemblage IV (e.g. Carnien to Rhaetian).

  16. Establishing a feminist culture: the experience of Zimbabwe Women's Resource Centre and Network.

    PubMed

    Chigudu, H

    1997-02-01

    The Zimbabwe Women's Resource Center and Network (ZWRCN) was established in 1990 to strengthen interorganizational networking activities for the exchange of experience and information on gender and development issues. ZWRCN has collected over 4000 documents on gender issues and operates a rural libraries program. Its efforts to create a feminist organizational culture fostering staff empowerment, lack of hierarchy, and participatory leadership have been more problematic, however. Most of the 15 staff recruited since ZWRCN's inception previously worked in male-dominated government agencies and are ambivalent about feminism. Struggles over power and control emerged between these employees, who regarded themselves as professionals in a bureaucratic sense, and junior staff with less expertise but a strong commitment to feminism. Also controversial were expectations that staff members would socialize outside of work and stay at work as long as needed to complete a task. In 1994, ZWRCN was forced to adopt a staff code of conduct and regulations in order to qualify for donor support. ZWRCN has been forced to abandon its original goal of creating a feminist culture and aim for a culture of participation less threatening to gender relations in the wider society. More awareness at the time of inception on the part of ZWRCN founders about ways feminist management styles would conflict with the socialization of future staff members might have averted some of this tension.

  17. The 2008 Cholera Epidemic in Zimbabwe: Experience of the icddr,b Team in the Field

    PubMed Central

    Bardhan, Pradip Kumar; Iqbal, Anwarul; Mazumder, Ramendra Nath; Khan, Azharul Islam; Islam, Md. Sirajul; Siddique, Abul Kasem; Cravioto, Alejandro

    2011-01-01

    During August 2008–June 2009, an estimated 95,531 suspected cases of cholera and 4,282 deaths due to cholera were reported during the 2008 cholera outbreak in Zimbabwe. Despite the efforts by local and international organizations supported by the Zimbabwean Ministry of Health and Child Welfare in the establishment of cholera treatment centres throughout the country, the case-fatality rate (CFR) was much higher than expected. Over two-thirds of the deaths occurred in areas without access to treatment facilities, with the highest CFRs (>5%) reported from Masvingo, Manicaland, Mashonaland West, Mashonaland East, Midland, and Matabeleland North provinces. Some factors attributing to this high CFR included inappropriate cholera case management with inadequate use of oral rehydration therapy, inappropriate use of antibiotics, and a shortage of experienced healthcare professionals. The breakdown of both potable water and sanitation systems and the widespread contamination of available drinking-water sources were also considered responsible for the rapid and widespread distribution of the epidemic throughout the country. Training of healthcare professionals on appropriate cholera case management and implementation of recommended strategies to reduce the environmental contamination of drinking-water sources could have contributed to the progressive reduction in number of cases and deaths as observed at the end of February 2009. PMID:22106761

  18. Crop diversification and livelihoods of smallholder farmers in Zimbabwe: adaptive management for environmental change.

    PubMed

    Makate, Clifton; Wang, Rongchang; Makate, Marshall; Mango, Nelson

    2016-01-01

    This paper demonstrates how crop diversification impacts on two outcomes of climate smart agriculture; increased productivity (legume and cereal crop productivity) and enhanced resilience (household income, food security, and nutrition) in rural Zimbabwe. Using data from over 500 smallholder farmers, we jointly estimate crop diversification and each of the outcome variables within a conditional (recursive) mixed process framework that corrects for selectivity bias arising due to the voluntary nature of crop diversification. We find that crop diversification depends on the land size, farming experience, asset wealth, location, access to agricultural extension services, information on output prices, low transportation costs and general information access. Our results also indicate that an increase in the rate of adoption improves crop productivity, income, food security and nutrition at household level. Overall, our results are indicative of the importance of crop diversification as a viable climate smart agriculture practice that significantly enhances crop productivity and consequently resilience in rural smallholder farming systems. We, therefore, recommend wider adoption of diversified cropping systems notably those currently less diversified for greater adaptation to the ever-changing climate. PMID:27478752

  19. A cleaner production approach to urban water management: potential for application in Harare, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Nhapi, Innocent; Hoko, Zvikomborero

    Water quality is an urgent problem in the Lake Chivero catchment, Zimbabwe, whilst water scarcity will be a problem soon. This study focused on assessing the potential impacts of the application of cleaner production principles in urban water supply and sanitation in the context of sustainable management of water resources. The cleaner production principles are explained together with how they can be applied to urban water management. Data from City of Harare and previous studies were collected and analysed. The study focused mainly on water, nitrogen and phosphorus. About 304,000 m 3/d of wastewater, containing 30,000 kg/d TN and 3600 kg/d TP are currently produced and treated at five sewage treatment works in Harare. Water conservation, treatment and reuse strategies were developed for different land uses starting from water-saving devices, regulation, leak detection and repair, to wastewater treatment and reuse. This study showed that the application of the cleaner production principles would reduce total wastewater production from 487,000 m 3/d to 379,000 m 3/d (a 27% reduction) based on year 2015 projections. A very large investment in treatment infrastructure can be postponed for about 10 years. In terms of amounts treated and discharged at central level this translates to reductions of 47% on flows, 34% on TN, and 44% on TP. River discharges can be eliminated. It was concluded that a cleaner production approach could substantially reduce current water pollution and long-term scarcity problems in Harare.

  20. Carbohydrate biofuel I: Rootfuel studies in Mexico, Brazil, Zimbabwe and India

    SciTech Connect

    Shultz, E.B. Jr.; Bragg, W.G.

    1995-11-01

    {open_quotes}Rootfuel,{close_quotes} made by drying the fast-growing starchy-cellulosic taproots of certain members of the family Cucurbitaceae, has been under investigation by us since 1985. Rootfuel can be quickly dried to a much lower level of moisture content than seasoned wood, and also unlike wood, it contains a very small amount of lignin. If it is dry and burned with good draft, it can be burned more slowly than wood with very little smoke production. We studied rootfuel made from Cucurbita foetidissima roots in dry, deforested and well-populated rural lands of Mexico, Brazil, Zimbabwe and India under sponsorship of the Biomass Users Network, with funding from the Rockefeller Foundation. Our purpose was to evaluate rootfuel as a replacement for wood, dung and crop residues to improve indoor air quality for health reasons, and to take pressure off of the remaining trees. Acceptability has been uniformly high. Small test plots have been planted, and new rootfuel species have been identified and tested.

  1. Psychosocial predictors of reported HIV-preventive behaviour change among adults in Bulawayo, Zimbabwe.

    PubMed

    Wilson, D; Dubley, I; Msimanga, S; Lavelle, L

    1991-07-01

    In order to reduce HIV transmission, improved understanding of factors that motivate safer sexual behaviour is needed. The Health Belief Model attempts to explain health-related behaviour, including HIV-preventive behaviour. The association of six elements of this model--AIDS knowledge, perceived susceptibility to HIV infection, perceived effectiveness of HIV-preventive measures, self-efficacy, barriers to behaviour change, accessibility of health care/advice and social support for safer sexual behaviour--to three indices of HIV-related behavioural risk reduction--reduced number of sexual partners, increased consistency of condom use and (among males only) reduced prostitute contact--was examined by self-report inventory among 202 men and 100 women in Bulawayo, Zimbabwe. Multiple logistic regression identified social support for behaviour change, followed by accessibility of health care/advice, as the most consistent predictors of risk reduction across sex and outcome measures. The remaining predictors were not consistently associated with behaviour change. It is concluded that AIDS campaigns must foster the perception that there is concerted normative support for HIV-related behaviour change and that community and small group, face-to-face AIDS education, which may have more impact on perceived social support than mass media campaigns, must be emphasised. PMID:1811902

  2. It's harder for boys? Children's representations of their HIV/AIDS-affected peers in Zimbabwe.

    PubMed

    LeRoux-Rutledge, Emily; Guerlain, Madeleine A; Andersen, Louise B; Madanhire, Claudius; Mutsikiwa, Alice; Nyamukapa, Constance; Skovdal, Morten; Gregson, Simon; Campbell, Catherine

    2015-01-01

    This study examines whether children in rural Zimbabwe have differing representations of their HIV/AIDS-affected peers based on the gender of those peers. A group of 128 children (58 boys, 70 girls) aged 10-14 participated in a draw-and-write exercise, in which they were asked to tell the story of either an HIV/AIDS-affected girl child, or an HIV/AIDS-affected boy child. Stories were inductively thematically coded, and then a post hoc statistical analysis was conducted to see if there were differences in the themes that emerged in stories about girls versus stories about boys. The results showed that boys were more often depicted as materially deprived, without adult and teacher support, and heavily burdened with household duties. Further research is needed to determine whether the perceptions of the children in this study point to a series of overlooked challenges facing HIV/AIDS-affected boys, or to a culture of gender inequality facing HIV/AIDS-affected girls - which pays more attention to male suffering than to female suffering. PMID:26615976

  3. Black-white differences in cancer risk in Harare, Zimbabwe, during 1991-2010.

    PubMed

    Chokunonga, Eric; Windridge, Peter; Sasieni, Peter; Borok, Margaret; Parkin, D Maxwell

    2016-03-15

    Data from 20 years of cancer registration in Harare (Zimbabwe) are used to investigate the risk of cancer in the white population of the city (of European origin), relative to that in blacks (of African origin). In the absence of information on the respective populations-at-risk, we calculated odds of each major cancer among all cancers, and took the odds ratios of whites to blacks. Some major differences reflect obvious phenotypic differences (the very high incidence of skin cancer-melanoma and nonmelanoma--in the white population), whereas others (high rates of liver cancer, Kaposi sarcoma and conjunctival cancers in blacks) are the result of differences in exposure to infectious agents. Of particular interest are cancers related to lifestyle factors, and how the differences in risk are changing over time, as a result of evolving lifestyles. Thus, the high risk of cancers of the esophagus and cervix uteri in blacks (relative to whites) and colorectal cancers in whites show little change over time. Conversely, the odds of breast cancer, on average four times higher in whites than blacks, has shown a significant decrease in the differential over time. Cancer of the prostate, with the odds initially (1991-1997) 15% higher in whites had become 33% higher in blacks by 2004-2010. PMID:26437451

  4. Applying Choice Architecture Principles to Understand HIV Testing: Findings From Malawi and Zimbabwe.

    PubMed

    Chung, Adrienne H; Rimal, Rajiv N

    2015-08-01

    Improvements spearheaded by the World Health Organization in antenatal HIV counseling in sub-Saharan Africa from 2004 to 2011 have seen a parallel increase in HIV testing. We sought to determine the extent to which the use of choice architecture principles (one that introduces an opt-out option as the default) affect uptake of HIV testing, above and beyond individual-level attitudes and cognitions. Demographic and Health Survey data collected between 2004 and 2011 from Zimbabwe (N = 1,330) and Malawi (N = 4,043)--countries where over 10% of adults have HIV--were analyzed. We explored the influence of demographic variables, modes of knowledge about HIV, stigma against people living with HIV, attitudes about spousal abuse, and whether or not HIV testing had been offered during antenatal visits. Results demonstrated that, taking into account secular trends in higher testing rates, structural-level support was the strongest predictor of HIV testing above and beyond individual-level attitudes and cognitions. PMID:26241385

  5. Assessment of Burden of Malaria in Gwanda District, Zimbabwe, Using the Disability Adjusted Life Years

    PubMed Central

    Gunda, Resign; Chimbari, Moses John; Mukaratirwa, Samson

    2016-01-01

    Malaria is one of the highest contributors to morbidity and mortality in Zimbabwe. However, there is paucity of knowledge regarding disability adjusted life years (DALYs) as a measure of burden of malaria in affected communities. The DALYs metric was used to assess the burden of malaria in Gwanda District with the aim of contributing to a better understanding of the impact of disease on affected communities. Data was collected from health facility malaria registers and the District Health Information System (DHIS) to estimate DALYs at household and district levels respectively. The household DALYs included 130 malaria cases from 2013 to 2015 while the DALYs for the district included 719 confirmed malaria cases from 2011 to 2015. Households lost a total of 153.89 DALYs with the majority of the disease burden (65.55%) occurring in the most economically productive age group (15–45 years) with a mean loss of 1.18 DALYs per malaria case. At district level, 251.09 DALYs were lost due to malaria and the calculated average district DALY rate for 2011–2015 was 36.29 DALYs/100,000 persons per year. It is important to estimate malaria burden to assist policy makers in making informed decisions when channelling resources for control and prevention of the disease. PMID:26907320

  6. Hydrocarbon implications of Karoo Supergroup turbidites and tectonics in northern Zimbabwe

    SciTech Connect

    Tromp, P.L. )

    1991-03-01

    Field research in the relatively unstudied Lower Zambezi trough of northernmost Zimbabwe and adjacent Zambia and Mozambique has revealed a sedimentary tectonic history unlike other Karoo basin (Late Carboniferous to Early Jurassic) of the region. This presents a much better setting for petroleum deposits than has been found in those other areas. Aerial photo interpretation and reconnaissance geophysical data show strike-slip folds and faults at the surface and subbasins up to 10 km deep. This contrast with other Karoo basins, which are of a half-graben genesis, is further evident in the sedimentary sequences of the Lower Zambezi basin complex. Lacustrine turbidites occur in the Lower Karoo Kondo Pools Formation. Upper fan facies of a restricted active margin subaqueous fan system are found in limited outcrops in an accommodation zone uplift between the two subbasins. The overlying units are classical Karoo alluvial layers, but intercalated with a higher frequency of unconformities. Syndepositional and postdepositional deformation includes thrust faulting and detachment. Hydrocarbon potential is enhanced by three virtues that are lacking in other parts of southern Africa. Distal facies to those seen in exposures of the Kondo Pools Formation subaqueous fans should be rich in sapropelic mudstone, the source rock so elusive elsewhere. Second, basin depth is sufficient for thermal maturity. Finally, the tectonic regime was conducive to the formation of convex as well as unconformity traps. Mobil Oil is in the midst of an exploration program that may capitalize on these factors.

  7. 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.

  8. Xpert MTB/RIF detection of rifampin resistance and time to treatment initiation in Harare, Zimbabwe

    PubMed Central

    Metcalfe, John Z.; Makumbirofa, Salome; Makamure, Beauty; Sandy, Charles; Bara, Wilbert; Mason, Peter; Hopewell, Philip C.

    2016-01-01

    Background Patients at elevated risk of drug-resistant tuberculosis are prioritized for testing with Xpert MTB/RIF® (“Xpert”), though clinical utility in this population is understudied. Design From November 2011 to June 2014, consecutive outpatients with history of prior tuberculosis in high-density suburbs of Harare, Zimbabwe were tested with Xpert, solid and liquid culture, and the microscopically-observed drug susceptibility assay. Diagnostic accuracy for rifampin-resistance and time to second-line regimens were ascertained. The rpoB gene was sequenced in cases of culture-confirmed rifampin resistance and genotypic sensitivity. Results Among 352 retreatment patients, 71 (20%) had rifampin-resistant, 98 (28%) rifampin-susceptible, 64 (18%) culture-negative/Xpert-positive, and 119 (34%) culture-negative/Xpert-negative TB. Xpert was 86% (95% CI 75-93%) sensitive and 98% (95% CI 92-100%) specific for rifampin-resistant TB. The positive predictive value of Xpert-determined rifampin resistance for MDR-TB was 82% (95% CI 70-91%). Fifty-nine of 71 (83%) participants initiated SLDs, with a median time to regimen initiation of 18 days (IQR, 10-44 days). Conclusion The diagnostic accuracy of Xpert for rifampin-resistance is high, though predictive value for MDR-TB is lower than anticipated. Xpert allows for faster SLD initiation under programmatic conditions, relative to culture-based drug susceptibility testing. PMID:27287639

  9. It's harder for boys? Children's representations of their HIV/AIDS-affected peers in Zimbabwe

    PubMed Central

    LeRoux-Rutledge, Emily; Guerlain, Madeleine A.; Andersen, Louise B.; Madanhire, Claudius; Mutsikiwa, Alice; Nyamukapa, Constance; Skovdal, Morten; Gregson, Simon; Campbell, Catherine

    2015-01-01

    ABSTRACT This study examines whether children in rural Zimbabwe have differing representations of their HIV/AIDS-affected peers based on the gender of those peers. A group of 128 children (58 boys, 70 girls) aged 10–14 participated in a draw-and-write exercise, in which they were asked to tell the story of either an HIV/AIDS-affected girl child, or an HIV/AIDS-affected boy child. Stories were inductively thematically coded, and then a post hoc statistical analysis was conducted to see if there were differences in the themes that emerged in stories about girls versus stories about boys. The results showed that boys were more often depicted as materially deprived, without adult and teacher support, and heavily burdened with household duties. Further research is needed to determine whether the perceptions of the children in this study point to a series of overlooked challenges facing HIV/AIDS-affected boys, or to a culture of gender inequality facing HIV/AIDS-affected girls – which pays more attention to male suffering than to female suffering. PMID:26615976

  10. Malaria and schistosomiasis risks associated with surface and sprinkler irrigation systems in Zimbabwe.

    PubMed

    Chimbari, M J; Chirebvu, E; Ndlela, B

    2004-01-01

    A comparative assessment of the malaria and schistosomiasis risks associated with surface and sprinkler irrigation systems in Zimbabwe was carried out. The risk assessment of the two diseases was done in accordance with the three standard components of health impact assessment, namely (i) community vulnerability, (ii) environmental receptivity, and (iii) capability of health services to respond to malaria and schistosomiasis. Records of the two diseases were obtained from four health centres serving two surface irrigation schemes and two sprinkler irrigation schemes. For comparison records were also obtained from health centres serving nearby dryland areas. Incidence of schistosomiasis as estimated from recorded new cases of the disease was much higher in surface irrigation schemes than in sprinkler irrigation schemes. For malaria it was the other way around. These findings were confirmed by rapid risk assessments. Malaria risk factors were more prominent in sprinkler irrigation schemes, whereas more schistosomiasis risk factors were identified in surface irrigation schemes. These observations were attributed to poorly maintained infrastructure and inadequate landscape-levelling, which created mosquito breeding sites within the fields in the case of sprinkler schemes, and to poor drainage structures, which created snail-breeding sites in the case of surface-irrigation schemes. Importantly, poor maintenance of sprinkler scheme infrastructure accounted for more disease promoting features than the engineering designs per se. This study demonstrated the value of complementing routinely collected health data with rapid assessment procedures for appraisal of commonly reported diseases. PMID:14732242

  11. Critical considerations for adopting the HIV 'treat all' approach in Zimbabwe: is the nation poised?

    PubMed

    Takarinda, K C; Harries, A D; Mutasa-Apollo, T

    2016-03-21

    While the advent of antiretroviral therapy (ART) has increased survival and reduced the number of acquired immune-deficiency syndrome (AIDS) related deaths among people living with the human immunodeficiency virus (HIV) virus (PLHIV), HIV/AIDS remains a global health problem and sub-Saharan Africa continues to bear the greatest burden of disease. There are also major challenges in the HIV response: as of December 2013, only 36% of PLHIV globally were on ART, and for every individual started on ART there were two new PLHIV diagnosed. This has led to considerable debate around adopting an HIV 'treat all' approach aimed at greatly escalating the number of PLHIV initiated and retained on ART, regardless of CD4 cell count or World Health Organization (WHO) clinical stage, with the intended goal of achieving viral suppression which should in turn reduce HIV transmission, morbidity and mortality in affected individuals. This paper examines the issues being discussed in Zimbabwe, a low-income country with a high burden of HIV/AIDS, about the implications and opportunities of adopting an HIV 'treat all' approach, along with pertinent operational research questions that need to be answered to move the agenda forward. These discussions are timely, given the recent WHO recommendations advising ART for all PLHIV, regardless of CD4 cell count. PMID:27051603

  12. Tracing the emerald origin by oxygen isotope data: the case of Sandawana, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Zwaan, Johannes C.(Hanco); Cheilletz, Alain; Taylor, Bruce E.

    2004-01-01

    Given the wide range of oxygen isotopic composition of emerald from all over the world ( δ18O between +6.2 and +24.7‰), the δ18O V-SMOW values of emeralds from the Sandawana mines in Zimbabwe ( δ18O‰=+6.6 to +8.0), are relatively constant, among the lowest ever measured. These consistently low values can be explained by host-rock buffering in a very narrow emerald-bearing reaction zone between ultrabasic greenstones (metamorphosed komatiites) and albitised pegmatites. δ18O values of Sandawana emeralds overlap those of emeralds from Brazil, Austria, Australia and Madagascar, a fact indicating that, in these cases, oxygen isotope composition alone is not sufficient to determine the geographic origin of commercially available emeralds. However, stones with overlapping δ18O values may eventually be identified using a combination of physical properties, inclusion characteristics and chemical composition. To cite this article: J.C. Zwaan et al., C. R. Geoscience 336 (2004).

  13. Reclaimed water as an alternative source of water for the city of Bulawayo, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Taigbenu, Akpofure E.; Ncube, Mthokozisi

    Perennial water problems, precipitated by increased water demand in Bulawayo, the second largest city in Zimbabwe, has prompted the consideration of a wide array of strategies from demand management and water conservation measures to exploitation of alternative water sources. One of such strategies in the latter category includes recycling of blue water for both potable and non-potable purposes. This paper examines the existing reclaimed water system with a view at revamping the existing infrastructure to maximise reclaimed water use for purposes that are amenable to water of lower quality. It is a generally accepted practice to avoid the use of water of high quality for purposes that can tolerate a lower grade, unless it is in excess in amount [ Okun, D.A., 1973. Planning for water reuse. Journal of AWWA 65(10)]. The reclaimed water is assessed in terms of its quality and quantity vis-à-vis possible uses. Perceptions and expectations of both current and identified prospective consumers are examined and discussed, in addition to the feasibility of accommodating these identified prospective consumers in an expanded network. Apart from enhancement of the existing infrastructure, the paper highlights the need for social marketing and education in order to realise the optimum benefits of this alternative water source. The cost implications of implementing the proposed project are evaluated, including suggestions on suitable tariff structure and an allocation distribution that achieves equity.

  14. Rethinking education of deaf children in Zimbabwe: challenges and opportunities for teacher education.

    PubMed

    Musengi, Martin; Ndofirepi, Amasa; Shumba, Almon

    2013-01-01

    The study explores the communication challenges faced by teacher trainees in teaching deaf learners and the opportunities that they present. A critical disabilities study approach within the qualitative paradigm was employed to collect interview data from 14 trainee teachers (6 were men and 8 women) and 5 of their specialist mentors (all of them were women) at 3 special schools in Zimbabwe. The trainees were aged 28-45. Data were analyzed using theme identification methods. Results showed that all the mentors and trainees without deaf assistants tended to teach using spoken language and even though they had no prior experience with them, they were suspicious of the use of deaf assistants, whom they saw as synonymous with sign language. Scepticism about using sign language was based on the idea that it was inadequate, would interfere with spoken language development, and would not enable learners to be included in a nondeaf world. It was also established that most of the mentors and trainees with deaf assistants used spoken language to teach, although this tended to be in combination with signs. Based on these challenges, opportunities to develop the education of deaf learners are discussed and recommendations made.

  15. Triple jeopardy: adolescent experiences of sex work and migration in Zimbabwe.

    PubMed

    Busza, Joanna; Mtetwa, Sibongile; Chirawu, Petronella; Cowan, Frances

    2014-07-01

    Adolescence, migration and sex work are independent risk factors for HIV and other poor health outcomes. They are usually targeted separately with little consideration on how their intersection can enhance vulnerability. We interviewed ten women in Zimbabwe who experienced sex work and migration during adolescence, exploring implications for their health and for services to meet their needs. For most, mobility was routine throughout childhood due to family instability and political upheaval. The determinants of mobility, e.g. inability to pay school fees or desire for independence from difficult circumstances, also catalysed entry into sex work, which then led to further migration to maximise income. Respondents described their adolescence as a time of both vulnerability and opportunity, during which they developed survival skills. While these women did not fit neatly into separate risk profiles of "sex worker" "migrant" or "adolescent", the overlap of these experiences shaped their health and access to services. To address the needs of marginalised populations we must understand the intersection of multiple risks, avoiding simplified assumptions about each category.

  16. Assessment of water productivity trends for parastatal agricultural operations—case of Middle Sabi Estate, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Senzanje, A.; Chimunhu, T.; Zirebwa, J.

    Parastatal agricultural operations are central to Zimbabwe’s thrust for strategic crop production, more so with its recent agrarian and land reform exercise. This paper presents the results of a study to quantify field water productivity (WP) at ARDA Middle Save Estates in the Save Catchment in Zimbabwe over a 5-year period (1998-2002) for winter wheat and cotton. The field-scale WP indicator, which was determined from crop output and total water supplied (irrigation and effective precipitation) to the field, was selected because it is more appropriate and easy to interpret by management. Middle Save Estates, measuring about 4800 ha and sub-divided into 10 sections each measuring 480 ha, grow a wide range of crops under sprinkler irrigation, but wheat and cotton are grown consistently as nationally strategic crops. The mean WP of winter wheat ranged from 0.49 kg/m 3 to 0.60 kg/m 3 with an insignificant downward trend over the 5-year period. For cotton, the WP averaged 0.09 kg/m 3 to 0.33 kg/m 3 with a downward but significant trend ( p < 0.034) over the 5-year assessment period. For both crops the WP levels are lower than international averages for comparable situations indicating the need for Middle Save Estates to put into practice measures to raise WP levels. Some of these measures include better crop management, irrigation scheduling, deficit irrigation, change in irrigation technology, and servicing of irrigation equipment.

  17. Psychosocial predictors of reported HIV-preventive behaviour change among adults in Bulawayo, Zimbabwe.

    PubMed

    Wilson, D; Dubley, I; Msimanga, S; Lavelle, L

    1991-07-01

    In order to reduce HIV transmission, improved understanding of factors that motivate safer sexual behaviour is needed. The Health Belief Model attempts to explain health-related behaviour, including HIV-preventive behaviour. The association of six elements of this model--AIDS knowledge, perceived susceptibility to HIV infection, perceived effectiveness of HIV-preventive measures, self-efficacy, barriers to behaviour change, accessibility of health care/advice and social support for safer sexual behaviour--to three indices of HIV-related behavioural risk reduction--reduced number of sexual partners, increased consistency of condom use and (among males only) reduced prostitute contact--was examined by self-report inventory among 202 men and 100 women in Bulawayo, Zimbabwe. Multiple logistic regression identified social support for behaviour change, followed by accessibility of health care/advice, as the most consistent predictors of risk reduction across sex and outcome measures. The remaining predictors were not consistently associated with behaviour change. It is concluded that AIDS campaigns must foster the perception that there is concerted normative support for HIV-related behaviour change and that community and small group, face-to-face AIDS education, which may have more impact on perceived social support than mass media campaigns, must be emphasised.

  18. Fighting for human rights: women, war and social change in Zimbabwe.

    PubMed

    Lueker, L L

    1998-01-01

    This article considers whether women's importance to the success of the Zimbabwean liberation struggle that took place from 1966-80 resulted in the fulfillment of the promises of the male resistance leadership to replace traditional patriarchal subjugation with equality. The introduction notes that the answer to this is complex because actions taken that were beneficial to women were taken for gender-neutral reasons and, therefore, left the patriarchy intact. Women have also gained because their participation in the struggle helped them learn to question assumptions and understand basic human rights, but the goals of the liberation struggle have not been realized for women. The article continues to apply a human rights perspective to an examination of Zimbabwean women's legal status, representation in government, empowerment through education, economic participation, and access to health and welfare. The conclusion of the article points out that not only have women not achieved full human rights in Zimbabwe, there have also been disturbing examples of a backlash against female emancipation including 1) the government-authorized arrests of women who happened to be walking around at night in September 1983, 2) calls for the repeal of laws beneficial to women, and 3) incidences when female university students were publicly stripped of their modern garb (this led to a 1998 protest by more than 100 women).

  19. Duckweed based wastewater stabilization ponds for wastewater treatment (a low cost technology for small urban areas in Zimbabwe)

    NASA Astrophysics Data System (ADS)

    Dalu, J. M.; Ndamba, J.

    A three-year investigation into the potential use of duckweed based wastewater stabilizations ponds for wastewater treatment was carried out at two small urban areas in Zimbabwe. The study hoped to contribute towards improved environmental management through improving the quality of effluent being discharged into natural waterways. This was to be achieved through the development and facilitation of the use of duckweed based wastewater stabilizations ponds. The study was carried out at Nemanwa and Gutu Growth Points both with a total population of 23 000. The two centers, like more than 70% of Zimbabwe’s small urban areas, relied on algae based ponds for domestic wastewater treatment. The final effluent is used to irrigate gum plantations before finding its way into the nearest streams. Baseline wastewater quality information was collected on a monthly basis for three months after which duckweed ( Lemna minor) was introduced into the maturation ponds to at least 50% pond surface cover. The influent and effluent was then monitored on a monthly basis for chemical, physical and bacteriological parameters as stipulated in the Zimbabwe Water (Waste and Effluent Disposal) regulations of 2000. After five months, the range of parameters tested for was narrowed to include only those that sometimes surpassed the limits. These included: phosphates, nitrates, pH, biological oxygen demand, iron, conductivity, chemical oxygen demand, turbidity, total dissolved solids and total suspended solids. Significant reductions to within permissible limits were obtained for most of the above-mentioned parameters except for phosphates, chemical and biological oxygen demand and turbidity. However, in these cases, more than 60% reductions were observed when the influent and effluent levels were compared. It is our belief that duckweed based waste stabilization ponds can now be used successfully for the treatment of domestic wastewater in small urban areas of Zimbabwe.

  20. Evidence-based identification of key beliefs explaining adult male circumcision motivation in Zimbabwe: targets for behavior change messaging.

    PubMed

    Montaño, Daniel E; Kasprzyk, Danuta; Hamilton, Deven T; Tshimanga, Mufuta; Gorn, Gerald

    2014-05-01

    Male circumcision (MC) reduces HIV acquisition among men, leading WHO/UNAIDS to recommend a goal to circumcise 80 % of men in high HIV prevalence countries. Significant investment to increase MC capacity in priority countries was made, yet only 5 % of the goal has been achieved in Zimbabwe. The integrated behavioral model (IBM) was used as a framework to investigate the factors affecting MC motivation among men in Zimbabwe. A survey instrument was designed based on elicitation study results, and administered to a representative household-based sample of 1,201 men aged 18-30 from two urban and two rural areas in Zimbabwe. Multiple regression analysis found all five IBM constructs significantly explained MC Intention. Nearly all beliefs underlying the IBM constructs were significantly correlated with MC Intention. Stepwise regression analysis of beliefs underlying each construct respectively found that 13 behavioral beliefs, 5 normative beliefs, 4 descriptive norm beliefs, 6 efficacy beliefs, and 10 control beliefs were significant in explaining MC Intention. A final stepwise regression of the five sets of significant IBM construct beliefs identified 14 key beliefs that best explain Intention. Similar analyses were carried out with subgroups of men by urban-rural and age. Different sets of behavioral, normative, efficacy, and control beliefs were significant for each sub-group, suggesting communication messages need to be targeted to be most effective for sub-groups. Implications for the design of effective MC demand creation messages are discussed. This study demonstrates the application of theory-driven research to identify evidence-based targets for intervention messages to increase men's motivation to get circumcised and thereby improve demand for male circumcision. PMID:24443147

  1. Antigenic analysis of SAT 2 serotype foot-and-mouth disease virus isolates from Zimbabwe using monoclonal antibodies.

    PubMed Central

    Davidson, F. L.; Crowther, J. R.; Nqindi, J.; Knowles, N. J.; Thevasagayam, S. J.; Van Vuuren, C. J.

    1995-01-01

    This paper compares strains of foot-and-mouth disease (FMD) serotype SAT (South African Territories) 2 viruses isolated from Zimbabwe and other African countries using monoclonal antibodies (MAb). A sandwich-ELISA was used to examine the relative binding of anti-SAT 2 MAb to the various viruses. The MAb-binding profiles of viruses isolated from field samples were compared using hierarchical cluster analysis. Viruses were obtained from game animals, mainly African buffalo (Syncerus caffer) which is the natural host and reservoir for SAT serotypes in Africa, and from cattle showing clinical signs of FMD, as well as from animals suspected of carrying the virus subclinically. Some isolates have been adapted for use as vaccine strains. The results showed that most of the Zimbabwe isolates collected between 1989 and 1992 were an antigenically closely-related group. Although differences were observed between Zimbabwe isolates collected between 1989 and 1992 and those collected in 1987, there was no correlation with the different MAb binding patterns within the 1987 group and the epidemiological information received from the field. Similar profiles were observed for many SAT 2 viruses, including viruses isolated over a 50-year period and from geographically distant areas. This indicates an inherent stability in antigenic profiles of SAT 2 viruses. The MAb panel was capable of assessing antigenic variation, since very different profiles were obtained for some isolates. The work also allowed comparison and characterization of anti-type SAT 2 MAb from different laboratories. The findings are discussed with reference to selection of vaccine strains. PMID:7543860

  2. Susceptibility of 7 freshwater gastropod species in Zimbabwe to infection with Gastrodiscus aegyptiacus (Cobbold, 1876) Looss, 1896.

    PubMed

    Mukaratirwa, S; Munjere, I F; Takawira, M; Chingwena, G

    2004-12-01

    Gastrodiscosis outbreaks due to Gastrodiscus aegyptiacus were recorded in horses in the vicinity of Harare, Zimbabwe, in the absence of Bulinus forskalii, B. senegalensis and Cleopatra sp. which are considered to be the only intermediate host snails. This suggested the possibility of other snail species acting as intermediate hosts in the life cycle of the trematode. A study was carried out to determine the susceptibility of 7 freshwater snail species to infection with G. aegyptiacus. First generation (F-1) of 5 freshwater pulmonate snail species, Bulinus tropicus, Bulinus globosus, Biomphalaria pfeifferi, Helisoma dyuri and Physa acuta that were bred in the laboratory, and 2 prosobranch snail species, Melanoides tuberculata and Cleopatra sp. that were collected from the field were used in this study. Data pertaining to mortalities and cercariae shedding were recorded throughout the experimental period. The prosobranch snails, M. tuberculata and Cleopatra sp. were susceptible to G. aegyptiacus with a minimum prepatent period of 45 days and 54 days, respectively. Bulinus tropicus, P. acuta and H. duryi were susceptible as evidenced by the presence of different generations of rediae and mature cercariae on dissection at 59 days post-infection although attempts to induce the snails to shed from 28 days post-infection did not produce cercariae. Bulinus globosus and Bio. pfeifferi were refractory to infection. The results revealed the ability of G. aegyptiacus to infect M. tuberculata, Cleopatara sp., B. tropicus, P. acuta and H. duryi under experimental conditions and this may explain the recorded outbreaks of gastrodiscosis in equine populations in Zimbabwe in the absence of the known intermediate hosts. Bulinus tropicus is considered as the most likely major intermediate host of G. aegyptiacus because of its wide distribution in Zimbabwe and is well adapted to a wide variety of environments.

  3. Evidence-based identification of key beliefs explaining adult male circumcision motivation in Zimbabwe: targets for behavior change messaging.

    PubMed

    Montaño, Daniel E; Kasprzyk, Danuta; Hamilton, Deven T; Tshimanga, Mufuta; Gorn, Gerald

    2014-05-01

    Male circumcision (MC) reduces HIV acquisition among men, leading WHO/UNAIDS to recommend a goal to circumcise 80 % of men in high HIV prevalence countries. Significant investment to increase MC capacity in priority countries was made, yet only 5 % of the goal has been achieved in Zimbabwe. The integrated behavioral model (IBM) was used as a framework to investigate the factors affecting MC motivation among men in Zimbabwe. A survey instrument was designed based on elicitation study results, and administered to a representative household-based sample of 1,201 men aged 18-30 from two urban and two rural areas in Zimbabwe. Multiple regression analysis found all five IBM constructs significantly explained MC Intention. Nearly all beliefs underlying the IBM constructs were significantly correlated with MC Intention. Stepwise regression analysis of beliefs underlying each construct respectively found that 13 behavioral beliefs, 5 normative beliefs, 4 descriptive norm beliefs, 6 efficacy beliefs, and 10 control beliefs were significant in explaining MC Intention. A final stepwise regression of the five sets of significant IBM construct beliefs identified 14 key beliefs that best explain Intention. Similar analyses were carried out with subgroups of men by urban-rural and age. Different sets of behavioral, normative, efficacy, and control beliefs were significant for each sub-group, suggesting communication messages need to be targeted to be most effective for sub-groups. Implications for the design of effective MC demand creation messages are discussed. This study demonstrates the application of theory-driven research to identify evidence-based targets for intervention messages to increase men's motivation to get circumcised and thereby improve demand for male circumcision.

  4. The role of ethnography in STI and HIV/AIDS education and promotion with traditional healers in Zimbabwe

    PubMed Central

    Simmons, David

    2011-01-01

    This article explores the utility of ethnography in accounting for healers’ understandings of HIV/AIDS—and more generally sexually transmitted infections—and the planning of HIV/AIDS education interventions targeting healers in urban Zimbabwe. I argue that much of the information utilized for planning and implementing such programs is actually based on rapid research procedures (usually single-method survey-based approaches) that do not fully capture healers’ explanatory frameworks. This incomplete information then becomes authoritative knowledge about local ‘traditions' and forms the basis for the design and implementation of training programs. Such decontextualization may, in turn, affect program effectiveness. PMID:21343161

  5. 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

  6. Building adherence-competent communities: Factors promoting children's adherence to anti-retroviral HIV/AIDS treatment in rural Zimbabwe

    PubMed Central

    Campbell, Catherine; Skovdal, Morten; Mupambireyi, Zivai; Madanhire, Claudius; Nyamukapa, Constance; Gregson, Simon

    2012-01-01

    Given relatively high levels of adherence to HIV treatment in Africa, we explore factors facilitating children's adherence, despite poverty, social disruption and limited health infrastructure. Using interviews with 25 nurses and 40 guardians in Zimbabwe, we develop our conceptualisation of an ‘adherence competent community’, showing how members of five networks (children, guardians, community members, health workers and NGOs) have taken advantage of the gradual public normalisation of HIV/AIDS and improved drug and service availability to construct new norms of solidarity with HIV and AIDS sufferers, recognition of HIV-infected children's social worth, an ethic of care/assistance and a supporting atmosphere of enablement/empowerment. PMID:21975285

  7. Are hormonal contraceptive users more likely to misreport unprotected sex? Evidence from a biomarker validation study in Zimbabwe

    PubMed Central

    McCoy, Sandra I.; Ralph, Lauren J.; Padian, Nancy S.; Minnis, Alexandra M.

    2014-01-01

    We analyzed biomarker validation data of unprotected sex from women in Zimbabwe to determine whether condom and sexual behavior misreporting differs between users of different contraceptive methods. Self-reported sexual behavior was compared with the presence of prostate-specific antigen (PSA) in vaginal fluid, a biomarker of semen exposure. Of the 195 women who were PSA positive, 94 (48%) reported no sex or only condom-protected sex. Hormonal contraceptive users misreported sexual behavior less than women using non-hormonal methods (45% vs. 67%, P=0.03). This misclassification pattern could have implications on the elevated risk of HIV infection associated with hormonal contraception in some studies. PMID:24619603

  8. Are hormonal contraceptive users more likely to misreport unprotected sex? Evidence from a biomarker validation study in Zimbabwe.

    PubMed

    McCoy, Sandra I; Ralph, Lauren J; Padian, Nancy S; Minnis, Alexandra M

    2014-12-01

    We analyzed biomarker validation data of unprotected sex from women in Zimbabwe to determine whether condom and sexual behavior misreporting differs between users of different contraceptive methods. Self-reported sexual behavior was compared with the presence of prostate-specific antigen (PSA) in vaginal fluid, a biomarker of semen exposure. Of the 195 women who were PSA positive, 94 (48 %) reported no sex or only condom-protected sex. Hormonal contraceptive users misreported sexual behavior less than women using non-hormonal methods (45 vs. 67 %, P = 0.03). This misclassification pattern could have implications on the elevated risk of HIV infection associated with hormonal contraception in some studies. PMID:24619603

  9. Hospitals for sale.

    PubMed

    Costello, Michael M; West, Daniel J; Ramirez, Bernardo

    2011-01-01

    The pace of hospital merger and acquisition activity reflects the economic theory of supply and demand: Publicly traded hospital companies, private equity funds, and large nonprofit hospital systems are investing capital to purchase and operate freestanding community hospitals at a time when many of those hospitals find themselves short of capital reserves and certain forms of management expertise. But the sale of those community hospitals also raises questions about the impact of absentee ownership on the communities which those hospitals serve.

  10. Barriers and Incentives to Orphan Care in a Time of AIDS and Economic Crisis: A Cross-Sectional Survey of Caregivers in Rural Zimbabwe

    ERIC Educational Resources Information Center

    Howard, Brian H.; Phillips, Carl V.; Matinhure, Nelia; Goodman, Karen J.; McCurdy, Sheryl A; Johnson, Cary A.

    2007-01-01

    Background: Africa is in an orphan-care crisis. In Zimbabwe, where one-fourth of adults are HIV-positive and one-fifth of children are orphans, AIDS and economic decline are straining society's ability to care for orphans within their extended families. Lack of stable care is putting thousands of children at heightened risk of malnourishment,…

  11. Content Analysis of Research Projects Submitted by Undergraduate Students (2000-2009) at the Zimbabwe Open University: Implications for Quality Assessment

    ERIC Educational Resources Information Center

    Kangai, Caleb; Bukaliya, Richard; Musika, Farirai; Babra, Mapuranga

    2011-01-01

    One of the issues that have continued to attract the attention of Open and Distance Learning (ODL) educators, scholars and researchers at the Zimbabwe Open University (ZOU) is the question of quality in the assessment of students' research work. This study was part of a series of studies, into issues of quality, currently being conducted at the…

  12. 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…

  13. The Role of Urban Primary and Secondary Schools in Minimizing Disease Outbreak Caused by Environmental Contamination: A Case of Chinhoyi, Zimbabwe

    ERIC Educational Resources Information Center

    Mutungwe, Edlight; Tsvere, Maria; Dondo, Beauty; Munikwa, Simbarashe

    2011-01-01

    Waste management is a major challenge facing urban councils in Zimbabwe and Chinhoyi Municipality is no exception. Lack of resources and technical and administrative know-how is hindering proper waste management. Raw sewage and industrial waste flow into streams and rivers and uncollected rubbish bins and strewn litter is a common feature in the…

  14. Participatory Planning for Project Sustainability of Environmental Education Projects: A Case Study of the Secondary Teacher Training Environmental Education Project (St[superscript 2]eep) in Zimbabwe

    ERIC Educational Resources Information Center

    Van Ongevalle, Jan; Van Petegem, Peter; Deprez, Steff; Chimbodza, Iris Jane-Mary

    2011-01-01

    Within the first year of the Secondary Teacher Training Environmental Education Project (St[superscript 2]eep) in Zimbabwe, project stakeholders, including lecturers, college administrators, local project coordinators, and donor representatives, expressed concern about the non-sustainability of the project due to its over-reliance on its…

  15. Pre-School Education: Unpacking Dilemmas and Challenges Experienced by Caregivers--A Case of Private Sectors in Mutare Urban-Zimbabwe

    ERIC Educational Resources Information Center

    Chiparange, Getrude Vongai; Saruchera, Kenneth

    2016-01-01

    Despite the remarkable awareness in Zimbabwe of the importance of Early Childhood Development and Education (ECD), there is insufficient motivation for communities, local authorities and central government to make strategic plans for universal position. The study was to unpack dilemmas and challenges related to the implementation of the ECD…

  16. An Investigation of the Effectiveness of Work Related Learning: A Case of the Industrial Attachment Program Offered by the Faculty of Commerce, University of Zimbabwe

    ERIC Educational Resources Information Center

    Matamande, Wilson; Nyikahadzoi, Loveness; Taderera, Ever

    2013-01-01

    Industrial attachment is a very important component in the learning system particularly for tertiary and higher education as it relates to those who are pursuing careers in commerce. This paper seeks to evaluate the effectiveness of the industrial attachment programme undertaken by the University of Zimbabwe, faculty of commerce. A questionnaire…

  17. Training Music Teachers through Distance Learning: The Case of Teaching Practice Mentoring at One Primary School Teacher Training College in Zimbabwe

    ERIC Educational Resources Information Center

    Bhebhe, Sithulisiwe; Runhare, Tawanda; Monobe, Ratau John

    2015-01-01

    This study sought to examine the quality of teaching practice (TP) mentoring in the teaching of music at primary school level through the distance mode of training at one college of education in Zimbabwe. The study examined the experiences and perceptions of lecturers and student teachers on TP mentoring in music within the context of a distance…

  18. Strengthening Community and Sports Associations' Collaboration with Tertiary Institutions: Bachelor of Science Physical Education Students' Perceptions on Their Experiences of Industrial Attachment in Masvingo Region-Zimbabwe

    ERIC Educational Resources Information Center

    Gondo, Thembelihle

    2015-01-01

    This research study undertook to find out the perceptions of Bachelor of Education in Physical Education students who are enrolled by the Zimbabwe Open University about their study programme in as far as it empowers them to become effective P.E. practitioners. Its intention was to investigate how these students viewed the ways in which these…

  19. Students' Perception of the Role of Tele-Collaborative Learning Projects: A Case of the Global Teenager Project at Mucheke High School in Zimbabwe

    ERIC Educational Resources Information Center

    Chitanana, Lockias

    2010-01-01

    The study used a phenomenological approach guided by principles of the grounded theory approach to assess the impact of the Global Teenager learning circle on the educational life of students at Mucheke High School, in Zimbabwe. Since in grounded theory, theory comes from the data, the study explored, from students' point of view, how the…

  20. An Analysis of HIV and AIDS Spatial Awareness and Vulnerability Level with Specific Reference to Staff at One Polytechnic in Zimbabwe

    ERIC Educational Resources Information Center

    Gatsi, Caroline; Chikuvadze, Pinias; Mugijima, Samuel

    2016-01-01

    With the gravity of the HIV and AIDS situation in most African nations and its implications for the education sector, a study was undertaken to analyze the spatial awareness and vulnerability level to pandemic in tertiary institutions with specific reference to academic and support staff at one polytechnic in Zimbabwe. A sample comprised of…

  1. The Impact of ICT in Learning through Distance Education Programmes at Zimbabwe Open University (ZOU): Roles of ICT in Learning through Distance Education Programmes

    ERIC Educational Resources Information Center

    Mpofu, John; Chimhenga, Sylod; Mafa, Onias

    2013-01-01

    Zimbabwe Distance Open University is enrols students from both urban and rural settings. The majority of students living and working in rural areas have limited or no access to computers and electricity as a result the use of information and communication technology (ICT) in the learning process is very limited. Though government has realized the…

  2. Provision of Research Support Services to ODL Learners by Tutors: A Focus on the Zimbabwe Open University's Bachelor of Education (Educational Management) Research Students' Supervision Experiences

    ERIC Educational Resources Information Center

    Mapolisa, Tichaona

    2012-01-01

    The study examined the ODL learners' perceptions of the quality of provision of research support services to the ODL learners by tutors. It focused on the Zimbabwe Open University's (ZOU) Bachelor of Education (Educational Management) research students' experiences. It was a qualitative multiple case study of four of the 10 Regional Centres of the…

  3. Religion Education Teaching in Zimbabwe Secondary Schools: The Search for an Authentic Values-Oriented Multi-Faith Religion Education Pedagogical Model

    ERIC Educational Resources Information Center

    Ndlovu, Lovemore

    2014-01-01

    Religion Education teaching in post-independence Zimbabwe has remained bible-oriented and confessional at a time when most Religion Education stakeholders expect an "open", plural and authentic multi-faith Religion Education curriculum. Despite curriculum innovation initiatives aimed at introducing new approaches such as experiential…

  4. Improving the Quality of Basic Education, Volume 8. Country Papers: Nigeria, St. Lucia, Tanzania, Zimbabwe. Conference of Commonwealth Education Ministers (11th, Barbados, October 29-November 2, 1990).

    ERIC Educational Resources Information Center

    Commonwealth Secretariat, London (England).

    Commonwealth Ministries of Education were asked to report on how they are undertaking the improvement of the quality of basic education in their respective countries. The papers in this volume focus on: (1) Nigeria; (2) St. Lucia; (3) Tanzania; and (4) Zimbabwe. Charts and statistical data support each country's report. (EH)

  5. Traditional African Dance Education as Curriculum Reimagination in Postcolonial Zimbabwe: A Rethink of Policy and Practice of Dance Education in the Primary Schools

    ERIC Educational Resources Information Center

    Gonye, Jairos; Moyo, Nathan

    2015-01-01

    This paper examines the teaching and learning of traditional dance at primary school level in Zimbabwe as a key aspect of postcolonial curriculum reimagination within the broader project of reclaiming a nation's heritage. The paper used the survey design to determine how a cohort of primary school teachers understood traditional dance and how they…

  6. An Assessment of the 2009 Zimbabwe Government's Decision to Enrol Pupils into Form One Using School-Based Assessment as an Alternative to Public Examinations

    ERIC Educational Resources Information Center

    Mhishi, Misheck; Mandoga, Edward; Tunjera, Nyarai; Bhukuvhani, Crispen Erinos

    2012-01-01

    School-Based Assessment (SBA) can help achieve a holistic, child-centred and qualitative account of a pupil's performance. The same method has been criticised for being subjective, informal and open to teacher bias hence the reluctance by the Zimbabwe Schools Examination Council (ZIMSEC) to embrace it for certification and selection into further…

  7. Targeted Water Quality Assessment in Small Reservoirs in Brazil, Zimbabwe, Morocco and Burkina Faso

    NASA Astrophysics Data System (ADS)

    Boelee, Eline; Rodrigues, Lineu; Senzanje, Aidan; Laamrani, Hammou; Cecchi, Philippe

    2010-05-01

    Background Physical and chemical parameters of water in reservoirs can be affected by natural and manmade pollutants, causing damage to the aquatic life and water quality. However, the exact water quality considerations depend on what the water will be used for. Brick making, livestock watering, fisheries, irrigation and domestic uses all have their own specific water quality requirements. In turn, these uses impact on water quality. Methodology Water quality was assessed with a variety of methods in small multipurpose reservoirs in the São Francisco Basin in Brazil, Limpopo in Zimbabwe, Souss Massa in Morocco and Nakambé in Burkina Faso. In each case the first step was to select the reservoirs for which the water quality was to be monitored, then identify the main water uses, followed by a determination of key relevant water quality parameters. In addition, a survey was done in some cases to identify quality perceptions of the users. Samples were taken from the reservoir itself and related water bodies such as canals and wells where relevant. Results Accordingly in the four basins different methods gave different locally relevant results. In the Preto River in the Sao Francisco in Brazil small reservoirs are mainly used for irrigated agriculture. Chemical analysis of various small reservoirs showed that water quality was mainly influenced by geological origins. In addition there was nutrient inflow from surrounding areas of intensive agriculture with high fertilizer use. In the Limpopo basin in Zimbabwe small reservoirs are used for almost all community water needs. Plankton was selected as indicator and sampling was carried out in reservoirs in communal areas and in a national park. Park reservoirs were significantly more diversified in phytoplankton taxa compared to those in the communal lands, but not for zooplankton, though communal lands had the highest zooplankton abundance. In Souss Massa in Morocco a combination of perceptions and scientific water

  8. Simultaneous modeling of habitat suitability, occupancy, and relative abundance: African elephants in Zimbabwe

    USGS Publications Warehouse

    Martin, Julien; Chamaille-Jammes, Simon; Nichols, James D.; Fritz, Herve; Hines, James E.; Fonnesbeck, Christopher J.; MacKenzie, Darryl I.; Bailey, Larissa L.

    2010-01-01

    The recent development of statistical models such as dynamic site occupancy models provides the opportunity to address fairly complex management and conservation problems with relatively simple models. However, surprisingly few empirical studies have simultaneously modeled habitat suitability and occupancy status of organisms over large landscapes for management purposes. Joint modeling of these components is particularly important in the context of management of wild populations, as it provides a more coherent framework to investigate the population dynamics of organisms in space and time for the application of management decision tools. We applied such an approach to the study of water hole use by African elephants in Hwange National Park, Zimbabwe. Here we show how such methodology may be implemented and derive estimates of annual transition probabilities among three dry-season states for water holes: (1) unsuitable state (dry water holes with no elephants); (2) suitable state (water hole with water) with low abundance of elephants; and (3) suitable state with high abundance of elephants. We found that annual rainfall and the number of neighboring water holes influenced the transition probabilities among these three states. Because of an increase in elephant densities in the park during the study period, we also found that transition probabilities from low abundance to high abundance states increased over time. The application of the joint habitat–occupancy models provides a coherent framework to examine how habitat suitability and factors that affect habitat suitability influence the distribution and abundance of organisms. We discuss how these simple models can further be used to apply structured decision-making tools in order to derive decisions that are optimal relative to specified management objectives. The modeling framework presented in this paper should be applicable to a wide range of existing data sets and should help to address important ecological

  9. Social acceptability and perceived impact of a community-led cash transfer programme in Zimbabwe

    PubMed Central

    2013-01-01

    Background Cash transfer programmes are increasingly recognised as promising and scalable interventions that can promote the health and development of children. However, concerns have been raised about the potential for cash transfers to contribute to social division, jealousy and conflict at a community level. Against this background, and in our interest to promote community participation in cash transfer programmes, we examine local perceptions of a community-led cash transfer programme in Eastern Zimbabwe. Methods We collected and analysed data from 35 individual interviews and three focus group discussions, involving 24 key informants (community committee members and programme implementers), 24 cash transfer beneficiaries, of which four were youth, and 14 non-beneficiaries. Transcripts were subjected to thematic analysis and coding to generate concepts. Results Study participants described the programme as participatory, fair and transparent – reducing the likelihood of jealousy. The programme was perceived to have had a substantial impact on children’s health and education, primarily through aiding parents and guardians to better cater for their children’s needs. Moreover, participants alluded to the potential of the programme to facilitate more transformational change, for example by enabling families to invest money in assets and income generating activities and by promoting a community-wide sense of responsibility for the support of orphaned and vulnerable children. Conclusion Community participation, combined with the perceived impact of the cash transfer programme, led community members to speak enthusiastically about the programme. We conclude that community-led cash transfer programmes have the potential to open up for possibilities of participation and community agency that enable social acceptability and limit social divisiveness. PMID:23587136

  10. Comparison of geoelectric and seismic reflection models of the Zambezi Valley basins, northern Zimbabwe

    NASA Astrophysics Data System (ADS)

    Bailey, David; Whaler, Kathy; Zengeni, Teddy

    2000-09-01

    The Mana Pools and Lower Zambezi Karoo sedimentary basins lie within the Zambezi mobile belt in northern Zimbabwe. The subsurface apparent resistivities measured at both locations are extremely low. Magnetotelluric (MT) data along a profile across part of the Lower Zambezi basin have been inverted using Rapid Relaxation Inversion (Smith & Booker 1991) to find the minimum structure needed to fit the data and compare with an earlier forward model. The resistivity models of both the Mana Pools and the Lower Zambezi basins are then compared with their structure revealed from seismic reflection data. The resistivity structure of the Mana Pools basin is well modelled as a series of different resistivity layers whose boundaries are defined by the seismic data. However, the resistivity structure of the Lower Zambezi basin cannot be matched easily to the seismic structure; additional structure with no seismic expression is required. There is a conductive feature in the two basins in the Upper Karoo sandstone layer that extends below the seismic basement beneath the Lower Zambezi basin. This indicates that the conductors may represent different types of features in the two basins, consistent with their proposed different tectonic origins. A resistive unit is present within the sediments in the Lower Zambezi basin that may represent intercalated basalt dykes, giving an anisotropic MT response. It has been suggested that there might be similar thin basalt layers within the sediments of the Mana Pools basin, but these could not be resolved by MT methods. The low resistivity of the basement, particularly beneath the Lower Zambezi basin, is remarkable and may result from a high degree of either chemical or tectonic alteration to the underlying rocks due to metamorphic processes and tectonic disruption during rift formation. The presence of the Lower Zambezi basin conductor at depths greater than the seismic basement is consistent with observations to the west, in the adjacent

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

    PubMed Central

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

    2016-01-01

    ABSTRACT 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. PMID:27391994

  12. Insights for integrated conservation from attitudes of people toward protected areas near Hwange National Park, Zimbabwe.

    PubMed

    Guerbois, Chloe; Dufour, Anne-Beatrice; Mtare, Godfrey; Fritz, Herve

    2013-08-01

    Increase in human settlements at the edge of protected areas (PAs) is perceived as a major threat to conservation of biodiversity. Although it is crucial to integrate the interests of surrounding communities into PA management, key drivers of changes in local populations and the effects of conservation on local livelihoods and perceptions remain poorly understood. We assessed population changes from 1990 to 2010 in 9 villages located between 2 PAs with different management policies (access to natural resources or not). We conducted semi-directive interviews at the household level (n =217) to document reasons for settlement in the area and villager's attitudes toward the PAs. We examined drivers of these attitudes relative to household typology, feelings about conservation, and concerns for the future with mixed linear models. Population increased by 61% from 2000 to 2010, a period of political and economic crisis in Zimbabwe. Forty-seven percent of immigrants were attracted by the area; others had been resettled from other villages or were returning to family lands. Attitudes toward PAs were generally positive, but immigrants attracted by the area and who used resources within the PA with fewer restrictions expressed more negative attitudes toward PAs. Household location, losses due to wild animals, and restrictions on access to natural resources were the main drivers of this negative attitude. Profit-seeking migrants did not expect these constraints and were particularly concerned with local overpopulation and access to natural resources. To avoid socio-ecological traps near PAs (i.e., unforeseen reduced adaptive capacity) integrated conservation should address mismatches between management policy and local expectations. This requires accounting for endogenous processes, for example, local socio-ecological dynamics and values that shape the coexistence between humans and wildlife.

  13. Comparative Cost of Early Infant Male Circumcision by Nurse-Midwives and Doctors in Zimbabwe

    PubMed Central

    Mangenah, Collin; Mavhu, Webster; Hatzold, Karin; Biddle, Andrea K; Ncube, Getrude; Mugurungi, Owen; Ticklay, Ismail; Cowan, Frances M; Thirumurthy, Harsha

    2016-01-01

    ABSTRACT Background: The 14 countries that are scaling up voluntary male medical circumcision (VMMC) for HIV prevention are also considering early infant male circumcision (EIMC) to ensure longer-term reductions in HIV incidence. The cost of implementing EIMC is an important factor in scale-up decisions. We conducted a comparative cost analysis of EIMC performed by nurse-midwives and doctors using the AccuCirc device in Zimbabwe. Methods: Between August 2013 and July 2014, nurse-midwives performed EIMC on 500 male infants using AccuCirc in a field trial. We analyzed the overall unit cost and identified key cost drivers of EIMC performed by nurse-midwives and compared these with costing data previously collected during a randomized noninferiority comparison trial of 2 devices (AccuCirc and the Mogen clamp) in which doctors performed EIMC. We assessed direct costs (consumable and nonconsumable supplies, device, personnel, associated staff training, and waste management costs) and indirect costs (capital and support personnel costs). We performed one-way sensitivity analyses to assess cost changes when we varied key component costs. Results: The unit costs of EIMC performed by nurse-midwives and doctors in vertical programs were US$38.87 and US$49.77, respectively. Key cost drivers of EIMC were consumable supplies, personnel costs, and the device price. In this cost analysis, major cost drivers that explained the differences between EIMC performed by nurse-midwives and doctors were personnel and training costs, both of which were lower for nurse-midwives. Conclusions: EIMC unit costs were lower when performed by nurse-midwives compared with doctors. To minimize costs, countries planning to scale up EIMC should consider using nurse-midwives, who are in greater supply than doctors and are the main providers at the primary health care level, where most infants are born. PMID:27413085

  14. Single Silicate Crystal Paleointensity Analyses of the ca. 2.575 Ga Great Dyke of Zimbabwe

    NASA Astrophysics Data System (ADS)

    O'Brien, T.; Tarduno, J. A.; Hofmann, A.

    2014-12-01

    Recent considerations of core thermal conductivity suggest a relatively young (less than 1 billion-year-old) age for the inner core, excluding compositional convection associated with inner core growth as a driving mechanism for an Archean geodynamo. These reconsiderations provide further motivation for studying the nature of the field when core convection was predominantly related to core mantle boundary heat flow. Here we examine the ca. 2.575 Ga Great Dyke of Zimbabwe. We rely on deep drill core samples, eliminating the otherwise pervasive effects of lightning seen in surface samples. We apply single silicate crystal paleointensity (SCP) techniques (Tarduno et al., Rev. Geophys., 2006) on feldspars separated from orthopyroxene gabbros (norites). Scanning electron microscope (SEM) analyses indicate the presence of rare sub-micron equant to slightly elongate magnetic inclusions in the feldspars. The magnetite/titanomagnetite needles commonly observed in feldspars of slowly cooled igneous rocks are rarely observed in crystals from our Great Dyke gabbro samples. Selection criteria of crystals for analyses required feldspar crystals to be free of visible multi-domain inclusions. Natural remanent magnetic intensities of ca. 1 mm-sized feldspar crystal are relatively weak (approximately 1-2 x 10-8 emu), but well within the measurement range of the University of Rochester small bore ultra-high moment resolution 2G DC SQUID magnetometer. Preliminary total thermal demagnetization experiments suggest paleofield values within 50% of those of the present-day, similar to other results that imply a relatively strong magnetic field during the late Archean. Results from Thellier analyses will be used to test this interpretation.

  15. Dyslipidemia and cardiovascular disease risk profiles of patients attending an HIV treatment clinic in Harare, Zimbabwe.

    PubMed

    Zhou, Danai Tavonga; Kodogo, Vitaris; Chokuona, Kudzai Fortunate Vongai; Gomo, Exnevia; Oektedalen, Olav; Stray-Pedersen, Babill

    2015-01-01

    The chronic inflammation induced by human immunodeficiency virus (HIV) contributes to increased risk of coronary heart disease (CHD) in HIV-infected individuals. HIV-infected patients generally benefit from being treated with antiretroviral drugs, but some antiretroviral agents have side effects, such as dyslipidemia and hyperglycemia. There is general consensus that antiretroviral drugs induce a long-term risk of CHD, although the levels of that risk are somewhat controversial. The intention of this cross-sectional study was to describe the lipid profile and the long-term risk of CHD among HIV-positive outpatients at an HIV treatment clinic in Harare, Zimbabwe. Two hundred and fifteen patients were investigated (females n=165, mean age 39.8 years; males n=50; mean age 42.0 years). Thirty of the individuals were antiretroviral-naïve and 185 had been on antiretroviral therapy (ART) for a mean 3.9±3.4 years. All participants had average lipid and glucose values within normal ranges, but there was a small difference between the ART and ART-for total cholesterol (TC) and high-density lipoprotein (HDL). Those on a combination of D4T or ZDV/NVP/3TC and PI-based ART were on average oldest and had the highest TC levels. Framingham risk showed 1.4% prevalence of high CHD risk within the next ten years. After univariate analysis age, sex, TC/HDL ratio, HDL, economic earnings and systolic BP were associated with medium to high risk of CHD. After multivariate regression analysis and adjusting for age or sex only age, sex and economic earnings were associated with medium to high risk of CHD. There is small risk of developing CHD, during the next decade in HIV infected patients at an HIV treatment clinic in Harare.

  16. Ecto-, endo- and haemoparasites in free-range chickens in the Goromonzi District in Zimbabwe.

    PubMed

    Permin, A; Esmann, J B; Hoj, C H; Hove, T; Mukaratirwa, S

    2002-07-25

    A cross-sectional study determined the prevalence of ecto-, endo- and haemoparasites in free-range chickens from the Goromonzi District, Zimbabwe. Fifty young and 50 adult birds were selected randomly. All chickens harboured ecto- and endoparasites, and 32% were infected with haemoparasites. Eight different ectoparasites were identified; the more prevalent ones had the following prevalences (young, %; adult, %): Argas persicus (6; 14), Cnemidocoptes mutans (6; 32), Echidnophaga gallinacea (72; 74), Goniocotes gallinae (0; 22), Menacanthus stramenius (90; 88) and Menopon gallinea (24; 66). The prevalences of C. mutans, G. gallinae and M. gallinae were higher in adults compared to young chickens. The mean (+/-S.D.) number of helminth species per chicken was 6.7+/-2.0 for young chickens and 6.4+/-2.0 for adult chickens with a range of 1-10 for young chickens and a range of 1-11 for adult chickens. The most prevalent nematodes identified were (with prevalence in % for young/adult birds): Allodapa suctoria (76; 72), Ascaridia galli (48; 24), Gongylonema ingluvicola (28; 56), Heterakis gallinarum (64; 62) and Tetrameres americana (70; 62). For cestodes the prevalences were: Amoebotaenia cuneata (60; 68), Hymenolepis spp. (62; 80), Raillietina echinobothrida (66; 34), Raillietina tetragona (94; 100) and Skrjabinia cesticillus (50; 76). The young chickens had higher prevalences of A. galli and R. echinobothrida compared to adults, but lower prevalence of G. ingluvicola and S. cesticillus. Eimeria spp. oocysts were isolated in 36% of 47 investigated samples. The prevalence was 47% for young chickens and 18% for adult chickens. Prevalences (in %) of haemoparasites in young and adult chickens were: Aegyptinella pullorum (7; 6), Leucocytozoon sabrazesi (3; 1), Plasmodium gallinaceum (8; 6) and Trypanosoma avium (2; 3).

  17. An evaluation of the sustainability of a rural water rehabilitation project in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Hoko, Zvikomborero; Hertle, Jochen

    An estimated 70% of the national population lives in rural areas in Zimbabwe. Previous studies suggest that groundwater is consumed predominantly without treatment. This study evaluated the sustainability of a rural water point rehabilitation project that was carried out in Mwenezi (Masvingo Province), and Gwanda, Bulilima and Mangwe (Matabeleland South Province) districts by a local NGO. The study was carried out a year after the rehabilitation project. Sustainability indicators considered in the study included the reliability of the system, human capacity development, institutional arrangements, and the impact of the project on rural livelihoods. A combination of field inspections of the water points and interviews with villagers were used as study tools. It was found out that 14% of the water points were broken down in Mwenezi, 17% (Gwanda), 13% (Bulilima) and 25% (Mangwe). Water quality was satisfactory for taste for over 90% and for 62-95% of respondents for soap consumption in all districts. Trained repair personnel were available in over 50% of the cases. Awareness of the training workshops for operation and maintenance in all districts was above 75%. Water point committees existed and functioned in all districts for 50-83% of water points. For 84-93% of the responses financial contributions were made only in the event of a breakdown. The walking distance to a water point was reduced after the project according to 83-100% of respondents in all districts. Health and hygiene knowledge was deemed to have improved due to the project in 46-78% of cases. It was concluded that opportunities for sustainable water supply are there if active community involvement is enhanced, training is lengthened and water point committees strengthened. There is also need to raise the awareness of ordinary villagers. Future rehabilitation projects should consider stricter supervision and equipping the trained personnel with tools.

  18. The impact of land reform on the status of large carnivores in Zimbabwe

    PubMed Central

    Williams, Kathryn S.; Joubert, Christoffel J.

    2016-01-01

    Large carnivores are decreasing in number due to growing pressure from an expanding human population. It is increasingly recognised that state-protected conservation areas are unlikely to be sufficient to protect viable populations of large carnivores, and that private land will be central to conservation efforts. In 2000, a fast-track land reform programme (FTLRP) was initiated in Zimbabwe, ostensibly to redress the racial imbalance in land ownership, but which also had the potential to break up large areas of carnivore habitat on private land. To date, research has focused on the impact of the FTLRP process on the different human communities, while impacts on wildlife have been overlooked. Here we provide the first systematic assessment of the impact of the FTLRP on the status of large carnivores. Spoor counts were conducted across private, resettled and communal land use types in order to estimate the abundance of large carnivores, and to determine how this had been affected by land reform. The density of carnivore spoor differed significantly between land use types, and was lower on resettlement land than on private land, suggesting that the resettlement process has resulted in a substantial decline in carnivore abundance. Habitat loss and high levels of poaching in and around resettlement areas are the most likely causes. The FTLRP resulted in the large-scale conversion of land that was used sustainably and productively for wildlife into unsustainable, unproductive agricultural land uses. We recommended that models of land reform should consider the type of land available, that existing expertise in land management should be retained where possible, and that resettlement programmes should be carefully planned in order to minimise the impacts on wildlife and on people. PMID:26819838

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

    NASA Astrophysics Data System (ADS)

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

    2015-12-01

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

  20. Predicting maize yield in Zimbabwe using dry dekads derived from remotely sensed Vegetation Condition Index

    NASA Astrophysics Data System (ADS)

    Kuri, Farai; Murwira, Amon; Murwira, Karin S.; Masocha, Mhosisi

    2014-12-01

    Maize is a key crop contributing to food security in Southern Africa yet accurate estimates of maize yield prior to harvesting are scarce. Timely and accurate estimates of maize production are essential for ensuring food security by enabling actionable mitigation strategies and policies for prevention of food shortages. In this study, we regressed the number of dry dekads derived from VCI against official ground-based maize yield estimates to generate simple linear regression models for predicting maize yield throughout Zimbabwe over four seasons (2009-10, 2010-11, 2011-12, and 2012-13). The VCI was computed using Normalized Difference Vegetation Index (NDVI) time series dataset from the SPOT VEGETATION sensor for the period 1998-2013. A significant negative linear relationship between number of dry dekads and maize yield was observed in each season. The variation in yield explained by the models ranged from 75% to 90%. The models were evaluated with official ground-based yield data that was not used to generate the models. There is a close match between the predicted yield and the official yield statistics with an error of 33%. The observed consistency in the negative relationship between number of dry dekads and ground-based estimates of maize yield as well as the high explanatory power of the regression models suggest that VCI-derived dry dekads could be used to predict maize yield before the end of the season thereby making it possible to plan strategies for dealing with food deficits or surpluses on time.

  1. The role of community conversations in facilitating local HIV competence: case study from rural Zimbabwe

    PubMed Central

    2013-01-01

    Background This paper examines the potential for community conversations to strengthen positive responses to HIV in resource-poor environments. Community conversations are an intervention method through which local people work with a facilitator to collectively identify local strengths and challenges and brainstorm potential strategies for solving local problems. Methods We conducted 18 community conversations (with six groups at three points in time) with a total of 77 participants in rural Zimbabwe (20% HIV positive). Participants were invited to reflect on how they were responding to the challenges of HIV, both as individuals and in community groups, and to think of ways to better support openness about HIV, kindness towards people living with HIV and greater community uptake of HIV prevention and treatment. Results Community conversations contributed to local HIV competence through (1) enabling participants to brainstorm concrete action plans for responding to HIV, (2) providing a forum to develop a sense of common purpose in relation to implementing these, (3) encouraging and challenging participants to overcome fear, denial and passivity, (4) providing an opportunity for participants to move from seeing themselves as passive recipients of information to active problem solvers, and (5) reducing silence and stigma surrounding HIV. Conclusions Our discussion cautions that community conversations, while holding great potential to help communities recognize their potential strengths and capacities for responding more effectively to HIV, are not a magic bullet. Poverty, poor harvests and political instability frustrated and limited many participants’ efforts to put their plans into action. On the other hand, support from outside the community, in this case the increasing availability of antiretroviral treatment, played a vital role in enabling communities to challenge stigma and envision new, more positive, ways of responding to the epidemic. PMID:23590640

  2. The impact of land reform on the status of large carnivores in Zimbabwe.

    PubMed

    Williams, Samual T; Williams, Kathryn S; Joubert, Christoffel J; Hill, Russell A

    2016-01-01

    Large carnivores are decreasing in number due to growing pressure from an expanding human population. It is increasingly recognised that state-protected conservation areas are unlikely to be sufficient to protect viable populations of large carnivores, and that private land will be central to conservation efforts. In 2000, a fast-track land reform programme (FTLRP) was initiated in Zimbabwe, ostensibly to redress the racial imbalance in land ownership, but which also had the potential to break up large areas of carnivore habitat on private land. To date, research has focused on the impact of the FTLRP process on the different human communities, while impacts on wildlife have been overlooked. Here we provide the first systematic assessment of the impact of the FTLRP on the status of large carnivores. Spoor counts were conducted across private, resettled and communal land use types in order to estimate the abundance of large carnivores, and to determine how this had been affected by land reform. The density of carnivore spoor differed significantly between land use types, and was lower on resettlement land than on private land, suggesting that the resettlement process has resulted in a substantial decline in carnivore abundance. Habitat loss and high levels of poaching in and around resettlement areas are the most likely causes. The FTLRP resulted in the large-scale conversion of land that was used sustainably and productively for wildlife into unsustainable, unproductive agricultural land uses. We recommended that models of land reform should consider the type of land available, that existing expertise in land management should be retained where possible, and that resettlement programmes should be carefully planned in order to minimise the impacts on wildlife and on people.

  3. Obstacles to local-level AIDS competence in rural Zimbabwe: putting HIV prevention in context

    PubMed Central

    Nhamo, Mercy; Campbell, Catherine; Gregson, Simon

    2010-01-01

    We explore the wider social context of an HIV-prevention programme in rural Zimbabwe. We make no comment on the programme itself, rather seeking to examine the wider community dynamics into which it was inserted, to highlight how pre-existing social dynamics may have influenced community “readiness” to derive optimal benefit from the intervention. Using the concept of “the AIDS competent community”, we analysed 44 interviews and 11 focus groups with local people. Despite high levels of HIV/AIDS-related knowledge, there were several ways gender, poverty and low literacy may have undermined its perceived relevance to peoples’ lives. Lack of opportunities for dialogue in the social milieu beyond the intervention may have limited opportunities for translating factual AIDS knowledge into action plans, or sharing hidden individual experiences of HIV/AIDS-affected family members or friends, given stigma and denial. The initiative of women and young people to respond effectively to AIDS was limited in a context dominated by adult males. People spoke of HIV/AIDS in a passive and fatalistic way, expecting outsiders to solve the problem. This tendency was exacerbated given the community's previous experiences of HIV/AIDS-related NGOs, which had often regarded local people as unpaid volunteer labour rather than building their capacity to make significant decisions and play leadership roles in health programmes. Despite obstacles, however, there were many potential community strengths and resources. There were high levels of HIV/AIDS-related knowledge. Public denial of HIV/AIDS masked huge reservoirs of private support and kindness to AIDS-affected family and friends. There were many strong community organisations and clubs, potentially forming the springboard for more empowered community responses to HIV/ AIDS. HIV/AIDS programmers should pay greater attention to community readiness for interventions, especially around: (1) identifying and anticipating pre

  4. Natural occurrence of aflatoxins in peanuts and peanut butter from Bulawayo, Zimbabwe.

    PubMed

    Mupunga, I; Lebelo, S L; Mngqawa, P; Rheeder, J P; Katerere, D R

    2014-10-01

    Mycotoxins are toxic secondary metabolites produced by filamentous fungi that may contaminate food and pose a health risk, especially in developing countries, where there is a lack of food security and quality is subsumed by food insufficiency. Aflatoxins are the most toxic known mycotoxins and are a significant risk factor for liver and kidney cancer, teratogenicity, undernutrition, and micronutrient malabsorption in both humans and animals. The main aim of the study was to determine the extent of fungal and aflatoxin contamination in peanuts and peanut butter being sold in both the formal and informal markets in Bulawayo, Zimbabwe. Eighteen peanut samples and 11 peanut butter samples were purchased from retail shops and the informal market. Fungal contamination was determined using standard mycology culture methods, while aflatoxin contamination was determined using high-performance liquid chromatography-fluorescence detection. Four of the six peanut samples tested for fungal contamination were infected with Aspergillus flavus/parasiticus, ranging from 3 to 20% of the kernels examined, while 27% (3 of 11) of the peanut butter samples were infected with A. flavus/parasiticus. Ninety-one percent (10 of 11) of the peanut butter samples were contaminated with aflatoxins (mean, 75.66 ng/g, and range, 6.1 to 247 ng/g), and aflatoxin B1 was the most prevalent (mean, 51.0 ng/g, and range, 3.7 to 191 ng/g). Three of the 18 peanut samples were contaminated with aflatoxins (range, 6.6 to 622 ng/g). The commercial peanut butter samples had very high aflatoxin levels, and manufacturers should be sensitized to the detrimental effects of aflatoxins and measures to reduce contamination. PMID:25285504

  5. Genetic diversity in watermelon (Citrullus lanatus) landraces from Zimbabwe revealed by RAPD and SSR markers.

    PubMed

    Mujaju, C; Sehic, J; Werlemark, G; Garkava-Gustavsson, L; Fatih, M; Nybom, H

    2010-08-01

    Low polymorphism in cultivated watermelon has been reported in previous studies, based mainly on US Plant Introductions and watermelon cultivars, most of which were linked to breeding programmes associated with disease resistance. Since germplasm sampled in a putative centre of origin in southern Africa may harbour considerably higher variability, DNA marker-based diversity was estimated among 81 seedlings from eight accessions of watermelon collected in Zimbabwe; five accessions of cow-melons (Citrullus lanatus var. citroides) and three of sweet watermelons (C. lanatus var. lanatus). Two molecular marker methods were used, random amplified polymorphic DNA (RAPD) and simple sequence repeats (SSR) also known as microsatellite DNA. Ten RAPD primers produced 138 markers of which 122 were polymorphic. Nine SSR primer pairs detected a total of 43 alleles with an average of 4.8 alleles per locus. The polymorphic information content (PIC) ranged from 0.47 to 0.77 for the RAPD primers and from 0.39 to 0.97 for the SSR loci. Similarity matrices obtained with SSR and RAPD, respectively, were highly correlated but only RAPD was able to provide each sample with an individual-specific DNA profile. Dendrograms and multidimensional scaling (MDS) produced two major clusters; one with the five cow-melon accessions and the other with the three sweet watermelon accessions. One of the most variable cow-melon accessions took an intermediate position in the MDS analysis, indicating the occurrence of gene flow between the two subspecies. Analysis of molecular variation (AMOVA) attributed most of the variability to within-accessions, and contrary to previous reports, sweet watermelon accessions apparently contain diversity of the same magnitude as the cow-melons.

  6. Insights for integrated conservation from attitudes of people toward protected areas near Hwange National Park, Zimbabwe.

    PubMed

    Guerbois, Chloe; Dufour, Anne-Beatrice; Mtare, Godfrey; Fritz, Herve

    2013-08-01

    Increase in human settlements at the edge of protected areas (PAs) is perceived as a major threat to conservation of biodiversity. Although it is crucial to integrate the interests of surrounding communities into PA management, key drivers of changes in local populations and the effects of conservation on local livelihoods and perceptions remain poorly understood. We assessed population changes from 1990 to 2010 in 9 villages located between 2 PAs with different management policies (access to natural resources or not). We conducted semi-directive interviews at the household level (n =217) to document reasons for settlement in the area and villager's attitudes toward the PAs. We examined drivers of these attitudes relative to household typology, feelings about conservation, and concerns for the future with mixed linear models. Population increased by 61% from 2000 to 2010, a period of political and economic crisis in Zimbabwe. Forty-seven percent of immigrants were attracted by the area; others had been resettled from other villages or were returning to family lands. Attitudes toward PAs were generally positive, but immigrants attracted by the area and who used resources within the PA with fewer restrictions expressed more negative attitudes toward PAs. Household location, losses due to wild animals, and restrictions on access to natural resources were the main drivers of this negative attitude. Profit-seeking migrants did not expect these constraints and were particularly concerned with local overpopulation and access to natural resources. To avoid socio-ecological traps near PAs (i.e., unforeseen reduced adaptive capacity) integrated conservation should address mismatches between management policy and local expectations. This requires accounting for endogenous processes, for example, local socio-ecological dynamics and values that shape the coexistence between humans and wildlife. PMID:23866038

  7. Estimating HIV Prevalence in Zimbabwe Using Population-Based Survey Data

    PubMed Central

    Chinomona, Amos; Mwambi, Henry Godwell

    2015-01-01

    Estimates of HIV prevalence computed using data obtained from sampling a subgroup of the national population may lack the representativeness of all the relevant domains of the population. These estimates are often computed on the assumption that HIV prevalence is uniform across all domains of the population. Use of appropriate statistical methods together with population-based survey data can enhance better estimation of national and subgroup level HIV prevalence and can provide improved explanations of the variation in HIV prevalence across different domains of the population. In this study we computed design-consistent estimates of HIV prevalence, and their respective 95% confidence intervals at both the national and subgroup levels. In addition, we provided a multivariable survey logistic regression model from a generalized linear modelling perspective for explaining the variation in HIV prevalence using demographic, socio-economic, socio-cultural and behavioural factors. Essentially, this study borrows from the proximate determinants conceptual framework which provides guiding principles upon which socio-economic and socio-cultural variables affect HIV prevalence through biological behavioural factors. We utilize the 2010–11 Zimbabwe Demographic and Health Survey (2010–11 ZDHS) data (which are population based) to estimate HIV prevalence in different categories of the population and for constructing the logistic regression model. It was established that HIV prevalence varies greatly with age, gender, marital status, place of residence, literacy level, belief on whether condom use can reduce the risk of contracting HIV and level of recent sexual activity whereas there was no marked variation in HIV prevalence with social status (measured using a wealth index), method of contraceptive and an individual’s level of education. PMID:26624280

  8. The impact of land reform on the status of large carnivores in Zimbabwe.

    PubMed

    Williams, Samual T; Williams, Kathryn S; Joubert, Christoffel J; Hill, Russell A

    2016-01-01

    Large carnivores are decreasing in number due to growing pressure from an expanding human population. It is increasingly recognised that state-protected conservation areas are unlikely to be sufficient to protect viable populations of large carnivores, and that private land will be central to conservation efforts. In 2000, a fast-track land reform programme (FTLRP) was initiated in Zimbabwe, ostensibly to redress the racial imbalance in land ownership, but which also had the potential to break up large areas of carnivore habitat on private land. To date, research has focused on the impact of the FTLRP process on the different human communities, while impacts on wildlife have been overlooked. Here we provide the first systematic assessment of the impact of the FTLRP on the status of large carnivores. Spoor counts were conducted across private, resettled and communal land use types in order to estimate the abundance of large carnivores, and to determine how this had been affected by land reform. The density of carnivore spoor differed significantly between land use types, and was lower on resettlement land than on private land, suggesting that the resettlement process has resulted in a substantial decline in carnivore abundance. Habitat loss and high levels of poaching in and around resettlement areas are the most likely causes. The FTLRP resulted in the large-scale conversion of land that was used sustainably and productively for wildlife into unsustainable, unproductive agricultural land uses. We recommended that models of land reform should consider the type of land available, that existing expertise in land management should be retained where possible, and that resettlement programmes should be carefully planned in order to minimise the impacts on wildlife and on people. PMID:26819838

  9. Natural occurrence of aflatoxins in peanuts and peanut butter from Bulawayo, Zimbabwe.

    PubMed

    Mupunga, I; Lebelo, S L; Mngqawa, P; Rheeder, J P; Katerere, D R

    2014-10-01

    Mycotoxins are toxic secondary metabolites produced by filamentous fungi that may contaminate food and pose a health risk, especially in developing countries, where there is a lack of food security and quality is subsumed by food insufficiency. Aflatoxins are the most toxic known mycotoxins and are a significant risk factor for liver and kidney cancer, teratogenicity, undernutrition, and micronutrient malabsorption in both humans and animals. The main aim of the study was to determine the extent of fungal and aflatoxin contamination in peanuts and peanut butter being sold in both the formal and informal markets in Bulawayo, Zimbabwe. Eighteen peanut samples and 11 peanut butter samples were purchased from retail shops and the informal market. Fungal contamination was determined using standard mycology culture methods, while aflatoxin contamination was determined using high-performance liquid chromatography-fluorescence detection. Four of the six peanut samples tested for fungal contamination were infected with Aspergillus flavus/parasiticus, ranging from 3 to 20% of the kernels examined, while 27% (3 of 11) of the peanut butter samples were infected with A. flavus/parasiticus. Ninety-one percent (10 of 11) of the peanut butter samples were contaminated with aflatoxins (mean, 75.66 ng/g, and range, 6.1 to 247 ng/g), and aflatoxin B1 was the most prevalent (mean, 51.0 ng/g, and range, 3.7 to 191 ng/g). Three of the 18 peanut samples were contaminated with aflatoxins (range, 6.6 to 622 ng/g). The commercial peanut butter samples had very high aflatoxin levels, and manufacturers should be sensitized to the detrimental effects of aflatoxins and measures to reduce contamination.

  10. Community groups as ‘critical enablers’ of the HIV response in Zimbabwe

    PubMed Central

    2013-01-01

    Background The Investment Framework for a more effective HIV response has become integral to discussions on how best to respond to the HIV epidemic. The Framework calls for greater synergy and attention to factors that serve as ‘critical enablers’ and optimise HIV programmes. In this paper we argue for recognition of informal and indigenous community groups as ‘critical enablers’ of the HIV response. Methods This qualitative study was conducted in Matobo district of the Matabeleland South province in Zimbabwe. It draws on 19 individual in-depth interviews and 9 focus group discussions conducted by local researchers in September and October 2011. Data was thematically analysed. Results Four core themes highlight the possibilities and limitations of community groups in the HIV response: (i) Membership of indigenous community groups and group-based dialogue were found to encourage group members to engage with HIV prevention, mitigation and care efforts; (ii) local networks and partnerships between groups and NGOs were said to play an important role in accessing much needed resources to aid indigenous coping with AIDS; (iii) community strengths and resources were recognised and drawn upon in the community group response; (iv) frequent droughts, poverty and stigma served as obstacles to an effective HIV response. Conclusions In this context, social groups, although to varying degrees and in direct or indirect ways, play a key role in the HIV response. This suggest that community groups and networks can indeed act as ‘critical enablers’ to the HIV response, and that efforts need to be made to facilitate the contributions of already existing indigenous responses. Local community groups are developing local and collective solutions to structural problems, often independently of external NGO or health service efforts, and begging for synergy and collaboration between local community groups and networks, the health services and other external HIV service delivery

  11. Descriptive Epidemiology of Typhoid Fever during an Epidemic in Harare, Zimbabwe, 2012

    PubMed Central

    Polonsky, Jonathan A.; Martínez-Pino, Isabel; Nackers, Fabienne; Chonzi, Prosper; Manangazira, Portia; Van Herp, Michel; Maes, Peter; Porten, Klaudia; Luquero, Francisco J.

    2014-01-01

    Background Typhoid fever remains a significant public health problem in developing countries. In October 2011, a typhoid fever epidemic was declared in Harare, Zimbabwe - the fourth enteric infection epidemic since 2008. To orient control activities, we described the epidemiology and spatiotemporal clustering of the epidemic in Dzivaresekwa and Kuwadzana, the two most affected suburbs of Harare. Methods A typhoid fever case-patient register was analysed to describe the epidemic. To explore clustering, we constructed a dataset comprising GPS coordinates of case-patient residences and randomly sampled residential locations (spatial controls). The scale and significance of clustering was explored with Ripley K functions. Cluster locations were determined by a random labelling technique and confirmed using Kulldorff's spatial scan statistic. Principal Findings We analysed data from 2570 confirmed and suspected case-patients, and found significant spatiotemporal clustering of typhoid fever in two non-overlapping areas, which appeared to be linked to environmental sources. Peak relative risk was more than six times greater than in areas lying outside the cluster ranges. Clusters were identified in similar geographical ranges by both random labelling and Kulldorff's spatial scan statistic. The spatial scale at which typhoid fever clustered was highly localised, with significant clustering at distances up to 4.5 km and peak levels at approximately 3.5 km. The epicentre of infection transmission shifted from one cluster to the other during the course of the epidemic. Conclusions This study demonstrated highly localised clustering of typhoid fever during an epidemic in an urban African setting, and highlights the importance of spatiotemporal analysis for making timely decisions about targetting prevention and control activities and reinforcing treatment during epidemics. This approach should be integrated into existing surveillance systems to facilitate early detection of

  12. Molecular Identification of Nontuberculous Mycobacteria in Humans in Zimbabwe Using 16S Ribosequencing

    PubMed Central

    Chin’ombe, Nyasha; Muzividzi, Boniface; Munemo, Ellen; Nziramasanga, Pasipanodya

    2016-01-01

    Background: Several nontuberculous mycobacteria (NTM) were previously isolated from diverse environments such as water, soil, sewage, food and animals. Some of these NTM are now known to be opportunistic pathogens of humans. Objective: The main purpose of the study was to identify NTM isolates stored at the National Microbiology Reference Laboratory (NMRL) and were previously isolated from humans during a national tuberculosis (TB) survey. Methods: Pure NTM cultures already isolated from human sputum samples during the national TB survey were retrieved from the NMRL and used for this study. DNA was extracted from the samples and 16S ribosomal RNA gene amplified by polymerase chain reaction. The amplicons were sequenced and bioinformatics tools were used to identify the NTM species. Results: Out of total of 963 NTM isolates stored at the NMRL, 81 were retrieved for speciation. Forty isolates (49.4%) were found to belong to Mycobacterium avium-intracellulare complex (MAC) species. The other 41 isolates (50.6%) were identified as M. lentiflavum (6.2%), M. terrae complex (4.9%), M. paraense (4.9%), M. kansasii (3.7%), M. moriokaense (3.7%), M. asiaticum (2.5%), M. novocastrense (2.5%), M. brasiliensis (2.5%), M. elephantis (2.5%), M. paraffinicum (1.2%), M. bohemicum (1.2%), M. manitobense (1.2%), M. intermedium (1.2%), M. tuberculosis complex (1.2%), M. parakoreense (1.2%), M. florentinum (1.2%), M. litorale (1.2%), M. fluoranthenivorans (1.2%), M. sherrisii (1.2%), M. fortuitum (1.2%) and M septicum (1.2%). Two isolates (2.5%) could not be identified, but were closely related to M. montefiorense and M. phlei respectively. Interestingly, the MAC species were the commonest NTM during the survey. Conclusion: The study emphasizes the importance of identifying species of NTM in Zimbabwe. Future studies need to ascertain their true diversity and clinical relevance. PMID:27335623

  13. The epidemiology of rabies in Zimbabwe. 2. Rabies in jackals (Canis adustus and Canis mesomelas).

    PubMed

    Bingham, J; Foggin, C M; Wandeler, A I; Hill, F W

    1999-03-01

    The epidemiology of rabies in Canis adustus (the side-striped jackal) and Canis mesomelas (the black-backed jackal) in Zimbabwe is described using data collected from 1950-1996. Cases in the two species made up 25.2% of all confirmed cases, second only to domestic dogs. Since the species of jackal cases was not recorded on rabies submission forms, the country was divided into areas according to species dominance and jackal cases were assigned to either C. adustus or C. mesomelas dominant zones or a sympatric zone where the relative status of the species is not known. Jackal rabies in both species is maintained in the commercial farming sector. Jackal rabies in the C. adustus zone occurs as dense epidemics, which begin at a single focus and spread centrifugally. The foci were initiated by rabid dogs, but once initiated the epidemic is maintained by C. adustus independently of other species. The extent of outbreaks in the C. adustus zone was limited by geographical (landuse type and jackal species interface) boundaries. Jackal rabies in C. adustus zones showed two seasonal peaks with the main peak occurring during late summer and the second peak during winter. In the C. mesomelas zone jackal rabies was more sparse but it occurred during most years. C. mesomelas is also able to maintain rabies independently of other species, although the epidemiology of the disease in this species is unclear. Transmission of rabies cycles between the two jackal species zones does not appear to occur as epidemics terminate when crossing the C. adustus and C. mesomelas interface boundaries.

  14. Estimating HIV Prevalence in Zimbabwe Using Population-Based Survey Data.

    PubMed

    Chinomona, Amos; Mwambi, Henry Godwell

    2015-01-01

    Estimates of HIV prevalence computed using data obtained from sampling a subgroup of the national population may lack the representativeness of all the relevant domains of the population. These estimates are often computed on the assumption that HIV prevalence is uniform across all domains of the population. Use of appropriate statistical methods together with population-based survey data can enhance better estimation of national and subgroup level HIV prevalence and can provide improved explanations of the variation in HIV prevalence across different domains of the population. In this study we computed design-consistent estimates of HIV prevalence, and their respective 95% confidence intervals at both the national and subgroup levels. In addition, we provided a multivariable survey logistic regression model from a generalized linear modelling perspective for explaining the variation in HIV prevalence using demographic, socio-economic, socio-cultural and behavioural factors. Essentially, this study borrows from the proximate determinants conceptual framework which provides guiding principles upon which socio-economic and socio-cultural variables affect HIV prevalence through biological behavioural factors. We utilize the 2010-11 Zimbabwe Demographic and Health Survey (2010-11 ZDHS) data (which are population based) to estimate HIV prevalence in different categories of the population and for constructing the logistic regression model. It was established that HIV prevalence varies greatly with age, gender, marital status, place of residence, literacy level, belief on whether condom use can reduce the risk of contracting HIV and level of recent sexual activity whereas there was no marked variation in HIV prevalence with social status (measured using a wealth index), method of contraceptive and an individual's level of education. PMID:26624280

  15. The prevalence of Taenia saginata cysticercosis in the Matabeleland Provinces of Zimbabwe.

    PubMed

    Sungirai, Marvelous; Masaka, Lawrence; Mbiba, Clifton

    2014-04-01

    Records were collected for Taenia saginata cysticercosis infections in cattle slaughtered at the Cold Storage Company Abattoir in Bulawayo, Zimbabwe, between January 2006 and December 2007. The cattle were drawn from the two Matabeleland provinces in the dry western and southern parts of the country. A total of 86,080 cattle were slaughtered during the period. The average prevalence of T. saginata cysticercosis was found to be 1.6% (n = 1 364) with Matabeleland North having a higher prevalence of 2.8% (n = 629) and Matabeleland South 1.2% (n = 735). There were no significant seasonal differences (p > 0.05) in incidences of T. saginata cysticercosis during the study although numerically, the prevalence of T. saginata cysticercosis was higher in the wet season. There was no significant difference (p > 0.05) in the prevalence of T. saginata cysticercosis in different age classes of cattle slaughtered. Of the infected carcasses, a great proportion of these had live cysts (1.4%) while few had dead cysts (0.2%). Most of the cattle condemned were below the age of 2 years and some were full adults (p < 0.05). There was a significant association between farm type (p < 0.05) and prevalence of T. saginata cysticercosis with most infections being observed in the communal farming system. Though the prevalence of T. saginata cysticercosis appears to be low, there is a need to conscientize the farmers to avoid losses due to carcasses condemnation at slaughter houses which will have a negative financial impact to the individual farmer. There is also a need to investigate such cases even further to reduce zoonotic consequences due to the undetected cases in communal areas. PMID:24429809

  16. Industrial water demand management and cleaner production potential: a case of three industries in Bulawayo, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Gumbo, Bekithemba; Mlilo, Sipho; Broome, Jeff; Lumbroso, Darren

    The combination of water demand management and cleaner production concepts have resulted in both economical and ecological benefits. The biggest challenge for developing countries is how to retrofit the industrial processes, which at times are based on obsolete technology, within financial, institutional and legal constraints. Processes in closed circuits can reduce water intake substantially and minimise resource input and the subsequent waste thereby reducing pollution of finite fresh water resources. Three industries were studied in Bulawayo, Zimbabwe to identify potential opportunities for reducing water intake and material usage and minimising waste. The industries comprised of a wire galvanising company, soft drink manufacturing and sugar refining industry. The results show that the wire galvanising industry could save up to 17% of water by recycling hot quench water through a cooling system. The industry can eliminate by substitution the use of toxic materials, namely lead and ammonium chloride and reduce the use of hydrochloric acid by half through using an induction heating chamber instead of lead during the annealing step. For the soft drink manufacturing industry water intake could be reduced by 5% through recycling filter-backwash water via the water treatment plant. Use of the pig system could save approximately 12 m 3/month of syrup and help reduce trade effluent fees by Z30/m 3 of “soft drink”. Use of a heat exchanger system in the sugar refining industry can reduce water intake by approximately 57 m 3/100 t “raw sugar” effluent volume by about 28 m 3/100 t “raw sugar”. The water charges would effectively be reduced by 52% and trade effluent fees by Z3384/100 t “raw sugar” (57%). Proper equipment selection, equipment modification and good house-keeping procedures could further help industries reduce water intake and minimise waste.

  17. Obstacles to local-level AIDS competence in rural Zimbabwe: putting HIV prevention in context.

    PubMed

    Nhamo, Mercy; Campbell, Catherine; Gregson, Simon

    2010-01-01

    We explore the wider social context of an HIV-prevention programme in rural Zimbabwe. We make no comment on the programme itself, rather seeking to examine the wider community dynamics into which it was inserted, to highlight how pre-existing social dynamics may have influenced community "readiness" to derive optimal benefit from the intervention. Using the concept of "the AIDS competent community", we analysed 44 interviews and 11 focus groups with local people. Despite high levels of HIV/AIDS-related knowledge, there were several ways gender, poverty and low literacy may have undermined its perceived relevance to peoples' lives. Lack of opportunities for dialogue in the social milieu beyond the intervention may have limited opportunities for translating factual AIDS knowledge into action plans, or sharing hidden individual experiences of HIV/AIDS-affected family members or friends, given stigma and denial. The initiative of women and young people to respond effectively to AIDS was limited in a context dominated by adult males. People spoke of HIV/AIDS in a passive and fatalistic way, expecting outsiders to solve the problem. This tendency was exacerbated given the community's previous experiences of HIV/AIDS-related NGOs, which had often regarded local people as unpaid volunteer labour rather than building their capacity to make significant decisions and play leadership roles in health programmes. Despite obstacles, however, there were many potential community strengths and resources. There were high levels of HIV/AIDS-related knowledge. Public denial of HIV/AIDS masked huge reservoirs of private support and kindness to AIDS-affected family and friends. There were many strong community organisations and clubs, potentially forming the springboard for more empowered community responses to HIV/AIDS. HIV/AIDS programmers should pay greater attention to community readiness for interventions, especially around: (1) identifying and anticipating pre-existing obstacles to

  18. Sustainable income-generating projects for HIV-affected households in Zimbabwe: evidence from two high-density suburbs.

    PubMed

    Mutenje, Munyaradzi J; Nyakudya, Innocent W; Katsinde, Constance; Chikuvire, Tichaedza J

    2007-04-01

    An estimated 25% of the adults in urban areas of Zimbabwe are living as HIV-positive. In HIV-affected households the need for income increases with the demand for medicines, food and funeral costs. One way to mitigate this effect of the epidemic is by expanding micro enterprises that can enhance the livelihoods of urban households affected by HIV. To identify viable income-generating projects for such households, five possible projects facilitated by two HIV/AIDS support organisations were selected for assessment. These were: selling second-hand clothing, poultry-keeping and nutritional/herbal gardens, freezit-making, mobile kitchens, and payphone set-ups. A case study of 200 households benefiting from one of these projects was done in two high-density suburbs in the town of Bindura, northern Zimbabwe. Information was collected from each household four times per year, over four years (2001-2004). Information on the income generated from the micro enterprises was collected monthly during the period. Descriptive statistics were used to analyse household demographic data; income data was analysed using cost-benefit analysis and analysis of variance. The results show that all five income-generating projects were viable for these households, although some were not feasible for the most vulnerable HIV-affected households. Making more efficient use of micro enterprises can be a valuable part of mainstreaming HIV-affected people and households in urban areas, and so allow people living with HIV to have longer and more meaningful lives.

  19. Diagnosis and treatment of TB patients with rifampicin resistance detected using Xpert® MTB/RIF in Zimbabwe

    PubMed Central

    Ade, S.; Harries, A. D.; Ncube, R. T.; Zishiri, C.; Sandy, C.; Mutunzi, H.; Takarinda, K.; Owiti, P.; Mafaune, P.; Chonzi, P.

    2016-01-01

    Setting: In Zimbabwe, there are concerns about the management of tuberculosis (TB) patients with rifampicin (RMP) resistance diagnosed using Xpert® MTB/RIF. Objective: To assess linkages between diagnosis and treatment for these patients in Harare and Manicaland provinces in 2014. Design: A retrospective cohort study. Results: Of 20 329 Xpert assays conducted, 90% were successful, 11% detected Mycobacterium tuberculosis and 4.5% showed RMP resistance. Of 77 patients with RMP-resistant TB diagnosed by Xpert, 70% had samples sent to the reference laboratory for culture and drug susceptibility testing (CDST); 53% of the samples arrived. In 21% the samples showed M. tuberculosis growth, and in 17% the DST results were recorded, all of which confirmed RMP resistance. Of the 77 patients, 34 (44%) never started treatment for multidrug-resistant (MDR) TB, with documented reasons being death, loss to follow-up and incorrect treatment. Of the 43 patients who started MDR-TB treatment, 12 (71%) in Harare and 17 (65%) in Manicaland started within 2 weeks of diagnosis. Conclusion: Xpert has been rolled out successfully in two Zimbabwe provinces. However, the process of confirming CDST for Xpert-diagnosed RMP-resistant TB works poorly, and many patients are either delayed or never initiate MDR-TB treatment. These shortfalls must be addressed at the programmatic level. PMID:27358806

  20. Discrepancies between UN models and DHS survey estimates of maternal orphan prevalence: insights from analyses of survey data from Zimbabwe

    PubMed Central

    Robertson, L; Gregson, S; Madanhire, C; Walker, N; Mushati, P; Garnett, G; Nyamukapa, C

    2008-01-01

    Objectives: Model-based estimates of maternal (but not paternal) orphanhood are higher than those based on data from demographic and health surveys (DHS). We investigate the consistency of reporting of parental survival status in data from Manicaland, Zimbabwe. Methods: We compared estimates of paternal and maternal orphan prevalence in three rounds of a prospective household census in Manicaland (1998–2005) with estimates from DHS surveys and UNAIDS model projections. We investigated the consistency of reporting of parental survival status across the three rounds and compared estimates of adult mortality from the orphan data with direct estimates from concurrent follow-up of a general population cohort. Qualitative data were collected on possible reasons for misreporting. Results: Paternal and maternal orphan prevalence is increasing in Zimbabwe. Mothers reported as deceased in round 1 of the Manicaland survey were more likely than fathers to be reported as alive in rounds 2 or 3 (33.3% vs 13.4%). This pattern was most apparent among younger children. The qualitative findings suggest that foster parents sometimes claim adopted children as their natural children. Conclusions: These results are consistent with misreporting of foster parents as natural parents. This appears to be particularly common among foster mothers and could partly explain the discrepancy between mathematical model and DHS estimates of maternal orphanhood. PMID:18647868

  1. An Investigation of Factors Affecting Elementary Female Student Teachers' Choice of Science as a Major at College Level in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Mlenga, Francis

    This article focuses on factors affecting elementary female student teachers' choice of science as a major at college level in Zimbabwe. In Sub-Saharan Africa, there has been an unprecedented expansion in education in the last 2 decades. This reflects the broad recognition that education contributes to national development. This expansion has not been matched with equal access and opportunity to education. The education of females still lags behind that of males in most developing countries, and in Sub-Saharan Africa in particular (Hyde, 1989). Fewer girls than boys study science at both secondary and college levels. The study took place in Zimbabwe at Mkoba Teachers' College. Two groups of elementary female student teachers participated in the study, namely science majors and nonscience majors. Ten science majors and nine nonscience majors took part in individual interviews. For focus group interviews, there were three groups of six each from science and nonscience majors. The study was conducted between May 2004 and July 2004. Out-of-school experiences, culture, and attitudes toward science emerged as factors affecting female student teachers' choice of science as a major. A number of implications have been discussed as well as suggestions for further research. Limitations of the study have been analyzed as well.

  2. Hospital-acquired pneumonia

    MedlinePlus

    ... tends to be more serious than other lung infections because: People in the hospital are often very sick and cannot fight off ... prevent pneumonia. Most hospitals have programs to prevent hospital-acquired infections.

  3. Species of Gyrodactylus von Nordmann, 1832 (Platyhelminthes: Monogenea) from cichlids from Zambezi and Limpopo river basins in Zimbabwe and South Africa: evidence for unexplored species richness.

    PubMed

    Zahradníčková, Petra; Barson, Maxwell; Luus-Powell, Wilmien J; Přikrylová, Iva

    2016-09-01

    New findings on Gyrodactylus spp. parasitising African cichlids in southern Africa are presented, comprising data from Zimbabwe and South Africa. Morphometry of opisthaptoral hard parts in combination with nuclear ribosomal DNA sequences confirmed the presence of six species of Gyrodactylus von Nordmann, 1832. Three new species are described from fishes in Zimbabwe: Gyrodactylus chitandiri n. sp. from the gill arches of Coptodon rendalli (Boulenger) and Pseudocrenilabrus philander (Weber); Gyrodactylus occupatus n. sp. from the fins of Oreochromis niloticus (L.), Pharyngochromis acuticeps (Steindachner) and P. philander; and Gyrodactylus parisellei n. sp. from the fins of O. niloticus, P. philander and Tilapia sp. Gyrodactylus nyanzae Paperna, 1973 was also identified from the gills of O. niloticus and C. rendalli collected from two localities in Zimbabwe; these findings represent new host and locality records for this parasite. Gyrodactylus sturmbaueri Vanhove, Snoeks, Volckaert & Huyse, 2011 was identified from P. philander collected in South Africa and Zimbabwe thereby providing new host and locality records for this parasite. Finally, Gyrodactylus yacatli García-Vásquez, Hansen, Christison, Bron & Shinn, 2011 was collected from the fins of O. niloticus and P. philander studied in Zimbabwe; this represents the first record of this species from the continent of Africa. Notably, this study improves upon the knowledge of Gyrodactylus spp. parasitising cichlids from these southern African regions. All species studied were recorded from at least two different cichlid host species indicating trend for a wide range of Gyrodactylus hosts in Africa. Accordingly, this supports the idea of intensive host switching in the course of their evolution. PMID:27522367

  4. Species of Gyrodactylus von Nordmann, 1832 (Platyhelminthes: Monogenea) from cichlids from Zambezi and Limpopo river basins in Zimbabwe and South Africa: evidence for unexplored species richness.

    PubMed

    Zahradníčková, Petra; Barson, Maxwell; Luus-Powell, Wilmien J; Přikrylová, Iva

    2016-09-01

    New findings on Gyrodactylus spp. parasitising African cichlids in southern Africa are presented, comprising data from Zimbabwe and South Africa. Morphometry of opisthaptoral hard parts in combination with nuclear ribosomal DNA sequences confirmed the presence of six species of Gyrodactylus von Nordmann, 1832. Three new species are described from fishes in Zimbabwe: Gyrodactylus chitandiri n. sp. from the gill arches of Coptodon rendalli (Boulenger) and Pseudocrenilabrus philander (Weber); Gyrodactylus occupatus n. sp. from the fins of Oreochromis niloticus (L.), Pharyngochromis acuticeps (Steindachner) and P. philander; and Gyrodactylus parisellei n. sp. from the fins of O. niloticus, P. philander and Tilapia sp. Gyrodactylus nyanzae Paperna, 1973 was also identified from the gills of O. niloticus and C. rendalli collected from two localities in Zimbabwe; these findings represent new host and locality records for this parasite. Gyrodactylus sturmbaueri Vanhove, Snoeks, Volckaert & Huyse, 2011 was identified from P. philander collected in South Africa and Zimbabwe thereby providing new host and locality records for this parasite. Finally, Gyrodactylus yacatli García-Vásquez, Hansen, Christison, Bron & Shinn, 2011 was collected from the fins of O. niloticus and P. philander studied in Zimbabwe; this represents the first record of this species from the continent of Africa. Notably, this study improves upon the knowledge of Gyrodactylus spp. parasitising cichlids from these southern African regions. All species studied were recorded from at least two different cichlid host species indicating trend for a wide range of Gyrodactylus hosts in Africa. Accordingly, this supports the idea of intensive host switching in the course of their evolution.

  5. Health-related quality of life in HIV/AIDS patients on antiretroviral therapy at a tertiary care facility in Zimbabwe.

    PubMed

    Mafirakureva, N; Dzingirai, B; Postma, M J; van Hulst, M; Khoza, S

    2016-07-01

    Health-related quality of life (HRQoL) is a broad concept reflecting a patient's general subjective perception of the effect of an illness or intervention on physical, psychological and social aspects of their daily life. HRQoL among patients infected with HIV has become an important indicator of impact of disease and treatment outcomes. A cross-sectional survey was carried out at Chitungwiza Central Hospital, Zimbabwe, to assess HRQoL in patients with HIV/AIDS receiving antiretroviral therapy (ART), using two validated instruments. The HIV/AIDS-targeted quality of life (HAT-QoL) and EuroQoL Five-dimensions-Three-level (EQ-5D-3L) instruments were used to assess HRQoL. Internal consistency reliability and convergent validity of the two instruments were also evaluated. For construct validity, the relationships between HRQoL scores and socio-economic and HIV/AIDS-related characteristics were explored. The median scores for the HAT-QoL dimensions ranged from 33.3 (financial worries) to 100 (HIV mastery). A considerably low HAT-QoL dimension score of 50.0 was observed for sexual function. There were ceiling effects for all HAT-QoL dimension scores except for financial worries and disclosure worries. Floor effects were observed for financial worries and sexual function. The median of the EQ-5D-3L index and visual analogue scale (VAS) was 0.81 and 79.0, respectively. There were no floor or ceiling effects for both the EQ-5D-3L index and VAS. The overall scale Cronbach's alpha was 0.83 for HAT-Qol and 0.67 for EQ-5D-3L. HAT-QoL demonstrated good convergent validity with EQ-5D index (0.58) and VAS (0.40). A higher level of HRQoL was positively and significantly related to income, education and employment. The patients' self-reported HRQoL was generally satisfactory in all the HAT-QoL dimensions as well as the two components on the EQ-5D-3L instrument. The two instruments demonstrated good measurement properties in HIV/AIDS patients receiving ART and have potential for use

  6. Hospital Charges of Potentially Preventable Pediatric Hospitalizations

    PubMed Central

    Lu, Sam; Kuo, Dennis Z.

    2014-01-01

    Objectives Reducing the number of preventable hospitalizations represents a possible source of healthcare savings. However, the current literature lacks a description of the extent of potentially preventable pediatric hospitalizations. The study objectives are to (1) identify the charges and (2) demographic characteristics associated with potentially preventable pediatric hospitalizations. Methods Secondary analysis of the 2006 Kids’ Inpatient Database (weighted N=7,558,812). ICD-9-CM codes for 16 previously validated pediatric ambulatory care-sensitive (ACS) conditions identified potentially preventable hospitalizations; seven additional conditions reflected updated care guidelines. Outcome variables included number of admissions, hospitalization days, and hospital charges. Demographic and diagnostic variables associated with an ACS condition were compared with regression analyses using appropriate person-level weights. Results Pediatric ACS hospitalizations totaled $4.05B in charges and 1,087,570 hospitalization days in 2006. Two respiratory conditions—asthma and bacterial pneumonia—comprised 48.4% of ACS hospital charges and 46.7% of ACS hospitalization days. In multivariate analysis, variables associated with an ACS condition included: male gender (OR: 1.10; 95% CI: 1.07–1.13); race/ethnicity of black (OR: 1.22; 95% CI: 1.16–1.27) or Hispanic (OR: 1.12; 95% CI: 1.06–1.18); and emergency department (ED) as admission source (OR: 1.37; 95% CI: 1.27–1.48). Conclusions Respiratory conditions comprised the largest proportion of potentially preventable pediatric hospitalizations, totaling as much as $1.96B in hospital charges. Children hospitalized with an ACS condition tend to be male, non-white, and admitted through the ED. Future research to prevent pediatric hospitalizations should examine targeted interventions in the primary care setting, specifically around respiratory conditions and minority populations. PMID:22922047

  7. Hospital Library Administration.

    ERIC Educational Resources Information Center

    Cramer, Anne

    The objectives of a hospital are to improve patient care, while the objectives of a hospital library are to improve services to the staff which will support their efforts. This handbook dealing with hospital administration is designed to aid the librarian in either implementing a hospital library, or improving services in an existing medical…

  8. Hospital marketing revisited.

    PubMed

    Costello, M M

    1987-05-01

    With more hospitals embracing the marketing function in their organizational management over the past decade, hospital marketing can no longer be considered a fad. However, a review of hospital marketing efforts as reported in the professional literature indicates that hospitals must pay greater attention to the marketing mix elements of service, price and distribution channels as their programs mature.

  9. Measuring Rural Hospital Quality

    ERIC Educational Resources Information Center

    Moscovice, Ira; Wholey, Douglas R.; Klingner, Jill; Knott, Astrid

    2004-01-01

    Increased interest in the measurement of hospital quality has been stimulated by accrediting bodies, purchaser coalitions, government agencies, and other entities. This paper examines quality measurement for hospitals in rural settings. We seek to identify rural hospital quality measures that reflect quality in all hospitals and that are sensitive…

  10. Analysing land cover and land use change in the Matobo National Park and surroundings in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Scharsich, Valeska; Mtata, Kupakwashe; Hauhs, Michael; Lange, Holger; Bogner, Christina

    2016-04-01

    Natural forests are threatened worldwide, therefore their protection in National Parks is essential. Here, we investigate how this protection status affects the land cover. To answer this question, we analyse the surface reflectance of three Landsat images of Matobo National Park and surrounding in Zimbabwe from 1989, 1998 and 2014 to detect changes in land cover in this region. To account for the rolling countryside and the resulting prominent shadows, a topographical correction of the surface reflectance was required. To infer land cover changes it is not only necessary to have some ground data for the current satellite images but also for the old ones. In particular for the older images no recent field study could help to reconstruct these data reliably. In our study we follow the idea that land cover classes of pixels in current images can be transferred to the equivalent pixels of older ones if no changes occurred meanwhile. Therefore we combine unsupervised clustering with supervised classification as follows. At first, we produce a land cover map for 2014. Secondly, we cluster the images with clara, which is similar to k-means, but suitable for large data sets. Whereby the best number of classes were determined to be 4. Thirdly, we locate unchanged pixels with change vector analysis in the images of 1989 and 1998. For these pixels we transfer the corresponding cluster label from 2014 to 1989 and 1998. Subsequently, the classified pixels serve as training data for supervised classification with random forest, which is carried out for each image separately. Finally, we derive land cover classes from the Landsat image in 2014, photographs and Google Earth and transfer them to the other two images. The resulting classes are shrub land; forest/shallow waters; bare soils/fields with some trees/shrubs; and bare light soils/rocks, fields and settlements. Subsequently the three different classifications are compared and land changes are mapped. The main changes are

  11. Sustainable sanitation systems for low income urban areas - A case of the city of Bulawayo, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Chinyama, A.; Chipato, P. T.; Mangore, E.

    Lack of basic sanitation systems threaten environmental and human health in low income urban communities. In 2005, the Government of Zimbabwe carried out a cleanup exercise in urban areas involving the destruction of illegal structures which left many people homeless. As a solution to this problem, the government embarked on an extensive housing construction exercise on unserviced land; the ‘Garikai/Hlalani Kuhle’ development programme. The objective of this paper was to investigate the sanitation status in one such area (Cowdray Park Extension, Bulawayo) and determine a sustainable sanitation system for the improved collection of wastewater from the unserviced low income urban area. The study was carried out between October 2010 and February 2011. The sanitation status as well as the residents’ preferences for improved sanitation and the economic set up of the community for the study area was determined through use of questionnaires to the residents. The local authority was then consulted to recommend sanitation facilities and system for the area that met regulatory requirements. A literature study identified sanitation options that were applicable to low income and high density urban areas. The baseline survey found that 61% of the people in the study area lacked sanitation facilities and practiced open defecation. The majority of the residents (70%) preferred ‘flush and discharge’ system sanitation facilities, which was in line with the local council’s requirements. On-site sanitation options were found not to be feasible as per the council regulations and the findings of the literature study, for areas with a high density of houses. Therefore a sewerage system was designed using the conventional sewerage design approach as well as the simplified sewerage design approach in order to determine the collection system that would best meet the needs of the community. In conclusion, the community was in dire need of a sanitation system and a waterborne

  12. Risk factors for contracting watery diarrhoea in Kadoma City, Zimbabwe, 2011: a case control study

    PubMed Central

    2013-01-01

    Background Kadoma City experienced an increase in watery diarrhoea from 27 cases during week beginning 5th September, to 107 cases during week beginning 26th September 2011. The weekly diarrhoea cases crossed the threshold action line during week beginning 5th September at the children’s clinic in Rimuka Township, and the remaining four clinics reported cases crossing threshold action lines between week beginning 12th September and week beginning 26th September. Eighty-two percent of the cases were children less than 5 years old. We conducted a case controlstudy to determine risk factorsfor contracting watery diarrhoea in children less than 5 years in Kadoma City. Methods An unmatched 1:1 case control study was conducted in Ngezi and Rimuka townships in Kadoma City, Zimbabwe. A case was a child less than 5 years old, who developed acute watery diarrhoea between 5th September and 1st October 2011. A control was a child less than 5 years old who stayed in the same township and did not suffer from diarrhoea. A structured questionnaire was administered to caregivers of cases and controls.Laboratory water quality tests and stool test results were reviewed.Epi Info™ statistical software was used to analyse data. Results A total of 109 cases and 109 controls were enrolled. Independent protective factors were: having been exclusively breastfed for six months [AOR = 0.44; 95% CI (0.24-0.82)]; using municipal water [AOR = 0.38; 95% CI (0.18-0.80)]; using aqua tablets, [AOR = 0.49; 95% CI (0.26–0.94)] and; storing water in closed containers, [AOR = 0.24; 95% CI (0.07–0.0.83). The only independent risk factor for contracting watery diarrhoea was hand washing in a single bowl, [AOR = 2.89; 95% CI (1.33–6.28)]. Salmonella, Shigella, Rotavirus, and Enteropathogenic Escherichia coli were isolated in the stool specimens. None of the 33 municipal water samples tested showed contamination with Escherichia coli, whilst 23 of 44 (52%) shallow well water samples and 3 of 15

  13. Children’s representations of school support for HIV-affected peers in rural Zimbabwe

    PubMed Central

    2014-01-01

    Background HIV has left many African children caring for sick relatives, orphaned or themselves HIV-positive, often facing immense challenges in the absence of significant support from adults. With reductions in development funding, public sector budgetary constraints, and a growing emphasis on the importance of indigenous resources in the HIV response, international policy allocates schools a key role in ‘substituting for families’ (Ansell, 2008) in supporting child health and well-being. We explore children’s own accounts of the challenges facing their HIV-affected peers and the role of schools in providing such support. Methods Contextualised within a multi-method study of school support for HIV-affected children in rural Zimbabwe, and regarding children’s views as a key resource for child-relevant intervention and policy, 128 school children (10–14) wrote a story about an HIV-affected peer and how school assisted them in tackling their problems. Results Children presented harrowing accounts of negative impacts of HIV on the social, physical and mental well-being of peers, and how these manifested in the school setting. Whilst relationships with fellow learners and teachers were said to provide a degree of support, this was patchy and minimal, generally limited to small-scale and often one-off acts of material help or kindness (e.g. teachers giving children pens and exercise books or peers sharing school lunches), with little potential to impact significantly on the wider social drivers of children’s daily challenges. Despite having respect for the enormity of the challenges many HIV-affected peers were coping with, children tended to keep a distance from them. School was depicted as a source of the very bullying, stigma and social exclusion that undermined children’s opportunities for well-being in their lives more generally. Conclusions Our findings challenge glib assumptions that schools can serve as a significant ‘indigenous’ supports of

  14. Are HIV-positive presumptive tuberculosis patients without tuberculosis getting the care they need in Zimbabwe?

    PubMed

    Dlodlo, R A; Hwalima, Z E; Sithole, S; Takarinda, K C; Tayler-Smith, K; Harries, A D

    2015-12-21

    Contexte : Le centre de santé Emakhandeni, qui offre une prise en charge de la tuberculose (TB) et du virus de l'immunodéficience humaine (VIH) décentralisée et intégrée à Bulawayo, Zimbabwe.Objectifs : Comparer la prise en charge du VIH pour les patients présumés tuberculeux, avec et sans TB, enregistrés en 2013.Schéma : Etude rétrospective de cohorte basée sur les données de routine du programme.Résultats: Sur 422 patients présumés tuberculeux enregistrés, 26% étaient connus comme VIH positifs. Parmi les 315 patients restants, 255 (81%) ont eu un test VIH, dont 190 (75%) se sont avérés positifs. Parmi eux, 26% ont eu un diagnostic de TB et 71% n'ont pas été confirmés tuberculeux (les 3% restants n'ont eu aucun résultat de TB enregistré). Pour les 134 patients sans TB, les données d'éligibilité au traitement antirétroviral (ART) ont été notées chez 42 (31%) patients et 95% ont été éligibles à l'ART. La mise en œuvre du traitement préventif par cotrimoxazole (CPT) et l'ART a été notée pour respectivement 88% et 90% des patients VIH positifs avec TB, comparés à respectivement 40% et 38% des patients VIH positifs sans TB (P < 0,001).Conclusion : Les patients présumés TB mais non confirmés avaient un taux élevé de positivité au VIH et pour ceux dont les données étaient disponibles, la majorité était éligible à l'ART. Par contre, pour les patients VIH positifs sans une TB confirmée, le taux de mise en œuvre du traitement préventif par CPT et de l'ART a été médiocre. Une approche « tester et traiter » et de meilleurs liens entre les services pourraient sauver la vie de ces patients, surtout en Afrique australe où les taux de VIH et de TB sont très élevés.

  15. The human resource implications of improving financial risk protection for mothers and newborns in Zimbabwe

    PubMed Central

    2013-01-01

    Background A paradigm shift in global health policy on user fees has been evident in the last decade with a growing consensus that user fees undermine equitable access to essential health care in many low and middle income countries. Changes to fees have major implications for human resources for health (HRH), though the linkages are rarely explicitly examined. This study aimed to examine the inter-linkages in Zimbabwe in order to generate lessons for HRH and fee policies, with particular respect to reproductive, maternal and newborn health (RMNH). Methods The study used secondary data and small-scale qualitative fieldwork (key informant interview and focus group discussions) at national level and in one district in 2011. Results The past decades have seen a shift in the burden of payments onto households. Implementation of the complex rules on exemptions is patchy and confused. RMNH services are seen as hard for families to afford, even in the absence of complications. Human resources are constrained in managing current demand and any growth in demand by high external and internal migration, and low remuneration, amongst other factors. We find that nurses and midwives are evenly distributed across the country (at least in the public sector), though doctors are not. This means that for four provinces, there are not enough doctors to provide more complex care, and only three provinces could provide cover in the event of all deliveries taking place in facilities. Conclusions This analysis suggests that there is a strong case for reducing the financial burden on clients of RMNH services and also a pressing need to improve the terms and conditions of key health staff. Numbers need to grow, and distribution is also a challenge, suggesting the need for differentiated policies in relation to rural areas, especially for doctors and specialists. The management of user fees should also be reviewed, particularly for non-Ministry facilities, which do not retain their revenues

  16. The development of a risk of failure evaluation tool for small dams in Mzingwane Catchment, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Mufute, N. L.; Senzanje, A.; Kaseke, E.

    Small dams in Mzingwane Catchment in southern Zimbabwe are mostly in poor physical condition mainly due to lack of resources for repair and maintenance. Most of these dams are likely to fail thereby adversely affecting water availability and livelihoods in the area. To assist those involved in maintenance, repair and rehabilitation of small dams in resource poor and data sparse areas such as Mzingwane Catchment, a non-probabilistic but numerical risk of failure evaluation tool was developed. The tool helps to systematically, and objectively classify risk of failure of small dams, hence assist in the ranking of dams to prioritise and attend to first. This is important where resources are limited. The tool makes use of factors such as seepage, erosion and others that are traditionally used to assess condition of dams. In the development of the tool, an assessment of the physical condition of 44 (1 medium sized and 43 small dams) dams was done and the factors were identified and listed according to guidelines for design and maintenance of small dams. The description of the extent to which the factors affect the physical condition of small dams was then standardised. This was mainly guided by standard based and risk-based approaches to dam safety evaluation. Cause-effect diagrams were used to determine the stage at which each factor is involved in contributing to dam failure. Weights were then allocated to each factor depending on its stage or level in the process of causing dam failure. Scores were allocated to each factor based on its description and weight. Small dams design and maintenance guidelines were also used to guide the ranking and weighting of the factors. The tool was used to classify 10 dams. The risk of failure was low for one dam, moderate for one, high for four and very high for four dams, two of which had already failed. It was concluded that the tool could be used to rank the risk of failure of small dams in semi-arid areas. The tool needs to be

  17. Prominent ears: Anthropometric study of the external ear of primary school children of Harare, Zimbabwe

    PubMed Central

    Muteweye, Wilfred; Muguti, Godfrey I.

    2015-01-01

    Background Prominent ear is the most common congenital ear deformity affecting 5% of children in the Western world and has profound psychosocial effects on the bearer. It is important to know the prevalence in the local population to have a better appreciation of the local burden of the abnormality as well as to know the parameters of ear morphology locally. These parameters can be useful in the diagnosis and evaluation of ear anomalies and may help reconstructive surgeons in reproducing an anatomically correct ear of an African/Zimbabwean child. Objectives To evaluate the frequency of prominent ears in black school going children in Zimbabwe and to establish morphometric properties of the ear. Design Prospective observational, cross sectional study. Setting Three Primary schools in Harare. Two in a high density area and one in a low density area. Materials and methods Three Primary schools in Harare were selected at random. The following measurements were taken: ear lengths, ear projection and face height using a sliding caliper. Three hundred and five healthy pupils of the age range 9–13 years of both sexes were included in the study, whilst children with congenital anomalies, ear tumours and history of ear trauma were excluded. Results The mean ear height across the cohort was 56.95 ± 5.00 (right ear) and 56.86 ± 4.92 (left ear). Ear projection was 19.52 ± 2.14 (right ear) and 19.59 ± 2.09 (left ear). Gender related differences were noted. Mean ear height was significantly higher in males (p-value = 0.000). Ear projection was higher in males compared to females. A total of 6.89% had prominent ears. Among males, 7.69% had prominent ears whilst 6.17% of females had prominent ears. Conclusion The prevalence of prominent ear among black African children in the studied population is comparable to that of Caucasians. The study provides a set of biometric data of auricular dimensions for normal black African children aged 9–13 years. PMID:26468372

  18. Within-Gender Changes in HIV Prevalence among Adults between 2005/6 and 2010/11 in Zimbabwe

    PubMed Central

    Dzangare, Janet; Rusakaniko, Simbarashe; Kilmarx, Peter H.; Postma, Maarten J.; Ngwende, Stella; Mandisarisa, John; Nyika, Ponesai; Mvere, David A.; Mugurungi, Owen; Tshimanga, Mufuta; van Hulst, Marinus

    2015-01-01

    Introduction Zimbabwe has reported significant declines in HIV prevalence between 2005/06 and 2010/11 Demography and Health Surveys; a within-gender analysis to identify the magnitude and factors associated with this change, which can be masked, is critical for targeting interventions. Methods We analyzed change in HIV prevalence for 6,947 women and 5,848 men in the 2005/06 survey and 7,313 women and 6,250 men in 2010/11 surveys using 2005/06 as referent. The data was analyzed taking into consideration the survey design and therefore the svy, mean command in Stata was used in both linear and logistic regression. Results There were similar proportional declines in prevalence at national level for males (15% p=0.011) and females (16%,p=0.008). However, there were variations in decline by provincial setting, demographic variables of age, educational level and some sexual risk behaviours. In logistic regression analysis, statistically significant declines were observed among men in Manicaland, Mashonaland East and Harare (p<0.01) and for women in Manicaland, Mashonaland Central and Harare (p<0.01). Although not statistically significant, numerical increases were observed among men in Matebeleland North, Matebeleland South, Midlands and for both men and women in Bulawayo. Young women in the age range 15-34 experienced a decline in prevalence (p<0.01) while older men 30-44 had a statistically significant decline (p<0.01). Having a secondary and above education, regardless of employment status for both men and women recorded a significant decline. For sexual risk behaviours, currently in union for men and women and not in union for women there was a significant decline in prevalence. Conclusion Zimbabwe has reported a significant decline among both men and women but there are important differentials across provinces, demographic characteristics and sexual risk behaviours that suggest that the epidemic in Zimbabwe is heterogeneous and therefore interventions must be

  19. Involvement of stakeholders in the water quality monitoring and surveillance system: The case of Mzingwane Catchment, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Nare, Lerato; Love, David; Hoko, Zvikomborero

    Stakeholder participation is viewed as critical in the current water sector reforms taking place in the Southern African region. In Zimbabwe, policies and legislation encourage stakeholder participation. A study was undertaken to determine the extent of stakeholder participation in water quality monitoring and surveillance at the operational level, and also to assess indigenous knowledge and practices in water quality monitoring. Two hundred and forty one questionnaires were administered in Mzingwane Catchment, the portion of the Limpopo Basin that falls within Zimbabwe. The focus was on small users in rural communities, whose experiences were captured using a questionnaire and focus group discussions. Extension workers, farmers and NGOs and relevant sector government ministries and departments were also interviewed and a number of workshops held. Results indicate that there is very limited stakeholder participation despite the presence of adequate supportive structures and organisations. For the Zimbabwe National Water Authority (ZINWA), stakeholders are the paying permit holders to whom feedback is given following analysis of samples. However, the Ministry of Health and Child Welfare generally only releases information to rural communities when it is deemed necessary for their welfare. There are no guidelines on how a dissatisfied member of the public can raise a complaint - although some stakeholders carry such complaints to Catchment Council meetings. With regard to water quality, the study revealed widespread use of indigenous knowledge and practice by communities. Such knowledge is based on smell, taste, colour and odour perceptions. Residents are generally more concerned about the physical parameters than the bacteriological quality of water. They are aware of what causes water pollution and the effects of pollution on human health, crops, animals and aquatic ecology. They have ways of preventing pollution and appropriate interventions to take when a source

  20. Factors Associated With Community Health Worker Performance Differ by Task in a Multi-Tasked Setting in Rural Zimbabwe

    PubMed Central

    Kambarami, Rukundo A; Mbuya, Mduduzi NN; Pelletier, David; Fundira, Dadirai; Tavengwa, Naume V; Stoltzfus, Rebecca J

    2016-01-01

    ABSTRACT Background: Zimbabwe, like most low-income countries, faces health worker shortages. Community health workers (CHWs) bridge this gap by delivering essential health services and nutrition interventions to communities. However, as workloads increase, CHWs’ ability to provide quality services may be compromised. We studied influences upon CHWs’ performance related to pregnancy surveillance and nutrition and hygiene education in rural Zimbabwe. Methods: In the context of a cluster-randomized trial conducted in 2 rural districts between November 2012 and March 2015, 342 government-employed CHWs identified and referred pregnant women for early antenatal care and delivered household-level behavior change lessons about infant feeding and hygiene to more than 5,000 women. In 2013, we conducted a survey among 322 of the CHWs to assess the association between demographic and work characteristics and task performance. Exploratory factor analyses of the Likert-type survey questions produced 8 distinct and reliable constructs of job satisfaction and motivation, supervision, peer support, and feedback (Cronbach α range, 0.68 to 0.92). Pregnancy surveillance performance was assessed from pregnancy referrals, and nutrition and hygiene education performance was assessed by taking the average summative score (range, 5 to 30) of lesson delivery observations completed by a nurse supervisor using a 6-item Likert-type checklist. Poisson and multiple linear regressions were used to test associations between CHW demographic and work characteristics and performance. Results: CHWs who referred more pregnant women were female, unmarried, under 40 years old, from larger households, and of longer tenure. They also perceived work resources to be adequate and received positive feedback from supervisors and the community, but they were less satisfied with remuneration. CHWs with high scores on behavior change lesson delivery were from smaller households, and they received more

  1. 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

  2. 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

  3. The SHINE Trial Infant Feeding Intervention: Pilot Study of Effects on Maternal Learning and Infant Diet Quality in Rural Zimbabwe.

    PubMed

    Desai, Amy; Smith, Laura E; Mbuya, Mduduzi N N; Chigumira, Ancikaria; Fundira, Dadirai; Tavengwa, Naume V; Malaba, Thokozile R; Majo, Florence D; Humphrey, Jean H; Stoltzfus, Rebecca J

    2015-12-15

    The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial is designed to measure the independent and combined effects of improved water, sanitation, and hygiene and improved infant feeding on child stunting and anemia in Zimbabwe. We developed and pilot-tested the infant feeding intervention delivered by 9 village health workers to 19 mothers of infants aged 7-12 months. Between September 2010 and January 2011, maternal knowledge was assessed using mixed methods, and infant nutrient intakes were assessed by 24-hour recall. We observed positive shifts in mothers' knowledge. At baseline, 63% of infants met their energy requirement and most did not receive enough folate, zinc, or calcium; none met their iron requirement. Postintervention, all infants received sufficient fat and vitamin A, and most consumed enough daily energy (79%), protein (95%), calcium (89%), zinc (89%), folate (68%), and iron (68%). The SHINE trial infant feeding intervention led to significant short-term improvements in maternal learning and infant nutrient intakes.

  4. Perception of risk of HIV infections and sexual behaviour of the sexually active university students in Zimbabwe

    PubMed Central

    Nkomazana, Njabulo; Maharaj, Pranitha

    2014-01-01

    Abstract The study sought to establish university students' perceptions of risk of HIV infections. A cross-sectional survey was conducted on 345 sexually active students at two universities in Zimbabwe (one state and one private). Results revealed that above a quarter of the respondents felt at risk of getting HIV due to their regular partners' sexual behaviours and more than half felt at risk of getting HIV due to their casual partners' sexual behaviours. In addition, a third of the respondents acknowledged the HIV risk due to their own sexual behaviours. More state university respondents felt exposed to HIV infections due to own sexual behaviours than their private university counterparts. Despite these revelations, only 66.56% had earlier thought of their chances of getting infected with HIV. Personal HIV risk perceptions were low, reported by 27.76% of the sexually active respondents. Almost all respondents described their fellows' sexual behaviours as either risky or very risky. PMID:24921968

  5. Survey of Fusarium moniliforme (F. verticillioides) and production of fumonisin B1 in cereal grains and oilseeds in Zimbabwe.

    PubMed

    Gamanya, R; Sibanda, L

    2001-12-30

    In a national survey carried out in 1995 and 1996, the distribution of Fusarium moniliforme (= F. verticillioides) and fumonisin B1 (FB1) levels in cereals and oilseeds from Zimbabwe were analyzed. The results of this study showed that the incidence of F. moniliforme and other Fusarium species and levels of FB1 generally decreased from regions with high rainfall and annual moderate temperatures to low rainfall regions. There was no Fusarium contamination and FB1 was not detected in sunflowers and soybeans. The incidence of F. moniliforme and its metabolite exhibited a substrate preference with high incidences of Fusarium species and high FB1 levels being recorded for maize followed by wheat, rapoko and sorghum.

  6. The 2008/2009 cholera outbreak in Harare, Zimbabwe: case of failure in urban environmental health and planning.

    PubMed

    Chirisa, Innocent; Nyamadzawo, Lisa; Bandauko, Elmond; Mutsindikwa, Nyasha

    2015-01-01

    This paper reviews and reflects on the cholera outbreak that rocked Harare, Zimbabwe, in 2008/2009. We give special attention to the root causes, impacts and debates made by key stakeholders, indicating the political and geographical responses. Based on a desktop study and documentary review, the paper highlights the inadequacy of safe and clean water in most of the suburbs, the collapse of the waste management, water supply and sanitation systems of the city as the major explanations for the scourge. Despite this, Harare remains troubled with the shortage of purification chemicals, making it quite impossible to supply clean and adequate water. The national economic crisis also had a strong bearing against the performance of the public health sector. The paper concludes that sustainable urban health initiatives involving both central and local government will provide a long-term solution to the problems highlighted. PMID:25992511

  7. Household Water Treatment Uptake during a Public Health Response to a Large Typhoid Fever Outbreak in Harare, Zimbabwe

    PubMed Central

    Imanishi, Maho; Kweza, Patience F.; Slayton, Rachel B.; Urayai, Tanaka; Ziro, Odrie; Mushayi, Wellington; Francis-Chizororo, Monica; Kuonza, Lazarus R.; Ayers, Tracy; Freeman, Molly M.; Govore, Emmaculate; Duri, Clemence; Chonzi, Prosper; Mtapuri-Zinyowera, Sekesai; Manangazira, Portia; Kilmarx, Peter H.; Mintz, Eric; Lantagne, Daniele

    2014-01-01

    Locally manufactured sodium hypochlorite (chlorine) solution has been sold in Zimbabwe since 2010. During October 1, 2011–April 30, 2012, 4,181 suspected and 52 confirmed cases of typhoid fever were identified in Harare. In response to this outbreak, chlorine tablets were distributed. To evaluate household water treatment uptake, we conducted a survey and water quality testing in 458 randomly selected households in two suburbs most affected by the outbreak. Although 75% of households were aware of chlorine solution and 85% received chlorine tablets, only 18% had reportedly treated stored water and had the recommended protective level of free chlorine residuals. Water treatment was more common among households that reported water treatment before the outbreak, and those that received free tablets during the outbreak (P < 0.01), but was not associated with chlorine solution awareness or use before the outbreak (P > 0.05). Outbreak response did not build on pre-existing prevention programs. PMID:24664784

  8. The 2008/2009 cholera outbreak in Harare, Zimbabwe: case of failure in urban environmental health and planning.

    PubMed

    Chirisa, Innocent; Nyamadzawo, Lisa; Bandauko, Elmond; Mutsindikwa, Nyasha

    2015-01-01

    This paper reviews and reflects on the cholera outbreak that rocked Harare, Zimbabwe, in 2008/2009. We give special attention to the root causes, impacts and debates made by key stakeholders, indicating the political and geographical responses. Based on a desktop study and documentary review, the paper highlights the inadequacy of safe and clean water in most of the suburbs, the collapse of the waste management, water supply and sanitation systems of the city as the major explanations for the scourge. Despite this, Harare remains troubled with the shortage of purification chemicals, making it quite impossible to supply clean and adequate water. The national economic crisis also had a strong bearing against the performance of the public health sector. The paper concludes that sustainable urban health initiatives involving both central and local government will provide a long-term solution to the problems highlighted.

  9. Prevalence of Toxoplasma gondii antibodies in sera of domestic pigs and some wild game species from Zimbabwe.

    PubMed

    Hove, T; Dubey, J P

    1999-04-01

    Serum samples of domestic pigs (Sus scrofa), elands (Taurotragus oryx), sable antelopes (Hippotragus niger), warthogs (Phacochoerus aethiopicus), bushpigs (Koiropotamus [Potamochoerus] koiropotamus), white rhinos (Ceratotherium simus), African buffalos (Syncerus caffer), wildebeest (Connochaetas taurinus), and African elephants (Loxodonta africana) from Zimbabwe were tested for Toxoplasma gondii IgG antibodies by the modified agglutination test (MAT) with whole formalized tachyzoites and mercaptoethanol. Sera were diluted at 1:25, 1:50, and 1:500 for MAT testing. Sera with antibodies in a 1:25 dilution were considered to have T. gondii infection. Toxoplasma gondii antibodies were found in 9.3% of 97 domestic pigs, 36.8% of 19 elands, 11.9% of 67 sables, 0 of 3 warthogs, 0 of 3 bushpigs, 50% of 2 white rhinos, 5.6% of 18 buffalos, 14.5% of 69 wildebeest, and 10.5% of 19 elephants examined. PMID:10219323

  10. Reproductive biology knowledge, and behaviour of teenagers in East, Central and Southern Africa: the Zimbabwe case study.

    PubMed

    Mbizvo, M T; Kasule, J; Gupta, V; Rusakaniko, S; Gumbo, J; Kinoti, S N; Mpanju-Shumbusho, W; Sebina-Zziwa; Mwateba, R; Padayachy, J

    1995-11-01

    Sexuality in the teenager is often complicated by unplanned/unwanted pregnancy, abortion and the risks of STDs including AIDS. There is therefore a need for improved understanding of factors affecting adolescent sexuality and the implementation of programmes designed to improve their knowledge, risk awareness and subsequent behavioural outcomes. A multicentre study of reproductive health knowledge and behaviour followed by a health education intervention was undertaken amongst teenagers in selected countries of East, Central and Southern Africa. Reported here are findings at baseline derived from the Zimbabwe component on reproductive biology knowledge and behavior. A self-administered questionnaire was used among 1 689 adolescent pupils drawn from rural, urban, co-education, single sex, boarding and day secondary schools in Zimbabwe. Correct knowledge on reproductive biology as measured by the meaning and interpretation of menstruation and wet dreams varied by school from 68 pc to 86 pc, with a significant trend (p < 0,01) based on level of education at baseline. The reported mean age at which menarche took place was 13,5 years +/- 1,3 (mean +/- SD). First coitus was reported to have taken place at the mean age of 12 years for boys and 13,6 years for girls. Seventeen pc of the adolescent pupils reported that they were sexually experienced and 33,2 had relationships. There were misconceptions reported on menstruation with 23 pc reporting that it was an illness. Peers, followed by magazines were the first sources of information on various aspects of reproductive biology, both of which might not provide the correct first information. Among pupils reporting that they were sexually experienced, the largest proportion (56 pc) had unprotected sex. The findings point to the need for targeting the adolescent pupils for information on reproductive biology and increased awareness on the risks of pregnancy, STDs and HIV. PMID:8932577

  11. Performance of growing cattle on poor-quality rangelands supplemented with farm-formulated protein supplements in Zimbabwe.

    PubMed

    Gusha, J; Katsande, S; Zvinorova, P I; Halimani, T E; Chiuta, T

    2015-10-01

    Farmers use different non-conventional protein supplements and different feeding strategies to aid their animals survive the dry season in Zimbabwe. The strategies can be giving supplements once a week or once every other day up to very little supplement daily. Supplements are either legume crop residues or forage legumes. However, the efficacy of the use of non-conventional protein supplements in promoting growth and at the same time lowering the age at first calving is little understood. The study tested whether supplementing with farm-formulated non-conventional feeds could reduce live weight loss during the dry season and promote live weight gain as well as early development of sexual maturity in beef cattle. In a completely randomized design, thirty dams with calves on hooves were allocated to five different treatments which were repeated during the dry season for 3 years. The 3-year study results show that weight loss can be controlled, resulting in positive growth in both the pre-weaning and post-weaning phases of growing cattle. Yearlings fed solely on natural pasture lost significant weight during the dry season as compared to supplemented groups. The period to puberty and first calving was achieved at 18 and 27 months, respectively. Using non-conventional protein supplements could thus improve livestock productivity in resource-poor farming communities. It was concluded that smallholder farmers can supplement cattle with a kilogram per day of low-cost farm-based non-conventional legume meal to improve livestock productivity in semi-arid regions of Zimbabwe.

  12. 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

  13. Problematising and conceptualising local participation in transboundary water resources management: The case of Limpopo river basin in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Fatch, Joanna J.; Manzungu, Emmanuel; Mabiza, Collin

    IWRM-led water reforms in southern Africa have emphasised the creation of new stakeholder institutions with little explanation of how they will operate at different levels, especially at the local level. A case in point is the subsidiarity principle, which advocates for water management to be undertaken at the lowest appropriate level. The main objective of the study was to investigate the conceptualisation and application of the subsidiarity principle in the Limpopo river basin in Zimbabwe. This was done by analysing how state-led frameworks at the regional, basin, national and local level provided for local participation. These frameworks were compared to a bottom-up approach based on action research in three second tier local government administrative units (wards) in Shashe subcatchment of Mzingwane catchment. The catchment represents the entirety of the Limpopo basin in Zimbabwe. Data collection was based on document reviews, key informants, focus group discussions and participatory observations. In general the top-down efforts were found to express intent but lacked appropriately conceptualised implementation guidelines. Views of local people regarding how they could meaningfully participate in transboundary water resource management were based on practical considerations rather than theoretical abstractions. This was shown by a different conceptualisation of stakeholder identification and representation, demarcation of boundaries, role of intermediate institutions, and direct participation of local people at the basin level. The paper concludes that a bottom-up institutional model can enhance the conceptualisation and application of the subsidiarity principle. It also provides evidence that prescriptive approaches may not be the best way to achieve participatory governance in transboundary water resource management.

  14. An investigation of factors affecting elementary female student teachers' choice of science as a major at college level in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Mlenga, Francis Howard

    The purpose of the study was to determine factors affecting elementary female student teachers' choice of science as a major at college level in Zimbabwe. The study was conducted at one of the Primary School Teachers' Colleges in Zimbabwe. A sample of two hundred and thirty-eight female student teachers was used in the study. Of these one hundred and forty-two were non-science majors who had been randomly selected, forty-one were science majors and forty-five were math majors. Both science and math majors were a convenient sample because the total enrollment of the two groups was small. All the subjects completed a survey questionnaire that had sixty-eight items. Ten students from the non-science majors were selected for individual interviews and the same was done for the science majors. A further eighteen were selected from the non-science majors and divided into three groups of six each for focus group interviews. The same was done for the science majors. The interviews were audio taped and transcribed. Data from the survey questionnaires were analyzed using Binary Logistic Regression which predicted factors that affected students' choice of science as a major. The transcribed interview data were analyzed used using domain, taxonomic and componential analyses. Results of the study indicated that elementary female students' choice of science as a major at college level is affected by students' attitudes toward science, teacher behavior, out-of-school experiences, role models, gender stereotyping, parental influence, peer influence, in-school experiences, and societal expectations, namely cultural and social expectations.

  15. Trends in Concurrency, Polygyny, and Multiple Sex Partnerships During a Decade of Declining HIV Prevalence in Eastern Zimbabwe

    PubMed Central

    Eaton, Jeffrey W.; Takavarasha, Felicia R.; Schumacher, Christina M.; Mugurungi, Owen; Garnett, Geoffrey P.; Nyamukapa, Constance; Gregson, Simon

    2014-01-01

    Background. Observed declines in the prevalence of human immunodeficiency virus (HIV) infection in Zimbabwe have been attributed to population-level reductions in sexual partnership numbers. However, it remains unknown whether certain types of sex partnerships were more important to this decline. Particular debate surrounds the epidemiologic importance of polygyny (the practice of having multiple wives). Methods. We analyze changes in reported multiple partnerships, nonmarital concurrency, and polygyny in eastern Zimbabwe during a period of declining HIV prevalence, from 1998 to 2011. Trends are reported for adult men (age, 17–54 years) and women (age, 15–49 years) from 5 survey rounds of the Manicaland HIV/STD Prevention Project, a general-population open cohort study. Results. At baseline, 34.2% of men reported multiple partnerships, 11.9% reported nonmarital concurrency, and 4.6% reported polygyny. Among women, 4.6% and 1.8% reported multiple partnerships and concurrency, respectively. All 3 partnership indicators declined by similar relative amounts (around 60%–70%) over the period. Polygyny accounted for around 25% of male concurrency. Compared with monogamously married men, polygynous men reported higher levels of subsequent divorce/separation (adjusted relative risk [RR], 2.92; 95% confidence interval [CI], 1.87–4.55) and casual sex partnerships (adjusted RR, 1.63; 95% CI, 1.41–1.88). Conclusions. No indicator clearly dominated declines in partnerships. Polygyny was surprisingly unstable and, in this population, should not be considered a safe form of concurrency. PMID:25381376

  16. Uptake of services and behaviors in the prevention of mother-to-child HIV transmission (PMTCT) cascade in Zimbabwe

    PubMed Central

    McCoy, Sandra I.; Buzdugan, Raluca; Padian, Nancy S.; Musarandega, Reuben; Engelsman, Barbara; Martz, Tyler E.; Mushavi, Angela; Mahomva, Agnes; Cowan, Frances M.

    2015-01-01

    Objective Examine the uptake of services and behaviors in the prevention of mother-to-child HIV transmission (PMTCT) cascade in Zimbabwe and determine factors associated with MTCT and maternal antiretroviral therapy (ART) or antiretroviral (ARV) prophylaxis. Design Analysis of cross-sectional data from mother-infant pairs. Methods We analyzed baseline data collected in 2012 as part of the impact evaluation of Zimbabwe's Accelerated National PMTCT Program. Using multi-stage cluster sampling, eligible mother-infant pairs were randomly sampled from the catchment areas of 157 facilities in five provinces, tested for HIV infection, and interviewed about PMTCT service utilization. Results Of 8,800 women, 94% attended ≥1 antenatal care (ANC) visit, 92% knew their HIV serostatus during pregnancy, 77% delivered in a health facility, and 92% attended the 6-8 week postnatal visit. Among 1,075 (12%) HIV-infected women, 59% reported ART/ARV prophylaxis and 63% of their HIV-exposed infants received ARV prophylaxis. Among HIV-exposed infants, maternal receipt of ART/ARV prophylaxis was protective against MTCT (adjusted prevalence ratio (PRa): 0.41, 95% confidence interval (CI): 0.23, 0.74). Factors associated with receipt of maternal ART/ARV prophylaxis included ≥4 ANC visits (PRa: 1.18, 95%CI: 1.01,1.38), institutional delivery (PRa: 1.31, 95%CI: 1.13, 1.52), and disclosure of serostatus (PRa: 1.30, 95%CI: 1.12, 1.49). Conclusions These data from women in the community indicate gaps in the PMTCT cascade prior to the accelerated program, which may have been missed by examination of health facility data alone. These gaps were especially noteworthy for services targeted specifically to HIV-infected women and their infants, such as maternal and infant ART/ARV prophylaxis. PMID:26009838

  17. Marital Age Disparity Among Orphaned Young Women and Their Husbands: A Mixed Methods Study in Rural Zimbabwe.

    PubMed

    Zhang, Lei; Iritani, Bonita J; Luseno, Winnie; Hartman, Shane; Rusakaniko, Simbarashe; Hallfors, Denise Dion

    2016-10-01

    Our study reports the results from a mixed method study comparing age-similar (AS) marriages of orphaned young women to age disparate (AD) marriages, defined as spousal age difference of 5 or more years. Research in Zimbabwe and sub-Saharan Africa suggests that AD sexual relationships between older men and young women increase the risk for HIV but few studies have examined this association among married couples or explored why young women marry much older men. In this study, a total of 35 orphaned young women aged 17-26 years in rural Zimbabwe participated in semi-structured interviews during 2012-2013. Twenty-four were in AD marriages and 11 AS. All had participated in a 5-year HIV prevention trial, during which they had married and dropped out of school. We examined two research questions: were AD wives more likely than AS to cite economic considerations as a reason to marry, and were AD marriages associated with different health and economic outcomes compared to AS? Our results showed that the reasons the women married were essentially the same among the two groups; economic considerations for marriage were uncommon. Nevertheless, AD wives generally fared somewhat better than AS wives on economic and well-being measures. HIV prevalence was similar; however, the AD group accounted for all five cases of herpes simplex virus-2. Findings suggest the complexity of sexual and reproductive health in rural Africa, where AD marriages are common and accepted. The challenge for primary prevention is to develop strategies to mitigate the risk of sexually transmitted infections, as well as the potential abuse of young women, within the appropriate cultural context. PMID:27614653

  18. Hospitable Classrooms: Biblical Hospitality and Inclusive Education

    ERIC Educational Resources Information Center

    Anderson, David W.

    2011-01-01

    This paper contributes to a Christian hermeneutic of special education by suggesting the biblical concept of hospitality as a necessary characteristic of classroom and school environments in which students with disabilities and other marginalized students can be effectively incorporated into the body of the classroom. Christian hospitality, seen…

  19. Presence of antibodies to canine distemper virus, canine parvovirus and canine adenovirus type 1 in free-ranging jackals (Canis adustus and Canis mesomelas) in Zimbabwe.

    PubMed

    Spencer, J A; Bingham, J; Heath, R; Richards, B

    1999-09-01

    A survey of free-ranging jackals (Canis adustus and Canis mesomelas) in Zimbabwe was conducted to determine the prevalence of serum antibodies to canine distemper virus (CDV), canine parvovirus (CPV) and canine adenovirus type 1 (CAV-1). Sera from 16 Canis adustus and 22 Canis mesomelas were collected from 1990 to 1993 from various regions of Zimbabwe and assayed by means of immunofluorescent techniques. Seroprevalence in C. adustus and C. mesomelas respectively were 50% and 63.6% for CDV, 12.5% and 18.2% for CPV and 37.5 and 9.1 for CAV-1. These results demonstrate that jackals are infected with these viruses and may act as reservoirs of them, although their susceptibility to the viruses is not known.

  20. The application of hospitality elements in hospitals.

    PubMed

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

  1. The application of hospitality elements in hospitals.

    PubMed

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority. PMID:23424818

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

    PubMed Central

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

    2016-01-01

    Background 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. Methods 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. Results 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. Conclusions 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. PMID:27783637

  3. An assessment of quality of water from boreholes in Bindura District, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Hoko, Zvikomborero

    This study assessed the water quality of 144 boreholes in Bindura District in Mashonaland Province of Zimbabwe as part of a borehole rehabilitation project implemented by a local NGO. In previous studies it has been observed that some boreholes are not used for domestic purposes because of consumer perceived poor water quality. Consequently, communities have resorted to unsafe alternative water sources thus creating health risks. The study was carried out in June 2005. The objectives of the study were to assess the levels of parameters associated with the aesthetics of the water and to compare them with guideline values for drinking water. The study also investigated the relationship between some of the measured water quality and the consumer perceived water quality. Measured water quality parameters included pH, temperature, electrical conductivity (EC), turbidity, calcium (Ca), magnesium (Mg) and iron (Fe). All parameters were measured in the field except Ca, Mg and Fe, which were measured in a laboratory using a spectrophotometer. Consumer perceptions on water quality were investigated through interviews with the consumer community. Turbidity was found to be 0.75-428(20.8 ± 59.2; n = 144) NTU, pH 5.7-9.3 (6.88 ± 0.46; n = 144), temperature 18-26.8 (22.6 ± 2.1; n = 144) °C. EC 26-546 (199 ± 116; n = 144) μS/cm, Ca 6-71.6 (26.9 ± 14.1; n = 81) mg/l, Mg 1.2-49.6 (12.3 ± 10.0; n = 81) mg/l and Fe 0.08-9.60 (0.56 ± 1.15; n = 81) mg/l. Some 23% of the samples had pH outside the recommended range of 6.5-8.5, whilst 59% of the samples had turbidity values exceeding the 5NTU WHO limit. For EC, all samples had values less than the WHO derived limit of 1380 μS/cm. All Ca and magnesium values were within the common and recommended levels of 100 mg/l and 70 mg/l respectively. Iron had values greater than the WHO and SAZ limit of 0.3 mg/l in 36% of the samples. Water quality was deemed satisfactory for taste and soap consumption by 95% and 72% of the respondents

  4. 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

  5. Hospitals as health educators

    MedlinePlus

    ... than your local hospital. From health videos to yoga classes, many hospitals offer information families need to ... care and breastfeeding Parenting Baby sign language Baby yoga or massage Babysitting courses for teens Exercise classes ...

  6. Surviving Your Child's Hospitalization.

    ERIC Educational Resources Information Center

    Cohen, David A.

    1988-01-01

    The parent of a young child who required major open heart surgery shares his suggestions for coping with a young child's hospitalization including parent visitation, relating to the hospital staff, getting answers to questions, and utilizing available services. (DB)

  7. Men's attitudes: A hindrance to the demand for voluntary medical male circumcision--a qualitative study in rural Mhondoro-Ngezi, Zimbabwe.

    PubMed

    Moyo, Stanzia; Mhloyi, Marvellous; Chevo, Tafadzwa; Rusinga, Oswell

    2015-01-01

    Male circumcision has witnessed a paradigm shift from being regarded as a religious and cultural practice to a global intervention strategy meant to curb transmission of HIV. This is particularly evident in sub-Saharan African countries where the HIV prevalence is greater than 15%. Zimbabwe adopted the voluntary medical male circumcision (VMMC) strategy in 2009; however, since then the uptake of the intervention has only 10% of the adult male population has reported having been circumcised. To better understand this limited uptake of VMMC, we conducted a qualitative study with uncircumcised men aged 15-79 years in Mhondoro-Ngezi, Zimbabwe. Through assessing men's attitudes towards VMMC in seven focus group discussions, conducted between July and August 2012, this article seeks to provide improved strategies for delivering this intervention in Zimbabwe. These data reveal that, in general, men have a negative attitude towards VMMC. Specific barriers to the uptake of VMMC included the perceived challenge to masculinity, post-circumcision stigma, lack of reliable and adequate information and perceptions about the appropriateness of VMMC. These results suggest that structural interventions aimed at reducing stigma related to circumcision, in addition to increased efforts to disseminate accurate information about VMMC, are required in order to dispel men's attitudes that hinder demand for VMMC.

  8. Comparative analysis of hatching rates and clutch sizes of Nile crocodile (Crocodylus niloticus) eggs collected on- and off-farm in Zimbabwe.

    PubMed

    Khosa, Patricia; Imbayarwo-Chikosi, Venancio Edward; Hamandishe, Vimbai

    2012-04-01

    The Nile crocodile (Crocodylus niloticus) is a large aquatic reptile predominant in the tropics in Africa and Zimbabwe in particular. Clutch sizes and hatching rates of Nile crocodile eggs collected from the wild and on-farm in Lowveld, Highveld and Kariba regions of Zimbabwe were evaluated. A total of 274 egg records for the period 2000 to 2008 from 39 farms were collected from the Crocodile Farmers Association of Zimbabwe. The effect of source of eggs was analysed using the non-parametric one way analysis of variance procedure of SAS Version 9.1.3. Wilcoxon signed rank test for independent samples was used to compare the mean hatching rates and clutch sizes for eggs collected from the different sources by region. The degree of association between clutch sizes and the hatching rates by source and region was determined using the Spearman's rank correlation test. Source of eggs had no effect (P > 0.05) on hatching rates in all the regions but significantly influenced (P < 0.05) clutch sizes in Lowveld and Kariba. In these regions, clutch sizes in the wild were significantly (P < 0.05) higher than those on-farm. Correlation estimates between clutch size and hatching rates were weak and non-significant (P > 0.05) for the different sources of eggs in all regions. Full utilization of the wild resource would reduce challenges relating to shortage of captive breeders and high cost of rearing breeders and hence increase productivity.

  9. Opportunities for optimization of in-field water harvesting to cope with changing climate in semi-arid smallholder farming areas of Zimbabwe.

    PubMed

    Nyamadzawo, George; Wuta, Menas; Nyamangara, Justice; Gumbo, Douglas

    2013-12-01

    Climate change has resulted in increased vulnerability of smallholder farmers in marginal areas of Zimbabwe where there is limited capacity to adapt to changing climate. One approach that has been used to adapt to changing climate is in-field water harvesting for improved crop yields in the semi- arid regions of Zimbabwe. This review analyses the history of soil and water conservation in Zimbabwe, efforts of improving water harvesting in the post independence era, farmer driven innovations, water harvesting technologies from other regions, and future directions of water harvesting in semi arid marginal areas. From this review it was observed that the blanket recommendations that were made on the early conservation method were not suitable for marginal areas as they resulted in increased losses of the much needed water. In the late 1960 and 70s', soil and water conservation efforts was a victim of the political environment and this resulted in poor uptake. Most of the water harvesting innovations which were promoted in the 1990s' and some farmer driven innovations improved crop yields in marginal areas but were poorly taken up by farmers because they are labour intensive as the structures should be made annually. To address the challenges of labour shortages, the use of permanent in-field water harvesting technologies are an option. There is also need to identify ways for promoting water harvesting techniques that have been proven to work and to explore farmer-led knowledge sharing platforms for scaling up proven technologies.

  10. University Hospitals for Sale.

    ERIC Educational Resources Information Center

    Culliton, Barbara J.

    1984-01-01

    Although faculty opposition stopped the sale of Harvard's McLean Hospital to the Hospital Corporation of America (HCA), a partnership remains a possibility. Issues related to the proposed sale as well as those affecting hospital economics are considered. Proposed terms of the sale are included. (JN)

  11. HOSPITALS FOR RURAL PEOPLE.

    ERIC Educational Resources Information Center

    MANNY, ELSIE S.; ROGERS, CHARLES E.

    MODERN ADVANCEMENTS IN MEDICAL SCIENCE HAVE PRECIPITATED THE NEED FOR ADEQUATE UP-TO-DATE HOSPITAL FACILITIES REASONABLY CLOSE TO ALL PEOPLE. RURAL COMMUNITIES HAVE UTILIZED FEDERAL AID, STATE AID, ASSISTANCE FROM FOUNDATIONS, CIVIC BONDS, AND VOLUNTEER CONTRIBUTIONS AND DRIVES TO ERECT AND EQUIP HOSPITALS. HOSPITAL CARE FOR RURAL PEOPLE USUALLY…

  12. Santa Barbara Cottage Hospital.

    PubMed

    1984-01-01

    The 465-bed Santa Barbara Cottage Hospital is the largest medical facility on the California coast between Los Angeles and the San Francisco bay area. The hospital dates back to 1888, when a group of local citizens began raising funds to build a "cottage-style" hospital for the growing community. Their original plans called for a complex in which each medical specialty would be housed in a separate bungalow. Even then, however, such a decentralized plan was too costly, so work began instead on a single cottage for all hospital departments. The first Cottage Hospital opened in 1891, with 25 beds housed in a two story Victorian building. Now a hugh medical complex employing some 1,500 people, the hospital continues to be called "Cottage" after the original home-like building. Rodney J. Lamb has been Hospital Administrator for the last 30 years.

  13. Hospital diversification strategy.

    PubMed

    Eastaugh, Steven R

    2014-01-01

    To determine the impact of health system restructuring on the levels of hospital diversification and operating ratio this article analyzed 94 teaching hospitals and 94 community hospitals during the period 2008-2013. The 47 teaching hospitals are matched with 47 other teaching hospitals experiencing the same financial market position in 2008, but with different levels of preference for risk and diversification in their strategic plan. Covariates in the analysis included levels of hospital competition and the degree of local government planning (for example, highly regulated in New York, in contrast to Texas). Moreover, 47 nonteaching community hospitals are matched with 47 other community hospitals in 2008, having varying manager preferences for service-line diversification and risk. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as jointly dependent. Institutional diversification is found to yield better financial position, and the better operating profits provide the firm the wherewithal to diversify. Some services are in a growth phase, like bariatric weight-loss surgery and sleep disorder clinics. Hospital managers' preferences for risk/return potential were considered. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification, and divestiture, occasionally leading to closure or merger. PMID:25223156

  14. Hospital diversification strategy.

    PubMed

    Eastaugh, Steven R

    2014-01-01

    To determine the impact of health system restructuring on the levels of hospital diversification and operating ratio this article analyzed 94 teaching hospitals and 94 community hospitals during the period 2008-2013. The 47 teaching hospitals are matched with 47 other teaching hospitals experiencing the same financial market position in 2008, but with different levels of preference for risk and diversification in their strategic plan. Covariates in the analysis included levels of hospital competition and the degree of local government planning (for example, highly regulated in New York, in contrast to Texas). Moreover, 47 nonteaching community hospitals are matched with 47 other community hospitals in 2008, having varying manager preferences for service-line diversification and risk. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as jointly dependent. Institutional diversification is found to yield better financial position, and the better operating profits provide the firm the wherewithal to diversify. Some services are in a growth phase, like bariatric weight-loss surgery and sleep disorder clinics. Hospital managers' preferences for risk/return potential were considered. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification, and divestiture, occasionally leading to closure or merger.

  15. An analysis of the chemical and microbiological quality of ground water from boreholes and shallow wells in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Moyo, N. A. G.

    Groundwater from boreholes and shallow wells is a major source of drinking water in most rural areas of Zimbabwe. The quality of groundwater has been taken for granted and the status and the potential threats to groundwater quality have not been investigated on a large scale in Zimbabwe. A borehole and shallow well water quality survey was undertaken between January, 2009 and February, 2010 to determine the chemical and microbial aspects of drinking water in three catchment areas. Groundwater quality physico-chemical indicators used in this study were nitrates, chloride, water hardness, conductivity, alkalinity, total dissolved solids, iron, magnesium, manganese, potassium, calcium, fluoride, sulphates, sodium and pH. The microbiological indicators were total coliforms, faecal coliforms and heterotrophs. Principal component analysis (PCA) showed that most of the variation in ground water quality in all catchment areas is accounted for by Total Dissolved Solids (TDS), electrical conductivity (EC), sodium, bicarbonate and magnesium. The principal dissolved constituents in ground water are in the form of electrically charged ions. Nitrate is a significant problem as the World Health Organization recommended levels were exceeded in 36%, 37% and 22% of the boreholes in the Manyame, Mazowe and Gwayi catchment areas respectively. The nitrate levels were particularly high in commercial farming areas. Iron and manganese also exceeded the recommended levels. The probable source of high iron levels is the underlying geology of the area which is dominated by dolerites. Dolerites weather to give soils rich in iron and other mafic minerals. The high level of manganese is probably due to the lithology of the rock as well as mining activity in some areas. Water hardness is a problem in all catchment areas, particularly in the Gwayi catchment area where a value of 2550 mg/l was recorded in one borehole. The problems with hard water use are discussed. Chloride levels exceeded the

  16. δ18O and δ13C Analysis in Tree Rings of Pterocarpus angolensis Growing in Zimbabwe

    NASA Astrophysics Data System (ADS)

    McLeran, K.; Schoof, J. T.; Lefticariu, L.; Therrell, M.

    2015-12-01

    Instrumental weather records in southern Africa are largely limited to the last 100 years and documentary weather-related data are rare prior to the 1800s, hindering our understanding of the natural and/or anthropogenic factors that influence climate variability over this region. Measuring stable isotopes ratios (commonly 13C/12C and 18O/16O) in tree rings can provide a good proxy for extending climate data beyond the instrumental record. The objective of this study is to characterize historical variations in the climatology underlying extreme climatic events in Zimbabwe using instrumental climate records (precipitation and temperature) and a multi-proxy approach (ring width, δ18O, and δ13C) for dendroclimatic proxy reconstructions. A 90-year (1900-1990) δ18O and δ13C tree ring record using four Pterocarpus angolensis samples is being developed and compared to tree ring width, monthly, seasonal, and annual precipitation totals, meteoric water δ18O values, and mean monthly and seasonal temperature. Preliminary results indicate significant correlations between the average δ18O record and the previous year December precipitation totals (r=0.41, p<0.0001), current year January precipitation totals (r=0.45, p<0.0001), and combined total precipitation for the previous year November and December and current year January (r=0.57, p<0.0001). Furthermore, we find that the δ18O values are strongly influenced by maximum temperature during the previous year December (r=0.39, p=0.0001) and current year January (r=0.40, p=0.0001), and average maximum temperature during the months of the previous year December and current year January and February (r=0.47, p<0.001). We thus present one of the first studies to integrate a multi-proxy approach to investigate historical climate variability in southern Africa using ring widths, and tree ring δ18O and δ13C values of trees growing in Zimbabwe.

  17. 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. PMID:23438082

  18. Effects of a semi-formal urban settlement on groundwater quality. Epworth (Zimbabwe): Case study and groundwater quality zoning

    NASA Astrophysics Data System (ADS)

    Zingoni, Emmanuel; Love, David; Magadza, Chris; Moyce, William; Musiwa, Kudzai

    Rapid urbanisation and lack of low cost accommodation in the City of Harare, Zimbabwe, led to a lot of people settling (formally or otherwise) on previously cultivated land in Epworth, south-east of the city. Groundwater quality in different parts of Epworth, a semi-formal settlement in Zimbabwe, was investigated. Water samples for water quality analysis were collected from 10 shallow boreholes and 20 shallow wells across the settlement. Results showed significantly elevated levels of nitrates and coliform bacteria in most parts of the settlement. Levels of coliforms were highest in the old parts of the settlement (>10,000 cfu). High nitrate levels (20-30 mg/l) can be related to more densely settled areas, with a higher density of pit latrines. The groundwater quality generally decreased downflow (to the south-east). Na, Zn, Cu, Co, Fe, PO 4 were also determined, of which only iron showed substantially high levels. Groundwater quality results were used to delineate parts of the settlement into water use zones. Three broad zones were defined: Zone 1 (water drinkable after boiling), Zone 2 (water for agricultural use only), and Zone 3 (water unsuitable for domestic or agricultural purposes). The results also showed that most parts of the settlement have no safe groundwater for human consumption and Zone 1 could be faced with high nitrate levels in future. It is too late to prevent contamination of groundwater in this settlement. As a cost-effective measure to reduce health risk, the local authority could consider the provision of a limited water supply, via communal taps, starting in those areas in Zones 2 and 3 except for the south-east where there area already communal taps. A health education campaign on the risks of drinking polluted groundwater in this settlement is also necessary. The development of a sewage system is an alternative although it is expensive with the current situation. Furthermore, although a proper sewage reticulation system would prevent

  19. Diagnosis and treatment of TB patients with rifampicin resistance detected using Xpert(®) MTB/RIF in Zimbabwe.

    PubMed

    Charambira, K; Ade, S; Harries, A D; Ncube, R T; Zishiri, C; Sandy, C; Mutunzi, H; Takarinda, K; Owiti, P; Mafaune, P; Chonzi, P

    2016-06-21

    Contexte : Au Zimbabwe, la prise en charge des patients tuberculeux ayant une résistance à la rifampicine (RMP) diagnostiqués par Xpert(®) MTB/RIF est préoccupante.Objectif : Evaluer les liens entre le diagnostic et le traitement de ces patients dans les provinces de Harare et de Manicaland en 2014.Schéma : Etude rétrospective de cohorte.Résultats : Sur 20 329 tests Xpert, 90% ont été réussis, 11% ont détecté Mycobacterium tuberculosis et 4,5% ont mis en évidence une résistance à la RMP. Il y a eu 77 patients atteints d'une tuberculose (TB) résistante à la RMP diagnostiqués par Xpert. Parmi eux, 70% ont bénéficié d'un envoi d'échantillon au laboratoire de référence pour une culture et un test de pharmacosensibilité (CDST) ; pour 53% d'entre eux, les échantillons sont arrivés à bon port ; pour 21%, les échantillons ont mis en évidence une croissance de M. tuberculosis ; et chez 17%, les résultats du CDST ont été enregistrés et tous ont confirmé la résistance à la RMP. Sur 77 patients, 34 (44%) n'ont jamais mis en route un traitement pour le TB multirésistante (TB-MDR) ; les motifs documentés étaient le décès, la perte de vue ou un traitement incorrect. Des 43 patients qui ont débuté le traitement de TB-MDR, 12 (71%) à Harare et 17 (65%) au Manicaland ont commencé dans les 2 semaines suivant le diagnostic.Conclusion : L'Xpert a été lancé avec succès dans deux provinces du Zimbabwe. Cependant, le processus de confirmation du CDST pour une TB résistante à la RMP diagnostiquée par Xpert ne fonctionne pas bien, et de nombreux patients sont soit traités avec retard, soit ne démarrent jamais le traitement de TB-MDR. Ces problèmes doivent être examinés par le programme.

  20. Measuring Hospital Productivity

    PubMed Central

    Ruchlin, Hirsch S.; Leveson, Irving

    1974-01-01

    This study presents a comprehensive method for quantifying hospital output and estimating hospital productivity. A number of less comprehensive productivity measures that can be quantified from data available from regional third-party payers and from the American Hospital Association are also developed and evaluated as proxies for the comprehensive measure, which is based on local area data. Methods are discussed for estimating the necessary variables on a regional or national level. PMID:4461703

  1. Central line infections - hospitals

    MedlinePlus

    ... infection; CVC - infection; Central venous device - infection; Infection control - central line infection; Nosocomial infection - central line infection; Hospital acquired infection - central line infection; Patient safety - central ...

  2. Climate variability and change or multiple stressors? Farmer perceptions regarding threats to livelihoods in Zimbabwe and Zambia.

    PubMed

    Mubaya, Chipo Plaxedes; Njuki, Jemimah; Mutsvangwa, Eness Paidamoyo; Mugabe, Francis Temba; Nanja, Durton

    2012-07-15

    Climate variability is set to increase, characterised by extreme conditions in Africa. Southern Africa will likely get drier and experience more extreme weather conditions, particularly droughts and floods. However, while climate risks are acknowledged to be a serious threat to smallholder farmers' livelihoods, these risks do not exist in isolation, but rather, compound a multiplicity of stressors. It was important for this study to understand farmer perceptions regarding the role of climate risks within a complex and multifarious set of risks to farmers' livelihoods. This study used both qualitative and quantitative methods to investigate farmers' perceptions regarding threats to livelihoods in southern Zambia and south-western Zimbabwe. While farmers report changes in local climatic conditions consistent with climate variability, there is a problem in assigning contribution of climate variability and other factors to observed negative impacts on the agricultural and socio-economic system. Furthermore, while there is a multiplicity of stressors that confront farmers, climate variability remains the most critical and exacerbate livelihood insecurity for those farmers with higher levels of vulnerability to these stressors.

  3. A report on the Zimbabwe Antiretroviral Therapy (ART) programme progress towards achieving MGD6 target 6B: achievement and challenges.

    PubMed

    Apollo, T; Takarinda, K; Mugurungi, O; Chakanyuka, C; Simbini, T; Harries, A D

    2010-01-01

    Zimbabwe's target to achieve Universal Access to treatment for HIV and AIDS, was severely affected by a decade long economic recession that threatened to reverse all the country's social and economic indicators. Despite these challenges, by September 2010, 282,916 adults and children (47.7% of those in need of treatment) were on treatment at 509 sites countrywide since national scale up started. ART services are predominantly offered through the public sector, with the private sector being an untapped potential resource for ART services for the future. Challenges of skilled and adequately trained human resources have hindered progress towards service availability. Providing access to children in particular has been constrained by lack of clinical mentorship for health workers, weak systems for support supervision, and inadequate HIV diagnostic services especially for children under 18 months and challenges with follow up of the HIV-exposed infants. Though the country has not met its target of Universal Access by 2010, significant progress has been made with over a 30-fold increase in service availability. PMID:23457867

  4. An investigation of the sexist application of the morality concept of Tsika in the Shona culture of Zimbabwe.

    PubMed

    Chisango, Tadios; Mayekiso, Thokozile

    2013-01-01

    We investigated the sexist application of a morality concept of Tsika, characterized by communal traits, in the Shona culture of Zimbabwe. Tsika has been defined as "politeness, civility and circumlocution" (Samkange & Samkange, 1980, p. 74), thus generally falling under communal traits. Theoretical literature suggests that although Tsika is a cultural ideal for all Shona people, it is especially expected of women and children, and that women can be punished like children if they lack Tsika. This research tested whether Tsika would be expected more of women (and children) than men. In line with ambivalent sexism theory, it was predicted that, because Tsika is constituted of communal traits, a bias in its expectation of women over men would be predicted by benevolent sexism. Furthermore, the research tested whether women (and children) would be judged more negatively than men if they defaulted on Tsika. It was hypothesized that a more negative evaluation of women than men if they defaulted on Tsika would be predicted by hostile sexism. Results confirmed that Tsika is expected more of women than of men. Benevolent sexism and its interaction with hostile sexism predicted the bias in expectation of Tsika of women over men. Results also confirmed that women who default on Tsika are evaluated more negatively than men. Hostile sexism predicted the bias in negative evaluations of women over men who default on Tsika.

  5. Time and energy costs of distance in rural life space of Zimbabwe: case study in the Chiduku Communal Area.

    PubMed

    Mehretu, A; Mutambirwa, C

    1992-01-01

    Time cost of distance (TCD) and energy cost of distance (ECD) devoted to routine activities for supporting the basic human requirements of rural households have become a major source of concern because of the high proportion of the daylight TCDs and ECDs expended on such tasks in most rural areas of Sub-Saharan Africa. The high burden of TCDs and ECDs on members of the rural household has constrained daylight time available for food production and health maintenance. This case study in a Communal Area (CA) of Zimbabwe, examines the total and comparative magnitudes of TCDs and ECDs on trips for domestic chores, social services and tertiary functions (markets, central services, transport and communication), as well as the gender and age differences in the absorption of TCDs and ECDs for these activities. The findings indicate excessive uses of the time and energy budget on walking trips to accomplish basic household necessities in which domestic chores consume by far the largest portion of this budget with the highest burden falling on the female members of the household.

  6. Choice of breeding stock, preference of production traits and culling criteria of village chickens among Zimbabwe agro-ecological zones.

    PubMed

    Muchadeyi, F C; Wollny, C B A; Eding, H; Weigend, S; Simianer, H

    2009-03-01

    Free ranging chickens reared by smallholder farmers represent genetic diversity suited for particular environments and shaped by the socio-economic and cultural values of the farming systems. This study sought to investigate the existence of chicken strains and evaluate the breeding goals and strategies used by village chicken farmers in Zimbabwe. A semi-structured questionnaire was administered to 97, 56, 70, 104 and 37 households randomly selected from five agro-ecological-zones I-V, respectively. Fifteen chicken strains mostly defined by morphological traits were reported in the five eco-zones. Production criteria such as body size, and fertility were highly ranked (ranging from 1.3-2.6) by farmers across all the eco-zones, while cultural traits were the least preferred production traits. As a common breeding practice, farmers chose the type of hens and cocks to retain for breeding purposes and these randomly mixed and mated with others from community flocks. Chicken body size was ranked the major determinant in choosing breeding animals followed by mothering ability, and fertility. More households culled chickens associated with poor reproductive performance, poor growth rates and those intolerant to disease pathogens. The focus on many negatively correlated production traits and the absence of farmer records compromises breeding strategies in these production systems.

  7. A survey on auditing, quality assurance systems and legal frameworks in five selected slaughterhouses in Bulawayo, south-western Zimbabwe.

    PubMed

    Masanganise, Kaurai E; Matope, Gift; Pfukenyi, Davies M

    2013-01-01

    The purpose of this study was to explore the audits, quality assurance (QA) programmes and legal frameworks used in selected abattoirs in Zimbabwe and slaughterhouse workers' perceptions on their effectiveness. Data on slaughterhouse workers was gathered through a self-completed questionnaire and additional information was obtained from slaughterhouse and government records. External auditing was conducted mainly by the Department of Veterinary Public Health with little contribution from third parties. Internal auditing was restricted to export abattoirs. The checklist used on auditing lacked objective assessment criteria and respondents cited several faults in the current audit system. Most respondents (> 50.0%) knew the purposes and benefits of audit and QA inspections. All export abattoirs had QA programmes such as hazard analysis critical control point and ISO 9001 (a standard used to certify businesses' quality management systems) but their implementation varied from minimal to nil. The main regulatory defect observed was lack of requirements for a QA programme. Audit and quality assurance communications to the selected abattoirs revealed a variety of non-compliances with most respondents revealing that corrective actions to audit (84.3%) and quality assurance (92.3%) shortfalls were not done. A high percentage of respondents indicated that training on quality (76.8%) and regulations (69.8%) was critical. Thus, it is imperative that these abattoirs develop a food safety management system comprising of QA programmes, a microbial assessment scheme, regulatory compliance, standard operating procedures, internal and external auditing and training of workers.

  8. Gender equity and HIV/AIDS prevention: comparing gender differences in sexual practice and beliefs among Zimbabwe university students.

    PubMed

    Terry, Paul E; Mhloyi, Marvelous; Masvaure, Tsitsi B; Adlis, Susan A

    We assess gender differences in HIV prevention knowledge, attitudes and practices with a focus on cultural, sociological, and economic variables. A randomized cross-sectional study was used in order to achieve high participation and broad comparative assessment. An eight-page questionnaire was administered to 933 randomly selected students at the University of Zimbabwe. Survey items addressed sexual decision-making, condom use, limiting sexual partners, cultural power dynamics and access to HIV testing. We found marked gender differences with men reporting beliefs of entitlement to dominate women, an assumed leadership in decision-making concerning condom use and an attitude that when a woman says "no" to sex, really, "it depends." Women acknowledged gender-based cultural attitudes but are much more likely to support women's rights to sexual expression. A multi-faceted approach to gender equity training is needed to challenge men and women to change attitudes and increase social awareness that respects cultural traditions while still inspiring both men and women to champion justice and equality between genders.

  9. Critical considerations for adopting the HIV ‘treat all’ approach in Zimbabwe: is the nation poised?

    PubMed Central

    Harries, A. D.; Mutasa-Apollo, T.

    2016-01-01

    While the advent of antiretroviral therapy (ART) has increased survival and reduced the number of acquired immune-deficiency syndrome (AIDS) related deaths among people living with the human immunodeficiency virus (HIV) virus (PLHIV), HIV/AIDS remains a global health problem and sub-Saharan Africa continues to bear the greatest burden of disease. There are also major challenges in the HIV response: as of December 2013, only 36% of PLHIV globally were on ART, and for every individual started on ART there were two new PLHIV diagnosed. This has led to considerable debate around adopting an HIV ‘treat all’ approach aimed at greatly escalating the number of PLHIV initiated and retained on ART, regardless of CD4 cell count or World Health Organization (WHO) clinical stage, with the intended goal of achieving viral suppression which should in turn reduce HIV transmission, morbidity and mortality in affected individuals. This paper examines the issues being discussed in Zimbabwe, a low-income country with a high burden of HIV/AIDS, about the implications and opportunities of adopting an HIV ‘treat all’ approach, along with pertinent operational research questions that need to be answered to move the agenda forward. These discussions are timely, given the recent WHO recommendations advising ART for all PLHIV, regardless of CD4 cell count. PMID:27051603

  10. Local Perceptions of the Forms, Timing and Causes of Behavior Change in Response to the AIDS Epidemic in Zimbabwe

    PubMed Central

    Muchini, Backson; Benedikt, Clemens; Gregson, Simon; Gomo, Exnevia; Mate, Rekopantswe; Mugurungi, Owen; Magure, Tapuwa; Campbell, Bruce; Dehne, Karl

    2012-01-01

    Quantitative studies indicate that HIV incidence in Zimbabwe declined since the late 1990s, due in part to behavior change. This qualitative study, involving focus group discussions with 200 women and men, two dozen key informant interviews, and historical mapping of HIV prevention programs, found that exposure to relatives and close friends dying of AIDS, leading to increased perceived HIV risk, was the principal explanation for behavior change. Growing poverty, which reduced men’s ability to afford multiple partners, was also commonly cited as contributing to reductions in casual, commercial and extra-marital sex. HIV prevention programs and services were secondarily mentioned as having contributed but no specific activities were consistently indicated, although some popular culture influences appear pivotal. This qualitative study found that behavior change resulted primarily from increased interpersonal communication about HIV due to high personal exposure to AIDS mortality and a correct understanding of sexual HIV transmission, due to relatively high education levels and probably also to information provided by HIV programs. PMID:20803064

  11. Milk producers' awareness of milk-borne zoonoses in selected smallholder and commercial dairy farms of Zimbabwe.

    PubMed

    Mosalagae, Diphetogo; Pfukenyi, Davies Mubika; Matope, Gift

    2011-03-01

    A cross-sectional questionnaire-based study was conducted to assess milk producers' awareness of milk-borne zoonoses in selected smallholder and commercial dairy farms of Zimbabwe. The questionnaire was designed to obtain information on dairy breeds, milk production, dairy farmers' knowledge and awareness of zoonoses with particular emphasis on milk-borne zoonoses and farmers' behavioural practices that may lead to increased risk of milk-borne zoonoses transmission. A total of 119 dairy farmers were interviewed, and 41.5% were aware of milk-borne zoonoses with a significantly (P<0.01) higher percentage of commercial dairy farmers (65.0%) being aware compared to smallholder dairy farmers (36.7%). The behavioural practices of dairy farmers observed to increase the risk of milk-borne zoonoses transmission were; consumption of raw milk (68.1%), sale of raw milk to the local public (25.2%), lack of cooling facilities by smallholder farmers (98%), and no routine testing (84.9%) and medical check-ups (89.1%) for milk-borne zoonoses. General hygienic and disease control practices need to be integrated in the milk production process particularly at the smallholder level. Awareness, teaching and training programmes for smallholder dairy farmers can improve disease control in animals and reduce the public health risk of milk-borne zoonoses.

  12. Process Evaluation of a Sport-Based Voluntary Medical Male Circumcision Demand-Creation Intervention in Bulawayo, Zimbabwe

    PubMed Central

    Hershow, Rebecca B.; Kaufman, Zachary A.; Gannett, Katherine R.; Kombandeya, Thandanani; Chaibva, Cynthia; Ross, David A.; Harrison, Abigail

    2016-01-01

    Introduction: Grassroot Soccer (GRS) developed 2 brief and scalable voluntary medical male circumcision (VMMC) promotion interventions for males in Bulawayo, Zimbabwe, consisting of a 60-minute interactive, soccer-themed educational session with follow-up behavioral and logistical reinforcement. Both interventions were led by circumcised male community leaders (“coaches”) ages 18–30. “Make The Cut” (MTC) targeted adult males on soccer teams and “Make The Cut+” targeted boys in secondary schools. We conducted a process evaluation of MTC and Make The Cut+ to investigate perceptions of program impact, intervention components, and program delivery; participants' understandings of intervention content; and factors related to uptake. Methods: We conducted 17 interviews and 2 focus group discussions with coaches and 29 interviews with circumcised (n = 13) and uncircumcised participants (n = 16). Results: Findings demonstrate high program acceptability, highlighting the coach–participant relationship as a key factor associated with uptake. Specifically, participants valued the coaches' openness to discuss their personal experiences with VMMC and the accompaniment by their coaches to the VMMC clinic. Conclusions: Should the coach quality remain consistent at scale, MTC offers an effective approach toward generating VMMC demand among males. PMID:27749598

  13. Taxonomy, distribution and prevalence of parasites of tigerfish, Hydrocynus vittatus (Castelnau, 1861) in the Sanyati basin, Lake Kariba, Zimbabwe.

    PubMed

    Mabika, Nyasha; Barson, Maxwell; Van Dyk, Cobus; Avenant-Oldewage, Annemariè

    2016-09-01

    Parasites of the tigerfish (Hydrocynus vittatus) were investigated in the period October 2014 to July 2015 in the Sanyati Basin, Lake Kariba. The fish were collected using seine netting and also during the annual Kariba International Tiger Fishing Tournament. A total of 80 fish specimens (24 males and 56 females) were collected and were infected with the following seven parasite taxa: Monogenea (Annulotrema sp.1 from the gills and Annulotrema sp.2 from the skin), Nematoda (Contracaecum larvae), Cestoda (bothriocephalid, larval cyclophyllid), Copepoda (Lamproglena hemprichii), pentastomid, Myxosporea (Myxobolus sp.,) and unicellular ciliate parasites (Trichodina sp., Tetrahymena sp., and unidentified). Annulotrema sp. 1 was observed in all fish and had the highest prevalence, mean intensity and abundance. The fish organs infected were gills, skin, fin, body cavity, stomach, intestines, mesentery, liver, kidney, brain cavity and swim bladder. No parasites were observed in the muscle, eyes and blood. The distribution of the parasites was highest in the gills and lowest in the brain cavity and swimbladder. Bothriocephalids, pentastomes and Trichodina sp. were not observed in male fish. Sex was not related to the intensity of parasites. The results of the study showed that H. vittatus has a richer parasite community than other previous investigated alestids. Pentastomes, Myxobolus sp., Trichodina sp., Tetrahymena sp. and bothriocephalid cestodes are new records for H. vittatus in Zimbabwe. PMID:27447228

  14. PIMA Point of Care CD4+ Cell Count Machines in Remote MNCH Settings: Lessons Learned from Seven Districts in Zimbabwe

    PubMed Central

    Mtapuri-Zinyowera, Sekesai; Chiyaka, Edward T.; Mushayi, Wellington; Musuka, Godfrey; Naluyinda-Kitabire, Florence; Mushavi, Angella; Chikwasha, Vasco

    2013-01-01

    An evaluation was commissioned to generate evidence on the impact of PIMA point-of-care CD4+ count machines in maternal and new-born child health settings in Zimbabwe; document best practices, lessons learned, challenges, and recommendations related to scale up of this new technology. A mixed methodology approach that included 31 in-depth interviews with stakeholders involved in procurement, distribution, and use of the POC machines was employed. Additionally, data was also abstracted from 207 patient records from 35 sites with the PIMA POC CD4+ count machines and 10 other comparative sites without the machine. A clearer training strategy was found to be necessary. The average time taken to initiate clients on antiretroviral treatment (ART) was substantially less, 15 days (IQR-1-149) for sites with a PIMA POC machine as compared to 32.7 days (IQR-1-192) at sites with no PIMA POC machine. There was general satisfaction because of the presence of the PIMA POC CD4+ count machine at sites that also initiated ART. PMID:24847177

  15. Hospital benefit segmentation.

    PubMed

    Finn, D W; Lamb, C W

    1986-12-01

    Market segmentation is an important topic to both health care practitioners and researchers. The authors explore the relative importance that health care consumers attach to various benefits available in a major metropolitan area hospital. The purposes of the study are to test, and provide data to illustrate, the efficacy of one approach to hospital benefit segmentation analysis.

  16. [Music in the hospital].

    PubMed

    Bouteloup, Philippe

    2010-01-01

    Occasional events, regular workshops, concerts, shows, artists in residence, cultural outings...Hospital does not necessarily have to be a place of silence and sadness. But this situation has not always been so straightforward as on the face of it, nothing is more incompatible with a hospital environment than music, which, by definition, is festive and noisy. PMID:20684389

  17. Hospitality Occupations. Curriculum Guide.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento. Bureau of Homemaking Education.

    This curriculum guide on the hospitality occupations was developed to help secondary and postsecondary home economics teachers prepare individuals for entry-level jobs in the hospitality industry. The content is in seven sections. The first section presents organizational charts of a medium-size hotel, food and beverage division, housekeeping and…

  18. Hospitality Services Reference Book.

    ERIC Educational Resources Information Center

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This reference book provides information needed by employees in hospitality services occupations. It includes 29 chapters that cover the following topics: the hospitality services industry; professional ethics; organization and management structures; safety practices and emergency procedures; technology; property maintenance and repair; purchasing…

  19. Library Services in Hospitals.

    ERIC Educational Resources Information Center

    Department of Health and Social Security, London (England).

    The memorandum gives guidance to the provision and organization of library services at hospitals both for staff and for patients. It also draws attention to the assistance available from outside sources towards the development and maintenance of these services so hospital authorities may make the most effective use of the available facilities.…

  20. Hospitals are dangerous places.

    PubMed

    de Richemond, Albert L

    2010-01-01

    Hospital fire dangers are real, widespread, and ever present, the article demonstrates, spelling out the locations, conditions, and ignition potentials which exist in such a setting. Knowledge of codes and standards, good maintenance practices, and frequent drills in fire prevention and suppression are among the practices recommended for keeping a hospital fire from becoming a disaster, the author says. PMID:20873506

  1. Smaller hospitals accept advertising.

    PubMed

    Mackesy, R

    1988-07-01

    Administrators at small- and medium-sized hospitals gradually have accepted the role of marketing in their organizations, albeit at a much slower rate than larger institutions. This update of a 1983 survey tracks the increasing competitiveness, complexity and specialization of providing health care and of advertising a small hospital's services. PMID:10288550

  2. Hospitality services generate revenue.

    PubMed

    Bizouati, S

    1993-01-01

    An increasing number of hospitals are undertaking external revenue-generating activities to supplement their shrinking budgets. Written at the request of Leadership, this article outlines an example of a successful catering service -- a money-generating business that more Canadian hospitals could profitably consider.

  3. Hospitality Services. Curriculum Guide.

    ERIC Educational Resources Information Center

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide, which was developed as part of Texas' home economics education program, is intended to assist teachers of a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The first 40% of the approximately 600-page guide consists of strategies for teaching each of 29 essential…

  4. Hospital 360°.

    PubMed

    Giraldo Valencia, Juan Carlos; Delgado, Liliana Claudia

    2015-01-01

    There are forces that are greater than the individual performance of each hospital institution and of the health system structural of each country. The world is changing and to face up to the future in the best possible way, we need to understand how contexts and emerging trends link up and how they affect the hospital sector. The Columbian Association of Hospitals and Clinics, ACHC, has thus come up with the Hospital 360° concept which uses hospitals capable of anticipating changing contexts by means of the transition between present and future and takes on board the experience of global, socio-economic, demographic, political, environmental and technological fields as its model. Hospital 360° is an invitation to reinvent processes and institution themselves allowing them to adapt and incorporate a high degree of functional flexibility. Hospital 360° purses goals of efficiency, effectiveness and relevance, but also of impact and sustainability, and is coherent with the internal needs of hospital institutions and society for long-term benefits. PMID:26521380

  5. Mental hospitals in India.

    PubMed

    Krishnamurthy, K; Venugopal, D; Alimchandani, A K

    2000-04-01

    This review traces the history of the mental hospital movement, initially on the world stage, and later in India, in relation to advances in psychiatric care. Mental hospitals have played a significant role in the evolution of psychiatry to its present statusThe earliest hospital in India were established during the British colonial rule. They served as a means to isolate mentally ill persons from the societal mainstream and provide treatments that were in vogue at the time. Following India's independence, there has been a trend towards establishing general hospital psychiatry units and deinstitutionalization, while at the same time improving conditions in the existing mental hospitals.Since 1947, a series of workshops of superintendents was conducted to review the prevailing situations in mental hospitals and to propose recommendations to improve the same. Implementation of the Mental Health Act, 1987, and grovernmental focus upon mental hospital reform have paved way for a more specific and futuristic role for mental hospitals in planning psychiatric services for the new millenium, especially for severe mental illnesses. PMID:21407925

  6. [Music in the hospital].

    PubMed

    Bouteloup, Philippe

    2010-01-01

    Occasional events, regular workshops, concerts, shows, artists in residence, cultural outings...Hospital does not necessarily have to be a place of silence and sadness. But this situation has not always been so straightforward as on the face of it, nothing is more incompatible with a hospital environment than music, which, by definition, is festive and noisy.

  7. Handbook on Hospital Television.

    ERIC Educational Resources Information Center

    Prynne, T. A.

    Designed for both hospital personnel interested in television and audiovisual personnel entering the medical field, this handbook is a verbal and pictorial survey of what is being done with TV within the medical profession. After an introduction which answers technical questions about medical TV posed during the American Hospital Association's…

  8. Designing sustainable acute hospitals.

    PubMed

    Cory, Alistair

    2008-01-01

    The need to provide sustainable hospitals lies in the fact that we have an obligation to act responsibly towards good stewardship of our environment and the world's precious resources, ensuring a healthy future for coming generations. As such, a sustainable hospital must sit squarely in a sustainable society, and the global and local context should be considered when designing a sustainable health facility.

  9. Hospitality services generate revenue.

    PubMed

    Bizouati, S

    1993-01-01

    An increasing number of hospitals are undertaking external revenue-generating activities to supplement their shrinking budgets. Written at the request of Leadership, this article outlines an example of a successful catering service -- a money-generating business that more Canadian hospitals could profitably consider. PMID:10127850

  10. [Hospital medicine in Chile].

    PubMed

    Eymin, Gonzalo; Jaffer, Amir K

    2013-03-01

    After 15 years of development of Hospital Medicine in Chile, there are several benefits of this discipline. Among others, a reduction in the length of hospital stay, readmissions, costs, and improved medical teaching of students, residents and fellows have been observed. However, in South América there are only isolated groups dedicated to Hospital Medicine in Chile, Argentina and Brazil, with a rather slow growth. The unjustified fear of competition from sub specialists, and the fee for service system of payment in our environment may be important factors to understand this phenomenon. The aging of the population makes imperative to improve the safety of our patients and to optimize processes and resources within the hospital, to avoid squandering healthcare resources. The following is a detailed and evidence-based article, on how hospital medicine might benefit both the public and prívate healthcare systems in Chile. PMID:23900327

  11. The Impact of Climate Change on the Potential Distribution of Agricultural Pests: The Case of the Coffee White Stem Borer (Monochamus leuconotus P.) in Zimbabwe

    PubMed Central

    Kutywayo, Dumisani; Chemura, Abel; Kusena, Winmore; Chidoko, Pardon; Mahoya, Caleb

    2013-01-01

    The production of agricultural commodities faces increased risk of pests, diseases and other stresses due to climate change and variability. This study assesses the potential distribution of agricultural pests under projected climatic scenarios using evidence from the African coffee white stem borer (CWB), Monochamus leuconotus (Pascoe) (Coleoptera: Cerambycidae), an important pest of coffee in Zimbabwe. A species distribution modeling approach utilising Boosted Regression Trees (BRT) and Generalized Linear Models (GLM) was applied on current and projected climate data obtained from the WorldClim database and occurrence data (presence and absence) collected through on-farm biological surveys in Chipinge, Chimanimani, Mutare and Mutasa districts in Zimbabwe. Results from both the BRT and GLM indicate that precipitation-related variables are more important in determining species range for the CWB than temperature related variables. The CWB has extensive potential habitats in all coffee areas with Mutasa district having the largest model average area suitable for CWB under current and projected climatic conditions. Habitat ranges for CWB will increase under future climate scenarios for Chipinge, Chimanimani and Mutare districts while it will decrease in Mutasa district. The highest percentage change in area suitable for the CWB was for Chimanimani district with a model average of 49.1% (3 906 ha) increase in CWB range by 2080. The BRT and GLM predictions gave similar predicted ranges for Chipinge, Chimanimani and Mutasa districts compared to the high variation in current and projected habitat area for CWB in Mutare district. The study concludes that suitable area for CWB will increase significantly in Zimbabwe due to climate change and there is need to develop adaptation mechanisms. PMID:24014222

  12. Reduction in Malaria Incidence following Indoor Residual Spraying with Actellic 300 CS in a Setting with Pyrethroid Resistance: Mutasa District, Zimbabwe

    PubMed Central

    Kanyangarara, Mufaro; Mamini, Edmore; Mharakurwa, Sungano; Munyati, Shungu; Gwanzura, Lovemore; Kobayashi, Tamaki; Shields, Timothy; Mullany, Luke C.; Mutambu, Susan; Mason, Peter R.; Curriero, Frank C.; Moss, William J.

    2016-01-01

    Background More than half of malaria cases in Zimbabwe are concentrated in Manicaland Province, where seasonal malaria epidemics occur despite intensified control strategies. Recently, high levels of pyrethroid and carbamate resistance were detected in Anopheles funestus, the major malaria vector in eastern Zimbabwe. In response, a single round of indoor residual spraying (IRS) using pirimiphos-methyl (an organophosphate) was implemented in four high burden districts of Manicaland Province from November 1, 2014 to December 19, 2014. The objective of this study was to evaluate the effect of this programmatic switch in insecticides on malaria morbidity reported from health care facilities in Mutasa District, one of the worst affected districts in Manicaland Province. Methods The number of weekly malaria cases for each health facility 24 months prior to the 2014 IRS campaign and in the subsequent high transmission season were obtained from passive case surveillance. Environmental variables were extracted from remote-sensing data sources and linked to each health care facility. Negative binomial regression was used to model the weekly number of malaria cases, adjusted for seasonality and environmental variables. Results From December 2012 to May 2015, 124,206 malaria cases were reported from 42 health care facilities in Mutasa District. Based on a higher burden of malaria, 20 out of 31 municipal wards were sprayed in the district. Overall, 87.3% of target structures were sprayed and 92.1% of the target population protected. During the 6 months after the 2014 IRS campaign, a period when transmission would have otherwise peaked, the incidence of malaria was 38% lower than the preceding 24 months at health facilities in the sprayed wards. Conclusions Pirimiphos-methyl had a measurable impact on malaria incidence and is an effective insecticide for the control of An. funestus in eastern Zimbabwe. PMID:27018893

  13. Vaccine receipt and vaccine card availability among children of the apostolic faith: analysis from the 2010-2011 Zimbabwe demographic and health survey

    PubMed Central

    Kriss, Jennifer Lara; Goodson, James; Machekanyanga, Zorodzai; Shibeshi, Messeret Eshetu; Daniel, Fussum; Masresha, Balcha; Kaiser, Reinhard

    2016-01-01

    Introduction Vaccine hesitancy and refusal continue to be a global challenge to reaching immunization targets, especially among those in traditional or fundamentalist religions. The apostolic faith in Zimbabwe has been historically associated with objection to most medical interventions, including immunization. Methods We conducted a descriptive analysis of socio-demographic characteristics and vaccine coverage among apostolic and non-apostolic adults aged 15-49 years and children aged 12-23 months using the Demographic and Health Survey conducted in Zimbabwe during 2010-2011. We used logistic regression models to estimate associations between the apostolic religion and receipt of all four basic childhood vaccinations in the Expanded Program on Immunization, receipt of no vaccinations, and availability of child vaccination card. Results Among children aged 12-23 months, 64% had received all doses of the four basic vaccinations, and 12% had received none of the recommended vaccines. A vaccination card was available for 68% of children. There was no significant association between Apostolic faith and completion of all basic vaccinations (aOR = 0.90, 95% CI: 0.69-1.17), but apostolic children were almost twice as likely to have received no basic vaccinations (aOR = 1.83, 95% CI: 1.22-2.77) than non-Apostolic children, and they were 32% less likely to have a vaccination card that was available and seen by the interviewer (aOR = 0.68, 95% CI: 0.52-0.89). Conclusion Disparities in childhood vaccination coverage and availability of vaccination cards persist for apostolic in Zimbabwe. Continued collaboration with apostolic leaders and additional research to better understand vaccine hesitancy and refine interventions and messaging strategies are needed. PMID:27642388

  14. Evaluating Opportunities for Achieving Cost Efficiencies Through the Introduction of PrePex Device Male Circumcision in Adult VMMC Programs in Zambia and Zimbabwe

    PubMed Central

    Chintu, Naminga; Yano, Nanako; Mugurungi, Owen; Tambatamba, Bushimbwa; Ncube, Gertrude; Xaba, Sinokuthemba; Mpasela, Felton; Muguza, Edward; Mangono, Tichakunda; Madidi, Ngonidzashe; Samona, Alick; Tagar, Elva; Hatzold, Karin

    2016-01-01

    Background: Results from recent costing studies have put into question potential Voluntary Medical Male Circumcision (VMMC) cost savings with the introduction of the PrePex device. Methods: We evaluated the cost drivers and the overall unit cost of VMMC for a variety of service delivery models providing either surgical VMMC or both PrePex and surgery using current program data in Zimbabwe and Zambia. In Zimbabwe, 3 hypothetical PrePex only models were also included. For all models, clients aged 18 years and older were assumed to be medically eligible for PrePex and uptake was based on current program data from sites providing both methods. Direct costs included costs for consumables, including surgical VMMC kits for the forceps-guided method, device (US $12), human resources, demand creation, supply chain, waste management, training, and transport. Results: Results for both countries suggest limited potential for PrePex to generate cost savings when adding the device to current surgical service delivery models. However, results for the hypothetical rural Integrated PrePex model in Zimbabwe suggest the potential for material unit cost savings (US $35 per VMMC vs. US $65–69 for existing surgical models). Conclusions: This analysis illustrates that models designed to leverage PrePex's advantages, namely the potential for integrating services in rural clinics and less stringent infrastructure requirements, may present opportunities for improved cost efficiency and service integration. Countries seeking to scale up VMMC in rural settings might consider integrating PrePex only MC services at the primary health care level to reduce costs while also increasing VMMC access and coverage. PMID:27331598

  15. "How can I gain skills if I don't practice?" The dynamics of prohibitive silence against pre-marital pregnancy and sex in Zimbabwe.

    PubMed

    Chikovore, Jeremiah; Nystrom, Lennarth; Lindmark, Gunilla; Ahlberg, Beth Maina

    2013-01-01

    Young people face sexual and reproductive health (SRH) problems including Human immunodeficiency virus (HIV) and Acquired immunodeficiency syndrome (AIDS). It is critical to continue documenting their situation including the contexts they live in. As part of a larger study that explored perspectives of men to SRH and more specifically abortion and contraceptive use, 546 pupils (51% female; age range 9-25 years) from a rural area in Zimbabwe were invited to write anonymously questions about growing up or other questions they could not ask adults for fear or shame. The pupils were included following descriptions by adults of the violence that is unleashed on unmarried young people who engaged in sex, used contraceptives, or simply suggested doing so. The questions by the young people pointed to living in a context of prohibitive silence; their sexuality was silenced and denied. As a consequence they had poor knowledge and their fears and internal conflicts around sexuality and pregnancy were not addressed. Current action suggests concerted effort at the policy level to deal with young people's SRH in Zimbabwe. It nevertheless remains necessary, as a way to provide support to these efforts, to continue examining what lessons can be drawn from the past, and how the past continues to reflect in and shape present dynamics and relations. There is also need to look more critically at life skill education, which has previously been described as having failed to address adequately the practical needs of young people. Life skill education in Zimbabwe has rarely been systematically evaluated. A fuller understanding is also needed of the different factors co-existing in contemporary African societies and how they have been and continue to be constituted within history, and the implications to the promotion of adolescent SRH.

  16. The impact of climate change on the potential distribution of agricultural pests: the case of the coffee white stem borer (Monochamus leuconotus P.) in Zimbabwe.

    PubMed

    Kutywayo, Dumisani; Chemura, Abel; Kusena, Winmore; Chidoko, Pardon; Mahoya, Caleb

    2013-01-01

    The production of agricultural commodities faces increased risk of pests, diseases and other stresses due to climate change and variability. This study assesses the potential distribution of agricultural pests under projected climatic scenarios using evidence from the African coffee white stem borer (CWB), Monochamus leuconotus (Pascoe) (Coleoptera: Cerambycidae), an important pest of coffee in Zimbabwe. A species distribution modeling approach utilising Boosted Regression Trees (BRT) and Generalized Linear Models (GLM) was applied on current and projected climate data obtained from the WorldClim database and occurrence data (presence and absence) collected through on-farm biological surveys in Chipinge, Chimanimani, Mutare and Mutasa districts in Zimbabwe. Results from both the BRT and GLM indicate that precipitation-related variables are more important in determining species range for the CWB than temperature related variables. The CWB has extensive potential habitats in all coffee areas with Mutasa district having the largest model average area suitable for CWB under current and projected climatic conditions. Habitat ranges for CWB will increase under future climate scenarios for Chipinge, Chimanimani and Mutare districts while it will decrease in Mutasa district. The highest percentage change in area suitable for the CWB was for Chimanimani district with a model average of 49.1% (3 906 ha) increase in CWB range by 2080. The BRT and GLM predictions gave similar predicted ranges for Chipinge, Chimanimani and Mutasa districts compared to the high variation in current and projected habitat area for CWB in Mutare district. The study concludes that suitable area for CWB will increase significantly in Zimbabwe due to climate change and there is need to develop adaptation mechanisms.

  17. Learning and teaching Emotional Logic in Zimbabwe: A lifelong learning emotional literacy training package that promotes healthy adjustment in resource-poor settings.

    PubMed

    Langsford, Marian; Griffiths, Trevor

    2015-07-01

    This article describes an innovative, rapidly effective, low cost, health promoting educational input that can strengthen social systems to support the social and emotional development of orphan children. The training project took place in a resource-poor area of rural southern Zimbabwe. The teaching was found to be culturally relevant and transferable, to the extent that several of the learners progressed to become tutors, training others to use the method in local languages. The method promotes healthy adjustment, emotional resilience and intelligent decision-making for health. By reducing chronic stress in orphans and their carers, lifelong learning may improve immune function. PMID:25808248

  18. Findings from SHAZ!: a feasibility study of a microcredit and life-skills HIV prevention intervention to reduce risk among adolescent female orphans in Zimbabwe.

    PubMed

    Dunbar, Megan S; Maternowska, M Catherine; Kang, Mi-Suk J; Laver, Susan M; Mudekunye-Mahaka, Imelda; Padian, Nancy S

    2010-01-01

    This study tested the feasibility of a combined microcredit and life-skills HIV prevention intervention among 50 adolescent female orphans in urban/peri-urban Zimbabwe. Quantitative and qualitative data were collected on intervention delivery, HIV knowledge and behavior, and economic indicators. The study also tested for HIV, HSV-2, and pregnancy. At 6 months, results indicated improvements in knowledge and relationship power. Because of the economic context and lack of adequate support, however, loan repayment and business success was poor. The results suggest that microcredit is not the best livelihood option to reduce risk among adolescent girls in this context.

  19. Findings from SHAZ!: a feasibility study of a microcredit and life-skills HIV prevention intervention to reduce risk among adolescent female orphans in Zimbabwe.

    PubMed

    Dunbar, Megan S; Maternowska, M Catherine; Kang, Mi-Suk J; Laver, Susan M; Mudekunye-Mahaka, Imelda; Padian, Nancy S

    2010-01-01

    This study tested the feasibility of a combined microcredit and life-skills HIV prevention intervention among 50 adolescent female orphans in urban/peri-urban Zimbabwe. Quantitative and qualitative data were collected on intervention delivery, HIV knowledge and behavior, and economic indicators. The study also tested for HIV, HSV-2, and pregnancy. At 6 months, results indicated improvements in knowledge and relationship power. Because of the economic context and lack of adequate support, however, loan repayment and business success was poor. The results suggest that microcredit is not the best livelihood option to reduce risk among adolescent girls in this context. PMID:20391061

  20. Findings from SHAZ!: A Feasibility Study of a Microcredit and Life-Skills HIV Prevention Intervention to Reduce Risk among Adolescent Female Orphans in Zimbabwe

    PubMed Central

    Dunbar, Megan S.; Maternowska, Catherine; Kang, Mi-Suk J.; Laver, Susan M.; Mudekunye, Imelda; Padian, Nancy S.

    2015-01-01

    SUMMARY This study tested the feasibility of a combined microcredit and life-skills HIV prevention intervention among 50 adolescent female orphans in urban/peri-urban Zimbabwe. Quantitative and qualitative data were collected on intervention delivery, HIV knowledge and behavior, and economic indicators. The study also tested for HIV, HSV-2, and pregnancy. At 6 months, results indicated improvements in knowledge and relationship power. Because of the economic context and lack of adequate support, however, loan repayment and business success was poor. The results suggest that microcredit is not the best livelihood option to reduce risk among adolescent girls in this context. PMID:20391061

  1. Learning and teaching Emotional Logic in Zimbabwe: A lifelong learning emotional literacy training package that promotes healthy adjustment in resource-poor settings.

    PubMed

    Langsford, Marian; Griffiths, Trevor

    2015-07-01

    This article describes an innovative, rapidly effective, low cost, health promoting educational input that can strengthen social systems to support the social and emotional development of orphan children. The training project took place in a resource-poor area of rural southern Zimbabwe. The teaching was found to be culturally relevant and transferable, to the extent that several of the learners progressed to become tutors, training others to use the method in local languages. The method promotes healthy adjustment, emotional resilience and intelligent decision-making for health. By reducing chronic stress in orphans and their carers, lifelong learning may improve immune function.

  2. Hospitality as an Environmental Metaphor.

    ERIC Educational Resources Information Center

    Horwood, Bert

    1991-01-01

    Compares stewardship and hospitality as they relate to the biosphere. Traces the origin of the word "hospitality," discusses cultural traditions of hospitality, and applies the concept of hospitality to the natural world. Considers forms of symbiosis in nature: commensals, mutualism, and parasitism. Hospitality promotes respect, humility, and…

  3. Hospital diversification: evaluating alternatives.

    PubMed

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival. PMID:3300300

  4. Philanthropy and hospital financing.

    PubMed Central

    Smith, D G; Clement, J P; Wheeler, J R

    1995-01-01

    OBJECTIVE. This study explores the relationships among donations to not-for-profit hospitals, the returns provided by these hospitals, and fund-raising efforts. It tests a model of hospital behavior and addresses an earlier debate regarding the supply price of donations. DATA SOURCES. The main data source is the California Office of Statewide Health Planning data tapes of hospital financial disclosure reports for fiscal years 1980/1981 through 1986/1987. Complete data were available for 160 hospitals. STUDY DESIGN. Three structural equations (donations, returns, and fund-raising) are estimated as a system using a fixed-effects, pooled cross-section, time-series least squares regression. PRINCIPAL FINDINGS. Estimation results reveal the expected positive relation between donations and returns. The reverse relation between returns and donations is insignificant. The estimated effect of fund-raising on donations is insignificantly different from zero, and the effect of donations on fund-raising is negative. Fund-raising and returns are negatively associated with one another. CONCLUSION. The empirical results presented here suggest a positive donations-returns relations and are consistent with a positive supply price for donations. Hospitals appear to view a trade-off between providing returns and soliciting donations, but donors do not respond equally to these two activities. Attempts to increase free cash flow through expansion of community returns or fund-raising activity, at least in the short run, are not likely to be highly successful financing strategies for many hospitals. PMID:8537223

  5. Hospitals' Internal Accountability

    PubMed Central

    Kraetschmer, Nancy; Jass, Janak; Woodman, Cheryl; Koo, Irene; Kromm, Seija K.; Deber, Raisa B.

    2014-01-01

    This study aimed to enhance understanding of the dimensions of accountability captured and not captured in acute care hospitals in Ontario, Canada. Based on an Ontario-wide survey and follow-up interviews with three acute care hospitals in the Greater Toronto Area, we found that the two dominant dimensions of hospital accountability being reported are financial and quality performance. These two dimensions drove both internal and external reporting. Hospitals' internal reports typically included performance measures that were required or mandated in external reports. Although respondents saw reporting as a valuable mechanism for hospitals and the health system to monitor and track progress against desired outcomes, multiple challenges with current reporting requirements were communicated, including the following: 58% of survey respondents indicated that performance-reporting resources were insufficient; manual data capture and performance reporting were prevalent, with the majority of hospitals lacking sophisticated tools or technology to effectively capture, analyze and report performance data; hospitals tended to focus on those processes and outcomes with high measurability; and 53% of respondents indicated that valuable cross-system accountability, performance measures or both were not captured by current reporting requirements. PMID:25305387

  6. Hospital diversification: evaluating alternatives.

    PubMed

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival.

  7. Hospitals' internal accountability.

    PubMed

    Kraetschmer, Nancy; Jass, Janak; Woodman, Cheryl; Koo, Irene; Kromm, Seija K; Deber, Raisa B

    2014-09-01

    This study aimed to enhance understanding of the dimensions of accountability captured and not captured in acute care hospitals in Ontario, Canada. Based on an Ontario-wide survey and follow-up interviews with three acute care hospitals in the Greater Toronto Area, we found that the two dominant dimensions of hospital accountability being reported are financial and quality performance. These two dimensions drove both internal and external reporting. Hospitals' internal reports typically included performance measures that were required or mandated in external reports. Although respondents saw reporting as a valuable mechanism for hospitals and the health system to monitor and track progress against desired outcomes, multiple challenges with current reporting requirements were communicated, including the following: 58% of survey respondents indicated that performance-reporting resources were insufficient; manual data capture and performance reporting were prevalent, with the majority of hospitals lacking sophisticated tools or technology to effectively capture, analyze and report performance data; hospitals tended to focus on those processes and outcomes with high measurability; and 53% of respondents indicated that valuable cross-system accountability, performance measures or both were not captured by current reporting requirements. PMID:25305387

  8. Hospitalized Patients and Fungal Infections

    MedlinePlus

    ... but can also be caused by fungi. Hospital construction. Hospital staff do everything they can to prevent ... patients staying at hospitals where there is ongoing construction or renovation. 5 This is thought to be ...

  9. Hospital free cash flow.

    PubMed

    Kauer, R T; Silvers, J B

    1991-01-01

    Hospital managers may find it difficult to admit their investments have been suboptimal, but such investments often lead to poor returns and less future cash. Inappropriate use of free cash flow produces large transaction costs of exit. The relative efficiency of investor-owned and tax-exempt hospitals in the product market for hospital services is examined as the free cash flow theory is used to explore capital-market conditions of hospitals. Hypotheses concerning the current competitive conditions in the industry are set forth, and the implications of free cash flow for risk, capital-market efficiency, and the cost of capital to tax-exempt institution is compared to capital-market norms.

  10. Critical Access Hospitals (CAH)

    MedlinePlus

    ... CAH Conditions of Participation . What are the location requirements for CAH status? Critical Access Hospitals must be ... clinic that does not meet the CAH distance requirements? As of January 1, 2008, all CAHs, including ...

  11. Objections to hospital philosophers.

    PubMed Central

    Ruddick, W; Finn, W

    1985-01-01

    Like morally sensitive hospital staff, philosophers resist routine simplification of morally complex cases. Like hospital clergy, they favour reflective and principled decision-making. Like hospital lawyers, they refine and extend the language we use to formulate and defend our complex decisions. But hospital philosophers are not redundant: they have a wider range of principles and categories and a sharper eye for self-serving presuppositions and implicit contradictions within our practices. As semi-outsiders, they are often best able to take an 'external point of view,' unburdened by routine, details, and departmental loyalties. Their clarifications can temporarily disrupt routine, but can eventually improve staff morale, hence team practice and patient welfare. PMID:3981573

  12. Practice Hospital Bed Safety

    MedlinePlus

    ... Bed? Todd says that there is no standard definition for hospital beds, a fact that consumers shopping ... in retail stores that don’t meet the definition of medical devices under the law, but which ...

  13. Hospital free cash flow.

    PubMed

    Kauer, R T; Silvers, J B

    1991-01-01

    Hospital managers may find it difficult to admit their investments have been suboptimal, but such investments often lead to poor returns and less future cash. Inappropriate use of free cash flow produces large transaction costs of exit. The relative efficiency of investor-owned and tax-exempt hospitals in the product market for hospital services is examined as the free cash flow theory is used to explore capital-market conditions of hospitals. Hypotheses concerning the current competitive conditions in the industry are set forth, and the implications of free cash flow for risk, capital-market efficiency, and the cost of capital to tax-exempt institution is compared to capital-market norms. PMID:1743965

  14. Home versus hospital confinement

    PubMed Central

    Barry, C. N.

    1980-01-01

    The case for hospital rather than home delivery has been powerfully argued, especially in and since the Report of the Peel Committee. Nevertheless, evidence of comparison with other countries, notably the Netherlands, suggests the choice is not necessarily simple. Some general practitioner units are now reporting perinatal mortality rates which are consistently lower than those of specialist units, and recent statistical analyses suggest that the presence of more high risk cases in consultant units does not explain this. The only big controlled home-versus-hospital trial did not lead to a significantly lower perinatal mortality rate in the hospital group. The onus of proof now seems to lie with those who advocate 100 per cent hospital confinement. PMID:7373581

  15. Ecological Assessment of Two Species of Potamonautid Freshwater Crabs from the Eastern Highlands of Zimbabwe, with Implications for Their Conservation.

    PubMed

    Dalu, Tatenda; Sachikonye, Mwazvita T B; Alexander, Mhairi E; Dube, Timothy; Froneman, William P; Manungo, Kwanele I; Bepe, Onias; Wasserman, Ryan J

    2016-01-01

    The spatial ecology of freshwater crabs and their conservation status is largely understudied in Africa. An ecological assessment was conducted at 104 localities in 51 rivers and/or streams in the Eastern Highlands of Zimbabwe whereby the distribution and abundances of freshwater crab species were mapped and the possible drivers of the observed trends in population structure explored. In addition, information on crab utilisation as a food resource by local communities was assessed via face to face interviews across the region. Finally, the conservation status of each species was assessed using the IUCN Red List criteria. Only two crab species Potamonautes mutareensis and Potamonautes unispinus were recorded within the region of study. Potamonautes mutareensis was largely restricted to less impacted environments in the high mountainous river system, whereas P. unispinus was found in low laying areas. In stretches of river where both species were found to co-occur, the species were never sampled from the same site, with P. mutareensis occurring in shallower, faster flowing environments and P. unispinus in deeper, slow flowing sites. Interview results revealed that the local communities, particularly in the southern part of the Eastern Highlands around the Chipinge area, had a considerable level of utilisation (55% of households) on the harvesting of crabs for household consumption during the non-agricultural season (May to September). Results from the IUCN Red List assessment indicate that both species should be considered as "Least Concern". Threats to freshwater crabs in the Eastern Highlands, however, include widespread anthropogenic impacts such as habitat destruction associated with gold and diamond mining, inorganic and organic pollution and possibly exploitation for human consumption. The current study provides important information and insight towards the possible development of a freshwater crab conservation action plan within the region. PMID:26751064

  16. Psychosocial Results from a Phase I Trial of a Nonsurgical Circumcision Device for Adult Men in Zimbabwe.

    PubMed

    Kasprzyk, Danuta; Montaño, Daniel E; Hamilton, Deven T; Down, Kayla L; Marrett, Karl D; Tshimanga, Mufuta; Xaba, Sinokuthemba; Mugurungi, Owen

    2016-01-01

    Male circumcision (MC), an effective HIV prevention tool, has been added to Zimbabwe's Ministry of Health and Child Care HIV/AIDS Prevention Program. A Phase I safety trial of a nonsurgical male circumcision device was conducted and extensive psychosocial variables were assessed. Fifty-three men (18 and older) were recruited for the device procedure; 13 follow-up clinical visits were completed. Interviews conducted three times (before the procedure, at 2 weeks and 90 days post-procedure) assessed: Satisfaction; expectations; actual experience; activities of daily living; sexual behavior; and HIV risk perception. Using the Integrated Behavioral Model, attitudes towards MC, sex, and condoms, and sources of social influence and support were also assessed. Men (mean age 32.5, range 18-50; mean years of education = 13.6; 55% employed) were satisfied with device circumcision results. Men understand that MC is only partially protective against HIV acquisition. Most (94.7%) agreed that they will continue to use condoms to protect themselves from HIV. Pain ratings were surprisingly negative for a procedure billed as painless. Men talked to many social networks members about their MC experience; post-procedure (mean of 14 individuals). Minimal impact on activities of daily living and absenteeism indicate possible cost savings of device circumcisions. Spontaneous erections occurred frequently post-procedure. The results had important implications for changes in the pre-procedure clinical counseling protocol. Clear-cut counseling to manage pain and erection expectations should result in improved psychosocial outcomes in future roll-out of device circumcisions. Men's expectations must be managed through evidence-based counseling, as they share their experiences broadly among their social networks. PMID:26745142

  17. Is the Pungwe water supply project a solution to water accessibility and sanitation problems for the households of Sakubva, Zimbabwe?

    NASA Astrophysics Data System (ADS)

    Mukheli, Azwidowi; Mosupye, Gilbert; Swatuk, Larry A.

    Following the severe drought of 1991-92, the City of Mutare embarked upon a concerted search for a secure water supply. This search culminated in the decision to transfer water from the Pungwe River via pipeline to the City of Mutare. This project was heralded as bringing ‘purity, security, and prosperity’ to the people of Mutare. Once again, and as is typical of Southern Africa today, a new ‘supply’ was presented as the ‘solution’ to the city’s water problems. In this paper, we challenge this claim by presenting the case of Sakubva, a low income, and high-density suburb of Mutare, Zimbabwe. Residents of Sakubva face many problems relating to water supply and sanitation. Has the Pungwe-Mutare Water Project ‘solved’ these problems? In short, we argue that while the Pungwe project has ensured a steady supply of clean water to Sakubva, this water inadvertently worsens many of Sakubva’s extant water and sanitation problems. In the absence of appropriate water demand management measures, supply alone is as much burden as it is blessing. In terms of methodology, between July 2000 and July 2001, members of the research team made several visits to the study area. This included a two-week home stay for two of the researchers--one in a private home in New Dangare, one in a shack in Muchena. Aside from direct participation and informal observation, a variety of methods were used: formal, semi-/structured interviews with key informants; informal, semi-structured interviews and focus group discussions with a cross-section of residents in Sakubva; transect walks where interviews were carried out both on formal and informal bases. Two peer educators from the Voices of Concerned Youth, City Health Department, Mutare assisted researchers. In addition, primary and secondary data were consulted.

  18. “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

  19. Perspectives of Parents and Health Care Workers on Early Infant Male Circumcision Conducted Using Devices: Qualitative Findings From Harare, Zimbabwe

    PubMed Central

    Mavhu, Webster; Hatzold, Karin; Ncube, Getrude; Fernando, Shamiso; Mangenah, Collin; Chatora, Kumbirai; Mugurungi, Owen; Ticklay, Ismail; Cowan, Frances M

    2016-01-01

    ABSTRACT Background: The World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) recommend early infant male circumcision (EIMC) for prevention of HIV. Here, we present findings from a qualitative study in Zimbabwe that assessed parental and health care workers' perspectives of EIMC conducted using devices. Methods: This qualitative study was nested within a trial of EIMC devices. Between January and May 2013, we held 4 focus group discussions (FGDs) and 12 in-depth interviews with parents and 12 in-depth interviews with clinicians (7 trial clinicians and 5 non-trial clinicians). We also conducted 95 short telephone interviews with parents who had arranged to bring their sons for EIMC but then defaulted. Results: Parents who had adopted EIMC spoke of their initial anxieties about the procedure. Additionally, they commented on both the procedure and outcome. Parents who decided against EIMC cited fear of harm, specifically the infant's death, penile injury, and excessive pain. Misperceptions about male circumcision in general and EIMC specifically were a significant barrier to EIMC adoption and were prevalent among health care workers as well as parents. In particular, the findings suggest strong parental concerns about the fate of the discarded foreskin. Parents who chose EIMC for their newborn sons felt that the procedure was safe and expressed satisfaction with the outcome. For their part, health care workers largely thought that EIMC was safe and that the outcome was aesthetically pleasing. They also felt that it would be feasible to offer wide-scale EIMC for HIV prevention in the public sector; they recommended strategies to increase EIMC uptake, in addition to highlighting a few concerns. Conclusions: The qualitative study enables us to better understand parental and health care workers' perspectives of EIMC conducted using devices, especially their perspectives on EIMC safety, feasibility, acceptability, and barriers. These findings

  20. Where, When and Why Do Tsetse Contact Humans? Answers from Studies in a National Park of Zimbabwe

    PubMed Central

    Torr, Stephen J.; Chamisa, Andrew; Mangwiro, T. N. Clement; Vale, Glyn A.

    2012-01-01

    Background Sleeping sickness, also called human African trypanosomiasis, is transmitted by the tsetse, a blood-sucking fly confined to sub-Saharan Africa. The form of the disease in West and Central Africa is carried mainly by species of tsetse that inhabit riverine woodland and feed avidly on humans. In contrast, the vectors for the East and Southern African form of the disease are usually savannah species that feed mostly on wild and domestic animals and bite humans infrequently, mainly because the odours produced by humans can be repellent. Hence, it takes a long time to catch many savannah tsetse from people, which in turn means that studies of the nature of contact between savannah tsetse and humans, and the ways of minimizing it, have been largely neglected. Methodology/Principal Findings The savannah tsetse, Glossina morsitans morsitans and G. pallidipes, were caught from men in the Mana Pools National park of Zimbabwe. Mostly the catch consisted of young G. m. morsitans, with little food reserve. Catches were increased by 4–8 times if the men were walking, not stationary, and increased about ten times more if they rode on a truck at 10 km/h. Catches were unaffected if the men used deodorant or were baited with artificial ox odour, but declined by about 95% if the men were with an ox. Surprisingly, men pursuing their normal daily activities were bitten about as much when in or near buildings as when in woodland. Catches from oxen and a standard ox-like trap were poor indices of the number and physiological state of tsetse attacking men. Conclusion/Significance The search for new strategies to minimize the contact between humans and savannah tsetse should focus on that occurring in buildings and vehicles. There is a need to design a man-like trap to help to provide an index of sleeping sickness risk. PMID:22953013