Measuring Health System Strengthening: Application of the Balanced Scorecard Approach to Rank the Baseline Performance of Three Rural Districts in Zambia

PubMed Central

Mutale, Wilbroad; Godfrey-Fausset, Peter; Mwanamwenge, Margaret Tembo; Kasese, Nkatya; Chintu, Namwinga; Balabanova, Dina; Spicer, Neil; Ayles, Helen

2013-01-01

Introduction There is growing interest in health system performance and recently WHO launched a report on health systems strengthening emphasising the need for close monitoring using system-wide approaches. One recent method is the balanced scorecard system. There is limited application of this method in middle- and low-income countries. This paper applies the concept of balanced scorecard to describe the baseline status of three intervention districts in Zambia. Methodology The Better Health Outcome through Mentoring and Assessment (BHOMA) project is a randomised step-wedged community intervention that aims to strengthen the health system in three districts in the Republic of Zambia. To assess the baseline status of the participating districts we used a modified balanced scorecard approach following the domains highlighted in the MOH 2011 Strategic Plan. Results Differences in performance were noted by district and residence. Finance and service delivery domains performed poorly in all study districts. The proportion of the health workers receiving training in the past 12 months was lowest in Kafue (58%) and highest in Luangwa district (77%). Under service capacity, basic equipment and laboratory capacity scores showed major variation, with Kafue and Luangwa having lower scores when compared to Chongwe. The finance domain showed that Kafue and Chongwe had lower scores (44% and 47% respectively). Regression model showed that children's clinical observation scores were negatively correlated with drug availability (coeff −0.40, p = 0.02). Adult clinical observation scores were positively association with adult service satisfaction score (coeff 0.82, p = 0.04) and service readiness (coeff 0.54, p = 0.03). Conclusion The study applied the balanced scorecard to describe the baseline status of 42 health facilities in three districts of Zambia. Differences in performance were noted by district and residence in most domains with finance and service delivery

A Novel Multivoxel-Based Quantitation of Metabolites and Lipids Noninvasively Combined with Diffusion-Weighted Imaging in Breast Cancer

DTIC Science & Technology

2012-09-01

scanner. Report of the Progress: Multi-slice DWI-MRI and 4D EP-COSI was tested in 2 malignant and 3 benign breast cancer patients and 6 healthy...for improving the overall specificity. • We are currently testing retrospective Maximum Entropy and Compressed Sensing of the 4D EP-COSI data so that...MRS. NMR in Biomed. 2008;22(1):77-91. 2 Kobus T, Vos PC, Hambrock T, De Rooij M, Hulsbergen-Van de Kaa CA, Barentsz JO, Heerschap A, Scheenen TW

Impact of a large tropical reservoir on riverine transport of sediment, carbon, and nutrients to downstream wetlands

NASA Astrophysics Data System (ADS)

Kunz, Manuel J.; Wüest, Alfred; Wehrli, Bernhard; Landert, Jan; Senn, David B.

2011-12-01

Large dams can have major ecological and biogeochemical impacts on downstream ecosystems such as wetlands and riparian habitats. We examined sediment removal and carbon (C), nitrogen (N), and phosphorus (P) cycling in Itezhi-Tezhi Reservoir (ITT; area = 364 km2, hydraulic residence time = 0.7 yr), which is located directly upstream of a high ecological value floodplain ecosystem (Kafue Flats) in the Zambezi River Basin. Field investigations (sediment cores, sediment traps, water column samples), mass balance estimates, and a numerical biogeochemical reservoir model were combined to estimate N, P, C, and sediment removal, organic C mineralization, primary production, and N fixation. Since dam completion in 1978, 330 × 103 tons (t) of sediment and 16 × 103, 1.5 × 103, 200 t of C, N, and P, respectively, have accumulated annually in ITT sediments. Approximately 50% of N inputs and 60% of P inputs are removed by the reservoir, illustrating its potential in decreasing nutrients to the downstream Kafue Flats floodplain. The biogeochemical model predicted substantial primary production in ITT (˜280 g C m-2 yr-1), and significant N-fixation (˜30% for the total primary production) was required to support primary production due to marginal inputs of inorganic N. Model simulations indicate that future hydropower development in the reservoir, involving the installation of turbines driven by hypolimnetic water, will likely result in the delivery of low-oxygen waters to downstream ecosystems and increased outputs of dissolved inorganic N and P by a factor of ˜4 and ˜2 compared to current dam management, respectively.

Zygomycetes From Herbivore Dung in the Ecological Reserve of Dois IrmÃOs, Northeast Brazil

PubMed Central

de Azevedo Santiago, André Luiz Cabral Monteiro; Botelho Trufem, Sandra Farto; Malosso, Elaine; dos Santos, Paulo Jorge Parreira; de Queiroz Cavalcanti, Maria Auxiliadora

2011-01-01

Thirty-eight taxa of Zygomycetes distributed in 15 genera were recorded from tapir (Tapirus terrestris), camel (Camelus bactrianus), horse (Equus caballus), deer (Cervus elaphus), agouti (Dasyprocta aguti), donkey (Equus asinus), llama (Llama glama) and waterbuck (Kobus ellipsiprymnus) dung collected at the Reserva Ecológica de Dois Irmãos located in Recife, State of Pernambuco, Northeast Brazil. The samples were collected on a monthly basis from June 2005 to May 2006, taken to the laboratory and incubated in moist chambers. Higher number of taxa was observed in the excrements of tapir, followed by deer and donkey. The highest number of species was detected for Mucor, followed by Pilobolus. Statistical analyses showed significant differences in richness of Zygomycetes taxa between the herbivore dung types. Differences of species composition, however, were weak. Seasonality influenced the Zygomycetes species composition but not its richness. Variations in taxa composition between ruminants and non-ruminants dung were non significant. PMID:24031609

Zygomycetes From Herbivore Dung in the Ecological Reserve of Dois IrmÃOs, Northeast Brazil.

PubMed

de Azevedo Santiago, André Luiz Cabral Monteiro; Botelho Trufem, Sandra Farto; Malosso, Elaine; Dos Santos, Paulo Jorge Parreira; de Queiroz Cavalcanti, Maria Auxiliadora

2011-01-01

Thirty-eight taxa of Zygomycetes distributed in 15 genera were recorded from tapir (Tapirus terrestris), camel (Camelus bactrianus), horse (Equus caballus), deer (Cervus elaphus), agouti (Dasyprocta aguti), donkey (Equus asinus), llama (Llama glama) and waterbuck (Kobus ellipsiprymnus) dung collected at the Reserva Ecológica de Dois Irmãos located in Recife, State of Pernambuco, Northeast Brazil. The samples were collected on a monthly basis from June 2005 to May 2006, taken to the laboratory and incubated in moist chambers. Higher number of taxa was observed in the excrements of tapir, followed by deer and donkey. The highest number of species was detected for Mucor, followed by Pilobolus. Statistical analyses showed significant differences in richness of Zygomycetes taxa between the herbivore dung types. Differences of species composition, however, were weak. Seasonality influenced the Zygomycetes species composition but not its richness. Variations in taxa composition between ruminants and non-ruminants dung were non significant.

Species distribution of kobs (Kobus kob) in the Shai Hills Resource Reserve: an exploratory analysis.

PubMed

Antwi, Raymond Agyepong; Owusu, Erasmus Henaku; Attuquayefio, Daniel Korley

2018-02-01

The well-being of a species fundamentally rests on understanding its biology, home range, and distribution. The highly seasonal distribution of kobs poses conservation and management difficulties, particularly because of the capricious nature of the ever-changing ecological and vegetation dynamics of the ecosystem. Assessing the distribution of kobs and their associated vegetation provides insight into the vulnerability and conservation status of the species. Species distribution and habitat suitability maps were developed and created respectively for the management of kobs in the Shai Hills Resource Reserve. Kob presence data collected was analyzed using the spatial analyst and Hawth's tool in the ArcGIS software where the gradients of kob distribution within the protected area landscape were plotted and mapped. Seven environmental variables including location, land cover/use, slope/elevation, nearness to dams and rivers, temperature, and rainfall were considered to have effect on kob distribution pattern and as such used in the development of species distribution and habitat suitability maps. The results indicated that kobs in the Shai Hills Resource Reserve (SHRR) assume a clumped or contagious distribution pattern where individual kobs are aggregated in patches. Rainfall, temperature, nearness to dams and rivers, slope/elevation, and land cover/use had influence in kob distribution. Of all the cataloged habitats, 86, 13, and 1% were moderately suitable, suitable, and unsuitable, respectively. Long-term survival of species depends on adequately large areas of suitable habitats and opportunities for home range activities between such areas. As such, it is recommended that suitable habitats for kobs be dedicated and designated as conservation areas, especially areas along the western boundary.

Pollutant loads and water quality in streams of heavily populated and industrialised towns

NASA Astrophysics Data System (ADS)

Ntengwe, F. W.

The availability of portable water is often taken for granted and water allowed to get polluted. Industries, settlements, farms, markets, leaking sewer lines, poor hygiene practices are all potential sources of pollution. Each pollutant has its own effect on water and the environment. A study was conducted in Kitwe Stream in order to establish whether engineering and other human activities affect water quality. Samples were collected at ten points, the first point being at the source while the tenth point was at the confluence with the Kafue River. The samples were analysed for physical, chemical and biological parameters. The results revealed high levels of concentration and loads of total suspended solids (TSS). The points with high TSS values were P4 (118 mg/l) and P6 (140 mg/l) representing daily loads of 7.74 and 8.71 tonnes, respectively. The highest values of coliform were found at points P9 (2099), P10 (2558) followed by P4 (1149), P5 (1256) and P6 (1370). High values of nitrites were found at points P4 (34 mg/l), P5 (32 mg/l), P6 (21 mg/l) and P10 (12.4 mg/l). Chlorides were also found to be high at points P4, P5 and P6 with values of 70 mg/l, 80 mg/l and 87 mg/l, respectively. These parameters exceeded the maximum contaminant level (MCL) of 100 mg/l for TSS, 1 mg/l for nitrites, 500/100 ml for coliform in Zambia. The conductivity and coliform were also found to be high (>500 μS/cm, >500). The benthic study revealed a normal diversity of invertebrates but chironomidae was found to be on average 60% of total species counted. The fish activity was high upstream and low downstream at the mouth of the stream where it joins the Kafue River. There was no fish activity at the middle points. The planktons (phytoplankton and zooplankton) count revealed a high count (15-30 per ml) in places where there was high fish activity and a low count (1-5 per ml) where there was no activity. The stream water quality was therefore affected by the human activities.

Infants and young children feeding practices and nutritional status in two districts of Zambia.

PubMed

Katepa-Bwalya, Mary; Mukonka, Victor; Kankasa, Chipepo; Masaninga, Freddie; Babaniyi, Olusegun; Siziya, Seter

2015-01-01

Appropriate feeding is important in improving nutrition and child survival. Documentation of knowledge of caregiver on infant feeding is scanty in Zambia. The aim of this study was to describe feeding practices and nutritional status among infants and young children (IYC) in two districts in Zambia: Kafue and Mazabuka. A cross-sectional study was conducted between January and March 2006 using both quantitative and qualitative methods. A questionnaire was administered to caregiver of children aged under24 months. Lengths and weights of all children were measured. Focused group discussions were conducted in selected communities to assess parents or guardian knowledge, attitude and practice related to infant feeding. A total of 634 caregivers (361 from Kafue and 273 from Mazabuka) participated in the study. About 311/618 (54.0%) of the caregiver knew the definition and recommended duration of exclusive breastfeeding (EBF) and when to introduce complementary feeds. Two hundred and fifty-one (81.2%) out of 310 respondents had acquired this knowledge from the health workers. Only 145/481 (30.1%) of the respondents practiced exclusive breastfeeding up to six months with 56/626 (8.9%) of the mothers giving prelacteal feeds. Although 596/629 (94.8%) of the respondents reported that the child does not need anything other than breast milk in the first three days of life, only 318/630 (50.5%) of them considered colostrum to be good. Complementary feeds were introduced early before six months of age and were usually not of adequate quality and quantity. Three hundred and ninety-one (64%) out of 603 caregivers knew that there would be no harm to the child if exclusively breastfed up to six months. Most of the children's nutritional status was normal with 25/594 (4.2%) severely stunted, 10/596 (1.7%) severely underweight and 3/594 (0.5%) severely wasted. The caregiver in the communities knew about the recommended feeding practices, but this knowledge did not translate into good

Mio-Pliocene Faunal Exchanges and African Biogeography: The Record of Fossil Bovids

PubMed Central

Bibi, Faysal

2011-01-01

The development of the Ethiopian biogeographic realm since the late Miocene is here explored with the presentation and review of fossil evidence from eastern Africa. Prostrepsiceros cf. vinayaki and an unknown species of possible caprin affinity are described from the hominid-bearing Asa Koma and Kuseralee Members (∼5.7 and ∼5.2 Ma) of the Middle Awash, Ethiopia. The Middle Awash Prostrepsiceros cf. vinayaki constitutes the first record of this taxon from Africa, previously known from the Siwaliks and Arabia. The possible caprin joins a number of isolated records of caprin or caprin-like taxa recorded, but poorly understood, from the late Neogene of Africa. The identification of these two taxa from the Middle Awash prompts an overdue review of fossil bovids from the sub-Saharan African record that demonstrate Eurasian affinities, including the reduncin Kobus porrecticornis, and species of Tragoportax. The fossil bovid record provides evidence for greater biological continuity between Africa and Eurasia in the late Miocene and earliest Pliocene than is found later in time. In contrast, the early Pliocene (after 5 Ma) saw the loss of any significant proportions of Eurasian-related taxa, and the continental dominance of African-endemic taxa and lineages, a pattern that continues today. PMID:21358825

Evaluation of ginkgo as a biomonitor of airborne polycyclic aromatic hydrocarbons

NASA Astrophysics Data System (ADS)

Murakami, Michio; Abe, Maho; Kakumoto, Yoriko; Kawano, Hiromi; Fukasawa, Hiroko; Saha, Mahua; Takada, Hideshige

2012-07-01

The utility of ginkgo leaves as biomonitors of airborne polycyclic aromatic hydrocarbons (PAHs) was evaluated. We investigated PAH concentrations among tree species, the effect of variations in leaf position in a tree, tissue distributions, correlations between ginkgo leaves and air, and seasonal variations. Among the five species examined (Ginkgo biloba L., Zelkova serrata Makino, Liriodendron tulipifera L., Prunus yedoensis Matsum, and Magnolia kobus DC.), ginkgo accumulated the greatest amount of PAHs from roadside air. Most PAHs (˜80%) were accumulated in the wax fraction, and most of the remainder (17%) penetrated the inner tissues of the leaves. PAH concentrations in ginkgo leaves decreased with increasing height and distance from the road, reflecting the derivation of PAHs from vehicle emissions. Seasonal time-series sampling showed that PAH concentrations in ginkgo leaves increased with time, attributable to the effects of temperature and accumulation through long-term exposure. Concentrations in ginkgo leaves collected from various roads showed a strong and significant correlation with those in air collected by a high-volume air sampler (r2 = 0.68, P < 0.01). Ginkgo leaf data clearly showed a dramatic decrease in the ratio of low-molecular-weight (LMW) PAHs to high-molecular-weight PAHs from 2001 or 2002 to 2006, indicating that on-road diesel emission regulations effectively reduced LMW PAH concentrations in air.

Metallothionein from Wild Populations of the African Catfish Clarias gariepinus: From Sequence, Protein Expression and Metal Binding Properties to Transcriptional Biomarker of Metal Pollution

PubMed Central

M’kandawire, Ethel; Mierek-Adamska, Agnieszka; Stürzenbaum, Stephen R.; Choongo, Kennedy; Yabe, John; Mwase, Maxwell; Saasa, Ngonda; Blindauer, Claudia A.

2017-01-01

Anthropogenic pollution with heavy metals is an on-going concern throughout the world, and methods to monitor release and impact of heavy metals are of high importance. With a view to probe its suitability as molecular biomarker of metal pollution, this study has determined a coding sequence for metallothionein of the African sharptooth catfish Clarias gariepinus. The gene product was recombinantly expressed in Escherichia coli in presence of Zn(II), Cd(II), or Cu, and characterised by Electrospray Ionisation Mass Spectrometry and elemental analysis. C. gariepinus MT displays typical features of fish MTs, including 20 conserved cysteines, and seven bound divalent cations (Zn(II) or Cd(II)) when saturated. Livers from wild C. gariepinus fish collected in all three seasons from four different sites on the Kafue River of Zambia were analysed for their metal contents and for MT expression levels by quantitative PCR. Significant correlations were found between Zn and Cu levels and MT expression in livers, with MT expression clearly highest at the most polluted site, Chililabombwe, which is situated in the Copperbelt region. Based on our findings, hepatic expression of MT from C. gariepinus may be further developed as a major molecular biomarker of heavy metal pollution resulting from mining activities in this region. PMID:28718783

Metallothionein from Wild Populations of the African Catfish Clarias gariepinus: From Sequence, Protein Expression and Metal Binding Properties to Transcriptional Biomarker of Metal Pollution.

PubMed

M'kandawire, Ethel; Mierek-Adamska, Agnieszka; Stürzenbaum, Stephen R; Choongo, Kennedy; Yabe, John; Mwase, Maxwell; Saasa, Ngonda; Blindauer, Claudia A

2017-07-18

Anthropogenic pollution with heavy metals is an on-going concern throughout the world, and methods to monitor release and impact of heavy metals are of high importance. With a view to probe its suitability as molecular biomarker of metal pollution, this study has determined a coding sequence for metallothionein of the African sharptooth catfish Clarias gariepinus . The gene product was recombinantly expressed in Escherichia coli in presence of Zn(II), Cd(II), or Cu, and characterised by Electrospray Ionisation Mass Spectrometry and elemental analysis. C. gariepinus MT displays typical features of fish MTs, including 20 conserved cysteines, and seven bound divalent cations (Zn(II) or Cd(II)) when saturated. Livers from wild C. gariepinus fish collected in all three seasons from four different sites on the Kafue River of Zambia were analysed for their metal contents and for MT expression levels by quantitative PCR. Significant correlations were found between Zn and Cu levels and MT expression in livers, with MT expression clearly highest at the most polluted site, Chililabombwe, which is situated in the Copperbelt region. Based on our findings, hepatic expression of MT from C. gariepinus may be further developed as a major molecular biomarker of heavy metal pollution resulting from mining activities in this region.

Zambia : long-term generation expansion study - executive summary.

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

Conzelmann, G.; Koritarov, V.; Buehring, W.

2008-02-28

The objective of this study is to analyze possible long-term development options of the Zambian electric power system in the period up to 2015. The analysis involved the hydro operations studies of the Zambezi river basin and the systems planning studies for the least-cost generation expansion planning. Two well-known and widely accepted computer models were used in the analysis: PC-VALORAGUA model for the hydro operations and optimization studies and the WASP-III Plus model for the optimization of long-term system development. The WASP-III Plus model is a part of the Argonne National Laboratory's Energy and Power Evaluation Model (ENPEP). The analysismore » was conducted in close collaboration with the Zambia Electricity Supply Corporation (ZESCO). On the initiative from The World Bank, the sponsor of the study, ZESCO formed a team of experts that participated in the analysis and were trained in the use of computer models. Both models were transferred to ZESCO free of charge and installed on several computers in the ZESCO corporate offices in Lusaka. In September-October 1995, two members of the ZESCO National Team participated in a 4-week training course at Argonne National Laboratory near Chicago, U.S.A., focusing on the long-term system expansion planning using the WASP and VALORAGUA models. The hydropower operations studies were performed for the whole Zambezi river basin, including the full installation of the Kariba power station, and the Cahora Bassa hydro power station in Mozambique. The analysis also included possible future projects such as Itezhi-Tezhi, Kafue Gorge Lower, and Batoka Gorge power stations. As hydropower operations studies served to determine the operational characteristics of the existing and future hydro power plants, it was necessary to simulate the whole Zambezi river basin in order to take into account all interactions and mutual influences between the hydro power plants. In addition, it allowed for the optimization of reservoir

Temporal variability and spatial distribution of suspended matter and organic C pool in the Zambezi River

NASA Astrophysics Data System (ADS)

Teodoru, Cristian R.; Bouillon, Steven; Borges, Alberto V.; Darchambeau, François; Nyoni, Frank C.; Nyambe, Imasiku

2014-05-01

It is increasingly recognized that rivers are active components of global carbon (C) cycling, able of processing, emitting into atmosphere, and transporting to the oceans large quantities of both organic and inorganic carbon derived from the surrounding terrestrial landscape. Although tropical rivers contribute with more than half to the global freshwater discharge to the oceans, there is surprisingly little information on biogeochemistry and C cycling of those systems, especially for Africa. As part of a broader study on the biogeochemistry of large African river basins, we present here data on temporal and spatial variability of total suspended matter (TSM), particulate (POC) and dissolved organic C (DOC) in the Zambezi River (length = 2900 km, catchment area > 1.4 million km2, annual discharge ~ 4150 m3/s) in relation to physico-chemical proprieties (conductivity, oxygen, pH, total alkalinity), bacterial respiration, primary production and net aquatic metabolism. Data were collected along the entire river stretch during 2012 and 2013, and over 2 climatic (dry and wet) seasons to constrain the interannual variability, seasonality and spatial heterogeneity of the investigated parameters, and at two monitoring stations: one on the Zambezi mainstream, and one on the Kafue River (major tributary of the Zambezi; total length ~ 1900 km, catchment ~ 156, 000 km2, annual discharge = 350 m3/s), both located several km upstream their confluence. During the two sampled years, TSM concentrations varied from 1.6 mg/L to 110 mg/L (mean 17 in 2012 and 29 mg/L in 2013) and were systematically higher in the river mainstream (mean 21 mg/L and 36 mg/L in 2012 and 2013, respectively) compared to both reservoirs (the Kariba and the Cahora Bassa) where TSM concentrations average 2.5 mg/L. Despite the disturbance along the aquatic continuum caused by the presence of the two man-made reservoirs, a distinct longitudinal pattern was observed during both years, with TSM increasing

Parasites of South African wildlife. XIX. The prevalence of helminths in some common antelopes, warthogs and a bushpig in the Limpopo province, South Africa.

PubMed

Van Wyk, Ilana C; Boomker, Joop

2011-11-10

Little work has been conducted on the helminth parasites of artiodactylids in the northern and western parts of the Limpopo province, which is considerably drier than the rest of the province. The aim of this study was to determine the kinds and numbers of helminth that occur in different wildlife hosts in the area as well as whether any zoonotic helminths were present. Ten impalas (Aepyceros melampus), eight kudus (Tragelaphus strepsiceros), four blue wildebeest (Connochaetes taurinus), two black wildebeest (Connochaetes gnou), three gemsbok (Oryx gazella), one nyala (Tragelaphus angasii), one bushbuck (Tragelaphus scriptus), one waterbuck (Kobus ellipsiprymnus), six warthogs (Phacochoerus aethiopicus) and a single bushpig (Potamochoerus porcus) were sampled from various localities in the semi-arid northern and western areas of the Limpopo province. New host-parasite associations included Trichostrongylus deflexus from blue wildebeest, Agriostomum gorgonis from black wildebeest, Stilesia globipunctata from the waterbuck and Fasciola hepatica in a kudu. The mean helminth burden, including extra-gastrointestinal helminths, was 592 in impalas, 407 in kudus and blue wildebeest, 588 in black wildebeest, 184 in gemsbok, and 2150 in the waterbuck. Excluding Probstmayria vivipara, the mean helminth burden in warthogs was 2228 and the total nematode burden in the bushpig was 80. The total burdens and species richness of the helminths in this study were consistently low when compared with similar studies on the same species in areas with higher rainfall. This has practical implications when animals are translocated to areas with higher rainfall and higher prevalence of helminths.

An Acute Multispecies Episode of Sheep-Associated Malignant Catarrhal Fever in Captive Wild Animals in an Italian Zoo.

PubMed

Frontoso, R; Autorino, G L; Friedrich, K G; Li, H; Eleni, C; Cocumelli, C; Di Cerbo, P; Manna, G; Scicluna, M T

2016-12-01

In July 2011, in a zoological garden in Rome, Italy, malignant catarrhal fever (MCF), a fatal, systemic disease of Artiodactyla, was suspected on the basis of neurological signs and gross lesions observed in a banteng, the first animal to die of this infection. An MCF type-specific PCR with subsequent sequencing of the PCR amplicon confirmed the aetiological agent as ovine herpesvirus-2 (OvHV-2). Biological samples were collected from the dead animals for gross, histological, bacteriological, virological and serological examinations. An epidemiological investigation was conducted to identify the source of the outbreak, as further deaths due to OvHV-2 still occurred after the removal of the acknowledged reservoirs, domestic sheep and goats. For this purpose, samples from other susceptible species and reservoir hosts were collected for virological and serological analysis. In conjunction, a retrospective sero-investigation was conducted on sera collected between 1999 and 2010 from some of the species involved in the present episode. In total, 11 animals belonging to four different species (banteng, Himalayan tahr, Nile lechwe and sika deer) died between July 2011 and October 2012. The severe gross and histological lesions were consistent with the disease, namely haemorrhages and congestion of several organs as well as lymphoid cell infiltrates and vasculitis of varying severity. The virological tests confirmed that all animals had died of sheep-associated MCF. The investigation indicated that the OvHV-2 infection could have been due to the arrival of sheep in the petting zoo, with cases commencing after first lambing and subsequent shedding of virus. This was also supported by the serological retrospective study that indicated limited previous MCF virus circulation. Further MCF cases that occurred even after the removal of the domestic sheep and goats were attributed to the mouflon. This episode confirms the importance of biosecurity measures in zoos, which house MCF

Buffalo, Bush Meat, and the Zoonotic Threat of Brucellosis in Botswana

PubMed Central

Alexander, Kathleen Anne; Blackburn, Jason Kenna; Vandewalle, Mark Eric; Pesapane, Risa; Baipoledi, Eddie Kekgonne; Elzer, Phil H.

2012-01-01

Background Brucellosis is a zoonotic disease of global importance infecting humans, domestic animals, and wildlife. Little is known about the epidemiology and persistence of brucellosis in wildlife in Southern Africa, particularly in Botswana. Methods Archived wildlife samples from Botswana (1995–2000) were screened with the Rose Bengal Test (RBT) and fluorescence polarization assay (FPA) and included the African buffalo (247), bushbuck (1), eland (5), elephant (25), gemsbok (1), giraffe (9), hartebeest (12), impala (171), kudu (27), red lechwe (10), reedbuck (1), rhino (2), springbok (5), steenbok (2), warthog (24), waterbuck (1), wildebeest (33), honey badger (1), lion (43), and zebra (21). Human case data were extracted from government annual health reports (1974–2006). Findings Only buffalo (6%, 95% CI 3.04%–8.96%) and giraffe (11%, 95% CI 0–38.43%) were confirmed seropositive on both tests. Seropositive buffalo were widely distributed across the buffalo range where cattle density was low. Human infections were reported in low numbers with most infections (46%) occurring in children (<14 years old) and no cases were reported among people working in the agricultural sector. Conclusions Low seroprevalence of brucellosis in Botswana buffalo in a previous study in 1974 and again in this survey suggests an endemic status of the disease in this species. Buffalo, a preferred source of bush meat, is utilized both legally and illegally in Botswana. Household meat processing practices can provide widespread pathogen exposure risk to family members and the community, identifying an important source of zoonotic pathogen transmission potential. Although brucellosis may be controlled in livestock populations, public health officials need to be alert to the possibility of human infections arising from the use of bush meat. This study illustrates the need for a unified approach in infectious disease research that includes consideration of both domestic and wildlife

Responses of Glossina morsitans morsitans to blends of electroantennographically active compounds in the odors of its preferred (buffalo and ox) and nonpreferred (waterbuck) hosts.

PubMed

Gikonyo, Nicholas K; Hassanali, Ahmed; Njagi, Peter G N; Saini, Rajinder K

2003-10-01

In a previous study, comparison of the behavior of teneral Glossina morsitans morsitans on waterbuck, Kobus defassa (a refractory host), and on two preferred hosts, buffalo, Syncerus caffer, and ox, Bos indicus, suggested the presence of allomones in the waterbuck odor. Examination of the volatile odors by coupled gas chromatography-electroantennographic detection showed that the antennal receptors of the flies detected constituents common to the three bovids (phenols and aldehydes), as well as a series of compounds specific to waterbuck, including C8-C13 methyl ketones, delta-octalactone, and phenols. In this study, behavioral respones of teneral G. m. morsitans to different blends of these compounds were evaluated in a choice wind tunnel. The flies' responses to known or putative attractant blends (the latter comprising EAG-active constituents common to all three animals and those common to buffalo and ox, excluding the known tseste attractants, 4-methylphenol and 3-n-propylphenol), and to putative repellent (the blend of EAG-active compounds specific to the waterbuck volatiles), were different. A major difference related to their initial and final behaviors. When a choice of attractant blends (known or putative) and clean air was presented, flies initially responded by flying upwind toward the odor source, but later moved downwind and rested on either side of the tunnel, with some preference for the side with the odor treatments. However, when presented with a choice of waterbuck-specific blend (putative repellent) and clean air, the flies' initial reaction appeared random; flies flew upwind on either side, but eventually settled down on the odorless side of the tunnel. Flies that flew up the odor plume showed an aversion behavior to the blend. The results lend further support to previous indications for the existence of a tsetse repellent blend in waterbuck body odor and additional attractive constituents in buffalo and ox body odors.

Multilocus phylogeography of a widespread savanna-woodland-adapted rodent reveals the influence of Pleistocene geomorphology and climate change in Africa's Zambezi region.

PubMed

McDonough, Molly M; Šumbera, Radim; Mazoch, Vladimír; Ferguson, Adam W; Phillips, Caleb D; Bryja, Josef

2015-10-01

Understanding historical influences of climate and physiographic barriers in shaping patterns of biodiversity remains limited for many regions of the world. For mammals of continental Africa, phylogeographic studies, particularly for West African lineages, implicate both geographic barriers and climate oscillations in shaping small mammal diversity. In contrast, studies for southern African species have revealed conflicting phylogenetic patterns for how mammalian lineages respond to both climate change and geologic events such as river formation, especially during the Pleistocene. However, these studies were often biased by limited geographic sampling or exclusively focused on large-bodied taxa. We exploited the broad southern African distribution of a savanna-woodland-adapted African rodent, Gerbilliscus leucogaster (bushveld gerbil) and generated mitochondrial, autosomal and sex chromosome data to quantify regional signatures of climatic and vicariant biogeographic phenomena. Results indicate the most recent common ancestor for all G. leucogaster lineages occurred during the early Pleistocene. We documented six divergent mitochondrial lineages that diverged ~0.270-0.100 mya, each of which was geographically isolated during periods characterized by alterations to the course of the Zambezi River and its tributaries as well as regional 'megadroughts'. Results demonstrate the presence of a widespread lineage exhibiting demographic expansion ~0.065-0.035 mya, a time that coincides with savanna-woodland expansion across southern Africa. A multilocus autosomal perspective revealed the influence of the Kafue River as a current barrier to gene flow and regions of secondary contact among divergent mitochondrial lineages. Our results demonstrate the importance of both climatic fluctuations and physiographic vicariance in shaping the distribution of southern African biodiversity. © 2015 John Wiley & Sons Ltd.

Protecting cows in small holder farms in East Africa from tsetse flies by mimicking the odor profile of a non-host bovid

PubMed Central

Orindi, Benedict O.; Mbahin, Norber; Muasa, Peter N.; Mbuvi, David M.; Muya, Caroline M.; Pickett, John A.; Borgemeister, Christian W.

2017-01-01

Background For the first time, differential attraction of pathogen vectors to vertebrate animals is investigated for novel repellents which when applied to preferred host animals turn them into non-hosts thereby providing a new paradigm for innovative vector control. For effectively controlling tsetse flies (Glossina spp.), vectors of African trypanosomosis, causing nagana, repellents more powerful than plant derived, from a non-host animal the waterbuck, Kobus ellipsiprymnus defassa, have recently been identified. Here we investigate these repellents in the field to protect cattle from nagana by making cattle as unattractive as the buck. Methodology/Principal findings To dispense the waterbuck repellents comprising guaiacol, geranylacetone, pentanoic acid and δ-octalactone, (patent application) we developed an innovative collar-mounted release system for individual cattle. We tested protecting cattle, under natural tsetse challenge, from tsetse transmitted nagana in a large field trial comprising 1,100 cattle with repellent collars in Kenya for 24 months. The collars provided substantial protection to livestock from trypanosome infection by reducing disease levels >80%. Protected cattle were healthier, showed significantly reduced disease levels, higher packed cell volume and significantly increased weight. Collars >60% reduced trypanocide use, 72.7% increase in ownership of oxen per household and enhanced traction power (protected animals ploughed 66% more land than unprotected). Land under cultivation increased by 73.4%. Increase in traction power of protected animals reduced by 69.1% acres tilled by hand per household per ploughing season. Improved food security and household income from very high acceptance of collars (99%) motivated the farmers to form a registered community based organization promoting collars for integrated tsetse control and their commercialization. Conclusion/Significance Clear demonstration that repellents from un-preferred hosts

"When am I going to stop taking the drug?" Enablers, barriers and processes of disclosure of HIV status by caregivers to adolescents in a rural district in Zambia.

PubMed

Mweemba, Mable; Musheke, Maurice M; Michelo, Charles; Halwiindi, Hikabasa; Mweemba, Oliver; Zulu, Joseph M

2015-10-07

Disclosure of adolescents' own HIV status by caregivers is not only challenging but low. The reasons for this remain unclear despite efforts to examine and seek to understand disclosure patterns or factors that may either facilitate or inhibit this disclosure. This study explored the enablers, barriers and processes of disclosure of HIV status to adolescents by their caregivers in Kafue district of Zambia. A case study method was used to understand factors that facilitate or inhibit caregiver's ability to disclose the HIV status of adolescents aged 10-15 years. Data collected through in-depth interviews with 30 caregivers as well as 6 key informants were analysed using thematic analysis. Overall, 17 out of 30 (56.7 %) caregivers had informed the adolescents about their HIV status. Reasons for disclosing of the HIV status included inquiries by adolescents as to why they were taking medication, threats by adolescents not to take HIV medication, desire to promote treatment self-efficacy amongst adolescents as well as facilitating adoption of safe sexual behaviour among adolescents. The disclosure processes were conducted either at the home or at the clinic. Enabling factors for HIV disclosure were adolescents' knowledge of HIV and caregivers' knowledge of and experience with HIV programs. Barriers to disclosure of HIV status included fear of psychological trauma for the adolescents, perceived inability of adolescents to keep their HIV status confidential which could attract HIV stigmatisation for the family, and caregivers', fear of being blamed by the adolescents for the infection, limited disclosure skills by caregivers as well as negative attitude by some HIV counsellors. Despite challenges associated with disclosure of adolescents' own HIV status by caregivers, environments that facilitate this process exist and can be strengthened. Promoting HIV disclosure requires in-depth and context-specific understanding of the factors that enable and undermine this process

The Application of Climate Risk Informed Decision Analysis to the Ioland Water Treatment Plant in Lusaka, Zambia

NASA Astrophysics Data System (ADS)

Kucharski, John; Tkach, Mark; Olszewski, Jennifer; Chaudhry, Rabia; Mendoza, Guillermo

2016-04-01

This presentation demonstrates the application of Climate Risk Informed Decision Analysis (CRIDA) at Zambia's principal water treatment facility, The Iolanda Water Treatment Plant. The water treatment plant is prone to unacceptable failures during periods of low hydropower production at the Kafue Gorge Dam Hydroelectric Power Plant. The case study explores approaches of increasing the water treatment plant's ability to deliver acceptable levels of service under the range of current and potential future climate states. The objective of the study is to investigate alternative investments to build system resilience that might have been informed by the CRIDA process, and to evaluate the extra resource requirements by a bilateral donor agency to implement the CRIDA process. The case study begins with an assessment of the water treatment plant's vulnerability to climate change. It does so by following general principals described in "Confronting Climate Uncertainty in Water Resource Planning and Project Design: the Decision Tree Framework". By utilizing relatively simple bootstrapping methods a range of possible future climate states is generated while avoiding the use of more complex and costly downscaling methodologies; that are beyond the budget and technical capacity of many teams. The resulting climate vulnerabilities and uncertainty in the climate states that produce them are analyzed as part of a "Level of Concern" analysis. CRIDA principals are then applied to this Level of Concern analysis in order to arrive at a set of actionable water management decisions. The principal goals of water resource management is to transform variable, uncertain hydrology into dependable services (e.g. water supply, flood risk reduction, ecosystem benefits, hydropower production, etc…). Traditional approaches to climate adaptation require the generation of predicted future climate states but do little guide decision makers how this information should impact decision making. In

Contribution of market value chain to the control of African swine fever in Zambia.

PubMed

Siamupa, C; Saasa, N; Phiri, A M

2018-01-01

African swine fever (ASF) is a worldwide disease of pigs endemic in most sub-Saharan African countries. Zambia has been experiencing outbreaks of ASF for many years because the disease is endemic in the eastern part of the country, with incursion into the central part of Lusaka Province. The latest outbreaks of ASF in Lusaka occurred in 2013 with substantial pig mortalities, loss in trade, and cost of control measures and compensation of affected farmers. The aims of the study were to identify market value chain-related factors that were associated with ASF outbreaks and assess why these outbreaks are becoming frequent despite control measures being put in place. Using a mixed-method design, participants involved in the value chain were purposively sampled. Some pig farmers were included using a respondent-driven technique. Farmers came from Lusaka, Chilanga, Kafue, and Chongwe districts. Other participants included district veterinary officers, veterinary assistants, police officers, and veterinary staff manning veterinary checkpoints, abattoir and processing plant managers, meat inspectors, market chairpersons, and traders. Semi-structured questionnaires, in-depth interviews, and direct observations were used to collect data to come up with narrations, tables, and flow charts. In assessing the contribution of the value chain in ASF, aspects of ASF screening, market availability and procedures, knowledge on ASF transmission, occurrence of ASF outbreak, and regulation of pig movement were investigated. Despite government ASF control measures being applied, the following were noted: (1) low awareness levels of ASF transmission among pig farmers and traders; (2) only 50% of farmers had their animals screened for ASF before sale; (3) all the markets did not have the pork inspected; (4) laxity in enforcing livestock movement control because of inadequate police and veterinary staff manning checkpoints; (5) lack of enforcement of meat inspection and food safety

Three essays on the causes and consequences of government spending and regulatory programs

NASA Astrophysics Data System (ADS)

Bee, C. Adam

Chapter 1 assesses the impact of household car ownership on individual labor supply. Various economic theories suggest one reason for low rates of employment among low-skill, inner-city residents is that their residences are spatially separated from suburban jobs. To measure this, I exploit changes in state insurance rate regulation which has been shown to suppress auto insurance prices, thereby decreasing the cost of owning a car. I find that rate regulation increases multi-car ownership among married couples with children. I find that the additional car in the household consequently encourages married mothers to decrease their labor supply while their husbands increase their labor supply. One possible explanation of this result is that second cars are stronger complements to time spent in home production (and especially childrearing) than they are to time spent in the labor market. Chapter 2 (with Shawn Moulton) tests for political budget cycles among US municipalities. According to the political budget cycle hypothesis, in election years government officials engage in opportunistic fiscal policy manipulation for electoral gains. This chapter tests that hypothesis using data on taxes and spending for a panel of 268 US cities over the period 1970-2004. While our estimates provide no evidence of altered total expenditures or taxes in election years, we do find a 0.7 percent increase in total municipal employment, including increases in police, education, and sanitation employment. Chapter 3 (with Andrew Deines, David Lodge, and Richard Jensen) assesses trade-offs between fisheries and hydropower production in a tropical floodplain fishery. We compile catch per unit effort, total harvest, and monthly-mean hydrographs from the Kafue River in Zambia for the years 1955-1996 and develop population growth models to test for effects of density, total fisheries harvest, and water regime. We find that alteration of the flood regime has reduced fish density but enhanced

The Role of Cooperation and Information Exchange in Transnational River Basins: the Zambezi River case

NASA Astrophysics Data System (ADS)

Castelletti, A.; Giuliani, M.; Soncini-Sessa, R.

2012-12-01

The presence of multiple, institutionally independent but physically interconnected decision-makers is a distinctive features of many water resources systems, especially of transnational river basins. The adoption of a centralized approach to study the optimal operation of these systems, as mostly done in the water resources literature, is conceptually interesting to quantify the best achievable performance, but of little practical impact given the real political and institutional setting. Centralized management indeed assumes a cooperative attitude and full information exchange by the involved parties. However, when decision-makers belong to different countries or institutions, it is very likely that they act considering only their local objectives, producing global externalities that negatively impact on other objectives. In this work we adopt a Multi-Agent Systems framework, which naturally allows to represent a set of self-interested agents (decision-makers and/or stakeholders) acting in a distributed decision-making process. According to this agent-based approach, each agent represents a decision-maker, whose decisions are defined by an explicit optimization problem considering only the agent's local interests. In particular, this work assesses the role of information exchange and increasing level of cooperation among originally non-cooperative agents. The Zambezi River basin is used to illustrate the methodology: the four largest reservoirs in the basin (Ithezhithezhi, Kafue-Gorge, Kariba and Cahora Bassa) are mainly operated for maximizing the economic revenue from hydropower energy production with considerably negative effects on the aquatic ecosystem in the Zambezi delta due to the alteration of the natural flow regime. We comparatively analyse the ideal centralized solution and the current situation where all the decision-makers act independently and non-cooperatively. Indeed, although a new basin-level institution called Zambezi Watercourse Commission

Measuring governance at health facility level: developing and validation of simple governance tool in Zambia.

PubMed

Mutale, Wilbroad; Mwanamwenge, Margaret Tembo; Balabanova, Dina; Spicer, Neil; Ayles, Helen

2013-08-09

Governance has been cited as a key determinant of economic growth, social advancement and overall development. Achievement of millennium development goals is partly dependant on governance practices. In 2007, Health Systems 20/20 conducted an Internet-based survey on the practice of good governance. The survey posed a set of good practices related to health governance and asked respondents to indicate whether their experience confirmed or disconfirmed those practices. We applied the 17 governance statements in rural health facilities of Zambia. The aim was to establish whether the statements were reliable and valid for assessing governance practices at primary care level. Both quantitative and qualitative methods were used. We first applied the governance statements developed by the health system 20/20 and then conducted focus group discussion and In-depth interviews to explore some elements of governance including accountability and community participation. The target respondents were the health facility management team and community members. The sample size include 42 health facilities. Data was analyzed using SPSS version 17 and Nvivo version 9. The 95% one-sided confidence interval for Cronbach's alpha was between 0.69 and 0.74 for the 16 items.The mean score for most of the items was above 3. Factor analysis yielded five principle components: Transparency, community participation, Intelligence & vision, Accountability and Regulation & oversight. Most of the items (6) clustered around the transparency latent factor. Chongwe district performed poorly in overall mean governance score and across the five domains of governance. The overall scores in Chongwe ranged between 51 and 94% with the mean of 80%. Kafue and Luangwa districts had similar overall mean governance scores (88%). Community participation was generally low. Generally, it was noted that community members lacked capacity to hold health workers accountable for drugs and medical supplies. The study

Studying strategic interaction under environmental and economic uncertainties among water users in the Zambezi River Basin - From descriptive analysis to institutional design for better transboundary management

NASA Astrophysics Data System (ADS)

Beck, L.; Siegfried, T. U.; Bernauer, T.

2009-12-01

The Zambezi River Basin (ZRB) is one of the largest freshwater catchments in Africa and worldwide. Consumptive water use in the ZRB is currently estimated at 15 - 20 percent of total runoff. This suggests many development possibilities, particularly for irrigated agriculture and hydropower production. The key drivers in the basin are population development on the demand side as well as uncertain impacts from climate change for supply. Development plans of the riparian countries suggest that consumptive water use might increase up to 40 percent of total runoff by 2025. This suggests that expanding water use in the Zambezi basin could become a source of disputes among the eight riparian countries. We study the surface water allocation in the basin by means of a couple hydrological-economic modeling approach. A conceptual lumped-parameter rainfall-runoff model for the ZRB was constructed and calibrated on the best available runoff data for the basin. Water users are modeled based on an agent-based framework and implemented as distributed sequential decision makers that act in an uncertain environment. Given the current non-cooperative status quo, we use the stochastic optimization technique of reinforcement learning to model the individual agents’ behavior. Their goals include the maximization of a) their long-term reward as conditioned on the state of the multi-agent system and b) the immediate reward obtained from operational decisions of reservoirs and water diversions under their control. We feed a wide range of water demand drivers as well as climate change predictions into the model and assess agents’ responses and the resulting implications for runoff at key points in the water catchment, including Victoria Falls, Kariba reservoir, Kafue Gorge, and Cahora Bassa reservoir in the downstream. It will be shown that considerable benefits exist if the current non-cooperative regime is replaced by a basin-wide, coordinated allocation strategy that regulates water

Effectiveness of birds, butterflies, dragonflies, damselflies and invertebrates as indicators of freshwater ecological integrity

NASA Astrophysics Data System (ADS)

Chama, Lackson; Siachoono, Stanford

2015-04-01

Human activities such as mining and agriculture are among the major threats to biodiversity globally. Discharges from these activities have been shown to negatively affect ecological processes, leading to ecosystem degradation and species loss across biomes. Freshwater systems have been shown to be particularly vulnerable, as discharges tend to spread rapidly here than in other ecosystems. Hence, there is need to routinely monitor the quality of these systems if impacts of discharges from human activities are to be minimised. Besides the use of conventional laboratory techniques, several studies have recently shown that organisms such as birds, butterflies, dragonflies, damselflies and invertebrates are also good indicators of ecological integrity and should therefore be used as alternatives to monitoring the quality of various ecosystems. However, most of these studies have only studied one or two of these organisms against ecosystem health, and it remains unclear whether all of them respond similarly to changes in different drivers of environmental change. We investigated the response of the diversity of birds, butterflies, dragonflies, damselflies and invertebrates to changing water quality along the Kafue River in Zambia. Sampling was done at 13 different sampling points stretching over a distance of 60Km along the river. At each point, both the diversity of each organism and the water quality were assessed. Water quality was determined by testing its temperature, pH, redox, electrical conductivity, turbidity and copper parameters. We then tested how the diversity of each organism responded to changes in these water parameters. All water parameters varied significantly across sampling points. The diversity of birds and damselflies remained unaffected by any of the water parameters used. However, the diversity of butterflies reduced with increasing pH, turbidity and copper, albeit it remained unaffected by other water parameters. The diversity of dragonflies

Stratigraphy of Zambian copperbelt orebodies

NASA Astrophysics Data System (ADS)

Binda, Pier L.

1994-11-01

The subdivision of the Roan Supergroup in three informal units instead of the traditional Lower Roan/Upper Roan allows a better understanding of facies relationships. The lower division (Siliciclastic Unit) consists of a variable thickness of continental conglomerates and erenites. The middle division (Mixed Unit) consists of a wedge of carbonate and siliciclastic lithologies tapering to the south-west and deposited in a shallow sea. The upper division (Carbonate Unit or Upper Roan s.s.) is a thick succession of dolostones, subordinate argillites and breccias that directly overlies, but is probably in tectonic contact with, the Siliciclastic Unit in the south-western part of the Copperbelt. Reference boundaries for the Mixed and Siliciclastic Units are given for all mining localities of the Zambian Copperbelt. The basal part of the Mixed Unit, host to the most important CuCo orebodies, was deposited during a major marine transgression which, proceeding from SW-NE, swiftly inundated the whole Copperbelt basin. Thus, the Mufulira Ore Formation can be considered as the near-shore facies of the basinal ore shale. The transition from the Mufulira arenites to the Chambishi silty, ore shale has been effaced by erosional or tectonic stripping of the Roan sediments on the Kafue anticline, whereas the transition from silty to carbonaceous ore shale is well documented in the southern part of the Chambishi-Nkana basin. Concomitant with the NE-SW lithofacies changes within the basal Mixed Unit, there is marked decrease in Cu grade and content from the Mufulira wacke and arenite to the silty ore shale of the northern Chambishi basin and the carbonaceous and pyritic ore shale of the southern Chambishi basin. Cobalt is virtually absent in the Mufulira Ore Formation, reaches ore grade in the silty ore shale and occurs in trace amounts in the carbonaceous ore shale. Thus, the correlation of the basal Mixed Unit reveals a hitherto undetected regional metal zoning akin to that