Progress toward poliomyelitis eradication - Afghanistan and Pakistan, 2009.

PubMed

2010-03-12

Afghanistan, Pakistan, India, and Nigeria are the four remaining countries where indigenous wild poliovirus (WPV) transmission has never been interrupted. This report updates previous reports and describes polio eradication activities in Afghanistan and Pakistan during January-December 2009 and proposed activities in 2010 to address challenges. During 2009, both countries continued to conduct coordinated supplemental immunization activities (SIAs) and used multiple strategies to reach previously unreached children. These strategies included 1) use of short interval additional dose (SIAD) SIAs to administer a dose of oral poliovirus vaccine (OPV) within 1-2 weeks after a prior dose during negotiated periods of security; 2) systematic engagement of local leaders; 3) negotiations with conflict parties; and 4) increased engagement of nongovernmental organizations delivering basic health services. However, security problems continued to limit access by vaccination teams to large numbers of children. In Afghanistan, poliovirus transmission during 2009 predominantly occurred in 12 high-risk districts in the conflict-affected South Region; 38 WPV cases were confirmed in 2009, compared with 31 in 2008. In Pakistan, 89 WPV cases were confirmed in 2009, compared with 118 in 2008, but transmission persisted both in security-compromised areas and in accessible areas, where managerial and operational problems continued to affect immunization coverage. Continued efforts to enhance safe access of vaccination teams in insecure areas will be required for further progress toward interruption of WPV transmission in Afghanistan and Pakistan. In addition, substantial improvements in subnational accountability and oversight are needed to improve immunization activities in Pakistan.

Eradicating polio in Pakistan: an analysis of the challenges and solutions to this security and health issue.

PubMed

Hussain, Shoaib Fahad; Boyle, Peter; Patel, Preeti; Sullivan, Richard

2016-10-12

Since the launch of the Global Polio Eradication Initiative (GPEI) in 1988 the global incidence of poliomyelitis has fallen by nearly 99 %. From a situation where wild type poliovirus was endemic in 125 countries across five continents, transmission is now limited to regions of just three countries - Pakistan, Afghanistan and Nigeria. A sharp increase in Pakistan's poliomyelitis cases in 2014 prompted the International Health Regulations Emergency Committee to declare the situation a 'public health emergency of international concern'. Global polio eradication hinges on Pakistan's ability to address the religious, political and socioeconomic barriers to immunisation; including discrepancies in vaccine coverage, a poor health infrastructure, and conflict in polio-endemic regions of the country. This analysis provides an overview of the GPEI, focusing on the historical and contemporary challenges facing Pakistan's polio eradication programme and the impact of conflict and insecurity, and sheds light on strategies to combat vaccine hesitancy, engage local communities and build on recent progress towards polio eradication in Pakistan.

Progress toward poliomyelitis eradication --- Nigeria, January 2010-June 2011.

PubMed

2011-08-12

The Global Polio Eradication Initiative (GPEI) was launched by the World Health Assembly in 1988. By 2006, transmission of indigenous wild poliovirus (WPV) was interrupted in all countries except Nigeria, Afghanistan, Pakistan, and India. Among the 36 states and Federal Capital Territory of Nigeria, WPV transmission has persisted in eight northern states considered at high risk; in addition, four other northern states have been considered at high risk for WPV transmission. In these 12 high-risk states, type 2 circulating vaccine-derived poliovirus (cVDPV2) transmission also was observed during 2005-2011. This report updates GPEI progress in Nigeria during January 2010--June 2011 and describes activities required to interrupt transmission. In Nigeria, confirmed WPV cases decreased 95%, from 388 in 2009 to 21 in 2010; cVDPV2 cases decreased 82%, from 154 in 2009 to 27 in 2010. However, as of July 26, 2011, Nigeria had reported 24 WPV cases (including one WPV/cVDPV2 coinfection) and 11 cVDPV2 cases during January-June 2011, compared with six WPV cases and 10 cVDPV2 cases during January-June 2010. Despite substantial progress, immunization activities and surveillance sensitivity will need to be enhanced further to interrupt WPV transmission in Nigeria by the end of 2011.

Regression in polio eradication in Pakistan: A national tragedy.

PubMed

Kanwal, Sumaira; Hussain, Abrar; Mannan, Shazia; Perveen, Shazia

2016-03-01

Polio is one out of 200 infections results to lasting paralysis, usually in the legs. The year 2014 has been the saddest year for the Pakistan when the World was about to eliminate Polio from all over the World. In year 1994 Pakistan took the initiative to eliminate Polio from the country. The efforts were going well until 2005, when Pakistan was on the wedge to overcome the Disease. The hopes were high that soon Pakistan will become a polio-virus-free country, but the drone strikes in FATA and the rise of different militant groups as a reaction of the drone attacks in FATA made it difficult for the health workers to continue their vaccination campaigns in these areas. However various factors ruined the efforts made to eradicate Polio. In Pakistan, polio is widespread to three sections. These are Karachi, Quetta block (Quetta, Pishin and Killah Abdullah district) and FATA and Peshawar district. Numerous things are accountable for polio flourishing in these regions. These comprise near to the ground socioeconomic rank of the families, not having the knowledge concerning hazard caused by polio and disinformation by limited significant people concerning how polio vaccines fabricate damage. In 2014, only 3 countries in the world remain polio-endemic: Nigeria, Pakistan and Afghanistan. From year 2012-2014 the number of registered Polio cases is on rise contrary to rest of the other two Polio-endemic countries. In spite of the extensive work done by Polio workers the number of Polio cases has broken the 16 year record. The situation is getting worse because it can also be threatening to the rest of the World.

Mitigating Climate Change in the Arid Lands of Namibia

NASA Astrophysics Data System (ADS)

Schneider, Martin B.; Sorensen, Marten

2014-05-01

Mitigating Climate Change in the Arid Lands of Namibia Namibia is the most arid country south of the Sahara, with scarce rainfall and perennial rivers only at its borders, > 80% of the area relies solely on groundwater. This has had devastating economic effects limiting opportunities for sustainable rural livelihoods that keep the population majority living below the World Bank poverty line (IFAD, 2013). A primary example of climatic variability which affects agrarian productivity is increased bush encroachment of Namibia's arid grazing land. The result has been a severe biodiversity loss, increased desertification and diminished water-use efficiency and underground water tables. Given these factors, Namibia's arid lands provide a unique opportunity to assess and test innovative / appropriate adaptation and mitigation strategies. Working toward sustainable management, restoration, and maintenance of balanced, resilient arid ecosystems in Namibia will also be a means to support and expand economic sectors incl. opportunities for job creation and potentially provide a model for similar arid regions. Main vegetation zones are: desert (46%), savannah (37%), and dry woodlands and forests (17%), i.e. < 2% is arable. Also, government protected areas cover 13.8% of the land surface. Current climate models suggest that Namibia faces serious risks, e.g. increased temperatures, hyper-arid conditions, and more frequent and extreme weather events (Pamaccafrica, 2013). The Namibian government, civil society organizations, and the scientific community attempt to address these risks and a certain level of institutional and human capacities are already in place. However, overall climate variability appears significantly higher than current plans and policies take into account. To improve livelihoods, reduce poverty, and food insecurity for rural Namibians in marginal/hyper-arid lands through sustainable climate change adaptation these objectives will be implemented: 1. Identify

Progress Toward Poliomyelitis Eradication - Pakistan, January 2016-September 2017.

PubMed

Elhamidi, Youness; Mahamud, Abdirahman; Safdar, Muhammad; Al Tamimi, Wasan; Jorba, Jaume; Mbaeyi, Chukwuma; Hsu, Christopher H; Wadood, Zubair; Sharif, Salmaan; Ehrhardt, Derek

2017-11-24

In 1988, the World Health Assembly launched the Global Polio Eradication Initiative. Among the three wild poliovirus serotypes, only wild poliovirus (WPV) type 1 (WPV1) has been detected since 2012. Since 2014, Pakistan, Afghanistan, and Nigeria remain the only countries with continuing endemic WPV1 transmission. This report describes activities conducted and progress made toward the eradication of poliovirus in Pakistan during January 2016-July 2017 and provides an update to previous reports (1,2). In 2016, Pakistan reported 20 WPV1 cases, a 63% decrease compared with 54 cases in 2015 (3). As of September 25, 2017, five WPV1 cases have been reported in 2017, representing a 69% decline compared with 16 cases reported during the same period in 2016 (Figure 1). During January-September 2017, WPV1 was detected in 72 of 468 (15%) environmental samples collected, compared with 36 of 348 (9%) samples collected during the same period in 2016. WPV1 was detected in environmental samples in areas where no polio cases are being reported, which indicates that WPV1 transmission is continuing in some high-risk areas. Interruption of WPV transmission in Pakistan requires maintaining focus on reaching missed children (particularly among mobile populations), continuing community-based vaccination, implementing the 2017-2018 National Emergency Action Plan (4), and improving routine immunization services.

Progress toward poliomyelitis eradication--Nigeria, January 2007-August 12, 2008.

PubMed

2008-08-29

Nigeria is one of only four countries that have never interrupted poliovirus transmission (the others are Afghanistan, India, and Pakistan). A resurgence in wild poliovirus (WPV) transmission occurred in Nigeria during 2003-2004 after a loss of public confidence in oral poliovirus vaccine (OPV) and suspension of supplementary immunization activities (SIAs)* in several northern states. Subsequently, WPV spread within Nigeria and ultimately into 20 previously polio-free countries during 2003-2006. Even after national SIAs resumed, limited acceptance and ongoing operational problems resulted in low polio vaccination coverage and continued WPV transmission. Beginning in 2006, health authorities in Nigeria introduced new initiatives to control the spread of WPV, including a focus on interrupting type 1 WPV (WPV1) transmission and use of monovalent type 1 OPV (mOPV1) for most of the SIAs to increase vaccine effectiveness. Nigeria also instituted changes in SIA implementation to increase community acceptance of vaccination. Subsequently, 285 polio cases were reported in Nigeria in 2007, the lowest number since sensitive surveillance has been in place. As of August 12, 2008, confirmed polio cases reported in Nigeria totaled 556 (including 511 WPV1 cases), compared with 176 cases (53 WPV1) reported during the same period in 2007. This report updates overall progress toward polio eradication in Nigeria during 2007-2008. Given the increase in WPV transmission thus far in 2008, urgent measures are needed to reach all children during SIAs to bring WPV under control in Nigeria.

Children with Dis/abilities in Namibia, Africa: Uncovering Complexities of Exclusion

ERIC Educational Resources Information Center

Bartlett, Maggie

2010-01-01

Children with dis/abilities the world over are widely required to sacrifice their human rights to education, equity, community, and inclusion. Fewer than 10% of children with dis/abilities in developing countries attend school. Namibia, Africa, where this study took place, is no different. Despite Namibia's adoption of international covenants and…

Progress toward poliomyelitis eradication - Afghanistan and Pakistan, January 2011-August 2012.

PubMed

2012-10-05

In 1988, the World Health Assembly resolved to eradicate polio, which led to the establishment of the Global Polio Eradication Initiative (GPEI). In 2012, however, the transmission of indigenous wild poliovirus (WPV) continued uninterrupted in Afghanistan, Pakistan, and Nigeria, leading the World Health Assembly to declare completion of polio eradication a programmatic emergency for global public health. This report updates previous reports and describes polio eradication activities and progress in Afghanistan and Pakistan during January 2011-August 2012, as of September 9, 2012. During 2011, 80 WPV cases were confirmed in Afghanistan, compared with 25 WPV cases in 2010; 17 WPV cases were confirmed during January-August 2012, compared with 34 WPV cases for the same period in 2011. In Pakistan, 198 WPV cases were confirmed in 2011, compared with 144 WPV cases in 2010; 30 WPV cases were confirmed during January-August 2012, compared with 88 WPV cases during the same period in 2011. During January 2011-August 2012, no WPV type 3 (WPV3) cases were confirmed in Afghanistan, and four confirmed WPV3 cases and one case with coinfection of WPV3 and WPV type 1 (WPV1) were reported in Pakistan. Violence targeting vaccinators has occurred previously in Afghanistan and recently in Pakistan. To progress further toward interruption of WPV transmission within their countries and across their shared border, the governments of Afghanistan and Pakistan might consider reviewing the implementation of their national emergency action plans and determine how to enhance the safety of vaccination teams within conflict-affected areas of both countries.

Challenges Associated with Curriculum Alignment, Change and Assessment Reforms in Namibia

ERIC Educational Resources Information Center

Iipinge, Sakaria M.; Kasanda, Choshi D.

2013-01-01

Aligning curriculum change and assessment reforms has been a topic of great concern in Namibia for over the past 23 years. This is because during the pre-colonial period and continuing in post-independence Namibia, national examinations have been used mainly for the certification and selection of learners at Junior and Senior secondary school…

Vulnerability and Inequality in an Increasingly Wetter World: A Namibia Case Study

NASA Astrophysics Data System (ADS)

Kelly, M.; Silva, J.; Mandl, D.; Sohlberg, R. A.

2016-12-01

Over the past two decades, Namibia has experienced increased instances of flooding that have grown in intensity and duration. Major flooding events in 2008 and 2009 displaced hundreds of thousands of people, causing thousands to remain in flood relocation camps for months at a time. Due to lack of topographic relief in the region, water tends to sit until it evaporates. Both inter-annual variability and changes in climate may lead to even greater rainfall and flooding in the future. In 2009, 29% of Namibians lived below the national poverty line (World Bank) and many make their living off of subsistence farming, as well as trading livestock. Using socio-economic data collected from the Namibia Household Income & Expenditure Survey (NHIES) reports by the Namibia Statistics Agency for the years 1993-1994, 2003-2004, and 2009-2010, and Landsat imagery for the corresponding years, we aim to characterize flood impact and flood vulnerability. Water coverage maps of Namibia were created for each time period using Landsat imagery overlain with socio-economic data to see how flooding impacts socio-variables such as income, inequality, access to livestock and grazing lands, and consumption over time. Because Namibia is not a data-rich environment, it is difficult to obtain the fine granularity of socio-data needed to put a dollar value on loss and vulnerability in flood prone areas. We hope the findings of this study will draw attention to these problems and allow us to access the data needed to more accurately characterize flood vulnerability in Namibia.

Brandburg Prominance, Namibia, Africa

NASA Image and Video Library

1993-01-19

STS054-151-009 (13-19 Jan 1993) --- This large format camera's view shows the circular volcanic structure of the Brandberg mountain, which at 2630 meters (8,550 feet) is the highest point in the new nation of Namibia. The Brandberg is a major feature in the very arid Namib Desert on Africa's southwest coast. Coastal fog brings some moisture to the driest parts of the desert.

Sulfur plumes off Namibia

NASA Technical Reports Server (NTRS)

2002-01-01

Sulfur plumes rising up from the bottom of the ocean floor produce colorful swirls in the waters off the coast of Namibia in southern Africa. The plumes come from the breakdown of marine plant matter by anaerobic bacteria that do not need oxygen to live. This image was acquired by the Moderate Resolution Imaging Spectroradiometer (MODIS) on the Terra satellite on April 24, 2002 Credit: Jacques Descloitres, MODIS Land Rapid Response Team, NASA/GSFC

Hypertension in Sub-Saharan Africa: Cross-Sectional Surveys in Four Rural and Urban Communities

PubMed Central

Hendriks, Marleen E.; Wit, Ferdinand W. N. M.; Roos, Marijke T. L.; Brewster, Lizzy M.; Akande, Tanimola M.; de Beer, Ingrid H.; Mfinanga, Sayoki G.; Kahwa, Amos M.; Gatongi, Peter; Van Rooy, Gert; Janssens, Wendy; Lammers, Judith; Kramer, Berber; Bonfrer, Igna; Gaeb, Esegiel; van der Gaag, Jacques; Rinke de Wit, Tobias F.; Lange, Joep M. A.; Schultsz, Constance

2012-01-01

Background Cardiovascular disease (CVD) is the leading cause of adult mortality in low-income countries but data on the prevalence of cardiovascular risk factors such as hypertension are scarce, especially in sub-Saharan Africa (SSA). This study aims to assess the prevalence of hypertension and determinants of blood pressure in four SSA populations in rural Nigeria and Kenya, and urban Namibia and Tanzania. Methods and Findings We performed four cross-sectional household surveys in Kwara State, Nigeria; Nandi district, Kenya; Dar es Salaam, Tanzania and Greater Windhoek, Namibia, between 2009–2011. Representative population-based samples were drawn in Nigeria and Namibia. The Kenya and Tanzania study populations consisted of specific target groups. Within a final sample size of 5,500 households, 9,857 non-pregnant adults were eligible for analysis on hypertension. Of those, 7,568 respondents ≥18 years were included. The primary outcome measure was the prevalence of hypertension in each of the populations under study. The age-standardized prevalence of hypertension was 19.3% (95%CI:17.3–21.3) in rural Nigeria, 21.4% (19.8–23.0) in rural Kenya, 23.7% (21.3–26.2) in urban Tanzania, and 38.0% (35.9–40.1) in urban Namibia. In individuals with hypertension, the proportion of grade 2 (≥160/100 mmHg) or grade 3 hypertension (≥180/110 mmHg) ranged from 29.2% (Namibia) to 43.3% (Nigeria). Control of hypertension ranged from 2.6% in Kenya to 17.8% in Namibia. Obesity prevalence (BMI ≥30) ranged from 6.1% (Nigeria) to 17.4% (Tanzania) and together with age and gender, BMI independently predicted blood pressure level in all study populations. Diabetes prevalence ranged from 2.1% (Namibia) to 3.7% (Tanzania). Conclusion Hypertension was the most frequently observed risk factor for CVD in both urban and rural communities in SSA and will contribute to the growing burden of CVD in SSA. Low levels of control of hypertension are alarming. Strengthening of health

ACUTE FLACCID PARALYSIS SURVEILLANCE: A 5 YEARS STUDY OF BANNU, PAKISTAN.

PubMed

Faheem, Muhammad Umer; Haroon, Muhammad Zeeshan; Khan, Aftab Alam; Shaukat, Maryum; Anwar, Sved Abbas

2015-01-01

Acute flaccid paralysis (AFP) is clinical presentation marked by acute onset of weakness and reduced tone. Aetiologies of AFP are diverse including infectious agents, trauma or autoimmune reaction. Currently only three countries in the world that are Nigeria, Pakistan and Afghanistan have endemic poliomyelitis. Pakistan's polio crisis represents one of the last hurdles in a 23-year campaign run by the World Health Organization. Bannu due to its geographical location stands out to be one of highest risk areas for Poliomyelitis. The objective of this study was to determine frequency of AFP and their aetiologies in District of Bannu during time period of four years from 2007 to 2011. It was a cross-sectional descriptive study. Data was collected from EDO office District Bannu and analysed using Microsoft Excel 2007. Results: During this period there were 180 cases of AFP in district Bannu. 15% of cases were diagnosed as Guillian Barre Syndrome, making it the leading aetiology. Only 3 (1.66%) cases were diagnosed with Poliomyelitis. Out of 180 AFP cases 104 cases were male and 76 cases were female. Bannu needs enthusiastic educational and vaccination campaigns to eradicate Polio from the area and henceforth from the Pakistan.

Progress Toward Poliomyelitis Eradication - Nigeria, January-December 2017.

PubMed

Bolu, Omotayo; Nnadi, Chimeremma; Damisa, Eunice; Braka, Fiona; Siddique, Anisur; Archer, W Roodly; Bammeke, Philip; Banda, Richard; Higgins, Jeffrey; Edukugo, Aboyowa; Nganda, Gatei Wa; Forbi, Joseph C; Liu, Hongmei; Gidado, Saheed; Soghaier, Mohammed; Franka, Richard; Waziri, Ndadilnasiya; Burns, Cara C; Vertefeuille, John; Wiesen, Eric; Adamu, Usman

2018-03-02

Nearly three decades after the World Health Assembly launched the Global Polio Eradication Initiative in 1988, four of the six World Health Organization (WHO) regions have been certified polio-free (1). Nigeria is one of three countries, including Pakistan and Afghanistan, where wild poliovirus (WPV) transmission has never been interrupted. In September 2015, after >1 year without any reported WPV cases, Nigeria was removed from WHO's list of countries with endemic WPV transmission (2); however, during August and September 2016, four type 1 WPV (WPV1) cases were reported from Borno State, a state in northeastern Nigeria experiencing a violent insurgency (3). The Nigerian government, in collaboration with partners, launched a large-scale coordinated response to the outbreak (3). This report describes progress in polio eradication activities in Nigeria during January-December 2017 and updates previous reports (3-5). No WPV cases have been reported in Nigeria since September 2016; the latest case had onset of paralysis on August 21, 2016 (3). However, polio surveillance has not been feasible in insurgent-controlled areas of Borno State. Implementation of new strategies has helped mitigate the challenges of reaching and vaccinating children living in security-compromised areas, and other strategies are planned. Despite these initiatives, however, approximately 130,000-210,000 (28%-45%) of the estimated 469,000 eligible children living in inaccessible areas in 2016 have not been vaccinated. Sustained efforts to optimize surveillance and improve immunization coverage, especially among children in inaccessible areas, are needed.

Variability of Cutaneous Leishmaniasis Lesions Is Not Associated with Genetic Diversity of Leishmania tropica in Khyber Pakhtunkhwa Province of Pakistan.

PubMed

Khan, Nazma Habib; Llewellyn, Martin S; Schönian, Gabriele; Sutherland, Colin J

2017-11-01

Leishmania tropica is the causative agent of cutaneous leishmaniasis in Pakistan. Here, intraspecific diversity of L. tropica from northern Pakistan was investigated using multilocus microsatellite typing. Fourteen polymorphic microsatellite markers were typed in 34 recently collected L. tropica isolates from Pakistan along with 158 archival strains of diverse Afro-Eurasian origins. Previously published profiles for 145 strains of L. tropica originating from different regions of Africa, Central Asia, Iran, and Middle East were included for comparison. Six consistently well-supported genetic groups were resolved: 1) Asia, 2) Morroco A, 3) Namibia and Kenya A, 4) Kenya B/Tunisia and Galilee, 5) Morocco B, and 6) Middle East. Strains from northern Pakistan were assigned to Asian cluster except for three that were placed in a geographically distant genetic group; Morocco A. Lesion variability among these Pakistani strains was not associated with specific L. tropica genetic profile. Pakistani strains showed little genetic differentiation from strains of Iraq, Afghanistan, and Syria (F ST = 0.00-0.06); displayed evidence of modest genetic flow with India (F ST = 0.14). Furthermore, genetic structuring within these isolates was not geographically defined. Pak-Afghan cluster was in significant linkage disequilibrium (I A = 1.43), had low genetic diversity, and displayed comparatively higher heterozygosity (F IS = -0.62). Patterns of genetic diversity observed suggest dominance of a minimally diverse clonal lineage within northern Pakistan. This is surprising as a wide clinical spectrum was observed in patients, suggesting the importance of host and other factors. Further genotyping studies of L. tropica isolates displaying different clinical phenotypes are required to validate this potentially important observation.

Brandburg Prominance, Namibia, Africa

NASA Technical Reports Server (NTRS)

1993-01-01

The Brandburg Prominance, Namibia (21.0S, 14.5E) is a round basaltic plug and is the highest feature (over 8,000 ft) in the country. Wind streaks on the surface of the coastal desert, aligned northeast to southwest, are the result of frequent sand storms. Coastal stratus clouds provide most of the life supporting moisture as fog droplets in this arid land where annual rainfall may be less than a quarter of an inch for decades at a time.

Namib Desert, Namibia, Africa

NASA Image and Video Library

1990-04-29

One of the driest regions on Earth, the Namib Desert, Namibia, Africa (23.0N, 15.0E) lies adjacent to the Atlantic coast but the upwelling oceanic water causes a very stable rainless atmosphere. The few local inland rivers do not reach the sea but instead, appear as long indentations where they penetrate the dune fields and end as small dry lakes. The vast dune fields are the result of sands deposited over millions of years by the stream flow.

Namib Desert, Namibia, Africa

NASA Technical Reports Server (NTRS)

1990-01-01

One of the driest regions on Earth, the Namib Desert, Namibia, Africa (23.0N, 15.0E) lies adjacent to the Atlantic coast but upwelling oceanic water causes a very stable rainless atmosphere. The few local inland rivers do not reach the sea but instead appear as long indentations where rivers penetrate the dune fields and end as small dry lakes. The vast dune fields are the result of sands deposited over millions of years by the stream flow.

Namib Desert, Namibia, Africa

NASA Technical Reports Server (NTRS)

1990-01-01

One of the driest regions on Earth, the Namib Desert, Namibia, Africa (23.0N, 15.0E) lies adjacent to the Atlantic coast but the upwelling oceanic water causes a very stable rainless atmosphere. The few local inland rivers do not reach the sea but instead, appear as long indentations where they penetrate the dune fields and end as small dry lakes. The vast dune fields are the result of sands deposited over millions of years by the stream flow.

Rift Valley fever in Namibia, 2010.

PubMed

Monaco, Federica; Pinoni, Chiara; Cosseddu, Gian Mario; Khaiseb, Siegfried; Calistri, Paolo; Molini, Umberto; Bishi, Alec; Conte, Annamaria; Scacchia, Massimo; Lelli, Rossella

2013-12-01

During May-July 2010 in Namibia, outbreaks of Rift Valley fever were reported to the National Veterinary Service. Analysis of animal specimens confirmed virus circulation on 7 farms. Molecular characterization showed that all outbreaks were caused by a strain of Rift Valley fever virus closely related to virus strains responsible for outbreaks in South Africa during 2009-2010.

Land scarcity in Northern Namibia

NASA Astrophysics Data System (ADS)

Bloemertz, Lena; Dobler, Gregor; Graefe, Olivier; Kuhn, Nikolaus J.; Nghitevelekwa, Romie; Prudat, Brice; Weidmann, Laura

2015-04-01

Land access is a major topic in the Namibian population, which can also be seen in political discourses. In North-Central Namibia, the ongoing Communal Land Reform aims at improving tenure security and thereby also hopes to promote sustainable investment in land. Within this context, it is often argued that population growth is leading to an increased scarcity of land. However, this argument falls short of actual issues determining land scarcity in Namibia. In a context, where a large part of the population is still seen as depending on agricultural production, land scarcity has to be measured by different means to assess physical scarcity (population density, farm density, proportion of cultivated areas, or yield per person) as well as the perception of these different scarcities. This paper aims to discuss the different notions of land scarcity and argues that by focusing only on the physical realities of increasing pressure on land because of population growth, important other aspects are neglected. In order to scrutinize those measures, the study will further look at the distribution of different land uses, changing land use practices as connected to changing labour availability and mobility. Special attention will thereby be given to the difference between land scarcity and fertile soil scarcity and their relation to labour availability.

Discourses of Education, Protection, and Child Labor: Case Studies of Benin, Namibia and Swaziland

ERIC Educational Resources Information Center

Nordtveit, Bjorn Harald

2010-01-01

This article analyses discontinuities between local, national and international discourse in the fields of education, protection of children, and child labor, using Benin, Namibia and Swaziland as case studies. In Benin, child abuse and child labor are related to poverty, whereas in Namibia and Swaziland they are also interrelated with HIV/AIDS.…

Empowering Adult Education in Namibia and South Africa during and after Apartheid

NASA Astrophysics Data System (ADS)

Hopfer, Christiane

1997-01-01

After more than 40 years of education for Apartheid, the development of empowering adult education with the formerly disadvantaged population groups is one of the major challenges for the democratically elected governments in South Africa and Namibia. One of the strongest forces that sustained Apartheid in Namibia until 1990, and in South Africa until 1994, was an education system with different schools and resources for the different population groups. Despite the strict implementation of the Bantu Education System by the white government, some groups of people could still organise alternative education projects aiming at participants' gaining more control over their own lifes. Groups of women in the Western Cape initiated autonomous pre-school projects and took part in in-service training for pre-school teachers in the 1980s. A similar process took place with adult literacy learners in the National Literacy Programme in Namibia.

75 FR 42164 - Notice of Final Determination Updating the List of Products Requiring Federal Contractor...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-20

..., Pakistan. Charcoal Brazil. Coal Pakistan. Coca (stimulant plant) Colombia. Cocoa Cote d'Ivoire, Nigeria... Argentina, India, Thailand. Gold Burkina Faso. Granite Nigeria. Gravel (crushed stones) Nigeria. Pornography...

Progress toward poliomyelitis eradication--Nigeria, January 2013-September 2014.

PubMed

Etsano, Andrew; Gunnala, Rajni; Shuaib, Faisal; Damisa, Eunice; Mkanda, Pascal; Banda, Richard; Korir, Charles; Enemaku, Ogu; Corkum, Melissa; Usman, Samuel; Davis, Lora B; Nganda, Gatei wa; Burns, Cara C; Mahoney, Frank; Vertefeuille, John F

2014-11-21

In 1988, the World Health Assembly resolved to interrupt wild poliovirus (WPV) transmission worldwide. By 2013, only three countries remained that had never interrupted WPV transmission: Afghanistan, Nigeria, and Pakistan. Since 2003, northern Nigeria has been a reservoir for WPV reintroduction into 26 previously polio-free countries. In May 2014, the World Health Organization declared the international spread of polio a Public Health Emergency of International Concern. Nigeria's main strategic goal is to interrupt WPV type 1 (WPV1) transmission by the end of 2014, which is also a main objective of the Global Polio Eradication Initiative's Polio Eradication and Endgame Strategic Plan for 2013-2018. This report updates previous reports (4-6) and describes polio eradication activities and progress in Nigeria during January 2013-September 30, 2014. Only six WPV cases had been reported in 2014 through September 30 compared with 49 reported cases during the same period in 2013. The quality of supplemental immunization activities (SIAs) improved during this period; the proportion of local government areas (LGAs) within 11 high-risk states with estimated oral poliovirus vaccine (OPV) campaign coverage at or above the 90% threshold increased from 36% to 67%. However, the number of reported circulating vaccine-derived poliovirus type 2 (cVDPV2) cases increased from four in 2013 to 21 to date in 2014, and surveillance gaps are suggested by genomic sequence analysis and continued detection of WPV1 by environmental surveillance. Interrupting all poliovirus circulation in Nigeria is achievable with continued attention to stopping cVDPV2 transmission, improving the quality of acute flaccid paralysis (AFP) surveillance, increasing vaccination coverage by strengthened routine immunization services, continuing support from all levels of government, and undertaking special initiatives to provide vaccination to children in conflict-affected areas in northeastern Nigeria.

Model and experiences of initiating collaboration with traditional healers in validation of ethnomedicines for HIV/AIDS in Namibia

PubMed Central

Chinsembu, Kazhila C

2009-01-01

Many people with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) in Namibia have access to antiretroviral drugs but some still use traditional medicines to treat opportunistic infections and offset side-effects from antiretroviral medication. Namibia has a rich biodiversity of indigenous plants that could contain novel anti-HIV agents. However, such medicinal plants have not been identified and properly documented. Various ethnomedicines used to treat HIV/AIDS opportunistic infections have not been scientifically validated for safety and efficacy. These limitations are mostly attributable to the lack of collaboration between biomedical scientists and traditional healers. This paper presents a five-step contextual model for initiating collaboration with Namibian traditional healers in order that candidate plants that may contain novel anti-HIV agents are identified, and traditional medicines used to treat HIV/AIDS opportunistic infections are subjected to scientific validation. The model includes key structures and processes used to initiate collaboration with traditional healers in Namibia; namely, the National Biosciences Forum, a steering committee with the University of Namibia (UNAM) as the focal point, a study tour to Zambia and South Africa where other collaborative frameworks were examined, commemorations of the African Traditional Medicine Day (ATMD), and consultations with stakeholders in north-eastern Namibia. Experiences from these structures and processes are discussed. All traditional healers in north-eastern Namibia were willing to collaborate with UNAM in order that their traditional medicines could be subjected to scientific validation. The current study provides a framework for future collaboration with traditional healers and the selection of candidate anti-HIV medicinal plants and ethnomedicines for scientific testing in Namibia. PMID:19852791

Cultural Beliefs regarding People with Disabilities in Namibia: Implications for the Inclusion of People with Disabilities

ERIC Educational Resources Information Center

Haihambo, Cynthy; Lightfoot, Elizabeth

2010-01-01

Namibia is a southern African country with national level policies promoting community inclusion and inclusive education. Despite these policies, people with disabilities are often excluded from schools and community life. This study explores the nuanced cultural beliefs about the causes of disability in Namibia, and the impacts of such beliefs on…

Progress toward poliomyelitis eradication - Nigeria, January 2012-September 2013.

PubMed

2013-12-13

Transmission of wild poliovirus (WPV) has never been interrupted in Afghanistan, Pakistan, and Nigeria, and since 2003, Nigeria has been a reservoir for WPV reintroduction to 25 polio-free countries. In 2012, the Nigerian government activated an emergency operations center and implemented a national emergency action plan to eradicate polio. The 2013 revision of this plan prioritized 1) improving quality of supplemental immunization activities (SIAs), 2) implementing strategies to reach underserved populations, 3) adopting special approaches in security-compromised areas, 4) improving outbreak response, 5) enhancing routine immunization and activities implemented between SIAs, and 6) strengthening surveillance. This report summarizes polio eradication activities in Nigeria during January 2012-September 2013 and updates previous reports. During January-September 2013, 49 polio cases were reported from 26 local government areas (LGAs) in nine states in Nigeria, compared with 101 cases reported from 70 LGAs in 13 states during the same period in 2012. For all of 2012, a total of 122 cases were reported. No WPV type 3 (WPV3) cases have been reported since November 2012. For the first time ever, in 2013, no polio cases of any type have been detected in the northwest of Nigeria; however, transmission continues in Kano and states in the northeast. Despite considerable progress, 24 LGAs in 2012 and seven LGAs in 2013 reported two or more cases; WPV continues to circulate in eight LGAs that had cases in 2012. Efforts to interrupt transmission remain impeded by insecurity, anti-polio-vaccine sentiment, and chronically poor SIA implementation in selected areas. Improvement of SIA quality and effective outbreak response will be needed to interrupt WPV transmission in 2014.

Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities.

PubMed

Ghafoor, Shazia; Sheikh, Nadeem

2016-01-01

Pakistan is among the last three countries along with Afghanistan and Nigeria, where polio virus is still endemic. More or less, with some fluctuations, numbers of reported cases in the past few years have shown a rising trend. Year 2014 pushed the country into the deep sea of difficulties, as number of cases rose to red alert level of 328. Security situation has adversely affected the whole immunization coverage campaign. In a country where 40 polio vaccinators have been killed since 2012, such a big number of cases is not a surprising outcome. Worse perception of parents about polio vaccine as in Karachi and FATA, the high risk zones, makes 100% coverage a dream. Minor and perhaps delayed payments to polio workers make them frustrated, resulting in decline of trained manpower for vaccination. Strong implementation of policies is required and those found guilty of attack on polio workers need to be punished. Targeted community awareness programme, strong surveillance network, and involvement of influential religious entities can help to root out polio disease from country. Present review is aimed at analyzing all barriers on the road to success in eradication of polio from Pakistan.

Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities

PubMed Central

Ghafoor, Shazia

2016-01-01

Pakistan is among the last three countries along with Afghanistan and Nigeria, where polio virus is still endemic. More or less, with some fluctuations, numbers of reported cases in the past few years have shown a rising trend. Year 2014 pushed the country into the deep sea of difficulties, as number of cases rose to red alert level of 328. Security situation has adversely affected the whole immunization coverage campaign. In a country where 40 polio vaccinators have been killed since 2012, such a big number of cases is not a surprising outcome. Worse perception of parents about polio vaccine as in Karachi and FATA, the high risk zones, makes 100% coverage a dream. Minor and perhaps delayed payments to polio workers make them frustrated, resulting in decline of trained manpower for vaccination. Strong implementation of policies is required and those found guilty of attack on polio workers need to be punished. Targeted community awareness programme, strong surveillance network, and involvement of influential religious entities can help to root out polio disease from country. Present review is aimed at analyzing all barriers on the road to success in eradication of polio from Pakistan. PMID:27517055

Measles immunity among pregnant women aged 15-44 years in Namibia, 2008 and 2010.

PubMed

Cardemil, Cristina V; Jonas, Anna; Beukes, Anita; Anderson, Raydel; Rota, Paul A; Bankamp, Bettina; Gary, Howard E; Sawadogo, Souleymane; Patel, Sadhna V; Zeko, Sikota; Muroua, Clementine; Gaeb, Esegiel; Wannemuehler, Kathleen; Gerber, Sue; Goodson, James L

2016-08-01

Namibia experienced a large measles outbreak starting in 2009, with 38% of reported cases in adults, including women of reproductive age. Population immunity was assessed among pregnant women to determine whether immunization activities were needed in adults to achieve measles elimination in Namibia. A total of 1708 and 2040 specimens sampled from Namibian pregnant women aged 15-44 years who were included in the 2008 and 2010 National HIV Sentinel Survey, respectively, were tested for measles immunoglobulin G antibody. The proportion of women seropositive overall and by 5-year age strata was determined, and factors associated with seropositivity were analyzed by logistic regression, including age, facility type, gravidity, HIV status, and urban/rural setting. Seropositivity in 2008 versus 2010 was compared. In both analysis years, measles seropositivity was lower in 15-19-year-olds (77%) and 20-24-year-olds (85-87%) and higher in 25-44-year-olds (90-94%) (2008, p<0.001; 2010, p<0.001). Overall measles seropositivity did not differ between 2008 (87%) and 2010 (87%) (p=0.7). HIV status did not affect seropositivity. Late in a large measles outbreak, 13% of pregnant women in Namibia, and almost one in four 15-19-year-old pregnant women, remained susceptible to measles. In Namibia, immunization campaigns with measles-containing vaccine should be considered for adults. Published by Elsevier Ltd.

Duripan effect on soil water availability: study case in North-Central Namibia

NASA Astrophysics Data System (ADS)

Prudat, Brice; Bloemertz, Lena; Kuhn, Nikolaus J.

2016-04-01

Soils with duripan and other hardpans are frequently disregarded for agriculture. However, in North-Central Namibia, farmers cultivate a type of sandy soil with a developing duripan at few decimetres of depth. This soil is particularly valuable for Pearl Millet cultivation during years with limited rainfall. Understanding the water dynamic and the role of the duripan in the soil moisture dynamic will improve livelihood and secure food production in North-Central Namibia, in Southern Angola and other areas in the world where similar soils appear. We recorded soil water content during five months at different depth in one of these sandy soil. The comparison of the recorded data with values calculated with models based on e.g. texture indicate that the duripan plays a very important role as water reservoir. Our results demonstrate that soils with duripans should not be disregarded for agricultural development, especially in context with irregular rainfall patterns. Understanding the role of duripans based on this study will thus help to anticipate and alleviate the effect of climate change in northern Namibia and other semi-arid regions, where similar soils occur.

Is there a correlation between malaria incidence and IRS coverage in western Zambezi region, Namibia?

PubMed Central

Sturrock, H.; Hsiang, M.; Roberts, K.; Kleinschmidt, I.; Nghipumbwa, M.; Uusiku, P.; Smith, J.; Bennet, A.; Kizito, W.; Takarinda, K.; Ade, S.; Gosling, R.

2018-01-01

Setting: A comparison of routine Namibia National Malaria Programme data (reported) vs. household survey data (administrative) on indoor residual spraying (IRS) in western Zambezi region, Namibia, for the 2014–2015 malaria season. Objectives: To determine 1) IRS coverage (administrative and reported), 2) its effect on malaria incidence, and 3) reasons for non-uptake of IRS in western Zambezi region, Namibia, for the 2014–2015 malaria season. Design: This was a descriptive study. Results: IRS coverage in western Zambezi region was low, ranging from 42.3% to 52.2% for administrative coverage vs. 45.9–66.7% for reported coverage. There was no significant correlation between IRS coverage and malaria incidence for this region (r = −0.45, P = 0.22). The main reasons for households not being sprayed were that residents were not at home during spraying times or that spray operators did not visit the households. Conclusions: IRS coverage in western Zambezi region, Namibia, was low during the 2014–2015 malaria season because of poor community engagement and awareness of times for spray operations within communities. Higher IRS coverage could be achieved through improved community engagement. Better targeting of the highest risk areas by the use of malaria surveillance will be required to mitigate malaria transmission. PMID:29713594

Is there a correlation between malaria incidence and IRS coverage in western Zambezi region, Namibia?

PubMed

Mumbengegwi, D R; Sturrock, H; Hsiang, M; Roberts, K; Kleinschmidt, I; Nghipumbwa, M; Uusiku, P; Smith, J; Bennet, A; Kizito, W; Takarinda, K; Ade, S; Gosling, R

2018-04-25

Setting: A comparison of routine Namibia National Malaria Programme data (reported) vs. household survey data (administrative) on indoor residual spraying (IRS) in western Zambezi region, Namibia, for the 2014-2015 malaria season. Objectives: To determine 1) IRS coverage (administrative and reported), 2) its effect on malaria incidence, and 3) reasons for non-uptake of IRS in western Zambezi region, Namibia, for the 2014-2015 malaria season. Design: This was a descriptive study. Results: IRS coverage in western Zambezi region was low, ranging from 42.3% to 52.2% for administrative coverage vs. 45.9-66.7% for reported coverage. There was no significant correlation between IRS coverage and malaria incidence for this region ( r = -0.45, P = 0.22). The main reasons for households not being sprayed were that residents were not at home during spraying times or that spray operators did not visit the households. Conclusions: IRS coverage in western Zambezi region, Namibia, was low during the 2014-2015 malaria season because of poor community engagement and awareness of times for spray operations within communities. Higher IRS coverage could be achieved through improved community engagement. Better targeting of the highest risk areas by the use of malaria surveillance will be required to mitigate malaria transmission.

Progress toward poliomyelitis eradication--Afghanistan and Pakistan, January 2013-August 2014.

PubMed

Farag, Noha H; Alexander, James; Hadler, Stephen; Quddus, Arshad; Durry, Elias; Wadood, Mufty Zubair; Tangermann, Rudolph H; Ehrhardt, Derek

2014-10-31

In 2012, the World Health Assembly declared the completion of polio eradication a programmatic emergency for global public health and called for a comprehensive polio endgame strategy. Afghanistan and Pakistan are two of the three remaining countries (the other is Nigeria) where circulation of indigenous wild poliovirus (WPV) has never been interrupted. This report updates previous reports and describes polio eradication activities and progress in Afghanistan and Pakistan during January 2013-August 2014. In Afghanistan, 14 WPV cases were reported in 2013, compared with 37 cases in 2012; nine cases were reported during January-August 2014, compared with six cases during the same period in 2013. In Pakistan, 93 WPV cases were reported in 2013, compared with 58 cases in 2012; 170 cases were reported during January-August 2014, compared with 33 cases during the same period in 2013. All WPV cases reported during January 2013-August 2014 were WPV type 1 (WPV1). Vaccination campaigns have been banned since June 2012 in specific areas in Pakistan, where an estimated 300,000 children aged <5 years reside and where 69% of WPV cases have occurred in 2014. To accomplish the objectives of the Polio Eradication and Endgame Strategic Plan for 2013-2018 both countries should continue to negotiate access of vaccinators to insecure and temporarily inaccessible areas, improve immunization program performance to reach more children in accessible areas, and ensure that political and health leaders at all levels are fully committed to the program, including being committed to providing financial resources needed to fully implement all the recommendations of external technical advisory groups. Both countries should also continue to strengthen cross-border collaboration to improve surveillance and case detection, coordinate outbreak response, and maximize vaccination coverage of children moving between the two countries.

Fog Bank, Namib Desert, Namibia, Africa

NASA Technical Reports Server (NTRS)

1991-01-01

Fog is the only source of moisture for desert dwelling animals and plants living in the Namib Desert sand dune field, Namibia (23.5N, 15.0E). Coastal stratus clouds provide most of the life supporting moisture as fog droplets in this arid land where the usual annual rainfall is less than a quarter of an inch for decades at a time. In this view, the stratus clouds over the coast conform to the dune pattern proving that the fog is in ground contact.

Fog Bank, Namib Desert, Namibia, Africa

NASA Image and Video Library

1991-12-01

Fog is the only source of moisture for desert dwelling animals and plants living in the Namib Desert sand dune field, Namibia (23.5N, 15.0E). Coastal stratus clouds provide most of the life supporting moisture as fog droplets in this arid land where the usual annual rainfall is less than a quarter of an inch for decades at a time. In this view, the stratus clouds over the coast conform to the dune pattern proving that the fog is in ground contact.

Provision of social services in Namibia.

PubMed

Kaure, A

1994-03-01

Whereas Namibia is not a welfare state, the government which has emerged from the colonial period is expected to provide social services to address the social inequities of that period. The Constitution requires the government to promote and maintain the welfare of the people by adopting policies to ensure equal opportunities for men and women, access by all to health and education, reasonable assess to public facilities and services, a pension to senior citizens, and just and affordable benefits to the unemployed, the incapacitated, the indigent, and the disadvantaged. The International Labor Organization (ILO) prepared a report on the development of social security in Namibia which stated that the country's social protection schemes are centered on formal sector employees with the financing for those schemes coming from that sector. Within the formal sector, however, there are disparities, and those who have irregular or lower-paid employment are generally less protected. The ILO report calls for reforms which would recognize the relationship between economic development and social policy while putting limited resources to the best possible use. The Director of Social Services, however, has stated that the government may not have the resources to provide such services. For example, there is a widespread need for old-age homes, but no money to provide them. The government must exert its efforts to rectify the inequities of the colonial era such as the provision of pensions based on race. in 1991-92 alone, social pensions totaled 1.8% of the country's gross national produce, yet many people are not reached by the social services staff. The new labor bill and the draft bill on social security will alleviate some, but not all, of these problems. Whereas the social security bill provides for maternity benefits, unemployment benefits are nonexistent and deemed infeasible at the present time. The government's efforts to increase public health have led to the creation of

Identifying the controls of wildfire activity in Namibia using multivariate statistics

NASA Astrophysics Data System (ADS)

Mayr, Manuel; Le Roux, Johan; Samimi, Cyrus

2015-04-01

Despite large areas of Namibia being unaffected by fires due to aridity, substantial burning in the northern and north-eastern parts of the country is observed every year. Within the fire-affected regions, a strong spatial and inter-annual variability characterizes the dry-season fire situation. In order to understand these patterns, it appears critical to identify the causative factors behind fire occurrence and to examine their interactions in detail. Furthermore, most studies dealing with causative factor examination focus either on the local or the regional scale. However, these scales seem to be inappropriate from a management perspective, as fire-related strategic action plans are most often set up nationwide. Here, we will present an examination of the fire regimes of Namibia based on a dataset conducted by Le Roux (2011). A decade-spanning fire record (1994-2003) derived from NOAA's Advanced Very High Resolution Radiometer (AVHRR) imagery was used to generate four fire regime metrics (Burned Area, Fire Season Length, Month of Peak Fire Season, and Fire Return Period) and quantitative information on vegetation and phenology derived from Normalized Difference Vegetation Index (NDVI) time series. Further variables contained by this dataset are related to climate, biodiversity, and human activities. Le Roux (2011) analyzed the correlations between the fire metrics mentioned above and the predictor variables. We hypothesize that linear correlations (as estimated by correlation coefficients) simplify the interactions between response and predictor variables. For instance, moderate population densities could induce the highest number of fires, whereas the complete absence of humans lacks one major source of ignition. Around highly populated areas, in contrary, fuels are usually reduced and space is more fragmented - thus, the initiation and spread of a potential fire could as well be inhibited. From a total of over 40 explanatory variables, we will initially use

Laboratory information management system: an example of international cooperation in Namibia.

PubMed

Colangeli, Patrizia; Ferrilli, Monica; Quaranta, Fabrizio; Malizia, Elio; Mbulu, Rosa-Stella; Mukete, Esther; Iipumbu, Lukas; Kamhulu, Anna; Tjipura-Zaire, Georgina; Di Francesco, Cesare; Lelli, Rossella; Scacchia, Massimo

2012-01-01

The authors describe the project undertaken by the Istituto G. Caporale to provide a laboratory information management system (LIMS) to the Central Veterinary Laboratory (CVL) in Windhoek, Namibia. This robust laboratory management tool satisfies Namibia's information obligations under international quality standard ISO 17025:2005. The Laboratory Information Management System (LIMS) for Africa was designed to collect and manage all necessary information on samples, tests and test results. The system involves the entry of sample data on arrival, as required by Namibian sampling plans, the tracking of samples through the various sections of the CVL, the collection of test results, generation of test reports and monitoring of outbreaks through data interrogation functions, eliminating multiple registrations of the same data on paper records. It is a fundamental component of the Namibian veterinary information system.

University students and HIV in Namibia: an HIV prevalence survey and a knowledge and attitude survey

PubMed Central

2012-01-01

Background With an overall adult HIV prevalence of 15.3%, Namibia is facing one of the largest HIV epidemics in Africa. Young people aged 20 to 34 years constitute one of the groups at highest risk of HIV infection in Namibia. However, little is known about the impact of HIV on this group and its access to healthcare. The purpose of this study was to estimate HIV prevalence, to assess the knowledge of and attitudes towards HIV/AIDS, and to assess access to healthcare among university students in Namibia. Methods We assessed HIV/AIDS knowledge and attitudes, HIV prevalence and access to healthcare among students at the Polytechnic of Namibia and the University of Namibia. HIV prevalence was tested through anonymous oral fluid-based tests. Results Half (n = 2790/5568) of the university students and 45% (n = 2807/6302) of the Polytechnic students participated in the knowledge and attitudes surveys. HIV/AIDS knowledge was reasonable, except for misperceptions about transmission. Awareness of one's own HIV status and risks was low. In all, 55% (n = 3055/5568) of university students and 58% (n = 3680/6302) of Polytechnic students participated in the HIV prevalence survey; 54 (1.8%) university students and 103 (2.8%) Polytechnic students tested HIV positive. Campus clinics were not the major providers of healthcare to the students. Conclusions Meaningful strategies addressing the gap between knowledge, attitude and young people's perception of risk of HIV acquisition should be implemented. HIV prevalence among Namibian university students appears relatively low. Voluntary counselling and testing should be stimulated. Efforts should be made to increase access to healthcare through the campus clinics. PMID:22353579

University students and HIV in Namibia: an HIV prevalence survey and a knowledge and attitude survey.

PubMed

de Beer, Ingrid H; Gelderblom, Huub C; Schellekens, Onno; Gaeb, Esegiel; van Rooy, Gert; McNally, Alta; Wit, Ferdinand W; Tobias, Rinke de Wit F

2012-02-22

With an overall adult HIV prevalence of 15.3%, Namibia is facing one of the largest HIV epidemics in Africa. Young people aged 20 to 34 years constitute one of the groups at highest risk of HIV infection in Namibia. However, little is known about the impact of HIV on this group and its access to healthcare. The purpose of this study was to estimate HIV prevalence, to assess the knowledge of and attitudes towards HIV/AIDS, and to assess access to healthcare among university students in Namibia. We assessed HIV/AIDS knowledge and attitudes, HIV prevalence and access to healthcare among students at the Polytechnic of Namibia and the University of Namibia. HIV prevalence was tested through anonymous oral fluid-based tests. Half (n = 2790/5568) of the university students and 45% (n = 2807/6302) of the Polytechnic students participated in the knowledge and attitudes surveys. HIV/AIDS knowledge was reasonable, except for misperceptions about transmission. Awareness of one's own HIV status and risks was low. In all, 55% (n = 3055/5568) of university students and 58% (n = 3680/6302) of Polytechnic students participated in the HIV prevalence survey; 54 (1.8%) university students and 103 (2.8%) Polytechnic students tested HIV positive. Campus clinics were not the major providers of healthcare to the students. Meaningful strategies addressing the gap between knowledge, attitude and young people's perception of risk of HIV acquisition should be implemented. HIV prevalence among Namibian university students appears relatively low. Voluntary counselling and testing should be stimulated. Efforts should be made to increase access to healthcare through the campus clinics.

A molecular epidemiological study of rabies epizootics in kudu (Tragelaphus strepsiceros) in Namibia

PubMed Central

Mansfield, Karen; McElhinney, Lorraine; Hübschle, Otto; Mettler, Felix; Sabeta, Claude; Nel, Louis H; Fooks, Anthony R

2006-01-01

Background A panel of 37 rabies virus isolates were collected and studied, originating mainly from the northern and central regions of Namibia, between 1980 and 2003. Results These virus isolates demonstrated a high degree of genetic similarity with respect to a 400 bp region of the nucleoprotein gene, with the virus isolates originating from kudu antelope (n = 10) sharing 97.2–100% similarity with jackal isolates, and 97–100% similarity with those isolated from domestic dogs. Phylogenetic analysis suggested that these viruses were all of the canid rabies biotype of southern Africa. The viruses from kudu were closely associated with jackal isolates (n = 6), bat-eared fox isolates (n = 2) and domestic dog isolates (n = 2) at the genetic level and identical at the amino acid level, irrespective of the year of isolation. Conclusion These data suggest that jackal and kudu may form part of the same epidemiological cycle of rabies in Namibian wildlife, and might demonstrate the close-relationship between rabies virus strains that circulate within Namibia and those that circulate between Namibia and its neighbouring countries such as Botswana and South Africa. PMID:16412222

Open ocean Internal Waves, Namibia Coast, Africa.

NASA Technical Reports Server (NTRS)

1990-01-01

These open ocean Internal Waves were seen off the Namibia Coast, Africa (19.5S, 11.5E). The periodic and regularly spaced sets of incoming internal appear to be diffracting against the coastline and recombining to form a network of interference patterns. They seem to coincide with tidal periods about 12 hours apart and wave length (distance from crest to crest) varies between 1.5 and 5.0 miles and the crest lengths stretch beyond the image.

Open ocean Internal Waves, Namibia Coast, Africa.

NASA Image and Video Library

1990-12-10

These open ocean Internal Waves were seen off the Namibia Coast, Africa (19.5S, 11.5E). The periodic and regularly spaced sets of incoming internal appear to be diffracting against the coastline and recombining to form a network of interference patterns. They seem to coincide with tidal periods about 12 hours apart and wave length (distance from crest to crest) varies between 1.5 and 5.0 miles and the crest lengths stretch beyond the image.

Progress toward poliomyelitis eradication - Nigeria, January 2011-September 2012.

PubMed

2012-11-09

In 1988, the World Health Assembly launched the Global Polio Eradication Initiative (GPEI) and, in 2012, declared the completion of polio eradication a programmatic emergency for global public health. To date, wild poliovirus (WPV) cases reported worldwide in 2012 are at historically low levels. Nigeria is one of only three countries with uninterrupted WPV transmission (in addition to Pakistan and Afghanistan) and has been the origin of WPV imported into 25 previously polio-free countries since 2003. This report updates previous reports and describes polio eradication activities and progress in Nigeria during January 2011-September 2012, as of October 30, 2012. The number of reported WPV cases increased from 21 in 2010 to 62 in 2011. During January-September 2012, a total of 99 WPV cases were reported, more than doubling from the 42 cases reported during the same period in 2011. During 2011, a total of 32 circulating vaccine-derived polio virus type 2 (cVDPV2) cases were confirmed; six cVDPV2 cases were confirmed during January-September 2012, compared with 18 cVDPV2 cases during the same period in 2011. Nigeria's 2012 Polio Eradication Emergency Plan includes senior government leadership oversight, new program management and strategic initiatives, an accountability framework, and a surge in human resources to address chronically missed children during supplemental immunization activities (SIAs).* In 2012, indicators of immunization campaign quality show modest improvements; available data indicate gaps in surveillance. Continuing WPV transmission in Nigeria poses an ongoing risk for WPV reintroduction and outbreaks in polio-free countries and is a major obstacle to achieving global eradication.

Strengthening tactical planning and operational frameworks for vector control: the roadmap for malaria elimination in Namibia.

PubMed

Chanda, Emmanuel; Ameneshewa, Birkinesh; Angula, Hans A; Iitula, Iitula; Uusiku, Pentrina; Trune, Desta; Islam, Quazi M; Govere, John M

2015-08-05

Namibia has made tremendous gains in malaria control and the epidemiological trend of the disease has changed significantly over the past years. In 2010, the country reoriented from the objective of reducing disease morbidity and mortality to the goal of achieving malaria elimination by 2020. This manuscript outlines the processes undertaken in strengthening tactical planning and operational frameworks for vector control to facilitate expeditious malaria elimination in Namibia. The information sources for this study included all available data and accessible archived documentary records on malaria vector control in Namibia. A methodical assessment of published and unpublished documents was conducted via a literature search of online electronic databases, Google Scholar, PubMed and WHO, using a combination of search terms. To attain the goal of elimination in Namibia, systems are being strengthened to identify and clear all infections, and significantly reduce human-mosquito contact. Particularly, consolidating vector control for reducing transmission at the identified malaria foci will be critical for accelerated malaria elimination. Thus, guarding against potential challenges and the need for evidence-based and sustainable vector control instigated the strengthening of strategic frameworks by: adopting the integrated vector management (IVM) strategy; initiating implementation of the global plan for insecticide resistance management (GPIRM); intensifying malaria vector surveillance; improving data collection and reporting systems on DDT; updating the indoor residual spraying (IRS) data collection and reporting tool; and, improving geographical reconnaissance using geographical information system-based satellite imagery. Universal coverage with IRS and long-lasting insecticidal nets, supplemented by larval source management in the context of IVM and guided by vector surveillance coupled with rational operationalization of the GPIRM, will enable expeditious

Pottery from Pakistan. A Handbook.

ERIC Educational Resources Information Center

Rammage, Alix

One of three handbooks dealing with pottery traditions from around the world, this packet draws together information about historical, ethnographic, and pottery traditions of Pakistan. The handbook begins with a brief discussion of Pakistan's land and people, a short history of Pakistan, Islamic pottery traditions, and Pakistan potters and…

Anatomy Education in Namibia: Balancing Facility Design and Curriculum Development

ERIC Educational Resources Information Center

Wessels, Quenton; Vorster, Willie; Jacobson, Christian

2012-01-01

The anatomy curriculum at Namibia's first, and currently only, medical school is clinically oriented, outcome-based, and includes all of the components of modern anatomical sciences i.e., histology, embryology, neuroanatomy, gross, and clinical anatomy. The design of the facilities and the equipment incorporated into these facilities were directed…

Life stories of depressed adult women in peri-urban Namibia.

PubMed

Shifiona, N N; Poggenpoel, M; Myburgh, C P H

2006-05-01

The problems women in peri-urban Namibia are faced with are multi-dimensional. Like women in other communities they face the pressure of having a number of responsibilities, namely working, being a wife and mother, taking care of their families and perhaps caring for aging parents. Sometimes the pressure can be too overwhelming to manage. As a result, many women become depressed. Studies on depression among black African women in Namibia could not be traced. It was therefore considered to find out how women suffering from depression from this part of the world tell their life stories. The purpose of the study was two-fold: Firstly, to explore and describe the life stories of depressed adult women in peri-urban Namibia, and secondly to use the information obtained to describe guidelines for psychiatric nurses working with these patients at psychiatric outpatient clinics as well as in the community. A qualitative phenomenological research design of an explorative, descriptive and contextual nature was used. The researcher approached the subjects and their experiences with an open mind. Ten depressed adult women between 21-55 years were involved in the research. The researcher strived to adhere to the principles of trustworthiness. To ensure this Guba's model (in Krefting, 1991: 217) of trustworthiness was adopted. All the interviews were analysed following Tesch's method (Creswell, 1994: 154-55). The services of an independent coder were obtained. The results indicated that impaired interpersonal interactions and stressful life events have a negative influence on the daily life of women leading to the development of depressive symptoms. Guidelines to support psychiatric nurses working with depressed women were drawn up.

Pakistan Flooding

Atmospheric Science Data Center

2013-04-16

article title:  Flooding in Pakistan     View Larger Image In late July 2010, flooding caused by heavy monsoon rains began in several regions of Pakistan, ... river is 23 kilometers (14 miles) wide or more in spots, and flooding in much of the surrounding region, particularly in the Larkana ...

Moving beyond a destructive past to a decolonised and inclusive future: The role of ubuntu-style education in providing culturally relevant pedagogy for Namibia

NASA Astrophysics Data System (ADS)

Biraimah, Karen L.

2016-02-01

Namibia has one of the most dehumanising and destructive colonial pasts of any nation in Africa, or, for that matter, the world. Before colonisation, the area now known as Namibia was home to diverse cultural groups. The successive colonial regimes of Germany and South Africa inflicted genocide, brutality and apartheid on the region. Namibia finally fought for and won its independence in 1990 - over three decades after Ghana became the first independent sub-Saharan nation in 1957. Today, Namibia strives to leave behind its troubled past and harness the power of education to provide greater equality of opportunity and quality of life for all of its citizens. The concept of ubuntu, with its emphasis on inclusiveness, equity and equality, is central to Namibia's pursuit of this goal. Significant challenges stand in its way, including extreme poverty, an emerging economy struggling with drought and a competitive world market, and a populace with multiple mother tongues and cultural traditions. After a brief summary of Namibia's colonial past, this study examines these challenges, noting that the same factors that provide Namibia with a rich and diverse cultural tapestry also pose great difficulties for educators determined to provide equitable education for all. Current inequities in Namibian education are assessed, with a particular focus on the divide between urban and rural Namibia and between the four major ethnic and cultural groupings: the White Afrikaans speakers, the Black African majority, the Coloured population, and the Basters. The study concludes by suggesting multiple ways in which education could be brought closer into line with ubuntu values. The author argues that the very same factors that currently pose challenges to the quality and equity of Namibian education (ethnicity, urban/rural location, gender and socioeconomic class) might, if seen from a new perspective, become the basis for educational transformation.

Prevalence of human immunodeficiency virus, syphilis, hepatitis B and C in blood donations in Namibia.

PubMed

Mavenyengwa, Rooyen T; Mukesi, Munyaradzi; Chipare, Israel; Shoombe, Esra

2014-05-05

Transfusion Transmissible Infections (TTIs) such as Human Immunodeficiency Virus (HIV), syphilis, hepatitis B virus (HBV) and hepatitis C virus (HCV) are infections which are common in some communities in Southern Africa. It is important to screen blood donations for these infections. This is a retrospective study which involved reviewing of previous blood donation records for the year 2012 in Namibia. The records were analyzed to determine the prevalence of HIV, syphilis, Hepatitis B and C among blood donations with regard to gender, age and geographical region of the donors. The findings indicated a significantly low prevalence of HIV, syphilis, HBsAg and anti-Hepatitis C among the blood donations. A low infection rate of 1.3% by any of the four tested TTIs was found among the blood donations given by the donor population in Namibia in 2012. The blood donations given by the donor population in Namibia has a low infection rate with the HIV, syphilis, HBsAg and anti-HCV. A strict screening regime must continue to be used as the infections are still present albeit in small numbers.

Surveillance of antibiotic use in the private sector in Namibia using sales and claims data.

PubMed

Pereko, Dawn Dineo; Lubbe, Martie S; Essack, Sabiha Y

2016-11-24

Antibiotics are among the most commonly used therapeutic agents for humans globally, and their use has been associated with the development of resistance. The objective of this study was to identify sources for quantifying antibiotic usage patterns and to assess such use in ambulatory patients in the private health sector of Namibia. A retrospective analysis of prescription claims data and sales data for the period 2008 to 2011 was conducted. Antibiotic use was expressed in the number of antibiotic-containing prescriptions and volume of units sold and then standardized using defined daily dose per 1,000 inhabitants per day. Antibiotic usage was highest in females (53%), in people 18-45 years of age (41%), and in Windhoek (34%). Overall, wholesale data showed higher antibiotic use than prescription claims data. However, both sources showed similar patterns of antibiotic use. Penicillins were the most used pharmacological group, with amoxicillin/clavulanic acid combination being the most used of the agents. Antibiotic use in the private sector of Namibia is comparable to that of high-consuming European countries such as Italy. A trend observed in this study was the decrease in the use of narrow-spectrum antibiotics in favour of broad-spectrum and newer antibiotics. Since this was the first study to assess antibiotic use in the private sector of Namibia, it could serve as a starting point for continued monitoring of antibiotic use in the whole of Namibia in the context of the World Health Organization's Global Action Plan to contain antibiotic resistance.

Fences and grazing management in northern Namibia

NASA Astrophysics Data System (ADS)

Prudat, Brice; Bloemertz, Lena; Kuhn, Nikolaus J.

2016-04-01

Since Namibian independence, many fences have been erected in the communal land of the Ohangwena region in northern Namibia. Most fencing issues discussed so far in the region concern large-scale fencing of communal land by the new Namibian elite. Rarely discussed are the fences erected around small-scale farmers' parcels. This paper will discuss the impact of such increased small-scale fencing activities in northern Namibia. Fencing of land has different functions, including protection of fields against livestock and securing property rights. However, not all community members can afford the monetary and labor costs involved. In the annual agricultural cycle of the study area, livestock is left un-herded after the harvest of most crops. They can then feed on available crop remains and grass on the fields. The livestock then freely utilizes unfenced and unprotected land. This system has the advantage to accelerate crop degradation and fertilize the soils. However, by erecting efficient fences, the new middle-class community members concentrate fertility in their own field, thereby degrading agricultural soils of poorer farmers. Potentially, such small-scale fencing of land has therefore an impact on sol quality and thus fosters degradation of unfenced cropland. By using fences as features to determine the limits of the new land rights, the ongoing Communal Land Reform may not only promote the erection of fences, but may also have a negative impact on soil quality and potentially food security of small-scale farmers without cattle.

Seismic velocity structure of the crust in NW Namibia: Impact of rifting and mantle plume activity

NASA Astrophysics Data System (ADS)

Bauer, K.; Heit, B.; Muksin, U.; Yuan, X.

2017-12-01

The continental crust in northwestern Namibiamainly was formed during to the Neoproterozoic assembly of Gondwana. The collision of old African and South American cratonic coressuch as the Congo, Kalahari and Rio de la Plata cratons led tothe development of the Pan-African Damara orogen. The fold systemconsists of an intracratonic branch in northern central Namibia (named Damara Belt), and two coast-parallel branches, the Kaoko Belt in northern Namibia and the Gariep Belt in the border region between Namibia and theRepublic of South Africa. During the Early Cretaceous opening of the South Atlantic ocean, the crust in NW Namibia was prominently affected by the Tristan da Cunha mantle plume, as evidenced by the emplacement of the Etendeka continental flood basalts.A local earthquake tomography was carried out in NW Namibia to investigateif and to what degree the deeper continental crust was modified by the magmaticactivity during rifting and the impingement of the Tristan da Cunhamantle plume. We analyzed data from 28 onshore stations of the temporaryWALPASS seismic network. Stations were covering the continental marginaround the landfall of the Walvis Ridge, parts of the Kaoko Belt and Damara Belt,and marginally the southwestern edges of the Congo craton.First arrivals of P and S waves were identified and travel times werepicked manually. 1D inversion was carried out with VELEST to derivestarting models and the initial seismicity distribution, and SIMUL2000was used for the subsequent 3D tomographic inversion. The resultingseismicity distribution mainly follows the structures of the Pan-Africanorogenic belts. The majority of events was localized in the upper crust,but additional seismicity was also found in the deeper crust.An anomaly of increased P velocities is revealed in the deep crust under the Etendekaflood basalt province. Increased P velocities can be explained by mafic and ultra-maficmaterial which intruded in the lower crust. The anomaly appears to be rather

Implications of the 2015 World Health Organization isoniazid preventive therapy recommendations on tuberculosis prevention efforts in Namibia.

PubMed

Oloo, Stella Anne

2016-07-01

The World Health Organization recently released guidelines recommending 36-month use of isoniazid preventive therapy in adults and adolescents living with HIV in resource-limited settings. Namibia continues to grapple with one of the highest incidences of tuberculosis (TB) worldwide. Implementation of these guidelines requires considerations of TB epidemiology, health infrastructure, programmatic priorities and patient adherence. This article explores the challenges Namibia currently faces in its fight against TB and the implications of the new guidelines on Namibian TB prevention efforts.

Prevalence and antimicrobial resistance pattern of Salmonella in animal feed produced in Namibia.

PubMed

Shilangale, Renatus P; Di Giannatale, Elisabetta; Chimwamurombe, Percy M; Kaaya, Godwin P

2012-01-01

The occurrence of Salmonella is a global challenge in the public health and food production sectors. Our study investigated the prevalence, serovar and antimicrobial susceptibility of strains of Salmonella serovars isolated from animal feed (meat-and-bone and blood meal) samples from two commercial abattoirs in Namibia. A total of 650 samples (n=650) were examined for the presence of Salmonella. Results showed that 10.9% (n=71) were positive for Salmonella. Of the Salmonella serovars isolated, S. Chester was the most commonly isolated serovar (19.7%), followed by S. Schwarzengrund at 12.7%. From the Salmonella isolates, 19.7% (n=14) were resistant to one or more of the antimicrobials (nalidixic acid, trimethoprim-sulfamethoxazole, sulfisoxazole, streptomycin and/or tetracycline), whereas 80.3% (n=57) were susceptible to all 16 antimicrobials tested. Resistance to sulfisoxazole and the trimethroprimsuflamethoxazole combination were the most common. The resistant isolates belonged to ten different Salmonella serovars. The susceptibility of most of the Salmonella isolated to the antimicrobials tested indicates that anti-microbial resistance is not as common and extensive in Namibia as has been reported in many other countries. It also appears that there is a range of antimicrobials available that are effective in managing Salmonella infections in Namibia. However, there is some evidence that resistance is developing and this will need further monitoring to ensure it does not become a problem.

Quality of antenatal care and client satisfaction in Kenya and Namibia.

PubMed

Do, Mai; Wang, Wenjuan; Hembling, John; Ametepi, Paul

2017-04-01

Despite much progress in maternal health service coverage, the quality of care has not seen parallel improvement. This study assessed the quality of antenatal care (ANC), an entry point to the health system for many women. The study used data from recent Service Provision Assessment (SPA) surveys of nationally representative health facilities in Kenya and Namibia. Kenya and Namibia represent the situation in much of sub-Saharan Africa, where ANC is relatively common but maternal mortality remains high. The SPA comprised an inventory of health facilities that provided ANC, interviews with ANC providers and clients, and observations of service delivery. Not applicable. Quality was measured in terms of structure and process of service provision, and client satisfaction as the outcome of service provision. Wide variations in structural and process attributes of quality of care existed in both Kenya and Namibia; however, better structural quality did not translate to better service delivery process or greater client satisfaction. Long waiting time was a common problem and was generally more serious in hospitals and health centers than in clinics and smaller facilities; it was consistently associated with lower client satisfaction. The study also indicates that the provider's technical preparedness may not be sufficient to provide good-quality services and to ensure client satisfaction. Findings highlight important program implications, including improving ANC services and promoting their use at health clinics and lower-level facilities, and ensuring that available supplies and equipment are used for service provision. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Prevalence of human immunodeficiency virus, syphilis, hepatitis B and C in blood donations in Namibia

PubMed Central

2014-01-01

Background Transfusion Transmissible Infections (TTIs) such as Human Immunodeficiency Virus (HIV), syphilis, hepatitis B virus (HBV) and hepatitis C virus (HCV) are infections which are common in some communities in Southern Africa. It is important to screen blood donations for these infections. Methods This is a retrospective study which involved reviewing of previous blood donation records for the year 2012 in Namibia. The records were analyzed to determine the prevalence of HIV, syphilis, Hepatitis B and C among blood donations with regard to gender, age and geographical region of the donors. Results The findings indicated a significantly low prevalence of HIV, syphilis, HBsAg and anti-Hepatitis C among the blood donations. A low infection rate of 1.3% by any of the four tested TTIs was found among the blood donations given by the donor population in Namibia in 2012. Conclusion The blood donations given by the donor population in Namibia has a low infection rate with the HIV, syphilis, HBsAg and anti-HCV. A strict screening regime must continue to be used as the infections are still present albeit in small numbers. PMID:24884633

Genomic Surveillance Elucidates Persistent Wild Poliovirus Transmission During 2013-2015 in Major Reservoir Areas of Pakistan.

PubMed

Alam, Muhammad Masroor; Sharif, Salmaan; Shaukat, Shahzad; Angez, Mehar; Khurshid, Adnan; Rehman, Lubna; Zaidi, Syed Sohail Zahoor

2016-01-15

Despite tremendous efforts in the fight against polio, Pakistan bears the highest proportion of poliomyelitis cases among the 3 endemic countries including Afghanistan and Nigeria. Apart from insecurity and inaccessibility challenges, the substantial shift of unimmunized children from North Waziristan due to recent military operations was presumed to favor the widespread poliovirus infection in Pakistan. To better understand the current epidemiological situation, we analyzed the virologic data of wild poliovirus type 1 (WPV1) strains detected in Pakistan during 2013-2015. Five genetic clusters (A-E) were identified with at least 5% nucleotide divergence in the viral protein 1 (VP1) coding region. Peshawar, Quetta, and Karachi were found to be the major endemic foci where multiple discrete genetic lineages of WPV1 were detected. Phylogenetic analysis suggests that wild poliovirus strains from endemic regions were genetically distant (with 5%-15% VP1 nucleotide divergence) from those detected in North Waziristan cases, excluding the possibility of a recent progenitor of WPV1 instigating single-source transmission across the country. Orphan lineages detected in Rawalpindi, Lahore, Hyderabad, Sukkur, and Jacobabad revealed silent transmission and the need for vigilant surveillance. Sustenance of analogous genetic lineages over a period of 3 years highlights multiple unimmunized foci present to maintain viral genetic diversity. Our findings are inconsistent with the hypothesis that impoverished populations from North Waziristan serve as a possible determinant of widespread poliomyelitis infection in Pakistan and further emphasize the need to scale-up clinical and environmental surveillance as well as immunization activities. © The Author 2015. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

Soil indigenous knowledge in North Central Namibia

NASA Astrophysics Data System (ADS)

Prudat, Brice; Bloemertz, Lena; Kuhn, Nikolaus J.

2016-04-01

Mapping and classifying soils is part of an important learning process to improve soil management practices, soil quality and increase productivity. In order to assess soil quality improvement related to an ongoing land reform in North-Central Namibia, the characteristics that determine soil quality in the local land use context were determined in this study. To do so, we collated the indigenous soil knowledge in North-Central Namibia where the Ovakwanyama cultivate pearl millet for centuries. Local soil groups are defined mostly based on their productivity potential, which varies depending on the rainfall pattern. The morphological criteria used by the farmers to differentiate the soil groups (colour, consistence) were supported by a conventional analysis of soil physical and chemical properties. Now, they can be used to develop a soil quality assessment toolbox adapted to the regional use. The characteristics of the tool box do not directly indicate soil quality, but refer to local soils groups. The quality of these groups is relatively homogenous at the local scale. Our results show that understanding of indigenous soil knowledge has great potential to improve soil quality assessment with regards to land use. The integration of this knowledge with the conventional soil analysis improves the local meaning of such a "scientific" assessment and thus facilitates dialog between farmers and agronomists, but also scientists working in different regions of the world, but in similar conditions. Overall, the integration of indigenous knowledge in international classification systems (e.g. WRB) as attempted in this study has thus a major potential to improve soil mapping in the local context.

Antimicrobial sensitivity patterns of cerebrospinal fluid (CSF) isolates in Namibia: implications for empirical antibiotic treatment of meningitis.

PubMed

Mengistu, Assegid; Gaeseb, Johannes; Uaaka, Gottfried; Ndjavera, Christophine; Kambyambya, Kennedy; Indongo, Lazarus; Kalemeera, Francis; Ntege, Christopher; Mabirizi, David; Joshi, Mohan P; Sagwa, Evans

2013-01-01

Bacterial meningitis is a medical emergency associated with high mortality rates. Cerebrospinal fluid (CSF) culture is the "gold standard" for diagnosis of meningitis and it is important to establish the susceptibility of the causative microorganism to rationalize treatment. The Namibia Standard Treatment Guidelines (STGs) recommends initiation of empirical antibiotic treatment in patients with signs and symptoms of meningitis after taking a CSF sample for culture and sensitivity. The objective of this study was to assess the antimicrobial sensitivity patterns of microorganisms isolated from CSF to antibiotics commonly used in the empirical treatment of suspected bacterial meningitis in Namibia. This was a cross-sectional descriptive study of routinely collected antibiotic susceptibility data from the Namibia Institute of Pathology (NIP) database. Results of CSF culture and sensitivity from January 1, 2009 to May 31, 2012, from 33 state hospitals throughout Namibia were analysed. The most common pathogens isolated were Streptococcus species, Neisseria meningitidis, Haemophilus influenzae, Staphylococcus, and Escherichia coli. The common isolates from CSF showed high resistance (34.3% -73.5%) to penicillin. Over one third (34.3%) of Streptococcus were resistance to penicillin which was higher than 24.8% resistance in the United States. Meningococci were susceptible to several antimicrobial agents including penicillin. The sensitivity to cephalosporins remained high for Streptococcus, Neisseria, E. coli and Haemophilus. The highest percentage of resistance to cephalosporins was seen among ESBL K. pneumoniae (n = 7, 71%-100%), other Klebsiella species (n = 7, 28%-80%), and Staphylococcus (n = 36, 25%-40%). The common organisms isolated from CSF were Streptococcus Pneumoniae, Neisseria meningitidis, Haemophilus influenzae, Staphylococcus, and E. coli. All common organisms isolated from CSF showed high sensitivity to cephalosporins used in the empirical

Satellite tracking of two lesser spotted eagles Aquila pomarina, migrating from Namibia

USGS Publications Warehouse

Meyburg, B.-U.; Ellis, D.H.; Meyburg, C.; Mendelsohn, J.; Scheller, W.

2001-01-01

One immature and one subadult Lesser Spotted Eagle, Aquila pomarina, were followed by satellite telemetry from their non-breeding areas in Namibia. Both birds were fitted with transmitters (PTTs) in February 1994 and tracked, the immature for six months and two weeks, over distances of 10084 and 16773 km, respectively. During their time in Namibia both birds? movements were in response to good local rainfall. The immature eagle left Namibia at the end of February, the subadult at the end of March. They flew to their respective summer quarters in Hungary and the Ukraine, arriving there 2.5 and 1.5 months later than the breeding adults. The immature eagle took over two months longer on the homeward journey than a breeding male followed by telemetry in a previous study. On returning, the immature eagle followed the narrow flightpath through Africa used by other Lesser Spotted Eagles on their outward migration. It reached this corridor, which runs roughly between longitudes 31? and 36? East from Suez to Lake Tanganyika, veering from the shortest route in a direction east-northeast through Angola and Zambia to the southern end of Lake Tanganyika. The route taken by the subadult bird on its return migration differed markedly from that of all Lesser Spotted Eagles tracked to date, running further west through the Democratic Republic of Congo where, level with the equator, it flew over the eastern rainforest of that country. The outward migration, however, followed the same corridor and coincided in time with the migration of adults.

The vespid fauna of Pakistan.

PubMed

Rafi, Muhammad Ather; Carpenter, James M; Qasim, Muhammad; Shehzad, Anjum; Zia, Ahmed; Khan, Muhammad Rafique; Mastoi, Muhammad Ishaque; Naz, Falak; Ilyas, Muhammad; Shah, Mazafar; Bhatti, Abdul Rauf

2017-12-04

This study provides the first annotated check list of the Vespidae of Pakistan. It is based on the National Insect Museum collection and various studies in Pakistan. Among 105 identified taxa, 77 species and 28 subspecies are recorded in the four subfamilies Eumeninae, Masarinae, Polistinae and Vespinae. Three new records for the fauna of Pakistan are added, namely Anterhynchium mellyi, Antepipona ovalis and Eumenes coronatus coronatus. Among the total, 12 species/subspecies are endemic to Pakistan, namely Ancistrocerus pakistanus, Antepipona luteipes, Antodynerus flavescens karachiensis, Celonites nursei, Cyrtolabulus karachiensis, Eustenancistrocerus (Parastenancistrocerus) baluchistanensis, Katamenes dimidiatus watsoni, Knemodynerus lahorensis, Leptochilus (Neoleptochilus) hina, Leptochilus (Neoleptochilus) mirificus, Leptochilus (Neoleptochilus) umerolatus and Tachyancistrocerus pakistanus. Antepipona varentzowi (Morawitz, 1896) and Polistes rothneyi quatei van der Vecht, 1968 were incorrectly reported from Pakistan.

Sabin and wild polioviruses from apparently healthy primary school children in northeastern Nigeria.

PubMed

Baba, M M; Oderinde, B S; Patrick, P Z; Jarmai, M M

2012-02-01

Despite significant success of the Global Polio Eradication Initiative (GPEI) in Nigeria, Afghanistan, India, Pakistan, wild poliovirus still occurs due to persistently high proportions of under and unimmunized children. The study aimed at determining the type of poliovirus often excreted into the environment. Four hundred nine fecal samples collected from apparently healthy school children aged 5-16 years in Borno and Adamawa States, northeastern Nigeria, were tested for poliovirus by tissue culture technique. The isolates were characterized further by intratypic differentiation testing and genetic sequencing. Three wild poliovirus type, 11 Sabin type, combination of Sabin-types 1 + 2 and 2 + 3 poliovirus, and 22 non-polio enteroviruses were obtained. The continued excretion of wild-type poliovirus among children above 5 years old vaccinated with oral polio vaccine contributes to the persistent circulation of these viruses in the environment and may limit the population immunity. However, the excreted Sabin poliovirus is capable of immunizing the unvaccinated children and promotes herd immunity. Similarly, the excretion of combination of two polio serotypes indicates the child susceptibility to the missing serotype (s) and therefore indicates an immunity gap. The common unhygienic practices in the environment could aid the spread of these viruses through oral-fecal route. Asymptomatic transmission of wild poliovirus among older oral polio vaccine-vaccinated children poses a serious threat to polio eradication program in Nigeria and therefore, environmental and serological surveillance with larger sample size are important for monitoring poliovirus circulation in Nigeria. Copyright © 2011 Wiley Periodicals, Inc.

9 CFR 93.301 - General prohibitions; exceptions.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., interest, or safety. The withdrawal will be effective upon oral or written notification, whichever is..., Malaysia, Mali, Mauritania, Mozambique, Myanmar, Namibia, Nigeria, Oman, Pacific Islands (Palau), Papua New...

Progress Toward Poliomyelitis Eradication - Pakistan, January 2015-September 2016.

PubMed

Hsu, Christopher H; Mahamud, Abdirahman; Safdar, Rana Muhammad; Ahmed, Jamal; Jorba, Jaume; Sharif, Salmaan; Farag, Noha; Martinez, Maureen; Tangermann, Rudolph H; Ehrhardt, Derek

2016-11-25

Pakistan, Afghanistan, and Nigeria remain the only countries where endemic wild poliovirus type 1 (WPV1) transmission continues. This report describes the activities, challenges, and progress toward polio eradication in Pakistan during January 2015-September 2016 and updates previous reports (1,2). In 2015, a total of 54 WPV1 cases were reported in Pakistan, an 82% decrease from 2014. In 2016, 15 WPV1 cases had been reported as of November 1, representing a 61% decrease compared with the 38 cases reported during the same period in 2015 (Figure 1). Among the 15 WPV1 cases reported in 2016, children aged <36 months accounted for 13 cases; four of those children had received only a single dose of oral poliovirus vaccine (OPV). Seven of the 15 WPV1 cases occurred in the province of Khyber Pakhtunkhwa (KP), five in Sindh, two in the Federally Administered Tribal Areas (FATA), and one in Balochistan (3). During January-September 2016, WPV1 was detected in 9% (36 of 384) of environmental samples collected, compared with 19% (69 of 354) of samples collected during the same period in 2015. Rigorous implementation of the 2015-2016 National Emergency Action Plan (NEAP) (4), coordinated by the National Emergency Operations Center (EOC), has resulted in a substantial decrease in overall WPV1 circulation compared with the previous year. However, detection of WPV1 cases in high-risk areas and the detection of WPV1 in environmental samples from geographic areas where no polio cases are identified highlight the need to continue to improve the quality of supplemental immunization activities (SIAs),* immunization campaigns focused on vaccinating children with OPV outside of routine immunization services, and surveillance for acute flaccid paralysis (AFP). Continuation and refinement of successful program strategies, as outlined in the new 2016-2017 NEAP (5), with particular focus on identifying children missed by vaccination, community-based vaccination, and rapid response to virus

Poliovirus immunity among pregnant females aged 15-44 years, Namibia, 2010.

PubMed

Cardemil, Cristina V; Jonas, Anna; Gerber, Sue; Weldon, William C; Oberste, M Steven; Beukes, Anita; Sawadogo, Souleymane; Patel, Sadhna V; Zeko, Sikota; Muroua, Clementine; Gaeb, Esegiel; Wannemuehler, Kathleen; Goodson, James L

2014-11-01

Poliovirus (PV) antibody seroprevalence studies assess population immunity, verify an immunization program's performance and vaccine efficacy, and guide polio eradication strategy. Namibia experienced a polio outbreak among adults in 2006, yet population seroimmunity was unknown. We tested 2061 specimens from Namibian pregnant females aged 15-44 years for neutralizing antibody to PV types 1-3 (PV1-3); all females were sampled during the 2010 National HIV Sentinel Survey. We determined the proportion of females seropositive for PV antibody by 5-year age strata, and analyzed factors associated with seropositivity, including age, gravidity, human immunodeficiency virus (HIV) infection status, residence, and antiretroviral treatment, by log-binomial regression. The seroprevalence was 94.6% for PV1, 97.0% for PV2, and 85.1% for PV3. HIV-positive females had significantly lower seroprevalence than HIV-negative females for PV1 (91.8% vs 95.3%; P<.01) and PV3 (80.0% vs 86.1%; P<.01) but not for PV2 (96.4% vs 97.1%; P=.3). The prevalence ratio of seropositivity for HIV-positive females versus HIV-negative females was 0.95 (95% confidence interval [CI], .92-.98) for PV1, 0.99 (95% CI, .97-1.01) for PV2, and 0.92 (95% CI, .87-.96) for PV3. Despite relatively high PV seroprevalence, Namibia might remain at risk for a PV outbreak, particularly in lower-seroprevalence populations, such as HIV-positive females. Namibia should continue to maintain high routine polio vaccination coverage. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Intimate partner, familial and community violence among men who have sex with men in Namibia

PubMed Central

Stephenson, Rob; Hast, Marisa; Finneran, Catherine; Sineath, Craig R.

2015-01-01

Men who have sex with men in sub-Saharan Africa are known to experience high levels of violence, yet little research has focused on their perceptions of intimate partner violence (IPV). This study examines the perceived typologies and sources of multiple forms of violence, including IPV, family/community violence and discrimination from healthcare workers, among men who have sex with men in Namibia. Focus-group discussions and in-depth interviews were conducted with a 52 men residing in five cities across Namibia. Results indicate that violence, in varying forms, is commonplace in the lives of men who have sex with men in this community, and may be associated with HIV testing patterns. PMID:24735113

Premarital fertility in Namibia: trends, factors and consequences.

PubMed

Garenne, Michel; Zwang, Julien

2006-03-01

Premarital fertility, defined as fertility before first marriage, was found to be highly prevalent in Namibia. According to data from the 1992 and 2000 DHS surveys, the proportion of premarital births was 43% for all births, and 60% for the first birth. This seemed to be primarily due to a late mean age at first marriage (26.4 years) and low levels of contraception before first marriage. Data were analysed using a variety of demographic methods, including multiple decrement life table and multivariate logistic models. Major variations were found by ethno-linguistic groups: Herero and Nama/Damara had the highest levels of premarital fertility (above 60%); Ovambo and Lozi had intermediate levels of premarital fertility (around 40%); Kavongo and San appeared to have kept a more traditional behaviour of early marriage and low levels of premarital fertility (around 20%). The largest ethno-linguistic group, the Ovambo, were in a special situation, with fast increasing age at marriage and average level of premarital fertility. Whites and mixed races also differed, with Afrikaans-speaking groups having a behaviour closer to the average, whereas other Europeans had less premarital fertility despite an average age at marriage. Ethnic differences remained stable after controlling for various socioeconomic factors, such as urbanization, level of education, wealth, access to mass media, and religion. Results are discussed in light of the population dynamics and political history of Namibia in the 20th century.

HIV Drug Resistance Early Warning Indicators in Namibia with Updated World Health Organization Guidance

PubMed Central

Jonas, Anna; Sumbi, Victor; Mwinga, Samson; DeKlerk, Michael; Tjituka, Francina; Penney, Scott; Jordan, Michael R.; Desta, Tiruneh; Tang, Alice M.; Hong, Steven Y.

2014-01-01

Background In response to concerns about the emergence of HIV drug resistance (HIVDR), the World Health Organization (WHO) has developed a comprehensive set of early warning indicators (EWIs) to monitor HIV drug resistance and good programme practice at antiretroviral therapy (ART) sites. Methods In 2012, Namibia utilized the updated WHO EWI guidance and abstracted data from adult and pediatric patients from 50 ART sites for the following EWIs: 1. On-time Pill Pick-up, 2. Retention in Care, 3. Pharmacy Stock-outs, 4. Dispensing Practices, and 5. Virological Suppression. Results Data for EWIs one through four were abstracted and validated. EWI 5 – Virological Suppression was not included due to poor data entry at many sites. On-time Pill Pick-up national estimate was 87.9% (87.2–88.7) of patients picking up pills on time for adults and 90.0% (88.9–90.9) picking up pills on time for pediatrics. Retention in Care national estimate was 82% of patients retained on ART after 12 months for adults and 83% for pediatrics. Pharmacy Stock-outs national estimate was 99% of months without a stock-out for adults and 97% for pediatrics. Dispensing Practices national estimate was 0.01% (0.003–0.064) of patients dispensed mono- or dual-therapy for adults and 0.25% (0.092–0.653) for pediatrics. Conclusions The successful 2012 EWI exercise provides Namibia a solid evidence base, which can be used to make national statements about programmatic functioning and possible HIVDR. This evidence base will serve to contextualize results from Namibia's surveys of HIVDR, which involves genotype testing. EWI abstraction has prompted the national program and its counterparts to engage sites in dialogue regarding the need to strengthen adherence and retention of patients on ART. The EWI collection process and EWI results will serve to optimize patient care and support Namibia in making evidence-based recommendations and take action to minimize the emergence of preventable HIVDR. PMID

Namibia specific climate smart agricultural land use practices: Challenges and opportunities for enhancing ecosystem services

NASA Astrophysics Data System (ADS)

Kuhn, Nikolaus J.; Talamondjila Naanda, Martha; Bloemertz, Lena

2015-04-01

Agriculture is a backbone for many African economies, with an estimated 70% of Africans active in agricultural production. The sector often does not only directly contribute to, but sustains food security and poverty reduction efforts. Sustaining this productivity poses many challenges, particularly to small scale subsistence farmers (SSF) in dry land areas and semi-arid countries like Namibia. SSF in northern central Namibia mix crop and livestock production on degraded semi-arid lands and nutrient-poor sandy soils. They are fully dependent on agricultural production with limited alternative sources of income. Mostly, their agricultural harvests and outputs are low, not meeting their livelihood needs. At the same time, the land use is often not sustainable, leading to degradation. The Namibia case reveals that addressing underlying economic, social and environmental challenges requires a combination of farm level-soil management practices with a shift towards integrated landscape management. This forms the basis for SSF to adopt sustainable land management practices while building institutional foundations, like establishing SSF cooperatives. One way in which this has been tested is through the concept of incentive-based motivation, i.e. payment for ecosystem services (PES), in which some of the beneficiaries pay, for instance for farmers or land users, who provide the services. The farmers provide these services by substituting their unsustainable land and soil management and adopting new (climate smart agricultural) land use practices. Climate Smart Agricultural land use practices (CSA-LUP) are one way of providing ecosystem services, which could be fundamental to long-term sustainable soil and land management solutions in Africa. There are few PES cases which have been systematically studied from an institutional development structure perspective. This study presents lessons evolving from the notion that direct participation and involvement of local people

Satellite tracking of two Lesser Spotted Eagles, Aquila pomarina, migrating from Namibia

USGS Publications Warehouse

Meyburg, B.-U.; Ellis, D.H.; Meyburg, C.; Mendelsohn, J.M.; Scheller, W.

2001-01-01

One immature and one subadult Lesser Spotted Eagle, Aquila pomarina, were followed by satellite telemetry from their nonbreeding areas in Namibia. Both birds were fitted with transmitters (PTTs) in February 1994 and tracked, the immature for six months and three weeks, the subadult for eight months and two weeks, over distances of 10 084 and 16 773 km, respectively. During their time in Namibia both birds' movements were in response to good local rainfall. The immature eagle left Namibia at the end of February, the subadult at the end of March. They flew to their respective summer quarters in Hungary and the Ukraine, arriving there 2.5 and 1.5 months later than the breeding adults. The immature eagle took over two months longer on the homeward journey than a breeding male followed by telemetry in a previous study. On returning, the immature eagle followed the narrow flightpath through Africa used by other Lesser Spotted Eagles on their outward migration. It reached this corridor, which runs roughly between longitudes 31?? and 36?? East from Suez to Lake Tanganyika, veering from the shortest route in a direction east-northeast through Angola and Zambia to the southern end of Lake Tanganyika. The route taken by the subadult bird on its return migration differed markedly from that of all Lesser Spotted Eagles tracked to date, running further west through the Democratic Republic of Congo where, level with the equator, it flew over the eastern rainforest of that country. The outward migration, however, followed the same corridor and coincided in time with the migration of adults. [A German translation of the abstract is provided on p. 40.].

Nigeria`s Escravos gas project starts up

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

Nwokoma, M.

Nigeria`s Escravos gas project, Delta state, officially began late last year. The project -- 6,650 b/d of LPG and 1,740 b/d of condensate from 165 MMscfd of gas -- is the first attempt to rid Nigeria of incessant flares that have lit the Delta skies. Operator Chevron Nigeria Ltd. believes that the Escravos project will enable the joint venture to utilize a significant portion of the gas reserves, thus reducing gas flaring. The paper describes the background of the project, the gas fields, transport pipeline, process design, construction, and start-up.

Nigeria

Atmospheric Science Data Center

2013-04-15

article title:  Smoke over Nigeria and the Gulf of Guinea     ... document extensive smoke from fires burning throughout Nigeria and north central Africa on January 31, 2003. At left are natural-color ... the dark-colored Aïr Mountains), through forested Nigeria, and beyond the Niger Delta to the Gulf of Guinea and the open ocean. ...

Maritime Strategy in Pakistan

DTIC Science & Technology

2004-12-01

69 Shamim Ahmed Rizvi, “New Measures in the Shipping Policy,” Pakistan and Gulf Economist (22- 28 April, 2002) http...2003. Rizvi, Shamim Ahmed. “New Measures in the Shipping Policy,” Pakistan and Gulf Economist (22-28 April, 2002) http

Dialogic Education as an Approach to Multiculturalism for Social Cohesion in Namibia

ERIC Educational Resources Information Center

Bialostocka, Olga

2017-01-01

The paper explores approaches to cultural diversity and its relation to the concept of social cohesion in the context of a multicultural school community. It uses insights from an empirical research on multicultural education conducted in Namibia as context for a discussion on tools in educational practice that would support diversity while…

Rift Valley Fever Virus among Wild Ruminants, Etosha National Park, Namibia, 2011.

PubMed

Capobianco Dondona, Andrea; Aschenborn, Ortwin; Pinoni, Chiara; Di Gialleonardo, Luigina; Maseke, Adrianatus; Bortone, Grazia; Polci, Andrea; Scacchia, Massimo; Molini, Umberto; Monaco, Federica

2016-01-01

After a May 2011 outbreak of Rift Valley fever among livestock northeast of Etosha National Park, Namibia, wild ruminants in the park were tested for the virus. Antibodies were detected in springbok, wildebeest, and black-faced impala, and viral RNA was detected in springbok. Seroprevalence was high, and immune response was long lasting.

Hydrometeorological Variability Over Pakistan

NASA Astrophysics Data System (ADS)

Bashir, Furrukh

Pakistan, as an agriculture based economy, is vulnerable to various hydrometeorological hazards ranging from tropical cyclones, thunderstorms, tornadoes, drought, rain, hail, snow, lightning, fog, wind, temperature extremes, air pollution, and climatic change. However, three of the most pressing challenges in terms of water resource availability, that are different in nature, but are inter-linked to each other are discussed over here. We begin with the Karakoram Anomaly that is considered as one of the most mysterious and most speculated phenomena on Planet Earth. Though, it is confined to the glaciers in the eastern Hindukush, western Karakoram and northwestern Himalayan mountain ranges of Northern Pakistan that are not responding to global warming in the same manner as their counterparts elsewhere, because, their retreat rates are less than the global average, and some are either stable or growing. However, the Karakoram Anomaly has baffled scientific society for more than a decade since its earliest discovery in the year 2005. The reasons of the Karakoram anomaly were mainly associated to physiography of the area and role of climate was considered marginal till now, as climate is influencing glaciers differently all over the globe. Here, for the first time, we present a hydro-meteorological perspective based on five decades of synoptic weather observations collected by the meteorological network of Pakistan. Analysis of this unique data set indicates that increased regional scale humidity, cloud cover, and precipitation, along with decreased net radiation, near-surface wind speed, potential evapotranspiration and river flow, especially during the summer season, represent a substantial change in the energy, mass and momentum fluxes that are facilitating the establishment of the Karakoram Anomaly. In turn, it is influencing the availability of glacier melt in River Indus in summer season. Secondly, we developed a hydrometeorological data sets for Pakistan as they

Ephemeral rivers and their development: testing an approach to basin management committees on the Kuiseb River, Namibia

NASA Astrophysics Data System (ADS)

Botes, A.; Henderson, J.; Nakale, T.; Nantanga, K.; Schachtschneider, K.; Seely, M.

Ephemeral rivers are located in the world’s drylands where aridity and climate variability are key environmental determinants. The Kuiseb River is one of two diversely developed ephemeral rivers in western-central Namibia. From up to down stream, freehold-tenure farmers, a national park, communal farmers and the port and municipality of Walvis Bay all derive water from this source. Upstream farmers impound surface water during brief rainfall periods while remaining stakeholders’ abstract water from the alluvial aquifer. The draft Water Resources Management Act for Namibia devotes one chapter to basin management committees as mechanisms to ensure more equitable, efficient and effective sharing of water resources and their benefits. Two pilot committees are being established in Namibia, one of which is in the Kuiseb basin. The Environmental Learning and Action in the Kuiseb project, implemented by the Desert Research Foundation of Namibia in close consultation with Namibia’s Water Resources Management Review with funding from the European Union, has brought all stakeholders together. The Department of Water Affairs, NamWater and the Gobabeb Training and Research Centre are contributing information to enhance understanding of the river’s functions and services provided. All stakeholders are sharing information concerning their needs, expectations and contributions toward integrated management of the Kuiseb. After negotiation for one-and-a-half years, a formal committee is established and mechanisms for its functioning and sustainability are being identified. The main benefit to date is the dialogue, good will and interest that have been established amongst the stakeholders. If the momentum is maintained, this will lead to a new, more integrated approach to resource management in the entire basin.

Barite in Pakistan

USGS Publications Warehouse

Klinger, F.L.; Richards, R.L.

1973-01-01

Before 1953 almost no barite deposits were known in Pakistan. Discovery of such deposits relatively close to oil fields in northern Pakistan in 1953 led to increased barite production from 1957 to 1961 and to doubling of production in 1962, firmly establishing new industry for the country. During 1962 and 1963, most of the known barite deposits in Pakistan were geologically mapped, and minimum reserves were estimated to be 1,423,000 short tons. The largest single deposit, Ehuzdar, is estimated to contain more than 1,100,000 short tons of barite. Barite has been found in Pakistan principally in the Hazara, Khuzdar, and Las Bela districts. Although several vein deposits contain good quality barite, 90 percent of estimated reserves are in replacement deposits concordant to bedding in sedimentary rocks. Host rocks range in age from Precambrian to Pleistocene, but the periods of barite deposition are probably Jurassic or younger. Some barite concentrated in sandstone may be of detrital origin. In late 1962, demand for barite in Pakistan was estimated at about 8,000 tons annually. Although domestic barite resources exceed this figure, less than 40 percent of demand was being supplied by domestic nines in 1963. Transportation costs and limited production facilities are partly responsible for output, but the lack of quality control is a major obstacle. Producers are not generally familiar with commercial specifications for barite and have net recognized that their products are too impure to be successfully marketed without installing the necessarycontrol procedures of sampling and beneficiation.

China Pakistan Economic Corridor (CPEC): Benefits For Pakistan And Comparison With Suez And Panama Canals

DTIC Science & Technology

2017-12-01

ECONOMIC CORRIDOR (CPEC): BENEFITS FOR PAKISTAN AND COMPARISON WITH SUEZ AND PANAMA CANALS by Hanif Ullah Khan December 2017 Thesis...DATE December 2017 3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE CHINA PAKISTAN ECONOMIC CORRIDOR (CPEC): BENEFITS FOR...The China Pakistan Economic Corridor (CPEC) is part of China’s “One Belt, One Road” initiative and joins two major economic corridors: The Silk Road

LDEF Retrieval over the Namib Desert, Namibia, Africa

NASA Image and Video Library

1990-01-20

STS032-85-029 (12 Jan. 1990) --- (ORIENT PHOTO WITH COLUMBIA'S CARGO BAY IN LOWER CENTER). This 70mm frame was taken during a battery of documentary photographs of the recently-recaptured Long Duration Exposure Facility (LEDF). The Atlantic Coast of Namibia serves as a backdrop for the colorful scene. After five-and-one half years orbiting Earth, LDEF was retrieved by STS-32 crewmembers and brought back home at the end of the eleven-day mission for scientific observation. The bus-sized spacecraft was held in the grasp of Columbia's remote manipulator system (RMS) end effector during the survey.

Assessing the costs of mobile voluntary counseling and testing at the work place versus facility based voluntary counseling and testing in Namibia.

PubMed

de Beer, Ingrid; Chani, Kudakwashe; Feeley, Frank G; Rinke de Wit, Tobias F; Sweeney-Bindels, Els; Mulongeni, Pancho

2015-01-01

Bophelo! is a mobile voluntary counseling and testing (VCT) and wellness screening program operated by PharmAccess at workplaces in Namibia, funded from both public and private resources. Publicly funded fixed site New Start centers provide similar services in Namibia. At this time of this study, no comparative information on the cost effectiveness of mobile versus fixed site service provision was available in Namibia to inform future programming for scale-up of VCT. The objectives of the study were to assess the costs of mobile VCT and wellness service delivery in Namibia and to compare the costs and effectiveness with fixed site VCT testing in Namibia. The full direct costs of all resources used by the mobile and fixed site testing programs and data on people tested and outcomes were obtained from PharmAccess and New Start centers in Namibia. Data were also collected on the source of funding, both public donor funding and private funding through contributions from employers. The data were analyzed using Microsoft Excel to determine the average cost per person tested for HIV. In 2009, the average cost per person tested for HIV at the Bophelo! mobile clinic was an estimated US$60.59 (US$310,451 for the 5124 people tested). Private employer contributions to the testing costs reduced the public cost per person tested to US$37.76. The incremental cost per person associated with testing for conditions other than HIV infection was US$11.35, an increase of 18.7%, consisting of the costs of additional tests (US$8.62) and staff time (US$2.73). The cost of testing one person for HIV in 2009 at the New Start centers was estimated at US$58.21 (US$4,082,936 for the 70 143 people tested). Mobile clinics can provide cost-effective wellness testing services at the workplace and have the potential to mobilize local private funding sources. Providing wellness testing in addition to VCT can help address the growing issue of non-communicable diseases.

Anonymous HIV workplace surveys as an advocacy tool for affordable private health insurance in Namibia

PubMed Central

2009-01-01

Background With an estimated adult HIV prevalence of 15%, Namibia is in need of innovative health financing strategies that can alleviate the burden on the public sector. Affordable and private health insurances were recently developed in Namibia, and they include coverage for HIV/AIDS. This article reports on the efficacy of HIV workplace surveys as a tool to increase uptake of these insurances by employees in the Namibian formal business sector. In addition, the burden of HIV among this population was examined by sector. Methods Cross-sectional anonymous HIV prevalence surveys were conducted in 24 private companies in Namibia between November 2006 and December 2007. Non-invasive oral fluid-based HIV antibody rapid tests were used. Anonymous test results were provided to the companies in a confidential report and through presentations to their management, during which the advantages of affordable private health insurance and the available insurance products were discussed. Impact assessment was conducted in October 2008, when new health insurance uptake by these companies was evaluated. Results Of 8500 targeted employees, 6521 were screened for HIV; mean participation rate was 78.6%. Overall 15.0% (95% CI 14.2-15.9%) of employees tested HIV positive (range 3.0-23.9% across companies). The mining sector had the highest percentage of HIV-positive employees (21.0%); the information technology (IT) sector had the lowest percentage (4.0%). Out of 6205 previously uninsured employees, 61% had enrolled in private health insurance by October 2008. The majority of these new insurances (78%) covered HIV/AIDS only. Conclusion The proportion of HIV-positive formal sector employees in Namibia is in line with national prevalence estimates and varies widely by employment sector. Following the surveys, there was a considerable increase in private health insurance uptake. This suggests that anonymous HIV workplace surveys can serve as a tool to motivate private companies to provide

Diabetes, HIV and other health determinants associated with absenteeism among formal sector workers in Namibia

PubMed Central

2012-01-01

Background As countries in sub-Saharan Africa develop their economies, it is important to understand the health of employees and its impact on productivity and absenteeism. While previous studies have assessed the impact of single conditions on absenteeism, the current study evaluates multiple health factors associated with absenteeism in a large worker population across several sectors in Namibia. Methods From March 2009 to June 2010, PharmAccess Namibia conducted a series of cross-sectional surveys of 7,666 employees in 7 sectors of industry in Namibia. These included a self-reported health questionnaire and biomedical screenings for certain infectious diseases and non-communicable disease (NCD) risk factors. Data were collected on demographics, absenteeism over a 90-day period, smoking behavior, alcohol use, hemoglobin, blood pressure, blood glucose, cholesterol, waist circumference, body mass index (BMI), HIV status, and presence of hepatitis B antigens and syphilis antibodies. The associations of these factors to absenteeism were ascertained using negative binomial regression. Results Controlling for demographic and job-related factors, high blood glucose and diabetes had the largest effect on absenteeism (IRR: 3.67, 95%CI: 2.06-6.55). This was followed by anemia (IRR: 1.59, 95%CI: 1.17-2.18) and being HIV positive (IRR: 1.47; 95%CI: 1.12-1.95). In addition, working in the fishing or services sectors was associated with an increased incidence of sick days (IRR: 1.53, 95%CI: 1.23-1.90; and IRR: 1.70, 95%CI: 1.32-2.20 respectively). The highest prevalence of diabetes was in the services sector (3.6%, 95%CI:-2.5-4.7). The highest prevalence of HIV was found in the fishing sector (14.3%, 95%CI: 10.1-18.5). Conclusion Both NCD risk factors and infectious diseases are associated with increased rates of short-term absenteeism of formal sector employees in Namibia. Programs to manage these conditions could help employers avoid costs associated with absenteeism. These

The Namibia Early Flood Warning System, A CEOS Pilot Project

NASA Technical Reports Server (NTRS)

Mandl, Daniel; Frye, Stuart; Cappelaere, Pat; Sohlberg, Robert; Handy, Matthew; Grossman, Robert

2012-01-01

Over the past year few years, an international collaboration has developed a pilot project under the auspices of Committee on Earth Observation Satellite (CEOS) Disasters team. The overall team consists of civilian satellite agencies. For this pilot effort, the development team consists of NASA, Canadian Space Agency, Univ. of Maryland, Univ. of Colorado, Univ. of Oklahoma, Ukraine Space Research Institute and Joint Research Center(JRC) for European Commission. This development team collaborates with regional , national and international agencies to deliver end-to-end disaster coverage. In particular, the team in collaborating on this effort with the Namibia Department of Hydrology to begin in Namibia . However, the ultimate goal is to expand the functionality to provide early warning over the South Africa region. The initial collaboration was initiated by United Nations Office of Outer Space Affairs and CEOS Working Group for Information Systems and Services (WGISS). The initial driver was to demonstrate international interoperability using various space agency sensors and models along with regional in-situ ground sensors. In 2010, the team created a preliminary semi-manual system to demonstrate moving and combining key data streams and delivering the data to the Namibia Department of Hydrology during their flood season which typically is January through April. In this pilot, a variety of moderate resolution and high resolution satellite flood imagery was rapidly delivered and used in conjunction with flood predictive models in Namibia. This was collected in conjunction with ground measurements and was used to examine how to create a customized flood early warning system. During the first year, the team made use of SensorWeb technology to gather various sensor data which was used to monitor flood waves traveling down basins originating in Angola, but eventually flooding villages in Namibia. The team made use of standardized interfaces such as those articulated

Palaeoenvironmental Transitions Between 22 ka and 8 ka in Monsoonally Influenced Namibia

NASA Astrophysics Data System (ADS)

Eitel, Bernhard; Blümel, Wolf Dieter; Hüser, Klaus

The paper presents a preliminary reconstruction of the development of different palaeoenvironments between the Last Glacial Maximum (LGM; c. 22 - 18 ka) and the Holocene Altithermal (HA; c. 8 ka - 4 ka) in Namibia. The synopsis is based on 36 optical datations of dune sands and fine-grained, silty deposits (OSL and TL). Most of the data were published by different research groups during the last decade. The synoptic view of all available optical age determinations is necessary because palaeoclimatic interpretations for southwestern Africa are not possible using results based only on local studies and on partly unreliable datations (e. g. 14C ages of calcretes). The compilation of all available datations and a synoptical interpretation such as the one presented here, show that gradual transitions and not abrupt changes from arid to more humid conditions occurred. These transitions did not affect all regions of Namibia at the same time and intensity. Differentiations in time and space are necessary for arriving a consistent model of the palaeoenvironmental transitions between LGM and HA.

Socioeconomic Determinants of Adult Mortality in Namibia Using an Event History Analysis.

PubMed

Kandjimbi, Alina; Nickanor, Ndeyapo; Kazembe, Lawrence N

2014-01-01

Adult mortality remains a neglected public health issue in sub-Saharan Africa, with most policy instruments concentrated on child and maternal health. In developed countries, adult mortality is negatively associated with socioeconomic factors. A similar pattern is expected in developing countries, but has not been extensively demonstrated, because of dearth of data. Understanding the hazard and factors associated with adult mortality is crucial for informing policies and for implementation of interventions aimed at improving adult survival. This paper applied a geo-additive survival model to elucidate effects of socioeconomic factors on adult mortality in Namibia, controlling for spatial frailties. Results show a clear disadvantage for adults in rural areas, for those not married and from poor households or in female-headed households. The hazard of adult mortality was highly variable with a 1.5-fold difference between areas, with highest hazard recorded in north eastern, central west and southern west parts of the country. The analysis emphasizes that, for Namibia to achieve its national development goals, targeted interventions should be aimed at poor-resourced adults, particularly in high-risk areas.

Moving beyond a Destructive Past to a Decolonised and Inclusive Future: The Role of "Ubuntu"-Style Education in Providing Culturally Relevant Pedagogy for Namibia

ERIC Educational Resources Information Center

Biraimah, Karen L.

2016-01-01

Namibia has one of the most dehumanising and destructive colonial pasts of any nation in Africa, or, for that matter, the world. Before colonisation, the area now known as Namibia was home to diverse cultural groups. The successive colonial regimes of Germany and South Africa inflicted genocide, brutality and apartheid on the region. Namibia…

Lessons Learned and Global Partnerships: Stories of Sexual and Reproductive Health from Namibia

ERIC Educational Resources Information Center

Maurer, Lis; Kelly, Maureen

2005-01-01

Through a Global Partnership Project, Planned Parenthood of the Southern Finger Lakes in Ithaca, New York and the Namibian Planned Parenthood Association (NAPPA) in Windhoek, Namibia have joined together to share best practices, technical assistance, support, and resources. The Global Partners share the common goal of increasing awareness,…

Long-term subsidence, cooling, and exhumation history along the South Atlantic passive continental margin in NW-Namibia

NASA Astrophysics Data System (ADS)

Menges, Daniel; Glasmacher, Ulrich Anton; Salomon, Eric; Hackspacher, Peter Christian; Schneider, Gabi

2016-04-01

In northwest Namibia the Kaoko Belt is one of the most important Precambrian crustal segments that have stored the subsidence, cooling, and exhumation history of Namibia since the Neoproterozoic. ZFT-ages are processed to give new insights on this early evolution. Paleozoic to Mesozoic sedimentary rocks of the Karoo Supergroup and the Lower Cretaceous volcanic rocks of the Etendeka sequence overlay the Proterozoic metamorphic and intrusive rocks (1). New apatite fission-track (AFT) ages range from 390.9 (17.9) Ma to 80.8 (6.0) Ma. Along the coast apatites of Proterozoic rock samples reveal the youngest ages. Further inland the ages increase significantly. In addition, rapid change of AFT-ages occurs on both sides of major thrust and shear zones. Using the oldest thermochronological data the revealed t-T paths indicate a long era of exhumation, starting at the end of the Pan-African Orogeny in the Neoproterozoic and continuing into the Permo-Carboniferous. The subsequent sedimentation of the Karoo Supergroup initiates a new era of subsidence until the end of Triassic (2). The subsequent period of denudation ends abruptly with the rapid deposition of the Etendeka basalts in the Early Cretaceous (3). The maximum thickness of the Etendeka volcanic suite has been estimated, using the apatite fission-track data, to about 3.2 (1.2) km. With the ongoing opening of the South Atlantic and the formation of the continental margin the Kaoko Belt went through a rapid cooling event starting ~ 130 Ma and ending ~ 80 Ma, at a mean rate of 0.034 km/Ma for the western, and 0.018 km/Ma for the northern and eastern Kaoko Belt. This cooling event was accompanied by a reactivation of major fault zones, like the Purros Mylonite Zone (4). Thereafter, stable conditions were established, with denudation rates generally lower than 0.010 km/Ma, until the Neogene, where a second cooling event led to increased exhumation rates around 0.042 km/Ma. The total amount of denudation in the last 130 Ma

Long-term subsidence, cooling, and exhumation history along the South Atlantic passive continental margin in NW-Namibia

NASA Astrophysics Data System (ADS)

Menges, Daniel; Glasmacher, Ulrich Anton; Salomon, Eric; Hackspacher, Peter Christian; Schneider, Gabi

2017-04-01

In northwestern Namibia the Kaoko Belt is one of the most important Precambrian crustal segments that have stored the subsidence, cooling, and exhumation history of Namibia since the Neoproterozoic. ZFT-ages, with ages between 292.7 (46.0) and 436.8 (45.9) Ma, are giving new insights on this early evolution. Paleozoic to Mesozoic sedimentary rocks of the Karoo Supergroup and the Lower Cretaceous volcanic rocks of the Etendeka sequence overlay the Proterozoic metamorphic and intrusive rocks (1). New apatite fission-track (AFT) ages range from 390.9 (17.9) Ma to 80.8 (6.0) Ma. Along the coast apatites of Proterozoic rock samples reveal the youngest ages. Further inland the ages increase significantly. In addition, rapid change of AFT-ages occurs on both sides of major thrust and shear zones. Using the oldest thermochronological data the revealed t-T paths indicate a long era of exhumation, starting at the end of the Pan-African Orogeny in the Neoproterozoic and continuing into the Permo-Carboniferous. The subsequent sedimentation of the Karoo Supergroup initiates a new era of subsidence until the end of Triassic (2).The subsequent period of denudation ends abruptly with the rapid deposition of the Etendeka basalts in the Early Cretaceous (3). The maximum thickness of the Etendeka volcanic suite has been estimated, using the apatite fission-track data, to about 3.2 (1.2) km. With the ongoing opening of the South Atlantic and the formation of the continental margin the Kaoko Belt went through a rapid cooling event starting 130 Ma and ending 80 Ma, at a mean rate of 0.034 km/Ma for the western, and 0.018 km/Ma for the northern and eastern Kaoko Belt. This cooling event was accompanied by a reactivation of major fault zones, like the Purros Mylonite Zone (4). Thereafter, stable conditions were established, with denudation rates generally lower than 0.010 km/Ma, until the Neogene, where a second cooling event led to increased exhumation rates around 0.042 km/Ma. The total

Complementary benefits of tourism and hunting to communal conservancies in Namibia.

PubMed

Naidoo, Robin; Weaver, L Chris; Diggle, Richard W; Matongo, Greenwell; Stuart-Hill, Greg; Thouless, Chris

2016-06-01

Tourism and hunting both generate substantial revenues for communities and private operators in Africa, but few studies have quantitatively examined the trade-offs and synergies that may result from these two activities. We evaluated financial and in-kind benefit streams from tourism and hunting on 77 communal conservancies in Namibia from 1998 to 2013, where community-based wildlife conservation has been promoted as a land-use that complements traditional subsistence agriculture. We used data collected annually for all communal conservancies to characterize whether benefits were derived from hunting or tourism. We classified these benefits into 3 broad classes and examined how benefits flowed to stakeholders within communities under the status quo and under a simulated ban on hunting. Across all conservancies, total benefits from hunting and tourism increased at roughly the same rate, although conservancies typically started generating benefits from hunting within 3 years of formation as opposed to after 6 years for tourism. Disaggregation of data revealed that the main benefits from hunting were income for conservancy management and food in the form of meat for the community at large. The majority of tourism benefits were salaried jobs at lodges. A simulated ban on trophy hunting significantly reduced the number of conservancies that could cover their operating costs, whereas eliminating income from tourism did not have as severe an effect. Given that the benefits generated from hunting and tourism typically begin at different times in a conservancy's life-span (earlier vs. later, respectively) and flow to different segments of local communities, these 2 activities together may provide the greatest incentives for conservation on communal lands in Namibia. A singular focus on either hunting or tourism would reduce the value of wildlife as a competitive land-use option and have grave repercussions for the viability of community-based conservation efforts in Namibia

Progress toward poliomyelitis eradication in Nigeria.

PubMed

Ado, J Mohammed; Etsano, Andrew; Shuaib, Faisal; Damisa, Eunice; Mkanda, Pascal; Gasasira, Alex; Banda, Richard; Korir, Charles; Johnson, Ticha; Dieng, Boubacar; Corkum, Melissa; Enemaku, Ogu; Mataruse, Noah; Ohuabunwo, Chima; Baig, Shahzad; Galway, Michael; Seaman, Vincent; Wiesen, Eric; Vertefeuille, John; Ogbuanu, Ikechukwu U; Armstrong, Gregory; Mahoney, Frank J

2014-11-01

Transmission of wild poliovirus (WPV) has never been interrupted in Afghanistan, Pakistan, and Nigeria. Since 2003, infections with WPV of Nigerian origin have been detected in 25 polio-free countries. In 2012, the Nigerian government created an emergency operations center and implemented a national emergency action plan to eradicate polio. The 2013 revision of this plan prioritized (1) improving the quality of supplemental immunization activities (SIAs), (2) implementing strategies to reach underserved populations, (3) adopting special approaches in security-compromised areas, (4) improving outbreak response, (5) enhancing routine immunization and activities implemented between SIAs, and (6) strengthening surveillance. This report summarizes implementation of these activities during a period of unprecedented insecurity and violence, including the killing of health workers and the onset of a state of emergency in the northeast zone. This report reviews management strategies, innovations, trends in case counts, vaccination and social mobilization activities, and surveillance and monitoring data to assess progress in polio eradication in Nigeria. Nigeria has made significant improvements in the management of polio eradication initiative (pei) activities with marked improvement in the quality of SIAs, as measured by lot quality assurance sampling (LQAS). Comparing results from February 2012 with results from December 2013, the proportion of local government areas (LGAs) conducting LQAS in the 11 high-risk states at the ≥90% pass/fail threshold increased from 7% to 42%, and the proportion at the 80%-89% threshold increased from 9% to 30%. During January-December 2013, 53 polio cases were reported from 26 LGAs in 9 states in Nigeria, compared with 122 cases reported from 13 states in 2012. No cases of WPV type 3 infection have been reported since November 2012. In 2013, no polio cases due to any poliovirus type were detected in the northwest sanctuaries of Nigeria. In

The determinants of infant mortality in Pakistan.

PubMed

Agha, S

2000-07-01

This study examines factors associated with infant survival in Pakistan. It uses data from the Pakistan Integrated Household Survey 1991, a nationally representative sample survey of the Government of Pakistan, funded by the World Bank. The infant mortality rate was still very high in Pakistan until the early 1990s, at 100 deaths per 1000 live births. The study shows that there is no evidence of a secular decline in infant mortality during the 1980s. Large differentials in infant survival by socio-economic factors and access to water and sanitation indicate that social and gender inequities are the underlying cause of the stagnation of infant mortality in Pakistan. Economic and social policies of earlier decades have resulted in tremendous disparities in wealth and access to resources in Pakistan. The low social, economic and legal status of women is intimately tied to the well-being of their children. Health interventions in Pakistan should be designed to reach the most under-served: women and children. Systematic evaluations of health interventions will be necessary to make informed decisions about health investments in the future.

Hope or Despair? Learning in Pakistan's Primary Schools.

ERIC Educational Resources Information Center

Warwick, Donald P.; Reimers, Fernando

This book reports on the research findings of the Pakistan Study, a collaboration between the Harvard Institute for International Development and other organizations in Pakistan. The focus is primarily on what affects student learning in Pakistan's government-sponsored primary schools. Chapter 1 discusses primary schools in Pakistan and the…

Exploring the China-Pakistan Relationship. Roundtable Report

DTIC Science & Technology

2010-06-01

Gwadar deep sea port, in Pakistan’s Balochistan province along Pakistan’s southwest coast (see figure 2), was built...Duddhar lead-zinc mining project in Lasbela district, Balochistan . As roundtable participants suggested, Pakistan seems to be the biggest beneficiary

Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda.

PubMed

Touré, Hapsatou; Audibert, Martine; Doughty, Patricia; Tsague, Landry; Mugwaneza, Placidie; Nyankesha, Elevanie; Okokwu, Steve; Limbo, Cedric; Coulibaly, Makan; Ettiègne-Traoré, Virginie; Luo, Chewe; Dabis, Francois

2013-06-01

To assess the costs associated with the provision of services for the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus in two African countries. In 2009, the costs to health-care providers of providing comprehensive PMTCT services were assessed in 20 public health facilities in Namibia and Rwanda. Information on prices and on the total amount of each service provided was collected at the national level. The costs of maternal testing and counselling, male partner testing, CD4+ T-lymphocyte (CD4+ cell) counts, antiretroviral prophylaxis and treatment, community-based activities, contraception for 2 years postpartum and early infant diagnosis were estimated in United States dollars (US$). The estimated costs to the providers of PMTCT, for each mother-infant pair, were US$202.75-1029.55 in Namibia and US$94.14-342.35 in Rwanda. These costs varied with the drug regimen employed. At 2009 coverage levels, the maximal estimates of the national costs of PMTCT were US$3.15 million in Namibia and US$7.04 million in Rwanda (or < US$0.75 per capita in both countries). Adult testing and counselling accounted for the highest proportions of the national costs (37% and 74% in Namibia and Rwanda, respectively), followed by management and supervision. Treatment and prophylaxis accounted for less than 20% of the costs of PMTCT in both study countries. The costs involved in the PMTCT of HIV varied widely between study countries and in accordance with the protocols used. However, since per-capita costs were relatively low, the scaling up of PMTCT services in Namibia and Rwanda should be possible.

The Role of Ethics in International Arms Transfers

DTIC Science & Technology

2016-06-01

PAKISTAN F-16C/D CASE………………………………………21 3 THE SAUDI ARABIA F-15 SA CASE.……………………………….. 33 4 THE NIGERIA COBRA HELICOPTER CASE……………………….. 48 5...to Pakistan in 2006, the sale of F-15’s to Saudi Arabia in 2011, and the decision to deny the transfer of Cobra attack helicopters to Nigeria in 2014...chapters will evaluate the decision-making process for three difficult arms transfer cases in Pakistan, Saudi Arabia, and Nigeria using the jus ad

A Prototype Flood Early Warning SensorWeb System for Namibia

NASA Astrophysics Data System (ADS)

Sohlberg, R. A.; Mandl, D.; Frye, S. W.; Cappelaere, P. G.; Szarzynski, J.; Policelli, F.; van Langenhove, G.

2010-12-01

During the past two years, there have been extensive floods in the country of Namibia, Africa which have affected up to a quarter of the population. Via a collaboration between a group funded by the Earth Science Technology Office (ESTO) at NASA that has been performing various SensorWeb prototyping activities for disasters, the Department of Hydrology in Namibia and the United Nations Space-based Information for Disaster and Emergency Response (UN-SPIDER) , experiments were conducted on how to apply various satellite resources integrated into a SensorWeb architecture along with in-situ sensors such as river gauges and rain gauges into a flood early warning system. The SensorWeb includes a global flood model and a higher resolution basin specific flood model. Furthermore, flood extent and status is monitored by optical and radar types of satellites and integrated via some automation. We have taken a practical approach to find out how to create a working system by selectively using the components that provide good results. The vision for the future is to combine this with the country side dwelling unit data base to create risk maps that provide specific warnings to houses within high risk areas based on near term predictions. This presentation will show some of the highlights of the effort thus far plus our future plans.

Pakistan and Afghanistan Librarianship.

ERIC Educational Resources Information Center

Harvey, John F.

In March and April 1968, the author was a guest of the U.S. Information Service on a two week trip to Pakistan and Afghanistan. During this stay, 30 libraries in five cities were visited. This paper describes this trip and relates the library happenings in these countries. It was obvious that Pakistan librarianship had advanced beyond the…

Pakistan: Frontline state again. Master`s thesis

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

Rivard, D.S.

1995-12-01

The objective of this study is to determine Pakistan`s place in contemporary U.S. national security strategy. Today, U.S.-Pakistan relations are strained due to the Pressler Amendment to the Foreign Assistance Act. The Pressler Amendment prohibits arms transfers from the United States to Pakistan in response to Pakistani efforts to develop a nuclear weapon capability. This thesis provides a historical background to the current impasse by examining Pakistani foreign policy since 1947. Next, the study examines the evolution of U.S. interests and security objectives in South and Southwest Asia. Current security objectives analyzed are the U.S. strategies to contain Iran andmore » Iraq and to prevent nuclear proliferation in the region. In order to attain security objectives in the region, the author concludes that the U.S. needs a close cooperative relationship with Pakistan. Since the Pressler Amendment stands as the greatest obstacle to improved U.S.-Pakistan relations, the amendment should be repealed.« less

The inequitable impact of health shocks on the uninsured in Namibia.

PubMed

Gustafsson-Wright, Emily; Janssens, Wendy; van der Gaag, Jacques

2011-03-01

The AIDS pandemic in sub-Saharan Africa puts increasing pressure on the buffer capacity of low- and middle-income households without access to health insurance. This paper examines the relationship between health shocks, insurance status and health-seeking behaviour. It also investigates the possible mitigating effects of insurance on income loss and out-of-pocket health expenditure. The study uses a unique dataset based on a random sample of 1769 households and 7343 individuals living in the Greater Windhoek area in Namibia. The survey includes medical testing for HIV infection which allows for the explicit analysis of HIV-related health shocks. We find that the economic consequences of health shocks can be severe for uninsured households even in a country with a relatively well-developed public health care system such as Namibia. The uninsured resort to a variety of coping strategies to deal with the high medical expenses and reductions in income, such as selling assets, taking up credit or receiving financial support from relatives and friends. As HIV-infected individuals increasingly develop AIDS, this will put substantial pressure on the public health care system as well as social support networks. Evidence suggests that private insurance, currently unaffordable to the poor, protects households from the most severe consequences of health shocks.

ASTER Maps Continued Pakistan Flooding

NASA Image and Video Library

2010-09-07

On Sept. 3, 2010, when NASA Terra spacecraft captured this image strip over the Indus River in Pakistan, severe flooding was still causing a major humanitarian crisis in Pakistan. The city of Hyderabad is near the middle of the image.

Local soil quality assessment of north-central Namibia: integrating farmers' and technical knowledge

NASA Astrophysics Data System (ADS)

Prudat, Brice; Bloemertz, Lena; Kuhn, Nikolaus J.

2018-02-01

Soil degradation is a major threat for farmers of semi-arid north-central Namibia. Soil conservation practices can be promoted by the development of soil quality (SQ) evaluation toolboxes that provide ways to evaluate soil degradation. However, such toolboxes must be adapted to local conditions to reach farmers. Based on qualitative (interviews and soil descriptions) and quantitative (laboratory analyses) data, we developed a set of SQ indicators relevant for our study area that integrates farmers' field experiences (FFEs) and technical knowledge. We suggest using participatory mapping to delineate soil units (Oshikwanyama soil units, KwSUs) based on FFEs, which highlight mostly soil properties that integrate long-term productivity and soil hydrological characteristics (i.e. internal SQ). The actual SQ evaluation of a location depends on the KwSU described and is thereafter assessed by field soil texture (i.e. chemical fertility potential) and by soil colour shade (i.e. SOC status). This three-level information aims to reveal SQ improvement potential by comparing, for any location, (a) estimated clay content against median clay content (specific to KwSU) and (b) soil organic status against calculated optimal values (depends on clay content). The combination of farmers' and technical assessment cumulates advantages of both systems of knowledge, namely the integrated long-term knowledge of the farmers and a short- and medium-term SQ status assessment. The toolbox is a suggestion for evaluating SQ and aims to help farmers, rural development planners and researchers from all fields of studies understanding SQ issues in north-central Namibia. This suggested SQ toolbox is adapted to a restricted area of north-central Namibia, but similar tools could be developed in most areas where small-scale agriculture prevails.

Double Star Measurements at the Internationale Amateur Sternwarte (IAS) in Namibia in 2009

NASA Astrophysics Data System (ADS)

Anton, Rainer

2012-01-01

This paper is a continuation of earlier work published in JDSO in 2010. Using a 40-cm-Cassegrain telescope in Namibia and a fast CCD camera, 87 double and multiple systems were recorded and analyzed with the technique of "lucky imaging". Measurements are compared with literature data. Some noteworthy systems are discussed in more detail.

Opportunities for strengthening provider-initiated testing and counselling for HIV in Namibia

PubMed Central

Davyduke, Tracy; Pietersen, Ismelda; Lowrance, David; Amwaama, Selma; Taegtmeyer, Miriam

2015-01-01

This short report identifies enablers and barriers to the uptake of provider-initiated testing and counselling for HIV (PITC) in Namibia and identifies key opportunities for strengthening this vital aspect of the national HIV response. We explored this through facility mapping, register reviews and qualitative methods including focus group discussions and in-depth interviews. Four health facilities (clinics and hospitals) in two regions were included in the study. We identified that PITC in Namibia was largely delivered by lay counsellors operating in designated rapid testing rooms located in health facilities and found a large number of missed opportunities for HIV testing through this model. Nurses did not see it as an integral part of their role, were not aware of HIV testing and counselling policy, felt inadequately trained and supported, and experienced staffing shortages. Institutional issues also acted as barriers to nurses performing or initiating discussions about PITC. Wider dissemination and implementation of policy, increasing privacy of consultation spaces and community sensitisation are simple measures that represent opportunities for strengthening this response and ensuring that symptomatic individuals who are unaware of their HIV status do not fall through the net. PMID:25771903

Lost in Translation: State Policies and Micro-politics of Water Governance in Namibia.

PubMed

Schnegg, Michael

Water governance in rural Namibia has profoundly changed since the early 1990s. After independence and in accordance with global environmental policies, it became a central theme of Namibia's environmental legislation to transfer the responsibility for managing natural resources to local user associations. In this article, I explore the emergence of new social forms at the intersection of existing cultural models and new rationalities for governance. Doing so combines an analysis of state legislation with the micro-politics of water governance in 60 pastoral communities. The ethnographic analysis reveals that different actors, including state bureaucrats as well as rich and poorer herd owners, have different understandings of how to share water. While the poorer often agree with the state policy that water is an economic good and should be paid for accordingly, only in about half of the communities do corresponding institutional regimes emerge. Using critical institutionalism as a theoretical guide, I offer a contribution to understanding how more than 20 years after Rio local institutions of resource governance emerge at the intersection of different, and often heterogeneous and intertwined, social fields.

Production of crude oils in Pakistan: Outlook for the future

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

Ahmad, S.

1995-12-31

Pakistan`s sedimentary basins cover an area of 827,000 km{sub 2} that stretches from the Karakurum Mountains in the north to the Arabian Sea in the south. The first exploration well in the region was drilled near Kundal in 1866, just seven years after the Drake well in Pennsylvania. To date, 384 exploration wells have been drilled in Pakistan resulting in 45 oil and 55 gas discoveries, thus generating a highly favourable success ratio of 1:4. The drilling density in Pakistan is one well/1000 square kilometers. Pakistan has proven oil reserves of around 500 million barrels of oil, whereas proven gasmore » reserves are about 31 trillion cubic feet. However, Pakistan`s resource potential is estimated to be 40 billion barrels of oil and 200 TCF of gas. The purpose of this paper is to describe: (i) habitat and production of crude oil in Pakistan, (ii) Pakistan`s current energy needs and future outlook, and (iii) steps being taken by the Government of Pakistan to promote exploration for oil and gas.« less

Two new genera and two new species of Mantophasmatodea (Insecta, Polyneoptera) from Namibia

PubMed Central

Wipfler, Benjamin; Pohl, Hans; Predel, Reinhard

2012-01-01

Abstract Two new species and two new genera (Pachyphasma, Striatophasma) of Mantophasmatodea are described from Namibia. Pachyphasma brandbergense is endemic to the Brandberg massif; Striatophasma occupies an extensive area south of the region inhabited by Mantophasma. Phylogenetic analyses (see Predel et al. in press) suggest a sistergroup relationship of Striatophasma and the South African Austrophasmatidae. PMID:22328860

Rights in Education and Self-Identity: Education and Language of Instruction in Namibia

ERIC Educational Resources Information Center

Chavez, Andres

2016-01-01

In 1992, the Ministry of Education and Culture in Namibia created a new language policy for schools that presented the possibility of using English as the sole medium of instruction for students starting in Grade 1. The resulting increase in schools that offer only English instruction has been detrimental to education. In order to improve the…

Factors that influence attitudes and sexual behavior among constituency youth workers in Oshana Region, Namibia.

PubMed

Lawoyin, Olusheyi O; Kanthula, Ruth M

2010-03-01

This survey was carried out to assess attitudes and behaviour among youth within four constituencies in Oshana region, Namibia and to understand to how certain social and cultural factors inform attitudes and influence sexual behaviour among the population of young people surveyed. Using a structured questionnaire, data were collected from a random sample of eighty young men and women between the ages of 15-30 years from four constituencies in Oshana region. Survey outcomes revealed attitudes and certain factors that are linked to sexual risk behaviour such as multiple sexual partnerships. Outcomes also reveal an influence of established socio-cultural norms on gender dynamics within relationships and a culture of reserve around discussions of sex and sexuality among young people. Stakeholder interventions should be directed towards incorporating approaches that address these factors as part of efforts to curb the incidence of HIV among young people in Namibia.

Islamic Republic of Pakistan: A Study of the Educational System of Pakistan and a Guide to the Academic Placement of Students from Pakistan in Educational Institutions of the United States.

ERIC Educational Resources Information Center

Sweeney, Leo J.

Written as a guide to be used in the admission and placement of students from Pakistan in U.S. institutions of higher education, this study discusses the education system of Pakistan. The first four chapters contain a summary of the development of Pakistan. These are followed by guidelines and suggestions for admissions officers and admissions and…

Iron and nutrient content of wind-erodible sediment in the ephemeral river valleys of Namibia

NASA Astrophysics Data System (ADS)

Dansie, A. P.; Wiggs, G. F. S.; Thomas, D. S. G.

2017-08-01

Research concerning the global distribution of aeolian dust sources has principally focussed on salt/clay pan and desiccated lacustrine emission areas. In southern Africa such sources are identified as Etosha Pan in northern Namibia and Makgadikgadi Pans in northern Botswana. Dust emitting from ephemeral river valleys, however, has been largely overlooked. Rivers are known nutrient transport pathways and the flooding regimes of ephemeral river valleys frequently replenish stores of fine sediment which, on drying, can become susceptible to aeolian erosion. Such airborne sediment may be nutrient rich and thus be significant for the fertilisation of marine waters once deposited. This study investigates the dust source sediments from three ephemeral river valleys in Namibia in terms of their particle size distribution and their concentrations of bioavailable N, P and Fe. We compare the nutrient content of these sediments from the ephemeral river valleys to those collected from Etosha and Makgadikgadi Pans and consider their relative ocean fertilising potential. Our results show that the ephemeral river valleys contain fine grained sediment similar in physical character to Etosha and Makgadikgadi Pans yet they have up to 43 times greater concentrations of bioavailable iron and enriched N and P macronutrients that are each important for ocean fertilisation. The known dust-emitting river valleys of Namibia may therefore be contributing a greater fertilisation role in the adjacent marine system than previously considered, and not-yet investigated. Given this finding a re-assessment of the potential role of ephemeral river valleys in providing nutrient-rich sediment into the aeolian and marine systems in other dryland areas is necessary.

Panel Analyzes Pakistan's Internal Water Concerns

NASA Astrophysics Data System (ADS)

Showstack, Randy

2013-06-01

Although transboundary water issues between Pakistan and neighboring countries may be exciting and interesting, Pakistan's real water and security nexus is at the local level, according to Daanish Mustafa, coauthor of a new report, "Understanding Pakistan's Water-Security Nexus." Mustafa, a reader in politics and environment at King's College, London, U.K., was a panelist at a 30 May forum in Washington, D. C., sponsored by the United States Institute of Peace, which published the report.

Environmental Isolation of Circulating Vaccine-Derived Poliovirus After Interruption of Wild Poliovirus Transmission - Nigeria, 2016.

PubMed

Etsano, Andrew; Damisa, Eunice; Shuaib, Faisal; Nganda, Gatei Wa; Enemaku, Ogu; Usman, Samuel; Adeniji, Adekunle; Jorba, Jaume; Iber, Jane; Ohuabunwo, Chima; Nnadi, Chimeremma; Wiesen, Eric

2016-08-05

In September 2015, more than 1 year after reporting its last wild poliovirus (WPV) case in July 2014 (1), Nigeria was removed from the list of countries with endemic poliovirus transmission,* leaving Afghanistan and Pakistan as the only remaining countries with endemic WPV. However, on April 29, 2016, a laboratory-confirmed, circulating vaccine-derived poliovirus type 2 (cVDPV2) isolate was reported from an environmental sample collected in March from a sewage effluent site in Maiduguri Municipal Council, Borno State, a security-compromised area in northeastern Nigeria. VDPVs are genetic variants of the vaccine viruses with the potential to cause paralysis and can circulate in areas with low population immunity. The Nigeria National Polio Emergency Operations Center initiated emergency response activities, including administration of at least 2 doses of oral poliovirus vaccine (OPV) to all children aged <5 years through mass campaigns; retroactive searches for missed cases of acute flaccid paralysis (AFP), and enhanced environmental surveillance. Approximately 1 million children were vaccinated in the first OPV round. Thirteen previously unreported AFP cases were identified. Enhanced environmental surveillance has not resulted in detection of additional VDPV isolates. The detection of persistent circulation of VDPV2 in Borno State highlights the low population immunity, surveillance limitations, and risk for international spread of cVDPVs associated with insurgency-related insecurity. Increasing vaccination coverage with additional targeted supplemental immunization activities and reestablishment of effective routine immunization activities in newly secured and difficult-to-reach areas in Borno is urgently needed.

Serious fungal infections in Pakistan.

PubMed

Jabeen, K; Farooqi, J; Mirza, S; Denning, D; Zafar, A

2017-06-01

The true burden of fungal infection in Pakistan is unknown. High-risk populations for fungal infections [tuberculosis (TB), diabetes, chronic respiratory diseases, asthma, cancer, transplant and human immunodeficiency virus (HIV) infection] are numerous. Here, we estimate the burden of fungal infections to highlight their public health significance. Whole and at-risk population estimates were obtained from the WHO (TB), BREATHE study (COPD), UNAIDS (HIV), GLOBOCAN (cancer) and Heartfile (diabetes). Published data from Pakistan reporting fungal infections rates in general and specific populations were reviewed and used when applicable. Estimates were made for the whole population or specific populations at risk, as previously described in the LIFE methodology. Of the 184,500,000 people in Pakistan, an estimated 3,280,549 (1.78%) are affected by a serious fungal infection, omitting all cutaneous infection, oral candidiasis and allergic fungal sinusitis, which we could not estimate. Compared with other countries, the rates of candidaemia (21/100,000) and mucormycosis (14/100,000) are estimated to be very high, and are based on data from India. Chronic pulmonary aspergillosis rates are estimated to be high (39/100,000) because of the high TB burden. Invasive aspergillosis was estimated to be around 5.9/100,000. Fungal keratitis is also problematic in Pakistan, with an estimated rate of 44/100,000. Pakistan probably has a high rate of certain life- or sight-threatening fungal infections.

Stable isotope and hydro chemical variability along the Calueque-Oshakati Canal in the Cuvelai-Etosha Basin, Namibia

NASA Astrophysics Data System (ADS)

Koeniger, Paul; Beyer, Matthias; Gaj, Marcel; Hamutoko, Josefina; Uugulu, Shoopi; Wanke, Heike; Huber, Markus; Lohe, Christoph; Quinger, Martin; Himmelsbach, Thomas

2014-05-01

Since 1973 Kunene River water (currently between 47 and 63 Million m3 per year [1]) is carried from the Calueque Dam in Angola along a 150 km concrete canal to Oshakati in the Cuvelai-Etosha Basin which supplies the most densely populated area of Namibia with drinking water. Backup storage is held in the Olushandja Dam and in water towers at Ogongo, Oshakati and Ondangwa and about 4,000 km of pipelines radiate out from purification schemes and supply most of the people and the livestock [2, 3]. The canal is open along most of its course to Oshakati, allowing livestock and people living nearby to make free use of the water. During the rainy season, flood water from the vast Oshana drainage system swashes into the canal bearing a potential health risk when consumed untreated. Within the SASSCAL project (Southern African Science Service Centre for Climate Change and Adaptive Land Management - www.sasscal.org) water samples were collected during a field campaign from 18th to 20th November 2013 right before the onset of the rainy season 2013/14, to gain information on water evolution, evaporation and mixing influences as well as to characterize input concentrations for indirect recharge in this area. Water samples were collected at 14 sites along the canal (about every 10 km) and the Kunene River for stable water isotopes (deuterium and oxygen-18) and hydro chemical analyzes. Coordinates and altitude, temperature, conductivity, pH-value, and oxygen content were measured in the field. Hydro chemical and stable isotope analyzes were conducted later on in the laboratory. For stable isotopes a Picarro L2120-i water vapor analyzer was used with accuracies of 0.2o and 0.8o for δ18O and δ2H, respectively. Further campaigns within and after the rainy season are planned. A discussion of isotope and hydro chemical evolution of canal water in comparison to local rain and available groundwater composition will be presented. [1] Directorate of Rural Water Supply (2004

Why have the majority of recent polio cases occurred in countries affected by Islamist militancy? A historical comparative analysis of the political determinants of polio in Nigeria, Somalia, Pakistan, Afghanistan and Syria.

PubMed

Kennedy, Jonathan

2016-01-01

This article aims to understand why the last few areas where polio remains are affected by armed conflicts involving militant organizations that use Islam to legitimize their activities. The first section critically analyses the argument that Muslims' animosity towards polio vaccination programmes is a consequence of their irrational, backward, anti-Western theology. This argument is depoliticizing, ahistorical and orientalist. Moreover, it does not explain why Islamist militant groups' attitudes to polio vaccination campaigns vary between countries. The second section analyses official documents, newspaper articles, interviews and historical and ethnographic accounts to understand the relationship between Islamist militant groups and polio in five countries - Nigeria, Somalia, Pakistan, Afghanistan and Syria - that account for 95% of the world's polio cases since 2012. I demonstrate that specific political grievances related to the postcolonial state and/or foreign military intervention help to explain variations in militant groups' attitudes to polio vaccination programmes. The paper concludes by considering the policy implications of the analysis. Improved access for polio vaccinators is not predicated on military victory against the militants but securing support of de facto political leaders. This can be achieved by developing a better understanding of the specific sociopolitical contexts in which immunization programmes operate.

Progress toward interruption of wild poliovirus transmission--worldwide, January 2011-March 2012.

PubMed

2012-05-18

In January 2012, completion of polio eradication was declared a programmatic emergency for global public health by the Executive Board of the World Health Organization (WHO). Despite major progress since the launch of the Global Polio Eradication Initiative (GPEI) in 1988, circulation of indigenous wild poliovirus (WPV) continues in three countries (Afghanistan, Nigeria, and Pakistan). India has not reported a polio case since January 2011, and is considered polio-free since February 2012. This report highlights progress toward global polio eradication during January 2011-March 2012. The number of polio cases reported globally decreased by 52%, from 1,352 in 2010 to 650 in 2011. Those 650 cases included 341 (53%) reported from the four polio-endemic countries (Afghanistan, India, Nigeria, and Pakistan), 230 (35%) from previously polio-free countries in which WPV importations led to reestablished transmission for ≥12 months (Angola, Chad, and Democratic Republic of the Congo [DRC]), and 79 (12%) from nine countries affected by outbreaks. Compared with 2010, WPV cases increased in 2011 in Afghanistan (69%), Nigeria (66%), and Pakistan (27%), but decreased in India (98%). During January-March 2012, 59% fewer cases were reported worldwide (as of May 15) compared with the same period in 2011, and all cases in 2012 have been reported from Afghanistan, Chad, Nigeria, and Pakistan. Although progress toward polio eradication was substantial in 2011, persistent WPV circulation in 2012, particularly in Nigeria and Pakistan, poses an ongoing threat to eradication efforts, underscoring the need for emergency measures by polio-affected countries and those at risk for outbreaks after importation.

The Islamic Republic of Pakistan: country profile.

PubMed

Newcomb, L

1986-07-01

This discussion of Pakistan covers the following: regions and cities; the dominant Islamic sect; ethnicity and language; population growth; housing; households and families; the labor force; and information sources. Currently, Pakistan is in a period of transition. In 1985 Pakistan was ruled under martial law. On December 30, 1985, martial law was lifted, and a modified version of the 1973 constitution was adopted, restoring fundamental rights of Pakistanis and powers of the judiciary. Pakistan is divided into 4 provinces. The last census recorded the 1981 population at 84.3 million, nearly double the 1961 figure of 42.9 million. By 1983, the population had tripled to nearly 93 million, making Pakistan the world's 9th most populous country, although in area it ranked 34th. Its 3% annual growth rate placed it among the world's fastest growing countries. Although created as a sanctuary for followers of Islam, Pakistan suffers from periodic disputes between the members of Islam's various sects. Generally, ethnic groups and the use of their native languages divide along provincial boundaries. Punjabi, the native tongue of Pakistan's predominant group, is spoken in 48% of all Pakistani households and in about 80% of Punjab and Islamabad Federal Territory households. Pakistan's sixth 5-year plan recognizes the need for an additional 1.4 million dwellings to adequately house the current population. In 1980, Pakistan's 12.6 million housing units averaged nearly 7 people per unit. The ideal Pakistani household is an extended family consisting of a married couple, their sons, and their sons' wives and children. At the death of the patriarch, each son establishes a separate household. Marriage solidifes all social relationships. Single adults have little place in society. Women, although protected by law, often are deprived of their legal rights where marriage is concerned. Only 23% of the population aged 10 or older has completed primary school. Fewer than 1% hold university

Post-Disaster Damage Assessment using Remotely Sensed Data for Post Disaster Needs Assessments: Pakistan and Nigeria case studies

NASA Astrophysics Data System (ADS)

Saito, Keiko; Lemoine, Guido; Dell'Oro, Luca; Pedersen, Wendi; Nunez-Gomez, Ariel; Dalmasso, Simone; Balbo, Simone; Louvrier, Christophe; Caravaggi, Ivano; de Groeve, Tom; Slayback, Dan; Policelli, Frederick; Brakenridge, Bob; Rashid, Kashif; Gad, Sawsan; Arshad, Raja; Wielinga, Doekle; Parvez, Ayaz; Khan, Haris

2013-04-01

Since the launch of high-resolution optical satellites in 1999, remote sensing has increasingly been used in the context of post-disaster damage assessments worldwide. In the immediate aftermath of a natural disaster, particularly when extensive geographical areas are affected, it is often difficult to determine the extent and magnitude of disaster impacts. The Global Facility for Disaster Reduction and Recovery (GFDRR) has been leading efforts to utilise remote sensing techniques during disasters, starting with the 2010 Haiti earthquake. However, remote sensing has mostly been applied to extensive flood events in the context of developing Post-Disaster Needs Assessments (PDNAs). Given that worldwide, floods were the most frequent type of natural disasters between 2000 and 2011, affecting 106 million people in 2011 alone (EM-DAT) , there is clearly significant potential for on-going use of remote sensing techniques. Two case studies will be introduced here, the 2010 Pakistan flood and the 2012 Nigeria flood. The typical approach is to map the maximum cumulative inundation extent, then overlay this hazard information with available exposure datasets. The PDNA methodology itself is applied to a maximum of 15 sectors, of which remote sensing is most useful for housing, agriculture, transportation. Environment and irrigation could be included but these sectors were not covered in these events. The maximum cumulative flood extent is determined using remotely sensed data led by in-country agencies together with international organizations. To enhance this process, GFDRR hosted a SPRINT event in 2012 to tailor daily flood maps derived from MODIS imagery by NASA Goddard's Office of Applied Sciences to this purpose. To estimate the (direct) damage, exposure data for each sector is required. Initially global datasets are used, but these may be supplemented by national level datasets to revise damage estimates, depending on availability. Remote sensed estimates of direct

Rubella immunity among pregnant women aged 15-44 years, Namibia, 2010.

PubMed

Jonas, Anna; Cardemil, Cristina V; Beukes, Anita; Anderson, Raydel; Rota, Paul A; Bankamp, Bettina; Gary, Howard E; Sawadogo, Souleymane; Patel, Sadhna V; Zeko, Sikota; Muroua, Clementine; Gaeb, Esegiel; Wannemuehler, Kathleen; Gerber, Sue; Goodson, James L

2016-08-01

The level of rubella susceptibility among women of reproductive age in Namibia is unknown. Documenting the risk of rubella will help estimate the potential burden of disease in Namibian women and the risk of congenital rubella syndrome (CRS) in infants, and will guide strategies for the introduction of rubella vaccine. A total of 2044 serum samples from pregnant Namibian women aged 15-44 years were tested for rubella immunoglobulin G antibody; the samples were obtained during the 2010 National HIV Sentinel Survey. The proportion of women seropositive for rubella was determined by 5-year age strata, and factors associated with seropositivity were analyzed by logistic regression, including age, gravidity, HIV status, facility type, and urban/rural status. Overall rubella seroprevalence was 85% (95% confidence interval (CI) 83-86%). Seroprevalence varied by age group (83-90%) and health district (71-100%). In the multivariable model, women from urban residences had higher odds of seropositivity as compared to women from rural residences (odds ratio 1.40, 95% CI 1.09-1.81). In the absence of a routine rubella immunization program, the high level of rubella seropositivity suggests rubella virus transmission in Namibia, yet 15% of pregnant Namibian women remain susceptible to rubella. The introduction of rubella vaccine will help reduce the risk of rubella in pregnant women and CRS in infants. Published by Elsevier Ltd.

A Pragmatic LDI Operational Network Model for Pakistan

NASA Astrophysics Data System (ADS)

Sheikh, Roshan; Mirza, Zahir Abbas

2008-10-01

This paper describes some common components of contemporary designs for the Long Distance & International (LDI) License in Pakistan and identifies critical aspects needed to implement a commercial LDI network in any developing country like Pakistan. An extensive study is carried out to evaluate various methods through which a carrier can receive and transmit voice traffic and identify their respective merits and demerits. Deficiencies which can harm the growth of telecom market in Pakistan and which require redress by the Pakistan Telecommunication Authority (PTA) are highlighted. A pragmatic model is proposed which takes into consideration, the constraints of Pakistan Telecommunication market. The paper concludes that the proposed model be incorporated with specific suggestions and economic justifications.

Accessing Social Grants to Meet Orphan Children School Needs: Namibia and South Africa Perspective

ERIC Educational Resources Information Center

Taukeni, Simon; Matshidiso, Taole

2013-01-01

In this comparative paper we interrogate the access of social grants to meet orphan children school needs in Namibia and South Africa. We noted that the two governments are committed to provide orphan children with social grants to enable them to meet the school needs. However, accessing social grant to benefit most vulnerable orphan children…

Religious Extremism in Pakistan

DTIC Science & Technology

2014-12-01

selected ROs in Pakistan have adopted extreme views due to the political and social context in the country. They then use this socio-economic link to...political and social context in the country. They then use this socio-economic link to indoctrinate citizens with extremist ideologies, thus creating a...Pakistan Support to Recovery and Rehabilitation of Basic Social Services for the Earthquake-Affected Population 2007‒2008,” UNICEF, 1 September 2007

Molecular genetic insights on cheetah (Acinonyx jubatus) ecology and conservation in Namibia.

PubMed

Marker, Laurie L; Pearks Wilkerson, Alison J; Sarno, Ronald J; Martenson, Janice; Breitenmoser-Würsten, Christian; O'Brien, Stephen J; Johnson, Warren E

2008-01-01

The extent and geographic patterns of molecular genetic diversity of the largest remaining free-ranging cheetah population were described in a survey of 313 individuals from throughout Namibia. Levels of relatedness, including paternity/maternity (parentage), were assessed across all individuals using 19 polymorphic microsatellite loci, and unrelated cheetahs (n = 89) from 7 regions were genotyped at 38 loci to document broad geographical patterns. There was limited differentiation among regions, evidence that this is a generally panmictic population. Measures of genetic variation were similar among all regions and were comparable with Eastern African cheetah populations. Parentage analyses confirmed several observations based on field studies, including 21 of 23 previously hypothesized family groups, 40 probable parent/offspring pairs, and 8 sibling groups. These results also verified the successful integration and reproduction of several cheetahs following natural dispersal or translocation. Animals within social groups (family groups, male coalitions, or sibling groups) were generally related. Within the main study area, radio-collared female cheetahs were more closely interrelated than similarly compared males, a pattern consistent with greater male dispersal. The long-term maintenance of current patterns of genetic variation in Namibia depends on retaining habitat characteristics that promote natural dispersal and gene flow of cheetahs.

Long-term landscape evolution of the South Atlantic passive continental margin along the Kaoko- and Damara Belts, NW-Namibia

NASA Astrophysics Data System (ADS)

Menges, Daniel; Glasmacher, Ulrich Anton; Hackspacher, Peter; Schneider, Gabriele; Salomon, Eric

2015-04-01

The Kaoko Belt in northwestern Namibia originates in the collision of the Rio de la Plata and Kongo Craton during the Pan-African Orogeny in the Neoproterozoic (1) and represents the northern arm of the Damara Orogen. NW-Namibias continental crust mainly consists of the NE-SW striking intracontinental branch of the Pan-African Damara mobile belt, which separates the Congo from the Kalahari craton. The Damara Orogen is divided into several tectonostratigraphic zones that are bounded by steeply dipping, ductile shear zones. These regional lineaments can be traced at least 150 km offshore (2). The lithostratigraphic units consist of Proterozoic and Cambrian metamorphosed rocks (534 (7) Ma - 481 (25) Ma (3) as well as Mesozoic sedimentary and igneous rocks. From Permo-Carboniferous to Mid Jurassic northern Namibia was affected by deep erosion of the Damara Orogen, Permo-Triassic collisional processes along the southern margin of Gondwana and eastern margin of Africa (4), and the deposition of the Nama Group sediments and the Karoo megasequence (5). Between the Otjihorongo and the Omaruru Lineament-Waterberg Thrust early Mesozoic tectonic activity is recorded by coarse clastic sediments deposited within NE trending half-graben structures. The Early Jurassic Karoo flood basalt lavas erupted rapidly at 183±1 Ma (6). The Early Cretaceous Paraná-Etendeka flood basalts (132±1 Ma) and mafic dike swarms mark the rift stage of the opening of the South Atlantic (7). Early Cretaceous alkaline intrusions (137-124 Ma) occur preferentially along Mesozoic half-graben structures and are called the Damaraland Igneous Province (8). Late Cretaceous alkaline intrusions and kimberlite pipes occur in northern Namibia. Post Early Paleocene siliciclastic sedimentation in Namibia was largely restricted to a 150 km wide zone (9) and is represented by the Tsondab Sandstone Formation (~ 300 m thickness). The oldest part has an age of early Paleocene and the upper part span from middle Miocene

Economic and demographic consequences of AIDS in Namibia: rapid assessment of the costs.

PubMed

Ojo, K; Delaney, M

1997-01-01

Recent announcements by the Government of Namibia to provide financial support to people living with AIDS (and their family members) have received considerable media attention. However, given the fact that government budgets are already stretched, and the need for resources to devote the prevention efforts remains, there is an urgent need to assign some values to the support the government is considering within the context of an explosive epidemic. It is against this background that this study attempts to provide a rapid assessment of the economic costs of HIV/AIDS in Namibia over the next 5 years of the First National Development Plan. The estimates include the direct and indirect costs. The direct costs are costs to the economy for inpatient and outpatient medical services, as well as the costs of support payments to people living with AIDS, their families and children orphaned by AIDS. Government and donor expenditure on national prevention and control efforts are also included. The study concludes that no sector of the Namibian economy will escape the impact of AIDS. The epidemic will definitely tax hospital, public health, private and community resources, and these substantial burdens underscore the need for coordinated long-term planning.

Eradication of dracunculiasis from Pakistan.

PubMed

Hopkins, D R; Azam, M; Ruiz-Tiben, E; Kappus, K D

1995-09-02

In 1986 the World Health Organization targeted dracunculiasis (Guinea-worm disease), which seriously impairs socioeconomic development in 16 African countries, India, Pakistan, and Yemen, to be eradicated globally. The target date for eradication by the end of 1995 was established in 1991. Pakistan eradicated dracunculiasis from the country in October, 1993, after a national campaign which began in 1987 with a nationwide village-by-village search for cases. The infection, which is transmitted by drinking water from ponds containing infected water fleas, was eradicated by using health education, cloth filters, and the cyclopsicide, temephos; and in the later stages, by case containment. Methods pioneered in Pakistan's National Guinea Worm Eradication Program are now being applied in remaining endemic countries.

Voices of Divergence: Resistance, Contestation and the Shaping of Namibia's Teacher Education, 1990-2010

ERIC Educational Resources Information Center

Nyambe, John; Wilmot, Di

2015-01-01

This paper reports on an aspect of a broader study that investigated teacher educators' uptake of learner-centred pedagogy in post-apartheid Namibia. The paper shares part of the study that illuminated the path traversed by Namibian teacher education policy from 1990 to 2010, two decades into the country's post-apartheid self-rule. It argues that,…

Psychosocial Distress and Substance Use among Adolescents in Four Countries: Philippines, China, Chile, and Namibia

ERIC Educational Resources Information Center

Page, Randy M.; Dennis, Megan; Lindsay, Gordon B.; Merrill, Ray M.

2011-01-01

The purpose of the current study was to examine the relationship between adolescent substance use and psychosocial distress indicators among 30,851 adolescents aged 11 to 16 in four countries (Philippines, China, Chile, and Namibia). Global School-Based Student Health Survey data from these countries provided information about frequency and…

Progress toward poliomyelitis eradication--Afghanistan and Pakistan, 2008.

PubMed

2009-03-06

Afghanistan and Pakistan, two of the four remaining countries where wild poliovirus (WPV) transmission has never been interrupted, represent one epidemiologic reservoir. During 2008, both countries continued to conduct coordinated supplemental immunization activities (SIAs) against type 1 WPV (WPV1) and type 3 WPV (WPV3) using oral polio vaccine (OPV). Much of Afghanistan remained polio-free in 2008, with the exception of the conflict-affected South Region. In Pakistan, however, WPV transmission increased, particularly after WPV1 reintroduction into polio-free areas of Punjab Province. In total, 149 WPV cases (31 in Afghanistan and 118 in Pakistan) were confirmed in 2008, compared with 49 cases in 2007. Serious security problems in areas along the common border limited access by vaccination teams to large numbers of children in the two countries. In Pakistan, continued managerial and operational problems impeded full implementation of SIAs and adversely affected vaccination coverage in areas not affected by security problems. This report updates previous reports and describes polio eradication activities in Afghanistan and Pakistan during January--December 2008. Further progress toward interruption of WPV transmission in Afghanistan and Pakistan will require continued measures to overcome access problems in conflict-affected areas of both countries and improvements in the quality of SIAs and delivery of routine immunization services in Pakistan.

Population and population policy in Pakistan.

PubMed

Mauldin, W P

1963-02-01

Pakistan is a divided country with different religious groups represented. Since independence in 1941, the Muslim population has increased more rapidly than the Hindu population, the West Pakistan population more rapidly and steadily than the East Pakistan population. In the late 1950s the Pakistan government initiated a family planning program. The program has trained medical and paramedical personnel in family planning, added family planning services to existing medical centers, planned for a National Research Institute of Family Planning, employed mobile units to reach outlying areas, conducted limited clinical studies on some contraceptives, and used mass media advertising. Only India and Japan are doing more with government-sponsored family planning. A weak organizational structure and an inadequate number of trained personnel are the main weakness of the program. It is too early to assess the success of the program. A 10-point reduction in annual birth rates will be considered successful.

Internal parasites of giraffes (Giraffa camelopardalis angolensis) from Etosha National Park, Namibia.

PubMed

Krecek, R C; Boomker, J; Penzhorn, B L; Scheepers, L

1990-07-01

During three seasonal periods, parasitological samples were collected from six giraffes (Giraffa camelopardalis angolensis) in the Etosha National Park, Namibia. The helminths recovered included Parabronema skrjabini, Skrjabinema spp., Haemonchus mitchelli and Echinococcus sp. larvae; Cytauxzoon sp. was the only hematozoan found. The low mean abundances of all helminths which ranged from 18 to 531 may be attributed to the low rainfall of this region or because the giraffe is not a preferred host for these species of helminths.

Compliance to guidelines for the prescribing of antibiotics in acute infections at Namibia's national referral hospital: a pilot study and the implications.

PubMed

Nakwatumbah, S; Kibuule, D; Godman, B; Haakuria, V; Kalemeera, F; Baker, A; Mubita, M

2017-07-01

Sub-optimal antibiotic prescribing remains a public health concern in Namibia. The objective was to determine the level and predictors of compliance to guidelines in the prescribing of antibiotics in acute infections at a national referral hospital in Namibia to improve future prescribing. An analytical cross-sectional survey design. The clinical records of patients receiving care were reviewed. Prescribing practices were assessed using a self- administered questionnaire with reference to Namibia Standard Treatment Guidelines (NSTG). The majority of prescriptions (62%) complied with the NSTGs; however, lower than national targets (95%). Most prescriptions were empiric and prescribers typically made reference to the NSTG (58%). Diagnosed infections were principally respiratory infections (58%) and penicillins were the most used antibiotics. Good concurrence between signs and symptoms with the diagnosis indicated on the prescription - OR=5.2 (95% CI: 1.4, 19.2), a diagnosis of upper respiratory tract (p=0.001), oral-dental OR=0.1(95% CI: 0.03,0.3) and urogenital infections OR=0.3(95% CI: 0.1,0.95) and the prescribing of penicillins (p=0.001) or combination antibiotics and amphenicols were independent predictors of compliance to the NSTGs. The main behaviours associated with antibiotic prescribing were patient influences, clinical state, and access to guidelines. Compliance with NSTGs is suboptimal. Prescribing of combination antibiotics, penicillins and diagnosis of oral dental, genitourinary and ear, nose and throat infections were important predictors for NSTG compliance. There is a need to implement antibiotic indicators and stewardship programmes, and ensure access to NSTGs, to improve future antibiotic prescribing in Namibia.

Healthcare needs of displaced women: Osire refugee camp, Namibia.

PubMed

Pinehas, Lusia N; van Wyk, Neltjie C; Leech, Ronell

2016-03-01

The aim of this study was to explore and describe the experiences of healthcare needs of displaced women in the Osire refugee camp in Namibia. Namibia is a country where displaced people from other African countries seek refuge as a result of their own country's political instability. All displaced people are hosted in the Osire camp, which is a highly protected area. There are more women than men in the camp and their health is often compromised. In this descriptive phenomenological study, the natural dimension of the experiences of the participants of their healthcare needs were explored through in-depth interviews and reflected upon through transcendental processes to formulate the phenomenological dimension thereof. The essence of displaced women's healthcare needs was "the need for the restoration of hope and human dignity". Their needs refer to measures to enhance their autonomy and freedom; skills training; certainty about their future; security with aid distribution; protection against stigmatization due to human immunodeficiency virus (HIV) infection; protection against abuse; and participation in reproductive health care. When displaced women are admitted in a camp they lose their freedom to make decisions about everyday functioning and future. They thus develop feelings of insecurity and vulnerability. The participants referred to several factors that were detrimental for their well-being. The essence of their needs was "the need for the restoration of hope and human dignity" that could only be achieved when their needs are addressed. As nurses are in close contact with displaced women in refugee camps they should negotiate opportunities for the women to discuss their concerns with the camp officials. Policies should make provision for the involvement of displaced people in all aspects that relate to their everyday and future living arrangements. © 2016 International Council of Nurses.

Pakistan combats hidden AIDS menace.

PubMed

1996-05-20

The conservative Islamic society in Pakistan associates human immunodeficiency virus (HIV) infections and acquired immunodeficiency syndrome (AIDS) with prostitution, homosexuality, and drug abuse, activities which are prohibited in Pakistan. There are 1000 reported cases of HIV, 55 with advanced AIDS (53 have died) in Pakistan. Birjees Mazhar Kazi, head of the National AIDS Program, believes that, based on the computer model of the World Health Organization (WHO), the number of HIV cases in Pakistan can be 50,000 to 80,000. Prime Minister Benazir Bhutto's government has allocated $2 million for AIDS prevention. Although some officials argue that Islamic strictures and traditional social pressures discourage sexual license, the poor public health and education standards in Pakistan make it vulnerable to AIDS. Drug abuse has risen in the last 20 years; there are an estimated 1.5 million heroin users among an estimated 3 million addicts. According to Health Ministry Director General Naik Muhammad Shaikh, the government has established 30 HIV/AIDS screening centers and is sponsoring a law that would require all blood banks to provide only safe blood and blood products for transfusion. Marvi states that the reuse and poor disposal of needles, a common practice in Pakistan, could be responsible for most of the transmission there of AIDS and hepatitis C. Health experts acknowledge the obstacles placed in the way of AIDS awareness campaigns by sex taboos and religious sensitivities; condoms cannot be mentioned or displayed in shops, or used in electronic or print media campaigns. They can be mentioned in a recorded message on a 24-hr AIDS hotline. Community-based and nongovernmental organizations are being used to reach segments of society who cannot use the hotline. Eunuchs (hijras), who are much in demand as "female" entertainers at weddings, are particularly resistant to safe sex messages, according to Abid Atiq, head of the information and education section of the

Factors That Influence the Diffusion Process of Mobile Devices in Higher Education in Botswana and Namibia

ERIC Educational Resources Information Center

Asino, Tutaleni I.

2015-01-01

This comparative study uses the Diffusion of Innovation (DoI) theoretical framework to explore factors that influence diffusion of mobile devices in higher education in Botswana and Namibia. The five attributes (Relative Avantage, Compatability, Complexity, Trialability, and Observability) of the persuasion stage, which have been found in previous…

Damselflies (Zygoptera: Odonata) of Pakistan: Part 1

PubMed Central

Zia, Ahmed; Naeem, Muhammad; Rafi, Muhammad Ather; Naz, Falak; Afsheen, Sumera; Ilyas, Muhammad

2011-01-01

The present study is an effort to document bio-geographical distribution for Zygoptera of Pakistan. Damselflies were collected throughout the country and territory of Azad Jammu and Kashmir during 2004–2009. A total of 2692 specimens were collected yielding 9 families, 21 genera, and 48 species and subspecies. Three of these species, Libellago lineata lineata (Burmeister), Elattoneura atkinsoni (Selys), and Elattoneura souteri (Fraser), are recorded for the first time from Pakistan. Distribution, habitats, previous records, and Zoogeographic affiliation for all collected taxa are discussed. Help was also taken from published literature on Zygoptera of Pakistan, and specimens housed at National Insect Museum were also studied. In total, 53 species are accounted for providing an updated record for all modern taxa of damselfly fauna of Pakistan. PMID:22221175

Spatiotemporal Clustering Analysis of Malaria Infection in Pakistan.

PubMed

Umer, Muhammad Farooq; Zofeen, Shumaila; Majeed, Abdul; Hu, Wenbiao; Qi, Xin; Zhuang, Guihua

2018-06-07

Despite tremendous progress, malaria remains a serious public health problem in Pakistan. Very few studies have been done on spatiotemporal evaluation of malaria infection in Pakistan. The study aimed to detect the spatiotemporal pattern of malaria infection at the district level in Pakistan, and to identify the clusters of high-risk disease areas in the country. Annual data on malaria for two dominant species ( Plasmodium falciparum , Plasmodium vivax ) and mixed infections from 2011 to 2016 were obtained from the Directorate of Malaria Control Program, Pakistan. Population data were collected from the Pakistan Bureau of Statistics. A geographical information system was used to display the spatial distribution of malaria at the district level throughout Pakistan. Purely spatiotemporal clustering analysis was performed to identify the high-risk areas of malaria infection in Pakistan. A total of 1,593,409 positive cases were included in this study over a period of 6 years (2011⁻2016). The maximum number of P . vivax cases (474,478) were reported in Khyber Pakhtunkhwa (KPK). The highest burden of P . falciparum (145,445) was in Balochistan, while the highest counts of mixed Plasmodium cases were reported in Sindh (22,421) and Balochistan (22,229), respectively. In Balochistan, incidence of all three types of malaria was very high. Cluster analysis showed that primary clusters of P . vivax malaria were in the same districts in 2014, 2015 and 2016 (total 24 districts, 12 in Federally Administered Tribal Areas (FATA), 9 in KPK, 2 in Punjab and 1 in Balochistan); those of P . falciparum malaria were unchanged in 2012 and 2013 (total 18 districts, all in Balochistan), and mixed infections remained the same in 2014 and 2015 (total 7 districts, 6 in Balochistan and 1 in FATA). This study indicated that the transmission cycles of malaria infection vary in different spatiotemporal settings in Pakistan. Efforts in controlling P . vivax malaria in particular need to be

Pakistan's Education Crisis: The Real Story

ERIC Educational Resources Information Center

Naviwala, Nadia

2016-01-01

Pakistan suffers from an extensive education crisis. Millions of Pakistani children do not attend school, and those that do must deal with absent teachers and poor learning environments, among other challenges. While this crisis is frequently discussed in Pakistan and beyond, it is often misunderstood. This new Wilson Center report, based on…

Anatomy Education Faces Challenges in Pakistan

ERIC Educational Resources Information Center

Memon, Ismail K.

2009-01-01

Anatomy education in Pakistan is facing many of the same challenges as in other parts of the world. Roughly, a decade ago, all medical and dental colleges in Pakistan emphasized anatomy as a core basic discipline within a traditional medical science curriculum. Now institutions are adopting problem based learning (PBL) teaching philosophies, and…

Marine geology and oceanography of Arabian Sea and coastal Pakistan

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

Haq, B.U.; Milliman, J.D.

This volume is a collection of papers presented at the first US-Pakistan workshop in marine science held in Karachi, Pakistan, in November 1982. Of the twenty-four contributions in this book, fourteen cover topics specific to the Arabian Sea-coastal Pakistan region. These include six papers on the geology, tectonics, and petroleum potential of Pakistan, four papers on sedimentary processes in the Indus River delta-fan complex, and four papers on the biological oceanography of the Arabian Sea and coastal Pakistan. The additional ten papers are overviews of shelf sedimentation processes, paleoceanography, the marine nutrient cycle, and physical and chemical oceanography.

Estimated Prevalence of Cryptococcus Antigenemia (CrAg) among HIV-Infected Adults with Advanced Immunosuppression in Namibia Justifies Routine Screening and Preemptive Treatment.

PubMed

Sawadogo, Souleymane; Makumbi, Boniface; Purfield, Anne; Ndjavera, Christophine; Mutandi, Gram; Maher, Andrew; Kaindjee-Tjituka, Francina; Kaplan, Jonathan E; Park, Benjamin J; Lowrance, David W

2016-01-01

Cryptococcal meningitis is common and associated with high mortality among HIV infected persons. The World Health Organization recommends that routine Cryptococcal antigen (CrAg) screening in ART-naïve adults with a CD4+ count <100 cells/μL followed by pre-emptive antifungal therapy for CrAg-positive patients be considered where CrAg prevalence is ≥3%. The prevalence of CrAg among HIV adults in Namibia is unknown. We estimated CrAg prevalence among HIV-infected adults receiving care in Namibia for the purpose of informing routine screening strategies. The study design was cross-sectional. De-identified plasma specimens collected for routine CD4+ testing from HIV-infected adults enrolled in HIV care at 181 public health facilities from November 2013 to January 2014 were identified at the national reference laboratory. Remnant plasma from specimens with CD4+ counts <200 cells/μL were sampled and tested for CrAg using the IMMY® Lateral Flow Assay. CrAg prevalence was estimated and assessed for associations with age, sex, and CD4+ count. A total of 825 specimens were tested for CrAg. The median (IQR) age of patients from whom specimens were collected was 38 (32-46) years, 45.9% were female and 62.9% of the specimens had CD4 <100 cells/μL. CrAg prevalence was 3.3% overall and 3.9% and 2.3% among samples with CD4+ counts of CD4+<100 cells/μL and 100-200 cells/μL, respectively. CrAg positivity was significantly higher among patients with CD4+ cells/μL < 50 (7.2%, P = 0.001) relative to those with CD4 cells/μL 50-200 (2.2%). This is the first study to estimate CrAg prevalence among HIV-infected patients in Namibia. CrAg prevalence of ≥3.0% among patients with CD4+<100 cells/μL justifies routine CrAg screening and preemptive treatment among HIV-infected in Namibia in line with WHO recommendations. Patients with CD4+<100 cells/μL have a significantly greater risk for CrAg positivity. Revised guidelines for ART in Namibia now recommend routine screening for CrAg.

Development of agriculture biotechnology in Pakistan.

PubMed

Zafar, Yusuf

2007-01-01

Agriculture plays an important role in the national economy of Pakistan, where most of the rapidly increasing population resides in rural areas and depends on agriculture for subsistence. Biotechnology has considerable potential for promoting the efficiency of crop improvement, food production, and poverty reduction. Use of modern biotechnology started in Pakistan since 1985. Currently, there are 29 biotech centers/institutes in the country. However, few centers have appropriate physical facilities and trained manpower to develop genetically modified (GM) crops. Most of the activities have been on rice and cotton, which are among the top 5 crops of Pakistan. Biotic (virus/bacterial/insect) and abiotic (salt) resistant and quality (male sterility) genes have already been incorporated in some crop plants. Despite acquiring capacity to produce transgenic plants, no GM crops, either produced locally or imported, have been released in the country. Pakistan is signatory to the World Trade Organization, Convention on Biological Diversity, and Cartagena protocols. Several legislations under the Agreement on Trade-Related Aspects of Intellectual Property Rights have been promulgated in the country. National Biosafety Guidelines have been promulgated in April 2005. The Plant Breeders Rights Act, Amendment in Seed Act-1976, and Geographical Indication for Goods are still passing through discussion, evaluation, and analysis phases. Meanwhile, an illegal GM crop (cotton) has already sneaked into farmer's field. Concerted and coordinated efforts are needed among various ministries for implementation of regulation and capacity building for import/export and local handling of GM crops. Pakistan could easily benefit from the experience of Asian countries, especially China and India, where conditions are similar and the agriculture sector is almost like that of Pakistan. Thus, the exchange of information and experiences is important among these nations.

Child health inequalities and its dimensions in Pakistan

PubMed Central

Murtaza, Fowad; Mustafa, Tajammal; Awan, Rabia

2015-01-01

Background and Objective: Poverty and inequality in health is pervasive in Pakistan. The provisions and conditions of health are very dismal. A significant proportion of the population (16.34%) of Pakistan is under 5 years, but Pakistan is in the bottom 5% of countries in the world in terms of spending on health and education. It is ranked the lowest in the world with sub-Sahara Africa in terms of child health equality. The objective of this study was to examine child health inequalities in Pakistan. Materials and Methods: We analyzed data from Pakistan Integrated Household Survey/Household Integrated Economic Survey 2001–2002, collected by the Pakistan Bureau of Statistics, Government of Pakistan. Coverage of diarrhea and immunization were used as indicators of child health. Stata 11.0 was used for data analysis. Descriptive statistics including frequency distribution and proportions for categorical variables and mean for continuous variables were computed. Results: Children under 5 years of age account for about 16.34% of the total population, 11.76% (2.5 million) of whom suffered from diarrhea in 1-month. The average duration of a diarrheal episode was 7 days. About 72% of the children who had diarrhea lived in a house without pipe-borne water supply. Around 22% children who had diarrhea had no advice or treatment. More than one-third of the households had no toilet in the house, and only 29% of the households were connected with pipe-borne drinking water. About 7.73% (1.6 million) children had never been immunized. The main reason for nonimmunization was parents’ lack of knowledge and of immunization. Conclusion: Child health inequalities in Pakistan are linked with several factors such as severe poverty, illiteracy, lack of knowledge, and awareness of child healthcare, singularly inadequate provision of health services, and poor infrastructure. PMID:26392798

Child health inequalities and its dimensions in Pakistan.

PubMed

Murtaza, Fowad; Mustafa, Tajammal; Awan, Rabia

2015-01-01

Poverty and inequality in health is pervasive in Pakistan. The provisions and conditions of health are very dismal. A significant proportion of the population (16.34%) of Pakistan is under 5 years, but Pakistan is in the bottom 5% of countries in the world in terms of spending on health and education. It is ranked the lowest in the world with sub-Sahara Africa in terms of child health equality. The objective of this study was to examine child health inequalities in Pakistan. We analyzed data from Pakistan Integrated Household Survey/Household Integrated Economic Survey 2001-2002, collected by the Pakistan Bureau of Statistics, Government of Pakistan. Coverage of diarrhea and immunization were used as indicators of child health. Stata 11.0 was used for data analysis. Descriptive statistics including frequency distribution and proportions for categorical variables and mean for continuous variables were computed. Children under 5 years of age account for about 16.34% of the total population, 11.76% (2.5 million) of whom suffered from diarrhea in 1-month. The average duration of a diarrheal episode was 7 days. About 72% of the children who had diarrhea lived in a house without pipe-borne water supply. Around 22% children who had diarrhea had no advice or treatment. More than one-third of the households had no toilet in the house, and only 29% of the households were connected with pipe-borne drinking water. About 7.73% (1.6 million) children had never been immunized. The main reason for nonimmunization was parents' lack of knowledge and of immunization. Child health inequalities in Pakistan are linked with several factors such as severe poverty, illiteracy, lack of knowledge, and awareness of child healthcare, singularly inadequate provision of health services, and poor infrastructure.

Female Suicide Rates in Ghizer, Pakistan

ERIC Educational Resources Information Center

Khan, Murad M.; Ahmed, Aziz; Khan, Sultan R.

2009-01-01

Suicide is an understudied subject in Pakistan. There are many social, legal, and religious sanctions against it. National rates of suicides are not known. We calculated suicide rates of women in the Ghizer District of the remote Northern Areas of Pakistan. During years 2000 to 2004, 49 women committed suicide. Taking average mean population for…

State, Foreign Operations, and Related Programs: FY2008 Appropriations

DTIC Science & Technology

2007-06-13

political, economic and social reforms. The CRS-3 2 PEPFAR countries include Botswana, Cote d’Ivoire, Ethiopia, Kenya, Mozambique, Namibia, Nigeria...planning to eliminate several VOA services including Uzbek, Greek, and Cantonese as well as the RFE/RL Macedonia service. BBG also plans to reduce several

ASTER Captures New Image of Pakistan Flooding

NASA Image and Video Library

2010-08-20

NASA Terra spacecraft captured this cloud-free image over the city of Sukkur, Pakistan, on Aug. 18, 2010. Sukkur, located in southeastern Pakistan Sindh Province, is visible as the grey, urbanized area in the lower left center of the image.

A Review of Pakistan School System

ERIC Educational Resources Information Center

Farooq, Muhammad Sabil; Kai, Yuan Tong

2017-01-01

It is mandated in the Constitution of Pakistan to enhance adult literacy and quality education at primary level through provide free and compulsory education to all children between the ages of 5-16 years. The year 2015 was the deadline for the participants of Dakar declaration [Education for All (EFA) commitment] including Pakistan but they fail…

Communicative Approaches To Teaching English in Namibia: The Issue of Transfer of Western Approaches To Developing Countries.

ERIC Educational Resources Information Center

O'Sullivan, Margo C.

2001-01-01

Examines Namibia's communicative approach to teaching English speaking and listening skills by exploring the extent to which this approach is appropriate to the Namibian context. Raises the issue of transfer, specifically that communicative approaches are transferable to the Namibian context if they are simplified and adequate prescriptive…

Choice-disability and HIV infection: a cross sectional study of HIV status in Botswana, Namibia and Swaziland.

PubMed

Andersson, Neil; Cockcroft, Anne

2012-01-01

Interpersonal power gradients may prevent people implementing HIV prevention decisions. Among 7,464 youth aged 15-29 years in Botswana, Namibia and Swaziland we documented indicators of choice-disability (low education, educational disparity with partner, experience of sexual violence, experience of intimate partner violence (IPV), poverty, partner income disparity, willingness to have sex without a condom despite believing partner at risk of HIV), and risk behaviours like inconsistent use of condoms and multiple partners. In Botswana, Namibia and Swaziland, 22.9, 9.1, and 26.1% women, and 8.3, 2.8, and 9.3% men, were HIV positive. Among both women and men, experience of IPV, IPV interacted with age, and partner income disparity interacted with age were associated with HIV positivity in multivariate analysis. Additional factors were low education (for women) and poverty (for men). Choice disability may be an important driver of the AIDS epidemic. New strategies are needed that favour the choice-disabled.

Prevalence and associated factors of physical fighting among school-going adolescents in Namibia

PubMed Central

Rudatsikira, Emmanuel; Siziya, Seter; Kazembe, Lawrence N; Muula, Adamson S

2007-01-01

Background Interpersonal physical violence is an important global public health concern that has received limited attention in the developing world. There is in particular a paucity of data regarding physical violence and its socio-demographic correlates among in-school adolescents in Namibia. Methods We analysed cross-sectional data from the Namibia Global School-Based Health Survey (GSHS) conducted in 2004. We aimed to estimate the prevalence and socio-demographic correlates of physical fighting within the last 12 months. We obtained frequencies of socio-demographic attributes. We also assessed the association between self-reported history of having engaging in a physical fight and a selected list of independent variables using logistic regression analysis. Results Of the 6283 respondents, 50.6% (55.2% males and 46.2% females) reported having been in a physical fight in the past 12 months. Males were more likely to have been in a physical fight than females (OR = 1.71, 95% CI (1.44, 2.05)). Smoking, drinking alcohol, using drugs and bullying victimization were positively associated with fighting (OR = 1.91, 95% CI (1.49, 2.45); OR = 1.48, 95% CI (1.21, 1.81); OR = 1.55, 95% CI (1.22, 1.81); and OR = 3.12, 95% CI (2.62, 3.72), respectively). Parental supervision was negatively associated with physical fighting (OR = 0.82, 95% CI (0.69, 0.98)). Both male and female substance users (cigarette smoking, alcohol and drug use) were more likely to engage in physical fighting than non-substance users (OR = 3.53, 95% CI (2.60, 4.81) for males and OR = 11.01, 95% CI (7.25, 16.73) for females). Parental supervision was negatively associated with physical fighting (OR = 0.85, 95% CI (0.72, 0.99)). Conclusion Prevalence of physical fighting within the last 12 months was comparable to estimates obtained in European countries. We also found clustering of problem behaviours or experiences among adolescents who reported having engaged in physical violence in the past 12 months

Prevalence and associated factors of physical fighting among school-going adolescents in Namibia.

PubMed

Rudatsikira, Emmanuel; Siziya, Seter; Kazembe, Lawrence N; Muula, Adamson S

2007-07-24

Interpersonal physical violence is an important global public health concern that has received limited attention in the developing world. There is in particular a paucity of data regarding physical violence and its socio-demographic correlates among in-school adolescents in Namibia. We analysed cross-sectional data from the Namibia Global School-Based Health Survey (GSHS) conducted in 2004. We aimed to estimate the prevalence and socio-demographic correlates of physical fighting within the last 12 months. We obtained frequencies of socio-demographic attributes. We also assessed the association between self-reported history of having engaging in a physical fight and a selected list of independent variables using logistic regression analysis. Of the 6283 respondents, 50.6% (55.2% males and 46.2% females) reported having been in a physical fight in the past 12 months. Males were more likely to have been in a physical fight than females (OR = 1.71, 95% CI (1.44, 2.05)). Smoking, drinking alcohol, using drugs and bullying victimization were positively associated with fighting (OR = 1.91, 95% CI (1.49, 2.45); OR = 1.48, 95% CI (1.21, 1.81); OR = 1.55, 95% CI (1.22, 1.81); and OR = 3.12, 95% CI (2.62, 3.72), respectively). Parental supervision was negatively associated with physical fighting (OR = 0.82, 95% CI (0.69, 0.98)). Both male and female substance users (cigarette smoking, alcohol and drug use) were more likely to engage in physical fighting than non-substance users (OR = 3.53, 95% CI (2.60, 4.81) for males and OR = 11.01, 95% CI (7.25, 16.73) for females). Parental supervision was negatively associated with physical fighting (OR = 0.85, 95% CI (0.72, 0.99)). Prevalence of physical fighting within the last 12 months was comparable to estimates obtained in European countries. We also found clustering of problem behaviours or experiences among adolescents who reported having engaged in physical violence in the past 12 months. There is a need to bring adolescent

Evaluating social-ecological aspects of buffer zones at the borders of Etosha National Park, Namibia

Treesearch

Lelani M. Mannetti; Ulrich Zeller; Karen J. Esler

2015-01-01

The study aims to investigate the premise that the implementation of a buffer zone around a national park provides opportunities for local communities to become active in the management of such areas. The study focuses on the Etosha National Park in Namibia, where the implementation of a buffer zone has been proposed, since the park fence is a potential barrier for...

Double Star Measurements at the Internationale Amateur Sternwarte (IAS) in Namibia in 2008 and 2009

NASA Astrophysics Data System (ADS)

Anton, Rainer

2010-04-01

A 40-cm-Cassegrain telescope in Namibia was used for observing double and multiple systems in the southern sky. Digital images were recorded with a CCD camera at high frame rates via a firewire interface directly in a computer. Measurements of 34 double and multiple systems are presented and compared with literature data. Some noteworthy objects are discussed in more detail.

Satellite image maps of Pakistan

USGS Publications Warehouse

,

1997-01-01

Georeferenced Landsat satellite image maps of Pakistan are now being made available for purchase from the U.S. Geological Survey (USGS). The first maps to be released are a series of Multi-Spectral Scanner (MSS) color image maps compiled from Landsat scenes taken before 1979. The Pakistan image maps were originally developed by USGS as an aid for geologic and general terrain mapping in support of the Coal Resource Exploration and Development Program in Pakistan (COALREAP). COALREAP, a cooperative program between the USGS, the United States Agency for International Development, and the Geological Survey of Pakistan, was in effect from 1985 through 1994. The Pakistan MSS image maps (bands 1, 2, and 4) are available as a full-country mosaic of 72 Landsat scenes at a scale of 1:2,000,000, and in 7 regional sheets covering various portions of the entire country at a scale of 1:500,000. The scenes used to compile the maps were selected from imagery available at the Eros Data Center (EDC), Sioux Falls, S. Dak. Where possible, preference was given to cloud-free and snow-free scenes that displayed similar stages of seasonal vegetation development. The data for the MSS scenes were resampled from the original 80-meter resolution to 50-meter picture elements (pixels) and digitally transformed to a geometrically corrected Lambert conformal conic projection. The cubic convolution algorithm was used during rotation and resampling. The 50-meter pixel size allows for such data to be imaged at a scale of 1:250,000 without degradation; for cost and convenience considerations, however, the maps were printed at 1:500,000 scale. The seven regional sheets have been named according to the main province or area covered. The 50-meter data were averaged to 150-meter pixels to generate the country image on a single sheet at 1:2,000,000 scale

Trends and factors associated with early initiation of breastfeeding in Namibia: analysis of the Demographic and Health Surveys 2000-2013.

PubMed

Ndirangu, M N; Gatimu, S M; Mwinyi, H M; Kibiwott, D C

2018-05-16

Early initiation of breastfeeding (EIBF) lowers the risk for all-cause mortality in babies, including those with low birth weight. However, rates of neonatal mortality and delayed initiation of breastfeeding remain high in most low- and middle-income countries. This study aimed to assess the trends and factors associated with EIBF in Namibia from 2000 to 2013. An analysis of EIBF trends was conducted using data from three Namibia Demographic Health Surveys. The present sample included singleton children younger than 2-years from 2000 (n = 1655), 2006-2007 (n = 2152) and 2013 (n = 2062) surveys. Descriptive statistics were used to analyse respondents' demographic, socioeconomic and obstetric characteristics. Factors associated with EIBF were assessed using univariate analysis and further evaluated using multivariable logistic regression analysis. EIBF significantly decreased from 82.5% (confidence interval [CI]: 79.5-85.0) in 2000 to 74.9% (72.5-77.2) in 2013. Factors associated with EIBF in 2000 were urban residence (adjusted odds ratio 0.58, 95% CI: 0.36-0.93), poorer household wealth index (1.82, 1.05-3.17), lack of antenatal care (0.14, 0.03-0.81), small birth size (0.38, 0.24-0.63) and large birth size (0.51, 0.37-0.79). In 2013, factors associated with EIBF were maternal age of 15-19 years (2.28, 1.22-4.24), vaginal delivery (2.74, 1.90-3.93), married mothers (1.57, 1.16-2.14), delivery assistance from health professionals (3.67, 1.23-10.9) and birth order of fourth or above (1.52, 1.03-2.26). Namibia has experienced a declining trend in EIBF rates from 2000 to 2013. Factors associated with EIBF differed between 2000 and 2013. The present findings highlight the importance of continued commitment to addressing neonatal health challenges and strengthening implementation of interventions to increase EIBF in Namibia.

An overview of poultry industry in Pakistan.

PubMed

Hussain, J; Rabbani, I; Aslam, S; Ahmad, H A

2015-12-01

The poultry sector is an important and vibrant segment of agriculture in Pakistan with a significant contribution to the national GDP (1.3%). Commercial poultry production in Pakistan started in the 1960's and has been providing a significant portion of daily proteins to the Pakistani population ever since. During its evolution the industry enjoyed promotional policies of the Government, but has faced several challenges such as disease outbreaks and retail price fluctuations. Despite its important role in the country's economy, not a single scientific study is available on its evolutionary history. The data available in this regard are scattered and lack reliability. This review is an effort to encompass the history of the overall growth of the poultry industry in Pakistan, its present status (2012 statistics) and future directions and challenges. This article may serve as the basic source of information on Pakistan's poultry industry achievements. It will also guide poultry experts and policy makers for developing strategic planning for further growth of the industry.

Energy sources for Nigeria

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

Okoroji, C.E.I.

1982-09-01

A public consensus has developed on the need for national energy policies and better planning in the utilization of energy resources in Nigeria. A look at Nigeria's energy future is timely as a period of rapid technological growth and industrial development begins. At the present time, Nigeria exports a relatively high percentage (92%) of the petroleum produced annually. In addition, about 95% of all produced natural gas is flared. Only a relatively minor fraction of the coal produced is used and the rest exported to West African countries. Water power in Nigeria is not yet fully developed. Although the depositsmore » of uranium and oil sand may be substantial, the reserves are not currently known. The proportions in which mineral fuels are used are not related to their relative abundance. Based on present production rates, domestic reserves of petroleum will last 20 years, those of natural gas 63 years, and those of coal 1503 years. Nigeria is not currently and is not likely to become self-sufficient in terms of energy requirements. During the past decade, Nigeria's population has increased by 28.4%. Of vital concern for the immediate future in Nigeria are the demands on energy consumption and mineral resources resulting from increasing population pressure.« less

Being stressed outside the park—conservation of African elephants (Loxodonta africana) in Namibia

PubMed Central

Ringstad, Iris H; Jackson, Craig R; May, Roel; Fossøy, Frode; Uiseb, Kenneth; Killian, Werner; Palme, Rupert; Røskaft, Eivin

2017-01-01

Abstract The conservation of the African savanna elephant (Loxodonta africana) is of prime importance for many African countries. Interactions between elephants and humans are known to induce stress and thereby have the potential to affect elephants’ fitness. In Namibia, anthropogenic disturbances are increasing due to increasing human population size and development, particularly near protected areas, such as national parks. In this study, we investigated elephant stress levels in relation to their land use, specifically their protection status, comparing elephants within Etosha National Park in Namibia with elephants residing outside the park. We noninvasively collected dung samples of 91 elephants and determined the concentration of faecal glucocorticoid metabolites (fGCM), an indicator of physiological stress. Elephants outside the park (N = 35) had significantly higher concentrations of fGCM than those inside ENP (N = 56), suggesting that, despite including community-based conservancies, unprotected areas are more stressful for elephants than protected areas, most likely due to increased interactions with humans. We also found that males had lower fGCM concentrations than females, but no significant effect of age, body size or group size was detected. Additionally, herd sizes were significantly smaller and calf recruitment was potentially lower in unprotected areas. These findings underpin the importance of protected areas such as ENP, while encouraging decision-makers to continue reducing and mitigating potential human-induced disturbances. PMID:29270294

China-Pakistan Economic Corridor.

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

Boyce, Tucker

International trade and related economic activities in Central and South Asia are increasing as developing economies, particularly India and Pakistan, grow. China continues to emerge as a major regional and global power and has embarked upon numerous regional economic and political initiatives . A major development is the China - Pakistan Economic Corridor (CPEC), a host of infrastructure and trade projects worth over 40 billion American dollars . This report analyzes CPEC a nd its potential regional effects, including the trade security implications of the port and land infrastructure developments . As trade increase s in the reg ion andmore » the major CPEC infrastructure projects are completed, there will be numerous implications on trade security and geopolitics within South Asia. CPEC projects uniquely intersect numerous regional situations, including territorial disputes in Kashmir, the Afghanistan/Pakistan border, and Chinese foreign policy a mbitions. A nuanced understanding of these effects can influence future policy adjustments in this region . The views expressed in this report are those of the author and do not necessarily reflect the position of Sandia National Laboratories or the author's current and past institutions.« less

Geothermal areas in Pakistan

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

Shuja, T.A.

1986-01-01

In this paper an attempt has been made to correlate the tectonic and geologic features with surface manifestations of geothermal activity in Pakistan to delineate prospective areas for exploration and development of geothermal energy. Underthrusting of the Arabian plate beneath the Eurasian plate has resulted in the formation of Chagai volcanic arc which extends into Iran. Quaternary volcanics in this environment, along with the presence of thermal springs, is an important geotectonic feature revealing the possible existence of geothermal fields. Geothermal activity in the northern areas of Pakistan, as evidenced by thermal springs, is the likely result of collision andmore » underthrusting of the Indian plate beneath the Eurasian plate. Numerous hot springs are found along the Main Mantle thrust and the Main Karakorum thrust in Chilas and Hunza areas respectively. The concentration of hot springs in Sind Province is also indicative of geothermal activity. A string of thermal seepages and springs following the alignment of the Syntaxial Bend in Punjab Province is also noteworthy from the geothermal viewpoint. In Baluchistan Province (southwest Pakistan), Hamun-e-Mushkel, a graben structure, also shows geothermal prospects on the basis of aeromagnetic studies.« less

Country watch: Pakistan.

PubMed

Toll, K; Agha, S

1999-01-01

In Pakistan, which has a high fertility rate, affordable prices of condoms and family planning services attract low-income residents. This was shown by the two projects: the condom distribution scheme and the family planning franchise. A condom social marketing (CSM) program started by Population Services International (PSI) increased contraceptive use in urban areas and sold low-priced condoms. However, in 1991 the price doubled in order to recover the costs, which resulted in a decline in sales. Thus, in 1995 PSI and Social Marketing Pakistan franchised the Green Star project that aimed to raise the quality of private sector family planning clinics serving low-income women and to increase the availability and use of female-controlled contraception. By 1996, the CSM project was selling over 80 million condoms annually.

Girl child marriage and its effect on fertility in Pakistan: findings from Pakistan Demographic and Health Survey, 2006-2007.

PubMed

Nasrullah, Muazzam; Muazzam, Sana; Bhutta, Zulfiqar A; Raj, Anita

2014-04-01

Child marriage (before 18 years) is prevalent in Pakistan, which disproportionately affects young girls in rural, low income and low education households. Our study aims to determine the association between early marriage and high fertility and poor fertility health indicators among young women in Pakistan beyond those attributed to social vulnerabilities. Nationally representative data from Pakistan Demographic and Health Survey, 2006-2007, a cross-sectional observational survey, were limited to ever-married women aged 20-24 years (n = 1,560; 15% of 10,023) to identify differences in poor fertility outcomes [high fertility (three or more childbirths); rapid repeat childbirth (<24 months between births); unwanted pregnancy (any ever); pregnancy termination (any stillbirth, miscarriage or abortion ever)] by early (<18) versus adult (≥18) age at marriage. Associations between child marriage and fertility outcomes were assessed by calculating adjusted odds ratios (AORs) using logistic regression models after controlling for demographics, social equity indicators (education, wealth index, rural residence), contraception use, marriage duration and culture-specific factors (husband's desire for more children, son preference). Overall, 50% of ever-married women aged 20-24 years in Pakistan were married before the age of 18 years. Girl child marriage was significantly (p < 0.001) associated with low social equity indicators (poverty, rural residence, and no formal education). Adjusted logistic regression models showed that girl child marriage was significantly associated with high fertility (AOR 6.62; 95% CI 3.53-12.43), rapid repeat childbirth (AOR 2.88; 95% CI 1.83-4.54), unwanted pregnancy (AOR 2.90; 95% CI 1.75-4.79), and pregnancy termination (AOR 1.75; 95% CI 1.10-2.78). Girl child marriage affects half of all ever-married women aged 20-24 years in Pakistan, and increases their risk for high fertility and poor fertility health indicators, highlighting the need of

75 FR 51615 - Establishment of Pakistan and Afghanistan Support Office

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-23

... Establishment of Pakistan and Afghanistan Support Office By the authority vested in me as President by the... 3161 of title 5, United States Code, a temporary organization to be known as the Pakistan and... strengthening the governments in Afghanistan and Pakistan, enhancing the capacity of those governments to resist...

Flooding in Pakistan August 4, 2010

NASA Image and Video Library

2017-12-08

NASA image acquired August 4, 2010 Though many areas in northwest Pakistan were bracing for heavy rain and additional flash flooding on August 4, 2010, the city of Kheshgi, in northwest Pakistan, had clear skies. This image, taken by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA’s Terra satellite reveals a city awash in flood water. Thick with mud, the Kabul River is pale green in this false color image. Clearer water is dark blue. The river flows through its usual channel, but in places, water seeps over the channel and across the landscape. The buildings and roads of Kheshgi are silver. Spots of turquoise blue—shallow, muddy water or water-logged ground—covers several sections of the city. On the south side of the Kabul River, water flows down the hills, washing over neighborhoods. The bare ground in the hills is brown and tan. Plant-covered land, red in this image, is divided into long, narrow rectangles, pointing to agriculture. Geometric shapes under the water near the river are probably submerged fields of crops. Thousands of acres of crops had been lost in floods throughout Pakistan, said the United Nations. Kheshgi is in the Nowshera district in the Khyber Pakhutnkhwa province. As of August 2, Khyber Pakhutnkhwa was the hardest hit province in Pakistan, said the United Nations, and Nowshera was the most impacted district in the province. Nowshera reported 500,000 people displaced with 161 dead, said the Government of Khuber Pakhtunkhwa. The floods affected communities throughout Pakistan. More than 1,100 people had died, 15,000 homes were damaged or destroyed, and at least one million people were in need of emergency assistance throughout Pakistan, said the United Nations on August 2. The floods occurred as unusually heavy monsoon rains fell over Pakistan. NASA image courtesy NASA/GSFC/MITI/ERSDAC/JAROS, and U.S./Japan ASTER Science Team. Caption by Holli Riebeek. Instrument: Terra - ASTER Credit: NASA’s Earth

Social Studies in African Education.

ERIC Educational Resources Information Center

Adeyemi, Michael B., Ed.

This collection of essays is organized into two sections: Section 1 deals with general issues in social studies, while Section 2 examines social studies education in Botswana, Ethiopia, Ghana, Kenya, Malawi, Namibia, Nigeria, Tanzania, and Zambia. Essays in Section One are: (1) "The Historical Context of Education in British Colonial…

An AOGCM based assessment of interseasonal variability in Pakistan

NASA Astrophysics Data System (ADS)

Asmat, U.; Athar, H.; Nabeel, A.; Latif, M.

2018-01-01

The interseasonal variability of two basic climatic parameters (precipitation and temperature) is assessed, over vulnerable and data sparse region of Pakistan (23° to 37°N and 60° to 75°E), for two Coupled Model Intercomparison Project 3 (CMIP3) based Atmospheric-Oceanic General Circulation Model (AOGCM) versions: CM2.0 and CM2.1 by Geophysical Fluid Dynamics Laboratory (GFDL), and two CMIP5 based AOGCM versions: CM2p1 and CM3.0. A recent historical 50-year period (1951-2000) is analyzed and compared with APHRODITE for precipitation and National Centers for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) re-analysis based gridded datasets for temperature for the following four seasons: DJF, MAM, JJA, and SON. The study area is divided into three regions: all Pakistan, northern Pakistan, and southern Pakistan. The interseasonal variability of the precipitation and the temperature are derived from all three (five) runs of CM2.0 (CM2.1) and from all ten (five) runs of CM 2p1 (CM3.0). The bias, root mean square error (RMSE), one-sigma standard deviation (SD) and correlation coefficient (CC) are used as assessing metrics. The following individual runs have positive CC with respect to APHRODITE at ≤1% Confidence Level (CL). On seasonal basis for CMIP5 based GFDL models during DJF: CM2p1R5 (for all Pakistan), CM2p1R5 (for northern Pakistan), and during MAM: CM2p1R5 (for southern Pakistan; this run has the lowest centered RMSE of 0.11 mm/day), whereas on annual basis: CM3.0R3 (for all Pakistan). However, out of these four runs, only CM2p1 (for southern Pakistan) has SD < SDobs (0.08 < 0.12 mm/day). There are 13 other runs for which the positive CC is at ≤5% CL, both relative to observed precipitation or temperature. Out of these 13 runs, only the average of runs of GFDL-CM2.1 in CMIP3 in JJA in southern Pakistan has SD < SDobs (0.56 < 0.59 °C) with a centered RMSE value of 0.65 °C. These characteristics of GFDL-CM2p1 runs are

Higher Education and Women's Empowerment in Pakistan

ERIC Educational Resources Information Center

Malik, Samina; Courtney, Kathy

2011-01-01

This paper summarises the findings of a 2005 doctoral study by Malik which explored to what extent participation in higher education offers empowerment to women in Pakistan. A survey instrument was used to question female faculty members and female students from 10 public universities in Pakistan; 1290 students and 290 faculty members responded.…

Staff Development Needs in Pakistan Higher Education

ERIC Educational Resources Information Center

Ullah, Muhammad Hameed; Khan, Muhammad Naeem Ullah; Murtaza, Ali; Ud Din, Muhammad Naseer

2011-01-01

Staff development is very significant for the achievement of overall goals of higher education in Pakistan. The success of innovations depends largely upon the skills of instructors; but in Pakistan, the people with a simple masters degree (without any pedagogical training) are inducted as teaching staff at the university level, so it is time to…

Revisiting the Importance of Knowledge: From Namibia, a Case for Promoting Knowledge by Campaigns to Reduce Stigma

ERIC Educational Resources Information Center

Chung, Adrienne H.; Rimal, Rajiv N.

2015-01-01

Reducing stigma against people living with HIV is key to encouraging HIV testing, which in turn is an important component in the treatment-as-prevention approach. We analyzed nationally representative survey data of participants aged 15 years and older in Namibia (N = 4,300) to determine whether knowledge about HIV and self-efficacy to protect…

The Governance of Indigenous Natural Products in Namibia: A Policy Network Analysis.

PubMed

Ndeinoma, Albertina; Wiersum, K Freerk; Arts, Bas

2018-01-09

At the end of the 20th century, optimism existed that non-timber forest products (NTFPs) can form an integral part in conservation and development strategies. However, there is limited knowledge on how the different stakeholders could relate to the state or to each other in promoting commercialization of NTFPs. Applying the policy network as an analytical framework, we investigated the structural patterns of actor relations in the governance structure of indigenous natural products (INPs) in Namibia, to understand the implications of such relations on INP policy process. The findings indicate that the INP policy network in Namibia is multi-dimensional, consisting of the Indigenous Plant Task Team (IPTT)-the key governance structure for resource mobilization and information sharing; and functional relations which serve specific roles in the INP value chain. The existing relations have facilitated policy development particularly for heavily regulated species, such as devil's claw; but for other species, only incremental changes are observed in terms of small-scale processing facilities for value addition and exclusive purchase agreements for sustainable sourcing of INPs. Participation of primary producers, private actors and quality standardization bodies is limited in INPs governance structures, which narrow the scope of information sharing. Consequently, despite that the IPTT has fostered publicly funded explorative pilot projects, ranging from production to marketing of INPs, there are no clear guidelines how these projects results can be transferred to private entities for possible commercialization. Further collaboration and information sharing is needed to guide public sector relations with the private entities and cooperatives.

Resilience among older caregivers in rural Namibia: The role of financial status, social support and health.

PubMed

Kalomo, Eveline Ndii; Lee, Kyoung Hag; Lightfoot, Elizabeth; Freeman, Rachel

2018-04-23

Namibia has one of the highest human immunodeficiency virus (HIV) prevalence rates and one of the highest rates of orphanhood in the world, and older caregivers provide much of the care to Namibians living with HIV and acquired immune deficiency syndrome (AIDS) (UNAIDS, 2014). In this study, the authors explore how financial status, social support, and health were related to the resilience of caregivers caring for people affected by HIV and AIDS in rural northern Namibia, Africa. Data were collected through a structured interview from (N = 147) caregivers from the Zambezi region. Findings from this study show that employment and physical health were significantly associated with increased resilience in older caregivers. Our findings point to the need for employment assistance and health services to improve the resilience of caregivers caring for people living with HIV and AIDS. We conclude that there is a need for more vigorous concerted efforts from public and private sector practitioners and policy makers to create more sustained formal employment opportunities and intervention programs aimed at improving the overall health of older HIV caregivers, especially those residing in rural HIV endemic communities in developing countries.

Pakistan/USAID to start CSM project.

PubMed

1984-01-01

Pakistan, with the assistance of funds for the US Agency for International Development (USAID), is about to start its novel approach to contraceptive social marketing (CSM). This new effort suggests a marked policy shift on the part of the Pakistan government toward intensifying its family planning activities. The program will be government-operated and supported by AID over the next 5 years with $20 million, more than double the cost of similar CSM projects elswhere. Distribution of a condom on a pilot project basis is expected to begin by December 1984. Sales of a low-dose oral contraceptive (OC) could begin in test market areas by mid-1985, with national launching of both products tentatively scheduled for January 1986. The Pakistan/USAID agreement represents the 1st time since the formation of India's Nirodh project in the late 1960s that a CSM program is being established without the involvement of either an international social marketing contractor or a country's family planning association. The Pakistan CSM program will be managed by a policy board composed of representatives from the government's Ministries of Planning, Health and Education; a resident advisor from USAID; and a local company responsible for product marketing and distribution. The approach has received a skeptical response among international social marketing experts about the program's chances for success. Their doubts extend to 2 other aspects of the proposed design: an official of the Ministry of Planning's Population and Welfare Division expects the CSM program to generate sufficient revenues to cover all operating costs following the 5-year subsidy period, while also providing attractive profit margins for the marketing/distribution company; and the government prohibits mass media advertising of contraceptives. According to AID, the issue of mass media contraceptive advertising has not yet been resolved, and a national survey will be conducted to determine what communication needs are

Surgery, public health, and Pakistan.

PubMed

Zafar, Syed Nabeel; McQueen, K A Kelly

2011-12-01

Surgical healthcare is rapidly gaining recognition as a major public health issue. Surgical disparities are large, with poorest populations receiving the least amount of emergency and essential surgical care. In light of recent evidence, developing countries, such as Pakistan, must acknowledge surgical disease as a major public health issue and prioritize research and intervention accordingly. We review information from various sources and describe the current situation of surgical health care in Pakistan and highlight areas of neglect. Pakistan suffers an annual deficit of 17 million surgeries. Surgical disease kills more people than infectious diseases inclusive of tuberculosis, HIV/AIDS, diarrheal disease, and childhood infections. The incidence of trauma and maternal mortality ratio are staggeringly high. There is a severe dearth of surgical and anesthesia-related epidemiological data. Important information that would help to drive policy and planning is not available. Corruption and neglect have led to a dilapidated health care infrastructure. Surgical care is largely inaccessible to the poor, especially those living in rural areas. The country faces a dearth of healthcare professionals, especially paramedics, anesthetists, and surgeons. Unsafe surgery and anesthesia poses a significant risk to patients. There is no national policy on surgical illness and the preventive aspects of surgery are nonexistent. Consistent with other underdeveloped countries, surgical care in Pakistan is dismal. Neglecting surgery and safe anesthesia has led to countless deaths and disability. Physicians, researchers, policy makers, and the government health care system must engage and commit to provide access to emergency, essential, and safe surgical care.

Impactite and pseudotachylite from Roter Kamm Crater, Namibia

NASA Technical Reports Server (NTRS)

Degenhardt, J. J., Jr.; Buchanan, P. C.; Reid, A. M.

1992-01-01

Pseudotachylite is known to occur in a variety of geologic settings including thrust belts (e.g., the Alps and the Himalayas) and impact craters such as Roter Kamm, Namibia. Controversy exists, however, as to whether pseudotachylite can be produced by shock brecciation as well as by tectonic frictional melting. Also open to debate is the question of whether pseudotachylites form by frictional fusion or by cataclasis. It was speculated that the pseudotachylite at Roter Kamm was formed by extensional settling and adjustment of basement blocks during 'late modification stage' of impact. The occurrence of pseudotachylite in association with rocks resembling quenched glass bombs and melt breccias in a relatively young crater of known impact origin offers a rare opportunity to compare features of these materials. Petrographic, x-ray diffraction, and electron microprobe analyses of the impactites and pseudotachylites are being employed to determine the modes of deformation and to assess the role of frictional melting and comminution of adjacent target rocks.

The Global Polio Eradication Initiative (GPEI) in Pakistan.

PubMed

Nadeem, Nighat Jahan

2016-11-01

The Global Polio Eradication Initiative (GPEI) has significantly reduced the worldwide incidence of poliomyelitis. However, polio remains endemic in Pakistan which poses a threat to the success of the GPEI. Issues faced by Pakistan relate to politics, terrorism, war, natural disasters, funding constraints, misconceptions and inadequate infrastructure. These contribute in hampering the aims of the GPEI and allow the deadly poliovirus to maintain its reservoir in Pakistan. Until polio is completely eradicated, all countries remain at risk of its re-emergence and this is of grave concern as potentially it could reverse the polio-free certified status of a whole World Health Organisation (WHO) region. With the increase in global travel and international migration, even the smallest potential risk should not be taken lightly. Recommendations are made to help to improve the state of polio in Pakistan to make full use of the GPEI investment and move towards a polio-free world.

Pakistan [Population education in countries of the region].

PubMed

1982-06-01

The scope of formal population education in Pakistan covers the entire academic system, beginning from the primary level to the university and professional colleges. The government initiated action in 1980 to integrate population education in the formal and nonformal education sectors. General as well as specific behavioral objectives for population education were developed by the National Committee on Population Education. These objectives were further broken down for primary, middle, and lower and higher secondary school levels. The National Committee on Population Education prepared a curriculum for the training of primary, middle, and lower secondary school teachers which was used in training the master trainers. Textbooks in Pakistan were written in 1975 following the concepts and guidelines provided in the new curricula. Curriculum development specialists prepared model lessons on the integration of population education with social studies, Pakistan studies, Urdu, health and physical education, and nursing and general science for the guidance of textbook writers and teachers. The Allama Iqbal Open University has developed a 24-unit course to orientate primary school teachers in the philosophy and content of new curricula provided for in the new education policy of Pakistan. The Population Planning Division of Pakistan and the Family Planning Association of Pakistan periodically develop materials which serve as supplementary readers; an orientation program for teachers began on a limited scale following the inception of population education in Pakistan. Some research and evaluation projects have been undertaken periodically to study the effectiveness of some of the family planning programs. To ensure systematic and comprehensive coverage of population education through the existing formal and nonformal education programs the government is planning to undertake in collaboration with the UN Fund for Population Activities (UNFPA) and other bilateral and

Very Young Children Affected and Infected by HIV/AIDS: How are they Living?: A Case Study from Namibia

ERIC Educational Resources Information Center

Hayden, Jacqueline; Otaala, Barnabas

2005-01-01

This paper describes a recent study conducted jointly by the authors in the Khomas Region of Namibia. The study developed and trialled research and documentation methods regarding very young children who had been infected or affected by the HIV/AIDS pandemic. Because of the stigma attached to the disease, effective methods for assessing…

Experiences of Student Support in the Distance Mode Bachelor of Nursing Science Degree at the University of Namibia

ERIC Educational Resources Information Center

Du Plessis, Carol Denise; Alexander, Lucy; Ashipala, Daniel Opotamutale; Kamenye, Esther

2016-01-01

The aim of this study was to understand the way in which students experienced the support services offered by the University of Namibia's distance education unit--the Centre for External Studies. The study explored students' experiences and their perceptions of the administrative, social and academic support services provided by the University of…

Nuclear programs in India and Pakistan

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

Mian, Zia

India and Pakistan launched their respective nuclear programs in the 1940s and 1950s with considerable foreign technical support, especially from the United States Atoms for Peace Program. The technology and training that was acquired served as the platform for later nuclear weapon development efforts that included nuclear weapon testing in 1974 and in 1998 by India, and also in 1998 by Pakistan - which had illicitly acquired uranium enrichment technology especially from Europe and received assistance from China. As of 2013, both India and Pakistan were continuing to produce fissile material for weapons, in the case of India also formore » nuclear naval fuel, and were developing a diverse array of ballistic and cruise missiles. International efforts to restrain the South Asian nuclear build-up have been largely set aside over the past decade as Pakistani support became central for the U.S. war in Afghanistan and as U.S. geopolitical and economic interests in supporting the rise of India, in part as a counter to China, led to India being exempted both from U.S non-proliferation laws and international nuclear trade guidelines. In the absence of determined international action and with Pakistan blocking the start of talks on a fissile material cutoff treaty, nuclear weapon programs in South Asia are likely to keep growing for the foreseeable future.« less

Nuclear programs in India and Pakistan

NASA Astrophysics Data System (ADS)

Mian, Zia

2014-05-01

India and Pakistan launched their respective nuclear programs in the 1940s and 1950s with considerable foreign technical support, especially from the United States Atoms for Peace Program. The technology and training that was acquired served as the platform for later nuclear weapon development efforts that included nuclear weapon testing in 1974 and in 1998 by India, and also in 1998 by Pakistan - which had illicitly acquired uranium enrichment technology especially from Europe and received assistance from China. As of 2013, both India and Pakistan were continuing to produce fissile material for weapons, in the case of India also for nuclear naval fuel, and were developing a diverse array of ballistic and cruise missiles. International efforts to restrain the South Asian nuclear build-up have been largely set aside over the past decade as Pakistani support became central for the U.S. war in Afghanistan and as U.S. geopolitical and economic interests in supporting the rise of India, in part as a counter to China, led to India being exempted both from U.S non-proliferation laws and international nuclear trade guidelines. In the absence of determined international action and with Pakistan blocking the start of talks on a fissile material cutoff treaty, nuclear weapon programs in South Asia are likely to keep growing for the foreseeable future.

Respiratory health effects of occupational exposure to charcoal dust in Namibia

PubMed Central

Kgabi, Nnenesi

2016-01-01

Background Charcoal processing activities can increase the risk of adverse respiratory outcomes. Objective To determine dose–response relationships between occupational exposure to charcoal dust, respiratory symptoms and lung function among charcoal-processing workers in Namibia. Methods A cross-sectional study was conducted with 307 workers from charcoal factories in Namibia. All respondents completed interviewer-administered questionnaires. Spirometry was performed, ambient and respirable dust levels were assessed in different work sections. Multiple logistic regression analysis estimated the overall effect of charcoal dust exposure on respiratory outcomes, while linear regression estimated the exposure-related effect on lung function. Workers were stratified according to cumulative dust exposure category. Results Exposure to respirable charcoal dust levels was above occupational exposure limits in most sectors, with packing and weighing having the highest dust exposure levels (median 27.7 mg/m3, range: 0.2–33.0 for the 8-h time-weighted average). The high cumulative dust exposure category was significantly associated with usual cough (OR: 2.1; 95% CI: 1.1–4.0), usual phlegm (OR: 2.1; 95% CI: 1.1–4.1), episodes of phlegm and cough (OR: 2.8; 95% CI: 1.1–6.1), and shortness of breath. A non-statistically significant lower adjusted mean-predicted % FEV1 was observed (98.1% for male and 95.5% for female) among workers with greater exposure. Conclusions Charcoal dust levels exceeded the US OSHA recommended limit of 3.5 mg/m3 for carbon-black-containing material and study participants presented with exposure-related adverse respiratory outcomes in a dose–response manner. Our findings suggest that the Namibian Ministry of Labour introduce stronger enforcement strategies of existing national health and safety regulations within the industry. PMID:27687528

Women's Perspectives of Peace: Unheard Voices from Pakistan

ERIC Educational Resources Information Center

Habib, Zehra

2013-01-01

Pakistan is currently impacted by rampant terrorism and is simultaneously grappling with intrastate ethnic and sectarian violence. The focus of this dissertation was on examining grassroots Pakistani women's perspectives on peace and women's contributions to peace in Pakistan. The study was centered on grassroots women because their voices remain…

From their own perspective - constraints in the Polio Eradication Initiative: perceptions of health workers and managers in a district of Pakistan's Punjab province.

PubMed

Mushtaq, Muhammad Umair; Shahid, Ubeera; Majrooh, Muhammad Ashraf; Shad, Mushtaq Ahmad; Siddiqui, Arif Mahmood; Akram, Javed

2010-08-23

The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. This paper describes the perceptions of health workers and managers regarding constraints in the Polio Eradication Initiative (PEI) to ultimately provide evidence for designing future interventions. A qualitative cross-sectional study using focus group discussions and in-depth interviews was conducted in the Nankana Sahib District of Pakistan's Punjab province. Study subjects included staff at all levels in the PEI at district headquarters, in all 4 tehsils (sub-districts) and at 20 randomly selected primary health centers. In total, 4 FGD and 7 interview sessions were conducted and individual session summary notes were prepared and later synthesized, consolidated and subjected to conceptual analysis. The main constraints identified in the study were the poor condition of the cold chain in all aspects, poor skills and a lack of authority in resource allocation and human resource management, limited advocacy and communication resources, a lack of skills and training among staff at all levels in the PEI/EPI in almost all aspects of the program, a deficiency of public health professionals, poor health services structure, administrative issues (including ineffective means of performance evaluation, bureaucratic and political influences, problems in vaccination areas and field programs, no birth records at health facilities, and poor linkage between different preventive programs), unreliable reporting and poor monitoring and supervision systems, limited use of local data for interventions, and unclear roles and responsibilities after decentralization. The study highlights various shortcomings and bottlenecks in the PEI, and the barriers identified should be considered in prioritizing future strategies.

Welcome to Nigeria.

ERIC Educational Resources Information Center

Northern Iowa Univ., Cedar Falls. Geographic Alliance of Iowa.

This lesson plans project provides information and classroom-ready lesson plans about Nigeria. These lesson plans can stand alone or be used in conjunction with one another. They have been correlated to coincide with the standards set forth in Geography for Life. Following background information "Why Study Nigeria?" (A. Shields), lesson…

Stem cell research in pakistan; past, present and future.

PubMed

Zahra, Sayeda Anum; Muzavir, Sayed Raheel; Ashraf, Sadia; Ahmad, Aftab

2015-05-01

Stem cells have proved to have great therapeutic potential as stem cell treatment is replacing traditional ways of treatment in different disorders like cancer, aplastic anemia, stroke, heart disorders. The developed and developing countries are investing differently in this area of research so research output and clinical translation of research greatly vary among developed and developing countries. Present study was done to investigate the current status of stem cells research in Pakistan and ways to improve it. Many advanced countries (USA, UK and Canada etc.) are investing heavily in stem cell research and treatment. Different developing countries like Iran, Turkey and India are also following the developed countries and investing a lot in stem cells research. Pakistan is also making efforts in establishing this field to get desired benefits but unfortunately the progress is at very low pace. If Government plays an active role along with private sector, stem cell research in Pakistan can be boosted up. The numbers of publications from Pakistan are very less compared to developed and neighboring countries and Pakistan also has very less number of institutes working in this area of research. Stem cells research is at its initial stages in Pakistan and there is great need to bring Government, academia and industry together so they could make serious efforts to promote research in this very important field. This will help millions of patients suffering from incurable disorders and will also reduce economic loss.

An ethnobotanical survey of plants used to manage HIV/AIDS opportunistic infections in Katima Mulilo, Caprivi region, Namibia

PubMed Central

2010-01-01

Katima Mulilo has the highest burden of HIV/AIDS in Namibia. Due to several constraints of the antiretroviral therapy programme, HIV-infected persons still use ethnomedicines to manage AIDS-related opportunistic infections. Despite the reliance on plants to manage HIV/AIDS in Katima Mulilo, there have been no empirical studies to document the specific plant species used by traditional healers to treat AIDS-related opportunistic infections. In this study, an ethnobotanical survey was conducted to record the various plant families, species, and plant parts used to manage different HIV/AIDS-related opportunistic infections in Katima Mulilo, Caprivi region, Namibia. The results showed that a total of 71 plant species from 28 families, mostly the Combretaceae (14%), Anacardiaceae (8%), Mimosaceae (8%), and Ebanaceae (7%), were used to treat conditions such as herpes zoster, diarrhoea, coughing, malaria, meningitis, and tuberculosis. The most plant parts used were leaves (33%), bark (32%), and roots (28%) while the least used plant parts were fruits/seeds (4%). Further research is needed to isolate the plants' active chemical compounds and understand their modes of action. PMID:20831821

Epidemiology, pathology, and genetic analysis of a canine distemper epidemic in Namibia.

PubMed

Gowtage-Sequeira, Sonya; Banyard, Ashley C; Barrett, Tom; Buczkowski, Hubert; Funk, Stephan M; Cleaveland, Sarah

2009-10-01

Severe population declines have resulted from the spillover of canine distemper virus (CDV) into susceptible wildlife, with both domestic and wild canids being involved in the maintenance and transmission of the virus. This study (March 2001 to October 2003) collated case data, serologic, pathologic, and molecular data to describe the spillover of CDV from domestic dogs (Canis familiaris) to black-backed jackals (Canis mesomelas) during an epidemic on the Namibian coast. Antibody prevalence in jackals peaked at 74.1%, and the clinical signs and histopathologic observations closely resembled those observed in domestic dog cases. Viral RNA was isolated from the brain of a domestic dog from the outbreak area. Sequence data from the phosphoprotein (P) gene and the hemagglutinin (H) genes were used for phylogenetic analyses. The P gene sequence from the domestic dog shared 98% identity with the sequence data available for other CDV isolates of African carnivores. For the H gene, the two sequences available from the outbreak that decimated the lion population in Tanzania in 1994 were the closest match with the Namibian sample, being 94% identical across 1,122 base pairs (bp). Phylogenetic analyses based on this region clustered the Namibian sample with the CDV that is within the morbilliviruses. This is the first description of an epidemic involving black-backed jackals in Namibia, demonstrating that this species has the capacity for rapid and large-scale dissemination of CDV. This work highlights the threat posed to endangered wildlife in Namibia by the spillover of CDV from domestic dog populations. Very few sequence data are currently available for CDV isolates from African carnivores, and this work provides the first sequence data from a Namibian CDV isolate.

Effects of Community-Based Natural Resource Management on Household Welfare in Namibia

PubMed Central

Riehl, Brianne; Zerriffi, Hisham; Naidoo, Robin

2015-01-01

Biodiversity conservation, as an environmental goal, is increasingly recognized to be connected to the socioeconomic well-being of local communities. The development of a widespread community-based natural resource management (CBNRM) program in Namibia makes it an ideal location to analyze the connection between conservation and socioeconomic well-being of local communities. Namibia’s CBNRM program involves the formation of communal conservancies within rural communities and previous studies have found it to be successful on both ecological and economic fronts. In order to broaden the understanding of the program’s impact to include social factors, we have conducted a comparative analysis to determine the effects of this program on household welfare outcomes. Data from two rounds of the Namibia Demographic and Health Surveys (2000 and 2006/07) and quasi-experimental statistical methods were used to evaluate changes in various health, education and wealth outcomes of those living in conservancies, relative to non-conservancy comparison groups. Regression results indicate mixed effects of the conservancy program at the household level. The program had positive effects on some health outcome variables, including bednet ownership, which was twice as likely to increase over time in conservancy compared to non-conservancy households. Program impacts were negative for education outcomes, with the proportion of school attendance of conservancy children being 45% less likely to increase over time than non-conservancy children. Wealth outcome results were inconclusive. Our findings highlight the importance of analyzing community conservation programs at a variety of scales when evaluating overall impact, as community-level benefits may not necessarily extend down to the household level (and vice versa). PMID:25965379

Daughter neglect, women's work, and marriage: Pakistan and Bangladesh compared.

PubMed

Miller, B D

1984-01-01

This article looks at juvenile sex ratios, juvenile mortality, women's work roles and marriage patterns in Pakistan and bangladesh in order to assess whether patterns previously observed in India, namely, daughter neglect in the northwest and equal juvenile sex ratios in the eastern part of the country, are carried over into the 2 adjacent nations, Pakistan and Bangladesh, respectively. The Indian study indicates that nationwide sex ratio data, sample survey data on childhood mortality, longitudinal population records in several locations and ethonographic evidence all point to inequalities in mortality as the prime cause of unbalanced sex ratios. The juvenile sex ratios of Pakistan and Bangladesh are very different from 1 another. Whereas there are no regional contrasts among juvenile sex ratios within Bangladesh, it is greater within Pakistan. Sex ratio data correspond roughly to what the mortality data indicate in terms of the contrast between Pakistan and Bangladesh. The evidence on juvenile mortality in both countries is too scant to support an airtight argument that juvenile females in Pakistan have much higher mortality rates than boys, while mortality rates are more balanced in Bangladesh. But the existing evidence clearly points to that conclusion. The immediate causes of the greater sex-differential mortality in Pakistan cannot be documented in the available ethnographic literature. Biased allocation of food, medical care, and love might be operating. Looking at the economic and sociocultural complex that promotes much differences between Pakistan and Bangladesh, it is argued that, in both countries, class-based variations in both women's work and marriage patterns exist and are important. It is hypothesized that females in Pakistan are little valued for agricultural labor, and pose an economic liability on their families who need to provide a large dowry with her marriage to compensate for the daughter's low economic utility to the agrucultural workforce

Khyber Pass, Afghanistan-Pakistan

NASA Image and Video Library

2010-11-08

The ASTER instrument onboard NASA Terra spacecraft imaged the Khyber Pass, a mountain pass that links Afghanistan and Pakistan. Throughout its history it has been an important trade route between Central Asia and South Asia.

In Pakistan, the Problems that Money Can Bring

ERIC Educational Resources Information Center

Neelakantan, Shailaja

2007-01-01

Over the past four years, Pakistan's higher-education budget has increased more than sevenfold, to about $449-million. While that amounts to only 0.5 percent of Pakistan's gross domestic product, it is a big improvement from the days of barely enough to pay "measly salaries and basic bills." But for students, along with many of…

Pakistan: Ascending a Path through Regional Turmoil

DTIC Science & Technology

2013-03-01

Correspondingly, the US perceives that it is Pakistan’s unwarranted and paranoid fear of India (and mistrust of the reliability of the US) that is causing...For instance, Pakistan has welcomed the Iranian offer to overcome its energy crisis with the building of the Iran-Pakistan-India (IPI) gas pipeline...mitigate its effects. It may have to look both inwards and outwards to overcome this emerging crisis. It will have to carefully develop a viable

Interventions geared towards strengthening the health system of Namibia through the integration of palliative care.

PubMed

Freeman, Rachel; Luyirika, Emmanuel Bk; Namisango, Eve; Kiyange, Fatia

2016-01-01

The high burden of non-communicable diseases and communicable diseases in Africa characterised by late presentation and diagnosis makes the need for palliative care a priority from the point of diagnosis to death and through bereavement. Palliative care is an intervention that requires a multidisciplinary team to address the multifaceted needs of the patient and family. Thus, its development takes a broad approach that involves engaging all key stakeholders ranging from policy makers, care providers, educators, the public, patients, and families. The main focus of stakeholder engagement should address some core interventions geared towards improving knowledge and awareness, strengthening skills and attitudes about palliative care. These interventions include educating health and allied healthcare professionals on the palliative care-related problems of patients and best practices for care, explaining palliative care as a clinical and holistic discipline and demonstrating its effectiveness, the need to include palliative care into national policies, strategic plans, training curriculums of healthcare professionals and the engagement of patients, families, and communities. Interventions from a five-year programme that was aimed at strengthening the health system of Namibia through the integration of palliative care for people living with HIV and AIDS and cancer in Namibia are shared. This article illustrates how a country can implement the World Health Organisation's public health strategy for developing palliative care services, which recommends four pillars: government policy, education, drug availability, and implementation.

Deconstructive Pedagogy and Ideological Demystification in Post-Colonial Pakistan

ERIC Educational Resources Information Center

Mansoor, Asma; Malik, Samina

2016-01-01

With post-colonial Pakistan inheriting the British colonial ideological and governmental apparatus, the English literature curriculum implemented at the university level in Pakistan carried the interpellatory baggage of its colonial past. Our interdisciplinary exploration focuses on using deconstructive pedagogy to demystify and subvert the…

Ethnobotanical knowledge on indigenous fruits in Ohangwena and Oshikoto regions in Northern Namibia.

PubMed

Cheikhyoussef, Ahmad; Embashu, Werner

2013-05-22

Indigenous communities in Namibia possess a rich indigenous knowledge expressed within many practices of these communities. Indigenous wild edible fruits are available along the Namibian 13 regions of which it forms a rich source of vitamins, fibres, minerals and a heterogeneous collection of bioactive compounds referred to as phytochemicals for indigenous people's diet. The aim of this study was to record the different IKS practices on the indigenous fruit trees in Ohangwena and Oshikoto regions of Namibia. An ethnobotanical survey was undertaken to collect information from local communities from 23-29 October 2011. Data was collected through the use of questionnaires and personal interviews during field trips in the Ohangwena and Oshikoto regions. A total of 65 respondents were interviewed; 54%; women, 38%; men and 8%; both in group interviews. The majority of the people interviewed were in their thirty's, with the youngest being 18 years old and the oldest being 98 years old. Forty three plant specimens were collected from the two regions; these specimens belong to 20 genera and 25 species. Regarding to the indigenous knowledge; 87%; of the respondents indicated that their knowledge on indigenous fruits was learnt mainly through their parent. Indigenous people's perception on declining indigenous fruits revealed that 56.3%; of the respondents reported that indigenous fruits were declining. Only a 42.2%; indicated that the indigenous fruits populations are increasing. Regarding to the management practices to improve the production of these indigenous fruit trees; 38.6%; reported that there are some efforts on management practices; on the other hand 61.4%; reported there are no management practices on the indigenous fruit trees in their areas. Four species were found to be the most frequently used and mentioned fruits which need to be given high preference in terms of conservation are: Berchemia discolor, Hyphaene petersiana, Sclerocarya birrea and Diospyros

Ethnobotanical knowledge on indigenous fruits in Ohangwena and Oshikoto regions in Northern Namibia

PubMed Central

2013-01-01

Background Indigenous communities in Namibia possess a rich indigenous knowledge expressed within many practices of these communities. Indigenous wild edible fruits are available along the Namibian 13 regions of which it forms a rich source of vitamins, fibres, minerals and a heterogeneous collection of bioactive compounds referred to as phytochemicals for indigenous people’s diet. The aim of this study was to record the different IKS practices on the indigenous fruit trees in Ohangwena and Oshikoto regions of Namibia. Methods An ethnobotanical survey was undertaken to collect information from local communities from 23-29 October 2011. Data was collected through the use of questionnaires and personal interviews during field trips in the Ohangwena and Oshikoto regions. A total of 65 respondents were interviewed; 54%; women, 38%; men and 8%; both in group interviews. Results The majority of the people interviewed were in their thirty’s, with the youngest being 18 years old and the oldest being 98 years old. Forty three plant specimens were collected from the two regions; these specimens belong to 20 genera and 25 species. Regarding to the indigenous knowledge; 87%; of the respondents indicated that their knowledge on indigenous fruits was learnt mainly through their parent. Indigenous people’s perception on declining indigenous fruits revealed that 56.3%; of the respondents reported that indigenous fruits were declining. Only a 42.2%; indicated that the indigenous fruits populations are increasing. Regarding to the management practices to improve the production of these indigenous fruit trees; 38.6%; reported that there are some efforts on management practices; on the other hand 61.4%; reported there are no management practices on the indigenous fruit trees in their areas. Four species were found to be the most frequently used and mentioned fruits which need to be given high preference in terms of conservation are: Berchemia discolor, Hyphaene petersiana

Regional Studies of the Potwar Plateau Area, Northern Pakistan

USGS Publications Warehouse

Warwick, Peter D.; Wardlaw, Bruce R.

2007-01-01

The papers in this volume are products of a cooperative program between the Geological Survey of Pakistan (GSP) and the U.S. Geological Survey (USGS), sponsored by the Government of Pakistan and the U.S. Agency for International Development. The focus of the program, the Coal Resources Exploration and Assessment Program (COALREAP), was to explore and assess Pakistan?s indigenous coal resources. As part of COALREAP, GSP and USGS geologists conducted regional geologic studies from 1988 to 1991 of the coal-bearing areas in the Potwar region of northern Pakistan. A reference section was selected from which to obtain faunal and floral analyses. The composite sections at Nammal Pass and Nammal Dam served as the basis for this regional reference. Although this Bulletin 2078 is being released in 2007, the writing and technical reviews were completed in 1993, and the chapters reflect the work done until that time. During the long production process for the Bulletin, which ultimately resulted in the oversize plates being digitized, the scientific content of the chapters was not changed, and most reports published since 1993 were not cited. A change in the age of the Patala Formation is discussed below [in the full preface], but the age discussions and illustrations in the chapters were not updated.

Exploration gaps exist in Nigeria`s prolific delta

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

Thomas, D.

The Niger delta region of the Republic of Nigeria is Africa`s largest oil producing area. It is clear that Nigeria will continue to contribute significantly to world petroleum production well into the 21st century: with increases in recoverable oil reserves in the Niger delta onshore and offshore; the promising potential of the Niger delta deepwater region; and a lesser but not insignificant contribution from the unexplored onshore Benue trough, part of the mid-African rift system, which has already proved to hold substantial oil reserves in the Doba basin of neighboring Chad. This is the first of five parts on Nigeria`smore » oil and gas potential. The later articles deal with Niger delta oil reserves and production, Niger delta gas reserves, the delta`s deepwater region, and the Benue trough and onshore cretaceous rift basins. This article deals with the geologic setting of the Niger delta-Benue trough region, the synrift deposits, marine sedimentation, margin evolution, geologic strata and reservoirs, reservoir character, structure and traps, hydrocarbon types, geotemperatures, and source rock quality.« less

"Bouba" and "Kiki" in Namibia? A Remote Culture Make Similar Shape-Sound Matches, but Different Shape-Taste Matches to Westerners

ERIC Educational Resources Information Center

Bremner, Andrew J.; Caparos, Serge; Davidoff, Jules; de Fockert, Jan; Linnell, Karina J.; Spence, Charles

2013-01-01

Western participants consistently match certain shapes with particular speech sounds, tastes, and flavours. Here we demonstrate that the "Bouba-Kiki effect", a well-known shape-sound symbolism effect commonly observed in Western participants, is also observable in the Himba of Northern Namibia, a remote population with little exposure to…

Palliative care in Pakistan.

PubMed

Khan, Robyna Irshad

2017-01-01

Pakistan is a developing country of South East Asia, with all the incumbent difficulties currently being faced by the region. Insufficient public healthcare facilities, poorly regulated private health sector, low budgetary allocation for health, improper priority setting while allocating limited resources, have resulted essentially in an absence of palliative care from the healthcare scene. Almost 90% of healthcare expenditure is out of the patient's pocket with more than 45% of population living below the poverty line. All these factors have a collective potential to translate into an end-of-life care disaster as a large percentage of population is suffering from chronic debilitating/terminal diseases. So far, such a disaster has not materialised, the reason being a family based culture emphasising the care of the sick and old at home, supported by religious teachings. This culture is not limited to Pakistan but subsists in the entire sub-continent, where looking after the sick/elderly at home is considered to be the duty of the younger generation. With effects of globalisation, more and more older people are living alone and an increasing need for palliative care is being realised. However, there does not seem to be any plan on the part of the public or private sectors to initiate palliative care services. This paper seeks to trace the social and cultural perspectives in Pakistan with regards to accessing palliative care in the context of healthcare facilities available.

Pakistan embarks on new campaign to reduce fertility.

PubMed

1992-01-01

There was both international and domestic significance in a plea for population stabilization issued by Pakistan's Prime Minister Nawaz Sharif in his address at the recent Earth Summit conference in Rio de Janeiro. Speaking as both a national leader and chairman of the Group of 77, a coalition of developing countries, Sharif said that to eradicate the abject poverty under which more than a billion people in the world live today "developing countries must assume their full responsibility in limiting population growth to manageable levels." Those words may seem odd coming from the leader of a country that has been indifferent about population problems for the past 2 decades. Until Prime Minister Sharif made a public commitment to a population program last July, the last leader of Pakistan to take such action was the late President Ayub Khan in 1969. With an annual 3.1% growth rate, Pakistan's population of 122 million is projected to double in only 23 years. The average Pakistani woman has 6.1 children in her reproductive lifetime. Reduction of population growth was an issue in the October 1990 election campaign. After his Islamic Democratic Alliance won, the government named Syeda Abida Hussain, a prominent and popular politician, to the cabinet post of Minister of Family Welfare. Hussain, who is now Pakistan's Ambassador to the US, recalls that many experts felt that starting a population program would be "an impossible undertaking, "that" attitudes were not conducive to family planning and government would never support it." In a speech on World Population Day in Rio, organized by the Population Institute, she said she soon found that "the problems were managerial, not attitudinal." She maintained that the relatively low acceptance of contraception among the people of Pakistan, Bangladesh and India is not because of religion or ideology "but because they are too poor to have access to birth control." Shortly after Hussain was names Minister of Family Welfare, she

Developments in Space Research in Nigeria

NASA Astrophysics Data System (ADS)

Oke, O.

Nigeria s desire to venture into space technology was first made known to ECA OAU member countries at an inter-governmental meeting in Addis Ababa 1976 The Nigerian space research is highly rated in Africa in terms of reputation and scientific results The National Space Research and Development Agency NASRDA Nigeria s space research coordinating body has taken a more active role to help Nigeria s space research community to succeed internationally The paper presents recent examples of Nigeria s successes in space and its detailed applications in areas such as remote sensing meteorology communication and Information Technology and many more It gave an analysis of the statistics of Nigerian born space scientists working in the other space-faring nations The analysis have been used to develop a model for increasing Nigerian scientist s involvement in the development of space research in Nigeria It concluded with some thoughts on the current and future of Nigeria s space borne scientific experiments policies and programs

Developments in Space Research in Nigeria

NASA Astrophysics Data System (ADS)

Oke, O.

2006-08-01

Nigeria's desire to venture into space technology was first made known to ECA/ OAU member countries at an inter-governmental meeting in Addis Ababa, 1976. The Nigerian space research is highly rated in Africa in terms of reputation and scientific results. The National Space Research and Development Agency (NASRDA), Nigeria's space research coordinating body; has taken a more active role to help Nigeria's space research community to succeed internationally. The paper presents recent examples of Nigeria's successes in space and its detailed applications in areas such as remote sensing, meteorology, communication and Information Technology. and many more. It gave an analysis of the statistics of Nigerian born space scientists working in the other space-faring nations. The analysis have been used to develop a model for increasing Nigerian scientist's involvement in the development of space research in Nigeria. It concluded with some thoughts on the current and future of Nigeria's space borne scientific experiments, policies and programs.

Analysis of misoprostol and chlorhexidine policy gains in Pakistan: the advocacy experience of Mercy Corps Pakistan.

PubMed

Sarwar, Zahida; Cutherell, Andrea; Noor, Arif; Naureen, Farah; Norman, Jennifer

2015-11-25

While Pakistan has made progress toward achieving Millennium Development Goal 5 for maternal health, it is unlikely to achieve the target; further, it is also not on track for Millennium Development Goal 4 regarding child health. Two low-cost, temperature stable and life-saving drugs, misoprostol and chlorhexidine, can respectively avert maternal and newborn deaths, and are particularly pertinent for poor and marginalized areas which bear the brunt of maternal and newborn deaths in Pakistan. In response, Mercy Corps led focused advocacy efforts to promote changes in policies, protocols, and regulatory environments for misoprostol (2012-2014) and for chlorhexidine (2014). These short-duration advocacy projects facilitated significant policy gains, such as inclusion of misoprostol and chlorhexidine into province-specific essential drug lists, development and endorsement of clinical protocols for the two drugs by provincial health departments, inclusion of misoprostol into pre-service training curriculum for several health cadres, and application for registration of chlorhexidine (at the concentration required for newborn care) by two pharmaceutical companies. These results were achieved by a consultative and evidence-based process which generated feedback from community members, program implementers, and policymakers, and ultimately put the government in the driver's seat to facilitate change. Community Action Dialogue forums were linked with provincial-level Technical Working Groups and Provincial Steering Committees, who passed on endorsed recommendations to the Health Secretary. The key factors which facilitated change were the identification of champions within the provincial health departments, prioritization of relationship building and follow-up, focus on concrete advocacy aims rather than broad objectives, and the use of multi-stakeholder forums to secure an enabling environment for the policy changes to take root. While these advocacy initiatives resulted in

Monuments in the Desert: A Maritime Landscape in Namibia

NASA Astrophysics Data System (ADS)

Harris, Lynn; Jones, Jennifer; Schnitzer, Kate

2012-10-01

Eduard Bohlen II, wrecked in 1909 on the coast of Namibia in Africa, has an illustrious history, which is part of a larger maritime cultural landscape linked to the diamond mining industry. The ship, like many artifacts and sites, served many different purposes over time and the historical and archaeological record incorporates different levels of meaning, some of which may be nationally divisive or reconciliatory. The role of historical archaeologists is not only to document, interpret, preserve and manage grandiose elements of heritage that evoke stakeholder nationalism, but also to explore the mundane, unsavory aspects of the historical narrative. In 2010, a team from the Program in Maritime Studies of East Carolina University supported by the Maritime Archaeology Division of the Windhoek Underwater Club investigated a surf boat, diamond mining settlement and some of the remaining structure of Eduard Bohlen II, while posing mitigation and management questions about legacy of historical memory within Skeleton Coast Park.

Drinking Water Quality Status and Contamination in Pakistan.

PubMed

Daud, M K; Nafees, Muhammad; Ali, Shafaqat; Rizwan, Muhammad; Bajwa, Raees Ahmad; Shakoor, Muhammad Bilal; Arshad, Muhammad Umair; Chatha, Shahzad Ali Shahid; Deeba, Farah; Murad, Waheed; Malook, Ijaz; Zhu, Shui Jin

2017-01-01

Due to alarming increase in population and rapid industrialization, drinking water quality is being deteriorated day by day in Pakistan. This review sums up the outcomes of various research studies conducted for drinking water quality status of different areas of Pakistan by taking into account the physicochemical properties of drinking water as well as the presence of various pathogenic microorganisms. About 20% of the whole population of Pakistan has access to safe drinking water. The remaining 80% of population is forced to use unsafe drinking water due to the scarcity of safe and healthy drinking water sources. The primary source of contamination is sewerage (fecal) which is extensively discharged into drinking water system supplies. Secondary source of pollution is the disposal of toxic chemicals from industrial effluents, pesticides, and fertilizers from agriculture sources into the water bodies. Anthropogenic activities cause waterborne diseases that constitute about 80% of all diseases and are responsible for 33% of deaths. This review highlights the drinking water quality, contamination sources, sanitation situation, and effects of unsafe drinking water on humans. There is immediate need to take protective measures and treatment technologies to overcome unhygienic condition of drinking water supplies in different areas of Pakistan.

Pakistan and Water: New Pressures on Global Security and Human Health

PubMed Central

2011-01-01

The Indus River is the major source of water for the more than 180 million people of Pakistan. A rapidly increasing population over the past 60 years has created new pressures on water that was once a plentiful resource for the health and development of the country. Rising tensions between India and Pakistan, which share the Indus flow, may lead to violent confrontation in an already volatile part of the globe. The recent flooding, which affected more than 20 million people, drew attention to poor management of the rivers of Pakistan. Public health has the scientific knowledge and professional capacity to help develop water management practices that could improve population health in Pakistan. PMID:21421956

From their own perspective - constraints in the Polio Eradication Initiative: perceptions of health workers and managers in a district of Pakistan's Punjab province

PubMed Central

2010-01-01

Background The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. This paper describes the perceptions of health workers and managers regarding constraints in the Polio Eradication Initiative (PEI) to ultimately provide evidence for designing future interventions. Methods A qualitative cross-sectional study using focus group discussions and in-depth interviews was conducted in the Nankana Sahib District of Pakistan's Punjab province. Study subjects included staff at all levels in the PEI at district headquarters, in all 4 tehsils (sub-districts) and at 20 randomly selected primary health centers. In total, 4 FGD and 7 interview sessions were conducted and individual session summary notes were prepared and later synthesized, consolidated and subjected to conceptual analysis. Results The main constraints identified in the study were the poor condition of the cold chain in all aspects, poor skills and a lack of authority in resource allocation and human resource management, limited advocacy and communication resources, a lack of skills and training among staff at all levels in the PEI/EPI in almost all aspects of the program, a deficiency of public health professionals, poor health services structure, administrative issues (including ineffective means of performance evaluation, bureaucratic and political influences, problems in vaccination areas and field programs, no birth records at health facilities, and poor linkage between different preventive programs), unreliable reporting and poor monitoring and supervision systems, limited use of local data for interventions, and unclear roles and responsibilities after decentralization. Conclusion The study highlights various shortcomings and bottlenecks in the PEI, and the barriers identified should be considered in

Pakistan Journal of Medical Sciences: A bibliometric assessment 2001-2010

PubMed Central

Baladi, Zameer Hussain; Umedani, Loung V.

2017-01-01

Objective: The aim of this study was to measure the growth of scientific research, authors’ productivity, affiliation with the institute and geographic locations published in the Pakistan Journal of Medical Sciences during the period of 2001 – 2010. Methods: This numerical analysis was conducted during mid-August 2016 to mid-October, 2016. The data for the study was downloaded from websites of e-journal of Pakistan Journal of Medical Sciences (PJMS) and Pak Medi-Net Com. Results: A total number of 1199 articled were covered by PJMS in 10 volumes and 40 issues with contribution of 3798 (3%) authors during 2001 – 2010. The average number of papers per issue is 30%. A gender wise contribution of males was higher 3050 (80%) than the females 748 (20%). A majority of articles were multi-authored 1052 (87%) as opposed to single author contribution 147 (13%). All 1199 articles were covered under four major disciplines i.e Basic medical sciences, medicine & allied, surgery & allied and radiological sciences and 39 sub-specialties according to medical subject headings (MeSH). It observed that 467 (39%) articles were published in Pakistan and 732 (61%) articles produced by other 32 countries. The Karachi city of Pakistan has produced 199 (16%) articles as highest as its national level and followed by Tehran (Iran) 77 (6%) as followed internationally. Conclusion: This study reveals that the participation of 32 countries in the PJMS publications proves it to be an internationally circulated journal to support research with the constant approach of publishing articles to each volume in basic medical sciences, biomedical, clinical and public health sciences. Abbreviations: DOAJ: Directory of Open Access Journals IMEMR: Index Medicus Eastern Mediterranean Region HEC: Higher Education Commission (Pakistan) PJMS: Pakistan Journal of Medical Sciences MeSH: Medical Subject Headings PMDC: Pakistan Medical & Dental Council SCIE: Science Citation Index Expanded PMID:28811801

Pakistan Journal of Medical Sciences: A bibliometric assessment 2001-2010.

PubMed

Baladi, Zameer Hussain; Umedani, Loung V

2017-01-01

The aim of this study was to measure the growth of scientific research, authors' productivity, affiliation with the institute and geographic locations published in the Pakistan Journal of Medical Sciences during the period of 2001 - 2010. This numerical analysis was conducted during mid-August 2016 to mid-October, 2016. The data for the study was downloaded from websites of e-journal of Pakistan Journal of Medical Sciences (PJMS) and Pak Medi-Net Com. A total number of 1199 articled were covered by PJMS in 10 volumes and 40 issues with contribution of 3798 (3%) authors during 2001 - 2010. The average number of papers per issue is 30%. A gender wise contribution of males was higher 3050 (80%) than the females 748 (20%). A majority of articles were multi-authored 1052 (87%) as opposed to single author contribution 147 (13%). All 1199 articles were covered under four major disciplines i.e Basic medical sciences, medicine & allied, surgery & allied and radiological sciences and 39 sub-specialties according to medical subject headings (MeSH). It observed that 467 (39%) articles were published in Pakistan and 732 (61%) articles produced by other 32 countries. The Karachi city of Pakistan has produced 199 (16%) articles as highest as its national level and followed by Tehran (Iran) 77 (6%) as followed internationally. This study reveals that the participation of 32 countries in the PJMS publications proves it to be an internationally circulated journal to support research with the constant approach of publishing articles to each volume in basic medical sciences, biomedical, clinical and public health sciences. Abbreviations: DOAJ: Directory of Open Access Journals IMEMR: Index Medicus Eastern Mediterranean Region HEC: Higher Education Commission (Pakistan) PJMS: Pakistan Journal of Medical Sciences MeSH: Medical Subject Headings PMDC: Pakistan Medical & Dental Council SCIE: Science Citation Index Expanded.

Obesity, An Emerging Epidemic In Pakistan-A Review Of Evidence.

PubMed

Tanzil, Sana; Jamali, Tanzil

2016-01-01

In Pakistan, the disease pattern is facing a huge changeover from acute and communicable diseases to the non-communicable diseases. Moreover, an emerging epidemic of obesity is still under recognized in Pakistan. A detailed review and dissemination of the existing knowledge to determine the extent of burden of obesity can help understand this important public health issue. A detailed literature review was conducted through PubMed search engines, regarding obesity burden in Pakistan. The original peer reviewed research articles, reports of WHO in English language, non-government organizations reports were included in the review. "Obesity AND Pakistan" were used as a search terms. Pakistan is suffering from epidemic of obesity, affecting all age groups. Urban population, particularly women shows considerable higher burden of obesity as compared to men and women from rural population. However, among children and adolescents there is variation in prevalence of obesity. Girls from all age groups are predominantly more obese as compared to boys. Most of the studies have estimated child obesity among school going children of different age groups and need careful interpretation. Pakistan is currently suffering from an emerging epidemic of obesity. The rising burden of obesity is widespread among adults (man and women) and children. The burden of obesity is higher among females in all age groups as compare to males. Effective interventions are required at population level to prevent and control this emerging public health issue.

Returns to Schooling, Ability and Cognitive Skills in Pakistan

ERIC Educational Resources Information Center

Aslam, Monazza; Bari, Faisal; Kingdon, Geeta

2012-01-01

This study investigates the economic outcomes of education for wage earners in Pakistan. This is done by analysing the relationship between schooling, cognitive skills and ability, on the one hand, and economic activity, occupation, sectoral choice and earnings, on the other. In Pakistan, an important question remains largely unaddressed: what…

Cheetahs (Acinonyx jubatus) running the gauntlet: an evaluation of translocations into free-range environments in Namibia.

PubMed

Weise, Florian J; Lemeris, Joseph R; Munro, Stuart J; Bowden, Andrew; Venter, Cicelia; van Vuuren, Marlice; van Vuuren, Rudie J

2015-01-01

Following dramatic range and population declines, the cheetah is Africa's most endangered large felid. In Namibia, private land managers still trap cheetahs but increasingly consider moving animals instead of killing them. Across Africa, managers have translocated perceived conflict carnivores for decades, but rarely evaluated their actions. We analyse the outcomes of 15 cheetah translocations (for 23 adults and 10 dependent offspring) into free-range environments in Namibia. We released cheetahs at an average distance of 419.6 km ± 216.1 km SD (range: 71-816 km) after captive periods ranging from 1-1,184 days (350.6 days ± 439.0 days SD). An individual's ability to survive the first year predominantly determined the overall translocation success of 40%. Post-release conflict and homing had less impact on success. Cheetah survival was lowest in the first three months after release. Human persecution (50% of deaths) and spotted hyaenas (29% of deaths) had the highest effect on survival. The degree of habituation to humans acquired during captivity significantly influenced chances of survival. Cheetahs surviving the initial post-release period (∼90 days) often settled into ranges and females reproduced successfully. However, all individuals exhibited extensive movements, frequently roaming >4,000 km(2) in the first six months after release (with a maximum of 19,743 km(2) in 112 days), resulting in low release site fidelity. Soft release and larger recipient area size did not improve site fidelity. Based on these outcomes, we evaluated which unfenced conservation areas in Namibia could potentially receive cheetahs. We found that there are currently few public and/or private reserves large enough to contain the movement profiles we observed in this study. This suggests that most translocations will result in cheetahs re-entering farmlands where they face a high risk of persecution. In conclusion, translocations into unconfined areas can successfully conserve

Cheetahs (Acinonyx jubatus) running the gauntlet: an evaluation of translocations into free-range environments in Namibia

PubMed Central

Lemeris, Joseph R.; Munro, Stuart J.; Bowden, Andrew; Venter, Cicelia; van Vuuren, Marlice; van Vuuren, Rudie J.

2015-01-01

Following dramatic range and population declines, the cheetah is Africa’s most endangered large felid. In Namibia, private land managers still trap cheetahs but increasingly consider moving animals instead of killing them. Across Africa, managers have translocated perceived conflict carnivores for decades, but rarely evaluated their actions. We analyse the outcomes of 15 cheetah translocations (for 23 adults and 10 dependent offspring) into free-range environments in Namibia. We released cheetahs at an average distance of 419.6 km ± 216.1 km SD (range: 71–816 km) after captive periods ranging from 1–1,184 days (350.6 days ± 439.0 days SD). An individual’s ability to survive the first year predominantly determined the overall translocation success of 40%. Post-release conflict and homing had less impact on success. Cheetah survival was lowest in the first three months after release. Human persecution (50% of deaths) and spotted hyaenas (29% of deaths) had the highest effect on survival. The degree of habituation to humans acquired during captivity significantly influenced chances of survival. Cheetahs surviving the initial post-release period (∼90 days) often settled into ranges and females reproduced successfully. However, all individuals exhibited extensive movements, frequently roaming >4,000 km2 in the first six months after release (with a maximum of 19,743 km2 in 112 days), resulting in low release site fidelity. Soft release and larger recipient area size did not improve site fidelity. Based on these outcomes, we evaluated which unfenced conservation areas in Namibia could potentially receive cheetahs. We found that there are currently few public and/or private reserves large enough to contain the movement profiles we observed in this study. This suggests that most translocations will result in cheetahs re-entering farmlands where they face a high risk of persecution. In conclusion, translocations into unconfined areas can successfully conserve

Introduction and evolution of dengue virus type 2 in Pakistan: a phylogeographic analysis.

PubMed

Akram, Madiha; Fatima, Zareen; Purdy, Mike A; Sue, Amanda; Saleem, Sana; Amin, Irum; Shahid, Muhammad; Idrees, Muhammad; Nawaz, Rabia

2015-09-22

Pattern of Dengue periodic epidemics through the years along with sporadic cases of Dengue hemorrhagic fever followed by a severe 2011 epidemic of Dengue fever in Pakistan make Pakistan a Dengue endemic country. To study the entry and evolution of dengue virus serotype 2 (DENV-2) in Pakistan, we sequenced three full length genomes and 24 complete envelope sequences of DENV-2 from the years 2010, 2011 and 2013 collected from Punjab province of Pakistan. Phylogenetic and Bayesian phylogeographic analyses was applied to three full genome sequences as well as 24 envelope sequences to study the spatiotemporal dynamics of DENV-2 in Pakistan. Most of the DENV-2 viruses from the years 2008 to 2013 formed a monophyletic Pakistani clade in IVb sublineage of cosmopolitan genotype except one 2008 DENV-2 strain. Phylogeographic analysis revealed that this 2008 DENV-2 strain was rooted to India 25.4 years ago with a location probability of 0.88. However Pakistani clade rooted back to Sri Lanka 12.6 years ago with a location probability of 0.57. DENV-2 genotype IV was introduced in Pakistan in two time events. First event was introduction from India to Pakistan in the late 1980s (around 1986), and second event was introduction from Sri Lanka to Pakistan around 2000. The later introduction event was responsible for major outbreaks in the Punjab region of Pakistan, including major 2011 outbreak. After the second Introduction event, DENV-2 circulated locally in the region forming a distinct Sublineage within the IVb cosmopolitan genotype of DENV-2.

Pakistans Nuclear Weapons

DTIC Science & Technology

2016-02-12

not be subject to International Atomic Energy Agency ( IAEA ) safeguards have the potential to produce 280...PNRA states that Pakistan follows IAEA physical protection standards. Proliferation A fundamental aspect of nuclear security is ensuring that...related to the design and fabrication of a nuclear explosive device,” according to the IAEA (Implementation of the NPT Safeguards Agreement in the

Research productivity of Pakistan in medical sciences during the period 1996-2012.

PubMed

Meo, S A; Almasri, A A; Usmani, A M

2013-11-01

This study aimed to investigate the degree of research outcome in medical science subjects in Pakistan during the period 1996-2012. In this study, the research papers published in various global science journals during the period 1996-2012 were accessed. We recorded the total number of research documents having an affiliation with a Pakistan. The main source for information was Institute of Scientific Information (ISI) Web of Science, Thomson Reuters and SCI-mago/Scopus. In global science, Pakistan contributed 58133 research papers in all science and social sciences both in ISI and non ISI indexed journals. However, in medical sciences the total number of research papers from Pakistan are 25604, citable documents 23874, citations 128061, mean citations per documents 6.45 and mean Hirsch index is 35.33. In Pakistan, the upward trend of articles published in global medical science was from the period 1996-2008. However, from 2008 the trend is markedly declined. Pakistan significantly improved its international ranking positions in research during the period 2000-2008. However, the upward trend of research papers published in global medical science could not be retained and from the year 2008 the trend started declining. This trend of research papers further declined in year 2012 compared to year 2011. It is suggested that, Pakistan must take strategic steps to enhance the research culture and increase the research and development expenditure in the country.

Equity in health care in Namibia: developing a needs-based resource allocation formula using principal components analysis

PubMed Central

Zere, Eyob; Mandlhate, Custodia; Mbeeli, Thomas; Shangula, Kalumbi; Mutirua, Kauto; Kapenambili, William

2007-01-01

Background The pace of redressing inequities in the distribution of scarce health care resources in Namibia has been slow. This is due primarily to adherence to the historical incrementalist type of budgeting that has been used to allocate resources. Those regions with high levels of deprivation and relatively greater need for health care resources have been getting less than their fair share. To rectify this situation, which was inherited from the apartheid system, there is a need to develop a needs-based resource allocation mechanism. Methods Principal components analysis was employed to compute asset indices from asset based and health-related variables, using data from the Namibia demographic and health survey of 2000. The asset indices then formed the basis of proposals for regional weights for establishing a needs-based resource allocation formula. Results Comparing the current allocations of public sector health car resources with estimates using a needs based formula showed that regions with higher levels of need currently receive fewer resources than do regions with lower need. Conclusion To address the prevailing inequities in resource allocation, the Ministry of Health and Social Services should abandon the historical incrementalist method of budgeting/resource allocation and adopt a more appropriate allocation mechanism that incorporates measures of need for health care. PMID:17391533

Equity in health care in Namibia: developing a needs-based resource allocation formula using principal components analysis.

PubMed

Zere, Eyob; Mandlhate, Custodia; Mbeeli, Thomas; Shangula, Kalumbi; Mutirua, Kauto; Kapenambili, William

2007-03-29

The pace of redressing inequities in the distribution of scarce health care resources in Namibia has been slow. This is due primarily to adherence to the historical incrementalist type of budgeting that has been used to allocate resources. Those regions with high levels of deprivation and relatively greater need for health care resources have been getting less than their fair share. To rectify this situation, which was inherited from the apartheid system, there is a need to develop a needs-based resource allocation mechanism. Principal components analysis was employed to compute asset indices from asset based and health-related variables, using data from the Namibia demographic and health survey of 2000. The asset indices then formed the basis of proposals for regional weights for establishing a needs-based resource allocation formula. Comparing the current allocations of public sector health car resources with estimates using a needs based formula showed that regions with higher levels of need currently receive fewer resources than do regions with lower need. To address the prevailing inequities in resource allocation, the Ministry of Health and Social Services should abandon the historical incrementalist method of budgeting/resource allocation and adopt a more appropriate allocation mechanism that incorporates measures of need for health care.

What is talked about when parents discuss sex with children: family based sex education in Windhoek, Namibia.

PubMed

Nambambi, Ndishishi M; Mufune, Pempelani

2011-12-01

Among limits to school based sex education in Namibia are teachers that sexually harass children, unqualified Sexual and Reproductive Health (SRH) teachers and lack of teaching materials. Moreover out of school youths cannot access school based SRH education. Given these shortcomings, and in the context of HIV/AIDS, promoting parental-child communication about sex is an important measure to prevent HIV infections in Namibia. Parents are important because they support the emotional and physical development of children and greater parent-adolescent communication delays sexual initiation and reduces the number of sexual partners. The rationale for the paper is that there is need to know more about what parents and children discuss if the development of more effective communication about sexual issues between parents and their children as a tool for fighting HIV/AIDS is to be accomplished. Using qualitative data from Windhoek this study explored parents' communication with their children about sex. Findings indicate such discussions are traditionally seen as a taboo but nowadays they do take place (especially with mothers) around menstruation, pregnancy and HIV/AIDS. There is resistance to more specific discussions around sexual intercourse and relationships. We conclude that there is a need for parents to be taught how to educate their children on sex.

[Adult Education in Nigeria.

ERIC Educational Resources Information Center

Odokara, Elijah O.

Focusing on eastern Nigeria, these studies describe educational planning to combat anomia (uncertainty and despair) in war-ravaged rural areas; the role of the University of Nigeria in social action, womens education, young farmers' clubs, and other activities aimed at postwar reconstruction; a proposal for improving family life education for…

First ever Evaluation of Atmospheric Lightning Activity in Pakistan

NASA Astrophysics Data System (ADS)

Shahzad, M. I.; Qaiser, S.; Campbell, J. R.; Mahmud, S.

2016-12-01

In Pakistan, most of the atmospheric lightning occurs in monsoon and pre-monsoon seasons. To prevent or at least minimize the unforeseen property damages and human casuality, we need to identify the vulnerable locations to lightning in Pakistan. However, unfortunately, there has not been any study regarding the lightning hazards to date for Pakistan. In this study satellite based datasets of location and Time of Occurrence (TOA) along with ground data for subset of thunderstorms are used to identify lightning-prone locations in Pakistan for the years 2001-2014. This is the first study to compute climatologies for lighting activity, identifying locations that are susceptible to high, moderate and low lightning activities regionally. Results of the study indicate that lightning activity is comparatively higher over the mountain and sub-mountain regions in the Punjab, Federally Administered Tribal Areas (FATA) and Khyber Pakhtoon Khwa (KPK) provinces. Overall, there is a significant increase in lighting activity in Pakistan from 2001-2014 with more than a 138 % increase near Islamabad and Karachi, indicating the development a lightening dipole. Interestingly, lightning data shows a strong correlation between flashes-per-year and El Niño and La Niña conditions. Atmospheric lightning in Pakistan shows a seasonal pattern, with significant dependencies on Convective Available Potential Energy (CAPE), Aerosol Optical Depth (AOD), Total Cloud Cover, Convective Precipitation, Soil Temperature and Total Column Ozone. Extreme lighting events are found significantly dependant on high surface temperatures, high CAPE and AOD values between 0-0.4 in pre monsoon and monsoon seasons that contribute to overall staggering high mean intra-seasonal value of 66832 flashes. The results surely demand urgent attention of the stakeholders and policy makers for proposing mitigation and adaptation strategies.

Economic Burden of Mental Illnesses in Pakistan.

PubMed

Malik, Muhammad Ashar; Khan, Murad Moosa

2016-09-01

The economic consequences of mental illnesses are much more than health consequences. In Low and Middle Income Countries (LMIC) the economic impact of mental illnesses is rarely analyzed. This paper attempts to fill the gap in research on economics of mental health in LMIC. We provide economic burden of mental illness in Pakistan that can serve as an argument for reorienting health policy, resource allocation and priority settings. To estimate economic burden of mental illnesses in Pakistan. The study used prevalence based cost of illnesses approach using bottom-up costing methodology. We used Aga Khan University Hospital, Psychiatry department data set (N = 1882) on admission and ambulatory care for the year 2005-06. Healthcare cost data was obtained from finance department of the hospital. Productivity losses, caregiver and travel cost were estimated using socio-economic features of patients in the data set and data of national household survey. We used stratified random sampling and methods of ordinary least square multiple linear regressions to estimate cost on medicines for ambulatory care. All estimates of cost are based on 1000 bootstrap samples by ICD-10 disease classification. Prevalence data on mental illnesses from Pakistan and regional countries was used to estimate economic burden. The economic burden of mental illnesses in Pakistan was Pakistan Rupees (PKR) 250,483 million (USD 4264.27 million) in 2006. Medical care costs and productivity losses contributed 37% and 58.97% of the economic burden respectively. Tertiary care admissions costs were 70% of total medical care costs. The average length of stay (LOS) for admissions care was around 8 days. Daily average medical care cost of admitted patients was PKR 3273 (USD 55.72). For ambulatory care, on average a patient visited the clinic twice a year. The estimated average yearly cost for all mental illnesses was PKR 81,922 (USD 1394.65) and PKR 19,592 (USD 333.54) for admissions and ambulatory care

Evaluation of the Xpert® MTB/RIF assay and microscopy for the diagnosis of Mycobacterium tuberculosis in Namibia.

PubMed

Mavenyengwa, Rooyen T; Shaduka, Emma; Maposa, Innocent

2017-01-11

Tuberculosis (TB) kills approximately two million people and infects around nine million worldwide annually. Its proper management, especially in resource-limited settings, has been hindered by the lack of rapid and easy-to-use diagnostic tests. Sputum smear microscopy remains the cheapest, readily available diagnostic method but it only identifies less than half of the patients with a HIV/TB co-infection because the bacilli would have disseminated from the lungs to other areas of the body. The fully automated Xpert® MTB/RIF assay is a promising innovation for diagnosing TB and detecting resistance to rifampicin. This study aimed to evaluate the use of Xpert® MTB/RIF assay and microscopy in the diagnosis of Mycobacterium tuberculosis in Namibia, by determining the disease's epidemiology and calculating the proportion of cases infected just with TB and those with a resistance to rifampicin among the total suspected cases of TB in the country. This retrospective study analysed TB cases that were diagnosed using both the Xpert® MTB/RIF assay and microscopy. Data were collected from patient records from the Meditech laboratory information system of the Namibia Institute of Pathology for the time period of July 2012-April 2013. Data from 13 regions were collected. The total number of specimens collected from patients with symptoms of pulmonary TB was 1 842. Of these, 594 (32.20%) were found to be positive for MTB by Xpert® MTB/RIF assay, out of which 443 (24.05%) were also found to be positive by microscopy. The remainder was negative. The male patients were more resistant to rifampicin when compared to the female patients. Tuberculosis is widely distributed throughout Namibia, with slightly more males infected than females. Most TB patients are also co-infected with HIV. Both microscopy and Xpert® MTB/RIF assay are crucial for the diagnosis of TB in the country. Screening diagnostic efforts should focus on the sexually active HIV positive male population who could

Prevalence and Knowledge Assessment of HIV and Non-Communicable Disease Risk Factors among Formal Sector Employees in Namibia.

PubMed

Guariguata, Leonor; de Beer, Ingrid; Hough, Rina; Mulongeni, Pancho; Feeley, Frank G; Rinke de Wit, Tobias F

2015-01-01

The burden of non-communicable diseases (NCDs) is growing in sub-Saharan Africa combined with an already high prevalence of infectious disease, like HIV. Engaging the formal employment sector may present a viable strategy for addressing both HIV and NCDs in people of working age. This study assesses the presence of three of the most significant threats to health in Namibia among employees in the formal sector: elevated blood pressure, elevated blood glucose, and HIV and assesses the knowledge and self-perceived risk of employees for these conditions. A health and wellness screening survey of employees working in 13 industries in the formal sector of Namibia was conducted including 11,192 participants in the Bophelo! Project in Namibia, from January 2009 to October 2010. The survey combined a medical screening for HIV, blood glucose and blood pressure with an employee-completed survey on knowledge and risk behaviors for those conditions. We estimated the prevalence of the three conditions and compared to self-reported employee knowledge and risk behaviors and possible determinants. 25.8% of participants had elevated blood pressure, 8.3% of participants had an elevated random blood glucose measurement, and 8.9% of participants tested positive for HIV. Most participants were not smokers (80%), reported not drinking alcohol regularly (81.2%), and had regular condom use (66%). Most participants could not correctly identify risk factors for hypertension (57.2%), diabetes (57.3%), or high-risk behaviors for HIV infection (59.5%). In multivariate analysis, having insurance (OR:1.15, 95%CI: 1.03 - 1.28) and a managerial position (OR: 1.29, 95%CI: 1.13 - 1.47) were associated with better odds of knowledge of diabetes. The prevalence of elevated blood pressure, elevated blood glucose, and HIV among employees of the Namibian formal sector is high, while risk awareness is low. Attention must be paid to improving the knowledge of health-related risk factors as well as providing

Malaria risk in young male travellers but local transmission persists: a case-control study in low transmission Namibia.

PubMed

Smith, Jennifer L; Auala, Joyce; Haindongo, Erastus; Uusiku, Petrina; Gosling, Roly; Kleinschmidt, Immo; Mumbengegwi, Davis; Sturrock, Hugh J W

2017-02-10

A key component of malaria elimination campaigns is the identification and targeting of high risk populations. To characterize high risk populations in north central Namibia, a prospective health facility-based case-control study was conducted from December 2012-July 2014. Cases (n = 107) were all patients presenting to any of the 46 health clinics located in the study districts with a confirmed Plasmodium infection by multi-species rapid diagnostic test (RDT). Population controls (n = 679) for each district were RDT negative individuals residing within a household that was randomly selected from a census listing using a two-stage sampling procedure. Demographic, travel, socio-economic, behavioural, climate and vegetation data were also collected. Spatial patterns of malaria risk were analysed. Multivariate logistic regression was used to identify risk factors for malaria. Malaria risk was observed to cluster along the border with Angola, and travel patterns among cases were comparatively restricted to northern Namibia and Angola. Travel to Angola was associated with excessive risk of malaria in males (OR 43.58 95% CI 2.12-896), but there was no corresponding risk associated with travel by females. This is the first study to reveal that gender can modify the effect of travel on risk of malaria. Amongst non-travellers, male gender was also associated with a higher risk of malaria compared with females (OR 1.95 95% CI 1.25-3.04). Other strong risk factors were sleeping away from the household the previous night, lower socioeconomic status, living in an area with moderate vegetation around their house, experiencing moderate rainfall in the month prior to diagnosis and living <15 km from the Angolan border. These findings highlight the critical need to target malaria interventions to young male travellers, who have a disproportionate risk of malaria in northern Namibia, to coordinate cross-border regional malaria prevention initiatives and to scale up coverage of

Interventions geared towards strengthening the health system of Namibia through the integration of palliative care

PubMed Central

Freeman, Rachel; Luyirika, Emmanuel BK; Namisango, Eve; Kiyange, Fatia

2016-01-01

The high burden of non-communicable diseases and communicable diseases in Africa characterised by late presentation and diagnosis makes the need for palliative care a priority from the point of diagnosis to death and through bereavement. Palliative care is an intervention that requires a multidisciplinary team to address the multifaceted needs of the patient and family. Thus, its development takes a broad approach that involves engaging all key stakeholders ranging from policy makers, care providers, educators, the public, patients, and families. The main focus of stakeholder engagement should address some core interventions geared towards improving knowledge and awareness, strengthening skills and attitudes about palliative care. These interventions include educating health and allied healthcare professionals on the palliative care-related problems of patients and best practices for care, explaining palliative care as a clinical and holistic discipline and demonstrating its effectiveness, the need to include palliative care into national policies, strategic plans, training curriculums of healthcare professionals and the engagement of patients, families, and communities. Interventions from a five-year programme that was aimed at strengthening the health system of Namibia through the integration of palliative care for people living with HIV and AIDS and cancer in Namibia are shared. This article illustrates how a country can implement the World Health Organisation’s public health strategy for developing palliative care services, which recommends four pillars: government policy, education, drug availability, and implementation. PMID:27563348

The organisation, operational dynamics and structure of female sex work in Pakistan.

PubMed

Emmanuel, Faran; Thompson, Laura H; Athar, Uzma; Salim, Momina; Sonia, Altaf; Akhtar, Naeem; Blanchard, James F

2013-09-01

Pakistan is known to have large populations of female sex workers (FSWs) with considerable geographic heterogeneity in their characteristics. In this paper, we describe the social organisation and structural patterns of female sex work in different geographic regions of Pakistan. We report geographic and network mapping data collected among FSWs in 15 cities across Pakistan in 2011 as part of the Canada-Pakistan HIV/AIDS Surveillance Project. A total number of 89 178 FSWs were estimated in the target cities for an average of 7.2 FSWs per 1000 adult males. 55% of the estimated number of FSWs concentrated in Karachi and Lahore. Based on the operations of female sex work, two major typologies of FSWs were identified: establishment-based and non-establishment-based. FSWs were further subtyped into those operating through brothels, homes, kothikhanas, streets and by cell phone. Cities varied considerably in terms of predominance of different FSW typologies. There is considerable heterogeneity among FSWs in Pakistan, geographically and in terms of operational typology. Understanding the social organisation of sex work and the influence of social-cultural and legal factors in Pakistan is essential for the design of HIV prevention programmes and other services for FSWs.

Mapping of Schistosomiasis and Soil-Transmitted Helminths in Namibia: The First Large-Scale Protocol to Formally Include Rapid Diagnostic Tests.

PubMed

Sousa-Figueiredo, José Carlos; Stanton, Michelle C; Katokele, Stark; Arinaitwe, Moses; Adriko, Moses; Balfour, Lexi; Reiff, Mark; Lancaster, Warren; Noden, Bruce H; Bock, Ronnie; Stothard, J Russell

2015-01-01

Namibia is now ready to begin mass drug administration of praziquantel and albendazole against schistosomiasis and soil-transmitted helminths, respectively. Although historical data identifies areas of transmission of these neglected tropical diseases (NTDs), there is a need to update epidemiological data. For this reason, Namibia adopted a new protocol for mapping of schistosomiasis and geohelminths, formally integrating rapid diagnostic tests (RDTs) for infections and morbidity. In this article, we explain the protocol in detail, and introduce the concept of 'mapping resolution', as well as present results and treatment recommendations for northern Namibia. This new protocol allowed a large sample to be surveyed (N = 17,896 children from 299 schools) at relatively low cost (7 USD per person mapped) and very quickly (28 working days). All children were analysed by RDTs, but only a sub-sample was also diagnosed by light microscopy. Overall prevalence of schistosomiasis in the surveyed areas was 9.0%, highly associated with poorer access to potable water (OR = 1.5, P<0.001) and defective (OR = 1.2, P<0.001) or absent sanitation infrastructure (OR = 2.0, P<0.001). Overall prevalence of geohelminths, more particularly hookworm infection, was 12.2%, highly associated with presence of faecal occult blood (OR = 1.9, P<0.001). Prevalence maps were produced and hot spots identified to better guide the national programme in drug administration, as well as targeted improvements in water, sanitation and hygiene. The RDTs employed (circulating cathodic antigen and microhaematuria for Schistosoma mansoni and S. haematobium, respectively) performed well, with sensitivities above 80% and specificities above 95%. This protocol is cost-effective and sensitive to budget limitations and the potential economic and logistical strains placed on the national Ministries of Health. Here we present a high resolution map of disease prevalence levels, and treatment regimens are recommended.

Mapping of Schistosomiasis and Soil-Transmitted Helminths in Namibia: The First Large-Scale Protocol to Formally Include Rapid Diagnostic Tests

PubMed Central

Sousa-Figueiredo, José Carlos; Stanton, Michelle C.; Katokele, Stark; Arinaitwe, Moses; Adriko, Moses; Balfour, Lexi; Reiff, Mark; Lancaster, Warren; Noden, Bruce H.; Bock, Ronnie; Stothard, J. Russell

2015-01-01

Background Namibia is now ready to begin mass drug administration of praziquantel and albendazole against schistosomiasis and soil-transmitted helminths, respectively. Although historical data identifies areas of transmission of these neglected tropical diseases (NTDs), there is a need to update epidemiological data. For this reason, Namibia adopted a new protocol for mapping of schistosomiasis and geohelminths, formally integrating rapid diagnostic tests (RDTs) for infections and morbidity. In this article, we explain the protocol in detail, and introduce the concept of ‘mapping resolution’, as well as present results and treatment recommendations for northern Namibia. Methods/Findings/Interpretation This new protocol allowed a large sample to be surveyed (N = 17 896 children from 299 schools) at relatively low cost (7 USD per person mapped) and very quickly (28 working days). All children were analysed by RDTs, but only a sub-sample was also diagnosed by light microscopy. Overall prevalence of schistosomiasis in the surveyed areas was 9.0%, highly associated with poorer access to potable water (OR = 1.5, P<0.001) and defective (OR = 1.2, P<0.001) or absent sanitation infrastructure (OR = 2.0, P<0.001). Overall prevalence of geohelminths, more particularly hookworm infection, was 12.2%, highly associated with presence of faecal occult blood (OR = 1.9, P<0.001). Prevalence maps were produced and hot spots identified to better guide the national programme in drug administration, as well as targeted improvements in water, sanitation and hygiene. The RDTs employed (circulating cathodic antigen and microhaematuria for Schistosoma mansoni and S. haematobium, respectively) performed well, with sensitivities above 80% and specificities above 95%. Conclusion/Significance This protocol is cost-effective and sensitive to budget limitations and the potential economic and logistical strains placed on the national Ministries of Health. Here we present a high resolution map

Nigeria Country Analysis Brief

EIA Publications

2016-01-01

Nigeria is currently the largest oil producer in Africa and was the world's fourth-largest exporter of LNG in 2015. Nigeria's oil production is hampered by instability and supply disruptions, while its natural gas sector is restricted by the lack of infrastructure to commercialize natural gas that is currently flared (burned off).

Determinants of maternal health care services utilization in Pakistan: evidence from Pakistan demographic and health survey, 2012-13.

PubMed

Zakar, Rubeena; Zakar, Muhammad Zakria; Aqil, Nauman; Chaudhry, Ashraf; Nasrullah, Muazzam

2017-04-01

The aim of this study was to determine the association between maternal utilisation of health-care services and socio-demographic factors among reproductive-age women in Pakistan. We used the sample of ever-married reproductive-age women (n = 7446) from the Pakistan Demographic and Health Survey (PDHS), 2012-13. We measured maternal utilisation of health-care services by using three dependent variables: number of antenatal care (ANC) visits, delivery assistance by a skilled health provider, and delivery in a health-care facility. Around 36.6% of women had made four or more ANC visits, 59% had received assistance from skilled health providers during delivery, and 55.3% had given birth in a health-care facility. On multivariable logistic regression, all three variables were positively associated with education and wealth, and negatively associated with birth order and women's autonomy. Policymakers and health planners may use our findings to develop efficient strategies, particularly for uneducated women and those with poor economic status, to improve the utilisation of maternal health-care services in Pakistan.

Drinking Water Quality Status and Contamination in Pakistan

PubMed Central

Nafees, Muhammad; Rizwan, Muhammad; Bajwa, Raees Ahmad; Shakoor, Muhammad Bilal; Arshad, Muhammad Umair; Chatha, Shahzad Ali Shahid; Deeba, Farah; Murad, Waheed; Malook, Ijaz

2017-01-01

Due to alarming increase in population and rapid industrialization, drinking water quality is being deteriorated day by day in Pakistan. This review sums up the outcomes of various research studies conducted for drinking water quality status of different areas of Pakistan by taking into account the physicochemical properties of drinking water as well as the presence of various pathogenic microorganisms. About 20% of the whole population of Pakistan has access to safe drinking water. The remaining 80% of population is forced to use unsafe drinking water due to the scarcity of safe and healthy drinking water sources. The primary source of contamination is sewerage (fecal) which is extensively discharged into drinking water system supplies. Secondary source of pollution is the disposal of toxic chemicals from industrial effluents, pesticides, and fertilizers from agriculture sources into the water bodies. Anthropogenic activities cause waterborne diseases that constitute about 80% of all diseases and are responsible for 33% of deaths. This review highlights the drinking water quality, contamination sources, sanitation situation, and effects of unsafe drinking water on humans. There is immediate need to take protective measures and treatment technologies to overcome unhygienic condition of drinking water supplies in different areas of Pakistan. PMID:28884130

COST OF PRIMARY HEALTH CARE IN PAKISTAN.

PubMed

Malik, Muhammad Ashar; Gul, Wahid; Iqbal, Saleem Perwaiz; Abrejo, Farina

2015-01-01

Detailed cost analysis is an important tool for review of health policy and reforms. We provide an estimate of cost of service and its detailed breakup on out-door patient visits (OPV) to basic health units (BHU) in Pakistan. Six BHUs were randomly selected from each of the five districts in Khyber Pukhtonkhawa (KPK) and two agencies in Federally Administered Tribal Areas (FATA) of Pakistan for this study. Actual expenditure data and utilization data in the year 2005-06 of 42 BHUs was collected from selected district health offices in KPK and FATA. Costs were estimated for outpatient visits to BHUs. Perspective on cost estimates was district-based health planning and management of BHUs. Average recurring cost was PKR.245 (USD 4.1) per OPV to BHU. Staff salaries constituted 90% of recurrent cost. On the average there were 16 OPV per day to the BHUs. CONCLUDION: Recurrent cost per OPV has doubled from the previous estimates of cost of OPV in Baluchistan. The estimated recurrent cost was six times higher than average consultation charges with the private general practitioner (GP) in the country (i.e., PKR 50/ GP consultation). Performance of majority of the BHUs was much lower than the performance target (50 patients per day) set in the sixth five-year plan of the government of Pakistan. The Government of Pakistan may use these analyses to revisit the performance target, staffinL and location of BHUs.

Satellite Monitoring of Pakistan's Rockslide-Dammed Lake Gojal

NASA Astrophysics Data System (ADS)

Kargel, Jeffrey S.; Leonard, Gregory; Crippen, Robert E.; Delaney, Keith B.; Evans, Stephen G.; Schneider, Jean

2010-10-01

On 4 January 2010, a rockslide 1200 meters long, 350 meters wide, and 125 meters high dammed the Hunza River in Attabad, northern Pakistan, and formed Lake Gojal. The initial mass movement of rock killed 20 people and submerged several villages and 22 kilometers of the strategic Karakoram Highway linking Pakistan and China. Tens of thousands of people were displaced or cut off from overland connection with the rest of the country. On 29 May, the lake overflow began to pour through a spillway excavated by Pakistani authorities. On approximately 20 July, the lake attained a maximum depth of 119 meters and a torrent at least 9 meters deep issued over the spillway, according to Pakistan's National Disaster Management Authority (NDMA). To date, the natural dam is holding and eroding slowly. However, the threat of a catastrophic outburst flood remains.

Food irradiation development in Pakistan

NASA Astrophysics Data System (ADS)

Khan, I.

The large scale trials were held to extend the storage life of potatoes, onions and dry fruits by gamma radiation. It was concluded that radiation preservation of potatoes and onions was much cheaper as compared to conventional methods. A dose of 1 kGy can control the insects in dry fruits and nuts. The consumers' acceptability and market testing performed during the last four years are also conducive to the commercialization of the technology in this country. The Government of Pakistan has accorded clearance for the irradiation of some food items like potatoes, onions, garlic and spices for human consumption. The Pakistan Radiation Services (PARAS), the commercial irradiator (200 Kci) at Lahore, has already started functioning in April, 1987. It is planned to start large scale sterilization of spices by gamma radiation in PARAS shortly.

mtDNA sequence diversity of Hazara ethnic group from Pakistan.

PubMed

Rakha, Allah; Fatima; Peng, Min-Sheng; Adan, Atif; Bi, Rui; Yasmin, Memona; Yao, Yong-Gang

2017-09-01

The present study was undertaken to investigate mitochondrial DNA (mtDNA) control region sequences of Hazaras from Pakistan, so as to generate mtDNA reference database for forensic casework in Pakistan and to analyze phylogenetic relationship of this particular ethnic group with geographically proximal populations. Complete mtDNA control region (nt 16024-576) sequences were generated through Sanger Sequencing for 319 Hazara individuals from Quetta, Baluchistan. The population sample set showed a total of 189 distinct haplotypes, belonging mainly to West Eurasian (51.72%), East & Southeast Asian (29.78%) and South Asian (18.50%) haplogroups. Compared with other populations from Pakistan, the Hazara population had a relatively high haplotype diversity (0.9945) and a lower random match probability (0.0085). The dataset has been incorporated into EMPOP database under accession number EMP00680. The data herein comprises the largest, and likely most thoroughly examined, control region mtDNA dataset from Hazaras of Pakistan. Copyright © 2017 Elsevier B.V. All rights reserved.

Poverty and blindness in Pakistan: results from the Pakistan national blindness and visual impairment survey.

PubMed

Gilbert, Clare E; Shah, S P; Jadoon, M Z; Bourne, R; Dineen, B; Khan, M A; Johnson, G J; Khan, M D

2008-01-05

To explore the association between blindness and deprivation in a nationally representative sample of adults in Pakistan. Cross sectional population based survey. 221 rural and urban clusters selected randomly throughout Pakistan. Nationally representative sample of 16 507 adults aged 30 or above (95.3% response rate). Associations between visual impairment and poverty assessed by a cluster level deprivation index and a household level poverty indicator; prevalence and causes of blindness; measures of the rate of uptake and quality of eye care services. 561 blind participants (<3/60 in the better eye) were identified during the survey. Clusters in urban Sindh province were the most affluent, whereas rural areas in Balochistan were the poorest. The prevalence of blindness in adults living in affluent clusters was 2.2%, compared with 3.7% in medium clusters and 3.9% in poor clusters (P<0.001 for affluent v poor). The highest prevalence of blindness was found in rural Balochistan (5.2%). The prevalence of total blindness (bilateral no light perception) was more than three times higher in poor clusters than in affluent clusters (0.24% v 0.07%, P<0.001). The prevalences of blindness caused by cataract, glaucoma, and corneal opacity were lower in affluent clusters and households. Reflecting access to eye care services, cataract surgical coverage was higher in affluent clusters (80.6%) than in medium (76.8%) and poor areas (75.1%). Intraocular lens implantation rates were significantly lower in participants from poorer households. 10.2% of adults living in affluent clusters presented to the examination station wearing spectacles, compared with 6.7% in medium clusters and 4.4% in poor cluster areas. Spectacle coverage in affluent areas was more than double that in poor clusters (23.5% v 11.1%, P<0.001). Blindness is associated with poverty in Pakistan; lower access to eye care services was one contributory factor. To reduce blindness, strategies targeting poor people will

Pakistan Country Analysis Brief

EIA Publications

2016-01-01

Over the past few years, Pakistan has experienced a major energy crisis as a result of expensive fuel sources, chronic natural gas and electricity shortages, circular debt, and insufficient transmission and distribution systems. According to the Asian Development Bank, prolonged power shortages cut GDP by 2-3% in 2013.

Education and Gendered Citizenship in Pakistan. Postcolonial Studies in Education

ERIC Educational Resources Information Center

Naseem, M. Ayaz

2010-01-01

"Education and Gendered Citizenship in Pakistan" challenges the uncritical use of the long held dictum of the development discourse that education empowers women. Situated in the post-structuralist feminist position, it argues that in its current state the educational discourse in Pakistan actually disempowers women. Through a systematic…

Trends, Issues and Challenges in English Language Education in Pakistan

ERIC Educational Resources Information Center

Shamim, Fauzia

2008-01-01

This paper aims to critically examine the trends, issues and challenges in policy and practice of English language education in Pakistan. This is done first by historically reviewing the English language education policies since Pakistan's independence in 1947, looking particularly at policy objectives, implementation strategies and outcomes, and…

An Evaluation of the National Information Communication and Technology (ICT) Policy at the University of Namibia in the Faculty of Education

ERIC Educational Resources Information Center

Isaacs, Albert; Kazembe, Lawrence; Kazondovi, Collins

2018-01-01

The purpose of this evaluation study was to determine the extent to which the teacher educators in the Faculty of Education at the University of Namibia implemented the national Information and Communication Technology (ICT) Policy for Education. This study employed both the quantitative method in the form of questionnaires and the qualitative…

Environmental impact assessment (EIA): an overlooked instrument for sustainable development in Pakistan.

PubMed

Saeed, Rashid; Sattar, Ayesha; Iqbal, Zafar; Imran, Muhammad; Nadeem, Raziya

2012-04-01

Environmental impact assessment (EIA) is a policy tool used for evaluating a project proposal from physical and socioeconomic environmental perspectives. Its aim is to reduce the impact of development on environment, hence, ensuring environmental sustainability. It is mandatory to submit an Environmental Impact Statement before starting a mega project as required by Environmental Protection Act of 1997 and Environmental Policy of Pakistan. Public consultation plays a key role in an EIA system, identifying the likely aspects and impacts of a development activity. This aspect has been ignored in effective enactment of environmental legislation in Pakistan. Sufficient legislative instruments are there to support EIA system in the country but the agencies responsible for the enforcement of environmental regulations have failed to do so. The current research gives an insight into the actual status of EIA system in Pakistan along with the feedback of EIA specialists and university teachers of the concerned departments. A new index has been devised on the basis of questionnaire response to work out the overall performance of EIA system in Pakistan or any other country. The weaknesses and deficiencies of each EIA stage have been worked out for Pakistan and elaborated with the help of the controversial Zero point Interchange Project in the capital city of Pakistan.

An overview of poultry industry in Pakistan

PubMed Central

HUSSAIN, J.; RABBANI, I.; ASLAM, S.; AHMAD, H.A.

2015-01-01

The poultry sector is an important and vibrant segment of agriculture in Pakistan with a significant contribution to the national GDP (1.3%). Commercial poultry production in Pakistan started in the 1960’s and has been providing a significant portion of daily proteins to the Pakistani population ever since. During its evolution the industry enjoyed promotional policies of the Government, but has faced several challenges such as disease outbreaks and retail price fluctuations. Despite its important role in the country’s economy, not a single scientific study is available on its evolutionary history. The data available in this regard are scattered and lack reliability. This review is an effort to encompass the history of the overall growth of the poultry industry in Pakistan, its present status (2012 statistics) and future directions and challenges. This article may serve as the basic source of information on Pakistan’s poultry industry achievements. It will also guide poultry experts and policy makers for developing strategic planning for further growth of the industry. PMID:26696690

Hepatocellular Carcinoma in Pakistan: National Trends and Global Perspective

PubMed Central

Hafeez Bhatti, Abu Bakar; Dar, Faisal Saud; Waheed, Anum; Shafique, Kashif; Sultan, Faisal; Shah, Najmul Hassan

2016-01-01

Hepatocellular carcinoma (HCC) ranks second amongst all causes of cancer deaths globally. It is on a rise in Pakistan and might represent the most common cancer in adult males. Pakistan contributes significantly to global burden of hepatitis C, which is a known risk factor for HCC, and has one of the highest prevalence rates (>3%) in the world. In the absence of a national cancer registry and screening programs, prevalence of hepatitis and HCC only represents estimates of the real magnitude of this problem. In this review, we present various aspects of HCC in Pakistan, comparing and contrasting it with the global trends in cancer care. There is a general lack of awareness regarding risk factors of HCC in Pakistani population and prevalence of hepatitis C has increased. In addition, less common risk factors are also on a rise. Majority of patients present with advanced HCC and are not eligible for definitive treatment. We have attempted to highlight issues that have a significant bearing on HCC outcome in Pakistan. A set of strategies have been put forth that can potentially help reduce incidence and improve HCC outcome on national level. PMID:26955390

Union Texas hopes to reproduce its Pakistan Badin experience

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

Petzet, G.A.

1997-11-03

Union Texas Petroleum Holdings Inc. has resolved to transplant elsewhere in the world the success of tis 20 year old grass-roots exploration effort on the Badin block in Pakistan. Union Texas Pakistan Inc. (UTP) is actively seeking exploration concessions in Pakistan, and the parent company is on an international bent aimed at finding other areas where it might reproduce its performance in Pakistan. The 104 exploratory wells drilled through April 1, 1997, resulted in 47 discoveries and 57 dry holes for a 45% success rate. Some oil and gas are produced from the Middle Sand units, and some gas ismore » produced from the Basal Sand units. The 1997 Badin exploration plan called for 11 exploratory wells, including one, Tarai Deep-3, that would test a new play concept in Jurassic Chiltan. It also called for Badin`s first 3D seismic surveys, at South Buzdar and Tangri fields on the northern part of the block, and 146 km of 2D seismic acquisition. The paper discusses Badin development, drilling status, operating challenges, oil price and sales, gas markets, local effects, and future developments.« less

Assessment Drives Student Learning: Evidence for Summative Assessment from Pakistan

ERIC Educational Resources Information Center

Qureshi, Rashida; Zahoor, Mahrukh; Zahoor, Mahwish

2017-01-01

Research studies from various parts of the world indicate that university students find research methodology courses among the most difficult subjects to grasp. Students in Pakistan display similar attitudes towards learning of research. Those of us who teach research at the institutions of higher learning in Pakistan continuously hear students…

Teaching Human Rights through Global Education to Teachers in Pakistan

ERIC Educational Resources Information Center

Sadruddin, Munir Moosa

2017-01-01

Pakistan is home to religious and cultural ideologies that greatly support the values of human rights. Nevertheless, the multilayered philosophies of human rights in Pakistan have at times heightened clashes and bred a culture of tension among higher education learners. Ideological filters in national education policies have removed human rights…

Anatomy of success in oil and gas exploration in Pakistan, 1915--94

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

Quadri, V.N.; Quadri, S.M.G.J.

1996-05-13

Pakistan, flanked by Iran, Afghanistan, China, and India, is the size of Texas and Louisiana combined. The Indus and Baluchistan basins cover 80% of Pakistan`s total area. The country also has 230,000 sq km of marine Exclusive Economic Zone. The law regarding E and P activity was promulgated in 1986, replacing the previous Petroleum (Production) Rules of 1949. As a result of the new Petroleum Policy implemented in March 1994 and streamlining of the bid review and award process, acreage leased including reconnaissance during 1994 was 355,541 sq km onshore and 120,640 sq km offshore, with the number of operatingmore » groups also a record high of 46. Although complex and disturbed as a result of collision tectonics, Pakistan`s geology is as fascinating as the surface geomorphology, from the complex compressional thrusted to the relatively simple extensional rifted, salt related to transform fault associated, the reefs, too, all impressive traps for petroleum, at times almost textbook examples. However, domestic oil production at yearend 1994 was about 53,251 b/d of oil and 1.7 bcfd of gas. Oil and gas have been found in the Potwar/Upper Indus basin and Lower Indus basin, and mainly gas with one gas/condensate discovery in the Sulaiman/Middle Indus basin. This article attempts to present brief case history outlines of typical, significant oil and gas discoveries of Pakistan 1915--94 with respect to the two main productive basins, their source and reservoir sequences, in order to determine the anatomy of success in exploration in Pakistan.« less

Human West Nile Virus Disease Outbreak in Pakistan, 2015-2016.

PubMed

Khan, Erum; Barr, Kelli L; Farooqi, Joveria Qais; Prakoso, Dhani; Abbas, Alizae; Khan, Zain Y; Ashi, Shanze; Imtiaz, Kehkashan; Aziz, Z; Malik, Faisal; Lednicky, John A; Long, Maureen T

2018-01-01

Like most of the world, Pakistan has seen an increase in mosquito-transmitted diseases in recent years. The magnitude and distribution of these diseases are poorly understood as Pakistan does not have a nation-wide system for reporting disease. A cross-sectional study to determine which flaviviruses were causing of arboviral disease in Pakistan was instituted. West Nile virus (WNV) is a cause of seasonal fever with neurotropic findings in countries that share borders with Pakistan. Here, we describe the active and persistent circulation of WNV in humans in the southern region of Pakistan. This is the first report of WNV causing neurological disease in human patients in this country. Of 997 enrolled patients presenting with clinical features suggestive of arboviral disease, 105 were positive for WNV IgM antibodies, and 71 of these patients possessed WNV-specific neutralizing antibodies. Cross-reactivity of WNV IgM antibodies with Japanese encephalitis virus (JEV) occurred in 75 of these 105 patients. WNV co-infections with Dengue viruses were not a contributing factor for the severity of disease. Nor did prior exposure to dengue virus contribute to incidence of neurological involvement in WNV-infected patients. Patients with WNV infections were more likely to present with altered mental status, seizures, and reduced Glasgow Coma scores when compared with JEV-infected patients. Human WNV cases and vector numbers exhibited a temporal correlation with climate.

A socioeconomic survey of kidney vendors in Pakistan.

PubMed

Naqvi, Syed Ali Anwar; Ali, Bux; Mazhar, Farida; Zafar, Mirza Naqi; Rizvi, Syed Adibul Hasan

2007-11-01

In recent years, Pakistan has emerged as one of the largest centres for commerce and tourism in renal transplantation. Kidney vendors belong to Punjab in eastern Pakistan, the agricultural heartland, where 34% people live below poverty line. We report results of a socioeconomic and health survey of 239 kidney vendors. The mean age was 33.6 +/- 7.2 years (M:F 3.5:1). Mean nephrectomy period was 4.8 +/- 2.3 years. Ninety per cent of the vendors were illiterate. Sixty-nine per cent were bonded labourers who were virtual slaves to landlords, labourers 12%, housewives 8.5% and unemployed 11%. Monthly income was $US15.4 +/- 8.9 with 2-11 dependents per family. Majority (93%), vended for debt repayment with mean debt of $1311.4 +/- 819. The mean agreed sale price was $1737 +/- 262. However, they received $1377 +/- 196 after deduction for hospital and travel expenses. Postvending 88% had no economic improvement in their lives and 98% reported deterioration in general health status. Future vending was encouraged by 35% to pay off debts and freedom from bondage. This study gives a snapshot of kidney vendors from Pakistan. These impoverished people, many in bondage, are examples of modern day slavery. They will remain exploited until law against bondage is implemented and new laws are introduced to ban commerce and transplant tourism in Pakistan.

Ultraviolet B Irradiance and Incidence Rates of Bladder Cancer in 174 Countries

DTIC Science & Technology

2010-03-01

Hungary, Ireland, Iran, Kuwait, Laos, Latvia, Lebanon, Micronesia, Malaysia , Myanmar, Namibia, Nigeria, Nicaragua, Niger, Korea Democratic Republic...these are the best available data sources for the covariates. Further, this study could not account for differences in culture, behavior, and diet ...ness. Photochem Photobiol2005Jll(6):1287-90. Punnonen R, Gillespy M, Hahl M. Serum 25-0HD, vitamin A and vitamin E concentrations in healthy Finnish

A Study of Students' Attitude Towards Virtual Education in Pakistan

ERIC Educational Resources Information Center

Hussain, Irshad

2007-01-01

Virtual education paradigm has been developing as a form of distance education to provide education across the boundaries of a nation and/or country. It imparts education through information and communication technologies. In Pakistan the Virtual University of Pakistan imparts it. The main objective of the study was to evaluate the students'…

Handheld standoff mine detection system (HSTAMIDS) field evaluation in Namibia

NASA Astrophysics Data System (ADS)

Doheny, Robert C.; Burke, Sean; Cresci, Roger; Ngan, Peter; Walls, Richard; Chernoff, Jeff

2006-05-01

The Humanitarian Demining Research and Development Program of the US Army RDECOM CERDEC Night Vision and Electronic Sensors Directorate (NVESD), under the direction of the Office of Assistant Secretary of Defense for Special Operations and Low-Intensity Conflict (OASD SO/LIC) and with participation from the International Test and Evaluation Program (ITEP) for humanitarian demining, conducted an in-country field evaluation of the Handheld Standoff Mine Detection System (HSTAMIDS) in the southern African country of Namibia. Participants included the US Humanitarian Demining Team of NVESD; ITEP personnel from several member countries; deminers from two non-governmental organizations in Angola, Menschen Gegen Minen (MgM) and HALO Trust; and CyTerra Corporation. The primary objectives were to demonstrate the performance of the U.S. Army's newest handheld multisensor mine detector, the HSTAMIDS, to the performance of the metal detector being used by local demining organizations and also to assess the performance of deminers using the HSTAMIDS after limited experience and training.

Global Citizenship in Pakistan

ERIC Educational Resources Information Center

Pasha, Aamna

2015-01-01

This paper attempts to understand the value of the ideology of global citizenship in Pakistan by looking at students' values and attitudes. In particular, it explores students' understanding of the term "global citizen" and their attitude towards the concept. Using a case study approach, interviews were conducted with six students in a…

Geomorphic development and Middle Stone Age archaeology of the Lower Cunene River, Namibia-Angola Border

NASA Astrophysics Data System (ADS)

Nicoll, K.

2010-06-01

During geomorphic reconnaissance of the Lower Cunene River near the reach of Serra Cafema, a significant accumulation of Middle Stone Age artifacts was discovered along the Namibia-Angolan border. The archaeological site is downstream of the Marienfluss-Hartmann Valley and lies along the eastern perimeter of the hyperarid Cunene erg (sandsea). Within the study area, the Cunene River is a bedrock anabranching - mixed bedrock-alluvial anabranching system with a morphology that is strongly controlled by lithology and structure and a hydrology dominated by tropical rainfall in the headwaters. A 5 m high alluvial terrace along the left bank of the perennial river is mantled with a surface lag of cobbles and gravels that includes MSA lithics. More than 30 artifacts are preserved in this open-air context. Finds include quartzite flakes, cores, and Levallois-Mousterian points with varying degrees of edge abrasion and varnish; these appear to be the first Levallois-Mousterian points found in this region of Africa. Since the archaeology of this region is poorly known, these cultural assemblages enable initial correlations across southern Africa. A replicate OSL-SAR date ˜220 kyr provides initial age constraints on a sand preserved within the cobble-boulder terrace fill, and constrains a maximum age for the overlying archaeological assemblage. This is the first MSA site in northern Namibia in direct stratigraphic context with a securely dated unit. The artifact assemblage underscores the importance of riparian corridors in reconstructing hominin behaviours during the Middle Pleistocene, the time frame marked by the first appearance and the dispersal of the modern human species Homo sapiens.

E-Learning and Distance Education in Nigeria

ERIC Educational Resources Information Center

Ajadi, Timothy Olugbenga; Salawu, Ibrahim Olatunde; Adeoye, Femi Adetunji

2008-01-01

This paper discusses the relevance of e-learning in the position of distance education in Nigeria. It commences by discussing the meaning of e-learning and distance education. It also discusses the historical background of distance education in Nigeria as well as the operations of National Open University of Nigeria (NOUN) as the first federal…

Nigeria: Developing a Strategy for Sub-Saharan Africa

DTIC Science & Technology

1993-04-20

single Islamic government. This extension of Islam and consolidation of tne caliphate accounts for the dichotomy between northern and southern Nigeria...in Nigeria and its eventual colonization of Nigeria in the early twentieth century. Northern and Southern Nigeria were officially united as the Colony...south; a still larger dry central plateau, with much open woodland and savanna ; and a strip of semidesert on the fringes of the Sahel in the north

Promoting Primary Education for Girls in Pakistan. CDIE Impact Evaluation.

ERIC Educational Resources Information Center

Agency for International Development (IDCA), Washington, DC.

This report details a field study to evaluate the efforts of Pakistan's Primary Education Development Program (PED) to improve the access, equity, and quality of primary education in Pakistan, especially for rural girls. A 3-week visit was conducted in 1997 by a team from the United States Agency for International Development (USAID) Center for…

Challenges faced by parents of children with learning disabilities in Opuwo, Namibia.

PubMed

Taderera, Clever; Hall, Herna

2017-01-01

Parenting children with learning disabilities requires a high level of knowledge and access to resources, information and services. In developing countries, however, these resources and services are not always available. Parents in Namibia, a developing country, therefore face challenges addressing children's learning and other developmental disabilities, including challenges related to preventative and supportive interventions. This research focuses on challenges faced by parents as they parent children with learning disabilities in Opuwo, Namibia. In-depth interviews were conducted with eight parents regarding the challenges they face in parenting their children with learning disabilities. Thematic analysis enabled the researchers to identify, analyse and report on themes that emerged from the qualitative interview data. Analysis of the interviews indicated that some participants had only a vague understanding of learning disabilities, as they did not have access to essential knowledge about this phenomenon. They also lacked an awareness of the availability of programmes, services and policies meant to benefit their children with learning disabilities. Participants voiced that they, their children with learning disabilities and community members have stereotypes and prejudices regarding learning disabilities. In this study, most of the children with learning disabilities were raised by single, unemployed parents who seemed to have access to less support from external sources than married couples parenting children with learning disabilities. These single parents are usually not married and because of lack of financial support from the other parent, the majority of them indicated that they struggle to meet the financial and material needs of their children. The researchers concluded that the participants in this study experience a range of challenges in parenting their children with learning disabilities. The main challenges emanate from financial instability, as

Challenges faced by parents of children with learning disabilities in Opuwo, Namibia

PubMed Central

Taderera, Clever

2017-01-01

Background Parenting children with learning disabilities requires a high level of knowledge and access to resources, information and services. In developing countries, however, these resources and services are not always available. Parents in Namibia, a developing country, therefore face challenges addressing children’s learning and other developmental disabilities, including challenges related to preventative and supportive interventions. Objective This research focuses on challenges faced by parents as they parent children with learning disabilities in Opuwo, Namibia. Method In-depth interviews were conducted with eight parents regarding the challenges they face in parenting their children with learning disabilities. Thematic analysis enabled the researchers to identify, analyse and report on themes that emerged from the qualitative interview data. Results Analysis of the interviews indicated that some participants had only a vague understanding of learning disabilities, as they did not have access to essential knowledge about this phenomenon. They also lacked an awareness of the availability of programmes, services and policies meant to benefit their children with learning disabilities. Participants voiced that they, their children with learning disabilities and community members have stereotypes and prejudices regarding learning disabilities. In this study, most of the children with learning disabilities were raised by single, unemployed parents who seemed to have access to less support from external sources than married couples parenting children with learning disabilities. These single parents are usually not married and because of lack of financial support from the other parent, the majority of them indicated that they struggle to meet the financial and material needs of their children. Conclusion The researchers concluded that the participants in this study experience a range of challenges in parenting their children with learning disabilities. The main

US and Pakistan Relations: Muddling Towards Compelling Coincident Interests

DTIC Science & Technology

2012-03-20

disputes and conflicts with India coupled 3 with the pursuit of their related competitive nuclear programs generated discord between the US and Pakistan...miles of a hostile India ; second there existed highly contentious border and territorial disputes with India with a focus on India ‟s annexation of the...largely Muslim populated princely state of Kashmir (the source of five key rivers flowing into and through Pakistan); and finally India (with

Pakistan’s Nuclear Weapons: Proliferation and Security Issues

DTIC Science & Technology

2009-12-09

Nuclear Terrorism in Pakistan: Sabotage of a Spent Fuel Cask or a Commercial Irradiation Source in Transport ,” in Pakistan’s Nuclear Future, 2008...gave additional urgency to the program. Pakistan produced fissile material for its nuclear weapons using gas-centrifuge-based uranium enrichment...technology, which it mastered by the mid-1980s. Highly-enriched uranium (HEU) is one of two types of fissile material used in nuclear weapons; the other

Pakistan’s Nuclear Weapons: Proliferation and Security Issues

DTIC Science & Technology

2009-07-30

Pakistan: Sabotage of a Spent Fuel Cask or a Commercial Irradiation Source in Transport ,” in Pakistan’s Nuclear Future, 2008; Martellini, 2008. 79...that Pakistan’s strategic nuclear assets could be obtained by terrorists, or used by elements in the Pakistani government. Chair of the Joint Chiefs...that gave additional urgency to the program. Pakistan produced fissile material for its nuclear weapons using gas-centrifuge-based uranium

Pakistan’s Nuclear Weapons: Proliferation and Security Issues

DTIC Science & Technology

2012-05-10

2009. 143 Abdul Mannan, “Preventing Nuclear Terrorism in Pakistan: Sabotage of a Spent Fuel Cask or a Commercial Irradiation Source in Transport ,” in...Program.” Some analysts argue that spent nuclear fuel is more vulnerable when being transported . 144 Martellini, 2008. Pakistan’s Nuclear Weapons...urgency to the program. Pakistan produced fissile material for its nuclear weapons using gas-centrifuge-based uranium enrichment technology, which it

Nigeria's Satellite Programme Development: Prospects and Challenges

NASA Astrophysics Data System (ADS)

Akinyede, Joseph

Nigeria's desire to maximize the benefits of space technology for its sustainable development, has become a reality with the establishment of the National Space Research and Development Agency (NASRDA) in May 1999 and the approval of the national Space Policy and Programmes in July 2001. In November, 2000, the Federal Government took a bold step with the signing of an agreement with the Surrey Satellite Technology Limited (SSTL) of United Kingdom (UK) for the design, construction and launch of a medium resolution micro-satellite - NigeriaSat-1 with a Ground Sampling Distance of thirty-two (32) meters. The agreement also covers the Know-How-Technology-Training (KHTT) to Nigerian Engineers and Scientists for a period of 18th months at SSTL‘s facility in the U.K.. NigeriaSat-1 was successfully launched into Leo Earth Orbit on 27th September, 2003. NigeriaSat- 1 is one of the five (5) satellites belonging to Nigeria, Algeria, Turkey, United Kingdom and China being operated in a Disaster Monitoring Constellation (DMC). The launch of NigeriaSat-1 has promoted access to information which has become a strategy for mass socio-economic development, as information underscores all developmental effort be it in education, provision of health services, marketing, construction industry, tourism, defense, etc. As a follow-up to the successful launch of NigeriaSat-1, the government of Nigeria started the implementation of a Nigerian communication satellite (NigcomSat-1) to address the problem of communication which is the greatest drawbacks to the socio-economic development of the country, particularly in the areas of rural telephone, tele-education, tele-medicine, egovernment, e-commerce and real-time monitoring services. NigcomSat-1, which carries 40- hybrid transponders in the C, KU, KA and L bands, has a 15 years life span and coverage of the African continent, Middle East and part of Europe was launched in May 2007. To satisfy geospatial data needs in sectors such as survey

Causes of blindness and visual impairment in Pakistan. The Pakistan national blindness and visual impairment survey

PubMed Central

Dineen, B; Bourne, R R A; Jadoon, Z; Shah, S P; Khan, M A; Foster, A; Gilbert, C E; Khan, M D

2007-01-01

Objective To determine the causes of blindness and visual impairment in adults (⩾30 years old) in Pakistan, and to explore socio‐demographic variations in cause. Methods A multi‐stage, stratified, cluster random sampling survey was used to select a nationally representative sample of adults. Each subject was interviewed, had their visual acuity measured and underwent autorefraction and fundus/optic disc examination. Those with a visual acuity of <6/12 in either eye underwent a more detailed ophthalmic examination. Causes of visual impairment were classified according to the accepted World Health Organization (WHO) methodology. An exploration of demographic variables was conducted using regression modeling. Results A sample of 16 507 adults (95.5% of those enumerated) was examined. Cataract was the most common cause of blindness (51.5%; defined as <3/60 in the better eye on presentation) followed by corneal opacity (11.8%), uncorrected aphakia (8.6%) and glaucoma (7.1%). Posterior capsular opacification accounted for 3.6% of blindness. Among the moderately visually impaired (<6/18 to ⩾6/60), refractive error was the most common cause (43%), followed by cataract (42%). Refractive error as a cause of severe visual impairment/blindness was significantly higher in rural dwellers than in urban dwellers (odds ratio (OR) 3.5, 95% CI 1.1 to 11.7). Significant provincial differences were also identified. Overall we estimate that 85.5% of causes were avoidable and that 904 000 adults in Pakistan have cataract (<6/60) requiring surgical intervention. Conclusions This comprehensive survey provides reliable estimates of the causes of blindness and visual impairment in Pakistan. Despite expanded surgical services, cataract still accounts for over half of the cases of blindness in Pakistan. One in eight blind adults has visual loss from sequelae of cataract surgery. Services for refractive errors need to be further expanded and integrated into eye care services

Why the spending stopped in Nigeria

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

Rapoport, C.

Nigeria will have an income of about $14 billion this year from the sale of crude, mostly from the US. Nigeria is our second-largest foreign oil supplier. But, lacking the expertise and financial sophistication of other oil producers, Nigeria began squandering its oil earnings soon after petroleum prices quadrupled following the 1973 OPEC boycott. The country plunged into a series of overindulgent development plans that sent imports and government expenditures soaring, mainly on projects of little value. Improvements that were constructed have not been maintained or are not working, i.e., telecommunication systems, elevators in high-rise buildings, etc. The spiraling importsmore » and lavish spending was brought to an abrupt halt in mid-1978, when the country's military government began imposing a series of drastic restrictions on spending. This year, Nigeria's imports are running a full third below last year's level. The austerity measures have helped to plunge the counry into recession, but if things go according to plan, the hard times should enable Nigeria to right itself and to become an economic leader of Africa.« less

A Commentary on Telerehabilitation Services in Pakistan: Current Trends and Future Possibilities.

PubMed

Zahid, Zeshan; Atique, Suleman; Saghir, Muhammad Hammad; Ali, Iftikhar; Shahid, Amna; Malik, Rehan Ali

2017-01-01

A 2014 World Health Organization (WHO) study reported that almost 27 million people with disability live in Pakistan with fewer than one allied rehabilitation professional per 10,000 people. The current study sought to determine the attitudes toward telerehabilitation via a survey administered to 329 Pakistani rehabilitation professionals. Study results indicate that rehabilitation professionals in Pakistan are knowledgeable about telerehabilitation and Information and Communication Technology (ICT), and are receptive to employing telerehabilitation programs and applications. Therefore, we can infer that the future of telerehabilitation can be bright in Pakistan but requires the attention of policy makers and non-government organizations to launch an appropriate program nationwide. The authors suggest that a range of telerehabilitation services (e.g., consultation, assessment, and therapy) could alleviate the shortage of rehabilitation personnel in Pakistan.

The context and limitations of female sterilization services in Pakistan.

PubMed

Khan, Adnan Ahmad; Khan, Ayesha; Abbas, Khadija; Tirmizi, Syed Farhan Ali; ul Islam, Zia

2013-04-01

Female sterilization has long been the most popular method of family planning (FP) in Pakistan, and yet most public health experts feel it contributes little to controlling family size or to population welfare. We used Pakistan Demographic Health Survey (PDHS) data to understand the role female sterilization plays in the overall context of FP in Pakistan. We performed a secondary analysis of data from the PDHS 1990-1 and 2006-7 to study factors that lead to sterilization and trends in the use of the procedure. In addition, census data were multiplied by proportions from PDHS data to estimate the number of women availing sterilization services. Around 1.9 million women in Pakistan are currently sterilized--up from 0.55 million in 1990-1, and around 173,867 undergo the procedure, annually. Women usually receive sterilization after 30 years of age (mean = 39) and after six children. The probability of sterilization increases with age, family size, and urban residence, and is unaffected by poverty, province of residence, or the woman or her husband's education. Most sterilizationis conducted in public sector facilities. Sterilization in Pakistan may be common, but occurs too late to have any significant effect on family size or benefit public health. Future avenues to make this option more useful to women and society would be to improve the repertoire and access and quality of FP services that are available, and to address governance issues that limit the performance and utility of government facilities.

Maternal health and survival in Pakistan: issues and options.

PubMed

Khan, Yasir P; Bhutta, Shereen Z; Munim, Shama; Bhutta, Zulfiqar A

2009-10-01

Although its measurement may be difficult, the maternal mortality ratio (MMR) is a key indicator of maternal health globally. In Pakistan each year over five million women become pregnant, and of these 700,000 (15% of all pregnant women) are likely to experience some obstetrical and medical complications. An estimated 30,000 women die each year from pregnancy-related causes, and the most recent estimates indicate that the MMR is 276 per 100,000 births annually. In this review, we describe the status of maternal health and survival in Pakistan and place it in its wider context of key determinants. We draw attention to the economic and social vulnerability of pregnant women, and stress the importance of concomitant broader strategies, including poverty reduction and women's empowerment. Undernutrition for girls, early marriage, and high fertility rates coupled with unmet needs for contraception are important determinants of maternal ill health in Pakistan. Our review also examines factors influencing the under-utilization of maternal health services among Pakistani women, such as the lack of availability of skilled care providers and poor quality services. Notwithstanding these observations, there are evidence-based interventions available that, if implemented at scale, could make important contributions towards reducing the burden of maternal mortality in Pakistan.

Second-hand smoke in indoor hospitality venues in Pakistan.

PubMed

Zaidi, S M A; Moin, O; Khan, J A

2011-07-01

Second-hand smoke (SHS) constitutes a significant public health threat in countries with a high smoking prevalence. However, data assessing the quality of indoor air at public venues in Pakistan are limited. To measure mean concentrations of PM(2.5) (particulate matter ≤2.5 microns in diameter), a sensitive indicator of SHS, in hospitality venues in Pakistan. Data were collected discreetly from 39 indoor venues such as cafes, restaurants and shisha (water-pipe) bars from three major cities in Pakistan. Data were recorded using a portable air quality monitoring device. The overall mean PM(2.5) value for the visited venues was 846 μg/m(3) (95%CI 484-1205). The mean PM(2.5) value was 101 μg/m(3) (95%CI 69-135 μg/m(3)) for non-smoking venues, 689 μg/m(3) (95%CI 241-1138) for cigarette smoking venues and 1745 μg/m(3) (95%CI 925-2565) for shisha smoking venues. The significant levels of SHS recorded in this study, in particular from shisha smoking venues, could represent a major public health burden in Pakistan. Appropriate legislation needs to be enforced to protect the health of those exposed to the hazards of second-hand tobacco smoke.

Child Malnutrition in Pakistan: Evidence from Literature

PubMed Central

Asim, Muhammad; Nawaz, Yasir

2018-01-01

Pakistan has one of the highest prevalences of child malnutrition as compared to other developing countries. This narrative review was accomplished to examine the published empirical literature on children’s nutritional status in Pakistan. The objectives of this review were to know about the methodological approaches used in previous studies, to assess the overall situation of childhood malnutrition, and to identify the areas that have not yet been studied. This study was carried out to collect and synthesize the relevant data from previously published papers through different scholarly database search engines. The most relevant and current published papers between 2000–2016 were included in this study. The research papers that contain the data related to child malnutrition in Pakistan were assessed. A total of 28 articles was reviewed and almost similar methodologies were used in all of them. Most of the researchers conducted the cross sectional quantitative and descriptive studies, through structured interviews for identifying the causes of child malnutrition. Only one study used the mix method technique for acquiring data from the respondents. For the assessment of malnutrition among children, out of 28 papers, 20 used the World Health Organization (WHO) weight for age, age for height, and height for weight Z-score method. Early marriages, large family size, high fertility rates with a lack of birth spacing, low income, the lack of breast feeding, and exclusive breastfeeding were found to be the themes that repeatedly emerged in the reviewed literature. There is a dire need of qualitative and mixed method researches to understand and have an insight into the underlying factors of child malnutrition in Pakistan. PMID:29734703

Tinea capitis in Lahore, Pakistan.

PubMed

Hussain, I; Aman, S; Haroon, T S; Jahangir, M; Nagi, A H

1994-04-01

The causative fungi of tinea capitis vary with geography and time. This study was planned to identify the etiologic agents and determine clinicoetiologic correlations of tinea capitis in Lahore, Pakistan. From clinically suspected cases of tinea capitis, skin scrapings and hair samples were taken and subjected to microscopy and culture. Of 180 evaluable patients, 95% were children below 12 years of age with equal sex incidence. Noninflammatory lesions were seen in 62.2% of cases. Trichophyton violaceum was the most common etiologic agent responsible for 69.4% of infection, followed by T. tonsurans (16.7%), T. verrucosum (10%), Microsporum audouinii (2.2%), and T. mentagrophytes (1.7%). T. violaceum is the predominant pathogen causing tinea capitis in children and adults in this part of the world and gives rise to a varied clinical picture. Our findings agree with data from other parts of Pakistan and many countries abroad.

Prevalence and Knowledge Assessment of HIV and Non-Communicable Disease Risk Factors among Formal Sector Employees in Namibia

PubMed Central

Guariguata, Leonor; de Beer, Ingrid; Hough, Rina; Mulongeni, Pancho; Feeley, Frank G.; Rinke de Wit, Tobias F.

2015-01-01

Introduction The burden of non-communicable diseases (NCDs) is growing in sub-Saharan Africa combined with an already high prevalence of infectious disease, like HIV. Engaging the formal employment sector may present a viable strategy for addressing both HIV and NCDs in people of working age. This study assesses the presence of three of the most significant threats to health in Namibia among employees in the formal sector: elevated blood pressure, elevated blood glucose, and HIV and assesses the knowledge and self-perceived risk of employees for these conditions. Methods A health and wellness screening survey of employees working in 13 industries in the formal sector of Namibia was conducted including 11,192 participants in the Bophelo! Project in Namibia, from January 2009 to October 2010. The survey combined a medical screening for HIV, blood glucose and blood pressure with an employee-completed survey on knowledge and risk behaviors for those conditions. We estimated the prevalence of the three conditions and compared to self-reported employee knowledge and risk behaviors and possible determinants. Results 25.8% of participants had elevated blood pressure, 8.3% of participants had an elevated random blood glucose measurement, and 8.9% of participants tested positive for HIV. Most participants were not smokers (80%), reported not drinking alcohol regularly (81.2%), and had regular condom use (66%). Most participants could not correctly identify risk factors for hypertension (57.2%), diabetes (57.3%), or high-risk behaviors for HIV infection (59.5%). In multivariate analysis, having insurance (OR:1.15, 95%CI: 1.03 – 1.28) and a managerial position (OR: 1.29, 95%CI: 1.13 – 1.47) were associated with better odds of knowledge of diabetes. Conclusion The prevalence of elevated blood pressure, elevated blood glucose, and HIV among employees of the Namibian formal sector is high, while risk awareness is low. Attention must be paid to improving the knowledge of

Long-Range Forecasting in Support of Operations in Pakistan

DTIC Science & Technology

2011-03-01

climate variation, respectively. ....... 11 Table 2. Schematic contingency table used to verify hindcasts of Jul-Aug Pakistan PR. The cells of the table...IRI is a component of Columbia University located in Palisades , NY. IRI’s mission is to increase society’s awareness of the impact of climate on...Jul-Aug Pakistan PR. The cells of the table represent the number and combinations of observed occurrences (obs Y), observed non- occurrences (obs N

On the relationship between Indian Ocean Dipole events and the precipitation of Pakistan

NASA Astrophysics Data System (ADS)

Hussain, Mian Sabir; Kim, Sunyoung; Lee, Seungho

2017-10-01

This study investigated the relationship between the Indian Ocean Dipole (IOD) and the precipitation of Pakistan using data for the period of 1958-2010. The long-term evolution of the IOD index did not show interannual patterns similar to those of the annual precipitation of Pakistan. No linkage between the co-occurring trends of the IOD and the precipitation was traced during the period of investigation. The correlation between the IOD and the precipitation of Pakistan indicated a noteworthy impact over the monsoonal regions, especially the coastal area and the western region of Pakistan, which showed a significant positive correlation between the IOD index and annual and summer precipitation. A significant positive relationship was also revealed between the precipitation of the Balochistan Plateau and the IOD index for the summer monsoon season. No connection was observed between the IOD and the precipitation of the northern regions and the upper Indus Plain of Pakistan. Positive phases of the IOD have been noted to occur along with surplus precipitation during active monsoon conditions. The southeasterly wind moves from the Arabian Sea and transports additional moisture from the Arabian Sea to the coastal and southwestern parts of Pakistan during positive phases of the IOD.

Oberholzeria (Fabaceae subfam. Faboideae), a New Monotypic Legume Genus from Namibia

PubMed Central

Swanepoel, Wessel; le Roux, M. Marianne; Wojciechowski, Martin F.; van Wyk, Abraham E.

2015-01-01

Oberholzeria etendekaensis, a succulent biennial or short-lived perennial shrublet is described as a new species, and a new monotypic genus. Discovered in 2012, it is a rare species known only from a single locality in the Kaokoveld Centre of Plant Endemism, north-western Namibia. Phylogenetic analyses of molecular sequence data from the plastid matK gene resolves Oberholzeria as the sister group to the Genisteae clade while data from the nuclear rDNA ITS region showed that it is sister to a clade comprising both the Crotalarieae and Genisteae clades. Morphological characters diagnostic of the new genus include: 1) succulent stems with woody remains; 2) pinnately trifoliolate, fleshy leaves; 3) monadelphous stamens in a sheath that is fused above; 4) dimorphic anthers with five long, basifixed anthers alternating with five short, dorsifixed anthers, and 5) pendent, membranous, one-seeded, laterally flattened, slightly inflated but indehiscent fruits. PMID:25816251

Oberholzeria (Fabaceae subfam. Faboideae), a new monotypic legume genus from Namibia.

PubMed

Swanepoel, Wessel; le Roux, M Marianne; Wojciechowski, Martin F; van Wyk, Abraham E

2015-01-01

Oberholzeria etendekaensis, a succulent biennial or short-lived perennial shrublet is described as a new species, and a new monotypic genus. Discovered in 2012, it is a rare species known only from a single locality in the Kaokoveld Centre of Plant Endemism, north-western Namibia. Phylogenetic analyses of molecular sequence data from the plastid matK gene resolves Oberholzeria as the sister group to the Genisteae clade while data from the nuclear rDNA ITS region showed that it is sister to a clade comprising both the Crotalarieae and Genisteae clades. Morphological characters diagnostic of the new genus include: 1) succulent stems with woody remains; 2) pinnately trifoliolate, fleshy leaves; 3) monadelphous stamens in a sheath that is fused above; 4) dimorphic anthers with five long, basifixed anthers alternating with five short, dorsifixed anthers, and 5) pendent, membranous, one-seeded, laterally flattened, slightly inflated but indehiscent fruits.

Promoting Space Education and Awareness in Pakistan- Initiatives, Achievements, Challenges and Issues

NASA Astrophysics Data System (ADS)

Jagirani, Aisha

With about 180 million inhabitants, Pakistan is the sixth most populous and the 34th largest country in the world in terms of area. Pakistan's economy, which is pre-dominantly based on agriculture, is the 26th largest in the world in terms of purchasing power parity and 45th largest in terms of nominal GDP. Pakistan is counted among the Next Eleven (N11) countries that have the potential to become the world's largest economies in the 21st century. Despite considerable potential to develop into a stable, moderate and democratic state, major challenges of internal security, poor agricultural productivity, inadequate infrastructure, food insecurity, insufficient health and educational facilities, depletion of natural resources, rapid environmental degradation and recurring natural disasters have burdened the country and have hampered sustainable development of Pakistan. Space technology applications offer a cost-effective means of addressing many of the above mentioned issues and have made impressive advances in the last few years in different countries in the region. Unfortunately, for various reasons, Pakistan has not been able to fully exploit the benefits of space technology and its applications to meet the challenges she faces. One of the reasons is lack of awareness and understanding by planners, decision-makers and users about the potential benefits of space technology in planning and implementation of developmental plans as well as good governance. Similarly, Pakistan's space program enjoys little public support due, primarily, to lack of awareness of the benefits space offers and the ubiquitousness of space applications in modern life. There is thus an acute need to create awareness and educate all segments of the society and stakeholders in Pakistan about the potential benefits of space technology and its applications. In the past ten years, many initiatives have been taken to promote space education and awareness for students as well as decision-makers in

The Importance of Enduring Partnership Between the US and Pakistan in Combating Terrorism

DTIC Science & Technology

2008-01-01

Hundreds of Pakistanis including armed forces members have so far been killed in these terrorist attacks. The most high profile personality that has so...far been killed in such attacks was Mrs Benazir Bhutto, Pakistan’s ex Prime Minister. Pakistan has so far provided following assistance to the US: a...Pakistan Army conducted operation in South Waziristan in 2004, during which 302 militants were killed while 656 were detained. Some 80% of these

The role of pharmacists in developing countries: the current scenario in Pakistan

PubMed Central

Azhar, Saira; Hassali, Mohamed Azmi; Ibrahim, Mohamed Izham Mohamed; Ahmad, Maqsood; Masood, Imran; Shafie, Asrul Akmal

2009-01-01

During the past few years, the pharmacy profession has expanded significantly in terms of professional services delivery and now has been recognized as an important profession in the multidisciplinary provision of health care. In contrast to the situation in developed countries, pharmacists in developing countries are still underutilized and their role as health care professionals is not deemed important by either the community or other health care providers. The aim of this paper is to highlight the role of pharmacists in developing countries, particularly in Pakistan. The paper draws on the literature related to the socioeconomic and health status of Pakistan's population, along with background on the pharmacy profession in the country in the context of the current directions of health care. The paper highlights the current scenario and portrays the pharmacy profession in Pakistan. It concludes that although the pharmacy profession in Pakistan is continuously evolving, the health care system of Pakistan has yet to recognize the pharmacist's role. This lack of recognition is due to the limited interaction of pharmacists with the public. Pharmacists in Pakistan are concerned about their present professional role in the health care system. The main problem they are facing is the shortage of pharmacists in pharmacies. Moreover, their services are focused towards management more than towards customers. For these reasons, the pharmacist's role as a health care professional is not familiar to the public. PMID:19594916

Type 2 diabetes mellitus in Pakistan: Current prevalence and future forecast.

PubMed

Meo, Sultan Ayoub; Zia, Inam; Bukhari, Ishfaq A; Arain, Shoukat Ali

2016-12-01

Diabetes mellitus is a chronic health problem of all age groups, both gender, involves rural and urban areas and developing and developed countries globally. The aim of this study was to assess the prevalence of type 2 diabetes mellitus in Pakistan. Systematic bibliographic search of scientific databases including PubMed, ISI-web of science and Google Scholar was conducted with key words of "type 2 diabetes mellitus" "prevalence", "incidence", "occurrence". A total of 22 peer reviewed papers published in ISI and PubMed indexed journals were selected and examined. All the epidemiologic and experimental studies reporting the diabetes prevalence in Pakistan were included. Lastly, we analyzed 18 publications and remaining 04 papers were excluded. The current prevalence of type 2 diabetes mellitus in Pakistan is 11.77%. In males the prevalence is 11.20% and in females 9.19%. The mean prevalence in Sindh province is 16.2% in males and 11.70 % in females; in Punjab province it is 12.14% in males and 9.83% in females. In Baluchistan province 13.3% among males, 8.9% in females; while in Khyber Pakhtunkhwa (KPK) it is 9.2% in males and 11.60% in females. The prevalence of type 2 diabetes mellitus in urban areas is 14.81% and 10.34% in rural areas of Pakistan. The prevalence of type 2 diabetes mellitus in Pakistan is11.77%. The prevalence is higher in males than females and more common in urban areas compared to the rural areas. Pakistan must include diabetes preventive measures in their national health policy to minimize the burden of the disease.

Clinical and perceived quality of care for maternal, neonatal and antenatal care in Kenya and Namibia: the service provision assessment.

PubMed

Diamond-Smith, Nadia; Sudhinaraset, May; Montagu, Dominic

2016-08-11

The majority of women in sub-Saharan Africa now deliver in a facility, however, little is known about the quality of services for maternal and newborn basic and emergency care, nor how this is associated with patient's perception of their experiences. Using data from the Service Provision Assessment (SPA) survey from Kenya 2010 and Namibia 2009, we explore whether facilities have the necessary signal functions for providing emergency and basic maternal (EmOC) and newborn care (EmNC), and antenatal care (ANC) using descriptives and multivariate regression. We explore differences by type of facility (hospital, center or other) and by private and public facilities. Finally, we see if patient satisfaction (taken from exit surveys at antenatal care) is associated with the quality of services (specific services provided). We find that most facilities do not have all of the signal functions, with 46 and 27 % in Kenya and 18 and 5 % in Namibia of facilities have high/basic scores in routine and emergency obstetric care, respectively. We found that hospitals preform better than centers in general and few differences emerged between public and private facilities. Patient perceptions were not consistently associated with services provided; however, patients had fewer complaints in private compared to public facilities in Kenya (-0.46 fewer complaints in private) and smaller facilities compared to larger in Namibia (-0.26 fewer complaints in smaller facilities). Service quality itself (measured in scores), however, was only significantly better in Kenya for EmOC and EmNC. This analysis sheds light on the inadequate levels of care for saving maternal and newborn lives in most facilities in two countries of Africa. It also highlights the disconnect between patients' perceptions and clinical quality of services. More effort is needed to ensure that high quality supply of services is present to meet growing demand as an increasing number of women deliver in facilities.

Strategies for prevention of road traffic injuries (RTIs) in Pakistan: situational analysis.

PubMed

Khan, Adeel Ahmed; Fatmi, Zafar

2014-05-01

Road traffic injuries (RTIs) are one of the leading causes of death among productive age group. Using systems approach framework (SAF), current preventive strategies for RTI control were reviewed in Pakistan. A review of the literature was done using four international search engines. Only ten studies on preventive strategies for RTI stemming from Pakistan were found. The first Road Traffic Injuries Research Network (RTIRN) surveillance system for road traffic injuries was established in urban city (Karachi) in Pakistan has shown promise for injury control and should be scaled up to other cities. Enforcement of traffic laws on seat-belt and helmet wearing is poor. National Highway and Motorway Police Ordinance (2000) was one of the few legislative measure so far taken in Pakistan. Using SAF, efforts are required to implement interventions targeting human, vehicle design and also making environment safer for road users.

Faunistic studies of the tribe Brachinini (Carabidae: Coleoptera) from northern Pakistan.

PubMed

Ullah, Mishkat; Naeem, Muhammad; Mahmood, Khalid; Rafi, Muhammad Ather

2017-02-15

A faunistic study of the tribe Brachinini from northern Pakistan was carried out including extensive fieldwork collections and specimens housed in the Insect Repository, Pakistan Museum of Natural History, Islamabad and the National Insect Museum, National Agricultural Research Centre, Islamabad. Ten species belonging to three genera were identified from the study area, including four new records for Pakistan, Brachinus (Brachinus) ejaculans Fischer Von Waldheim, 1828, Brachinus (Neobrachinus) pallidipes Reitter, 1919, Pheropsophus (Stenaptinus) consularis (Schmidt-Goebel, 1846) and Pheropsophus (Stenaptinus) lineifrons Chaudoir, 1850. A key for these species is provided. A new combination is proposed for Brachinus (Brachynolomus) pallidipes Reitter, 1919, namely Brachinus (Neobrachinus) pallidipes Reitter, 1919, comb. nov.

Fortresses and Icebergs: The Evolution of the Transatlantic Defense Market and the Implications for U.S. National Security Policy. Volume 2: Country Studies

DTIC Science & Technology

2009-01-01

CHILE ECUADOR PARAGUAY URUGUAY FALKLAND ISLANDS SOUTH GEORGIA ISLAND KENYA ETHIOPIA ERITREA SUDAN EGYPT NIGER MAURITANIA MALI NIGERIA SOMALIA NAMIBIA...painful economic reforms also began to bear fruit. The currency stabilized and budget deficits were brought under control as the country moved toward...the criteria of the Maastricht Treaty to adopt the single European currency in place of the zloty, but entry into the Euro- zone is scheduled for 2012

Molecular characterization of Hepatozoon canis from farm dogs in Pakistan.

PubMed

Ahmad, Abdullah S; Saeed, Muhammad A; Rashid, Imran; Ashraf, Kamran; Shehzad, Wasim; Traub, Rebecca J; Baneth, Gad; Jabbar, Abdul

2018-04-01

Hepatozoon canis is a tick-borne pathogen of canids, which is distributed worldwide. However, very little is known about this protozoan parasite in Pakistan. This study provides the first molecular evidence of H. canis from farm dogs from three agro-ecological zones of Punjab, Pakistan. A conventional PCR targeting the 18S rRNA gene was used to characterize H. canis from farm dogs from three districts, namely Kasur, Rawalpindi, and Muzaffargarh, in Punjab. Of 341 blood samples tested, 155 (45.5%) were positive for H. canis, 73 (61.3%) from Kasur, 46 (42.5%) from Rawalpindi, and 36 (31.5%) from Muzaffargarh. Phylogenetic analyses revealed that 18S rRNA sequences of H. canis from this study clustered in three clades with those of H. canis from previously published studies to the exclusion of all other Hepatozoon spp. included in the analysis. This study provides the first insight into H. canis from farm dogs in Pakistan. Furthermore, it lays a foundation for future studies of the parasite to assess the impact of canine hepatozoonosis in dogs from various agro-ecological zones in Pakistan where pet ownership of dogs is increasing.

Potential for Expatriate Involvement with Handicapped Children in the N.W.F.P. of Pakistan.

ERIC Educational Resources Information Center

Miles, M.

The North West Frontier Province of Pakistan plans to improve services and facilities for handicapped children and is encouraging expatriates to bring their skills to Pakistan. Staff of current institutions are either untrained or have received short courses of training within Pakistan. There are currently about five expatriates working in the…

Nuclear nonproliferation: India Pakistan. Research report

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

Fallon, J.S.

1997-04-01

As most of the world continues to seek ways to reduce or eliminate the spread of nuclear weapons, two countries seem intent on pursuing a path which is contradictory. India and Pakistan, two neighboring and frequently warring nations, condemn the use of nuclear weapons as they continue to develop the capability to deliver a nuclear payload. Additionally, India has stood against the Non-Proliferation Treaty, insisting that all nations must agree to eliminate nuclear weapons. It is against this seemingly hopeless situation that this report is focused. How can nuclear proliferation in South Asia be diffused while answering the security concernsmore » of both India and Pakistan. What I offer here is a review of the history, the current situation for the area, and a proposed solution to this nuclear stalemate.« less

Human West Nile Virus Disease Outbreak in Pakistan, 2015–2016

PubMed Central

Khan, Erum; Barr, Kelli L.; Farooqi, Joveria Qais; Prakoso, Dhani; Abbas, Alizae; Khan, Zain Y.; Ashi, Shanze; Imtiaz, Kehkashan; Aziz, Z.; Malik, Faisal; Lednicky, John A.; Long, Maureen T.

2018-01-01

Like most of the world, Pakistan has seen an increase in mosquito-transmitted diseases in recent years. The magnitude and distribution of these diseases are poorly understood as Pakistan does not have a nation-wide system for reporting disease. A cross-sectional study to determine which flaviviruses were causing of arboviral disease in Pakistan was instituted. West Nile virus (WNV) is a cause of seasonal fever with neurotropic findings in countries that share borders with Pakistan. Here, we describe the active and persistent circulation of WNV in humans in the southern region of Pakistan. This is the first report of WNV causing neurological disease in human patients in this country. Of 997 enrolled patients presenting with clinical features suggestive of arboviral disease, 105 were positive for WNV IgM antibodies, and 71 of these patients possessed WNV-specific neutralizing antibodies. Cross-reactivity of WNV IgM antibodies with Japanese encephalitis virus (JEV) occurred in 75 of these 105 patients. WNV co-infections with Dengue viruses were not a contributing factor for the severity of disease. Nor did prior exposure to dengue virus contribute to incidence of neurological involvement in WNV-infected patients. Patients with WNV infections were more likely to present with altered mental status, seizures, and reduced Glasgow Coma scores when compared with JEV-infected patients. Human WNV cases and vector numbers exhibited a temporal correlation with climate. PMID:29535994

Economics of tobacco control in Pakistan: estimating elasticities of cigarette demand.

PubMed

Mushtaq, Nasir; Mushtaq, Saghir; Beebe, Laura A

2011-11-01

Despite ongoing global efforts for tobacco control, low-income countries with struggling economies have challenges to effectively implement tobacco policies and programs. Due to the complexity of the tobacco control issue and lack of comprehensive policies, tobacco use is increasing in Pakistan. The aim of this study was to assess the effect of taxes on tobacco demand in Pakistan. Various surveillance indicators of tobacco use were assessed from 2001 to 2009. Price elasticities of cigarette demand in Pakistan were investigated. During 2003-2009, annual per capita cigarette consumption increased by 30%. Analysis of economic data indicated that a 10% increase in cigarette prices would lead to 4.8% decrease in cigarette consumption while controlling for per capita income in the short term. The long-term price elasticities of cigarette demand were estimated at -1.17. The estimations provided support for myopic addiction model for cigarette consumption in Pakistan. Increasing tobacco taxes would have a significant impact on tobacco consumption in Pakistan. Cigarette consumption could decrease by 11.7% in the long term if there was a 10% increase in its price. The results of this study should benefit policymakers as it provides information on the characteristics of the cigarette consumption and cigarette demand function that may help in planning tobacco control strategies in low-income and middle-income countries.

Physicochemical characteristics of various milk samples available in Pakistan

PubMed Central

Imran, Mohammad; Khan, Hamayun; Hassan, Syed Shah; Khan, Rasool

2008-01-01

We report physicochemical characteristics of various kinds of liquid milk commercially available in Pakistan in comparison with those of fresh natural milk from animals. Milk samples were collected from local markets at Peshawar, Pakistan, and analyzed for their physical features, including moisture, total solids, specific gravity, conductivity, viscosity and titratable acidity (lactic acid equivalent), and chemical components and macro-minerals, including total protein, casein, lactose, ash and minerals (Na, K and Mg). These items were compared with the physicochemical characteristics of the fresh natural milk samples from buffalo, cow and goat. The results were also compared with reported nutritional quality of milk from various countries and World Health Organization (WHO) standards. We found that all the physical features and chemical components of commercially available milk in Pakistan markets meet WHO’s requirements, except for Na, K, Ca and Mg, which are below the standards. PMID:18600784

Statistical Analysis of Factors Affecting Child Mortality in Pakistan.

PubMed

Ahmed, Zoya; Kamal, Asifa; Kamal, Asma

2016-06-01

Child mortality is a composite indicator reflecting economic, social, environmental, healthcare services, and their delivery situation in a country. Globally, Pakistan has the third highest burden of fetal, maternal, and child mortality. Factors affecting child mortality in Pakistan are investigated by using Binary Logistic Regression Analysis. Region, education of mother, birth order, preceding birth interval (the period between the previous child birth and the index child birth), size of child at birth, and breastfeeding and family size were found to be significantly important with child mortality in Pakistan. Child mortality decreased as level of mother's education, preceding birth interval, size of child at birth, and family size increased. Child mortality was found to be significantly higher in Balochistan as compared to other regions. Child mortality was low for low birth orders. Child survival was significantly higher for children who were breastfed as compared to those who were not.

Pakistan’s Afghanistan Policy

DTIC Science & Technology

2005-06-01

from 1947 to 1989, all Afghan governments have sided with New Dehli . The military cooperation between both capitals and Moscow was also a concern for...Baluchistan (by inciting the groups in Pakistan) will be deliberated. Pakistan’s ability to manage the tension, while maintaining its legitimate right

The Role of Educational Technology in Upgrading Teacher Education in Pakistan.

ERIC Educational Resources Information Center

Abbasi, M. Hashim; Millar, Alex C.

This paper outlines a joint Asian Bank/Pakistan Ministry of Education project designed to upgrade the state of teacher education and to improve the quality, status, and professional self-esteem of Pakistan's teachers. The main strategies identified by the Project for priority attention include: structural changes through the creation of four new…

Handling the Cerebral Palsied Child: Multi-Level Skills Transfer in Pakistan.

ERIC Educational Resources Information Center

Miles, M.; Frizzell, Yvonne

1990-01-01

The majority of children with cerebral palsy in developing countries have no access to trained therapists; for example, in Pakistan, there is less than one trained general physiotherapist per million population. In Pakistan, cerebral palsy handling skills were taught to a group of parents, teachers, and paraprofessionals in a series of practical…

China Pakistan Economic Corridor (CPEC): Challenges and the Way Forward

DTIC Science & Technology

2017-06-01

ECONOMIC CORRIDOR (CPEC): CHALLENGES AND THE WAY FORWARD by Muzaffar Hussain June 2017 Thesis Advisor: Robert E. Looney Second Reader...DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE CHINA PAKISTAN ECONOMIC CORRIDOR (CPEC): CHALLENGES AND THE WAY FORWARD 5. FUNDING NUMBERS...is unlimited. 12b. DISTRIBUTION CODE 13. ABSTRACT The China-Pakistan Economic Corridor (CPEC)—the latest venture in a history of bilateral economic

Hand dug wells in Namibia: An underestimated water source or a threat to human health?

NASA Astrophysics Data System (ADS)

Wanke, H.; Nakwafila, A.; Hamutoko, J. T.; Lohe, C.; Neumbo, F.; Petrus, I.; David, A.; Beukes, H.; Masule, N.; Quinger, M.

The rural population of parts of northern and western Namibia uses hand dug wells for their domestic water supply, partly because no other source (e.g., deep tube wells) is available, but also as a substitute for pipeline water that is often perceived as being too expensive. The water quality of these wells is usually not monitored or controlled, thus a study has been carried out in four study areas in Namibia: southern Omusati/Oshana area, Okongo/Ohangwena area, Omatjete/Omaruru area, Okanguati/Kunene area. Hand dug wells have been tested for on-site parameters: electric conductivity, pH and temperature while samples were taken for major inorganic constituents and several minor and trace constituents including fluoride and nitrate. In addition a sampling campaign in 2010 included the determination of coliform bacteria and Escherichia coli. Results were classified according to the Namibian Water Guidelines. The constituents making the water unfit for human consumption are fluoride, nitrate, sulphate and total dissolved solids. Contamination by E. coli was indicated in nearly all wells that are used for livestock watering. For the Omatjete/Omaruru study area an isotope based study on the source of nitrate has indicated manure as a source. The range of recharge values obtained for the studied villages ranges from 1 mm/a to locally more than 100 mm/a. Overall the water resource in the shallow perched aquifers in the study areas is in many places inappropriate for human consumption. Treatment to improve the quality or introduction of protection measures is necessary to bring this resource to an acceptable quality according to national and/or international standards.

Assessment of A. I. D. environmental programs: Energy conservation in Pakistan. Technical report

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

Church, P.; Kumar, K.; Sowers, F.

1993-09-01

This report highlights a model of environmental management that appears to work in the current political and economic context of Pakistan. The model focuses on energy conservation. This evaluation examines how the U.S. Agency for International Development (A.I.D.) has assisted Pakistan in using market forces to promote the adoption of energy conservation practices and technologies. The central operating hypothesis of the evaluation is that the adoption of energy conservation practices and technologies responds to market incentives. The field study concludes that the Pakistani program of energy conservation activities, set in motion with A.I.D. support, cannot easily be reversed. With changesmore » in political and economic policies toward the environment in Pakistan, greater and more sustainable impact is possible. The experience of Pakistan energy conservation program raises three issues that merit careful examination both in the contexts of Pakistan's future program implementation and in other countries: The role of program subsidies; The role of nonproject assistance; and The involvement of nongovernmental organizations.« less

Population Immunity against Serotype-2 Poliomyelitis Leading up to the Global Withdrawal of the Oral Poliovirus Vaccine: Spatio-temporal Modelling of Surveillance Data.

PubMed

Pons-Salort, Margarita; Molodecky, Natalie A; O'Reilly, Kathleen M; Wadood, Mufti Zubair; Safdar, Rana M; Etsano, Andrew; Vaz, Rui Gama; Jafari, Hamid; Grassly, Nicholas C; Blake, Isobel M

2016-10-01

Global withdrawal of serotype-2 oral poliovirus vaccine (OPV2) took place in April 2016. This marked a milestone in global polio eradication and was a public health intervention of unprecedented scale, affecting 155 countries. Achieving high levels of serotype-2 population immunity before OPV2 withdrawal was critical to avoid subsequent outbreaks of serotype-2 vaccine-derived polioviruses (VDPV2s). In August 2015, we estimated vaccine-induced population immunity against serotype-2 poliomyelitis for 1 January 2004-30 June 2015 and produced forecasts for April 2016 by district in Nigeria and Pakistan. Population immunity was estimated from the vaccination histories of children <36 mo old identified with non-polio acute flaccid paralysis (AFP) reported through polio surveillance, information on immunisation activities with different oral poliovirus vaccine (OPV) formulations, and serotype-specific estimates of the efficacy of these OPVs against poliomyelitis. District immunity estimates were spatio-temporally smoothed using a Bayesian hierarchical framework. Coverage estimates for immunisation activities were also obtained, allowing for heterogeneity within and among districts. Forward projections of immunity, based on these estimates and planned immunisation activities, were produced through to April 2016 using a cohort model. Estimated population immunity was negatively correlated with the probability of VDPV2 poliomyelitis being reported in a district. In Nigeria and Pakistan, declines in immunity during 2008-2009 and 2012-2013, respectively, were associated with outbreaks of VDPV2. Immunity has since improved in both countries as a result of increased use of trivalent OPV, and projections generally indicated sustained or improved immunity in April 2016, such that the majority of districts (99% [95% uncertainty interval 97%-100%] in Nigeria and 84% [95% uncertainty interval 77%-91%] in Pakistan) had >70% population immunity among children <36 mo old. Districts with

Nigeria's youth at risk.

PubMed

Igwe, S A

1992-05-01

Improved family and community support would prevent many youth in Nigeria from risk behavior including drinking alcohol, smoking, and using illicit drugs. In Rivers State, 70% of secondary students have had at least 1 alcoholic drink. Further, in Bendel State, 13% of 15-19 year olds in the coastal region drink alcohol compared with 75% of those in the hinterland. Since alcohol affects good judgment skills, this behavior is especially risky during rituals and social activities and causes accidents. Youth who drink are likely to have unplanned and unprotected sexual intercourse. Drinking during pregnancy is associated with miscarriages, low birth weight, and birth defects. Despite the problems with youth and drinking, Nigeria does not have law restricting sales of alcohol to youth. In Nigeria smoking was once predominantly a male habit but is now increasing quickly among women. Most smokers 1st begin their habit when 18 years old. Even thought he Nigerian government has restricted smoking in public places, it has not yet been effective. Smoking has numerous negative effects such as lung cancer, other cancers, shorter life spans, low birth weight, prematurity, higher perinatal mortality, and more labor complications. Moreover the tobacco and alcohol companies advertise widely using ingenious and persuasive promotions. Youth are especially vulnerable to these slick promotions. Cannabis remains the most common illegal drug. Heroin use is growing among urban adolescents in Nigeria, however. Nigeria also serves as a transhipment point for drugs to the US as well as a consumption point. Drug use results in rising numbers of patients in mental hospitals and treatment centers. A particular concern of drug use is transmission of HIV and hepatitis B via needles. Smokers and alcohol drinkers are likely to also be drug users. Families, government, and community organizations need to collaborate to prevent these risk behaviors among youth.

Consanguinity and Its Sociodemographic Differentials in Bhimber District, Azad Jammu and Kashmir, Pakistan

PubMed Central

Jabeen, Nazish

2014-01-01

ABSTRACT Kashmiri population in the northeast of Pakistan has strong historical, cultural and linguistic affinities with the neighbouring populations of upper Punjab and Potohar region of Pakistan. However, the study of consanguineous unions, which are customarily practised in many populations of Pakistan, revealed marked differences between the Kashmiris and other populations of northern Pakistan with respect to the distribution of marriage types and inbreeding coefficient (F). The current descriptive epidemiological study carried out in Bhimber district of Mirpur division, Azad Jammu and Kashmir, Pakistan, demonstrated that consanguineous marriages were 62% of the total marriages (F=0.0348). First-cousin unions were the predominant type of marriages and constituted 50.13% of total marital unions. The estimates of inbreeding coefficient were higher in the literate subjects, and consanguinity was witnessed to be rising with increasing literacy level. Additionally, consanguinity was observed to be associated with ethnicity, family structure, language, and marriage arrangements. Based upon these data, a distinct sociobiological structure, with increased stratification and higher genomic homozygosity, is expected for this Kashmiri population. In this communication, we present detailed distribution of the types of marital unions and the incidences of consanguinity and inbreeding coefficient (F) across various sociodemographic strata of Bhimber/Mirpuri population. The results of this study would have implication not only for other endogamous populations of Pakistan but also for the sizeable Kashmiri community immigrated to Europe. PMID:25076667

Polio immunization in Pakistan: ethical issues and challenges.

PubMed

Basharat, Sarah; Shaikh, Babar Tasneem

2017-01-01

Immunization should be considered a basic human right to health and well-being. It is everybody's business, and it is everybody's responsibility: the individual, the community, the health system and the state. This paper attempts to review some of the literature that highlights the ethical and religious concerns surrounding polio vaccination and what approaches may be used to counter the problems faced in Pakistan. This paper is developed through a literature review on public health and polio in Pakistan, consulting local, regional and globally published peer reviewed articles focussing on religion, culture, ethics and public health. Human behaviour, including the utilization and acceptability of healthcare services, is greatly influenced by religious beliefs and dogmas. Immunization, specifically for the purpose of polio eradication, has been a topic under focus and in the news in Pakistan. The government is doing its best through a variety of interventions to increase access, inform the public and increase vaccination rates. Nevertheless, the country still faces a huge challenge from certain stern pockets of uncompromising populations who resist and refuse vaccination. Beliefs, practices and cultural norms overshadow public health priorities and ethics. Understanding of the context, therefore, is critical to determine the social hindrances in polio eradication and strategize thereon. Having programmatic, system-wide, socio-cultural and of course ethical dimensions, the policy makers and the programme managers in Pakistan must attempt to address the multitude of challenges to polio vaccination, whereby the plan of action developed within the ethical norms could potentially lead to an ultimate success.

Nigeria: Hydrocarbon Curse Fueling Instability in Niger Delta

DTIC Science & Technology

2010-03-15

Christians and Muslims. 12 The largest ethnic groups are the Hausa-Fulani in theNorth, the Ibo in the Southeast, and the Yoruba in the Southwest. 13 Nigeria...0). AllAfrica.com. "Nigeria: The Fading Culture of Party System in Nigeria." http://allafrica.com/stories/200803190577.htm I (accessed February 9

Mitochondrial Genetic Diversity and Phylogeography of Mus musculus castaneus in Northern Punjab, Pakistan.

PubMed

Bibi, Shahnaz; Nadeem, Muhammad Sajid; Wiewel, Andrew Stephen; Beg, Mirza Azhar; Hameed, Khalid; Jabeen, Musarrat; Raja, Ghazala Kaukab

2017-12-01

Regions of Iran, Afghanistan, Pakistan and northwestern India have been proposed as the place of origin of Mus musculus castaneus. But despite the fact that Pakistan encompasses an important part of its range, M. m. castaneus populations in Pakistan have not been the subject of intensive genetic and biogeographic studies, except for a very small number of samples included in past studies. We studied genetic variation in M. m. castaneus (CAS) from northern Punjab Province, Pakistan, by using cytochrome b (Cytb) analysis in a sample of 98 individuals. Median-joining network revealed four well differentiated CAS sub-lineages coexisting within a small geographical region; these had previously been thought to have largely non-overlapping geographic distributions. Moreover, haplotypes from Pakistan occupied a central position in the network and all identified global haplotypes were also present in Pakistan. All identified CAS sub-lineages proved to be highly diverse on the basis of haplotype and nucleotide diversity indices. Tajima's D test and Fu's Fs tests of neutrality suggest recent population expansions in all sub-lineages. Expansion times were estimated as 21,760-134,930, 10,800-64,400 and 4950-30,665 ybp using substitution rates of 2.5%, 5% and 11%, respectively. Our results support the hypothesis that northern Punjab Province in Pakistan is the most likely source area for M. m. castaneus, and that the CAS sub-lineages in this region have undergone rapid population expansion events at different time periods, which appear to have benefitted from human-mediated transport, although one of them clearly predates the establishment of human settlements in this region.

Soil formation in the Tsauchab Valley, Namibia

NASA Astrophysics Data System (ADS)

Eden, Marie; Bens, Oliver; Ramisch, Arne; Schwindt, Daniel; Völkel, Jörg

2016-04-01

The BMBF-funded project GeoArchives (Spaces) investigates soils and sediments in Southern Africa. A focus area lies on the Tsauchab Valley (Namibia), South of the Naukluft mountain range (24°26'40'' S, 16°10'40'' E). On a gently sloping alluvial fan facing East towards the river, the surface is characterized by a desert pavement covering soils used as farmland. The landscape units were mapped and the area at the lower slope of a hill was divided into three units: a rinsing surface and a gravel plain, separated by a channel. On these surfaces soil profiles were excavated. Profile description followed the German system (Bodenkundliche Kartieranleitung KA 5) and disturbed samples were taken at various depths and analysed in the lab. Undisturbed soil cores with a volume of 100 cm³ were taken just below the surface at a depth of ~1-6 cm. Lab analyses included texture and gravel content, colour, pH, electrical conductivity, carbonates, CNS, cation exchange capacity, pedogenic oxides, main and trace elements (XRF), and clay mineral distribution (XRD). Undisturbed samples were used to determine soil water retention curve, air permeability and bulk density. The profiles revealed moderately developed cambic soils rich in clay minerals and with total carbon contents ranging up to 1.8 %, bearing shrubs and after episodic rainfall a dense grass vegetation. Their genesis is discussed and interpreted in the context of the landscape and climate history of this semi-desert environment.

Psychiatry in Pakistan: 1947-2006: a new balance sheet.

PubMed

Gadit, Amin A Muhammad

2007-09-01

This review deals with the evolution of psychiatry in Pakistan since its inception in 1947. It describes the situation of psychiatric services, education and research through the years 1947-2006, presenting a picture of existing mental health scenario, suggesting the ways for improvement and comment on possible future developments. It concludes with the prediction of a revolutionary change in the current shape of psychiatry throughout the world and especially in Pakistan whereby psychiatry will change to organic-based discipline of a wider "Neurosciences".

Governance and Higher Education in Pakistan: What Roles Do Boards of Governors Play in Ensuring the Academic Quality Maintenance in Public Universities versus Private Universities in Pakistan?

ERIC Educational Resources Information Center

Usman, Sidra

2014-01-01

There are major structural issues in the higher education system in Pakistan leading to poor governance of institutions and questionable quality of education. This paper looks at the differences in the role of boards of governors in maintaining quality of education in both the public and the private sector universities in Pakistan. After having…

Moral equality and success of common-pool water governance in Namibia.

PubMed

Schnegg, Michael; Bollig, Michael; Linke, Theresa

2016-09-01

In the course of decentralization, pastoral communities in Namibia have had to find new ways to share their most salient resource, water, and the costs involved in providing it. Using data from sixty communities, we examine (1) whether and to what extent different sharing rules emerge, (2) how variations can be explained, (3) how rules are perceived and influence success, and (4) what economic consequences they have. Our results reveal that either all members pay the same (numerical equality) or payment is according to usage (proportional equality). We find that although proportional equality provides more success, the rule can only pertain where the state maintains an active role. Simulations show that where it does not prevail, wealth inequality is likely to grow. These findings have political implications and suggest that, in the context of the widespread decentralization policies, the state should not withdraw if it aims to ensure the success of common-pool resource management and to fight poverty.

Balancing U.S. Interests Amidst the India and Pakistan Conflict

DTIC Science & Technology

2005-04-01

yields caste violence, especially towards women and children. In addition, India suffers rifts between Christians, Muslims and Hindus that generates...USAWC STRATEGY RESEARCH PROJECT BALANCING U.S. INTERESTS AMIDST THE INDIA AND PAKISTAN CONFLICT by Lieutenant Colonel Thomas L. Glardon United...Interests Amidst the India and Pakistan Conflict 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Thomas Glardon 5d

Equality or Equity: Gender Awareness Issues in Secondary Schools in Pakistan

ERIC Educational Resources Information Center

Halai, Anjum

2011-01-01

This paper focuses on gender awareness issues as a dimension of addressing the wider issue of the quality of education in Pakistan from the perspective of social justice. In Pakistan classrooms, boys and girls learn separately and therefore teachers and others tend to think that there are no gender issues once access is achieved and the learners…

The unzipping of Africa and South America; New insights from the Etendeka and younger volcanic events along the Angola/Namibia margin.

NASA Astrophysics Data System (ADS)

Jerram, D. A.

2015-12-01

The volcanic margin along Angola is relatively poorly constrained. This study uses new petrographic, geochronological and geochemical observations on a new sample set collected along the margin to help understand the various types and relative timings of volcanic events along the margin. This new study has identified 3 main volcanic events that occur at ~100Ma (Sumbe event 1), 90-92Ma (Serra de Neve (SDN)-Elefantes event 2) and 80-81Ma (Namibe event 3), with the oldest event in the north of the margin and younging southwards. This is contrasting with the main Etendeka pulse in Namibia at around 130 Ma. There is a marked variety of igneous rocks along the margin with a grouping of evolved alkaline rocks in the central SDN-Elefantes section, basic submarine volcanics in the north, and basanite eruptions in the southern section. There is some overlap with geochemical types along the margin. The Sumbe event contains predominantly submarine volcanics and shallow Intrusions. SDN-Elefantes rocks have a mixed type but with a distinctive feldspar rich evolved alkali suite of rocks (nepheline syenites and variations around this composition) which occur as lava flows and shallow intrusions as well as making up the core of the SDN complex. The SDN complex itself is analogous in size to the main volcanic centres in Namibia (such as Messum, Brandberg etc.) and suggests that large volcanic feeding centres are still active along the margin as young as 90ma. These in turn will form large volcano-topographic features. In the south the Ponta Negra and Canico sites mainly contain basanites in the form of lava flows, invasive flows and shallow intrusions. At Canico one intrusive plug was sampled with a similar composition to the evolved SDN-Elefantes suite. In all three events it is clear that the volcanic systems have interacted with the sedimentary systems, in some cases dynamically, in others with regional implications for volcano-tectonic uplift. Specific thanks is given for

Genomic Epidemiology of Vibrio cholerae O1 Associated with Floods, Pakistan, 2010

PubMed Central

Shah, Muhammad Ali; Mutreja, Ankur; Thomson, Nicholas; Baker, Stephen; Parkhill, Julian; Dougan, Gordon; Bokhari, Habib

2014-01-01

In August 2010, Pakistan experienced major floods and a subsequent cholera epidemic. To clarify the population dynamics and transmission of Vibrio cholerae in Pakistan, we sequenced the genomes of all V. cholerae O1 El Tor isolates and compared the sequences to a global collection of 146 V. cholerae strains. Within the global phylogeny, all isolates from Pakistan formed 2 new subclades (PSC-1 and PSC-2), lying in the third transmission wave of the seventh-pandemic lineage that could be distinguished by signature deletions and their antimicrobial susceptibilities. Geographically, PSC-1 isolates originated from the coast, whereas PSC-2 isolates originated from inland areas flooded by the Indus River. Single-nucleotide polymorphism accumulation analysis correlated river flow direction with the spread of PSC-2. We found at least 2 sources of cholera in Pakistan during the 2010 epidemic and illustrate the value of a global genomic data bank in contextualizing cholera outbreaks. PMID:24378019

Dengue fever in Pakistan: a paradigm shift; changing epidemiology and clinical patterns.

PubMed

Haider, Zahra; Ahmad, Farina Zia; Mahmood, Asif; Waseem, Tariq; Shafiq, Irfan; Raza, Tanzeem; Qazi, Javaria; Siddique, Nasir; Humayun, Malik Asif

2015-11-01

Dengue fever has huge public health implications and affects over 100 million people worldwide. This review pictures the current situation of Dengue in Pakistan and presents a review of published literature. Pakistan has seen recurrent epidemics of Dengue Fever recently. Unfortunately, these epidemics are becoming more severe in their clinical manifestation. Pakistan experienced large epidemics of dengue fever during 2008, 2010 and 2011 affecting thousands of people and claiming hundreds of deaths. A comparison of data during these epidemics indicates a shift from mild to a more severe disease, which could be interpreted as an epidemiologic transition pattern in the country. Expansion of Dengue in Pakistan seems to be multifactorial, including the climate change, frequent natural disasters, vector resistance to insecticides and lack of resources. This highlights the need for rigorous vector control. Continuing education of primary care physicians is crucial for early appropriate management to reduce mortality. © Royal Society for Public Health 2015.

Genomic epidemiology of Vibrio cholerae O1 associated with floods, Pakistan, 2010.

PubMed

Shah, Muhammad Ali; Mutreja, Ankur; Thomson, Nicholas; Baker, Stephen; Parkhill, Julian; Dougan, Gordon; Bokhari, Habib; Wren, Brendan W

2014-01-01

In August 2010, Pakistan experienced major floods and a subsequent cholera epidemic. To clarify the population dynamics and transmission of Vibrio cholerae in Pakistan, we sequenced the genomes of all V. cholerae O1 El Tor isolates and compared the sequences to a global collection of 146 V. cholerae strains. Within the global phylogeny, all isolates from Pakistan formed 2 new subclades (PSC-1 and PSC-2), lying in the third transmission wave of the seventh-pandemic lineage that could be distinguished by signature deletions and their antimicrobial susceptibilities. Geographically, PSC-1 isolates originated from the coast, whereas PSC-2 isolates originated from inland areas flooded by the Indus River. Single-nucleotide polymorphism accumulation analysis correlated river flow direction with the spread of PSC-2. We found at least 2 sources of cholera in Pakistan during the 2010 epidemic and illustrate the value of a global genomic data bank in contextualizing cholera outbreaks.

Cross-National Systematic Review of Neonatal Mortality and Postnatal Newborn Care: Special Focus on Pakistan.

PubMed

Ahmed, Mansoor; Won, Youngjoon

2017-11-23

The latest nationwide survey of Pakistan showed that considerable progress has been made toward reducing all child mortality indicators except neonatal mortality. The aim of this study is to compare Pakistan's under-five mortality, neonatal mortality, and postnatal newborn care rates with those of other countries. Neonatal mortality rates and postnatal newborn care rates from the Demographic and Health Surveys (DHSs) of nine low- and middle-income countries (LMIC) from Asia and Africa were analyzed. Pakistan's maternal, newborn, and child health (MNCH) policies and programs, which have been implemented in the country since 1990, were also analyzed. The results highlighted that postnatal newborn care in Pakistan was higher compared with the rest of countries, yet its neonatal mortality remained the worst. In Zimbabwe, both mortality rates have been increasing, whereas the neonatal mortality rates in Nepal and Afghanistan remained unchanged. An analysis of Pakistan's MNCH programs showed that there is no nationwide policy on neonatal health. There were only a few programs concerning the health of newborns, and those were limited in scale. Pakistan's example shows that increased coverage of neonatal care without ensuring quality is unlikely to improve neonatal survival rates. It is suggested that Pakistan needs a comprehensive policy on neonatal health similar to other countries, and its effective programs need to be scaled up, in order to obtain better neonatal health outcomes.

Why more research needs to be done on echinococcosis in Pakistan.

PubMed

Ahmed, Haroon; Ali, Shahzad; Afzal, Muhammad Sohail; Khan, Abid Ali; Raza, Hamid; Shah, Zaheer Hussain; Simsek, Sami

2017-07-03

Echinococcosis has a worldwide geographical distribution with endemic foci on every inhabited continent. Due to the frequent outbreaks in different parts of Pakistan in the recent past, echinococcosis is being described as a neglected tropical disease and is considered one of the most neglected parasitic diseases in the country. In endemic regions, predominantly settings with limited resources, there are high numbers of echinococcosis patients, as these communities do not have access to appropriate treatment. In Pakistan, there are limited reports on echinococcosis. The disease is prevalent in human and livestock, but this has not been sufficiently explored yet. Pakistan is an agricultural country and due to the disease's zoonotic mode of transmission, there is a dire need of future research on it. The present paper is an effort to highlight the importance of echinococcosis in Pakistan. There is a dire need for future research on echinococcosis in Pakistan as very few investigations had been carried out on this topic thus far. The prevalence of the disease in neighbouring countries highlights that Pakistan might be at severe risk of this zoonotic infection and further supports the need for more research. In Pakistan, the majority of the population lives in rural areas with limited acess to proper hygienic/sanitary facilities. These conditions favour the outbreak of diseases such as echinococcosis. The limited available data could result in higher outbreaks in the future, and thus cause the already weak healthcare system to overburden. The country has a meagre annual budget for health, which is being spent on known infections such as polio, dengue fever and hepatic viral infections. A proper surveillance system for echinococcosis is required across the country as treatment is usually expensive, complicated and may require extensive surgery and/or prolonged drug therapy. Development of new/novel drugs and other treatment modalities receives very little, if any

Nigeria: Energy for sustainable development

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

Eleri, E.O.

Though an essentially contested concept, it is safe to acknowledge that the attainment of sustainable development requires that the growth and well-being of present generations are brought about in such ways that the ability of future people to meet their own needs will not be compromised. The availability of safe and sound energy as a factor of production is a key element in such a development process. Despite the abundance of energy resources, acute shortages of energy services have become endemic in Nigeria. This paper reassesses the common proposition that energy has fueled growth and development in Nigeria by itsmore » role as the chief source of state revenue and through its input into economic activities in the country. It is argued here, however, that conventional energy management in Nigeria has tended to create development flaws of its own. The article is divided into six sections: 1st, a general account of the energy and development linkages in Nigeria; 2nd, the failures of these linkages are assessed; 3rd, policy initiatives are considered that would be reconcilable to the nation`s sustainable development; 4th, the present reform agenda, its inadequacies and barriers are surveyed; 5th, the achievement of sustainable development, it is argued, will demand the re-institutionalization of the political economy of the energy sector in Nigeria, which will depend largely on the resolution of the dilemmas and conflicts in the country`s broader political and economic reforms; and 6th, an outlook is suggested for future policy development.« less

75 FR 67015 - Unexpected Urgent Refugee And Migration Needs Resulting From Flooding InPakistan

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-01

... September 3, 2010 Unexpected Urgent Refugee And Migration Needs Resulting From Flooding InPakistan... humanitarian needs resulting from recent devastating flooding in Pakistan. You are authorized and directed to...

Molecular Epidemiology of Glanders, Pakistan

PubMed Central

Hornstra, Heidie; Pearson, Talima; Georgia, Shalamar; Liguori, Andrew; Dale, Julia; Price, Erin; O’Neill, Matthew; DeShazer, David; Muhammad, Ghulam; Saqib, Muhammad; Naureen, Abeera

2009-01-01

We collected epidemiologic and molecular data from Burkholderia mallei isolates from equines in Punjab, Pakistan from 1999 through 2007. We show that recent outbreaks are genetically distinct from available whole genome sequences and that these genotypes are persistent and ubiquitous in Punjab, probably due to human-mediated movement of equines. PMID:19961695

Democracy and Education in Pakistan

ERIC Educational Resources Information Center

Nazir, Muhammad

2010-01-01

This paper explores the potential for democratic change in educational practice in Pakistan. Using focus group discussions in urban and rural areas of Sindh and Balochistan, it builds up a picture of educational practices from policy-making to implementation level and identifies the barriers to democratic approaches in education. It suggests that…

Public sector health financing in Pakistan: a retrospective study.

PubMed

Mohammad, Khalif Bile; Hafeez, Assad; Nishter, Sania

2007-06-01

To assess the existing situation relating to investments made by development partners in the health sector in Pakistan. This was a retrospective study completed over a period of 6 months in which financial data for the year July 2004 to June 2005 was collected. A uniform matrix was circulated to all the stakeholders in public sector and international donors who had a stake in health. Details of expenses in health over the last 5 years and plans for the next 10 years were requested. Initial draft was shared with all concerned for concurrence before finalization. Simple analysis was carried out on the collected data. About 80% of the financial resources in the public sector are provided by the Government of Pakistan with non-development and recurring expenses predominating in these allocations. The study shows that Pakistan's per capita spending on health by the public sector is Rs 375.00 (US$ 6.4) out of which Rs 80 (US$ 1.3) is being contributed by the partners. Majority of the partners contributions are used for development projects. The study concludes that an additional amount of about 250 billion rupees per year (keeping in mind the recommendations of Commission for Macroeconomics and Health) are required by the health sector. This can only be achieved by allocating at least 50% more for health every year for next 10 years in order to catch up on the lagging targets set by Millennium Development Goals for Pakistan.

Child survival and changing fertility patterns in Pakistan.

PubMed

Sathar, Z A

1992-01-01

Pakistan is a country with high fertility and high infant and child mortality, and declines in total mortality and substantial development initiatives. The discussion considers whether fertility patterns in Pakistan can be related to changes in child mortality, and whether current and future changes in fertility influence child survival favorably. Omran's study linked large family size to child survival. Resources, which are divided, become more important deficits in households below the poverty line: a situation common in Pakistan. High fertility is associated with short birth intervals, which are related to higher infant and child mortality. In Pakistan, the spacing and mortality link was found among both poverty and higher socioeconomic households. There is some support for the notion that it is birth weight and general health that are linked to survival rather than competition for resources. Other studies link the maternal age at birth and birth order with child mortality (Alam and Cleland). Trussel argues for limiting births in high risk ages of under 20 years and over 35 years. The exact casual link is not well documented. Institutional and community factors are also considered important in influencing child survival: sanitation, potable water, access to roads, electricity, health and family planning services, and sewage. Young infants are more vulnerable to these factors. Bangladesh and some Indian states have shown that population programs and raising per captia incomes are necessary to fertility decline. In India, female autonomy, access to education, and more equal income distribution were considered more important than economic development to child survival. In Pakistan, Sathar and Kazi have linked at least 2 years of elementary, maternal education with reductions in child mortality. The pervasiveness of female illiteracy hinders the chances of child survival. Sex preferences also impact on female children. The probably impacts of declines in breast

Indus basin off Pakistan contains few wells

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

Quadri, V.N.; Quadri, S.M.G.J.

1997-06-16

The U.N. Conference on the Law of the Sea reaffirmed sovereignty of nations over 22 km of territorial sea, a 370 km Exclusive Economic Zone (EEZ), and rights over the continental shelf to at least 370 km and out to 648 km or beyond under specified conditions. With a coast line of about 990 km, the EEZ for Pakistan extends over an area almost 240,000 sq km, or 40% of the land sedimentary area, in which two distinct geological provinces, and the Indus Offshore and the Makran offshore, have been defined. The paper discusses the tectonics, structure, exploration history, andmore » play types offshore Pakistan. Data show a potential for both oil and gas.« less

South Africa, Namibia Diamond Deposits

NASA Technical Reports Server (NTRS)

1998-01-01

This radar image covers a portion of the Richtersveld National Park and Orange River (top of image) in the Northern Cape Province of the Republic of South Africa. The Orange River marks the boundary between South Africa to the south and Namibia to the north. This is an area of active mining for diamonds, which were washed downstream from the famous Kimberley Diamond Area, millions of years ago when the river was much larger. The mining is focused on ancient drainages of the Orange River which are currently buried by think layers of sand and gravel. Scientists are investigating whether these ancient drainages can be seen with the radar's ability to penetrate sand cover in extremely dry regions. A mine, shown in yellow, is on the southern bank of the river in an abandoned bend which is known as an 'oxbow.' The small bright circular areas (left edge of image) west of the mine circles are fields of a large ostrich farm that are being watered with pivot irrigation. The large dark area in the center of the image is the Kubus Pluton, a body of granite rock that broke through the surrounding rocks about 550 million years ago. North is toward the upper right. The area shown is about 55 by 60 kilometers (34 by 37 miles) centered at 28.4 degrees south latitude, 16.8 degrees east longitude. Colors are assigned to different radar frequencies and polarizations as follows: red is L-band horizontally transmitted and horizontally received; green is L-band horizontally transmitted and vertically received; blue is C-band horizontally transmitted and vertically received. The image was acquired on April 18, 1994 by the Spaceborne Imaging Radar-C/X-band Synthetic Aperture (SIR-C/X-SAR) imaging radar when it flew aboard the space shuttle Endeavour. SIR-C/X-SAR is a joint mission of the U.S./German and Italian space agencies.

Polybrominated diphenyl ethers and polychlorinated biphenyls in dust from cars, homes, and offices in Lagos, Nigeria.

PubMed

Harrad, Stuart; Abdallah, Mohamed Abou-Elwafa; Oluseyi, Temilola

2016-03-01

Polybrominated diphenyl ethers (PBDEs) and polychlorinated biphenyls (PCBs) were measured in dust from 16 cars, 12 homes, and 18 offices in Lagos, Nigeria. These represent the first and second reports respectively of contamination of Nigerian indoor dust with these contaminants, and the second report on PCBs in car dust worldwide. Concentrations of BDE-47 and BDE-99 in two car dust samples (9300 and 3700 ng g(-1) for BDE-47 and 4200 and 19,000 ng g(-1) for BDE-99), are amongst the highest ever reported in car dust. ANOVA comparison with Canada, New Zealand, the UK, and the USA; reveals concentrations of BDEs-28, 49, 47, 66, 100, 99, 154, and 153 in Nigerian house dust, to be significantly lower than in Canada and the USA, with those of BDE-49 and 154 significantly lower than in New Zealand and the UK. Concentrations of BDE-209 in Nigeria were significantly lower than concentrations in the UK and the USA; while concentrations of PCB-180 were significantly greater than those in New Zealand, the UK, and the USA. Median concentrations of PCBs in cars were substantially higher than in the only previous study (in Kuwait and Pakistan). While median concentrations of PBDEs in cars generally exceeded those in homes, this was significant only for BDEs-49, 154, and 197, with concentrations in cars significantly greater than those in offices for BDEs-49 and 154. Contrastingly, concentrations of all target PCBs in offices exceeded significantly those in cars. This study underlines the truly global distribution of indoor contamination with PBDEs and PCBs. Copyright © 2015 Elsevier Ltd. All rights reserved.

Evaluation of environmental impact assessment system in Pakistan

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

Nadeem, Obaidullah; Hameed, Rizwan

2008-11-15

Environmental impact assessment (EIA) was first introduced in Pakistan based on the Environmental Protection Ordinance 1983. The EIA process was further strengthened under the Pakistan Environmental Protection Act 1997, which became operational under EIA Regulations 2000. Despite a sound legal basis and comprehensive guidelines, evidence suggests that EIA has not yet evolved satisfactorily in Pakistan. An evaluation of the EIA system against systematic evaluation criteria, based on interviews with EIA approval authorities, consulting firms and experts, reveals various shortcomings of the EIA system. These mainly include; inadequate capacity of EIA approval authorities, deficiencies in screening and scoping, poor EIA quality,more » inadequate public participation and weak monitoring. Overall, EIA is used presently as a project justification tool rather than as a project planning tool to contribute to achieving sustainable development. Whilst shortcomings are challenging, central government has recently shown a high degree of commitment to the environmental protection by making EIA compulsory for all the public sector projects likely to have adverse environmental impacts. The paper identifies opportunities for taking advantage of the current environment for strengthening the EIA process.« less

Investigation of summer monsoon rainfall variability in Pakistan

NASA Astrophysics Data System (ADS)

Hussain, Mian Sabir; Lee, Seungho

2016-08-01

This study analyzes the inter-annual and intra-seasonal rainfall variability in Pakistan using daily rainfall data during the summer monsoon season (June to September) recorded from 1980 to 2014. The variability in inter-annual monsoon rainfall ranges from 20 % in northeastern regions to 65 % in southwestern regions of Pakistan. The analysis reveals that the transition of the negative and positive anomalies was not uniform in the investigated dataset. In order to acquire broad observations of the intra-seasonal variability, an objective criterion, the pre-active period, active period and post-active periods of the summer monsoon rainfall have demarcated. The analysis also reveals that the rainfall in June has no significant contribution to the increase in intra-seasonal rainfall in Pakistan. The rainfall has, however, been enhanced in the summer monsoon in August. The rainfall of September demonstrates a sharp decrease, resulting in a high variability in the summer monsoon season. A detailed examination of the intra-seasonal rainfall also reveals frequent amplitude from late July to early August. The daily normal rainfall fluctuates significantly with its maximum in the Murree hills and its minimum in the northwestern Baluchistan.

Study on Instructional Paradigms of Virtual Education in Pakistan: A Learners' Perspective

ERIC Educational Resources Information Center

Hussain, Irshad

2012-01-01

The present study is aimed at examining instructional paradigms of virtual education in Pakistan. The population of the study consisted of learners from Master of Business Administration (MBA) Program at Virtual University (VU) of Pakistan. The researcher adopted convenient sampling technique and collected data from 600 learners through five-point…

75 FR 56509 - Multi-Sector Trade Mission to Nigeria

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-16

... DEPARTMENT OF COMMERCE International Trade Administration Multi-Sector Trade Mission to Nigeria...: Multi-Sector Trade Mission to Nigeria, March 8-10, 2011 I. Mission Description The United States... Mission to Nigeria March 8-10, 2011, to help U.S. firms find business partners and sell equipment and...

Entrepreneurship Education and Graduates Unemployment in Oyo State, Nigeria

ERIC Educational Resources Information Center

Emunemu, B. O.; Kasali, O. J.

2014-01-01

This study investigated entrepreneurship and graduates' unemployment in Nigeria.The problem of unemployment in Nigeria has become endemic. There have been reported cases of under-employment, seasonal, casual and full blown unemployment. Previous studies on unemployment and factors influencing it in Nigeria identify poor educational standards,…

Market or government: lessons from a comparative analysis of the experience of Pakistan and India.

PubMed

Papanek, G F

1991-01-01

A comparison of India and Pakistan (and Bangladesh) in the last 40 years is made in view of the consensus emerging in the 1980s about the supremacy of market-oriented strategy to overcome and alleviate poverty even in less developed countries (LDC). For 4 decades India consistently intervened in the economy, while Pakistan had periods of deregulation and more reliance on market forces. The period from 1947 to 1969-1970, the 1970's, and the 1980s were examined. Dirigiste strategy produced similar or lower production in Pakistan and Bangladesh as in India (1% growth), however, market strategy production in the former countries (3%). Foreign aid (over 10% of gross domestic product in Pakistan and less than one-half of that in India) also stimulated growth. In the late 1970s and late 1980s the import surplus of Pakistan and Bangladesh was 11% vs. 25% of that in India. In the 1950s Pakistan's exports grew rapidly, and in the 1960s the rate of growth in manufactured goods was double that of India due to the Export Bonus Voucher System. The reverse was true during 1969-70 and 1976-77 when India's total manufactured exports grew at twice the rate of Pakistan as the abolition of the voucher scheme occurred, inflation climbed and export duties were imposed. In the late 1970s to mid 1980s military governments in Pakistan and Bangladesh relied heavily on the market devaluing by 100%, deregulating imported inputs, and introducing incentives for exports. Dirigism produced a 50% higher grown in India vs. 200% in the other countries by market efforts. Government intervention tended to aggravate market distortions, although it produced positive results in nontraditional exports in Pakistan and in agricultural infrastructure building, primary school attendance and health services, electrification, and road building in India. Market-induced rapid growth used more unskilled labor and alleviated poverty.

Blood component use in a sub-Saharan African country: results of a 4-year evaluation of diagnoses associated with transfusion orders in Namibia.

PubMed

Pitman, John P; Wilkinson, Robert; Liu, Yang; von Finckenstein, Bjorn; Smit Sibinga, Cees Th; Lowrance, David W; Marfin, Anthony A; Postma, Maarten J; Mataranyika, Mary; Basavaraju, Sridhar V

2015-01-01

National blood use patterns in sub-Saharan Africa are poorly described. Although malaria and maternal hemorrhage remain important drivers of blood demand across Africa, economic growth and changes in malaria, HIV/AIDS, and noncommunicable disease epidemiology may contribute to changes in blood demand. We evaluated indications for blood use in Namibia, a country in southern Africa, using a nationally representative sample and discuss implications for the region. Clinical and demographic data related to the issuance of blood component units in Namibia were reviewed for a 4-year period (August 1, 2007-July 31, 2011). Variables included blood component type, recipient age and sex, and diagnosis. Diagnoses reported by clinicians were reclassified into International Statistical Classification of Diseases, 10th Revision categories. Multiple imputation methods were used to complete a data set missing age, sex or diagnosis data. Descriptive analyses were conducted to describe indications for transfusions and use of red blood cells (RBCs), platelets, and plasma. A total of 39,313 records accounting for 91,207 blood component units were analyzed. The median age of Namibian transfusion recipients was 45 years (SD, ±19). A total of 78,660 RBC units were issued in Namibia during the study period. Red blood cells transfused for "unspecified anemia" accounted for the single largest category of blood issued (24,798 units). Of the overall total, 38.9% were for diseases of the blood and blood-forming organs (D50-D89). Infectious disease (A00-B99), pregnancy (O00-O99), and gastrointestinal (K20-K93) accounted for 14.8%, 11.1%, and 6.1% of RBC units issued, respectively. Although a specific diagnosis of malaria accounted for only 2.7% of pediatric transfusions, an unknown number of additional transfusions for malaria may have been categorized by requesting physicians as unspecified anemia and counted under diseases of blood forming organs. During the study period, 9751 units of fresh

Psychosocial functioning and depressive symptoms among HIV-positive persons receiving care and treatment in Kenya, Namibia, and Tanzania.

PubMed

Seth, Puja; Kidder, Daniel; Pals, Sherri; Parent, Julie; Mbatia, Redempta; Chesang, Kipruto; Mbilinyi, Deogratius; Koech, Emily; Nkingwa, Mathias; Katuta, Frieda; Ng'ang'a, Anne; Bachanas, Pamela

2014-06-01

In sub-Saharan Africa, the prevalence of depressive symptoms among people living with HIV (PLHIV) is considerably greater than that among members of the general population. It is particularly important to treat depressive symptoms among PLHIV because they have been associated with poorer HIV care-related outcomes. This study describes overall psychosocial functioning and factors associated with depressive symptoms among PLHIV attending HIV care and treatment clinics in Kenya, Namibia, and Tanzania. Eighteen HIV care and treatment clinics (six per country) enrolled approximately 200 HIV-positive patients (for a total of 3,538 participants) and collected data on patients' physical and mental well-being, medical/health status, and psychosocial functioning. Although the majority of participants did not report clinically significant depressive symptoms (72 %), 28 % reported mild to severe depressive symptoms, with 12 % reporting severe depressive symptoms. Regression models indicated that greater levels of depressive symptoms were associated with: (1) being female, (2) younger age, (3) not being completely adherent to HIV medications, (4) likely dependence on alcohol, (5) disclosure to three or more people (versus one person), (6) experiences of recent violence, (7) less social support, and (8) poorer physical functioning. Participants from Kenya and Namibia reported greater depressive symptoms than those from Tanzania. Approximately 28 % of PLHIV reported clinically significant depressive symptoms. The scale-up of care and treatment services in sub-Saharan Africa provides an opportunity to address psychosocial and mental health needs for PLHIV as part of comprehensive care.

Psychosocial Functioning and Depressive Symptoms Among HIV-Positive Persons Receiving Care and Treatment in Kenya, Namibia, and Tanzania

PubMed Central

Kidder, Daniel; Pals, Sherri; Parent, Julie; Mbatia, Redempta; Chesang, Kipruto; Mbilinyi, Deogratius; Koech, Emily; Nkingwa, Mathias; Katuta, Frieda; Ng’ang’a, Anne; Bachanas, Pamela

2016-01-01

In sub-Saharan Africa, the prevalence of depressive symptoms among people living with HIV (PLHIV) is considerably greater than that among members of the general population. It is particularly important to treat depressive symptoms among PLHIV because they have been associated with poorer HIV care-related outcomes. This study describes overall psychosocial functioning and factors associated with depressive symptoms among PLHIVattending HIV care and treatment clinics in Kenya, Namibia, and Tanzania. Eighteen HIV care and treatment clinics (six per country) enrolled approximately 200 HIV-positive patients (for a total of 3,538 participants) and collected data on patients’ physical and mental well-being, medical/health status, and psychosocial functioning. Although the majority of participants did not report clinically significant depressive symptoms (72 %), 28 % reported mild to severe depressive symptoms, with 12 % reporting severe depressive symptoms. Regression models indicated that greater levels of depressive symptoms were associated with: (1) being female, (2) younger age, (3) not being completely adherent to HIV medications, (4) likely dependence on alcohol, (5) disclosure to three or more people (versus one person), (6) experiences of recent violence, (7) less social support, and (8) poorer physical functioning. Participants from Kenya and Namibia reported greater depressive symptoms than those from Tanzania. Approximately 28 % of PLHIV reported clinically significant depressive symptoms. The scale-up of care and treatment services in sub-Saharan Africa provides an opportunity to address psychosocial and mental health needs for PLHIV as part of comprehensive care. PMID:23868419

BLACK-BACKED JACKAL EXPOSURE TO RABIES VIRUS, CANINE DISTEMPER VIRUS, AND BACILLUS ANTHRACIS IN ETOSHA NATIONAL PARK, NAMIBIA

PubMed Central

Bellan, Steve E.; Cizauskas, Carrie A.; Miyen, Jacobeth; Ebersohn, Karen; Küsters, Martina; Prager, Katie; Van Vuuren, Moritz; Sabeta, Claude; Getz, Wayne M.

2017-01-01

Canine distemper virus (CDV) and rabies virus (RABV) occur worldwide in wild carnivore and domestic dog populations and pose threats to wildlife conservation and public health. In Etosha National Park (ENP), Namibia, anthrax is endemic and generates carcasses frequently fed on by an unusually dense population of black-backed jackals (Canis mesomelas). Using serology and phylogenetic analyses (on samples obtained from February, 2009 to July, 2010), and historical mortality records (1975–2011), we assessed jackal exposure to Bacillus anthracis (BA; the causal bacterial agent of anthrax), CDV, and RABV. Seroprevalence to all three pathogens was relatively high with 95% (n = 86), 73% (n = 86), and 9% (n = 81) of jackals exhibiting antibodies to BA, CDV, and RABV, respectively. Exposure to BA, as assessed with an anti-Protective Antigen ELISA test, increased significantly with age and all animals >1 yr old tested positive. Seroprevalence of exposure to CDV also increased significantly with age, with similar age-specific trends during both years of the study. No significant effect of age was found on RABV seroprevalence. Three of the seven animals exhibiting immunity to RABV were monitored for more than one year after sampling and did not succumb to the disease. Mortality records revealed that rabid animals are destroyed nearly every year inside the ENP tourist camps. Phylogenetic analyses demonstrated that jackal RABV in ENP is part of the same transmission cycle as other dog-jackal RABV cycles in Namibia. PMID:22493112

Youth Reproductive & Sexual Health in Nigeria

ERIC Educational Resources Information Center

Sampson, Melodi

2010-01-01

Nearly one third of Nigeria's total population of 148.1 million is between the ages of 10 and 24. Nigerian adolescents' sizeable share of the population makes them integral to the country's social, political and economic development. Nigeria's development is compromised by the sexual and reproductive health issues afflicting its youth. Lack of…

Regulated compensated donation in Pakistan and Iran.

PubMed

Rizvi, Adibul Hasan S; Naqvi, Anwar S A; Zafar, Naqi M; Ahmed, Ejaz

2009-04-01

Paid living unrelated kidney donor transplantation has flourished in Pakistan and Iran. This review discusses the dynamics and consequences of organ trade in Pakistan and of a regulated paid donor model in Iran on transplant activities in these countries. In 2007, over 2500 renal transplants were performed in Pakistan, where more than 70% were from socioeconomic disadvantaged kidney vendors. More than half of recipients were foreigners who paid US$20,000-30,000. Recipients of vendor kidneys had poor outcome and high infectious complications. Regulated paid donor kidney transplant in Iran number around 1500 per year and constitute 70% of the total transplants. Graft survival rates are similar to those for living related donors. The donors are paid US$1200 and additional monies are negotiated between the recipient-donor pair. This model claims to have abolished waiting lists, although many poor patients wait for deceased donors. In both countries, recipients are relatively rich and vendors are the poor of the society who sell kidneys for quick money or to repay debts. Paid donation, regulated or commercial, leads to coercion and exploitation of the poor and benefits the rich. This situation has forestalled deceased donor program and hence other solid-organ transplants. The way forward is to promote deceased donors by making transplant available to all who need it.

CCHF virus variants in Pakistan and Afghanistan: Emerging diversity and epidemiology.

PubMed

Khurshid, Adnan; Hassan, Mukhtiar; Alam, Muhammad Masroor; Aamir, Uzma Bashir; Rehman, Lubna; Sharif, Salmaan; Shaukat, Shahzad; Rana, Muhammad Suleman; Angez, Mehar; Zaidi, Syed Sohail Zahoor

2015-06-01

Crimean Congo hemorrhagic fever (CCHF) has been reported from more than 30 countries in Africa, Asia, Eastern Europe and Middle East. The disease is considered endemic in Pakistan and neighboring countries like Iran and Afghanistan. This study aimed to explore the genetic diversity of CCHF virus (CCHFV) detected in Pakistan and Afghanistan based on analysis of partial S-segment sequences. During 2011, one hundred samples satisfying the CCHF case definition were tested by (ELISA) and RT-PCR for detection of IgM antibodies and viral RNA, respectively. Phylogenetic analysis was carried out on partial S-segment nucleotide sequences using MEGA 5.0. Out of one hundred collected during 2011, 49 (49%) were positive for CCHF either by ELISA/RT-PCR or both. The mean age of the CCHFV positive cases was 30.32 years (range 18-56 years) and overall mortality rate was 20.4%. All CCHF virus isolates from this study clustered with strains previously reported from Pakistan, Iran and Afghanistan within the Asia-1 genogroup. Four distinct sub-clades were found circulating within Asia-1 genogroup. Six CCHFV strains found in Pakistan and Afghanistan grouped into a new sub-clade-D. Data from this study shows that endemic foci of CCHFV span the international border between Pakistan and Afghanistan with genetically diverse variants circulating in this region. Our findings emphasize to establish a laboratory based surveillance program and devise health policy measures to control CCHF infection especially in Baluchistan. Copyright © 2015 Elsevier B.V. All rights reserved.

U.S. Security Cooperation with India and Pakistan: A Comparative Study

DTIC Science & Technology

2013-06-01

Pakistan’s nuclear ambitions, and resulted in further sanctions200 Pakistan spent the better part of the 1990s seething about the U.S. “abandonment... nuclear accident that happens in future. (From India’s perspective, the problem of liability has been exacerbated by the Fukushima disaster and anti...14. SUBJECT TERMS: United States, India, Pakistan, Security Cooperation, South Asia, Cold War, Defense Cooperation, Kashmir, Nuclear

Maternal and child health project in Nigeria.

PubMed

Okafor, Chinyelu B

2003-12-01

Maternal deaths in developing countries are rooted in womens powerlessness and their unequal access to employment, finance, education, basic health care, and other resources. Nigeria is Africa's most populous country, and it is an oil producing country, but Nigeria has one of the worst maternal mortality rates in Africa. These deaths were linked to deficiencies in access to health care including poor quality of health services, socio-cultural factors, and access issues related to the poor status of women. To address these problems, a participatory approach was used to bring Christian women from various denominations in Eastern Nigeria together. With technical assistance from a research unit in a university in Eastern Nigeria, the women were able to implement a Safe Motherhood project starting from needs assessment to program evaluation. Lessons learned from this program approach are discussed.

Empirical evidence of child poverty and deprivation in Nigeria.

PubMed

Ogwumike, Fidelis O; Ozughalu, Uche M

2018-03-01

Development economists and policy makers have in recent times focused attention on child poverty as a crucial aspect of poverty. The importance of the analysis of child poverty partly lies in the fact that children are the most vulnerable group in every society. This study used two poverty lines and the Foster-Greer-Thorbecke index to analyze extreme and overall child poverty headcount, depth and severity in Nigeria. The study also used the headcount ratio to analyze the extent of child deprivation in education, health, nutrition, child protection, water and sanitation. The study was based on the 2010 Harmonized Nigeria Living Standard Survey (HNLSS) and the 2011 Multiple Indicator Cluster Survey (MICS), obtained from the National Bureau of Statistics (NBS), Abuja, Nigeria. The study revealed that 23.22% of children in Nigeria were in extreme child poverty while 70.31% of children in the country were in overall child poverty. The study further showed that there was pronounced child deprivation in education, health, nutrition, child protection, water and sanitation. Both child poverty and child deprivation were more pronounced in the rural sector than in the urban sector and in Northern Nigeria than in Southern Nigeria. Therefore, the Nigerian government should take adequate steps to eradicate child poverty and obliterate all forms of child deprivation in Nigeria - particularly deprivation in basic needs. In taking such steps, more attention should be focused on rural areas and Northern Nigeria. Copyright © 2017 Elsevier Ltd. All rights reserved.

Determining the Actual Prevalence of Hepatitis B in Khyber Pakhtunkhwa-Pakistan: A Meta-Analysis

PubMed Central

Khan, Najeeb Ullah; Zalan, Ali; Petruzziello, Arnolfo; ud din, Iftikhar; Haq, Fazle; Hayat, Yousaf

2018-01-01

Background: Hepatitis B is considered the most dangerous among the five types of Hepatitis, as it is clinically asymptomatic. It can silently damage the liver over many years without being diagnosed. Hepatitis B is one of the top risks of liver complications in Khyber Pakhtunkhwa (KP), a province of Pakistan, with an average prevalence rate of 2.70%. Aims: We aimed to carefully review the previously published data on prevalence of Hepatitis B Virus (HBV) in KP-Pakistan and use the statistical approach to obtain more precise estimate of the prevalence of HBV in KP-Pakistan. This study on one hand will provide a more reliable and consolidated estimate (pooled estimate) of HBV in the stated region, on the other hand, it enabled us to judge the heterogeneity among the estimates found from these studies. The study is intended to provide more authentic prevalence record and help government/ non-government organizations and health professionals, which plan to initiate HBV prevention programs in KP-Pakistan. Methods: A meta-analysis was performed based on studies found in literature search from electronic databases and bibliography on the prevalence of HBV in KP-Pakistan from 2007 to 2017. Abstracts and results of twenty papers were thoroughly studied and the data were extracted. The findings from these studies were distributed in two groups (general and population at high risk) constituting 15 and 5 studies respectively. Results: The combined prevalence by considering random model for the general population of KP-Pakistan was observed to be 2.71%, while population at high risk was reasonably high i.e. 5.64%. By comparing this prevalence rate to the highest global prevalence of HBV in the adult population of Western Pacific Region (6.2%), significant (p-value= 0.000) heterogeneity was observed among the estimates in each group. However, the funnel plot provides a symmetric look, eliminating the effect of publication bias. We can say that HBV has an alarming prevalence rate

A discussion of 'Anomalous quartz from the Roter Kamm impact crater, Namibia - Evidence for post-impact hydrothermal activity?'

NASA Astrophysics Data System (ADS)

Roedder, Edwin

1990-11-01

This paper presents arguments against the statement made by Koeberl et al. (1989) to the effect that various differences between the quartz of the three quartz pebbles from the Roter Kamm impact crater (Namibia) and the quartz of the pegmatites present in the basement rocks of this crater can be best interpreted as evidence that the pebbles were formed (or 'recrystallized') by a post-impact hydrothermal system. Arguments are presented that suggest that the three quartz pebbles are, most likely, fragments of a preimpact vein quartz of hydrothermal origin.

Non-Life Threatening Maternal Morbidity: Cross Sectional Surveys from Malawi and Pakistan.

PubMed

Zafar, Shamsa; Jean-Baptiste, Rachel; Rahman, Atif; Neilson, James P; van den Broek, Nynke R

2015-01-01

For more accurate estimation of the global burden of pregnancy associated disease, clarity is needed on definition and assessment of non-severe maternal morbidity. Our study aimed to define maternal morbidity with clear criteria for identification at primary care level and estimate the distribution of and evaluate associations between physical (infective and non-infective) and psychological morbidities in two different low-income countries. Cross sectional study with assessment of morbidity in early pregnancy (34%), late pregnancy (35%) and the postnatal period (31%) among 3459 women from two rural communities in Pakistan (1727) and Malawi (1732). Trained health care providers at primary care level used semi-structured questionnaires documenting signs and symptoms, clinical examination and laboratory tests which were bundled to reflect infectious, non-infectious and psychological morbidity. One in 10 women in Malawi and 1 in 5 in Pakistan reported a previous pregnancy complication with 1 in 10 overall reporting a previous neonatal death or stillbirth. In the index pregnancy, 50.1% of women in Malawi and 53% in Pakistan were assessed to have at least one morbidity (infective or non-infective). Both infective (Pakistan) and non-infective morbidity (Pakistan and Malawi) was lower in the postnatal period than during pregnancy. Multiple morbidities were uncommon (<10%). There were marked differences in psychological morbidity: 26.9% of women in Pakistan 2.6% in Malawi had an Edinburgh Postnatal Depression Score (EPDS) > 9. Complications during a previous pregnancy, infective morbidity (p <0.001), intra or postpartum haemorrhage (p <0.02) were associated with psychological morbidity in both settings. Our findings highlight the need to strengthen the availability and quality of antenatal and postnatal care packages. We propose to adapt and improve the framework and criteria used in this study, ensuring a basic set of diagnostic tests is available, to ensure more robust

Hepatitis C Virus and Interferon-Free Antiviral Therapeutics Revolution: Implications for Pakistan.

PubMed

Afzal, Muhammad Sohail

2017-05-01

Hepatitis C virus (HCV) is a major health concern worldwide as a leading cause of liver-related mortalities and morbidities. Pakistan ranks second among countries with endemic HCV infection; ∼11 million cases are reported so far. HCV burden is continuously rising in Pakistan, mainly because of unsafe blood transfusions, surgical procedures, dental procedures, untrained clinicians, reuse of syringes, barbers, and ear/nose piercing tools. Lack of awareness about HCV transmission routes among the general and high-risk population is a major hurdle in disease management. HCV prevalence in the general population and healthy blood donors ranges from 3.13% to 23.83% and from 1.05% to 20.8%, respectively; whereas in the high-risk groups, HCV prevalence is up to 66%. Genotype 3 is most prevalent in Pakistan followed by genotypes 1 and 2 along with an alarming number of untypable viral genotypes in the local community. Mainly interferon-based antiviral regimens are used in Pakistan and are quite effective, because the major prevalent genotype (genotype 3) showed the best sustained virological response (SVR) with it. But a large number of individuals did not show SVR either because of infection with nonresponder genotypes or because of side effects. Due to these reasons, there was a need for interferon-free direct acting antivirals (DAAs). Recently, Sovaldi (Sofosbuvir: NS5B inhibitor) is approved on a heavy discounted rate for Pakistan; it is currently in effective use and showed good SVR. Sovaldi plus ribavirin is used alone or along with interferon to treat different viral genotypes. Sovaldi will be the future treatment regime for Pakistan, because genotype 2 and genotype 3 infected individuals achieve the best SVR with it. For the treatment of other prevalent viral genotypes, approval of some other DAAs such as Ledipasvir on discounted price is required for better disease management.

Scaling up of Life Skills Based Education in Pakistan: A Case Study

ERIC Educational Resources Information Center

Svanemyr, Joar; Baig, Qadeer; Chandra-Mouli, Venkatraman

2015-01-01

Young people between the ages of 10 and 19 make up 23% of Pakistan's population. In Pakistan, young people face many challenges in terms of sexual and reproductive health (SRH) issues. These include early marriage and pregnancy, low use of contraception, use of unsafe abortion, lack of relevant information and poor knowledge about bodily…

Measles in Pakistan: Time to make steps towards eradication.

PubMed

Rehman, Inayat Ur; Bukhsh, Allah; Khan, Tahir Mehmood

World Health Organization (WHO) measles surveillance data report a reduction in cases of measles globally from 67,524 cases in 2015 to 16,846 in 2016, and a reduction in deaths from 546,800 to 114,900 during period of 2000-14. Pakistan is among the five nations where almost a million children did not receive their first dose of measles vaccination, and outbreaks of the disease resulted in 4386 cases in 2011, 14,687 cases in 2012 with 310 deaths. In 2013, about 25,401 cases of measles were reported and 321 affected children died. The measles vaccination coverage is very low in Pakistan for both 1st dose and booster dose. To prevent outbreaks of measles in Pakistan a national vaccination program should be launched side by side with a polio eradication program in each district and township and a campaign should be launched to educate parents on measles vaccination for childrens to reduce the measles case fatality rate. Copyright © 2017 Elsevier Ltd. All rights reserved.

Updated earthquake catalogue for seismic hazard analysis in Pakistan

NASA Astrophysics Data System (ADS)

Khan, Sarfraz; Waseem, Muhammad; Khan, Muhammad Asif; Ahmed, Waqas

2018-03-01

A reliable and homogenized earthquake catalogue is essential for seismic hazard assessment in any area. This article describes the compilation and processing of an updated earthquake catalogue for Pakistan. The earthquake catalogue compiled in this study for the region (quadrangle bounded by the geographical limits 40-83° N and 20-40° E) includes 36,563 earthquake events, which are reported as 4.0-8.3 moment magnitude (M W) and span from 25 AD to 2016. Relationships are developed between the moment magnitude and body, and surface wave magnitude scales to unify the catalogue in terms of magnitude M W. The catalogue includes earthquakes from Pakistan and neighbouring countries to minimize the effects of geopolitical boundaries in seismic hazard assessment studies. Earthquakes reported by local and international agencies as well as individual catalogues are included. The proposed catalogue is further used to obtain magnitude of completeness after removal of dependent events by using four different algorithms. Finally, seismicity parameters of the seismic sources are reported, and recommendations are made for seismic hazard assessment studies in Pakistan.

Heavy metal pollution assessment in various industries of Pakistan

NASA Astrophysics Data System (ADS)

Rehman, Wajid; Zeb, Akif; Noor, Nayyara; Nawaz, Mohsan

2008-07-01

Water pollution is a source of danger to the health of people living in developing countries such as Pakistan. The main industries located at various industrial zones of Pakistan cause water pollution, which ultimately result in various diseases. The aim of the present study was to study the concentrations of essential and toxic metals (Na, K, Cu, Zn, Fe, Ca, Pb and As) in the drained water of three main industrial estates of Pakistan, i.e., Industrial Estate No. 1 Peshawar, Small Industrial Estate No. 2 Gujranwala, Industrial Estate Hattar Haripur, and in Warsak Canal (industrially pure water) with the help of atomic absorption spectroscopy and flame emission spectroscopy. The study showed high Pb and As levels originating from industries. The concentrations of Pb and As ranged from 0.04 to 0.942 mg/L in all the samples. These have been extensively used for irrigation since the last five decades. The elevated concentrations of heavy metals are continuously entering into the food chain through agriculture leading to serious health hazards and a threat to the sustainability of local ecosystem.

Molecular characterization of infectious bursal disease viruses from Pakistan.

PubMed

Shabbir, Muhammad Zubair; Ali, Muhammad; Abbas, Muhammad; Chaudhry, Umer Naveed; Zia-Ur-Rehman; Munir, Muhammad

2016-07-01

Since the first report of infectious bursal disease in Pakistan in 1987, outbreaks have been common even in vaccinated flocks. Despite appropriate administration of vaccines, concerns arise if the circulating strains are different from the ones used in the vaccine. Here, we sequenced the hypervariable region (HVR) of the VP2 gene of circulating strains of infectious bursal disease virus (IBDV) originating from outbreaks (n = 4) in broiler flocks in Pakistan. Nucleotide sequencing followed by phylogeny and deduced amino acid sequence analysis showed the circulating strains to be very virulent (vv) and identified characteristic residues at position 222 (A), 242 (I), 256 (I), 294 (I) and 299 (S). In addition, a substitution at positions 221 (Q→H) was found to be exclusive to Pakistani strains in our analysis, although a larger dataset is required to confirm this finding. Compared to vaccine strains that are commonly used in Pakistan, substitution mutations were found at key amino acid positions in VP2 that may be responsible for potential changes in neutralization epitopes and vaccine failure.

Molecular Characterization of Hypoderma SPP. in Domestic Ruminants from Turkey and Pakistan.

PubMed

Ahmed, Haroon; Simsek, Sami; Saki, Cem Ecmel; Kesik, Harun Kaya; Kilinc, Seyma Gunyakti

2017-08-01

The aim of this study was to determine the morphological and molecular characterization of Hypoderma spp. in cattle and yak from provinces in Turkey and Pakistan. In total, 78 Hypoderma larvae were collected from slaughtered animals in Turkey and Pakistan from October 2015 to January 2016. Thirty-eight of these 78 Hypoderma larvae were morphologically classified as third instar larvae (L3s) of Hypoderma bovis, 37 were classified as Hypoderma lineatum, and 3 were classified as suspected or unidentified. The restriction enzyme TaqI was used to differentiate the Hypoderma spp. by polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP). According to the sequences and the PCR-RFLP results, all larval samples from cattle from Turkey were classified as H. bovis, except for 1 sample classified as H. lineatum. All Hypoderma larvae from Pakistan were classified as H. lineatum from cattle and as Hypoderma sinense from yak. This study provides the first molecular characterization of H. lineatum (cattle) and H. sinense (yak) in Pakistan based on PCR-RFLP and sequencing results.

Diagnosis, Management And Prevention Of Hepatitis C In Pakistan 2017.

PubMed

Umar, Muhammad; Khaar, Hamama-Tul-Bushra; Akhter, Tayyab Saeed; Aslam, Faiza; Ahmad, Syed Irfan; Asghar, Rai Mohammad; Khurram, Mohammad; Hussain, Tassawar; Salamat, Amjad; Khan, Anwar A; Fazal-E-Hadi; Minhas, Zahid Mahmood; Shah, Hasnain Ali; Farooqui, Javed; Naqvi, Asif Abbas; Mohsin, Aftab; Waseem-Ud-Din; Bhutta, Sohail Iqbal; Hasnain Syed, Sibt Ul; Qureshi, Saleem; Adam, Tashfeen; Uddin, Moazzam; Tayyab, Ghias-U-Nabi; Najeeb Ul Haq; Shoaib, Atifa; Ambreen, Saima; Shahzad, Arslan; Ikram, Nadeem; Nisar, Gul; Khan, Mohammad Mujeeb; Osama, Mohammad

2016-01-01

Since the advent of direct acting antiviral agents, there is a revolutionary change in the management of HCV infection. Newer drugs with different mechanism of action are being introduced and are expected to be available in coming few months in Pakistan as well. The main purpose of the guideline is to review and induct the latest research in field of HCV infection in Pakistani perspective so that our healthcare professionals can apply the new recommendations in timely and judicial manner. Target groups of guidelines are general physicians treating hepatitis C, hepatologists and gastroenterologists. Other beneficiaries of these guidelines are public health institutions of Pakistan, which provide free treatment to deserving patients under National Hepatitis Prevention and Control Program and Pakistan Bait-ul- Mal Program. These guidelines are based on the review of National consensus practice guidelines: Diagnosis, Management and Prevention of Hepatitis C Pakistan 2009. Published data in National and International Journals searched with the help of Google search and pub med, and 2015-16 guidelines of HCV by AASLD, EASL, APASL and WHO. Local studies are preferably added with references to enhance the Pakistani perspective. Evidence was also taken from published studies. Recommendations have been based upon evidence from national publications on the subject and scientific presentations at national liver meeting as well from experts' personal experience and opinion.

Blaney-Morin-Nigeria evapotranspiration model

NASA Astrophysics Data System (ADS)

Duru, J. Obiukwu

1984-02-01

An evapotranspiration model which parallels that proposed earlier by Blaney and Morin has been developed for application in Nigeria. The model, designated as the Blaney-Morin-Nigeria evapotranspiration model, predicts potential evapotranspiration with accuracy and consistency that are better than the Penman model, under Nigerian conditions. It is suggested that the Blaney-Morin evapotranspiration concept may have similar potential elsewhere when given specific form with appropriate constants derived to reflect climatic peculiarities.

Trends in Educational Evaluations in Nigeria: Issues and Challenges

ERIC Educational Resources Information Center

Ndubueze, M. Okoloeze; Iyoke, J. O.; Okoh, S. C.; Beatrice, N. Akubuilo

2015-01-01

The paper highlights the trends in educational evaluations in Nigeria starting from the pre-colonial Nigeria to the contemporary. Nigeria first practiced traditional educational evaluation but the system was criticized for lack of documented data. Then the colonial one-shot end of programme evaluation which was later found to be judgmental, breeds…

Progress Toward Polio Eradication - Worldwide, January 2016-March 2018.

PubMed

Khan, Farrah; Datta, S Deblina; Quddus, Arshad; Vertefeuille, John F; Burns, Cara C; Jorba, Jaume; Wassilak, Steven G F

2018-05-11

In 1988, when an estimated 350,000 cases of poliomyelitis occurred in 125 countries, the World Health Assembly resolved to eradicate polio globally. Transmission of wild poliovirus (WPV) continues uninterrupted in only three countries (Afghanistan, Nigeria, and Pakistan) (1), and among the three serotypes, WPV type 1 (WPV1) remains the only confirmed circulating type. This report describes global progress toward polio eradication during January 2016-March 2018, and updates previous reports (2). In 2017, 22 WPV1 cases were reported, a 41% decrease from the 37 WPV1 cases reported in 2016. As of April 24, 2018, eight WPV1 cases have been reported (seven in Afghanistan and one in Pakistan), compared with five cases during the same period in 2017. In Pakistan, continuing WPV1 transmission has been confirmed in multiple areas in 2018 by isolation from wastewater samples. In Nigeria, ongoing endemic WPV1 transmission was confirmed in 2016 (3); although WPV was not detected in 2017 or in 2018 to date, limitations in access for vaccination and surveillance in insurgent-held areas in northeastern Nigeria might permit continued undetected poliovirus transmission. Substantial progress toward polio eradication has continued in recent years; however, interruption of WPV transmission will require overcoming remaining challenges to reaching and vaccinating every missed child. Until poliovirus eradication is achieved, all countries must remain vigilant by maintaining high population immunity and sensitive poliovirus surveillance.

Progress toward polio eradication - worldwide, 2014-2015.

PubMed

Hagan, José E; Wassilak, Steven G F; Craig, Allen S; Tangermann, Rudolf H; Diop, Ousmane M; Burns, Cara C; Quddus, Arshad

2015-05-22

In 1988, the World Health Assembly of the World Health Organization (WHO) resolved to eradicate polio worldwide. Wild poliovirus (WPV) transmission has been interrupted in all but three countries (Afghanistan, Nigeria, and Pakistan). No WPV type 2 cases have been detected worldwide since 1999, and the last WPV type 3 case was detected in Nigeria in November 2012; since 2012, only WPV type 1 has been detected. Circulating vaccine-derived poliovirus (cVDPV), usually type 2, continues to cause cases of paralytic polio in communities with low population immunity. In 2012, the World Health Assembly declared global polio eradication "a programmatic emergency for global public health", and in 2014, WHO declared the international spread of WPV to previously polio-free countries to be "a public health emergency of international concern". This report summarizes global progress toward polio eradication during 2014-2015 and updates previous reports. In 2014, a total of 359 WPV cases were reported in nine countries worldwide. Although reported WPV cases increased in Pakistan and Afghanistan, cases in Nigeria decreased substantially in 2014, and encouraging progress toward global WPV transmission interruption has occurred. Overcoming ongoing challenges to interruption of WPV transmission globally will require sustained programmatic enhancements, including improving the quality of supplementary immunization activities (SIAs) to interrupt transmission in Afghanistan and Pakistan and to prevent WPV exportation to polio-free countries.

Rights of the Child in Nigeria.

ERIC Educational Resources Information Center

Lacroix, Anne Laurence; Shoenberg, Cheryl; Schonveld, Ben

This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the U.N. Convention on the Rights of the Child by the Federation of Nigeria. The report's introduction asserts that the rule by decree of Nigeria's present military regime has…

Venous thromboembolism in Pakistan: a neglected research agenda.

PubMed

Khan, Abdul Ahad; Zafar, Syed Nabeel

2013-02-01

Venous thromboembolism (VTE) is an important cause of in-hospital mortality. A local understanding of disease burden, occurrence, etiology and successful preventive and therapeutic interventions is of vital import. We aimed to review the current literature of VTE originating from Pakistan to determine gaps in knowledge in order to prioritize future research. An electronic search was performed using Pakmedinet, Pubmed and Google Scholar to retrieve research articles on thrombosis, deep vein thrombosis and pulmonary thromboembolism in Pakistan. The search included all years and no limits were applied. All original research articles presenting primary data from Pakistan were selected. Full texts were reviewed and information synthesized and summarized in our review. Eighty-one studies were found, out of which we were able to retrieve and review 77 (95%) full texts. A total of 6,501 patients are included in this review. Among the studies, we found 25 case reports/series, 1 case-control, 3 cohort, 20 cross-sectional, 1 quasi-experimental, 2 randomized controlled trials, 4 retrospective file reviews and 21 review articles. Most of these were small studies with only eight having a patient population above 100. Six studies presented incidence of DVT which ranged from 2.6 to 12.82% depending on the population under study. Two articles studied risk factors for DVT. Six looked at different treatment modalities, often comparing one modality to the other, while another 15 articles assessed diagnostic strategies. Preventive aspects of VTE were addressed by only three studies and all found the rates of thrombo-prophylaxis grossly inadequate. There is a dearth of quality research on venous thromboembolism in Pakistan. We describe key areas of neglect and recommend prioritizing research on epidemiological and preventive aspects.

Pakistan: Summary Report. Education Financing and People's Aspirations in Pakistan. Asia-South Pacific Education Watch

ERIC Educational Resources Information Center

Lozada, Rebecca, Ed.

2008-01-01

This study was conducted across the country in a total of 23 districts, 5 districts each in the four provinces of Pakistan, i.e. Balochistan, Punjab, Sindh, North Western Frontier Province (NWFP), and 2 districts in Azad Jammu & Kashmir (AJK). The main purpose of the paper was to unravel the intricate budgeting process in the education sector,…

Progress toward poliomyelitis eradication - Pakistan, January 2012-September 2013.

PubMed

2013-11-22

Pakistan is one of three countries where transmission of indigenous wild poliovirus (WPV) has never been interrupted. This report describes polio eradication activities and progress in Pakistan during January 2012-September 2013 and updates previous reports. During 2012, 58 WPV cases were reported in selected areas, compared with 198 cases throughout the country in 2011; 52 WPV cases were reported during January-September 2013, compared with 54 cases during the same period in 2012. Of the 110 WPV cases reported since January 2012, 92 cases (84%) occurred in the conflict-affected Federally Administered Tribal Areas (FATA) and in security-compromised Khyber Pakhtunkhwa (KP) Province. WPV type 3 (WPV3) was isolated from only three persons with polio in a single district in 2012; the most recent case occurred in April 2012. During August 2012-September 2013, 52 circulating vaccine-derived poliovirus type 2 (cVDPV2) cases were detected, including 30 cases (58%) identified in FATA during January-September 2013. Approximately 350,000 children in certain districts of FATA have not received polio vaccine during supplementary immunization activities (SIAs) conducted since mid-2012 because local authorities have banned polio vaccination. In some other areas of Pakistan, SIAs have been compromised by attacks targeting polio workers that started in mid-2012. Further efforts to reach children in conflict-affected and security-compromised areas, including vaccinating at transit points and conducting additional short-interval-additional-dose (SIAD) SIAs as areas become accessible, will be necessary to prevent reintroduction of WPV into other areas of Pakistan and other parts of the world.

In the Shadow of the Durand Line: Security, Stability, and the Future of Pakistan and Afghanistan

DTIC Science & Technology

2009-06-01

130 From: “Balchistan: Terrorist Related Incidents,” http://satp.org/satporgtp/countries/pakistan/ Balochistan /index.html (accessed Apr 1, 2009...satporgtp/countries/pakistan/ Balochistan /index.html (accessed Apr 2, 2009). 59 60 and has over the years clearly operated covertly and overtly in...satporgtp/countries/pakistan/ Balochistan /index.html (accessed Apr 2, 2009). Balchistan: Terrorist Related Incidents. South Asian Terrorism Portal

Power Discourse and Educational Policy in Pakistan: Challenges for a Developing Society in the Era of Globalization

ERIC Educational Resources Information Center

Talbani, Aziz

2011-01-01

The article examines the ideological forces that are influencing educational policies and curriculum debates in Pakistan. In Pakistan, ideology dominates education and addressing contemporary global economic and cultural challenges are not a priority. As the result, the government of Pakistan has failed to address the economic woes of people,…

Measuring the Determinants of School Completion in Pakistan: Analysis of Censoring and Selection Bias. Center Discussion Paper.

ERIC Educational Resources Information Center

Holmes, Jessica

This paper explores the demand for child schooling in Pakistan, using the "Pakistan Integrated Household Survey" (1991). There have been few such studies for Pakistan, a country with relatively low enrollment rates and education levels, high illiteracy, and a large disparity between male and female education. This study focuses on two…

75 FR 53732 - In the Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) also known as Tehrik-I...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-01

... DEPARTMENT OF STATE [Public Notice 7141] In the Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) also known as Tehrik-I-Taliban Pakistan also known as Tehrik-e- Taliban also known as.... 1189), exist with respect to Tehrik-e Taliban Pakistan (TTP), also known as Tehrik-I-Taliban Pakistan...

Panoramic View Of Challenges And Opportunities For Primary Healthcare Systems In Pakistan.

PubMed

Sharif, Hina; Sughra, Ume; Butt, Zahid

2016-01-01

Pakistan has a broad system of primary health care facilities to achieve mission of "Health for all". Over the last seven years health expenditure by government of Pakistan has been increased to attain this goal. This study was conducted with the aim to assess all blocks of service readiness (basic equipment, basic amenities, laboratory capacity, standard precautions and essential medicines) in public-primary health care facilities of tehsil Rawalpindi, Pakistan. A cross-sectional survey was carried out utilizing two separate structured questionnaires for basic health units and rural health centres. Information was collected from administrative heads along with other staff where required, of all public-primary health care facilities of Tehsil Rawalpindi. Data were analysed by using SPSS version.17. A total of 26 health facilities were assessed; only 56% BHUs had a sign board that was available in readable form. BHUs with women medical officer as administrative head constituted 52%. Backup for electricity and toilet were the most neglected areas. Basic amenities, standard precautions and laboratory capacity of Basic Health Units (BHUs) showed a clear deviation from standards and is thus a challenge for Pakistan's Primary Health care (PHC). On the other hand for Rural Health Centres (RHCs), most were on the way to meet expectations. Pakistan's government is undoubtedly putting efforts in order to achieve targets of primary healthcare but it needs better mainstreaming of political, institutional and social commitments with modified standards for PHC.

Assessment of Institutional Capacities of Flood Management Institution in Pakistan

NASA Astrophysics Data System (ADS)

Khan, Noor M.

2009-03-01

Pakistan is frequently devastated by floods. The flood impacts can be reduced if the flood management institutional capacities are improved. This paper reviews and assesses the capacities of flood management institution in Pakistan. Citing a number of case studies about the flood management practices in Pakistan, the study estimates the weaknesses and strengths of the institution with respect to various phases of flood management, namely, mitigation, preparedness, response, and rehabilitation and also with respect to various characteristics of institutions, namely, deliberation, coordination, implementation, and evaluation, using an improved capacity assessment framework. It has been found that the performance of the mitigation and rehabilitation phases is not satisfactory and that of preparedness and response is satisfactory. It is concluded that the functions of deliberation need to be improved while the other three characteristics of institution namely, coordination, implementation, and evaluation are performing well. The study will help the policy makers to concentrate on the identified weak capacities.

Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. 2013-2014.

PubMed

Gali, Emmanuel; Mkanda, Pascal; Banda, Richard; Korir, Charles; Bawa, Samuel; Warigon, Charity; Abdullahi, Suleiman; Abba, Bashir; Isiaka, Ayodeji; Yahualashet, Yared G; Touray, Kebba; Chevez, Ana; Tegegne, Sisay G; Nsubuga, Peter; Etsano, Andrew; Shuaib, Faisal; Vaz, Rui G

2016-05-01

Remarkable progress had been made since the launch of the Global Polio Eradication Initiative in 1988. However endemic wild poliovirus transmission in Nigeria, Pakistan, and Afghanistan remains an issue of international concern. Poor microplanning has been identified as a major contributor to the high numbers of chronically missed children. We assessed the contribution of the revised household-based microplanning process implemented in Kano State from September 2013 to April 2014 to the outcomes of subsequent polio supplemental immunization activities using used preselected planning and outcome indicators. There was a 38% increase in the number of settlements enumerated, a 30% reduction in the number of target households, and a 54% reduction in target children. The reported number of children vaccinated and the doses of oral polio vaccine used during subsequent polio supplemental immunization activities showed a decline. Postvaccination lot quality assurance sampling and chronically missed settlement reports also showed a progressive reduction in the number of children and settlements missed. We observed improvement in Kano State's performance based on the selected postcampaign performance evaluation indicators and reliability of baseline demographic estimates after the revised household-based microplanning exercise. © 2016 World Health Organization; licensee Oxford Journals.

Progress toward poliomyelitis eradication - Nigeria, January 2009-June 2010.

PubMed

2010-07-09

Nigeria has maintained a high incidence of wild poliovirus (WPV) cases attributed to persistently high proportions of under- and unimmunized children, and, for many years, the country has served as a reservoir for substantial international spread. In 2008, Nigeria reported 798 polio cases, the highest number of any country in the world. This report provides an update on poliovirus epidemiology in Nigeria during the past 18 months, January 2009-June 2010, and describes activities planned to interrupt transmission. Reported WPV cases in Nigeria decreased to 388 during 2009 (24% of global cases), and WPV incidence in Nigeria reached an all-time low during January--June 2010, with only three reported cases. Cases of circulating type 2 vaccine-derived poliovirus (cVDPV2), which first occurred in Nigeria in 2005, also declined, from 148 during the 12 months of 2009, to eight during the 6-month period, January-June 2010. One indicator of the effectiveness of immunization activities is the proportion of children with nonpolio acute flaccid paralysis (AFP) who never have received oral poliovirus vaccine (OPV). In seven high-incidence northern states of Nigeria, this proportion declined from 17.6% in 2008 to 10.7% in 2009. During 2009-2010, increased engagement of traditional, religious, and political leaders has improved community acceptance of vaccination and implementation of high-quality supplementary immunization activities (SIAs). Enhanced surveillance for polioviruses, further strengthened implementation of SIAs, and immediate immunization responses to newly identified WPV and cVDPV2 cases will be pivotal in interrupting WPV and cVDPV2 transmission in Nigeria.

75 FR 53732 - In the Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) Also Known as Tehrik-I...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-01

... DEPARTMENT OF STATE [Public Notice 7142] In the Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) Also Known as Tehrik-I-Taliban Pakistan Also Known as Tehrik-e- Taliban Also Known as... Tehrik-e Taliban Pakistan (TTP), also known as Tehrik-I-Taliban Pakistan, also known as Tehrik-e-Taliban...

Lessons learned from the integration of local stakeholders in water management approaches in central-northern Namibia

NASA Astrophysics Data System (ADS)

Jokisch, A.; Urban, W.

2012-04-01

Water is the main limiting factor for economic and agricultural development in central-northern Namibia, where approximately 50% of the Namibian population lives on less than 10% of the country's surface area. The climate in the region can be characterized as semi-arid, with distinctive rainy and dry seasons and an average precipitation of 470 mm/a. Central-northern Namibia can furthermore be characterized by a system of so-called Oshanas, very shallow ephemeral river streams which drain the whole region from north to south towards the Etosha-Saltpan. Water quality within these ephemeral river streams rapidly decreases towards the end of the dry season due to high rates of evaporation (2,700 mm/a) which makes the water unsuitable for human consumption and in certain times of the year also for irrigation purposes. Other local water resources are scarce or of low quality. Therefore, the local water supply is mainly secured via a pipeline scheme which is fed by the Namibian-Angolan border river Kunene. Within the research project CuveWaters - Integrated Water Resources Management in central-northern Namibia different small scale water supply and sanitation technologies are implemented and tested as part of the projects multi-resource mix. The aim is to decentralize the regional water supply and make it more sustainable especially in the face of climate change. To gain understanding and to create ownership within the local population for the technologies implemented, stakeholder participation and capacity development are integral parts of the project. As part of the implementation process of rainwater harvesting and water harvesting from ephemeral river streams, pilot plants for the storage of water were constructed with the help of local stakeholders who will also be the beneficiaries of the pilot plants. The pilot plants consist of covered storage tanks and infrastructure for small scale horticultural use of the water stored. These small scale horticultural

Pakistan's health management information system: health managers' perspectives.

PubMed

Qazi, Muhammad Suleman; Ali, Moazzam

2009-01-01

To explore the perceptions of health managers regarding Health Management Information System (HMIS), within their organizational setting and in the context of decentralization process in Pakistan. Owing to the importance of HMIS as a decision making tool and the dependency for its effectiveness on the field-managers who are the key stake holders, a qualitative research was planned to explore, understand, and describe the perceptions of health managers regarding HMIS within their organizational setting in Pakistan. The study was carried out in seven selected districts in all provinces of Pakistan. The strengths highlighted were the sustainability of system even after suspension of funds from donors; vast coverage of over ten thousand health facilities, logistics and drug support systems. The weaknesses included scarcity of resources (i.e. skilled personnel and financial resources), contentious quality and underutilization of data; lack of motivation and feedback among health managers. There is a need to instigate organizational development and institutional strengthening initiatives. These may include defining the structure of organizations; specifying the roles, responsibilities and defining a career structure; managing resources; overhauling the training activity, right from needs assessment to evaluation; creating sense of responsibility; motivating the staff; giving incentives for good work and inculcating work ethics.

Determinants of pre-lacteal feeding practices in urban and rural Nigeria; a population-based cross-sectional study using the 2013 Nigeria demographic and health survey data.

PubMed

Berde, Anselm Shekwagu; Yalcin, Siddika Songul; Ozcebe, Hilal; Uner, Sarp; Caman, Ozge Karadag

2017-09-01

Prelacteal feeding (PLF) is a barrier to exclusive breast feeding. To determine factors associated with PLF in rural and urban Nigeria. We utilized data from the 2013 Nigerian Demographic and Health Survey. Bivariate and multivariate analyses were used to test for association between PLF and related factors. Prevalence of PLF in urban Nigeria was 49.8%, while in rural Nigeria it was 66.4%. Sugar or glucose water was given more in urban Nigeria (9.7% vs 2.9%), plain water was given more in rural Nigeria (59.9% vs 40.8%). The multivariate analysis revealed that urban and rural Nigeria shared similarities with respect to factors like mother's education, place of delivery, and size of child at birth being significant predictors of PLF. Mode of delivery and type of birth were significant predictors of PLF only in urban Nigeria, whereas, mother's age at birth was a significant predictor of PLF only in rural Nigeria. Zones also showed variations in the odds of PLF according to place of residence. Interventions aimed at decreasing PLF rate should be through a tailored approach, and should target at risk sub-groups based on place of residence.

Knowledge, attitudes and practice of final-year student pharmacists in public health in Namibia, Zambia and Zimbabwe: an exploratory survey.

PubMed

Law, Miranda G; Maposa, Prosper; Chambula, Elias; Steeb, David R; Eckel, Stephen F; Duncan, Gregory

2018-05-06

To explore the knowledge, attitudes and practice of final-year student pharmacists about public health. Knowledge, attitudes and practice of all final-year student pharmacists (N = 158) in Namibia, Zambia and Zimbabwe were assessed through a quantitative 12-item survey. The survey assessed personal interest and attitude towards public health activities, self-assessed ability to perform basic public health activities, perspectives towards current pharmacist practices within public health activities in their country, and student involvement in public health activities during pharmacy school. Eighty-two per cent of students responded to the survey (n = 129). The majority (95%) of all final-year student pharmacists are interested in contributing to public health activities in both health promotion and disease prevention and feel, as pharmacists, they have the responsibility to do so. Additionally, the majority of students would like more education during pharmacy school on health promotion (93%) and disease prevention (89%). Despite their interest, low numbers of student pharmacists feel that pharmacists are currently utilised in disease prevention (35%) and health promotion (42%). Final-year student pharmacists in Namibia, Zambia and Zimbabwe express strong interest in public health education and involvement in public health activities. This interest and enthusiasm can serve as evidence for advancing public health education in the pharmacy curricula and for developing pharmacist opportunities in public health efforts that match the needs of the country. © 2018 Royal Pharmaceutical Society.

Reproductive, maternal, newborn, and child health in Pakistan: challenges and opportunities.

PubMed

Bhutta, Zulfiqar A; Hafeez, Assad; Rizvi, Arjumand; Ali, Nabeela; Khan, Amanullah; Ahmad, Faatehuddin; Bhutta, Shereen; Hazir, Tabish; Zaidi, Anita; Jafarey, Sadequa N

2013-06-22

Globally, Pakistan has the third highest burden of maternal, fetal, and child mortality. It has made slow progress in achieving the Millennium Development Goals (MDGs) 4 and 5 and in addressing common social determinants of health. The country also has huge challenges of political fragility, complex security issues, and natural disasters. We undertook an in-depth analysis of Pakistan's progress towards MDGs 4 and 5 and the principal determinants of health in relation to reproductive, maternal, newborn, and child health and nutrition. We reviewed progress in relation to new and existing public sector programmes and the challenges posed by devolution in Pakistan. Notwithstanding the urgent need to tackle social determinants such as girls' education, empowerment, and nutrition in Pakistan, we assessed the effect of systematically increasing coverage of various evidence-based interventions on populations at risk (by residence or poverty indices). We specifically focused on scaling up interventions using delivery platforms to reach poor and rural populations through community-based strategies. Our model indicates that with successful implementation of these strategies, 58% of an estimated 367,900 deaths (15,900 maternal, 169,000 newborn, 183,000 child deaths) and 49% of an estimated 180,000 stillbirths could be prevented in 2015. Copyright © 2013 Elsevier Ltd. All rights reserved.

NASA AIRS Detects Extent of Pakistan Flooding

NASA Image and Video Library

2010-08-19

This image from NASA Aqua spacecraft shows how surface emissivity -- how efficiently Earth surface radiates heat -- changed in several regions of Pakistan over a 32-day period between July 11 pre-flood and August 12 post-flood.

The Tasman Spirit oil spill: implications for regulatory change in Pakistan.

PubMed

Mian, Saima; Bennett, Suzan

2009-07-01

An oil spill in July 2003 from the tanker Tasman Spirit attracted considerable public and media attention in Pakistan. This paper focuses on the experience of a developing country such as Pakistan in dealing with a major oil spill and its impact on bringing about change in the national regulatory framework. A major outcome has been the ratification of the International Convention on Civil Liability for Oil Pollution Damage 1992, which came into force in March 2006 in Pakistan. The convention provides a compensation mechanism for victims incurring oil pollution damages from maritime casualties involving oil laden ships. Several additional changes are still required to improve the country's ability to cope with marine oil spills. These include the development of a comprehensive domestic regulatory framework, implementation of an effective contingency plan, and capacity building of all relevant agencies.

The Mosque Schools in Pakistan: An Experiment in Integrating Nonformal and Formal Education.

ERIC Educational Resources Information Center

Khan, K. A.

A wide-ranging study of the centrality of the mosque to Islamic education in Pakistan emphasizes Islamic educational traditions, the historical background of such education, the obstacles to educational improvement in Pakistan, and the attempt to provide universal primary education. Traditionally, the Prophet Mohammad and the Holy Quran have been…

NASA MISR Tracks Massive Flooding in Pakistan

NASA Image and Video Library

2010-08-18

In late July 2010, flooding caused by heavy monsoon rains began in several regions of Pakistan, including the Khyber Pakhtunkhwa, Sindh, Punjab and parts of Baluchistan. This image was acquired by NASA Terra spacecraft on August 11, 2010.

Population Immunity against Serotype-2 Poliomyelitis Leading up to the Global Withdrawal of the Oral Poliovirus Vaccine: Spatio-temporal Modelling of Surveillance Data

PubMed Central

O’Reilly, Kathleen M.; Etsano, Andrew; Vaz, Rui Gama; Jafari, Hamid; Grassly, Nicholas C.; Blake, Isobel M.

2016-01-01

Background Global withdrawal of serotype-2 oral poliovirus vaccine (OPV2) took place in April 2016. This marked a milestone in global polio eradication and was a public health intervention of unprecedented scale, affecting 155 countries. Achieving high levels of serotype-2 population immunity before OPV2 withdrawal was critical to avoid subsequent outbreaks of serotype-2 vaccine-derived polioviruses (VDPV2s). Methods and Findings In August 2015, we estimated vaccine-induced population immunity against serotype-2 poliomyelitis for 1 January 2004–30 June 2015 and produced forecasts for April 2016 by district in Nigeria and Pakistan. Population immunity was estimated from the vaccination histories of children <36 mo old identified with non-polio acute flaccid paralysis (AFP) reported through polio surveillance, information on immunisation activities with different oral poliovirus vaccine (OPV) formulations, and serotype-specific estimates of the efficacy of these OPVs against poliomyelitis. District immunity estimates were spatio-temporally smoothed using a Bayesian hierarchical framework. Coverage estimates for immunisation activities were also obtained, allowing for heterogeneity within and among districts. Forward projections of immunity, based on these estimates and planned immunisation activities, were produced through to April 2016 using a cohort model. Estimated population immunity was negatively correlated with the probability of VDPV2 poliomyelitis being reported in a district. In Nigeria and Pakistan, declines in immunity during 2008–2009 and 2012–2013, respectively, were associated with outbreaks of VDPV2. Immunity has since improved in both countries as a result of increased use of trivalent OPV, and projections generally indicated sustained or improved immunity in April 2016, such that the majority of districts (99% [95% uncertainty interval 97%–100%] in Nigeria and 84% [95% uncertainty interval 77%–91%] in Pakistan) had >70% population immunity

Comparative analysis of three prehospital emergency medical services organizations in India and Pakistan.

PubMed

Sriram, V; Gururaj, G; Razzak, J A; Naseer, R; Hyder, A A

2016-08-01

Strengthened emergency medical services (EMS) are urgently required in South Asia to reduce needless death and disability. Several EMS models have been introduced in India and Pakistan, and research on these models can facilitate improvements to EMS in the region. Our objective was to conduct a cross-case comparative analysis of three EMS organizations in India and Pakistan - GVK EMRI, Aman Foundation and Rescue 1122 - in order to draw out similarities and differences in their models. Case study methodology was used to systematically explore the organizational models of GVK EMRI (Karnataka, India), Aman Foundation (Karachi, Pakistan), and Rescue 1122 (Punjab, Pakistan). Qualitative methods - interviews, document review and non-participant observation - were utilized, and using a process of constant comparison, data were analysed across cases according to the WHO health system 'building blocks'. Emergent themes under each health system 'building block' of service delivery, health workforce, medical products and technology, health information systems, leadership and governance, and financing were described. Cross-cutting issues not applicable to any single building block were further identified. This cross-case comparison, the first of its kind in low- and middle-income countries, highlights key innovations and lessons, and areas of further research across EMS organizations in India, Pakistan and other resource-poor settings. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Quit smoking for life--social marketing strategy for youth: a case for Pakistan.

PubMed

Khowaja, Liaquat Ali; Khuwaja, Ali Khan; Nayani, Parvez; Jessani, Saleem; Khowaja, Malika Parveen; Khowaja, Saima

2010-12-01

Smoking is the single most avoidable risk factor for cancers. Majority of smokers know about this fact but it is difficult for them to give it up mainly in the face of widespread smoking advertisements by the tobacco industries. To reduce the prevalence of smoking and its associated cancers, immediate actions are required by public health authorities. Social marketing is an effective strategy to promote healthy attitudes and influence people to make real, sustained health behavior change by transiting through different stages which include precontemplation, contemplation, preparation, action, and maintenance. Social marketing can influence smokers to voluntarily accept, reject, modify, or abandon their smoking behavior. In Pakistan, the smoking prevalence has been increasing, necessitating effective measures. The trend of its usage has been going upwards and, according to the World Health Organization, in Pakistan, the usage of cigarette smoking is increased by 30% compared to 1998 figures. The Pakistan Pediatrics Association has estimated 1,000 to 1,200 school-going children between the ages of 6 and 16 years take up smoking every day. In Pakistan, ex-smokers in the low socioeconomic group reported spending 25% of the total household income on this habit. This paper focuses on the antismoking social marketing strategy in Pakistan with an aim to reduce smoking prevalence, especially among the youth.

Land Degradation is The Instinctive Source of Poverty in Rural Areas of Pakistan

NASA Astrophysics Data System (ADS)

Qiu, L. L.; Koondhar, M. A.; Liu, Y. Y.; Zeng, W. Z.

2017-10-01

This review paper focused on the correlation between land degradation and poverty. Pakistan is an agricultural country and agriculture is the backbone of Pakistan`s economy. For the rapid growth of population food security should be under guarantee as well as the food production. In that farmers overused agrarian inputs, such as fertilizer, pesticide and water, environment and farmers were affected from the perspective of contamination and disease increase respectively. Due to over-exploitation of fertilizer and irrigation, ground water was contaminated, soil fertility weakening,salinity increasing and waterlogged. Consequently, soil was hard to be cultivated. In Pakistan 70% of people live in rural areas who are directly or indirectly involved in agriculture. As a result of land degradation farmers can not gain much benefit from agricultural activities and they are also unable to feed their children. Many of them became criminals, therefore, poverty deepened day after day. In order to alleviate poverty, Pakistan government should subsidize farmers on environmentally friendly inputs and; government should also open agricultural training schools to engage farmers in modern methods of cultivation, and provide modern technologies with subsidy rate. When the farmers are aware of how to increase the fertility of soil by employing modern methods, they can gain higher production, and obvious higher production is critical for living a better life and reducing poverty.

Evolution and heterogeneity of multiple serotypes of Dengue virus in Pakistan, 2006–2011

PubMed Central

2013-01-01

Background Even though dengue has been recognized as one of the major public health threats in Pakistan, the understanding of its molecular epidemiology is still limited. The genotypic diversity of Dengue virus (DENV) serotypes involved in dengue outbreaks since 2005 in Pakistan is not well studied. Here, we investigated the origin, diversity, genetic relationships and geographic distribution of DENV to understand virus evolution during the recent expansion of dengue in Pakistan. Methods The study included 200 sera obtained from dengue-suspected patients from 2006 to 2011. DENV infection was confirmed in 94 (47%) sera by a polymerase chain reaction assay. These included 36 (38.3%) DENV-2, 57 DENV-3 (60.6%) and 1 DENV-4 (1.1%) cases. Sequences of 13 whole genomes (6 DENV-2, 6 DENV-3 and 1 DENV-4) and 49 envelope genes (26 DENV-2, 22 DENV-3 and 1 DENV-4) were analysed to determine the origin, phylogeny, diversity and selection pressure during virus evolution. Results DENV-2, DENV-3 and DENV-4 in Pakistan from 2006 to 2011 shared 98.5-99.6% nucleotide and 99.3-99.9% amino acid similarity with those circulated in the Indian subcontinent during the last decade. Nevertheless, Pakistan DENV-2 and DENV-3 strains formed distinct clades characterized by amino acid signatures of NS2A-I116T + NS5-K861R and NS3-K590R + NS5-S895L respectively. Each clade consisted of a heterogenous virus population that circulated in Southern (2006–2009) and Northern Pakistan (2011). Conclusions DENV-2, DENV-3 and DENV-4 that circulated during 2006–2011 are likely to have first introduced via the southern route of Pakistan. Both DENV-2 and DENV-3 have undergone in-situ evolution to generate heterogenous populations, possibly driven by sustained local DENV transmission during 2006–2011 periods. While both DENV-2 and DENV-3 continued to circulate in Southern Pakistan until 2009, DENV-2 has spread in a Northern direction to establish in Punjab Province, which experienced a massive dengue

Erectile dysfunction management options in Nigeria.

PubMed

Afolayan, Anthony Jide; Yakubu, Musa Toyin

2009-04-01

In Nigeria, the prevalence of erectile dysfunction (ED) among patients attending primary care clinics, age-standardized to the U.S. population in 2000 is 57.4%. This is considered high enough to warrant the attention of scientist for critical studies and analysis. The high ED prevalence is associated with etiologies such as psychosexual factors, chronic medical conditions, and some lifestyles. ED constitutes a major public health problem, influencing the patient's well-being and quality of life. It also leads to broken homes and marriages, psychological, social, and physical morbidity. To give an account of various ED management options in Nigeria. Review of peer-reviewed literature, questionnaire, and ethnobotanical survey to some indigenous herb sellers and herbalists. Cross cultural perspectives of ED management in Nigeria. The review suggests that traditional (phytotherapy, zootherapy, and occultism) and nontraditional, orthodox practice (drug therapy, psychological, and behavioral counseling) are applicable to ED management in Nigeria. This review should help in creating awareness into various options available for managing ED in the country, but does not recommend self medication of any form, be it the use of orthodox or herbal remedy.

Computational biology and bioinformatics in Nigeria.

PubMed

Fatumo, Segun A; Adoga, Moses P; Ojo, Opeolu O; Oluwagbemi, Olugbenga; Adeoye, Tolulope; Ewejobi, Itunuoluwa; Adebiyi, Marion; Adebiyi, Ezekiel; Bewaji, Clement; Nashiru, Oyekanmi

2014-04-01

Over the past few decades, major advances in the field of molecular biology, coupled with advances in genomic technologies, have led to an explosive growth in the biological data generated by the scientific community. The critical need to process and analyze such a deluge of data and turn it into useful knowledge has caused bioinformatics to gain prominence and importance. Bioinformatics is an interdisciplinary research area that applies techniques, methodologies, and tools in computer and information science to solve biological problems. In Nigeria, bioinformatics has recently played a vital role in the advancement of biological sciences. As a developing country, the importance of bioinformatics is rapidly gaining acceptance, and bioinformatics groups comprised of biologists, computer scientists, and computer engineers are being constituted at Nigerian universities and research institutes. In this article, we present an overview of bioinformatics education and research in Nigeria. We also discuss professional societies and academic and research institutions that play central roles in advancing the discipline in Nigeria. Finally, we propose strategies that can bolster bioinformatics education and support from policy makers in Nigeria, with potential positive implications for other developing countries.

Computational Biology and Bioinformatics in Nigeria

PubMed Central

Fatumo, Segun A.; Adoga, Moses P.; Ojo, Opeolu O.; Oluwagbemi, Olugbenga; Adeoye, Tolulope; Ewejobi, Itunuoluwa; Adebiyi, Marion; Adebiyi, Ezekiel; Bewaji, Clement; Nashiru, Oyekanmi

2014-01-01

Over the past few decades, major advances in the field of molecular biology, coupled with advances in genomic technologies, have led to an explosive growth in the biological data generated by the scientific community. The critical need to process and analyze such a deluge of data and turn it into useful knowledge has caused bioinformatics to gain prominence and importance. Bioinformatics is an interdisciplinary research area that applies techniques, methodologies, and tools in computer and information science to solve biological problems. In Nigeria, bioinformatics has recently played a vital role in the advancement of biological sciences. As a developing country, the importance of bioinformatics is rapidly gaining acceptance, and bioinformatics groups comprised of biologists, computer scientists, and computer engineers are being constituted at Nigerian universities and research institutes. In this article, we present an overview of bioinformatics education and research in Nigeria. We also discuss professional societies and academic and research institutions that play central roles in advancing the discipline in Nigeria. Finally, we propose strategies that can bolster bioinformatics education and support from policy makers in Nigeria, with potential positive implications for other developing countries. PMID:24763310

Bullying of junior doctors in Pakistan: a cross-sectional survey.

PubMed

Imran, N; Jawaid, M; Haider, I I; Masood, Z

2010-07-01

The aim of this study was to determine the prevalence of workplace bullying among junior doctors in Pakistan, identify the types and sources of bullying behaviours and investigate the perceived barriers to making complaints against bullying. We conducted a cross-sectional survey of junior doctors using convenience sampling in three tertiary care hospitals in two provinces of Pakistan. Demographic details and information about the different types of bullying behaviours experienced by junior doctors in the 12 months preceding the study were collected using a previously validated list of 20 such behaviours. Respondents were also asked to indicate the sources of bullying, any complaints made and if not, the reasons behind it. The data was analysed using the Statistical Package for the Social Sciences. A total of 654 doctors participated in the study. 417 (63.8 percent) of them reported experiencing one or more type of bullying in the past 12 months. 436 (66.7 percent) doctors had witnessed the bullying of others. The most common source of bullying was consultants (51.6 percent). 306 (73.4 percent) respondents did not make a complaint against the bullying. Bullying is faced by a fairly large proportion of junior doctors in Pakistan. The most frequent perpetrators of this bullying are consultants. Major changes are required at the national, organisational and individual levels in Pakistan to tackle the bullying problem and prevent its adverse consequences in an already vulnerable healthcare delivery system.

Security and the Environment in Pakistan

DTIC Science & Technology

2010-08-03

for the micronutrient deficiency disorders observed in Pakistan.”25 For the 2001-2003 period, the U.N. reports that energy supplied from wheat and...other cereals accounted for about 38% of total dietary intake, along with milk products (11%) and sugar products (10%).26 Still, more than 20% of

Exploring Leadership Practices of Principals of Government Elementary Colleges of Education in Pakistan

ERIC Educational Resources Information Center

Bana, Zubeda; Khaki, Jan-e-Alam

2015-01-01

This article shares the findings from a case study conducted to explore the leadership practices of Principals of the Government Elementary Colleges of Education across Pakistan. The study focused on how these Principals understood their roles and responsibilities in the context of the changing role of teacher education in Pakistan and in the…

Contextualising "Education in Pakistan, a White Paper": Global/National Articulations in Education Policy

ERIC Educational Resources Information Center

Lingard, Bob; Ali, Sajid

2009-01-01

This article contextualises "Education in Pakistan, a White Paper" (2007), an influential education policy paper in Pakistan. The focus is on the ways the White Paper constructs its own contexts as a complement to the policy solutions proffered. Here we recognise Seddon's point about the discursive work of policy in constructing context.…

A Dime a Day: The Possibilities and Limits of Private Schooling in Pakistan

ERIC Educational Resources Information Center

Andrabi, Tahir; Das, Jishnu; Khwaja, Asim Ijaz

2008-01-01

The authors of this article state that Pakistan is severely offtrack in its progress toward the Millennium Development Goals relating to education for all. Its educational performance is poor, both in absolute terms and relative to the average income of the country. Pakistan has received global attention because of the widespread perception that…

"I do what I have to do to survive": An investigation into the perceptions, experiences and economic considerations of women engaged in sex work in Northern Namibia

PubMed Central

2011-01-01

Background There is little published research investigating sex work in Namibia, particularly in rural areas. Therefore, the aim of this paper was to determine the views of women engaged in sex work in the Oshakati area of Namibia concerning the main factors influencing their use, or non-use, of male condoms during transactional sexual exchanges. Methods Qualitative interviews were used to better understand the perceptions, experiences and economic considerations of female sex workers in Namibia who were involved in a Behavior Change Communication Program encouraging safer sex practices among high-risk populations in 2006 and 2007. Results While the Behavior Change Communication Program has made significant strides in educating and empowering young women to negotiate more consistent condom use with sexual partners, the gendered economic inequalities and power imbalances within rural and semi-urban Namibian society that favor men hinder further advancement towards positive behavioral change for HIV prevention and also hinder the development of the loving relationships sought by some sex workers. Conclusion This study found that sex workers and transactional sex encounters are heterogeneous entities dependent upon the characteristics of the man (known, stranger, wealthy, attractive to the woman) and the woman (in financial need, desiring love). These features all influence condom use. The 3 E's 'education, empowerment and economic independence' are critical factors needed to encourage and facilitate consistent condom use to prevent HIV transmission. Without financial independence and occupational alternatives building on their health education and empowerment, women who engage in sex work-and transactional sex more generally-will remain largely marginalized from Namibian society, and will continue engaging in risky sexual practices that facilitate HIV acquisition and transmission throughout the community. PMID:21813006

Nurse-midwifery in rural Pakistan.

PubMed

Woods, A B

1991-01-01

Pakistan is a relatively new nation of predominantly Islamic influence. Like many developing countries, it is plagued by extensive communicable diseases, malnutrition, inadequate sewage systems, and illiteracy. Religious beliefs and cultural influences impact heavily on access to health care and on maternal-child health outcomes. This paper examines the major maternal-child health problems encountered, as well as implications for midwifery practice in an Islamic country.

Women Education in Nigeria: Predicaments and Hopes

NASA Astrophysics Data System (ADS)

Akubuilo, Francis; Omeje, Monica

2012-10-01

This paper is focused on women education in Nigeria. It traces the genesis of western education in Nigeria and bias that existed from the traditional Nigerian society against women education. It identified and discussed barriers to women education in Nigeria. Recent trend in enrolment at various levels of education shows improvement in favor of women. In view of this realization, this paper argues that if the current momentum is sustained, women will not only achieve equal status to men in educational attainment but also have the tendency to surpass men within the next ten to fifteen years. The implications could be outreaching as the paper proffers some recommendations.

TREATMENT OF CHRONIC HERPESVIRAL DERMATITIS IN A CAPTIVE CHEETAH (ACINONYX JUBATUS) IN NAMIBIA.

PubMed

Flacke, Gabriella L; Schmidt-Küntzel, Anne; Marker, Laurie

2015-09-01

A 9-yr-old male cheetah (Acinonyx jubatus) housed at the Cheetah Conservation Fund in Namibia developed cutaneous lesions consisting of alopecia, erythema, ulceration, and crusting on the left fore and hind limbs. Histopathology of skin biopsies in conjunction with indirect fluorescent antibody and polymerase chain reaction testing confirmed a diagnosis of feline herpesvirus-1 dermatitis; microbial culture indicated secondary bacterial infection. Therapy included targeted systemic antimicrobial and antiviral treatment, topical medications, and repeated cryotherapy. Lesions exhibited varying degrees of clinical improvement but, overall, progressed in extent, size, and severity during the subsequent 2.5 yr of intense treatment. The cheetah was ultimately euthanized due to a guarded prognosis and concerns about poor quality of life. Potential factors initiating or contributing (or both) to the severity and nonhealing nature of the cutaneous lesions include chronic unidentified stress, altered immune system function, and other environmental influences.

Non-Life Threatening Maternal Morbidity: Cross Sectional Surveys from Malawi and Pakistan

PubMed Central

Zafar, Shamsa; Jean-Baptiste, Rachel; Rahman, Atif; Neilson, James P.; van den Broek, Nynke R.

2015-01-01

Background For more accurate estimation of the global burden of pregnancy associated disease, clarity is needed on definition and assessment of non-severe maternal morbidity. Our study aimed to define maternal morbidity with clear criteria for identification at primary care level and estimate the distribution of and evaluate associations between physical (infective and non-infective) and psychological morbidities in two different low-income countries. Methods Cross sectional study with assessment of morbidity in early pregnancy (34%), late pregnancy (35%) and the postnatal period (31%) among 3459 women from two rural communities in Pakistan (1727) and Malawi (1732). Trained health care providers at primary care level used semi-structured questionnaires documenting signs and symptoms, clinical examination and laboratory tests which were bundled to reflect infectious, non-infectious and psychological morbidity. Results One in 10 women in Malawi and 1 in 5 in Pakistan reported a previous pregnancy complication with 1 in 10 overall reporting a previous neonatal death or stillbirth. In the index pregnancy, 50.1% of women in Malawi and 53% in Pakistan were assessed to have at least one morbidity (infective or non-infective). Both infective (Pakistan) and non-infective morbidity (Pakistan and Malawi) was lower in the postnatal period than during pregnancy. Multiple morbidities were uncommon (<10%). There were marked differences in psychological morbidity: 26.9% of women in Pakistan 2.6% in Malawi had an Edinburgh Postnatal Depression Score (EPDS) > 9. Complications during a previous pregnancy, infective morbidity (p <0.001), intra or postpartum haemorrhage (p <0.02) were associated with psychological morbidity in both settings. Conclusions Our findings highlight the need to strengthen the availability and quality of antenatal and postnatal care packages. We propose to adapt and improve the framework and criteria used in this study, ensuring a basic set of diagnostic tests

Muslim Scholars' Knowledge, Attitudes and Perceived Barriers Towards Polio Immunization in Pakistan.

PubMed

Khan, Muhammad Umair; Ahmad, Akram; Salman, Saad; Ayub, Maria; Aqeel, Talieha; Haq, Noman-Ul; Saleem, Fahad; Khan, Muhammad Ubaid

2017-04-01

Pakistan is one of the two countries where polio remains endemic. Among multiple reasons of polio prevalence, false religious beliefs are accounted as major barriers towards polio immunization in Pakistan. Within this context, religious scholars are now engaged in polio immunization campaigns to dismantle the myths and battle the resurgence of polio in Pakistan. The objective of this study was to assess knowledge, attitudes and perceived barriers of Muslim scholars towards polio immunization in Pakistan. A descriptive, cross-sectional survey of Muslim scholars was conducted in Quetta and Peshawar divisions of Pakistan. From October to December 2015, a convenience sample of 770 Muslim scholars was recruited from the local mosques and religious institutions to participate in this study. Knowledge, attitudes, and perceived barriers were assessed by using self-administered, anonymous and pretested questionnaire. Descriptive and regression analyses were used to express the results with p < 0.05 taken as significant. Three hundred and forty-eight (45.2 %) participants exhibited good knowledge about polio with a mean score of 7.16 ± 2.12 (based on 14 questions). Knowledge gaps were identified about the transmission (32.6 %) and consequences of poliovirus (39.9 %). Overall, 527 (68.4 %) participants showed positive attitudes towards polio immunization with a mean attitude score of 27.35 ± 2.68 (based on nine statements). The majority of participants agreed on the need of depoliticizing polio immunization issues (87.1 %), while reservations were noted about their willingness to participate in future polio immunization programs (44.6 %). Security (75.8 %) and vaccine management issues (64 %) were reported by the participants as the major barriers towards polio immunization in Pakistan. The findings showed poor knowledge of Muslim scholars towards polio; however, their attitudes were positive towards polio immunization. More studies are required to assess the

Voices of Strength and Struggle: Women's Coping Strategies against Spousal Violence in Pakistan

ERIC Educational Resources Information Center

Zakar, Rubeena; Zakar, Muhammad Zakria; Kramer, Alexander

2012-01-01

This article documents the coping strategies adopted by women victims of spousal violence in Pakistan. By drawing on 21 in-depth interviews conducted in Lahore and Sialkot (Pakistan), we found that the women tried to cope with violence by using various strategies, both emotion focused (e.g., use of religion, placating the husband, etc.) and…

Household Structure and Living Conditions in Nigeria

ERIC Educational Resources Information Center

Mberu, Blessing Uchenna

2007-01-01

Data on 7,632 households from the 1999 Nigeria Demographic and Health Survey are used to examine household structure and living conditions in Nigeria. The study finds significant disadvantage in living conditions of single-adult, female- and single-adult, male-headed households relative to two-parent households. Extended households show no…

Ethnicity, petroeconomy, and national integration in Nigeria

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

Yeri-Obidake, E.Z.

1985-01-01

Among several related phenomena, this study presents as its focal points the examination of some of the variables that influence and shape the structure of sociopolitical, cultural and socioeconomic relations in the course of national integration in Nigeria. The exploitation of petroleum resources since 1958 in the Niger Delta has largely influenced the course of the political as well as the socioeconomic development of Nigeria. Due to its rich petroleum resources, the Rivers territory ranked high in the political calculus of both the Federal Government and secessionist Biafra. The central thesis of this study is that oil is the singlemore » glue that has held the Federation of Nigeria together in the last two decades, and prevented it from being balkanized. This study attempts to put into perspective the various eruptions and episodes of secessionist tendencies and agitations in Nigeria. The ebb and flow of separatist agitations seem to reflect the changing geoeconomic, socioeconomic, and sociopolitical environment of the country. Should the petroeconomy collapse, and/or oil losses its significance in the international economy, what will happen to Nigeria as a nation. The present study points up the need to develop other sources of economic interdependence via the proper utilization of the enormous oil revenues before it is written off as a lost opportunity.« less

Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. 2013–2014

PubMed Central

Gali, Emmanuel; Mkanda, Pascal; Banda, Richard; Korir, Charles; Bawa, Samuel; Warigon, Charity; Abdullahi, Suleiman; Abba, Bashir; Isiaka, Ayodeji; Yahualashet, Yared G.; Touray, Kebba; Chevez, Ana; Tegegne, Sisay G.; Nsubuga, Peter; Etsano, Andrew; Shuaib, Faisal; Vaz, Rui G.

2016-01-01

Background. Remarkable progress had been made since the launch of the Global Polio Eradication Initiative in 1988. However endemic wild poliovirus transmission in Nigeria, Pakistan, and Afghanistan remains an issue of international concern. Poor microplanning has been identified as a major contributor to the high numbers of chronically missed children. Methods. We assessed the contribution of the revised household-based microplanning process implemented in Kano State from September 2013 to April 2014 to the outcomes of subsequent polio supplemental immunization activities using used preselected planning and outcome indicators. Results. There was a 38% increase in the number of settlements enumerated, a 30% reduction in the number of target households, and a 54% reduction in target children. The reported number of children vaccinated and the doses of oral polio vaccine used during subsequent polio supplemental immunization activities showed a decline. Postvaccination lot quality assurance sampling and chronically missed settlement reports also showed a progressive reduction in the number of children and settlements missed. Conclusions. We observed improvement in Kano State's performance based on the selected postcampaign performance evaluation indicators and reliability of baseline demographic estimates after the revised household-based microplanning exercise. PMID:26908755

Spatial biostratigraphy of NW Pakistan

NASA Astrophysics Data System (ADS)

Shafique, Naseer Ahmed

2001-07-01

Mesozoic to Cenozoic biostratigraphy of NW Pakistan has been conducted in order to document the temporal and spatial relationship between different marine strata with the help of remote sensing and Geographic Information Systems (GIS). These relationships were then used to help distinguish different tectonostratigraphic units in the Waziristan and the Kurram areas located at the northwestern margin of the Indo-Pakistani craton. Extensive biostratigraphic work in the Waziristan and Kurram areas enabled to distinguish five tectonostratigraphic units and two significant unconformities in the study area. Different foraminiferal zones from Early Jurassic to Middle Eocenewere developed, although due to random samples these zones are not continuous in the sedimentary record. However continuous biozonation from the Late Paleocene P4 to the Early Eocene P9 (Bolli, 1985) biozone was observed. It is observed that the Santonian stage is generally missing in the sedimentary sequence, and it is only found in the olistoliths. This implies that during the Campanian stage there was instability in the shelf due to ophiolite obduction, which caused the displacement of the Santonian strata. The absence of Early Paleocene (Zone P1--P3) microfauna is suggested by rapid subsidence of the NW Indian shelf beginning in the early Paleocene. Moreover, index fossils for the Palpha, P1a, b, c, d, P2 and P3 biozones are absent in the melange of the Thal area suggesting regional uplift during the Paleocene. The presence of Planorotalites pseudomenardii P4 zone microfauna above the unconformable Upper Cretaceous Kahi melange strata suggest the India-Asia collision age between 58 Ma--56 Ma. Foraminiferal biostratigraphy of upper Cretaceous olistoliths was conducted from the Mughal Kot gorge, Baluchistan, Pakistan in order to reveal the depositional history of Late Santonian aged (Dicarinella asymmetrica zone) olistoliths and associated upper Cretaceous to early Tertiary Indo-Pakistani shelf strata

Complete genome sequence of genotype VI Newcastle disease viruses isolated from pigeons in Pakistan

USDA-ARS?s Scientific Manuscript database

Two complete genome sequences of Newcastle disease virus (NDV) are described here. Virulent isolates pigeon/Pakistan/Lahore/21A/2015 and pigeon/Pakistan/Lahore/25A/2015 were obtained from racing pigeons sampled in the Pakistani province of Punjab during 2015. Phylogenetic analysis of the fusion prot...

The near steady state landscape of western Namibia

NASA Astrophysics Data System (ADS)

Matmon, A.; Enzel, Y.; Vainer, S.; Grodek, T.; Mushkin, A.; Aster Team

2018-07-01

Quantitative geomorphic field studies and modeling efforts have focused on the margins of southwestern Africa as an example for landscape evolution in prolonged aridity conditions and tectonic quiescence of passive margins. These efforts concluded that this region is a prime example of a steady state landscape, in which relief changes extremely slowly. Using cosmogenic isotopes, these studies suggested overall landscape exhumation rates of 5-10 m Ma-1 over the past 105-106 yrs. Slightly slower rates on flat-lying exposed bedrock surfaces and faster exhumation rates along the Namibian Great Escarpment as well as on steep slopes of granitic inselbergs, such as the Gross Spitzkoppe are also documented. Here we explore the state of "steady state" in central Namibia. Concentrations of 10Be were measured in bedrock and sediment samples collected throughout the watershed of the Ugab River ( 29,000 km2), which drains the highlands of central Namibia and flows to the Atlantic Ocean. Samples were collected from the main stem of the ephemeral Ugab River, from the slopes and streams draining the Brandberg, which is the largest inselberg in the Namib, and from smaller inselbergs around it. We also sampled several other formerly large, but currently subdued, inselbergs such as the Messum Crater. 10Be concentrations in sediment transported along the axial Ugab River indicate that its drainage basin erodes uniformly at 5-6 m Ma-1 and sediment transport from its headwaters source to the ocean is rapid. 10Be concentrations measured in sediment transported in ephemeral streams draining the Brandberg indicate its erosion at 4 m Ma-1. However, slower rates of 1-3 m Ma-1 were measured for bedrock samples collected from (a) flat lying bedrock surfaces within the Brandberg, (b) top of small tors that rise only a few meters above their surroundings, and (c) exhumed and denuded large magmatic complexes such as the Messum Crater. Furthermore, we found that bedrock buried under grus in the

Choosing an Indigenous Official Language for Nigeria.

ERIC Educational Resources Information Center

Mann, Charles C.

A discussion of the choice of official languages in Nigeria first gives an overview of the current language situation in Nigeria, particularly of indigenous language usage, sketches the history of English, French, and Anglo-Nigerian Pidgin (ANP) both before and after independence, outlines the main proposals for language planning, and draws some…

Eliminating Educational Inequality through E-Learning: The Case of Virtual University of Pakistan

ERIC Educational Resources Information Center

Din, Aisha Muhammad; Jabeen, Sadia

2014-01-01

This study aims at examining the role of e-learning in combating the issues of inequality in terms of access and quality in the field of higher education in Pakistan. The education system in Pakistan is mainly characterized by educational disparity. The standard of education is directly proportional to the investment students make in the form of…

ASSESSMENT OF PRACTICE AT RETAIL PHARMACIES IN PAKISTAN: EXTENT OF COMPLIANCE WITH THE PREVAILING DRUG LAW OF PAKISTAN.

PubMed

Ullah, Hanif; Zada, Wahid; Khan, Muhammad Sona; Iqbal, Muhammad; Chohan, Osaam; Raza, Naeem; Khawaja, Naeem Raza; Abid, Syed Mobasher Ali; Murtazai, Ghulam

2016-01-01

The main objective of this study was to assess the practice at retail pharmacies in Pakistan and to compare the same in rural and urban areas. The maintenance of pharmacy and drug inspectors' visit was also assessed. This cross sectional study was conducted in Abbottabad, Pakistan during October-November, 2012. A sample of 215 drug sellers or drug stores was selected by employing convenient sampling method. With a response rate of 91.6%, 197 drug sellers participated in this study. All the drug sellers were male. Overall, 35% (n = 197) of the drug sellers did not have any professional qualification. A majority of the drug sellers were involved in various malpractices like selling of medicines without prescription (80.7%), prescribing practice (60.9%), prescription intervention (62.4%) and selling of controlled substances (66%) without a license for selling it. These malpractices were significantly higher in rural area than that in urban area.

Are we doing enough? Evaluation of the Polio Eradication Initiative in a district of Pakistan's Punjab province: a LQAS study

PubMed Central

2010-01-01

Background The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. The aim of the study was to establish valid and reliable estimate for: routine oral polio vaccine (OPV) coverage, logistics management and the quality of monitoring systems in health facilities, NIDs OPV coverage, the quality of NIDs service delivery in static centers and mobile teams, and to ultimately provide scientific evidence for tailoring future interventions. Methods A cross-sectional study using lot quality assessment sampling was conducted in the District Nankana Sahib of Pakistan's Punjab province. Twenty primary health centers and their catchment areas were selected randomly as 'lots'. The study involved the evaluation of 1080 children aged 12-23 months for routine OPV coverage, 20 health centers for logistics management and quality of monitoring systems, 420 households for NIDs OPV coverage, 20 static centers and 20 mobile teams for quality of NIDs service delivery. Study instruments were designed according to WHO guidelines. Results Five out of twenty lots were rejected for unacceptably low routine immunization coverage. The validity of coverage was questionable to extent that all lots were rejected. Among the 54.1% who were able to present immunization cards, only 74.0% had valid immunization. Routine coverage was significantly associated with card availability and socioeconomic factors. The main reasons for routine immunization failure were absence of a vaccinator and unawareness of need for immunization. Health workers (96.9%) were a major source of information. All of the 20 lots were rejected for poor compliance in logistics management and quality of monitoring systems. Mean compliance score and compliance percentage for logistics management were 5.4 ± 2.0 (scale 0-9) and 59.4% while

Are we doing enough? Evaluation of the Polio Eradication Initiative in a district of Pakistan's Punjab province: a LQAS study.

PubMed

Mushtaq, Muhammad Umair; Majrooh, Muhammad Ashraf; Ullah, Mohsin Zia Sana; Akram, Javed; Siddiqui, Arif Mahmood; Shad, Mushtaq Ahmad; Waqas, Muhammad; Abdullah, Hussain Muhammad; Ahmad, Waqar; Shahid, Ubeera; Khurshid, Usman

2010-02-09

The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. The aim of the study was to establish valid and reliable estimate for: routine oral polio vaccine (OPV) coverage, logistics management and the quality of monitoring systems in health facilities, NIDs OPV coverage, the quality of NIDs service delivery in static centers and mobile teams, and to ultimately provide scientific evidence for tailoring future interventions. A cross-sectional study using lot quality assessment sampling was conducted in the District Nankana Sahib of Pakistan's Punjab province. Twenty primary health centers and their catchment areas were selected randomly as 'lots'. The study involved the evaluation of 1080 children aged 12-23 months for routine OPV coverage, 20 health centers for logistics management and quality of monitoring systems, 420 households for NIDs OPV coverage, 20 static centers and 20 mobile teams for quality of NIDs service delivery. Study instruments were designed according to WHO guidelines. Five out of twenty lots were rejected for unacceptably low routine immunization coverage. The validity of coverage was questionable to extent that all lots were rejected. Among the 54.1% who were able to present immunization cards, only 74.0% had valid immunization. Routine coverage was significantly associated with card availability and socioeconomic factors. The main reasons for routine immunization failure were absence of a vaccinator and unawareness of need for immunization. Health workers (96.9%) were a major source of information. All of the 20 lots were rejected for poor compliance in logistics management and quality of monitoring systems. Mean compliance score and compliance percentage for logistics management were 5.4 +/- 2.0 (scale 0-9) and 59.4% while those for quality of

Comparative Analysis of Emergency Response Operations: Haiti Earthquake in January 2010 and Pakistan’s Flood in 2010

DTIC Science & Technology

2011-09-01

Earthquake, Pakistan, Flood, Emergency Response Operations, International Community, HA/DR, United Nations , FRC, NDMA , ICT 16. PRICE CODE 17. SECURITY...Registration Authority NATO North Atlantic Treaty Organization NDMA National Disaster and Management Authority NDMC National Disaster Management...complicates relief efforts. 6 NDMA Pakistan, “Pakistan Floods-Summary of Damages,” No Author. Accessed 24

Stressors affecting nursing students in Pakistan.

PubMed

Watson, R; Rehman, S; Ali, P A

2017-12-01

To determine factors contributing to stress experienced by preregistration nursing students in Pakistan, using the Stressors in Nursing Students scale. The aim was to explore the psychometric properties of this instrument and to investigate the effect of a range of demographic variables on the perception of stressors in nursing students. Nursing is a stressful profession, and nursing students may experience more stress due to competing demands and challenges of nursing education, assessment, placements and worries about employment prospects. In this cross-sectional survey, data from 726 nursing students from 11 schools of nursing in Karachi, Pakistan, were collected using a questionnaire. Data were analysed using descriptive as well inferential statistics. An exploratory factor analysis was also conducted. There was no apparent factor structure to the Stressors in Nursing Students scale, unlike in previous studies. The total score on the Stressors in Nursing Students scale was related to gender with males scoring higher. The score generally increased over 4 years of the programme, and students in private schools of nursing scored higher than those in public schools of nursing. Nursing students in Pakistan do not appear to differentiate between different stressors, and this may be due to cultural differences in the students and to the structure of the programme and the articulation between the academic and clinical aspects. Likewise, cultural reasons may account for differences between stress experienced by male and female students. The fact that scores on the Stressors in Nursing Students scale increased over 4 years of the programme and males scored higher than females should alert nursing schools and policymakers related to nursing education and workforce to pay attention to prevent attrition from nursing programmes. © 2017 International Council of Nurses.

NASA CloudSat Spots Beginning of Pakistan Floods

NASA Image and Video Library

2010-08-19

In late July 2010, flooding caused by heavy monsoon rains began in several regions of Pakistan. This image from NASA Aqua spacecraft reveals the bright white cloud tops from the cluster of thunderstorms.

ICT and Higher Educational System in Nigeria

ERIC Educational Resources Information Center

Idowu, Adeyemi I.; Esere, Mary

2013-01-01

This paper examines the integration of ICT in higher education in Nigeria. The possibilities and reach of information technologies can tear down territorial boundaries and make available equal information and knowledge of different categories as soon as necessary data are fed on the website. Nevertheless, Nigeria as a nation is yet to take full…

Physical therapy as a profession and its educational development in Pakistan.

PubMed

Memon, Aamir Raoof; Sahibzada, Nasir Mansoor; Azim, Muhammad Ehab; Siddiqui, Furqan Ahmed

2016-11-01

Physical therapists work in different medical and related settings and serve to maintain and restore functional capability. Pakistan has a disability rate of 2.65% with a total of around 5.035 million disabled people. Physical therapy as a profession started in 1956 at the Jinnah Postgraduate Medical Centre with a 2-year diploma, later on 4 years bachelors programme was also started. In 2008, doctor of physical therapy programme was initiated. The representative body "Pakistan Physical Therapy Association" was also established in 2008 which then joined the World Confederation for Physical Therapy in 2011. There is plenty of work being done in the field and it has seen a rapid growth in the past decade compared to the last 50 years. Currently, there are 69 institutions in Pakistan offering various physical therapy courses. The profession currently requires an autonomous regulatory body to control its educational curriculum and development as well as safeguard its interests.

Climate change and managing water crisis: Pakistan's perspective.

PubMed

Hussain, Mumtaz; Mumtaz, Saniea

2014-01-01

Climate change is a global phenomenon manifested mainly through global warming. The International Panel on Climate Change (IPCC) has reported its negative consequences on natural resources, anthropogenic activities, and natural disasters. The El Nino and La Nina have affected hydrologic regimes and ecosystems. It has been observed that the average temperature in 1995 was 0.4°C higher than that in 1895. By the end of the 21st century, 10% of the area of Bangladesh is likely to be submerged by the sea. Most of the islands of Pacific Ocean will disappear. A major part of Maldives will be submerged. The sea level is expected to rise by 30-150 cm. Extreme events such as floods, cyclones, tsunamis, and droughts have become regular phenomena in many parts of the world. Other adverse impacts are proliferation of water-borne diseases, sea water intrusion, salinization of coastal areas, loss of biodiversity, eco-degradation of watersheds and global glacial decline, and haphazard snow melts/thaws. In turn, these factors have serious effect on water resources. Pakistan is confronting similar climate change. Meteorological data reveal that winter temperatures are rising and summers are getting cooler. Temperature is expected to increase by 0.9°C and 1.5°C by years 2020 and 2050, respectively. Water resources in Pakistan are affected by climate change as it impacts the behavior of glaciers, rainfall patterns, greenhouse gas emissions, recurrence of extreme events such as floods and droughts. Severe floods have occurred in the years 1950, 1956, 1957, 1973, 1976, 1978, 1988, 1992, 2010, 2011, and 2012. Pakistan has faced the worst-ever droughts during the period from 1998 to 2004. Pakistan has surface water potential of 140 million acre feet (MAF) and underground water reserve of 56 MAF. It is one of the most water-stressed countries in the world. The per capita annual availability of water has reduced from 5140 m3 in 1950 to 1000 m3 now. It is fast approaching towards water

Spatial distribution of unidirectional trends in temperature and temperature extremes in Pakistan

NASA Astrophysics Data System (ADS)

Khan, Najeebullah; Shahid, Shamsuddin; Ismail, Tarmizi bin; Wang, Xiao-Jun

2018-06-01

Pakistan is one of the most vulnerable countries of the world to temperature extremes due to its predominant arid climate and geographic location in the fast temperature rising zone. Spatial distribution of the trends in annual and seasonal temperatures and temperature extremes over Pakistan has been assessed in this study. The gauge-based gridded daily temperature data of Berkeley Earth Surface Temperature (BEST) having a spatial resolution of 1° × 1° was used for the assessment of trends over the period 1960-2013 using modified Mann-Kendall test (MMK), which can discriminate the multi-decadal oscillatory variations from secular trends. The results show an increase in the annual average of daily maximum and minimum temperatures in 92 and 99% area of Pakistan respectively at 95% level of confidence. The annual temperature is increasing faster in southern high-temperature region compared to other parts of the country. The minimum temperature is rising faster (0.17-0.37 °C/decade) compared to maximum temperature (0.17-0.29 °C/decade) and therefore declination of diurnal temperature range (DTR) (- 0.15 to - 0.08 °C/decade) in some regions. The annual numbers of both hot and cold days are increasing in whole Pakistan except in the northern sub-Himalayan region. Heat waves are on the rise, especially in the hot Sindh plains and the Southern coastal region, while the cold waves are becoming lesser in the northern cold region. Obtained results contradict with the findings of previous studies on temperature trends, which indicate the need for reassessment of climatic trends in Pakistan using the MMK test to understand the anthropogenic impacts of climate change.

Polio in Pakistan: Social constraints and travel implications.

PubMed

Mushtaq, Asim; Mehmood, Sajid; Rehman, Muhammad Ateeq Ur; Younas, Asma; Rehman, Muhammad Saif Ur; Malik, Muhamamd Faheem; Hyder, Muhammad Zeeshan

2015-01-01

The Global Polio Eradication Initiative (GPEI) in Pakistan has faced failure despite being implemented successfully. Polio cases were successfully reduced by 99% until 2005. However, thereafter, new polio cases were registered, which continue to rise annually. This repeat polio outbreak has placed the country on watch by the World Health Organization (WHO) due to travelers, and Hajj and Umrah pilgrims. The present report reviews the published literature for determining the social constraints to the polio eradication initiative in Pakistan. Religion, politics, awareness, insecurity, inequity, governance, and social responsibility have been identified as key social factors in the failure of any vaccination campaign. Possible interventions have been proposed, which include effectively using modern mass media and educating vaccinators on the social and cultural background of the target community. Copyright © 2015 Elsevier Ltd. All rights reserved.

A critical analysis of the current state of neurosurgery training in Pakistan

PubMed Central

Shamim, M. Shahzad; Tahir, M. Zubair; Godil, Saniya Siraj; Kumar, Rajesh; Siddiqui, Arshad Ali

2011-01-01

Objective: To observe interdepartmental variation in the availability of resources and academic activities within the various neurosurgery programs of Pakistan. Methods: This was a proforma-based survey of neurosurgery trainees and young neurosurgeons of Pakistan, looking at the academic infrastructure and output of their programs. The proforma was filled by 36 respondents from 11 neurosurgery centers of the country. All these centers were accredited for neurosurgery training in Pakistan. Results: Out of the 36 respondents, 30 were completing a Fellowship training (FCPS) and six were enrolled for a Master in Surgery (MS) program. About 80% of the participants used the Youman's Textbook of Neurosurgery as a reference book. Only 40% of the candidates had access to more than one indexed neurosurgery journal. Structured academic sessions (e.g., journal clubs and neuropathology meetings) were lacking in a majority of the training institutes, 95% of the trainees had no microsurgical laboratory experience, and modern neurosurgical tools (frameless neuronavigation system, neuroendoscopy) were in use at a few centers only. Conclusion: Neurosurgery training in Pakistan is not uniform and wide variations exist between the programs at the centers evaluated. We recommend exchange programs between centers at national and international levels, to allow trainees to gain first-hand exposure to training components not available in their own center. PMID:22276237

Gender differences in nonfatal suicidal behavior in Pakistan: significance of sociocultural factors.

PubMed

Khan, M M; Reza, H

1998-01-01

Suicidal behavior is an understudied subject in Pakistan. A variety of social, legal, and religious factors make reporting and data collection on suicide and nonfatal suicidal behavior difficult. To study the problem, a retrospective case-note analysis was carried out in which the sociodemographic and clinical characteristics of 262 female and 185 male suicidal individuals admitted to a university hospital in Karachi, Pakistan, are compared. Three quarters of the suicidal persons were under the age of 30 years. Compared to men, women were younger and more often married. Both women and men tended to use self-poisoning with benzodiazepines, but more women used organophosphate insecticides. In Pakistani society, legal, social, and economic discrimination predisposes women to psychological distress and subsequent suicidal behavior. The study highlights the need for culture-specific research on suicidal behavior in Pakistan.

A brief review on dengue molecular virology, diagnosis, treatment and prevalence in Pakistan

PubMed Central

2012-01-01

Dengue virus infection is a serious health problem infecting 2.5 billion people worldwide. Dengue is now endemic in more than 100 countries, including Pakistan. Each year hundreds of people get infected with dengue in Pakistan. Currently, there is no vaccine available for the prevention of Dengue virus infection due to four viral serotypes. Dengue infection can cause death of patients in its most severity, meanwhile many antiviral compounds are being tested against dengue virus infection to eradicate this disease but still there is a need to develop an efficient, low-cost and safe vaccine that can target all the four serotypes of dengue virus. This review summarizes dengue molecular virology, important drug targets, prevalence in Pakistan, diagnosis, treatment and medicinal plant inhibitors against dengue. PMID:22929369

Population redistribution in Nigeria.

PubMed

Adebayo, A

1984-07-01

One of the major consequences of the reorganization of Nigeria from 4 states into 12 states in 1967 and then into 19 states in the late 1970s was the redistribution of the Nigerian population. Prior to 1967 Nigeria's rural population migrated primarily to the 4 state capitals of Kaduna, Ibadan, Enugu, Benin City and to the federal capital of Lagos. The creation of additional states, each with their own capital, provided new urban environments where migrants from rural areas were afforded opportunities for employment and social mobility. Between 1960-1980, World Bank estimates indicate that 1) population in Nigerian cityes of over 500,000 population increased from 22-57%; 2) the number of cities with a population of 500,000 or more increased from 2 to 9 and 3) the urban population increased from 13-20%. Given Nigeria's estimated population growth rate of 3.6%/year, it is imperative that the goverment continue its decentralization efforts. Tables show 1) population by region based on the 1963 census; 2) estimated population of the 19 state capitals for 1963 and 1975; and 3) estimated population of the areas included in each of the 19 states for 196o, 1977, 1979, and 19819

Prevalence and distribution of human Plasmodium infection in Pakistan.

PubMed

Khattak, Aamer A; Venkatesan, Meera; Nadeem, Muhammad F; Satti, Humayoon S; Yaqoob, Adnan; Strauss, Kathy; Khatoon, Lubna; Malik, Salman A; Plowe, Christopher V

2013-08-28

Both Plasmodium vivax and Plasmodium falciparum are prevalent in Pakistan, yet up-to-date data on the epidemiology of malaria in Pakistan are not available. This study was undertaken to determine the current prevalence and distribution of Plasmodium species across the country. A malariometric population survey was conducted in 2011 using blood samples collected from 801 febrile patients of all ages in four provinces and the capital city of Islamabad. Microscopically confirmed Plasmodium-positive blood samples were reconfirmed by polymerase chain reaction (PCR). Confirmed parasite-positive samples were subjected to species-specific PCR capable of detecting four species of human malaria. Of the 707 PCR-positive samples, 128 (18%) were P. falciparum, 536 (76%) were P. vivax, and 43 (6%) were mixed P. falciparum and P. vivax. Ninety-four microscopy-positive samples were PCR-negative, and Plasmodium malariae and Plasmodium ovale were not detected. Prevalence of P. vivax ranged from 2.4% in Punjab Province to 10.8% in Sindh Province and prevalence of P. falciparum ranged from 0.1% in Islamabad to 3.8% in Balochistan. Plasmodium infections in Pakistan are largely attributed to P. vivax but P. falciparum and mixed species infections are also prevalent. In addition, regional variation in the prevalence and species composition of malaria is high.

High resolution remote sensing information identification for characterizing uranium mineralization setting in Namibia

NASA Astrophysics Data System (ADS)

Zhang, Jie-Lin; Wang, Jun-hu; Zhou, Mi; Huang, Yan-ju; Xuan, Yan-xiu; Wu, Ding

2011-11-01

The modern Earth Observation System (EOS) technology takes important role in the uranium geological exploration, and high resolution remote sensing as one of key parts of EOS is vital to characterize spectral and spatial information of uranium mineralization factors. Utilizing satellite high spatial resolution and hyperspectral remote sensing data (QuickBird, Radarsat2, ASTER), field spectral measurement (ASD data) and geological survey, this paper established the spectral identification characteristics of uranium mineralization factors including six different types of alaskite, lower and upper marble of Rössing formation, dolerite, alkali metasomatism, hematization and chloritization in the central zone of Damara Orogen, Namibia. Moreover, adopted the texture information identification technology, the geographical distribution zones of ore-controlling faults and boundaries between the different strata were delineated. Based on above approaches, the remote sensing geological anomaly information and image interpretation signs of uranium mineralization factors were extracted, the metallogenic conditions were evaluated, and the prospective areas have been predicted.

Exploring English-Language Teachers' Professional Development in Developing Countries: Cases from Syria and Pakistan

ERIC Educational Resources Information Center

Dayoub, Ruba; Bashiruddin, Ayesha

2012-01-01

This paper attempts to present the findings of a study carried out in Pakistan that explored English-language teachers' professional development in developing countries. The main guiding question for the study was: How do English-language teachers at secondary schools learn to teach and develop professionally in Syria and Pakistan? Two cases were…

Status of Project Management Education in Pakistan

ERIC Educational Resources Information Center

Arain, Faisal Manzoor; Tipu, Syed Awais Ahmad

2009-01-01

Emerging contractual delivery systems, collaborative partnerships, new management initiatives, and global product markets require professionals and students to have a broader awareness of construction methods and project management issues. This paper presents the state of the project management education in Pakistan. The analysis is based on…

Molecular typing of antibiotic-resistant Staphylococcus aureus in Nigeria.

PubMed

O'Malley, S M; Emele, F E; Nwaokorie, F O; Idika, N; Umeizudike, A K; Emeka-Nwabunnia, I; Hanson, B M; Nair, R; Wardyn, S E; Smith, T C

2015-01-01

Antibiotic-resistant Staphylococcus aureus including methicillin-resistant strains (MRSA) are a major concern in densely populated urban areas. Initial studies of S. aureus in Nigeria indicated existence of antibiotic-resistant S. aureus strains in clinical and community settings. 73 biological samples (40 throat, 23 nasal, 10 wound) were collected from patients and healthcare workers in three populations in Nigeria: Lagos University Teaching Hospital, Nigerian Institute of Medical Research, and Owerri General Hospital. S. aureus was isolated from 38 of 73 samples (52%). Of the 38 S. aureus samples, 9 (24%) carried the Panton-Valentine leukocidin gene (PVL) while 16 (42%) possessed methicillin resistance genes (mecA). Antibiotic susceptibility profiles indicated resistance to several broad-spectrum antibiotics. Antibiotic-resistant S. aureus isolates were recovered from clinical and community settings in Nigeria. Insight about S. aureus in Nigeria may be used to improve antibiotic prescription methods and minimize the spread of antibiotic-resistant organisms in highly populated urban communities similar to Lagos, Nigeria. Copyright © 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

The epidemic of HIV/AIDS in developing countries; the current scenario in Pakistan.

PubMed

Yousaf, Muhammad Z; Zia, Sadia; Babar, Masroor E; Ashfaq, Usman A

2011-08-12

HIV (Human Immunodeficiency virus) causes (acquired immunodeficiency syndrome) AIDS, in which the immune system of body totally fails to develop any defense against the foreign invaders. Infection with HIV occurs by transfer of blood, semen, and breast milk. HIV/AIDS is a global problem and it results nearly 25 million deaths worldwide. Developing countries like Pakistan have issues regarding Public Health. Currently, epidemic of HIV/AIDS is established in Pakistan and there is a threat of an expanded HIV/AIDS outbreak in the country. The major reason is that population is engaging in high-risk practices, low awareness about HIV/AIDS, and treacherous blood transfusion practices. A supplementary threat to Pakistan is India because both sharing a border and India is facing a rapidly growing HIV/AIDS epidemic. Local NGOs, National and International organizations are warning that in near future Pakistan may experiences bad situation regarding HIV/AIDS.In the present article we focused current situation of surveillance of HIV/AIDS, its virology, genotype, diagnostics, high-risk groups, reasons of vulnerability in Pakistani population, and the role of different national and international organizations in this situation.

Analysis Of The Health Care System Of Pakistan: Lessons Learnt And Way Forward.

PubMed

Kurji, Zohra; Premani, Zahra Shaheen; Mithani, Yasmin

2016-01-01

Pakistani health care system is in progress and since last year, Pakistan has tried to make much improvement in its health care delivery system and has brought out many reforms. A systematic search of national and international literature was looked from peerreviewed databases form MEDLINE, CINAHL, and PubMed. There is little strength in health care delivery system in Pakistan like making health policies, participating in Millennium Development Goals program, initiating vertical programs and introducing Public Private Partnership, improving human resource development and infrastructure by making Basic Health Unit and Rural Health Centres. However, these all programs are very limited in its scope and that is the reason that Pakistan's healthcare system is still not very efficient. There are numerous weaknesses like poor governance, lack of access and unequal resources, poor quality of Health Information Management System, corruption in health system, lack of monitoring in health policy and health planning and lack of trained staff. Pakistan is improving very slowly in the health sector for the last five decades as is evident by its health indicators and above mentioned strengths and weaknesses. Therefore, the Government needs to take strong initiatives to change the current health care system.

[Poliomyelitis--Challenges for the Last Mile of the Eradication Programme].

PubMed

Müller, O; Jahn, A; Razum, O

2016-04-01

The World Health Organisation initiated the Global Polio Eradication Initiative in the year 1988. With the large-scale application of routine and mass vaccinations in children under the age of 5 years, polio disease has become restricted to only 3 endemic countries (Afghanistan, Pakistan and Nigeria) by today. However, since the beginning of the 21st century, increasing numbers of secondary polio epidemics have been observed which were triggered through migration, political turmoil and weak health systems. In addition, there emerged serious technical (e. g., back-mutations of oral vaccine virus to wild virus) and socio-political (refusal of vaccinations in Muslim populations of Nigeria and Pakistan) problems with the vaccination in the remaining endemic countries. It thus appears questionable if the current eradiation initiative will reach its goal in the foreseeable future. © Georg Thieme Verlag KG Stuttgart · New York.

Sociopolitical adjustment among Afghan refugees in Pakistan.

PubMed

Centlivres, P; Centlivres-demont, M

1987-01-01

Although international organizations and Pakistanis expect Afghans to act like true refugees--dependent, obedient, and grateful--Afghans consider themselves as temporary exiles who, in protest against an anti-Islamic government, found temporary refuge in Pakistan; or as soldiers in the holy wars who temporarily use their Islamic neighbor as a base before returning to fight in Afghanistan. Conforming to this concept and to these objectives, the refugees seek to preserve a certain autonomy and to lean towards forms of organization which are derived either from their traditional social structure, or as is more common now, from the ideology of the Islamic movements. One can understand that this situation may cause many misunderstandings, especially with international organizations which finance and supervise aid to the Afghan refugees in Pakistan. As for anthropologists, it is necessary to go beyond known concepts, to relativize familiar models and to act on changes which have come about in the structures and ideology of the Afghan people.

How to Integrate HIV and Sexual and Reproductive Health Services in Namibia, the Epako Clinic Case Study

PubMed Central

Forster, Norbert; Campuzano, Pedro; Kambapani, Rejoice; Brahmbhatt, Heena; Hidinua, Grace; Turay, Mohamed; Ikandi, Simon Kimathi; Kabongo, Leonard; Zariro, Farai

2017-01-01

Introduction: During the past two decades, HIV and Sexual and Reproductive Health services in Namibia have been provided in silos, with high fragmentation. As a consequence of this, quality and efficiency of services in Primary Health Care has been compromised. Methods: We conducted an operational research (observational pre-post study) in a public health facility in Namibia. A health facility assessment was conducted before and after the integration of health services. A person-centred integrated model was implemented to integrate all health services provided at the health facility in addition to HIV and Sexual and Reproductive Health services. Comprehensive services are provided by each health worker to the same patients over time (longitudinality), on a daily basis (accessibility) and with a good external referral system (coordination). Prevalence rates of time flows and productivity were done. Results: Integrated services improved accessibility, stigma and quality of antenatal care services by improving the provider-patient communication, reducing the time that patients stay in the clinic in 16% and reducing the waiting times in 14%. In addition, nurse productivity improved 85% and the expected time in the health facility was reduced 24% without compromising the uptake of TB, HIV, outpatient, antenatal care or first visit family planning services. Given the success on many indicators resulting from integration of services, the goal of this paper was to describe “how” health services have been integrated, the “process” followed and presenting some “results” from the integrated clinic. Conclusions: Our study shows that HIV and SRH services can be effectively integrated by following the person-centred integrated model. Based on the Namibian experience on “how” to integrate health services and the “process” to achieve it, other African countries can replicate the model to move away from the silo approach and contribute to the achievement of

Mental health among adolescents living with HIV in Namibia: the role of poverty, orphanhood and social support.

PubMed

Gentz, Shelene G; Calonge-Romano, Isabel; Martínez-Arias, Rosario; Zeng, Chengbo; Ruiz-Casares, Mónica

2018-05-30

The mental health needs of children and adolescents living with HIV (ALHIV) in Namibia are poorly understood, despite the dramatic improvement in their survival. ALHIV in resource poor contexts face particular risk factors, such as poverty, orphanhood, and poor social support. This study examines the mental health of ALHIV in Namibia, and the factors that contribute to mental health problems. A case-control design assessed emotional and behavioural symptoms of distress, risk and protective factors among adolescents aged 12-18 years. Case participants were 99 HIV-positive adolescents. Case controls were 159 adolescents from the same community who were not known to be HIV seropositive at the time of the study. Control group participants were selected from schools using a stratified random sampling. A larger proportion of HIV-positive adolescents were orphaned (62.6% vs. 20.8%, p < .001); the groups showed no differences in poverty factors. HIV-positive adolescents scored lower than the control group on total perceived social support (p < .05) and caregiver support (p < .05), but no differences in perceived friend support and support from a self-selected person were present. HIV-positive adolescents reported significantly more total emotional and behavioural difficulties (p = .027) and conduct problems (p = .025), even after controlling for socio-demographic factors. However, after controlling for the effects of orphanhood, group differences in mental health outcomes were no longer significant. Furthermore, mediation analysis suggested that social support completely mediated the relationship between HIV status and mental health (standardised pathway coefficients = .05, p = .021). Policies and programmes that aim to strengthen social support and take orphanhood status into consideration may improve the mental health of adolescents living with HIV.

Report on drilling activities in the Thar Desert, Sindh Province, Pakistan

USGS Publications Warehouse

Thomas, Roger E.; Fassett, James E.; Warwick, Peter D.; Wardlaw, Bruce R.; Shah, Abas A.; Khan, Shafique Ahmed; Tagar, Mohammad A.; Memon, Abdul R.; Lashari, Ghulam S.; Khan, Zameer M.; Khan, Muhammad D.; Chandio, Altaf H.; Anwar, Mohammad; Nizamani, Mohammad A.; Ahmad, Mujeeb; Ur-Raman, Mehtab-

1994-01-01

Coal test drilling in the Thar Desert of southeast Pakistan was conducted as part of the Coal Exploration and Assessment Program (COALREAP) involving the United States Agency for International Development (USAID), the Geological Survey of Pakistan (GSP), and the U.S. Geological Survey. Drilling was performed in the Thar Desert, or Great Indian Desert, approximately 175 km northeast of Karachi. Twenty five exploration holes were drilled between January 1992 and May 1994. Drill core was described by geologists of the Pakistan Geological Survey and coal samples were analyzed in both the United States and Pakistan. U.S. Geological Survey geologists offered technical assistance, trained GSP personnel, and managed the drilling program according to an agreement with USAID under the Energy Planning and Development Project.Drilling was performed by the Geological Survey of Pakistan. During drilling, the first 50 m was rotary drilled and cuttings collected every 2 m for examination. Average depth for all coal beds is 214 m with a total average thickness of 10 m of coal per drill hole. Core was described, boxed, and stored at the Geological Survey of Pakistan core library at Sonda, near Hyderabad. Approximately 6,412 m of Paleocene to Eocene rock was drilled of which 3,990 m was cored and 1,113 m was rotary drilled.There was 1,309 m of core loss. Geophysical logging of each drill hole permitted detailed thicknesses of coal to be determined. Analysis of the coal indicated a rank of lignite B with an as-received heating value over 5,000 Btu.This report presents data collected at the drill sites and should be used inconjunction with the published interpretive report (Fassett and Durrani, 1994) and the USGS Open-File Report 94-167, which contains analysis of the coal samples. Tables provide quick reference to numeric data and results. Detailed index maps and specific data, for each drill hole are included. This report covers drill holes TP-5 to TP-31. Drill holes TP-16, 17, 21

Knowledge, attitudes and practices of HIV-positive patients regarding disclosure of HIV results at Betesda Clinic in Namibia

PubMed Central

2013-01-01

Abstract Background This study examined the practices, knowledge, attitudes, and the reasons for disclosure and non-disclosure of HIV-positive patients with regard to the disclosure of HIV results at Betesda Clinic in Windhoek, Namibia. Objectives The objectives of the study were to determine knowledge, attitudes, and practices of HIV-positive patients regarding the disclosure of HIV status at Betesda Clinic in Namibia, and to determine the reasons for disclosure and non-disclosure. Methods This was a cross-sectional descriptive study and 263 HIV-positive patients were enrolled in the study. Results Analyses revealed that knowledge on disclosure was good, with 68% who thought it was important. The majority (73%) have disclosed and 60% disclosed within 1 week of receiving their results. The most common reasons for disclosure were that 32% needed help, 25% wanted his or her partner to go for testing, and 20% wanted to let relatives know. Reasons for non-disclosure were mainly the fear of gossip (79%). Seventy-three per cent had disclosed to their partners, and 23% had disclosed to more than one person. People's reactions were supportive in 43%, whereas 29% understood, 9% accepted and 6% were angry. Upon disclosure 40% received help, 24% of partners were tested, 23% received psychological support and 5% were stigmatised. Disclosure was higher amongst the married and cohabitating. Conclusion The attitude was positive with regard to knowledge of disclosure, with most participants thinking that disclosure was important and good. The attitudes and actual practices of disclosure were encouraging; however, people are disclosing only to trusted individuals in the society and the fear of stigma is still present although the actual stigma was very low.

Determinants of Health Disparities: The Perennial Struggle against Polio in Nigeria

PubMed Central

Osazuwa-Peters, Nosayaba

2011-01-01

Polio remains a global public health issue, and even though it has been eradicated from most countries of the world, countries like Nigeria, the largest black nation on earth, threatens the dream of total eradication of polio from the surface of the earth. Transmission of wild polio virus has never been eliminated in Nigeria, but even worse is the number of countries, both in Sub-Saharan Africa and all over the world that has become re-infected by polio virus strains from Northern Nigeria in recent past. Although a lot has been documented about the Nigerian polio struggle, one aspect that has received little attention on this issue is ethnic and geographic disparities between the Southern and the Northern parts of Nigeria. Understanding these disparities involved in polio virus transmission in Nigeria, as well as the social determinants of health prevalent in Northern Nigeria will help government and other stakeholders and policy makers to synergize their efforts in the fight against this perennial scourge. PMID:21811651

3 CFR - Unexpected Urgent Refugee and Migration Needs Related to the Continuing Conflict in Pakistan

Code of Federal Regulations, 2010 CFR

2010-01-01

... 3 The President 1 2010-01-01 2010-01-01 false Unexpected Urgent Refugee and Migration Needs Related to the Continuing Conflict in Pakistan Presidential Documents Other Presidential Documents... to the Continuing Conflict in Pakistan Memorandum for the Secretary of State By the authority vested...

Regional TEMPEST survey in north-east Namibia

NASA Astrophysics Data System (ADS)

Peters, Geoffrey; Street, Gregory; Kahimise, Ivor; Hutchins, David

2015-09-01

A regional scale TEMPEST208 airborne electromagnetic survey was flown in north-east Namibia in 2011. With broad line spacing (4 km) and a relatively low-powered, fixed-wing system, the approach was intended to provide a regional geo-electric map of the area, rather than direct detection of potential mineral deposits. A key component of the geo-electric profiling was to map the relative thickness of the Kalahari sediments, which is up to 200 m thick and obscures most of the bedrock in the area. Knowledge of the thickness would allow explorers to better predict the costs of exploration under the Kalahari. An additional aim was to determine if bedrock conductors were detectable beneath the Kalahari cover. The system succeeded in measuring the Kalahari thickness where this cover was relatively thin and moderately conductive. Limitations in depth penetration mean that it is not possible to map the thickness in the centre of the survey area, and much of the northern half of the survey area. Additional problems arise due to the variable conductivity of the Kalahari cover. Where the conductivity of the Kalahari sediment is close to that of the basement, there is no discernable contrast to delineate the base of the Kalahari. Basement conductors are visible beneath the more thinly covered areas such as in the north-west and south of the survey area. The remainder of the survey area generally comprises deeper, more conductive cover and for the most part basement conductors cannot be detected. A qualitative comparison with VTEM data shows comparable results in terms of regional mapping, and suggests that even more powerful systems such as the VTEM may not detect discrete conductors beneath the thick conductive parts of the Kalahari cover.

Prevention of lassa Fever in Nigeria.

PubMed

Inegbenebor, Ute; Okosun, John; Inegbenebor, Josephine

2010-01-01

Although specific treatment is available for Lassa fever, early diagnosis is still difficult in most Nigerian primary and secondary health centers. This study was carried out to compare the case-fatality rates of Lassa fever and other medical diseases commonly seen in adult medical wards, to determine the community habits that make Lassa fever endemic in Edo Central District of Nigeria, with the aim of prescribing preventive measures for its control in Nigeria. The records of 908 inpatients in the adult medical wards of Irrua Specialist Teaching Hospital, Irrua and responses from respondents interviewed by trained interviewers on their knowledge, attitudes and practices pertaining to Lassa fever were used for this study. The case-fatality rate of Lassa fever in this center was 28%. Cultural factors and habits were found to favor endemicity of Lassa fever in Edo Central District of Nigeria. Preventive measures were prescribed for families and communities.

National Level Assessment of Mangrove Forest Cover in Pakistan

NASA Astrophysics Data System (ADS)

Abbas, S.; Qamer, F. M.; Hussain, N.; Saleem, R.; Nitin, K. T.

2011-09-01

Mangroves ecosystems consist of inter tidal flora and fauna found in the tropical and subtropical regions of the world. Mangroves forest is a collection of halophytic trees, shrubs, and other plants receiving inputs from regular tidal flushing and from freshwater streams and rivers. A global reduction of 25 % mangroves' area has been observed since 1980 and it is categorized as one of to the most threatened and vulnerable ecosystems of the world. Forest resources in Pakistan are being deteriorating both quantitatively and qualitatively due to anthropogenic activities, climatic v and loose institutional management. According to the FAO (2007), extent of forest cover of Pakistan in 2005 is 1,902,000 ha, which is 2.5% of its total land area. Annual change rate during 2000-2005 was -2.1% which is highest among all the countries in Asia. The Indus delta region contains the world's fifth-largest mangrove forest which provides a range of important ecosystem services, including coastal stabilisation, primary production and provision of nursery habitat for marine fish. Given their ecological importance in coastal settings, mangroves receive special attention in the assessment of conservation efforts and sustainable coastal developments. Coastline of Pakistan is 1050km long shared by the provinces, Sind (350km) and Baluchistan (700 km). The coastline, with typical arid subtropical climate, possesses five significant sites that are blessed with mangroves. In the Sindh province, mangroves are found in the Indus Delta and Sandspit. The Indus Delta is host to the most extensive mangroves areas and extends from Korangi Creek in the West to Sir Creek in the East, whereas Sandspit is a small locality in the West of Karachi city. In the Balochistan province, mangroves are located at three sites, Miani Hor, Kalmat Khor and Jiwani. Contemporary methods of Earth observation sciences are being incorporated as an integral part of environmental assessment related studies in coastal areas

Habitat suitability and movement corridors of grey wolf (Canis lupus) in Northern Pakistan.

PubMed

Kabir, Muhammad; Hameed, Shoaib; Ali, Hussain; Bosso, Luciano; Din, Jaffar Ud; Bischof, Richard; Redpath, Steve; Nawaz, Muhammad Ali

2017-01-01

Habitat suitability models are useful to understand species distribution and to guide management and conservation strategies. The grey wolf (Canis lupus) has been extirpated from most of its historic range in Pakistan primarily due to its impact on livestock and livelihoods. We used non-invasive survey data from camera traps and genetic sampling to develop a habitat suitability model for C. lupus in northern Pakistan and to explore the extent of connectivity among populations. We detected suitable habitat of grey wolf using a maximum entropy approach (Maxent ver. 3.4.0) and identified suitable movement corridors using the Circuitscape 4.0 tool. Our model showed high levels of predictive performances, as seen from the values of area under curve (0.971±0.002) and true skill statistics (0.886±0.021). The main predictors for habitat suitability for C. lupus were distances to road, mean temperature of the wettest quarter and distance to river. The model predicted ca. 23,129 km2 of suitable areas for wolf in Pakistan, with much of suitable habitat in remote and inaccessible areas that appeared to be well connected through vulnerable movement corridors. These movement corridors suggest that potentially the wolf range can expand in Pakistan's Northern Areas. However, managing protected areas with stringent restrictions is challenging in northern Pakistan, in part due to heavy dependence of people on natural resources. The habitat suitability map provided by this study can inform future management strategies by helping authorities to identify key conservation areas.

Epidemiology of Hepatitis C Infection in Pakistan: Current Estimate and Major Risk Factors.

PubMed

Arshad, Aiman; Ashfaq, Usman Ali

2017-01-01

In Pakistan, hepatitis C virus (HCV) is a major healthcare problem, with acute and chronic infections responsible for liver damage, cirrhosis, and hepatocellular carcinoma. Under the Human Development Index of the United Nations, Pakistan is ranked 134th of 174 countries due to its poor educational and health standards. This study was designed to study HCV and its genotype prevalence in different cities and provinces of Pakistan and describe the major routes of HCV transmission. Literature searches were performed in PubMed, Mendeley, and Google Scholar. Ninety different studies were screened for this review, ranging from those published during the years 2000 to 2013. By calculating the mean average of all studies, it was clear that HCV percentage prevalence in the adult population was 11.55%, blood donors 10.10%, pregnant women 4.65%, children 1.6%, patients with different diseases 24.97%, and injecting drug users had the highest prevalence at 51.0%. HCV genotype 3a prevalence was found to be 63.45%, the highest of all genotypes. The percentage prevalence of HCV found for all of the provinces was Punjab: 5.46%, Sindh: 2.55%, Khyber Pakhtoonkhaw: 6.07%, Balochistan: 25.77%, and federally administrated tribal areas: 3.37%. This study shows that the overall prevalence of HCV in the provinces of Pakistan is 8.64% and suggests that the major routes of HCV transmission are reuse of syringes and needles and unchecked blood transfusions. Awareness and economic growth are required to help decrease HCV infection and improve health standards in Pakistan.

Comments on "Measuring the Education Gap in Primary and Secondary Schooling in Pakistan".

PubMed

Ghafoor, A

1992-01-01

Naushin Mahmood and G. M. Zahid's article on the status of primary and secondary education in Pakistan was summarized and commented upon. It was noted that an error in one of the tables was misleading, and the article had indicated both an expansion of primary school facilities in rural areas was needed, and school facilities were underutilized in rural areas. The authors have suggested that funds for higher education be reallocated to primary and secondary education, but higher education still needs increased funding to provide for libraries and specialized facilities which are lacking. The tables of data were appropriate and informative, but more updated would have strengthened their argument about the disparities in education by gender and region. The title of the article was a misnomer. The article provided a comprehensive view of enrollment in primary and secondary education, continuation or retention, and utilization of schools by gender and region and urban/rural status during the 1970s and mid-1980s. There is evidence provided that Pakistan has disparities and imbalances by gender and urban and rural residence and region in education. There has been a slow expansion of education and inability to meet targets, partly due to funding gaps. Efficiency and equity would be improved with a better distribution of public funds. The authors provided an "excellent attempt" to establish basic facts about the educational system in Pakistan; the Pakistan Institute of Development Economics is commended for supporting the Eighth General Meeting of the Pakistan Society of Development Economists and encouraging young economists to examine social issues, such as education.

Inservice Teacher Education in Nigeria: A Case Study.

ERIC Educational Resources Information Center

Esu, Akon E. O.

1991-01-01

Examines the current status of in-service teacher education in Nigeria, indicating three approaches: the central office approach; the long vacation program; and the Associateship Certificate in Education distance learning approach. Recommendations for planning and implementing in-service teacher education programs in Nigeria are noted. (SM)

Climate change and associated spatial heterogeneity of Pakistan: Empirical evidence using multidisciplinary approach.

PubMed

Ali, Ghaffar

2018-09-01

Climate change is a multidimensional phenomenon, which has various implications for the environment and socio-economic conditions of the people. Its effects are deeper in an agrarian economy which is susceptible to the vagaries of nature. Therefore, climate change directly impacts the society in different ways, and society must pay the cost. Focusing on this truth, the main objective of this research was to investigate the empirical changes and spatial heterogeneity in the climate of Pakistan in real terms using time series data. Climate change and variability in Pakistan, over time, were estimated from 1961 to 2014 using all the climate variables for the very first time. Several studies were available on climate change impacts, mitigation, and adaptation; however, it was difficult to observe exactly how much change occurred in which province and when. A multidisciplinary approach was utilized to estimate the absolute change through a combination of environmental, econometric, and remote sensing methods. Moreover, the Autoregressive Distributed Lag (ARDL) model was used to ascertain the extent of variability in climate change and information was digitalized through ground truthing. Results showed that the average temperature of Pakistan increased by 2°C between 1960 and 1987 and 4°C between 1988 and 2014, and R 2 was 0.978. The rate of temperature increased 0.09°C between 1960 and 2014. The mean annual precipitation of Pakistan increased by 478mm, and its R 2 were 0.34-0.64. The mean annual humidity of Pakistan increased by 2.94%, and the rate of humidity has been increased by 0.97% from 1988 to 2014. Notably, Sindh and Balochistan provinces have shown a significant spatial heterogeneity regarding the increase in precipitation. Statistically all variables are significant. This would serve as a baseline information for climate change-related studies in Pakistan and its application in different sectors. This would also serve the plant breeders and policymakers of

Carbon footprint as an environmental sustainability indicator for the particleboard produced in Pakistan

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

Hussain, Majid

This study quantified the carbon footprint of particleboard production in Pakistan using a cradle-to-gate life cycle assessment approach. The system boundary comprised raw materials acquisition, transport, particleboard manufacture and finished product distribution. Primary data were collected through surveys and meetings with particleboard manufacturers. Secondary data were taken from the literature. Greenhouse gas emissions from off-site industrial operations of the particleboard industry represented 52% of the total emissions from the production of 1.0 m{sup 3} of particleboard in Pakistan. The on-site industrial operations cause direct greenhouse gas emissions and accounted for 48% of the total emissions. These operations included energy consumptionmore » in stationary sources, the company-owned vehicle fleet, and the distribution and marketing of the finished product. The use of natural gas combustion in the stationary and mobile sources, raw material transport and urea-formaldehyde resin production chain accounted for the highest emissions from the particleboard production chain in Pakistan. The identification of the major hotspots in the particleboard production chain can assist the wood panel industry to improve their environmental profile. More efforts are needed to investigate the urea-formaldehyde resin production chain and substitution of roundwood with wood and agri-residues to assess the potential improvements. In addition, renewable energy sources should be encouraged to avoid greenhouse gas emissions by substituting fossil energy. This study also provides a benchmark for future research work to formulate comprehensive greenhouse gas emissions reduction plans, because no previous research work is available on the carbon footprint of particleboard production in Pakistan. - Highlights: • We conducted the first carbon footprint assessment of particleboard produced in Pakistan. • System boundary comprised raw materials acquisition, particleboard

Emerging nuclear programs in Asia: The Phillipines, Thailand, Indonesia, and Pakistan

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

Williams, M.L.

This article is a review of the potential for nuclear energy development in the developing nations of Pakistan, Indonesia, Thailand, and the Philippines. In each country, there is a substantial need for new generating capacity, and each is exploring the idea of having nuclear energy supply a meaningful portion of this new capacity. Of the four countries, only Pakistan is currently a nuclear operator, and one vintage CANDU plant in operation and the Chashma unit under construction. Thailand and Indonesia have ambitious plans to have 12 reactors in service by the year 2015.

Model-based Impact Assessment of an Integrated Water Management Strategy on Ecosystem Services relevant to Food Security in Namibia

NASA Astrophysics Data System (ADS)

Luetkemeier, R.; Liehr, S.

2012-04-01

North-central Namibia is characterized by seasonal alterations of drought and heavy rainfall, mostly saline groundwater resources and a lack of perennial rivers. Water scarcity poses a great challenge for freshwater supply, harvest and food security against the background of high population growth and climate change. CuveWaters project aims at poverty reduction and livelihood improvement on a long term basis by introducing a multi-resource-mix as part of an integrated water resources management (IWRM) approach. Herein, creating water buffers by rainwater harvesting (RWH) and subsurface water storage as well as reuse of treated wastewater facilitates micro-scale gardening activities. This link constitutes a major component of a sustainable adaptation strategy by contributing to the conservation and improvement of basic food and freshwater resources in order to reduce drought vulnerability. This paper presents main findings of an impact assessment carried out on the effect of integrated water resources management on ecosystem services (ESS) relevant to food security within the framework of CuveWaters project. North-central Namibia is perceived as a social-ecological system characterized by a strong mutual dependence between natural environment and anthropogenic system. This fundamental reliance on natural resources highlights the key role of ESS in semi-arid environments to sustain human livelihoods. Among other services, food provision was chosen for quantification as one of the most fundamental ESS in north-central Namibia. Different nutritional values were utilized as indicators to adopt a demand-supply approach (Ecosystem Service Profile) to illustrate the ability of the ecosystem to meet people's nutritional requirements. Calculations have been conducted using both Bayesian networks to incorporate uncertainty introduced by the variability of monthly precipitation and the application of plant specific water production functions. Results show that improving the

An outbreak of enterically transmitted non-A, non-B hepatitis in Pakistan.

PubMed

Iqbal, M; Ahmed, A; Qamar, A; Dixon, K; Duncan, J F; Islam, N U; Rauf, A; Bryan, J P; Malik, I A; Legters, L J

1989-04-01

An epidemic of enterically transmitted non-A, non-B hepatitis occurred at a college in Sargodha, Pakistan in early 1987. There were 133 clinical cases, an attack rate of approximately 20%. Though the disease was relatively mild, all clinical cases required hospitalization and prolonged convalescence. Nearly all cases were associated with a single water source. The epidemic ended when the water supply was improved. This is the 4th described epidemic of non-A, non-B hepatitis in Pakistan.

Dengue viral infections in Pakistan and other Asian countries: a comprehensive review.

PubMed

Zubair, Muhammad; Ashraf, Muhammad; Ahsan, Aitezaz; Nazir, Noor-Ul-Ain; Hanif, Hina; Khan, Haider Ali

2016-07-01

Infections due to Dengue virus are widespread throughout the world. Disease starts with mild flu like sickness to a severe intricate condition which results in the death of the patient. Dengue illness has high morbidity and mortality in Pakistan as well as in other Asian countries. The Review article is a discourse analysis that explores the facts about the history, emergence and impact of dengue in Pakistan and other Asian countries. Data was collected from internet sources, mainly using Science Direct and PubMed. The final literature was reviewed and summarised. About 150 articles were identified and 47 articles were shortlisted for final review. Aedesaegypti was found to be a major vector for the transmission and spread of dengue illness. Treatment comprises supportive therapy as no specific treatment was available. During the last couple of years, the incidence of dengue fever was extraordinary in metropolitan cities of Pakistan.

Impact of gender participation in non-farming activities on household income and poverty levels in Pakistan.

PubMed

Ali, Akhter; Erenstein, Olaf; Rahut, Dil Bahadur

2015-01-01

In the rural areas of Pakistan, the majority of farm households have small landholdings of less than 2 hectares. Both male and females are engaged in farming and non-farming activities. However, in Pakistan the gender-wise participation in farming activities is not much documented. The main objective of the current study is to estimate the impact of male and female participation in non-farming activities on a household's income level and poverty status in Pakistan. The current study is based on a cross-sectional data set collected from 325 households through a purposive random sampling technique. A detailed comprehensive questionnaire was prepared for data collection. The data were analyzed by employing the propensity score matching approach. The empirical results indicate that both male and female participation in non-farming activities has a positive impact on household welfare in Pakistan by raising income levels and thus contributing to poverty reduction. However, the impact is greater when the males of a household take part in these activities rather than the females. In the past only a few studies have focused on gender-based participation in non-farming activities. The non-farming sector is an important one in rural areas, especially in developing countries like Pakistan. More opportunities need to be created for both men and women in rural areas of Pakistan to find off-farm work, in order to increase household income and reduce poverty levels.

Revitalizing the HIV response in Pakistan: a systematic review and policy implications.

PubMed

Singh, Sonal; Ambrosio, Marco; Semini, Iris; Tawil, Oussama; Saleem, Muhammad; Imran, Muhammad; Beyrer, Chris

2014-01-01

We sought to describe the epidemiology of HIV in Pakistan and prioritize interventions to improve the effectiveness and efficiency of the response to HIV. We conducted a systematic review of the epidemiology of HIV in Pakistan. Data sources included PUBMED and EMBASE and unpublished reports from public, non-governmental organizations and provincial and national stakeholders. We focused on findings from the last 5 years and only evaluated data before 2005 on at risk groups where there were insufficient data published after 2005. A population attributable risk analysis was conducted to estimate the burden of HIV among most at risk populations (people who inject drugs, female sex workers, male sex workers, Hijra or transgender sex workers and men who have sex with men). Pakistan has a concentrated epidemic of HIV-1 among most at risk populations with very low prevalence rates in the general population (0.04%). The majority of current HIV infections are estimated to occur among four at risk populations, despite their accounting for under 2% of all adults. Injecting drug users accounted for 36.4% of HIV cases - the largest share of infections in any one group. Female, male and transgender sex workers accounted for 24%, 12% and 17.5% respectively, a cumulative population attributable risk of 53.5% of all infections occurring among sex workers. Pakistan must continue to invest in targeted, evidence-based interventions to prevent the spread of HIV and curb the epidemic trajectory in Pakistan. A comprehensive range of services should include needle and syringe exchange, opiate substitution therapy for people who inject drugs, outreach and engagement with injecting drug users, Hijra' community as well as male and female sex workers and their clients and improved linkage between services and voluntary counseling, testing and anti-retroviral therapy. Copyright © 2013 Elsevier B.V. All rights reserved.

Spatio-temporal assessment and seasonal variation of tropospheric ozone in Pakistan during the last decade.

PubMed

Noreen, Asma; Khokhar, Muhammad Fahim; Zeb, Naila; Yasmin, Naila; Hakeem, Khalid Rehman

2018-03-01

This study uses the tropospheric ozone data derived from combined observations of Ozone Monitoring Instrument/Microwave Limb Sounder instruments by using the tropospheric ozone residual method. The main objective was to study the spatial distribution and temporal evolution in the troposphere ozone columns over Pakistan during the time period of 2004 to 2014. Results showed an overall increase of 3.2 ± 1.1 DU in tropospheric ozone columns over Pakistan. Spatial distribution showed enhanced ozone columns in the Punjab and southern Sindh consistent to high population, urbanization, and extensive anthropogenic activities, and exhibited statistically significant temporal increase. Seasonal variations in tropospheric ozone columns are driven by various factors such as seasonality in UV-B fluxes, seasonality in ozone precursor gases such as NO x and volatile organic compounds (caused by temperature dependent biogenic emission) and agricultural fire activities in Pakistan. A strong correlation of 96% (r = 0.96) was found between fire events and tropospheric ozone columns in Pakistan.

Preliminary study for understanding the moderating role of government regulations in telecom sector of Pakistan

NASA Astrophysics Data System (ADS)

Tariq, Beenish; Mat, Nik Kamariah Nik

2017-10-01

Telecommunication sector of Pakistan is a significant contributor toward the economic development of Pakistan. However, telecommunication sector of Pakistan underwent a lot of changes from regulatory and marketing perspective in 2015, resulting in decreased cellular penetration, dropped down the cellular subscribers and decreased telecommunication revenue. Hence, this research paper is designed to validate the constructs used in addressing the moderating role of government regulations based on Oliver's four-stage loyalty model in telecom sector of Pakistan. This preliminary study has mainly employed the quantitative method (i.e. survey questionnaire), consisting of a total of 72 items related to eight constructs under study and used 7 points Likert scale. The main analysis method used is the reliability test of the constructs. The results reveal that the Cronbach alpha readings were between 0.756 and 0.932, indicating internally consistent and reliable measures of the constructs used. This result enables the constructs to be included in the actual data collection without change.

Household Consequences of High Fertility in Pakistan. World Bank Discussion Paper Series No. 111.

ERIC Educational Resources Information Center

Cochrane, Susan Hill; And Others

The theory and evidence of the consequences of high fertility in Pakistan are reviewed in this paper. Several data sets are analyzed to examine the effects of the number of children on school participation and labor participation in urban Pakistan. Other data are utilized to examine the effects of children on savings in urban and rural areas.…

The status of women in Pakistan. [Extracts from the Report of the Pakistan Commission on the Status of Women, December 1984].

PubMed

1988-01-01

Extracts from the Report of the Pakistan Commission on the Status of Women, December 1984, are quoted under the headings of demographic, health, educational and economic status, followed by recommendations on health, education and employment. Pakistan's current Five Year Plan includes women in national development, yet in reality, women are only valued as mothers of sons or family servants. Demographically, females in Pakistan constitute 47.5% of the population, reflecting general neglect of girls and women. Women have a 54-year life expectancy, compared to 55 for men. Women are subject to poorer nutrition, hard physical labor, greater disability and maternal mortality of 6-8/1000. School enrollment is relatively lower for girls than boys than in India, apparently because people prefer gender-segregated primary schools, and few women are trained as teachers. Official labor statistics do not reflect the high participation rates of women in family, farm, and informal sector work. None of these workplaces afford good pay, working conditions, upward mobility or respect. Consequently women work harder and longer than men: 16 hours daily in rural areas, and as laborers and helpers rather than skilled workers in cities. Some of the recommendations are nutrition supplements, sanitation, clean nearby drinking water, appropriate technology, maternal-child health care, literacy programs, primary classes for girls, quotas for females in professional training, and a list of suggestions to improve women's self respect, safety in public, and equal employment opportunity.

Iron/folic acid supplementation during pregnancy prevents neonatal and under-five mortality in Pakistan: propensity score matched sample from two Pakistan Demographic and Health Surveys.

PubMed

Nisar, Yasir B; Dibley, Michael J

2016-01-01

Several epidemiological studies from low- and middle-income countries have reported a protective effect of maternal antenatal iron/folic acid (IFA) on childhood mortality. The current study aimed to evaluate the effect of maternal antenatal IFA supplementation on childhood mortality in Pakistan. A propensity score-matched sample of 8,512 infants live-born within the 5 years prior to interview was selected from the pooled data of two Pakistan Demographic and Health Surveys (2006/07 and 2012/13). The primary outcomes were childhood mortality indicators and the main exposure variable was maternal antenatal IFA supplementation. Post-matched analyses used Cox proportional hazards regression and adjusted for 16 potential confounders. Maternal antenatal IFA supplementation significantly reduced the adjusted risk of death on day 0 by 33% [adjusted hazard ratio (aHR)=0.67, 95% confidence interval (95% CI) 0.48-0.94], during the neonatal period by 29% (aHR=0.71, 95% CI 0.57-0.88), and for under-fives by 27% (aHR=0.73, 95% CI 0.60-0.89). When IFA was initiated in the first 4 months of pregnancy, the adjusted risk of neonatal and under-five deaths was significantly reduced by 35 and 33%, respectively. Twenty percent of under-five deaths were attributable to non-initiation of IFA in the first 4 months of pregnancy. With universal initiation of IFA in the first 4 months of pregnancy, 80,300 under-five deaths could be prevented annually in Pakistan. Maternal antenatal IFA supplementation significantly reduced neonatal and under-five deaths in Pakistan. Earlier initiation of supplements in pregnancy was associated with a greater prevention of neonatal and under-five deaths.

Analysing diagenetic effects of flood basalts on sedimentary basins during Gondwanan break-up: case studies from NW Namibia.

NASA Astrophysics Data System (ADS)

Thompson, G. A.; Jerram, D. A.; Harris, C.; Pearson, D. G.

2003-04-01

ABSTRACT The eruption of large volumes of lava associated with the break-up and dispersal of the Gondwana Supercontinent is a phenomenon that has been well documented in literature. The Etendeka Flood Basalt Province of NW Namibia is correlated with the Paraná Flood Basalt Province of South America and was extruded between 139Ma for the earliest flows and 130Ma for the most recent. The passive, inflated pahoehoe lava flows have preserved bedforms within sand dunes found in the Huab Basin without significant deformation. This allows the internal structures of the palaeo-dunes to be analysed with great accuracy; a phenomenon rarely seen within the geological record. The sediments directly beneath, and interbedded with, the Etendeka Flood Basalt are lithostratigraphically similar to those in the Kudu Gas Province, offshore Namibia, where gas-bearing aeolian sands are interspersed with lava flows. Research by the authors is focussed on the diagenetic effects, both direct and indirect, of the emplacement of the lava, and the associated sills and dykes, on the aeolian sands. Specific interests include: the compartmentalisation of the basin by sills/dykes/lava: how does this affect fluid flow paths? Diagenesis along hot contacts: is the dramatic reduction in porosity/permeability along such contacts the result of the igneous bodies alone or do they need ground water present? Can large igneous events trigger the movement of hot fluids through the basin and to what extent does this cause alteration to sediments? To address these issues we have identified a number of outcrop case studies within the Huab Basin in NW Namibia. Here, excellent 3 dimensional outcrop coupled with almost 100 percent exposure allows detailed sampling strategies to be employed on locations of interest. In some cases igneous dykes have acted as flow barriers to pore fluids and have therefore altered the type and degree of cementation either side of the dyke. Geochemical analysis of the cement can

World Health Organization's Innovative Direct Disbursement Mechanism for Payment of Grassroots Immunization Personnel and Operations in Nigeria: 2004-2015.

PubMed

Yehualashet, Yared G; Wadda, Alieu; Agblewonu, Koffi B; Zhema, Theophilus; Ibrahim, Al-Asi A; Corr, Alhagie; Linkins, Jennifer; Mkanda, Pascal; Vaz, Rui G; Nsubuga, Peter; Ashogbon, Daniel

2016-05-01

vaccination personnel in May 2015 in compliance with national regulations. A total of 97% of the targeted 1871 beneficiaries in 2 pilot sites were successfully paid through mobile payment, although some challenges remain to be addressed. The DDM has met its objectives with a high rate of financial accountability and transparency, despite persistent operational and security challenges. With support from Nigeria, the Pakistan polio vaccination program successfully adopted the DDM. The DDM continues to play an important role in effective implementation of the polio endgame strategy and the national immunization strategic plan. As part of polio legacy planning, we recommend the DDM as a model for other opportunities that involve the engagement of large field-level teams as new vaccines are introduced in Nigeria and elsewhere. © 2016 World Health Organization; licensee Oxford Journals.

Cyber + Culture Early Warning Study

DTIC Science & Technology

2015-11-01

propaganda. Food Ministry These stories had more to do with contaminated food (bird flu, mad cow, Fu- kishima). Fulani, Fulbe, International Ethnic An...Iraq 1 4.7 Italy 1 5.0 Malaysia 1 6.0 Mexico 2 11.6 Pakistan 6 10.0 Saudi Arabia 2 22.5 Syria 3 12.2 Taiwan 2 13.5 Turkey 7 10.6 Actor Totals... Malaysia 100 26 50 36 41 57 Mexico 81 30 69 82 24 97 Morocco 70 46 53 68 14 25 Mozambique 85 15 38 44 11 80 Namibia 65 30 40 45 35 Null Nepal 65 30

Communication Gap in Education in Sindh, Pakistan.

ERIC Educational Resources Information Center

Panhwar, Farzana

Exposure to industrialization, urbanization, and commercial activities in the past 45 years has improved attitudes towards women in Pakistan, but they are still considered subordinate to men and the property of parents or husband. Traditional social values do not allow women full integration and participation in social and economic activities.…

A Key to Enduring Peace: Reforms in Federally Administered Tribal Areas of Pakistan

DTIC Science & Technology

2016-12-01

FATA.7 In addition to the human cost, the financial cost has been approximately US$118 billion.8 At present, to restore social cohesion in FATA and...Pathans of Pakistan (New York: Praeger, 1963), 143. 97 Adapted from “Reforming the Jirga System: Sensitization on Fundamental Human Rights...31 Amid asymmetric warfare, the Pakistan military’s inability to differentiate between friends and foe has led to serious human rights violations

Indian psychiatry and research in Pakistan.

PubMed

Chaudhry, Haroon Rashid

2010-01-01

In Asian culture, there is much stigmatization attached on having mental health problems and seeking help from a mental health expert. It is therefore, not surprising, that this stigmatization results in the refutation of the subsistence of a psychiatric problem in an individual and his family but also produces obstruction to help-seeking desires. To get a clear picture of the existence of psychiatric issues in the population, various research projects addressing psychiatric issues in children, women, and elderly are conducted both in Pakistan and India. A significant input has been taken from research conducted in India combating disaster management. In addition, public awareness programs are organized to provide information about common psychiatric disorders in children, adults, women, and the elderly.-Furthermore, psychiatric patients and their families are educated for the management of mental heath problems related to marriage, pregnancy, birth and hazards of smoking & substance abuse in young adults. Keeping in view the similarity in cultural background, treatment models, family structure, and psychosocial factors, collaborative research studies should be encouraged leading to improvement in psychiatric care of the patients both in India and Pakistan.

Knowledge and perceptions of polio and polio immunization in polio high-risk areas of Pakistan.

PubMed

Habib, Muhammad Atif; Soofi, Sajid Bashir; Ali, Noshad; Hussain, Imtiaz; Tabassum, Farhana; Suhag, Zamir; Anwar, Saeed; Ahmed, Imran; Bhutta, Zulfiqar Ahmed

2017-02-01

Pakistan and Afghanistan remain the only countries where polio is endemic, and Pakistan reports the most cases in the world. Although the rate is lower than in previous years, the situation remains alarming. We conducted a mixed methods study in high-risk areas of Pakistan to identify knowledge, attitudes, and practices of target populations about polio vaccine and its eradication, and to estimate coverage of routine immunization and oral polio vaccine. We surveyed 10,685 households in Karachi, 2522 in Pishin, and 2005 in Bajaur. Some knowledge of polio is universal, but important misconceptions persist. The findings of this study carry strategic importance for program direction and implementation.

Organic membranous skeleton of the Precambrian metazoans from Namibia

NASA Astrophysics Data System (ADS)

Dzik, Jerzy

1999-06-01

Unlike the celebrated Ediacara fossils, those from the roughly coeval localities of the Kuibis Quarzite of Namibia are preserved not as imprints on the sandstone bedding plane, but three-dimensionally, within the rock matrix. The pattern of deformation and the presence of sand in lower parts of the bodies of Ernietta, the most common and typical of those organisms, indicate that their three-dimensional preservation is a result of a density-controlled sinking of sand-filled organic skeletons within hydrated mud layers. Specimens of Ernietta have preserved various stages of migration across the mud beds. Their wall material, as documented by the mode of deformation, was not only flexible, but also elastic, which makes it unlike chitin. The walls thus seem to be proteinaceous, built probably of a collagenous fabric. The Ernietta skeleton was built of series of parallel chambers, which excludes the possibility that these were external body covers. The chambers apparently represent walls of hydraulic skeleton units, resembling the basement membrane of chaetognaths or the notochord sheath of primitive chordates. Such chambers are widespread among the earliest fossil animals represented by fossils preserved in sandstone. The rise and fall of the Ediacaran faunas thus seem to be partially preservational artifacts. The range of its occurrence is a result of two successive evolutionary events: the origin of an internal hydraulic skeleton enclosed by a strong basement membrane, and the appearance of decomposers with abilities to disintegrate such collagenous sheaths.

Professional Counseling in Nigeria: Past, Present, and Future

ERIC Educational Resources Information Center

Okocha, Aneneosa A. G.; Alika, Ijeoma H.

2012-01-01

The events that circumscribed the parameters of today's counseling in Nigeria are many and varied regarding their influence in shaping the development of the profession in the country. The authors review these events and the current status of counseling in Nigeria, including the challenges faced in the profession. Future trends and suggestions for…

A profile of women at the highest risk of maternal death in Pakistan.

PubMed

Agha, Sohail

2015-09-01

Traditionally, health interventions implemented in Pakistan have been designed to increase the supply of maternal health services, but have not focused on reaching the poorest women or on providing high-quality services. Demand-side barriers to the utilization of health services are substantial in Pakistan, as are supply-side constraints to the provision of quality health care. This study uses data from the Pakistan Demographic and Health Survey 2006-07 to develop a profile of the poorest women in Pakistan in order to understand demand-side barriers to accessing maternal health care. The study shows stark differences in human capital, material and demographic resources between the poorest women and other women. It illustrates how these differences translate into low levels of service utilization among the poorest women. The purpose of the study is to stimulate a discussion of both the difficulty and the importance of reaching the poorest women with high-quality maternal health interventions. The findings from several pilot projects in Pakistan suggest that the poorest women can be reached at disproportionately higher rates than non-poor women through targeted, community-based, interventions. There is little demonstrable evidence, however, that high-quality care has been provided through these interventions. Evidence-based approaches, which have the potential to overcome financial and sociocultural barriers to service utilization, should be scaled up as soon as possible. However, measures should be taken to ensure that the quality of care provided through these interventions is adequate and able to lead to significant reductions in mortality. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

Reproductive goals and family planning attitudes in Pakistan: a couple-level analysis.

PubMed

Mahmood, N

1998-01-01

This paper examined reproductive goals and family planning attitudes at the couple level in Pakistan. Data were based on the responses of the 1260 matched couples in the 1990-91 Pakistan Demographic and Health Survey. The questions integrated in the interview were on desired fertility, family size ideas, son preference, and family planning attitude. Findings of the analysis showed that about 60% of the couples have given similar responses (agreeing either positively or negatively) to several fertility-related questions, whereas the remaining 40% differ in their attitudes. This divergence may partly be of the environmental factors such as spouse rural background, lack of education, and minimal communication between spouses. This implies that a couple's joint approval, discussion of family planning, and husband's desire for no more children have the strongest effect on promoting contraceptive use. Thus, it is concluded that the role of couple agreement is important in promoting the use of family planning, and men should be made equal targets of such programs in Pakistan.

Prevalence and distribution of human Plasmodium infection in Pakistan

PubMed Central

2013-01-01

Background Both Plasmodium vivax and Plasmodium falciparum are prevalent in Pakistan, yet up-to-date data on the epidemiology of malaria in Pakistan are not available. This study was undertaken to determine the current prevalence and distribution of Plasmodium species across the country. Methods A malariometric population survey was conducted in 2011 using blood samples collected from 801 febrile patients of all ages in four provinces and the capital city of Islamabad. Microscopically confirmed Plasmodium-positive blood samples were reconfirmed by polymerase chain reaction (PCR). Confirmed parasite-positive samples were subjected to species-specific PCR capable of detecting four species of human malaria. Results Of the 707 PCR-positive samples, 128 (18%) were P. falciparum, 536 (76%) were P. vivax, and 43 (6%) were mixed P. falciparum and P. vivax. Ninety-four microscopy-positive samples were PCR-negative, and Plasmodium malariae and Plasmodium ovale were not detected. Prevalence of P. vivax ranged from 2.4% in Punjab Province to 10.8% in Sindh Province and prevalence of P. falciparum ranged from 0.1% in Islamabad to 3.8% in Balochistan. Conclusions Plasmodium infections in Pakistan are largely attributed to P. vivax but P. falciparum and mixed species infections are also prevalent. In addition, regional variation in the prevalence and species composition of malaria is high. PMID:23984968

Mercury contamination in deposited dust and its bioaccumulation patterns throughout Pakistan.

PubMed

Eqani, Syed Ali Musstjab Akber Shah; Bhowmik, Avit Kumar; Qamar, Sehrish; Shah, Syed Tahir Abbas; Sohail, Muhammad; Mulla, Sikandar I; Fasola, Mauro; Shen, Heqing

2016-11-01

Mercury (Hg) contamination of environment is a major threat to human health in developing countries like Pakistan. Human populations, particularly children, are continuously exposed to Hg contamination via dust particles due to the arid and semi-arid climate. However, a country wide Hg contamination data for dust particles is lacking for Pakistan and hence, human populations potentially at risk is largely unknown. We provide the first baseline data for total mercury (THg) contamination into dust particles and its bioaccumulation trends, using scalp human hair samples as biomarker, at 22 sites across five altitudinal zones of Pakistan. The human health risk of THg exposure via dust particles as well as the proportion of human population that are potentially at risk from Hg contamination were calculated. Our results indicated higher concentration of THg in dust particles and its bioaccumulation in the lower Indus-plain agricultural and industrial areas than the other areas of Pakistan. The highest THg contamination of dust particles (3000ppb) and its bioaccumulation (2480ppb) were observed for the Lahore district, while the highest proportion (>40%) of human population was identified to be potentially at risk from Hg contamination from these areas. In general, children were at higher risk of Hg exposure via dust particles than adults. Regression analysis identified the anthropogenic activities, such as industrial and hospital discharges, as the major source of Hg contamination of dust particles. Our results inform environmental management for Hg control and remediation as well as the disease mitigation on potential hotspots. Copyright © 2016 Elsevier B.V. All rights reserved.