scholarly journals Irrigated urban vegetable production in Ghana: microbiological contamination in farms and markets and associated consumer risk groups

2007 ◽  
Vol 5 (3) ◽  
pp. 455-466 ◽  
Author(s):  
P. Amoah ◽  
P. Drechsel ◽  
M. Henseler ◽  
R. C. Abaidoo
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Fast Food ◽  
Risk Group ◽  
Risk Groups ◽  
Normal Diet ◽  
Vegetable Production ◽  
Sub Saharan ◽  
Contamination Levels ◽  
Questionnaire Surveys

Ghana is a typical low-income sub-Saharan African country facing significant sanitation challenges. In Ghana, fresh salads are not part of the normal diet, but have become a common supplement to urban fast food served in streets, canteens and restaurants. In Accra, about 200 000 people consume from such supplements every day. The figure also describes the size of the risk group from contamination, which comprises all income classes including the poor and children. The purpose of this study was to investigate widespread water pollution in urban and peri-urban areas, where 95% of the lettuce consumed in the city is produced. Over 12 months (April 2004–June 2005), lettuce samples from the same production sites in two cities were followed and analyzed along the “farm to fork” pathway for total and faecal coliform (FC) and helminth egg numbers. Questionnaire surveys were conducted among producers, sellers and consumers to quantify lettuce flows to the final risk group. The study identified the farm as the main point of lettuce contamination. Besides the irrigation water, contamination was also attributed to manure application and already contaminated soil. Despite poor sanitary conditions in markets, post-harvest handling and marketing did not further increase the farm-gate contamination levels. To reduce the health risk associated with the consumption of contaminated lettuce; safer farming and irrigation practices are required while the remaining risk could best be addressed where lettuce is prepared for consumption.

scholarly journals The acceptance of covid-19 vaccines in Sub-Saharan Africa: Evidence from 6 national phone surveys

2021 ◽  
Author(s):  
Shelton Kanyanda ◽  
Yannick Markhof ◽  
Philip Wollburg ◽  
Alberto Zezza
Keyword(s):  
Side Effects ◽  
Low Income ◽  
Urban Areas ◽  
Vaccine Coverage ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
Vaccine Hesitancy ◽  
African Countries ◽  
Representative Sampling ◽  
Sub Saharan

Introduction Recent debates surrounding the lagging covid-19 vaccination campaigns in low-income countries center around vaccine supply and financing. Yet, relatively little is known about attitudes towards covid-19 vaccines in these countries and in Africa in particular. In this paper, we provide cross-country comparable estimates of the willingness to accept a covid-19 vaccine in six Sub-Saharan African countries. Methods We use data from six national high-frequency phone surveys from countries representing 38% of the Sub-Saharan African population (Burkina Faso, Ethiopia, Malawi, Mali, Nigeria, and Uganda). Samples are drawn from large, nationally representative sampling frames providing a rich set of demographic and socio-economic characteristics by which we disaggregate our analysis. Using a set of re-calibrated survey weights, our analysis adjusts for the selection biases common in remote surveys. Results Acceptance rates in the six Sub-Saharan African countries studied are generally high, with at least four in five people willing to be vaccinated in all but one country. Vaccine acceptance ranges from nearly universal in Ethiopia (97.9%, 97.2% to 98.6%) to below what would likely be required for herd immunity in Mali (64.5%, 61.3% to 67.8%). We find little evidence for systematic differences in vaccine hesitancy by sex or age but some clusters of hesitancy in urban areas, among the better educated, and in richer households. Safety concerns about the vaccine in general and its side effects emerge as the primary reservations toward a covid-19 vaccine across countries. Conclusions Our findings suggest that limited supply, not inadequate demand, likely presents the key bottleneck to reaching high covid-19 vaccine coverage in Sub-Saharan Africa. To turn intent into effective demand, targeted communication campaigns bolstering confidence in the safety of approved vaccines and reducing concerns about side effects will be crucial to safeguard the swift progression of vaccine rollout in one of the world's poorest regions.

scholarly journals Access to improved sanitation facilities in low-income informal settlements of East African cities

2014 ◽  
Vol 5 (1) ◽  
pp. 89-99 ◽  
Author(s):  
K. Okurut ◽  
R. N. Kulabako ◽  
P. Abbott ◽  
J. M. Adogo ◽  
J. Chenoweth ◽  
...  
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Informal Settlement ◽  
Informal Settlements ◽  
Sub Saharan Africa ◽  
East African ◽  
Basic Sanitation ◽  
Improved Sanitation ◽  
Joint Monitoring ◽  
Sub Saharan

Throughout Africa, the population in urban areas is increasing rapidly, often exceeding the capacity and the resources of the cities and towns to accommodate the people. In sub-Saharan Africa, the majority of urban dwellers live in informal settlements served by inadequate sanitation facilities. These settlements present unique challenges to the provision of sustainable and hygienic sanitation, and there is insufficient information on access to improved facilities. This paper reports findings of a study undertaken in low-income informal settlements using a mixed methods approach to assess access to sanitation and identify the barriers to household uptake of improved sanitation facilities. More than half of the respondents (59.7%) reported using sanitation facilities that are included in the WHO/UNICEF Joint Monitoring Programme definition of improved sanitation. However, a high proportion of these facilities did not provide access to basic sanitation. Less than 5% of all the respondents did not report problems related to sustainable access to basic sanitation. The findings highlight the urgent need to develop specific and strategic interventions for each low-income informal settlement, to upscale the sustainable access and use of improved sanitation in urban centres.

Food History and Women in Sub-Saharan Africa

2021 ◽  
Author(s):  
Igor Cusack
Keyword(s):  
Urban Areas ◽  
Fast Food ◽  
New Technologies ◽  
Colonial Period ◽  
Sub Saharan Africa ◽  
Food History ◽  
Ruling Elites ◽  
Sub Saharan ◽  
The Public Sphere ◽  
Postcolonial Africa

Any account of women and food history in sub-Saharan Africa must be complicated by two main factors: first, the multitude and complexity of African societies and their interactions with the different colonial powers over five centuries, and, second, by an underestimation of the importance of women’s activities by researchers imbued with colonial patriarchal ideologies. In prehistoric and precolonial times, only glimpses of women’s roles in food production and gathering can be seen, drawing on evidence from historical linguistics, ethnography, anthropology, and archaeology. What evidence there is suggests that women’s participation in these tasks was important. The written account of Ibn Battutah and the oral epic of Sundiata provide some information about what was eaten and Sundiata does point to women’s major role in growing food and in cooking. During the colonial period, from about 1500 to the 1960s, many accounts from different parts of sub-Saharan Africa stress how women played a dominant part in the farming, processing, preparation, and cooking of food. There was a varied and often complex division of labor between men and women. Instead of the more rigid gendered private/public divide often seen in the West, women in Africa have engaged in wider roles in the public sphere, for example, in the processing of food for sale. There are some indications that women’s work was changed by the introduction of new crops from Asia and the Americas. Colonial governments favored men working on cash crops so that women focused even more on the provision of food for the family. Women also showed great adaptability in assessing and using new technologies such as peanut processing machines. Cooking has remained predominantly a woman’s occupation in sub-Saharan Africa and a divide between a “high” cuisine, mainly in the hands of men outside Africa, and a “low” or humble cuisine, has not developed. Cookery books are very useful sources for evidence of the history of women’s domestic role. Those published for European settler wives in the colonial period were focused on the housewife rooted in the home and this ideology of domesticity can be found in the cookery books of postcolonial Africa. After independence, the ruling elites of African nations set about constructing discourses of national identity, flags and anthems particular to each nation, and women have contributed to this nation-building by assembling national cuisines. Since the 1980s, an epidemic of obesity has occurred in many African urban areas, with associated chronic disease, which women have suffered more than men. An ideal image of a plumper body, along with the introduction of “fast food,” has contributed to this situation. Women have also been disadvantaged by cultural food taboos in which certain foods are prohibited to them.

scholarly journals Current realities versus theoretical optima: quantifying efficiency and sociospatial equity of travel time to hospitals in low-income and middle-income countries

2019 ◽  
Vol 4 (4) ◽  
pp. e001552 ◽  
Author(s):  
Kerry LM Wong ◽  
Oliver J Brady ◽  
Oona Maeve Renee Campbell ◽  
Christopher I Jarvis ◽  
Andrea Pembe ◽  
...  
Keyword(s):  
Current Efficiency ◽  
Travel Time ◽  
Low Income ◽  
Urban Areas ◽  
African Countries ◽  
Middle Income ◽  
Middle Income Countries ◽  
Average Travel Time ◽  
Sub Saharan ◽  
Aid Decision

BackgroundHaving hospitals located in urban areas where people, resources and wealth concentrate is efficient, but leaves long travel times for the rural and often poorer population and goes against the equity objective. We aimed to assess the current efficiency (mean travel time in the whole population) and equity (difference in travel time between the poorest and least poor deciles) of hospital care provision in four sub-Saharan African countries, and to compare them against their theoretical optima.MethodsWe overlaid the locations of 480, 115, 3787 and 256 hospitals in Kenya, Malawi, Nigeria and Tanzania, respectively, with high-resolution maps of travel time, population and wealth to estimate current efficiency and equity. To identify the potential optima, we simulated 7500 sets of hospitals locations based on various population and wealth weightings and percentage reallocations for each country.ResultsThe average travel time ranged from 38 to 79 min across countries, and the respective optima were mildly shorter (<15%). The observed equity gaps were wider than their optima. Compared with the best case scenarios, differences in the equity gaps varied from 7% in Tanzania to 77% in Nigeria. In Kenya, Malawi and Tanzania, narrower equity gaps without increasing average travel time were seen from simulations that held 75%–90% of hospitals at their current locations.InterpretationsCurrent hospital distribution in the four sub-Saharan African countries could be considered efficient. Simultaneous gains in efficiency and equity do not necessarily require a fundamental redesign of the healthcare system. Our analytical approach is readily extendible to aid decision support in adding and upgrading existing hospitals.

scholarly journals The Role of Phylogenetics in Discerning HIV-1 Mixing among Vulnerable Populations and Geographic Regions in Sub-Saharan Africa: A Systematic Review

Viruses ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1174
Author(s):  
George M. Nduva ◽  
Jamirah Nazziwa ◽  
Amin S. Hassan ◽  
Eduard J. Sanders ◽  
Joakim Esbjörnsson
Keyword(s):  
Risk Group ◽  
Risk Groups ◽  
Phylogenetic Inference ◽  
Sub Saharan Africa ◽  
Transmission Dynamics ◽  
Source Attribution ◽  
Transmission Networks ◽  
Sub Saharan ◽  
Hiv 1

To reduce global HIV-1 incidence, there is a need to understand and disentangle HIV-1 transmission dynamics and to determine the geographic areas and populations that act as hubs or drivers of HIV-1 spread. In Sub-Saharan Africa (sSA), the region with the highest HIV-1 burden, information about such transmission dynamics is sparse. Phylogenetic inference is a powerful method for the study of HIV-1 transmission networks and source attribution. In this review, we assessed available phylogenetic data on mixing between HIV-1 hotspots (geographic areas and populations with high HIV-1 incidence and prevalence) and areas or populations with lower HIV-1 burden in sSA. We searched PubMed and identified and reviewed 64 studies on HIV-1 transmission dynamics within and between risk groups and geographic locations in sSA (published 1995–2021). We describe HIV-1 transmission from both a geographic and a risk group perspective in sSA. Finally, we discuss the challenges facing phylogenetic inference in mixed epidemics in sSA and offer our perspectives and potential solutions to the identified challenges.

TURNING FARMERS INTO SOCIAL FARMER ENTREPRENEURS FOR DISADVANTAGED PEOPLE

2020 ◽  
Author(s):  
Remus Runcan
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health And Safety ◽  
Physical Work ◽  
Healthy Environment ◽  
Rural And Urban Areas ◽  
Rural Development Programme ◽  
Rural And Urban

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”

HIV INFECTION AND SOME RELATED FACTORS IN FEMALE MASSAGE THERAPISTS IN QUANG NGAI PROVINCE

2015 ◽  
pp. 57-60
Author(s):  
Xuan Chuong Tran ◽  
Thi Thanh Hoa Le ◽  
Ngoc Van Nguyen ◽  
Thanh Nguyen
Keyword(s):  
Hiv Infection ◽  
Urban Areas ◽  
Risk Groups ◽  
Sexual Contact ◽  
Related Factor ◽  
Related Factors ◽  
Cross Sectional ◽  
Keywords Hiv ◽  
Study Results ◽  
Massage Therapists

Background: HIV/AIDS is still a dangerous infection in Vietnam and in the world. Studying of HIV infection and related factors in high risk groups, including female massage therapists is therefore very important. Aims: 1. To study the HIV infection in female massage therapists in Quang Ngai province. 2. To fine some related factors to HIV infection. Patients and methods: Female massage therapists working in Quang Ngai province. Cross-sectional, descriptive study. Results: The rate of HIV infection was 0.99%. Group older than 22 years old had higher rate of infection than group under 22 years old (1.80% vs 0.69%). The girls from urban areas or not using condom had higher rate of infection than group from rural or not using condom (1.57% vs 0.47% and 7.32% vs. 0.57%). Most of HIV infected belong to single or divorce groups. Conclusions: The rate of HIV infection in female massage therapists in Quang Ngai province was 0.99%. The HIV infection related factor was not using condom in sexual contact. Keywords: HIV, female massage therapists, Quang Ngai

Ecosan Can Provide Sustainable Sanitation in Emergency Situations with Benefits for the Millennium Development Goals

2006 ◽  
Vol 1 (2) ◽  
Author(s):  
E. v. Münch ◽  
G. Amy ◽  
J. F. Fesselet
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Millennium Development Goals ◽  
Net Present Value ◽  
Soil Conditions ◽  
Value Analysis ◽  
Emergency Situations ◽  
Long Time ◽  
Development Goals ◽  
Sanitation Systems

This paper describes the potential of ecological sanitation (ecosan) to provide sustainable excreta disposal in emergency situations and in peri-urban areas or slums in developing countries. At the present time, pit latrines are the most common form of excreta disposal both for emergency situations and in low-income peri-urban areas or slums. Although not intended to be a long-term solution, pit latrines provided during emergencies are often used for a long time (more than six months to years). This practice is not sustainable if the area is prone to flooding or there are soil conditions that allow groundwater pollution in areas where groundwater is used for drinking water, to name but two of the main factors. We propose eight criteria for the applicability of ecosan based on analysis of three case studies representing different types of emergency situations. The two most important criteria are awareness and expertise in ecosan within the aid agencies, and availability of standardised, lightweight toilet units that are quick to assemble and easy to transport (e.g. container for faeces, and urine diversion squatting pan made of impact-resistant molded polypropylene). Such toilets could be moved to, or replicated in, other areas in need after the emergency (peri-urban areas or slums). This would provide benefits for Millennium Development Goals achievements (targets on hunger, child mortality, sanitation and slum dwellers) at lower cost than conventional sanitation systems. Costs for sanitation systems should be compared based on the entire system (toilet, transport, treatment, reuse in agriculture), using Net Present Value analysis for capital, and operating and maintenance costs.

Managing African Urbanization in the Context of Environmental Change

2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Shuaib Lwasa
Keyword(s):  
Climate Change ◽  
Economic Growth ◽  
Social Services ◽  
Urban Areas ◽  
Urban Governance ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Sub Saharan ◽  
Urbanization Rate ◽  
Development And Management

Africa’s urbanization rate has increased steadily over the past three decades and is reported to be faster than in any other region in the world . It is estimated that by 2030, over half of the African population will be living in urban areas . But the nature of Africa’s urbanization and subsequent form of cities is yet to be critically analyzed in the context of city authorities’ readiness to address the challenges . Evidence is also suggesting that urbanization in African countries is increasingly associated with the high economic growth that has been observed in the last two decades . Both underlying and proximate drivers are responsible for the urbanization, and these include population dynamics, economic growth, legislative designation, increasing densities in rural centers, as well as the growth of mega cities such as Lagos, Cairo and Kinshasa, that are extending to form urban corridors . With the opportunities of urbanization in Sub–Saharan Africa, there are also challenges in the development and management of these cities . Those challenges include provision of social services, sustainable economic development, housing development, urban governance, spatial development guidance and environmental management, climate change adaptation, mitigation and disaster risk reduction . The challenge involves dealing with the development and infrastructure deficit, in addition to required adaption to and mitigation of climate change . This paper examines the current state of urban management in Africa .

Monetary Policy in Sub-Saharan Africa

2018 ◽  
Keyword(s):  
Monetary Policy ◽  
Low Income ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
African Countries ◽  
Policy Regimes ◽  
Export Prices ◽  
Policy Work ◽  
Sub Saharan ◽  
Policy Guidance

Having broadly stabilized inflation over the past two decades, many policymakers in sub-Saharan Africa are now asking more of their monetary policy frameworks. They are looking to avoid policy misalignments and respond appropriately to both domestic and external shocks, including swings in fiscal policy and spikes in food and export prices. In many cases they are finding current regimes—often characterized as ‘money targeting’—lacking, with opaque and sometimes inconsistent objectives, inadequate transmission of policy to the economy, and difficulties in responding to supply shocks. At the same time, little existing research on monetary policy is targeted to low-income countries. What do we know about the empirics of monetary transmission in low-income countries? (How) Does monetary policy work in countries characterized by a huge share of food in consumption, underdeveloped financial markets, and opaque policy regimes? (How) Can we use methods largely derived in advanced countries to answer these questions? And (how) can we use the results to guide policymakers? This book draws on years of research and practice at the IMF and in central banks from the region to shed empirical and theoretical light on these questions and to provide practical tools and policy guidance. A key feature of the book is the application of dynamic general equilibrium models, suitably adapted to reflect key features of low-income countries, for the analysis of monetary policy in sub-Saharan African countries.

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