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We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country's legislation is required. Reparative health justice comparisons provide a powerful tool for foregrounding necessary policy and practice change. [ABSTRACT FROM AUTHOR]

This paper reports on a study with rural young people (aged 10-24 years) in Malawi and Lesotho, focusing on their opportunities to learn skills and access capital and assets to engage in income-generating activities (IGAs). Participatory group exercises and individual interviews provide many examples of how young people learn skills and start small businesses, as well as an insight into their strategic thinking about engaging in these livelihood options. Various factors, including the effects of AIDS, are shown to affect young people's prospects of succeeding in their ventures. Young people are very keen on starting IGAs, and are supported by adult members of their communities in asking for interventions to help them. We argue that expanded vocational and business training, focusing on locally appropriate types and scale of businesses, coupled with help to raise start-up capital has the potential to improve the chances of young people who are poor and/or AIDS-affected securing sustainable rural livelihoods in their futures. Since AIDS is intertwined with many other issues affecting young people's livelihoods, it is problematic to single out and target only AIDS-affected young people with interventions on skills building and IGAs. Policymakers' attitudes to vocational skills training and support for IGAs in Malawi and Lesotho are also explored, and policy recommendations made to support vulnerable rural young people in their attempts to build sustainable livelihoods. [ABSTRACT FROM AUTHOR]

This article explores one woman's activism in the context of a large scale dam and infrastructure project in Southern Africa. Since 1986, Lesotho and South Africa are building one of the largest multi-dam water schemes in the world, the Lesotho Highlands Water Project (LHWP). Local communities impacted by the LHWP face resettlement, increased risk of impoverishment, and changed access to natural resources. Much like with other projects of this type and scale (Scudder, 2006), the multidimensional costs of the $8 billion dollar World Bank funded water scheme will fall hardest on rural women. Rural Basotho women are at the front lines in negotiating a changed landscape, and lead the struggle to speak out about their experiences and organize impacted people against transnational environmental injustice. This paper privileges one woman's activist experiences as a way to explore in depth the diversity of actions and choices that activism might entail and the contexts in which activism can take place in the everyday lives of women in Lesotho, specifically, but also throughout the world. [ABSTRACT FROM AUTHOR]

The introduction defines development and describes the scope of the paper. Section two briefly describes the historical evolution of migration in southern Africa, the ambiguities of data, and recent quantitative trends. Section three discusses alternative theoretical perspectives. Section four examines the case of Lesotho as an extreme example of a sending country and provides occasional allusions to other southern African sending countries. Section five concludes that the most important effect of migration on development in southern Africa has been to trade short run income benefits for long run development difficulties. [ABSTRACT FROM AUTHOR]

Abstract: Insights into the possible effect of lightning strikes on rock breakdown are presented by Knight and Grab (2014) from a summit area in the Lesotho highlands. Based on their findings, the authors challenge the association of angular debris with frost shattering and use this as a platform for directing critique against palaeo-geomorphic studies. While the lightning strike data are not questioned directly here, the palaeo-environmental context within which the paper is set, the portrayal of former findings and the assumptions regarding weathering mechanisms in Lesotho are commented on. Frost shattering is the centre of Knight and Grab's weathering critique but, contrary to that stated in their text, none of the cited authors invoke this process in Lesotho. Other weathering processes that are speculated upon are not specific to cold climates either and thus cannot be used in support of their argument. In terms of debris and block distribution, lightning will not account for the preferential location of relict blocks and debris below the summits on south-facing slopes, or for the extensive valley floor accumulations that are documented in Lesotho. Knight and Grab also falsely portray former studies by implying that palaeo-environmental inferences in the area are drawn from block origin or morphology alone when the climatic signatures were derived from integrated assessments. In a palaeo-context, the relative contribution of lightning to debris production under dryer and colder conditions, when convective thunderstorm activity in the highlands was likely reduced, is also questioned. The weathering context, as well as the critique that Knight and Grab direct at other studies on relict landforms, is thus shown as inappropriate. [Copyright &y& Elsevier]

Background: Depression and alcohol use disorder have been shown to be associated with poor adherence to antiretroviral therapy (ART). Studies examining their association with viral suppression in rural Africa are, however, scarce.Methods: This study reports prevalence of depressive symptoms and alcohol use disorder, and their potential association with adherence and viral suppression in adult patients on ART in ten clinics in rural Lesotho, Southern Africa.Results: Among 1,388 adult patients (69 % women), 80.7 % were alcohol abstinent, 6.3 % were hazardous drinkers (men: 10.7 %, women: 4.4 %, p < 0.001). The prevalence of depressive symptoms was 28.8 % (men 20.2 %, women 32.7 %, p < 0.001). Both alcohol consumption (adjusted odds-ratio: 2.09, 95 % CI: 1.58-2.77) and alcohol use disorder (2.73, 95 % CI: 1.68-4.42) were significantly associated with poor adherence. There was, however, no significant association with viral suppression.Conclusions: Whereas the results of this study confirm previously reported association of alcohol use disorder with adherence to ART, there was no association with viral suppression.Trial Registration: April 28th 2014; NCT02126696 . [ABSTRACT FROM AUTHOR]

Intra-seasonal rainfall distribution was identified as a priority gap that needs to be addressed for southern Africa to cope with agro-meteorological risks. The region in the northwest of Lesotho is appropriate for crop cultivation due to its relatively favourable climatic conditions and soils. High rainfall variability is often blamed for poor agricultural production in this region. This study aims to determine the onset of rains, cessation of rains and rainy season duration using historical climate data. Temporal variability of these rainy season characteristics was also investigated. The earliest and latest onset dates of the rainy season are during the last week of October at Butha-Buthe and the third week of November at Mapoteng, respectively. Cessation of the season is predominantly in the first week of April making the season approximately 137-163 days long depending on the location. Average seasonal rainfall ranged from 474 mm at Mapoteng to 668 mm at Butha-Buthe. Onset and cessation of the rainfall season vary by 4-7 weeks and 1 week, respectively. Mean coefficient of variation of seasonal rainfall is 39 %, but monthly variations are higher. These variations make annual crop management and planning difficult each year. Trends show a decrease in the rainfall amounts but improvements in both the temporal distribution of annual rainfall, onset and cessation dates. [ABSTRACT FROM AUTHOR]

The climatic potential of maize under dryland farming in Lesotho, southern Africa, was investigated using five suitability indices comprising probability of accumulating heat units of greater than 1,500 growing degree days, probability of a frost-free growing season, probability of seasonal rainfall of more than 500 mm, probability of drought during the flowering to grain-filling stages and the slope of an area. A geographic information system layer was prepared for each of these parameters and the layers overlaid using different weights for each of the climatic suitability indices to obtain an agroclimatic maize suitability map for Lesotho. This analysis yielded different suitability classes. This variability points to prevalence of climatic constraints that need to be acknowledged when attempting to identify management strategies that can optimize the rain-fed maize production in climatically variable environments. [ABSTRACT FROM AUTHOR]

In Southern Africa, high adult HIV prevalence has fueled concern about the welfare of children losing parents to the epidemic. A growing body of evidence indicates that parental, particularly maternal, death is negatively associated with child outcomes. However, a better understanding of the mechanisms is needed. In addition, the way orphan disadvantage and the mechanisms giving rise to it are understood on the ground is essential for the successful translation of research into policies and programs. This study employs data from 89 in-depth interviews with caregivers and key informants in Lesotho, a setting where approximately one-quarter of adults is infected with HIV, to elaborate understandings of orphan disadvantage. Our analysis focuses on two questions: (i) Do local actors perceive orphans to be disadvantaged compared to non-orphans, and if so, in what ways; and (ii) How do they explain orphans' differential disadvantage? Analyses suggest that orphans were widely perceived to be disadvantaged; respondents described this disadvantage in material as well as affective domains. Thematic analyses reveal five broad categories of explanation: poverty, love and kin connection, caregiver character, perceptions of orphans, and community norms related to orphan care. These results underscore the need for research and policy to address (i) multiple types of disadvantage, including deficits in kindness and attention; and (ii) the social embeddedness of disadvantage, recognizing that poverty, kinship, and community interact with individual attributes to shape caregiving relationships and child experiences. The findings suggest limited success for programs and policies that do not address the emotional needs of children, or that focus on child or caregiver support to the exclusion of community outreach. [ABSTRACT FROM AUTHOR]

Background: A new investigation of the sedimentology and ichnology of the Early Jurassic Moyeni tracksite in Lesotho, southern Africa has yielded new insights into the behavior and locomotor dynamics of early dinosaurs. Methodology/Principal Findings: The tracksite is an ancient point bar preserving a heterogeneous substrate of varied consistency and inclination that includes a ripple-marked riverbed, a bar slope, and a stable algal-matted bar top surface. Several basal ornithischian dinosaurs and a single theropod dinosaur crossed its surface within days or perhaps weeks of one another, but responded to substrate heterogeneity differently. Whereas the theropod trackmaker accommodated sloping and slippery surfaces by gripping the substrate with its pedal claws, the basal ornithischian trackmakers adjusted to the terrain by changing between quadrupedal and bipedal stance, wide and narrow gauge limb support (abduction range = 31°), and plantigrade and digitigrade foot posture. Conclusions/Significance: The locomotor adjustments coincide with changes in substrate consistency along the trackway and appear to reflect 'real time' responses to a complex terrain. It is proposed that these responses foreshadow important locomotor transformations characterizing the later evolution of the two main dinosaur lineages. Ornithischians, which shifted from bipedal to quadrupedal posture at least three times in their evolutionary history, are shown to have been capable of adopting both postures early in their evolutionary history. The substrate-gripping behavior demonstrated by the early theropod, in turn, is consistent with the hypothesized function of pedal claws in bird ancestors. [ABSTRACT FROM AUTHOR]

Background: Little is known about treatment of multidrug-resistant tuberculosis (MDR-TB) in high HIV-prevalence settings such as sub-Saharan Africa. Methodology/Principal Findings: We did a retrospective analysis of early outcomes of the first cohort of patients registered in the Lesotho national MDR-TB program between July 21, 2007 and April 21, 2008. Seventy-six patients were included for analysis. Patient follow-up ended when an outcome was recorded, or on October 21, 2008 for those still on treatment. Fifty-six patients (74%) were infected with HIV; the median CD4 cell count was 184 cells/ml (range 5-824 cells/ml). By the end of the follow-up period, study patients had been followed for a median of 252 days (range 12-451 days). Twenty-two patients (29%) had died, and 52 patients (68%) were alive and in treatment. In patients who did not die, culture conversion was documented in 52/54 patients (96%). One patient had defaulted, and one patient had transferred out. Death occurred after a median of 66 days in treatment (range 12-374 days). Conclusions/Significance: In a region where clinicians and program managers are increasingly confronted by drug-resistant tuberculosis, this report provides sobering evidence of the difficulty of MDR-TB treatment in high HIV-prevalence settings. In Lesotho, an innovative community-based treatment model that involved social and nutritional support, twice-daily directly observed treatment and early empiric use of second-line TB drugs was successful in reducing mortality of MDR-TB patients. Further research is urgently needed to improve MDR-TB treatment outcomes in high HIV-prevalence settings. [ABSTRACT FROM AUTHOR]

Presence-absence maps of the occurrence of species may be difficult to interpret because of uneven coverage in field surveys. Using data collected in the mountain Kingdom of Lesotho. southern Africa, where even coverage was virtually impossible to achieve, a method is presented to improve bird atlas maps by plotting predicted probabilities of occurrence calculated from logistic models. A set of habitat variables derived from maps was reduced to principal components and then used in logistic models to predict the occurrence of bird species across the country. The models generate a probability of occurrence for all survey squares irrespective of coverage. Maps for the Cape vulture Gyps coprotheres (Forster), ground woodpecker Geocolaptes olivaceus (Gmelin) and pied crow Corvus albus Muller are presented as examples. The models were assessed by jack-knife analysis and correctly predicted presence and absence in the field data. Relationships between the predicted probabilities, recording frequency (reporting rate) and density are discussed. [ABSTRACT FROM AUTHOR]