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Parks are essential for protecting biodiversity and finding ways to improve park effectiveness is an important topic. We contributed to this debate by examining spatial and temporal changes in illegal activities in Kibale National Park, Uganda between 2006 and 2016 and used existing data to evaluate how the changes were correlated with the living conditions of people in neighboring communities, as well as patrolling effort. We explore the effectiveness of conservation strategies implemented in Kibale, by quantifying changes in the abundance of nine animal species over two to five decades. While uncertainty in such animal survey data are inherently large and it is hard to generalize across a 795‐km2 area that encompasses diverse habitat types, data suggest an increase in animal abundance in the National Park. An increase in patrolling effort by park guards over the decade was correlated with a decline in the number of traps and snares found, which suggests patrolling helped limit resource extraction from the park. The park's edge was extensively used for illegal forest product extraction, while the setting of snares occurred more often deeper in the forest. Perhaps counter‐intuitively, increased community wealth or park‐related employment in a village next to the park were positively correlated with increased illegal forest product extraction. Overall, our results suggest that the portfolio of conservation strategies used over the last two to five decades were effective for protecting the park and its animals, although understanding the impact of these efforts on local human populations and how to mitigate any losses and suffering they sustain remains an important area of research and action. It is evident that complex social, political and economic drivers impact conservation success and more interdisciplinary studies are required to quantify and qualify these dimensions. [ABSTRACT FROM AUTHOR]

Background: Many visually impaired children can learn to read print with appropriate training and simple visual aids. This may allow them to attend normal schools and to be integrated into society, which has lifelong benefits. Yet, in Africa, many visually impaired children are enrolled in special schools and taught only Braille. The purpose of this analysis was to document the extent of inappropriate enrolment of visually impaired children in special schools and annexes for the blind in four African countries. Methods: Schools were selected through a population-proportional-to-size method so that they would represent all children attending special schools in Kenya, Malawi, Tanzania and Uganda. Children were examined by ophthalmologists trained in standardised methods to determine visual acuity and the cause of decreased acuity. Results: Of 1062 children examined in special schools and annexes for the blind, 361 (34%, 95% CI 31.2, 36.8) had visual acuity ≥6/60; the most common cause of visual impairment was retinal disease. Of the 120 children with normal vision (≥6/18), 69 (57.5%) had two normal eyes, 21 (17.5%) had an obvious ocular disfigurement in the fellow eye and 10 (8.4%) had had successful cataract surgery. Conclusions: In these countries, many children are placed inappropriately in special schools and annexes for the blind. The reasons are multiple and to rectify the situation will require advocacy and cooperation between ministries of health and education. [ABSTRACT FROM AUTHOR]

Purpose: To determine the causes of severe visual impairment and blindness in children attending schools for the blind in Kenya, Malawi, Uganda, and Tanzania and to compare the findings with those of a 1994 study., Methods: Children attending schools for the blind or annexes in 4 eastern African countries were examined. The major anatomical site of and underlying etiology of severe visual impairment and blindness was recorded using the standardized World Health Organization (WHO) reporting form., Results: A total of 1062 children aged below 16 years were examined of whom 701 (65.2%) had severe visual impairment or blindness. The major anatomical sites of visual loss overall (% and 95% CI) were cornea scar/phthisis bulbi (19%,16.1-21.9), whole globe lesions (15.7%,13.0-18.4), retina (15.4 %, 12.7-18.1), lens related disorders (13.1%, 10.7-15.5), and optic nerve disorders (12.3%, 9.9-14.7). Corneal scar/phthisis was not distributed equally among the countries and was highest in Malawi, similar to findings in 1995. The major etiology of visual loss was childhood factors (29.9%) and an estimated 40% of severe visual impairment and blindness was due to potentially avoidable causes., Conclusion: The major causes of severe visual impairment and blindness overall have not changed appreciably since 1995. There are important differences among countries, however, and using overall estimates for planning may be misleading.

Objective: The aim of this study was to describe results of a representative sample of children who have undergone cataract surgery in schools for the blind in 4 African countries., Design: Cross-sectional study., Participants: Children enrolled at schools for the blind in Kenya, Malawi, Tanzania, and Uganda., Methods: We used a population-proportional-to-size methodology to select a representative sample of schools for the blind and annexes and included all the children attending the selected schools. Trained teams using standardized examination methods and a modified World Health Organization form examined the children. The form was modified specifically to collect information on outcomes of cataract surgery., Main Outcome Measures: Operative status and postoperative visual acuity., Results: Of 1062 children examined, 196 (18%) had undergone cataract surgery or had cataract as the major cause of visual impairment; 140 (71%) had bilateral surgery, 24 (12%) had unilateral surgery, and 32 (16%) had not had surgery. Of operated eyes, 118 (41%) had visual acuity > or =20/200. Intraocular lenses were implanted in 65% of the operated eyes. Eyes with intraocular lens were more likely to have better vision than those without (P for trend = 0.04). Amblyopia was the most common cause of poor visual acuity in children who had undergone cataract surgery., Conclusions: The number of children in the schools who receive cataract surgery has increased greatly since 1995. The high rate of amblyopia highlights the critical need for programs to find children earlier and to ensure adequate follow-up after surgery. Without such programs, the value of training pediatric surgeons will not be fully realized., Financial Disclosure(s): The authors have no proprietary or commercial interest in any materials discussed in this article.